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WHOLE BODY PAIN

WIND-COLD

Clinical Manifestations	Acute onset of whole body pain Stiff neck Back pain Joint pain 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 and Cold Blocked and / or runny nose with clear, watery nasal discharge Sneezing Maybe asthma Clear urine T: Pink C: Thin, white and moist P: Floating and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Relive pain
Herb Formulas	Ma Huang Tang modified Chinese Patent Medicine: Jing Fang Bai Du Pian
Points	GB-40, LI-4, SJ-5, ST-36, UB-40, UB-60 With a headache: + GB-20, LU-7 With a stiff neck: + GB-21, UB-10 With back pain: + Ahshi, UB-58, UB-63 With joint pain: + local Ahshi With a fever and aversion to Cold: + DU-14, LI-11 DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13

WIND-DAMP

Clinical Manifestations	Whole body pain Heavy, painful head Generalized sensation of heaviness Soreness and numbness of the muscles Back pain Painful, swollen joints Generalized pain or muscle ache Difficulty bending or rotating trunk Mild fever Slight aversion to Wind and Cold Dizziness Anorexia Anhidrosis Stiffness of the neck Sciatica Chest oppression Chills with a low-grade fever Thirst with no desire to drink No perspiration Aversion to Cold Lassitude Scanty urination Loose, sticky stools T: Pink C:White or Greasy and white P: Superficial or Superficial and slow or Superficial and soft or Superficial and tight or Deep and slippery
Treatment Principle	Dispel Wind Eliminate Dampness Alleviate pain
Herb Formulas	Qiang Huo Sheng Shi Tang modified Chinese Patent Medicines: Tian Ma Qu Feng Bu Pian Feng Shi Pian
Points	GB-34, LU-7, SJ-6, SP-6, SP-9, ST-36, UB-60 With a low-grade fever: + LI-4, UB-20 With joint pain: + local Ahshi, UB-11, UB-20 With a headache: + DU-20, Taiyang With a poor appetite: + REN-12, UB-20 With numbness in the muscles: + SP-4

WIND-COLD-DAMP

Clinical Manifestations	Sciatica pain Whole body pain Inability to rotate the body Hard stools The pain is intense and moves around Swollen painful joints (especially lower limbs) Joints are warm to the touch (may be burning and swollen) The pain is worse at night Reduced range of motion Joint degeneration or deformity in the lumbar region Cold body Aversion to Cold Anhidrosis Weight loss Loose stools or Diarrhea Shortness of breath Muscular atrophy Difficulty walking and moving Thirst Poor appetite Hemiplegia Heaviness of the body and limbs Headache Dizziness Vertigo Nausea Vomiting Edema Emaciation Swollen feet Numbness of the extremities Paralysis Fatigue T: Normal C: White and greasy or Thin, yellow and greasy P: Floating, thready and moderate
Treatment Principle	Warm the channels Disperse Cold Resolve Dampness Stop pain
Herb Formulas	Bai Zhu Fu Zi Tang With Cold predominant: Wu Tou Tang With Qi and Blood Stagnation: Qu Feng Huo Xue Tang Long-term: Wu Tou Tang Jia Jian
Points

WIND-DAMP-HEAT

Clinical Manifestations	Whole body pain with acute onset or Chronic pain with acute aggravation A hot sensation in the whole body Swelling of the body Pain is worse with Heat Pain is alleviated by Cold Fever maybe high Maybe slight chills Headache Perspiration Nervousness Thirst Irritability Arthralgia involving one or several joints Low back pain Dry mouth and tongue A bitter taste in the mouth Localized redness and Heat Swelling of the joints with burning pain Severe limitation of movement Aversion to Heat Restlessness Flushed face Desire for cold drinks Pain worse at night Pain relieved by Cold Occasional vomiting Scanty, yellow urine Constipation T: Pink or Red C: White or Yellow or Thick and yellow P: Wiry and rapid or Slippery and rapid or Big and forceful
Treatment Principle	Clear Heat Eliminate Dampness Stop pain
Herb Formulas	Bai Hu Jia Gui Zhi Tang modified Dang Gui Nian Tong Tang Chinese Patent Medicines: Gan Lu Xiao Du Dan
Points	GB-34, LI-4, LIV-4, LU-7, SJ-5, SP-9 With a fever: + DU-14, LI-11 With swelling of the muscles: + SJ-6, SP-4 With joint pain: + local Ahshi, UB-11, UB-40 With a headache: + DU-20, GB-20 With constipation: + ST-25, ST-37 With lumbago: + UB-23, UB-58

LIVER QI STAGNATION

Clinical Manifestations	Chronic whole body pain Distention and pain in the sides or flanks Pain is aggravated by emotional upset Headache Dizziness Suffocating sensation in the chest Tendency to sigh Poor appetite Dull stomach pain Lower abdominal pain Melancholy Depression Irritability Inappropriate anger Insomnia Palpitations Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation Relieve pain
Herb Formulas	Xiao Yao San modified Chinese Patent Medicines: Xiao Yao Wan Shu Gan Wan
Points	DU-20, LI-4, LIV-3, PC-6, SP-6, ST-36, UB-18 With a headache or dizziness: + GB-20, SJ-4 With a poor appetite: + REN-12, SP-3 With irregular menstruation: + KI-3, REN-4 With insomnia: + HT-7, UB-15 With irritability: + HT-8, LIV-2 GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

KIDNEY YANG DEFICIENCY

Clinical Manifestations	A weak constitution or chronic disease Whole body pain with a cold sensation 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 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 T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang Relieve pain
Herb Formulas	Fu Zi Tang Chinese Patent Medicines: Jin Gui Shen Qi Wan
Points	DU-20, KI-3, REN-4, REN-6, ST-36, UB-23 For pain with a cold sensation: + moxa REN-8 With low back pain: + UB-25, UB-58 With dizziness: + GB-20, GB-39 With lassitude: + SP-3, UB-20 With a poor appetite: + REN-12, SP-4 Moxa or moxa needle DU-4, KI-3, REN-4, UB-23

KIDNEY YIN DEFICIENCY

Clinical Manifestations	Chronic whole body pain Dizziness Tinnitus or deafness Five-Sole-Heat Slight fever Night sweats Dry mouth Thirst Restlessness Insomnia Lassitude Poor memory Aching, soreness or weakness of low back Spermatorrhea or premature ejaculation Aching in bones Aching in leg and heel Constipation T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reinforce the Kidneys Stop pain
Herb Formulas	Liu Wei Di Huang Wan modified Chinese Patent Medicines: Liu Wei Di Huang Wan Qi Ju Di Huang Wan
Points	KI-3, KI-7, LIV-3, REN-3, SP-6, UB-18, UB-23 With lumbago: + UB-36, UB-58, UB-62 With dizziness and lassitude: + DU-20, REN-4, SP-3 With insomnia: + DU-20, HT-7 With a poor appetite: + REN-12, SP-3 With constipation: + ST-25, ST-37 KI-1, KI-3, KI-6, REN-4, SP-6, UB-23

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Chronic whole body pain Muscle soreness Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Aversion to Wind Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Weak and thready or Thready and choppy
Treatment Principle	Tonify Qi Nourish the Blood Relieve pain
Herb Formulas	Bu Zhong Yi Qi Tang modified Chinese Patent Medicines: Shi Quan Da Bu Wan
Points	DU-20, REN-6, SP-6, ST-36, UB-20, UB-23 With a poor appetite: + REN-12, SP-3 With dizziness: + GB-39, REN-4 With fatigue: + moxa REN-8 With muscle soreness: + GB-34, LI-4 With diarrhea: + SP-9, ST-25 KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

BLOOD STAGNATION

Clinical Manifestations	A history of trauma or surgery Long-term body pain with a fixed location Pain is stabbing and/or severe Pain is worse with pressure Joint pain Whole body pain which is induced by a change of position or movement Pain worse at night Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Thirst with no desire to drink Blue, dark or purplish discoloration of skin in small or large areas Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots C: White P: Deep and choppy
Treatment Principle	Invigorate the Blood Break up Stagnation Relieve pain
Herb Formulas	Shen Tong Zhu Yu Tang modified For pain in the extremities: Zhu Yu Tang Chinese Patent Medicines: Yan Hu Suo Pian Xiao Huo Luo Dan
Points	GB-34, LI-4, LIV-3, SP-10, ST-36, UB-17 With sharp pain: + PC-6, SP-6 With joint pain: + Ahshi, the Accumulation (Xi Cleft) points of the involved channel With pain induced by movement: + SJ-5, GB-39 With pain, worse at night: + HT-7, KI-6 SP-6, SP-10, ST-36, UB-17, UB-40

PHLEGM-DAMPNESS (TAN YIN)

Clinical Manifestations	Anorexia Edema Abdominal distention Chest and hypochondriac distention Whole body pain Dizziness Nausea Vomiting Vertigo Thirst with no desire to drink Maybe no thirst Palpitations Shortness of Breath T: Normal C: Thick and slippery P: Slippery, full and maybe wiry
Treatment Principle	Warm and Dissolve Tan Yin
Herb Formulas	Qing Shi Hua Tan Tang
Points	PC-6, SJ-6, SP-6, SP-9, ST-40, UB-13, UB-20, UB-23