MIGRAINE HEADACHE

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	Acute: Wu Zhu Yu Tang Lu Tong Yin Premenstrual: Dang Gui Shao Yao San
Points	ST-8, GB-5, GB-20, DU-14, LU-7 DU-19, GB-20, KI-3, LI-4, LU-6, LU-7, LU-9, UB-1 Reduce GB-38, Tonify LIV-3, LIV-8 DU-16, GB-1, GB-10, GB-11, GB-12, GB-20, LU-7, SI-3, SI-5, SJ-17, SJ-18, UB-2, UB-10 + GB-5, GB-12, GB-15, GB-41, LIV-2, LU-7, REN-12, REN-13, LU-7, SJ-22, UB-12, UB-14 GB-20, GB-39, GB-43 ST-8, LU-7 GB-20, SJ-3, SJ-23 PC-6, SP-4, SP-12, ST-36 On the palmar surface, thread between the fourth and fifth metacarpal bones 2 cun upward to the junction Thread UB-2 to Yuyao Supraorbital: GB-14, Taiyang, UB-2 Taiyang channels: DU-14, DU-19, SI-3, UB-10, UB-11 Yangming channels: DU-23, GB-14 through to Yuyao, LI-4, ST-8, ST-36, ST-44 Jueyin channels: DU-20, GB-2, LIV-2, LIV-3, SI-3, UB-7, UB-67 Shaoyang channels: GB-5, GB-6, GB-8, GB-9, GB-14, GB-41, SJ-5 During the attack: Reduce DU-20, GB-8, REN-16, SI-12, SJ-23, ST-2, UB-2 UB-61 Ear: Center of the lobe For congestive migraine: UB-62 For hepatic migraine: GB-40, LIV-8 For fear and tension: KI-4, LU-6 For a feeling of Heat: KI-2, LIV-2, SP-2, ST-44 For the eye and eyebrows: UB-2

EXTERNAL WIND

Clinical Manifestations	Headache due to Wind attack Headache in any part of the head Fever and chills Dizziness Nasal congestion Stuffy nose Clear or white nasal discharge Sneezing Body aches Nasal obstruction Vertigo Aversion to Cold Copious sputum T: Normal C: Thin and white P: Superficial
Treatment Principle	Dispel Wind Alleviate pain
Herb Formulas	Chuan Xiong Cha Tiao San
Points	DU-16, GB-20, LU-5, LU-7+ LI-4,LI-4 + KI-7, UB-12, UB-13 + general points

WIND-COLD ATTACKS THE LUNGS

Clinical Manifestations	Itching or tickling in the throat Wheezing Sneezing Gasping Cough with expectoration of thin, watery or frothy white sputum General body aches No thirst Dyspnea Headache Chills with low grade fever Maybe asthma Intolerance of Cold Anhidrosis Blocked and/or runny nose with watery nasal discharge Chest discomfort Neck stiffness T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Disperse Wind-Cold
Herb Formulas	Xiao Xu Ming Tang Ma Huang Tang
Points	DU-16, GB-20, LU-5, LU-7+ LI-4, LI-4 + KI-7, UB-12, UB-13 + general points DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12

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 two to three 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
Points	Moxa or moxa needle KI-3, LI-4, LU-7, REN-3, SP-6, SP-9, UB-13, UB-28

TAI YANG - SHAO YANG

Clinical Manifestations	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

WIND-COLD ATTACKS THE LUNGS WITH DAMPNESS ACCUMULATION

Clinical Manifestations	Itching or tickling in the throat Wheezing Sneezing Gasping Cough with expectoration of thin, watery or frothy white sputum General body aches No thirst Dyspnea Headache Body aches A sensation of heaviness Chills with low grade fever Maybe asthma Intolerance of Cold Anhidrosis Blocked and/or runny nose with watery nasal discharge Chest discomfort Neck stiffness Irritability T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Disperse Wind-Cold Induce diaphoresis Dispel Dampness
Herb Formulas	Ma Huang Jia Zhu Tang
Points	To Expel Wind Cold: DU-16, GB-20, UB-12, LI-4, SJ-5 (Sedating technique) To Disperse the Lungs: UB-13, LU-7, REN-17 To Expel water: SP-6, SP-9, Moxa REN-4, REN-6, DU-4 To Resolve Phlegm: ST-40 + general points

SHAO YANG JING

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea/vomiting (occasional) Headaches (side of head) Hypochondriac pain Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on side C: Thin white P: Wiry
Treatment Principle	Harmonize and release Shao Yang Stage disorders Relieve the Liver Harmonize the Liver and Spleen
Herb Formulas	Xiao Chai Hu Tang
Points	DU-13, DU-14, GB-1, GB-8, GB-14, GB-34, GB-41, KI-7, LIV-3, LIV-14, PC-5, PC-6, SJ-5, SJ-20, Taiyang, Yintang, SP-4, SP-10, ST-36

SHAO YANG FU

Clinical Manifestations	Alternating fever and chills Fullness in the chest and hypochondrium (with or without pain) Bitter taste in mouth Nausea Continuous vomiting Hard focal distension in the epigastrium Fullness and pain in the epigastrium Burning diarrhea or no bowel movement Despondency Slight fidgeting Slight irritability Headache Constipation or discharge of fluids rectally Tinnitus Diminished hearing Diminished vision Red eyes Manic behavior Asthma Mental instability T: Normal or red C: Yellow or Thick and yellow P: Wiry and forceful or Wiry tight and forceful
Treatment Principle	Harmonize and Disperse the Shao Yang Drain Internal Heat Retention
Herb Formulas	Da Chai Hu Tang
Points

SHAO YANG - YANG MING (XU WITH FU)

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

JUE YIN COLD

Clinical Manifestations	Long standing cold hands and feet that are cold to the touch and feel cold to the patient Maybe lumbago and leg pain Abdominal pain and distention Midline pain Uterine pain Chills Diarrhea Menstrual abdominal pain Maybe chest pain Increased sweating, particularly of the feet Increased salivation Spasm and pain of the limbs Scanty urination Pain at the waist, hips, legs and feet Sciatica Joint pain Irregular menstruation Abdominal Cold Migraine headache Vaginal discharge T: Pale C: White P: Deep and thready (may be almost imperceptible).
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the Blood vessels
Herb Formulas	Dang Gui Si Ni Tang 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

WIND-HEAT ATTACKS THE LUNGS

Clinical Manifestations	Tightening spasms Pulsating arteries Stuffy nose or Runny nose Nausea Photophobia Pain may shift from side to side Cough with thick sticky, yellow sputum Sore, red, swollen throat Thirst, with a desire to drink cold liquids Runny or blocked nose with thick yellow discharge Fever with perspiration Slight chills Aversion to Wind Headache Maybe dyspnea with flared nostrils Maybe chest pain T: Red tip C: Thin and yellow P: Superficial and rapid
Treatment Principle	Clear the Lungs Clear Heat Expel Wind
Herb Formulas	Ma Xing Shi Gan Tang Yin Qiao San Qing Shang Jian Tong Tang
Points	Bleed UB-2, GB-1, Taiyang, tonify LI-4, LI-11, GB-20, ST-8 DU-14, DU-16, GB-20, LI-4, LI-11, SJ-5, Taiyang, UB-12

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	Huang Lian Shang Qing Wan
Points	GB-8, GB-20, LI-4, Taiyang, UB-1

WIND-DAMPNESS

Clinical Manifestations	Heavy, painful head Generalized sensation of heaviness Back pain Generalized pain or muscle ache Difficulty bending or rotating trunk Mild fever Slight aversion to Wind and Cold Dizziness Anorexia Anhidrosis Stiffness of the neck Chest oppression Chills No perspiration Aversion to Cold Lassitude Back pain T: Pink C:White or Greasy and white P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight
Treatment Principle	Dispel Wind Eliminate Dampness Relieve the Exterior Alleviate pain
Herb Formulas	Qiang Huo Sheng Shi Tang Qing Shang Jian Tong Tang
Points	DU-20, GB-20, LI-4, LU-7, REN-12, SJ-5, SP-6, SP-9, ST-8, ST-40 To Expel Wind Cold: DU-16, GB-20, UB-12, LI-4, SJ-5 (Sedating technique) To Disperse the Lungs: UB-13, LU-7, REN-17 To Expel water: SP-6, SP-9, Moxa REN-4, REN-6, DU-4 To Resolve Phlegm: ST-40 + general points

WIND-COLD DAMPNESS WITH INTERIOR HEAT

Clinical Manifestations
Treatment Principle	Dispel Wind Eliminate Dampness Relieve the Exterior Alleviate pain
Herb Formulas	Qiang Huo Sheng Shi Tang Qing Shang Jian Tong Tang
Points	To Expel Wind Cold: DU-16, GB-20, UB-12, LI-4, SJ-5 (Sedating technique) To Disperse the Lungs: UB-13, LU-7, REN-17 To Expel water: SP-6, SP-9, Moxa REN-4, REN-6, DU-4 To Resolve Phlegm: ST-40 + general points

SPLEEN QI DEFICIENCY WITH DAMPNESS

Clinical Manifestations	Chills and fever (more chills than fever) Anhidrosis Headache Stiff neck Generalized aches and pains Slight thirst A bitter taste in the mouth T: Normal C: White P: Floating
Treatment Principle	Induce sweating Expel Wind-Cold Dispel Dampness Drain Interior Heat
Herb Formulas	Jiu Wei Qiang Huo Tang
Points

DAMP-HEAT INJURES THE SPLEEN

Clinical Manifestations	Headache Fever (maybe chills) Strong thirst with a desire to drink. Vomits immediately after drinking Urinary difficulty Edema General sensation of heaviness Diarrhea Irritability Simultaneous vomiting and diarrhea Throbbing sensations below umbilicus Vomits frothy saliva Abdominal pain and / or distention	Vertigo Dark urine Anxiety Jaundice Shortness of breath Cough Urinary retention Lower abdominal fullness Extreme thirst Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain Restlessness Slightly pale skin tone T: Normal C:Thick, yellow and greasy P: Soft and rapid
Treatment Principle	Clear Heat Promote urination
Herb Formulas	Yin Chen Wu Ling San
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 + general points

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 Headache 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

HEART YANG NOT VIGOROUS: WATER QI INSULTS THE HEART WITH LUNG AND SPLEEN QI 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 Strengthens the Spleen Resolves Dampness
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 + general points

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 May be night sweat Abnormal speech or behavior Disorientation Frequent yawning Migraines T: Red C: Scanty P: Small and rapid
Treatment Principle	Nourishes the Heart Calms the Shen Harmonizes the Middle Jiao Relieves acute conditions Relaxes tension
Herb Formulas	Gan Mai Da Zao Tang
Points

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Mania (Kuang)-Withdrawal (Dian) Palpitations Anxiety Maybe severe continuous palpitations leading to coma Insomnia Coughing and wheezing Thick, viscous, yellow sputum Distention of chest and epigastrium Stifling sensation of chest and epigastrium Dizziness Vertigo Tinnitus Facial tics Sudden, deep joint pain that is difficult to describe Peristalsis-like movements of the eyes and mouth Constipation Severe, stabbing pain in the joints Very strange dreams Impaired consciousness Nodules in the neck Choking sensation Restlessness Agitation Continuous shouting or singing Maybe violent behavior Dull complexion Incoherent speech Disinterest in food Fright Blank stare Insanity T: Red tip C: Thick, yellow and greasy P: Slippery, Excess and rapid or Wiry and rapid
Treatment Principle	Drain Fire Drive out Phlegm
Herb Formulas	Gun Tan Wan Wen Dan Tang
Points	HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, ST-40, UB-15 + general points

LIVER QI STAGNATIN WITH BLOOD DEFICIENCY

Clinical Manifestations	One-sided headache usually occuring in females perimenstrually Blurred vision Tunnel vision Photophobia Numbness and tingling of the fingers or face Chest, flank and/or breast distention and fullness A tendency toward sighing Headaches caused or aggravated by emotional stimulation Depression Fatigue Lack of strength Cold hands and feet Menstrual irregularity Abdominal distention and pain Alternating diarrhea and constipation or Loose stools T: Pale and dark C: White P: Thready and wiry
Treatment Principle	Harmonize the Liver Resolve depression Augment the Spleen Tonify Qi
Herb Formulas	Xiao Yao San modified
Points	LIV-3, PC-6 + local and distal points according to the site of pain Local Points: Select 1-3 points per treatment from among the following: Ahshi points, DU-20, GB-8, GB-14, SJ-17, SJ-20, Taiyang, Yintang Direct the tip of the needle in the direction of the most severe pain. Distal Points: Select from among the following, one hand and one foot point according to the channels affected: Shaoyang Channels: GB-34, GB-39, SJ-2, SJ-3, SJ-5 Bladder Channel: + SI-3, UB-65 Liver Channel with pain at the vertex: + KI-1 Stomach Channel: + LI-4 During the attack: + Three side needle technique:Taiyang in the direction of SI-18, LI-4 perpendicular, LIV-3 in the direction of KI-1 For photophobia or visual migraines: + SJ-23, Yuyao For nausea: + REN-13 For tension or pain in the solar plexus: + REN-15 For tension or pain in the trapezius: + GB-21 For severe Qi Deficiency: + ST-36

LIVER QI STAGNATION ATTACKING THE SPLEEN CAUSING COUTERFLOW COLD

Clinical Manifestations	Severely painful headache at the vertex A chilly, icy sensation at the site of the pain Aversion to Wind Maybe vomiting of clear liquids Counterflow chilling of the four limbs T: Pale C: Glossy white P: Thready and wiry
Treatment Principle	Harmonize Wood and Earth Warm the Spleen Scatter Cold Descend counterflow Stop pain
Herb Formulas	Wu Zhu Yu Tang (use only during the attacks, not for prevention)
Points	Three side needle technique:Taiyang in the direction of SI-18, LI-4 perpendicular, LIV-3 in the direction of KI-1 + DU-20 and/or KI-1 For a severe Cold sensation: + moxa DU-20, KI-1, ST-36 or REN-6 For nausea: + PC-6, moxa REN-13

LIVER QI STAGANTION INVADES THE STOMACH

Clinical Manifestations	Chest and abdominal distention A stifling sensation in the chest and abdomen Fixed pain in the hypochondria Belching with a fetid odor Nausea Vomiting Headache Epigastric and abdominal fullness and pain Acid reflux Mild coughing with copious sputum Reduced appetite Indigestion T: Normal C: Thin and white or Greasy or Slippery, P: Wiry and taut or Running
Treatment Principle	Regulate Qi Release Stagnation
Herb Formulas	Yue Ju Wan
Points	LIV-3, LIV-14, PC-6, REN-12 + general points

LIVER YANG RISING

Clinical Manifestations	Irascibility Throbbing headache with distended feeling, often around the eye and/or temporal region Dizziness Tinnitus Extremely severe, possibly bilateral temporal pain Headaches occur mostly in older people Headaches are worse at night or begin during sleep Scintillating scotomas Photophobia 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 sleep Palpitations Heart vexation A quick temper 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) There may be additional signs and symptoms of Liver Yin Deficiency, Kidney Yin Deficiency and / or Liver Blood Deficiency
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	Tian Ma Gou Teng Yin modified For Heart Blood Deficiency and Liver Qi Stagnation with fatigue, lassitude, chest oppression, abdominal distention and more severe insomnia: Wu Shi Tong Yu Fang
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23 KI-3, LIV-2 + local and distal points according to the site of pain Local Points: Select 1-3 points per treatment from among the following: Ahshi points, DU-20, GB-8, GB-14, SJ-17, SJ-20, Taiyang, Yintang Direct the tip of the needle in the direction of the most severe pain. Distal Points: Select from among the following, one hand and one foot point according to the channels affected: Shaoyang Channels: GB-34, GB-39, SJ-2, SJ-3, SJ-5 Bladder Channel: + SI-3, UB-65 Liver Channel with pain at the vertex: + KI-1 Stomach Channel: + LI-4 During the attack: + Three side needle technique: Taiyang in the direction of SI-18, LI-4 perpendicular, LIV-3 in the direction of KI-1 For photophobia or visual migraines: + SJ-23, Yuyao For nausea: + REN-13 For tension or pain in the solar plexus: + REN-15 For tension or pain in the trapezius: + GB-21 For severe Qi Deficiency: + ST-36 DU-20, GB-20, GB-38, GB-41, GB-43, KI-1, KI-3, LIV-3, LIV-8, SJ-5, SP-6, Taiyang For Liver Qi Stagnation and Shen distrbance: + HT-7, LI-4, PC-6, PC-7 For photophobia and visual distrbances: + Taiyang For nausea and vomiting: + PC-6, REN-12 For a tight neck and shoulders: + GB-21

LIVER FIRE

Clinical Manifestations	Severe, splitting headaches with dizziness Sudden tinnitus or deafness Severe distention and pain which pounds in the temporal area Maybe pain in the whole head Emotional tension during the attack Photophobia Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth Bitter taste in mouth Thirst Nausea 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 Yi Dan Ju Yin
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19 GB-20, KI-1, LIV-2, Taiyang, bleed UB-2 GB-20, GB-40, GB-43, LIV-2, LIV-3, Taiyang With Stomach Fire: PC-6, ST-43, ST-44

LIVER WIND STIRRING INTERNALLY: EXTREME HEAT GENERATES WIND

Clinical Manifestations	High fever Contractures Spasms Neck stiffness Convulsions Oculogyric crises Opisthotonos Coma Possibly death T: Red or Deep red P: Wiry and rapid
Treatment Principle	Clear Heat Cool the Liver Subdue Wind
Herb Formulas	Zhi Jing San
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-14, DU-16, DU-20, DU-26, LI-11, LIV-2, LIV-3

LIVER WIND STIRRING INTERNALLY: LIVER YANG RISING (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 Maybe with Wind-Stroke: 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
Points	Bleed the Jing-Well points of Six Hand Channels to reduce Heat, DU-26, DU-20, GB-20, GB-34, KI-1, LIV-2, LIV-3, PC-8 Bleed the Jing-Well points of Six Hand Channels to reduce Heat, DU-26, DU-20, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23 To Nourish Yin of the Liver and Kidneys: UB-18 , UB-23, KI-3

KIDNEY QI DEFICIENCY

Clinical Manifestations	headache Pale complexion General debility with a desire for sleep Aversion to Cold Fatigue Lowered voice Frequent urination at night (with profuse proteinuria) T: Pale and swollen with teeth marks C: Whitish P: Deep and slow
Treatment Principle	Strengthen the Kidneys
Herb Formulas	Jin Gui Shen Qi Wan
Points	Moxa or moxa needle DU-20, GB-8, GB-20, LIV-3, REN-4, REN-6, SJ-3, ST-36, Taiyang DU-4, DU-20, GB-39, KI-1, KI-3, KI-6, KI-7, LU-7, REN-4, ST-36, UB-23, UB-62

YANG DEFICIENCY WITH INTERNAL COLD-DAMP

Clinical Manifestations	Lower abdominal pain and Cold Abdomen feels chilled Aching bones and joints Muscle ache Whole body pain Aversion to Cold, especially at the back Cold limbs No Thirst Lower abdominal pain and Cold Abdomen feels chilled Maybe fever No thirst T: Normal C: White and slippery P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle	Dispel Cold Warm the channels Assist Yang Dispel Dampness Relieve pain
Herb Formulas	Fu Zi Tang
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Paroxysmal attacks with diurnal variation in severity The pain may radiate to the corner of the eye Dizziness Dazzling vision Insomnia Tachycardia Palpitations Anorexia Lassitude
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Chen Xiang + Bing Pian burned as an incense (breathe the smoke in and alternate nostrils)
Points	Needle SI-3, ST-8, ST-36, Taiyang, moxa REN-6, REN-12 For vertigo: + GB-43 DU-20, LIV-3, LIV-8, PC-6, REN-4, REN-6, SP-6, ST-36, UB-17, UB-18, UB-20, UB-23

QI AND 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 Headache 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 Dispel Blood Stasis Spread Liver Qi Unblock the channels Stop pain
Herb Formulas	Xue Fu Zhu Yu Tang
Points

BLOOD STAGNATION

Clinical Manifestations	An enduring headache that will not heal Pain that is fixed, stabbing and /or severe Pan is worse with pressure Possible history of traumatic injury to the head Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry 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 spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy or Thready, wiry and choppy
Treatment Principle	Activate the Blood Break up Stagnation
Herb Formulas	Tong Qiao Huo Xue Tang modified Xue Fu Zhu Yu Tang
Points	SP-6, SP-10, ST-36, UB-17, UB-40 LI-4, SP-6 + local and distal points according to the site of pain Local Points: Select 1-3 points per treatment from among the following: Ahshi points, DU-20, GB-8, GB-14, SJ-17, SJ-20, Taiyang, Yintang Direct the tip of the needle in the direction of the most severe pain. Distal Points: Select from among the following, one hand and one foot point according to the channels affected: Shaoyang Channels: GB-34, GB-39, SJ-2, SJ-3, SJ-5 Bladder Channel: + SI-3, UB-65 Liver Channel with pain at the vertex: + KI-1 During the attack: + Three side needle technique: Taiyang in the direction of SI-18, LI-4 perpendicular, LIV-3 in the direction of KI-1 For photophobia or visual migraines: + SJ-23, Yuyao For nausea: + REN-13 For tension or pain in the solar plexus: + REN-15 For tension or pain in the trapezius: + GB-21 For severe Qi Deficiency: + ST-36

BLOOD STAGNATION WITH HEAT

Clinical Manifestations	Dizziness 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 Tong Qiao Huo Xue Tang Xue Fu Zhu Yu Tang Postpartum: Qing Hun San modified Chinese Patent Medicines: Fu Fang Dan Shen Pian Sheng Tian Qi Pian
Points	Choose two or three of the following: GB-2, GB-20, GB-39, KI-3, SI-19, SJ-17, SJ-21, SP-6, SP-10, UB-17 Ahshi points on the head, LI-4, LIV-3, LIV-4, UB-17

BLOOD STAGNATION WITH BLOOD DEFICIENCY

Clinical Manifestations	Copious bleeding of dark purple blood The blood is sticky during menstruation May or may not have clots Menstrual cycle is shortened (early menstruation) Palpitations Dizziness Blurred vision Headache Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Fixed lower abdominal pain Vertigo Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale C: Normal P: Thin and weak or Thin and choppy
Treatment Principle	Tonify and Invigorate the Blood Regulate Blood Circulation Break up Stagnation Eliminate Blood Stagnation Alleviate pain
Herb Formulas	Tao Hong Si Wu Tang
Points

BLOOD DEFICIENCY

Clinical Manifestations	Postpartum emaciation and weakness Persistent, tight abdominal pain Abdominal pain with spasms or radiates to back and waist Cannot eat Shortness of breath Dyspnea Pale face Intermittent spasmodic abdominal pain which is better with Heat and pressure Epigastric pain Lusterless complexion Fidgeting Reduced appetite Maybe low-grade fever Palpitations Irritability Cold and sore extremities Nonspecific discomfort Dry mouth and throat Nocturnal emission Five sole Heat Debilitated constitution in children Enuresis in children Insomnia Fatigue Anemia Bleeding Abdominal weakness Epistaxis Habitual constipation Maybe warm extremities Night sweats Tired limbs Frequent urination Night crying Diarrhea in children Habitual headache in children Hernia pain in children Chronic constipation Purpura Asthma T: Pale C: White P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle	Warm and tonify the Spleen and Stomach Nourish the Blood Relieve spasmodic pain
Herb Formulas	Dang Gui Jian Zhong Tang
Points

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
Points	PC-6, ST-25, ST-40, REN-4, SP-6, LU-7

WIND-PHLEGM (FENG TANG)

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	Ban Xia Bai Zhu Tian Ma Tang
Points	Pre-stroke: ST-40, UB-40 Stroke (emergency): DU-26, KI-1, PC-9, Ting Points Post-stroke: Arm: LI-4, LI-11, LI-15, SI-3, SJ-5 Leg: GB-34, GB-35, UB-40, UB-60 Scalp: Motor area (contralateral - upper one-fifth)

WIND-DAMP-PHLEGM

Clinical Manifestations	Hemiplegia Asymmetry of the face Slow and slurred speech Fever and chills Migraine Semi-consciousness Convulsions Neck rigidity Limited movement of the joints Loss of consciousness Muscle spasms Low back pain Numbness of the muscles and skin T: Pale C: Thin and white P: Floating and Deficient or Tense or Wiry and tense
Treatment Principle	Warm the channels Unblock Yang Dispel Wind Support the Normal Qi Alleviate pain
Herb Formulas	Xiao Xu Ming Tang Qian Zheng San
Points

PHLEGM-DAMP OBSTRUCTS THE MIDDLE JIAO

Clinical Manifestations	Headache Dizziness Heaviness Heavy headedness The feeling of a tight band wrapped around the head Possible vomiting of Phlegm drool Thick fluid Anorexia Feverish Chest oppression Abdominal distension Chest discomfort Fatigued limbs Numbness of the extremities Uncomfortable bowel movements Coughing Nausea Vomiting T: Normal or Thick with teethmarks C: Greasy and white or yellow P: Slippery and maybe rapid or Slippery and wiry
Treatment Principle	Resolve Damp Disperse Stagnation Clear Heat Resolve Phlegm
Herb Formulas	San Jiao #1 Gan Lu Xiao Du Dan Ban Xia Bai Zhu Tian Ma Tang modified
Points	REN-6, REN-12, SP-9, ST-25, ST-36, ST-40 SP-9, ST-36, ST-40 + local and distal points according to the site of pain Local Points: Select 1-3 points per treatment from among the following: Ahshi points, DU-20, GB-8, GB-14, SJ-17, SJ-20, Taiyang, Yintang Direct the tip of the needle in the direction of the most severe pain. Distal Points: Select from among the following, one hand and one foot point according to the channels affected: Shaoyang Channels: GB-34, GB-39, SJ-2, SJ-3, SJ-5 Bladder Channel: + SI-3, UB-65 Liver Channel with pain at the vertex: + KI-1 Stomach Channel: + LI-4 During the attack: + Three side needle technique: Taiyang in the direction of SI-18, LI-4 perpendicular, LIV-3 in the direction of KI-1 For photophobia or visual migraines: + SJ-23, Yuyao For nausea: + REN-13 For tension or pain in the solar plexus: + REN-15 For tension or pain in the trapezius: + GB-21 For severe Qi Deficiency: + ST-36 DU-20, PC-6, REN-12, Sishencong, SP-4, SP-6, ST-36, ST-40, Yintang

PHLEGM-HEAT

Clinical Manifestations	Copious sticky, continuous yellow or green nasal discharge or Severe, continuous or sustained nasal congestion Transient, declining sense of smell or loss of sense of smell Generally severe frontal headache Inflamed and swollen mucus membranes Vertigo Dizziness Heavy woolly-headedness Heaviness and aches in the body Lethargy Fatigue Epigastric and abdominal distention Anorexia Loose or sluggish stools T: Red C: Greasy and yellow P: Soft and rapid or Slippery and rapid
Treatment Principle	Clear Heat Transform Phlegm Expel Wind and Damp Open the nose
Herb Formulas	Dan Xi Bi Yuan Fang Jia Jian
Points	DU-20, LI-11, PC-6, REN-12, Sishencong, SP-4, SP-6, ST-36, ST-40, ST-44, Yintang

NASOPHARYNGEAL CANCER

Clinical Manifestations	See Nasopharyngeal Cancer
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