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ANXIETY NEUROSIS

GENERAL

Clinical Manifestations	Extreme tension Nervousness Insomnia or Hypersomnia Acute attacks: Fear Breathing difficulties Palpitations Dizziness Nausea Abdominal distention
Treatment Principle
Herb Formulas	Ning Shen Kai Jie Tang
Points	DU-16, DU-20, HT-5, HT-7, PC-6

HEART FIRE

Clinical Manifestations	Insomnia Restlessness Agitation Anxiety Difficulty falling asleep Dream disturbed sleep Frequent waking with nightmares Palpitations Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Restlessness Irritability Irascibility Feeling of Heat and disturbance in the Heart Flushed face Bitter taste in the mouth Scanty, dark urine A red complexion Maybe painful urination Maybe hematuria T: Red tip, ulcers especially on tip or Red with a redder tip C: Normal or Yellow P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Huang Lian Jie Du Tang For a chronic condition with Yin Deficiency or dysuria: Dao Chi San For Heart Yin Deficiency following a Shao Yin Heat condition: Huang Lian E Jiao Tang For residual Heat following a Summerheat condition:Zhu Ye Shi Gao Tang With severe palpitations and anxiety: Zhu Sha An Shen Wan With Blood and Yin Deficiency: Zhu Sha An Shen Wan Chinese Patent Medicines: Niu Huang Shang Qing Wan Niu Huang Jie Du Pian Dao Chi Pian Xiao Er Qi Xing Cha
Points	HT-7, HT-8, PC-7, PC-8, UB-15 Anmian, HT-7, HT-8, HT-9, KI-6, PC-8, SP-6, UB-15, Yintang

HEART FIRE WITH BLOOD AND YIN DEFICIENCY

Clinical Manifestations	Mental confusion Clouding of consciousness Talking to oneself Acting as if no one else is present Dull expression with blank stare Odd behavior Maybe loss of consciousness Maybe falling to the ground Sound of phlegm in throat with gurgling T: Pink C: White and greasy P: Deep and slippery; maybe wiry
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Ning Shen Kai Jie Tang modified
Points	DU-16, DU-20, HT-5, HT-7, LI-4, LU-7, PC-6, REN-22, ST-40, UB-23

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Depression Melancholy Anxiety Obsession Irritability Pain that is fixed, stabbing and/or severe or Pains that move around Distention Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Inappropriate anger Irregular menses	Breast distention and pain before and during menses 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 Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Pink or Purple, possible purple or red spots or Thick C: White or Greasy and white or Greasy and yellow P:Wiry or Choppy or Wiry and choppy or Slippery
Treatment Principle	Regulate Qi Activate the Blood Clear Heat Relieve toxicity Cool the Blood Transform Phlegm Relieve Food Stagnation Open the Orifices
Herb Formulas	Jie Yu San Wen Dan Tang modified For very severe cases with continuous palpitations, vertigo, tinnitus, a very thick yellow tongue coat and constipation: Gun Tan Wan With Qi Stagnation and Heart and Liver Fire (palpitations that occur at rest, chest fullness, irritability, constipation, heaviness, difficulty twisting at the waist, a red tongue and a wiry, rapid pulse: Chai Hu Jia Long Gu Mu Li Tang Chinese Patent Medicines: Er Chen Wan An Mian Pian Suan Zao Ren Pian For robust individuals with Qi Stagnation and Heat or Fire: Chai Hu Jia Long Gu Mu Li Tang
Points	GB-34, HT-5, LU-5, PC-4, PC-5, ST-40, UB-13 With insomnia: + ST-45 With constipation: + ST-25 With anxiety : + DU-19, DU-24

PHLEGM CONFUSES THE HEART ORIFICE

Clinical Manifestations	Mental confusion Clouding of consciousness Talking to oneself Acting as if no one else is present Dull expression with blank stare Odd behavior Maybe loss of consciousness Maybe falling to the ground Sound of phlegm in throat with gurgling T: Pink C: White and greasy P: Deep and slippery; maybe wiry
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	Ning Shen Kai Jie Tang modified
Points	DU-16, DU-20, HT-5, HT-7, LI-4, LU-7, PC-6, REN-22, ST-40, UB-23

HEART YIN DEFICIENCY

Clinical Manifestations	Palpitations, easily brought on by fright Startles easily Irritability Insomnia Much dreaming Waking with palpitations or panic attacks and anxiety Poor memory Poor concentration Low grade fever Night sweats Five Sole Heat Restlessness A dry mouth and throat Thirst Dizziness Tinnitus Malar flush Low back pain Dry stools or Constipation Possible mouth or tongue ulcers T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce Heart Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan Zhu Sha An Shen Wan modified Post febrile disease: Sheng Mai San modified Huang Lian E Jiao Tang modified With predominant Liver and Kidney Yin Deficiency: Yi Guan Jian + Suan Zao Ren Tang Chinese Patent Medicines: Tian Wang Bu Xin Dan Jian Nan Wan Zhu Sha An Shen Wan Ci Zhu Wan
Points	HT-5, HT-7, KI-3, KI-6, LIV-3, PC-6, PC-7, REN-17, UB-15, UB-18, UB-23 With Heart Fire: + HT-8 HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15

HEART QI 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 Restores the Pulse Calm the Shen
Herb Formulas	Miao Xiang San 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 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	Ning Shen Kai Jie Tang modified
Points	DU-16, DU-20, HT-5, HT-7, PC-6, UB-15, UB-20

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 GALLBLADDER QI DEFICIENCY

Clinical Manifestations	Palpitations Anxiety Apprehension Constant worry Poor concentration Timidity Shyness Easily startled Nervousness Irritability Restless sleep Insomnia Inability to get or maintain an erection 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 or Thin and greasy P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid or Wiry and thready
Treatment Principle	Augment Qi Restores the Pulse Calm the Shen
Herb Formulas	Miao Xiang San Ding Zhi Wan Gui Zhi Jia Long Gu Mu Li Tang An Shen Ding Zhi Tang With impotence: Qi Yang Yu Xin Dan Chinese Patent Medicines: Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nan Wan Jian Nao 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 DU-19, DU-20, DU-24, GB-40, HT-5, HT-7, HT-9, PC-6, REN-14, UB-7, UB-15 For spontaneous sweating: + UB-43 DU-19, DU-24, GB-34, KI-4, LIV-3, LIV-12, PC-5, REN-4, REN-6, UB-18, UB-19, Yintang Anmian, DU-20, GB-40, HT-7, PC-7, ST-36, UB-7, UB-23, UB-47, UB-52, Yintang Ear: Shenmen, Heart, Subcortex, Sympathetic

HEART AND GALL BLADDER QI DEFICIENCY DUE TO FRIGHT OR SHOCK

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

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 Bu Nao 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 Anmian, HT-7, KI-3, LIV-3, PC-7, PC-8, SP-6, UB-14, UB-15, UB-23 With dizziness: + DU-20 With tinnitus: + SI-19, SJ-3 With arrhythmia: + HT-5 HT-7, KI-3, PC-6, PC-7, SP-6, UB-15, UB-23 With palpitations: + HT-5 With night sweats: + HT-6 With insomnia: + Anmian Ear: Shenmen, Kidney, Heart, Subcortex, Sympathetic

LIVER QI STAGNATION

Clinical Manifestations	Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Ning Shen Kai Jie Tang modified Xiao Yao San Chai Hu Jia Long Gu Mu Li Tang With Heat: Jia Wei Xiao Yao San For Liver Qi Stagnation Transforming into Fire: Long Dan Xie Gan Tang
Points	DU-16, DU-20, HT-5, HT-7, LIV-2, PC-6, UB-18

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 Ban Xia Hou Po Tang + Xiao Yao San With Phlegm-Heat: Wen Dan Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

LIVER QI STAGNATION ATTACKS THE LUNGS

Clinical Manifestations	Tightness in the chest Dyspnea Wheezing Shortness of breath Difficulty getting a deep and satisfying breath Little or no mucus Related to emotions During the episode, the patient is panicky or emotional Frequent sighing "Plum-pit" throat Anorexia Insomnia Palpitations Vague chest pain Premenstrual syndrome Irregular menstruation Breast tenderness T: Normal or with brown or purple stasis spots on the edges C: Thin and white P: Wiry
Treatment Principle	Circulate Liver Qi Descend Lung Qi Stop asthma
Herb Formulas	Wu Mo Yin Zi Xiao Yao San For Liver Qi Stagnation Transforming into Fire: Long Dan Xie Gan Tang For milder cases of Liver Qi Stagnation Transforming into Fire: Jia Wei Xiao Yao San For fullness and tightness in the chest associated with "plum-pit" Qi Stagnation: Ban Xia Hou Po Tang Chinese Patent Medicines: Xiao Yao Wan Cheng Xiang Hua Qi Wan Shu Gan Wan
Points	LI-4, LV-3, LIV-5, LIV-14, PC-5, PC-6, REN-11, REN-17, UB-13, UB-15, UB-18, Yintang

QI, BLOOD, PHLEGM AND FOOD STAGNATION

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Dizziness Easily startled Restlessness A stuffy feeling in the chest T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang Gun Tan Wan Dang Tan Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15

BLOOD STAGNATION

Clinical Manifestations	Pain that is fixed, stabbing and /or severe Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation
Herb Formulas	Ning Shen Kai Jie Tang modified
Points	DU-16, DU-20, HT-5, HT-7, PC-6, SP-10, UB-17

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