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Zang Fu Patterns Flashcards

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1
Q

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

A

HT Yang Collapse

Tx: rescue Yang, restore consciousness and stop sweating

Pts: Du4, Du14, PC6, Ren4, Ren6, Ren8, ST36, UB15, UB23, Du20

Herb Rx: Shen Fu Tang (Ginseng Aconitum Decoction)

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2
Q

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

A

HT Yang Deficiency

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)

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3
Q

Palpitations, shortness of breath on exertion, pale face, spontaneous sweating, tiredness, slight depression; T: pale or normal; P: Empty; Severe: Slightly Overflowing and Empty

A

HT Qi Deficiency

TX: tonify HT Qi

Points: PC6, HT5, Ren17, Ren6, UB15, Du14

Herb Rx: Bao Yuan Tang (Preserving the Source Decoction)

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4
Q

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

A

HT Blood Deficiency

Tx: nourish Blood, tonify Heart and calm Mind

Pts: HT7, UB17, UB20, Ren14, Ren15, Ren4

Herb Rx: Shen Qi Si Wu Tang (Ginseng Astragalus Four Substances Decoction)

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5
Q

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

A

HT Yin Deficiency

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)

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6
Q

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

A

HT Yin Deficiency with Empty Heat

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7
Q

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)

A

HT Fire Blazing

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)

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8
Q

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

A

HT Phlegm Fire

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)

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9
Q

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

A

HT Phlegm Misting the Mind

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)

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10
Q

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

A

HT Qi Stagnation

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)

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11
Q

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)

A

HT Vessel Obstructed

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)

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12
Q

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

A

HT Blood Stasis

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)

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13
Q

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

A

PC Blood Deficiency

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)

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14
Q

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

A

PC Heat

Tx: clear Nutritive (Ying) Qi Level Heat
Pts: PC9, PC8, HT9, KD6, SP6

Herb Rx: Qing Ying Tang (Clearing the Nutritive Qi (Heat) Decoction)

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15
Q

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)

A

PC Fire

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)

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16
Q

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

A

PC Phlegm Fire

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)

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17
Q

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

A

PC Qi Stagnation

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)

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18
Q

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

A

PC Blood Stasis

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)

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19
Q

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

A

LV Blood Deficiency

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)

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20
Q

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

A

LV Yin Deficiency

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)

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21
Q

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

A

LV Yin Deficiency with Empty Heat

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22
Q

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

A

LV Qi Stagnation

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)

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23
Q

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

A

LV Qi Stag turning into heat

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)

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24
Q

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)

A

LV Qi Rebellion

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)

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25
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
LV Blood Stasis 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)
26
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;
LV Damp Heat 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)
27
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
LV Stagnation of cold Tx: clear Liver, expel Cold Pts: Ren3, LV5, LV1, LV3, moxa is applicable Herb Rx: Nuan Gan Jian (Warming the Liver Decoction)
28
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
LV Fire Blazing 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)
29
Tremor, dizziness, tinnitus, headache, hypertension, dry throat, blurred vision, numbness or tingling of limbs, poor memory, insomnia; T: pale and thin; P: Wiry, Fine
Wind due to LV yang rising and LR blood deficiency 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)
30
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
Wind due to LV yang rising and LV Yin def. Tx: subdue Liver Yang, extinguish Wind and nourish Liver Yin Pts: LV3, GB20, LI4, SJ5, Du19, SP6, LV8, KD3 Herb Rx: San Jia Fu Mai Tang (Three Carapaces Restoring the Pulse Decoction)
31
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
Wind due to LV yang rising and LV and KD Yin def. 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)
32
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
Extreme Heat Generating Wind Tx: cool Blood, nourish Yin and extinguish Wind Pts: LV3, Shauna, DU20, DU16, GB20, DU8, DU14 Herb Rx: Ling Jiao Gou Teng Tang (Cornu Antelopis Uncaria Decoction)
33
Fine tremor, facial tic, dizziness, blurred vision, numbness or tingling of limbs, poor memory, insomnia, scanty periods; T: pale and thin; P: Wiry, Fine
LV Blood Deficiency generating wind 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)
34
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
LV Fire Generating Wind Tx: clear Liver, drain Fire and extinguish Wind Pts: 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)
35
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
LV Yang Rising 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)
36
rritability, 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
Rebellious LV Qi Invading SP 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)
37
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
LV Overacting on ST 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)
38
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
LV Fire Insulting Lungs 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)
39
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
LV and HT Blood Deficiency 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 Gui Ji Xue Teng Tang (Angelica Ji Xue Teng Decoction)
40
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
LU Qi Deficiency 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)
41
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
LU Yin Deficiency 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)
42
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
LU Yin Deficiency with Empty Heat
43
Dry cough, dry skin, dry throat, dry mouth, thirst, hoarse voice; T: dry; P: Empty, especially on the right front position
LU Dryness Tx: moisten Lung and nourish Fluids Pts: LU9, Ren4, KD6, SP6, ST36, Ren12 Herb Rx: Bai He Gu Jin Tang (Lillium Consolidating Metal Decoction)
44
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
Wind Cold 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)
45
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
Wind Heat 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)
46
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
Wind Water Tx: release Exterior, expel Cold, resolve Dampness, restore descending of Lung Qi and open Water Passages Pts: UB12, UB13, LU7, LI4, LI6, Ren9, Du26, LI7 Herb Rx: Xiao Qing Long Tang (Small Green Dragon Decoction)
47
Cough, slight breathlessness, feeling of heat, chest ache, flaring of nostrils, thirst, red face; T: red with yellow coat; P: Overflowing, Rapid
LU heat Tx: clear Lung Heat and restore descending of Lung Qi Pts: LU5, LU10, LU7, LI11, LU1, UB13 Herb Rx: Ma Xing Shi Gan Tang (Ephedra Prunus Gypsum Glycyrrhiza Decoction)
48
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
LU Dry Phlegm 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)
49
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
LU Phlegm Fluids Obstructing 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)
50
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
LU Damp Phlegm 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)
51
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
LU Cold Phlegm 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)
52
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
LU Phlegm Heat 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)
53
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
LU and HT Qi Deficiency 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)
54
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
SP Qi Deficiency 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)
55
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
SP Yang Deficiency 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)
56
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
SP Qi Sinking Tx: tonify Spleen Qi and raise Qi Pts: SP3, SP6, ST36, Ren12, UB20, UB21, Du1, Du20, Ren6, ST21 Herb Rx: Bu Zhong Yi Qi Tang (Tonifying the Center and Benefitting the Qi Decoction)
57
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
SP Not Controlling Blood 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)
58
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
Blood Deficiency 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)
59
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
SP Cold Damp 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)
60
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
SP Damp Heat 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)
61
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
SP and HT Blood Deficiency 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)
62
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
SP and LU Qi Deficiency 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)
63
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
SP and LV Blood Deficiency 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)
64
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
SP Damp w/ LV QI Stag 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)
65
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
KI QI not Firm 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 Gui 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)
66
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
KD Yang Deficiency 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)
67
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
KI Yang Deficiency with Water Overflowing 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)
68
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
KD Failing to Receive Qi 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)
69
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
KD Yin Deficiency 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)
70
Empty Heat: Five-palm heat, a feeling of heat in the evening, malar flush, menopausal hot flashes, thirst with desire to drink in small sips, pronounced anxiety in the evening, nocturnal emissions with dreams; T: red without coat; Severe: cracked; P: Floating, Empty and slightly Rapid
KD Yin with Empty Heat
71
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
KI Yin Deficiency with Fire Blazing 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)
72
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
Essence Deficiency 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)
73
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
KD and LV Yin Deficiency 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)
74
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
KD and HT Not Communicating 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)
75
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
KD and LU Yin Deficiency 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)
76
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
KD and SP Yang Deficiency 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)
77
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
ST Qi Deficiency Tx: tonify Stomach Qi Pts: ST36, Ren6, Ren12, UB21 Herb Rx: Si Jun Zi Tang (Four Gentlemen Decoction)
78
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
ST Deficiency Cold 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)
79
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
ST Yin Deficiency 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)
80
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
ST Yin Deficiency with Empty Heat
81
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
ST Qi Stag 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)
82
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
ST Heat 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)
83
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 Phlegm Heat: 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
ST Heat and Phlegm Heat
84
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
ST Damp Heat 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)
85
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
ST Cold Invading Tx: expel Cold, warm Stomach and stimulate descending of Stomach Qi Pts: ST21, Ren13, SP4, ST34 Herb Rx: Liang Fu Wan (Alpinia Cyperus Pill)
86
Nausea, difficulty in swallowing, belching, vomiting, hiccup; T: No changes; P: Tight or Wiry on the right middle position
ST Qi Rebellion Tx: subdue rebellious Qi and stimulate descending of Stomach Qi Pts: 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)
87
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
ST Food Stagnation Tx: resolve retention of food and stimulate descending of Stomach Qi Pts: 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)
88
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
ST Blood Stasis 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)
89
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
ST and SP Qi Deficiency 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)
90
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
ST and SP Yin Deficiency Tx: tonify the Stomach and Spleen Yin Pts: Ren12, ST36, SP6 Herb Rx: Shen Ling Bai Zhu San (Ginseng, Poria, Atractylodes Powder)
91
Dull abdominal pain alleviated by pressure, a desire for hot drinks, borborygmi, diarrhea, pale and abundant urination, cold limbs; T: pale with white coat; P: Deep, Weak, Slow
SI Deficiency Cold Tx: expel Cold, warm the intestines and tonify Spleen Yang Pts: Ren6, ST25, ST39, ST36, UB20, UB27 Herb Rx: Xiao Jian Zhong Tang (Small Strengthening the Center Decoction), Shen Ling Bai Zhu San (Ginseng Poria Atractylodes Powder)
92
Mental restlessness, insomnia, tongue/mouth ulcers, pain in the throat, deafness, an uncomfortable feeling and sensation of heat in the chest, abdominal pain, thirst with a desire to drink cold liquids, scanty and dark urine, burning pain on urination, blood in urine; T: red with redder and swollen tip, yellow coat; P: Overflowing, Rapid especially in the front position; with urinary problems: P: Wiry on left rear position
SI Heat Tx: drain HT Fire and SI Fire Pts: SI2, SI5, HT5, HT8, ST39 Herb Rx: Dao Chi San (Eliminating Redness Powder), Dao Chi Qing Xin Tang (Eliminating Redness and Clearing Heart Decoction)
93
Lower abdominal twisting pain that may extend to the back, abdominal distention, dislike of pressure on abdomen, borborygmi, flatulence, abdominal pain relieved by emission of wind, pain in testis; T: white coat; P: Deep, Wiry, especially on the rear positions
SI Qi Pain Tx: move Small Intestine Qi and promote smooth flow of Liver Qi Pts: ST39, LV3, GB34, Ren6, SP6, ST27, ST29, LV13 Herb Rx: Chai Hu Shu Gan Tang (Bupleurum Soothing Liver Decoction)
94
Severe abdominal pain, dislike of pressure, abdominal distention, constipation, vomiting, borborygmi, flatulence; T: thick white coat; P: Deep, Wiry
SI Qi Tied Tx: remove obstruction from Lower Burner and move Qi of Small Intestine Pts: ST39, LV3, GB34, Ren6, SP6, ST25, Lan Wei Xue Herb Rx: Zhi Shi Dao Wan (Citrus Eliminating Stagnation Pill), Tian Tai Wu Yao San (Top Quality Lindera Powder)
95
Abdominal pain and distention, bad taste in mouth, sallow complexion. Roundworms (ascarid): abdominal pain, vomiting of round worms, cold limbs; Hookworms: desire to eat strange objects such as soil, wax, uncooked rice or tea leaves; Pinworms: itchy anus, worse in the evening; Tapeworms: constant hunger
SI Worms Tx: acupuncture is not applicable in this case and herbal treatment is the treatment of choice Pts: NONE NOTED Herb Rx: Li Zhong An Hui Tang (Regulating the Center and Calming the Roundworms Decoction), Lian Mei An Hui Tang (Picrorhiza Mume Calming Roundworms Decoction), Hua Chong Wan (Dissolving the Parasites Pill), Qu Tiao Tang (Expelling the Tapeworms Decoction)
96
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
LI Dryness 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)
97
Loose stools like duck droppings, dull abdominal pain, borborygmi, pale urine, cold limbs; T: pale; P: Deep, Weak
LI Deficiency Cold Tx: tonify and warm Large Intestine and Spleen Pts: ST36, UB20, ST25, Ren6, ST37, UB25 Herb Rx: Liang Fu Wan (Alpinia Cyperus Pill)
98
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
LI Collapse 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)
99
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
LI Heat 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)
100
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
LI Heat Obstruction Tx: clear Heat in Stomach and Large Intestine and promote bowel movement Pts: LI11, LI4, SP15, SJ6, SP6, LI2, ST44, ST25, UB25 Herb Rx: Tiao Wei Cheng Qi Tang (Regulating Stomach Conducting Qi Decoction)
101
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
LI Damp Heat 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), Bai Tou Weng Tang (Pulsatilla Decoction), Shao Yao Tang (Paeonia Decoction)
102
Sudden, cramping abdominal pain, diarrhea with pain, a feeling of cold, a cold sensation in the abdomen; T: thick white coat; P: Deep, Tight
LI Cold Invading 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)
103
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
LI Qi Stag 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)
104
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
GB Deficiency 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)
105
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 or unilateral; P: Slippery, Wiry
GB Damp 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)
106
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
GB Damp Heat 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)
107
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
GB and LV Damp Heat 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)
108
Frequent pale abundant urination, incontinence, enuresis, lower backache, dizziness, nocturia, white urethral discharge, a feeling of cold; T: pale, wet; P: Deep, Weak
UB Deficiency Cold 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)
109
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
BL Interstitial Cystitis 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)
110
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
BL Damp Heat 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)
111
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
BL Damp Cold 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)

Foundations (1 decks)

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