Clinical manifestations 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, haematemesis, haemoptysis Tongue: Red with redder sides and dry yellow coating Pulse: Wiry-Rapid Treatment LIV-2 Xingjian, LIV-3 Taichong, G.B.-20 Fengchi, L.I.-11 Quchi, G.B.-1 Tongziliao, SP-6 Sanyinjiao, LIV-1 Dadun, Du-8 Jinsuo

Liver-Fire generating Wind

Clinical manifestations Fine tremor, facial tic, dizziness, blurred vision, numbness or tingling of limbs, poor memory, insomnia, scanty periods Tongue: Pale and Thin Pulse: Wiry-Fine Treatment LIV-3 Taichong, G.B.-20 Fengchi, L.I.-4 Hegu, T.B.-5 Waiguan, Du-19 Houding, SP-6 Sanyinjiao, LIV-8 Ququan, KI-3 Taixi, BL-17 Geshu, Ren-4 Guanyuan

Liver-Blood deficiency generating Wind

Clinical manifestations Irritability, abdominal distension and pain, alternation of constipation and diarrhoea, stools sometimes dry and bitty (small pieces) and sometimes loose, flatulence, tiredness Tongue: normal coloured or slightly Red on the sides Pulse: Wiry on the left and Weak on the right Treatment LIV-13 Zhangmen, LIV-14 Qimen, LIV-3 Taichong, G.B.-34 Yanglingquan, Ren-6 Qihai, T.B.-6 Zhigou, P-6 Neiguan, ST-25 Tianshu, SP-15 Daheng, Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao, SP-4 Gongsun and P-6 Neiguan in combination

Rebellious Liver-Qi invading the Spleen

Clinical manifestations Irritability, epigastric and hypochondrial distension and pain, a feeling of oppression in the epigastrium, sour regurgitation, hiccups, belching, nausea, vomiting, sighing, weak limbs Tongue: normal-coloured or slightly Red on the sides Pulse: Wiry on the left and Weak on the right or Wiry on both Middle positions

Rebellious Liver-Qi invading the Stomach

Clinical manifestations Jaundice, dull-yellow eyes and skin, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, dull-yellow sclera, turbid urine, no thirst, sticky taste, dull headache, feeling of heaviness of the body, thick sticky white tongue coating, either bilateral in two strips or unilateral, Slippery-Wiry pulse Treatment G.B.-24 Riyue, LIV-14 Qimen, Ren-12 Zhongwan, G.B.-34 Yanglingquan, extra point Dannangxue, Du-9 Zhiyang, BL-19 Danshu, BL-20 Pishu, T.B.-6 Zhigou, ST-19 Burong

Dampness in the Gall Bladder

Clinical manifestations Hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion, scanty and dark yellow urine, fever, thirst without desire to drink, bitter taste, dizziness, tinnitus, irritability, feeling of heaviness of the body, numbness of the limbs, swelling of the feet, loose stools or constipation, alternation of hot and cold feeling, yellow sclera, feeling of heat, thick sticky yellow tongue coating, either bilateral in two strips or unilateral, Slippery-Wiry-Rapid pulse Treatment G.B.-24 Riyue, LIV-14 Qimen, Ren-12 Zhongwan, G.B.-34 Yanglingquan, extra point Dannangxue, Du-9 Zhiyang, BL-19 Danshu, BL-20 Pishu, L.I.-11 Quchi, T.B.-6 Zhigou, ST-19 Burong

Damp-Heat in the Gall Bladder

Clinical manifestations 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, tongue Pale or normal, Weak pulse Treatment GB-40 Qiuxu, LIV-8 Ququan, ST-36 Zusanli, SP-6 Sanyinjiao, Ren-4 Guanyuan, BL-18 Ganshu, BL-47 Hunmen

Gall Bladder Deficiency

Clinical manifestations Hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion, scanty and dark yellow urine, fever, thirst without desire to drink, bitter taste, dizziness, yellow sclera, tinnitus, irritability, feeling of heaviness of the body, numbness of the limbs, swelling of the feet, burning on urination, difficulty in urinating, excessive vaginal discharge, loose stools or constipation, alternation of hot and cold feeling, feeling of heat, genital papular skin rashes and itching, swelling and heat of the scrotum, thick sticky yellow tongue coating, either bilateral or only on one side Pulse: Slippery-Wiry-Rapid. Treatment G.B.-24 Riyue, LIV-14 Qimen, BL-18 Ganshu, Ren-12 Zhongwan, G.B.-34 Yanglingquan, extra point Dannangxue, Du-9 Zhiyang, BL-19 Danshu, BL-20 Pishu, L.I.-11 Quchi, T.B.-6 Zhigou, ST-19 Burong, LIV-3 Taichong, LIV-5 Ligou

Damp-Heat in the Gall Bladder and Liver

Clinical manifestations 1. Feeling of distension of hypochondrium, chest, epigastrium or abdomen, sighing 2. Melancholy, depression, moodiness, fluctuation of mental state, ‘feeling wound-up’, feeling of lump in the throat 3. Irregular periods, distension of breasts before the periods, premenstrual tension and irritability Tongue: the body colour may be normal. In severe cases, it may be slightly Red on the sides Pulse: Wiry, especially on the left side Treatment GB-34 Yanglingquan, LIV-3 Taichong, LIV-13 Zhangmen, LIV-14 Qimen, T.B.-6 Zhigou, P-6 Neiguan

Liver-Qi Stagnation

Clinical manifestations Hypochondrial or epigastric distension, a slight feeling of oppression of the chest, irritability, melancholy, depression, moodiness, a feeling of lump in the throat, a feeling of heat, red face, thirst, propensity to outbursts of anger, premenstrual tension, irregular periods, premenstrual breast distension, heavy periods, tongue Red on the sides, Wiry pulse Treatment GB-34 Yanglingquan, LIV-3 Taichong, LIV-13 Zhang

Stagnant Liver-Qi turning into Heat

Clinical manifestations Hypochondrial or epigastric distension, hiccups, sighing, nausea, vomiting, belching, ‘churning feeling in the stomach’, irritability, in women, breast distension, tongue normal or slightly Red on the sides, Wiry pulse Treatment LIV-14 Qimen, P-6 Neiguan, G.B.-34 Yanglingquan, LIV-3 Taichong, T.B.-6 Zhigou, L.I.-4 Hegu, ST-21 Liangmen, ST-19 Burong

Rebellious Liver-Qi

Clinical manifestations 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, Purple tongue, Wiry or Firm pulse Treatment GB-34 Yanglingquan, LIV-3 Taichong, BL-18 Ganshu, BL-17 Geshu, SP-10 Xuehai, Ren-6 Qihai, SP-4 Gongsun and P-6 Neiguan (opening points of the Penetrating Vessel), ST-29 Guilai, KI-14 Siman, LIV-5 Ligou, LIV-6 Zhongdu

Liver-Blood Stasis

Clinical manifestations 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, haematemesis, haemoptysis, Red tongue, redder on the sides, dry yellow coating, Full-Wiry-Rapid pulse Treatment LIV-2 Xingjian, LIV-3 Taichong, GB-20 Fengchi, Taiyang, GB-13 Benshen, LI-11 Quchi, G.B.-1 Tongziliao, G.B.-9 Tianchong, G.B.-8 Shuaigu, G.B.-6 Xuanli, SP-6 Sanyinjiao, LIV-1 Dadun

Liver Fire-Blazing

Clinical manifestations 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, genital, papular or vesicular skin rashes and itching, urinary difficulty, burning on urination, dark urine, Red tongue with redder sides, sticky yellow coating, Slippery-Wiry-Rapid pulse Treatment LIV-14 Qimen, G.B.-34 Yanglingquan, BL-18 Ganshu, Ren-12 Zhongwan, SP-9 Yinlingquan, SP-6 Sanyinjiao, LI-11 Quchi, LIV-2 Xingjian

Damp-Heat in the Liver

Clinical manifestations Fullness and distension 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 fluid or dry vomiting. In women there can be shrinking of the vagina, Pale and wet tongue with a white coating, Deep-Wiry-Slow pulse Treatment Ren-3 Zhongji, LIV-5 Ligou, LIV-1 Dadun, LIV-3 Taichong

Stagnation of Cold in the Liver Channel

Clinical manifestations Dizziness, numbness or tingling of limbs, insomnia, blurred vision, ‘floaters’ in eyes, diminished night vision, scanty menstruation or amenorrhoea, dull-pale complexion without lustre, pale lips, muscular weakness, cramps, withered and brittle nails, dry hair and skin, depression, a feeling of aimlessness, Pale tongue, Thin and slightly dry, Choppy or Fine pulse Treatment LIV-8 Ququan, SP-6 Sanyinjiao, ST-36 Zusanli, Ren-4 Guanyuan, BL-18 Ganshu, BL-20 Pishu, BL-23 Shenshu, BL-17 Geshu, Yuyao extra point

Liver-Blood Deficiency

Clinical manifestations Dizziness, numbness or tingling of limbs, insomnia, blurred vision, ‘floaters’ in eyes, dry eyes, diminished night vision, scanty menstruation or amenorrhoea, dull-pale complexion without lustre but with red cheekbones, muscular weakness, cramps, withered and brittle nails, very dry hair and skin, depression, a feeling of aimlessness, normal-coloured tongue without coating or with rootless coating, Floating-Empty pulse Treatment LIV-8 Ququan, SP-6 Sanyinjiao, ST-36 Zusanli, Ren-4 Guanyuan, KI-3 Taixi, KI-6 Zhaohai, LIV-2 Xingjian

Liver-Yin Deficiency

Clinical manifestations Headache, which 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, tongue Pale if there is Liver-Blood deficiency or without coating if there is Yin deficiency, pulse Wiry Treatment LIV-3 Taichong, T.B.-5 Waiguan, P-6 Neiguan, L.I.-4 Hegu, G.B.-43 Xiaxi, G.B.-38 Yangfu, G.B.-20 Fengchi, BL-2 Zanzhu, Taiyang extra point, G.B.-9 Tianchong, G.B.-8 Shuaigu, G.B.-6 Xuanli. In case of Liver-Blood or Liver-Yin deficiency: SP-6 Sanyinjiao, LIV-8 Ququan, ST-36 Zusanli, KI-3 Taixi, KI-6 Zhaohai

Liver-Yang Rising

Clinical manifestations High temperature, convulsions, rigidity of the neck, tremor of limbs, opisthotonos, in severe cases coma Tongue: Deep-Red, Stiff, dry yellow coating Pulse: Wiry-Rapid Treatment LIV-3 Taichong, Shixuan extra points, Du-20 Baihui, Du-16 Fengfu, G.B.-20 Fengchi, Du-8 Jinsuo, Du-14 Dazhui

Extreme Heat generating Wind in Liver

Clinical manifestations Palpitations, shortness of breath on exertion, pale face, spontaneous sweating, tiredness, slight depression, Pale tongue, Empty pulse Treatment HE-5 Tongli, P-6 Neiguan, BL-15 Xinshu, Ren-17 Shanzhong, Ren-6 Qihai, Du-14 Dazhui

Heart-Qi Deficiency

Clinical manifestations Palpitations, shortness of breath on exertion, tiredness, spontaneous sweating, a slight feeling of stuffiness or discomfort in the heart region, feeling of cold, cold hands, bright-pale face, slightly dark lips, Pale tongue, Deep-Weak pulse Treatment HE-5 Tongli, P-6 Neiguan, BL-15 Xinshu, Ren-17 Shanzhong, Ren-6 Qihai, Du-14 Dazhui

Heart-Yang Deficiency

Clinical manifestations: Palpitations, shortness of breath, weak and shallow breathing, profuse sweating, cold limbs, cyanosis of lips, greyish-white complexion, in severe cases coma, very Pale or Bluish tongue, Hidden-Minute-Knotted pulse Treatment Ren-6 Qihai, Ren-4 Guanyuan, Ren-8 Shenque, Du-4 Mingmen, ST-36 Zusanli, P-6 Neiguan, BL-23 Shenshu, Du-20 Baihui, Du-14 Dazhui, BL-15 Xinshu

Heart-Yang Collapse

Clinical manifestations: Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull-pale complexion, pale lips, Pale and Thin tongue, Choppy or Fine pulse Treatment HE-7 Shenmen, Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, BL-17 Geshu (with moxa), BL-20 Pishu

Heart-Blood Deficiency

Clinical manifestations Palpitations, insomnia, dream-disturbed sleep, propensity to be startled, poor memory, anxiety, mental restlessness, ‘uneasiness’, ‘fidgetiness’, dry mouth and throat, night sweating, tongue without coating, Floating-Empty pulse Treatment HE-7 Shenmen, Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, HE-6 Yinxi, SP-6 Sanyinjiao, KI-7 Fuliu

Heart-Yin Deficiency

Clinical manifestations 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, Red tongue, tip redder and swollen with red points, yellow coating, Full-Rapid-Overflowing pulse Treatment HE-9 Shaochong, HE-8 Shaofu, HE-7 Shenmen, Ren-15 Jiuwei, SP-6 Sanyinjiao, KI-6 Zhaohai, L.I.-11 Quchi, Du-24 Shenting, Du-19 Houding

Heart-Fire Blazing

Clinical manifestations Palpitations, thirst, red face, bitter taste, a feeling of oppression of the chest, expectoration of phlegm, rattling sound in the throat, mental restlessness, insomnia, dream-disturbed sleep, agitation, incoherent speech, mental confusion, rash behaviour, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, mental depression and dullness, manic behaviour, Red tongue, redder and swollen tip with red points, yellow dry sticky coating, deep Heart crack, Full-Rapid-Slippery or Rapid-Overflowing-Slippery or Rapid-Full-Wiry pulse Treatment P-5 Jianshi, HE-7 Shenmen, HE-8 Shaofu, HE-9 Shaochong, P-7 Daling, Ren-15 Jiuwei, BL-15 Xinshu, Ren-12 Zhongwan, ST-40 Fenglong, SP-6 Sanyinjiao, BL-20 Pishu, Du-20 Baihui, LIV-2 Xingjian, GB-13 Benshen, GB-17 Zhengying, Du-24 Shenting

Phlegm-Fire harassing the Heart

Clinical manifestations Mental confusion, unconsciousness, lethargic stupor, incoherent speech, vomiting of phlegm, rattling sound in the throat, mental depression, emotional lability, aphasia, very dull eyes, Swollen tongue with thick-sticky coating, Heart crack, Slippery pulse Treatment P-5 Jianshi, HE-9 Shaochong, BL-15 Xinshu, ST-40 Fenglong, Du-26 Renzhong, Ren-12 Zhongwan, BL-20 Pishu, Du-14 Dazhui

Phlegm misting the Mind

Clinical manifestations Palpitations, a feeling of distension or oppression of the chest, depression, a slight feeling of lump in the throat, slight shortness of breath, sighing, poor appetite, slight nausea, cold limbs, slightly purple lips, pale complexion, tongue slightly Pale-Purple on the sides in the chest area, pulse Empty but very slightly Overflowing on the left Front position Treatment P-6 Neiguan, HE-5 Tongli, HE-7 Shenmen, Ren-15 Jiuwei, Ren-17 Shanzhong, LU-7 Lieque, ST-40 Fenglong

Heart-Qi Stagnation

Clinical manifestations Palpitations, shortness of breath with inability to lie down, depression, mental restlessness, a feeling of oppression of the chest, stabbing or pricking pain in the heart region which 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 Tongue: Purple on the sides in the chest area, Swollen with a sticky coating Pulse: Wiry, Choppy or Knotted; Slippery if Phlegm is predominant Treatment P-6 Neiguan, HE-5 Tongli, HE-7 Shenmen, Ren-15 Jiuwei, Ren-17 Shanzhong, LU-7 Lieque, ST-40 Fenglong, L.I.-4 Hegu, BL-15 Xinshu, BL-17 Geshu, Ren-12 Zhongwan

Heart vessel obstructed

Clinical manifestations 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, tongue Purple in its entirety or only on the sides in the chest area, Choppy, Wiry or Knotted pulse Treatment P-6 Neiguan, P-4 Ximen, HE-5 Tongli, Ren-17 Shanzhong, BL-14 Jueyinshu, BL-17 Geshu, SP-10 Xuehai, KI-25 Shencang

Heart-Blood Stasis

Clinical manifestations Fever at night, mental confusion, incoherent speech or aphasia, delirium, body hot, hands and feet cold, macules, Red and dry tongue without coating, Fine-Rapid pulse. Treatment P-9 Zhongchong, P-8 Laogong, HE-9 Shaochong, KI-6 Zhaohai, SP-6 Sanyinjiao

Heat in the Pericardium

Clinical manifestations A 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, tongue Pale, Thin, slightly dry, pulse Choppy or Fine but very slightly hard on the left Front position Treatment P-6 Neiguan, HE-7 Shenmen, Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, BL-17 Geshu (with moxa), BL-20 Pishu, BL-14 Jueyinshu, Ren-17 Shanzhong, P-6 Neiguan and SP-4 Gongsun in combination (Yin Linking Vessel)

Blood Deficiency of the Pericardium

Clinical manifestations Palpitations, a feeling of tightness and heat of the chest, slight chest ache, rapid breathing, thirst, mouth and tongue ulcers, mental restlessness, feeling agitated, feeling of heat, insomnia, dream-disturbed sleep, red face, bitter taste (after a bad night’s sleep), tongue Red, tip redder and swollen with red points, yellow coating, pulse Full-Rapid-Overflowing especially on the left Front position Treatment P-8 Laogong, HE-8 Shaofu, BL-14 Jueyinshu, Ren-15 Jiuwei, Ren-14 Juque, Ren-17 Shanzhong, L.I.-11 Quchi, Du-24 Shenting, Du-19 Houding, SP-6 Sanyinjiao, LIV-2 Xingjian

Pericardium Fire

Clinical manifestations 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 behaviour, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, mental depression and dullness, manic behaviour. Tongue: Red, Swollen with yellow, dry sticky coating, deep Heart crack. The tip may be redder and swollen with red points. Pulse: Full-Rapid-Slippery or Rapid-Overflowing-Slippery or Rapid-Full-Wiry. Treatment P-5 Jianshi, HE-7 Shenmen, HE-8 Shaofu, HE-9 Shaochong, P-7 Daling, Ren-15 Jiuwei, BL-15 Xinshu, BL-14 Jueyinshu, Ren-17 Shanzhong, Ren-12 Zhongwan, ST-40 Fenglong, SP-6 Sanyinjiao, BL-20 Pishu, LIV-2 Xingjian, GB-13 Benshen, GB-17 Zhengying, Du-24 Shenting

Phlegm-Fire harassing the Pericardium

Clinical manifestations A feeling of distension and slight pain of the chest, feeling of tightness of the chest, slight shortness of breath, sighing, a feeling of lump in the throat, palpitations, depression, poor appetite, weak and cold limbs, slightly purple lips, pale complexion, tongue slightly Pale-Purple on the sides in the chest area, pulse Empty but very slightly Overflowing on the left Front position Treatment P-6 Neiguan, HE-5 Tongli, HE-7 Shenmen, Ren-14 Juque, Ren-15 Jiuwei, Ren-17 Shanzhong, BL-14 Jueyinshu, LU-7 Lieque, ST-40 Fenglong, L.I.-4 Hegu

Qi stagnation in the Pericardium

Clinical manifestations 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, tongue Purple in its entirety or only on the sides in the chest area, pulse Choppy, Wiry or Knotted Treatment P-6 Neiguan, P-4 Ximen, HE-7 Shenmen, Ren-14 Juque, Ren-17 Shanzhong, BL-14 Jueyinshu, BL-17 Geshu, SP-10 Xuehai

Blood Stasis in the Pericardium

Clinical manifestations 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, Pale tongue, Empty pulse, especially on the Right-Front position Treatment LU-9 Taiyuan, LU-7 Lieque, Ren-6 Qihai, BL-13 Feishu, Du-12 Shenzhu, ST-36 Zusanli, Ren-12 Zhongwan

Lung-Qi Deficiency

Clinical manifestations Cough which is dry or with scanty sticky sputum, weak and/hoarse voice, dry mouth and throat, tickly throat, tiredness, dislike of speaking, thin body or thin chest, night sweating, normal-coloured tongue, dry without coating (or with rootless coating) in the front part, Floating-Empty pulse Treatment LU-9 Taiyuan, Ren-17 Shanzhong, BL-43 Gaohuangshu, BL-13 Feishu, Du-12 Shenzhu, Ren-4 Guanyuan, KI-6 Zhaohai, Ren-12 Zhongwan, SP-6 Sanyinjiao, LU-10 Yuji, L.I.-11 Quchi

Lung-Yin Deficiency

Clinical manifestations Dry cough, dry skin, dry throat, dry mouth, thirst, hoarse voice, dry tongue, Empty pulse, especially on the Right-Front position Treatment LU-9 Taiyuan, Ren-4 Guanyuan, KI-6 Zhaohai, SP-6 Sanyinjiao, Ren-12 Zhongwan, ST-36 Zusanli

Lung Dryness

Clinical manifestations Aversion to cold, fever, cough, itchy throat, slight breathlessness, stuffed or runny nose with clear, watery discharge, sneezing, occipital headache, body aches, thin white tongue coating, Floating-Tight pulse Treatment LU-7 Lieque, BL-12 Fengmen, Du-16 Fengfu

Invasion of Lungs by Wind-Cold

Clinical manifestations Aversion to cold, fever, cough, sore throat, stuffed or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, tongue slightly Red on the sides in the chest areas or on the front part, Floating-Rapid pulse Treatment LU-7 Lieque, L.I.-4 Hegu, L.I.-11 Quchi, LU-11 Shaoshang, Du-14 Dazhui, BL-12 Fengmen (with cupping), Du-16 Fengfu, G.B.-20 Fengchi, T.B.-5 Waiguan

Invasion of Lungs by Wind-Heat

Clinical manifestations 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, sticky white tongue coating, Floating-Slippery pulse Treatment LU-7 Lieque, L.I.-6 Pianli, L.I.-7 Wenli, L.I.-4 Hegu, BL-12 Fengmen, Ren-9 Shuifen, BL-13 Feishu, Du-26 Renzhong

Invasion of Lungs by Wind-Water (wind-damp?)

Clinical manifestations Cough, slight breathlessness, feeling of heat, chest ache, flaring of nostrils, thirst, red face, Red tongue with yellow coating, Overflowing-Rapid pulse Treatment LU-5 Chize, LU-10 Yuji, LU-7 Lieque, L.I.-11 Quchi, LU-1 Zhongfu, BL-13 Feshu

Lung-Heat

Clinical manifestations Chronic cough coming in bouts with profuse sticky white sputum which is easy to expectorate, white pasty 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, Swollen tongue with a sticky white coating, Slippery or Soggy pulse Treatment LU-5 Chize, LU-7 Lieque, LU-1 Zhongfu, Ren-17 Shanzhong, ST-40 Fenglong, P-6 Neiguan, Ren-22 Tiantu, Ren-12 Zhongwan, Ren-9 Shuifen, BL-20 Pishu, BL-13 Feishu

Damp-Phlegm in the Lungs

Clinical manifestations 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 of the chest, a feeling of cold of the chest, a feeling of heaviness, muzziness and dizziness of the head, Swollen and wet tongue with a sticky white coating, Slippery-Slow pulse Treatment LU-5 Chize, LU-7 Lieque, LU-1 Zhongfu, Ren-17 Shanzhong, ST-40 Fenglong, P-6 Neiguan, Ren-22 Tiantu, Ren-12 Zhongwan, Ren-9 Shuifen, BL-20 Pishu, BL-13 Feishu, BL-23 Shenshu

Cold-Phlegm in the Lungs

Clinical manifestations Barking cough with profuse sticky yellow or green sputum, shortness of breath, wheezing, a feeling of oppression of the chest, phlegm in the throat, a feeling of heat, thirst, insomnia, agitation, a feeling of heaviness and muzziness of the head, dizziness, Red, Swollen tongue with a sticky yellow coating, Slippery-Rapid pulse Treatment LU-5 Chize, LU-7 Lieque, LU-10 Yuji, L.I.-11 Quchi, LU-1 Zhongfu, BL-13 Feishu, Ren-12 Zhongwan, ST-40 Fenglong

Phlegm-Heat in the Lungs

Clinical manifestations Dry cough but with occasional, difficult expectoration of scanty sputum, shortness of breath, a feeling of oppression of the chest, scanty phlegm in the throat, a feeling of heaviness and muzziness of the head, dizziness, dry throat, wheezing, pasty dry complexion, Swollen tongue with a dry sticky coating, Fine-Slippery pulse Treatment LU-9 Taiyuan, LU-7 Lieque and KI-6 Zhaohai in combination, Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao, ST-40 Fenglong, BL-13 Feishu, Ren-17 Shanzhong

Dry-Phlegm in the Lungs

Clinical manifestations Cough with expectoration of white, watery sputum, breathlessness, splashing sound in the chest, vomiting of white, watery, frothy sputum, a feeling of oppression of the chest, a feeling of heaviness and muzziness of the head, dizziness, feeling cold, coughing which may be elicited by a scare, Pale tongue with thick sticky white coating, Fine-Slippery or Soggy or Wiry pulse Treatment LU-5 Chize, LU-9 Taiyuan, Ren-17 Shanzhong, BL-13 Feishu, ST-40 Fenglong, BL-43 Gaohuangshu, Ren-12 Zhongwan, ST-36 Zusanli, Ren-9 Shuifen, SP-9 Yinlingquan, BL-20 Pishu and BL-23 Shenshu

Phlegm-Fluids in the Lungs

Clinical manifestations 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, Pale tongue, Empty pulse Treatment LU-9 Taiyuan, LU-7 Lieque, Ren-6 Qihai, BL-13 Feishu, Du-12 Shenzhu, ST-36 Zusanli, Ren-12 Zhongwan, HE-5 Tongli, P-6 Neiguan, BL-15 Xinshu, Ren-17 Shanzhong

Heart and Lung-Qi Deficiency

Clinical manifestations Poor appetite, slight abdominal distension after eating, tiredness, lassitude, desire to lie down, pale complexion, weakness of the limbs, loose stools, Pale tongue, Empty pulse Treatment Ren-12 Zhongwan, ST-36 Zusanli, SP-3 Taibai, SP-6 Sanyinjiao, BL-20 Pishu, BL-21 Weishu

Spleen-Qi Deficiency

Clinical manifestations Poor appetite, slight abdominal distension after eating, tiredness, lassitude, desire to lie down curled up, pale complexion, weakness of the limbs, loose stools, feeling cold, cold limbs, oedema, Pale and wet tongue, Deep-Weak pulse Treatment Ren-12 Zhongwan, ST-36 Zusanli, SP-3 Taibai, SP-6 Sanyinjiao, BL-20 Pishu, BL-21 Weishu. SP-9 Yinlingquan, Ren-9 Shuifen, ST-28 Shuidao, BL-22 Sanjiaoshu

Spleen-Yang Deficiency

Clinical manifestations Poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, depression, tendency to obesity, a bearing-down sensation in the abdomen, prolapse of stomach, uterus, anus or bladder, frequency and urgency of urination, menorrhagia, Pale tongue, Weak pulse Treatment Ren-12 Zhongwan, ST-36 Zusanli, SP-3 Taibai, SP-6 Sanyinjiao, BL-20 Pishu, BL-21 Weishu, Du-20 Baihui, Ren-6 Qihai, ST-21 Liangmen, Du-1 Chengqiang

Spleen-Qi Sinking

Clinical manifestations Poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale-sallow complexion, weakness of the limbs, loose stools, depression, blood spots under the skin, blood in the urine or stools, excessive uterine bleeding, Pale tongue, Weak or Fine pulse Treatment Ren-12 Zhongwan, ST-36 Zusanli, SP-3 Taibai, SP-6 Sanyinjiao, BL-20 Pishu, BL-21 Weishu, SP-10 Xuehai, BL-17 Geshu, SP- 1Yinbai, SP-4 Gongsun

Spleen not controlling Blood

Clinical manifestations Poor appetite, slight abdominal distension after eating, tiredness, lassitude, dull-pale complexion, weakness of the limbs, loose stools, depression, thin body, scanty periods or amenorrhoea, insomnia, Pale, Thin and slightly dry tongue, Choppy or Fine pulse Treatment Ren-12 Zhongwan, ST-36 Zusanli, SP-3 Taibai, SP-6 Sanyinjiao, BL-20 Pishu, BL-21 Weishu, Ren-4 Guanyuan, BL-17 Geshu

Spleen-Blood Deficiency

Clinical manifestations 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, oedema, dull-white complexion, excessive white vaginal discharge, Pale tongue with a sticky white coating, Slippery-Slow pulse Treatment SP-9 Yinlingquan, SP-6 Sanyinjiao, Ren-12 Zhongwan, SP-3 Taibai, ST-8 Touwei, BL- 22 Sanjiaoshu, BL-20 Pishu, Ren-9 Shuifen, Ren-11 Jianli, ST-22 Guanmen, ST-28 Shuidao

Cold-Dampness invading the Spleen

Clinical manifestations A feeling of fullness of the epigastrium and/or lower abdomen, epigastric and/or abdominal pain, poor appetite, a feeling of heaviness, thirst without desire to drink, nausea, vomiting, loose stools with offensive odour, burning sensation in the anus, a feeling of heat, scanty dark urine, low-grade fever, dull headache with 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, Red tongue with sticky yellow coating, Slippery-Rapid pulse Treatment SP-9 Yinlingquan, SP-6 Sanyinjiao, Du-9 Zhiyang, L.I.-11 Quchi, BL-20 Pishu, G.B.-34 Yanglingquan, Ren-9 Shuifen, Ren-11 Jianli, ST-22 Guanmen, ST-28 Shuidao, BL-22 Sanjiaoshu

Damp-Heat invading the Spleen

Clinical manifestations 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 periods, Pale and Thin tongue, Choppy or Fine pulse Treatment HE-7 Shenmen, P-6 Neiguan, Ren-14 Juque, Ren-15 Jiuwei, Ren-4 Guanyuan, BL-17 Geshu (with moxa), BL-20 Pishu, Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao

Spleen and Heart-Blood Deficiency

Clinical manifestations Poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, tendency to obesity, slight shortness of breath, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, propensity to catch colds, dislike of cold, Pale tongue, Empty pulse, especially on the right side Treatment LU-9 Taiyuan, LU-7 Lieque, Ren-6 Qihai, BL-13 Feishu, Du-12 Shenzhu, ST-36 Zusanli, Ren-12 Zhongwan, SP-3 Taibai, SP- 6 Sanyinjiao, BL-20 Pishu, BL-21 Weishu

Spleen and Lung-Qi Deficiency

Clinical manifestations Poor appetite, slight abdominal distension after eating, tiredness, lassitude, dull-pale complexion, weakness of the limbs, loose stools, thin body, scanty periods or amenorrhoea, 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, Pale tongue especially on the sides, dry, Choppy or Fine pulse Treatment LIV-8 Ququan, SP-6 Sanyinjiao, Ren-4 Guanyuan, BL-18 Ganshu, BL-23 Shenshu, Ren-12 Zhongwan, ST-36 Zusanli, SP-3 Taibai, BL-20 Pishu, BL-21 Weishu, BL-17 Geshu

Spleen and Liver-Blood Deficiency

Clinical manifestations A feeling of oppression and fullness of the epigastrium, nausea, no appetite, loose stools, a feeling of heaviness, dry mouth without desire to drink, sallow complexion, hypochondrial pain, bitter taste, a sticky taste, epigastric and hypochondrial distension, irritability, thick sticky yellow tongue coating, Slippery-Wiry pulse Treatment Ren-12 Zhongwan, SP-6 Sanyinjiao, SP-3 Taibai, SP-9 Yinlingquan, BL-20 Pishu, LIV-13 Zhangmen, LIV-14 Qimen, G.B.-24 Riyue, G.B.-34 Yanglingquan, LIV-3 Taichong, ST-19 Burong

Obstruction of the Spleen by Dampness with Liver-Qi Stagnation

Clinical manifestations Lower backache, cold and weak knees, sensation of cold in the lower back, feeling cold, weak legs, bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, apathy, oedema of the legs, infertility in women, loose stools, depression, impotence, premature ejaculation, low sperm count, decreased libido, Pale and wet tongue, Deep-Weak pulse Treatment BL-23 Shenshu, Du-4 Mingmen, Ren-4 Guanyuan, Ren-6 Qihai, KI-3 Taixi, KI-7 Fuliu, BL-52 Zhishi, Jinggong extra point

Kidney-Yang Deficiency

Clinical manifestations 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, normal-coloured tongue without coating, Floating-Empty pulse Treatment Ren-4 Guanyuan, KI-3 Taixi, KI-6 Zhaohai, KI-10 Yingu, KI-9 Zhubin, SP-6 Sanyinjiao, Ren-7 Yinjiao, LU-7 Lieque and KI-6 Zhaohai in combination (opening points of the Directing Vessel).

Kidney-Yin Deficiency

Clinical manifestations 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, spermatorrhoea, tiredness, feeling cold, cold limbs, in women prolapse of uterus, chronic white vaginal discharge, a dragging-down feeling in the lower abdomen, recurrent miscarriage, Pale tongue, Deep-Weak pulse especially in the Rear positions Treatment BL-23 Shenshu, Du-4 Mingmen, KI-3 Taixi, BL-52 Zhishi, Ren-4 Guanyuan, Jinggong extra point, Ren-6 Qihai, Du-20 Baihui, KI-13 Qixue, BL-32 Ciliao

Kidney-Qi not Firm

Clinical manifestations Shortness of breath on exertion, rapid and weak breathing, difficulty in inhaling, chronic cough and/or 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, Pale tongue, Deep-Weak-Tight pulse Treatment KI-7 Fuliu, KI-3 Taixi, LU-7 Lieque and KI-6 Zhaohai in combination (opening points of the Directing Vessel), ST-36 Zusanli, BL-23 Shenshu, Du-4 Mingmen, Ren-6 Qihai, Ren-17 Shanzhong, KI-25 Shencang, Du-12 Shenzhu, BL-13 Feishu, Ren-4 Guanyuan, KI-13 Qixue

Kidneys failing to receive Qi

Clinical manifestations in children Poor bone development, late closure of fontanelle, deafness, mental dullness or retardation Clinical manifestations in adults Softening of bones, weakness of knees and legs, poor memory, loose teeth, falling hair or premature greying of hair, weakness of sexual activity, lower backache, infertility, sterility, primary amenorrhoea, dizziness, tinnitus, deafness, blurred vision, absent-mindedness, decreased mental sharpness, tongue without coating if there is Kidney-Yin deficiency; Pale if there is Kidney-Yang deficiency, Floating-Empty or Leather pulse Treatment KI-3 Taixi, KI-6 Zhaohai, Ren-4 Guanyuan, KI-13 Qixue, BL-23 Shenshu, Du-4 Mingmen, GB-39 Xuanzhong, Du-20 Baihui, BL-15 Xinshu, BL-11 Dashu, Du-17 Naohu, Du-16 Fengfu

Kidney Essence Deficiency

Clinical Manifestations Oedema especially of the legs and ankles, cold feeling in legs and back, fullness and distension of abdomen, soreness of lower back, feeling cold, scanty clear urination Water overflowing to the Heart: the above symptoms plus palpitations, breathlessness, cold hands Water overflowing to the Lungs: the above symptoms plus thin watery frothy sputum, cough, asthma and breathlessness on exertion Tongue: Pale, Swollen and wet with a white coating Pulse: Deep-Weak-Slow Treatment Du-4 Mingmen, BL-23 Shenshu, BL-22 Sanjiaoshu, BL-20 Pishu, Ren-9 Shuifen, ST-28 Shuidao, SP-9 Yinlingquan, SP-6 Sanyinjiao, KI-7 Fuliu For Water overflowing to the Heart: Du-14 Dazhui (moxa), BL-15 Xinshu For Water overflowing to the Lungs: LU-7 Lieque, BL-13 Feishu, Du-12 Shenzhu

Kidney-Yang Deficiency with Water Overflowing

Clinical manifestations Malar flush, mental restlessness, insomnia, night sweating, low-grade fever, afternoon fever, five-palm heat, feeling of heat in the afternoon and/or 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 Tongue: Red, cracked with a red tip, without coating Pulse: Floating-Empty and Rapid Treatment KI-3 Taixi, KI-6 Zhaohai, KI-10 Yingu, KI-9 Zhubin, Ren-4 Guanyuan, KI-2 Rangu, SP-6 Sanyinjiao, HE-5 Tongli, LU-7 Lieque, LU-10 Yuji, HE-6 Yinxi, Du-24 Shenting, L.I.-11 Quchi

Kidney-Yin Deficiency, Deficiency-Heat Blazing

Clinical manifestations 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 amenorrhoea, delayed cycle, infertility, normal-coloured tongue without coating or with rootless coating, Floating-Empty pulse Treatment KI-3 Taixi, KI-6 Zhaohai, LIV-8 Ququan, Ren-4 Guanyuan, BL-23 Shenshu, KI-13 Qixue, SP-6 Sanyinjiao, BL-10 Tianzhu

Kidney and Liver Yin Deficiency

Clinical manifestations 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 desire to drink in small sips, night sweating, five-palm heat, scanty dark urine, dry stools, Red tongue with redder tip without coating, midline Heart crack, Floating-Empty and Rapid pulse or Deep-Weak on both Rear positions and relatively Overflowing on both Front positions Treatment HE-7 Shenmen, HE-6 Yinxi, HE-5 Tongli, Yintang extra point, BL-15 Xinshu, Ren-15 Jiuwei, Du-24 Shenting, KI-3 Taixi, KI-6 Zhaohai, KI-10 Yingu, KI-9 Zhubin, Ren-4 Guanyuan, SP-6 Sanyinjiao

Kidney and Heart not harmonized

Clinical manifestations Dry cough which 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, normal-coloured tongue without coating or with rootless coating, Floating-Empty pulse Treatment KI-3 Taixi, KI-6 Zhaohai, LU-7 Lieque and KI-6 Zhaohai in combination (opening points of the Directing Vessel), Ren-4 Guanyuan, KI-13 Qixue, LU-9 Taiyuan, LU-1 Zhongfu, SP-6 Sanyinjiao, BL-43 Gaohuangshu

Kidney and Lung Yin Deficiency

Clinical manifestations Uncomfortable feeling in the epigastrium, no appetite, lack of taste sensation, loose stools, tiredness especially in the morning, weak limbs, Pale tongue, Empty pulse, especially on the Right-Middle position Treatment ST-36 Zusanli, Ren-12 Zhongwan, BL-21 Weishu, Ren-6 Qihai

Stomach Qi Deficiency

Clinical manifestations Discomfort or dull pain in the epigastrium, better after eating and better with pressure or massage, no appetite, preference for warm drinks and foods, vomiting of clear fluid, no thirst, cold and weak limbs, tiredness, pale complexion, Pale and wet tongue, Deep-Weak-Slow pulse, especially on the Right-Middle position Treatment ST-36 Zusanli, Ren-12 Zhongwan, BL-20 Pishu, BL-21 Weishu, Ren-6 Qihai

Stomach Deficiency Cold

Clinical manifestations No appetite or slight hunger but no desire to eat, constipation (dry stools), dull or slightly burning epigastric pain, dry mouth and throat especially in the afternoon, with desire to drink in small sips, slight feeling of fullness after eating Tongue: without coating in the centre, or with rootless coating, normal body colour Pulse: Floating-Empty on the Right-Middle position Treatment ST-36 Zusanli, Ren-12 Zhongwan, SP-6 Sanyinjiao, SP-3 Taibai

Stomach Yin Deficiency

Clinical manifestations Epigastric pain and distension, belching, nausea, vomiting, hiccups, irritability, no particular signs on the tongue except that in severe cases it may be Red on the sides in the central section, pulse Wiry on the Right-Middle position Treatment ST-34 Liangqiu, ST-21 Liangmen, ST-19 Burong, KI-21 Youmen, T.B.-6 Zhigou, P-6 Neiguan, SP-4 Gongsun with P-6 Neiguan (opening points of the Penetrating Vessel), G.B.-34 Yanglingquan with Ren-12 Zhongwan, ST-40 Fenglong

Stomach Qi Stagnation

Clinical manifestations Burning epigastric pain, intense thirst with desire to drink cold liquids, mental restlessness, bleeding gums, dry stools, dry mouth, mouth ulcers, sour regurgitation, nausea, vomiting soon after eating, excessive hunger, foul breath, a feeling of heat, tongue Red in the centre with a dry yellow or dark- yellow (or even black) coating, Rapid and slightly Overflowing pulse on the Right-Middle position Treatment ST-44 Neiting, ST-34 Liangqiu, ST-21 Liangmen, Ren-13 Shangwan, L.I.-11 Quchi, L.I.-4 Hegu, Ren-11 Jianli, SP-15 Daheng

Stomach Heat

Clinical manifestations 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, thick white tongue coating, Deep-Tight-Slow pulse Treatment ST-21 Liangmen, SP-4 Gongsun, Ren-13 Shangwan, ST-34 Liangqiu

Cold Invading the Stomach

Clinical manifestations Nausea, difficulty in swallowing, belching, vomiting, hiccups, no changes on tongue, pulse Tight or Wiry on the Right-Middle position Treatment Ren-13 Shangwan, Ren-10 Xiawan, P-6 Neiguan, SP-4 Gongsun, ST-21 Liangmen, ST-19 Burong

Stomach Qi rebelling upwards

Clinical manifestations A feeling of fullness and pain of the epigastrium, a feeling of heaviness, facial pain, blocked nose or thick sticky nasal discharge, thirst without desire to drink, nausea, a feeling of heat, dull-yellow complexion, a sticky taste, Red tongue with sticky yellow coating, Slippery-Rapid pulse Treatment ST-44 Neiting, ST-34 Liangqiu, ST-21 Liangmen, Ren-12 Zhongwan, Ren-13 Shangwan, L.I.-11 Quchi, L.I.-4 Hegu, Ren-11 Jianli, ST-25 Tianshu, ST-40 Fenglong, SP-9 Yinlingquan, Ren-9 Shuifen

Damp-Heat in the Stomach

Clinical manifestations Fullness, pain and distension of the epigastrium which are relieved by vomiting, nausea, vomiting of sour fluids, foul breath, sour regurgitation, belching, insomnia, loose stools or constipation, poor appetite Tongue: thick coating (which could be white or yellow) Pulse: Full-Slippery Treatment Ren-13 Shangwan, Ren-10 Xiawan, ST-21 Liangmen, ST-44 Neiting, ST-45 Lidui, SP-4 Gongsun, P-6 Neiguan, ST-40 Fenglong, ST-19 Burong, KI-21 Youmen, Ren-12 Zhongwan

Retention of Food in the Stomach

Clinical manifestations 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, Purple tongue, Wiry pulse Treatment ST-34 Liangqiu, ST-21 Liangmen, ST-19 Burong, KI-21 Youmen, T.B.-6 Zhigou, P-6 Neiguan, SP-4 Gongsun with P-6 Neiguan (opening points of the Penetrating Vessel), G.B.-34 Yanglingquan with Ren-12 Zhongwan, ST-40 Fenglong, BL-17 Geshu, SP-10 Xuehai, L.I.-4 Hegu, Ren-11 Jianli

Stasis of Blood in the Stomach

Clinical manifestations Poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, uncomfortable feeling in the epigastrium, lack of taste sensation, Pale tongue, Empty pulse, especially on the Right-Middle position Treatment Ren-12 Zhongwan, ST-36 Zusanli, SP-3 Taibai, SP-6 Sanyinjiao, BL-20 Pishu, BL-21 Weishu, Ren-6 Qihai

Stomach and Spleen Qi Deficiency

Clinical manifestations 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 Tongue: without coating Pulse: Floating-Empty, especially on the Right-Middle position Treatment Ren-12 Zhongwan, ST-36 Zusanli, SP-6 Sanyinjiao

Stomach and Spleen Yin Deficiency

Clinical manifestations Mental restlessness, insomnia, tongue and/or mouth ulcers, pain in the throat, deafness, uncomfortable feeling and heat sensation in the chest, abdominal pain, thirst with desire to drink cold liquids, scanty and dark urine, burning pain on urination, blood in urine, Red tongue with redder and swollen tip, yellow coating, Overflowing-Rapid pulse especially in the Front position Treatment S.I.-2 Qiangu, S.I.-5 Yanggu, HE-5 Tongli, HE-8 Shaofu, ST-39 Xiajuxu

Excess Heat in the Small Intestine

Clinical manifestations Lower abdominal twisting pain which may extend to back, abdominal distension, dislike of pressure on abdomen, borborygmi, flatulence, abdominal pain relieved by emission of wind, pain in the testis, white tongue coating. Deep-Wiry pulse, especially on the Rear positions Treatment Ren-6 Qihai, G.B.-34 Yanglingquan, LIV-13 Zhangmen, ST-27 Daju, ST-29 Guilai, SP-6 Sanyinjiao, LIV-3 Taichong, ST-39 Xiajuxu

Qi Pain in the Small Intestine

Clinical manifestations Severe abdominal pain, dislike of pressure, abdominal distension, constipation, vomiting, borborygmi, flatulence, thick white tongue coating, Deep-Wiry pulse Treatment ST-39 Xiajuxu, Lanweixue extra point, Ren-6 Qihai, G.B.-34 Yanglingquan, ST-25 Tianshu, SP-6 Sanyinjiao, LIV-3 Taichong

Small Intestine Qi Tied

Clinical Manifestations Abdominal pain and distension, bad taste in mouth, sallow complexion Roundworms (ascarid): abdominal pain, vomiting of roundworms, 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 Treatment Herbal formulae: Li Zhong An Hui Tang (Regulating the Centre and Calming Roundworms Decoction) Lian Mei An Hui Tang (Picrorhiza–Mume Calming Roundworms Decoction) Hua Chong Wan (Dissolving Parasites Pill Qu Tiao Tang Expelling Tapeworms Decoction)

Infestation of Worms in the Small Intestine

Clinical manifestations Dull abdominal pain alleviated by pressure, desire for hot drinks, borborygmi, diarrhoea, pale and abundant urination, cold limbs, Pale tongue with white coating, Deep-Weak-Slow pulse Treatment Ren-6 Qihai, ST-25 Tianshu, ST-39 Xiajuxu, ST-36 Zusanli, BL-20 Pishu, BL-27 Xiaochangshu

Small Intestine Deficiency Cold

Clinical manifestations Abdominal pain that is not relieved by a bowel movement, abdominal fullness, diarrhoea, mucus and blood in stools, offensive odour 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, feeling of heaviness of the body and limbs, Red tongue with sticky yellow coating, Slippery-Rapid pulse Treatment SP-9 Yinlingquan, SP-6 Sanyinjiao, Ren-3 Zhongji, BL-22 Sanjiaoshu, ST-25 Tianshu, ST-27 Daju, Ren-6 Qihai, BL-25 Dachangshu, L.I.-11 Quchi, Ren-12 Zhongwan, ST-37 Shangjuxu, BL-20 Pishu, SP-10 Xuehai

Large Intestine Damp-Heat

Clinical manifestations Constipation with dry stools, burning sensation in the mouth, dry tongue, burning and swelling in anus, scanty dark urine, thick yellow (or brown or black) dry tongue coating, Full-Rapid pulse Treatment ST-25 Tianshu, BL-25 Dachangshu, L.I.-11 Quchi, ST-37 Shangjuxu, ST-44 Neiting, L.I.-2 Erjian, SP-6 Sanyinjiao, KI-6 Zhaohai, Ren-12 Zhongwan

Large Intestine Heat

Clinical manifestations Constipation, burning in anus, abdominal distension and pain which is worse with pressure, high fever or tidal fever (fever that rises in the afternoon), sweating especially on limbs, vomiting, thirst, delirium, thick, dry yellow (or brown-black) tongue coating, Red body, Deep-Full pulse Treatment L.I.-11 Quchi, L.I.-4 Hegu, SP-15 Daheng, T.B.-6 Zhigou, SP-6 Sanyinjiao, L.I.-2 Erjian, ST-44 Neiting, ST-25 Tianshu, BL-25 Dachangshu

Heat obstructing the Large Intestine

Clinical manifestations Sudden, cramping abdominal pain, diarrhoea with pain, feeling of cold, cold sensation in abdomen, thick white tongue coating, Deep-Tight pulse Treatment ST-37 Shangjuxu, ST-25 Tianshu, ST-36 Zusanli, SP-6 Sanyinjiao, LIV-3 Taichong, ST-27 Daju

Cold invading the Large Intestine

Clinical manifestations Abdominal distension and pain, constipation with bitty stools, irritability, aggravation of condition according to mood, tongue either normal or slightly Red on the sides, pulse Wiry on both Rear positions Treatment Ren-6 Qihai, G.B.-34 Yanglingquan, ST-25 Tianshu, SP-15 Daheng, ST-37 Shangjuxu, SP-6 Sanyinjiao, BL-25 Dachangshu

Large Intestine Qi Stagnation

Clinical manifestations Dry stools which are difficult to discharge, dry mouth and throat, thin body, foul breath, dizziness, dry tongue that is either Pale or Red without rootless coating, Fine pulse Treatment ST-36 Zusanli, SP-6 Sanyinjiao, Ren-4 Guanyuan, KI-6 Zhaohai, ST-25 Tianshu, SP-15 Daheng

Large Intestine Dryness

Clinical manifestations Loose stools like duck droppings, dull abdominal pain, borborygmi, pale urine, cold limbs, Pale tongue, Deep-Weak pulse Treatment ST-25 Tianshu, Ren-6 Qihai, ST-36 Zusanli, ST-37 Shangjuxu, BL-25 Dachangshu, BL-20 Pishu

Large Intestine Cold

Clinical manifestations Chronic diarrhoea, prolapse ani, haemorrhoids, tiredness after bowel movements, cold limbs, no appetite, mental exhaustion, desire to drink warm liquids, desire to have the abdomen massaged Tongue: Pale Pulse: Deep-Fine-Weak Treatment Ren-6 Qihai, ST-25 Tianshu, ST-36 Zusanli, SP-3 Taibai, BL-20 Pishu, BL-21 Weishu, Du-20 Baihui

Large Intestine Collapse

Clinical manifestations Frequent and urgent urination, burning on urination, difficult urination (stopping in the middle of flow), dark-yellow and/or turbid urine, blood in the urine, fever, thirst with no desire to drink, hypogastric fullness and pain, feeling of heat, thick sticky yellow tongue coating on the root with red spots, pulse Slippery-Rapid and slightly Wiry on the Left-Rear position Treatment SP-9 Yinlingquan, SP-6 Sanyinjiao, BL-22 Sanjiaoshu, BL-28 Pangguangshu, Ren-3 Zhongji, BL-63 Jinmen, BL-66 Tonggu, ST-28 Shuidao

Damp-Heat in the Urinary Bladder

Clinical manifestations Frequent and urgent urination, difficult urination (stopping in mid-stream), feeling of heaviness in hypogastrium and urethra, pale and turbid urine, white sticky tongue coating on root, pulse Slippery-Slow and slightly Wiry on Left-Rear position Treatment SP-9 Yinlingquan, SP-6 Sanyinjiao, BL-22 Sanjiaoshu, Ren-3 Zhongji, ST-28 Shuidao, Ren-9 Shuifen, BL-28 Pangguangshu

Damp Cold in the Urinary Bladder

Clinical manifestations Frequent pale and abundant urination, incontinence, enuresis, lower backache, dizziness, nocturia, white urethral discharge, feeling cold, Pale, wet tongue, Deep-Weak pulse Treatment BL-23 Shenshu, Du-4 Mingmen, BL-28 Pangguangshu, Ren-4 Guanyuan, Ren-3 Zhongji, Ren-6 Qihai, Du-20 Baihui

Bladder Deficiency Cold