PROSTATITIS

GENERAL

Clinical Manifestations
  • Prostatitis can be chronic and acute or chronic with acute flare ups.
Treatment Principle
Herb Formulas
Points

QI STAGE GALL BLADDER HEAT

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
Herb Formulas
Points

SPLEEN QI DEFICIENCY

Clinical Manifestations
  • Chronic prostatitis
  • Terminal dribbling, worse with fatigue
  • Frequent, urgent urination
  • A desire to urinate but without success
  • White deposits in the urine
  • Possible long, clear urination
  • Possible slight hematuria
  • Sagging pain in the perineal area
  • Fatigue
  • Lassitude of the Spirit
  • Lack of strength
  • A lusterless complexion
  • T: Pale and fat
  • C: White
  • P: Fine and soft
Treatment Principle
  • Supplement the center
  • Tonify Qi
Herb Formulas
Points
  • REN-1, REN-4, REN-6, DU-20, ST-36, SP-6
    For sagging pain in the genitals: + moxa LIV-1
    For lower abdominal, groin and genital distention and pain:
    + LIV-8
    For hematuria:+ moxa LIV-1
    For frequent urination: + REN-3
    For difficult urination: + SP-9
    For susceptibility to the common cold: + LI-4, DU-14
    For Food Stagnation: + ST-21
    For Kidney Qi Deficiency: + KI-3
    For Kidney Yin Deficiency: + KI-7
    For Heart and Spleen Deficiency: + HT-7
    For Severe Qi Deficiency: + SP-3

SPLEEN AND KIDNEY QI DEFICIENCY

Clinical Manifestations
  • Milky, turbid spermatorrhea
  • Listlessness
  • Fatigue
  • A shiny, white complexion
  • Anorexia or
  • Increased food intake
  • Restlessness
  • Vaginal discharge
  • Diarrhea
  • Dryness of the external ears
  • Dizziness
  • Enuresis
  • Copious urination
  • Thirst
  • Premature ejaculation
  • Lumbago
  • T: Pale
  • C: White
  • P: Deep and frail
Treatment Principle
  • TonifY the Kidneys
  • Stabilize Jing
  • Stop leakage
  • Strengthen the Spleen
  • Drain Dampness
  • Benefit the Heart
  • Calm the Shen
Herb Formulas
Points

HEART FIRE TRANSFERRED TO THE SMALL INTESTINE

Clinical Manifestations
  • Burning, painful, concentrated, urgent and frequent urination
  • A red complexion
  • Mouth and tongue ulcers, particularly on the tip of the tongue
  • Thirst with a desire for cold drinks
  • A sensation of Heat in the chest
  • Irritability
  • Restlessness
  • Agitation
  • Anxiety
  • Palpitations
  • Insomnia
  • Dream-disturbed sleep
  • T: Red with a redder tip, may have ulcers on the tip
  • C: Dry and yellow
  • P: Rapid and big, especially in the distal position
Treatment Principle
  • Clear Heat from the Heart
  • Promote urination
Herb Formulas
  • Dao Chi San modified
  • With hematuria: Xiao Ji Yin Zi  modified
    Chinese patent medicines:
    Te Xiao Pai Shi Wan
    Long Dan Xie Gan Wan
    Qian Lie Xian Wan
    Chuan Xin Lian     Kang Yan Pian
    Yun Nan Bai Yao     (should be take along with any of the above formulas)
Points

LIVER QI STAGNATION

Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Tightness or fullness in the chest
  • Cold extremities
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood
  • Harmonize the Liver and Spleen
Herb Formulas
Points
  • REN-1, REN-4, REN-6, DU-20, ST-36, SP-6
    For sagging pain in the genitals: + moxa LIV-1
    For lower abdominal, groin and genital distention and pain:
    + LIV-8
    For hematuria:+ moxa LIV-1
    For frequent urination: + REN-3
    For difficult urination: + SP-9
    For susceptibility to the common cold: + LI-4, DU-14
    For Food Stagnation: + ST-21
    For Kidney Qi Deficiency: + KI-3
    For Kidney Yin Deficiency: + KI-7
    For Heart and Spleen Deficiency: + HT-7
    For Severe Qi Deficiency: + SP-3

LIVER FIRE

Clinical Manifestations
  • Burning, painful, concentrated, urgent and/or frequent urination
  • Extreme irritability
  • Angry outbursts
  • Dizziness
  • Tinnitus
  • Bloodshot, painful eyes
  • Temporal headache
  • Thirst
  • A dry throat
  • Constipation
  • Hypochondriac, tension, discomfort and pain
  • Ulcerations
  • A tendency toward herpes genitalia
  • Eczema on the groin and genitals
  • T: Red or Red edges
  • C; Thick yellow and dry
  • P: Wiry, rapid and strong
Treatment Principle
  • Drain Liver Fire
  • Promote urination
Herb Formulas
  • Chinese Patent Medicines:
    Long Dan Xie Gan Wan
    Qian Lie Xian Wan
    Chuan Xin Lian Kang Yan Pian
    Te Xiao Pai Shi Wan
    With hematuria: Yun Nan Bai Yao (take along with any of the above formulas)
Points

COLD STAGNATION IN THE LIVER CHANNEL

Clinical Manifestations
  • Swelling and pain in scrotum as if testicles were being pulled downward or
  • Contractions and Cold sensations of scrotum which are alleviated by warmth
  • Pain, distention, fullness
  • Cold sensation in lower abdomen
  • Cold limbs
  • Dislike of Cold and preference for warmth
  • T: Pale
  • C: White and greasy
  • P: Deep and wiry or Slow or Deep and Excess
Treatment Principle
  • Warm the Liver
  • Dispel Cold
Herb Formulas
Points

KIDNEY YIN DEFICIENCY

Clinical Manifestations
  • The disease lasts quite a long term without recovering
  • The patient is enfeebled due to the chronic course of the illness , or he has once indulged in excessive sexual activities or masturbation
  • White or sticky excretion from the mouth of the urethra usually or at the end of the urination
  • Frequent, scanty urination
  • Dribbling urination which is worse with taxation
  • Frequent nocturia
  • Yellow urine
  • Low back pain
  • Soft legs
  • Dizziness
  • Tinnitus
  • Impotence
  • Seminal emission
  • Premature ejaculation
  • Hypofunction of the sexual ability
  • Insomnia
  • Profuse dreaming
  • Night sweats
  • Five sole Heat
  • Possible feverish sensation or low grade fever in the afternoon
  • Constipation
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish the Kidneys
  • Nourish Yin
  • Drain Fire
  • Drain Dampness
  • Resolve the turbid
Herb Formulas
Points
  • REN-2, REN-1 KI-7, UB-23, UB-35
    For genital pain: + LIV-1
    For itchy, Damp scrotum: + LIV-5
    For severe distention in the perineum: + UB-33, UB-35
    For pain and distention in the lower abdomen: + ST-29
    For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6
    For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54
    For turbid or milky white urine: + SP-6
    For constipation or dry stools: + SJ-6
    For dry mouth: + KI-7
    For nausea and Stomach and abdominal distention: + REN-12, ST-25
    For fever: + LI-4, SJ-5, LI-11
    For hematuria: + SP-10
    For insomnia and restlessness: + HT-5
    For stabbing pain in the genitals: + LIV-1
    For stabbing pain on urination: + ST-28
    For lower abdominal, groin and genital distention and pain:
    + LIV-8
    For nodulations on the prostate gland: + UB-33, UB-35
    For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5
    For spermatorrhea or hematuria: + moxa LIV-1
    For a Cold sensation in the lower abdomen and/or scrotal area:
    + moxa REN-4
    For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45
    For difficult urination: + SP-9
    For Kidney Yin Deficiency: + KI-3
    For Kidney Yang Deficiency: + KI-7
    For Qi Deficiency: + SP-3
    For constipation or dry stools: + SJ-6

KIDNEY YIN DEFICIENCY WITH EMPTY FIRE RISING

Clinical Manifestations
  • Discharge of a clear, thin fluid from the urethra
  • Frequent, scanty urination
  • Dribbling urination which is worse with taxation
  • Frequent nocturia
  • Yellow urine
  • Low back pain
  • Dizziness
  • Tinnitus
  • Impotence
  • Seminal emission
  • Insomnia
  • Night sweats
  • Five sole Heat
  • Possible feverish sensation or low grade fever in the afternoon
  • Constipation
  • Increased sexual desire
  • Easy erection
  • Hyperactive sexuality but without ejaculation or
  • Ejaculation stopping suddenly during coitus
  • Slight distention and pain in the scrotum and perineal area which is better after ejaculation
  • Frequent, urgent and painful urination
  • Seminal emission while dreaming
  • Dry Mouth and throat
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish the Kidneys
  • Nourish Yin
  • Reduce Deficiency Fire
  • Drain Dampness
  • Resolve the turbid
Herb Formulas
Points
  • UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course.
  • For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36
  • For problems affecting the penis: UB-28, UB-25
  • REN-2, REN-1 KI-7, UB-23, UB-35
    For genital pain: + LIV-1
    For itchy, Damp scrotum: + LIV-5
    For severe distention in the perineum: + UB-33, UB-35
    For pain and distention in the lower abdomen: + ST-29
    For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6
    For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54
    For turbid or milky white urine: + SP-6
    For constipation or dry stools: + SJ-6
    For dry mouth: + KI-7
    For nausea and Stomach and abdominal distention: + REN-12, ST-25
    For fever: + LI-4, SJ-5, LI-11
    For hematuria: + SP-10
    For insomnia and restlessness: + HT-5
    For stabbing pain in the genitals: + LIV-1
    For stabbing pain on urination: + ST-28
    For lower abdominal, groin and genital distention and pain:
    + LIV-8
    For nodulations on the prostate gland: + UB-33, UB-35
    For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5
    For spermatorrhea or hematuria: + moxa LIV-1
    For a Cold sensation in the lower abdomen and/or scrotal area:
    + moxa REN-4
    For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45
    For difficult urination: + SP-9
    For Kidney Yin Deficiency: + KI-3
    For Kidney Yang Deficiency: + KI-7
    For Qi Deficiency: + SP-3
    For constipation or dry stools: + SJ-6

KIDNEY YANG DEFICIENCY

Clinical Manifestations
  • Aversion to Cold
  • Cold extremities
  • Scanty urination
  • Abdominal distention
  • Edema of the legs
  • Cold sensations in the lower body
  • Sensory numbness
  • Low back pain
  • Severe pitting edema
  • Fatigue
  • Urinary difficulties
  • T: Pale and swollen with teeth marks
  • C: White and slippery
  • P: Deep and wiry
Treatment Principle
  • Warm Yang
  • Tonify the Kidneys
  • Aid water transformation
  • Promote urination
  • Reduce edema
Herb Formulas
Points

KIDNEY YANG DEFICIENCY WITH INTERNAL COLD

Clinical Manifestations
  • Extremely cold extremities
  • Aversion to Cold
  • Sleeping with knees drawn up
  • Lethargy with a constant desire to sleep
  • Vomiting
  • Diarrhea with undigested food
  • Abdominal pain and Cold
  • Lack of thirst
  • Coma
  • Indigestion
  • Edema
  • Pale face
  • Superficial fever
  • Red face
  • Cyanosis of the lips and nails
  • T: Pale or Dark purple
  • C: White and slippery
  • P: Deep and thready or Deep and slow or Deep and faint
Treatment Principle
  • Rescue Yang
  • Warm the Middle Jiao
  • Disperse Internal Cold
  • Stop diarrhea
Herb Formulas
Points
  • UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course.
  • For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36
  • For problems affecting the penis: UB-28, UB-25
  • REN-2, REN-1 KI-7, UB-23, UB-35
    For genital pain: + LIV-1
    For itchy, Damp scrotum: + LIV-5
    For severe distention in the perineum: + UB-33, UB-35
    For pain and distention in the lower abdomen: + ST-29
    For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6
    For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54
    For turbid or milky white urine: + SP-6
    For constipation or dry stools: + SJ-6
    For dry mouth: + KI-7
    For nausea and Stomach and abdominal distention: + REN-12, ST-25
    For fever: + LI-4, SJ-5, LI-11
    For hematuria: + SP-10
    For insomnia and restlessness: + HT-5
    For stabbing pain in the genitals: + LIV-1
    For stabbing pain on urination: + ST-28
    For lower abdominal, groin and genital distention and pain:
    + LIV-8
    For nodulations on the prostate gland: + UB-33, UB-35
    For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5
    For spermatorrhea or hematuria: + moxa LIV-1
    For a Cold sensation in the lower abdomen and/or scrotal area:
    + moxa REN-4
    For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45
    For difficult urination: + SP-9
    For Kidney Yin Deficiency: + KI-3
    For Kidney Yang Deficiency: + KI-7
    For Qi Deficiency: + SP-3
    For constipation or dry stools: + SJ-6

KIDNEY YANG DEFICIENCY WITH DAMP TURBIDITY

Clinical Manifestations
  • Enduring, insidious perineal pain
  • Generalized pain radiating to the groin and lower abdomen
  • White deposits in the urine
  • Nocturia
  • Possible spermatorrhea
  • Decreased sexual desire
  • Impotence
  • Possible sterility
  • Low back pain
  • Aversion to Cold
  • Chronic urinary frequency, urgency and pain
  • Terminal dribbling which will not stop
  • A sticky, white discharge at the end of urination
  • Fatigue
  • Lassitude of the spirit
  • A somber, white complexion
  • Puffy edema of the lower extremities
  • Loose stools
  • T: Pale and fat
  • C: Moist or Thick and white
  • P: Deep, slow and forceless or Deep, soggy and wiry
Treatment Principle
  • Warm Yang
  • Nourish the Kidneys
  • Transform Dampness
  • Separate the clear from the turbid
Herb Formulas
Points

KIDNEY QI DEFICIENCY

Clinical Manifestations
  • Difficult urination
  • No power in urination
  • Dribbling urine
  • Frequent nocturnal urination
  • Pale face
  • Lack of spirit
  • Lower back pain
  • Knee pain
  • Maybe a dull pain on urination
  • Urge to urinate when tired or after exertion
  • T: Pale
  • C: Little or none
  • P: Deep and rapid
  • For pronounced Kidney Yang Deficiency:
    Pallor
    Pale urine
    Chilliness
    T: Pale and maybe swollen
  • For pronounced Kidney Yin Deficiency:
    Scant, yellow urine
    Urgent urination
    Maybe hematuria
    Night sweats
    T: Red
    C: Little or None
    P: Thready and rapid
Treatment Principle
  • Warm Yang
  • Nourish Yin
  • Nourish the Kidneys
  • Promote urination
Herb Formulas
Points

DAMP-HEAT IN THE URINARY BLADDER

Clinical Manifestations
  • Urinary frequency
  • Urinary urgency
  • Painful urination or
  • Continuous dripping of urine or
  • Sudden interruption to urinary stream
  • There may be a feeling of incomplete voiding
  • The pain is burning or like passing glass
  • The pain may radiate to the umbilical area
  • The pain is worse with pressure
  • Suprapubic pain and discomfort
  • Fullness and pain in the chest and epigastrium
  • Nausea
  • Anorexia
  • Bitter taste in the mouth
  • A tendency to constipation or
  • Alternating loose and sluggish stools
  • Maybe afternoon fever
  • Maybe alternating fever and chills
  • Dark, concentrated and strong-smelling urine
  • Turbid urine or
  • Pus and blood in urine or
  • Sand and stones in urine
  • In Damp-Heat Pouring Down-ward there may also be:
    Fever
    Thirst with little desire to drink
    Dry mouth
    Low back pain
  • In Damp-Heat Crystallizes in Urinary Bladder, there may also be:
    Colicky pain in low back, possibly radiating to the groin
  • T: Red
  • C: Yellow and greasy
  • P: Slippery and rapid or Soft and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness by diuresis
Herb Formulas
Points

QI STAGNATION

Clinical Manifestations
  • Urinary retention
  • Discomfort before urination
  • Distention and pain in the lower abdomen, relieved by urination and made worse by stress
  • Urine color is normal
  • T: Normal
  • C: White
  • P: Wiry and deep
Treatment Principle
  • Circulate Qi
Herb Formulas
Points

QI AND BLOOD STAGNATION

Clinical Manifestations
  • Enduring prostatitis that does not heal
  • Marked, possibly lancinating perineal area pain
  • Pain radiates to the testes, penis, lower abdomen or low back
  • Dark circles around the eyes
  • Possible penile induration
  • Urinary dribbling
  • White discharge excreting from the urethra at the end of the urinating
  • Rough, painful, astringent urination
  • Painful sexual intercourse
  • Painful ejaculation
  • Possible spermatorrhea
  • Strangury when urinating, or
  • Visible bloody urine
  • A hard prostate
  • Palpable nodules and tenderness
  • Distension in the chest, epigastrium or abdomen
  • Distending pain that moves from place to place
  • Abdominal masses that appear and disappear or
  • Abdominal masses that do not move
  • Abdominal distension and pain that is not relieved by a bowel movement
  • Mood swings
  • Depression
  • Frequent sighing
  • Headache
  • Irritability
  • Insomnia
  • Restlessness
  • Constipation with small round stools
  • Dull/dark complexion
  • Purple lips
  • Purple nails
  • Pain that has the quality of boring in, fixed and stabbing and may be worse at night
  • Bleeding with dark blood and dark clots
  • T: Dark purple or Purple petechiae or Purple veinules
  • C: White
  • P: Choppy or Wiry, choppy and tight
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
  • Promote the circulation of Qi
  • Alleviate pain
Herb Formulas
Points
  • UB-23, UB-28, REN-4, REN-3, SP-6 with medium to strong stimulation every day or every other day. Ten to fifteen treatments equals one course.
  • For testicular, perineal or groin pain and diminished sexual function: REN-4, REN-3, REN-6, KI-7, SP-6, ST-36
  • For problems affecting the penis: UB-28, UB-25
  • REN-2, REN-1, SP-10, SP-6, UB-54
    For stabbing pain in the genitals: + LIV-1
    For stabbing pain on urination: + ST-28
    For lower abdominal, groin and genital distention and pain:
    + LIV-8
    For severe distention in the perineal area: + UB-33, UB-35
    For nodulations on the prostate gland: + UB-33, UB-35
    For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5
    For spermatorrhea or hematuria: + moxa LIV-1
    For a Cold sensation in the lower abdomen and/or scrotal area:
    + moxa REN-4
    For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45
    For difficult urination: + SP-9
    For Kidney Yin Deficiency: + KI-3
    For Kidney Yang Deficiency: + KI-7
    For Qi Deficiency: + SP-3
    For constipation or dry stools: + SJ-6

QI AND BLOOD STAGNATION DUE TO COLD

Clinical Manifestations
  • Pain with a cool sensation in the perineum, scrotum and lower abdomen
  • Frequent, urgent painful , dribbling urination
  • A milky white discharge from the urethra
  • Aversion to Cold
  • Normal or loose stools
  • T: Pale purple
  • C: Thin and white
  • P: Wiry and rough
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
  • Promote the circulation of Qi
  • Warm the Cold
  • Alleviate pain
Herb Formulas
Points
  • REN-2, REN-1, SP-10, SP-6, UB-54
    For stabbing pain in the genitals: + LIV-1
    For stabbing pain on urination: + ST-28
    For lower abdominal, groin and genital distention and pain:
    + LIV-8
    For severe distention in the perineal area: + UB-33, UB-35
    For nodulations on the prostate gland: + UB-33, UB-35
    For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5
    For spermatorrhea or hematuria: + moxa LIV-1
    For a Cold sensation in the lower abdomen and/or scrotal area:
    + moxa REN-4
    For a burning sensation in the lower abdomen and/or scrotal area:
    + LIV-1, bleed ST-45
    For difficult urination: + SP-9
    For Kidney Yin Deficiency: + KI-3
    For Kidney Yang Deficiency: + KI-7
    For Qi Deficiency: + SP-3
    For constipation or dry stools: + SJ-6

QI AND YIN DEFICIENCY

Clinical Manifestations
  • Enduring low back and sacral soreness and pain
  • Perineal pain
  • Testicular sagging and distention
  • Symptoms worse with fatigue
  • Dizziness
  • Insomnia
  • Heart palpitations
  • T: Red
  • C: Little or None
  • Thready, wiry and rapid
  • Note* This pattern includes Damp-Heat consuming Yin and Qi with Blood stagnation.
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi
  • Enrich Yin
  • Drain Heat
Herb Formulas
Points
  • REN-1, UB-54, KI-7, SP-6, ST-36
    For genital pain: + LIV-1
    For itchy, Damp scrotum: + LIV-5
    For severe distention in the perineum: + UB-33, UB-35
    For pain and distention in the lower abdomen: + ST-29
    For Spleen Qi Spleen Qi Deficiency: SP-3, SP-6
    For scanty, burning, frequent, urgent, painful urination or dysuria: + SP-6, UB-54
    For turbid or milky white urine: + SP-6
    For constipation or dry stools: + SJ-6
    For dry mouth: + KI-7
    For nausea and Stomach and abdominal distention: + REN-12, ST-25
    For fever: + LI-4, SJ-5, LI-11
    For sagging pain in the genitals: + moxa LIV-1
    For lower abdominal, groin and genital distention and pain:
    + LIV-8
    For hematuria:+ moxa LIV-1
    For frequent urination: + REN-3
    For difficult urination: + SP-9
    For susceptibility to the common cold: + LI-4, DU-14
    For Food Stagnation: + ST-21
    For Kidney Qi Deficiency: + KI-3
    For Kidney Yin Deficiency: + KI-7
    For Heart and Spleen Deficiency: + HT-7
    For Severe Qi Deficiency: + SP-3
    For nodulations on the prostate gland: + UB-33, UB-35
    For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5
    For spermatorrhea or hematuria: + moxa LIV-1
    For a Cold sensation in the lower abdomen and/or scrotal area:
    + moxa REN-4
    For a burning sensation in the lower abdomen and/or scrotal area: + LIV-1, bleed ST-45
    For constipation or dry stools: + SJ-6

BLOOD STAGNATION

Clinical Manifestations
  • Decreased urination or
  • Interrupted urination or
  • Constant urination or
  • Anuria
  • Lower abdominal fullness
  • Lower abdominal pain which may radiate to the genitals
  • Maybe hematuria
  • Tumor formation
  • Purple urine with blood clots
  • Abdominal spasms and tension
  • Headache
  • Sinus congestion
  • Constipation
  • Lower back ache
  • Nervousness
  • Fatigue
  • Skin eruptions
  • Scaly, dry skin
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense, deep and slow or Thin or Deep and choppy or Slow and choppy
Treatment Principle
  • Invigorate the Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduce fixed abdominal pain
Herb Formulas
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
Herb Formulas
Points

JING AND BLOOD DEFICIENCY DUE TO KIDNEY, SPLEEN AND HEART DEFICIENCY

Clinical Manifestations
  • Pain with a cool sensation in the perineum, scrotum and lower abdomen
  • Frequent, urgent painful , dribbling urination
  • A milky white discharge from the urethra
  • Aversion to Cold
  • Normal or loose stools
  • T: Pale purple
  • C: Thin and white
  • P: Wiry and rough
Treatment Principle
  • Invigorate the Blood
  • Dispel Stasis
  • Promote the circulation of Qi
  • Warm the Cold
  • Alleviate pain
Herb Formulas
Points
  • REN-2, REN-1, SP-10, SP-6, UB-54
    For stabbing pain in the genitals: + LIV-1
    For stabbing pain on urination: + ST-28
    For lower abdominal, groin and genital distention and pain:
    + LIV-8
    For severe distention in the perineal area: + UB-33, UB-35
    For nodulations on the prostate gland: + UB-33, UB-35
    For depression, irritability and insomnia: + LIV-4, LIV-1, HT-5
    For spermatorrhea or hematuria: + moxa LIV-1
    For a Cold sensation in the lower abdomen and/or scrotal area:
    + moxa REN-4
    For a burning sensation in the lower abdomen and/or scrotal area:
    + LIV-1, bleed ST-45
    For difficult urination: + SP-9
    For Kidney Yin Deficiency: + KI-3
    For Kidney Yang Deficiency: + KI-7
    For Qi Deficiency: + SP-3
    For constipation or dry stools: + SJ-6

INTERNAL DAMP STAGNATION

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
  • Vertigo
  • Loose stools
  • Shortness of breath
  • Cough
  • Urinary retention
  • Lower abdominal fullness
  • Extreme thirst
  • Palpitations
  • Lower abdominal distention
  • Lower abdominal palpitations
  • Dizziness
  • Abdominal pain
  • T: Normal
  • C: Slippery, white
  • P: Floating and rapid
Treatment Principle
  • Promote urination
  • Drain Dampness
  • Strengthen the Spleen
  • Disperse water accumulation
  • Warm the Yang
  • Promote the transforming functions of Qi
Herb Formulas
Points

COLD-DAMP RETENTION

Clinical Manifestations
  • Turbid, pale urine
  • Urination stops and starts
  • Terminal dribbling
  • Symptoms are better with Heat and worse with Cold
  • Dragging down sensation in the lower abdomen
  • Lower abdominal ache
  • Fatigue
  • T: Normal
  • C: Sticky or Greasy at the root
  • P: Slippery
Treatment Principle
  • Warm Cold
  • Eliminate Dampness
Herb Formulas
Points

DAMP-HEAT STAGNATION

Clinical Manifestations
  • At first, intermittent fevers and chills with rapid progress
  • Recurrent bouts of urinary pain, frequency and urgency
  • Inhibited voidings
  • Burring sensation and stinging pains in the urethra
  • Pain in the genitals radiating to the groin, lower abdomen, navel and perineum
  • Falling-like distension or pains of the perineum
  • Distension and pains in the lower abdomen
  • Scanty yellow, brown or turbid urine
  • The urine may have fresh red or purplish red Blood in it
  • It may contain clotted threads or small Blood clots
  • Terminal dribbling or
  • Whitish turbid dripping of urine
  • Possible constipation or dry stools or, rarely, uneasy defecation of loose stools with a burning sensation in the anus
  • Effort to defecate causing a milky white, turbid discharge from the urethra
  • Possible Dryness, bitterness or sliminess in the mouth
  • Restlessness
  • Possible itchy and/or Damp scrotum
  • Perineum pain
  • Hard prostate
  • Possible fever or alternating fever and chills
  • Possible aversion to Cold
  • Possible body aches when severe
  • Headache
  • Low back pain
  • Nausea
  • Vomiting
  • A bitter taste in the mouth
  • Thirst with no desire to drink
  • Chronic prostatitis:
    Short disease history
    Scanty and yellowish urine
    Frequent micturition
    Urinary urgency
    Painful urination
    Stinging pains or burning sensation in the urethra
    Distention and pains of the perineum and lower abdomen
    Intermittent white and profuse excretion from the mouth of the urethra
    Dry mouth
    A bitter taste in the sticky mouth
  • T: Red or A red tip
  • C: Slimy, thick and yellow
  • P: Slippery, wiry and rapid or Soggy and rapid or Rapid, slippery and soggy or Soft, rapid and strong
Treatment Principle
  • Clear Heat
  • Detoxify
  • Clear Damp-Heat
  • Invigorate the Blood
  • Transform stasis
  • Promote urination
  • Stop bleeding
Herb Formulas
Points

DAMP-HEAT WITH BLOOD STAGNATION IN THE LOWER JIAO

Clinical Manifestations
  • Abdominal distention
  • Dry, scaly skin
  • Tightness
  • A mass-like appearance
  • Softness on palpation
  • Absence of thirst
  • Maybe an aversion to drinks
  • Tenderness and soreness of the lower abdomen
  • No fever
  • Condition fails to improve
  • A right-sided abdominal swelling that is soft when touched and not very painful
  • Cold extremities
  • A gray or pale complexion
  • T: Pale
  • C: Thin and white
  • P: Rapid or Rapid, empty and weak
Treatment Principle
  • Reduce swelling
  • Clear Heat
  • Warm Yang
  • Dispel Dampness
  • Disperses Phlegm
Herb Formulas
Points

INTERNAL HEAT

Clinical Manifestations
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
  • Invigorate the Blood
  • Disperse nodules
  • Reduce swelling
Herb Formulas
Points

HEAT STAGNATION WITH WATER RETENTION

Clinical Manifestations
  • Urinary difficulty
  • Thirst with a desire to drink
  • Fever
  • Cough
  • Nausea/vomiting
  • Irritability
  • Insomnia
  • Restlessness
  • Diarrhea
  • Anxiety
  • Edema
  • Lower abdominal distention and pain
  • Maybe hematuria
  • Painful urination with Yin Deficiency
  • Urinary dribbling
  • Decreased urination
  • Dry skin
  • Sunken eyes
  • Fever worse at night
  • T: Red or Dark red and dry
  • C: Yellow, thin or none
  • P: Thready and rapid or forceful and rapid
Treatment Principle
  • Promote urination
  • Clear Heat
  • Nourish the Yin
Herb Formulas
Points

TOXIC DAMPNESS

Clinical Manifestations
  • Difficult urination or
  • Anuria
  • Darkish complexion
  • Anorexia
  • Lethargy
  • Listlessness
  • Fullness in the chest
  • Irritability
  • Nausea
  • Vomiting
  • Bad breath that smells like urine
  • Severe cases:
    Delirium
    Confusion
Treatment Principle
  • Clear turbidity
  • Harmonize the Stomach
  • Clear Damp-Heat
  • Open the bowels
Herb Formulas
Points

TOXIC HEAT

Clinical Manifestations
  • Sudden onset
  • Persistent high fever
  • Vexation
  • Unrest
  • Thirst
  • Liking drinks
  • Redness, swelling, heat and pain of the perineum
  • Scanty urine
  • Obstructed urination or
  • Urine with visible pus and Blood
  • Burning sensation and pains in the urethra
  • Constipation
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful or Rapid and wiry
Treatment Principle
  • Discharge Heat
  • Resolve toxin
Herb Formulas
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
  • 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
Points