INSOMNIA

GENERAL

Clinical Manifestations	An inability to fall or stay asleep Waking in the middle of the night Waking too early in the morning Being unable to fall back asleep Awaking fatigued after a full night's sleep A perception that sleep was not restful, regardless of amount Anxiety Difficulty concentrating Drowsiness Fatigue Impaired memory Irritability Apathy Headache Hypertension General malaise Weight gain Dream disturbed sleep Frequency: Transient: Lasts only a few days (always less than one week) It generally is the result of stress and requires little or no treatment. It resolves itself after the stressor abates. Intermittent: Lasts one to four weeks with visible effects. Usually related to an ongoing major stress situation. Daytime alertness is affected. Anxiety Chronic: Lasts one month or more. Depth: Sleep Onset Insomnia: Difficulty falling asleep- sixty or more minutes Sleep Maintenance Insomnia: Difficulty staying asleep - waki8ng in the middle of the night even after falling asleep normally. Sleep Onset Insomnia: Waking up much earlier than desired.
Treatment Principle
Herb Formulas	Zhen Xin An Shen Tang Insomnia #2 Huo Xue Mian Tong Tang Post- trauma: Xue Fu Zhu Yu Tang Chinese Patent Medicines: An Mian Wan
Points	HT-7, LI-4, SP-6, ST-36 Sedate DU-20, DU-23, DU-24, PC-6, PC-7, REN-7, SI-17, SJ-10, SP-5 (for worry), UB-15, UB-23, UB-62, Tonify KI-6, SJ-16 HT-7, GB-17, GB-41, LU-1, LU-9, PC-6, SJ-19, SP-1, SP-6, SP-9, ST-27, ST-36, UB-13, UB-30, UB-62 Anmian, HT-7,ST-40 HT-7, SP-6 GB-44 PC-6, SP-6, Taiyang, Yintang Anmian, PC-6, SP-6 HT-7, KI-3, SP-6 DU-20, KI-3, PC-7, Yintang Anmian, HT-7, KI-3, SP-1, SP-6 HT-7, PC-6, REN-14, UB-15 LIV-2, LIV-3 HT-7, PC-6, SP-6 With excessive Fire due to Yin Deficiency: + KI-3, LIV-3, PC-5, UB-18 With residual Heat intermingled with Phlegm: + LU-5, ST-40, UB-13 For nightmares: Bleed SP-1, ST-45 Plum Blossom: Five lines below the sacrum Sishencong (three to four times)

YANG MING FU WITH BLOOD STAGNATION AND 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

YANG MING LEVEL - QI AND YIN DEFICIENCY

Clinical Manifestations	Previous history of Yang Ming Shortness of breath Low grade fever Irritability Insomnia Nausea Dry heaves Emaciation T: Red C: Dry, scanty P: Thready and rapid
Treatment Principle	Clear Heat Harmonize the Stomach Strengthen Qi Promote Body Fluids
Herb Formulas	Zhu Ye Shi Gao Tang
Points	DU-14, KI-3, LI-11, PC-6, SP-4, SP-6

SHAO YANG FU WITH CONGESTED FLUIDS

Clinical Manifestations	Alternating chills and fever (chills predominate) or Chills without fever Sensation of irritability in the chest Sweating from the head Fatigue Gastrointestinal weakness Heavy head Neuralgia Epigastric distension Lower abdominal pain Tension around pubic bone Periumbilical pain Urinary difficulty T: Moist C: White and slippery P: Superficial and wiry
Treatment Principle	Disperse Clumping Harmonize the Shao Yang Warm the Interior Dispel Cold
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

SHAO YANG FU WITH UNDERLYING LIVER QI STAGNATION

Clinical Manifestations	Chest and hypochondriac distension Insomnia Headache Possibly delirium Alternating chills and fever (not as likely) Restlessness Irritability Continuous vomiting Headaches (side of head) Hypochondriac pain Epigastric pain A 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 T: Red C: Thin and yellow P: Wiry and forceful
Treatment Principle	Harmonize the Shao Yang Unblock the three Yang Levels Sedate and calm the Spirit Relieve chest and subcardiac regions
Herb Formulas	Chai Hu Jia Long Gu Mu Li Tang
Points	GB-34, HT-7, LI-11, LIV-3, PC-6, SJ-6, ST-44 Ear: Shenmen, Liver, Gall Bladder, Bleed Heat points

SHAO YIN HEAT

Clinical Manifestations	Dryness of throat and/or mouth Chronic sore throat (not acute) Restlessness Malar flush Insomnia Disturbed speech Low grade fever - worse at night 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 Xu (chronic low grade fever) T: Red, deep red C: None P: Deep, thready and rapid
Treatment Principle	Nourish Yin Reduce Heat
Herb Formulas	Huang Lian E Jiao Tang Zhu Ling Tang
Points	KI-6, LU-7, REN-4 DU-14, HT-5, HT-7, KI-3, KI-6, KI-7, KI-10, LIV-3, SP-6, UB-15, UB-23

JUE YIN COLD AND HEAT

Clinical Manifestations	Delirium Heat in upper body Cold in lower body Sensation of Qi rushing to the chest Vomits worms Persistent thirst Feverishness Anorexia (hungry but can't eat) Chronic diarrhea Cold extremities Maybe edema Vertex headache Vomits food Cardiac Heat with pain T: Red or pink or Pale and flabby C: Thick and greasy or thin P: Deep, thready and weak or wiry
Treatment Principle	Clear worms Clear Heat Revive Yang
Herb Formulas	Wu Mei Wan
Points	To clear worms: Moxa needle REN-4, REN-6, REN-8, ST-25 To clear Heat: DU-14, LI-11, LI-4, LIV-3 To revive Yang: Moxa REN-4, REN-6, REN-8, ST-36 To regulate the Qi of the chest: REN-17

SUMMERHEAT DISTURBS THE HEART

Clinical Manifestations	Anxiety Disturbing dreams Dysuria Insomnia Painful urinary calculus Scanty dark urine Thirst Palpitations Restless sleep T: Red C: Greasy and yellow P: Slippery and rapid
Treatment Principle	Calm the Shen Clear Heat Resolve Damp
Herb Formulas	Yi Yuan San
Points	Bleed UB-40, needle DU-14, DU-23, DU-24, GB-20, LI-4, LI-11, REN-9, SJ-5, SP-6, SP-9, ST-8, ST-28, Taiyang, UB-12, UB-20

QI STAGE HEAT LINGERING IN THE LUNGS AND STOMACH

Clinical Manifestations	Severe, splitting headaches with dizziness Sudden tinnitus or deafness 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 Constipation or dry stools Maybe rib pain T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang With congestion in the chest and epigastrium: Zhi Zi Chi Tang
Points	GB-12, GB-13, GB-15, GB-20, GB-44, KI-6, LIV-2, LIV-3, REN-24, SP-6, UB-1, UB-18, UB-62

QI STAGE GALL BLADDER HEAT

Clinical Manifestations	Insomnia Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability Irascibility Feeling of Heat and disturbance in the Heart Flushed face Bitter taste in the mouth T: Red tip, ulcers especially on tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	San Huang Xie Xin Tang Liang Ge San Zhi Zi Chi Tang
Points	HT-7, HT-8, PC-7, PC-8, UB-15

YING STAGE HEAT

Clinical Manifestations	High fever, worse at night Insomnia Irritability Mild thirst - no desire to drink Mental disturbance (mania, delirium) Speech disturbance Vexation Agitation Rashes (red, dry, painful) Dry mouth with no desire to drink T: Deep red or Reddish-purple C: Peeled P: Thready and rapid.
Treatment Principle	Clear Heat Detoxify
Herb Formulas	Qing Ying Tang
Points	Bleed Shixuan, needle HT-3, HT-5, HT-6, HT-7, KI-3, LI-11, PC-7, PC-8, SP-6, Sifeng

YING STAGE HEAT ATTACKS THE PERICARDIUM

Clinical Manifestations	High fever worse at night Thirst Insomnia Major mental problems Dramatic change of personality Delirium Speech difficulty Aphasia Poor memory Dizziness Maybe fainting Maybe coma Feverish extremities T: Deep red P: Thready and rapid
Treatment Principle	Clear Heat in the Pericardium
Herb Formulas	An Gong Niu Huang Wan + Qing Ying Tang Zi Xue Dan
Points	Bleed Shixuan, needle HT-3, HT-5, HT-6, HT-7, KI-3, LI-11, PC-7, PC-8, SP-6, Sifeng

XUE STAGE HEAT LIVER AND KIDNEY YIN DEFICIENCY GENERATE WIND

Clinical Manifestations	Low grade fever Purple skin rash Malar flush Night sweats every night (gets progressively drier) Restlessness Insomnia Dry mouth, throat Short, sunken, dry gums Thirst Hearing loss Five sole heat Disturbed speech Emaciation Red face Tired spirit Tendon problems Twitching Jumping T: Red and dry C: Dry P: Empty and rapid
Treatment Principle	Cool the Blood Extinguish Wind Nourish Yin and Jing
Herb Formulas	Da Ding Feng Zhu
Points	DU-14, HT-7, KI-3, LI-11, LIV-3, SP-6, ST-44, UB-23, UB-43, UB-52

XUE STAGE HEAT YIN DEFICIENCY LEADS TO COLLAPSE OF YIN

Clinical Manifestations	Low grade fever Purple skin rash Malar flush (deep red cheeks - dangerous) Night sweats every night (gets progressively drier) Restlessness Insomnia Hearing loss Dry mouth and throat Short, sunken, dry gums Thirst Five sole Heat Emaciation Collapse of Yin Moist skin Sticky with sweat Extreme thirst Tired spirit Shortness of breath Extreme disorientation - confusion T: Deep red, scorched C: Dry P: Thready and rapid.
Treatment Principle	Nourish Yin and Jing Nourish the Liver and Kidneys Tonify the Blood
Herb Formulas	Da Ding Feng Zhu
Points	DU-14, HT-7, KI-3, LI-11, LIV-3, SP-6, ST-44, UB-23, UB-43, UB-52

LUNG QI AND YIN DEFICIENCY

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle	Augment Qi Clear Heat
Herb Formulas	Sheng Mai San Qiong Yu Gao
Points

LUNG AND KIDNEY YIN DFICIENCY

Clinical Manifestations	Dry mouth and throat worse at night Soft or hoarse voice Low back and legs sore and weak Night sweats Malar flush Afternoon fever Sterility Spermatorrhea Sore and swollen throat Asthma Dry nose and lips May be the development of a white curd-like membrane in the throat that is difficult to scrape off Low grade fever Raspy breathing resembling wheezing Cough with dry or little Phlegm Five sole heat May be fever Blood flecked Phlegm Irritability Insomnia Steaming bones White complexion Maybe a red face Skinniness Shortness of breath (maybe exertional) Urgent panting Allergies Seminal emission with dreams Diminished urination Feeling miserable and agitated with fever T: Red and dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear the Lungs Improve the condition of the throat Relieve toxicity
Herb Formulas	Yang Yin Qing Fei Tang Sheng Mai San Sheng Mai Yin Wan Er Dong Er Mu Tang
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43

SPLEEN QI DEFICIENCY WITH COLD AND HEAT IN THE INTERIOR

Clinical Manifestations	Insomnia with difficulty falling asleep Frequent waking Talking in one's sleep Sleepwalking Dream disturbed sleep Epigastric distention, fullness and hardness Dry heaves Nausea/Vomiting Irritability Borborygmus Diarrhea with undigested food Hysteria Fatigue Erosions of the throat T: Pink C: Yellowish P: Wiry and rapid
Treatment Principle	Benefit Qi Harmonize the Stomach Relieve epigastric distention Disperse lumps and hardness
Herb Formulas	Gan Cao Xie Xin Tang
Points

SPLEEN YANG DEFICIENCY

Clinical Manifestations	Diarrhea with watery stools Nausea and vomiting No thirst Anorexia Abdominal and/or epigastric fullness (likes pressure) Abdominal pain Gastrointestinal weakness Pale face Frequent urination Tends toward fatigue May have cold limbs May have headache with fever Body aches Epistaxis Hematemesis Shortness of breath Lassitude Epigastric pain All Blood from bleeding is pale Edema Insomnia Hemoptysis Intestinal bleeding Chronic bleeding Hemafecia Uterine bleeding Rectal bleeding Profuse menstrual flow Chest fullness and pain Hypochondriac pain that shoots toward the Heart Intolerance of Cold Rigid focal distention in the Heart region Excessive production or drooling of foamy saliva Emaciation T: Pale, may be moist C: White or None P: Deep, weak and slow or Deep and thready or Big and weak
Treatment Principle	Warm the Middle Jiao Dispel Cold Strengthen the Spleen and Stomach Tonify Qi
Herb Formulas	Li Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

SPLEEN QI AND HEART BLOOD DEFICIENCY

Clinical Manifestations	Palpitations Insomnia Much dreaming Easily startled Poor memory Headache Four limbs tired and lethargic Loss of appetite Distention and fullness of the epigastrium and abdomen Loose stools Sallow complexion Copious, pale menses Uterine bleeding or Light menstrual flow or Amenorrhea T: Pale P: Thready and weak
Treatment Principle	Reinforce and Benefit the Heart and Spleen
Herb Formulas	Gui Pi Tang Ren Shen Yang Rong Tang
Points	HT-7, REN-4, SP-1, SP-6, ST-36, UB-15, UB-20 HT-7, KI-9, PC-6, REN-14, REN-15, SP-4, SP-6, UB-15, UB-20

SPLEEN AND STOMACH DEFICIENCY COLD

Clinical Manifestations	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 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: Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Middle Jiao Replenish Qi Dispel Cold
Herb Formulas	Xiao Jian Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20,

FOOD STAGNATION IN THE STOMACH

Clinical Manifestations	Insomnia Epigastric fullness, distention and pain with dislike of pressure Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Harmonize the Stomach Conduct Stagnation Calm the Shen
Herb Formulas	Shu Mi Tang Jia Jian
Points	LIV-13, PC-6, REN-12, ST-44 For grain Food Stagnation: + ST-21 For meat Food Stagnation: + ST-24 LIV-13, LIV-14, PC-6, REN-11, REN-12, SP-4, ST-21, ST-36, ST-44 Epigastric pain due to Food Stagnation in the Stomach: 1. LIV-13, PC-6, REN-12, ST-36, ST-44 2. LIV-13, ST-21, ST-44 3. PC-6, REN-11, ST-36 4. PC-6, REN-10, REN-12, SP-4, ST-21, ST-36 Vomiting due to Food Stagnation in the Stomach: PC-6, REN-12, SP-4, ST-25, ST-36

PHLEGM ACCUMULATION IN THE STOMACH

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum 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 after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Regulate Qi Transform Phlegm Harmonize the Stomach Clear Heat
Herb Formulas	Huang Lian Wen Dan Tang
Points	GB-12, LI-11, REN-9, REN-12, SP-1, SP-6, SP-9, ST-8, ST-40, ST-44, ST-45, UB-20

STOMACH QI DISHARMONY

Clinical Manifestations	Insomnia Restless sleep Wakes easily Fullness, bloating, gurgling, discomfort or a blocked feeling in the Stomach and epigastrium Symptoms relieved by belching or vomiting Painful, distended abdomen Belching Acid reflux Nausea/Vomiting Indeterminate, gnawing hunger Bad breath Anorexia Loose, foul-smelling stools or Constipation T: Pink C: Sticky and white P: Slippery and maybe full and forcefully
Treatment Principle	Promote digestion Relieve Stagnation Harmonize the Stomach Calm the Shen
Herb Formulas	Bao He Wan modified Severe cases: Tiao Wei Cheng Qi Tang(short term) Chinese Patent Medicines: Bao He Wan Liu He Bao He Wan
Points	HT-7, PC-6, REN-12, SP-6, ST-36, ST-45, UB-20, UB-21 GB-34, PC-6, REN-12, SP-1, ST-25, ST-34, ST-40, ST-43, ST-44, ST-45 For damage to Stomach Qi during pregnancy with insomnia, nightmares, epigastric fullness and discomfort, increased appetite, a thick, greasy tongue coat and a large, slippery pulse: PC-6, ST-36 With nightmares: + HT-7, SP-1, ST-45 With meteorism: + REN-12, SP-4, UB-21 Ear: Stomach, Spleen, Duodenum, Shenmen

HEART FIRE FLARING UP

Clinical Manifestations	Insomnia Restlessness Agitation Anxiety Difficulty falling asleep Dream disturbed sleep Frequent waking with nightmares Palpitations Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Restlessness Irritability Irascibility Feeling of Heat and disturbance in the Heart Flushed face Bitter taste in the mouth Scanty, painful dark urine A red complexion Maybe painful urination Maybe hematuria T: Red tip, ulcers especially on tip or Red with a redder tip C: Normal or Yellow P: Excess and rapid
Treatment Principle	Clear Heat Purge Heart Fire Calm the Shen
Herb Formulas	San Huang Xie Xin Tang Dao Chi San modified Liang Ge San Insomnia #1 Huang Lian Jie Du Tang For a chronic condition with Yin Deficiency or dysuria: Dao Chi San For Heart Yin Deficiency following a Shao Yin Heat condition or Heart Yin Deficiency with Fire Rising: Huang Lian E Jiao Tang For residual Heat following a Summerheat condition: Zhu Ye Shi Gao Tang With severe palpitations and anxiety: Zhu Sha An Shen Wan With Blood and Yin Deficiency: Zhu Sha An Shen Wan Chinese Patent Medicines: Niu Huang Shang Qing Wan Niu Huang Jie Du Pian Dao Chi Pian Xiao Er Qi Xing Cha
Points	HT-7, HT-8, PC-7, PC-8, UB-15 HT-7, HT-8, PC-8, ST-41 Anmian, HT-7, LI-4, PC-6, PC-7, Ear: Shenmen HT-7, HT-8, PC-7, PC-8, SP-6, UB-15 Anmian, HT-7, HT-8, HT-9, KI-6, PC-8, SP-6, UB-15, Yintang

HEART FIRE DUE TO KIDNEY AND LIVER YIN DEFICIENCY

Clinical Manifestations	Insomnia Ulceration, erosion, and pain of mouth and tongue Thirst with a desire for cold drinks Irritability Irascibility Feeling of Heat and disturbance in the Heart Flushed face Bitter taste in the mouth Palpitations Tinnitus Dizziness Diminished acuity of vision and hearing Seizures Headache Deafness Blurred vision T: Red tip, ulcers especially on tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Nourish Kidney and Liver Yin Calm the Shen
Herb Formulas	Ci Zhu Wan With Damp-Heat: Qing Xin Lian Zi Yin
Points	HT-7, KI-3, LIV-3, HT-8, PC-7, PC-8, SP-6, UB-15, UB-18, UB-23

HEART BLOOD STAGNATION

Clinical Manifestations	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 Irritability Fidgeting A bad temper Extreme mood swings Evening tidal fever Dark or purplish lips, conjunctiva or nail beds Dark complexion Dark sclera Hair loss on the head and body T: Dark-red with purple spots on the edges P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle	Invigorate the Blood Resolve Stasis Invigorate Qi
Herb Formulas	Xue Fu Zhu Yu 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 Vertigo Nausea and vomiting Insomnia Difficulty falling asleep Dream-disturbed sleep with unusual dreams Wakes easily Palpitations Anxiety Nervousness Dizziness Vertigo Heavy or foggy headedness Profuse white foamy sputum Nausea/Vomiting Restlessness Easily startled 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 Belching Acid reflux Unsatisfying bowel movements T: Pink or Red tip or Red C: Yellow and greasy P: Slippery and rapid or Wiry and rapid or Rolling and rapid
Treatment Principle	Dispel Heat Clear the Heart Break through Phlegm Sedate Fire
Herb Formulas	Gun Tan Wan Wen Dan Tang Ci Zhu Wan Huang Lian Wen Dan Tang modified Dao Tan Tang Bai He Gu Jin Tang Zhu Ru Wen Dan Tang For recalcitrant cases: Qing Huo Di Tan Tang Chinese Patent Medicines: Er Chen Wan An Mian Pian Suan Zao Ren Tang
Points	HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 UB-12, REN-14, HT-7, PC-6, ST-40, GB-34 HT-7, PC-6, ST-40, ST-44, Anmian, Ear: Shenmen REN-13, SP-1, SP-5, ST-45, UB-20, UB-21 PC-6, PC-7, REN-12, ST-40, UB-21 DU-20, PC-6, REN-12, SP-1, ST-25, ST-36, ST-40, ST-45 With Stomach discomfort: + ST-34 With dizziness: + GB-43 With anxiety: + DU-19, DU-24 DU-20, HT-7, REN-12, ST-40, ST-44 With nausea or vomiting: + PC-6 With dizziness or vertigo: +Yintang To Clear Heart and Calm the Shen: HT-7, PC-6, PC-7, PC-8, REN-14, SP-1, UB-15 To Resolve Phlegm: PC-5, ST-40 To clear the mind and Calm the Shen: Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26 To clear Heat: bleed the Jing-Well points Ear: Shenmen, Heart, Sympathetic, Subcortex, Small Intestine

PHLEGM OBSTRUCTS THE HEART ORIFICE: YANG OBSTRUCTION

Clinical Manifestations	Fever Irritability Restlessness Delirious speech Impaired consciousness to the point of coma Hoarse voice with profuse sputum Spasms of the limbs Lockjaw Sudden loss of consciousness Flushed face Shortness of breath Discomfort Insomnia Copious sputum with labored and raspy breathing Convulsions Foul-smelling breath A closed mouth Anuria Dizziness Cessation of bowel movement Forceful breathing T: Red or Deep red C: Foul, greasy and yellow P: Slippery and rapid or Wiry, slippery and rapid
Treatment Principle	Clears Heat Opens the sensory orifices Transforms turbidity Resolves toxicity
Herb Formulas	Zhi Bao Dan Ling Jiao Gou Teng Tang
Points	Bleed the Jing-Well points of the Six Hand channels to clear Heat, DU-20, DU-26, KI-1, LIV-3, ST-40

HEART QI, BLOOD AND YIN DEFICIENCY

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	Nourish the Heart Augments Qi Nourishes Blood Enriches Yin
Herb Formulas	Zhi Gan Cao Tang
Points	HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-4, REN-6, REN-14, REN-17, SP-1, SP-6, ST-36, UB-15, UB-17, UB-20

HEART BLOOD DEFICIENCY

Clinical Manifestations	Palpitations Irritability Anxiety Easily startled Insomnia Difficulty falling asleep Much dreaming Poor memory Constipation Dry mouth Dizziness Pale face and lips Shen ill at ease T: Pale P: Thready and weak
Treatment Principle	Nourish Hw6eart Blood Calm the Heart and Shen
Herb Formulas	Dang Gui Bu Xue Tang Gui Pi Tang Suan Zao Ren Tan Yang Xin Tang Yang Xin Tang #1
Points	HT-7, PC-6, REN-4, REN-14, SP-1, SP-6, ST-36, UB-15, UB-17, UB-20 Anmian, HT-7, PC-6, REN-4, REN-14, SP-4, SP-6, ST-36, UB-15, UB-17, UB-20 Anmian, HT-7, SP-6, UB-15, UB-20, Yintang HT-7, LI-4, SP-6, ST-36, UB-15, UB-23, UB-47 KI-6, LU-7, REN-4 Moxa KI-1 before sleep,

HEART BLOOD AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Memory loss Forgetfulness Absent-mindedness Lack of concentration Menorrhagia Palpitations with or without anxiety Insomnia (difficulty falling asleep) Nightmares Poor memory Poor concentration Reduced appetite Pale, wan complexion Pale lips and nails Early menstruation with copious pale blood Continuous flow with little blood (spotting) Excess perspiration Night sweats Irregular menstruation Leukorrhea Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued) Blurred vision Spots before the eyes Anorexia	Low spirits Dream-disturbed sleep Depression Bruising easily Dream disturbed sleep Wakes easily Short attention span Anxiety Phobias Panic attacks Fear Low grade fever Withdrawal Fatigue and lethargy Weakness Genital itch Impotence Nocturnal emissions Weak abdomen Abdominal distention after eating Loose stools Premenstrual spotting Dry skin and hair T: Pale, maybe swollen C: White P: Thready and weak or Thready and moderate or Thready and soft
Treatment Principle	Augment Qi Nourish the Blood Strengthen the Spleen Nourish the Heart Calm the Shen
Herb Formulas	Gui Pi Tang modified Bai He Gan Mai Da Zao Tang Chinese Patent Medicines: Gui Pi Wan Bai Zi Yang Xin Wan Yang Xin Ning Shen Wan Bu Nao Wan Dang Gui Ji Jing
Points	HT-7, LIV-13, PC-6, REN-4, REN-12, REN-14, SP-1, SP-3, SP-5, SP-6, ST-36, UB-15, UB-17, UB-20 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16 Anmian, HT-7, PC-6, SP-4, SP-6, ST-36, UB-15, Ear: Shenmen For dream disturbed sleep: moxa SP-1 HT-7, SP-6, SP-10, UB-17 HT-6, HT-7, REN-4, SI-3, SP-6, ST-36, UB-15, UB-20 Anmian, DU-19, HT-7, PC-6, SP-6, ST-36, UB-15, SP-10, UB-17, UB-20, Yintang With forgetfulness: + DU-20, UB-52 With much dreaming: + UB-42 With bruising or heavy periods: + SP-1, SP-10 With palpitations: + HT-5 With dizziness: + DU-20 HT-7, SP-6, UB-15, UB-20 With much dreaming: + UB-42 With forgetfulness: + DU-20, UB-52 With palpitations: + PC-6

HEART BLOOD DEFICIENCY WITH LIVER QI STAGNATION

Clinical Manifestations	Absent-mindedness Frequent feelings of extreme sadness with an urge to cry Inability to control one's emotions Depression Restless sleep Gastrointestinal spasms 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 Relax tension Tonify Spleen Qi
Herb Formulas	Gan Mai Da Zao Tang
Points	UB-15, UB-17, UB-18, UB-20, ST-36, SP-1, SP-6, SJ-6, REN-4, REN-14, PC-6, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, HT-7, GB-40, GB-41

HEART YIN DEFICIENCY

Clinical Manifestations	Palpitations Irritability Easily startled Insomnia Wakes easily 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 the Heart Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan modified Bu Yuan Yi Yin Tang With Heart Qi Deficiency: Bai He Gan Mai Da Zao Tang
Points	Anmian, HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15 KI-6, LU-7, REN-4 HT-6, KI-6, SP-6, UB-15 With severe palpitations: + PC-6 With impaired memory: + moxa or moxa needle UB-52 With severe night sweats or tidal fever: + UB-43 With sores on the mouth or tongue: + PC-8, REN-23

HEART AND LUNG QI DEFICIENCY

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	Nourish the Heart Augments Qi Nourishes Blood Enriches Yin
Herb Formulas	Zhi Gan Cao Tang
Points	HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-4, REN-6, REN-14, REN-17, SP-1, SP-6, ST-36, UB-15, UB-17, UB-20 HT-7, LU-9, REN-17, UB-13, UB-15

HEART AND LIVER YIN DEFICIENCY

Clinical Manifestations	Palpitations Irritability Easily startled Insomnia Wakes easily Much dreaming Poor memory Low grade fever Night sweats Five sole heat Restlessness Dry mouth Thirst Dry throat Malar flush Excitability Headache T: Red and dry with a red tip and edges C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce the Heart and Liver Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan
Points	Anmian, HT-5, HT-6, HT-7, KI-3, LIV-3, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15, UB-18, UB-23 + general points KI-6, LU-7, REN-4

HEART AND LIVER BLOOD DEFICIENCY

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	Nourish the Heart Augments Qi Nourishes Blood Enriches Yin
Herb Formulas	Zhi Gan Cao Tang
Points	HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-4, REN-6, REN-14, REN-17, SP-1, SP-6, ST-36, UB-15, UB-17, UB-20

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 GALL BLADDER QI DEFICIENCY

Clinical Manifestations	Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Dream disturbed sleep Easily frightened or startled Tends to wake up in fright Easily unsettled by seeming trivial events Anxiety Timidity Palpitations Shortness of breath Lethargy Fatigue Depression Spontaneous sweating T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip C: Thin and white P: wiry and thready
Treatment Principle	Strengthen Qi Calm the Shen Alleviate fearfulness
Herb Formulas	Wen Dan Tang An Shen Ding Zhi Tang Ding Zhi Wan modified Chinese Patent Medicines: Bu Nao Wan Jian Nao Wan Ding Xin Wan Yang Shen Ning Xin Wan
Points	GB-40, HT-7, LIV-3, LIV-5, PC-7, REN-15 Anmian, DU-20, GB-40, HT-7, PC-7, ST-36, UB-7, UB-23, UB-47, UB-52, Yintang DU-24, PC-7, SP-6, UB-42, UB-15 alternate with UB-19

HEART AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Palpitations Irritability Easily startled Agitation Panic attacks Tinnitus Dizziness Insomnia with frequent waking or Waking feeling hot or sweaty Much dreaming Poor memory Low grade fever Night sweats Five Sole Heat Restlessness Vertigo Dry mouth Thirst Dry throat Malar flush Nocturnal emissions Spermatorrhea Sexual dreams Leukorrhea Heart trouble Lower back ache T: Red and dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Harmonize the Heart and Kidneys Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan Jiao Tai Wan #1 Due to shock or trauma: Gui Zhi Jia Long Gu Mu Li Tang With Kidney Yang Deficiency: Jiao Tai Wan For severe Yin Deficiency or post-febrile disease: Huang Lian E Jiao Tang modified With severe palpitations and anxiety: Zhu Sha An Shen Wan Chinese Patent Medicines: Tian Wang Bu Xin Dan Jian Nao Wan Zhu Sha An Shen Wan An Shen Bu Xin Wan
Points	Anmian, HT-7, KI-3, LIV-3, PC-7, PC-8, SP-6, UB-14, UB-15, UB-23 With dizziness: + DU-20 With tinnitus: + SI-19, SJ-3 With arrhythmia: + HT-5 HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15 HT-7, KI-3, PC-6, SP-6, UB-15, UB-23, Anmian, + GB-12, SJ-13 or GB-12, GB-20 + Ear Shenmen KI-1, KI-6, UB-15, UB-23 Tonify KI-1, UB-15, UB-23, sedate PC-8 HT-7, KI-6, PC-7, SP-6, ST-36, UB-15, UB-23 HT-5, HT-6, HT-7, KI-1, KI-3, KI-6, PC-5, PC-6, PC-7, REN-4, REN-4, REN-14, SP-6, UB-15, UB-23 HT-7, KI-1, KI-3, PC-7 With severe Heat: + ST-44 With dizziness: + GB-20 With tinnitus: + SI-19 With seminal emission: + UB-52 With severe insomnia: + Anmian Cutaneous needling: Tap Sishencong 2 to 3 times During pregnancy: HT-7, KI-3, PC-6, UB-15, UB-23 For sweating and a dry throat: KI-1, KI-4, KI-6, PC-5 Ear: Heart, Kidney, Brain

HEART AND KIDNEY YIN DEFICIENCY WITH HEART BLOOD DEFICIENCY

Clinical Manifestations	Fever Irritability Restlessness Delirious speech Impaired consciousness to the point of coma Hoarse voice with profuse sputum Spasms of the limbs Lockjaw Sudden loss of consciousness Flushed face Shortness of breath Discomfort Insomnia Copious sputum with labored and raspy breathing Convulsions Foul-smelling breath A closed mouth Anuria Dizziness Cessation of bowel movement Forceful breathing T: Red or Deep red C: Foul, greasy and yellow P: Slippery and rapid or Wiry, slippery and rapid
Treatment Principle	Clears Heat Opens the sensory orifices Transforms turbidity Resolves toxicity
Herb Formulas	Zhi Bao Dan
Points	Bleed the Jing-Well points of the Six Hand channels to clear Heat, DU-20, DU-26, KI-1, LIV-3, ST-40

LIVER QI STAGNATION

Clinical Manifestations	Insomnia Hypochondriac pain and distention Alternating fever and chills Depression Easily angered Chest fullness Bitter taste in mouth Fidgeting Abdominal pain and cramps Breast distention and pain Irritability Dysmenorrhea Irregular menstruation Amenorrhea T: Pink C: Thin and white P: Wiry or Tight
Treatment Principle	Spread Liver Qi Promote Qi circulation Harmonize the Blood Alleviate pain
Herb Formulas	Chai Hu Shu Gan Tang
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 WITH STAGNANT HEAT OR FIRE

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 QI STAGNATION: PHLEGM AND QI STAGNANT AND BLOCKED

Clinical Manifestations	A 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 Tendency to sigh Melancholy Depression Insomnia Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle	Spread Qi Resolve Phlegm.
Herb Formulas	Ban Xia Hou Po Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

LIVER QI STAGNATION WITH BLOOD DEFICIENCY

Clinical Manifestations	Hypochondriac pain 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 Lassitude Insomnia Shoulder and back pain Rib pain Cold extremities	Tightness or fullness in the chest 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 Irritability Increased desire to sleep T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood
Herb Formulas	Xiao Yao San Hei Xiao Yao San With Heat: Jia We Xiao Yao San
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, REN-4, SJ-6, SP-6, ST-36, UB-17, UB-18, UB-20

LIVER FIRE

Clinical Manifestations	Difficulty falling asleep Severe, splitting headaches with dizziness Sudden tinnitus or deafness Flushed face Red, swollen, painful eyes Impatience Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Frequent sighing Constipation or dry stools Chest and rib distention and pain Dark urine T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear Liver Purge Fire
Herb Formulas	Xie Qing Wan modified Long Dan Xie Gan Tang Liver Fire #2
Points	GB-20, GB-44, HT-7, LIV-2 With severe dizziness: + DU-20 With a severe headache: + Taiyang With tinnitus: + SJ-3, SJ-17 With red eyes: + LI-5, Taiyang GB-12, GB-13, GB-15, GB-20, GB-44, KI-6, LIV-2, LIV-3, REN-24, SP-6, UB-1, UB-18, UB-62 During pregnancy: HT-7, PC-6, UB-18, UB-19 With uterine tension and a headache: DU-20, LIV-2, LIV-3

LIVER WIND STIRRING INTERNALLY: LIVER FIRE TRANSFORMS INTO 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 Severe: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia T: Red P: Thready and wiry
Treatment Principle	Clear Liver Purge Fire
Herb Formulas	Tian Ma Gou Teng Yin
Points	Bleed the Jing-Well points of Six Hand channels, DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23 + general points

LIVER WIND STIRRING INTERNALLY: LIVER BLOOD DEFICIENCY GENERATES WIND

Clinical Manifestations	Pale, lusterless complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Generalized muscle tension Numbness of limbs Tremor, spasms or involuntary movements (chorea) Involuntary shaking of head Light menses or amenorrhea Late menses Irregular menstruation with little flow Periumbilical pain Lower abdominal pain Vertigo Spotting of pale Blood Postpartum uterine bleeding Tic or tremor of hands and feet Maybe trismus T: Pale C: Little P: Thready and wiry
Treatment Principle	Nourish Blood Subdue Wind.
Herb Formulas	Si Wu Tang
Points	UB-17, UB-18, UB-20, ST-36, SP-6, REN-4, LIV-3, GB-20, DU-16, DU-20

LIVER YIN DEFICIENCY

Clinical Manifestations	Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Nervousness Insomnia with much dreaming Wakes easily Dry throat Thirst Five sole heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red C: Little P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver.
Herb Formulas	Yi Guan Jian
Points	KI-3, LIV-3, UB-18, UB-23 + general points KI-6, LU-7, REN-4

LIVER YANG RISING

Clinical Manifestations	Irascibility Throbbing headache with distended feeling Dizziness Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Tinnitus Dry mouth and throat with bitter taste in mouth Insomnia Restless insomnia Palpitations T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	Long Dan Xie Gan Tang modified Tian Ma Gou Teng Yin Da Bu Yin Wan Qi Ju Di Huang Wan
Points	GB-12, GB-13, GB-15, GB-20, GB-44, KI-6, LIV-2, LIV-3, REN-24, SP-6, UB-1, UB-18, UB-62 Anmian, DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23 KI-6, LU-7, REN-4

LIVER YIN DEFICIENCY WITH EMPTY FIRE DISTURBING THE HEART

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 Nourish the Heart Calm the Shen Clear Heat in Liver and Heart Eliminate irritability
Herb Formulas	Suan Zao Ren Tang Da Bu Yin Wan
Points

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

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Difficulty falling asleep Tinnitus Numbness of limbs Light menses or amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish Liver Blood
Herb Formulas	Si Wu Tang Qi Ju Di Huang Tang Bu Gan Tang With Blood Stagnation: Si Wu Tang Jian Wei With Heat: Yi Gan San
Points	Moxa or moxa needle REN-4, ST-36, UB-17, UB-18, UB-20 tonify LIV-3, SP-6, GB-37, LIV-3, ST-36, UB-18, UB-20 KI-6, LU-7, REN-4

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

LIVER AND SPLEEN DISHARMONY

Clinical Manifestations	Insomnia 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 Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Harmonize the Liver, Spleen and Intestines
Herb Formulas	Chai Hu Gui Zhi Tang
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

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 or spasms of limbs Flaccid paralysis (Wei syndrome), weakness May be long term tremors of the hand, leg, jaw or tongue Tinnitus, deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole heat Low-grade fever Night sweats	Irritability Insomnia Dream disturbed sleep Stools difficult to pass Constipation Poor memory Depression Emaciation Dry skin Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red or Red an dry C: Little or none P: Thready and rapid or Thready, wiry , rapid and deep
Treatment Principle	Nourish Yin Nourish and reinforce the Liver and Kidneys.
Herb Formulas	Da Bu Yin Wan Zuo Gui Wan Qing Gu San With Yang Rising and Wind: Ling Yang Jiao Tang
Points	UB-18, UB-23, LIV-3, KI-3 UB-23, UB-18, REN-4, KI-3, KI-6, LIV-3, LIV-8, LU-7, HT-7 With anxiety: PC-6, Yintang

GALL BLADDER DEFICIENCY HEAT

Clinical Manifestations	Dizziness Blurred vision Bitter taste in mouth Nausea Vomiting Agitation Restlessness Irritability Indecision Suspiciousness Palpitations with anxiety Insomnia Frequent sighing Suffocating sensation in 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
Points	GB-34, HT-5, HT-7, PC-5, PC-6, REN-14, ST-40, UB-15, UB-19 HT-7, SP-6, Yintang, DU-20, KI-1, KI-16

KIDNEY YANG DEFICIENCY: KIDNEY QI NOT CONSOLIDATED

Clinical Manifestations	Hypochondriac pain 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 Lassitude Insomnia Shoulder and back pain Rib pain Cold extremities	Tightness or fullness in the chest 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 Irritability Increased desire to sleep T: Pink C: Thin white or yellow P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle	Pacify the Liver Spread Liver Qi Strengthen the Spleen Nourish the Blood
Herb Formulas	Xiao Yao San Hei Xiao Yao San With Water Flooding: Zhen Wu Tang
Points	GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, REN-4, SJ-6, SP-6, ST-36, UB-17, UB-18, UB-20

KIDNEY YIN DEFICIENCY WITH HEART FIRE

Clinical Manifestations	Irritability Palpitations Anxiety Fatigue Insomnia Wakes easily 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 modified Zhi Bai Di Huang Wan Qin Jiao Bie Jia San
Points	HT-6, HT-7, KI-3, KI-6, PC-7, REN-4, REN-15, SP-6, UB-15, UB-23, UB-44, UB-52 HT-7, KI-1, KI-2, KI-3, KI-6, PC-7, REN-4, SP-6, UB-15, UB-23 With Liver Yang Rising: LIV-3, UB-18 KI-6, LU-7, REN-4 KI-6, KI-7, SP-6

KIDNEY AND LIVER YIN DEFICIENCY WITH EMPTY FIRE RISING AND BLOOD DEFICIENCY

Clinical Manifestations	Fever Night sweats Red face Dry mouth Leukorrhagia with yellow, thick, foul discharge Constipation Dark, scanty urine Irritation Fidgeting Insomnia Five sole Heat Irregular menstruation A thin physique Nocturnal emissions Parched lips Irritability Dry stools T: Dark red and dry C: Dry and yellow or None P: Flooding and rapid or Thin and rapid
Treatment Principle	Nourish Yin Clear Heat Nourish the Blood
Herb Formulas	Dang Gui Liu Huang Wan Without Blood Deficiency: Qing Gu San
Points

KIDNEY AND LIVER YIN AND BLOOD DEFICIENCY WITH LIVER FIRE

Clinical Manifestations	Deafness Tinnitus that worsen at night Dizziness Hypoacusis (elderly people) Blurred vision Fever Insomnia Irritability Hard of hearing Ocular pain Red eyes Thirst Auditory depression Poor hearing T: Red C: Yellow P: Weak, thready and rapid
Treatment Principle	Nourish Yin and Blood of the Liver and Kidneys Improve hearing Clear Heat
Herb Formulas	Zi Shen Tong Er Tang
Points

QI BLOOD AND YANG DEFICIENCY WITH COLD

Clinical Manifestations	Anemia Uterine bleeding Cold extremities Pale or sallow face Dizziness General fatigue Coarse skin Nocturnal emissions Weak knees Fatigue Dyspnea Night sweats Irregular menstruation Insomnia Intolerance of Cold Decreased eyesight after a prolonged illness Anxiety Intermittent fever Jaundice Deficient cough Shortness of breath Palpitations Anorexia Listlessness Lassitude Spontaneous sweating Spermatorrhea Continuous spotting Leukorrhea Weak legs and knees T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Replenish Yang Warm and tonify Qi and Blood
Herb Formulas	Shi Quan Da Bu Tang Ren Shen Yang Rong Tang
Points

QI, BLOOD AND YIN DEFICIENCY WITH BLOOD STAGNATION AND HEAT

Clinical Manifestations	Lassitude Fatigue Shortness of breath Dizziness Tinnitus Palpitations Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and weakness Low grade fever Five sole heat Possible sweating Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	Tonify Qi and Blood Invigorate the Blood Dispel Blood Stasis Nourish Yin Clear Heat Cool the Blood
Herb Formulas	Yi Qi Yang Yin Huo Xue Fang
Points

BLOOD STAGNATION

Clinical Manifestations	Persistent insomnia with much dreaming and restlessness Irritability Depression Short temper Depression Mood swings Low-grade fever at night Pain that is fixed, stabbing and/or severe, particularly in the upper body and head Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Purple sclera Purple conjunctiva Dark rings under the eyes Dry, scaly skin Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots with dark and distended sublingual veins Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation Calm the Shen
Herb Formulas	Xue Fu Zhu Yu Tang modified Chinese Patent Medicines: Fu Fang Dan Shen Pian Yan Hu Sou Zhi Tong Pian Fu Ke Wu Jin Wan
Points	Anmian, HT-7, LI-4, SP-6, SP-10, UB-15, UB-17, Yintang For trauma: + Ahshi points With depression: + LIV-3 SP-6, SP-10, ST-36, UB-17, UB-40

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 Xue Fu Zhu Yu Tang modified
Points

BLOOD DEFICIENCY

Clinical Manifestations	Insomnia 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 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	Warm and tonifies the Spleen and Stomach Nourish the Blood
Herb Formulas	Dang Gui Jian Zhong Tang Yang Xue Sheng Feng Tang Ren Shen Zi Xue Tang
Points	During pregnancy: DU-20, HT-7, HT-9, PC-6, UB-15, UB-17, UB-20, UB-38

DAMP-HEAT IN THE MIDDLE JIAO

Clinical Manifestations	Insomnia Epigastric focal distention Fullness and tightness with very slight or no pain Dry heaves Vomiting Borborygmus D Diarrhea Anorexia Stomach pain Abdominal pain Subcardiac distention Heartburn Resistance below the Heart Soft epigastrium Nausea Ascites Gurgling sounds T: Normal or with a red tip C: Thin, yellow and greasy P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle	Harmonize the Stomach Descend Rebellious Qi Disperse clumping Eliminate focal distention due to Cold and Heat factors
Herb Formulas	Ban Xia Xie Xin Tang
Points

TOXIC HEAT

Clinical Manifestations	Insomnia Irritability Fidgeting Dry mouth Dry throat Incoherent speech Frequent waking with nightmares Dark urine Deep-rooted boils Maculae Carbuncles Hematemesis Hemoptysis Palpitations Furuncles High fever Tinnitus Purpura Red face Rashes Deep-rooted boils Red eyes Itchy skin Fidgeting Dry lips Delirium Dysentery with fever Jaundice Epistaxis Hematuria Cloudy mind Diarrhea T: Red C: Yellow P: Rapid and forceful
Treatment Principle	Clear Heat Drain Fire Relieve toxicity Relieve inflammation Stop bleeding
Herb Formulas	Huang Lian Jie Du Tang Zhu Ye Shi Gao Tang modified For a chronic condition with Yin Deficiency or dysuria: Dao Chi San For Heart Yin Deficiency following a Shao Yin Heat condition: Huang Lian E Jiao Tang For residual Heat following a Summerheat condition: Zhu Ye Shi Gao Tang With severe palpitations and anxiety: Zhu Sha An Shen Wan Chinese Patent Medicines: Niu Huang Shang Qing Wan Niu Huang Jie Du Pian Dao Chi Pian Xiao Er Qi Xing Cha
Points	HT-7, LI-4, LI-11, REN-12, ST-44

DISHARMONY BETWEEN THE CHONG AND REN CHANNELS

Clinical Manifestations	Amenorrhea Irregular Menstruation Hot flashes Dizziness Tinnitus Night sweats Perspiration Nervousness Muscular flaccidity Fatigue Cold feet Lassitude Frequent, clear urine Irritability Headache Palpitations Insomnia T: Pale C: Thin and white P: Thready and rapid
Treatment Principle	Replenish Kidney Yin and Yang Purge Fire Regulate the Chong and Ren
Herb Formulas	Er Xian Tang
Points

FENG TAN (WIND-PHLEGM)

Clinical Manifestations	Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Dizziness Tinnitus Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling C: Thick P: Slippery and maybe wiry
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Yu Zhen San
Points	ST-40, UB-40

TRANSVERSE LUO OF THE SPLEEN

Clinical Manifestations	Insomnia Can't sleep on one's back Can't breathe with one's head up
Treatment Principle
Herb Formulas
Points	DU-2, SP-4

STAGNATION OF THE YANG QIAO CHANNEL

Clinical Manifestations	Insomnia
Treatment Principle
Herb Formulas
Points	UB-1, UB-62 (man), KI-6, (woman)

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