NEUROSIS(CARDIAC NEUROSIS)

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	For vegetative neurosis: Wu Ji San
Points

YANG MING FU WITH BLOOD STAGNATION

Clinical Manifestations	Neurosis 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 Afternoon fever 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 Hong Cheng Qi Tang
Points

YANG MING FIRE

Clinical Manifestations	Insomnia Continuous palpitations A sensation of Heat and irritability in the chest A desire to vomit without result Dream-disturbed sleep Anxiety Tongue ulcers Fidgeting Maybe a rancorous disposition Irritability Fear and fright Night sweats Shortness of breath Nausea T: Red or Red tip C: Normal P: Thin and rapid
Treatment Principle	Sedate the Heart Calm the Shen Drain Fire Nourish Yin Relieve palpitations
Herb Formulas	Zhu Sha An Shen Wan Tiao Wei Cheng Qi Tang With Blood Stagnation: Tao He Cheng Qi Tang
Points

SHAO YANG JING

Clinical Manifestations	Alternating chills and fever Restlessness Irritability Anorexia Sometimes fatigue Nausea Occasional vomiting Headaches (side of head) Hypochondriac pain A bitter taste in the mouth Rib pain Achiness Ear infection Hearing difficulty Red eyes Blurred vision Dizziness Stiff shoulders Throat pain Hip pain T: Normal with bumps or dots on side C: Thin white P: Wiry
Treatment Principle	Harmonize the Liver and Gall Bladder
Herb Formulas	Xiao Chai Hu Tang For vegetative neurosis: Da Yuan Yin
Points	DU-13, DU-14, PC-5, SI-3, ST-43 GB-41, SJ-5 To harmonize the Liver and Gall Bladder: GB-34, LIV-3, LIV-14, SJ-5 To stop nausea and vomiting: PC-6, SP-4, ST-36 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: SJ-6, ST-25 To treat fever: DU-13, DU-14 To support the San Jiao and Regulate Yin: PC-5, PC-6 To support Yin: KI-7 To support the Ying: SP-10 Head: GB-8, SJ-20, Yintang Eyes: GB-14, GB-20, ST-1, UB-1, UB-2 Ear: GB-2, SJ-5, SJ-17, SJ-21 Hypochondriac area: GB-34, GB-40 Ear: Shenmen, Gall Bladder, Point 0

SHAO YANG FU WITH LIVER QI STAGNATION

Clinical Manifestations	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 Sedate and calms the Spirit Regulate Liver Qi
Herb Formulas	Chai Hu Jian Long Gu Mu Li Tang
Points	GB-34, HT-7, LI-11, LIV-3, PC-6, SJ-6, ST-44

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 (Do not purge, create diaphoresis, or create emesis) Revive Yang
Herb Formulas	Wu Mei Wan
Points	Moxa needle REN-4, REN-6, REN- 8, ST-25, ST-36, needle DU-14, LI-4, LI-11, LIV-3, REN-17

QI STAGE HEAT

Clinical Manifestations	Distention of the abdomen Distention of the epigastrium Fever Fullness of the abdomen Fullness of the epigastrium Indigestion Insomnia Irritability Resurgence of Heat signs Thirst T: Red C: Greasy-dirty-yellow P: Floating, slippery and rapid especially on the right position or Floating, full and rapid
Treatment Principle	Calm restlessness and irritability Clear Heat Disperse Stagnation
Herb Formulas	Zhi Zi Gan Cao Chi Tang With Food Stagnation: Zhi Shi Zhi Zi Chi Tang With vomiting: Zhi Zi Sheng Jiang Chi Tang
Points	DU-14, HT-7, LI-11, PC-6, REN-12, ST-44

QI STAGE: GALLBLADDER HEAT (VEGETATIVE NEUROSIS)

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gallbladder Heat Pacify the Liver and Gallbladder
Herb Formulas	Hao Qin Qing Dan Tang With pronounced Dampness: Da Yuan Yin
Points	DU-14, SJ-5 GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14

LUNG QI AND YIN DEFICIENCY

Clinical Manifestations	Heart vexation Wheezing which changes with the weather Panting Shortness of breath, worse on exertion Above symptoms are worse with exertion Weak cough Little or no mucus A soft or weak voice with little desire to talk Spontaneous sweating Aversion to Wind Frequent colds and flu A dry mouth Occasional dry, sore throat Malar flush Afternoon fever Insomnia T: Pale red, dry, swollen often with extensive cracks or Pale with a red tip C: Little or None P: Weak and soft, possibly extending up the thenar eminence
Treatment Principle	Tonify and nourish Lung Qi and Yin Descend Lung Qi Stop wheezing and panting
Herb Formulas	Sheng Mai San modified
Points	KI-3, KI-6, LU-5, LU-7, LU-9, ST-36, UB-13, UB-23, UB-43 With severe Heat: + LU-10 DU-14, KI-7, LI-4, LU-9, UB-13 With severe Qi Deficiency: + ST-36 With Phlegm: + ST-36, ST-40 With severe panting: + Dingchuan or LI-18 With chest oppression: + PC-6, REN-17 In children with underlying Food Stagnation: bleed Sifeng

LARGE INTESTINE EXCESS HEAT

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium T: Pink, maybe prickles or Red C: Thick, yellow and dry P: Deep and Excess
Treatment Principle	Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas	Tiao Wei Cheng Qi Tang Xiao Cheng Qi Tang Da Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

SPLEEN QI AND HEART BLOOD DEFICIENCY

Clinical Manifestations	Neurosis 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

FOOD STAGNATION IN THE STOMACH WITH QI AND PHLEGM STGNATION

Clinical Manifestations	Epigastric fullness, distention and pain with dislike of pressure Abdominal distension Belching with rotten food smell Acid regurgitation Detests food or Vomits after eating Distention is reduced after vomiting Unformed stools or Knotted constipation Heaviness Anorexia Feverish Chest discomfort Coughing up Phlegm Uncomfortable bowel movements Nausea and /vomiting Lower abdominal distension Excruciating abdominal pain Mania Delirious speech from extreme pain Afternoon fever Amenorrhea Dysmenorrhea Irregular menstruation Chills and fever Headache Hard stool Sharp, stabbing epigastric pain with fixed location Pain is severe after eating Dislike of pressure and heat on epigastrium Pain predominates over distention or Pain but no distention Epigastric rumbling Vomiting purple / black blood Stools with blood like tar (melaena) May be abdominal or epigastric lumps or masses T: Pink or Dark purple with purple spots or dots C: Thick and greasy white or yellow P: Slippery, maybe rapid or Wiry and choppy
Treatment Principle	Tonify the Spleen Augment Q Dry Dampness Regulate Qi Adjust the Middle Transform Phlegm Descend Qi Dissipate accumulations Reduce Food Stagnation Activate the Blood Stop pain
Herb Formulas	Kai Yu Zheng Yuan San
Points

STOMACH YIN DEFICIENCY

Clinical Manifestations	Neurosis Gastric neurosis No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Sha Shen Mai Men Dong Tang Yi Wei Tang modified
Points	KI-3, REN-12, SP-6, ST-36, UB-21

STOMACH QI DEFICIENCY

Clinical Manifestations	Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant T: Pale C: Thin and white P: Weak and Deficient
Treatment Principle	Strengthen Qi Invigorate the Spleen and Stomach
Herb Formulas	Liu Jun Zi Tang Xiang Sha Liu Jun Zi Tang Huang Qi Jian Zhong Tang
Points	REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21

HEART FIRE

Clinical Manifestations	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 Insomnia Flushed face Bitter taste in the mouth T: Red tip with ulcers especially on the tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	San Huang Xie Xin Tang Huang Lian Jie Du Tang
Points	HT-7, HT-8, PC-7, PC-8, UB-15

HEART FIRE WITH BLOOD AND YIN DEFICIENCY

Clinical Manifestations	Insomnia Continuous palpitations A sensation of Heat and irritability in the chest A desire to vomit without result Dream-disturbed sleep Anxiety Tongue ulcers Fidgeting Maybe a rancorous disposition Irritability Fear and fright Night sweats Shortness of breath Nausea T: Red or Red tip C: Normal P: Thin and rapid
Treatment Principle	Sedate the Heart Calm the Shen Drain Fire Nourish Yin Relieve palpitations
Herb Formulas	Zhu Sha An Shen Wan
Points

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Insomnia 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	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang modified Dang Tan Tang Ci Zhu Wan Huang Lian Wen Dan Tang Gun Tan Wan For recalcitrant cases: Qing Huo Di 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

HEART YANG DEFICIENCY

Clinical Manifestations	Palpitations Shortness of breath Excessive perspiration (daytime) Above symptoms worse after exertion or when tired Cold limbs Fatigue Weakness Maybe chills Cyanosis Suffocating sensation in chest Depression Facial pallor T: Pale and swollen C: White P: Thready and weak or Knotted or Intermittent
Treatment Principle	Warm and Clear Heart Yang
Herb Formulas	Bao Yuan Dan Gui Zhi Gan Cao Tang Gui Zhi Gan Cao Long Gu Mu Li Tan Gua Lou Xie Bai Bai Jiu Tang
Points	Moxa or moxa needle DU-25, HT-5, HT-7, HT-8, PC-3, PC-4, PC-5, PC-6, PC-7, REN-14, REN-17, SP-6, ST-36, UB-15

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

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

HEART YIN DEFICIENCY

Clinical Manifestations	Palpitations, easily brought on by fright Startles easily Irritability Insomnia Much dreaming Waking with palpitations or panic attacks and anxiety Poor memory Poor concentration Low grade fever Night sweats Five Sole Heat Restlessness A dry mouth and throat Thirst Dizziness Tinnitus Malar flush Low back pain Dry stools or Constipation Possible mouth or tongue ulcers T: Red, dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Clear Heat Reinforce Heart Calm the Shen
Herb Formulas	Tian Wang Bu Xin Dan Zhu Sha An Shen Wan modified Post febrile disease: Sheng Mai San modified Huang Lian E Jiao Tang modified With predominant Liver and Kidney Yin Deficiency: Yi Guan Jian + Suan Zao Ren Tang Chinese Patent Medicines: Tian Wang Bu Xin Dan Jian Nan Wan Zhu Sha An Shen Wan Ci Zhu Wan
Points	HT-5, HT-7, KI-3, KI-6, LIV-3, PC-6, PC-7, REN-17, UB-15, UB-18, UB-23 With Heart Fire: + HT-8 HT-5, HT-6, HT-7, PC-5, PC-6, PC-7, REN-14, SP-6, UB-15

HEART QI DEFICIENCY

Clinical Manifestations	Palpitations Shortness of breath (especially on exertion) Excessive perspiration (in daytime) Symptoms worse after exertion or when tired Facial pallor Fatigue Weakness Suffocating sensation in chest T: Pale and swollen C: White P: Weak or Big and weak or Intermittent
Treatment Principle	Reinforce and Strengthen Heart Qi
Herb Formulas	Si Jun Zi Tang Bao Yuan Dan Zhi Gan Cao Tang
Points	HT-7, PC-6, REN-6, REN-14, REN-17, ST-36, UB-15

HEART BLOOD DEFICIENCY

Clinical Manifestations	Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness Pale face and lips T: Pale P: Thready and weak
Treatment Principle	Nourish Heart Blood Calm the Heart and Shen
Herb Formulas	Dang Gui Bu Xue Tang Gui Pi Tang Suan Zao Ren Tang Yang Xin Tang #1
Points	HT-7, PC-6, REN-4, REN-14, SP-6, ST-36, UB-15, UB-17, UB-20, Rice-grain moxa SP-1 Anmian, HT-7, SP-6, UB-15, UB-20, Yintang

HEART BLOOD DEFICIENCY WITH LIVER QI STAGNATION

Clinical Manifestations	Neurosis Absent-mindedness Trance Frequent feelings of extreme sadness with an urge to cry Inability to control one's emotions Depression Restless sleep May be night sweats Lack of mental focus Tight abdominal muscles Irritability Abnormal speech or behavior Disorientation Frequent yawning Sadness Overly sensitive or self-conscious Insomnia T: Pale C: Thin and white P: Thready and wiry
Treatment Principle	Nourish the Heart Regulate the Liver Tranquilize the Mind
Herb Formulas	Gan Mai Da Zao Tang modified
Points

HEART AND GALLBLADDER QI DEFICIENCY DUE TO SHOCK OR FRIGHT

Clinical Manifestations	Insomnia or frequent waking, often early in the morning Unable to fall back to sleep Nightmares Waking terrified Easily frightened or startled Easily unsettled by seeming trivial events Apprehension Restlessness Fearfulness Inappropriate worry Timidity Phobias Anxiety (frequent and severe) Frequent panic attacks Palpitations Shortness of breath Lethargy Fatigue Depression Postnatal 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 or Weak, thready and rapid
Treatment Principle	Strengthen Qi Calm the Shen Alleviate fearfulness Calm the mind Nourish and tranquilize the Heart
Herb Formulas	An Shen Ding Zhi Wan Ding Zhi Wan Gui Zhi Jia Long Gu Mu Li Tang With Yin Deficiency: Tian Wang Bu Xin Dan Chinese Patent Medicines: Bai Zi Yang Xin Wan Ding Xin Wan Yang Xin Ning Shen Wan Bu Nan Wan Jian Nao Wan
Points	Anmian, DU-20, PC-7, HT-7, GB-40, UB-7, UB-23, UB-47, UB-52, ST-36, Yintang GB-39, SJ-5, UB-15, PC-6, HT-7, HT-9, REN-14, DU-19, DU-24 DU-19, DU-20, DU-24, GB-40, HT-5, HT-7, HT-9, PC-6, REN-14, UB-7, UB-15 Ear: Liver, Gallbladder, Heart, Subcortex, Sympathetic

HEART AND KIDNEY DEFICIENCY

Clinical Manifestations	Frequent urination Cloudy urine that resembles rice-water Seminal emissions Enuresis Disorientation Constipation Forgetfulness Anorexia T: Pale or Light pink C: Thin and white P: Thin, slow and frail or Deep and weak
Treatment Principle	Regulate and tonify the Heart and Kidney Stabilize Jing Stop seminal emissions
Herb Formulas	Sang Piao Xiao San
Points

HEART AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Jiao Tai Wan Tian Wang Bu Xin Dan Liu Wei Di Huang Wan Gui Zhi Jia Long Gu Mu Li Tang With Fire Rising: Dao Chi San
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

LIVER QI STAGNATION

Clinical Manifestations	Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Neurosis Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas	Chai Hu Shu Gan Tang modified With Heat: Jia Wei Xiao Yao San
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 PHLEGM AND QI STAGNANT AND BLOCKED

Clinical Manifestations	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 Irritability Inappropriate anger 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	LI-18, LIV-3, PC-5, SI-17, SJ-6

LIVER QI STAGNATION: LIVER QI INVADES THE SPLEEN

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 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 Ban Xia Hou Po Tang + Xiao Yao San With Phlegm-Heat: Wen Dan Tang
Points	PC-5, LIV-3, SJ-6, LI-18, SI-17

LIVER QI STAGNATION INVADES THE STOMACH

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

LIVER WIND STIRRING INTERNALLY: LIVER YANG (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 With Wind-Stroke: Sudden loss of consciousness Tongue stiffness with aphasia Facial paralysis Hemiplegia Maybe coma Sometimes death T: Red P: Thready and wiry
Treatment Principle	Nourish Yin Pacify the Liver Subdue Wind
Herb Formulas	Tian Ma Gou Teng Yin Gou Teng San
Points	Bleed the Jing-Well points of Six Hand Channels, needle DU-20, DU-26, GB-20, GB-34, KI-1, KI-3, LIV-2, LIV-3, PC-8, UB-18, UB-23

LIVER YIN DEFICIENCY

Clinical Manifestations	Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five sole Heat Night sweats Light menses 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

LIVER YIN DEFICIENCY WITH LIVER YANG RISING

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

LIVER BLOOD DEFICIENCY

Clinical Manifestations	Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dizziness Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Tinnitus Numbness of the limbs Light menses or Amenorrhea Late menses T: Pale C: Little P: Thready
Treatment Principle	Nourish the Liver Reinforce the Blood
Herb Formulas	Si Wu Tang Bu Gan Tang For head and eye signs and symptoms: Qi Ju Di Huang Wan For menstrual disorders: Hei Xiao Yao San
Points	Moxa or needle LIV-3, REN-4, SP-6, ST-36, UB-17, UB-18, UB-20

LIVER BLOOD DEFICIENCY WITH HEAT

Clinical Manifestations	Dizziness Impaired vision Night blindness Tinnitus Irascibility A quick temper Throbbing headache with distended feeling Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations Headache Nervousness Insomnia with much dreaming Dry throat Thirst Five Sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea T: Red and dry C: Little or None P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle	Nourish Yin Pacify the Liver Subdue Yang
Herb Formulas	Liu Wei Di Huang Wan Tian Ma Gou Teng Yin Yi Gan San
Points	DU-20, GB-20, GB-34, GB-43, KI-3, LIV-2, LIV-3, UB-18, UB-23

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 KIDNEY YIN DEFICIENCY

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus Deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole Heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan With Fire Flaring: Zhi Bai Di Huang Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

GALL BLADDER DEFICIENCY HEAT

Clinical Manifestations	Dizziness Blurred vision Bitter taste in the mouth Nausea Vomiting Agitation 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

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Neurosis Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence Spermatorrhea Premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	You Gui Wan modified
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23

KIDNEY YIN DEFICIENCY WITH FIRE FLARING

Clinical Manifestations	Neurosis Sexual neurosis Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five Sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan Huang Lian E Jiao Tang
Points	KI-1, KI-2, KI-3, KI-6, REN-4, SP-6, UB-23 KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

QI AND BLOOD STAGNATION

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 Opisthotonis 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 With water accumulation in the legs: Jiu Wei Bing Lang Jia Wu Fu Tang
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

QI, BLOOD, PHLEGM AND FOOD STAGNATION

Clinical Manifestations	Facial color dark and dull Emaciation Sides and ribs distended on both sides (maybe with sharp pain) Enlargement of the Liver and Spleen Suffocating sensation in chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Dark purple (maybe purple spots on edge of tongue) P: Wiry, choppy and slow
Treatment Principle	Activate the Blood Break up Stasis Regulates Qi
Herb Formulas	Insomnia #2
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Chronic tinnitus and/or hearing loss that tend to be intermittent and worse with fatigue In some cases the tinnitus may be loud enough to impair hearing Fatigue Weakness Anorexia Shortness of breath Palpitations with anxiety and insomnia Loose stools Poor appetite Light headedness or Postural dizziness Pale or sallow face Spots before the eyes Weak voice Reluctance to speak Sweating with little or no exertion Dry skin Dry hair Easily fatigued limbs Poor memory Pale lips and nails Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy or Thready and weak
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Shi Quan Da Bu Tang Ba Zhen Tang Chinese Patent Medicines: Gui Pi Wan Bu Nao Wan Ren Shen Yang Ying Wan Bu Zhen Wan
Points	GB-2, REN-4, SJ-17, SP-6, ST-36, UB-15, UB-17, UB-20, UB-23 KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

QI AND BLOOD DEFICIENCY WITH QI STAGNATION AND HEAT

Clinical Manifestations	Constipation Facial flushing Melancholy Restlessness Headache Vertigo Tinnitus Abdominal distention Acid regurgitation Vertigo Stiff shoulders Neurosis Fever Palpitations Lower back pain Hot flashes Belching
Treatment Principle	Tonify Qi Nourish the Blood Regulate Qi Clear Heat
Herb Formulas	Nu Shen San
Points

QI AND BLOOD DEFICIENCY WITH BLOOD STASIS OBSTRUCTING THE CHANNELS

Clinical Manifestations	Hemiplegia Paralysis Atrophy of the lower limbs Facial paralysis Slurred speech Drooling Dry stools Frequent urination Urinary incontinence Deviation of the eyes and mouth Excess salivation Cold extremities Asthenia T: Normal C: White P: Moderate
Treatment Principle	Tonify Qi Activate the Blood Unblock the channels Promote movement in the limbs
Herb Formulas	Bu Yang Huan Wu Tang
Points

BLOOD STAGNATION

Clinical Manifestations	Depression Melancholy Anxiety Obsession Irritability Pain that is fixed, stabbing and/or severe or Pains that move around Distention Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Inappropriate anger Irregular menses	Breast distention and pain before and during menses 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 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: Pink or Purple, possible purple or red spots or Thick C: White or Greasy and white or Greasy and yellow P:Wiry or Choppy or Wiry and choppy or Slippery
Treatment Principle	Regulate Qi Activate the Blood Clear Heat Relieve toxicity Cool the Blood Transform Phlegm Relieve Food Stagnation Open the Orifices
Herb Formulas	Jie Yu San Due to a mild attack of Wind-Cold with Qi Deficiency: Huang Qi Gui Zhi Wu Wu Tang
Points

INTERNAL COLD CAUSING PHLEGM AND FLUID STAGNATION

Clinical Manifestations	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 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

WIND-PHLEGM (FENG TAN) WITH QI AND YIN DEFICIENCY

Clinical Manifestations	Marked emotional changes and behavior Irritability A feeling of Qi rushing upward Red eyes Headache - lasts all day Palpitations Tinnitus A feeling of distention and oppression below the Heart Abdominal bloating Muscle spasms in the shoulders, neck and back Dizziness Vertigo Insomnia Hot flushes Anorexia Paralysis Numbness Slurred speech Deviated eyes Deviated mouth (wry mouth) Sputum in the throat Chest fullness and distention Epigastric fullness and distention Hypertension Stroke T: Deviated and trembling, maybe red edges C: Thick or Greasy P: Slippery and maybe wiry or Soft and wiry and maybe rapid
Treatment Principle	Resolve Phlegm Subdue Wind
Herb Formulas	Gou Ten San
Points

BAI HE BING (LILY SYNDROME)

Clinical Manifestations	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 the 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 Tang Bai He Zhi Mu Tang
Points

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