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PREMATURELY GRAY HAIR

LIVER QI STAGNATION

Clinical Manifestations	Gray hair Pain and distention in the chest and lateral costal regions Vexation Irritability Anorexia Irregular menstruation Breast distention and pain either before or during menstruation Symptoms are worse with motional disturbance T: Red tip and edges C: Thin and white or Thin and yellow P: Wiry and Rapid
Treatment Principle	Regulate the Liver Resolve depression Clear Heat Blacken the hair
Herb Formulas	Jia Wei Xiao Yao San modified
Points	LIV-3, LIV-14, SP-6, ST-44

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Prematurely gray hair Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs Edema of the lower extremities General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Muddleheadedness or Slow to learn Impotence Spermatorrhea Premature ejaculation Low libido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 tonify Kidney Yang Replenish Jing Tonify the Blood
Herb Formulas	You Gui Wan Ba Wei Di Huang Wan Chinese Patent Medicines: Jin Kui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan
Points

KIDNEY YIN DEFICIENCY

Clinical Manifestations	Graying, lifeless hair 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 Muddleheadedness or Slow to learn 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 T: Red C: Little or None P: Thready and rapid
Treatment Principle	Tonify the Kidneys Nourish Yin
Herb Formulas	Liu Wei Di Huang Wan + Sheng Mai San Zuo Gui Wan Chinese Patent Medicines: Liu Wei Di Huang Wan Zhi Bai Di Huang Wan He Che Da Zao Wan Da Bu Yin Wan
Points

KIDNEY AND LIVER YIN DEFICIENCY

Clinical Manifestations	Prematurely gray hair Premature hair loss Weak and sore lower back and knees Weakness and atrophy of the legs Dry, parched mouth and throat Dizziness Blurred vision Insomnia Dream disturbed sleep Spermatorrhea A bitter taste in the mouth Nocturnal emissions Hypermenorrhea T: Red and dry C: Little or None P: Thready and rapid
Treatment Principle	Nourish Kidney and Liver Yin and Blood
Herb Formulas	Er Zhi Wan
Points

KIDNEY JING DEFICIENCY

Clinical Manifestations	Dizziness Tinnitus Low back and knees weak and aching Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Zuo Gui Wan You Gui Wan Bu Nao Wan Bu Yao Tang
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23

JING STAGNATION

Clinical Manifestations	Premature graying of the hair Stabbing pain in the low back, feet, testes, penis and lower abdomen Occasional swelling of penis and testes aggravated by resting and sleeping and better with movement Maybe impotence Maybe premature ejaculation Maybe erection without stimulation Maybe ejaculation without stimulation Maybe partial erection during copulation Incomplete ejaculation Maybe ejaculation after copulation Incontinence of urine Dripping urine Itch or pain of hairy areas Tinnitus Stuffy head Chest oppression Retardation of response to stimulation Difficulty concentrating Forgetfulness Insomnia High viscosity sperm with a high number of deformed sperm and abnormal sperm count T: Purple spots C: Normal P: Grating and astringent
Treatment Principle	Invigorate the Blood Free the flow of Jing
Herb Formulas	Huo Xue Tong Jing Tang
Points

KIDNEY JING AND LIVER BLOOD DEFICIENCY

Clinical Manifestations	Graying or whitening of the hair Most patients are middle aged The graying usually starts from the vertex and temples Hair loss Loose teeth Spontaneous emissions Nocturnal emissions Dizziness Tinnitus Five-Sole-Heat Maybe night sweats Low back and knees weak and aching Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of the hearing Pale complexion Pale lips Blurred or failing vision Spots before the eyes Dry eyes Pale nail beds Irritability Frightens easily Insomnia with much dreaming Numbness of the limbs Light menses or Amenorrhea Late menses T: Red C: Little P: Thready and rapid
Treatment Principle	Enrich Kidney Jing Nourish Liver Blood
Herb Formulas	Qi Bao Mei Ran Dan modified Sheng Fa Yin Shou Wu Pian
Points	DU-20, GB-20, KI-3, UB-18, UB-23

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Gray hair which is dry and brittle Hair loss Shortness of breath A pale, white facial complexion Pale nails Pale lips T: Pale red C: Little or None P: Thready and weak
Treatment Principle	Supplement Qi Nourish the Blood
Herb Formulas	Ba Zhen Tang modified Alopecia #4 Alopecia #11 Alopecia #12 Alopecia #14 With Yin Deficiency: Bao Fa Tang
Points	DU-20, SP-6, SP-10, ST-36, UB-17

BLOOD HEAT AND DRYNESS

Clinical Manifestations	This is mainly encountered in young patients Sparse strands of white hair interspersed with normal colored ones A gradual increase of the white hairs T: Red tip C: Thin and yellow P:Wiry and rapid
Treatment Principle	Cool the Blood Clear Heat
Herb Formulas	Wu Fa Wan Jia Jian
Points	LI-11, SP-6, SP-10, ST-44