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PERIPHERAL NEUROPATHY

GENERAL

Clinical Manifestations	This is a symptom of many different patterns of disharmony Affects the limbs Numbness Sensitivity to pain or temperature A tingling, burning or prickling sensation Sharp burning pain Cramps Extreme sensitivity to touch Loss of balance and coordination Muscle weakness Muscle wasting Paralysis
Treatment Principle
Herb Formulas	Topical for Damp-Heat and Blood Stasis: Hot Foot Soak #1
Points	DU-9, DU-12, DU-14, LI-11, UB-14, UB-16, UB-60 Upper limb: Baxie, LI-4, LI-11, LI-15, SJ-5 Lower limb: GB-30, GB-34, GB-39, SP-6 Cutaneous needling

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

TAI YANG SHANG HAN

Clinical Manifestations	Severe chills Mild or no fever Headache Generalized discomfort Stiff neck and shoulders Body aches Joint ache Nausea Vomiting Hiccups Anhidrosis Gasping Stabbing joint pain Itchy throat Cough Asthma Aversion to Wind and Cold Maybe low back pain Maybe frozen shoulder Maybe dyspnea Maybe epistaxis (severe) T: Normal C: Thin and white P: Floating and tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop asthma
Herb Formulas	Ma Huang Tang With Damp Accumulation: Ma Huang Jia Zhu Tang
Points	DU-16, GB-20, LI-4, LU-7, SJ-5, UB-12, UB-13 For a stiff neck: + GB-21, SI-3, Taiyang, UB-62

WIND-DAMP-BI WITH BLOOD DEFICIENCY AND BLOOD STASIS

Clinical Manifestations	Muscle aches Joint pain Radiating pain in the legs Low back pain Edema Numbness in the lower extremities Pain in the trunk and extremities Abdominal pain Sciatica Aversion to Wind and Cold Knee pain T: Pale or Pink with purple spots C: Normal P: Choppy or Taut
Treatment Principle	Unblocks and relaxes the channels Invigorate the Blood Break up Blood Stasis Dispel Wind-Dampness Strengthen the tendons
Herb Formulas	Shu Jing Huo Xue Tang With Cold and/or Heat: Shu Jin Li An San With Qi and Blood Stagnation: Shen Tong Zhu Yu Tang
Points

LUNG AND STOMACH FLUID DAMAGE

Clinical Manifestations	Upper or lower limb weakness or loss of strength either during or after a fever associated with and External Wind Invasion Inability oft the hands to grasp Inability of the feet to stand and walk Severe: Paralysis Progressive emaciation Dry, withered skin Abnormal sensations Dry throat Parched lips Heart vexation Hoarse voice Thirst Short, reddish, hot, painful urination Constipation T: Red C: Thin and dry P: Thready and rapid or Surging, empty and rapid
Treatment Principle	Clear Heat Generate Fluids Moisten Dryness
Herb Formulas	Qing Zao Jiu Fei Tang + Yi Wei Tang For thirst leading to drinking, with a surging, large, empty or hollow pulse due to Summerheat Damaging Qi and Yin: Bai Hu Jia Ren Shen Tang
Points	DU-14, SJ-6, ST-36, ST-44 + affected local points For pain, tingling or numbness of the toes: + Bafeng For tingling or burning on the sole of the foot: + KI-1 For pain in the heel: + KI-3 through to UB-60 For constipation: + LI-4, ST-25, UB-25 For marked Lung Dryness: + Baxie, LI-4 For tingling or numbness of the fingers: + LI-11 For a fever: + LI-4, LI-11

SPLEEN AND STOMACH QI DEFICIENCY

Clinical Manifestations	Paralysis of the four extremities which is more severe in the lower limbs Swelling and distention of the hands and feet Poor appetite Abdominal distention Muscular cramping and pain Possible emaciation A sallow, yellow lusterless facial complexion Loose stools T: Pale C: Thin and white P:Thready and forceless
Treatment Principle	Strengthen the Spleen Tonify Qi
Herb Formulas	Peripheral Neuropathy #1
Points	SP-6, SP-10, ST-36, UB-20, UB-21, local Ahshi points For pain in the heel: + UB-60 For tingling or burning on the sole of the foot: + KI-1 For pain, tingling or numbness of the toes: + Bafeng For Central Qi Sinking with a sinking sensation, dizziness, fatigue and lack of strength: + DU-20

SPLEEN AND KIDNEY YANG DEFICIENCY WITH COLD-DAMPNESS

Clinical Manifestations	Lower limb paralysis or Heaviness, numbness,t tingling and insensitivity of the four limbs Body cold Cold hands and feet 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 Severe: Abdominal ascites Chilled body and limbs with frequent sweating A stagnant feeling in the chest which may progress to difficulty swallowing Stagnating and lingering Phlegm-Fluids Coughing Distressed, hasty breathing Cyanotic nails T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow or Deep and hidden
Treatment Principle	Scatter Cold Dispel Dampness Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang modified Zhen Wu Tang For a lack of Cold-Dampness above and source Qi Deficiency below resulting in wilting: Er Xian Tang + Si Wu Tang
Points	DU-4, KI-3, SP-6, UB-20, UB-21, UB-23. local Ahshi points For tingling or burning on the sole of the foot: + KI-1 For pain, tingling or numbness of the toes: + Bafeng For marked Dampness or Damp-Heat: + SP-9 With Blood Stasis: + SP-10

LIVER AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	A long, slow disease course with gradual, progressive atrophy Weakness and loss of use of the upper or lower limbs Low back and knees sore and painful Facial complexion pale and sallow Flaccid paralysis (Wei syndrome), weakness Numbness and tingling of the hands and feet Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Emaciation Tinnitus Deafness Forgetfulness Throat dry and painful Dry mouth Hoarse voice 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 or Thready, wiry and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidney Nourish Yin Clear Heats
Herb Formulas	Hu Qian Wan modified
Points	KI-3, KI-7, SP-6, SP-10, ST-36, local Ahshi points For more marked Spleen Qi Deficiency: + UB-20, UB-21 For marked Kidney Deficiency: + DU-4, UB-23 For tingling or burning on the sole of the foot: + KI-1 For pain, tingling or numbness of the toes: + Bafeng

BLOOD STAGNATION

Clinical Manifestations	Palpitations Dizziness Blurred vision Pale, lusterless complexion Pale nails Abdominal pain Irregular menstruation with little flow Fixed lower abdominal pain Vertigo Muscle ache of the neck, back, legs and shoulder Whole body pain Shoulder pain Elbow pain Pain at the waist Arm pain Low back pain Leg pain Tinnitus Pale lips May be amenorrhea Insomnia Menstruation may also be accompanied by distention and pain T: Pale or Purple C: Normal P: Thin and weak or Thin and choppy
Treatment Principle	Invigorate the Blood Dispel Blood Stasis Drain Dampness
Herb Formulas	Zhu Yu Tang
Points

BLOOD STAGNATION DUE TO A MILD ATTACK OF WIND COLD WITH QI DEFICIENCY

Clinical Manifestations	Relatively superficial numbness without pain Paresthesia and numbness of the skin and flesh Paresthesia of the shoulders Neck and shoulder stiffness and pain Abdominal pain alleviated by warmth and pressure Pale complexion Hemiplegia Stiff tongue Flaccidity if the extremities Migratory pain Pain, weakness, tightness or spasms of the extremities Spontaneous sweating Shortness of breath Aphasia Excess salivation Aversion to Wind T: Normal or Thick C: White or Smooth and white or White and greasy P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle	Tonify Qi and Blood Warm and harmonize the channels and collaterals Harmonize the Ying and Wei Unblock painful obstruction Warm the Middle Jiao Dispel Cold Alleviate pain Harmonize Yin and Yang
Herb Formulas	Huang Qi Gui Zhi Wu Wu Tang
Points

DAMP-HEAT

Clinical Manifestations	Soreness, heaviness and lack of strength of the four extremities or of the two lower extremities Possible progressive paralysis or atrophy Insensitivity, numbness or tingling of the four extremities Limb aching and pain Burning Heat which is ameliorated by Cold Generalized fever which is not easily alleviated Possible deviation of the face, mouth and eyes Poor appetite Thirst with no desire to drink Nausea/vomiting Abnormal vaginal discharge Red, hot, rough, painful urination Loose stools T: Red C Slimy and yellow P: Rapid or Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness
Herb Formulas	Si Miao Wan modified
Points	SP-6, SP-9, SP-10, ST-36 + local points according to the area of discomfort For pain in the heel: + UB-60 For tingling or burning on the sole of the foot: + KI-1 For pain, tingling or numbness of the toes: + Bafeng

COLD AND BLOOD STAGNATION IN THE CHANNELS

Clinical Manifestations	Abdominal pain with icy cold hands and feet Extremities are cyanotic and difficult to warm up P: Thready or Imperceptible
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the channels
Herb Formulas	Dang Gui Si Ni Tang
Points

LOWER JIAO BLOOD STAGNATION WITH HEAT

Clinical Manifestations	Acute lower abdominal pain Incontinence of urine Night fevers Delirious speech Irritability Restlessness Thirst May be mania (severe) Dysmenorrhea Amenorrhea Hard stool Dark red complexion Headache Vertigo Tinnitus Insomnia Palpitations Constipation Frequent urination Emotional instability Chills in the waist and feet 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 He Cheng Qi Tang
Points