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HYPOGLYCEMIA (LOW BLOOD SUGAR)

COLD-DAMP DISTRESSES THE SPLEEN

Clinical Manifestations	Distention and fullness of chest, epigastrium and abdomen Nausea Acid reflux Vomiting Anorexia Loose stools Diarrhea Reduced sensation of taste No thirst or preference for hot drinks Sticky sensation in mouth Borborygmus Dizziness Heavy, tired extremities Lassitude Somnolence particularly after eating Maybe insomnia at night Variable fatigue, may feel better for activity and exertion Yin jaundice Heavy head Difficulty concentrating Maybe edema Maybe copious white vaginal discharge Maybe cold limbs, fear of Cold or feeling chilled T: Pink and swollen C: Thick, white and greasy or sticky P: Deep and slow or Soft or Slippery
Treatment Principle	Warm Cold Transform Dampness Harmonize the Stomach Strengthen the Spleen
Herb Formulas	Ping Wei Sanmodified Chinese Patent Medicines: Er Chen Wan Xiang Sha Liu Jun Zi Wan
Points	Moxa or moxa needle REN-6, REN-12, SP-6, SP-9, ST-36, UB-20 DU-20, GB-20, KI-6, REN-12, SP-3, SP-6, SP-9, ST-36, ST-40, UB-62 Cold-Damp Dysentery: Moxa or moxa needle LI-4, REN-6, REN-12, SP-6, ST-25, ST-37 Cold-Damp Diarrhea: Moxa or moxa needle REN-6, REN-12, ST-25, ST-36, ST-37, UB-25 Cold-Damp Vaginal Discharge: Moxa or moxa needle GB-26, REN-4, REN-6, SP-6, ST-36, UB-30 Cold-Damp Jaundice (Yin Jaundice): Moxa or moxa needle DU-9, GB-24, LIV-13, SP-9, ST-36, UB-19, UB-20 , UB-48

SPLEEN QI AND BLOOD DEFICIENCY

Clinical Manifestations	Sallow, pale complexion Mental and physical fatigue Daytime drowsiness and a desire for sleep worse with exertion and after meals May be Blood deficient insomnia at night Anorexia Nausea Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White P: Even, forceless and Deficient or Deficient and weak
Treatment Principle	Strengthen the Spleen Benefit Qi Dry Dampness if necessary
Herb Formulas	Xiang Sha Liu Jun Zi Tang modified Ren Shen Yang Rong Tang Shi Quan Da Bu Tang With Spleen Qi Sinking: Bu Zhong Yi Qi Tang Chinese Patent Medicines: Bu Zhong Yi Qi Wan Ba Zhen Wan Ren Shen Yang Ying Tang
Points	DU-20, KI-6, REN-12, Sishencong, SP-3, SP-6, ST-36, ST-40, UB-62 LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

SPLEEN YANG DEFICEINCY

Clinical Manifestations	Sallow complexion 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 Frequent, clear urination 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 the Center Dispel Cold
Herb Formulas	Huang Qi Jian Zhong Tang
Points	Moxa LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

SPLEEN AND STOMACH DEFICIENCY COLD

Clinical Manifestations	Mild constant epigastric pain; relieved by warmth and pressure Anorexia Abdominal pain and fullness after meals Nausea Vomiting Loose, unformed stools Excessive salivation Cold limbs Lassitude Weakness Sallow or pale, dull complexion Maybe edema Maybe scanty urination Maybe clear, watery, copious vaginal discharge T: Pale C: White and greasy P: Deep, thready and forceless
Treatment Principle	Strengthen the Spleen Warm Yang Warm the Center Dispel Cold
Herb Formulas	Xiao Jian Zhong Tang
Points	Moxa or moxa needle LIV-13, REN-12, SP-3, SP-6, ST-36, UB-20, UB-21

SPLEEN DEFICIENCY WITH STOMACH EXCESS

Clinical Manifestations	Rapid hungering after eating Sweating Hunger and nervousness 2-4 hours after eating Emaciation Thirst A clamoring Stomach Abdominal fullness after eating Restlessness with fatigue Loose stools or Constipation Lassitude T: Enlarged with lateral cracks C: Yellow, especially in the middle P: Thready, wiry and maybe rapid
Treatment Principle	Regulate the Spleen and Stomach Strengthen the Spleen Clear the Stomach
Herb Formulas	Ban Xia Xie Xin Tang modified
Points	REN-12, SP-6, ST-36, ST-44 For spontaneous perspiration: + KI-7, LI-4 For loose stools: + SP-9 For constipation: + SJ-6 For abdominal fullness after eating: + PC-6, SP-4 For severe fatigue: + SP-3

STOMACH QI DEFICIENCY

Clinical Manifestations	Epigastric fullness and distention No desire for food and drink Frequent belching Borborygmus Loss of sensation of taste Stools not solid Urine clear and abundant T: Pale C: Thin and white P: Weak and Deficient
Treatment Principle	Strengthen Qi Invigorate the Spleen and Stomach
Herb Formulas	Huang Qi Jian Zhong Tang
Points	REN-6, REN-12, SP-6, ST-21, ST-36, UB-20, UB-21

LIVER QI STAGNATION INVADES THE SPLEEN

Clinical Manifestations	Weakness and discomfort with nervousness and irritability 2-4 hours after a meal Abdominal distention and pain especially after meals which are worse with emotional upset or stress Hypertension Flank, chest, breast and diaphragmatic distention and pain Gas Borborygmus Diarrhea Distention and pain in the sides or flanks Suffocating sensation in the chest Tendency to sigh Melancholy Depression Mood changes Fatigue Maybe a headache Maybe spontaneous perspiration Loose stools Reduced appetite Inappropriate anger Women: Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink or Pale C: White or White and greasy P: Slippery and wiry or Thready and wiry
Treatment Principle	Soothe the Liver Invigorate the Spleen Tonify Qi
Herb Formulas	Xiao Yao San modified For Liver Qi Stagnation transforming into Heat with frequent anger and permanent irritability and a bitter taste in the mouth: Xiao Chai Hu Tang modified
Points	LIV-3, PC-6, SP-3, ST-36 For nausea: + SP-4 For frequent hunger and thirst: + ST-44 For severe fatigue and weakness after meals: + UB-20, UB-21 For Liver Qi Stagnation transforming into Heat: - LIV-3, + LIV-2 For dizziness: + GB-20 For tremors: + LI-4 For spontaneous perspiration: + KI-7, LI-4 LIV-3, LIV-13, SP-6, ST-25, ST-36, ST-37

KIDNEY YANG DEFICIENCY WITH WATER FLOODING

Clinical Manifestations	Edema of whole body particularly at and below the waist Pitting edema Low back pain, aching and heaviness Abdominal distention with full sensations Oliguria Cold limbs Face gray and congested or pale Feeling nervous and cold with mental weariness In severe cases: Ascites Edema of scrotum T: Pale and swollen C: Thin, white or Thick, white and sticky P: Deep and thready With Water Flooding the Lungs: Cough with copious, thin watery phlegm Asthma with phlegmy sound (wheezing) Dyspnea Facial edema Edema of limbs Dysuria T: Pale and swollen C: White and moist or White and greasy P: Superficial and tight
Treatment Principle	Warm the Kidneys Promote diuresis
Herb Formulas	Ji Sheng Shen Qi Wan
Points	KI-7, REN-6, REN-9, SP-6, SP-9, ST-28, ST-36, UB-20, UB-22, UB-23, UB-39

QI DEFICIENCY WITH PHLEGM STAGNATION

Clinical Manifestations	Mental confusion Faintness Heavy headedness, especially 2-4 hours after eating Poor Appetite The sound of Phlegm in the throat May vomiting of clear Fluids or drool Lassitude Somnolence Tremors of the limbs T: Pale C: White P: Wiry and slippery
Treatment Principle	Strengthen the Spleen Tonify Qi Transform Phlegm
Herb Formulas	Di Tan Tang modified
Points	DU-20, SP-9, ST-36, ST-40 For severe heavy headedness and dizziness: + GB-20 For vomiting of clear Fluids or drool: + REN-12 For severe fatigue and weakness: + UB-20, UB-21 For tremors of the limbs: + LI-4, LIV-3 For somnolence: + LI-3 For a poor appetite: + REN-21, ST-21

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Palpitations Faintness Sweating and nervousness 2-4 hours after eating A pale, white or sallow complexion Restlessness Dizziness Shortness of breath Weakness Fatigue Shortness of breath Spontaneous perspiration A poor appetite Pale lips and nails Impaired memory T: Pale C: White P: Thready and weak
Treatment Principle	Tonify and nourish Qi and Blood Nourish the Heart Calm the Shen
Herb Formulas	Ba Zhen Tang modified
Points	HT-7, SP-6, ST-36 For severe Blood Deficiency: + UB-17 For severe Qi Deficiency: + SP-3 For cold limbs and long, clear urination: + moxa or moxa needle REN-4 For severe Heart palpitations: + PC-6 For spontaneous perspiration: + KI-7, LI-4 For insomnia and restlessness: + DU-20 For Food Stagnation: + ST-21