HYSTERIA

GENERAL

Clinical Manifestations	Most often occurs in females Difficulty venting congested anger Loss of voice Paralysis Convulsions Loss of vision Tinnitus
Treatment Principle
Herb Formulas
Points	DU-26, HT-7, PC-6, SI-3 With seizures: 1. + GB-34, LI-4 2. + GB-30, GB-34, LI-4, LI-11, LIV-3, LU-11 With stiffness and insomnia: + DU-20, KI-1, LIV-1 With a constricted throat: + KI-6, REN-22 With obstructed vision: + SJ-23, UB-1 With impaired hearing: + SJ-17, SJ-21, Yilong With hysterical aphonia: + REN-22 With sudden laughing or crying: + KI-4, LU-11, PC-7, SP-6 With paralysis: + Anmian, GB-30 through to UB-54, GB-34, LI-11, SJ-23 With deafness: + DU-15, ST-36, SJ-21, Yilong, Yiming With aphonia and globus hystericus: + LI-4, LIV-3, REN-22, REN-23 With blindness: + GB-20, LI-4, SJ-23, UB-1 With somnolence and catatonia: + DU-20, HT-7, KI-1, ST-36 REN-4, REN-12, SP-6, UB-13, UB-15, UB-22, UB-23 With seizures: + PC-7, REN-6, REN-17 LIV-2, LIV-3 HT-7, SP-6 For hysteric emotional explosion: needle or electroacupuncture DU-26 KI-1, LI-4, PC-6 For hysteric paralysis of the upper extremities: LI-4, LI-11, LI-15, SI-3 For hysteric paralysis of the lower extremities: GB-30, GB-34, KI-1, LIV-3 For hysteric blindness: UB-1 For hysteric aphonia: DU-26 For hysteric deafness: SI-19, SJ-17 For sudden laughing or crying: DU-20, DU-26 For sleepiness: KI-3, KI-4, KI-6, LI-2, LIV-10 For seizures: 1. SI-3, UB-60 2. DU-26, LI-4 through to PC-8 3. DU-20, PC-6 through to SJ-5 For spasms: 50 moxa cones on REN-12 During a hysteric episode: Select one of the following: DU-20, HT-7, PC-6, SP-6, ST-36, Yiming. Alternate points and use rapid insertion

TAI YANG - SHAO YANG

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

TAI YANG - YANG MING - SHAO YANG

Clinical Manifestations	Hysteria 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 Depression 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 Sedate and calm the Shen
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points

YANG MING FIRE

Clinical Manifestations	Manic behavior Raving walking Shouting Abusing people Climbing to high places Singing Removing one's clothes Unusual strength Foul breath Red face Abdominal pain and distention Constipation T: Red C: Dark and yellow or Black and dry P: Deep and wiry
Treatment Principle	Purge the Intestines Expel Phlegm
Herb Formulas	Da Cheng Qi Tang Schizophrenia #2 Schizophrenia #6 With Blood Stagnation: Tao He Cheng Qi Tang
Points

SHAO YANG FU WITH LIVER QI STAGNATION

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Dizziness Easily startled Restlessness A stuffy feeling in the chest T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang Gun Tan Wan Dang Tan Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15

LATE-STAGE YING OR XUE STAGE HEAT

Clinical Manifestations	Sudden blindness Loss of voice Deafness Paralysis Mental disorientation Irritability Insomnia Palpitations Depression Restlessness Hopelessness Sudden mood swings Erratic behavior Feels cold then not cold Feels hot then not hot Aversion to life Dry mouth Dry stools Dry throat Fatigue Irregular stools Lethargy Mental instability Obsessions Craves food then hates food Does not like to talk Does not know what he/she wants Dark urine A bitter taste in the mouth Dizziness Muddled thinking T: Red C: Little or None P: Slightly rapid or Weak and rapid or Thready and rapid
Treatment Principle	Moisten the Lungs and Heart Nourish Fluids Nourish Yin Clear Deficiency Heat Cool the Blood
Herb Formulas	Bai He Di Huang Tangmodified
Points

HEART FIRE

Clinical Manifestations	Melancholy Suspiciousness Frightens easily Aphonia Hiccup Always on the verge of an emotional outbreak Palpitations Listlessness Fatigue Shortness of breath Heartburn Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability Irascibility Thirst May suddenly laugh or cry Feeling of Heat and disturbance in the Heart A suffocating sensation in the chest Insomnia Somnolence Flushed face Bitter taste in the mouth Appetite fluctuates widely Constant sighing or yawning Seizures Loss of consciousness Dry stools T: Red tip with ulcers especially on the tip or Red C: Peeled or Scanty P: Excess and rapid or Thready and wiry
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Dao Chi San Gan Mai Da Zao Tang Huang Lian Jie Du Tang With palpitations, thirst, and shortness of breath: Gan Mai Da Zao Tang + Dao Chi San
Points	HT-7, HT-8, PC-7, PC-8, UB-15 HT-7, REN-14, SP-6 With a suffocating sensation in the chest: + PC-6, REN-17 With hiccups: + REN-22, SP-4 With aphonia: + HT-5, REN-3 With convulsions: + LI-4, LIV-3 With loss of consciousness: +DU-26, KI-1 DU-16, DU-26, PC-5, SP-6, UB-15, UB-23 Ear: Heart, Kidney, Subcortex, Brainstem, Shenmen, Stomach, Sympathetic

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Dizziness Easily startled Restlessness A stuffy feeling in the chest T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang Gun Tan Wan Dang Tan Tang Huang Lian Wen Dan Tang
Points	Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15 Dingshen, DU-14, GB-20, LI-4, LI-11, LU-11, PC-5, PC-7, PC-8, ST-40

PHLEGM OBSTRUCTS THE HEART ORIFICE: YIN OBSTRUCTION

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

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

Clinical Manifestations	Palpitations Shortness of breath Hysteria 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 BLOOD DEFICIENCY WITH LIVER QI STAGNATION

Clinical Manifestations	Emotional agitation Haziness of mind Abnormal laughing and crying Loss of self control Absent-mindedness Frequent feelings of extreme sadness with an urge to cry Inability to control one's emotions Depression Restless sleep May be night sweats Abnormal speech or behavior Disorientation Frequent yawning T: Red C: Scanty P: Small and rapid
Treatment Principle	Nourish the Heart Calm the Shen Harmonize the Middle Jiao Ease tension Tonify Spleen Qi
Herb Formulas	Gan Mai Da Zao Tangmodified
Points

HEART AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Anxiety Panic attacks Easily startled or frightened Irritability Restlessness Palpitations Fatigue Insomnia often waking to anxiety or panic Very restless sleep Nightmares Inability to think or concentrate even for short periods Nocturnal emissions Forgetfulness Dry stools Dry mouth and throat Mouth sores Tongue sores Low grade afternoon fever Dream disturbed sleep Dizziness Light-headedness Night sweats Five Sole Heat Tinnitus Constipation Low back pain 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 For severe Yin Deficiency Fire or as the result of a fever: Huang Lian E Jiao Tang For severe, continuous anxiety or panic attacks: Zhu Sha An shen Wan For post-traumatic stress disorder (PTSD): Gui Zhi Jia Long Gu Mu Li Tang For hysterical paralysis: Sha Shen Mai Men Dong Tang Chinese Patent Medicines: Tian Wang Bu Xin Dan Zhu Sha An Shen Wan An Shen Bu Xin Wan Jian Nao Wan Ci Zhu Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 DU-19, DU-24, HT-7, KI-3, PC-7, REN-14, UB-15, Yintang Ear: Shenmen, Kidney, Heart, Subcortex, Sympathetic

LIVER QI STAGNATION PHLEGM AND QI STAGNANT AND BLOCKED

Clinical Manifestations	Hysterical aphonia brought on by depression, anger, worry, emotional turmoil or sudden upset Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed Distention and pain in the sides or flanks Suffocating sensation in the chest Hysteria Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses Premenstrual syndrome Chronic cases: Red eyes Tidal fever A dry mouth T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm
Herb Formulas	Xiao Jiang Qi Tang modified Chai Hu Qing Gan Tang modified Ban Xia Hou Po Tang Shun Qi Dao Tan Tang modified + Kong Xian Dan Chinese Patent Medicines: Xiao Yao Wan Shu Gan Wan
Points	LI-18, LIV-3, PC-5, SI-17, SJ-6 Ht-5, LIV-3, PC-5, PC-6, SJ-6, Yintang

LIVER QI STAGNATION ATTACKS THE LUNGS

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

LIVER QI STAGNATION WITH BLOOD DEFICIENCY

Clinical Manifestations	Hysteria Depression Irritability Lassitude Insomnia Hypochondriac pain Maybe loss of voice Maybe seizures Maybe blindness Headache Vertigo Bitter taste in the mouth Dizziness Frequent sighing Epigastric pain and distention Flatulence Dry mouth and throat Fatigue Anorexia Alternating chills and fever Irregular menstruation Breast distention Shoulder and back pain Rib pain Tightness or fullness in the chest Cold extremities Pain in the arms and legs Heaviness of the head Night sweats Bloating and pain at the umbilicus and abdomen Diarrhea alternating with constipation Five Sole Heat Palpitations Malar flush Depression Increased desire to sleep T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Regulate Liver Qi Nourish the Blood Calm the Shen
Herb Formulas	Xiao Yao San With Heat: Jia Wei Xiao Yao San
Points

LIVER QI STAGNATION WITH HEAT

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 Anorexia 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 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 Blood and Yin Regulate menstruation Sedate the Heart Clear Heat
Herb Formulas	Jia Wei Xiao Yao San Chai Hu Qing Gan Tang Feng Yin Tang
Points	HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

LIVER BLOOD AND YIN DEFICIENCY WITH DEFICIENCY HEAT RISING

Clinical Manifestations	Irritability Anxiety Palpitations Night sweats Dizziness Vertigo Dry throat and mouth no thirst Fidgeting Insomnia Insomnia due to stress Excessive dreams Lack of energy Weakness and fatigue Weak abdomen Restlessness Sleepiness Light-headedness Impatience T: Pale or Red and dry P: Wiry and rapid or Thready and rapid or Thready and weak or Thready and tight
Treatment Principle	Nourish Liver Blood Calm the Shen Clears Heat in Liver Eliminate irritability
Herb Formulas	Suan Zao Ren Tang Yi Gan San With Phlegm-Heat: Yi Gan San Jia Chen Pi Ban Xia
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20, UB-23

GALL BLADDER DEFICIENCY HEAT

Clinical Manifestations	Dizziness Blurred vision Bitter taste in the mouth Nausea Vomiting Agitation Hysteria Restlessness Irritability Indecision Suspiciousness Palpitations with anxiety Insomnia Frequent sighing Suffocating sensation in the chest T: Pink C: Yellow and greasy or Thin and white P: Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle	Clear Heat Transform Phlegm Descend Contravecting Qi Harmonize the Stomach
Herb Formulas	Wen Dan Tang modified
Points	GB-34, HT-7, PC-5, PC-6, ST-40, UB-19

QI, BLOOD AND YANG DEFICIENCY

Clinical Manifestations	Fatigue Anorexia Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods Chills Cold limbs Inability to get warm Loose stools Profuse clear urine Spontaneous sweating Lassitude T: Pale C: White or Thin, white and dry P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle	Tonify Qi and Blood Strengthen the Spleen Tonify Yang
Herb Formulas	Ren Shen Dang Shao San
Points

BLOOD STAGNATION

Clinical Manifestations	Irritability Fidgeting A bad temper Extreme mood swings Evening tidal fever Dark or purplish lips, conjunctivae or nail beds Dark complexion Dark sclera Hair loss on the head and body 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 Dry, scaly skin 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 Palpitations Persistent daytime drowsiness Insomnia (persistent with much dreaming) Restless sleep Forgetfulness 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	Activate the Blood Dispel Blood Stasis Spread Liver Qi
Herb Formulas	Xue Fu Zhu Yu Tang With Phlegm Stagnation: Gui Zhi Fu Ling Wan
Points	SP-6, SP-10, ST-36, UB-17, UB-40

BLOOD DEFICIENCY WITH HEAT

Clinical Manifestations	Muscle spasms Feverishness Bruxism Palpitations Anxiety Hysteria 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 T: Pale red C: Little or None P Weak and rapid
Treatment Principle	Nourish Blood Tonify the Spleen Clear Heat
Herb Formulas	Yi Gan San
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

PARASITES

Clinical Manifestations	Vomiting of roundworms Vomiting of clear fluid Vomiting after eating Vomiting of saliva or yellow-green water after eating Occasional abdominal discomfort Abdominal pain (better with warmth and pressure) Pain beneath the Heart 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 Extremely Cold extremities 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 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 Middle Jiao Drain Heat Dispel parasites Calm roundworms Drain the Liver Calm the Stomach Relieve pain
Herb Formulas	Wu Mei Wan
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