OLIGURIA (SCANTY URINATION)

GENERAL

Clinical Manifestations	Scanty, maybe dark urination
Treatment Principle
Herb Formulas	Enemas: Kidney Failure Enema #1
Points

SEVERE WIND-COLD ATTACKS THE LUNGS

Clinical Manifestations	Itching or tickling in the throat Cough with expectoration of thin, watery or frothy white sputum Chills with low grade fever Anhidrosis No thirst Headache Aversion to Wind Blocked and/or runny nose with clear, watery nasal discharge Sneezing General body aches Maybe asthma Decreased urination T: Pink C: Thin, white and moist P: Superficial and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Resolve Phlegm
Herb Formulas	Xiao Qing Long Tang
Points	DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13

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

WIND COLD OR WIND HEAT WITH CONGESTED FLUIDS

Clinical Manifestations	Lung-distension Wheezing with a productive cough Dyspnea Panting Yellow or white mucus which is difficult to expectorate Thick phlegm A dry mouth with a desire to drink Maybe no thirst A choking sensation in the chest A sense of fullness in the chest and diaphragm The eyes look like they are popping out of their sockets Facial edema Chills Oliguria A mild to moderate fever Dry stools Maybe headache Maybe the sound of sputum rattling in the throat Maybe nervousness Maybe anxiety T: Red C: Yellow and may be greasy P: Floating, large and slippery or Slippery and rapid
Treatment Principle	Disseminate Lung Qi Calm wheezing Dispel Thin Mucus Clear Heat Relieve cough and dyspnea
Herb Formulas	Yue Bi Jia Ban Xia Tang
Points

PERVERSE DRYNESS ATTACKS THE LUNGS

Clinical Manifestations	Dry cough with little or no sputum Sputum is difficult to expectorate Maybe hemoptysis Cough may cause chest pain Dry or sore throat Hoarse voice Dry lips and mouth Thirst Dryness in nose Epistaxis Chills and fever Headache Anhidrosis Dry skin and hair Constipation Decreased urination T: Red tip C: Thin, yellow and dry P: Superficial, maybe rapid
Treatment Principle	Clear the Lungs Moisten Dryness
Herb Formulas	Qing Zao Jiu Fei Tang If symptoms persist for a long time: Yang Yin Qing Fei Tang
Points	KI-3, LU-1, LU-6, SP-6, UB-13

WEI STAGE: DAMP-HEAT

Clinical Manifestations	Headache (wrapping) Fever and chills, fever more pronounced or Chills with afternoon fever Heavy head Heavy extremities Heavy sensations in the body Stifling sensation in the chest Nausea Dizziness Anorexia Gastric and abdominal distension Sticky mouth A bitter taste in the mouth Scanty urination No thirst Indistinct vision T: Normal C: Greasy, white or Greasy, yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp-Heat
Herb Formulas	San Ren Tang Huo Po Xia Ling Tang
Points	For Qi Stagnation: DU-14, LI-4, LI-11, LIV-3, LIV-14, REN-12 With a wrapping headache: + GB-20 With Stomach and abdominal distention and fullness: + ST-36 With loose stools: + SP-4 For fever: DU-14, bleed UB-40 For Wind-Heat: GB-20, LI-4, or SJ-5, LI-11, UB-12 For headache: DU-23, DU-24, ST-8, Taiyang For Dampness: REN-9, SP-6, SP-9, ST-28, UB-20

WEI STAGE: SUMMERHEAT WITH DAMPNESS

Clinical Manifestations	Fever and chills, fever more pronounced or Tidal fever Abdominal distention Thirst Sweat Stifling sensation in the chest Restlessness Scanty urine Heaviness Nausea Vomiting Severe diarrhea T: Red tip and edges C: Greasy white or yellow P: Rapid and soft or Soggy
Treatment Principle	Disperse Wind Clear Heat Resolve Damp
Herb Formulas	Yi Yuan San Liu Yi San Xing Ren Hua Shi Tang Lian Po Yin Superimposed with Wind-Cold: Xin Jia Xiang Ru Yin
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

SUMMERHEAT WITH QI AND YIN DEFICIENCY

Clinical Manifestations	High fever Profuse sweating Irritability Thirst Scanty, dark urine Restlessness Fatigue Fatigued limbs Shortness of breath Apathy T: Pale or Red P: Deficient and rapid
Treatment Principle	Clear Summerheat Tonify Qi Nourish Yin Generate Fluids
Herb Formulas	Qing Shu Yi Qi Tang Wang Shi Qing Shu Yi Qi Tang
Points

DEEP-LYING SUMMERHEAT AND DAMPNESS INVADES THE SHAO YANG

Clinical Manifestations	Alternating fever and chills Sweating does not abate the fever Thirst with drinking just a little Heart vexation Maybe a headache May sour vomiting Chest and Stomach distention and oppression Maybe flank and abdominal distention Scanty, dark colored urine T: Red C: Greasy and white P: Wiry
Treatment Principle	Clear Heat Transform Dampness Circulate Qi
Herb Formulas	Hao Qin Qing Dan Tang
Points

QI STAGE: GALL BLADDER HEAT WITH PHLEGM

Clinical Manifestations	Alternating chills and fever Bitter taste in mouth Thirst Dry throat Rib pain (doesn't like touch) Hypochondriac pain Nausea Vomiting Hypogastric pain and distension T: Red C: Yellow P: Rapid and wiry
Treatment Principle	Relieve Gall Bladder Heat Pacify the Liver and Gall Bladder Resolve Phlegm
Herb Formulas	Wen Dan Tang modified
Points	GB-34, Lanweixue, LI-11, LIV-2, LIV-3, LIV-4, LIV-13, LIV-14 For decreased visual acuity: GB-20, LI-4, SP-6, UB-1, Zengguang (halfway between UB-2 and Yuyao)

WIND-DAMPNESS

Clinical Manifestations	Aversion to Wind Generalized edema that begins in the face Slight fever or no fever Slight but continuous sweating or no sweating Absence of thirst or Thirst Decreased urination Asthma Dysuria Coughing Wrapping headache Dizziness Heaviness of the head Symptoms worse in Damp weather T: Normal C: White P: Floating or Floating and rapid
Treatment Principle	Induce sweating Release the Exterior Disseminate the Lung Qi Promote urination Eliminate water accumulation Eliminate Heat
Herb Formulas	Qiang Huo Sheng Shi Tang Yue Bi Tang modified With Spleen Deficiency: Yue Bi Jia Zhu Tang modified With spontaneous perspiration: Fang Ji Huang Qi Tang
Points	GB-6, GB-20, LI-4, SP-9, ST-36 DU-14, DU-26, LI-4, LU-3, REN-9, SJ-6, UB-22

LUNG YIN DEFICIENCY

Clinical Manifestations	Severe, dry hacking cough No sputum expectorated Small amounts of difficult to expectorate sputum Blood tinged sputum (when Yin Deficiency Fire is present) Afternoon fever Night sweats Malar flush (especially in afternoon) Five sole Heat Dry mouth and throat Itching in throat Hoarse voice, low voice or loss of voice Emaciation Decreased urination T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs
Herb Formulas	Bai He Gu Jin Tang Yang Yin Qing Fei 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

LUNG AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Sterility Spermatorrhea T: Red and dry C: None P: Thready and rapid
Treatment Principle	Nourish Yin Moisten the Lungs Reinforce the Kidneys
Herb Formulas	Bai He Gu Jin Tang Ba Xian Chang Shou Wan Yang Yin Qing Fei Tang + Da Bu Yin Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23

LARGE INTESTINE HEAT

Clinical Manifestations	Dry stools Knotted constipation Mouth parched Sensation of burning heat, swelling and pain of anus Urine short and dark T: Pink C: Yellow and dry P: Slippery and rapid
Treatment Principle	Clear Heat Purge constipation
Herb Formulas	Liang Ge San Mild cases: Ma Zi Ren Wan
Points	LI-4, LI-11, SJ-6, ST-25, ST-37, ST-44, UB-25

LARGE INTESTINE EXCESS HEAT

Clinical Manifestations	Knotted constipation or Watery, thin diarrhea Burning hot sensation in the anus Abdominal distention and pain (dislikes pressure) High fever or infantile tidal fever Hands and feet dripping with perspiration Vomiting Irritating thirst Delirium Scanty urination 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	Da Cheng Qi Tang
Points	LI-11, SJ-6, ST-25, ST-37, ST-44

DAMP-HEAT IN THE LARGE INTESTINE

Clinical Manifestations	Diarrhea with tenesmus which intensifies after defecation Frequent stools which are small in quantity Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and Blood Burning hot sensation in anus Abdominal pain Urine short and red Sustained fever despite profuse perspiration or Raging fever in the afternoon Severe cases: High fever and coma Mouth dry but no desire to drink Body heavy Limbs tired Fullness in chest Lump in epigastrium Anorexia Vomiting T: Red C: Yellow and greasy P: Slippery and rapid
Treatment Principle	Clear Heat Transform Dampness Stop dysentery
Herb Formulas	Shao Yao Tang Bai Tou Weng Tang
Points	LI-4, LI-11, SP-9, ST-25, ST-37, ST-44, UB-25

DAMP-HEAT IN THE SPLEEN AND STOMACH

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 REN-11, REN-12, SP-9, ST-36 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

SPLEEN DEFICIENCY EDEMA

Clinical Manifestations	Edema in limbs, especially lower limbs Heaviness of the extremities Anorexia Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue Scanty urination A sallow, yellow facial complexion Lassitude T: Pale and thick C: White and moist or Glossy and slimy P: Soft and even or Relaxed and forceless
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Shi Pi Yin Wei Ling Tang Fu Ling Gan Cao Tang With Qi Stagnation: Fen Xiao Tang
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

SPLEEN YANG DEFICIENCY

Clinical Manifestations	Sallow complexion Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm the Center Dispel Cold
Herb Formulas	Li Zhong Tang Fu Zi Li Zhong Wan Wu Ling San Wen Pi Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

COLD-DAMP DISTRESSES THE SPLEEN

Clinical Manifestations	Distention and fullness of epigastrium and abdomen Nausea Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Lassitude Yin jaundice Heavy head Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled Maybe short, scanty urination T: Pink C: Thick, white and greasy or sticky P: Deep and slow
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Wei Ling Tang
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20

SPLEEN AND STOMACH DEFICIENCY COLD

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Fu Zi Li Zhong Wan Xiao Jian Zhong Tang Gan Jiang Ren Shen Ban Xia Wan With abdominal distention: Zhi Shi Li Zhong Wan Chinese patent medicines: Fu Zi Li Zhong Wan Li Zhong Wan
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21 With abdominal distention: moxa or moxa needle DU-4, REN-4, REN-6, REN-12, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21, UB-23 With severe distention: + SP-1 With fluid retention and edema: + REN-9, SP-9 With Liver Qi Stagnation: + LIV-3, PC-6 Ear: Spleen. Stomach, Large Intestine, Abdomen, Adrenal

SPLEEN AND STOMACH DAMP-HEAT

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Ban Xia Xie Xin Tang modified
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20 For Damp-Heat Diarrhea: LI-4, SP-9, ST-25, ST-36, ST-44, UB-25 For Damp-Heat Dysentery: LI-4, LI-11, SP-9, ST-25, ST-37, ST-44

SPLEEN AND KIDNEY QI DEFICIENCY WITH EDEMA

Clinical Manifestations	Edema below the waist Fatigue Cold limbs Low back and knee soreness and pain Scanty urination A dark complexion Abdominal distention A tendency to loose stools A sticky feeling in the mouth A bland taste in the mouth Either a tendency towards being too hot of too cold Shortness of breath Purple lips and nails No thirst or thirst with no desire to drink Asthma Irregular menstruation T: Purple and thick with possible purple static maculae or spots C: Thin, white and slimy P: Deep and choppy
Treatment Principle	Strengthen the Spleen Tonify the Kidneys Promote urination Invigorate the Blood
Herb Formulas	Chronic Kidney Failure #1
Points	REN-4, SP-6, SP-9, SP-10, UB-23 For a stronger effect: + KI-7 For severe edema and cold low back pain: + moxa DU-4 For Heart palpitations and rapid panting: + LU-7, PC-6, REN-23 For severe edema in the limbs: + ST-28 For severe edema in the abdomen: + REN-9

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Body cold Limbs icy Complexion white and shiny Lassitude Lack of strength Torpid intake Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Aversion to Cold Edema of face and limbs Edema of the body A sticky sensation in the mouth A bland taste in the mouth Frequent, clear urination or Nocturia or Scanty urination with pitting edema Dysuria Constipation with hard to expel stools There may be fatigue after attempted defecation Abdominal pain which is better with warmth Severe: Abdominal ascites T: Pale, tender, moist and swollen maybe with teethmarks C: Thin and white or White and greasy P: Deep and weak or Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Zhen Wu Tang modified Yi Qi Jian Pi Fu Zheng Tang With constipation: Ji Chuan Jian
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23 REN-4, SP-6, SP-9, UB-23 For a stronger effect: + KI-7 For severe edema and cold low back pain: + moxa DU-4 For severe edema and cold low back pain and hematuria: + moxa DU-4, Xuechou For Heart palpitations and rapid panting: + LU-7, PC-6, REN-23 For severe edema in the limbs: + ST-28 For severe edema in the abdomen: + REN-9

SPLEEN AND KIDNEY YANG DEFICIENCY WITH WATER FLOODING

Clinical Manifestations	Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Scanty urination Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Zhen Wu Tang Shi Pi Yin
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

STOMACH FIRE

Clinical Manifestations	Burning Heat and pain in the epigastrium Irritating thirst: drinks copious fluids and prefers cold drinks Excessive appetite: hungry again quickly after eating (as if food vanishes) Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San modified Mai Men Dong Tang modified
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, 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 maybe hematuria T: Red tip with ulcers especially on the tip P: Excess and rapid
Treatment Principle	Clear Heat Purge Fire Calm the Shen
Herb Formulas	Dao Chi (Re) San San Huang Xie Xin Tang Liang Ge San
Points	HT-7, HT-8, PC-7, PC-8, UB-15

PHLEGM-FIRE DISTURBS THE HEART

Clinical Manifestations	Irritability Palpitations Bitter taste in mouth Insomnia Much dreaming Easily startled Frequent dark, scanty urine Severe cases: Incoherent speech Crying and laughing without reason Manic agitation with irrational behavior May physically attack or abuse others T: Red tip C: Yellow and greasy P: Slippery, Excess, rapid and maybe wiry
Treatment Principle	Clear the Heart Break through Phlegm
Herb Formulas	Wen Dan Tang
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 NOT VIGOROUS: WATER QI INSULTS THE HEART WITH KIDNEY YANG DEFICIENCY

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

HEART AND KIDNEY YIN DEFICIENCY WITH FIRE RISING

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	Dao Chi (Re) San
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23

LACK OF COMMUNICATION BETWEEN THE HEART AND KIDNEYS

Clinical Manifestations	Scanty, dark-colored urination Tinnitus Deafness Vexation Insomnia Palpitations Forgetfulness Low back and knee pain and weakness Tidal fever Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Descend Fire Restore communication between the Heart and Kidneys
Herb Formulas	Huang Lian E Jiao Tang modified
Points	KI-3, PC-7, REN-7 With deafness and tinnitus: + SI-19, SJ-17 With nightsweats : + HT-6, KI-7

SMALL INTESTINE EXCESS HEAT

Clinical Manifestations	Irritability Ulceration and erosion of the mouth and tongue Sore throat Dry mouth Thirst Desire for cold drinks Maybe deafness Urination short, dark, difficult and painful or Hematuria or Pain in the urethra Fullness and distention of lower abdomen T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Excess Heat Promote diuresis
Herb Formulas	Dao Chi (Re) San
Points	HT-8, LIV-2, REN-3, SP-6, SP-10, UB-27 PC-7, REN-4

LIVER QI STAGNATION TRANSFORMING INTO FIRE

Clinical Manifestations	Vexatious Heat in the five soles Rib and flank fullness and oppression Scanty, dark-colored urine Emotional dysphoria Impatience Irascibility Head distention A bitter taste in the mouth Head distention Irregular menstruation T: Red C: Yellow P: Deep and rapid
Treatment Principle	Dredge the Liver Rectify Qi Resolve Stagnation
Herb Formulas	Jia Wei Xiao Yao San modified Long Dan Xie Gan Tang For Liver Qi Stagnation without Spleen Deficiency: Huo Yu Tang modified
Points	LIV-2, SJ-3, SJ-6 For vexatious five-sole Heat: + GB-43, HT-8 For insomnia: + HT-7 For bad breath : + PC-8 For fever, flank pain and a thready, rapid pulse: + LIV-14, SP-6 For constipation: + ST-37

DAMP-HEAT IN THE LIVER AND GALLBLADDER

Clinical Manifestations	Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Nausea Vomiting sour and bitter fluids Anorexia Maybe alternating chills and fever Concentrated, dark urine Abdominal distention Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles T: Pink C: Yellow and greasy or sticky P: Wiry and rapid or Slippery and rapid
Treatment Principle	Clear Dampness Purge Heat from Liver and Gall Bladder
Herb Formulas	Long Dan Xie Gan Tang Yin Chen Hao Tang
Points	Dannangxue, DU-9, GB-24, GB-34, LIV-14, SI-4, SP-9, UB-18, UB-19, UB-48 GB-24, GB-34, LIV-14, SP-9 DU-9, SI-4, UB-18, UB-19, UB-20

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Headache Dizziness Dry, rough eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), Weakness Fatigue Tinnitus Deafness Forgetfulness Low back and knees sore, weak and painful Throat dry and painful Five-sole Heat Low-grade fever Night sweats Dry skin Dry throat Thirst with a desire for cold drinks An odor or urine in the mouth A bitter taste in the mouth Irritability Agitation Insomnia Profuse dreams Stools difficult to pass Constipation Dry, bound stools Scanty, reddish urine Men: Spermatorrhea Women: Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid or Thready, wiry and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Zhi Bai Di Huang modified Liu Wei Di Huang Wan modified
Points	KI-3, LIV-3, SP-6, UB-18, UB-23 KI-7, UB-18, UB-23, UB-64 For inhibited, rough urination: + REN-3 For edema: + REN-3, ST-28 For severe dizziness and tinnitus: + GB-20, SJ-17 For a painful throat: + KI-6 For insomnia and palpitations: + HT-7 For concomitant Liver Fire: + LIV-2 For Blood Stasis: +SP-6 For high blood pressure: + LI-11, ST-36

KIDNEY YIN DEFICIENCY

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

KIDNEY YIN DEFICIENCY WITH EMPTY FIRE FLARING

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

KIDNEY YANG DEFICIENCY WITH WATER FLOODING (EDEMA)

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema 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 Abdominal distention with full sensations Oliguria Dry skin 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 Face gray and congested or pale Feeling nervous and cold with mental weariness T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready
Treatment Principle	Warm and Reinforce Kidney Yang Promote diuresis
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) modified Zhen Wu Tang Ji Sheng Shen Qi Wan Jia Wei Shen Qi Wan
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

URINARY BLADDER DAMP-HEAT

Clinical Manifestations	Bloody urine Maybe red or purple in color Clots If the clots are massed, the Blood comes from the Bladder If the clots are thready, the Blood comes from the Kidney Lower abdominal pain Urinary frequency Urinary urgency Painful urination Maybe lumbo-sacral pain Heart vexation Parched mouth Fever Thirst Dry mouth Low back pain Maybe oliguria with reddish urine T: Red C: Sticky and yellow P: Rapid or Deep and rough or Slippery and rapid
Treatment Principle	Clear Heat Stop bleeding
Herb Formulas	Xiao Ji Yin Zi San Jin Tang Shi Wei San Bei Xie Fen Qing Yin Tao He Cheng Qi Tang Zhu Ling San Xi Jiao Di Huang Tang + Zhu Ling San Zhi Bai Di Huang Wan + Ba Zheng San
Points	KI-7, UB-23, UB-27, alternate LIV-3, SP-10 with KI-1, UB-17 KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 KI-7, REN-3, REN-4, SP-6, SP-9, SP-10, UB-23, UB-27, UB-40 KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 To adjust the urinary Bladder: REN-3, UB-28 To clear Heat: LI-4, LI-11, ST-44 To disperse Damp: SP-6, SP-9 For edema: KI-3, REN-9 For Phlegm: ST-40 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39

QI AND YIN DEFDICIENCY

Clinical Manifestations	A lusterless facial complexion Fatigue A generalized lack of strength Shortness of breath on exertion Low back and knee soreness and limpness Torpid intake A dry and/or sticky mouth Little or no desire to drink water The taste of urine in the mouth Dry, bound stools Scanty, yellow urine during the day Profuse, clear urine at night Five-sole Heat T: Pale with teethmarks C: Thin and white or Little or None P: Thready
Treatment Principle	Tonify the Spleen Augment Qi Supplement the Kidneys Nourish Yin
Herb Formulas	Shen Qi Di Huang Tang modified
Points	KI-7, ST-36, UB-20, UB-23 For low back pain: + KI-3 For dry mouth and throat and low grade afternoon fever : + HT-6, KI-6 For anorexia and abdominal fullness after eating: + PC-6, SP-4 For constipation: + SJ-6

QI, BLOOD AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Oliguria Low back and knee pain Dizziness Tinnitus Fatigue Loose stools Poor appetite Pale face Weak voice Reluctance to speak Sweating with little or no exertion Insomnia Dry skin Dry hair Poor memory Scanty periods Chills Cold limbs Inability to get warm Spontaneous sweating Lassitude T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy or Slow, deep and weak
Treatment Principle	Warm the Kidneys Tonify Qi Dispel Dampness Nourish the Blood
Herb Formulas	Oliguria #1 Ji Sheng Shen Qi Wan
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BLOOD HEAT

Clinical Manifestations	Oliguria High fever Confusion of mind Delirium (mania) Dark yellow urine Excessive skin rashes all over body Hemorrhage Hematemesis Hemoptysis Epistaxis Hemafecia Hematuria T: Deep red, dry or Purple red C: None P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle	Cool the Blood Dispel Heat and Toxins from the Xue Stage Promote Blood Circulation
Herb Formulas	Oliguria #2 Xi Jiao Di Huang Tang Qing Wen Bai Du San
Points	To clear Heat and Toxins: Bleed the Jing Well points, DU-14, LI-11, ST-44 To promote Blood circulation: SP-10, UB-17 To treat hemafecia: SP-1, ST-25, ST-37 To restore consciousness: DU-26, K-1 To nourish Yin: KI-3, SP-6 To calm the Shen: HT-7

PHLEGM-FIRE

Clinical Manifestations	Cough with sticky, yellow, difficult to expectorate sputum Rapid breathing with a harsh voice Restless fever Sore throat Constipation Dry stools Mania Shortness of breath Dyspnea Nausea Vomiting Chest and/or epigastric fullness Pain in the ribs Scanty, dark urine T: Scarlet C: Yellow or Yellow and greasy or Yellow and smooth P: Rapid and smooth or Slippery and rapid
Treatment Principle	Clear Heat Resolve Phlegm
Herb Formulas	Qing Qi Hua Tan Wan
Points	LI-11, LU-5, ST-40, UB-13

FOOD STAGNATION TURNING INTO DAMP-HEAT

Clinical Manifestations	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 Scanty dark urine T: Pink C: Thick and greasy P: Slippery
Treatment Principle	Clear Food Conduct Stagnation
Herb Formulas	Zhi Shi Dao Zhi Wan
Points	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

TURBID DAMPNESS IN THE SAN JIAO

Clinical Manifestations	General edema of the body and extremities Dysuria Oliguria Orthopnea Pitting edema Dyspnea Anorexia Abdominal fullness and pain T: Thick C: White and thick P: Slow or Wiry
Treatment Principle	Dispel Stagnant Water Dry Dampness Eliminate water from the Lungs Harmonize the Spleen Relieve edema Move Qi
Herb Formulas	Dao Shui Fu Ling Tang
Points

MIDDLE JIAO DAMP-HEAT

Clinical Manifestations	Lethargy Anorexia Maybe jaundice No thirst or Thirst with no desire to drink Nausea Vomiting Afternoon fever Body aches A sallow complexion Scanty urination Diarrhea Chest discomfort Epigastric pain and distention Dull appearance Maybe disorientation Loose stools Maybe skin vesicles Heavy extremities T: Pink C: Greasy and yellow P: Soft and rapid
Treatment Principle	Clear Heat Resolve Damp and turbidity
Herb Formulas	Gan Lu Xiao Du Dan San Jiao #1 Long Dan Xie Gan Tang
Points	REN-6, REN-12, SP-9, ST-25, ST-36

SKIN EDEMA

Clinical Manifestations	Scanty, maybe dark urination Pitting edema, worse in the extremities A sensation of heaviness in the body and extremities Fibrillations in the skin and muscles of the extremities Dysuria T: Normal C: White and slippery P: Floating
Treatment Principle	Augment Qi Unblock Yang Promote urination Reduce edema
Herb Formulas	Fang Ji Fu Ling Tang
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