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CHRONIC DACRYSTITIS, INFLAMMATION OF THE TEAR DUCTS

WIND-COLD ATTACKS THE LUNGS

Clinical Manifestations	Cough with a heavy sound Inflammation of the tear ducts Choking cough Stuffy and runny nose Thin white sputum Chills and fever Headache Nasal obstruction Itching larynx Aching of limbs Muscle soreness Chilliness Anhidrosis T: Normal C:Thin and white P: Floating or Floating and tense
Treatment Principle	Disperse Wind and Cold Release Lung Qi
Herb Formulas	Xiao Qing Long Tang
Points	LI-4, LU-9, UB-11, UB-12, UB-13 GB-20, LU-8, SJ-5, UB-12, UB-13 DU-16, GB-20, KI-7, LI-4, LU-5, LU-7, UB-12, UB-13

TAI YANG BIAO FU

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
Points	UB-13, ST-28, REN-3, SP-6, SP-9, KI-3, LI-4, LI-20, LU-7

TAI YANG - YANG MING (ACUTE)

Clinical Manifestations	Inflammation of the tear ducts Fever Sweating Thirst Dysenteric diarrhea Foul-smelling stools A burning sensation around the anus Gasping Ephidrosis Palpitations Tenesmus Maybe red tinged urine Irritability and Heat in the chest and epigastrium Stiffness and spasms at the back of the neck Dry mouth Dyspnea with perspiration Maybe wheezing T: Red C: Yellow (Greasy) P: Rapid
Treatment Principle	Release the Exterior Clear Internal Yang Ming Heat
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points

DAMP-HEAT INJURES THE SPLEEN

Clinical Manifestations	Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid
Treatment Principle	Clear Heat Benefit Dampness
Herb Formulas	Yin Chen Wu Ling San
Points	LI-11, REN-12, SP-9, ST-36, ST-44, UB-20

SPLEEN DEFICIENCY EDEMA

Clinical Manifestations	Edema in limbs, especially lower limbs Maybe anasarca Maybe abdominal distention Loose stools Physical and mental fatigue T: Pale C: White and moist P: Soft and even
Treatment Principle	Warm Yang Strengthen the Spleen Benefit Qi Move water
Herb Formulas	Si Ling San
Points	REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23

HEAT

Clinical Manifestations	Lachrymal sac infection Blockage of nasolacrymal duct Pain Redness Swelling Watery, oozing pus Possible fever
Treatment Principle	Clear Heat
Herb Formulas	Wu Wei Xiao Du Yin + Huang Lian Jie Du Tang With Deficiency: Ren Shen Yang Ying Tang
Points