ANXIETY

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	For Blood Stasis: Di Dang Tang
Points	HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 Ear: Shenmen

SHAO YANG WITH FLUID ACCUMULATION IN THE INTERIOR

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 Anxiety 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 Moisten the Lungs Astringe sweating Relieve flushing up
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang
Points

SHAO YANG FU WITH LIVER QI STAGNATION

Clinical Manifestations	Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Depression Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Shao Yang Sedate and calms the Spirit Regulate Liver Qi
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points	GB-34, HT-7, LI-11, LIV-3, PC-6, SJ-6, ST-44

SHAO YIN HEAT

Clinical Manifestations	Urinary difficulty Thirst with a desire to drink Fever Cough Nausea/vomiting Irritability Insomnia Restlessness Diarrhea Anxiety Edema Lower abdominal distention and pain Maybe hematuria Painful urination with Yin Deficiency Urinary dribbling Decreased urination Dry skin Sunken eyes Fever worse at night T: Red or Dark red and dry C: Yellow, thin or none P: Thready and rapid or forceful and rapid
Treatment Principle	Promote urination Clear Heat Nourish Yin
Herb Formulas	Zhu Ling Tang
Points	To Nourish the Kidneys: UB-23, KI-3, KI-6, KI-7, KI-10 To Nourish the Heart: UB-15, HT-7, HT-5 To Nourish Yin: LIV-3, SP-6 To clear Heat: DU-14 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

SUMMERHEAT DISTURBS THE HEART

Clinical Manifestations	Anxiety Disturbing dreams Dysuria Insomnia Painful urinary calculus Scanty dark urine Thirst Palpitations Restless sleep T: Red C: Greasy and yellow P: Slippery and rapid
Treatment Principle	Calm the Shen Clear Heat Resolve Damp
Herb Formulas	Yi Yuan San
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, LI-4, LI-11, REN-9, SJ-5, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20

DAMP-HEAT INJURES THE SPLEEN

Clinical Manifestations	Anxiety Headache Fever (maybe chills) Strong thirst with a desire to drink. Vomits immediately after drinking Urinary difficulty Edema General sensation of heaviness Diarrhea Irritability Simultaneous vomiting and diarrhea Throbbing sensations below umbilicus Vomits frothy saliva Vertigo	Abdominal pain and / or distention Dark urine Jaundice Shortness of breath Cough Urinary retention Lower abdominal fullness Extreme thirst Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain Restlessness Slightly pale skin tone T: Normal C:Thick, yellow and greasy P: Soft and rapid
Treatment Principle	Promote urination Drain Dampness Strengthen the Spleen Clear Damp-Heat
Herb Formulas	Yin Chen Wu Ling San
Points	HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

SPLEEN NOT GOVERNING THE BLOOD

Clinical Manifestations	Memory loss Forgetfulness Absent-mindedness Lack of concentration Menorrhagia Palpitations with or without anxiety Insomnia (difficulty falling asleep) Nightmares Reduced appetite Pale, wan complexion Pale lips and nails Early menstruation with copious pale blood Continuous flow with little blood (spotting) Excess perspiration Night sweats Leukorrhea Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued) Irregular menstruation Blurred vision Spots before the eyes	Low spirits Depression Bruising easily Dream disturbed sleep Short attention span Anxiety Phobias Panic attacks Fear Low grade fever Withdrawal Fatigue and lethargy Weakness Genital itch Impotence Nocturnal emissions Weak abdomen Abdominal distention after eating Premenstrual spotting Dry skin and hair T: Pale, maybe swollen C: White P: Thready and weak or Thready and moderate
Treatment Principle	Augment the Qi Nourish the Blood Strengthen the Spleen Nourish the Heart
Herb Formulas	Gui Pi Tang
Points	HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

SPLEEN QI AND HEART BLOOD DEFICIENCY

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Panic attacks Anxiety Nervousness Fatigue Low spirits Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow or pale, lusterless complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea Inability to get or maintain an erection Impotence, worse with fatigue Clammy palms T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang modified
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20 DU-19, DU-24, HT-7, REN-4, REN-6, ST-36, UB-15, UB-20, UB-23, Yintang With insomnia: + Anmian With abdominal distention: + ST-25

HEART FIRE

Clinical Manifestations	Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Anxiety Irritability Irascibility Feeling of Heat and disturbance in the Heart Insomnia Flushed face Bitter taste in the mouth T: Red tip with ulcers especially on the tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Zhu Sha An Shen Wan
Points	HT-7, HT-8, PC-7, PC-8, UB-15

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Easily startled Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid or Rolling and rapid
Treatment Principle	Dispels Heat Clear the Heart Break through Phlegm.
Herb Formulas	Gun Tan Wan Wen Dan Tang Dang Tan Tang
Points	To Clear Heart and Calm the Shen: HT-7, PC-6, PC-7, PC-8, REN-14, SP-1, UB-15 To Resolve Phlegm: PC-5, ST-40 To clear the mind and Calm the Shen: Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 UB-12, REN-14, HT-7, PC-6, ST-40, GB-34 Ear: Shenmen, Heart, Sympathetic, Subcortex, Small Intestine

HEART YIN DEFICIENCY

Clinical Manifestations	Irritability Palpitations Anxiety Fatigue Insomnia Very restless sleep Inability to think or concentrate even for short periods Nocturnal emissions Forgetfulness Dry stools Mouth sores Tongue sores Low grade afternoon fever Dream disturbed sleep Night sweats Constipation T: Red C: Little P: Rapid or Thready and rapid
Treatment Principle	Enrich Yin Nourish the Blood Tonify the Heart Calm the Shen Clear Heat
Herb Formulas	Tian Wang Bu Xin Dan Zhi Gan Cao Tang With sweating due to Qi and Yin Deficiency: Bai Zi Ren Wan #1
Points	HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15 HT-7, PC-6, REN-4, REN-14, SP-1, SP-6, ST-36, UB-15, UB-17, UB-20 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 LU-7, KI-6 GB-20, HT-7, HT-8, KI-3, KI-10, UB-15, UB-23

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART WITH LUNG AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Fullness in the chest and hypochondrium Palpitations Shortness of breath Coughing up clear, watery sputum Dizziness Vertigo (when standing) Dyspnea Anxiety Tinnitus Difficult urination Mild edema Cold feet Headache Migraine Weak abdomen T: Pale and swollen C: White and slippery or greasy P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle	Warm and transform Phlegm and congested Fluids Strengthens the Spleen Resolves Dampness
Herb Formulas	Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART WITH KIDNEY YANG DEFICIENCY

Clinical Manifestations	Palpitations Dysuria Shortness of breath Dyspnea Dizziness Muscular twitching Whole body edema Cold body Icy limbs Cold abdomen with watery stools Edema of limbs Cough Pale complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Abdominal pain Diarrhea T: Pale or Purple (Lavender) C: White and greasy P: Deep or Deep and minute
Treatment Principle	Support Yang Expel Cold Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	Moxa needle DU-4, KI-3, KI-7, PC-5, PC-6, REN-4, REN-6, REN-9, REN-17, SP-6, SP-9, UB-15, UB-23

HEART QI DEFICIENCY

Clinical Manifestations	Palpitations Anxiety Apprehension Constant worry Poor concentration Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue Weakness Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Big and weak or Intermittent
Treatment Principle	Augment Qi Restores the Pulse Calm the Shen
Herb Formulas	Zhi Gan Cao Tang Miao Xiang San Bu Xin Wan Wu Wei Zi Tang For sweating due to Yin Deficiency: Bai Zi Ren Wan #1 Chinese Patent Medicines: Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nan Wan
Points	HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 DU-19, DU-24, HT-7, PC-5, PC-6, REN-14, ST-36, UB-15, Yintang For spontaneous sweating: + UB-43 Ear: Shenmen, Heart, Subcortex, Sympathetic

HEART QI AND YIN DEFICIENCY

Clinical Manifestations	Palpitations Anxiety Apprehension Constant worry Poor concentration Irritability Restless sleep Insomnia Dizziness Emaciation Shortness of breath Constipation Dry mouth and throat Numbness Dry cough Cough with little or no sputum Cough with blood streaked sputum Spontaneous perspiration Night sweats Five Sole Heat due to stress Early menses Restlessness Dry tongue Pale copious menstrual flow Weakness Memory loss Excess dreams Fright Physical and mental fatigue Dry, hard stool Coarse skin Dry throat Weakness A skinny appearance A pale complexion T: Pale and shiny or Red C: Thin and white or None P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle	Augment Qi Nourish Yin and Blood Restores the Pulse Calm the Shen
Herb Formulas	Zhi Gan Cao Tang Chinese Patent Medicines: Jian Nao Wan Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nan Wan An Shen Bu Xin Wan
Points	DU-19, DU-24, HT-5, HT-6, HT-7, PC-5, PC-6, REN-14, ST-36, UB-15, Yintang For spontaneous sweating: + UB-43 Ear: Shenmen, Subcortex, Spleen, Heart, Sympathetic

HEART BLOOD DEFICIENCY

Clinical Manifestations	Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness Pale face and lips T: Pale P: Thready and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen
Herb Formulas	Zhi Gan Cao Tang Gui Pi Tang Suan Zao Ren Tang Dang Gui Bu Xue Tang
Points	HT-7, PC-6, REN-4, REN-14, SP-1, SP-6, ST-36, UB-15, UB-17, UB-20 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

HEART BLOOD DEFICIENCY WITH LIVER QI STAGNATION

Clinical Manifestations	Absent-mindedness Frequent feelings of extreme sadness with an urge to cry Inability to control one's emotions Depression Restless sleep May be night sweats Abnormal speech or behavior Disorientation Frequent yawning T: Red C: Scanty P: Small and rapid
Treatment Principle	Nourish the Heart Calm the Shen Harmonize the Middle Jiao Ease tension Tonify Spleen Qi
Herb Formulas	Gan Mai Da Zao Tang
Points

HEART BLOOD AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Memory loss Forgetfulness Absent-mindedness Lack of concentration Menorrhagia Palpitations with or without anxiety Insomnia (difficulty falling asleep) Nightmares Reduced appetite Pale, wan complexion Pale lips and nails Early menstruation with copious pale blood Continuous flow with little blood (spotting) Excess perspiration Night sweats Irregular menstruation Leukorrhea Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued) Blurred vision Spots before the eyes	Low spirits Depression Bruising easily Dream disturbed sleep Short attention span Anxiety Phobias Panic attacks Fear Low grade fever Withdrawal Fatigue and lethargy Weakness Genital itch Impotence Nocturnal emissions Weak abdomen Abdominal distention after eating Premenstrual spotting Easy bruising Dry skin and hair T: Pale, maybe swollen C: White P: Thready and weak or Thready and moderate
Treatment Principle	Augment Qi Nourish the Blood Strengthen the Spleen Nourish the Heart
Herb Formulas	Gui Pi Tang Chinese Patent medicines: Gui Pi Wan Bai Zi Yang Xin Wan Ding Xin Wan Bu Nao Wan Yang Sha Ning Shen Wan
Points	HT-7, LIV-13, PC-6, REN-4, REN-12, REN-14, SP-1, SP-3, SP-5, SP-6, ST-36, UB-15, UB-17, UB-20 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 DU-19, DU-24, HT-7, REN-12, SP-6, ST-36, UB-15, UB-17, UB-20, Yintang Ear: Spleen, Heart, Subcortex, Sympathetic

HEART AND LIVER BLOOD DEFICIENCY

Clinical Manifestations	Irritability Anxiety Palpitations Night sweats Dizziness Vertigo Dry throat and mouth no thirst Fidgeting Insomnia Insomnia due to stress Excessive dreams Lack of energy Weakness and fatigue Weak abdomen Restlessness Sleepiness Light-headedness Impatience T: Pale or Red and dry P: Wiry and rapid or Thready and rapid or Thready and weak or Thready and tight
Treatment Principle	Nourish Liver Blood Nourish the Heart Calm the Shen Clear Heat in Liver and Heart Eliminate irritability
Herb Formulas	Suan Zao Ren Tang
Points	HT-7, LIV-3, REN-4, SP-6, ST-36, UB-15, UB-17, UB-18, UB-20 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

HEART AND LIVER YIN AND BLOOD DEFICIENCY WITH LIVER YANG RISING

Clinical Manifestations	Irritability Restless sleep Occasional palpitations Anxiety Dizziness Fright Insomnia Vertigo T: Red or Pale or Pink C: Little or None P: Thready and wiry
Treatment Principle	Enrich Yin Nourish the blood Sedate the Heart Calm the Shen Calm the Liver Anchor Yang
Herb Formulas	Zhen Zhu Mu Wan
Points

HEART AND GALL BLADDER QI DEFICIENCY

Clinical Manifestations	Frequent, severe anxiety attacks Apprehension Fearfulness Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Easily frightened or startled Easily unsettled by seeming trivial events Worry Timidity Phobias Palpitations Shortness of breath Lethargy Fatigue Depression Spontaneous sweating T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip C: Thin and white P: Weak, thready and rapid or Wiry and thready
Treatment Principle	Strengthen Qi Calm the Shen Alleviate fearfulness
Herb Formulas	An Shen Ding Zhi Wan Ding Zhi Wan
Points	GB-40, HT-7, LIV-3, LIV-5, PC-7, REN-15

HEART AND GALL BLADDER QI DEFICIENCY DUE TO SHOCK OR FRIGHT

Clinical Manifestations	Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Nightmares Waking terrified Easily frightened or startled Easily unsettled by seeming trivial events Apprehension Restlessness Fearfulness Inappropriate worry Timidity Phobias Anxiety (frequent and severe) Frequent panic attacks Palpitations Shortness of breath Lethargy Fatigue Depression Postnatal depression Spontaneous sweating T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip C: Thin and white P: Wiry and thready or Weak, thready and rapid
Treatment Principle	Strengthen Qi Calm the Shen Alleviate fearfulness Calm the mind Nourish and tranquilize the Heart
Herb Formulas	An Shen Ding Zhi Wan Ding Zhi Wan Gui Zhi Jia Long Gu Mu Li Tang With Yin Deficiency: Tian Wang Bu Xin Dan Chinese Patent Medicines: Ba Nao Wan Yang Xin Tang Jian Nao Wan Ding Xin Wan
Points	DU-20, PC-7, HT-7, GB-40, UB-7, UB-23, UB-47, UB-52, ST-36, Anmian, Yintang GB-39, SJ-5, UB-15, PC-6, HT-7, HT-9, REN-14, DU-19, DU-24 Ear: Liver, Gallbladder, Heart, Subcortex, Sympathetic

HEART AND KIDNEY YIN DEFICIENCY WITH HEART BLOOD DEFICIENCY

Clinical Manifestations	Anxiety Panic attacks Easily startled or frightened Irritability Restlessness Palpitations Fatigue Insomnia often waking to anxiety or panic Very restless sleep Nightmares Inability to think or concentrate even for short periods Nocturnal emissions Forgetfulness Dry stools Dry mouth and throat Mouth sores Tongue sores Low grade afternoon fever Dream disturbed sleep Dizziness Light-headedness Night sweats Five Sole Heat Tinnitus Constipation Low back pain T: Red C: Little P: Rapid or Thready and rapid
Treatment Principle	Enrich the Yin Nourish the Blood TonifY the Heart Calm the Shen Clear Heat
Herb Formulas	Tian Wang Bu Xin Dan For severe Yin Deficiency Fire or as the result of a fever: Huang Lian E Jiao Tang For severe, continuous anxiety or panic attacks: Zhu Sha An Shen Wan For post-traumatic stress disorder (PTSD): Gui Zhi Jia Long Gu Mu Li Tang Chinese Patent Medicines: Tian Wang Bu Xin Dan Zhu Sha An Shen Wan An Shen Bu Xin Wan Jian Nao Wan Ci Zhu Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 DU-19, DU-24, HT-7, KI-3, PC-7, REN-14, UB-15, Yintang Ear: Shenmen, Kidney, Heart, Subcortex, Sympathetic

LIVER QI STAGNATION WITH HEAT IN THE BLOOD

Clinical Manifestations	Breast distention Lower abdominal pain Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain	Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain Anorexia Somnolence Insomnia Aching shoulders Five sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Soothe the Liver Clear Heat Cool the Blood
Herb Formulas	Jia Wei Xiao Yao San
Points	HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

LIVER QI STAGNATION PHLEGM AND QI STAGNANT AND BLOCKED

Clinical Manifestations	A feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed. Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm.
Herb Formulas	Ban Xia Hou Po Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

LIVER QI STAGNATION WITH BLOOD DEFICIENCY

Clinical Manifestations	Hypochondriac pain Headache Vertigo Bitter taste in the mouth Dizziness Frequent sighing Epigastric pain and distention Flatulence Dry mouth and throat Fatigue Anorexia Alternating chills and fever Irregular menstruation Breast distention Lassitude Insomnia Shoulder and back pain Rib pain Anxiety Tightness or fullness in the chest Cold extremities Pain in the arms and legs Heaviness of the head Night sweats Bloating and pain at the umbilicus and abdomen Diarrhea alternating with constipation Five sole heat Palpitations Malar flush Depression Irritability Increased desire to sleep T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Soothe the Liver Clear Stagnation Nourish the Blood
Herb Formulas	Xiao Yao San
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, SP-10, UB-17, UB-18

LIVER YIN DEFICIENCY WITH EMPTY FIRE DISTURBING THE HEART

Clinical Manifestations	Irritability Anxiety Palpitations Night sweats Dizziness Vertigo Dry throat and mouth no thirst Fidgeting Insomnia Insomnia due to stress Excessive dreams Lack of energy Weakness and fatigue Weak abdomen Restlessness Sleepiness Light-headedness Impatience T: Pale or Red and dry P: Wiry and rapid or Thready and rapid or Thready and weak or Thready and tight
Treatment Principle	Nourish the Heart Nourish Liver Yin Calm the Shen Clear Heat in Liver and Heart Eliminate irritability
Herb Formulas	Suan Zao Ren Tang
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

LIVER BLOOD DEFICIENCY WITH HEAT

Clinical Manifestations	Muscle spasms Feverishness Bruxism Palpitations Anxiety Fever and chills Alternating chills and fever Spitting of sputum or saliva Abdominal distention Reduced appetite Restless sleep Nervousness Rigidity and pain of the neck and head Opisthotonos Numbness of the limbs Vertigo Dizziness Hemiplegia Irritability Insomnia Clenching or grinding of teeth Easily frightened Restlessness
Treatment Principle	Calm the Liver Regulate the Liver Qi and Blood Dispel Heat
Herb Formulas	Yi Gan San
Points	GB-20, GB-34, GB-43, DU-20, LIV-2, LIV-3, UB-18, UB-23, KI-3

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Da Bu Yin Wan + Liu Wei Di Huang Wan modified For stubborn cases, tremors or muscle spasms: Da Ding Feng Zhu If due to substance abuse: Tian Wang Bu Xin Dan Chinese Patent Medicines: He Che Da Zao Wan Qi Ju Di Huang Wan Zhi Bai Ba Wei Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23 HT-7, KI-3, KI-6, LIV-3, LIV-8, LU-7, PC-6, REN-4, UB-18, UB-23, Yintang

GALL BLADDER DEFICIENCY HEAT

Clinical Manifestations	Dizziness Blurred vision Bitter taste in mouth Nausea Vomiting Agitation Restlessness Irritability Indecision Suspiciousness Palpitations with anxiety Insomnia Frequent sighing Suffocating sensation in chest T: Pink C: Yellow and greasy or Thin and white P: Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle	Clear Heat Transform Phlegm Descend Contravecting Qi Harmonize the Stomach
Herb Formulas	Wen Dan Tang modified
Points	GB-34, HT-5, HT-7, PC-5, PC-6, REN-14, ST-40, UB-15, UB-19 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

KIDNEY YANG DEFICIENCY: KIDNEY QI NOT CONSOLIDATED

Clinical Manifestations	Chronic spermatorrhea Impotence Fatigue Weakness Sore, weak limbs Low back pain Nocturnal emissions Enuresis Insomnia Leukorrhea Lack of energy Premature ejaculation Night sweats Anxiety due to stress Urinary incontinence Frequent urination Midline pain Tinnitus Loss of muscle strength T: Pale C: Thin and white P: Thready and weak or Deep and weak
Treatment Principle	Astringe Consolidates and Stabilizes the Kidneys to build up Jing
Herb Formulas	Jin Suo Gu Jing Wan
Points	Moxa or needle KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-52 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

KIDNEY YIN DEFICIENCY WITH HEART FIRE FLARING

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Anxiety Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five Sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido Insomnia Frequent dreams Palpitations T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan
Points	HT-7, KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, PC-7, REN-4, SP-6, UB-15 UB-23

YIN AND BLOOD DEICIENCY

Clinical Manifestations	Tidal fever in the afternoon or at night Five Sole Heat Bone steaming Amenorrhea with gradual onset Soreness of the lower back Abdominal pain Emaciation Achy and uncomfortable flesh and bones of the hands and feet Anxiety Insomnia Irritability Palpitations Night sweats Dizziness Light headedness General disquietude Gradually worsening afternoon fevers T: Red C: Scanty P: Thready and rapid
Treatment Principle	Nourish Yin and Blood
Herb Formulas	Nu Ke Bai Zi Ren Wan Qing Gu San
Points	HT-6, KI-3, UB-15, UB-18, UB-20 With dizziness and flowery vision: + GB-20 With profuse dreams: + ST-45 With seminal emission: + SP-6 With a sore throat: + KI-6 For coughing with little or no Phlegm: + LU-5 With delayed menstruating: + SP-10

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Anxiety Facial pallor Shortness of breath General weakness Dream disturbed sleep Blurred vision Palpitations T: Pale, flabby and scalloped C: White P: Thready and forceless
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Ba Zhen Tangmodified With Blood Stagnation; Xiong Gui Tiao Xue Yin
Points	UB-12, UB-20, UB-21, REN-6, REN-14, HT-7, PC-6 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 Ear: Shenmen, Heart, Sympathetic, Subcortex, Small Intestine

QI, BLOOD AND YANG DEFICIENCY

Clinical Manifestations	Anemia Uterine bleeding Cold extremities Pale or sallow face Dizziness General fatigue Coarse skin Nocturnal emissions Weak knees Fatigue Dyspnea Night sweats Irregular menstruation Insomnia Intolerance of Cold Decreased eyesight after a prolonged illness Anxiety Intermittent fever Jaundice Deficient cough Shortness of breath Palpitations Anorexia Listlessness Lassitude Spontaneous sweating Spermatorrhea Continuous spotting Leukorrhea Weak legs and knees T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Replenish Yang Warm and tonify Qi and Blood
Herb Formulas	Shi Quan Da Bu Tang
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DAMPNESS RETENTION

Clinical Manifestations	Palpitations Mucoid sputum Chest fullness Epigastric distention Lassitude T: Normal C: White P: Rolling
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Points	UB-12, UB-22, ST-36, REN-4, REN-14, REN-17, HT-7, PC-6 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 Ear: Shenmen, Heart, Sympathetic, Subcortex, Small Intestine

PHLEGM-HEAT

Clinical Manifestations	Anxiety Nervousness Dizziness Vertigo Insomnia with waking in the early hours Unable to fall back to sleep Irritability Restlessness Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Indeterminate gnawing hunger Anorexia Belching Acid reflux abdominal distention A bitter taste in the mouth Chest and/or epigastric fullness Pain in the ribs T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid or Wiry
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Shi Yi Wei Wen Dan Tang Chinese Patent Medicines: Er Chen Wan Zhu Sha An Shen Wan
Points	DU-19, DU-24, GB-34, HT-6, LIV-3, ST-40, ST-41, UB-15, Yintang LI-11, LU-5, ST-40, UB-13 Ear: Shenmen, Spleen, Heart, Subcortex, Sympathetic

ANXIETY

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