Syndrome Patterns PDF

URINARY BLADDER DEFICIENCY PATTERNS: URINARY BLADDER DEFICINCY COLD: Frequent pale abundant urination, incontinence, enuresis, lower backache, dizziness, nocturia, white urethral discharge, a feeling of cold; T: pale, wet; P: Deep, Weak Tx: tonify and warm Urinary Bladder and Kidney Yang Pts: UB28,...

URINARY BLADDER DEFICIENCY PATTERNS: URINARY BLADDER DEFICINCY COLD: Frequent pale abundant urination, incontinence, enuresis, lower backache, dizziness, nocturia, white urethral discharge, a feeling of cold; T: pale, wet; P: Deep, Weak Tx: tonify and warm Urinary Bladder and Kidney Yang Pts: UB28, Ren3, UB23, Du4, Ren4, Ren6, Du20 Herb Rx: Sang Piao Xiao San (Ootheca Mantidis Pill), Tu Si Zi Wan (Cuscuta Pill) URINARY BLADDER EXCESS PATTERNS: URINARY BLADDER INTERSTITIAL CYSTITIS: Uncomfortable bladder pressure, bladder pain, urinary frequency and urgency, burning sensation, urinary hesitancy, suprapubic pain and distension, occasionally slight incontinence Nocturia T: None noted P: None noted TX: None Noted Pts: LU7 (right side), KD6 (left side), Ren3, Du20, SP9, KD3, UB23, UB28 Herb Rx: Bi Xie Fen Qing Tang (Dioscorea hypoglauca Separating the Clear Decoction) URINARY BLADDER DAMP HEAT: Frequent and urgent urination, burning on urination, difficult urination (stopping in the Middle of flow), dark, yellow/turbid urine, blood in the urine, fever, thirst but no desire to drink, hypogastric fullness and pain, a feeling of heat; T: thick sticky yellow coat on the root with red spots; P: Slippery, Rapid and slightly Wiry on the left rear position Tx: resolve Dampness, clear Heat and open the Water Passages of Lower Burner Pts: UB28, Ren3, SP6, SP9, UB22, ST28, UB66, UB63 Herb Rx: Ba Zheng San (Eight Upright Powder) URINARY BLADDER DAMP COLD: Frequent and urgent urination, difficult urination (stopping in midstream), a feeling of heaviness in the hypogastrium and urethra, pale and turbid urine; T: white sticky coat on root; P: Slippery, slow and slightly Wiry on the left rear position Tx: resolve Dampness, expel Cold and remove obstruction from Lower Burner's Water Passages Pts: UB28, Ren3, SP6, SP9, UB22, ST28, Ren9 Herb Rx: Ba Zheng San (Eight Upright Powder), Shi Wei San (Pyrrosia Powder) GALL BLADDER COMBINED PATTERNS: GALLBLADDER/LIVER DAMP HEAT: Hypochondrial pain, fullness and distention, nausea, vomiting, inability to digest fats, yellow complexion, scanty and dark, yellow urine, fever, thirst without a desire to drink, bitter taste, dizziness, yellow sclera, tinnitus, irritability, a feeling of heaviness of the body, numbness of the limbs, swelling of the feet, burning on urination, difficulty in urinating, excessive yellow vaginal discharge, loose stools or constipation, alternation of hot and cold feelings, feeling of heat, genital papular skin rashes and itching, swelling and heat of the scrotum; T: thick sticky yellow coat, either bilateral or unilateral; P: Slippery, Wiry, Rapid Tx: resolve Dampness, clear Heat, clear Liver and Gallbladder and promote smooth flow of Liver Qi Pts: GB34, Dan Nang Xue, GB24, UB19, Du9, LV14, LV3, LV5, UB18, Ren12, UB20, LI11, SJ6, ST19 Herb Rx: Long Dan Xie Gan Tang (Gentiana Draining Liver Decoction) GALLBLADDER DEFICIENCY PATTERNS: GALLBLADDER DEFICIENCY: Dizziness, blurred vision, floaters, nervousness, timidity, propensity to being easily startled, lack of courage and initiative, indecision, sighing, waking up early in the morning, restless dreams; T: pale or normal; P: Weak Tx: tonify and warm Gall Bladder and tonify Liver Qi Pts: GB40, UB18, LV8, ST36, SP6, Ren4, UB47 Herb Rx: Wen Dan Tang (Warm the Gallbladder Decoction), An Shen Ding Zhi Wan (Calming the Spirit and Settling the Will, Power Pill) GALLBLADDER EXCESS PATTERNS: GALLBLADDER DAMP: Jaundice, dull, yellow eyes and skin, hypochondrial pain, fullness and distention, nausea, vomiting, inability to digest fats, dull, yellow sclera, turbid urine, lack of thirst, sticky taste, dull headache, a feeling of heaviness of the body; T: thick sticky white coat, either bilateral in two strips of unilateral; P: Slippery, Wiry Tx: resolve Dampness, clear Gallbladder and promote smooth flow of Liver Qi Pts: GB24, LV14, Ren12, GB34, DANNANGXUE, Du9, UB19, UB20, SJ6, ST19 Herb Rx: San Ren Tang (Three, Seeds Decoction) plus Yin Chen Hao (Herba Artemisiae Capillaris) GALLBLADDER DAMP HEAT: Hypochondrial pain, fullness and distention, nausea, vomiting, inability to digest fats, yellow complexion, scanty and dark, yellow urine, fever, thirst without a desire to drink, bitter taste, dizziness, tinnitus, irritability, a feeling of heaviness of the body, numbness of the limbs, swelling of the feet, loose stools or constipation, alternation of hot and cold feelings, yellow sclera, feeling of heat; T: thick sticky yellow coat, either bilateral in two strips or unilateral; P: Slippery, Wiry, Rapid Tx: resolve Dampness, clear Heat in Gall Bladder and stimulate smooth flow of Liver QI Pts: GB24, UB19, LV14, Ren12, UB20, GB34, DANNANGXUE, Du9, LI11, SJ6, ST19 Herb Rx: Yin Chen Hao Tang (Artemisia Capillaris Decoction) HEART DEFICIENCY PATTERNS: HEART YANG COLLAPSE: Palpitations, shortness of breath, weak and shallow breathing, profuse sweating, cold limbs, cyanosis of lips, grayish-white complexion; in severe cases: coma; T: very pale or bluish purple, short; P: Hidden, Minute, Knotted Tx: rescue Yang, restore consciousness and stop sweating Pts: Du4, Du14, PC6, Ren4, René, Ren8, ST36, UB15, UB23, Du20 Herb Rx: Shen Fu Tang (Ginseng Aconitum Decoction) HEART YANG DEFICIENCY: Palpitations, shortness of breath on exertion, spontaneous sweating, tiredness, a slight feeling of stuffiness or discomfort in heart region, feeling of cold, cold hands, bright, pale face, slightly dark lips; T: pale, slightly wet; P: Deep, Weak; Severe: Knotted Tx: tonify and warm Heart Yang Pts: PC6, HT5, Ren17, Ren6, Du14, UB15 Herb Rx: Rou Fu Bao Yuan Tang (Cinnamomum Aconitum Preserving the Source Decoction) HEART QI DEFICIENCY: Palpitations, shortness of breath on exertion, pale face, spontaneous sweating, tiredness, slight depression; T: pale or normal; P: Empty; Severe: Slightly Overflowing and Empty Tx: tonify Heart Qi Pts: PC6, HT5, Ren17, Ren6, UB15, Du14 Herb Rx: Bao Yuan Tang (Preserving the Source Decoction) HEART BLOOD DEFICIENCY: Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull, pale complexion, pale lips; T: pale, thin, slightly dry; P: Choppy or Fine Tx: nourish Blood, tonify Heart and calm Mind Pls: HT7, UB17, UB20, Ren14, Ren15, Ren4 Herb Rx: Shen Qi Si Wu Tang (Ginseng Astragalus Four Substances Decoction) HEART YIN DEFICIENCY: Palpitations, insomnia, dream-disturbed sleep, propensity to be startled, poor memory, anxiety, mental restlessness, 'uneasiness', 'fidgetiness', dry mouth and throat, night sweating: T: no coat, deep midline crack reaching the tip; P: Floating, Empty Empty-Heat: malar flush, feeling of heat especially in the evening, "feeling hot and bothered", five-palm heat; T: Red without coating, redder tip with red points; P: Floating-Empty and Rapid or Fire-Rapid Tx: nourish Heart Yin, calm Mind; if Empty Heat is pronounced: clear Empty Heat Pts: HT7, Ren14, Ren15, Ren4, SP6, HT6, KD7 Herb Rx: Tian Wang Bu Xin Dan (Heavenly Emperor Tonifying Heart Pill) HEART EXCESS PATTERNS: HEART FIRE BLAZING: Palpitations, thirst, mouth and tongue ulcers, mental restlessness, feeling agitated, feeling of heat, insomnia, dream-disturbed sleep, red face, dark urine or blood in urine, bitter taste (after a bad night's sleep); T: red, tip redder and swollen with red points, yellow coat; maybe midline crack reaching to the tip; P: Full, Rapid, Overflowing especially left front position; possibly Hasty (Rapid and stopping at Irregular Intervals) Tx: clear Heart, drain Fire and calm Mind Pts: HT8, HT9, HT7, SP6, Du24, Du19, Ren15, LI11, KD6 Herb Rx: Xie Xin Tang (Draining the Heart Decoction) HEART PHLEGM FIRE: Palpitations, thirst, red face, bitter taste, a feeling of oppression in the chest, expectoration of phlegm, rattling sound in the throat, mental restlessness, insomnia, dream-disturbed sleep, agitation, incoherent speech, mental confusion, rash behavior, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, mental depression and dullness, manic behavior; T: red, swollen, yellow dry sticky coat, deep Heart crack; the tip may be redder and swollen with red points; P: Full, Rapid, Slippery or Rapid, Overflowing, Slippery or Rapid, Full, Wiry Tx: clear Heart, drain Fire, resolve Phlegm, calm Mind, open Mind's orifices Pts: HT9, HT8, UB15, PC7, LV2, HT7, SP6, Ren15, GB13, Du24, PC5, ST40, Ren12, UB20, GB17 Herb Rx: Wen Dan Tang (Warming the Gallbladder Decoction) HEART PHLEGM MISTING THE MIND: Mental confusion, unconsciousness, lethargic stupor, incoherent speech, slurred speech, aphasia, vomiting of phlegm, rattling sound in the throat, mental depression, very dull eyes; T: swollen with thick sticky coat, midline crack reaching the tip (Heart crack); P: Slippery Tx: open Heart, resolve Phlegm, open Mind's orifices Pts: HT9, PC5, ST40, Ren12, UB20, Du26, UB15, Du14 Herb Rx: Di Tan Tang (Scouring Phlegm Decoction), Gun Tan Wan (Vaporizing Phlegm Pill) HEART QI STAGNATION: Palpitations, a feeling of distention or oppression in the chest, depression, a slight feeling of lump in the throat, slight shortness of breath, sighing, poor appetite, weak and cold limbs, slightly purple lips, pale complexion; T: slightly pale-purple on the sides in the chest area; P: Empty but very slightly Overflowing on the left front position Tx: move Heart Qi, open the chest and calm Mind Pts: PC6, HT5, HT7, Ren15, Ren17, LU7, ST40 Herb Rx: Mu Xiang Liu Qi Yin (Aucklandia Flowing Qi Decoction), Ban Xia Hou Po Tang (Pinellia Magnolia Decoction) HEART VESSEL OBSTRUCT: Palpitations, shortness of breath with inability to lie down, depression, mental restlessness, a feeling of oppression in the chest, stabbing or prickling pain in heart region that comes and goes and which may radiate to the upper back or shoulder, pain aggravated by exposure to cold and alleviated by heat, expectoration of phlegm, a feeling of heaviness, dislike to speak, cold hands, sighing, purple lips, face and nails; T: purple on the sides in the chest area, swollen with a sticky coat; P: Wiry, Choppy or Knotted (Slippery if Phlegm is predominant) Tx: move Heart Qi and Heart Blood, eliminate stasis, open the chest, resolve Phlegm, expel Cold, calm Mind Pts: PC6, HT5, HT7, Ren15, REN17, LU7, ST40, LI4, UB15, UB17, Ren12 Herb Rx: Zhi Shi Gua Lou Gui Zhi Tang (Citrus Trichosanthes Ramulus Cinnamoni Decoction) plus Dan Shen (Radix Salviae Miltiorrhizae) HEART BLOOD STASIS: Palpitations, stabbing or pricking pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, cyanosis of lips and nails, cold hands; T: purple in its entirety or only on the sides in the chest area; P: Choppy, Wiry or Knotted Tx: move Blood, eliminate stasis, tonify and warm Heart Yang, calm Mind Pts: PC6, HT5, UB14, UB17, SP10, PC4, Ren17, KD25 Herb Rx: Xue Fu Zhu Yu Tang (Blood Mansion Eliminating Stasis Decoction) PERICARDIUM DEFICIENCY PATTERNS: PERICARDIUM BLOOD DEFICIENCY: Feeling of stuffiness and discomfort of the chest, dull ache in the chest, very slight shortness of breath, palpitations, anxiety, insomnia, dizziness, dream-disturbed sleep, poor memory, propensity to be startled, dull-pale complexion, pale lips, cold hands, scanty periods, amenorrhea; T: pale, thin, slightly dry; P: Choppy or Fine but very slightly hard on the left front position Tx: nourish Blood, strengthen Heart and Pericardium, move Qi and Blood in the chest Pts: PC6, HT7, Ren14, Ren15, Ren4, UB17 (with moxa), UB20, UB14, Ren17, PC6, SP4 Herb Rx: Shen Qi Si Wu Tang (Ginseng Astragalus Four Substances Decoction) PERICARDIUM EXCESS PATTERNS: PERICARDIUM HEAT: Fever at night, mental confusion, incoherent speech or aphasia, delirium, body hot, hands and feet cold, macules; T: red and dry without coat; P: Fine, Rapid Tx: clear Nutritive (Ying) Qi Level Heat Pts: PC9, PC8, HT9, KD6, SP6 Herb Rx: Qing Ying Tang (Clearing the Nutritive Qi (Heat) Decoction) PERICARDIUM FIRE: Palpitations, a feeling of tightness and heat in the chest, slight chest ache, rapid breathing, thirst, mouth and tongue ulcers, mental restlessness, feeling of agitation, feeling of heat, insomnia, dream-disturbed sleep, red face, bitter taste (after a bad night's sleep), heavy periods; T: red, tip redder and swollen with red points, yellow coat; there may be a midline crack reaching the tip; P: Full, Rapid, Overflowing especially on left front position; possibly Hasty (Rapid and stopping at Irregular Intervals) Tx: drain Fire in Heart and Pericardium Pts: PC8, HT8, UB14, Ren15, Ren14, Ren17, LI11, Du24, Du19, SP6, LV2 Herb Rx: Xie Xin Tang (Draining the Heart Decoction) PERICARDIUM PHLEGM FIRE: Palpitations, feeling of oppression and heat of the chest, chest pain, rapid breathing, thirst, red face, bitter taste, expectoration of phlegm, rattling sound in the throat, mental restlessness, insomnia, dream- disturbed sleep, agitation, incoherent speech, mental confusion, rash behavior, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, mental depression and dullness and manic behavior; T: red, swollen with yellow, dry, sticky coat, deep heart crack; tip may be redder and swollen with red points; P: Full, Rapid, Slippery or Rapid, Overflowing, Slippery or Rapid, Full, Wiry Tx: drain Fire in the Pericardium and Heart, resolve Phlegm, open Mind's orifices, calm Mind Pts: P5, HT7, HT8, HT9, P7, Ren15, UB15, UB14, Ren17, Ren12, ST40, SP6, UB20, LV2, GB13, Du24, GB17 Herb Rx: Wen Dan Tang (Warming the Gallbladder Decoction) PERICARDIUM QI STAGNATION: A feeling of distention and slight pain in the chest, feeling of tightness in the chest, slight shortness of breath, sighing, feeling of a lump in the throat, palpitations, depression, irritability, poor appetite, weak and cold limbs, slightly purple lips, pale complexion; T: slightly pale, purple on the sides in the chest area; P: Empty but very slightly Overflowing on the left front position Tx: move Qi in the chest, regulate Pericardium and Heart and calm Mind Pts: PC6, HT5, HT7, Ren14, Ren15, Ren17, UB14, LU7, ST40, LI4 Herb Rx: Mu Xiang Liu Qi Yin (Aucklandia Flowing Qi Decoction), Ban Xia Hou Po Tang (Pinellia Magnolia Decoction) PERICARDIUM BLOOD STASIS: Palpitations, stabbing or pricking pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, shortness of breath, cyanosis of lips and nails, cold hands, painful periods with dark clots; T: purple in its entirety or only on the sides in the chest area; P: Choppy, Wiry or Knotted Tx: move Blood in the chest, regulate the Pericardium and Heart and calm Mind Pts: PC6, PC4, HT7, Ren14, Ren17, UB14, UB17, SP10 Herb Rx: Xue Fu Zhu Yu Tang (Blood Mansion Eliminating Stasis Decoction) KIDNEY DEFICIENCY PATTERNS: KIDNEY QI NOT FIRM: Soreness and weakness of the lower back, weak knees, clear frequent urination, weak, stream urination, abundant urination, dribbling after urination, incontinence of urine, enuresis, urination at night, nocturnal emissions without dreams, premature ejaculation, spermatorrhea, tiredness, a feeling of cold, cold limbs, in women prolapse of uterus, chronic white vaginal discharge, a dragging, down feeling in the lower abdomen, recurrent miscarriage; T: pale; P: Deep, Weak especially in the rear positions Tx: reinforce and stabilize Kidney Qi, raise Qi and tonify Yang Pts: KD3, UB23, UB52, Du4, JINGGONG, Du20, Ren4, Ren6, KD13, UB32 Herb Rx: You Gul Wan (Restore the Right (Kidney) Pill) plus Huang Qi (Radix Astragali Membranacei), Qian Shi (Semen Euryales Ferocis), Jin Suo Gu Jing Wan (Metal Lock Consolidating the Essence Pill), Fu Tu Dan (Poria Cuscuta Pill) KIDNEY YANG DEFICIENCY: Dizziness, tinnitus, lower backache, cold and weak knees, a sensation of cold in the lower back, a feeling of cold, weak legs, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, apathy, edema of the legs, infertility in women, loose stools, depression, impotence, premature ejaculation, low sperm count, cold and thin sperm, decreased libido; T: pale and wet; P: Deep, Weak Tx: tonify and warm Kidney, strengthen Fire of the Gate of Life Pts: KD3, UB23, UB52, Du4, KD7, JINGGONG, Ren4, Ren6 Herb Rx: You Gui Wan (Restoring the Right (Kidney) Pill), Jin Gui Shen Qi Wan (Golden Cabinet Kidney Qi Pill) KIDNEY YANG DEFICIENCY/WATER OVERFLOWING: Edema especially of the legs and ankles, cold feeling in legs and back, fullness and distention of abdomen, soreness of lower back, feeling of cold, scanty clear urination; Water Overflowing to Heart: the above symptoms plus palpitations, breathlessness, cold hands; Water Overflowing to Lung: the above symptoms plus thin watery frothy sputum, cough, asthma and breathlessness on exertion; T: pale, swollen and wet with a white coat; P: Deep, Weak, Slow Tx: tonify and warm Kidney, transform Water and warm and tonify Spleen Yang (in cases of Water Overflowing to Heart and Lung, warm or tonify Heart Yang and Lung Qi respectively) Pts: Du4, KD7, UB23, UB22, Ren9, ST28, SP9, SP6, UB20, Du14, UB15, UB13, Du12, LU7 Herb Rx: Jin Gui Shen Qi Wan (Golden Chest Kidney Qi Pill) plus Wu Ling San (Five Ling Powder) KIDNEY FAILING TO RECEIVE QI: Shortness of breath on exertion, Rapid and weak breathing, difficulty in inhaling, chronic cough/asthma, spontaneous sweating, cold limbs, cold limbs after sweating, swelling of the face, thin body, mental listlessness, clear urination during asthma attack, lower backache, dizziness, tinnitus; T: pale; P: Deep, Weak, Tight Tx: tonify and warm Kidney, stimulate Kidney's receiving Qi and stimulate descending of Lung Qi Pts: KD3, UB23, Du4, KD6, LU7, Ren4, Ren6, Ren17, ST36, Du12, UB13, KD7, KD25, KD13 Herb Rx: You Gui Wan (Restoring the Right (Kidney) Pill) plus Dong Chong Xia Cao (Sclerotium Cordicipitis chinensis), Wu Wei Zi (Fructus Schisandrae chinensis), Sheng Ge San (Ginseng Gecko Powder), Su Zi Jiang Qi Tang (Perilla Seed Subduing Qi Decoction) KIDNEY YIN DEFICIENCY: Dizziness, tinnitus, vertigo, poor memory, hardness of hearing, night sweating, dry mouth and throat at night, lower backache, ache in bones, nocturnal emissions, constipation, dark scanty urine, infertility, premature ejaculation, tiredness, lassitude, depression, slight anxiety; T: Normal, colored without coat; P: Floating, Empty Tx: nourish Kidney Yin Pts: KD3, KD6, KD9, KD10, SP6, Ren7, Ren4, LU7, KD6 Herb Rx: Zou Gui Wan (Restoring the Left (Kidney) Pill), Liu Wei Di Huang Wan (Six Ingredients Rehmannia Pill) KIDNEY YIN DEFICIENCY FIRE BLAZING: Malar flush, mental restlessness, insomnia, night sweating, low, grade fever, afternoon fever, five, palm heat, a feeling of heat in the afternoon/evening, scanty dark urine, blood in the urine, dry throat especially at night, thirst with desire to drink in small sips, dizziness, tinnitus, hardness of hearing, lower backache, nocturnal emissions with dreams, excessive sexual desire, dry stools; T: red, cracked with a red tip, no coat; P: Floating, Empty and Rapid Tx: nourish Kidney Yin, clear Empty Heat and calm Mind Pts: SP6, Ren4, KD3, KD6, KD9, KD10, KD2, LI11, LU10, HT5, HT6 LU7, Du24 Herb Rx: Liu Wei Di Huang Wan (Six Ingredient Rehmannia Pill) plus Di Gu Pi (Lycci Radicis), Zhi Mu (Radix Anemarrhenae Asphodeloids) KIDNEY ESSENCE DEFICIENCY: CHILDREN: Poor bone development, late closure of fontanel, deafness, mental dullness or retardation; ADULTS: Softening of bones, weakness of knees and legs, poor memory, loose teeth, falling hair or premature graying of hair, weakness of sexual activity, lower backache, infertility, sterility, primary amenorrhea, dizziness, tinnitus, deafness, blurred vision, absentmindedness, decreased mental sharpness; T: no coat if there is KD Yin Deficiency; pale if there is KD Yang Deficiency; P: Floating, Empty or Leather Tx: nourish Essence and tonify Kidney Pts: KD3, UB23, Du4, KD6, Ren4, KD13, Du16, Du17, Du20, GB39, UB11, UB15 Herb Rx: Zuo Gui Wan (Restoring the Left (Kidney) Pill) LARGE INTESTINE EXCESS PATTERNS: LARGE INTESTINE HEAT: Constipation with dry stools, a burning sensation in the mouth, dry tongue, burning and swelling in anus, scanty dark urine; T: thick yellow (or brown or black) dry coat; P: Full, Rapid Tx: clear Heat in Large Intestine and Stomach and promote Body Fluids Pts: ST37, ST25, LI11, LI2, ST44, UB25, KD6, SP6, Ren12 Herb Rx: Ma Zi Ren Wan (Cannabis Pill) LARGE INTESTINE HEAT OBSTRUCT: Constipation, burning in anus, abdominal distention and pain that are worse with pressure, high fever or tidal fever (fever that rises in the afternoon), sweating especially on limbs, vomiting, thirst, delirium; T: thick dry yellow (or brown, black) coat, red body; P: Deep, Full Tx: clear Heat in Stomach and Large Intestine and promote bowel movement Pts: LI11, L14, SP15, SJ6, SP6, LI2, ST44, ST25, UB25 Herb Rx: Tiao Wei Cheng Qi Tang (Regulating Stomach Conducting Qi Decoction) LARGE INTESTINE DAMP HEAT: Abdominal pain that is not relieved by a bowel movement, abdominal fullness, diarrhea, mucus and blood in stools, offensive odor of stools, burning in the anus, scanty dark urine, fever, sweating which does not decrease the fever, a feeling of heat, thirst without desire to drink, a feeling of heaviness of the body and limbs; T: red with sticky yellow coat; P: Slippery, Rapid Tx: clear Heat, resolve Dampness and stop diarrhea Pts: ST37, ST25, LI11, UB25, SP10, Ren6, Ren12, UB20, SP9, Ren3, UB22, SP6, ST27 Herb Rx: Ge Gen Qin Lian Tang (Pueraria Scutellaria Coptis Decoction), Bal Tou Weng Tang (Pulsatilla Decoction), Shao Yao Tang (Paeonia Decoction) LARGE INTESTINE COLD INVADING: Sudden, cramping abdominal pain, diarrhea with pain, a feeling of cold, a cold sensation in the abdomen; T: thick white coat; P: Deep, Tight Tx: expel Cold from Large Intestine and warm Lower Burner Pts: ST37, ST25, ST27, LV3, ST36, SP6 Herb Rx: Liang Fu Wan (Alpinia Cyperus Pill) plus Zheng Qi Tian Xiang San (Upright Qi Heavenly Fragrance Powder) LARGE INTESTINE COLD: Loose stools like duck droppings, dull abdominal pain, borborygmi, pale urine, cold limbs; T: pale; P: Deep, Weak Tx: tonify and warm Large Intestine and Spleen Pls: ST36, UB20, ST25, Ren6, ST37, UB25 Herb Rx: Liang Fu Wan (Alpinia Cyperus Pill) LARGE INTESTINE QI STAGNATION: Abdominal distention and pain, constipation with bitty stools, irritability, aggravation of condition according to mood; T: normal or slightly red on the sides; P: Wiry on both rear positions Tx: move Qi in Large Intestine Pts: Ren6, GB34, ST25, SP15, ST37, SP6, UB25 Herb Rx: Chai Hu Shu Gan Tang (Bupleurum Soothing Liver Decoction) LARGE INTESTINE DEFICIENCY PATTERNS: Large Intestine Dryness: Dry stools that are difficult to discharge, dry mouth and throat, thin body, foul breath, dizziness; T: dry, either pale or red, with rootless coat; P: Fine Tx: promote Fluids in Large Intestine Pts: ST36, SP6, ST25, KD6, Ren4, SP15 Herb Rx: Zeng Ye Tang (Increasing Fluids Decoction), Qing Zao Run Chang Tang (Clearing Dryness and Moistening the Intestine Decoction), Wu Ren Wan (Five Seeds Pill), Tian Di Jian (Heaven and Earth Decoction), SI Wu Ma ZI Ren Wan (Four- Substance Cannibis Pill), Ma Zi Ren Wan (Cannabis Pill) LARGE INTESTINE COLLAPSE Chronic diarrhea, prolapse anus, hemorrhoids, tiredness after bowel movements, cold limbs, lack or no appetite, mental exhaustion, a desire to drink warm liquids, a desire to have abdomen massaged; T: pale; P: Deep, Fine, Weak Tx: tonify Stomach and Spleen and raise Qi Pts: ST36, SP3, UB20, UB21, Ren6, Du20, ST25 Herb Rx: Bu Zhong Yi Qi Tang (Tonifying the Center Benefiting Qi Decoction) LIVER DEFICIENCY PATTERNS: LIVER BLOOD DEFICIENCY: Dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in the eyes, diminished night vision, scanty menstruation or amenorrhea, dull, pale complexion without luster, pale lips, muscular weakness, cramps, withered and brittle nails, dry hair and skin, depression, a feeling of aimlessness; T: pale, especially on the sides; extreme cases: can assume an orangey color, thin and slightly dry; P: Choppy or Fine Tx: tonify Liver, nourish the Blood Pts: LV8, ST36, SP6, Ren4, UB18, UB20, UB23, UB17, Yu Yao Herb Rx: Bu Gan Tang (Tonifying the Liver Decoction) LIVER YIN DEFICIENCY: Dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in the eyes, dry eyes, diminished night vision, scanty menstruation or amenorrhea, dull, pale complexion without luster but with red cheekbones, muscular weakness, cramps, withered and brittle nails, very dry hair and skin, depression, feeling of aimlessness; T: normal colored without coat or with rootless coat; P: Floating, Empty WITH EMPTY HEAT: Malar flush, anxiety, a feeling of heat in the evening, night sweating, five-palm heat, thirst with desire to drink in small sips, heavy menstrual bleeding: T: Red without coating; P: Floating-Empty and slightly Rapid Tx: tonify Liver, nourish Yin, clear Empty Heat if necessary Pts: LV8, SP6, ST36, Ren4, KD3, KD6, LV2 Herb Rx: Yi Guan Jian (One Linking Decoction) LIVER EXCESS PATTERNS: LIVER QI STAGNATION: Feeling of distention of hypochondrium, chest, epigastrium or abdomen, sighing, melancholy, depression, moodiness, fluctuation of mental state, feeling wound, up, feeling of a lump in the throat, irregular periods, distention of breasts before periods, premenstrual tension and irritability; T: body color may be normal; severe: may be slightly red on the sides; P: Wiry, especially on the left side Tx: smooth Liver and move Qi Pts: LV3, GB34, SJ6, PC6, LV13, LV14 Herb Rx: for Liver Qi Stagnation arising independently: Yue Ju Wan (Gardenia Ligusticum Pill); for Liver Qi Stagnation secondary to Liver Blood Deficiency: Xiao Yao San (Free and Easy Wanderer Powder) STAGNANT LIVER QI TURNING TO HEAT: Hypochondrial or epigastric distention, a slight feeling of oppression in the chest, irritability, melancholy, depression, moodiness, feeling of a lump in the throat, feeling of heat, red face, thirst, propensity to outbursts of anger, premenstrual tension, irregular periods, premenstrual breast distention, heavy periods; T: red on the sides; P: Wiry, especially on the left side and slightly Rapid Tx: smooth Liver, move Qi, lightly clear Heat Pts: GB34, LV3, LV13, LV14, SJ6, PC6, LV2 Herb Rx: Dan Zhi Xiao Yao San Moutan (Gardenia Free and Easy Wanderer Powder) LIVER REBELLIOUS QI: Hypochondrial or epigastric distention, hiccup, sighing, nausea, vomiting, belching, churning feeling in Stomach, irritability, in women breast distention; T: normal; severe: sides will be red; P: Wiry (may be particularly Wiry on Liver and Stomach positions) Tx: smooth Liver and subdue Liver Qi Pts: LV14, PC6, GB34, LV3, SJ6, LI4, ST21, ST19 Herb Rx: Chai Hu Shu Gan Tang (Bupleurum Soothing Liver Decoction), Yi Gan San (Restrain Liver Powder), Si Ni San (Four Rebellious Powder) LIVER BLOOD STASIS: Hypochondrial pain, abdominal pain, vomiting of blood, epistaxis, painful periods, irregular periods, dark and clotted menstrual blood, infertility, masses in abdomen, purple nails, purple lips, purple or dark complexion, dry skin (in severe cases), purple petechiae; T: purple, especially or only on sides; severe: purple spots on side; P: Wiry or Firm Tx: smooth Liver, move Qi, move Blood, eliminate Stasis Pts: LV3, GB34, Ren6, UB17, UB18, SP10, ST29, KD14, LV5, LV6, SP4, PC6 Herb Rx: Ge Xia Zhu Yu Tang (Eliminating Stasis Below the Diaphragm Decoction), Shi Xiao San (Breaking into a Smile Powder), Yan Hu Suo Tang (Corydalis Decoction) LIVER FIRE BLAZING: Irritability, propensity to outbursts of anger, tinnitus, deafness, temporal headache, dizziness, red face and eyes, thirst, bitter taste, dream-disturbed sleep, constipation with dry stools, dark, yellow urine, epistaxis, hematemesis, hemoptysis; T: red, redder on the sides, dry yellow coat; P: Full, Wiry, Rapid Tx: clear Liver, drain Fire Pts: LV1, LV2, GB20, Tai Yang, GB1, GB6, GB8, GB9, LV3, SP6, LI11, GB13 Herb Rx: Long Dan Xie Gan Tang (Gentiana Draining Liver Decoction), Dang Gui Long Hui Tang (Angelica Gentiana, Aloe Decoction) LIVER DAMP HEAT: Fullness of the hypochondrium, abdomen or hypogastrium, bitter taste, sticky taste, poor appetite, nausea, feeling of heaviness of the body, yellow vaginal discharge, vaginal itching, vulvar eczema or sores, mid- cycle bleeding and/or pain, pain, redness and swelling of the scrotum or genitals, papular or vesicular skin rashes and itching, urinary difficulty, burning on urination, dark urine, dysuria; T: red with redder sides, sticky yellow coat; P: Slippery, Wiry, Rapid Tx: resolve Dampness, clear Liver and clear Heat Pts: LV14, GB34, UB18, Ren12, SP9, SP6, LI11, LV2 Herb Rx: Long Dan Xie Gan Tang (Gentiana Draining the Liver Decoction) STAGNATION OF COLD IN THE LIVER: Fullness and distention of the hypogastrium with pain which refers downwards to the scrotum and testis and upwards to the hypochondrium, the pain is alleviated by warmth, straining of the testis or contraction of the scrotum, vertical headache, feeling of cold, cold hands and feet, vomiting of clear watery fluids or dry vomiting; in women there can be shrinking of the vagina; T: pale and wet with a white coat; P: Deep, Wiry, Slow Tx: clear Liver, expel Cold Pts: Ren3, LV5, LV1, LV3, moxa is applicable Herb Rx: Nuan Gan Jian (Warming the Liver Decoction) LIVER WIND PATTERNS: LIVER YANG RISING/LV BLOOD DEFICIENCY GENERATING WIND: Tremor, dizziness, tinnitus, headache, hypertension, dry throat, blurred vision, numbness or tingling of limbs, poor memory, insomnia; T: pale and thin; P: Wiry, Fine Tx: subdue Liver Yang, extinguish Wind and nourish Liver Blood Pts: LV3, GB20, Du19, LI4, SJ5, SP6, LV8, KD3, UB17, Ren4 Herb Rx: E Jiao Ji Zi Haung Tang (Egg Yolk Decoction) LIVER YANG RISING/LIVER YIN GENERATING WIND: Tremor, facial tic, severe dizziness, tinnitus, headache, hypertension, dry throat, dry eyes, blurred vision, numbness or tingling of limbs, poor memory; T: normal colored without coat, P: Wiry, Fine Tx: subdue Liver Yang, extinguish Wind and nourish Liver Yin Pls: LV3, GB20, L14, SJ5, Du19, SP6, LV8, KD3 Herb Rx: San Jia Fu Mai Tang (Three Carapaces Restoring the Pulse Decoction) LIVER YANG RISING/LIVER AND KIDNEY YIN GENERATING WIND: Tremor, facial tic, severe dizziness, tinnitus, headache, hypertension, dry throat, dry eyes, blurred vision, numbness or tingling of limbs, poor memory, backache, scanty urination, night sweating: T: normal colored without coat; P: Wiry, Fine Tx: subdue Liver Yang, extinguish Wind and nourish Liver and Kidney Yin Pts: LV3, GB20, LI4, SJ5, Du19, SP6, LV8, KD3, KD6, Ren4 Herb Rx: Zhen Gan Xi Feng Tang (Pacifying the Liver and Subduing Wind Decoction) EXTREME HEAT IN THE LIVER GENERATING WIND: High temperature, convulsions, rigidity of the neck, tremor of limbs, opisthotonos; in severe cases coma; T: deep, red, stiff, dry yellow coat; P: Wiry, Rapid Tx: cool Blood, nourish Yin and extinguish Wind Pts: LV3, Shauna, DU20, DU16, GB20, DU8, DU14 Herb Rx: Ling Jiao Gou Teng Tang (Comu Antelopis Uncaria Decoction) LV BLOOD DEFICIENCY GENERATING WIND: Fine tremor, facial tic, dizziness, blurred vision, numbness or tingling of limbs, poor memory, insomnia, scanty periods; T: pale and thin; P: Wiry, Fine Tx: nourish Liver Blood and extinguish Wind Pts: LV3, GB20, LI4, SJ5, Du19, SP6, LV8, KD3, Ren4, UB17 Herb Rx: E Jiao Ji Zi Huang Tang (Gelantinum Corii Asini Egg Yolk Decoction) LV FIRE GENERATING WIND: Tremor, irritability, propensity to outbursts of anger, tinnitus and/or deafness (with sudden onset), temporal headache, dizziness, red face and eyes, thirst, bitter taste, dream-disturbed sleep, constipation with dry stools, dark, yellow urine, epistaxis, hematemesis, hemoptysis; T: red with redder sides and dry yellow coat, P: Wiry, Rapid Tx: clear Liver, drain Fire and extinguish Wind Pls: LV2, LV3, GB20, LI11, GB1, SP6, LV1, Du8 Herb Rx: Ling Jiao Gou Teng Tang (Carnu Antelopis Uncaria Decoction) plus Long Dan Cao (Radix Gentianae scabrae) LUNG DEFICIENCY PATTERNS: LUNG QI DEFICIENCY: Slight shortness of breath, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright-pale complexion, propensity to catch colds, tiredness, dislike of cold; T: pale; P: Empty, especially on the right front position Tx: tonify Lung Qi, warm Yang Pts: LU9, LU7, UB13, Du12, Ren6, Ren12, ST36 Herb Rx: Ren Shen Bu Fei Tang (Ginseng Tonifying the Lung Decoction) LUNG YIN DEFICIENCY: Cough that is dry or with scanty sticky sputum, weak and/or hoarse voice, dry mouth and throat, tickly throat, tiredness, dislike of speaking, thin body or thin chest, night sweating; T: normal colored, dry without coat (or with rootless coat) in the Front part; P: Floating, empty WITH EMPTY HEAT: Feeling of Heat in the evenings, afternoon fever, five, palm heat and malar flush; T: Red, no coat; P: Floating, Empty and Rapid Tx: tonify LU Yin, nourish Body Fluids, and if necessary, clear Empty Heat Pts: Ren4, KD6, SP6, LU9, Ren17, UB13, UB43, Du12, Ren12, LU10, LI11 Herb Rx: Yang Yin Qing Fei Tang (Nourish Yin and Clearing the LU Decoction) LUNG DRYNESS: Dry cough, dry skin, dry throat, dry mouth, thirst, hoarse voice; T: dry; P: Empty, especially on the right front position Tx: moisten Lung and nourish Fluids Pts: LU9, Ren4, KD6, SP6, ST36, Ren12 Herb Rx: Bai He Gu Jin Tang (Lillium Consolidating Metal Decoction) LUNG EXCESS PATTERNS: WIND COLD INVADING THE LUNG: Aversion to cold, fever, cough, itchy throat, slight breathlessness, stuffed/blocked or runny nose with clear watery discharge, sneezing, occipital headache, body aches; T: thin white coat; P: Floating, Tight Tx: release Exterior, expel Cold and stimulate the descending and diffusing of Lung Qi Pts: UB12, LU7, Du16 Herb Rx: Ma Huang Tang (Ephedra Decoction) WIND HEAT INVADING THE LUNG: Aversion to cold, fever, cough, sore throat, stuffed/blocked or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, sneezing: T: slightly red on the sides in the chest areas or on the Front part; P: Floating, Rapid Tx: release Exterior, clear Heat and stimulate descending and diffusing of Lung Qi Pts: UB12, LU7, Du16, GB20, SJ5, LI4, Du14, LI11, LU11 Herb Rx: Sang Ju Yin (Morus Chrysanthemum Decoction) WIND WATER INVADING THE LUNG: Sudden swelling of eyes and face gradually spreading to the whole body, bright, shiny complexion, scanty and pale urination, aversion to wind, fever, cough, slight breathlessness; T: sticky white coat; P: Floating, Slippery Tx: release Exterior, expel Cold, resolve Dampness, restore descending of Lung Qi and open Water Passages Pts: UB12, UB13, LU7, LI4, LI6, Ren9, Du26, L17 Herb Rx: Xiao Qing Long Tang (Small Green Dragon Decoction) LUNG HEAT: Cough, slight breathlessness, feeling of heat, chest ache, flaring of nostrils, thirst, red face; T: red with yellow coat; P: Overflowing, Rapid Tx: clear Lung Heat and restore descending of Lung Qi Pts: LU5, LUTO, LUZ, LI11, LU1, UB13 Herb Rx: Ma Xing Shi Gan Tang (Ephedra Prunus Gypsum Glycyrrhiza Decoction) DAMP PHLEGM IN LUNG: Chronic cough coming in bouts with profuse white sticky sputum that is easy to expectorate, pasty-white complexion, a feeling of oppression in the chest, phlegm in the throat, shortness of breath, dislike of lying down, wheezing, nausea, a feeling of heaviness, muzziness and dizziness of the head; T: swollen with a sticky white coat; P: Slippery or Soggy Tx: resolve Dampness and Phlegm and restore descending of Lung Qi Pts: LU5, LU7, LU1, Ren17, ST40, PC6, Ren22, Ren12, Ren9, UB20, UB13 Herb Rx: Er Chen Tang (Two Old Decoction) COLD PHLEGM IN LUNG: Cough with expectoration of white watery sputum aggravated by exposure to cold, feeling cold, cold hands, phlegm in the throat, dizziness, a feeling of oppression in the chest, a feeling of cold in the chest, a feeling of heaviness, muzziness and dizziness of the head; T: swollen and wet with a sticky white coat; P: Slippery, Slow Tx: resolve Phlegm, expel Cold, warm Yang and restore descending of Lung Qi Pts: Ren12, UB13, LU5, ST40, UB20, Ren9, Ren22, LU7, LU1, Ren17, PC6, UB23 Herb Rx: She Gan Ma Huang Tang (Belamcanda Ephedra Decoction), Ling Gui Zhu Gan Tang (Poria, Ramalus Cinnamomi Atractylodis Glycyrrhiza Decoction), Ling Gan Wu Wei Jiang Xin Tang (Poria Glycyrrhiza Schisandra Zingiberis Asarum Decoction), San Zi Yang Qin Tang (Three, Seed Nourishing the Ancestors Decoction) PHLEGM HEAT IN LUNG: Barking cough with profuse sticky yellow or green sputum, shortness of breath, wheezing, a feeling of oppression in the chest, phlegm in the throat, feeling of heat, thirst, insomnia, agitation, a feeling of heaviness and muzziness of the head, dizziness; T: red, swollen with a sticky yellow coat; P: Slippery, Rapid Tx: resolve Phlegm, clear Heat and stimulate descending of Lung Qi Pts: Ren12, UB13, LU5, ST40, LU7, LU1, LI11, LU10 Herb Rx: Wen Dan Tang (Warming Gallbladder Decoction), Qing Qi Hua Tan Tang (Clearing Qi and Resolving Phlegm Decoction) DRY PHLEGM IN LUNG: Dry cough with occasional difficult expectoration of scanty sputum, shortness of breath, a feeling of oppression in the chest, scanty phlegm in the throat, a feeling of heaviness and muzziness of the head, dizziness, dry throat, wheezing, pasty, dry complexion; T: swollen with a dry sticky coat; P: Fine, Slippery Tx: resolve Phlegm, nourish Fluids, nourish Lung Yin and restore descending of Lung Qi Pts: LU9, LU7, KD6, Ren12, ST36, SP6, ST40, UB13, Ren17 Herb Rx: Bei Mu Gua Lou San (Fritillaria Trichosanthes Powder) PHLEGM FLUIDS OBSTRUCTING THE LUNG: Cough with expectoration of white watery sputum, breathlessness, splashing sound in the chest, vomiting of white watery frothy sputum, a feeling of oppression in the chest, a feeling of heaviness and muzziness of the head, dizziness, a feeling of cold, coughing that may be elicited by a scare; T: pale with thick sticky white coat; P: Fine, Slippery or Soggy or Wiry Tx: resolve Phlegm and tonify Spleen, Lung and Kidney Yang Pts: Ren12, UB13, LU5, ST40, Ren9, Ren17, ST36, UB20, UB23, UB43, LU9, SP9 Herb Rx: Ling Gan Wu Wei Jiang Xin Tang (Poria Glycyrrhiza Schisandra Zingiberis Asarum Decoction) SPLEEN DEFICIENCY PATTERNS: SPLEEN QI DEFICIENCY: Poor appetite, slight abdominal distention after eating, tiredness, lassitude, desire to lie down, pale complexion, weakness of the limbs, loose stools, tendency towards obesity; T: pale; P: Empty Tx: tonify Spleen Qi Pts: SP3, SP6, ST36, Ren12, UB20, UB21 Herb Rx: Si Jun Zi Tang (Four Gentlemen Decoction); with Damp: Liu Jun Zi Tang (Six Gentlemen Decoction) SPLEEN YANG DEFICIENCY: Poor appetite, slight abdominal distention after eating, tiredness, lassitude, desire to lie down curled up, pale complexion, weakness of the limbs, loose stools, a tendency towards obesity, a feeling of cold, cold limbs, edema; T: pale and wet; P: Deep, Weak Tx: tonify and warm Spleen Yang Pts: SP3, SP6, ST36, Ren12, UB20, UB21, Ren9, ST28, UB22, SP9 Herb Rx: Li Zhong Wan (Regulating the Center Decoction) SPLEEN QI SINKING: Poor appetite, slight abdominal distention after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, depression, tendency towards obesity, a bearing, down sensation in the abdomen, prolapse of stomach, uterus, anus or bladder, frequency and urgency of urination, menorrhagia; T: pale; P: Weak; when Stomach is prolapsed, this can be felt on the middle right position of the pulse Tx: tonify Spleen Qi and raise Qi Pts: SP3, SP6, ST36, Ren12, UB20, UB21, Dul, Du20, Ren6, ST21 Herb Rx: Bu Zhong Yi Qi Tang (Tonifying the Center and Benefitting the Qi Decoction) SPLEEN NOT CONTROLLING BLOOD: Poor appetite, slight abdominal distention after eating, tiredness, lassitude, pale, sallow complexion, weakness of the limbs, loose stools, depression, tendency towards obesity, blood spots under the skin, blood in the urine or stools, excessive uterine bleeding; T: pale; P: Weak or Fine Tx: tonify Spleen Qi and stop bleeding Pts: SP3, SP6, ST36, Ren12, UB20, UB21, SP10, SP4, SP1, UB17 Herb Rx: Gui Pi Tang (Tonifying the Spleen Decoction) SPLEEN BLOOD DEFICIENCY: Poor appetite, slight abdominal distention after eating, tiredness, lassitude, dull, pale complexion, weakness of the limbs, loose stools, depression, thin body, scanty periods or amenorrhea, insomnia, joint ache; T: pale, thin and slightly dry; P: Choppy or Fine Tx: tonify Spleen Qi and nourish Blood Pts: Ren12, ST36, SP3, SP6, UB20, UB21, Ren4, UB17 Herb Rx: Gui Pi Tang (Tonifying the Spleen Decoction) SPLEEN EXCESS PATTERNS: SPLEEN COLD DAMP: Poor appetite, a feeling of fullness of the epigastrium and/or abdomen, a feeling of cold in the epigastrium which improves with the application of heat, a feeling of heaviness of the head and body, a sweetish taste or absence of taste, no thirst, loose stools, lassitude, tiredness, nausea, edema, dull-white complexion, excessive white vaginal discharge; T: pale with a sticky white coat; P: Slippery, Slow Tx: resolve Dampness and expel Cold Pts: SP6, SP9, ST22, ST28, Ren9, Ren11, UB20, UB22, ST8, Ren12, SP3 Herb Rx: Ping Wei San (Balancing the Stomach Powder) SPLEEN DAMP HEAT: Feeling of fullness of the epigastrium and/or lower abdomen, epigastric/abdominal pain, poor appetite, a feeling of heaviness, thirst without desire to drink, nausea, vomiting, loose stools with offensive odor, burning sensation in the anus, a feeling of heat, scanty dark urine, low, grade fever, dull headache with a feeling of heaviness of the head, dull, yellow complexion like tangerine peel, yellow sclera of the eyes, oily sweat, bitter taste, itchy skin or skin eruptions (papules or vesicles), sweating which does not relieve the fever and does not lead to the clearing of heat; T: red with sticky yellow coat; P: Slippery, Rapid Tx: resolve Dampness and clear Heat Pts: SP6, SP9, ST22, ST28, Ren9, Ren11, UB20, UB22, LI11, DU9, GB34 Herb Rx: Lian Po Yin (Coptis Magnolia Decoction) STOMACH DEFICIENCY PATTERNS: STOMACH QI DEFICIENCY: Uncomfortable feeling in the epigastrium, lack of appetite, lack of taste sensation, loose stools, tiredness especially in the morning, weak limbs; T: pale; P: Empty, especially on the right middle position Tx: tonify Stomach Qi Pts: ST36, Ren6, Ren12, UB21 Herb Rx: Si Jun Zi Tang (Four Gentlemen Decoction) STOMACH DEFICIENCY COLD: Discomfort or dull pain in the epigastrium, better after eating and better with pressure or massage, lack of or no appetite, preference for warm drinks and foods, vomiting of clear fluid, lack of thirst, cold and weak limbs, tiredness, pale complexion; T: pale and wet; P: Deep, Weak, Slow, especially on the right middle position Tx: tonify and warm Stomach and Spleen Qi Pts: ST36, Ren6, Ren12, UB21, UB20 Herb Rx: Huang Qi Jian Zhong Tang (Astragalus Strengthening the Center Decoction), Xiao Jian Zhong Tang (Small Strengthening the Center Decoction) STOMACH YIN DEFICIENCY: No appetite or slight hunger but with no desire to eat, constipation (dry stools), dull or slightly burning epigastric pain, dry mouth and throat especially in the afternoon with a desire to drink in small sips, a slight feeling of fullness after eating; T: normal colored without a coat in the center, or with rootless coat; P: Floating, Empty on the right middle position WITH EMPTY HEAT: Thirst with desire to drink in small sips, feeling of hunger, night sweating, five-palm heat, bleeding gums, feeling of heat in the evening T: Red and without coating in the center Tx: nourish Stomach Yin and fluids Pts: ST36, Ren12, SP3, SP6 Herb Rx: Sha Shen Mai Men Dong Tang (Glehnia Ophiopogan Decoction), Shen Ling Bai Zhu San (Ginseng, Poria, Atractylodes Powder), Yi Wei Tang (Benefiting Stomach Decoction) STOMACH EXCESS PATTERNS: STOMACH QI STAGNATION: Epigastric pain and distention, belching, nausea, vomiting, hiccup, irritability; T: no particular signs except that in severe cases it may be red on the sides in the central section; P: Wiry on the right middle position Tx: move Stomach Qi, eliminate stagnation and restore the descending of Stomach Qi Pts: ST34, ST21, ST19, KD21, SJ6, SP4, PC6, GB34, Ren12, ST40 Herb Rx: Chen Xiang Jiang San (Aquilaria Subduing Qi Powder), Ban Xia Hou Po Tang (Pinellia Magnolia Decoction), Zuo Jin Wan (Left Metal Pill) STOMACH HEAT/STOMACH PHLEGM HEAT: Burning epigastric pain, intense thirst with desire to drink cold liquids, mental restlessness, dry stools, dry mouth, mouth ulcers, sour regurgitation, nausea, vomiting soon after eating, excessive hunger, foul breath, a feeling of heat; T: red in the center with a dry yellow or dark, yellow coat; P: Rapid and slightly Overflowing on the right middle position STOMACH PHLEGM FIRE: a feeling of oppression of the chest and epigastrium, mucus in the stools, expectoration of phlegm, mental derangement; T: Red with a sticky yellow coating; P: Rapid, Slippery, Overflowing Tx: clear Stomach Heat and stimulate the descending of Stomach Qi Pts: ST44, ST34, ST21, Ren13, LI11, LI4, Ren11, SP15 Herb Rx: Tiao Wei Cheng Qi Tang (Regulating Stomach Conduction Qi Decoction), Qing Wei San (Clearing Stomach Powder), Liang Ge San (Cooling the Diaphragm Powder) STOMACH DAMP HEAT: A feeling of fullness and pain of the epigastrium, a feeling of heaviness, facial pain, blocked nose or thick sticky nasal discharge, thirst without a desire to drink, nausea, a feeling of heat, dull, yellow complexion, a sticky taste; T: red with a sticky, yellow coat; P: Slippery, Rapid Tx: resolve Dampness, clear Heat and restore descending of Stomach Qi Pts: ST44, ST34, ST21, Ren12, Ren13, LI11, LI4, ST40, SP9, Ren9, Ren11, ST25 Herb Rx: Lian Po Yin (Coptis Magnolia Decoction) STOMACH COLD INVADING: Sudden severe pain in the epigastrium, a feeling of cold, cold limbs, preference for warmth, vomiting of clear fluids (which may alleviate the pain), nausea, feeling worse after swallowing cold fluids which are quickly vomited, preference for warm liquids; T: thick white coat; P: Deep, Tight, Slow Tx: expel Cold, warm Stomach and stimulate descending of Stomach Qi Pts: ST21, Ren13, SP4, ST34 Herb Rx: Liang Fu Wan (Alpinia Cyperus Pill) STOMACH QI REBEL: Nausea, difficulty in swallowing, belching, vomiting, hiccup; T: No changes; P: Tight or Wiry on the right middle position Tx: subdue rebellious Qi and stimulate descending of Stomach Qi Pls: Ren13, Ren10, PC6, SP4, ST21, ST19 Herb Rx: Ding Xiang Shi Di Tang (Caryophyllum Diospyros Decoction), Huo Xiang Zheng Qi San (Agastaches Upright Qi Powder), Ban Xia Hou Po Tang (Pinellia Magnolia Decoction) STOMACH FOOD STAGNATION: Fullness, pain and distention of the epigastrium that are relieved by vomiting, nausea, vomiting of sour fluids, foul breath, sour regurgitation, belching, insomnia, loose stools or constipation, poor appetite; T: thick coat (which could be white or yellow); P: Full, Slippery Tx: resolve retention of food and stimulate descending of Stomach Qi Pls: ST21, SP4, PC6, Ren12, Ren10, Ren13, ST19, ST40, KD21, ST44, ST45 Herb Rx: Bao He Wan (Preserving and Harmonizing Pill), Zhi Shi Dao Zhi Wan (Citrus Eliminating Stagnation Pill) STOMACH BLOOD STASIS: Severe, stabbing epigastric pain that may be worse at night, dislike of pressure, nausea, vomiting, possibly vomiting of blood, vomiting of food looking like coffee grounds; T: purple; P: Wiry Tx: invigorate Blood, eliminate stasis and stimulate descending of Stomach Qi Pts: ST21, SP4, PC6, SP10, UB17, SJ6, GB34, Ren11, Ren12, LI4, ST34, ST19, ST40, KD21 Herb Rx: Shi Xiao San (Breaking into a Smile Powder), Dan Shen Yin (Salvia Decoction), Ge Xia Zhu Yu Tang (Penetrating the Depth Decoction) GALL BLADDER COMBINED PATTERNS: GALLBLADDER/LIVER DAMP HEAT: Hypochondrial pain, fullness and distention, nausea, vomiting, inability to digest fats, yellow complexion, scanty and dark, yellow urine, fever, thirst without a desire to drink, bitter taste, dizziness, yellow sclera, tinnitus, irritability, a feeling of heaviness of the body, numbness of the limbs, swelling of the feet, burning on urination, difficulty in urinating, excessive yellow vaginal discharge, loose stools or constipation, alternation of hot and cold feelings, feeling of heat, genital papular skin rashes and itching, swelling and heat of the scrotum; T: thick sticky yellow coat, either bilateral or unilateral; P: Slippery, Wiry, Rapid Tx: resolve Dampness, clear Heat, clear Liver and Gallbladder and promote smooth flow of Liver Qi Pts: GB34, Dan Nang Xue, GB24, UB19, Du9, LV14, LV3, LV5, UB18, Ren12, UB20, LI11, SJ6, ST19 Herb Rx: Long Dan Xie Gan Tang (Gentiana Draining Liver Decoction) KIDNEY COMBINED PATTERNS: KIDNEY AND LIVER YIN DEFICIENCY: Dizziness, tinnitus, hardness of hearing, lower backache, dull occipital or vertical headache, insomnia, numbness or tingling of limbs, dry eyes, blurred vision, dry throat, dry hair and skin, brittle nails, dry vagina, night sweating, dry stools, nocturnal emissions, scanty menstruation or amenorrhea, delayed cycle, infertility; T: normal colored without coat or with rootless coat, P: Floating, Empty Tx: nourish Liver and Kidney Yin Pts: KD3, KD6, KD13, UB23, Ren4, SP6, LV8, UB10 Herb Rx: Zuo Gui Wan (Restoring the Left (Kidney) Pill), Qi Ju Di Huang Wan (Lycium Chrysanthemum Rehmannia Pill) KIDNEY AND HEART NOT COMMUNICATING: Palpitations, mental restlessness, insomnia, dream-disturbed sleep, anxiety, poor memory, dizziness, tinnitus, hardness of hearing, lower backache, nocturnal emissions with dreams, a feeling of heat in the evening, dry throat at night, thirst with a desire to drink in small sips, night sweating, five, palm heat, scanty dark urine, dry stools; T: red, redder tip without coat, midline Heart crack; P: Floating, empty and Rapid or Deep, Weak on both rear positions and relatively Overflowing on both front positions Tx: nourish Kidney and Heart Yin, clear Empty Heat and calm Mind Pts: KD6, Ren4, SP6, KD3, KD10, HT7, Du24, YINTANG, KD9, Ren15, HT5, HT6, UB15 Herb Rx: Tian Wang Bu Xin Dan (Heavenly Emperor Tonifying Heart Pill) KIDNEY AND LUNG YIN DEFICIENCY: Dry cough that is worse in the evening, dry throat and mouth, thin body, breathlessness on exertion, lower backache, night sweating, dizziness, tinnitus, hardness of hearing, scanty urination; T: normal colored without coat or with rootless coat; P: Floating, Empty Tx: nourish Lung and Kidney Yin and nourish Body Fluids Pts: KD6, KD3, KD13, Ren4, SP6, LU1, LU7, LU9, UB43 Herb Rx: Ba Xian Chang Shou Wan (Eight Immortals Longevity Pill) KIDNEY AND SPLEEN YANG DEFICIENCY: Lower backache, cold and weak knees, a sensation of cold in the back, a feeling of cold, weak legs, bright, white complexion, impotence, premature ejaculation, low sperm count, cold and thin sperm, decreased libido, tiredness, lassitude, abundant clear urination, scanty clear urination, urination at night, apathy, edema of the legs, infertility in women, loose stools, depression, poor appetite, slight abdominal distention, a desire to lie down, early, morning diarrhea, chronic diarrhea; T: pale and wet; P: Deep, Weak Tx: tonify and warm Spleen and Kidney Yang Pts: ST36, Ren12, SP3, UB20, UB21, KD3, KD7, UB23, UB52, Du4, Ren4, Ren6, ST25, ST37, UB25, Ren9 Herb Rx: Li Zhong Wan (Regulating the Center Pill) plus Jin Gui Shen Qi Wan (Golden Chest Kidney Qi Pill) LIVER COMBINED PATTERNS: LIVER YANG RISING: Headache that may be on the temples, eyes or lateral side of the head, dizziness, tinnitus, deafness, blurred vision, dry mouth and throat, insomnia, irritability, feeling worked-up, propensity to outbursts of anger, stiff neck; T: Liver Blood deficiency: pale; Liver Yin deficiency: slightly red on the sides without coat; Rebellious Liver Qi: normal color or slightly red on sides; P: Wiry; Liver Blood or Liver Yin Deficiency: Wiry on one side or Wiry but Fine Tx: subdue Liver Yang, nourish Yin or Blood Pts: LV3, SJ5, PC6, GB20, LI4, ST36, SP6, LV8, KD3, KD6, GB6, GB8, GB9, UB2, GB38, GB43, Tai Yang Herb Rx: Tian Ma Gou Teng Yin (Gastrodia Uncaria Decoction), Ling Jiao Gou Teng Tang (Cornu Antelopis Uncaria Decoction) REBELLIOUS LIVER QI INVADING SPLEEN: Irritability, abdominal distention and pain, alternation of constipation and diarrhea, stools sometimes dry and bitty (small pieces) and sometimes loose, flatulence, tiredness; T: normal colored or slightly red on the sides; P: Wiry on the Left and weak on the Right Tx: subdue rebellious Qi and tonify Spleen Pts: LV13, LV14, LV3, GB34, REN6, SJ6, PC6, ST25, SP15, REN12, ST36, SP6, SP4, PC6 Herb Rx: Xiao Yao San (Free and Easy Wanderer Powder), Xuan Fu Dai Zhe Tang (Inula-Haematite Decoction), Ju Pi Zhu Ru Tang (Citrus-Bambusa Decoction) LIVER OVERACTING ON STOMACH: Irritability, epigastric and hypochondrial distention and pain, a feeling of oppression in the epigastrium, sour regurgitation, hiccup, belching, nausea, vomiting, sighing, weak limbs; T: normal colored or slightly red on the sides; P: Wiry on the left and weak on the right or Wiry on both middle positions Tx: subdue rebellious Liver Qi and tonify Stomach Qi Pts: LV14, GB34, Ren13, Ren10, ST21, ST19, ST36, UB21, ST34 Herb Rx: Si Mo Tang (Four Milled Herb Decoction), Xuan Fi Dai Zhe Tang (Inula-Haematite Decoction), Ju Pi Zhu Ru Tang (Citrus-Bambusa Decoction), Ding Xiang Shi Di Tang (Caryophyllum-Diospyros Decoction), Ban Xia Hou Po Tang (Pinellia- Mangolia Decoction) plus Zuo Jin Wan (Left Metal Pill) LIVER FIRE INSULTING LUNG: Breathlessness, asthma, a feeling of fullness and distention of the chest and hypochondrium, cough with yellow or blood-tinged sputum, headache, dizziness, red face, thirst, bitter taste, bloodshot eyes, scanty dark urine, constipation; T: red with redder sides and dry yellow coat; P: Wiry Tx: clear Liver, drain Fire, subdue Liver Qi and stimulate descending of Lung Qi Pts: LV14, LV3, LV2, LI11, Ren17, Ren22, LU7, PC6 Herb Rx: Long Dan Xie Gan Tang (Gentiana Draining Liver Decoction) LIVER AND HEART BLOOD DEFICIENCY: Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull-pale complexion, pale lips, blurred vision, floaters in eyes, diminished night vision, tingling or numbness of limbs, scanty periods or amenorrhea, cramps, muscular weakness, dry hair and skin, depression, a feeling of aimlessness, withered and brittle nails; T: pale and thin, slightly dry; P: Choppy or Fine Tx: nourish Blood, tonify Heart and Liver, calm Mind and settle Ethereal Soul Pts: HT7, Ren14, Ren15, Ren4, UB17 (with moxa), UB20, LV8, SP6, ST36, UB18, UB23 Herb Rx: Gui Pi Tang (Tonify the Spleen Decoction), Dang Gul Ji Xue Teng Tang (Angelica Ji Xue Teng Decoction) LUNG COMBINED PATTERNS: LUNG AND HEART QI DEFICIENCY: Slight shortness of breath, slight cough, weak voice, dislike of speaking, bright, white complexion, propensity to catch colds, tiredness, palpitations, shortness of breath on exertion, depression, spontaneous sweating, sighing; T: pale; P: Empty, especially on both front positions Tx: tonify Qi, strengthen Heart and Lung and calm Mind Pts: LU9, LU7, Ren6, UB13, Du12, ST36, Ren12, HT5, PC6, UB15, Ren17 Herb Rx: Si Jun Zi Tang (Four Gentlemen Decoction) plus Huang Qi (Radix Astragali memebranacei), Bao Yuan Tang (Preserving the Source Decoction), Bu Fei Tang (Tonifying Lungs Decoction), Sheng Mai San (Generating the Pulse Powder) SPLEEN AND HEART BLOOD DEFICIENCY: Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull-pale complexion, pale lips, tiredness, weak muscles, loose stools, poor appetite, scanty period; T: pale and thin; P: Choppy or Fine Tx: nourish Blood, tonify Heart and Spleen and calm Mind Pts: HT7, PC6, Ren14, Ren15, Ren4, UB17 (with moxa), UB20, Ren12, ST36, SP6 Herb Rx: Gui Pi Tang (Tonifying Spleen Decoction) SPLEEN AND LUNG QI DEFICIENCY: Poor appetite, slight abdominal distention after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, a tendency towards obesity, slight shortness of breath, slight coughing, weak voice, spontaneous daytime sweating, dislike of speaking, propensity to catch colds, dislike of cold; T: pale; P: Empty, especially on the right side Tx: tonify Lung and Spleen Qi Pts: SP3, SP6, UB20, UB21, ST36, Ren6, Ren12, LU7, LU9, UB13, Du12 Herb Rx: Si Jun Zi Tang (Four Gentleman Decoction) plus Huang Qi (Radix Astragali Membranacei) SPLEEN AND LIVER BLOOD DEFICIENCY: Poor appetite, slight abdominal distention after eating, tiredness, lassitude, dull, pale complexion, weakness of the limbs, loose stools, thin body, scanty periods or amenorrhea, insomnia, dizziness, numbness of limbs, blurred vision, floaters in eyes, diminished night vision, pale lips, muscular weakness, cramps, withered and brittle nails, dry hair and skin, slight depression, a feeling of aimlessness; T: pale, especially on the sides, dry; extreme case: can assume an orange color and dry; P: Choppy or Fine Tx: tonify the Spleen Qi and nourish Liver Blood Pts: SP3, SP6, UB20, UB21, ST36, Ren12, LV8, UB17, UB18, UB23, Ren4 Herb Rx: Gui Pi Tang (Tonifying the Spleen Decoction) SPLEEN DAMP W/ LIVER QI STAGNATION: Feeling of oppression and fullness of the epigastrium, nausea, lack of appetite, loose stools, a feeling of heaviness, dry mouth without a desire to drink, sallow complexion, hypochondrial pain, bitter taste, sticky taste, epigastric and hypochondrial distention, irritability; T: thick, sticky, yellow coat; P: Slippery, Wiry Tx: resolve Dampness, promote the smooth flow of Liver Qi and clear Heat Pts: SP3, SP6, SP9, UB20, Ren12, ST19, LV3, LV13, LV14, GB24, GB34 Herb Rx: Ping Wei San (Balancing Stomach Powder) plus Mu Xiang (Radix Aucklandiae Lappae), Xiang Fu (Rhizoma Cyperi rotundi), Huo Xiang Zheng Qi San (Agastache Upright Qi Powder) plus Mu Xiang (Radix Aucklandiae lappae), Xiang Fu (Rhizoma Cyperi Rotundi), Yi Jia Jian Zheng Qi San (First Variation of Upright Qi Powder) STOMACH COMBINED PATTERNS: STOMACH AND SPLEEN QI DEFICIENCY: Poor appetite, slight abdominal distention after eating, tiredness, lassitude, pale complexion, weakness of limbs, loose stools, uncomfortable feeling in the epigastrium, lack of taste sensation; T: pale; P: Empty, especially on the right middle position Tx: tonify Stomach and Spleen Qi Pts: Ren12, ST36, SP3, SP6, UB20, UB21, Ren6 Herb Rx: Si Jun Zi Tang (Four Gentlemen Decoction), Sheng Ling Bai Zhu San (Ginseng Poria Atractylodes Powder) STOMACH AND SPLEEN YIN DEFICIENCY: Poor appetite, dry mouth, thirst with desire to drink in small sips, dry stools, dry lips, slight nausea, tiredness, uncomfortable feeling in the epigastrium, lack of taste sensation. T: without coating P: Floating, Empty, especially on the right middle position Tx: tonify the Stomach and Spleen Yin Pts: Ren12, ST36, SP6 Herb Rx: Shen Ling Bai Zhu San (Ginseng, Poria, Atractylodes Powder)