HYPERTENSION (HIGH BLOOD PRESSURE)

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	During pregnancy: Yi Guan Jian
Points	DU-20, LI-4, LIV-2, PC-6, SP-6, ST-36 LI-11, ST-9, ST-36 GB-20, LI-11, LIV-3, ST-36 LI-11, ST-8, ST-40 LI-11, ST-9, ST-36 GB-20, LI-11, ST-36, ST-40 DU-20, GB-39, PC-6, ST-36 Main points: DU-20, GB-20, GB-39, ST-36 Secondary points: KI-3, LIV-3, UB-18, UB-23 Dizziness: 1. DU-20, GB-19, UB-10 2. GB-15, SI-4, SI-5, UB-62 For a headache with a red face and eyes: HT-5, ST-41 For a headache with dizziness: moxa GB-20 (21 cones) or moxa GB-16, GB-19 Cupping: Along the Bladder Channel, KI-1, LI-4, LI-11, LI-15, ST-36, UB-36, UB-40, UB-56, UB-60, Weishang Scalp: Vasomotor Area Ear: Subcortex, Lower Blood Pressure Groove, Shenmen, Heart, Sympathetic (retain needles 1-2 hours)

WIND-COLD INVASION WITH INTERNAL HEAT

Clinical Manifestations	Severe fever and chills without sweat Intolerance of Cold Irritability Fidgeting Headache Cough Wheezing (asthma) Muscle aches General body aches Thirst Heaviness and aching of the entire body Shortness of breath Floating edema (severe) Restlessness Anhidrosis Fidgeting May be high fever Edema Dyspnea T: Normal C:Thin white or Yellow P: Floating and tight or Rapid or Tight and rapid or wiry and tight
Treatment Principle	Promote diaphoresis Release the Exterior Clear Interior Heat Relieve irritability
Herb Formulas	Da Qing Long Tang
Points	DU-14, DU-16, GB-20, UB-12, UB-13, LI-4, LU-7, sedate LU-9, LU-10, SJ-5, SP-1, SP-2, tonify LI-11, ST-44

TAI YANG BIAO FU

Clinical Manifestations	Chills and fever Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder * The Tai Yang symptoms remain for 2-3 days Thirst with no desire to drink May have vomiting immediately after drinking Difficult urination May have upper body edema T: Normal C: White P: Floating and slippery
Treatment Principle	Promote urination Dispel Dampness Expel Wind
Herb Formulas	Wu Ling San With indigestion and diarrhea: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa or moxa needle KI-3, LI-4, LU-7, REN-3, SP-6, SP-9, UB-13, UB-28 With indigestion and diarrhea: moxa ST-25, ST-36 With jaundice and dysuria: DU-9

TAI YANG - YANG MING

Clinical Manifestations	Fever Sweating Thirst Dysenteric diarrhea Foul-smelling stools A burning sensation around the anus Gasping Ephidrosis Palpitations Tenesmus Maybe red tinged urine Irritability and Heat in the chest and epigastrium Stiffness and spasms at the back of the neck Dry mouth Dyspnea with perspiration Maybe wheezing T: Red C: Yellow (Greasy) P: Rapid
Treatment Principle	Release the Exterior Clear Internal Yang Ming Heat
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points

YANG MING FU

Clinical Manifestations	High fever (sometimes rises and falls) Great thirst Profuse perspiration Aversion to Heat Abdominal pain (worse with pressure) Abdominal distension Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability. Mental disturbances: 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	Da Cheng Qi Tang Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang During pregnancy: Dang Gui Shao Yao San
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, UB-25

YANG MING XU WITH CONSTIPATION

Clinical Manifestations	High fever (sometimes rises and falls) Great thirst Profuse perspiration Aversion to Heat Abdominal pain (worse with pressure) Abdominal distension Dryness Constipation (hard dry knots) Dislikes pressure Restlessness Irritability. Mental disturbances: 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	Da Cheng Qi Tang Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang During pregnancy: Dang Gui Shao Yao San
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, UB-25

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
Points	Moxa or moxa needle GB-41, REN-6, REN-8, REN-12, SJ-5, SJ-6, ST-25, ST-36

SHAO YANG FU WITH UNDERLYING LIVER QI STAGNATION

Clinical Manifestations	Spasms Tics Fullness and distention in the chest Irritability Occasional fright palpitations Urinary difficulty Constipation Delirious speech Insomnia Subcardiac distention Palpitations at the abdomen Melancholia Fear Agitation Unsteadiness Tends toward mania and convulsions Tends toward fatigue and clumsiness of limbs Dysuria Excitability Dizziness Anxiety Tinnitus Deafness Profuse expectoration of Phlegm Bitter taste in the mouth Palpitations Pale face Oliguria A sensation of extreme heaviness of the body Fatigue Inability to rotate the trunk Difficulty moving the body T: Red C: Slippery P: Wiry and rapid
Treatment Principle	Harmonize the Shao Yang Unblock the three Yang Stages Calm the Liver Transform Phlegm Sedate and calm the Spirit Alleviate spasms
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points

JUE YIN COLD

Clinical Manifestations	Vomits clear fluid Vertex headache Migraine Nausea Dry retching Cold extremities Body cold Diarrhea Complete exhaustion of Yang T: Pale C: White or Greasy and white P: Weak or Thready, wiry and slow
Treatment Principle	Warm Yang especially in the Liver and Stomach Descend turbidity Stop vomiting
Herb Formulas	Wu Zhu Yu Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25 DU-20, LIV-3, PC-6, REN-12, ST-36

JUE YIN: - COLD AND HEAT

Clinical Manifestations	Intermittent attacks of abdominal pain Stifling sensation in the chest and epigastrium A sensation of warmth in the chest and epigastrium Irritability in the chest and epigastrium Vomiting after eating Extremely Cold extremities Vomiting of roundworms Incessant diarrhea Hunger with no desire to eat Vomiting immediately after eating Heat in the Stomach with Cold in the Intestines Bitter taste in the mouth Frequent urination Anxiety Abdominal pain (better with warmth and pressure) Pain beneath the Heart Borborygmus Unquenchable thirst Running piglet Qi Pain and Heat in the Stomach Discharge of small amounts of pus Irritability Recurrent nausea and vomiting Diarrhea Dry throat Turbid urine Polydipsia T: Red or geographic or pale C: White P: Hidden or Wiry and tight
Treatment Principle	Warm the Internal organs Warm the Middle Jiao Warms the Intestines Drains Heat Replenishes Qi Dispels parasites Calms roundworms Drains the Liver Calms the Stomach Promotes Blood circulation Relieves pain
Herb Formulas	Wu Mei Wan
Points	DU-20, LIV-3, PC-6, REN-12, ST-36

TOXIC WIND-HEAT

Clinical Manifestations	Red eyes Yellow thick eye discharge Suppuration with severe chills Dry, itchy eyes Aggravated by Heat Photophobia Headache Inflammation Swelling Pain Congestion Fever Sore throat Nasal discharge T: Red tip or C: Thin and yellow or white or P: Superficial and rapid or
Treatment Principle	Expel Wind Clear Heat Detoxify
Herb Formulas	Niu Huang Shang Qing Wan
Points	GB-8, GB-20, LI-4, Taiyang, UB-1

QI LEVEL: SPLEEN AND STOMACH DAMP-HEAT

Clinical Manifestations	Fever Pressure headache - like a bandage Gastric distension Poor appetite Heaviness Body aches Chest distension Diarrhea Dysentery T: Red C: Greasy and yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clean Damp-Heat and toxins
Herb Formulas	An Ho Tea
Points	LI-4, LI-11, SP-6, SP-9, ST-25, ST-36

QI STAGE: GALL BLADDER 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	With congestion in the chest and epigastrium: Zhi Zi Chi Tang With vomiting: Zhi Zi Sheng Jiang Chi Tang With short, rapid breathing: Zhi Zi Gan Cao Chi Tang With Food Stagnation: Zhi Shi Zhi Zi Chi Tang
Points	To Pacify the Liver and Gall Bladder: LIV-3, LIV-4, LIV-13, LIV-14. To Relieve Gall Bladder Heat: Lanweixue, LI-11, LIV-2, GB-34

XUE STAGE: EXCESS HEAT CAUSES BLEEDING

Clinical Manifestations	High fever Confusion of mind Delirium Mania Dark yellow urine Excessive skin rashes all over body Hemorrhage: Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria T: Deep red, dry or Purple red C: None P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle	Cool the Blood Dispel Heat and Toxins from the Xue Stage Promote Blood Circulation
Herb Formulas	Si Sheng Wan
Points	To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

EXTERNAL WIND INVADING THE CHANNELS WITH QI AND BLOOD DEFICIENCY

Clinical Manifestations	Generalized pains Convulsions Edema Flaccid hemiplegia The patient is unable to recognize friends or identify the source of pain Stiffness with inability to rotate the trunk Confusion Muscular numbness and pain Cough Flushed face Fever Aphasia Dry stools Low-grade fever T: Normal C: Thin and yellow or Yellow and greasy P: Slippery and rapid
Treatment Principle	Supports the Normal Qi Clear Heat Relax muscle tension Nourish Blood Disperse Wind Dispel Wind-Damp
Herb Formulas	Xu Ming Tang For Wind Invasion With Underlying Yang Deficiency: Xiao Xu Ming Tang modified With a stiff neck and shoulders: Ge Gen Tang
Points

WIND DAMP BI WITH BLOOD DEFICIENCY AND STAGNATION

Clinical Manifestations	Muscle aches Joint pain Radiating pain in the legs Low back pain Edema Numbness in the lower extremities Pain in the trunk and extremities Abdominal pain Sciatica Aversion to Wind and Cold Knee pain T: Pale or Pink with purple spots C: Normal P: Choppy or Taut
Treatment Principle	Unblock and relax the channels Invigorate the Blood Break up Blood Stasis Dispel Wind-Dampness
Herb Formulas	Shu Jing Huo Xue Tang
Points

LUNG AND STOMACH YIN DEFICIENCY

Clinical Manifestations	Cough with little yellow sputum or No sputum expectorated Blood tinged sputum (when Yin Deficient Fire is present) Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Dry mouth and throat Itching in throat Coughing up difficult-to-extectorate Phlegm Nausea Hoarse voice, low voice or loss of voice Thirst Asthma Flushed face Five sole Heat Afternoon fever Night sweats Malar flush (especially in afternoon) Emaciation Vomiting 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 T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Moisten Lung and Stomach Yin
Herb Formulas	Mai Men Dong Tang
Points	UB-13, UB-17, UB-21, UB-43, ST-36, SP-6, REN-12, LU-1, LU-5, LU-, LU-7 + KI-6, LU-9, LU-10, KI-3

LUNG AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Calcaneus pain May be bone spur Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat 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 Spermatorrhea Irregular menses T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Lungs and Kidneys
Herb Formulas	Ba Xian Chang Shou Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

LARGE INTESTINE HEAT

Clinical Manifestations	Sensation of Heat and irritability in the chest, diaphragm and abdomen Delirious speech (severe) Hemoptysis Thirst Flushed face Red or scorched lips Tongue sores Sore throat Swollen tongue Red eyes Epistaxis Constipation Toothache Alternating chills and fever Hematemesis Fever Bitter taste in mouth Red urine Dry, chapped lips Dark, scanty urine Restlessness Vomiting Red mouth or ulcers on the mouth Hypochondriac pain Rashes Insomnia Mania T: Red body or Red edges C: Yellow and dry or White and dry P: Slippery (maybe) and rapid
Treatment Principle	Drain Fire Unblock the bowels by Clearing Upper Jiao and Draining the Middle and Lower Jiaos
Herb Formulas	Liang Ge San Da Cheng Qi Tang
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	Tiao Wei Cheng Qi Tang Xiao Cheng Qi Tang Da Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

SPLEEN QI DEFICIENCY

Clinical Manifestations	Fatigue Cold hands and feet Obesity Puffy edema A Pale face A tendency toward loose stools T: Thick and pale with teethmarks on the edges C: Thin and white P: Weak or Soggy
Treatment Principle	Tonify the Spleen Augment Qi
Herb Formulas	Bu Zhong Yi Qi Tang Bao Jian Mei Jian Fei Cha With Blood Stagnation: Bu Yang Huan Wu Tang With Dampness or edema: Wu Ling San With Dampness and Qi Stagnation: Wu Pi San
Points

STOMACH HEAT

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	Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang San Huang Xie Xin Tang
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

STOMACH QI DEFICIENCY WITH TURBID PHLEGM

Clinical Manifestations	Unremitting belching Hiccup Regurgitation Nausea Vomiting Hard epigastric distention Abdominal distention T: Normal C: White and Slippery or White and smooth P: Wiry and deficient or Wiry, taut and feeble
Treatment Principle	Descend Qi Transform Phlegm Augment Qi Harmonize the Stomach
Herb Formulas	Xuan Fu Dai Zhe Tang
Points

HEART BLOOD STAGNATION

Clinical Manifestations	Palpitations Stabbing pain in the anterior region over the Heart Suffocating sensation in the chest Maybe drawing pain down the internal aspect of arm (especially the left arm) Pain (in chest and/or arm) tends to be severe and intermittent Severe cases: Cold limbs Cyanosis of lips and nails T: Dark red with purple spots or Purple body C: Little P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle	Clear Yang Invigorate the Blood Transform Stagnation
Herb Formulas	Xue Fu Zhu Yu Tang With Qi Deficiency: Bu Yang Huan Wu Tang
Points	HT-5, HT-6, HT-7, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, UB-15, UB-17

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Dizziness Head distention Vertigo Nausea and vomiting Profuse Phlegm Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Chest and epigastric glomus and oppression Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia T: Pink or Pale with a red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Regulate Qi Transform Phlegm Clear the Gall Bladder Harmonize the Stomach Dry Dampness Dispel Heat
Herb Formulas	Wen Dan Tang Huang Lian Wen Dan Tang modified Gun Tan Wan Ling Jiao Gou Teng Tang
Points	GB-20, LI-11, LIV-3, ST-36, ST-44 For severe hypertension: - GB-20, + DU-14 For Liver Fire: - LIV-3, + LIV-2 For nausea and vomiting: + PC-6 For Heart palpitations: + PC-6 For hypertension appearing especially at night: + KI-6 For a headache in the corner of the head: + ST-8 For a headache at the temple: + needle then bleed Taiyang For a head at the occiput or neck tension: + UB-65 For dizziness: + DU-20 For tension in the trapezius: + GB-21 HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest T: Pale or Purple (Lavender) C: White or White and greasy P: Deep or Deep and wiry or Deep and minute
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang
Points

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART WITH LUNG AND SPLEEN DEFICIENCY

Clinical Manifestations	Palpitations Shortness of breath Dizziness Epigastric fullness and contravection Reflux vomiting Sensation of Qi rushing upward to the chest (Running Piglet) Suffocating sensation in chest Weak cough Expectorating watery white Phlegm T: Pale C: White P: Deep and wiry
Treatment Principle	Clear Yang Transform Harmful Fluid
Herb Formulas	Ling Gui Zhu Gan Tang
Points	Moxa or moxa needle LU-9, REN-12, REN-17, ST-36, ST-40, UB-13, UB-20, UB-43

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART WITH KIDNEY YANG DEFICIENCY

Clinical Manifestations	Palpitations Dysuria Shortness of breath Dyspnea Dizziness Muscular twitching Whole body edema Cold body Icy limbs Cold abdomen with watery stools Edema of limbs Cough Pale complexion Lips and nails cyanosed Soreness and aching of the shoulders and back Abdominal pain Diarrhea T: Pale or Purple (Lavender) C: White and greasy P: Deep or Deep and minute
Treatment Principle	Support Yang Expel Cold Promote diuresis
Herb Formulas	Zhen Wu Tang
Points	Moxa needle DU-4, KI-3, KI-7, PC-5, PC-6, REN-4, REN-6, REN-9, REN-17, SP-6, SP-9, UB-15, UB-23

HEART YIN DEFICIENCY

Clinical Manifestations	Palpitations Irritability Easily startled Insomnia Much dreaming Poor memory Low grade fever Night sweats Five sole Heat Restlessness Dry mouth Thirst Dry throat Malar flush T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce Heart Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan Zhi Gan Cao Tang
Points	HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15 GB-20, HT-8, KI-3, KI-10, UB-15, UB-23

HEART AND STOMACH FIRE

Clinical Manifestations	Fever Irritability Restlessness Anxiety Flushed face Constipation Abdominal distention Delirious speech Epigastric distention Jaundice Gastric distention Dysenteric disorders Hematemesis Epistaxis Red, swollen, painful eyes Chest oppression Red, swollen ears Restlessness Insomnia Thirst Dark, concentrated urine Tinnitus Hemoptysis Vomiting Shoulder stiffness Bleeding Diarrhea Suppurative skin infection Tongue and mouth ulcerations T: Red tip C: Yellow and greasy P: Rapid
Treatment Principle	Drain Fire Relieve toxicity Drain Dampness Dispel noxious Heat and toxins from the Heart and Stomach
Herb Formulas	San Huang Xie Xin Tang
Points

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 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 AND LIVER YIN AND BLOOD DEFICIENCY WITH LIVER YANG RISING

Clinical Manifestations	Irritability Restless sleep Occasional palpitations Anxiety Dizziness Fright Insomnia Vertigo T: Red or Pale or Pink C: Little or None P: Thready and wiry
Treatment Principle	Enrich Yin Nourish the blood Sedate the Heart Calm the Shen Calm the Liver Anchor Yang
Herb Formulas	Zhen Zhu Mu Wan
Points

HEART AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Irritability Palpitations Anxiety Fatigue Insomnia Very restless sleep Inability to think or concentrate even for short periods Nocturnal emissions Forgetfulness Dry stools Mouth sores Tongue sores Low grade afternoon fever Dream disturbed sleep Night sweats Constipation T: Red C: Little P: Rapid or Thready and rapid
Treatment Principle	Enrich the Yin Nourish the Blood Tonify the Heart Calm the Shen Clear Heat
Herb Formulas	Tian Wang Bu Xin Dan Ba Xian Chang Shou Wan Ci Zhu Wan
Points	UB-15, UB-23, HT-7, PC-6, PC-7

DISHARMONY BETWEEN THE HEART AND KIDNEY

Clinical Manifestations	Heart palpitations Restlessness Insomnia with dream-disturbed sleep Dizziness Forgetfulness Depression Maybe grief with easy crying Maybe emotional disturbances Irregular menstruation T: Red tip C:Scanty P: Thready and rapid
Treatment Principle	Nourish Kidney Yin Reduce Heart Fire Calm the mind
Herb Formulas	Tian Wang Bu Xin Dan Ba Xian Chang Shou Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

LIVER QI STAGNATION

Clinical Manifestations	Hypochondriac pain and distention Alternating fever and chills Mild, intermittent tinnitus that is aggravated by emotional stress and improved with rest and relaxation In women the tinnitus may appear premenstrually There may be a sensation of pressure over the ears, but generally no pain or discharge Depression Easily angered Chest fullness Bitter taste in mouth Fidgeting Headaches Grinding of the teeth Mild dizziness Abdominal pain and cramps Occasional fatigue which is better with exercise Alternating constipation and diarrhea Breast distention and pain Irritability Dysmenorrhea Irregular menstruation Amenorrhea T: Pink or Dark C: Thin and white P: Wiry, or Tight or Wiry and thready or Wiry and strong
Treatment Principle	Spread Liver Qi Promote Qi circulation Harmonize the Blood Alleviate pain
Herb Formulas	Chai Hu Shu Gan Tang Xiao Yao San modified Chinese Patent Medicines: Shu Gan Wan Xiao Yao Wan Ci Zhu 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

LIVER QI STAGNATION INVADES THE STOMACH

Clinical Manifestations	Epigastric pain (worse when emotionally upset) Belching with acid regurgitation Nausea Vomiting Anorexia Epigastric distention Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Harmonize the Stomach
Herb Formulas	Chai Hu Shu Gan Tang Zuo Jin Wan Xiao Yao San Hei Xiao Yao San
Points	LIV-3, LIV-14, PC-6, REN-12

LIVER QI STAGNATION WITH STAGNANT HEAT

Clinical Manifestations	Difficulty falling asleep Insomnia, worse when stressed Dream-disturbed sleep Waking in the early hours of the morning Frontal or temporal headaches Neck and shoulder tension Teeth grinding at night Frequent sighing Dizziness Red eyes Facial flushing Depression Irritability Moodiness Easily angered Hypochondriac tension or discomfort Continuous or sustained nasal congestion Transient, declining sense of smell or loss of sense of smell Nasal swelling Sinus pain Generally severe frontal, maxillary or temporal headache Chronic sinus inflammation and congestion which is worse with stress or emotional upset A sensation of something caught in the throat May have pain or sinus pressure May have occasional postnasal discharge Bitter taste in the mouth Irregular menstruation Premenstrual syndrome Breast tenderness Poor appetite alternation constipation and diarrhea T: Red edges with spots C: Thin and yellow P: Wiry and possibly rapid
Treatment Principle	Soothe the Liver Qi Clear Heat Open the nose
Herb Formulas	Xiao Yao San modified Jia Wei Xiao Yao San modified Long Dan Xie Gan Tang modified Si Ni San With underlying Qi and Blood Deficiency: Jia Wei Xiao Yao San Patent Medicines: Xiao Yao Wan Shu Gan Wan Long Dan Xie Gan Wan Chai Hu Shu Gan Wan Bi Yuan Wan (combine with one of the above) Bi Yan Pian (combine with one of the first two) Huo Dan Wan (combine with one of the first two)
Points	Anmian, GB-20, HT-7, LIV-3, PC-6, UB-15, UB-18, Yintang With a lateral headache: + GB-39, SJ-5 With teeth grinding and an aching jaw: + ST-6 With digestive weakness: + SP-6 With plum-pit Qi Stagnation: + PC-5 With Heat or Fire: + GB-44, LIV-2 For sinus problems: LIV-2, LIV-3, LI-4, LI-20, GB-20, SI-3, DU-23, UB-2, Yintang, Taiyang, Bitong

LIVER FIRE (ESSENTIAL)

Clinical Manifestations	Severe, splitting headaches with dizziness Sudden tinnitus or deafness Maybe a stiff neck 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 May be depression Constipation or dry stools Maybe rib pain T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid In severe cases: Mania Bleeding of Excess Heat type: · Hemoptysis · Hematemesis · Epistaxis
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang modified Dang Gui Long Hui Wan Xie Qing Wan With Heart Fire: San Huang Xie Xin Tang For chronic cases: Tian Ma Gou Teng Yin Zhen Gan Xi Feng Tang Premenstrual: Si Wu Tang modified Chinese Patent Medicines: Long Dan Xie Gan Wan Ji Gu Cao Wan Niu Huang Jie Du Pian Ci Zhu Wan
Points	LIV-2, UB-18, UB-19, GB-12, GB-37, GB-34 GB-20, GB-34, GB-40, LI-5, LIV-2, LIV-3, SJ-3, SJ-5, SJ-17 With Yin Deficiency and Yang Rising: + KI-1, KI-3, UB-18, UB-23 GB-18, GB-20, GB-34, LI-11, LIV-2, LIV-3, UB-18 GB-20, KI-1, LIV-2, prick to bleed Taiyang, UB-2 GB-20, GB-34, LI-11 through to HT-3, LIV-2, LIV-3, SJ-17, Taiyang DU-20, LI-11, LIV-2, ST-36, Taiyang

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 Xie Bai San + Dai Ge San modified For mild cases: Sang Dan Xie Bai Tang With Phlegm-Heat: Dai Ge San + Qing Jin Hua Tan Wan With hemoptysis: Ke Xue Fang modified For Shen Disturbances due to Blood Heat: An Gong Niu Huang Wan Zi Xue Dan Zhi Bao Dan Xi Jiao Di Huang Tang Qing Ying Tang Chinese Patent Medicines: Qing Qi Hua Tan Wan Long Dan Xie Gan Wan Qing Fei Yi Huo Pian With hemoptysis: Yunnan Bai Yao
Points	LIV-2, LU-5, LU-6, LU-10, PC-6, UB-13, UB-18 GB-34, LIV-2, LIV-3, LIV-14, LU-5, PC-6, UB-13, UB-18 With hemoptysis: LU-6 GB-34, LIV-2, LIV-3, LU-5, LU-6, SP-10, UB-13, UB-18

LIVER BLOOD STAGNATION

Clinical Manifestations	Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: 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	Invigorate the Blood Break up Blood Stasis Prevent stroke
Herb Formulas	Hypertension #1
Points

LIVER WIND STIRRING INTERNALLY: LIVER FIRE GENERATES WIND

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Numbness and tremor of limbs Twitching and involuntary writhing of hands and feet Dysphagia Unsteady gait Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Zhen Gan Xi Feng Tang Tian Ma Gou Teng Yin Ling Jiao Gou Teng Tang
Points	LIV-2, LIV-14, Ear Shenmen + general points Bleed the Jing-Well points of Six Hand Channels to reduce Heat (Shixuan), DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23 + general points

HEAT GENERATING INTERNAL LIVER WIND

Clinical Manifestations	Persistent high fever Irritability Restlessness Dizziness Vertigo Twitching Spasms of the extremities Insomnia Tinnitus Bitter taste in the mouth Deafness Dry throat Stiff neck with convulsions Severe headache Loss of consciousness Maybe opisthotonos Maybe expectoration of thick, yellow sputum T: Deep red, dry or burnt with prickles C: Yellow and dry P: Wiry and rapid or Wiry and smooth
Treatment Principle	Cool the Liver Extinguish Wind Increase Fluids Relax the sinews Stop convulsions
Herb Formulas	Xu Ming Tang Ling (Yang) Jiao Gou Teng Tang
Points	Bleed the Jing-Well points of Six Hand Channels (Shixuan). DU-14, DU-16, DU-20, DU-26, LI-11, LIV-2, LIV-3

LIVER WIND STIRRING INTERNALLY: LIVER FIRE (YANG) GENERATES WIND

Clinical Manifestations	Dizziness and vertigo to the point of falling over Headache with a drawing sensation Severe headache Pressure headache behind the eyes Numbness and tremor of limbs Paralysis of the limbs Twitching and involuntary writhing of hands and feet Dysphagia Unsteady gait Convulsions Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Tinnitus Blurred vision Sudden blindness in one eye Flushed face Irritability Restlessness Insomnia Dream-disturbed sleep Lower back pain Progressive unilateral motor dysfunction Hypertension T: Red C: Little or None P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Zhen Gan Xi Feng Tang Tian Ma Gou Teng Yin Xu Ming Tang Xi Feng Tang Chinese Patent Medicines: Ren Shen Zai Zao Wan Niu Huang Qing Xin Wan Niu Huang Jiang Ya Wan Jiang Ya Wan Jiang Ya Ping Pian
Points	LIV-2, LIV-14, Ear Shenmen + general points Bleed the Jing-Well points of Six Hand Channels to reduce Heat (Shixuan), DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23 + general points DU-26, GB-20, GB-34, KI-1, LI-4, LIV-3, PC-6, PC-8, Shixuan DU-16, DU-26, GB-20, LIV-3 With Kidney and Liver Yin Deficiency: KI-7, LIV-8 Bleed the Jing-Well points of Six Hand Channels to reduce Heat (Shixuan), DU-14, DU-16, GB-20, LI-4, LIV-3 Upper limb: LI-4, LI-11, LI-15, SI-9, SJ-4, SJ-5, SJ-14 Lower limb: DU-3, GB-30, GB-34, GB-39, ST-36, ST-41, UB-60 With Qi Deficiency: Moxa With Liver Yang Excess: + LIV-3 Anmian, GB-20, GB-21, GB-31, GB-34, GB-39, GB-41, LI-4, LI-11, LIV-2, LIV-3, PC-6, SJ-5, ST-36, ST-40, Yintang Ear: Apex, Lower Blood Pressure Groove

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	Hao Qi Qing Dan Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48

COLD IN THE LIVER

Clinical Manifestations	Hypertension Vomiting immediately after eating Indeterminate gnawing hunger Acid regurgitation Belching May be epigastric pain Dry heaves or spitting of clear fluids with vertex headache Vomiting and diarrhea with cold hands and feet Restlessness Severe fidgeting Irritability So agitated, the patient wants to die Habitual headache Subcardiac distention A feeling of fullness and distention in the chest and diaphragm T: Pale C: White and slippery P: Slow and weak or Sinking or slow and thin or slow and wiry
Treatment Principle	Warm and tonify the Stomach and Liver Descends Rebellious Qi
Herb Formulas	Wu Zhu Yu Tang
Points

LIVER YIN DEFICIENCY WITH LIVER YANG RISING (PRIMARY)

Clinical Manifestations	Dizziness Head distention Vertigo Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Nervousness Insomnia with much dreaming Dry throat Thirst A bitter taste in the mouth Five Sole heat (palms, soles and center of chest) Restlessness Night sweats Light or late menses or Amenorrhea Irascibility A quick temper Vexation Agitation Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eyes Dry mouth and throat with bitter taste in mouth Palpitations T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful)
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	Tian Ma Gou Teng Yin modified Jian Ling Tang For more pronounced Heat and Wind with a red face and eyes, trembling hands and numbness of the tongue and/or limbs: Long Dan Xie Gan Tang modified
Points	GB-20. GB-38 (alternated with GB-40 and GB-43), KI-3, LI-11, LIV-3, ST-36 For severe hypertension: + DU-14 For Liver Fire: + LIV-2 For nausea and vomiting: + PC-6 For Heart palpitations: + PC-6 For hypertension appearing especially at night: + KI-6 For a headache in the corner of the head: + ST-8 For a headache at the temple: + needle then bleed Taiyang For a head at the occiput or neck tension: + UB-65 For dizziness: + DU-20 For tension in the trapezius: + GB-21 For severe Liver and Kidney Yin Deficiency: + SP-6 or drain GB-39 and supplement SP-6, then needle GB-20 DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23 LI-11 through to HT-3, LIV-2, ST-9 DU-20, GB-20, LIV-2, LIV-3 Ear: Shenmen, High Blood Pressure Point, Bleed Ear Apex, Bleed High Blood Pressure Groove

LIVER YIN DEFICIENCY WITH BLOOD DEFICIENCY

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability A quick temper Poor memory Frightens easily Insomnia with difficulty falling asleep or frequent waking Much dreaming Restless sleep Maybe talking during sleep Severe: Sleep walking Tinnitus Waking with a dry throat or thirst Palpitations Numbness of the limbs Light menses or Amenorrhea Late menses T: Red and dry C: Little or None P: Wiry or Thready and rapid
Treatment Principle	Nourish the Liver Reinforce the Blood Nourish Yin Calm the Hun Clear Heat
Herb Formulas	Suan Zao Ren Tang With Liver Qi Stagnation: Yi Guan Jian Chinese Patent Medicines: An Shen Bu Niao Wan Suan Zao Ren Tang Pian
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20 Anmian, GB-20, HT-7, LIV-3, PC-6, UB-15, UB-17, UB-18, UB-23, Yintang

LIVER BLOOD DEFICIENCY WITH HEAT

Clinical Manifestations	Muscle spasms Feverishness Bruxism Palpitations Anxiety Fever and chills Alternating chills and fever Spitting of sputum or saliva Abdominal distention Reduced appetite Restless sleep Nervousness Rigidity and pain of the neck and head Opisthotonos Numbness of the limbs Vertigo Dizziness Hemiplegia Irritability Insomnia Clenching or grinding of teeth Easily frightened Restlessness
Treatment Principle	Calm the Liver Regulate the Liver Qi and Blood Dispel Heat
Herb Formulas	Yi Gan San
Points	GB-20, GB-34, GB-43, DU-20, LIV-2, LIV-3, UB-18, UB-23, KI-3 Without Heat: GB-37, KI-6, LIV-3, ST-36, UB-18, UB-20

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Dry, rough eyes A dry mouth Low back and knees sore and painful Numbness of the extremities Throat dry and painful Malar flush Five Sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Spermatorrhea Irregular menses or Scanty menses or Amenorrhea Vaginal discharge Maybe palpitations T: Red and tender C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys Lower Blood pressure
Herb Formulas	Qi Ju Di Huang Wan modified Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan With Fire Flaring: Zhi Bai Di Huang Wan modified With Yang Rising and Wind: Ling Yang Jiao Tang With more prominent Liver Yin Deficiency symptoms: Shou Wu Yan Shou Dan Jia Jian With Heart and Kidney Yin Deficiency symptoms: Tian Wang Bu Xin Dan modified
Points	GB-39, KI-3, LI-11, SP-6, ST-36 With Kidney Yin Deficiency predominant: + UB-23 With Liver Blood Deficiency predominant: +UB-18 With Heart Yin Deficiency: + HT-7 With Deficiency Fire Flaring: + KI-2 With Liver Yang Rising: + GB-20 For severe hypertension: + DU-14 With nausea and vomiting: + PC-6 With Heart palpitations: +PC-6 For hypertension especially at night: + KI-6 For a headache in the corner of the head: + ST-8 For a headache at the temple: + needle then bleed Taiyang For a head at the occiput or neck tension: + UB-65 For dizziness: + DU-20 KI-3, LIV-3, SP-6, UB-18, UB-23

LIVER AND KIDNEY YIN DEFICIENCY WITH YANG RISING (PRIMARY)

Clinical Manifestations	Dizziness, worse with stress or emotional upset Vertigo Impaired vision Night blindness Tinnitus Irritability Irascibility Throbbing headache with distended feeling Flushed face Malar flush Blurred vision Pressure behind the eyes Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache, often temporal Nervousness Insomnia with much dreaming Restlessness Fatigue Weakness Dry throat Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea Lower backache Spasms Numbness of the limbs T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent or Thready, wiry and rapid
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	San Jia Fu Mai Tang Da Bu Yin Wan Tian Ma Gou Teng Yin modified Qi Ju Di Huang Wan modified Long Dan Xie Gan Tang Zhi Bai Di Huang Wan Er Long Zuo Ci Wan Jian Ling Tang Zhen Gan Xi Feng Tang Shou Wu Yan Shou Dan Yi Guan Jian With Wind: Ling Yang Jiao Tang With Yang Rising predominant: Zhen Gan Xi Feng Tang Chinese Patent Medicines: Qi Ju Di Huang Wan Zhi Bai Di Huang Wan Er Ming Zao Ci Wan Tian Ma Wan
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23 GB-20, KI-3, LIV-2, UB-18, UB-23 GB-20, GB-34, LIV-2, LIV-3, PC-6, UB-18 DU-20, GB-20, LIV-2, LIV-3 GB-20, KI-3, LIV-2, UB-18, UB-23 KI-6, REN-4, ST-36, UB-23 KI-1, KI-2, KI-3, KI-6, LIV-3, REN-4, SP-6, UB-18, UB-23 With Heart Fire: + HT-7, PC-7, UB-15 GB-2, KI-1, KI-3, LIV-3, PC-6, SP-6, UB-18 , UB-23 KI-3, LI-11 through to HT-3, LIV-3, SP-6, ST-9, UB-18, UB-23 LIV-2, LIV-3, UB-15 SI-3, UB-62 KI-3, LIV-3, UB-18, UB-23 Anmian #2, GB-20, HT-7, KI-3, LI-11 through to HT-3, SP-6, ST-36 Plum Blossom: DU-20, Huatuojiaji, Taiyang For dizziness and headaches: GB-20, KI-3, UB-18, UB-23 For abdominal distention with excess mucus: REN-12, ST-40 Ear: 1. Forehead, Heart, Sympathetic, Shenmen, Kidney, Endocrine, Adrenal, Occiput 2. Subcortex, High Blood Pressure Groove, Shenmen, Heart, Sympathetic

KIDNEY YIN DEFICIENCY

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	Enrich Yin Nourish the Kidneys Clear Deficiency fire
Herb Formulas	Liu Wei Di Huang Wan Mai Wei Di Huang Wan Zuo Gui Wan modified With Liver Yin Deficiency: Qi Ju Di Huang Wan With Deficiency Fire Rising: Zhi Bai Di Huang Tang Huang Lian E Jiao Tang Especially in the elderly: Zuo Gui Wan With cloudy urination, severe night sweats and bone steaming fever: Da Bu Yin Wan Chinese Patent Medicines: Liu Wei Di Huang Wan Da Bu Yin Wan He Che Da Zao Wan With Deficient Heat: Zhi Bai Di Huang Wan With tinnitus: Er Ming Zuo Ci Wan With visual disturbances: Ming Mu Di Huang Wan With Liver and Kidney Yin Deficiency: Qi Ju Di Huang Wan
Points	KI-1, KI-3, KI-6, REN-4, SP-6, UB-23 With Deficiency Fire Rising: KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, 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 GB-20, KI-1, KI-2, KI-3, KI-6, LI-11, LIV-3, REN-4, SP-6, ST-36, UB-23 KI-6, KI-7, SP-6 For cloudy urination: KI-2, KI-6, REN-4, ST-28, UB-23

KIDNEY YIN DEFICIENCY WITH EMPTY 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 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 Huang Lian E Jiao Tang
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, 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

KIDNEY YIN AND YANG DEFICIENCY

Clinical Manifestations	Dizziness Tinnitus Weak legs Lower back ache Low-grade fever in the afternoon Fatigue Red cheeks Hot flushed face Spermatorrhea due to Deficient Yin Nocturnal emissions Fever with thirst Burning soles of feet Hot flashes Night sweating Dry cough Headache Restlessness Early periods Pale dilute menstrual Blood Nocturia General feeling of being Cold Restless insomnia Vertigo, T: Pale and swollen or Red C: Thin and white or Little or None P: Deep and weak or Thready and rapid
Treatment Principle	Tonify Kidney Yang Nourish Deficient Yin Relieve Empty Fire due to Deficiency of Yin
Herb Formulas	Shou Tai Wan Jin Gui Shen Qi Wan He Che Da Zao Wan Er Xian Tang Niu Che Shen Qi Wan
Points

KIDNEY AND LIVER 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 Tidal fevers Loose teeth Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Heel pain Dry mouth Blurred vision Hemoptysis Asthma Hot flashes Nocturnal emissions Urinary incontinence Spontaneous and nocturnal emissions Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Enrich Yin Astringe and Nourish the Essence of the Liver and Kidneys
Herb Formulas	Mai Wei Di Huang Wan Ming Mu Di Huang Wan #2 With Empty Fire Rising and Blood Deficiency: Dang Gui Liu Huang Wan
Points	UB-18, UB-23, SP-6, LIV-3, KI-3

KIDNEY AND LIVER YIN DEFICIENCY WITH LIVER QI STAGNATION

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 Tidal fevers Loose teeth Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Heel pain Dry mouth Blurred vision Hemoptysis Asthma Hot flashes Nocturnal emissions Urinary incontinence Spontaneous and nocturnal emissions Night sweats Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Red C: Little or None P: Thready, wiry and rapid
Treatment Principle	Enrich Yin Astringe and Nourish the Essence of the Liver and Kidneys Regulate Qi
Herb Formulas	Xiao Cheng Qi Tang Tiao Wei Cheng Qi Tang
Points

KIDNEY AND LIVER YIN DEFICIENCY WITH BLOOD DEFICIENCY LEADING TO EMPTY FIRE RISING WITH BLOOD STAGNATION AND LIVER WIND

Clinical Manifestations	Enlarged pupils Blurred vision Photophobia Excessive tearing Light-headedness Vertigo Dry eyes Irritation of the eyes Photophobia Poor vision Red eyes Dizziness Glare Insomnia Night sweating Pain in the lower back Weakness of lower back T: Red-tipped (may be trembling) C: Little or None P: Rapid and Empty
Treatment Principle	Nourish Yin Descend Liver Yang Dispel Internal Wind Brighten the eyes
Herb Formulas	Shi Hu Ye Guang Wan
Points

KIDNEY YIN AND YANG DEFICIENCY

Clinical Manifestations	Dizziness Tinnitus Deafness Fatigue Headache Five Sole Heat Maybe aversion to Cold Weak knees Numb hands and feet Shortness of breath Cold extremities Puffy swelling of the lower limbs, especially around the ankles Impotence Decreased sexual desire Seminal emission Frequent nighttime urination T: Pale and tender, maybe swollen and maybe with a red tip with red papillae on the tongue C: Variable P: Deep, slow and surging, forceless, floating or thready or Thready and rapid
Treatment Principle	Nourish Yin Tonify Yang Lower Blood pressure
Herb Formulas	Hypertension #3 Di Huang Yin Zi
Points	KI-3, REN-5, SP-6, ST-36 For night sweats: + HT-6 For marked Kidney Yin Deficiency: + UB-23 For marked Liver Blood Deficiency: + UB-18 For marked Heart Yin Deficiency: + HT-7 For Liver Yang Rising: + LIV-3 For severe dizziness: + GB-20 For severe hypertension: + DU-14 For Deficiency Fire Flaring upward: + KI-2 For hypertension especially at night: + KI-6 For a headache in the corner of the head: + ST-8 For a headache at the temple: + needle then bleed Taiyang For a head at the occiput or neck tension: + UB-65 DU-4, KI-3, LI-11 through to HT-3, ST-9, UB-23, Ear Shenmen Anmian #2, GB-20, HT-7. KI-3, LI-11 through to HT-3, LIV-3, ST-36, moxa REN-6

QI AND YIN DEFICIENCY

Clinical Manifestations	Dizziness which is worse on exertion Tinnitus Dry, rough eyes A dry throat Tidal fever Fatigue Weakness Spontaneous sweating Shortness of breath T: Fat and pale with teethmarks C: Little or None P: Thready, forceless and maybe rapid
Treatment Principle	Tonify Qi Nourish Yin
Herb Formulas	Hypertension #2
Points	DU-20, KI-7, SP-6, ST-36 For night sweats: + HT-6 For marked Kidney Yin Deficiency: + UB-23 For marked Liver Blood Deficiency: + UB-18 For marked Heart Yin Deficiency: + HT-7 For Liver Yang Rising: + LIV-3 For severe dizziness: + GB-20 For severe hypertension: + DU-14 For Deficiency Fire Flaring upward: + KI-2 For hypertension especially at night: + KI-6 For a headache in the corner of the head: + ST-8 For a headache at the temple: + needle then bleed Taiyang For a head at the occiput or neck tension: + UB-65

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	Ba Zhen Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

QI AND BLOOD DEFICIENCY AND STAGNATION WITH KIDNEY DEFICIENCY

Clinical Manifestations	Headache Heaviness in the head Flushing Neck tension Sensitivity to Cold, especially in the lower body Shoulder tension Tinnitus Urinary frequency Dry skin A tendency toward fatigue
Treatment Principle	Tonify the Blood Invigorate the Blood Tonify Qi Extinguish Internal Wind Dispel Heat and Dampness
Herb Formulas	Qi Wu Jian Xia Tang
Points

QI, BLOOD AND YIN DEFICIENCY INJURING THE HEART AND SPLEEN

Clinical Manifestations	Palpitations 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 Fatigue Weakness 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	Augments Qi Nourishes Blood Enriches Yin
Herb Formulas	Zhi Gan Cao Tang Gui Pi Tang
Points

BLOOD STAGNATION DUE TO BLOOD DEFICIENCY

Clinical Manifestations	Abdominal pain in women Dizziness Blurred vision Pale, lusterless complexion Pale nails Pale lips Generalized muscle tension Irregular menstruation with little flow Amenorrhea Periumbilical pain Lower abdominal pain Vertigo Tinnitus Blurred vision Insomnia Spotting of pale Blood Postpartum uterine bleeding Maybe five sole Heat Delayed menstruation Palpitations Dizziness Dry skin Maybe leukorrhea Maybe fever Firm, painful abdomen Sporadic fever and chills Dysmenorrhea Breast distention and pain before and during menses Menorrhagia Hard abdominal masses with recurrent pain Unstable fetus with bleeding Chills and fever T: Pale C: Normal P: Thready and wiry or Thready and choppy
Treatment Principle	Nourish the Blood Invigorate the Blood Dispel Stasis
Herb Formulas	Tao Hong Si Wu Tang With Qi Deficiency: Bu Yang Huan Wu Tang
Points

BLOOD STAGNATION

Clinical Manifestations	Enduring, non-healing dizziness and headache Fixed, unmovable pain Abdominal pain that is worse with pressure Abdominal spasms and tension Visible varicosities Spider naevi Cherry hemangiomas Sinus congestion Constipation Lower back ache Nervousness Fatigue Skin eruptions Scaly, dry skin A dark, sooty facial complexion Numerous age spots 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 Tense and deep and slow or Wiry and choppy
Treatment Principle	Invigorate the Blood Transform Blood Stasis Soften lumps
Herb Formulas	Gui Zhi Fu Ling Wan Huo Xue Hua Yu Xue Fu Zhu Yu Tang modified With Qi Deficiency: Bu Yang Huan Wu Tang With Qi Stagnation and water accumulation in the legs: Jiu Wei Bing Lang Jia Wu Fu Tang
Points	LI-11, SP-6, ST-36, UB-17 With Kidney Yin Deficiency: + UB-23 With Liver Blood Deficiency: + UB-18 With Heart Yin Deficiency: + HT-7 With Deficiency Fire: + KI-2 With Liver Yang Rising: + GB-20 With Liver Fire: + LIV-2 For severe hypertension: + DU-14 For hypertension especially at night: + KI-6 For a headache in the corner of the head: + ST-8 For a headache at the temple: + needle then bleed Taiyang For a head at the occiput or neck tension: + UB-65 For dizziness: + DU-20 For tension in the trapezius: + GB-21

HEAT EXCESS IN THE EXTERIOR AND INTERIOR

Clinical Manifestations	Dizziness Red, sore eyes Difficulty swallowing Nasal congestion 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 Sore throat Skin ruptures or ulcers Tense abdomen Shoulder stiffness Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Heaviness in the head T: Red C: White or yellow, greasy P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San Huang Lian Jie Du Tang
Points

INTERNAL COLD

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	Warm the Interior Disperse Cold Unblock the bowels Alleviate pain
Herb Formulas	Da Huang Fu Zi Tang
Points

DAMP ACCUMULATION

Clinical Manifestations	Severe vertigo Excess fluid in the epigastrium Dizziness Habitual headache Heavy sensation in the body Superficial edema Urinary difficulty Knee pain Abdominal bloating Edema in lower legs Fatigue Edema in women with constitutional Deficiency T: Pale C: White or Swollen and moist P: Floating and weak, or soft and thready
Treatment Principle	Augment Qi Strengthen the Spleen Promote urination Reduce edema Regulate water circulation
Herb Formulas	Ze Xie Tang
Points

PHLEGM STAGNATION

Clinical Manifestations	Head and eye clouding and covering Dizziness Heavy headedness Stiff tongue Deviation of the eyes and mouth Hemiplegia Fullness of the chest or Masses or Distended abdomen Heavy limbs Nausea Reduced appetite Usually an obese body Vomiting Somnolence Profuse Phlegm and drool Fatigue T: Pink C: Sticky and yellow P: Slippery and wiry
Treatment Principle	Eliminate Phlegm dispel Dampness Remove Stasis Lower Blood pressure
Herb Formulas	Chen Tan Tang Luo Yin Due to gastrointestinal weakness: Ban Xia Bai Zhu Tian Ma Tang modified
Points	LI-11, SP-9, ST-36, ST-40 With Kidney Yin Deficiency: + UB-23 With Liver Blood Deficiency: + UB-18 With Heart Yin Deficiency: + HT-7 With Deficiency Fire: + KI-2 With Liver Yang Rising: + GB-20 With Liver Fire: + LIV-2 For severe hypertension: + DU-14 For hypertension especially at night: + KI-6 For a headache in the corner of the head: + ST-8 For a headache at the temple: + needle then bleed Taiyang For a head at the occiput or neck tension: + UB-65 For dizziness: + DU-20 For tension in the trapezius: + GB-21 DU- 20, SP-9, ST-36, ST-40, UB-20 Moxa REN-4, REN-6, ST-36 REN-22, PC-6, ST-40

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 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 Xiao Ban Xia Jia Fu Ling Tang
Points

PHLEGM-DAMP (TAN YIN)

Clinical Manifestations	Anorexia Edema Abdominal distention Chest congestion Chest and hypochondriac distention Dizziness Nausea Vomiting Heavy limbs Clumsy movement Dizziness Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Ling Gui Zhu Gan Tang Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San With Spleen Deficiency: Liu Jun Zi Tang modified Chinese Patent Medicines: Er Chen Wan Fu Zi Li Zhong Wan
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23 GB-20, LI-11 through to HT-3, LIV-3, SP-9, ST-36, ST-40

PHLEGM-HEAT (RE TAN)

Clinical Manifestations	Dizziness with flushing Anxiety Nausea Palpitations 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 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	Wen Dan Tang modified
Points	LI-11, LU-5, ST-40, UB-13

FENG TAN (WIND-PHLEGM)

Clinical Manifestations	Dizziness Vertigo (possibly severe) Headaches (may be recurrent) A stifling sensation in the chest Nausea Vomiting Copious sputum Spots before the eyes Heaviness of the head Lockjaw aphasia Sinus congestion Cold feet Fatigue Abdominal distention Rib pain Weakness of hands and feet Paralysis of the limbs Thirst May be edema Depression Sudden loss of consciousness Excess salivation Compulsive sleeping after eating T: Normal C: White and greasy P: Wiry and slippery or Soft and slippery
Treatment Principle	Strengthens the Spleen Dispels Dampness Transforms Phlegm Soothes the Liver Extinguishes Wind
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang Di Tan Tang modified With Qi and Yin Deficiency: Gou Teng San For dysphagia: Jie Yu Dan modified
Points	GB-34, LIV-13, REN-12, ST-36, ST-40 HT-5, LI-4, LI-11, REN-23, Shanglianquan, SJ-6, SP-6, ST-40 LIV-2, PC-7, REN-12, ST-40, UB-18 HT-7, HT-9, KI-2, PC-6, PC-7, PC-8, REN-5, REN-6, SI-10, SI-13, SI-14, SI-17, SJ-2, SJ-10, ST-36, ST-40 Anmian #2, GB-20, GB-34, HT-7, KI-3, LI-11 through to HT-3, LIV-2, LIV-3, PC-6, SJ-17, SP-9, ST-36, ST-40, Taiyang

UPPER JIAO WATER RETENTION

Clinical Manifestations	Shortness of breath Increased dyspnea when lying down Asthma Abdominal pain Chest and epigastric fullness and distention A dark facial complexion Scanty urination Edema P: Deep and tight
Treatment Principle	Activate Water circulation to eliminate Stagnation Descend Qi
Herb Formulas	Mu Fang Ji Tang
Points

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
Points

LOWER JIAO RETENTION OF WATER (YI YIN)

Clinical Manifestations	Heaviness Swollen extremities Pain in the extremities Sluggish urination Aversion to Cold Fever Anhidrosis Cough Asthma with Phlegm T: Swollen C: Greasy and white P: Tight and wiry
Treatment Principle	Warm Yang Benefit water Dispel exogenous pathogens
Herb Formulas	Wu Ling San With indigestion, diarrhea and decreased urination: Si Ling San With jaundice and dysuria: Yin Chen Wu Ling San
Points	Moxa only PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23

ZHI YIN

Clinical Manifestations	Cough Asthma Shortness of breath which is worse when lying down Abdominal distention with water retention Edema in the lower extremities Facial edema T: White bubbles C: Thick, greasy and white P: Thready
Treatment Principle	Regulate the Lungs Purge Yin
Herb Formulas	Wu Ling San
Points	LU-7, SP-6, SP-9, UB-13

INCONSOLIDATION OF THE CHONG AND REN

Clinical Manifestations	Perimenopausal hypertension in women Dizziness Headache Heart vexation A quick temper Hot flashes Night sweats Dry mouth and throat Poor sleep Generalized bodily discomfort Low back and knee weakness and pain T: Pale red C: Little P: Thready
Treatment Principle	Regulate and rectify the Chong and Ren channels
Herb Formulas	Er Xian Tang modified Wen Jing Tang
Points	LIV-2, PC-6, REN-4, REN-6 For chest pain with palpitations: - PC-6, + DU-14 For Deficiency Fire Flaring upward: - LIV-2, + KI-2 For severe Yin Deficiency: + KI-3 For night sweats: + HT-6 For hypertension especially at night: + KI-6 For a headache in the corner of the head: + ST-8 For a headache at the temple: + needle then bleed Taiyang For a head at the occiput or neck tension: + UB-65 For dizziness: + DU-20 For tension in the trapezius: + GB-21

HYPERTENSION (HIGH BLOOD PRESSURE)

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas