ACUTE HEPATITIS (HEPATITIS A AND E)

Clinical Manifestations
  • Primary Stage: (This is mostly applicable to hepatitis A, in the early stage of the disease.)
    Fatigue
    Occasional jaundice (Damp-Heat Stage affecting the Blood)
  • If the disease is cured at this stage, there will be no further manifestations.
  • If the disease is not cured at this stage: (This stage is not seen in hepatitis C.)
    Fever and chills
    Nausea
    Gas
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • High fever (sometimes rises and falls)
  • Great thirst
  • Profuse perspiration
  • Aversion to Heat
  • Abdominal pain (worse with pressure)
  • Abdominal distension
  • Dryness
  • Constipation (hard dry knots)
  • Dislikes pressure
  • Restlessness
  • Irritability
  • Mental disturbance:
    Mentally unclear
    Delirious speech
  • T: Red and dry, or black and moist
  • C: Thick yellow or dry yellow
  • P: Deep, strong and forceful
Treatment Principle
  • Purge
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (not so likely)
  • Restlessness
  • Irritability
  • Continuous vomiting
  • Headache (side of head)
  • Hypochondriac pain
  • Epigastric pain
  • Bitter taste in mouth
  • Digestive disruption
  • Anorexia
  • Nausea
  • Acid regurgitation
  • Burning diarrhea or
  • Constipation
  • Menstrual problems
  • Dry throat
  • Heart pain with vomiting
  • Throat pain
  • Hip pain
  • T: Red
  • C: Thin yellow
  • P: Wiry, forceful
Treatment Principle
  • Harmonize the Liver and Gall Bladder
  • Purge Internal Heat
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Fullness and focal distention in the chest and diaphragm
  • Pain in the chest and diaphragm with pressure
  • Thick, sticky, difficult-to-expectorate Phlegm
  • Panting
  • A bitter taste in the mouth
  • Chest pain with coughing or on deep inhalation
  • Anorexia
  • T: Normal
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Release the Shao Yang
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Fullness and focal distention in the chest and diaphragm
  • Pain in the chest and diaphragm with pressure
  • Thick, sticky, difficult-to-expectorate Phlegm
  • Panting
  • A bitter taste in the mouth
  • Chest pain with coughing or on deep inhalation
  • Anorexia
  • T: Normal
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Release the Shao Yang
Herb Formulas
Points
Clinical Manifestations
  • High fever accompanied by severe chills and shivering
  • Aversion to Cold
  • Pain worse at night
  • Difficult movement
  • Local inflammation
  • Migratory pain
  • Soreness and pain of the extremities
  • Nasal congestion with sonorous breathing
  • Anhidrosis
  • Pain and stiffness of the head and neck
  • Focal distention and fullness of the chest and diaphragm
  • A productive cough
  • May have numbness and heaviness in the limbs
  • Body aches
  • Nasal obstruction
  • Cough with sputum
  • Stuffy nose
  • Joint pain
  • Pain worse with Cold and better with warmth
  • Pain aggravated by Wind
  • Pain aggravated by Dampness
  • Pain is stabbing
  • Muscle weakness
  • Pain alleviated by movement
  • Slight muscle edema
  • Heaviness of the joints
  • Cold joints
  • Headache
  • Dizziness
  • T: Pale or Slightly purple or Purple spots
  • C: White or thin, white, greasy
  • P: Slippery or Slightly superficial or Superficial and soft or Slightly rough or Slow and Soft or Wiry and tight or Superficial and rapid that is forceless under pressure
Treatment Principle
  • Release the Exterior
  • Augment Qi
  • Remove Wind-Cold-Damp
  • Eliminate Painful Obstruction
  • Circulate Qi and Blood
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Severe sore and swollen throat
  • High fever with convulsions in infants
  • Difficulty swallowing
  • Carbuncles
  • Acute localized infection
  • Lymphangitis
  • Furuncles
  • Boils
  • Abscesses
  • T: Red
  • C: Greasy and yellow
  • P: Rapid
Treatment Principle
  • Relieve Toxic Heat
  • Reduce swelling
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Strong fever and chills
  • Redness of the head and face
  • Swelling and burning pain of the head and face
  • Throat dysfunction
  • Swelling and pain of the throat
  • Thirst
  • Red and swollen eyes
  • Difficulty opening the eyes
  • Aversion to Cold
  • Throat Dryness
  • Facial edema
  • Restlessness
  • T: Red or Dry and red
  • C: Powdery white or Yellow
  • P: Floating, rapid and forceful or Rapid and forceful
Treatment Principle
  • Clear Heat
  • Eliminate Fire toxin
  • Disperse Wind-Heat
Herb Formulas
Points
Clinical Manifestations
  • Headache (wrapping)
  • Fever and chills, fever more pronounced or
  • Chills with afternoon fever
  • Heavy extremities
  • Heavy sensations in the body
  • Stifling sensation in the chest
  • Nausea
  • Dizziness
  • Gastric and abdominal distension
  • Sticky mouth
  • No thirst
  • T: Normal
  • C: Greasy, white or Greasy, yellow
  • P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Abdominal distention
  • Thirst
  • Sweat
  • Stifling sensation in the chest
  • Restlessness
  • Gastric disturbances:
    Heaviness
    Nausea
    Severe diarrhea
  • Scanty urine
  • T: Red tip and edges
  • C: Greasy white or yellow
  • P: Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Resolve Damp
Herb Formulas
Points
Clinical Manifestations
  • Fever (may be unremitting)
  • Achy limbs
  • A stifling sensation in the chest
  • Abdominal distention
  • Nausea and vomiting
  • Dark, scanty, turbid or red urine
  • Diarrhea or constipation
  • Malaise
  • Sore throat
  • Jaundice
  • Thirst with no desire to drink
  • No perspiration
  • Chest discomfort
  • Swollen throat
  • Pressure headache
  • Anorexia
  • Vomiting and diarrhea
  • Unremitting fever
  • Swelling of the lower cheeks
  • Lumbago
  • Heaviness
  • Sweat
  • Orange-yellow body
  • Jaundice
  • Fatigue
  • Lethargy
  • Low back pain
  • Headache
  • Oliguria
  • Irritability
  • Persistent low grade fever
  • Dysentery
  • Simultaneous bitter and sweet tastes in mouth
  • Bowel dysfunction
  • T: Red or normal or Pale white
  • C: Thick greasy and white or Dry and yellow
  • P: Soft and rapid
Treatment Principle
  • Resolve Dampness
  • Transform turbidity
  • Clear Heat
  • Relieve toxicity
Herb Formulas
Points
Clinical Manifestations
  • High fever worse at night
  • Thirst
  • Insomnia
  • Major mental problems
  • Dramatic change of personality
  • Delirium
  • Speech difficulty
  • Aphasia
  • Poor memory
  • Dizziness
  • Maybe fainting
  • Maybe coma
  • Feverish extremities
  • T: Deep red
  • P: Thready and rapid
Treatment Principle
  • Clear Heat in Pericardium
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Confusion of mind
  • Delirium
  • Mania
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage:
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • T: Deep red, dry or Purple red
    C: None
    P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle
  • Cool the Blood
  • Dispel Heat and Toxins from the Xue Stage
  • Promote Blood Circulation
Herb Formulas
Points
Clinical Manifestations
  • Chronic cough or
  • Dry cough
  • Insomnia
  • Night sweats
  • Spontaneous perspiration
  • Weakness
  • Palpitations
  • Shortness of breath
  • Fever
  • Irritability
  • T: Red and dry or Red and swollen
  • C: Little or None
  • P: Thready and weak
Treatment Principle
  • Replenish Qi and Yin
  • Generate Body Fluids
Herb Formulas
Points
Clinical Manifestations
  • Edema in limbs, especially lower limbs
  • Maybe anasarca
  • Maybe abdominal distention
  • Loose stools
  • Physical and mental fatigue
  • T: Pale
  • C: White and moist
  • P: Soft and even
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Benefit Qi
  • Move water
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Thick and greasy
  • P: Slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Emotional tension
  • Irritability
  • Inappropriate anger
  • Fatigue
  • Weakness
  • Cold hands and feet
  • Maybe anorexia
  • A bland taste in the mouth
    Loose stools
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
    Premenstrual syndrome
  • T: Pale or Dark, fat and swollen
  • C: Thin and white or White and slippery
  • P: Slippery and wiry or Thready and wiry
Treatment Principle
  • Soothe the Liver
  • Strengthen the Spleen
  • Tonify Qi
Herb Formulas
Points
Clinical Manifestations
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of the Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark purple (maybe purple spots on edge of tongue)
  • P: Wiry, choppy and slow
Treatment Principle
  • Regulate Liver Qi
  • Invigorate the Blood
Herb Formulas
Points
Clinical Manifestations
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • In severe cases:
    Mania
    Hemoptysis
    Hematemesis
    Epistaxis
  • Liver Fire Attacks the Lungs:
    Hemoptysis
    Rib pain which is severe when coughing
  • Liver Fire Attacks the Stomach:
    Hematemesis
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Pronounced chills with light fever or
  • Chills without fever
  • Cold extremities
  • Aversion to Wind
  • Headache
  • Thirst
  • Sweating on the head
  • Irritability
  • Insomnia
  • Dry cough
  • Tuberculosis
  • Diarrhea
  • Palpitations
  • Loose stools
  • Hypochondriac pain
  • A feeling of fullness and clumping in the chest and hypochondrium
  • Rapid Heart palpitations
  • Dysuria
  • Night sweats
  • Gastric distention
  • T: Moist
  • C: White and slippery
  • P: Wiry and tight on the left or Wiry and slow on the right or Thin and rapid or Irregular
Treatment Principle
  • Harmonize and release the Shao Yang
  • Disperse clumping
  • Warm the Interior
  • Dispel Cold
  • Dispel water accumulation
  • Clear Heat
Herb Formulas
Points

Clinical Manifestations
  • Yang jaundice (sclera and skin bright yellow)
  • Fatigue
  • Fever and chills
  • Nausea
  • Gas
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Severe headache
  • Flushed cheeks
  • Bad breath
  • Tinnitus
  • Hearing loss
  • Irritability
  • Insomnia
  • Coughing up viscous, thick sputum
  • Dark urine
  • Swollen lymph nodes
  • Abdominal tension and itching
  • Darkened skin
  • Epistaxis
  • Itching
  • Formation of cellulitis
  • T: Red
  • C: Normal or Yellow
  • P: Wiry and rapid
Treatment Principle
  • Drain Fire
  • Relieve toxicity
  • Spread the Liver Qi
  • Strengthen the Spleen
  • Disperse Wind-Heat
Herb Formulas
Points
Clinical Manifestations
  • Firmness and distention in the lower abdomen which is painful and gives resistance on pressure
  • Smooth urination
  • Manic behavior
  • Forgetfulness
  • Black stools that are easy to expel
  • Delayed menstruation
  • Amenorrhea
  • Irregular menstruation
  • Coagulated blood
  • Thirst
  • Dry mouth
  • Polyuria
  • Liver spots indicating stagnant blood found on the face, lips, tongue, limbs and finger nails
  • T: Purplish
  • C: Normal
  • P: Deep, slow and irregular
Treatment Principle
  • Break up and dispel Blood Stasis
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Generalized yellowing
  • Aversion to Cold
  • Fever
  • Anhidrosis
  • Body aches
  • Aversion to Wind
  • Thirst
  • Nasal congestion
  • Sore throat
  • Edema
  • Constipation
  • Sneezing with clear watery nasal discharge
  • Itchy throat
  • Irritability
  • A stifling sensation in the chest
  • Heat in the joints with pain and swelling
  • Itching
  • Dysuria
  • Expectoration of yellow Phlegm
  • Dark, scanty urination or bloody urination
  • T: Red
  • C: Yellow
  • P: Floating or Slippery and rapid
Treatment Principle
  • Resolve the Exterior
  • Dissipate Toxins
  • Clear Heat
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Fidgeting
  • Thirst with desire for drinks
  • Skin eruptions
  • Jaundice is acute and worsens quickly
  • Dark yellow or gold colored skin
  • Hot feeling of the skin
  • Irritability
  • Insomnia
  • Mania
  • Unconsciousness
  • Hematemesis
  • Epistaxis
  • Hemafecia
  • Delirium
  • Bleeding from the mouth
  • Bruises easily
  • T: Deep purplish or Deep red
  • C: White, greasy and thick, obvious in the middle part or Thin and white, with scanty fluids or Dry yellow
  • P: Wiry and rapid or Thready and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Relieve toxicity
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Simultaneous vomiting and diarrhea
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Irritability
  • Acid regurgitation
  • Anorexia
  • Restlessness
  • Fatigue
  • Abdominal pain
  • A bitter taste in the mouth
  • Dark, scanty, possibly reddish urine
  • T: Normal
  • C: Yellow and greasy
  • P: Slippery and rapid or Smooth and wiry
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Regulate Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points