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MALE MENOPAUSE

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points

LUNG AND KIDNEY YIN DEFICIENCY WITH PHLEGM-DAMPNESS

Clinical Manifestations	Productive cough with white, difficult-to-expectorate Phlegm The mucus may have a salty taste Nausea Dizziness Blurred vision Bloody stools Stuffy chest T: Red C: Greasy and white P: Thready and rapid
Treatment Principle	Enrich and nourish Lung and Kidney Yin Eliminate Dampness Transform Phlegm
Herb Formulas	Jin Shui Liu Jun Jian
Points

PHLEGM-FIRE DISTURBS THE HEART

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 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 Gallbladder Harmonize the Stomach Clear Heat
Herb Formulas	Huang Lian Wen Dan Tang Wen Dan Tang
Points

HEART BLOOD DEFICICNEY WITH LIVER QI STAGNATION

Clinical Manifestations	Shen disturbance Depression Restlessness Easily angered Paranoia Dream disturbed sleep Palpitations T: Pale red C: Thin and white P: Thready and wiry
Treatment Principle	Nourish the Heart Calm the Shen
Herb Formulas	Gan Mai Da Zao Tang
Points

HEART QI AND KIDNEY YANG DEFICIENCY

Clinical Manifestations	Palpitations Deafness Blurred vision Whole body itching Lower abdominal distention and pain T: Pale C: White P: Deep[ and thready
Treatment Principle	Strengthen the Heart and Kidneys Tonify Yang
Herb Formulas	Wai Tai Bu Shen Fang
Points

LIVER QI STAGNATIION WITH BLOOD DEFICIENCY

Clinical Manifestations	Fatigue Anorexia Flank distention Dizziness Tinnitus Dry mouth T: Dark C: White P: Wiry and forceless
Treatment Principle	Spread the Liver Regulate Qi Tonify the Spleen Nourish the Kidneys
Herb Formulas	Hei Xiao Yao San
Points

LIVER AND KIDNEY YIN WITH LIVER QI STAGNATION

Clinical Manifestations	Cardiac pain Flank pain Irritability Insomnia Dream disturbed sleep A dry mouth Parched throat Yellow urine Constipation T: Red C: Little or None P: Thready and wiry
Treatment Principle	Harmonize the Liver and Kidneys Nourish Yin
Herb Formulas	Yi Guan Jian
Points

KIDNEY YIN AND YANG DEFICIENCY

Clinical Manifestations	Aversion to Cold Cold limbs Frequent hot flashes with sweating Headache Dizziness Vertigo Tinnitus Dry mouth and throat Aches in the waist Weakness Five Sole Heat Malar flush Spermatorrhea Impotence Alternating Hot and Cold sensations T: Pale or Pink or Pale-pink C: Thin or None P: Deep and thready or Deep and weak or Deep, thready and wiry
Treatment Principle	Nourish and balance Kidney Yin and Yang
Herb Formulas	Zuo Gui Wan + Er Xian Tang
Points	KI-2, KI-3, KI-6 or KI-7, REN-4, SP-6, ST-36 DU-4, KI-3, REN-4, UB-23 KI-3, KI-7, REN-4, SP-6, UB-20, UB-23

KIDNEY JING DEFICIENCY

Clinical Manifestations	Dizziness Tinnitus Hearing loss Stiffness of the spine Low back and knees weak and aching Leg pain and weakness Decalcification of teeth Hair loss Graying or whitening of the hair Weak sexual function Atrophy and weakness of the feet with difficulty walking Poor memory Loss of concentration Sexual activity weakened Reproductive ability ceases Senility (premature or mature) Brittle bones Gradual deterioration of the hearing With Yang Deficiency: Aversion to Cold Edema of the lower limbs Incontinence Fatigue Anorexia Soft stools Hypersalivation Impotence Loss of sperm Lack of erection T: Pale and swollen C: White P: Deep and weak With Yin Deficiency: A flushed face Dry mouth, worse in the evening Thirst Constipation Night sweats Five Sole Heat Excess excitability Premature ejaculation Nocturnal emissions with dream disturbed sleep T: Red C: Little or None P: Thready and rapid
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	With Yin Deficiency: Zuo Gui Wan With Yang Deficiency: You Gui Wan
Points	DU-4, HT-7, KI-3, REN-4, UB-11, UB-15, UB-23 DU-4, DU-17, GB-39, KI-3, REN-4, REN-6, UB-11, UB-23

MIDDLE JIAO DEFICIENCY

Clinical Manifestations	Fatigue Palpitations Forgetfulness Spontaneous sweating A heavy body Shortness of breath T: Pale C: Thin P: Weak
Treatment Principle	Strengthen the Middle Jiao Tonify Qi
Herb Formulas	Huang Qi Jian Zhong Tang
Points