ALLERGIC RHINITIS

GENERAL

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Tends to occur at the same time each year Symptoms that may develop later include: Stuffy nose (nasal congestion) Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking
Treatment Principle	Dispel Wind Unblock the nose
Herb Formulas	Qing Bi Tang For perennial allergic rhinitis: Xin Yi San + Xiao Qing Long Tang + Xiang Sha Liu Jun Zi Tang Topical: Medicated Oil #1
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9

WIND ATTACKS THE LUNGS

Clinical Manifestations	Nasal discharge Sneezing Itching eyes and nose Red, swollen conjunctiva Edema and vasodiation of the nasal mucus membrane Maybe nasal obstruction Nasal congestion
Treatment Principle	Release the exterior
Herb Formulas	Cang Er Zi Tang For Superficial Wind-Dampness: Qiang Huo Sheng Shi Tang Shen Qiang Huo Sheng Shi Tang For Superficial Wind-Dampness with Qi Deficiency: Wang Qiang Huo Sheng Shi Tang
Points	Yintang ,LI-4, LI-20 Yintang ,LI-4, LI-20, Bitong GB-20, UB-10, DU-23 (may use moxa), LI-4, LI-20 GB-20, UB-10, DU-14, DU-16, DU-20, UB-12, LI-4, LI-19, LI-20, PC-8, SI-2 DU-23, LI-4, LIV-3 UB-7, DU-23, Yintang, LI-4 Chronic: 1. GB-20, DU-23, Yintang, LI-4, LI-20 2. Yintang, LI-4, DU-23, Bitong Loss of smell: DU-25, UB-13, LI-20 (alternate sides) Ear: Internal nose, Adrenal, Endocrine

SHANG HAN-TAI YANG LEVEL (WIND-COLD ATTACKS THE LUNGS) (ACUTE)

Clinical Manifestations	Copious, clear or white watery nasal discharge Discomfort and stuffiness in the nose and sinus region Reduction or loss of sense of smell Frontal, maxillary or occipital headache Sneezing Itching eyes and nose and throat Irritated, watery eyes Absence of sweat Maybe headache Maybe cough Pale, baggy mucus membranes Red, swollen conjunctiva Edema and vasodiation of the nasal mucus membrane Maybe nasal polyps Maybe nasal obstruction Severe chills Mild or no fever Generalized discomfort	Stiff neck and shoulders Body aches Joint ache Nausea Vomiting Hiccups Anhidrosis Gasping Stabbing joint pain Asthma Aversion to Wind and Cold Maybe low back pain Maybe frozen shoulder Maybe dyspnea Maybe epistaxis (severe) Dizziness Intolerance of Cold Maybe blood-shot eyes Maybe dry nose Maybe bitter taste in mouth Maybe insomnia T: Normal C: Thin, white P: Superficial and tight
Treatment Principle	Resolve the Exterior with with Warm Acrid ingredients Disperse Wind Alleviate pain Unblock the nose
Herb Formulas	Cang Er Zi San modified Xiao Qing Long Tangmodified (severe) Ma Huang Tang Ge Gen Tang With sinusitis or nasal congestion: Xin Yi San Jia Wei Xin Yi San Gan Cao Fu Zi Tang If Wind-Cold transforms into Heat: Sang Ju Yin modified With vomiting but no diarrhea: Ge Gen Jia Ban Xia Tang Infantile: Xiao Qing Long Tang If, after diaphoresis, there is generalized aching and a sinking, slow pulse: Gui Zhi Jia Shao Sheng Jiang Ge Yi Liang Ren Shen San Liang Xin Jia Tang Patent Medicines: Bi Min Gan Wan (Pe Min Kan Wan) Gan Mao Ling Chuan Xiong Cha Tiao Wan For signs of Heat: Bi Yan Pian With Blood-streaked sputum: Yun Nan Bai Yao
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 LU-7, LI-4, LI-11, Yintang, LI-20, DU-23, UB-2, Bitong DU-14, LI-4, LU-6. LU-7, UB-12, UB-13 With significant wheezing: + Dingchuan With nasal congestion or runny nose: + DU-23 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 For Wind-Cold: LU-7, LI-4, UB-13, LU-5, UB-12, DU-16 For creating sweat: LI-4 + KI-7 LU-7, LI-4, LI-20, UB-12, UB-13, DU-23, GB-20, Yintang Moxa Yintang With copious mucus: SP-3, ST-40 With Heat: LU-10, LI-11 DU-23, LI-20, UB-12, LU-7 For marked Wind-Cold symptoms: LI-4, GB-20, alternate DU-23 with Yintang

SHANG HAN-TAI YANG BIAO FU (FLUID RETENTION)

Clinical Manifestations	Chills and fever Runny nose Achiness Stiff neck and shoulders Anhidrosis Headache Stabbing joint pain Itchy throat Cough Asthma Aversion to Cold Maybe frozen shoulder The Tai Yang symptoms remain for 2-3 days Thirst with no desire to drink May have vomiting immediately after drinking Difficult urination May have upper body edema TC: White P: Floating and slippery
Treatment Principle	Promote urination Dispel Dampness Expel Wind
Herb Formulas	Wu Ling San Si Ling San
Points	UB-13, ST-28, REN-3, SP-6, SP-9, KI-3, LI-4, LI-20, LU-7

SHANG HAN- TAI YANG LEVEL WIND-COLD ATTACKS THE LUNGS WITH INTERIOR HEAT

Clinical Manifestations	Copious, purulent, foul nasal discharge Nasal obstruction Dizziness Frontal or temporal headache Fever Intolerance of Cold Muscle ache Blood-shot eyes Dry nose Bitter taste in mouth Insomnia T: Normal or thin white C: Yellow P: Floating and rapid
Treatment Principle	Disperse Wind Alleviate pain Unblock the nose
Herb Formulas	Xin Yi Qing Fei Yin Jing Jie Lian Qiao Tang Cang Er Zi San Da Qing Long Tang
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 To expel Wind: SJ-5 + LI-4, , DU-14, DU-16 To clear Heat: LU-11, LU-10, LU-5 To cleanse the Lungs: UB-13, UB-12

SHANG HAN- TAI YANG LEVEL WIND-COLD ATTACKS THE LUNGS WITH INTERIOR HEAT IN THE MUSCLES

Clinical Manifestations	Copious, purulent, foul nasal discharge Nasal obstruction Dizziness Frontal or temporal headache Fever Intolerance of Cold Muscle ache Blood-shot eyes Dry nose Bitter taste in mouth Insomnia T: Normal or thin white C: Yellow P: Floating and rapid
Treatment Principle	Disperse Wind Alleviate pain Unblock the nose
Herb Formulas	Xin Yi Qing Fei Yin Jing Jie Lian Qiao Tang Cang Er Zi San
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 To expel Wind: SJ-5 + LI-4, , DU-14, DU-16 To clear Heat: LU-11, LU-10, LU-5 To cleanse the Lungs: UB-13, UB-12

SHANG HAN-TAI YANG LEVEL WITH INTERIOR DEFICIENCY (WIND-COLD ATTACKS THE LUNGS WITH INTERIOR DEFICIENCY)

Clinical Manifestations	Copious, purulent, foul nasal discharge Nasal obstruction Dizziness Frontal or temporal headache Fever Intolerance of Cold Muscle ache Blood-shot eyes Dry nose Bitter taste in mouth Insomnia T: Normal or thin white C: Yellow P: Floating and rapid
Treatment Principle	Disperse Wind Alleviate pain Unblock the nose
Herb Formulas	Cang Er Zi San Xiao Qing Long Tang (severe) Zhen Wu Tang
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7 For Wind-Cold: LU-7, LI-4, UB-13, LU-5, UB-12, DU-16 For creating sweat: LI-4 + KI-7

SHANG HAN-TAI YANG LEVEL WITH INTERIOR YANG DEFICIENCY (WIND-COLD ATTACKS THE LUNGS WITH INTERIOR YANG DEFICIENCY)

Clinical Manifestations	Sensation of extreme cold Severe chills Chills are not relieved by clothing or covers Slight fever Anhidrosis Exhaustion Almost constant desire to sleep Pale face Cold extremities Headache Cough Pain penetrating to the back Toothache Sore throat Raspy voice Edema due to Wei Qi Stagnation Chronic wheezing T: Pale and swollen C: White and slippery P: Deep and weak
Treatment Principle	Disperse Wind-Cold Replenish Yang
Herb Formulas	Ma Huang Fu Zi Xi Xin Tang
Points	Moxa and needle DU-23, LI-20, UB-13, UB-23, KI-3 UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7 For Wind-Cold: LU-7, LI-4, UB-13, LU-5, UB-12, DU-16 For creating sweat: LI-4 + KI-7

SHANG HAN-TAI YANG LEVEL WIND-COLD ATTACKS THE LUNGS WITH WATER ACCUMULATION IN THE LUNGS

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Stuffy nose (nasal congestion) Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Chills and fever or Fever with no thirst Achiness Stiff neck and shoulders Anhidrosis	Headache Stabbing joint pain Asthma Aversion to cold Maybe frozen shoulder Dyspnea Shortness of breath Mild or severe gasping Hiccups Fullness in chest Vomiting Heaviness of the body Edema Dysuria Maybe thirst Maybe diarrhea Maybe scanty urine Maybe lower abdominal fullness T: Normal C: Greasy, white P: Floating and slippery or Tight
Treatment Principle	Relieve the Exterior Expel Cold Disperse the Lungs Stop Asthma Expel Water or Phlegm
Herb Formulas	Xiao Qing Long Tangmodified Zhen Wu Tang
Points	UB-7, UB-3 DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 For Wind-Cold: LU-7, LI-4, UB-13, LU-5, UB-12, DU-16 To Disperse the Lungs: UB-13, LU-7, REN-17 To Expel Water: SP-6, SP-9, Moxa REN-4, REN-6, DU-4 To Resolve Phlegm: ST-40 To Relieve Asthma: REN-22, Dingchuan

SHANG HAN-TAI YANG LEVEL TRANSFORMS INTO YANG MING

Clinical Manifestations	Nasal obstruction caused by Damp-Heat Stuffy nose Yellow and sticky nasal discharge Sneezing Headache Itchy nose and throat Decreased sense of smell Decreased energy Fatigue
Treatment Principle	Release the Exterior Clear Heat Resolve toxicity Unblock the nasal passages
Herb Formulas	Qing Bi Tang
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9

SHANG HAN-TAI YANG ZHONG FENG (WIND-COLD WITH EXTERIOR DEFICIENCY)

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Symptoms that may develop later include: Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Symptoms of Tai Yang Zhong Feng: Fever and chills unrelieved by sweating Headache Spontaneous perspiration Decreased body resistance Aversion to Wind Nasal congestion No thirst Dry heaves Stiff neck T: Normal C: White and moist P: Floating and moderate or Floating and weak or slow
Treatment Principle	Dispel Wind Unblock the nose Release Wind-Cold from the muscle layer Regulate and harmonize the Ying and Wei
Herb Formulas	Gui Zhi Tang With neck and shoulder stiffness and pain: Gui Zhi Jia Ge Gen Tang With cough and wheezing: Gui Zhi Jia Hou Po Xing Ren Tang
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 To expel Wind: SJ-5 + LI-4, , DU-14, DU-16 To clear Heat: LU-11, LU-10, LU-5 To clear the Lungs: UB-13, UB-12

SHANG HAN-SHAO YANG

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Symptoms that may develop later include: Stuffy nose (nasal congestion) Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Symptoms of Shao Yang Syndrome: Alternating chills and fever Dry throat Bitter or sour taste in the mouth Dizziness Sensation of fullness in the chest and hypochondrium Irritability Heartburn Chest distention Difficulty taking deep breaths Hardness beneath the Heart Stress	Hypochondriac pain with pressure Being downcast with no desire to eat Anorexia Vertigo May be palpitations Dysphoria Retching Abdominal pain Stomach ache Reduced appetite Subcostal bloating Depression Amenorrhea Tendency to diarrhea Nervousness Nausea Vomiting May be urinary dysfunction Restlessness Sometimes fatigue Nausea/vomiting (occasional) Headaches (side of head) Rib pain Achiness Ear infection Hearing difficulty Red eyes Stiff shoulders Throat pain Hip pain T: Pink C: Thin and white P: Wiry
Treatment Principle	Dispel Wind Unblock the nose Harmonize and release Shao Yang Stage disorders Relieve the Liver Harmonize the Liver and Spleen
Herb Formulas	Xiao Chai Hu Tangmodified
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 To harmonize the Liver and Gallbladder: SJ-5, LIV-14, GB-34, LIV-3 To stop nausea and vomiting: ST-36, PC-6, SP-4 To treat headache: GB-1, GB-8, GB-14, Taiyang To treat constipation: ST-25, SJ-6 To treat fever: DU-13, DU-14 To support the San Jiao and regulate Yin: PC-5, PC-6 To support Yin: K-7 To support Ying: SP-10, GB-41, SJ-5 Head: GB-8, SJ-20, Yintang Eyes: GB-14, GB-20, UB-1, UB-2, ST-1 Ear: SJ-5, SJ-17, SJ-21, GB-2 Hypochondriac area: GB-34, GB-40

SHAO YANG FU WITH TAI YANG

Clinical Manifestations	Joint pain with a crackling sensation Epigastric pain Fatigue Gastrointestinal weakness Headache Heaviness in the head Fever Moderately severe chills Distension beneath the Heart Periumbilical or lower abdominal pain Tenseness around the pubic bone Subcostal pain Epigastric fullness Nausea Mild vomiting Mild thoraco-costal discomfort Costal distress Tension in the rectus abdominus Chest distension Abdominal pain Abdominal distension Constipation Irritability Insomnia Repeated loss of spinal alignment due to muscular tension P: Floating and weak
Treatment Principle	Release the Exterior and muscle layer Harmonize and releases the Shao-Yang Harmonize the Liver, Spleen and Intestines
Herb Formulas	Chai Hu Gui Zhi Tang
Points	To treat the Shao Yang: GB-34, LIV-3, LIV-14, SJ-6 To Treat the Tai Yang: UB-12, GB-20

JUE YIN COLD

Clinical Manifestations	Long standing cold hands and feet that are cold to the touch and feel cold to the patient Maybe lumbago and leg pain Abdominal pain and distention Midline pain Uterine pain Chills Diarrhea Menstrual abdominal pain Maybe chest pain Increased sweating, particularly of the feet Increased salivation Spasm and pain of the limbs Scanty urination Pain at the waist, hips, legs and feet Sciatica Joint pain Irregular menstruation Abdominal Cold Migraine headache Vaginal discharge T: Pale C: White P: Deep and thready (may be almost imperceptible).
Treatment Principle	Warm the channels Disperse Cold Nourish the Blood Unblock the Blood vessels
Herb Formulas	Dang Gui Si Ni Tang
Points	Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

WEN BING WEI STAGE WIND-HEAT (WIND-HEAT ATTACKS THE LUNGS) (ACUTE)

Clinical Manifestations	Fever and chills (chills predominant) Anhidrosis Cough Wheezing (asthma) Copious, white, stringy, difficult to expectorate sputum Stifling sensation in the chest Lacrimation General heaviness (especially upper body) General body aches No thirst Floating edema (severe) Considerable difficulty breathing while lying down (severe) Intolerance of Cold Periorbital edema	Dyspnea Chest distention Dry heaves Decreased urine Subcardiac edema Stridor Occasional chills on the back Hiccups Retching Dysphagia Diarrhea Dysuria Flushed face Dizziness Inflammation of the tear ducts T: Pink C: Moist or White and greasy P: Superficial and tight
Treatment Principle	Release the Exterior Transform congested (Phlegm) Fluids Warm the Lungs Descend Qi
Herb Formulas	Xiao Qing Long Tang Jing Jie Lian Qiao Tang
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9, UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7 For Wind-Cold: LU-7, LI-4, UB-13, LU-5, UB-12, DU-16 For creating sweat: LI-4 + KI-7

PAINFUL OBSTRUCTION OF THE CHEST DUE TO QI STAGNATION (CHEST BI)

Clinical Manifestations	Sudden collapse Loss of consciousness Clenched jaws Fullness, extreme pain, and a cold sensation in the chest and abdomen Purple or blue lips Sudden loss of consciousness Coma An urge to vomit and defecate without doing either Abdominal pain with chest distention Mental upset Paraphasia Diarrhea Vomiting Excessive mucus and saliva Breath cold Pale complexion Cold extremities Staring eyes T Pale C: White and slippery or greasy P: Deep and slippery or Deep, excess and slow or Wiry, tight and Excess
Treatment Principle	Warms and Aromatically Opens the Orifices Moves Qi Expels dirt Transforms turbidity
Herb Formulas	Su He Xiang Wan
Points

WEI QI DEFICIENCY (SPLEEN AND LUNG QI DEFICIENCY WITH UNDERLYING PHLEGM-DAMPNESS)

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Pale face Symptoms that may develop later include: Stuffy nose (nasal congestion) Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Possible chilled extremities Symptoms of Wei Qi Deficiency: Spontaneous sweating Dizziness Blurred vision Dislike of speaking Lassitude All worse on exertion Catch cold easily Aversion to Wind and Cold T: Pale (maybe thick) P: Empty or Thin and and soft
Treatment Principle	Dispel Wind Unblock the nose Strengthen and harmonize the Ying and Wei
Herb Formulas	Yu Ping Feng San Bu Zhong Yi Qi Tang modified Allergic Rhinitis #1 For marked concurrent Blood Deficiency: Gui Pi Tangmodified For Lung and Spleen Qi Deficiency, deep lying Phlegm and Stomach Heat: Xiao Chai Hu Tangmodified For Fall allergic rhinitis where Summerheat has damaged the Spleen Qi: Huang Qi Ren Shen Tangmodified
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 To expel Wind: SJ-5 + LI-4, , DU-14, DU-16 To clear Heat: LU-11, LU-10, LU-5 To cleanse the Lungs: UB-13, UB-12 To strengthen Qi: UB-20, UB-21, REN-12, ST-36, REN-6, SP-6 DU-23, LI-4, LI-20, UB-13, ST-36 For concurrent Kidney Kidney Qi Deficiency: REN-6, KI-3 For concurrent Blood Deficiency and/or Blood Stasis: SP-6 For concurrent Liver Stagnation: LIV-3 For profuse Phlegm: ST-40 Alternate DU-23 with Yintang

LUNG QI DEFICIENCY

Clinical Manifestations	Chronic variable and intermittent nasal and sinus congestion or Chronic discharge of copious thin white or sticky mucus which does not smell (even though the patient may perceive it to) The discharge is aggravated to exposure to Wind and Cold It may be worse when lying down or at night and better during the day Pale, swollen mucous membranes Variable and transient sense of smell or Permanent loss of sense of smell Dull or thick headache with dizziness Shortness of breath Soft voice or Reluctance to speak Fatigue Spontaneous sweating Waxy, pale complexion Weak cough with thin white sputum T: Pale C: Thin and white P: Weak and forceless
Treatment Principle	Tonify and warm Lung Qi Disperse Cold Open the nose
Herb Formulas	Bu Fei Tang Wen Fei Zhi Liu Dan modified Medicated Oil #1 For a patient with pre-existing Lung Qi Deficiency who contracts a Wind-Cold: To Expel Wind and Cold: Ma Huang Tang To Support Qi: Shen Su Yin For a patient with Lung Qi Deficiency who suddenly has a worsening of the congestion or the primary formula fails: Wen Fei Tang(short time) Patent Medicines: Xiang Sha Liu Jun Zi Wan Bu Zhong Yi Qi Wan Shen Ling Bai Zhu Wan
Points	UB-13, LU-9, UB-43, ST-36, REN-17, UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9

SPLEEN AND STOMACH QI DEFICIENCY

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Symptoms that may develop later include: Stuffy nose (nasal congestion) Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Symptoms of Spleen and Stomach Qi Deficiency: Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Urine clear and abundant T: Pale and flabby - may have teeth marks C: Thin and white P:Even, forceless and Deficient
Treatment Principle	Dispel Wind Unblock the nose Strengthen Qi Invigorate the Spleen and Stomach
Herb Formulas	Bu Zhong Yi Qi Tang modified Huang Qi Jian Zhong Tang modified
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 To strengthen Qi: UB-20, UB-21, REN-12, ST-36, ST-21, REN-6, SP-6

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Continuous cramping pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur during pregnancy Pale face Fatigue Heaviness of head Lassitude Lower abdominal pain Dizziness Tinnitus Lumbago Edema Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation Oliguria	Palpitations Cold feet Extreme coldness of the hands and feet Vertigo Weakness and numbness of lower back and legs during pregnancy or postpartum Mal position of the fetus Dysmenorrhea Irregular menstruation Right upper quadrant pain Hepatomegaly Anemia Lack of energy Sore back Thirst with no desire to drink T: Pale or pink maybe petechiae on margin C: Thin or Greasy white P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle	Nourish Liver Blood Soften the Liver Spread Liver Qi Strengthen the Spleen Resolve Dampness
Herb Formulas	Dang Gui Shao Yao San
Points

LIVER QI STAGNATION INVADING THE SPLEEN

Clinical Manifestations	Abdominal distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Irritability Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: White and greasy P: Slippery and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen
Herb Formulas	Dang Gui Shao Yao San
Points	LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

KIDNEY QI DEFICIENCY WITH COLD DRYNESS OF THE LUNGS

Clinical Manifestations	Enduring long-term clear nasal discharge Nasal itching Frequent sneezing White, swollen nasal mucosa Aversion to Wind and Cold, especially in the upper back Cold limbs A pale complexion Devitalized Shen Low back and knee soreness and weakness Clear, long voidings of urine Seminal emission Nocturnal polyuria T: Pale C:White P: deep thready and weak Note: this pattern is most often seen in children whose Kidneys have not yet completely developed. Often Spleen Deficiency complicates the pattern.
Treatment Principle	Warm the Kidneys Tonify the Lungs
Herb Formulas	Jing Gui Shen Qi Wan modified
Points	Moxa and needle DU-23, LI-20, UB-13, UB-23, KI-3 For concurrent Kidney Yin and Yang Deficiency: Omit moxa on UB-23, remove KI-3, Add KI-7 For concurrent Kidney Kidney Qi Deficiency: REN-6, KI-3 For concurrent Blood Deficiency and/or Blood Stasis: SP-6 For concurrent Liver Stagnation: LIV-3 For profuse Phlegm: ST-40

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Symptoms that may develop later include: Stuffy nose (nasal congestion) Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Abdominal pain Mild inflammation Small amounts of pus and discharge Abscesses Ulcerations
Treatment Principle	Dispel Wind Unblock the nose Tonify Qi and Blood Warm and strengthen the Middle Jiao
Herb Formulas	Gui Qi Jian Zhong Tang Si Wu Tangmodified
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 For Blood Deficiency: UB-15, HT-7, PC-6, UB-20, UB-17, UB-18, REN-14, REN-4, ST-36, SP-6, SP-1, LIV-3 For Qi Deficiency: UB-20, LIV-13, SP-3, ST-36, REN-12, SP-6, SP-5

DEFICIENCY COLD

Clinical Manifestations	Cold extremities No thirst Dry throat Excessive salivation with spitting up of clear Fluids No coughing Spontaneous sweating A bland taste in the mouth Cold breath Frequent, clear urination Irritability Dizziness Frequent urination Cold limbs A pale complexion Abdominal pain which is alleviated by warmth and pressure and aggravated by Cold T: Pale and moist C: None P: Frail or Deep and slow or Wiry and tight
Treatment Principle	Warm the Lungs Strengthen the Stomach
Herb Formulas	Gan Cao Gan Jiang Tang
Points

BLOOD DEFICIENCY

Clinical Manifestations	Nasal congestion and pain Persistent copious nasal discharge Loss of sense of smell Runny nose Difficulty breathing Headache Dizziness Blurred vision Pale, lusterless complexion Pale nails Pale lips Generalized muscle tension Irregular menstruation with little flow Light menses or amenorrhea Periumbilical pain Lower abdominal pain Vertigo Tinnitus Blurred or failing vision Spots before eyes Insomnia Spotting of pale Blood Postpartum uterine bleeding Maybe five sole heat Delayed menstruation Palpitations Dizziness	Dry eyes Dry skin Maybe leukorrhea Maybe fever Firm, painful abdomen Sporadic fever and chills Menorrhagia Hard abdominal masses with recurrent pain Unstable fetus with bleeding Chills and fever Palpitations Irritability Anxiety Easily startled Insomnia Much dreaming Poor memory Dizziness Pale face and lips Pale nail beds Frightens easily Insomnia with much dreaming Tinnitus Numbness of limbs T: Normal or Pale C: Normal P: Floating or Thready and wiry or Thready and choppy or Thready and weak
Treatment Principle	Nourish the Blood Regulate the Liver Calm the Shen Improve Blood circulation Expel Wind Unblock the nose
Herb Formulas	Si Wu Tangmodified
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 To expel Wind: SJ-5 + LI-4, , DU-14, DU-16 To clear Heat: LU-11, LU-10, LU-5 To cleanse the Lungs: UB-13, UB-12 For Blood Deficiency: UB-15, HT-7, PC-6, UB-20, UB-17, UB-18, REN-14, REN-4, ST-36, SP-6, SP-1, LIV-3

BLOOD DEFICIENCY WITH BLOOD STAGNATION

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Symptoms that may develop later include: Stuffy nose (nasal congestion) Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Symptoms of Blood Deficiency include: Dizziness Blurred vision Pale lips May be amenorrhea Insomnia Symptoms of Blood Stagnation include: Copious bleeding of dark purple blood The blood is sticky during menstruation May or may not have clots Menstrual cycle is shortened (early menstruation) Palpitations Fixed lower abdominal pain Vertigo Tinnitus Menstruation may also be accompanied by distention and pain T: Pale C: Normal P: Thin and weak or Thin and choppy
Treatment Principle	Expel Wind Unblock the nose Tonify and Invigorate the Blood Regulate Blood Circulation Breaks up Stagnation Eliminate Blood Stagnation Regulate menstruation Alleviate pain
Herb Formulas	Tao Hong Si Wu Tangmodified Si Wu Tang Jian Wei
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 To expel Wind: SJ-5 + LI-4, , DU-14, DU-16 To clear Heat: LU-11, LU-10, LU-5 To cleanse the Lungs: UB-13, UB-12 For Blood Deficiency: UB-15, HT-7, UB-20, UB-17, UB-18, REN-14, REN-4, ST-36, SP-6, SP-1, LIV-3 For Blood Stagnation: LIV-14, LIV-13, PC-6, SP-10, HT-6, HT-7

BLOOD DEFICIENCY WITH WIND-COLD

Clinical Manifestations	Nasal congestion and pain Persistent copious nasal discharge Loss of sense of smell Runny nose Difficulty breathing Headache Dizziness Blurred vision Pale lips May be amenorrhea Insomnia Long standing cold hands and feet that are cold to the touch and feel cold to the patient Maybe lumbago and leg pain Abdominal pain and distention Midline pain Uterine pain Chills	Diarrhea Menstrual abdominal pain Maybe chest pain Increased sweating, particularly of the feet Increased salivation Spasm and pain of the limbs Scanty urination Pain at the waist, hips, legs and feet Sciatica Joint pain Irregular menstruation Abdominal Cold Migraine headache Vaginal discharge T: Pale C: White P: Floating and tight or Deep and thready
Treatment Principle	Expel Wind Unblock the nose Warm the channels Disperse Cold Nourish the Blood Unblock the Blood vessels
Herb Formulas	Dang Gui Si Ni Tangmodified
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 For Blood Deficiency: UB-15, HT-7, UB-20, UB-17, UB-18, REN-14, REN-4, ST-36, SP-6, SP-1, LIV-3 For Internal Cold: Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

DAMP-HEAT

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Symptoms that may develop later include: Stuffy nose (nasal congestion) Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Symptoms of Damp-Heat include: Copious, purulent, foul nasal discharge Nasal obstruction Dizziness Frontal or temporal headache	Fever Hypochondriac pain Headache Red sore eyes Hearing loss Swelling in the ears Bitter taste in the mouth Irritability Short temper Difficult and painful urination with a heat sensation in the urethra Swollen and itchy genitalia Yellow, foul smelling leukorrhea Short menstrual cycle with reddish-purple blood Ear discharge Yellow urine Chest pain Constipation Turbid urine Dry throat Hematuria Pain in the armpits Sweating in the groin T: Red or Red edges C: Yellow or Yellow and greasy P: Wiry, Excess and rapid
Treatment Principle	Disperse Wind Alleviate pain Unblock the nose Clear Damp-Heat from the San Jiao
Herb Formulas	Long Dan Xie Gan Tang Qing Bi Tang
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 To expel Wind: SJ-5 + LI-4, , DU-14, DU-16 To clear Heat: LU-11, LU-10, LU-5 To cleanse the Lungs: UB-13, UB-12 For Dampness: SP-6, SP-9, UB-20, REN-9, ST-28

MIDDLE JIAO DEFICIENCY COLD

Clinical Manifestations	Itchy nose, mouth, eyes, throat, skin, or any area Problems with smell Runny nose Sneezing Tearing eyes Symptoms that may develop later include: Stuffy nose (nasal congestion) Coughing Clogged ears and decreased sense of smell Sore throat Dark circles under the eyes Puffiness under the eyes Fatigue and irritability Headache Memory problems and slowed thinking Symptoms of Middle Jiao Deficiency Cold: Spontaneous perspiration Shortness of breath Occasional fevers Dyspnea Abdominal pain and spasms due to Cold Pain is better with warmth and pressure Pale face or a sallow, dull complexion Fatigue Fidgeting Lethargy Dry mouth Aversion to Cold Constipation Frequent, clear urination Cold extremities Dry throat Hematemesis Irritability Carbuncles Palpitations Hemorrhoids Fever with a preference for hot drinks Dry skin T: Pale C: White P: Minute, thready and weak or Deep and slow or Floating, large and weak
Treatment Principle	Dispel Wind Unblock nose Warm and tonify the Spleen and Stomach Replenish Qi Harmonize the Interior Alleviate pain
Herb Formulas	Huang Qi Jian Zhong Tangmodified With Dampness: Wu Ling San
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20 For severe sinus congestion: UB-2 For sore throat: PC-6, ST-9 For Middle Jiao Cold: Moxa UB-20, LIV-13, SP-3, SP-6, SP-5, ST-36, REN-12

COLD-DAMPNESS IN THE LOWER JIAO

Clinical Manifestations	Cold pain in the lower back and body Sciatica Copious urination Extreme heavy sensation in the lower back Absence of thirst T: Pale C: White P: Deep, thready and moderate
Treatment Principle	Warm Yang Strengthen the Spleen Dispel Cold Eliminate Dampness
Herb Formulas	Gan Cao Gan Jiang Fu Ling Bai Zhu Tang
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