CONSTIPATION

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	In the elderly: Xiao Chai Hu Tang Ban Liu Wan Ma Zi Ren Wan
Points	KI-6, KI-15, KI-16, LIV-3, LIV-13, REN-12, SP-3, UB-23, UB-24, UB-57 SJ-6, ST-25, ST-28, UB-25, UB-57 LI-4, SJ-6, ST-25, ST-36, UB-25 SP-6, ST-25, ST-36 ST-25, ST-36 KI-6, SJ-6 Atonic: LIV-1, REN-3, SJ-6, SP-16, ST-25, ST-36, UB-22, UB-24, UB-25 For acute Heat: SJ-6, SP-15, ST-25, ST-37 With fever: + LI-4, LI-11 Yin: SJ-6, ST-36 Yang: DU-1, GB-34, LIV-1 For reduced abdominal secretions: SP-13 Habitual: 1. GB-34, KI-16, KI-17, SJ-7, UB-51 2. KI-16, LIV-1, REN-9, SJ-6, SP-3, ST-25, ST-36, UB-23, UB-24, UB-25 Unable to pass stools: REN-6, SP-6, UB-31, UB-57 Ear: Constipation, Lungs, Large Intestine, Distal Segment Rectum, San Jiao, Shenmen

TAI YANG SHANG HAN WITH INTERIOR HEAT

Clinical Manifestations	Fever and chills Maybe fever only Achiness Anhidrosis Headache Cough Asthma Aversion to cold Edema Thirst Restlessness Irritability Fidgeting Constipation Sometimes dry achy eyes T: Normal or red C: Yellow or white P: Floating and tight or rapid
Treatment Principle	Expel Wind Disperse Cold Cool Heat
Herb Formulas	Da Qing Long Tang
Points	DU-14, DU-16, GB-20, LI-4, LI-11, LU-7, LU-9, LU-10, SJ-5, SP-1, SP-2, ST-44, UB-12, UB-13 DU-14, LI-4, LI-11, SJ-6, SP-15, ST-25, ST-37

TAI YANG - YANG MING

Clinical Manifestations	Fever and chills with fever increasing and chills decreasing Headache Anhidrosis Stiffness and pain of the extremities Orbital pain Eye pain Shoulder and neck tension Dry nasal passages Cough Sore throat Irritability Insomnia Constipation Abdominal fullness Tenesmus Vomiting Thirst Epistaxis Muscle aches T: Normal C: Thin and yellow P: Floating and slightly flooding
Treatment Principle	Dispel Wind Release the muscle layer Clear Interior Heat
Herb Formulas	Hou Po Qi Wu Tang Da Qing Long Tang With Blood Stagnation: Tao He Cheng Qi Tang
Points	DU-14, LI-4, LI-11, SJ-6, SP-15, ST-25, ST-37 SJ-6, SP-15, ST-25, ST-37 With fever: + LI-4, LI-11 With Wind-Cold: + LI-4, LU-7 With Wind-Heat: + DU-14, LI-4, LI-11 With Shao Yang: + GB-34, GB-39, SJ-5 Ear: Constipation, Lungs, Large Intestine, Distal Segment Rectum, Sanjiao, Shenmen

TAI YANG - SHAO YANG

Clinical Manifestations	Constipation Joint pain with a crackling sensation Epigastric pain Fatigue Gastrointestinal weakness Headache Heaviness in the head Fever Moderately severe chills Distension beneath the Heart Periumbilical or lower abdominal pain Tenseness around the pubic bone Subcostal pain Epigastric fullness Nausea Mild vomiting Mild thoraco-costal discomfort Costal distress Tension in the rectus abdominus Chest distension Abdominal pain Abdominal distension Irritability Insomnia Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Release the Exterior and muscle layer Harmonize s and release the Shao-Yang Harmonize the Liver, Spleen and Intestines Dispel Water Accumulation
Herb Formulas	Chai Hu Gui Zhi Tang
Points

TAI YANG - YANG MING - SHAO YANG

Clinical Manifestations	Fullness in the chest Palpitations Irritability Constipation Heaviness in the body Inability to rotate at the waist Confusion T: Red C: Yellow P: Wiry
Treatment Principle	Harmonize the Shao Yang Unblock the three Yang Stages Sedate and calm the Spirit Relieve the chest and subcardiac regions
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points	DU-14, LI-4, LI-11, SJ-6, SP-15, ST-25, ST-37 SJ-6, SP-15, ST-25, ST-37 With fever: + LI-4, LI-11 With Wind-Cold: + LI-4, LU-7 With Wind-Heat: + DU-14, LI-4, LI-11 With Shao Yang: + GB-34, GB-39, SJ-5 Ear: Constipation, Lungs, Large Intestine, Distal Segment Rectum, Sanjiao, Shenmen

TAI YANG - YANG MING - SHAO YIN

Clinical Manifestations	Chills and high fever Dizziness Red, sore eyes Difficulty swallowing Nasal congestion and infection Thick, sticky nasal discharge and saliva Bitter taste in the mouth Dry mouth Focal distention in the chest and diaphragm Stifling sensation in the chest and diaphragm Manic behavior Carbuncles Heat rash Headache Acne Halitosis Restlessness Urticaria Sore throat Swelling of the throat Coughing Reddish urine Dyspnea Vertigo Severe aversion to Cold Skin rashes Skin ruptures or ulcers Tense abdomen Shoulder stiffness Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Fullness of the abdomen Fullness of the epigastrium Heaviness in the head T: Red C: White or Yellow and greasy P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing or Floating , strong and full
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San
Points

YANG MING FU

Clinical Manifestations	Dry, knotted constipation High fever (sometimes rises and falls) Great thirst Likes cold water Profuse perspiration Aversion to Heat Mouth ulcers Abdominal pain (worse with pressure) Abdominal distension Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability Bad breath Scanty, dark urine 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	For constipation with abdominal distension and hard dry knots: Da Cheng Qi Tang For constipation with abdominal distension but without hard dry knots: Xiao Cheng Qi Tang For constipation without abdominal distension or hard dry knots: Tiao Wei Cheng Qi Tang With Qi and Blood Deficiency: Huang Long Tang Chinese Patent Medicine: Qing Fei Yi Huo Pian
Points	KI-6, LI-4, LI-11, LIV-4, SJ-6, ST-25, ST-44 LI-4, LI-11, REN-12, SJ-6, ST-25, ST-36, ST-37, ST-44 LI-4, LI-11, SJ-6, ST-25, ST-44 For Heat: DU-14, LI-4, LI-11, SJ-5, ST-44 For Stagnation: REN-12, ST-34, ST-36, ST-37, ST-39 For Constipation: SJ-6, ST-25, UB-25

YANG MING JUE NI

Clinical Manifestations	History of Yang Ming Jing or Fu Cold extremities Hot skin on the chest and abdomen Thirst (prefers cold drinks) Fever Dark yellow urine Abdominal distension and hardness Maybe constipation Bad breath Bleeding gums T: Red C: Thick, dry and yellow P: Slippery and rapid or Forceful and rapid
Treatment Principle	Clear Heat Drain Stomach Fire
Herb Formulas	Bai Hu Tang
Points	DU-14, LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44, ST-45, UB-25

YANG MING HAN (DEFICIENCY COLD)

Clinical Manifestations	History of Yang Ming Jing or Fu No appetite Perspiration on extremities (cold center) Sluggish or difficult urination Constipation moving to long stringy stools moving to diarrhea T: Normal C: Slightly yellow and moist P: Deep and forceful
Treatment Principle	Restore Yang Warm the center
Herb Formulas	Si Ni Tang With diarrhea: Ge Gen Tang
Points	Moxa needle REN-4, REN-6, REN-12, ST-25, ST-36

YANG MING FLUID DEFICIENCY

Clinical Manifestations	Previous history of Yin, Jin Ye, or Blood Deficiency Previous history of Yang Ming Fluid and Yin depleted Anhidrosis Numbness Weakness Dryness Constipation T: Red C: Yellow and dry P: Weak and thready
Treatment Principle	Moisten and Lubricate Nourish Yin and Fluids
Herb Formulas	Ma Zi Ren Tang Zeng Ye Tang Zeng Ye Cheng Qi Tang Tao Ren Cong Rong Tang
Points	K-6, LI-11, SJ-6, ST-25, ST-37, ST-45, UB-25

SHAO YANG FU

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	Da Chai Hu Tang
Points	GB-34, GB-39, SJ-5, SJ-6, SP-15, ST-25, ST-37 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 For nausea and vomiting: PC-6, SP-4, ST-36 For headache: GB-1, GB-8, GB-14, Taiyang For constipation: SJ-6, ST-25 For fever: DU-13, DU-14 For Stomach Heat: LI-4, LI-11, ST-44 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: GB-41, SJ-5 , SP-10 To regulate menstruation: SP-6 For Shao Yang Fu with Tai Yang: For the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 For the Tai Yang: GB-20, UB-12 For Shao Yang Fu with underlying Liver Qi Stagnation: To harmonize the Shao Yang: GB-34, LIV-3, SJ-6 To clear Heat: LI-11, ST-44 To calm the Shen: HT-7, PC-6 Ear: Shenmen, Liver, Gall Bladder, bleed Heat points

SHAO YANG - YANG MING

Clinical Manifestations	Intolerance of Cold Abdominal fullness and distention Constipation Cannot purge easily due to lack of Qi Hypochondriac pain Fever Cold extremities Hernia Abdominal pain T: Normal P: Rolling and forceful or Tight and wiry
Treatment Principle	Warm and Purge Cold retention
Herb Formulas	Da Huang Fu Zi Tang Da Chai Hu Tang Niu Huang Jie Du Pian
Points	Moxa or moxa needle GB-41, REN-6, REN-8, REN-12, SJ-5, SJ-6, ST-25, ST-36

JUE YIN COLD

Clinical Manifestations	Vomits clear fluid Vertex headache Body cold Diarrhea Complete exhaustion of Yang T: Pale C: White P: Weak.
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity
Herb Formulas	Wu Zhu Yu Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

WEI STAGE: WIND-HEAT

Clinical Manifestations	Inflammation of throat and/or tongue Fever and chills with more fever than chills Perspiration Cough with sticky yellow sputum Aversion to Wind and Heat Yellow nasal discharge Thirst with desire for cold drinks Red bumps around mouth and lips (herpes simplex) Headache Nasal obstruction Sore, swollen throat Dyspnea Chest pain Dry mouth Rapid breathing Maybe constipation Maybe scanty urine T: Red tip C: Thin and yellow P: Floating and rapid
Treatment Principle	Disperse Wind Clear Heat Clear the Lungs
Herb Formulas	Yin Qiao San Jing Jie Lian Qiao Tang Ma Huang Lian Qiao Chi Xiao Dou Tang For Toxic Wind-Heat: Niu Huang Shang Qing Wan Qing Shang Fang Feng Tang
Points	Bleed UB-40, needle Dingchuan, DU-14, DU-16, DU-23, DU-24, GB-20, LI-4, LI-11, LU-5, LU-7, LU-10, REN-22, SJ-5, ST-8, ST-40, Taiyang, UB-12, UB-13

QI STAGE LUNG HEAT

Clinical Manifestations	High fever No chills Aversion to Heat Cough Asthma Restlessness Thirst Dark yellow urine Constipation Dyspnea Chest pain Shortness of breath Thick yellow Phlegm T: Red C: Thick and yellow, maybe dry and sticky P: Rapid, maybe slippery, maybe forceful
Treatment Principle	Clear Heat in Lungs Strengthen when weak or elderly
Herb Formulas	Ma Xing Shi Gan Tang
Points	Dingchuan, DU-13, DU-14, LI-11, LU-5, LU-10, ST-44, UB-13 LI-11, LU-1, LU-10, LU-11, SJ-6 For hemoptysis: + KI-7, LU-5 For constipation: + ST-25 For coughing and panting: + LI-4, UB-13

QI STAGE: INTESTINAL DRY HEAT

Clinical Manifestations	High fever - sometimes tidal Profuse sweat Great thirst with desire to drink Acute constant abdominal pain Worse with pressure Distension and fullness in the Stomach and abdomen Aversion to Heat Dryness Restlessness Excess symptoms Constipation with dry knots Sweat Mental disturbance Delirium T: Red or Dark red Severe: Gray or Black C: Thick, yellow or Dry, yellow P: Forceful and deep or Deep and slow
Treatment Principle	Purge
Herb Formulas	For constipation with abdominal distension and hard dry knots: Da Cheng Qi Tang For constipation with abdominal distension but without hard dry knots: Xiao Cheng Qi Tang For constipation without abdominal distension or hard dry knots: Tiao Wei Cheng Qi Tang With Qi and Blood Deficiency: Huang Long Tang
Points	DU-14, LI-4, LI-11, REN-12, SJ-5, SJ-6, ST-25, ST-34, ST-36, ST-37, ST-39, ST-44

QI STAGE: SPLEEN AND STOMACH DAMP-HEAT

Clinical Manifestations	Loss of appetite Fever Pressure headache - like a bandage Gastric distension Chest distension A sensation of heaviness in the body Lethargy Listlessness Muscle aches Foggy-headedness Fullness and discomfort in the chest Tendency toward loose stools or Diarrhea Dysentery A sallow complexion No thirst Low-grade afternoon fever All symptoms are worse around mid-afternoon T: Red C: Greasy and yellow P: Soft and thready or Soft and wiry or Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp Heat in the Qi Stage Descend Lung Qi Promote urination
Herb Formulas	An Ho Tea Gan Lu Xiao Du Dan Gan Lu Yin
Points	LI-4, LU-6, REN-12, SP-5, SP-9, ST-36 Ear: Spleen, Stomach, Lung, Shenmen, Sympathetic

QI STAGE: GALLBLADDER HEAT

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gall Bladder Heat Pacify the Liver and Gall Bladder
Herb Formulas	Liang Ge San
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

PERVERSE DRYNESS ATTACKS THE LUNGS

Clinical Manifestations	Dry cough with little or no sputum Sputum is difficult to expectorate Maybe hemoptysis Cough may cause chest pain Dry or sore throat Hoarse voice Dry lips and mouth Thirst Dryness in nose Epistaxis Chills and fever Headache Anhidrosis Dry skin and hair Constipation T: Red tip C: Thin, yellow and dry P: Superficial, maybe rapid
Treatment Principle	Clear the Lungs Moisten Dryness
Herb Formulas	Qing Zao Jiu Fei Tang Yang Yin Qing Fei Tang With intestinal Heat and Hemoptysis: E Jiao Huang Qin Tang
Points	KI-3, LU-1, LU-6, SP-6, UB-13

LUNG QI STAGNATION WITH ACCUMULATION OF COLD PHLEGM

Clinical Manifestations	Constipation with moist stools Chronic coughing and wheezing Watery sputum Shortness of breath Fullness in the chest Edema T: Normal C: Greasy and white P: Wiry and slippery or Wiry and soft
Treatment Principle	Disperse and Descend Lung Qi Stop wheezing Stop coughing Warm and transform Phlegm-Cold Strengthen the Stomach
Herb Formulas	Su Zi Jiang Qi Tangmodified Chinese Patent Medicines: Chen Xiang Hua Qi Wan Mu Xiang Shun Qi Wan Xiao Yao Wan Shu Gan Wan Xiang Sha Yang Wei Wan Su Zi Jiang Qi Wan Run Chong Wan
Points	GB-34, LIV-3, LIV-5, LU-7, REN-6, SJ-6, ST-25, ST-37, UB-42+ Ahshi along the Stomach channel With abdominal distention: + SP-15 With Phlegm : + SP-3, ST-40 With nausea, acid reflux and indigestion: + PC-6, UB-18, UB-20 With Spleen Deficiency: + ST-36 With insomnia and parietal headaches: + GB-39, SJ-5 With signs of Heat: + LI-11, LIV-2 With extreme tension, anxiety or nervousness: + DU-24, HT-7, PC-6, Yintang Ear: Constipation, Liver, Large Intestine, Lung, Abdomen, Shenmen, Subcortex, Sympathetic

LUNG AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Constipation Soft stools Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Soft voice Spontaneous perspiration Asthma Fatigue (worse after defecation) Four limbs tired Cold extremities Weak muscles Anorexia General lassitude Distention and pain of the epigastrium and abdomen Stools difficult to pass Maybe prolapse Pallor Severe cases: Frightens easily T: Pale C: White P: Thready and weak or Weak, soft and empty
Treatment Principle	Strengthen Qi Reinforce the Spleen Benefit the Lungs Moisten the Intestines
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang Bu Zhong Yi Qi Tang modified
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43 REN-6, REN-17, SP-4, SP-6, UB-20 LI-4, PC-6, SP-6, ST-36

LARGE INTESTINE HEAT

Clinical Manifestations	Dry stools Knotted constipation Mouth parched Sensation of burning heat, swelling and pain of anus Urine short and dark T: Pink C: Yellow and dry P: Slippery and rapid
Treatment Principle	Clear Heat Purge constipation
Herb Formulas	Liang Ge San Mild cases: Ma Zi Ren Wan
Points	LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44, UB-25

LARGE INTESTINE EXCESS HEAT

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles or Red C: Thick, yellow and dry P: Deep and Excess
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Da Cheng Qi Tang Qin Jiao Bai Zhu Wan For a mild condition without severe constipation: Xiao Cheng Qi Tang For a mild condition without abdominal distention: Tiao Wei Cheng Qi Tang With Qi and Blood Deficiency: Huang Long Tang For a mild condition with Heat damaging the Yin: Zeng Ye Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44 LI-4, SJ-6, ST-37, ST-44, ST-45, bleed LI-1

TOXIC HEAT IN THE LARGE INTESTINE ( INTESTINAL ABSCESS)

Clinical Manifestations	Pain in the lower right abdomen; refuses pressure Pain may be severe, boring, and in a fixed position or without fixed location Constipation or Mild diarrhea Maybe fever Maybe nausea and vomiting Anorexia T: Red C:Thick, yellow and greasy or sticky P: Rapid
Treatment Principle	Clear Heat Transform Dampness Invigorate Blood circulation Conduct Stagnation
Herb Formulas	Da Huang Mu Dan Pi Tang Da Cheng Qi Tang
Points	Lanweixue, ST-36, ST-37 For high fever: + LI-4, LI-11 For abdominal pain: + ST-25 For nausea and vomiting: + PC-6, SP-4

DEFICIENCY OF FLUID IN THE COLON

Clinical Manifestations	Dry stools Chronic knotted constipation or bowel movements once a day Difficulty passing stools Senile constipation Postpartum constipation Post-febrile constipation Dizziness Bad breath Mouth and throat dry Bowel movements once a day T: Red C: Little P: Thready and rapid
Treatment Principle	Lubricate the Intestines Relieve constipation
Herb Formulas	Zeng Ye Tang Ma Zi Ren Wan Wu Ren Wan Zi Chang Wu Ren Wan Qing Zao Run Chang Tang
Points	KI-1, KI-3, KI-6, SJ-6, SP-15, ST-25, ST-37, UB-25

LARGE INTESTINE COLD

Clinical Manifestations	Constipation Difficulty in passing stools Dull pains and cold sensations in abdomen Preference for warmth; dislike of Cold Cold hands and feet Abundant clear urine T: Pale C: Thick, white and moist P: Deep and slow
Treatment Principle	Warm the Cold Relieve constipation
Herb Formulas	Da Huang Fu Zi Tang Ban Liu Wan Shen Ling Bai Zhu San
Points	Moxa or moxa needle REN-6, REN-8, SJ-6, ST-25, ST-37, UB-25 Moxa needle REN-4, REN-12, SJ-6, SP-6, ST-25, ST-36, UB-25

DAMP-HEAT INJURES THE SPLEEN

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

SPLEEN QI DEFICIENCY WITH DAMPNESS

Clinical Manifestations	A sensation of heaviness in the body Irritability Pain in the joints Difficulty flexing and extending the joints Loss of appetite Inability to rest soundly or Hypersomnia A sensation of fullness in the chest Shortness of breath Coughing with sticky sputum Frequent, clear urination Frequent diarrhea or Constipation T: Pale C: White and maybe sticky P:Flooding, moderate and wiry that is choppy when pressed hard
Treatment Principle	Leech out Dampness Strengthen the Spleen and Stomach
Herb Formulas	Tiao Zhong Yi Qi Tang
Points

SPLEEN DEFICIENCY EDEMA WITH QI STAGNATION

Clinical Manifestations	Abdominal fullness Drum-like distention Firm local distention in the epigastrium Pitting edema Ascites Scanty urination Anorexia Decreased food intake Acid regurgitation A feeling of fullness, oppression and distention in the chest Constipation Edema in limbs, especially lower limbs Maybe anasarca Physical and mental fatigue T: Pale C: White and moist P: Soft and even or Wiry, soft and even
Treatment Principle	Promote urination Promote the movement of Qi Guide out Stagnation Strengthen the Spleen
Herb Formulas	Fen Xiao Tang Without Qi Stagnation: Xuan Qing Dao Zhuo Tang
Points

SPLEEN YANG DEFICIENCY

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Frequent, clear urination Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Huang Qi Jian Zhong Tang Fu Zi Li Zhong Wan modified Wen Pi Tang Chinese Patent Medicines: Fu Zi Li Zhong Wan Cong Rong Bu Shen Wan
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

SPLEEN AND STOMACH DEFICIENCY COLD

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge Maybe constipation T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Fu Zi Li Zhong Wan Xiao Jian Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Constipation Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Abdominal distention Edema of face and limbs Cold extremities Dysuria Dark face Copious urine Nocturia Poor appetite Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Cong Rong Ren Chuang Wan
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

STOMACH FIRE BLAZING

Clinical Manifestations	Burning Heat and pain in the epigastrium Irritating thirst: drinks copious fluids and prefers cold drinks Excessive appetite: hungry again quickly after eating (as if food vanishes) Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San modified Mai Men Dong Tang modified Niu Huang Jie Du Pian Zhu Ye Shi Gao Tang
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

FOOD STAGNATION IN THE STOMACH

Clinical Manifestations	Knotted constipation Constipation or Unformed stools or Sluggish bowel movements Epigastric or abdominal fullness, distention and pain with dislike of pressure Belching with rotten food smell Flatulence Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation Harmonize the Stomach Promote bowel movements
Herb Formulas	Bao He Wan modified Mu Xiang Bing Lan Wan Xiang Sha Ping Wei San With Damp-Heat: Zhi Shi Dao Zhi Wan For Cold Food Stagnation: San Wu Bei Ji Wan With Spleen and Stomach Qi Deficiency: Bao He Wan + Liu Jun Zi Tang Chinese Patent Medicines: Ma Xing Shen Qi Wan Bao He Wan Zi Sheng Wan Jian Pi Wan
Points	LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 GB-34, SJ-6, SP-15, ST-25, ST-37, ST-44, UB-25 With nausea: + PC-6 With Phlegm Accumulation: + ST-40 With Damp-Heat: + ST-40, ST-45 With Spleen Deficiency: + SP-6, ST-36 With abdominal pain: + SP-4, SP-8 Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36 Ear: Constipation, Stomach, Spleen, Abdomen, Large Intestine, Small Intestine, Shenmen, Sympathetic

BLOOD STAGNATION IN THE STOMACH

Clinical Manifestations	Sharp, stabbing epigastric pain with fixed location Pain is severe after eating Dislike of pressure and heat on epigastrium Pain predominates over distention or Pain but no distention Epigastric rumbling Vomiting purple/black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses T: Dark purple with purple spots or dots P: Wiry and choppy
Treatment Principle	Invigorate the Blood Adjust Qi Transform Stagnation Stop pain
Herb Formulas	Dan Shen Yin modified Shi Xiao San modified
Points	SP-4, SP-6, SP-10, ST-21, ST-34, UB-17 PC-6, SP-4, SP-6, ST-36, UB-17

FLUID ACCUMULATION IN THE STOMACH AND INTESTINES WITH QI STAGNATION

Clinical Manifestations	Abdominal distention Borborygmus A dry mouth and tongue Constipation Reduced urination Diarrhea Dyspnea T: Normal C: Yellow and greasy P: Wiry and slippery or Deep, full and slightly rapid
Treatment Principle	Dry Dampness Scour out Thin Mucus Move Qi Reduce distention
Herb Formulas	Ji Jiao Li Huang Tang
Points

STOMACH AND INTESTINAL HEAT

Clinical Manifestations	Dry stools Abdominal tenderness, fullness and distention Maybe pain on palpation of the abdomen Hard stools Thirst Foul breath Lip ulcers Red eyes A flushed face A bitter taste in the mouth T: Red C: Yellow and dry P: Rapid or Slippery or Slippery and rapid
Treatment Principle	Clear Heat Moisten the Intestines
Herb Formulas	Ma Zi Ren Wan modified Run Chang Wan #2 For severe Fire: Da Cheng Qi Tang With Stomach Fire: Da Huang Gan Cao Tang
Points

STOMACH YIN DEFICIENCY

Clinical Manifestations	Constipation with dry stools that are difficult to pass Dry mouth Dry tongue Dry skin Dry eyes Dry mucous membranes Dry hair Thirst Red cheeks Five Sole Heat Gnawing hunger Epigastric discomfort Morning nausea No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Yi Wei Tang modified Gu Ben Wan
Points	KI-3, REN-12, SP-6, ST-36, UB-21 KI-3, KI-6, REN-4, REN-12, SP-6, ST-25, ST-36, UB-20, UB-21, UB-23, UB-25 Ear: Constipation, Kidneys, Stomach, Large Intestine, Distal Segment Rectum, Sanjiao, Shenmen, Sympathetic

STOMACH QI DEFICIENCY

Clinical Manifestations	Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant Maybe constipation T: Pale C: Thin and white P: Weak and Deficient
Treatment Principle	Strengthen Qi Invigorate the Spleen and Stomach
Herb Formulas	Huang Qi Jian Zhong Tang
Points	REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Easily startled Severe cases: Incoherent speech Crying and laughing without reason Manic agitation with irrational behavior May physically attack or abuse others T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	(Meng Shi) Gun Tan Wan
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

PHLEGM OBSTRUCTS THE HEART ORIFICE: YANG OBSTRUCTION

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Retention of urine Constipation Stiffness and spasm of limbs Red face Body feels hot Coarse breathing Bad breath Restlessness Involuntary movements Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: Yellow and greasy P: Slippery, wiry and rapid
Treatment Principle	Clear Phlegm Open the Orifices
Herb Formulas	(Ju Fang) Zhi Bao Dan An Gong Niu Huang Wan Ling (Yang) Jiao Gou Teng Tangmodified
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, ST-40

PHLEGM-FIRE DISTURBS THE HEART YIN OBSTRUCTION

Clinical Manifestations	Sudden collapse with loss of consciousness Lockjaw (trismus) Eyes open Both fists clenched Retention of urine Constipation Stiffness and spasm of limbs Pale face with bluish lips Limbs cold, pale and still Lying peacefully Usual sequelae of C.V.A. such as: Hemiplegia Aphasia Facial paralysis T: Pink C: White and greasy P: Deep, slippery and even
Treatment Principle	Open the Heart Orifices with Pungent Warming Herbs Eliminate Phlegm Subdue Wind
Herb Formulas	Su He Xiang Wan Di Tan Tang
Points	Bleed the Jing-Well points of the Six Hand channels, needle DU-20, DU-26, KI-1, LIV-3, PC-5, ST-40, UB-20

HEART AND STOMACH FIRE

Clinical Manifestations	Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks 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	San Huang Xie Xin Tang With Fire Rising: Dao Chi San
Points	HT-7, HT-8, PC-7, LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-15, UB-21

HEART AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Jiao Tai Wan Tian Wang Bu Xin Dan Liu Wei Di Huang Wan With Fire Rising: Dao Chi San With Blood Deficiency: Tian Wang Bu Xin Dan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

HEART AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Frequent urination Cloudy urine that resembles rice-water Seminal emissions Enuresis Disorientation Constipation Forgetfulness Anorexia T: Pale or Light pink C: Thin and white P: Thin, slow and frail or Deep and weak
Treatment Principle	Regulates and tonifies the Heart and Kidney Stabilizes Jing
Herb Formulas	Sang Piao Xiao San
Points

LIVER QI STAGNATION

Clinical Manifestations	Alternating constipation and diarrhea The condition is initiated or aggravated by anger, stress or emotional upset and alleviated by relaxation Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Headache Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses With Spleen Qi Stagnation: Constipation Fullness of the chest and flanks Nausea/Vomiting Poor appetite Belching Unproductive desire to defecate T: Pink C: Thin and white, With Spleen Qi Stagnation: Sticky and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Chai Hu Shu Gan Tang Tian Tai Wu Yao San modified For Spleen Qi Stagnation with constipation: Liu Mo Tang With pain and urgent diarrhea: Tong Xie Yao Fang With Qi and Blood Deficiency: Xiao Yao San With Blood Deficiency: Hei Xiao Yao San Affecting the Liver channel and genitals: Tian Tai Wu Yao San Chinese Patent Medicines: Chai Hu Shu Gan Wan With sluggish bowels and Food Stagnation: Mu Xiang Shun Qi Wan With constipation: Chen Xiang Hua Qi Wan For Qi Stagnation type pain: Shu Gan Wan With Qi and Blood Deficiency: Xiao Yao Wan
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18 GB-41, LIV-2, LIV-3, REN-6, SP-6 GB-34, LIV-3, LIV-13, PC-6, REN-6, SJ-6, ST-21, ST-25, ST-36 With Blood or Yin Deficiency: + SP-6, UB-18, UB-23 With severe pain: + LIV-5, SP-8 With testicular pain: + LIV-5 With nervousness, anxiety or tension: + HT-7, Yintang LIV-2, LIV-14, SJ-6, SP-6 With anxiety and mental fatigue: + REN-6 With Wind: DU-16, UB-12 During pregnancy: LI-11, LIV-2, REN-12, ST-25, ST-36 Ear: Shenmen, Liver, Abdomen, Stomach, Large Intestine, Small Intestine, Subcortex, Endocrine, Sympathetic

LIVER QI AND BLOOD STAGANTION

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	Activate Blood circulation Soften hardness
Herb Formulas	Ge Xia Zhu Yu Tang Shi Xiao San
Points	LIV-3, LIV-13, LIV-14, SP-6, UB-17

LIVER FIRE FLARING

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	Long Dan Xie Gan Tang Niu Huang Jie Du Pian Liver Fire #2
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

DAMP-HEAT IN THE LIVER AND GALL BLADDER

Clinical Manifestations	Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Nausea 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	Long Dan Xie Gan Tang Yin Chen Hao Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

LIVER FIRE SCORCHES THE LUNGS

Clinical Manifestations	Coughing fits with hemoptysis Burning pain in chest and sides Dizziness Face and eyes red Bitter taste in mouth Dry lips Short-tempered Irascibility Restlessness Maybe dark urine Maybe constipation T: Red C: Thin, yellow and dry P: Wiry and rapid
Treatment Principle	Clear Liver Fire Purge the Lungs
Herb Formulas	Xie Bai San Dai Ge San Da Bu Yin Wan
Points	LIV-2, LU-5, LU-6, LU-10, PC-6, UB-13, UB-18

DISHARMONY BETWEEN THE LIVER AND SPLEEN

Clinical Manifestations	Abdominal pain Irritability Slight chills Spasms of the calf muscles Cramps in the hands Weak legs Hypertonicity of the extremities characterized by difficult flexion and extension Wheezing Coughing Hiccup Intermittent constipation initiated by stress Abdominal pain initiated by stress Constipation interrupted with bouts of diarrhea Vomiting Diarrhea Sciatic pain Severe and painful muscle spasms in the Stomach, bronchi, Gallbladder uterus and Intestines Shoulder pain Pain in the head, body or limbs due to arterial spasms characterized by a severe pulling pain T: Normal or Reddish C: None or Yellowish P: Wiry and rapid or Thready and rapid
Treatment Principle	Soften the Liver Nourish the Blood Nourish Yin Relieve pain Harmonize the Middle Jiao Replenish Body Fluids
Herb Formulas	Shao Yao Gan Cao Tang Xiao Yao San Tong Xie Yao Fang modified With Blood Deficiency and Heat: Jia Wei Xiao Yao San Chinese Patent Medicines: Chen Xiang Hua Qi Wan Mu Xiang Shun Qi Wan Xiao Yao Wan Shu Gan Wan Xiang Sha Yang Wei Wan Su Zi Jiang Qi Wan Run Chong Wan
Points	GB-34, LIV-3, LIV-5, REN-6, SJ-6, ST-25, ST-37 + Ahshi along the Stomach channel With abdominal distention: + SP-15 With Phlegm : + SP-3, ST-40 With nausea, acid reflux and indigestion: + PC-6, UB-18, UB-20 With Spleen Deficiency: + ST-36 With insomnia and parietal headaches: + GB-39, SJ-5 With signs of Heat: + LI-11, LIV-2 With extreme tension, anxiety or nervousness: + DU-24, HT-7, PC-6, Yintang With Lung Qi Stagnation : + LU-7, UB-42 Ear: Constipation, Liver, Large Intestine, Abdomen, Shenmen, Subcortex, Sympathetic

HEAT IN THE LIVER AND STOMACH

Clinical Manifestations	Morning sickness or Vomiting during pregnancy Nausea with sour regurgitation or Vomiting of sour material Hypochondriac discomfort Belching Sighing Moodiness Dizziness Depression Concentrated urine A tendency toward constipation T: Red edges C: Yellow P: Wiry and rapid
Treatment Principle	Clear Liver and Stomach Heat Descend Stomach Qi Stop nausea and vomiting
Herb Formulas	Su Ye Huang Lian Tang
Points

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Constipation with dry stools that are difficult to pass Dry mouth Dry tongue Dry skin Dry eyes Dry mucous membranes Dry hair Thirst Facial complexion pale and sallow Both cheeks slightly red Dizziness 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	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan modified With Fire Flaring: Zhi Bai Di Huang Wan With Heat: Dang Gui Yu Zhu San
Points	KI-3, LIV-3, SP-6, UB-18, UB-23 KI-3, KI-6, REN-4, REN-12, SP-6, ST-25, ST-36, UB-20, UB-21, UB-23, UB-25 Ear: Constipation, Kidneys, Stomach, Large Intestine, Distal Segment Rectum, Sanjiao, Shenmen, Sympathetic

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) modified Ji Chuan Jian Ban Liu Wan You Gui Yin + Ban Liu Wan Gui Lu Bu Shen Tang You Gui Yin modified Jie Rong San With Water Flooding: Zhen Wu Tang For dry stools and frequent urination: Jin Gui Shen Qi Wan + Jin Suo Gu Jing Wan Chinese patent Medicines: Jin Kui Shen Qi Wan
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For Kidney Yang Deficiency impotence: moxa or moxa needle DU-4, DU-20, KI-3, REN-4, UB-23

KIDNEY YIN DEFICEINCY

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel Maybe constipation T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys
Herb Formulas	Liu Wei Di Huang Wan modified With Blood Deficiency: Dang Gui Liu Huang Wan
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

KIDNEY YIN DEFICIENCY WITH FIRE RISING

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory 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 If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 KI-1, KI-2, KI-3, KI-6, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

WIND DENSE

Clinical Manifestations	Stools dense and congealed P: Floating and wiry
Treatment Principle
Herb Formulas
Points	GB-34, KI-3, SJ-6, ST-36, UB-12, UB-14, UB-25

HOT, DRY, CONGEALED YANG

Clinical Manifestations	Constipation Feces in bowels are dry and congealed Abdomen, swollen, obstructed and full T: Normal C: Yellow P: Deep, strong and rapid
Treatment Principle	Cool Yang Moisten the Intestines
Herb Formulas	Ma Zi Ren Wan
Points	GB-34, LI-4, REN-12, SJ-6, ST-25, ST-36, ST-44, UB-25

YANG DEFICIENCY WITH COLD ACCUMULATION

Clinical Manifestations	Difficult defecation The stools may or may not be dry The patient may be exhausted following defecation or attempted defecation Chills Aversion to Cold Cold limbs Inability to get warm Profuse clear urine Nocturia Oliguria with pitting edema Spontaneous sweating Lassitude Cold abdominal pain which is better with warmth The abdomen feels cold when palpated Cold back pain Cold, sore knees A waxy, pale complexion T: Pale, swollen and moist, maybe teethmarks C: White P: Slow, deep and weak
Treatment Principle	Warm Kidney and Spleen Yang Moisten the Intestines
Herb Formulas	Ji Chuan Jian modified Ban Liu Wan In the elderly with severe Cold: Ban Liu Wan Chinese patent Medicines: Jin Kui Shen Qi Wan Cong Rong Bu Shen Wan
Points	Moxa DU-4, KI-3, REN-4, SP-6, SP-15, ST-25, ST-36, UB-20, UB-23, UB-25 With frequent urination: + KI-7, REN-3 Ear: Constipation, Kidney, Spleen, Stomach, Large Intestine, Adrenal, Sanjiao, Shenmen

YIN DEFICIENCY

Clinical Manifestations	Constipation with dry stools that are difficult to pass Dry mouth Dry tongue Dry skin Dry eyes Dry mucous membranes Dry hair Thirst Red cheeks Five Sole Heat A thin body T: Red C: Little or None P: Thready
Treatment Principle	Nourish Yin Moisten the Intestines Promote Defecation
Herb Formulas	Run Chang Wan #1 Liu Wei Di Huang Wan modified Yi Wei Tang Zuo Gui Yin For Yin Deficiency following a febrile disease: Zeng Ye Tang modified Chinese Patent Medicines: Liu Wei Di Huang Wan Zhi Bai Ba Wei Wan Gu Ben Wan Sheng Mai San Wan Run Chang Wan
Points	KI-3, KI-6, REN-4, REN-12, SP-6, ST-25, ST-36, UB-20, UB-21, UB-23, UB-25 Ear: Constipation, Kidneys, Stomach, Large Intestine, Distal Segment Rectum, Sanjiao, Shenmen, Sympathetic

YIN AND BLOOD DEFICIENCY

Clinical Manifestations	Chronic hemorrhoidal bleeding Maybe hemorrhoidal pain Dizziness Tinnitus or deafness Poor memory 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 Palpitations Insomnia Dry skin Dry hair Paleness Fatigue Scanty periods T: Red or Pink and dry C: Little or None or Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourish Yin Nourish Blood Ease defecation Stop bleeding Stop pain
Herb Formulas	Zhi Lou Wan Run Chang Tang
Points

YIN DEFICIENCY, DRIED BLOOD AND WIND-DAMP

Clinical Manifestations	Dizziness Blurred vision Chronic cough Constipation with very dry stools Dry, flaky skin Numbness Painful obstruction
Treatment Principle	Nourish the Liver and Kidneys Clear the Head and Eyes Expel Wind-Dampness
Herb Formulas	Sang Ma Wan
Points

QI STAGNATION

Clinical Manifestations	Constipation worse when the patient is under stress or premenstrually Abdominal, epigastric and/or hypochondriac distention, fullness and pain The distention and pain are alleviated by defecation Dry stools which are difficult to evacuate or Stools are less dry but there are a few days between evacuations Maybe a desire to defecate without results A feeling incomplete defection and sluggishness or Normal stools with little or no desire to defecate Maybe a bearing-down sensation in the rectum with a desire to defecate Pains that move around Frequent belching Anorexia Flatulence Frequent sighing Fullness or tightness in the chest and hypochondrium Depression Irritability Moodiness Stiffness and tightness of the upper back and neck Premenstrual syndrome Irregular menstruation Breast tenderness T: Normal or Dark or Red (with Heat) C: Thin and white or Greasy and white (with Food Stagnation) P: Wiry
Treatment Principle	Regulate Qi Promote bowel movements
Herb Formulas	Liu Mo Tang Li Qi Tong Bian Tang With Food Stagnation and Phlegm Accumulation: Kai Yu Zheng Yuan San Chinese Patent Medicines: Chen Xiang Hua Qi Wan Mu Xiang Shun Qi Wan Xiao Yao Wan Shu Gan Wan Xiang Sha Yang Wei Wan Su Zi Jiang Qi Wan Run Chong Wan
Points	GB-34, LIV-3, LIV-5, REN-6, SJ-6, ST-25, ST-37 + Ahshi along the Stomach channel With abdominal distention: + SP-15 With Phlegm : + SP-3, ST-40 With nausea, acid reflux and indigestion: + PC-6, UB-18, UB-20 With Spleen Deficiency: + ST-36 With insomnia and parietal headaches: + GB-39, SJ-5 With signs of Heat: + LI-11, LIV-2 With extreme tension, anxiety or nervousness: + DU-24, HT-7, PC-6, Yintang With Lung Qi Stagnation : + LU-7, UB-42 Ear: Constipation, Liver, Large Intestine, Abdomen, Shenmen, Subcortex, Sympathetic

QI DENSE

Clinical Manifestations	Qi penetrates and obstructs the frame of the body Stools dense and congealed Diaphragm full and obstructed Abdominal swelling T: Normal C: White P:Deep
Treatment Principle
Herb Formulas
Points	DU-1, GB-34, LIV-1, PC-6, REN-6, REN-12, SJ-6, ST-36, ST-44

QI AND BLOOD STAGANTION

Clinical Manifestations	Constipation with small round stools Enduring prostatitis that does not heal Marked, possibly lancinating perineal area pain Pain radiates to the testes, penis, lower abdomen or low back Dark circles around the eyes Possible penile induration Urinary dribbling Rough, painful, astringent urination Painful sexual intercourse Painful ejaculation Possible spermatorrhea Possible hematuria A hard prostate Possible nodulation on the prostate Distension in the chest, epigastrium or abdomen Distending pain that moves from place to place Abdominal masses that appear and disappear or Abdominal masses that do not move Abdominal distension and pain that is not relieved by a bowel movement Mood swings Depression Frequent sighing Headache Irritability Insomnia Restlessness Dull/dark complexion Purple lips Purple nails Pain that has the quality of boring in, fixed and stabbing and may be worse at night Bleeding with dark blood and dark clots T: Dark purple or Purple petechiae or Purple veinules C: White P: Wiry, choppy and tight
Treatment Principle	Invigorate the Blood Dispel Stasis Promote the circulation of Qi Alleviate pain
Herb Formulas	Huo Xue San Yu Tang #2
Points

QI AND BLOOD STAGNATION WITH WATER ACCUMULATION IN THE LEGS

Clinical Manifestations	Pitting edema Numbness Fatigue Weakness in the legs Palpitations Distention beneath the Heart Constipation Dyspnea T: Blue purple maybe with purple or red spots C: White P: Choppy or Wiry and choppy
Treatment Principle	Dispel water accumulation Disperse Qi and Blood Stagnation Relieve constipation
Herb Formulas	Jiu Wei Bing Lang Jia Wu Fu Tang
Points

QI DEFICIENCY

Clinical Manifestations	Fatigue Stools are not dry The stools tend to be soft, large and thick Difficult defecation due to lack of Qi with prolonged sitting on the toilet There is desire to defecate but the patient must strain Shortness of breath Sweating with little or no exertion Sometimes perspiration and shortness of breath during defecation Dizziness Maybe dizziness and fatigue after a bowel movement Anorexia Pale face Weak voice Reluctance to speak Lassitude T: Pale or Pale and swollen with teethmarks C: White P: Empty or Weak or Thready
Treatment Principle	Tonify Qi Strengthen the Spleen and Stomach Moisten the Intestines
Herb Formulas	Huang Qi Tang Bu Zhong Yi Qi Tang modified With anal prolapse: Bu Zhong Yi Qi Tang Chinese Patent medicines: Bu Zhong Yi Qi Wan Ren Shen Yang Ying Wan Xiang Sha Liu Jun Zi Wan Cong Rong Bu Shen Wan
Points	REN-6, REN-12, SP-6, SP-15, ST-25, ST-36, UB-13, UB-20, UB-25 With prolapse or hemorrhoids: + DU-20 With a chronic cough: + LU-1, LU-9 With Kidney Deficiency: + UB-23 To strengthen Lung Qi: + DU-14 To aid the Lungs' dispersing function: + LI-4 KI-3, LU-9, SP-6, ST-36 Ear: Constipation, Spleen, Lungs, Large Intestine, Distal Segment Rectum, Sanjiao, Shenmen, Sympathetic

QI AND YIN DEFICIENCY

Clinical Manifestations	Dizziness which is worse on exertion Lack of strength Sweating on slight exertion Night sweats Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath on slight exertion Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech Palpitations Constipation T: Red and dry or Pink and dry or Pale with teethmarks on its edges and a red tip C: Thin and dry or Little or None P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle	Augment Qi Generate Fluids Clear Heat Preserve Yin Stop Excess perspiration
Herb Formulas	Jia Wei Sheng Mai San
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Huang Qi Tang modified Bu Zhong Yi Qi Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

QI AND BLOOD DEFICIENCY WITH QI STAGNATION AND HEAT

Clinical Manifestations	Constipation Facial flushing Melancholy Restlessness Headache Vertigo Tinnitus Abdominal distention Acid regurgitation Vertigo Stiff shoulders Neurosis Fever Palpitations Lower back pain Hot flashes Belching
Treatment Principle	Tonify Qi Nourish the Blood Regulate Qi Clear Heat
Herb Formulas	Nu Shen San
Points

QI, YANG AND BLOOD DEFICIENCY

Clinical Manifestations	Amnesia Palpitations Feverishness Anorexia Emaciation Pale face Insomnia Dyspnea on mild exertion Fatigue Shortness of breath Weight loss Dry skin Dry mouth Dry throat Dry lips Uterine bleeding Irregular menstruation May suddenly lose consciousness Slack jaw Restless at night Lassitude Tendency toward being frightened easily Weakness Sallow complexion Dizziness Tremors in the limbs Spontaneous perspiration Fever and severe chills General debility Mental instability Coughing and gasping Night sweats Amnesia Diarrhea Turbid urine Nocturnal emission Impotence Constipation Feeble breathing Tired limbs T: Pale C:White P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle	Tonify Qi Nourish the Blood Warm Yang Strengthens the Spleen and Lungs Nourishes the Heart Calms the Shen
Herb Formulas	Ren Shen Yang Rong Tang
Points

QI, BLOOD AND YIN DEFICIENCY

Clinical Manifestations	Palpitations Fatigue Anxiety Irritability Insomnia 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 Tired body Dry, hard stool Coarse skin Dry throat A skinny appearance 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 Blood Enrich Yin Restore the Pulse
Herb Formulas	Zhi Gan Cao Tang
Points

BLOOD STAGNATION

Clinical Manifestations	Constipation Decreased urination or Interrupted urination or Constant urination or Anuria Maybe fixed, stabbing pain on urination Lower abdominal fullness Lower abdominal pain which may radiate to the genitals Maybe hematuria Tumor formation Purple urine with blood clots Abdominal spasms and tension Suprapubic fullness, distention and pain Maybe lower abdominal masses Pain in the iliac fossa on palpation Soider naevi on the abdomen, inner ankle and inner knee Headache Sinus congestion Lower back ache Nervousness Fatigue Skin eruptions Scaly, dry skin Headache Shoulder stiffness Vertigo Cold low body and feet Flushed face T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Wiry or Tense, deep and slow or Thin or Deep and choppy or Slow and choppy
Treatment Principle	Expels Blood Stagnation and Obstruction
Herb Formulas	Dai Di Dang Wan Huo Xue Hua Yu With Food Stagnation and Dampness Accumulation: Huo Xue Hua Yu Shu Gan Li Dan With Blood Deficiency: Tiao Ying Jian Gan Ying With Heat: Xia Yu Xue Tang
Points

BLOOD DENSE

Clinical Manifestations	Stools dense and congealed Dry mouth Heart troubled Restless sleep T: Purple C: white P:Empty and large
Treatment Principle
Herb Formulas
Points	PC-7, SJ-6, SP-6, UB-15, UB-17, UB-18

BLOOD DEFICIENCY

Clinical Manifestations	Constipation Dry stools with difficult defecation The stools may be as hard as nuts Abdominal distention Postural dizziness Palpitations Anxiety Insomnia Dry skin Dry hair Dry mucus membranes Dry eyes Blurred vision Poor memory A pale complexion Pale lips Pale nails Fatigue Numbness and tingling of the limbs Scanty periods T: Pale C: Thin, white and dry P: Thready and rapid or Thready and weak
Treatment Principle	Nourish Blood Moisten the Intestines
Herb Formulas	Run Chong Wan modified Run Chang Wan #1 Dang Gui Jian Zhong Tang Si Wu Tang Ba Zhen Tang modified Shou Wu Sheng Fa Yin Tuo Fa Zai Sheng San For severe Blood and Yin Deficiency: Ba Zhen Tang + Er Zhi Wan + a thick syrup made from 50g Rx. Angelicae Sinensis Dang Gui For severe Dryness with damage to the Fluids: Ma Zi Ren Tang or Wu Ren Ju Pi Tang + a thick syrup made from 90g Rx. Paeoniae Alba Bai Shao Chinese Patent Medicines: Wu Ren Wan Dang Gui Ji Jing Gui Pi Wan Ba Zhen Wan Run Chang Wan
Points	REN-4, REN-6, REN-12, SP-6, SP-10, ST-25, ST-36, UB-17, UB-18, UB-20, UB-23 LIV 3, SP-6, ST-36, UB 11, UB-17 During pregnancy: SJ-6, UB-17

BLOOD AND YIN DEFICEINCY

Clinical Manifestations	A history of constipation Usually an older person Tenesmus Eliminates every one to two weeks Dry mouth Dizziness Palpitations Pale lips and nails T: Pale or Red C: Thin and white or Little or None P: Thready and rapid or Forceless
Treatment Principle	Strengthen Blood and Yin Moisten the Intestines
Herb Formulas	Yong Xue Ren Huang Tang Run Chang Tang
Points	REN-12, SJ-6, ST-25, ST-36 DU-1, KI-6, LIV-1, SP-5, ST-40, ST-44, UB-25 PC-6, SP-15, ST-25, UB-25 UB-17, UB-18 KI-6, LIV-13, SP-3 KI-6, SJ-6 Habitual: 1. GB-34, SP-15 2. SJ-6, SP-15, ST-25, ST-36,

COLD OBSTRUCTS QI

Clinical Manifestations	Constipation Slight abdominal distention and pain Symptoms relieved by warmth and pressure Clear, copious urine Cold limbs Stools dense and congealed Anorexia T: Pale C: None or Thick and white P: Deep and slow
Treatment Principle	Warm Cold
Herb Formulas	Yan Nian Ban Xia Tang
Points	Moxa or moxa needle REN-4, REN-12, SJ-6, SP-6, ST-25, ST-36, UB-25

CHRONIC HEAT

Clinical Manifestations	Chronic constipation Hard, dry pellet-like stools A red complexion Bad breath Concentrated urine Dry mouth and throat With Liver Heat: Temporal headaches Dizziness Irritability A quick temper Sore, red eyes Hypochondriac pain T: Red with redder edges C: Dry and yellow P: Slippery and rapid or Wiry rapid and strong
Treatment Principle	Clear Heat Moisten Dryness Lubricate the Intestines Promote bowel movement
Herb Formulas	Ma Zi Ren Wan With Liver Heat: Dang Gui Long Hui Wan As the symptoms decrease, gradually withdraw the formula and replace it with Chai Hu Shu Gan Tang or Xiao Yao San With hemorrhoids: Yi Zi Tang With spurious diarrhea around an impacted stool: Huang Long Tang With Yin Deficiency: + Zeng Ye Tang With Water Accumulation in the chest: Da Xian Xiong Tang Chinese Patent Medicines: Ma Zi Ren Wan Dang Gui Long Hui Wan Chen Xiang Hua Qi Wan
Points	LI-4, SJ-6, SP-6, SP-15, ST-25, ST-36, ST-37, ST-40, ST-44 With a fever: + DU-14, LI-11 With Heat in the Liver: + LIV-2 Ear: Constipation, Large Intestine, Lungs, Distal Segment Rectum, San Jiao, Shen Men

DRY HEAT

Clinical Manifestations	Constipation Hemorrhoids which may protrude beyond the anus Dry stools Difficult defecation May an explosive discharge of fresh Blood from the anus Abdominal distention or fullness A dry mouth Thirst Dark colored urine T: Red and dry C: Dry and yellow P: Rapid
Treatment Principle	Clear Heat Moisten Dryness Cool the Blood Stop bleeding
Herb Formulas	Liang Xue Di Huang Tang Jia Jian
Points

DAMP-HEAT

Clinical Manifestations	Alternating fever and chills Increasing Cold Strong fever or fever and no Cold Anorexia Inability to differentiate flavors Headache A red face and eyes Soreness and heaviness of the limbs Torpid intake Chest and ductal glomus and oppression Hiccup or vomiting Abdominal fullness, distention, and pain Diarrhea or constipation Short, reddish urination T: Red C: White and slimy P: Soggy and slightly rapid
Treatment Principle	Open Damp Stagnation Vent the membrane source Aromatically transform turbidity
Herb Formulas	Da Yuan Yin Jia Jian Mu Xiang Bing Lan Wan Zhong Man Fen Xiao Wan With Blood Stagnation in the Lower Jiao: Teng Long Tang
Points

TOXIC HEAT

Clinical Manifestations	Aversion to Wind and Cold Shivering in severe cases Fever Swelling Heat and pain in the affected area Dark urine Constipation T: Normal C: Yellow P: Wiry and rapid or Surging and rapid
Treatment Principle	Clear Heat Drain Fire Resolve toxicity
Herb Formulas	Wu Wei Xiao Du Yin Huang Lian Shang Qing Wan Jing Jie Lian Qiao Tang Lan Wei Jie Du Tang Nei Shu Huang Lian Tang Xi Jiao San Yin Qiao Hong Jiang Jie Du Tang With more severe Heat: + Huang Lian Jie Du Tang modified With Blood Stagnation and Heat: Tong You Tang With Phlegm: Bo Shi Tang Yu Shu Dan
Points	SP-10, ST-44, bleed Shixuan, UB-40 For a high fever: + bleed DU-14 For severe pain: + LI-4, LIV-3 LI-4, PC-3, ST-44, bleed Shixuan, UB-40

PHLEGM ACCUMULATION

Clinical Manifestations	Chronic constipation or Sluggish stool which may contain mucus Maybe tenesmus After evacuation, the patient feels lighter and more clear-headed Abdominal distention and discomfort Foggy-headedness Poor concentration Poor memory Tendency toward sleepiness Lethargy Heaviness of the body Maybe chronic mucus production from the sinuses and Lungs Greasy skin A musty body odor Dizziness Headaches that can be triggered by strong smells A tendency toward obesity A pear shaped body T: Flabby and swollen C: Greasy and white, thicker at the root P: Deep and slippery or Wiry
Treatment Principle	Transform and eliminate Phlegm Open the bowels Elevate Yang to facilitate the descent of turbid Yin Regulate Liver Qi Strengthen the Spleen
Herb Formulas	Tan Pi Tang Chinese Patent Medicines: Er Chen Wan Ping Wei San Qing Qi Hua Tan Wan Wen Dan Wan Bao He Wan Xiang Sha Liu Jun Zi Wan
Points	GB-34, LI-4, LIV-3, REN-12, SJ-6, SP-3, SP-15, ST-25, ST-36, ST-40, ST-41 With foggy-headedness, chest fullness, anxiety of diarrhea: + PC-5 or PC-6 With Spleen Deficiency: + UB-20 With abdominal pain: + LIV-5, SP-4 Ear: Constipation, Large Intestine, Small Intestine, Spleen, Stomach, Lungs, Sympathetic

PHLEGM AND BLOOD STAGNATION

Clinical Manifestations	Mild, persistent uterine bleeding of purple and black blood during pregnancy Abdominal pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back ache Irregular menstruation Nervousness Fatigue Fetal instability Skin eruptions Scanty menstrual flow Scaly, dry skin Retention of lochia Shoulder stiffness Vertigo Cold low body and feet Flushed face Protruding abdomen T: Dark purple or with echymoses or petechiae or pale with purplish spots C: White P: Choppy or Tense, deep and slow
Treatment Principle	Invigorate the Blood Transform Blood Stasis Soften lumps Reduce fixed abdominal pain
Herb Formulas	Gui Zhi Fu Ling Wan
Points

RE TAN (PHLEGM-HEAT)

Clinical Manifestations	Constipation with dry stools 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 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
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Qing Qi Hua Tan Wan Er Chen Tang modified Xiao Xian Xiong Tang
Points	LI-11, LU-5, ST-40, UB-13

DAMAGED FLUIDS

Clinical Manifestations	This usually occurs in the late stage of a febrile disease Hypertonicity of the fingers A burning sensation of the fingers Dry skin Cracked lips Thirst with a desire to drink Irritability Constipation T: Red and dry C: Little or None P: Wiry, thready and rapid
Treatment Principle	Moisten Dryness Nourish the Blood Moisten the sinews
Herb Formulas	Zi Zao Yang Rong Tang For Heat lingering in the Yin with constipation, a dry mouth and dry stools: Zeng Ye Cheng Qi Tang
Points

MIDDLE JIAO QI STAGNATION

Clinical Manifestations	Constipation Nausea and vomiting Emaciation Sallow complexion Anorexia with a full feeling after very little food Weak abdomen Belching Abdominal distention or pain (subtle) Rolled lips Pale lips Stiff tongue Tired limbs Heavy limbs Chest fullness Acid regurgitation Epigastric distention or pain Muscle weakness in arms and legs Loose stools or diarrhea Maybe bleeding Thin muscles. Lethargy-fatigue Does not like to speak Weak, soft voice Maybe enuresis Maybe abundant clear urine Maybe cold extremities Maybe borborygmus T: Pale and flabby - may have teeth marks C: Thin and white. P: Weak and Deficient
Treatment Principle	Tonify Qi Strengthen s the Spleen Harmonize the Stomach Regulate s Qi Stop pain
Herb Formulas	Xiang Sha Liu Jun Zi Tang
Points

SAN JIAO: LOWER JIAO - URINARY BLADDER DAMP-HEAT

Clinical Manifestations	Painful urination Difficult, scanty urination Heavy headache Thirst with no desire to drink Oliguria Maybe constipation Lower abdominal fullness and distention Dizziness Maybe urolithiasis T: Normal or Red C: White or Yellow P: Soft and maybe rapid
Treatment Principle	Promote diuresis
Herb Formulas	Ba Zheng San Fu Ling Pi Tang
Points	REN-3, SP-6, SP-9, ST-25, ST-28, UB-25

LOWER JIAO: DAMP-HEAT IN THE LARGE INTESTINE

Clinical Manifestations	Lower Jiao pain Constipation or Diarrhea Heaviness Headache Dull Spirit Abdominal distention Mental fuzziness T: Normal C: Yellowish white and greasy P: Soft or maybe Slippery and rapid
Treatment Principle	Purge the Intestines
Herb Formulas	Da Cheng Qi Tang Yi Zi Tang Ba Wei Dai Xia Fang
Points	LI-11, SP-6, SP-9, ST-25, UB-25

LOWER JIAO BLOOD STAGNATION WITH HEAT

Clinical Manifestations	Acute lower abdominal pain Incontinence of urine Night fevers Delirious speech Irritability Restlessness Thirst May be mania (severe) Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet Tremors Excruciating abdominal pain with cold Black stool May be chills and fever Hemoptysis Hematuria Red eyes Pain and distention of the head Toothache Irregular menstruation Lochioschesis Severe wheezing Distention of the chest T: Red and dry C: Yellow P: Deep and forceful or Choppy
Treatment Principle	Drain Heat Break up Blood Stasis
Herb Formulas	Tao He Cheng Qi Tang Di Dang Tang
Points

BLAZING HEAT IN THE PERICARDIUM GENERATING WIND

Clinical Manifestations	Severe constipation High fever Irritability Restlessness Delirious speech Impaired consciousness Dizziness Muscle twitches Spasms Convulsions Thirst Parched lips Delirium Dysuria Dark or red urine Vertigo Childhood convulsions Coma Dry mouth Irrationality Cold limbs Hysteria T: Scarlet red C: Dry and yellow P: Forceful, wiry and rapid
Treatment Principle	Stop convulsions and spasms Clear Heat Relieve toxicity Open the Orifices Calm the Spirit
Herb Formulas	Zi Xue Dan
Points

PARASITES

Clinical Manifestations	Altered bowel habits Loose, watery stools or Constipation Rectal itching and burning especially at night Excessive appetite Food allergies Symptoms improve after eating Epigastric pain Heartburn Swelling around the umbilicus Respiratory symptoms with hepatomegaly Hepatobiliary symptoms Depression Foul intestinal gas Weight loss Breast swelling and tenderness unrelated to menstruation
Treatment Principle	Kill parasites
Herb Formulas	Bian Fei Chui Shao Tang Bing Wu Huo Qi Tang
Points

YANG LUO OF THE KIDNEYS

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Points	KI-4, UB-64 KI-4, UB-67

CONSTIPATION

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