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LIP PAIN

WIND-COLD

Clinical Manifestations	Sudden onset of lip pain after catching a cold A cold feeling on the face and lips A purplish color around the lips Aggravation of lip pain on exposure to Cold Aversion to Cold A slight fever Headache Generalized body pain Lack of thirst Coughing with expectoration of white Phlegm T: normal C: Thin and white P:Floating and tight
Treatment Principle	Dispel wind Eliminate Cold Remove toxins
Herb Formulas	Jing Fang Bai Du San modified Chinese Patent Medicines: Jing Fang Bai Du Pian Chuan Xiong Cha Tiao Pian
Points	LI-4, LU-7, REN-24, SJ-5, ST-4, UB-12 With severe lip pain: + SP-8, ST-34 With swollen lips: + ST-40 With insect bites: + DU-10, SP-6 With aggravation of the pain on exposure to Cold: + moxa or moxa needle LI-4, REN-6, SJ-5 With a headache: + GB-20 With a cough and expectoration of white Phlegm: + LU-5, UB-13

WIND-HEAT

Clinical Manifestations	Sudden onset of lip pain with a burning sensation Yellow blisters on the lips Red, swollen lips Fever A slight aversion to Cold Headache Thirst Coughing T: Red tip C: Thin and yellow P: Floating and rapid
Treatment Principle	Dispel wind Clear Heat Remove toxins
Herb Formulas	Yin Qiao San modified Chinese Patent Medicines: Yin Qiao Pian Yin Qiao Jie Du Pian
Points	DU-24, DU-28, LI-2, LI-4, LU-7, LU-10, SJ-3, ST-4 For many blisters with a yellow discharge : + GB-43, ST-44 With swollen lips: + ST-40 With insect bites: + DU-10, SP-6 With a fever: + DU-14 With a headache: + GB-20 For a cough with expectoration of yellow Phlegm: + UB-12, UB-13

WIND-HEAT (FIRE) WITH SPLEEN AND STOMACH DAMP-HEAT

Clinical Manifestations	Chronic or recurring burning pain, redness, swelling, dryness, cracking, bleeding, blistering, erosion, exfoliation and crusting of the lips Dry mouth A bitter taste in the mouth A sticky or cloying sensation in the mouth Thirst with no desire to drink A red complexion Greasy skin Possible strong body odor Anorexia Morning nausea Fullness and stuffiness in the chest Restlessness Irritability Maybe a low-grade or afternoon fever A heavy sensation of the body Lethargy Loose stools or A tendency toward sluggish stools or Constipation Concentrated urine T: Reddish C: Dry or greasy and yellow P: Slippery or Soft and rapid or Thready and rapid
Treatment Principle	Dispel Wind and Heat Clear Damp-Heat Nourish and cool the Blood Moisten Yin and Dryness
Herb Formulas	Si Wu Xiao Feng San Topical: Huang Lian Gao Chinese Patent Medicine: Xiao Feng Wan Xi Gua Shuang
Points	DU-26, DU-27, LI-4, LI-11, LIV-8, REN-12, REN-24, ST-4, SP-9, ST-4, ST-36

WIND-DAMP-HEAT (FIRE)

Clinical Manifestations	Burning lip pain, itchiness or tingling in the early stages Cracked or swollen lips Blisters or erosion appear over time Maybe a serous exudate The lips may quiver or tremble Maybe bleeding, dryness, gradual exfoliation and scabbing A thin, yellow membrane may appear over the mucous membrane of the inner lip Fever or Fever and chills or Alternating fever and chills Thirst with a desire for cool drinks Halitosis Dry stools Constipation Concentrated urine Frontal headache Y: Red o0r Red tip C: Yellow P: Floating in the early stage, becoming slippery or wiry and rapid
Treatment Principle	Dispel Wind-Damp-Heat Clear Toxic Heat
Herb Formulas	Shuang Jie Tong Sheng San Topical: Huang Lian Gao Chinese Patent Medicine: Fang Feng Tong Sheng Wan Huang Lian Shang Qing Pian Niu Huang Jie Du Pian Xi Gua Shuang
Points	DU-14, DU-26, DU-27, LI-4, LI-11, REN-24, ST-4, ST-36, ST-44 With constipation: + SJ-6, ST-25 With severe Heat, redness and swelling: + ST-45 Ear: Mouth, Lips, Spleen, Shenmen

SPLEEN AND STOMACH EXCESS HEAT

Clinical Manifestations	Lip pain with redness and swelling Cracked lips Ulcerations on the lips or tongue Thirst with a preference for cold drinks Hungers easily Toothache Bad breath Constipation Stomach pain Maybe gum bleeding T: Red C: Yellow and dry P: Forceful and rapid
Treatment Principle	Clear Heat Reduce Fire Stop pain
Herb Formulas	Qing Wei San modified Xie Huang San Chinese Patent Medicine: Wei Te Ling
Points	DU-28, LI-4, LI-11, SP-2, ST-3, ST-4, ST-42, ST-44, ST-45 With an ulcerated tongue and lips and bad breath: + SP-6, ST-40 With bleeding gums: + SP-10 With Stomach pain: + REN-12, UB-21 With thirst and dry lips and mouth: + SP-5 With constipation: + ST-25

STOMACH FIRE BLAZING

Clinical Manifestations	Lip pain which is better with Cold 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
Points	LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

LIVER QI STAGNATION WITH LIVER FIRE AND STAGNANT HEAT

Clinical Manifestations	Chronic or recurrent burning pain of the lips with r3edness, swelling, erosion and blistering vesicles Outbreaks are initiated by stress Frontal or temporal headaches Shoulder and neck tension Tooth grinding at night Red eyes Facial flushing Depression Irritability Moodiness Angers easily Hypochondriac tension or discomfort Dizziness A bitter taste in the mouth Irregular menstruation Premenstrual syndrome Breast tenderness T: Dark with red edges C: Thick and yellow P: Wiry and rapid
Treatment Principle	Regulate Liver Qi Clear Heat Resolve Dampness Purge Fire
Herb Formulas	Long Dan Xie Gan Tang modified Without Stagnant Heat or Fire: Xiao Yao San modified Topical: Huang Lian Gao Chinese Patent Medicine: Jia Wei Xiao Yao Wan Long Dan Xie Gan Wan Xiao Yao Wan Ban Lan Gen Chong Ji Bei Jing Niu Huang Jie Du Pian Topical: Xi Gua Shuang
Points	DU-26, DU-27, GB-34, LI-4, LIV-2, LIV-3, LIV-13, REN-24, ST-4, ST-36, ST-44 With Damp: + SP-9 With nausea: + PC-6 With epigastric pain: + ST-21, ST-34 Ear: Liver, Mouth, Lips, Spleen, Shenmen

YIN DEFICIENCY WITH FIRE RISING

Clinical Manifestations	Dry, painful lips Cracked lips Hot flashes Night sweats Thirst Insomnia Restlessness Dry stools or Constipation T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Descend Deficiency Fire Sedate pain
Herb Formulas	Zhi Bai Di Huang Wan modified Chinese Patent Medicine: Zhi Bai Di Huang Wan
Points	KI-2, KI-3, KI-7, KI-10, REN-24, SP-2, SP-6, ST-4 With lower back and knee weakness and pain: + UB-23, UB-58 With nocturia: + KI-6, REN-4 With insomnia and dream-disturbed sleep: + HT-3, HT-8 With thirst and a dry mouth: + Jinjin-Yuye, LU-8 With constipation: + ST-25

QI AND BLOOD STAGNATION

Clinical Manifestations	Intermittent lip pain, closely related to the emotional state Sometimes stabbing pain Tic Numbness of the lips Purplish lips T: Purplish C: Thin P: Wiry
Treatment Principle	Circulate Qi Invigorate the Blood Stop pain
Herb Formulas	Tao Hong Si Wu Tang modified Chinese Patent Medicine: Xiao Huo Luo Dan
Points	DU-28, LI-4, LIV-3, REN-24, SP-6, SP-10, ST-4 With obviously swollen lips: + UB-17 With emotional upset: + LIV-2, LIV-14 With pain and spasms of the facial muscles: + ST-5, ST-6 With tics of the lips: + GB-20 With a painful tongue: + HT-3, HT-6 With a generalized stabbing pain in the body: + SP-21, ST-40