SJOGREN'S SYNDROME

Clinical Manifestations
  • Sjogren's syndrome is a disorder of the immune system identified by its two most common symptoms — dry eyes and a dry mouth.

    The condition often accompanies other immune system disorders, such as rheumatoid arthritis and lupus. In Sjogren's syndrome, the mucous membranes and moisture-secreting glands of the eyes and mouth are usually affected first — resulting in decreased tears and saliva.

    Although Sjogren's syndrome develop at any age, most people are older than 40 at the time of diagnosis. The condition is much more common in women. Treatment focuses on relieving symptoms.

    The two main symptoms of Sjogren's syndrome are:

    • Dry eyes. The eyes might burn, itch or feel gritty — as if there's sand in them.
    • Dry mouth. The mouth might feel like it's full of cotton, making it difficult to swallow or speak.

    Some people with Sjogren's syndrome also have one or more of the following:

    • Joint pain, swelling and stiffness
    • Swollen salivary glands — particularly the set located behind your jaw and in front of your ears
    • Skin rashes or dry skin
    • Vaginal dryness
    • Persistent dry cough
    • Prolonged fatigue

      In Sjogren's syndrome, the immune system first targets the glands that make tears and saliva. But it can also damage other parts of your body, such as:

      • Joints
      • Thyroid
      • Kidneys
      • Liver
      • Lungs
      • Skin

      Sjogren's syndrome typically occurs in people with one or more known risk factors, including:

        • Age. Sjogren's syndrome is usually diagnosed in people older than 40.
        • Sex. Women are much more likely to have Sjogren's syndrome.
        • Rheumatic disease. It's common for people who have Sjogren's syndrome to also have a rheumatic disease — such as rheumatoid arthritis or lupus.

      The most common complications of Sjogren's syndrome involve the eyes and mouth.

        • Dental cavities. Because saliva helps protect the teeth from the bacteria that cause cavities, people are more prone to developing cavities if the mouth is dry.
        • Yeast infections. People with Sjogren's syndrome are much more likely to develop oral thrush, a yeast infection in the mouth.
        • Vision problems. Dry eyes can lead to light sensitivity, blurred vision and corneal damage.

      Less common complications might affect:

        • Lungs, Kidneys or Liver. Inflammation can cause pneumonia, bronchitis or other problems in the Lungs; lead to problems with Kidney function; and cause hepatitis or cirrhosis in the Liver.
        • Lymph nodes. A small percentage of people with Sjogren's syndrome develop cancer of the lymph nodes (lymphoma).
        • Nerves. Numbness, tingling and burning in the hands and feet might develop (peripheral neuropathy).

Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • This is commonly seen in the initial stage of the disease
  • Dry mouth
  • Parched throat
  • Sore throat
  • Mildly red, swollen, dry, itchy eyes
  • Painful, swollen parotid glands
  • Aversion to Wind
  • Severe:
    High fever
    Joint redness, swelling and pain, especially of the small joints
  • T: Red
  • C: Slightly yellow
  • P: Floating and rapid
Treatment Principle
  • Dispel Wind
  • Scatter Heat
  • Nourish Yin
  • Generate Fluids
Herb Formulas
Points
  • KI-7, LI-4, LIV-5
    With a fever: + LI-11
    With a severe dry mouth: + REN-24
    With a parched sore throat: + KI-6, LU-7
    With red, dry, swollen eyes: + GB-20
    With itchy and/or painful parotid glands: + SJ-17
    With marked joint aching and pain: + Ahshi points
    With low back and knee weakness and pain: + UB-23
Clinical Manifestations
  • Usually seen in the early stages
  • A bitter taste in the mouth
  • A dry, sticky mouth
  • Slightly dry eyes, worse in the canthi
  • Swollen, painful parotid glands
  • Painful, swollen gums
  • Irritating Heat in the chest
  • Poor appetite, with scanty eating
  • Bad breath
  • Thirst with no desire to drink
  • Red, hot urination
  • Hard or loose stools
  • Red, swollen, heavy, painful joints
  • T: Red
  • C: Yellow and slimy
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Drain Dampness
  • Tonify the Spleen
  • Harmonize the Stomach
Herb Formulas
Points
  • LI-4, LI-11, SP-9, ST-36
    For severe Dryness: + KI-7
    For a bitter taste in the mouth: + GB-34
    For dry eyes which are worse in the corners: + GB-1, UB-2
    For bad breath: + PC-7, ST-44
    For red, hot urination: + REN-3
    For a fever: + SJ-5
    For a severely dry mouth: + REN-24
    For itchy and/or painful, swollen parotid glands: + SJ-17
    For marked joint aching and pain: + Ahshi points
Clinical Manifestations
  • Cough with little yellow sputum
  • Spitting saliva
  • Wheezing
  • Shortness of breath
  • Dry, uncomfortable sensation in throat
  • Hiccups
  • Dry mouth
  • Coughing up difficult-to-extectorate Phlegm
  • Nausea
  • Scanty urination
  • Hoarseness
  • Thirst
  • Asthma
  • Flushed face
  • Five Sole Heat
  • Vomiting
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid or Deficient and rapid
Treatment Principle
  • Benefit the Stomach
  • Generate Fluids
  • Descend Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • This syndrome may be due a congenital condition or prolonged use of steroids
  • Dry mouth
  • Parched throat
  • Dry, astringent eyes
  • Dizziness
  • Pain
  • Tinnitus
  • Deafness
  • Emaciation
  • Five-Sole-Heat
  • Malar flush
  • Night sweats
  • Low back aching and pain
  • Seminal emission
  • Menstrual irregularities
  • T: Red
  • C: Little or None or Smooth or Dry or Peeled
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten Dryness
  • Nourish the Liver
  • Strengthen the Kidneys
Herb Formulas
Points
  • KI-7, UB-18, UB-20, UB-23
    For a dry mouth: + REN-24
    For a parched throat: + GB-20, GB-37
    For dizziness: + DU-20
    For tinnitus or deafness: + GB-2
    For night sweats: + HT-6
    For menstrual irregularity: + SP-6
    For fatigue and weakness of the limbs: + ST-36
    For Deficiency Heat with bone steaming, night sweats, tidal fever and hot flashes in the face : + DU-14, KI-2
    For insomnia and restlessness: + HT-7
    For enlarged, swollen parotid glands: + SJ-17
    For marked joint aching and pain: + Ahshi Points
Clinical Manifestations
  • This is seen during the latter stages of the disease or as a result of steroid use
  • Dry mouth
  • Dry eyes
  • Lassitude
  • Weakness
  • Low back and knee pain and weakness
  • Five-Sole-Heat or
  • Cold extremities
  • Dry skin
  • Frequent urination
  • Nocturia
  • Loose stools
  • Impotence
  • Premature ejaculation or
  • Seminal emissions
  • Infertility
  • T: Pale red
  • C: Thin
  • P: Deep, thready and forceless
Treatment Principle
  • Enrich the Liver
  • Supplement the Kidneys
  • Regulate and Supplement Yin and Yang
Herb Formulas
Points
  • KI-3, KI-7, UB-23, UB-52
    For a dry mouth: + REN-24
    For a parched throat: + GB-20, GB-37
    For dizziness: + DU-20
    For tinnitus or deafness: + GB-2
    For night sweats: + HT-6
    For menstrual irregularity: + SP-6
    For Deficiency Heat with bone steaming, night sweats, tidal fever and hot flashes in the face : + DU-14, KI-2
    For insomnia and restlessness: + HT-7
    For enlarged, swollen parotid glands: + SJ-17
    For marked joint aching and pain: + Ahshi Points
    For marked cold extremities, frequent urination, nocturia and infertility: + moxa or moxa needle REN-4
    For impotence and/or premature ejaculation: + moxa or moxa needle DU-4 and REN-4
Clinical Manifestations
  • Commonly seen during the later stages of the disease
  • Dry mouth
  • Parched throat
  • Abnormal sensations in the eyes
  • Swollen, distended parotid region with hard to disperse, piercing pain
  • A dark, stagnant facial complexion
  • Purple-red maculopapular skin lesions whose color does not recede when pressed
  • Joint aching and pain, numbness and insensitivity
  • Abdominal concretions and accumulations
  • Fixed pain
  • T: Pale red with purple maculae
  • C: White
  • P: Thready and choppy
Treatment Principle
  • Tonify Qi
  • Invigorate the Blood
  • Clear Heat
  • Moisten Dryness
  • Unblock the channels
Herb Formulas
Points
  • KI-7, LI-4, SP-6, ST-36
    For a dry mouth: + REN-24
    For a parched throat: + KI-6
    For dry, astringent eyes or an abnormal sensation in the eyes: + GB-20, GB-37
    For fatigue: + SP-3
    For a swollen, distended parotid region: + SJ-17
    For marked joint aching and pain: + Ahshi Points
    For fixed abdominal pain with hard lumps: + PC-6, REN-6, REN-12, ST-25
Clinical Manifestations
  • Dry mouth and lips
  • Hoarse voice
  • Dry, itchy eyes
  • Blurred vision
  • Dry nose
  • difficulty differentiating fragrance from foulness
  • A lusterless facial complexion
  • Fatigue
  • Weakness
  • Afternoon low-grade fever
  • Five=Sole heat
  • T: Pale red
  • C: Scanty and dry
  • P: Thready and rapid or Deep, thready and rapid
Treatment Principle
  • Tonify Qi
  • Nourish Yin
Herb Formulas
Points
  • KI-7, ST-36, UB-18, UB-20, UB-23
    For a dry mouth: + REN-24
    For a parched throat: + GB-20, GB-37
    For dizziness: + DU-20
    For tinnitus or deafness: + GB-2
    For night sweats: + HT-6
    For menstrual irregularity: + SP-6
    For Deficiency Heat with bone steaming, night sweats, tidal fever and hot flashes in the face : + DU-14, KI-2
    For insomnia and restlessness: + HT-7
    For enlarged, swollen parotid glands: + SJ-17
    For marked joint aching and pain: + Ahshi Points
Clinical Manifestations
  • Lassitude
  • Fatigue
  • Shortness of breath
  • Dizziness
  • Tinnitus
  • Palpitations
  • Emaciation
  • Lack of strength
  • Dry, rough eyes
  • Possible distended feeling in eyes
  • A pale, lusterless face
  • Possible malar flush
  • Restless
  • Insomnia
  • Poor memory
  • Dry, parched throat
  • Tasteless feeling in the mouth
  • Low back and knee soreness and weakness
  • Low grade fever
  • Five Sole heat
  • Possible sweating
  • Possible tremors of the hands and tongue
  • Scanty intake
  • Abdominal distention after meal
  • Loose stools
  • T: Red
  • C: Thin or Peeled
  • P: Empty and rapid or Thready and rapid
Treatment Principle
  • Tonify Qi and Blood
  • Promote urination
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Nourish Yin
  • Generate Fluids
  • Clear Heat
  • Drain Kidney Fire
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Prolonged disease course
  • Slightly dry mouth and eyes
  • Swollen, distended parotid region with gradual enlargement that does not disperse
  • Swollen submaxillary nodules which are difficult to move
  • Fixed, circumscribed, immovable lumps in the abdomen which may be painful
  • Cough
  • Chest oppression
  • Profuse Phlegm
  • T: Pale
  • C: White and Slimy
  • P: Wiry and slippery
Treatment Principle
  • Transform Phlegm
  • Soften the hard
  • Moisten Dryness
Herb Formulas
Points