Ask The Doctor | Donate

back to conditions index

LACRIMATION

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas	Zi Shen Ming Mu Tang Obstruction of the nasolacrymal canal with Lacrimation of cold tears: Wu Zhu Yu Tang
Points

WIND-COLD ATTACKS THE LUNGS (SEVERE)

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 Vomiting of frothy saliva during pregnancy Chest distention Dry heaves Decreased urine Subcardiac edema Stridor Occasional chills on the back Hiccups Retching Dysphagia Diarrhea Dysuria Flushed face Dizziness Headache Inflammation of the tear ducts T: Pink C: Moist or White and greasy P: Superficial and tight
Treatment Principle	Release the Exterior Transform congested Fluids (Thin Mucus) Transform Phlegm Warm the Lungs Descend Qi Relieve wheezing and cough
Herb Formulas	Xiao Qing Long Tang
Points

WIND-COLD ATTACKS THE LIVER CHANNEL

Clinical Manifestations	Predisposing condition: Blood Deficiency Cold tears appear on exposure to Wind Emaciation Pale face Pale lips Pale nails T: Pale P: Thready If Yang Deficiency also is present: Chills Cold extremities T: Pale C: White and moist P: Deep and slow
Treatment Principle	Nourish the Blood Expel Cold
Herb Formulas	Yang Xu Qu Han Yin
Points

WIND HEAT ATTACKS THE LIVER CHANNEL

Clinical Manifestations	Hot tears appear on exposure to Wind Red eyes Eyes feel gritty Dry mouth Dry nose Dizziness Vertigo Tinnitus T: Red C: Thin white P: Wiry or Thready and rapid
Treatment Principle	Mild cases: Cool the Liver Expel Wind Severe cases: Expel Wind-Heat Nourish Yin Clear Fire
Herb Formulas	Mild cases: Ling Yang Jiao San Bai Jiang Can San Severe cases: Long Dan Xie Gan Tang
Points

KIDNEY AND LIVER YIN DEFICIENCIES WITH KIDNEY YANG DEFICIENCY

Etiology	Excess sexual activity weakens Jing and Blood. Continuous crying weakens Yin and fluids. When Yin is weakened, Yang is also damaged leading to Kidney Yang Deficiency.
Clinical Manifestations	Frequent watery eyes with cold tears Worse in cold weather Dry, gritty eyes Blurry vision Dizziness Vertigo Weak, aching low back and legs Insomnia Spermatorrhea T: Variable C: Thin P: Variable
Treatment Principle	Warm the Liver and Kidneys Nourish Jing and Blood
Herb Formulas	Zhu Jing Wan modified + She Xiang San (sniffed)
Points

KIDNEY AND LIVER YIN DEFICIENCY WITH EMPTY FIRE FLARING

Clinical Manifestations	Predisposing conditions: Kidney and Liver Yin Deficiencies Precipitating factors: Excess crying Frequent hot lacrimation Lacrimation occurs randomly but more frequently during the day Eyes re dry and gritty at night Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Tonify the Liver and Kidneys
Herb Formulas	Jia Wei Dang Gui Yin Zi Qi Ju Di Huang Wan modified Zuo Gui Yin modified
Points

KIDNEY AND LIVER YIN DEFICIENCY WITH BLOOD DEFICIENCY LEADING TO EMPTY FIRE RISING WITH BLOOD STAGNATION AND LIVER WIND

Clinical Manifestations	Enlarged pupils Blurred vision Photophobia Excessive tearing Lightheadedness Vertigo Dry eyes Irritation of the eyes Photophobia Poor vision Red eyes Dizziness Glare Insomnia Night sweating Pain in the lower back Weakness of lower back T: Red-tipped (may be trembling) C: Little or None P: Rapid and Empty
Treatment Principle	Nourish Yin Descend Liver Yang Dispel Internal Wind Brighten the eyes
Herb Formulas	Shi Hu Ye Guang Wan
Points

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Lacrimation Irregular menstruation Reduced appetite Soreness in the lower back Red and white vaginal discharge Weak extremities Abdominal distention Pallid or sallow complexion Palpitations with anxiety that may be continuous Reduced appetite Shortness of breath Laconic speech Easily fatigued extremities Light-headedness and/or vertigo Dizziness Anorexia Thirst Course skin Headache Blurred vision Lassitude Severe chills and fever Midline pain in women Lower abdominal pain Lower abdominal distention Severe chills and fever Irregular menstruation Weight loss Abscesses that neither suppurate nor improve Continuous spotting from uterine bleeding Weakness of the limbs Itching Under weight T: Pale C: Thin and white P: Thin and frail or Large and Deficient without strength
Treatment Principle	Tonify and augment Qi and Blood
Herb Formulas	Ba Zhen Tang modified
Points