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Knowledge baseConditions

Abdominal Fullness and Distention (bloating)

Also known asAbdominal Fullness and Distention

Patterns
76

GENERAL

Manifestations

Bloating of the belly

Herbal formulas

  • For bloating of the belly and queasiness following emesis or sweating: Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang
  • For bloating and repletion of the belly following purging, emesis or sweating: Zhi Zi Hou Po Tang

Points

  • LU-9, LI-11, LIV-13, REN-3, REN-5, REN-10, REN-12
  • GB-39, ST-44
  • REN-6 through to REN-3, Weishangxue
  • UB-21, UB-23
  • ST-25, ST-36, PC-6, REN-4, REN-6
  • LI-4, ST-36, SP-15, SJ-6
  • SP-4, PC-6
  • LU-7, KI-6
  • With feeble belly muscles: SP-13
  • Taut like a drum: LIV-4, KI-14
  • With repletion of the flank: LI-9, ST-36, GB-34
  • Bloating of the lower belly: ST-44, GB-41

01TAI YANG SHANG HAN WITH SPLEEN AND STOMACH DEFICIENCY

Manifestations

  • Shivering with an elevated temperature
  • Dislike of Cold
  • Pain in the head
  • Absence of sweating
  • Bloating of the chest and/or stomach region
  • Pain in the stomach
  • Queasiness
  • Emesis
  • Rumbling bowel sounds
  • Watery bowel movements (acute)
  • Pain in the belly
  • A craving to drink
  • Parched throat
Tongue body
Unremarkable
Coating
Oily and chalky
Pulse
Superficial and taut

Treatment principles

  • Scatter Wind
  • Ease the Exterior
  • Fortify the Spleen and Stomach

Herbal formulas

With Fluid buildup in the Interior:

Points

DU-16, GB-20, KI-7, LI-4, LIV-13, LU-7, REN-12, SJ-5, SP-3, ST-36, UB-12, UB-13, UB-20

02TAI YANG - YANG MING

Manifestations

  • Elevated temperature and shivering, with the temperature climbing as the shivering eases
  • Pain in the head
  • Absence of sweating
  • Rigidity and soreness of the limbs
  • Pain around the eye socket
  • Pain in the eye
  • Tightness across the shoulders and neck
  • Parched nasal passages
  • Quick temper
  • Difficulty sleeping
  • Bound bowels
  • A sense of repletion in the belly
  • Pyrexia
  • A straining urge to defecate
  • Emesis
  • A craving to drink
  • Nosebleed
Tongue body
Unremarkable
Coating
Sparse and amber
Pulse
Superficial and somewhat surging

Treatment principles

  • Expel Wind
  • Free the muscle layer
  • Eliminate Interior Heat

Herbal formulas

03YANG MING JING

Manifestations

  • Marked pyrexia
  • Copious sweating
  • An intense craving to drink fluids
  • Pain in the belly
  • Parchedness
  • Quick temper
  • Agitation
  • Areas of the body that feel hot to the touch
  • A flushed face
  • A sense of repletion in the belly with no resistance to palpation
  • Parched stools
  • Bowel movements not bound
  • No dislike of Cold
Tongue body
Crimson, parched
Coating
Parched amber
Pulse
Undulating and quickened (immense)

Treatment principles

  • Eliminate Heat
  • Diminish pyrexia
  • Hydrate and restore fluids

Herbal formulas

  • With watery bowel movements: Ge Gen Tang
  • With emesis but no watery bowel movements: Ge Gen Jia Ban Xia Tang
  • With perspiration unprompted by exertion, no shivering, a markedly flushed complexion, quickened breathing, and an inability to lie down: Gui Zhi Tang

Points

  • DU-14, KI-3, KI-6, LI-4, LI-11, SP-6, ST-44
  • With Qi and Body Fluid Vacuity: DU-14, LI-11, REN-6, REN-12, SP-3, ST-36, ST-44, UB-20
  • With watery bowel movements:
  • To Drive out Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12
  • To Scatter the Lungs: LU-7, UB-13
  • To halt watery bowel movements: Moxa REN-8, REN-12, ST-25, ST-36
  • With emesis but no watery bowel movements:
  • To Drive out Wind Cold: Sedate DU-16, GB-20, LI-4, SJ-5, UB-12
  • To Scatter the Lungs: LU-7, UB-13
  • To halt emesis: PC-6, SP-4

04YANG MING JING WITH QI AND BODY FLUID DEFICIENCY

Manifestations

  • Marked pyrexia
  • Copious sweating
  • Overall debility
  • Pronounced shivering
  • Dislike of Heat
  • A flushed face
  • Pronounced craving to drink
  • The craving to drink may go unsatisfied
  • Quick temper
  • Apprehension
  • Itchiness
  • Pain in the head
  • Tooth pain
  • Gingival hemorrhage
  • Nosebleed
  • Parched lips
  • Parched tongue
  • Parched mouth
  • The upper back may be susceptible to Cold
  • Excessive urination
  • False beliefs
  • Engorgement of the eyes
  • A scalding feeling on the skin
  • Pruritic skin
  • A sense of repletion in the belly with no resistance to palpation
  • Parched, rough skin
  • Enervation
  • Respiration may be strained and difficult
  • Confused, incoherent speech (in severe instances)
  • Frenzy (in severe instances)
Tongue body
Crimson at the tip and sides
Coating
Amber, parched, or chalky
Pulse
Broad and powerless

Treatment principles

  • Eliminates Yang Ming Heat
  • Draws off Stomach Fire
  • Produces Fluids
  • Eases the craving to drink
  • Replenishes Qi

05YANG MING FU (QI STAGE - INTESTINAL DRY HEAT)

Manifestations

  • Marked pyrexia (sometimes fluctuating)
  • An intense craving to drink
  • Copious sweating
  • Dislike of Heat
  • Pain in the belly (aggravated by pressure)
  • Bloating of the belly
  • Parchedness
  • Bound bowels (hard, parched lumps)
  • Averse to pressure
  • Agitation
  • Quick temper
  • Psychological disturbances:
  • A clouded mental state
  • Confused, incoherent speech
Tongue body
Crimson and parched, or ebony and wet
Coating
Heavy amber, or parched amber
Pulse
Sunken, vigorous and powerful.

Treatment principles

Eliminate Excess Heat using bitter, cold, potent laxative herbs

Herbal formulas

  • For bound bowels with bloating of the belly and firm, parched lumps:
  • For bound bowels with bloating of the belly but without firm, parched lumps:
  • For bound bowels without bloating of the belly or firm, parched lumps:

Points

  • For Heat: DU-14, LI-4, LI-11, ST-44, SJ-5
  • For Stagnation: ST-34, ST-36, ST-37, ST-39 , REN-12
  • For Bound bowels: ST-25, SJ-6, UB-25

06YANG MING XU WITH CONSTIPATION

Manifestations

  • Bound bowels
  • Parched stools that resist passage even with laxatives
  • A craving to drink
  • Bloating and repletion of the upper stomach region and belly
  • Parched mouth
  • Parched lips
  • A prior record of Yin, Jin Ye, or Blood Deficiency
  • A prior record of Yang Ming involvement
  • Fluid and Yin exhausted
  • Absence of sweating
  • Loss of sensation
  • Debility
  • Parchedness
Tongue body
Crimson, parched and slender
Coating
Scant, or absent, or sparse and amber, or scorched and amber
Pulse
Fine and somewhat quickened, or feeble and powerless

Treatment principles

  • Produce Fluids
  • Draw off Heat
  • Free the bowels
  • Nourish Yin

Herbal formulas

  • Zeng Ye Cheng Qi Tang

07YANG MING - JUE NI

Manifestations

  • Scorching skin over the chest and belly
  • A craving to drink (favoring cold beverages)
  • Pyrexia
  • Deep amber-colored urine
  • Bloating and firmness of the belly
  • Possibly bound bowels
  • Foul-smelling breath
  • Hemorrhaging gums
Tongue body
Crimson
Coating
Heavy, parched amber
Pulse
Slick and quickened, or powerful and quickened

Herbal formulas

Points

  • To eliminate Heat: DU-14, LI-4, LI-11, ST-44, ST-45
  • To adjust the Intestines: ST-25, ST-37, UB-25, SJ-6

08SHAO YANG WITH CONGESTED FLUIDS

Manifestations

  • Shivering alternating with elevated temperature, with the shivering prevailing, or
  • Shivering with no elevated temperature
  • A feeling of agitation in the chest
  • Perspiration confined to the head
  • Weariness
  • Feebleness of the digestive tract
  • A head that feels weighted down
  • Nerve pain
  • Bloating of the upper stomach region
  • Pain in the lower belly
  • Tightness around the pubic bone
  • Pain around the navel
  • Trouble urinating
Tongue body
Wet
Coating
Chalky and slick
Pulse
Floating and string-like

Treatment principles

  • Scatter Clumping
  • Balance the Shao Yang
  • Heat the Interior
  • Expel Cold

Points

GB-41, SJ-5, moxa or moxa needle REN-4, REN-6, REN-8, REN-12, SJ-6, ST-25, ST-36

09SHAO YANG - YANG MING

Manifestations

  • An inability to tolerate Cold
  • Repletion and bloating of the belly
  • Bound bowels
  • Unable to evacuate the bowels easily for lack of Qi
  • Pain in the rib-side region
  • Pyrexia
  • Chilled limbs
  • A tissue rupture
  • Pain in the belly
Tongue body
Unremarkable
Pulse
Undulating and powerful, or taut and string-like.

Points

  • To address the Shao Yang: Moxa GB-41, SJ-5
  • To address the Yang Ming: Moxa REN-12, REN-8, REN-6, ST-25, ST-36, SJ-6

10TAI YIN EXCESS

Manifestations

  • Queasiness
  • Pale, repeated urination
  • No craving to drink
  • Loss of appetite
  • Emesis of clear fluid
  • Bloating and pain in the belly (sharp)
  • Watery bowel movements or unformed stool
  • Favors warmth
Tongue body
Wan or rosy
Coating
Chalky
Pulse
Sluggish, taut or soggy

Treatment principles

  • Adjust the middle
  • Heat the Middle Jiao
  • Scatter Cold
  • Ease pain

Herbal formulas

  • With Replete Cold: Fu Zi Li Zhong Wan
  • With a need to evacuate the bowels: Fu Gui Li Zhong Tang

Points

  • For pain and Cold: Moxa the belly
  • To fortify the Spleen and Stomach: ST-36, UB-20, UB-21, REN-10, LIV-13 (moxa if pronounced)
  • For pain in the belly and queasiness: PC-6, SP-4, ST-25
  • For repeated, pale urination: Moxa REN-4, REN-6, UB-23
  • For watery bowel movements: Moxa REN-8
  • Employ a sparing number of needles, inserted deeply, together with moxa

11TAI YIN DEFICIENCY

Manifestations

  • Pale, repeated urination
  • Bloating of the belly
  • Loss of appetite
  • Queasiness
  • Emesis of clear fluid
  • A dull ache in the belly
  • Watery bowel movements or unformed stools
  • Favors warmth and pressure
Tongue body
Wan
Coating
Chalky
Pulse
Sluggish, submerged, or soggy and feeble

Herbal formulas

With Replete Cold:

Points

  • For pain and Cold: Moxa the belly
  • To fortify the Spleen and Stomach: ST-36, UB-20, UB-21, REN-10, LIV-13 (moxa if pronounced)
  • For pain in the belly and queasiness: PC-6, SP-4, ST-25
  • For repeated, pale urination: Moxa REN-4, REN-6, UB-23
  • For watery bowel movements: Moxa REN-8

12JUE YIN COLD

Manifestations

  • Chronically chilled hands and feet, cold both to the touch and in the patient's own sensation
  • Possibly low-back soreness and leg pain
  • Pain and bloating of the belly
  • Pain along the body's midline
  • Pain in the uterus
  • Shivering
  • Watery bowel movements
  • Belly pain during the period
  • Possibly chest pain
  • Heightened perspiration, especially of the feet
  • Heightened salivation
  • Emesis of clear fluid
  • Pain at the crown of the head
  • The body feels chilled
  • Watery bowel movements
  • Total depletion of Yang
  • Cramping and soreness of the limbs
  • Sparse urination
  • Soreness at the waist, hips, legs and feet
  • Sciatic nerve pain
  • Pain in the joints
  • Erratic periods
  • A chilled belly
  • Migraine head pain
  • Vaginal secretions
Tongue body
Wan
Coating
Chalky
Pulse
Sunken and fine (possibly nearly undetectable).

Treatment principles

  • Heat Yang, particularly in the Liver and Stomach
  • Lower turbidity
  • Heat the channels
  • Scatter Cold
  • Replenish the Blood
  • Free the Blood vessels

Herbal formulas

Points

Moxa REN-4, REN-6, REN-8, REN-9, REN-12, ST-25

13JUE YIN HEAT

Manifestations

  • Chilled limbs
  • The body runs scorching and feverish from disharmony of Liver Qi
  • A craving to drink
  • Bloating of the belly
  • Pyrexia
  • Deep amber-colored urine
Tongue body
Crimson
Coating
Unremarkable
Pulse
Quickened, slick

Herbal formulas

Points

  • To Balance the Liver and Stomach: LIV-3, LIV-14, REN-12, PC-6, SP-6
  • To eliminate Heat: DU-14, LI-4, LI-11, LIV-2

14WEI STAGE - SUMMERHEAT WITH DAMP

Manifestations

  • Elevated temperature with shivering, the temperature the more marked of the two, or
  • Tidal pyrexia
  • Bloating of the belly
  • A craving to drink
  • Perspiration
  • A smothering feeling in the chest
  • Agitation
  • Stomach upsets:
  • A weighted-down feeling
  • Queasiness
  • Pronounced watery bowel movements
  • Sparse urine
Tongue body
Crimson at the tip and edges
Coating
Oily chalky, or amber
Pulse
Quickened and soggy

Herbal formulas

  • With Qi Vacuity: Qing Shu Yi Qi Tang Jia Jian
  • With Heat Surging through the San Jiao: San Shi Tang

Points

  • For pyrexia: DU-14, Bleed UB-40
  • For Wind-Heat: GB-20, LI-4, LI-11, SJ-5, UB-12
  • For Head pain: DU-23, DU-24, ST-8, Taiyang
  • For Dampness: SP-6, SP-9, UB-20, REN-9, ST-28

15WEI-STAGE - DAMP-HEAT

Manifestations

  • Head pain (with a band-like quality)
  • Elevated temperature with shivering, the temperature the more marked of the two, or
  • Shivering with an elevated temperature in the afternoon
  • Limbs that feel weighted down
  • A weighted-down feeling through the body
  • A smothering feeling in the chest
  • Queasiness
  • Lightheadedness
  • Bloating of the stomach and belly
  • A tacky sensation in the mouth
  • No craving to drink
Tongue body
Unremarkable
Coating
Oily chalky, or amber
Pulse
Soggy and quickened, or soggy and sluggish, or string-like, fine and soggy

Treatment principles

Eliminate Damp-Heat

Points

  • For pyrexia: DU-14, Bleed UB-40
  • For Wind-Heat: GB-20, LI-4, LI-11, SJ-5, UB-12
  • For Head pain: DU-23, DU-24, ST-8, Taiyang
  • For Dampness: SP-6, SP-9, UB-20, REN-9, ST-28

16QI STAGE HEAT WITH FOOD STAGNATION

Manifestations

  • Bloating of the belly
  • Bloating of the upper stomach region
  • Pyrexia
  • Repletion of the belly
  • Repletion of the upper stomach region
  • Poor digestion
  • Difficulty sleeping
  • Quick temper
  • A return of Heat manifestations
  • A craving to drink
Tongue body
Crimson
Coating
Oily, grimy amber
Pulse
Superficial, slick and quickened, particularly at the right-hand position, or superficial, replete and quickened

Treatment principles

  • Settle agitation and quick temper
  • Eliminate Heat
  • Scatter Stagnation

17WEN BING: QI STAGE HEAT WITH SPLEEN AND STOMACH DAMP-HEAT

Manifestations

  • Pyrexia
  • Head pain with a pressing, band-like quality
  • Bloating of the stomach
  • A diminished desire to eat
  • A weighted-down feeling
  • Soreness through the body
  • Bloating of the chest
  • Watery bowel movements
  • Dysenteric flux
Tongue body
Crimson
Coating
Oily and amber
Pulse
Soggy and quickened, or soggy and sluggish, or string-like, fine and soggy

Treatment principles

Purge Damp-Heat and toxins

Points

LI-4, LI-11, SP-6, SP-9, ST-25, ST-36

18WIND-DAMP ACCUMULATION WITH WEI QI DEFICIENCY

Manifestations

  • Bloating of the belly
  • Perspiration with a dislike of Wind
  • A weighted-down feeling in the body
  • Surface-level fluid swelling
  • Troublesome urination
  • Fluid swelling in the lower legs
  • Weariness.
  • Fluid swelling in women with a constitutional Deficiency
  • Weighted-down limbs with loss of sensation
Tongue body
Wan
Coating
Chalky
Pulse
Superficial and feeble, or soggy and fine

Herbal formulas

Fang Ji Huang Qi Tang modified

19LUNG AND SPLEEN QI DEFICIENCY

Manifestations

  • A prolonged, unrelenting cough
  • Coughing up abundant, clear, watery or white Phlegm
  • Shallow, feeble respiration
  • Labored, wheezing breath
  • Perspiration with no exertion
  • A feeble voice
  • A disinclination to speak
  • An overall mood of sorrow or gloom
  • A lusterless, pale coloring of the face
  • Stooped or curved shoulders
  • All four extremities weary
  • Loss of appetite
  • Overall sluggishness
  • Bloating and pain of the upper stomach region and belly
  • Unformed stools
  • Pronounced instances:
  • Startles readily
Tongue body
Wan with a slender fissure
Coating
Chalky, or chalky and oily
Pulse
Fine and feeble, or superficial and feeble

Treatment principles

  • Fortify the Spleen
  • Aid the Lungs
  • Lower Lung Qi
  • Scatter accumulation

Herbal formulas

  • Chinese Patent Remedies:
  • Su Zi Jiang Qi Wan
  • Jiu Fei Su He Wan

Points

  • LU-9, REN-17, SP-3, ST-36, UB-13, UB-20, UB-43
  • DU-12, DU-14, LU-5, LU-7, LU-9, PC-6, REN-6, ST-25, ST-36, UB-13, UB-20
  • Ear: Lung, Spleen, Stomach Intestines, Abdomen

20LARGE INTESTINE EXCESS HEAT

Manifestations

  • Bound, lumpy bowels, or
  • Thin, watery bowel movements (Heat that binds or one that flows freely)
  • A scalding feeling at the anus
  • Bloating and pain of the belly (averse to pressure)
  • Marked pyrexia, or tidal pyrexia in infants
  • Hands and feet drenched in sweat
  • Emesis
  • A nagging craving to drink
  • Confused, incoherent speech
Tongue body
Rosy, possibly with thorn-like points (enlarged papillae resembling thorns and tender to the touch), or Crimson
Coating
Heavy, amber and parched
Pulse
Sunken and Replete

Treatment principles

Eliminate Excess Heat using bitter, cold, potent laxative herbs

Herbal formulas

  • For bound bowels with bloating of the belly and firm, parched lumps:
  • For bound bowels with bloating of the belly but without firm, parched lumps:
  • For bound bowels without bloating of the belly or firm, parched lumps:
  • With Stomach Fire: Da Huang Gan Cao Tang

Points

  • For Heat: DU-14, LI-4, LI-11, ST-44, SJ-5
  • For Stagnation: ST-34, ST-36, ST-37, ST-39 , REN-12
  • For Bound bowels: ST-25, SJ-6, UB-25

21SPLEEN QI DEFICIENCY

Manifestations

  • A sickly, yellowish coloring of the face
  • Weariness
  • Loss of appetite
  • All four extremities feel weary and weighted down
  • Bloating of the belly and upper stomach region following meals
  • Possibly sour reflux or emesis
  • Unformed stools
  • Difficulty breathing
Tongue body
Wan and flaccid - may show scalloped edges
Coating
Chalky
Pulse
Moderate, powerless and Vacuous

Treatment principles

  • Boost the Spleen
  • Boost Qi

Herbal formulas

  • With bound bowels: Huang Qi Tang
  • With Qi Stagnation: Yi Gong San
  • With Food, Qi and Blood Stagnation and Damp Heat:
  • Jiang Zhi Jian Fei Yin #2
  • Jiang Zhi Jian Fei Yin #3
  • With Food, Qi and Blood Stagnation and Liver Heat: Jiang Zhi Jian Fei Yin #4
  • With Blood Stagnation and Heat: Jiang Zhi Jian Yin
  • With Damp-Heat in the Lower Jiao: Shen Yang Yi Wei Tang

Points

  • SP-3, SP-5, SP-6, ST-36, UB-20, LIV-13, REN-12
  • REN-6, REN-11, REN-12, SP-4, ST-36
  • For unformed stools: + ST-25
  • For lightheadedness and a spinning sensation: + DU-20
  • For excessive drowsiness: + UB-62
  • For a falling of the rectum: + UB-57
  • For a falling of the uterus: + Zigong
  • With Damp-Heat in the Lower Jiao bringing about swelling and emptiness of the belly. Should the patient eat in the morning yet be unable to eat by evening, with a Superficial and broad pulse in milder instances or a Vacuous and slight pulse in more pronounced ones. Should the navel bulge with dark veins showing and the skin turn oily, the condition is pronounced and incurable: REN-12, REN-9, REN-6, UB-20, UB-22, UB-23, LIV-13, PC-6, KI-7, SP-4, SP-6, ST-36

22SPLEEN DEFICIENCY EDEMA

Manifestations

  • Fluid swelling in the limbs, especially the lower ones
  • Possibly whole-body fluid swelling
  • Possibly bloating of the belly
  • Unformed stools
  • Bodily and mental weariness
Tongue body
Wan
Coating
Chalky and wet
Pulse
Soggy and moderate

Treatment principles

  • Heat Yang
  • Fortify the Spleen
  • Aid Qi
  • Mobilize water

Herbal formulas

With Qi Stagnation: Fen Xiao Tang

Points

Moxa ST-28, ST-36, SP-6, SP-9, UB-20, UB-22, UB-23, REN-6, REN-9

23SPLEEN (CENTRAL) QI SINKING

Manifestations

  • Sinking or falling of one or more organs
  • A sickly, yellowish coloring of the face
  • Loss of appetite
  • All four extremities feel weary and weighted down
  • Bloating of the belly and upper stomach region following meals
  • Possibly sour reflux or emesis
  • Unformed stools
  • Difficulty breathing
Tongue body
Wan and flaccid - may show scalloped edges
Coating
Chalky
Pulse
Moderate, or soggy and fine

Treatment principles

  • Fortify the Spleen
  • Fortify the Center
  • Energize Yang
  • Aid Qi

Herbal formulas

Points

DU-20. Additional points are chosen based on the type of prolapse

24SPLEEN NOT GOVERNING BLOOD

Manifestations

  • A sickly yellowish or pallid coloring of the face
  • Loss of appetite
  • All four extremities feel weary and weighted down
  • Bodily and mental depletion
  • Bloating of the belly and upper stomach region following meals
  • Possibly sour reflux or emesis
  • Watery or shapeless stools
  • Difficulty breathing
  • Lightheadedness
  • A pounding heartbeat
  • The foregoing manifestations occur together with hemorrhage:
  • Functional Uterine Hemorrhage
  • Purple skin bruising
  • Nosebleed
  • Blood in the stool
  • Blood in the urine
  • Excessively heavy menstrual flow
  • Bleeding between periods
Tongue body
Wan and flaccid - may show scalloped edges
Coating
Chalky
Pulse
Fine and feeble

Treatment principles

  • Aid Qi
  • Preserve Blood

Herbal formulas

  • Gui Pi Tang modified
  • Bu Zhong Yi Qi Tang modified
  • With Damp buildup: Wu Pi Yin

25SPLEEN QI DEFICIENCY WITH LIVER QI STAGNATION

Manifestations

  • A sickly, yellowish coloring of the face
  • Weariness
  • Loss of appetite
  • All four extremities feel weary and weighted down
  • Bloating of the belly and upper stomach region following meals
  • Possibly sour reflux or emesis
  • Unformed stools
  • Difficulty breathing
  • Bloating and pain along the sides or flanks
  • A stifling feeling in the chest
  • Frequent sighing
  • Gloominess
  • Low mood
  • Quick temper
  • Anger that seems unwarranted
  • Female patients:
  • Erratic periods
  • Painful periods
  • Swelling and soreness of the breasts before and
  • during the period
Tongue body
Rosy, or wan and flaccid with possible scalloped edges
Coating
Sparse and chalky
Pulse
Moderate, powerless and Vacuous, or string-like

Treatment principles

  • Fortify the Spleen,
  • Fortify Qi
  • Adjust Liver Qi

Herbal formulas

Yi Gong San + Xiao Yao San

Points

SP-3, SP-5, SP-6, ST-36, UB-18, UB-20, REN-12, PC-6, SJ-6, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, GB-40, GB-41

26SPLEEN QI DEFICIENCY WITH PHLEGM-DAMP RETENTION

Manifestations

  • Queasiness and retching
  • Extreme thinness
  • A sickly, yellowish coloring of the face
  • Loss of appetite, feeling replete after only a small amount of food
  • A feeble belly
  • Burping
  • Bloating or pain of the belly (faint)
  • Curled, everted lips
  • Pallid lips
  • A rigid tongue
  • Weary limbs
  • Weighted-down limbs
  • Repletion of the chest
  • Sour reflux
  • Bloating or pain of the upper stomach region
  • Feebleness of the muscles in the arms and legs
  • Unformed stools or watery bowel movements
  • Possibly hemorrhage
  • Wasted musculature.
  • Sluggishness and weariness
  • Disinclined to speak
  • A feeble, faint voice
  • Possibly bedwetting
  • Possibly chilled limbs
  • Possibly rumbling bowel sounds
Tongue body
Wan and flaccid - may show scalloped edges
Coating
Sparse and chalky.
Pulse
Feeble and Vacuous

Treatment principles

  • Fortify Qi
  • Fortify the Spleen
  • Balance the Stomach
  • Adjust Qi
  • Halt pain

27SPLEEN YANG DEFICIENCY

Manifestations

  • A sickly, yellowish coloring of the face
  • Loss of appetite (possibly with emesis)
  • All four extremities feel weary and weighted down
  • Bloating of the belly and upper stomach region following meals
  • Possibly sour reflux or emesis
  • Unformed stools or watery ones carrying undigested food
  • Difficulty breathing
  • Pain in the upper stomach region with a chilled feeling (eased by warmth)
  • Chilled limbs
  • A sensation of being chilled
  • Mental weariness
  • Possibly sparse urine with fluid swelling
  • Possibly pale, thin vaginal secretions
Tongue body
Wan and flaccid - may show scalloped edges
Coating
Sparse and chalky
Pulse
Moderate, or soggy and fine, or sunken and feeble

Treatment principles

  • Heat the Center
  • Expel Cold

Herbal formulas

With Qi Stagnation: Chen Xiang Tang

Points

Moxa SP-3, SP-5, SP-6, ST-36, UB-20, LIV-13, REN-12, DU-20

28COLD-DAMP DISTRESSES THE SPLEEN

Manifestations

  • Bloating and repletion of the upper stomach region and belly
  • Queasiness and retching
  • Loss of appetite
  • Unformed stools
  • A diminished sense of taste
  • No craving to drink, or a liking for hot beverages
  • A tacky feeling in the mouth
  • Rumbling bowel sounds
  • Sluggishness
  • Yin-type jaundice
  • A head that feels weighted down
  • Possibly fluid swelling
  • Possibly abundant white vaginal secretions
  • Possibly chilled limbs, dread of cold, and a sensation of being chilled
Tongue body
Rosy
Coating
Heavy, chalky and oily, or tacky
Pulse
Sunken and sluggish

Treatment principles

  • Dispel Cold with warmth
  • Convert Dampness
  • Balance the Stomach
  • Fortify the Spleen

Points

  • Moxa or moxa needle SP-3, SP-5, SP-6, SP-9, ST-36, UB-20, REN-12
  • To Adjust Qi and Scatter Dampness: REN-6
  • For Cold-Damp dysenteric flux: Moxa or moxa needle ST-25, ST-37, LI-4, REN-12, REN-6, SP-6
  • For Cold-Damp vaginal secretions: Moxa or moxa needle GB-26, UB-30, REN-6, SP-6, REN-4, ST-36
  • For Cold-Damp watery bowel movements: Moxa or moxa needle ST-25, ST-37, ST-36, REN-12, REN-6, UB-25
  • Cold-Damp Icterus (Yin-type Icterus): Moxa or moxa needle SP-9, ST-36, GB-24, UB-19, UB-20, UB-48, DU-9, LIV-13

29DISHARMONY BETWEEN THE SPLEEN AND STOMACH WITH DAMPNESS

Manifestations

  • Loss of appetite
  • Absence of the sense of taste
  • An incapacity to eat more than a small portion at once
  • Distention following meals
  • Localized bloating
  • Watery bowel movements
  • Queasiness/Emesis
  • Poor digestion
  • Unease in the upper stomach region
  • Overall debility
  • Possibly bloating of the chest
Tongue body
Wan
Coating
Chalky
Pulse
Sunken and soggy

Treatment principles

  • Fortify and balance the Spleen and Stomach
  • Dissolve Dampness
  • Enhance the appetite

30DAMP-HEAT IN THE SPLEEN AND STOMACH

Manifestations

  • Loss of appetite
  • Periodic repletion, bloating and unease of the belly
  • The bloating tends to worsen in the afternoon or following meals
  • The belly feels taut and may look enlarged
  • A stifling feeling in the chest
  • A lump in the upper stomach region
  • Possibly pain in the belly when pressed
  • Yang-type jaundice (the whites of the eyes and skin turn a vivid yellow)
  • An aversion to greasy foods
  • Oily skin
  • A flushed coloring of the face
  • Possibly a pronounced body smell
  • Queasiness and retching
  • Sluggishness
  • A weighted-down feeling in the body
  • Sparse, deep-colored urine
  • Possibly a craving to drink, or one felt without any wish to actually drink
  • Parched mouth
  • Watery bowel movements with a rank odor, or
  • Bound bowels
  • Pyrexia, or one confined to the afternoon
  • Agitation
  • Quick temper
  • A sugary, tacky taste or a bitter one in the mouth
Tongue body
Unremarkable or bulky
Coating
Heavy, amber and oily (possibly tacky)
Pulse
Soggy and quickened, or slick and quickened

Treatment principles

  • Eliminate Heat
  • Assist in draining Dampness
  • Fortify the Spleen and Stomach
  • Adjust Qi

Herbal formulas

  • Chinese patent remedies:
  • Bi Xie Sheng Shi Wan
  • Huang Lian Jie Du Wan + Ping Wei San
  • Mu Xiang Shen Qi Wan
  • Li Dan Pian
  • With Liver involvement:
  • Long Dan Xie Gan Wan

Points

  • LI-11, ST-44, ST-36, SP-9, UB-20, REN-11, REN-12 + Liver and Gall Bladder points
  • LI-11, REN-6, REN-10, REN-12, ST-25, ST-36, ST-37
  • With prominent Heat: + LI-4, ST-44
  • With prominent Damp: + SP-6, SP-9
  • With nausea: + PC-6
  • With constipation: + SJ-6
  • With scanty urination: + KI-7, REN-9
  • With tenesmus : + REN-4, UB-30
  • With Shao Yang symptoms: + GB-34, GB-39, SJ-5
  • With Lingering fever: + DU-13
  • For Damp-Heat Diarrhea: ST-25, ST-36, UB-25, ST-44, SP-9, LI-4
  • For Damp-Heat Dysentery: ST-25, ST-37, ST-44, SP-9, LI-11, LI-4
  • Ear: Spleen, Stomach, Large Intestine, Small Intestine, Liver, Abdomen

31SPLEEN AND STOMACH QI DEFICIENCY

Manifestations

  • Intermittent or continuous abdominal distention, fullness and discomfort
  • Distention is improved by warmth and pressure and worse when eating raw or cold foods
  • Poor appetite
  • Easily satiated
  • Fatigue
  • Weak, tired limbs
  • Loose stools or
  • A tendency toward sluggish bowel movements
  • Puffiness around the eyes or in the fingers
  • Rapid weight fluctuations
  • A pale, sallow face and lips
  • Shortness of breath
  • Reluctance to speak
  • A weak, soft voice
Tongue body
Pale or Pale and swollen with teeth marks
Coating
White
Pulse
Weak and thready or Deficient or Big and Weak

Treatment principles

  • Tonify Qi
  • Strengthen the Spleen
  • Facilitate the Raising of Qi and the descent of the turbid

Herbal formulas

  • Bu Zhong Yi Qi Tang modified
  • Chinese Patent Medicines:
  • Bu Zhong Yi Qi Wan
  • Xiang Sha Liu Jun Zi Wan
  • Jian Pi Wan
  • Xiang Sha Yang Wei Wan

Points

  • LIV-13, REN-6, REN-12, SP-3, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21
  • For severe distention: + SP-1
  • With Fluid retention and edema: + SP-9, ST-28
  • With Liver Qi Stagnation: + LIV-3, PC-6
  • Ear: Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

32SPLEEN AND STOMACH QI DEFICIENCY WITH PHLEGM-DAMP AND LIVER QI STAGNATION

Manifestations

  • Focal distention and discomfort in the epigastrium and upper abdomen
  • Distention worse after eating
  • Anorexia
  • Decreased sense of taste
  • Only able to eat a little at a time
  • Generalized weakness
Tongue body
Pale
Coating
Thick and white
Pulse
Slippery, deep and wiry

Treatment principles

  • Strengthen the Spleen
  • Harmonize the Stomach
  • Dry Dampness
  • Transform Phlegm
  • Relieve distention

Herbal formulas

Xiang Sha Liu Jun Zi Tang modified

Points

  • LIV-13, REN-6, REN-12, SP-3, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21
  • For severe distention: + SP-1
  • With Fluid retention and edema: + SP-9, ST-28
  • With Liver Qi Stagnation: + LIV-3, PC-6
  • Ear: Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

33SPLEEN AND STOMACH QI DEFICIENCY WITH HEAT AND COLD

Manifestations

  • A sensation of blockage, distention, fullness and discomfort in the epigastrium
  • When palpated, feels soft and without pain
  • Nausea
  • Vomiting or
  • Dry retching
  • Borborygmus with diarrhea
  • Poor appetite
Tongue body
Normal
Coating
Greasy and yellow
Pulse
Soft, slippery, slightly wiry and maybe rapid

Treatment principles

  • Harmonize the Stomach
  • Descend Qi
  • Disperse Accumulation

Herbal formulas

Points

  • LIV-13, REN-6, REN-12, SP-3, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21
  • For severe distention: + SP-1
  • With Fluid retention and edema: + SP-9, ST-28
  • With Liver Qi Stagnation: + LIV-3, PC-6
  • Ear: Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

34SPLEEN AND STOMACH DEFICIENCY COLD

Manifestations

  • Severe, unrelenting or intermittent abdominal distention that is progressively worse as the day goes on which may be difficult to bear in the evening
  • The abdomen may appear swollen or the patient may feel that the clothing is tight
  • The distention is worse with eating, exposure to Cold and when fatigued
  • Mild constant epigastric or abdominal pain which is relieved by warmth and pressure
  • Cold intolerance
  • Anorexia
  • Easily satiated
  • Abdominal pain and fullness after meals
  • Nausea / vomiting
  • Loose, unformed stools or
  • Diarrhea with undigested food in the stools or
  • Sluggish bowel movements with no urge to defecate
  • Excessive salivation
  • Cold limbs
  • Fatigue
  • Lassitude
  • Weakness
  • Exhaustion
  • Sallow or pale, dull complexion
  • Puffiness around the eyes or in the fingers
  • Quick weight fluctuations
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
Tongue body
Pale or Pale and swollen with teethmarks
Coating
White and greasy
Pulse
Deep, thready and forceless or Deep, weak and slow

Treatment principles

  • Warm Yang
  • Strengthen the Spleen
  • Warm the Center
  • Dispel Cold

Herbal formulas

  • For Stomach Disharmony with vomiting of clear Fluids: Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang modified
  • For predominant Deficiency Cold: Li Zhong Tang
  • Chinese Patent Medicines:
  • Li Zhong Wan

Points

  • Moxa or moxa needle DU-4, REN-4, REN-6, REN-12, SP-6, SP-15, ST-25, ST-36, UB-20, UB-21, UB-23
  • With severe distention: + SP-1
  • With fluid retention and edema: + REN-9, SP-9
  • With Liver Qi Stagnation: + LIV-3, PC-6
  • Moxa needle LIV-13, REN-4, REN-12, ST-36, UB-20, UB-21
  • For Cold pain in the Stomach and abdomen: + moxa REN-8
  • For clear diarrhea: + SP-4
  • For dizziness: + moxa DU-20
  • For loose stools: + SP-9
  • Ear: Spleen. Stomach, Large Intestine, Abdomen, Adrenal

35SPLEEN AND KIDNEY YANG DEFICIENCY

Manifestations

  • Abdominal distention
  • Lower abdomen feels cold and painful
  • Mild tenesmus or
  • Chronic, relentless dysenteric diarrhea which is thin, watery and mucoid
  • A dragging sensation in the lower abdomen which is relieved by the diarrhea
  • "Cock-crow" diarrhea (occurs at about 5 am) which is watery and may have undigested food
  • Diarrhea may contain pus and Blood
  • Diarrhea is worse with exposure to Cold and cold foods
  • Borborygmus or periumbilical pain may precede diarrhea
  • Body cold
  • Limbs icy (especially the legs)
  • Complexion white and shiny or sallow
  • Aversion to Cold
  • Watery cough
  • Dizziness
  • Anorexia
  • Fatigue
  • Listlessness
  • Depression
  • Exhaustion
  • Low back, knees and abdomen feel cold, weak and painful
  • Mild, persistent abdominal pain worse with Cold and better with warmth and pressure
  • Loose stools containing undigested food
  • Edema of face and limbs
  • Heaviness and aching of the limbs and head
  • Palpitations
  • Dysuria
  • Copious, clear urine or
  • Scanty urination
  • Severe:
  • Abdominal ascites
  • Incontinence of stools
  • Rectal prolapse
Tongue body
Pale, moist and swollen
Coating
Thin and white or White and greasy
Pulse
Deep, thready, weak and maybe slow

Treatment principles

Warm and Reinforce the Spleen and Kidney

Herbal formulas

  • Fu Zi Li Zhong Wan modified
  • Si Shen Wan + Li Zhong Tang
  • Zhen Ren Yang Zang Tang + Tao Hua Tang
  • With edema: Zhen Wu Tang
  • Chinese patent medicines:
  • Bu Zhong Yi Qi Tang
  • Jin Kui Shen Qi Wan

Points

  • UB-20, UB-23, ST-36, SP-6, SP-9, moxa, REN-4 and REN-12
  • Moxa needle UB-20, UB-21, UB-23 LIV-13, REN-12, SP-3, SP-6, ST-36
  • REN-12, REN-7, REN-6, REN-4, ST-25, ST-30, ST-36, SP-6, SP-4, KI-3, Moxa LI-11
  • With nausea: PC-6
  • With severe pain or diarrhea: Moxa REN-8
  • Moxa or moxa needle DU-4, DU-20, KI-3, REN-4, REN-8, SP-6, ST-36, UB-20, UB-23, UB-25
  • Moxa abdomen
  • Ear points: Abdomen, Large Intestine, Small Intestine, Stomach, Spleen, Shenmen, Adrenal, Sympathetic, Distal Segment Rectum

36STOMACH YIN DEFICIENCY

Manifestations

  • No appetite or
  • Famished but with no desire to eat or
  • A desire for Cold, bland foods or
  • A liquid diet
  • Chronic epigastric and abdominal distention after meals
  • Worse in the evening
  • General Dryness of the mucus membranes
  • Dry skin
  • Dry mouth
  • Dry lips
  • Dry throat
  • Dry, pellet-like stools
  • Maybe constipation
  • Irritability with low grade fever
  • Mild nausea or
  • Maybe dry retching or
  • Hiccups
  • Thirst
  • Malar flush
  • Night sweats
  • Five Sole Heat
Tongue body
Red or Slightly red and peeled in the center or Red and dry or Mirrored or Numerous surface cracks
Coating
Little and dry
Pulse
Thready and rapid

Treatment principles

  • Nourish Yin
  • Nourish the Stomach

Herbal formulas

  • Sha Shen Mai Men Dong Tang
  • Yi Wei Tang modified
  • Chinese Patent Medicines:
  • Luo Han Guo Chang Ji
  • For Stomach Qi and Yin Deficiency:
  • Gu Ben Wan
  • Ren Shen Ku Pen Wan
  • Sheng Ma San Wan
  • With an abundance of Deficiency Heat: Zhi Bai Di Huang Wan
  • With Kidney Yin Deficiency:
  • Mai Wei Di Huang Wan
  • Liu Wei Di Huang Wan
  • Ba Xian Chang Shou Wan

Points

  • REN-4, REN-12, SP-6, ST-25, ST-36, UB-20, UB-21
  • With Heat: + KI-2, ST-44
  • With Kidney Yin Deficiency: + KI-3, KI-6
  • KI-3, REN-12, SP-6, ST-36, UB-21

37STOMACH QI DEFICIENCY

Manifestations

  • Continuous pain in the Stomach
  • Epigastric fullness and distention
  • Likes pressure
  • Reduced appetite
  • Frequent belching
  • Loss of sensation of taste
  • Borborygmus
  • Pale face
  • Stools not solid
  • Urine clear and abundant
Tongue body
Pale
Coating
Thin and white
Pulse
Empty, Weak an Slow or Weak and Deficient

Treatment principles

  • Warm and tonify the Spleen and Stomach
  • Replenish Qi
  • Harmonize the Interior
  • Alleviate pain

Points

  • UB-18, UB-20, UB-21
  • PC-6, REN-12, ST-36

38STOMACH FIRE

Manifestations

  • 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
Tongue body
Red
Coating
Thick, yellow and dry
Pulse
Slippery, big, Excess and rapid

Treatment principles

Clear and Purge Stomach Fire

Herbal formulas

Points

LI-4, LI-11, PC-6, PC-8, ST-6, ST-34, ST-36, ST-43, ST-44, ST-45, UB-21

39FOOD STAGNATION IN THE STOMACH

Manifestations

  • Fixed pain
  • Swelling
  • Abdominal distention with occasional pain
  • Pain worse with pressure
  • Acrid belching
  • Chest discomfort
  • Scanty urine
  • Dry heaves (serious)
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
Tongue body
Pink
Coating
Thick and greasy
Pulse
Slippery

Treatment principles

  • Clear Food
  • Conduct Stagnation

Herbal formulas

  • With Damp-Heat and Intestinal Obstruction: Zhi Shi Dao Zhi Wan
  • With Qi and Phlegm Stagnation: Kai Yu Zheng Yuan San

Points

  • ST-44, ST-36, ST-21, LIV-13, LIV-14, PC-6, SP-4, REN-12, REN-11, REN-10
  • Periumbilical: REN-6, REN-10, ST-25, ST-36, ST-40
  • Lower abdominal: REN-4, ST-29, SP-6, LIV-2

40DISHARMONY BETWEEN THE STOMACH AND INTESTINES WITH COLD AND HEAT FACTORS

Manifestations

  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Subcardiac distention
  • Heartburn
  • Resistance below the Heart
  • Soft epigastrium
  • Nausea
  • Ascites
  • Gurgling sounds
Tongue body
Normal or with a red tip
Coating
Thin, yellow and greasy
Pulse
Wiry and rapid or Wiry, tight and rapid

Treatment principles

  • Harmonize the Stomach
  • Descend Rebellious Qi
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors

Herbal formulas

41PHLEGM-FIRE DISTURBS THE HEART

Manifestations

  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Easily startled
  • Dizziness
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Timidity
  • Indecisiveness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Flushing up
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Depression
  • Slight thirst
  • Anorexia after serious illness
Tongue body
Pink or Red tip
Coating
Yellow and greasy
Pulse
Slippery and rapid or Wiry and rapid

Treatment principles

  • Clear the Heart
  • Break through Phlegm

Herbal formulas

  • Wen Dan Tang
  • Huang Lian Wen Dan Tang

Points

Bleed the Jing-Well points of the six Hand channels, Anmian, Dingshen, DU-14, DU-16, DU-20, DU-26, HT-7, PC-5, PC-6, PC-7, PC-8, REN-14, SP-1, ST-40, UB-15

42HEART BLOOD AND SPLEEN QI DEFICIENCY

Manifestations

  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
Tongue body
Pale
Pulse
Thready and weak

Treatment principles

Reinforce and Benefit the Heart and Spleen

Herbal formulas

Points

UB-15, UB-20, HT-7, ST-36, REN-4, SP-6, SP-1

43SMALL INTESTINE EXCESS HEAT

Manifestations

  • Fullness and distention of the lower abdomen
  • Irritability
  • Ulceration and erosion of mouth and tongue
  • Sore throat
  • Dry mouth
  • Desire for cold drinks
  • Maybe deafness
  • Urination short, dark, difficult and painful or Hematuria or
  • Pain in urethra
Tongue body
Red
Coating
Yellow
Pulse
Slippery and rapid

Treatment principles

  • Clear Excess Heat
  • Promote diuresis

Points

  • SP-6, SP-10, HT-8, UB-27, LIV-2, REN-3
  • PC-7, REN-4

44SMALL INTESTINE QI PAIN

Manifestations

  • Vague pain in lower abdomen involving low back
  • Pain radiates down into testicle
  • Abdominal distention
  • Borborygmus
  • Relief after passing wind
  • Hernia pain in scrotum
Tongue body
Pale
Coating
Thin and white
Pulse
Deep and wiry or Wiry and tight

Treatment principles

  • Move Qi
  • Expel Knotting

Herbal formulas

Points

ST-39, SP-6, LIV-1, LIV-4, LIV-5, LIV-8, REN-4

45SMALL INTESTINE DEFICIENCY COLD

Manifestations

  • Intermittent abdominal fullness and distention
  • Vague lower abdominal pain
  • Feelings of cold and heaviness
  • Fond of warmth and pressure
  • Borborygmus
  • Unformed, loose stools or
  • Chronic, incessant diarrhea
  • Urinary frequency
Tongue body
Pale
Coating
Thin and white
Pulse
Deep and even

Treatment principles

Warm and Clear the Small Intestine

Herbal formulas

  • Li Zhong Tang

Points

ST-25, ST-36, ST-37, ST-39, SP-3, LIV-13, UB-20, UB-27, REN-3, REN-12

46LIVER QI STAGNATION

Manifestations

  • Chronic epigastric and abdominal distention, fullness and discomfort which is worse with emotional upset.
  • Distention and pain in the sides or flanks, which is generally worse at night
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Belching
  • Flatulence
  • Borborygmus
  • Anorexia
  • Melancholy
  • Depression
  • Irritability
  • Moodiness
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Alternating constipation and diarrhea
Tongue body
Pink
Coating
Thin and white
Pulse
Wiry

Treatment principles

  • Soothe the Liver
  • Clear Stagnation

Herbal formulas

  • With chronic sluggish stools or constipation: Liu Mo Tang
  • With Food Stagnation and sluggish bowels: Mu Xiang Shun Qi Wan
  • Chinese Patent medicines:
  • Chai Hu Shu Gan Wan
  • With sluggish or incomplete bowel movements: Mu Xiang Shun Qi Wan
  • With constipation: Chen Xiang Hua Qi Wan
  • With Spleen Deficiency and dampness: Xiao Yao Wan

Points

  • GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18
  • GB-34, LIV-3, LIV-5, LIV-13, PC-6, REN-6, REN-12, ST-25
  • To calm the Shen: + DU-19, DU-24, Yintang
  • With Blood or Yin Deficiency: + SP-6, ST-36, UB-18, UB-23
  • With Phlegm or plum-pit throat: + PC-5, SP-3, ST-40
  • With fat intolerance, pale or pasty stools, and right sided hypochondriac pain and distention: + Dannangxue, GB-24, GB-40
  • Ear: Liver, Spleen, Stomach, Large Intestine, Small Intestine, Abdomen

47LIVER QI STAGNATION TURNS TO HEAT WITH QI AND BLOOD DEFICIENCY

Manifestations

  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
Tongue body
Red or Red edges
Coating
Thin and yellow
Pulse
Thready, rapid and wiry or Wiry and tight and rapid

Treatment principles

  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat

Herbal formulas

48LIVER QI STAGNATION ATTACKS THE SPLEEN

Manifestations

  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
Tongue body
Normal
Coating
White and greasy
Pulse
Slippery and wiry

Treatment principles

  • Soothe the Liver
  • Invigorate the Spleen

Points

  • ST-25, ST-36, ST-37, SP-6, LIV-3, LIV-13
  • With Liver Fire: REN-12, REN-6, UB-18, LIV-13, LIV-14, SP-4, PC-6, ST-36
  • With Spleen Qi Deficiency: REN-12, REN-9, REN-6, LIV-13, UB-22, UB-20, UB-18, ST-36, SP-6, SP-9

49LIVER QI STAGNATION ATTACKS THE STOMACH

Manifestations

  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Abdominal and epigastric distention
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
Tongue body
Pink
Coating
Thin and white
Pulse
Wiry

Treatment principles

  • Soothe the Liver
  • Harmonize the Stomach

Points

LIV-3, LIV-14, PC-6, REN-12

50LIVER QI STAGNATION: PHLEGM AND QI STAGNANT AND BLOCKED

Manifestations

  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down.
  • This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest and hypochondrium
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Hypochondriac pain
  • Coughing with profuse phlegm
  • Vomiting
  • Difficulty swallowing
  • A delicate constitution
  • A tendency towards fatigue
  • Palpitations
  • Abdominal distention
  • Muscular and skin flaccidity
  • Fear
  • Edema
  • Asthma
  • Insomnia
  • Women:
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
Tongue body
Pink
Coating
Thin and white
Pulse
Slippery and wiry (slippery due to Phlegm)

Treatment principles

  • Spread Qi
  • Resolve Phlegm

Herbal formulas

Points

PC-5, LIV-3, SJ-6, LI-18, SI-17

51DAMP-HEAT IN THE LIVER AND GALL BLADDER

Manifestations

  • Abdominal distention
  • 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
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Women:
  • Yellow vaginal discharge with foul smell
  • Pruritis vulvae
  • Men:
  • Pain, swelling and burning sensations of testicles
Tongue body
Normal
Coating
Yellow and greasy or sticky
Pulse
Wiry and rapid or Slippery and rapid

Treatment principles

  • Clear Dampness
  • Purge Heat from the Liver and Gall Bladder

Points

SP-9, LIV-14, GB-24, GB-34, UB-18, UB-19, UB-48, DU-9, Dannangxue

52COLD STAGNATION IN THE LIVER CHANNEL

Manifestations

  • Swelling and pain in scrotum as if testicles were being pulled downward or
  • Contractions and cold sensations of scrotum which are alleviated by warmth.
  • Pain, distention, fullness and cold sensation in lower abdomen.
  • Cold limbs.
  • Dislike of cold and preference for warmth.
Tongue body
Pale.
Coating
White, greasy.
Pulse
Deep and wiry or Slow or Deep and forceful

Treatment principles

  • Warm the Liver
  • Dispel Cold

Points

Moxa SP-6, LIV-1, REN-4

53LIVER AND KIDNEY YIN DEFICIENCY WITH LIVER QI STAGNATION

Manifestations

  • Hypochondriac and chest pain
  • Dry, parched mouth and throat
  • Bitter taste in mouth
  • Acid regurgitation
  • Epigastric and abdominal distention
Tongue body
Red and dry
Pulse
Thready and weak or Wiry and Deficient

Treatment principles

  • Enriches Kidney and Liver Yin
  • Spreads Liver Qi

Herbal formulas

54LIVER AND GALL BLADDER FIRE

Manifestations

  • Restlessness
  • Anxiety
  • Anger
  • Dark, rough urine
  • Red or yellow urine
  • Excruciating headache
  • Constipation
  • Rashness
  • Impatience
  • Irascibility
  • Tinnitus
  • Abdominal fullness
  • Fright palpitations
  • Hypertension
  • Throat blockage with difficulty swallowing
  • Sore throat
  • Semi-unconsciousness
  • Dry throat
  • Vertigo
  • Delirium
  • Mania
  • Dizziness
  • Red face
  • Red eyes
  • Irritability
  • Bitter taste in the mouth
  • Abdominal pain
  • Clonic spasm
  • Fright Wind in children
  • Dysuria
  • Pain with swelling and inflammation
Tongue body
Red
Coating
Yellow
Pulse
Wiry or Taut and rapid

Treatment principles

  • Purge Liver and Gall Bladder Fire
  • Clear the bowels

Herbal formulas

Attacks the Stomach: Hua Gan Jian

55DISHARMONY BETWEEN THE GALL BLADDER AND STOMACH WITH PHLEGM-HEAT

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
  • Flushing up
  • 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
Tongue body
Pink or Red tip
Coating
Yellow and greasy
Pulse
Slippery and rapid or Wiry and rapid

Treatment principles

  • Regulate Qi
  • Transform Phlegm
  • Clear the Gall Bladder
  • Harmonize the Stomach
  • Dry Dampness
  • Dispel Heat

Herbal formulas

  • Wen Dan Tang

56KIDNEY YANG DEFICIENCY WITH WATER FLOODING

Manifestations

  • Abdominal distention with full sensations
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Low back pain, aching and heaviness
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • In severe cases:
  • Ascites
  • Edema of the scrotum
Tongue body
Pale and swollen
Coating
Thin or Thick, white and sticky
Pulse
Deep and thready

Treatment principles

  • Warm the Kidneys
  • Promote diuresis

Points

Moxa SP-6, SP-9, ST-36, UB-20, UB-22, UB-23, UB-28, UB-39, KI-7, REN-6

57QI, BLOOD AND PHLEGM STAGNATION WITH PHLEGM STAGNATION PREDOMINANT

Manifestations

  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of the Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of Breath
Tongue body
Varies from Normal to Dark purple (maybe purple spots on edge of tongue)
Coating
Thick and slippery
Pulse
Wiry, choppy and slow or Slippery, full and maybe wiry

Treatment principles

  • Circulate Qi
  • Activate the Blood
  • Break up Stasis
  • Eliminate Phlegm
  • Warm Cold

Herbal formulas

58QI AND BLOOD DEFICIENCY LEADING TO BLOOD STAGNATION

Manifestations

  • Irregular menstruation
  • Reduced appetite
  • Soreness in the lower back
  • Red and white vaginal discharge
  • Weak extremities
  • Abdominal distention

Treatment principles

  • Tonify Deficiency
  • Activate the Blood

Herbal formulas

59QI, BLOOD AND YIN DEFICIENCY WITH BLOOD STAGNATION AND HEAT

Manifestations

  • Lassitude
  • Fatigue
  • Shortness of breath
  • Dizziness
  • Tinnitus
  • Palpitations
  • Emaciation
  • Lack of strength
  • Dry, rough eyes
  • Possible distended feeling in eyes
  • A pale, lusterless face
  • Possible malar flush
  • Restless
  • Insomnia
  • Poor memory
  • Dry, parched throat
  • Tasteless feeling in the mouth
  • Low back and knee soreness and weakness
  • Low grade fever
  • Five sole heat
  • Possible sweating
  • Possible tremors of the hands and tongue
  • Scanty intake
  • Abdominal distention after meal
  • Loose stools
Tongue body
Red
Coating
Thin or Peeled
Pulse
Empty and rapid or Thready and rapid

Treatment principles

  • Tonify Qi and Blood
  • Promote urination
  • Activate the Blood
  • Dispel Blood Stasis
  • Nourish Yin
  • Generate fluids
  • Clear Heat
  • Drain Kidney Fire
  • Cool the Blood

60BLOOD STAGNATION WITH CONSUMPTION

Manifestations

  • Emaciation
  • Abdominal fullness
  • Anorexia
  • Rough, dry and scaly skin
  • May be localized abdominal pain and tenderness
  • Amenorrhea
  • A dull, dark appearance of the eyes
  • Tidal fever
  • May be dry stools
Tongue body
Petechiae or Purplish or Reddish
Pulse
Wiry and choppy or Wiry, small and smooth

Treatment principles

  • Invigorate the Blood
  • Break up Stagnation
  • Nourish the Blood

Herbal formulas

Points

SP-6, SP-10, ST-36, UB-17, UB-40

61INTERNAL COLD LEADING TO FLUID STAGNATION AND GENERATING PHLEGM

Manifestations

  • Chest pain
  • Shoulder stiffness
  • Abdominal distention and pain
  • Constipation
  • Cold feet
  • An aversion to Cold
  • Pale face
  • Fatigue
  • Headaches with heavy headedness
  • Abdominal weakness
  • Anorexia
Tongue body
Pale
Coating
Greasy and white
Pulse
Weak or Weak and wiry

Treatment principles

  • Tonify Qi
  • Break up Stagnant Qi
  • Reduce accumulation
  • Descend Qi
  • Warm the Middle Jiao
  • Disperse Cold
  • Transform Phlegm

Herbal formulas

62PHLEGM ACCUMULATION

Manifestations

  • Chronic constipation or
  • Sluggish stool which may contain mucus
  • Maybe tenesmus
  • After evacuation, the patient feels lighter and more clear-headed
  • Abdominal distention and discomfort
  • Foggy-headedness
  • Poor concentration
  • Poor memory
  • Tendency toward sleepiness
  • Lethargy
  • Heaviness of the body
  • Maybe chronic mucus production from the sinuses and Lungs
  • Greasy skin
  • A musty body odor
  • Dizziness
  • Headaches that can be triggered by strong smells
  • A tendency toward obesity
  • A pear shaped body
Tongue body
Flabby and swollen
Coating
Greasy and white, thicker at the root
Pulse
Deep and slippery or Wiry

Treatment principles

  • Transform and eliminate Phlegm
  • Open the bowels
  • Elevate Yang to facilitate the descent of turbid Yin
  • Regulate Liver Qi
  • Strengthen the Spleen

Herbal formulas

63PHLEGM-DAMP ACCUMUATION IN THE CHANNELS

Manifestations

  • Fullness in the chest and abdomen
  • Swelling of the skin with tightness and thickness
  • Heaviness of the head and body
  • Loose stools
Tongue body
Flabby
Coating
Thick and greasy
Pulse
Deep and slow

Treatment principles

  • Resolve Dampness
  • Eliminate Phlegm
  • Invigorate the Blood
  • Harmonize the Collaterals

Herbal formulas

  • Ling Gui Zhu Gan Tang

Ling Gui Zhu Gan Tang modified

64DRY SUDDEN TURMOIL DISORDER

Manifestations

  • Sudden collapse
  • Loss of consciousness
  • Clenched jaws
  • Fullness, extreme pain, and a cold sensation in the chest and abdomen
  • Purple or blue lips
  • Sudden loss of consciousness
  • Coma
  • An urge to vomit and defecate without doing either
  • Abdominal pain with chest distention
  • Mental upset
  • Paraphasia
  • Diarrhea
  • Vomiting
  • Excessive mucus and saliva
  • Breath cold
  • Pale complexion
  • Cold extremities
  • Staring eyes
  • T Pale
Coating
White and slippery or greasy
Pulse
Deep and slippery or Deep, excess and slow or Wiry, tight and Excess

Treatment principles

  • Warms and Aromatically Opens the Orifices
  • Moves Qi
  • Expels dirt
  • Transforms turbidity

Herbal formulas

65TURBID DAMPNESS IN THE SAN JIAO

Manifestations

  • General edema of the body and extremities
  • Dysuria
  • Oliguria
  • Orthopnea
  • Pitting edema
  • Dyspnea
  • Anorexia
  • Abdominal fullness and pain
Tongue body
Thick
Coating
White and thick
Pulse
Slow or Wiry

Treatment principles

  • Dispel Stagnant Water
  • Dry Dampness
  • Eliminate water from the Lungs
  • Harmonize the Spleen
  • Relieve edema
  • Move Qi

Herbal formulas

66DAMP-HEAT IN THE SAN JIAO

Manifestations

  • Scanty or no urine
  • Dysuria
  • Thirst with no desire to drink
  • Constipation
  • Abdominal fullness and distention
  • Heavy head
  • Headache
  • General aching
  • General edema beginning from the eyelids
  • Dizziness
  • May have fever or fever and chills
Tongue body
Normal or red
Coating
Greasy and white
Pulse
Soft and rapid or Slippery and rapid or Floating and slow

Treatment principles

  • Dispel Dampness
  • Regulate Qi flow to the Urinary Bladder and Large Intestine
  • Clear Heat

Herbal formulas

67SAN JIAO MIDDLE JIAO DAMP STAGNATION

Manifestations

  • Abdominal distension
  • Heaviness
  • More damp symptoms than heat symptoms
  • Anorexia
  • Uncomfortable bowel movements
  • Nausea/vomiting
Tongue body
Pink
Coating
Greasy and white
Pulse
Soft

Points

SP-6, SP-9, ST-25, ST-28, REN-6, REN-9, REN-12

68SAN JIAO LOWER JIAO LARGE INTESTINE DAMP-HEAT

Manifestations

  • Abdominal distention
  • Dry, scaly skin
  • Tightness
  • A mass-like appearance
  • Softness on palpation
  • Absence of thirst
  • Maybe an aversion to drinks
  • Tenderness and soreness of the lower abdomen
  • Lower abdominal cramps
  • Lower Jiao pain
  • Constipation or diarrhea
  • Heaviness
  • Headache
  • Dull spirit
  • Mental fuzziness
  • No fever
  • Condition fails to improve
  • A right-sided abdominal swelling that is soft when touched and not very painful
  • Cold extremities
  • A gray or pale complexion
Tongue body
Normal
Coating
Greasy, yellowish white
Pulse
Soft or slippery and maybe rapid

Treatment principles

  • Clear Heat
  • Resolve Dampness

Herbal formulas

  • With Intestinal abscess: Yi Yi Fu Zi Bai Jiang San
  • With Blood Stagnation: Teng Long Tang

69SHI TAN

Manifestations

  • Dizziness
  • Vertigo
  • Mental cloudiness
  • Heavy head
  • Heavy sensation in the body
  • Cough with Excess sputum
  • Chest and epigastric distention
  • Suffocating sensation in the chest and epigastrium
  • Nausea
  • Profuse sputum
  • Vomiting
  • Anorexia
  • Fatigue
  • Borborygmus
  • Tinnitus
  • Mouth glutinous
  • No thirst
  • Likes to sleep
  • Maybe palpitations
  • Headaches (may be recurrent)
  • Spots before the eyes
  • Lockjaw
  • Sinus congestion
  • Cold feet
  • Fatigue
  • Abdominal distention
  • Weakness of hands and feet
  • May be edema
  • Sudden loss of consciousness
  • Excess salivation
  • Compulsive sleeping after eating
Tongue body
Normal or Thick
Coating
White and greasy or Sticky and white
Pulse
Rolling or Wiry and slippery or Soft and slippery

Treatment principles

  • Strengthen the Spleen
  • Harmonize the Stomach
  • Eliminate Dampness
  • Resolve Phlegm

Herbal formulas

  • Ban Xia Bai Zhu Tian Ma Tang

Points

  • GB-34, LIV-13, REN-12, ST-36, ST-40
  • PC-6, REN-12, ST-8, ST-40, UB-20
  • DU-20, DU-23, GB-20, GB-34, LI-4, REN-12, ST-36, ST-40, ST-41
  • REN-12, PC-6, ST-41

70TAN YIN

Manifestations

  • Abdominal distension
  • Poor appetite
  • Edema
  • Chest and hypochondriac distension
  • Dizziness
  • Nausea and vomiting
  • Thirst but doesn't wish to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of breath
Tongue body
Pink
Coating
Thick, slippery
Pulse
Slippery and full and maybe wiry

Treatment principles

  • Eliminate Dampness
  • Resolve Phlegm

Herbal formulas

  • With indigestion, diarrhea and decreased urination: Si Ling San
  • With jaundice and dysuria: Yin Chen Wu Ling San
  • With Qi and Blood Stagnation: Kai Yu Er Chen Tang
  • For severe Phlegm-Damp with relentless distention, belching hiccup, acid reflux, nausea and vomiting: + Xuan Fu Dai Zhe Tang

Points

ST-40, SP-6, SP-9, SJ-6, PC-6, UB-13, UB-20, UB-23

71XUAN YIN

Manifestations

  • Cough with sharp pain in the chest and hypochondrium
  • Hypochondriac distention and pain
  • Hard focal distention in the epigastrium
  • Dry heaves
  • Shortness of breath
  • Headache
  • Abdominal distention
  • Wheezing
  • Fullness in the chest
  • Dyspnea caused by extreme chest and back pain
  • Dizziness
  • Vertigo
  • Asthma
  • Rapid breathing
  • Generalized edema which is worse in the lower body
  • Difficult urination and defecation
Tongue body
Normal or Dark
Coating
Thick, greasy and white
Pulse
Deep and wiry

Treatment principles

Attack and Dispel water

Herbal formulas

Points

KI-3, LI-4, LI-11, PC-6, REN-11, REN-12, ST-36, UB-13, UB-20, UB-23

72ZHI YIN

Manifestations

  • Cough
  • Asthma
  • Shortness of breath especially while lying down
  • Abdominal distension with water retention
  • Edema in lower extremities
  • Edema in face
Tongue body
White bubbles
Coating
Thick, greasy, white
Pulse
Thready

Herbal formulas

  • With indigestion, diarrhea and decreased urination:
  • With jaundice and dysuria:

Points

LU-7, SP-6, SP-9, UB-13

73CHONG CHANNEL

Manifestations

  • Hard abdominal distention
  • Flatulence
  • Urethra problems
  • Prostate problems

Points

PC-6, SP-4

74TRANSVERSE LUO CHANNEL OF THE KIDNEYS

Manifestations

  • Abdominal distention
  • Heart pain
  • Chest and flank pain
  • Throat pain
  • Cannot swallow
  • Throat swelling
  • Cannot spit

Points

  • UB-67, KI-4
  • UB-64, KI-4
  • Bleed UB-40
  • Should the Blood run black, this points to cholera or paracholera
  • Should the Blood run red, this points to Blood Stagnation
  • Should there be no emesis or watery bowel movements, this points to Qi Stagnation
  • Should there be emesis together with watery bowel movements, this points to Heat or Cold Stagnation
  • Should there be emesis alone, this points to Fire
  • Should there be watery bowel movements alone, this points to Cold

75COLLAPSE DUE TO QI DEFICIENCY LEADING TO BLOOD LOSS AND DEVASTATED YANG

Manifestations

  • Pallid, thin Blood
  • A pounding heartbeat
  • Difficulty breathing
  • Sparse, terse speech
  • A dropping feeling in the lower belly
  • Weariness
  • A lustrous, pallid coloring of the face
  • A sense of repletion in the belly
  • Lumbar pain
Tongue body
Wan
Coating
Wet and sparse
Pulse
Vacuous and delicate, or feeble and sleek

Treatment principles

  • Fortify Qi so as to fortify the Blood
  • Lift Yang Qi

Herbal formulas

76CHILDHOOD NUTRITIONAL IMPAIRMENT

Manifestations

  • Pain in the head
  • A spinning sensation
  • Persistent ringing in the ears
  • Thinning or shedding hair
  • A deep purplish coloring of the face, or
  • A bluish or greenish coloring of the face, with or without rosacea or vitiligo
  • Shadowing around the eyes
  • A ruddy, bulbous nose
  • Advancing extreme thinness
  • Bloating of the belly
  • A purplish coloring of the sinews
  • Tidal pyrexia
  • Lightheadedness
  • Hearing loss
  • A pallid face
  • A bluish discoloration of the skin
  • Consumptive wasting disease
  • Feebleness of the muscles
  • An abrupt loss of sight
Tongue body
Dusky, or marked with tiny red speckles
Coating
Unremarkable
Pulse
Hesitant

Treatment principles

  • Energize the Blood
  • Expel Blood Stasis
  • Unblock the orifices

Herbal formulas