DRY SKIN (ASTEATOSIS)

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	Dry Skin #1 both internally and topically Topical: Run Ji Gao
Points	KI-7, SP-6, SP-9, ST-36, UB-18, UB-20, UB-23 massage all points for 2 minutes each

YANG MING JING

Clinical Manifestations	Dry skin High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability Restlessness Feverish body parts Red face Dry stools No constipation No aversion to Cold T: Red, dry C: Dry yellow P: Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Zhu Ling Tang
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44 With Qi and Body Fluid Deficiency: DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20

SHAO YIN HEAT

Clinical Manifestations	Dry skin Dry throat and/or mouth Chronic sore throat (not acute) Restlessness Malar flush Insomnia Disturbed speech Low grade fever, worse in afternoon Yellow urine Irritability with a sensation of Heat in the chest Palpitations with anxiety Sores in the mouth or on the tongue More Heat than in Yin Deficiency (chronic low grade fever) T: Red, deep red C: None P: Deep, thready and rapid
Treatment Principle	Nourish Yin Reduce Heat
Herb Formulas	Zhu Ling Tang
Points	DU-14, HT-5, HT-7, KI-3, KI-6, KI-7, LIV-3, SP-6, UB-10, UB-15, UB-23

WEI STAGE: DRY HEAT

Clinical Manifestations	Dry, hacking cough or Cough with thick, sticky, hard to expectorate sputum Dry skin Dry nose Dry painful throat Thirst Little or no sweat Fever and chills with more fever than chills T: Red and dry C: Thin white P: Floating and rapid
Treatment Principle	Disperse Wind Clear Heat Moisten Dryness
Herb Formulas	Sang Xing Tang
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, KI-3, KI-6, LI-4, LI-11, LU-5, LU-6, LU-7, LU-10, REN-22, SJ-5, SP-6, ST-8, Taiyang, UB-12, UB-13

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 Qiao He Tang If symptoms persist for a long time: Yang Yin Qing Fei Tang With intestinal Heat and hemoptysis: E Jiao Huang Qin Tang With constipation: Wu Ren Ju Pi Tang
Points	KI-3, LU-1, LU-6, SP-6, UB-13, Jinjin-Yuye

PHLEGM-HEAT CONGESTS THE LUNGS

Clinical Manifestations	Dry, scaly skin Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess) Dyspnea Asthma Pain in the ribs Maybe chills and fever Red rashes Thirst Mild chest pain T: Scarlet C: Yellow and smooth or Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Counteract Toxin Transform Stasis Drain Pus Resolve Phlegm (The use of Clear Heat / Counteract Toxin herbs and the principle of "Draining Pus" are only relevant when foul-smelling pus is being expectorated such as in pulmonary abscess) Soothe asthma in case of asthma
Herb Formulas	Wei Jing Tang
Points	Dingchuan, LU-1, LU-5, LU-6, LU-10, REN-17, REN-22, ST-40, UB-13

LUNG YIN DEFICIENCY

Clinical Manifestations	Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Afternoon fever Night sweats Malar flush (especially in afternoon) Five Sole Heat Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Emaciation T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs
Herb Formulas	Gu Ben Wan Yang Yin Qing Fei Tang
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43

LUNG QI AND YIN DEFICIENCY

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Dry mouth and tongue Dry skin Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry 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	Sheng Mai San modified
Points

LUNG AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Protracted, incessant, weak cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma and panting which is worse with exertion Aversion to Wind Catches cold easily Spontaneous sweating Dry skin Weak voice Lethargy Easily fatigued A soft voice Reluctance to speak A general air of sadness or melancholy A waxy, pale complexion Rounded or hunched shoulders Four limbs tired Anorexia Maybe copious mucus Food allergies General lassitude Distention and pain of the epigastrium and abdomen Loose stools Severe cases: Frightens easily Spleen Deficiency predominant: Worse with dietary irregularities Lung Deficiency predominant: Worse with weather changes Frequent sneezing Runny nose T: Pale with a thin crack C: White or White and greasy P: Thready and weak or Floating and weak or Soft
Treatment Principle	Reinforce the Spleen Benefit the Lungs Descend Lung Qi Transform Phlegm Disperse accumulation
Herb Formulas	Wu Ji San
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43 DU-12, DU-14, LU-5, LU-7, LU-9, PC-6, REN-6, ST-25, ST-36, UB-13, UB-20 DU-14, ST-36, ST-40, UB-13 LU-9, REN-6, REN-12, SP-6, ST-36, UB-13, UB-20, UB-43 Ear: Lung, Spleen, Stomach Intestines, Abdomen

LUNG AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Dry skin Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Ba Xian Chang Shou Wan Yang Yin Qing Fei Tang + Da Bu Yin Wan Mai Wei Di Huang Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

LARGE INTESTINE FLUID DEFICIENCY

Clinical Manifestations	Dry skin Dry stools Knotted constipation or bowel movements once a day Difficulty passing stools Dizziness Bad breath Mouth and throat dry T: Red C: Little P: Thready and rapid
Treatment Principle	Lubricate the Intestines Relieve constipation
Herb Formulas	Ma Zi Ren Wan Qin Jiao Bai Zhu Wan With Stagnation and Kidney Deficiency: Qi Wu Jiang Xia Tang
Points	KI-1, KI-3, KI-6, SJ-6, SP-15, ST-25, ST-37, UB-25

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
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

STOMACH YIN DEFICIENCY

Clinical Manifestations	No appetite or Famished but with no desire to eat or A desire for Cold, bland foods or A liquid diet Chronic epigastric and abdominal distention after meals Worse in the evening General Dryness of the mucus membranes Dry skin Dry mouth Dry lips Dry throat Dry, pellet-like stools Maybe constipation Irritability with low grade fever Mild nausea or Maybe dry retching or Hiccups Thirst Malar flush Night sweats Five Sole Heat T: Red or Slightly red and peeled in the center or Red and dry or Mirrored or Numerous surface cracks C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Yi Wei Tang modified With Kidney Yin Deficiency: + Liu Wei Di Huang Wan Sha Shen Mai Men Dong Tang
Points	KI-3, REN-12, SP-6, ST-36, UB-21

HEART BLOOD DEFICIENCY

Clinical Manifestations	Dry skin 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	Dang Gui Bu Xue Tang Gui Pi Tang Suan Zao Ren Tang
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1

HEART AND LIVER BLOOD DEFICIENCY

Clinical Manifestations	Palpitations Insomnia with much dreaming Easily startled Eye dizziness Both eyes dry and rough Twitching of the eyes Pain in the ribs and flanks Numbness of the limbs Stiffness and spasms of the tendons Low grade fever Night sweats Dry skin Irregular, scanty menses T: Pale and thin C: Little P: Thready, choppy and forceless
Treatment Principle	Nourish Yin Reinforce the Blood Conceal Yang Calm the Shen
Herb Formulas	Suan Zao Ren Tang Dang Gui Bu Xue Tang
Points	HT-7, LIV-3, REN-4, SP-6, ST-36, UB-15, UB-17, UB-18

HEART BLOOD AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Dry skin and hair Palpitations Insomnia Much dreaming Easily startled Poor memory Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang Bai He Gan Mai Da Zao Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20

LIVER YIN DEFICIENCY

Clinical Manifestations	Dizziness Blurred vision Impaired vision Dry eyes Dry skin Night blindness Tinnitus Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole Heat Night sweats Light menses or Late menses or Amenorrhea T: Red C: Little P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver
Herb Formulas	Yi Guan Jian
Points	KI-3, LIV-3, UB-18, UB-23

LIVER BLOOD DEFICIENCY

Clinical Manifestations	Dry skin Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Si Wu Tang Qi Ju Di Huang Wan Si Wu Tang Jia Wei With constipation: Run Chang Wan
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

LIVER WIND STIRRING INTERNALLY: LIVER BLOOD DEFICIENCY GENERATES WIND

Clinical Manifestations	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 Qi Ju Di Huang Wan
Points	DU-16, DU-20, GB-20, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

LIVER WIND STIRRING INTERNALLY DUE TO KIDNEY AND LIVER YIN DEFICIENCY

Clinical Manifestations	Fatigue Muscle spasms with alternating flexion and extension of the extremities Prostration Clonic convulsions Dizziness - worse with stress or anger Insomnia Dream-disturbed sleep Night sweats Sore low back and knees Nocturnal emissions Often the patient is on the verge of shock Low-grade fever Dry skin T: Deep red C: Thin or Peeled P: Weak and faint
Treatment Principle	Nourish Yin Extinguish Endogenous Wind
Herb Formulas	Da Ding Feng Zhu
Points

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Dry skin 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 Qing Gu San Mai Wei Di Huang Wan With Fire Flaring: Zhi Bai Di Huang Wan Dang Gui Yu Zhu San With Damp-Heat and Blood Stagnation: Zi Shen Tang With Blood Deficiency: Gui Shao Di Huang Tang
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

KIDNEY YIN DEFICIENCY

Clinical Manifestations	Low back, knees and legs painful and weak Foot pain Light-headedness Vertigo Tinnitus Diminished hearing Five sole Heat Chronic dry, sore throat Toothache Wasting and thirsting disorder (Xiao Ke) Dizziness Muscular weakness Dry skin Deafness Steaming bones Delayed closing or unclosed fontanel in infants Tidal fevers Loose teeth Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Heel pain Dry mouth Dry throat Blurred vision Urinary incontinence Spontaneous and nocturnal emissions Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Liver and Kidneys
Herb Formulas	Liu Wei Di Huang Wan Bu Yin Tang Mai Wei Di Huang Wan With Blood Deficiency: Bu Shen Si Wu Tang
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

KIDNEY YIN DEFICIENCY WITH FIRE FLARING

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 Dry skin Deafness 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 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

QI AND BLOOD STAGNATION

Clinical Manifestations	Dry skin Dysmenorrhea Distended abdominal pain, one or two days before or during menstruation which is worse with pressure Qi Stagnation: more distention than pain Blood Stagnation: more pain than distention Hypomenorrhea with dark purple Blood Bleeding is hesitant with clots Distention and pain in the chest and flanks Pain that is fixed, stabbing and /or severe or Pains that move around Depression Irritability Dark complexion Fixed, palpable masses Purple lips Purple nails 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 C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate and nourishes the Blood Regulate Qi
Herb Formulas	Ba Wu Tang Bie Jia Wan Qi and Blood Stagnation #1
Points

QI, BLOOD AND PHLEGM STAGNATION

Clinical Manifestations	Dry skin Hemiplegia Heaviness of the limbs Numbness of the limbs Pain that is fixed, stabbing and /or severe or Pains that move around Distention Depression Irritability Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails 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 C: White or Thick and greasy P: Choppy or Wiry and choppy or Slippery and wiry
Treatment Principle	Transform Phlegm Move Qi Invigorate the Blood Soften hardness
Herb Formulas	Qi, Blood and Phlegm Stagnation #1
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Shortness of breath 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	Ba Zhen Tang Ba Zhen Yi Mu Wan With Qi and Blood Stagnation: Bu Qi Zeng Li Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

QI, BLOOD AND YANG 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 Strengthen the Spleen and Lungs Nourish the Heart Calm the Shen
Herb Formulas	Ren Shen Yang Rong Tang With Qi Deficiency: Bu Yang Huan Wu Tang
Points

QI, BLOOD AND JING DEFICIENCY WITH DAMP-HEAT

Clinical Manifestations	Weakness of the knees Soreness of the lower back Lumbago Atrophy of the leg muscles Lower back weakness Knee pain Difficulty walking Emaciation Impotence Poor memory Dizziness Night sweats Five Sole Heat Aggravation of the pain by Damp weather Pale complexion Profuse urination at night Tinnitus Hair loss Sensation of warmth Thirst Dry skin T: Red or Pale and flabby with teethmarks C: Little or Thin and white P: Thready and weak, especially in the Kidney positions
Treatment Principle	Tonify the Liver and Kidneys Strengthen the tendons and bones Eliminate Damp-Heat Tonify Kidney Jing Relieve rheumatic pain
Herb Formulas	Deficient Bi #3
Points

QI, BLOOD, FOOD AND PHLEGM STAGNATION

Clinical Manifestations	Dry skin 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 Dysmenorrhea 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 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 Invigorate the Blood Clear Heat Relieve toxicity Cool the Blood Transform Phlegm Relieve Food Stagnation Open the Orifices
Herb Formulas	Jie Yu San
Points

BLOOD STAGNATION

Clinical Manifestations	Dry, scaly skin Chronic stabbing pain in the chest Pain in the hypochondrium Chronic, stubborn headache with a fixed, piercing quality Palpitations Chronic incessant hiccups Five Sole Heat Choking sensation when drinking Dry heaves Depression or low spirits with a sensation of warmth in the chest Chest distention Dark rings under the eyes Spider naevi on the cheeks, nose, trunk, inner knee and ankle Dizziness Chronic tinnitus Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums Loose teeth Painful receding gums Frequently bleeding gums Vomiting after intake of water Persistent daytime drowsiness Insomnia (persistent with much dreaming) Restless sleep Forgetfulness Irritability Fidgeting A bad temper Extreme mood swings Evening tidal fever Dark or purplish lips, conjunctiva or nail beds Dark complexion Dark sclera Hair loss on the head and body T: Dark-red with purple spots on the edges P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle	Invigorate the Blood Dispel Blood Stasis Spread Liver Qi Unblock the channels
Herb Formulas	Xue Fu Zhu Yu Tang Ge Xia Zhu Yu Tang Dai Di Dang Wan Dai Di Dan Tang Gui Zhi Fu Ling Wan Huo Xue Hua Yu Tang Qing Hun San With Heat Accumulation: Da Huang Huang Qin Xie Xin Tang
Points

BLOOD DEFICIENCY

Clinical Manifestations	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 Yang Xue Run Fu Tang Yi Hao With Blood Stagnation: Tao Hong Si Wu Tang Due to Wind-Dryness: Shen Ying Yang Zheng Dan
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

BLOOD DEFICIENCY WITH EXTERNAL WIND

Clinical Manifestations	Chronic eczema with thick, dry, dark flaky skin Anemia Itching which is worse at night Swelling Abscesses Ulceration T: Pale C: Thin and white P: Thready, floating and rapid or Thin and wiry
Treatment Principle	Nourish the Blood Moisten Dryness Clear Heat Dispel Wind Relieve itching
Herb Formulas	Dang Gui Yin Zi
Points

BLOOD DRYNESS DUE TO YIN DEFICIENCY

Clinical Manifestations	Psoriasis Dry skin This pattern tends to linger with persistent lesions distributed over the trunk and limbs The lesions are dark red, brownish-red or pale red and appear in various shapes, but mostly present as patches with thick or thin layers of dry silvery-white scales that are difficult to peel off Itching may be slight or severe Dry throat and lips A feverish sensation in the chest, palms and soles or in the palms alone Dry mouth Thirst without a desire for drinks Constipation T: Dry and red C: Thin, dry and yellow P: Wiry and thready or Thready and rapid
Treatment Principle	Enrich Yin Moisten Dryness Clear Heat Expel Wind
Herb Formulas	Yang Xue Run Fu Tang
Points

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

TOXIC HEAT

Clinical Manifestations	Dry skin Itching inside of the elbows and behind the knees May have a history of allergies May begin in infancy with red, weeping, crusted lesions on the cheeks and scalp then moves to the extremities Usually abates by age three but reappears frequently throughout one's life The itching is triggered by scratchy surfaces, humidity and environmental or psychological stress Repeated scratching leads to lichenification of the skin Secondary bacterial infections, dry skin and bleeding may occur with possible changes in color
Treatment Principle	Clear Heat Resolve toxicity Invigorate the Blood Reduce swellings
Herb Formulas	Topical: Hu Po Er Wu Hu Gao
Points

TOXIC HEAT WITH PHLEGM RETENTION

Clinical Manifestations	Dry skin Distending full painful sensation in the Stomach and Intestines Vomiting Diarrhea Swelling Chest and hypochondriac pain Inability to swallow even fluid Pinkish vomit Dull complexion Weight loss Dry mouth and throat Constipation Stools like pebbles Violent cramping abdominal pain Nausea Tenesmus Restlessness Mental confusion bordering on delirium
Treatment Principle	Transform Phlegm Open the Orifices Break the Dirty Clear Toxicity
Herb Formulas	Yu Shu Dan
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DRY SKIN (ASTEATOSIS)

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