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HANGOVER

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	GB-8 DU-4, DU-10, GB-3, GB-4, GB-5, GB-6, SI-1, SJ-12, ST-36, UB-22, UB-57, UB-60 DU-23, GB-18, HT-3, REN-4, ST-1, ST-2, ST-3, ST-4, ST-41, UB-9, UB-12 DU-18, DU-23, LI-1, LI-11, SI-11, UB-63 DU-20, GB-20, HT-7, KI-1, LI-4, REN-5, ST-8, ST-36, UB-40

WIND-COLD INVASION WITH CONGESTED FLUIDS IN THE INTERIOR AND A WEAK CONSTITUTION

Clinical Manifestations	Fever and chills Aversion to Cold Headache Stuffy nose Cough with profuse sputum Chest fullness Fatigue Lethargy Abdominal fullness Loose Stools Spontaneous sweating Shortness of breath Nasal obstruction No desire to speak Fullness and distention in the chest and diaphragm Gastric distention Nausea and vomiting Anorexia T: Pale and thick C: White or White and greasy P: Superficial or Weak
Treatment Principle	Tonify Qi Release the Exterior Harmonize the Stomach Transform Phlegm
Herb Formulas	Shen Su Yin
Points

TAI YANG, YANG MING, SHAO YIN HEAT

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 Coughing Reddish urine Dyspnea Vertigo Severe aversion to Cold 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
Points

PHLEGM-DAMP DISTURBS THE LUNGS

Clinical Manifestations	Cough with copious, dilute, white frothy or lumpy sputum Chest and epigastric congestion Palpitations Headache Pain and full feeling in chest Dyspnea - worse lying down Asthma Throat rattle Maybe anorexia Lassitude Nausea/vomiting Dizziness/vertigo Shortness of breath Wheezing Acute attack of panting with high pitched sound and rapid exhalation Facial edema Weak extremities T: Pale C: Thick, white and greasy or sticky P: Slippery or Soft
Treatment Principle	Dry Dampness Transform Phlegm Regulate Qi Harmonize the Middle Jiao
Herb Formulas	Er Chen Tang
Points

SPLEEN AND STOMACH DAMP-HEAT

Clinical Manifestations	Hangover Headache Heart irritability Trembling of the hands and feet Chest and diaphragm distention Reduced appetite Dizziness Hypochondriac pain Nausea Vomiting sour and bitter fluids Yang jaundice (sclera and skin bright yellow) Pain and fullness in ribs on both sides Maybe pain in the right hypochondrium Bitter taste in mouth Anorexia Maybe alternating chills and fever Concentrated, dark urine Fatigue Diarrhea Loose stools Inhibited urination Abdominal distention Women: Yellow vaginal discharge with foul smell Pruritis vulvae Men: Pain, swelling and burning sensations of testicles T: Pink or Pale and thick C: Yellow and greasy or sticky or Smooth and white P: Wiry and rapid or Slippery and rapid or Slippery or Slow
Treatment Principle	Separate and reduce alcohol-Dampness Warm the Middle Strengthen the Spleen and Stomach Clear Damp-Heat
Herb Formulas	Ge Hua Jie Cheng San
Points

STOMACH AND LIVER HEAT

Clinical Manifestations	Recurrent or relentless acid reflux and heartburn, aggravated by coffee, chocolate and alcohol or stress The patient may wake in the middle of the night (1-2 am) with discomfort and reflux Sour or bitter belching Epigastric discomfort or burning sensation Indeterminate, gnawing hunger Foul stools Dry mouth Thirst Irritability Quick temper T: Red with red edges C: Yellow P: Wiry and/or slippery, maybe rapid
Treatment Principle	Clear Heat from the Stomach and Liver Harmonize the Stomach Descend Stomach Qi
Herb Formulas	Hua Gan Jian Jia Wei Severe cases: Zuo Jin Wan modified When Stomach Heat is primary: Qing Wei San modified Chinese Patent Medicines: Jia Wei Xiao Yao San Wen Dan Wan Wei Te Ling Xiang Lian Wan
Points	GB-34, LI-11, LIV-2, PC-8, REN-12, REN-13, REN-17, ST-36, ST-44 With severe Heat: + SJ-2, ST-45 With constipation: + SJ-6, ST-25 With Lung and Stomach Heat: + LU-5 With nausea: + PC-6 Ear: Esophagus, Pylorus, Liver, Spleen, Stomach, Shenmen, Subcortex, Sympathetic

LIVER FIRE

Clinical Manifestations	Severe, splitting headaches with dizziness The headaches are usually temporal Sudden tinnitus or deafness of short duration related to emotional stress, alcohol, tobacco or diet The tinnitus is usually high pitched There may be ear pain and discharge Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth and throat Bitter taste in mouth Thirst Vomiting sour or bitter liquid Insomnia Restlessness Hypochondriac pain Constipation or dry stools Maybe rib pain Constipation Concentrated urine In severe cases: Mania Hemoptysis Hematemesis Epistaxis Liver Fire Attacks the Lungs: Hemoptysis Rib pain which is severe when coughing Liver Fire Attacks the Stomach: Hematemesis T: Red tip and edges C: Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang Chinese Patent Medicines: Long Dan Xie Gan Wan
Points	GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19 GB-20, GB-34, GB-40, LI-5, LIV-2, LIV-3, SJ-3, SJ-5, SJ-17 With Yin Deficiency and Yang Rising: + KI-1, KI-3, UB-18, UB-23

DAMPNESS ACCUMULATION

Clinical Manifestations	Vomiting Chest distention Diarrhea Thirst Chills and fever Anhidrosis Headache Wheezing from Phlegm Cough Lack of strength in the extremities No desire for food or drink Dark, scanty urine Fullness and distention in the diaphragm Fatigue T: Normal C: Slippery and white
Treatment Principle	Strengthen the Spleen Transform Dampness
Herb Formulas	Liu He Tang
Points

HEAT IN THE CHEST WITH COLD IN THE STOMACH

Clinical Manifestations	Stifling sensation and irritability in the chest Nausea with an urge to vomit Abdominal pain Fever with slight chills Diarrhea Vexation Borborygmus Thirst T: Pink C: White and greasy P: Wiry
Treatment Principle	Regulate Cold and Heat Harmonize the Stomach Descend Rebellious Qi
Herb Formulas	Huang Lian Tang
Points

LOWER JIAO DAMP-HEAT WITH LINGERING EXTERIOR SYMPTOMS

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 Raise Yang to stop diarrhea
Herb Formulas	Ge Gen Huang Qin Huang Lian Tang
Points