HERNIA(INGUINAL)

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	LIV-8, LIV-12, SP-6 LIV-3, LIV-8, ST-30 KI-6, LU-7

WIND-COLD WITH UNDERLYING YANG DEFICIENCY

Clinical Manifestations	Abdominal pain Cold extremities Numb hands and feet Generalized body aches Paralysis of the extremities Induration and swelling of the scrotum Hypersalivation Limited movement of the joints Abdominal pain referring to the testis Aversion to Cold A preference for Warmth Loose stools Chills and fever T: Normal C: Thin and white P: Tense and wiry
Treatment Principle	Warm the Interior Reinforce Yang Release the Exterior Regulate the Ying and Wei
Herb Formulas	Wu Tou Gui Zhi Tang Wu Ji San Shao Yao Gan Cao Fu Zi Tang
Points

TAI YANG ZHONG FENG

Clinical Manifestations	Aversion to Wind Mild, or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Headache Nausea Nasal irritation Nasal obstruction Tendency to snore Itchy throat Hernia T: Normal C: Thin and white P: Superficial and slow or Moderate and maybe weak
Treatment Principle	Create sweat to relieve the Exterior and expel Wind Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas	Gui Zhi Tang
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, UB-12, UB-13, Yintang With stiff neck and shoulders: + GB-21 With Dampness: + SP-6, SP-9 With dyspnea, asthma and sputum: Dingchuan, REN-22 With nocturnal emission, excess dreams, Cold lower extremities, dizziness and hair loss: + DU-4, KI-3, UB-23 With continuous perspiration, muscle spasms of the limbs with difficult flexion and extension and difficult urination: + REN-4 With sustained fever of long duration accompanied by severe chills: + DU-14

SHAO YANG FU (QI SHAN)

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 Maybe hernia 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	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	Abdominal pain Constipation Hypochondriac pain Chills Low-grade fever Cold hands and feet Intolerance of Cold Pain in the armpits Unilateral pain in the abdomen and hypochondrium Stiffness and spasms beside and below the umbilicus Pain in the waist and legs T: Normal C: Greasy and white P: Deep, tight and wiry
Treatment Principle
Herb Formulas
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SHAO YIN HEAT

Clinical Manifestations	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	Si Ni San
Points	DU-14, HT-5, HT-7, KI-3, KI-6, KI-7, LIV-3, SP-6, UB-10, UB-15, UB-23

JUE YIN HEAT

Clinical Manifestations	Cold extremities Body hot and feverish due to lack of harmony of Liver Qi Thirst Abdominal distention Fever Dark yellow urine T: Red C: Yellow P: Rapid and slippery
Treatment Principle	Clear Heat Reverse reversals
Herb Formulas	Si Ni San
Points	DU-14, LI-4, LI-11, LIV-2, LIV-3, LIV-14, PC-6, REN-12, P-6

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	Da Jian Zhong Tang Dang Gui Si Ni Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

WIND-EDEMA

Clinical Manifestations	Aversion to Wind Generalized edema that begins in the face Slight fever or no fever Slight but continuous sweating or no sweating Absence of thirst or Thirst Decreased urination Asthma Dysuria Coughing T: Normal C: White P: Floating or Floating and rapid
Treatment Principle	Induce sweating Release the Exterior Disseminate the Lung Qi Promote urination Eliminate water accumulation Eliminate Heat
Herb Formulas	Yue Bi Tang
Points

LARGE INTESTINE EXCESS HEAT (SHUI SHAN)

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 Maybe hernia 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	Xiao Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

DAMP-HEAT INJURES THE SPLEEN (SHUI SHAN)

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 DEFICIENCY EDEMA

Clinical Manifestations	Headache Fever (maybe chills) Strong thirst with a desire to drink. Vomits immediately after drinking Urinary difficulty Edema General sensation of heaviness Diarrhea Irritability Simultaneous vomiting and diarrhea Throbbing sensations below umbilicus Vomits frothy saliva Vertigo Loose stools Shortness of breath Cough Urinary retention Lower abdominal fullness Extreme thirst Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain Hernia T: Normal C: Slippery, white P: Floating and rapid
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Wu Ling San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

CENTRAL QI SINKING

Clinical Manifestations	The scrotum is swollen, dropped or distended, usually unilaterally Mild pain or a dragging sensation The condition is aggravated by fatigue, overwork, standing for a long time and/or coughing Prolapse of one or more organs Sallow complexion Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Hernia T: Pale and flabby - may have teethmarks C: White P: Even or Soft and thready
Treatment Principle	Strengthen the Spleen Benefit Qi Reinforce the Center Invigorate Yang
Herb Formulas	Bu Zhong Yi Qi Tang modified Chinese Patent Medicines: Bu Zhong Yi Qi Wan Ge Jie Da Bu Wan Ren Shen Yang Rong Wan
Points	Moxa or moxa needle DU-20, REN-12, ST-36, needle LIV-8, SP-6, UB-20

SPLEEN QI DEFICIENCY WITH BLOOD DEFICIENCY AND LIVER COLD

Clinical Manifestations	Postpartum abdominal pain Cold abdominal hernial pain Hypochondriac pain Spasmodic pain in the flanks Sallow complexion Fatigue Dizziness Tinnitus The pain is better with warmth and pressure Swollen, indurated scrotum T: Pale C: White P: Deep, wiry and forceless or Deep, wiry and choppy or Soft and feeble
Treatment Principle	Warm the Interior Nourish the Blood Regulate the Liver function Alleviate pain
Herb Formulas	Dang Gui Sheng Jiang Yang Rou Tang
Points

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria 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	Bu Yin Tang With Water Flooding: Zhen Wu Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

FOXY SHAN QI

Clinical Manifestations	This is a subcategory of Qi Deficiency Shan Qi A part of the Small Intestine intermittently descends into the groin or scrotum through the inguinal canal It disappears when the patient lies flat or when manually reduced It reappears when the patient stands. coughs or sneezes It may be large or small, changing from time to time There may or may not be pain radiating to the testes P: Wiry when there is pain
Treatment Principle	Calm the Liver Regulate Qi
Herb Formulas	Dao Qi Tang modified
Points	LIV-1, LIV-3, LIV-12, REN-4, ST-29, ST-30, ST-40 Surround the point of weakness with needles inserted shallowly and pointed toward the center of the weakness.

SMALL INTESTINE QI PAIN (HAN SHAN)

Clinical Manifestations	Vague pain in the lower abdomen involving the low back Pain radiates down into the testicle Abdominal distention Borborygmus Relief after passing wind Hernia pain in the scrotum T: Pale C: Thin and white P: Deep and wiry or Wiry and tight
Treatment Principle	Move Qi Expel knotting
Herb Formulas	Tian Tai Wu Yao San modified Ju He Wan
Points	LIV-1, LIV-4, LIV-5, LIV-8, REN-4, SP-6, ST-39

LIVER QI STAGNATION (QI SHAN)

Clinical Manifestations	The scrotum is unilaterally or bilaterally swollen and distended The pain radiates from the lower abdomen or lower back 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 T: Pink C: Thin 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 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 Ear: Shenmen, Liver, Abdomen, Stomach, Large Intestine, Small Intestine, Subcortex, Endocrine, Sympathetic

LIVER QI STAGNATION INVADING THE SPLEEN

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Xiao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

LIVER QI STAGNATION TURINIG TO HEAT WITH QI AND BLOOD DEFICIENCY (QI SHAN)

Clinical Manifestations	Irritability Short temper Restlessness Fever or tidal fever Red eyes Dry mouth and throat Palpitations Lower abdominal pain Difficult urination Painful urination Increased menstrual flow Uterine bleeding Early menstruation Aching in limbs Dizziness Mental instability Red face Thirst Turbid urine Alternating chills and fever Red cheeks Wheezing Nervousness Headache Red eyes Dry mouth Anorexia Infertility Abdominal pain Spontaneous sweating or night sweats with fever Anxiety Dry eyes Hypochondriac pain Somnolence Insomnia Aching shoulders Five Sole Heat Earache Premenstrual tension Hot flashes Fatigue Lassitude Depression Restlessness Constipation with flushing up Pale complexion Bitter taste in mouth Vertigo Abdominal distention near the umbilicus Epistaxis Irregular menstruation Heaviness in the lower abdomen Maybe hernia T:Red or Red edges C: Thin and yellow P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San Without Qi and Blood Deficiency: Jin Ling Zi San With Blood Deficiency: Ping Gan Liu Qi Yin
Points

COLD STAGNATION IN THE LIVER CHANNEL

Clinical Manifestations	Swelling and pain in scrotum as if the testicles were being pulled downward or Contractions and Cold sensations of scrotum which are alleviated by warmth The swelling appears when standing and disappears when lying down Pain, distention, fullness and Cold sensation in lower abdomen Cold limbs The pain is worse when coughing Dislike of Cold and a preference for warmth T: Pale C: White, greasy P: Deep and wiry or Slow or Deep and Excess
Treatment Principle	Warm the Liver Dispel Cold Regulate Liver Qi
Herb Formulas	Nuan Gan Jian Tian Tai Wu Yao San
Points	Moxa or moxa needle LIV-1, REN-4, SP-6 Moxa or moxa needle DU-20, REN-3, REN-4, ST-30, Tituo

COLD-DAMPNESS ENTERING THE LIVER CHANNEL (HAN SHAN)

Clinical Manifestations	Unilateral testicular swelling with colicky pain reaching to the umbilicus Oozing of a yellow fluid from the scrotum Distention and pain in the lower abdomen Pain radiating to the lower spine Rock-like hardness and swelling of the scrotum Abscess Ulceration Tenesmus T:Normal C: White or White and greasy P: deep and wiry or Deep and taut
Treatment Principle	Promote the movement of Qi Alleviate pain Soften hardness Dissipate nodules Dredge the passage of Yang Qi
Herb Formulas	Ju He Wan
Points

DAMP-HEAT IN THE LIVER AND GALL BLADDER (SHUI SHAN)

Clinical Manifestations	Hernia 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	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 AND KIDNEY YIN DEFICIENCY WITH LIVER QI STAGNATION (QI SHAN)

Clinical Manifestations	Hypochondriac and chest pain Dry, parched mouth and throat Bitter taste in mouth Acid regurgitation Dizziness Epigastric and abdominal distention Maybe constipation T: Red and dry C: Little or None P: Thready and weak or Wiry and deficient
Treatment Principle	Enrich Kidney and Liver Yin Spread Liver Qi
Herb Formulas	Yi Guan Jian
Points

KIDNEY YANG DEFICIENCY: KIDNEYS NOT GRASPING QI (HAN SHAN)

Clinical Manifestations	Dyspnea which is worse on exertion Difficult to inhale but not to exhale Shortness of breath, shallow breathing Soft voice Perspiration In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type In chronic cases: Thin physique Mental weariness Urinary incontinence on coughing Cold limbs Facial edema of Deficiency type T: Pale and swollen C: Thin and white P: Superficial and Deficient or Deep and thready
Treatment Principle	Reinforce the Kidneys to Grasp Qi
Herb Formulas	Hei Xi Dan
Points	DU-4, KI-3, LU-9, REN-6, ST-36, UB-13, UB-23, UB-43

DEFICIENCY OF MING MEN FIRE

Clinical Manifestations	Long-term cold genitals Low back weakness and pain Cold limbs Aversion to Cold Qi Deficiency Lassitude A bright white fcial complexion Day break diarrhea Profuse, clear urination Impotence Spermatorrhea Premature ejaculation Possible hernia Severe cases: Edema T: Pale, fat and moist with possible teethmarks C: White P: Slow or Empty
Treatment Principle	Warm and supplement Kidney Yang
Herb Formulas	Shen Qi Wan modified For ice-Cold genitals, hernia and a retracted scrotum: Shi Bu Wan
Points	Moxa or moxa needle DU-4, REN-1, REN-2, REN-4 For Cold pain in the lower abdomen: + moxa or moxa needle REN-3 For a poor appetite: + moxa or moxa needle ST-36 For clear diarrhea: + moxa REN-8

DAMP-HEAT IN THE URINARY BLADDER (SHUI SHAN)

Clinical Manifestations	Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine Maybe hernia In Damp-Heat Pouring Downward there may also be: Fever Thirst Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Ba Zheng San With bleeding: Wu Lin San
Points	KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

BLOOD STASIS DUE TO COLD WITH DEFICIENCY COLD OF THE CHONG AND REN

Clinical Manifestations	Mild persistent uterine bleeding Irregular menstruation (either early or late) Prolonged menstruation Skipped period Metrorrhagia Extended or continuous menstrual flow Pain Lower abdominal distention Lower abdominal Cold Lower abdominal pain Infertility Dry lips Dry mouth Spermatorrhea Pale complexion Leukorrhea Amenorrhea Bleeding between periods Low grade fever at dusk Irritability Five Sole Heat No desire to drink Distending breast pain Low back coldness and pain Loose stools Cold limbs Aversion to Cold T: Purple with petechiae P: Thready and choppy
Treatment Principle	Warm the menses Regulate menstruation Dispel Cold Warm the channels Nourish the Blood Dispel Blood Stasis
Herb Formulas	Wen Jing Tang
Points

BLOOD DEFICIENCY

Clinical Manifestations	Postpartum emaciation and weakness Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath Dyspnea Pale face Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five Sole Heat Debilitated constitution in children Enuresis in children Insomnia Fatigue Anemia Bleeding Abdominal weakness Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle	Nourish the Blood Tonify the Spleen
Herb Formulas	Dang Gui Jian Zhong Tang Dang Gui Si Ni Tang Shao Yao Gan Cao Tang Shou Wu Sheng Fa Yin Tuo Fa Zai Sheng San
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

COLD AND QI STAGNATION

Clinical Manifestations	Scanty, dark menstrual Blood with clots Pain occurs before the onset or during the early part of menstruation Lower abdominal pain and distention Distention is more pronounced than pain Lower back pain Cold feet Swollen, painful breasts Depression Swelling and pain of the scrotum T: Normal or Pale C: White P: Wiry and tight or Wiry and choppy or Deep and slow
Treatment Principle	Promote the movement of Qi Invigorate the The Blood Regulate menstruation Alleviate pain
Herb Formulas	Jia Wei Wu Yao Tang
Points

PHLEGM AND BLOOD STAGNATION

Clinical Manifestations	The scrotum and testicles are swollen and hard Loss of testicular sensation T: Pale or Slightly purple C: Thin, greasy and white P: Deep
Treatment Principle	Move Qi Transform Phlegm Soften hardness Disperse swelling
Herb Formulas	Ju He Wan modified
Points	LI-4, LIV-4, LIV-5, REN-3, SP-6, SP-9, ST-29, UB-32

MIDDLE JIAO YANG DEFICIENCY WITH COLD RETENTION

Clinical Manifestations	Excruciating epigastric and abdominal pain to the point of not being able to to be touched May be borborygmus. Vomiting to the point of not being able to eat Superficial skin pulsations throughout the abdomen May be fluid sounds May be cold limbs Strong sensation of Cold in the chest and epigastrium. Severe pain in the head and feet T: Pale or Dark purple C: White and greasy or Slippery P: Thin and tight or slow and wiry or Deep and thready or Hidden
Treatment Principle	Warm and tonify Middle Jiao Yang Direct rebellious Qi downward Relieve pain
Herb Formulas	Da Jian Zhong Tang
Points

PHLEGM-HEAT (RE TAN)

Clinical Manifestations	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	Long Dan Xie Gan Tang + Ju He Wan
Points	LI-11, LU-5, ST-40, UB-13

PHLEGM STAGNATION DUE TO SPLEEN YANG DEFICIENCY

Clinical Manifestations	Fullness in the chest and hypochondrium Palpitations Shortness of breath Coughing up clear, watery sputum Dizziness Vertigo (when standing) Dyspnea Anxiety Tinnitus Nausea/Vomiting Difficult urination Mild edema Cold feet Headache Migraine Weak abdomen T: Pale and swollen C: White and slippery or greasy P: Slippery and wiry or soggy or Soft or Deep and tight
Treatment Principle	Warm and transform Phlegm and congested Fluids Strengthen the Spleen Resolve Dampness
Herb Formulas	Ling Gui Zhu Gan tang
Points

EXCESS COLD (HAN SHAN)

Clinical Manifestations	A swollen, firm, cold, retracted scrotum or testicles Severe: A stone-like hardness Testicular pain that improves with warmth Intolerance of Cold T: Normal C: White P: Deep and wiry
Treatment Principle	Warm the Liver channel Disperse Cold Regulate Qi Stop pain
Herb Formulas	Jiao Gui Tang
Points	Moxa or moxa needle KI-6, LIV-1, LIV-13, REN-6

DEFICIENCY COLD (HAN SHAN)

Clinical Manifestations	Testicular coldness and distention Lower abdominal coldness and pain Pain radiates to the testicles Better with warmth Intolerance of Cold Cold or numb extremities T: Pale C: White P: Deep, thready and slow
Treatment Principle	Warm the Liver and Kidneys Move Qi Disperse Cold Stop pain
Herb Formulas	Nuan Gan Jian Chinese Patent Medicines: Chen Xiang Hua Qi Wan Shu Gan Wan Shi Xiang Zhi Tong Wan
Points	Moxa or moxa needle KI-6, LIV-1, LIV-13, REN-6

COLD-DAMP (SHUI SHAN)

Clinical Manifestations	A swollen or edematous scrotum There may be a unilateral, well defined fluid filled swelling which may or may not be painful Dragging discomfort in the testes A watery splash when the lower abdomen is palpated Scanty urination T: Normal C: Thin and greasy P: Wiry
Treatment Principle	Expel pathogenic Fluids Move Qi Aid in Qi transformation
Herb Formulas	Wu Ling San modified
Points	Moxa or moxa needle LIV-8, ST-28, needle, LIV-1, SP-6

DAMP-HEAT (SHUI SHAN)

Clinical Manifestations	A Red, swollen, painful or itchy scrotum A watery, yellow exudate from the skin May be fever Concentrated urine Irritability Restlessness T: Normal C: Greasy and yellow P: Wiry and rapid
Treatment Principle	Clear Damp-Heat
Herb Formulas	Da Fen Qing Yin Long Dan Xie Gan Tang San Ren Tang Chinese Patent Medicines: Long Dan Xie Gan Wan Qian Lie Xian Wan Chuan Xin Lian Kang Yan Pian
Points	KI-6, LIV-1, LIV-5, REN-3, SP-9

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