DIABETES (XIAO KE), DIABETES MELLITUS, DIABETES INSIPIDUS

GENERAL

Clinical Manifestations	Diabetes mellitus: A group of metabolic diseases in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced. Diabetes insipidus: A condition in which the Kidneys are unable to conserve water. Insulin dependent (type 1): Severe - absolute deficiency of insulin Occurs mostly in children but may occur in adults, especially the non-obese or elderly when hyperglycemia first appears Polyuria Polydipsia Rapid weight loss Hyperglycemia Ketonemia Ketonuria Non-insulin dependent (type 2): Most patients are over 40 years of age Most patients are obese Candida vaginitis in women Hypertension Hyperlipidemia Arteriosclerosis Many patients have few or no symptoms
Treatment Principle
Herb Formulas	Bitter Melon (individual) An Ho Tea Qing Xin Lian Zi Yin With Qi Deficiency: Si Jun Zi Tang Si Ling San With Qi Deficiency and Blood Stagnation: Bu Yang Huan Wu Tang For abdominal pain and cramping and muscle spasms in the calves: Shao Yao Gan Cao Tang
Points	GB-34, LI-11, SP-6 For excessive thirst: + KI-7, LU-10 For excessive hunger: + REN-12, ST-44 For excessive urination: + LIV-3, REN-4 GB-34, LI-11, REN-4, SP-6 For Upper Xiao: + KI-7, LU-10 For Middle Xiao: + REN-12, ST-44 For Lower Xiao: + GB-26 UB-13, UB-20, UB-23, ST-36, KI-3 LU-11, LU-10, UB-17, UB-21, REN-12, REN-4, Pirexue, KI-7, KI-5 For thirst: LU-11, LU-10, UB-17 For overeating: Pirexue, UB-21, REN-12 For frequent urination: REN-4, KI-7, KI-5 For cataracts and night blindness: KI-3, LIV-3, REN-6, ST-36, UB-18, UB-19, UB-23 For blindness: PC-6, REN-10, SP-4, ST-21, ST-44 DU-20, GB-20, KI-3, LI-4, LIV-2, LIV-3, LIV-8, SP-6, UB-18, UB-23 For edema: KI-3, REN-6, REN-9, ST-36, UB-20, UB-23 For strokes and hemiplegia: DU-20, DU-26, KI-1, LIV-3, ST-40 Ear: Thirst: Internal Secretion, Lung, Thirst Overeating: Internal Secretion, Stomach Frequent urination: Internal Secretion, Kidney, Bladder LU-7, UB-20, (decrease right side) DU-16, SP-2, SI-17 (fat), UB-23 (lean) Radical cure: UB-18, UB-20, UB-23 For polyuria: Moxa 100 cones UB-27 For thirst and emaciation: a. REN-24, UB-50, SJ-1 b. Moxa 200 cones REN-4 Mild: UB-13, UB-18, UB-20, UB-23, REN-23, REN-12, REN-4, LU-9, HT-7, SP-6, KI-2 For diabetes insipidus: UB-22, UB-23, UB-24, REN-4 UB-20, UB-17, UB-23, Yishu, Pirexue UB-23, REN-4, ST-36 UB-26, UB-20, UB-22, UB-23, Yishu SI-4, Yishu, UB-20 LI-4, ST-44 Serious: (Heart and Kidney involvement) SP-6, KI-7, KI-6 For Upper Xiao: DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 For Middle Xiao: LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 For Lower Xiao: KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 For Yin and Yang Deficiency: DU-4, REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 Ear: 1. Pancreas, Endocrine, Lung, Thirst, Hunger, Stomach, Kidney, Urinary Bladder 2. Pancreas, Endocrine, Kiddney, Sanjiao, Shenmen, Heart, Liver, Ermigen

TAI YANG - YANG MING

Clinical Manifestations	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	DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 General points

YANG MING JING

Clinical Manifestations	High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability Restlessness Feverish body parts Red face Dry stools No constipation No aversion to Cold T: Red, dry C: Dry yellow P: Rolling and rapid (gigantic)
Treatment Principle	Clear Heat Reduce fever Moisten and replenish fluids
Herb Formulas	Bai Hu Tang modified
Points	DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44 With Qi and Body Fluid Deficiency: DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20 With diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop diarrhea: Moxa REN-8, REN-12, ST-25, ST-36 With vomiting but no diarrhea: To Expel Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12 To Disperse the Lungs: LU-7, UB-13 To stop vomiting: PC-6, SP-4

YANG MING JING WITH QI AND BODY FLUID DEFICIENCY

Clinical Manifestations	High fever Profuse sweat Generalized weakness Severe chills Aversion to Heat Red face Severe thirst Thirst may be unquenchable Irritability Anxiety Pruritis Headache Toothache Gum bleeding Epistaxis Dry lips Dry tongue Dry mouth May be sensitive to Cold in the upper back Polyuria Delusions Eye congestion Burning sensation on the skin Itching skin Abdominal fullness without resistance Dry, course skin Listlessness May be heavy labored breathing. Delirious speech (serious cases) Mania (serious cases) T: Red tip and sides C: Yellow, dry or white P: Large and forceless
Treatment Principle	Clear Heat Drain Stomach Fire Generate Fluids Alleviate thirst Nourish Qi
Herb Formulas	Bai Hu Jia Ren Shen Tang
Points	To nourish Yin and moisten: KI-3, KI-6, SP-6 To Tonify Qi: UB-20, REN-12, ST-36, REN-6, SP-3 To Clear Heat: DU-14, LI-11, ST-44 LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23, DU-14, Jinjin-Yuye, LU-9, LU-10, UB-13

SHAO YANG FU WITH CONGESTED FLUIDS

Clinical Manifestations	Alternating chills and fever (chills predominate) or Chills without fever Sensation of irritability in the chest Sweating from the head Fatigue Gastrointestinal weakness Heavy head Neuralgia Epigastric distension Lower abdominal pain Tension around pubic bone Periumbilical pain Urinary difficulty T: Moist C: White and slippery P: Superficial and wiry
Treatment Principle	Disperse Clumping Harmonize the Shao Yang Warm the Interior Dispel Cold
Herb Formulas	Chai Hu Gui Zhi Gan Jiang Tang
Points	GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

WEI STAGE DAMP-HEAT

Clinical Manifestations	Headache (wrapping) Fever and chills, fever more pronounced or Chills with afternoon fever Heavy extremities Heavy sensations in the body Stifling sensation in the chest Nausea Dizziness Gastric and abdominal distension Sticky mouth No thirst T: Normal C: Greasy, white or Greasy, yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clear Damp-Heat
Herb Formulas	San Ren Tang
Points	For fever: DU-14, bleed UB-40 For Wind-Heat: GB-20, LI-4, or SJ-5, LI-11, UB-12 For headache: DU-23, DU-24, ST-8, Taiyang For Dampness: REN-9, SP-6, SP-9, ST-28, UB-20 DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 General points

QI STAGE: SPLEEN AND STOMACH DAMP-HEAT

Clinical Manifestations	Fever Pressure headache - like a bandage Gastric distension Poor appetite Heaviness Body aches Chest distension Diarrhea Dysentery T: Red C: Greasy and yellow P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle	Clean Damp-Heat and toxins
Herb Formulas	An Ho Tea With Blood Stagnation: Gan Lu Yin
Points	LI-4, LI-11, SP-6, SP-9, ST-25, ST-36

QI STAGE HEAT LINGERING IN THE LUNGS AND STOMACH

Clinical Manifestations	Lingering fever from a febrile disease Vomiting Irritability Thirst with a desire to drink Parched mouth, lips and throat Choking cough Restlessness Insomnia Nausea Anorexia Profuse perspiration A dry mouth Indigestion Listlessness Chest oppression Ulcerations of the mouth Coarse skin Cough Night sweats Stifling sensation in the chest or epigastrium T: Red C: Little or None P: Rapid and Deficient or Thready and rapid
Treatment Principle	Clear Heat Generate fluids Tonify Qi Harmonize the Stomach
Herb Formulas	Zhu Ye Shi Gao Tang
Points	DU-15, HT-8, LI-11, LU-10, SP-6, ST-40, UB-17 DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 General points

UPPER XIAO - LUNG HEAT

Clinical Manifestations	Thirst Drinks a lot of water Hot esophagus Dry mouth Polyuria Urine can be clear, red or turbid T: Red and dry or Red tip and edges C: Thin and yellow P: Forceful and rapid
Treatment Principle	Clear Lung Heat Drain Fire Nourish Yin Generate fluids
Herb Formulas	Xiao Ke Fang To nourish the Yin: Bai He Gu Jin Tang Yi Wei Tang
Points	UB-13, ST-36, KI-3, Ear: Endocrine, Lung, Thirst UB-13, LU-11, LI-4, ST-36, SP-6, LIV-2, KI-1 UB-13, UB-15, UB-20, PC-6, LU-10 DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 LU-5, REN-23, SP-6, ST-36, UB-13 With Dryness: HT-8, LU-9, LU-10, REN-23, ST-44, UB-13, UB-15, Yishu General points

UPPER XIAO - LUNG EXCESS WITH KIDNEY DEFICIENCY

Clinical Manifestations	Thirst Drinks a lot of water Hot esophagus Dry mouth Polyuria Urine can be clear, red or turbid T: Red C: Thin and yellow or Thick and yellow P: Big and Forceless
Treatment Principle	Nourish Yin Clear Heat Generate Fluids TonifY Qi
Herb Formulas	Er Dong Tang
Points	DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13, KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 For Yin and Yang Deficiency: DU-4, REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 General points

LUNG AND STOMACH HEAT WITH FLUID DAMAGE

Clinical Manifestations	Vexatious thirst Restlessness Polydipsia Polyphagia with a tendency to hunger easily A dry mouth and tongue Frequent, copious urination T: Red edges and tip C: Thin and yellow P: Surging and rapid or Slippery and raoid
Treatment Principle	Clear Heat from the Lungs and Stomach Generate Fluids Stop thirst
Herb Formulas	Yang Yin Qing Fei Tang modified
Points	KI-7, LU-5, ST-44 With severe Lung Dryness: + SP-6, UB-13 With Spleen Qi Deficiency: + ST-36 With constipation: + SJ-6 With tongue sores and reddish urine: + HT-5

LUNG YIN DEFICIENCY WITH PHLEGM-FIRE

Clinical Manifestations	Cough Dry, sore throat Wheezing Dyspnea Shortness of breath Polydipsia Deep- seated Phlegm which is difficult to expectorate Polyuria T: Red, dry C: Little P: Thin, rapid and strong
Treatment Principle	Nourish Yin Moisten the Lungs Eliminate Phlegm Relieve cough
Herb Formulas	Bei Mu Gua Lou San
Points	KI-3, KI-6, LU-1, LU-5, LU-6, LU-7, LU-9, LU-10, ST-36, UB-13, UB-17, UB-23, UB-43 KI-6, LU-1, LU-7, UB-13, UB-17 With copious Blood: + LU-6 KI-3, LU-1, LU-5, LU-10, ST-36, UB-13 KI-6, LU-1, LU-7, UB-13 With hemoptysis: + LU-6, UB-17

LUNG QI AND YIN DEFICIENCY

Clinical Manifestations	Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability Thirst Dry throat Insomnia Listless speech T: Red and dry or Pink and dry C: Thin and dry P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle	Augment Qi Generate Fluids Clear Heat Preserve Yin Stop Excess perspiration
Herb Formulas	Sheng Mai San Qiong Yu Gao Yu Quan Wan With Deficiency Fire Rising and Blood Stagnation: Xiao Ke Fang Yi Hao
Points	DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 General points

LUNG AND SPLEEN QI DEFICIENCY

Clinical Manifestations	Protracted, incessant cough Expectoration of copious, clear, watery or white Phlegm Short, weak, breathing Asthma Four limbs tired General lassitude Distention and pain of the epigastrium and abdomen Loose stools T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce the Spleen Benefit the Lung Warm and transform Phlegm-Dampness
Herb Formulas	Shen Ling Bai Zhu San
Points	LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43 DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 General points

LUNG AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Calcaneus pain May be bone spur Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Spermatorrhea Irregular menses T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Lungs and Kidneys
Herb Formulas	Ba Xian Chang Shou Wan Da Bu Yin Wan Mai Wei Di Huang Wan Bai He Gu Jin Tang Qiong Yu Gao With Lung Dryness due to Fire: Gan Lu Yin
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23 DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13, KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 General points

HEART FIRE WITH KIDNEY YIN DEFICIENCY AND DAMP-HEAT IN THE LOWER JIAO

Clinical Manifestations	Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Dry mouth Dry Tongue Five Sole Heat Fever Physical and mental overexertion T: Red C: Little or None P: Deep and rapid
Treatment Principle	Clear Heart Fire Disperse Damp-Heat Benefit Qi and Yin Promote urination
Herb Formulas	Qing Xin Lian Zi Yin
Points	DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13, KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 General points

HEART AND KIDNEY YIN DEFICIENCY

Clinical Manifestations	Insomnia with much dreaming Spermatorrhea with erotic dreams Premature ejaculation Irritability Easily startled Palpitations Poor memory Dizziness Tinnitus Low back soreness Legs weak Tidal fever Night sweats Dry mouth Red cheeks Urine short and red T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Reduce Fire Make Heart and Kidney communicate
Herb Formulas	Ba Xian Chang Shou Wan
Points	HT-7, KI-3, PC-6, PC-7, UB-15, UB-23 DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13, KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 General points

HEART AND KIDNEY DEFICIENCY

Clinical Manifestations	Frequent urination Cloudy urine that resembles rice-water Seminal emissions Enuresis Disorientation Forgetfulness Anorexia T: Paler Light pink C: Thin and white P: Thin, slow and frail
Treatment Principle	Regulate and tonify the Heart and Kidney Stabilize Jing Stop seminal emissions
Herb Formulas	Sang Piao Xiao Dan
Points	General points

UPPER XIAO - QI HEAT

Clinical Manifestations	Thirst Drinks a lot of water Hot esophagus Dry mouth Polyuria Urine can be clear, red or turbid T: Red C: Dry and yellow P: Forceful
Treatment Principle
Herb Formulas	Bai Hu Jia Ren Shen Tang
Points	DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 General points

DAMP-HEAT INJURES THE SPLEEN

Clinical Manifestations	Thirst with a desire for profuse drinking Excessive eating with rapid hungering or only a feeling of hunger 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 Huang Qin Hua Shi Tang modified Gan Lu Yin
Points	REN-12, SP-9, ST-44 With Deficiency Heat: + KI-7, SP-6 For Damp-Heat damaging Stomach Yin: + KI-7, UB-21 With Kidney Yin Deficiency: + KI-7, UB-23 With Spleen Deficiency: +ST-36 With thirst: + LU-10 LI-11, REN-12, SP-9, ST-36, ST-44, UB-20

SPLEEN AND STOMACH QI DEFICIENCY

Clinical Manifestations	Excessive thirst Sallow complexion Fatigue Anorexia Four limbs feel tired, weak and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Emaciation Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Shortness of breath Urine clear and abundant T: Pale and flabby - may have teethmarks C: White or White and dry P: Even, forceless and deficient or Thready and forceless
Treatment Principle	Strengthen the Spleen and Stomach Benefit Qi Transform Fluids Stop thirst
Herb Formulas	Si Jun Zi Tang modified Qi Wei Bai Zhu San modified With Heat Accumulation: Yu Quan Wan With Damp Accumulation: Qi Wei Bai Zhu San + Ping Wei San modified
Points	REN-6, SP-3, SP-6, ST-36 With profuse urination: + moxa REN-4 With Kidney Qi Deficiency: + KI-7 With Kidney Yin Deficiency: + KI-3 With severe Spleen Qi Deficiency: + UB-20, UB-21 LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20 LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 Stage 1 - onset: REN-12, SP-3, SP-6, ST-36, UB-20, UB-21 With Dampness: + SP-9, ST-8 Stage 1 - onset With Damp-Heat: DU-9, GB-34, LI-11, UB-20 General points

SPLEEN AND KIDNEY QI DEFICIENCY

Clinical Manifestations	Milky, turbid spermatorrhea Listlessness Fatigue A shiny, white complexion Anorexia or Increased food intake Restlessness Vaginal discharge Diarrhea Dryness of the external ears Dizziness Enuresis Copious urination Thirst Premature ejaculation Lumbago T: Pale C: White P: Deep and frail
Treatment Principle	TonifY the Kidneys Stabilize Jing Stop leakage Strengthen the Spleen Drain Dampness Benefit the Heart Calm the Shen
Herb Formulas	Fu Tu Dan
Points	LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23, KI-2, KI-3, REN-4, SP-6, UB-18 General points

SPLEEN AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Polydipsia Polyphagia Polyuria Aversion to Cold Body cold Limbs icy Complexion white and shiny Fatigue Weakness Shortness of breath Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria Spermatorrhea Impotence Spontaneous perspiration Maybe urinary incontinence Maybe turbid urine Severe: Abdominal ascites T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys Regulate Yin and Yang
Herb Formulas	Jian Pi Wen Shen Jiang Tang Fang
Points	Moxa or moxa needle DU-4, REN-4, needle KI-7, SP-6 For marked fatigue: +ST-36 For severe aversion to Cold: + moxa or moxa needle DU-14, ST-36 For seminal emission or impotence: + UB-52 For spontaneous perspiration: + LI-4 For loose stools or early morning diarrhea: + SP-9, ST-36 Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

MIDDLE XIAO - STOMACH HEAT

Clinical Manifestations	Perspiration Eats a lot but still hungry Loss of weight Thirst Polyuria Constipation with hard, dry stools Emaciation T: Red C: Dry and yellow P: Rolling or Rolling and Excess or Slippery, large and forceful
Treatment Principle	Clear Stomach Heat Nourish Yin
Herb Formulas	Tiao Wei Cheng Qi Tang Bai Hu Tang Di Huang Yin Zi #2 Ma Zi Ren Wan Yu Nu Jian Yan Shi Zhong Xiao Fang Jia Jian With Qi Deficiency: Bai Hu Jia Ren Shen Tang With Kidney Yang Deficiency: Wu Mei Wan With Damp-Heat Invading the Spleen: Yin Chen Wu Ling San Er Chen Tangmodified
Points	KI-7, ST-36, ST-44 For severe constipation: + SJ-6 For severe thirst: + SP-6, UB-13 For severe Heat: +LI-4 With Spleen Qi Deficiency: + UB-20 For tongue sores and reddish urine: + HT-5 ST-44, ST-36, REN-12 LI-11, PC-6, ST-36, REN-12 For polyuria: + KI-7 UB-21, REN-12, KI-3, ST-44 LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 With Food Stagnation: PC-6, REN-10, SP-4, ST-21, ST-44 Ear: Endocrine, Hunger General points

STOMACH FIRE

Clinical Manifestations	Burning Heat and pain in the epigastrium Irritating thirst: drinks copious fluids and prefers cold drinks Excessive appetite: hungry again quickly after eating (as if food vanishes) Swelling, pain, ulceration and bleeding of gums Foul breath Toothache Maybe vomiting right after eating Vomiting acid or undigested food Constipation Maybe scanty, red urine T: Red C: Thick, yellow and dry P: Slippery, big, Excess and rapid
Treatment Principle	Clear and Purge Stomach Fire
Herb Formulas	Qing Wei San modified Mai Men Dong Tang modified Yu Nu Jian modified
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21 REN-12, SP-6, ST-44, ST-45

MIDDLE XIAO - STOMACH HEAT WITH YIN DEFICIENCY

Clinical Manifestations	Dry mouth Thirst T: Red C: Thin and yellow P: Thready and rapid
Treatment Principle	Clear Stomach Heat Nourish Yin
Herb Formulas	Yu Nu Jian Zeng Ye Tang With Blood Stagnation: + Da Huang Zhe Chong Wan
Points	UB-21, REN-12, KI-3, ST-36 LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 General points

STOMACH YIN DEFICIENCY

Clinical Manifestations	No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or Hiccups T: Red C: Little and dry P: Thready and rapid
Treatment Principle	Nourish Yin Nourish the Stomach
Herb Formulas	Yi Wei Tang Gu Ben Wan
Points	UB-21, REN-12, KI-3, SP-6, ST-36 LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 PC-6, REN-12, SP-6, ST-36, ST-44, UB-20, UB-21, Yishu With Dryness: KI-3, SP-6, ST-36, ST-44, UB-20, UB-21 General points

STOMACH AND LUNG YIN DEFICIENCY

Clinical Manifestations	Cough with little yellow sputum or No sputum expectorated Blood tinged sputum (when Yin Deficient Fire is present) Spitting saliva Wheezing Shortness of breath Dry, uncomfortable sensation in throat Hiccups Dry mouth Dry mouth and throat Itching in throat Coughing up difficult-to-extectorate Phlegm Nausea Hoarse voice, low voice or loss of voice Thirst Asthma Flushed face Five sole Heat Afternoon fever Night sweats Malar flush (especially in afternoon) Emaciation Vomiting No appetite or Famished but with no desire to eat Abdominal distention after meals Dry stools Irritability with low grade fever Maybe dry retching or T: Red and dry C: Little or None P: Thready and rapid or Deficient and rapid
Treatment Principle	Clear and Nourish the Lungs and Stomach Generate Fluids Moisten Dryness
Herb Formulas	Sha Shen Mai Dong Tang Mai Men Dong Tang With Blood Stagnation: + Da Huang Zhe Chong Wan
Points	UB-13, UB-17, UB-21, UB-43, ST-36, SP-6, REN-12, LU-1, LU-5, LU-, LU-7 + KI-6, LU-9, LU-10, KI-3 DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 General points

MIDDLE JIAO YANG DEFICIENCY

Clinical Manifestations	Sallow complexion Epigastrium cold with pain Pain is dull and relieved by warmth and pressure Vomiting clear, watery fluid Anorexia (maybe with vomiting) Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools or watery stools containing undigested food Shortness of breath Pain in the epigastrium with cold sensations (pain is relieved by warmth) Cold limbs Feeling chilled Mental fatigue Maybe scanty urine with edema Maybe clear, watery vaginal discharge T: Pale C: Thin and white P: Deep and weak
Treatment Principle	Warm Yang Strengthen the Middle Jiao
Herb Formulas	Li Zhong Tang
Points	LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 General points

LIVER AND GALL BLADDER FIRE

Clinical Manifestations	Alternating fever and chills Fullness in the chest and hypochondrium (with or without pain) Bitter taste in mouth Nausea Continuous vomiting Hard focal distension in the epigastrium Fullness and pain in the epigastrium Burning diarrhea or no bowel movement Despondency Slight fidgeting Slight irritability Headache Constipation or discharge of fluids rectally Tinnitus Diminished hearing Diminished vision Red eyes Manic behavior Asthma Mental instability T: Normal or red C: Yellow or Thick and yellow P: Wiry and forceful or Wiry tight and forceful
Treatment Principle	Harmonize and Disperse the Shao Yang Drain Internal Heat Retention
Herb Formulas	Da Chai Hu Tang Huang Lian Wen Dan Tang Long Dan Xie Gan Tang
Points	KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 GB-20, LIV-2, LIV-3 With less Fire: LI-4, LIV-3, LIV-14, PC-6 General points

GALL BLADDER AND STOMACH DISHARMONY WITH PHLEGM-HEAT

Clinical Manifestations	Dizziness Vertigo Nausea and vomiting Insomnia Dream-disturbed sleep with unusual dreams Palpitations Anxiety Profuse white foamy sputum Restlessness Timidity Indecisiveness Indeterminate gnawing hunger Seizures accompanied by copious sputum Flushing up Chest distention Expectoration of yellow Phlegm Bitter taste in the mouth Chills and fever Abdominal distention Frequent dark, scanty urine Irritability Depression Slight thirst Anorexia after serious illness T: Pink or Red tip C: Yellow and greasy P: Slippery and rapid or Wiry and rapid
Treatment Principle	Regulate Qi Transform Phlegm Clear the Gall Bladder Harmonize the Stomach Dry Dampness Dispel Heat
Herb Formulas	Wen Dan Tang
Points

LOWER XIAO - KIDNEY YIN DEFICIENCY

Clinical Manifestations	Polyuria Frequent nocturia Cloudy urine Dry mouth Night sweats Five Sole Heat Tidal fever dizziness Tinnitus Low back and knee soreness and weakness Itching Impotence Premature ejaculation Dark, blackish facial complexion Eyes are black or green Ears are wilted Limbs emaciated Feet and shins painful and weak T: Red C: Thin or None P: Thready and rapid or Thready and wiry
Treatment Principle	Nourish Yin Reduce Fire
Herb Formulas	Diabetes #3 Liu Wei Di Huang Wan modified Da Bu Yin Wan Zuo Gui Yin With Liver Yin Deficiency: Qi Ju Di Huang Wan Yi Guan Jian With Deficiency Fire Rising: Zhi Bai Di Huang Tang Huang Lian E Jiao Tang Zi Yin Jiang Huo Tang Er Long Zuo Ci Wan With Blood Stagnation: + Da Huang Zhe Chong Wan With Qi Deficiency: Di Huang Yin Zi With Yin and Yang Deficiency: Ba Wei Di Huang Wan modified Chinese patent medicines: Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Da Bu Yin Wan
Points	KI-3, UB-23, SP-6, LIV-3, REN-4 Ear: Endocrine KI-3, KI-6, SP-6, LIV-3, REN-4 KI-3, KI-6, KI-2, KI-1, SP-6, LIV-3, UB-23, REN-4, GB-20, LI-11 REN-4, UB-23, UB-20, UB-21, UB-18, LIV-2, KI-3, KI-6, SP-6, PC-6, SJ-4, HT-7 UB-23, UB-18, UB-11 KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 KI-3, KI-7, LU-9, UB-23 With polyphagia and rapid hungering after eating: + ST-44 With severe thirst: + UB-20, UB-21 With severe fatigue: + UB-20, UB-21 With frequent, copious urination, especially at night: + SP-6 With Heart palpitations or impaired memory: + HT-7 With night sweats: + HT-6 With spontaneous perspiration: + LI-4 KI-3, LIV-3, UB-18, UB-23, Yishu For frequent, scanty, yellow urination: KI-2, KI-3, KI-6, REN-4, SP-6, UB-23, UB-53

LOWER XIAO - KIDNEY YIN AND YANG DEFICIENCY

Clinical Manifestations	Frequent, copious urination Cloudy urine Dark facial color Dry, thin helix General condition poor Lower back pain May be impotence or infertility T: Normal C: Thin P: Deep and Thready
Treatment Principle	Warm the Kidneys Strengthen Yang Nourish Yin Astringe discharge
Herb Formulas	Jin Gui Shen Qi Wan modified He Che Da Zao Wan With more Yang Deficiency symptoms: + You Gui Wan With Blood Stagnation: + Da Huang Zhe Chong Wan
Points	KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 For Yin and Yang Deficiency: 1. DU-4, REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 2. DU-4, KI-3, REN-6, ST-36, Yishu General points

KIDNEY YANG DEFICIENCY

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to Cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence, spermatorrhea, premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang
Herb Formulas	Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) You Gui Wan Niu Che Shen Qi Wan For frequent urination: Sang Piao Xiao San modified Chinese patent medicines for frequent urination: Jin Gui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan Ning Xin Bu Shen Wan Jin Su Gu Jing Wan * The last formula is usually taken with one of the first four.
Points	Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 For chronic diarrhea, rectal prolapse and Vanquished Yang: + moxa DU-20, REN-8 For Kidney Yang Deficiency (Cock Crow) Diarrhea: moxa or moxa needle DU-20, KI-3, REN-4, UB-23 For frequent urination: Moxa or moxa needle DU-4, KI-3, REN-4, UB-23 DU-4, DU-26, KI-3, KI-11, REN-4, SI-3, SP-6, UB-23 For enuresis in children: SI-3 is usually enough.

KIDNEY YANG DEFICIENCY WITH WATER FLOODING

Clinical Manifestations	Aversion to Cold Cold extremities Scanty urination Abdominal distention Edema of the legs Cold sensations in the lower body Sensory numbness Low back pain Severe pitting edema Fatigue Urinary difficulties T: Pale and swollen with teethmarks C: White and slippery P: Deep and wiry
Treatment Principle	Warm Yang Tonify the Kidneys Aid water transformation Promote urination Reduce edema
Herb Formulas	Ji Sheng Shen Qi Wan Wu Ling San Jia Wei Shen Qi Wan
Points	KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 General points

LOWER XIAO - KIDNEY QI NOT CONSOLIDATED

Clinical Manifestations	Men: Spermatorrhea Premature ejaculation Women: Vaginal discharge Infertility Frequent, clear, abundant urination Dribbling after urination Incontinence of urine Low back and knees aching and weak Hearing deficit T: Pale and swollen with teethmarks C: Thin white P: Deep and thread
Treatment Principle	Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Suo Gu Jing Wan Suo Quan Wan Liu Wei Di Huang Wan modified
Points	UB-23, UB-52, KI-3, REN-4, REN-6, SP-6 Moxa UB-23, DU-4, KI-3, REN-4, REN-6, DU-20, PC-6 KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 General points

KIDNEY QI AND YANG DEFICIENCY

Clinical Manifestations	Feebleness Exhaustion Abdominal pain Lower back pain Low energy Lethargy Impotence Cold and pain of the knees Cold extremities Shortness of breath Fatigue Nocturnal emission Separation of Yang T: Pale C: White P: Thin
Treatment Principle	Warm Kidney Yang Replenish Jing
Herb Formulas	You Gui Yin
Points

LOWER XIAO - KIDNEY AND LIVER YIN DEFICIENCY

Clinical Manifestations	Low back, knees and legs painful and weak Foot pain Light-headedness Vertigo Tinnitus Diminished hearing Five sole Heat Chronic dry, sore throat Toothache Wasting and thirsting disorder (Xiao Ke) Dizziness Muscular weakness Dry skin Deafness Steaming bones Tidal fevers Loose teeth Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Heel pain Dry mouth Blurred vision Hemoptysis Asthma Hot flashes Nocturnal emissions Urinary incontinence Spontaneous and nocturnal emissions Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Enrich Yin Astringe and Nourish the Essence of the Liver and Kidneys
Herb Formulas	Zuo Gui Wan Mai Wei Di Huang Wan Liu Wei Di Huang Wan Qi Ju Di Huang Wan Yi Guan Jian Ming Mu Di Huang Wan #2 With Blood Stagnation: + Da Huang Zhe Chong Wan With Fire Flaring: Da Bu Yin Wan With Yang Rising: Er Long Zuo Ci Wan Chinese Patent Medicines: Liu Wei Di Huang Wan He Che Da Zao Wan With Deficient Heat: Zhi Bai Di Huang Wan With tinnitus: Er Ming Zuo Ci Wan With visual disturbances: Ming Mu Di Huang Wan With Liver and Kidney Yin Deficiency: Qi Ju Di Huang Wan
Points	UB-18, UB-23, SP-6, LIV-3, KI-3 KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 KI-3, KI-6, LU-7, REN-4, Taiyang, UB-15, UB-23, KI-1, KI-3, KI-6, REN-4, SP-6, UB-23 General points

KIDNEY, SPLEEN, LIVER, QI AND YIN DEFICIENCY WITH EXCESS HEAT

Clinical Manifestations	Excessive thirst Sallow complexion Fatigue Anorexia Four limbs feel tired, weak and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Emaciation Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Shortness of breath Urine clear and abundant Low back, knees and legs painful and weak Foot pain Light-headedness Vertigo Tinnitus Diminished hearing Chronic dry, sore throat Toothache Wasting and thirsting disorder (Xiao Ke) Dizziness Muscular weakness Dry skin Deafness Steaming bones Tidal fevers Loose teeth Dripping urine Dizziness Red, sore eyes Difficulty swallowing Nasal congestion and infection Thick, sticky nasal discharge and saliva Bitter taste in the mouth Dry mouth Focal distention in the chest and diaphragm Stifling sensation in the chest and diaphragm Manic behavior Carbuncles Heat rash Headache Acne Chills High fever Restlessness Urticaria	Dry tongue Numbness and weakness at the waist and knees Heel pain Dry mouth Blurred vision Hemoptysis Asthma Hot flashes Nocturnal emissions Urinary incontinence Spontaneous and nocturnal emissions Night sweats Frequent, copious, possibly turbid urination Frequent nocturia Lassitude Chronic cough or Dry cough A pale face Possible malar flush Insomnia Excessive dreaming Night sweats Spontaneous perspiration Weakness Poor memory Dizziness Five sole Heat Palpitations Irritability Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Fullness of the abdomen Fullness of the epigastrium Heaviness in the head Possible dry stools and constipation Sore throat Swelling of the throat Skin rashes Skin ruptures or ulcers Tense abdomen Shoulder stiffness T: Red and dry or Red and swollen C: Little or None or White or Yellow and greasy P: Thready, weak and rapid or Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle	Tonify the Kidneys, Spleen and Liver Tonify Qi Nourish Yin Clear Heat
Herb Formulas	Xiao San Duo Tang
Points

YIN DEFICIENCY WITH DRY HEAT

Clinical Manifestations	Dry mouth and throat Excessive thirst Polydipsia Polyuria Weight loss Constipation T: Reddish C: ellowish and dry P: Flooding and rapid or Flooding and slippery
Treatment Principle	Nourish Yin Clear Heat Generate Bbody Fluids Quench thirst
Herb Formulas	Zeng Ye Tang + Xiao Ke Fang + Bai Hu Tang
Points

COLLAPSE OF YIN AND YANG

Clinical Manifestations	Collapse of Yin: Abundant perspiration (flows like oil) Skin is hot to the touch Hot limbs Dry mouth with a desire to drink cold liquids in small sips Retention of urine Constipation T: Red and dry C: Peeled P: Floating, empty and rapid Collapse of Yang: Chilliness Cold limbs Weak breathing Abundant perspiration (flows like oil) No thirst Frequent, profuse urination or Urinary incontinence Loose stools or Fecal incontinence T: Pale, moist and swollen C: White P: Deep and minute
Treatment Principle	Restore Yin Rescue Yang
Herb Formulas	Diabetes #2
Points	For Upper Xiao: DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 For Middle Xiao: LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 For Lower Xiao: KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 For Yin and Yang Deficiency: DU-4, REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 Ear: Pancreas, Endocrine, Lung, Thirst, Hunger, Stomach, Kidney, Urinary Bladder

QI AND YIN DEFICIENCY

Clinical Manifestations	Excessive thirst Frequent, copious, possibly turbid urination Frequent nocturia Fatigue Lassitude Chronic cough or Dry cough A pale face Possible malar flush Insomnia Excessive dreaming Night sweats Spontaneous perspiration Weakness Emaciation Poor memory Dizziness Five sole Heat Palpitations Shortness of breath Fever Irritability Possible dry stools and constipation T: Red and dry or Red and swollen C: Little or None P: Thready and weak
Treatment Principle	Tonify Qi Nourish Yin Generate Fluids Moisten Dryness Stop thirst
Herb Formulas	Sheng Mai Yin Wan Liu Wei Di Huang Wan modified Yi Guan Jian modified Yu Ye Tang Zeng Ye Tang With Deficiency Fire Rising and Blood Stagnation: Xiao Ke Fang With Qi Deficiency: Qi Wei Bai Zhu San With marked symptoms of polydipsia, polyphagia and polyuria: Bai Hu Tang
Points	KI-7, SP-6, ST-36 For polyphagia and rapid hungering after eating: + ST-44 For severe thirst: + LU-5 For severe fatigue: + UB-20, UB-21 For copious, frequent urination, especially at night: + UB-23 For Heart palpitations or impaired memory: + HT-7 For night sweats: + HT-6 For spontaneous perspiration: + LI-4 For Upper Xiao: DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 For Middle Xiao: LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 For Lower Xiao: KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 For Yin and Yang Deficiency: DU-4, REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 Ear: Pancreas, Endocrine, Lung, Thirst, Hunger, Stomach, Kidney, Urinary Bladder

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Lingering disease Lassitude Fatigue Loose stools Poor appetite Dizziness Pale face Pale nails and lips Weak voice Shortness of breath Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Scanty periods Lusterless hair Emaciation Thirst Dry mouth Turbid sweetish urine Polyphagia but still emaciation Abdominal distension after a little food Preference for sitting Dislike of physical movement T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood Generate Fluids
Herb Formulas	Gui Pi Tang + Sheng Yu Tang modified
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

QI, BLOOD AND YIN DEFICIENCY WITH BLOOD STAGNATION AND HEAT

Clinical Manifestations	Lassitude Fatigue Shortness of breath Dizziness Tinnitus Palpitations Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and weakness Low grade fever Five sole heat Possible sweating Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	TonifY Qi and Blood Promote urination Invigorate the Blood Dispel Blood Stasis Nourish Yin Generate fluids Clear Heat Drain Kidney Fire Cool the Blood
Herb Formulas	Yi Qi Yang Yin Huo Xue Fang
Points	For Upper Xiao: DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 For Middle Xiao: LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 For Lower Xiao: KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 For Yin and Yang Deficiency: DU-4, REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 Ear: Pancreas, Endocrine, Lung, Thirst, Hunger, Stomach, Kidney, Urinary Bladder

BLOOD STAGNATION

Clinical Manifestations	Pain that is fixed, stabbing and /or severe Pan is worse with pressure Dark complexion Fixed, palpable masses Bleeding with clots Purple lips Purple nails Dry skin Blue, dark or purplish discoloration of skin in small or large areas, Varicose and spider veins Cold hands and feet Tendency to hemorrhage dark blood or clots T: Purple, possible purple or red spots Red purple if there is Heat Blue purple if there is Cold C: White P: Choppy or Wiry and choppy
Treatment Principle	Activate the Blood Break up Stagnation
Herb Formulas	Diabetes #1 Tao Hong Si Wu Tang Xue Fu Zhu Yu Tang
Points	SP-6, SP-10, ST-36, UB-17, UB-40

JING AND BLOOD DEFICIENCY DUE TO KIDNEY, SPLEEN AND HEART DEFICIENCY

Clinical Manifestations	Fatigue Heavy and painful lower back Dream-disturbed sleep General weakness Lack of interest in food or drink Fever Night sweats Seminal emission Forgetfulness Toothache Dizziness Gum swelling General pitted edema which is worse in the lower body Vaginal discharge Discharge of rice-water like urination without dysuria Aversion to Cold Impotence Decreased libido Emaciation Loose teeth Signs of premature aging Abdominal Cold Easily frightened T: Pale or Pale and thick C: Smooth and white P: Moderate and weak or Deep and weak
Treatment Principle	Tonify the Spleen and Kidneys Nourish the Heart Enrich the Yin Nourish the Blood and Yang Augment Qi
Herb Formulas	Huan Shao Dan
Points	For Upper Xiao: DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 For Middle Xiao: LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 For Lower Xiao: KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 For Yin and Yang Deficiency: DU-4, REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 Ear: Pancreas, Endocrine, Lung, Thirst, Hunger, Stomach, Kidney, Urinary Bladder

HEAT EXCESS IN THE EXTERIOR AND INTERIOR

Clinical Manifestations	Dizziness Red, sore eyes Difficulty swallowing Nasal congestion and infection Thick, sticky nasal discharge and saliva Bitter taste in the mouth Dry mouth Focal distention in the chest and diaphragm Stifling sensation in the chest and diaphragm Manic behavior Carbuncles Heat rash Headache Acne Chills High fever Restlessness Urticaria Sore throat Swelling of the throat Skin rashes Skin ruptures or ulcers Tense abdomen Shoulder stiffness Numb extremities Fatigue Constipation Dysuria with reddish urine Dark, rough urination Obesity Fullness of the abdomen Fullness of the epigastrium Heaviness in the head T: Red C: White or Yellow and greasy P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle	Disperse Wind Release the Exterior Drain Heat Unblock the bowels
Herb Formulas	Fang Feng Tong Sheng San With Kidney Yang Deficiency: Wu Mei Wan
Points	For Upper Xiao: DU-14, Jinjin-Yuye, LI-4, LU-9, LU-10, UB-13 For Middle Xiao: LI-4, LI-11, REN-12, ST-36, ST-44, UB-20, UB-23 For Lower Xiao: KI-2, KI-3, REN-4, SP-6, UB-18, UB-23 For Yin and Yang Deficiency: DU-4, REN-4, REN-6, SP-6, ST-36, UB-20, UB-21 Ear: Pancreas, Endocrine, Lung, Thirst, Hunger, Stomach, Kidney, Urinary Bladder

PHLEGM ACCUMULATION

Clinical Manifestations	Obese body figure Heavy sensation in the head and body Localized pricking pain Purple lips or extremities Numbness of the limbs Greasy saliva A poor appetite T: Purple and dark with ecchymosis C: Tick and greasy P: Slippery or Choppy pulse.
Treatment Principle	Invigorate the Bblood Remove Stasis Dissolve phlegm Unblock the Channels
Herb Formulas	Wen Dan Tang modified
Points

UPPER JIAO DEFICIENCY HEAT

Clinical Manifestations	Excessive thirst Dry throat and mouth Dry cough Hoarse voice Night sweats Malar flush Emaciation Tidal fevers T: Red C: Little or None P: Thready and rapid
Treatment Principle	Strengthen the Lungs Nourish Yin Clear Heat
Herb Formulas
Points	KI-3, LU-5, LU-10, REN-23, ST-36, UB-13, UB-43 For thirst with a yellow, dry tongue coat and an overflowing pulse: + LI-4, LI-11, ST-41 For severe thirst: + KI-1, LIV-2 For a great desire to drink: + 1. KI-2, SI-1, UB-49 2. KI-2, REN-24, SI-1, UB-49 For thirst with emaciation: + Moxa REN-4 (100 cones) For Yin Deficiency with Yang Rising: + DU-14, HT-6 For severe night sweats: + SI-3 For Qi Deficiency: + moxa or moxa needle REN-4, REN-6 For Yang Deficiency: + moxa or moxa needle DU-4, REN-4 For increased appetite with muscular atrophy: + Huatuojiaji lateral to L-6, Pirexue, REN-12, UB-21 For Kidney Deficiency with anhidrosis, difficulty moving the low back, abdominal disention and lateral costal pain: + UB-29, UB-49 DU-26, KI-2, LI-11, LIV-2, LIV-3, Jinjin-Yuye, PC-8, REN-23, REN-24, SP-1, SP-5 KI-3, ST-36, UB-13, UB-20, UB-23, Yishu For severe thirst: + LU-10, LU-11, UB-17 For increased appetite with muscular atrophy: + Pirexue, REN-12, UB-21 For frequent urination: + KI-5, KI-7, REN-4

MIDDLE JIAO HEAT

Clinical Manifestations	Excessive appetite Bad breath Dry lips Painful swelling and/or bleeding of the gums Burnng sensation in the epigastrium Preferrence for cold drinks Constipation T: Red C: Thick and yellow with ulcerations on the tip P: Rapid and full
Treatment Principle	Clear Stomach Heat and Dryness Nourish Yin
Herb Formulas
Points	KI-3, PC-6, REN-12, SP-6, ST-36, ST-44, UB-20, UB-23, Yishu For thirst with a yellow, dry tongue coat and an overflowing pulse: + LI-4, LI-11, ST-41 For severe thirst: + KI-1, LIV-2 For a great desire to drink: + 1. KI-2, SI-1, UB-49 2. KI-2, REN-24, SI-1, UB-49 For thirst with emaciation: + Moxa REN-4 (100 cones) For Yin Deficiency with Yang Rising: + DU-14, HT-6 For severe night sweats: + SI-3 For Qi Deficiency: + moxa or moxa needle REN-4, REN-6 For Yang Deficiency: + moxa or moxa needle DU-4, REN-4 For increased appetite with muscular atrophy: + Huatuojiaji lateral to L-6, Pirexue, REN-12, UB-21 For Kidney Deficiency with anhidrosis, difficulty moving the low back, abdominal disention and lateral costal pain: + UB-29, UB-49 DU-26, KI-2, LI-11, LIV-2, LIV-3, Jinjin-Yuye, PC-8, REN-23, REN-24, SP-1, SP-5 KI-3, ST-36, UB-13, UB-20, UB-23, Yishu For severe thirst: + LU-10, LU-11, UB-17 For increased appetite with muscular atrophy: + Pirexue, REN-12, UB-21 For frequent urination: + KI-5, KI-7, REN-4

LOWER JIAO DEFICIENCY HEAT

Clinical Manifestations	Excessive urination Low back weakness and pain Weakness of the legs Constipation Blurred vision Dizziness Malar flush Afternoon fever Poor memory Nocturnal emissions T: Red C: Little or None P: Thready and rapid
Treatment Principle	Strengthen the Kidneys Nourish Yin
Herb Formulas
Points	GB-25, KI-2, KI-3, REN-4, REN-6, SP-6, UB-23 For thirst with a yellow, dry tongue coat and an overflowing pulse: + LI-4, LI-11, ST-41 For severe thirst: + KI-1, LIV-2 For a great desire to drink: + 1. KI-2, SI-1, UB-49 2. KI-2, REN-24, SI-1, UB-49 For thirst with emaciation: + Moxa REN-4 (100 cones) For Yin Deficiency with Yang Rising: + DU-14, HT-6 For severe night sweats: + SI-3 For Qi Deficiency: + moxa or moxa needle REN-4, REN-6 For Yang Deficiency: + moxa or moxa needle DU-4, REN-4 For increased appetite with muscular atrophy: + Huatuojiaji lateral to L-6, Pirexue, REN-12, UB-21 For Kidney Deficiency with anhidrosis, difficulty moving the low back, abdominal disention and lateral costal pain: + UB-29, UB-49 DU-26, KI-2, LI-11, LIV-2, LIV-3, Jinjin-Yuye, PC-8, REN-23, REN-24, SP-1, SP-5 KI-3, ST-36, UB-13, UB-20, UB-23, Yishu For severe thirst: + LU-10, LU-11, UB-17 For increased appetite with muscular atrophy: + Pirexue, REN-12, UB-21 For frequent urination: + KI-5, KI-7, REN-4

DIABETES (XIAO KE), DIABETES MELLITUS, DIABETES INSIPIDUS

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas

Points

Clinical Manifestations

Treatment Principle

Herb Formulas