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DANDRUFF, FLAKING HAIR OR SCALP

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	Topical: Bai Ai Tang
Points

WIND-DAMPNESS

Clinical Manifestations	Dandruff Mild generalized body aches Slight aversion to Wind Chronic respiratory complaints Fever that worsens in the afternoon Dry skin
Treatment Principle	Release the Exterior Dispel Wind-Dampness Resolve Phlegm
Herb Formulas	Ma Xing Yi Gan Tang
Points

LIVER WIND STIRRING INTERNALLY: LIVER BLOOD DEFICIENCY GENERATES WIND

Clinical Manifestations	Dandruff Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish the Blood Subdue Wind
Herb Formulas	Si Wu Tang Bu Gan Tang
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

YIN AND BLOOD DEFICIENCY

Clinical Manifestations	Alopecia occurs over the vertex or at the lateral frontal areas The hair loss is insidious Often affects people in their twenties and thirties The scalp is frequently greasy or itchy with dandruff Soreness of the lower back Abdominal pain Emaciation Achy and uncomfortable flesh and bones of the hands and feet Five-Sole-Heat Anxiety Dizziness Light headedness Tinnitus Tidal fever Fever with exhaustion Recurrent fever with night sweats or hemoptysis General disquietude Gradually worsening afternoon fevers T: Red C: Scanty P: Thready and rapid
Treatment Principle	Nourish Yin and Blood Clear Deficient Heat
Herb Formulas	Lu Shi Ban Tu Tang
Points

BLOOD DEFICIENCY

Clinical Manifestations	Dandruff Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods T: Pale C: Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	Si Wu Tang
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

BLOOD DEFICIENCY DUE TO WIND-DRYNESS

Clinical Manifestations	Dandruff with oily, bright hair and plenty of scales Hair loss, typically starting from the vertex or temples Itching of the head Headache Dizziness Vertigo Tinnitus Blurred vision Sensation of Heat rushing to the head Insomnia Dream disturbed sleep Numbness Twitching and spasms in the extremities Trembling tongue Light-headedness Pallor Broken skin Dry skin Sometimes bleeding and pain Worse in Cold weather Better during the summer T: Pale or pink C: Thin and white P: Thin or Weak and taut or Deep or Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Enrich the Blood Moisten Dryness Expel Wind Regulate Blood flow
Herb Formulas	Shen Ying Yang Zheng Dan
Points	DU-20, KI-3, LIV-8, SP-6, ST-8 With Wind predominant (itching): + LU-7, SP-10