tense syndrome - attack of zang fu organs

• (heart phlegm fire with liver yang rising & upward flow of qi & blood)

• sx: falling down in a fit with loss of consciousness, tightly closed hands & clenched jaws, eyes open, flushed face, coarse breathing, rattling in the throat, retention of urine, constipation

• t: red with thick, yellow, or dark grey coating

• p: string-taut, rolling, and forceful

• pts: du20, du26, st40, lv3, kd1, jing well on both hands, clenched jaw st7, aphasia and stiffness of the tongue du15, ren23, ht5

flaccid syndrome - attack of the zang fu organs

• (qi deficiency or kidney collapse)

• sx: falling down in a fit with loss of consciousness, mouth agape and eyes closed, snoring and feeble breathing, flaccid paralysis of limbs, incontinence of urine

• t: flaccid

• p: thready, weak, severe cases: cold limbs or flushing face, p: fading or big, floating

• pts: ren8, ren6, ren4, (indirect moxa with salt)

attack on the meridians & collaterals

• (wind phlegm due to imbalance of yin & yang)

• sx: hemiplegia, numbness of limbs, deviated mouth slurring of speech accompanied by headache, dizziness, vertigo, twitching of muscles, red eyes and flushed face, thirst, dryness of the throat, irritability

• t: none noted

• p: string-taut, rolling

• pts: du20, ub7, du16, upper limbs li15, li11, sj5, li4, lower limbs gb30, gb34, st36, st41, upward disturbance of wind yang: reduce gb20, lv3, reinforce: kd3, sp6, excessive fire in heart & liver: reduce pc7, lv2, reinforce: kd3, sp6, deviated mouth: st4, st6

prophylactic for wind stroke

• st36, gb39 frequent moxa

deficiency syndrome (general deficiency)

• sx: feeble breathing with mouth agape, spontaneous sweating, pallor, cold limbs

• t: n/a

• p: deep, thready

• pts: du26, du20, pc6, ren6, st36, (reinforce treatment with general moxa)

excess syndrome (emotional disturbances)

• sx: coarse breathing, rigid limbs, clenched jaws, (fit of anger)

• t: none

• p: deep, excess

• pts: du26, li4, pc9, pc8, lv3, kd1

mild type

• sx: headache, dizziness, profuse sweating, hot skin, coarse breathing, dry mouth and tongue, dire thirst

• t: n/a

• p: superficial, large and rapid

• pts: du14, pc6, li11, ub40

severe type

• sx: headache, dire thirst, shortness of breath at first, and then collapse, loss of consciousness, sweating

• t: none

• p: deep, forceless

• pts: du26, du20, shixuan, pc3, ub40

wind cold

• sx: chills, fever, anhidrosis, headache, soreness and pain of the limbs, nasal obstruction, running nose, itching of the throat, cough, hoarse voice, profuse thin sputum

• t: thin, white coating

• p: superficial, tesne

• pts: du16, ub12, gb20, lu7, li4 (moxa if patient is deficient)

wind heat

• sx: fever, sweating, slight aversion to wind, pain and distending sensation of the head, coughing with yellow, thick sputum, congested and sore throat, thirst

• t: thin, white or yellowish coating

• p: superficial, rapid

• pts: du14, li11, sj5, li4, lu10, lu11

• sx: paroxysms of shivering chills and high fever with general hot sensation, preceded by yawning and lassitude. there appears to be intolerable headache, flushed face and red lips, stifling feeling in chest and hypochondriac with body feeling cool chronic: splenomegaly is usually found

• t: thin, sticky, yellow coating

• p: string-taut, rapid

• pts: du14, du13, si3, pc5, sj2, gb41

• high fever: li11

• malaria with splenomegaly: lv13, moxa pigen

• high fever with delirium and mental confusion: jing-wells (prick to bleed)

• wind cold

  invasion by exogenous pathogenic factors

  sx: cough, itching of the throat, thin and white sputum, aversion to cold, fever, anhidrosis, headache, nasal obstruction and discharge

  t: thin, white coating

  p: superficial

  pts: lu7, li4, ub13 (moxa) pain & swelling in the throat lu11

• wind heat

  invasion by exogenous pathogenic factors

  sx: cough with yellow, thick sputum, choking cough, thirst, sore throat, fever, or headache, aversion to wind, sweating

  t: thin, yellow coating

  p: superficial, rapid

  pts: lu7, li4, ub133 pain & swelling in throat lu11 fever and aversion to cold du14, sj5

• blockage of the lung by phlegm

  internal injury

  sx: cough with profuse, white and sticky sputum, stuffiness and depression of the chest, loss of appetite

  t: white, sticky coating

  p: rolling

  pts: ub13, ren12, lu5, st36, st40 (back shu point add moxa)

• deficiency of yin with dryness of the lung

  internal injury

  sx: dry cough without sputum, or with scanty sputum, dryness of the nose and throat, sore throat, spitting of blood or even coughing blood, afternoon fever, malar flush

  t: red with thin coating

  p: thready, rapid

  pts: ub13, lu1, lu7, kd6

  coughing blood: ub17, lu6

• wind cold

  excess

  sx: cough with thin sputum, rapid breathing, accompanied by chills, fever, headache, anhidrosis, at the early stage, absence of thirst

  t: white coating

  p: superficial, tense

  pts: lu7, li4, ub13 (moxa) ub13, ub12, (cup ub12 & ub13) du14

• phlegm heat

  excess type

  sx: rapid and short breathing, strong and coarse voice, cough with thick yellow sputum, sensation of chest stuffiness, fever, restlessness, dryness of mouth

  t: thick, yellow or sticky coating

  p: rolling, rapid

  pts: ub13, dingchuan, ren22, lu5, st40

• lung deficiency

  deficiency type

  sx: short and rapid breathing, feeble voice, weak and low sound of coughing, sweating on exertion

  t: pale

  p: deficient

  pts: ub13 (moxa), lu9, st36, sp3 (promotes metal)

• kidney deficiency

  deficiency type

  sx: dyspnea on exertion after long standing asthma, severe wheezing, drawing in of the soft tissues of the neck, short breath, lassitude and weakness, sweating, cold limbs

  t: pale

  p: deep, thready

  pts: ub13, kd3, ub23, ren17, ren6

  persistent asthma: (moxa) du12, ub43, sp def. (moxa) ren12, ub20

• retention of food

  sx: distending pain in epigastrium aggravated on pressure or after meals, belching with fetid odor, anorexia

  t: thick, sticky coating

  p: deep, forceful or rolling

  pts: ren12, pc6, st36, inner-neiting

• attack of the stomach by liver qi

  liver qi stagnation

  sx: paroxysmal pain in epigastrium, radiating to the hypochondriac regions, frequent belching accompanied by nausea, vomiting, acid regurgitation, abdominal distension, anorexia

  t: thin, white coating

  p: deep, string taut

  pts: lv14, ren12, pc6, st36, lv3

• deficiency of the stomach with stagnation of cold

  deficiency of sp/st w/ cold invasion

  sx: dull pain in epigastrium, which may be relieved by pressure and warmth, general lassitude, regurgitation of thin fluid

  t: thin, white coating

  p: deep, slow

  pts: ren12, st36 (moxa), ren6, pc6, sp4, ub20 (moxa), (indirect moxa w/ ginger on ren6 most important)

• retention of food

  sx: acid fermented vomit, epigastric and abdominal distension, belching, anorexia, loose stool or constipation

  t: thick, granular coating

  p: rolling, forceful

  pts: ren12, st36, pc6, sp4, ren10

• attack of the stomach by liver qi

  liver qi stagnation

  sx: vomiting, acid regurgitation, frequent belching, distending pain in the chest and hypochondriac regions, irritability with an oppressed feeling

  t: sticky coating

  p: string taut

  pts: ren12, st36, pc6, sp4, lv3

• hypofunction of the spleen & stomach

  weak sp/st fails transport and transform

  sx: sallow complexion, vomiting after a big meal, loss of appetite, lassitude, weakness, slightly loose stool

  t: pale with thin white coating

  p: thready, forcefless

  pts: ren12, st36, pc6, sp4, ub20, persistent vomiting jinjing, yuye

• retention of food

  sx: loud hiccups, epigastric and abdominal distension, anorexia

  t: thick, sticky coating

  p: rolling

  pts: ub17, ren12, pc6, st36, ren14, inner neiting

• stagnation of qi

  liver qi stagnation

  sx: continual hiccups, distending pain and feeling of oppression in the chest and hypochondrium

  t: thin coating

  p: forceful

  pts: ub17, ren12, pc6, st36, lv3, ren17

• cold in the stomach

  stagnated cold affects stomach

  sx: slow and forceful hiccups, which may be relieved by heat and aggravated by cold, discomfort in the epigastrium

  t: white, moist coating

  p: slow

  pts: ub17, ren12, pc6, st36, ren13 (moxa) (ub17, ub18, ub46, ren12, st18 cupping)

• retention of food

  sx: epigastric and abdominal distending pain which is aggravated by pressure, anorexia, foul belching and sour regurgitation, or abdominal pain accompanied by diarrhea and relieved by defecation

  t: sticky coating

  p: rolling

  pts: ren12, st25, ren6, st36, innerneiting

• hypo-activity of the spleen yang

  sx: intermittent dull pain which may be relieved by warmth or by pressure and aggravated by cold or by hunger and fatigue, lassitude, aversion to cold

  t: thin, white coating

  p: deep, thready

  pts: ub20, ub21, ren12, lv13, ren6, st36 (moxa)

• accumulation of cold

  sudden onset

  sx: sudden onset of violent abdominal pain which responds to warmth and gets worse with cold, loose stool, absence of thirst, clear and profuse urine, cold limbs

  t: thin, white coating

  p: deep, tense or deep, slow

  pts: ren12, ren8, st36, sp4, (indirect moxa with salt used to warm stomach & dispel cold)

• cold-dampness

  acute diarrhea

  sx: watery diarrhea, abdominal pain and borborygmus, chilliness which responds to warmth, absence of thirst

  t: pale with white coating

  p: deep, slow

  pts: st25, st36, ren12, ren6 (moxa w/ ginger stomach area)

• damp heat

  acute diarrhea

  sx: diarrhea with abdominal pain, yellow hot fetid stools, burning sensation in the anus, scanty urine, or accompanied by general feverish feeling, thirst

  t: yellow, sticky coating

  p: rolling, rapid

  pts: st25, st36, st44, sp9

• retention of food

  acute diarrhea

  sx: abdominal pain relieved after bowel movements, borborygmus, diarrhea with fetid stools, epigastric and abdominal fullness and distension, belching, anorexia

  t: thick, filthy coating

  p: rolling, rapid or deep, string taut

  pts: st25, st36, inner-neiting

• deficiency of spleen (chronic)

  sx: loose stools with undigested food, anorexia, epigastric distress after eating, sallow complexion, lassitude

  t: pale with white coating

  p: thready, forceless

  pts: ub20, lv13, sp3, ren12, st36, (ren12, st36 moxa)

• deficiency of kidney (chronic)

  sx: pain below the umbilicus, borborygmus and diarrhea usually occurring at dawn, relieved after bowel movements, and aggravated by cold, sometimes abdominal distension, cold lower extremities

  t: pale with white coating

  p: deep, forceless

  pts: ub23, ub20 (moxa), du4, & ren4, kd3, st36

• damp-heat dysentery

  late summer damp heat

  sx: abdominal pain, tenesmus, mixing pus and blood in the stool, burning sensation of the anus, scanty and yellow urine, or chills, fever, restlessness, thirst

  t: yellow, sticky coating

  p: rolling, rapid or soft, rapid

  pts: st25, st36, li11, li4

• cold damp dysentery

  accumulation of cold in spleen/stomach

  sx: difficult defecation, white mucus in stools, preference for warmth and aversion to cold, mostly accompanied with fullness in the chest and epigastrium, lingering abdominal pain, tastelessness in the mouth, absence of thirst

  t: white, sticky coating

  p: deep, slow

  pts: st25, st37, (moxa) ren12, ren6, sp9

• food-resistant dysentery

  (diagnosed damp heat dysentery)

  sx: frequent stools with blood and pus, total loss of appetite, nausea, vomiting

  t: yellow, sticky coating

  p: soft, rapid

  pts: st25, st37, ren12, pc6 (pacify stomach & remove damp with moxa)

• intermittent dysentery

  caused by weak spleen

  sx: dysentery, occuring on and off, difficult to cure, lassitude, aversion to cold, somnolence, anorexia

  t: pale with sticky coating

  p: soft

  pts: st25, st37, ub20, ub21, ren4, st36 fever du14 tenesmus ub29 rectum prolapse (moxa) du20, du1

• excess (caused by undigested food)

  late summer damp heat

  sx: abdominal pain, tenesmus, mixing pus and blood in the stool, burning sensation of the anus, scanty and yellow urine, or chills, fever, restlessness, thirst

  t: yellow, sticky coating

  p: rolling, rapid or soft, rapid

  pts: st25, st36, li11, li4

• deficiency (sp/st qi deficiency - long process)

  sx: abdominal distention relieved by pressure, borborygmus, loose stools, loss of appetite, lassitude, listlessness, clear urine

  t: pale with white coating

  p: forceless

  pts: ren12, st25, st36, st37, ren4, sp3 (moxa)

• yin jaundice (cold damp in sp/st)

  sx: sallow skin, heaviness of the body, weakness, loss of appetite, epigastric stuffiness, lassitude, aversion to cold, absence of thirst

  t: pale with thick, white coating

  p: deep, slow

  pts: sp9, st36, ub18, du9, (moxa) ub20, ub48

• yang jaundice (lv/gb steamed by heat of sp/st)

  sx: lustrous yellow skin and sclera, fever, thirst, scanty dark yellow urine, heaviness of chest, nausea

  t: yellow, sticky coating

  p: string-taut, rapid

  pts: sp9, st36, ub18, ub19, du9, lv3, gb34

spleen/stomach qi sinking, or long standing diarrhea/dysentery, or constitutional weakness

sx: starts with distending & draggling sensation of rectum during defecation, and returning to normal after the bowel movement. if not treated, recurrence may happen by overtrain. sometimes - lassitude, weakness of limbs, sallow complexion, dizziness and palpitations.

t: pale with white coating

p: thready, feeble

pts: (moxa) du20, du1, ub25, st36

• yang edema (invasion of wind on lung, abrupt)

  sx: abrupt onset of edema with puffy face & eyelids then anasarca, lustrous skin, with chills, fever, thirst, cough, asthma and reduced. urine output

  t: thin, white coating

  p: superficial or rolling, rapid

  pts: lu7, li4, li6 + sp9 (together for dampness), ub39

• yin edema (spleen/kidney yang deficiency, chronic)

  sx: insidious onset, first pedis dorsum or eyelids, then over the entire body, especially remarkable below the lumbar region, sallow complexion, aversion to cold, cold limbs, soreness of back and loins, general weakness, epigastric fullness, abdominal distension, loss of appetite, loose stools

  t: pale with white coating

  p: deep, thready

  pts: (moxa) ub20, ub23, ren9, kd7, ren4, (no moxa) st36 facial puffiness du26 edema on pedis dorsum gb41, sp5

usually children over 3 or adults, caused by kidney qi deficiency affecting ub restraining discharge

dx: deficiency of kidney qi affects ub from restraining the urine discharge

sx: involuntary micturition during sleep with dreams, once in several nights in mild cases, or several times a night in severe cases, sallow complexion, loss of appetite, and weakness in prolonged cases

t: pale with white coating

p: thready, weak at the chi regions

pts: (moxa) ub23, ub28, ren3, sp6, lv1 (moxa) enuresis with dreams ht7 loss of appetite ub20, st36

• dysuria caused by calculi (damp heat)

  sx: presence of calculi in the urine, dysuria, dark yellow turbid urine, or sudden interruption of urination, unbearable pricking pain with urination, pain of lumbus & abdomen, or blood in the urine

  t: normal coating

  p: none

  pts: ub28, ren3, sp9, ub39

• dysuria caused by qi dysfunction (emotions - liver qi stagnation - qi stasis in ub)

  sx: difficult and hesitant urination, fullness and pain of the lower abdomen

  t: thin, white, coating

  p: deep, string, taut

  pts: ub28, ren3, sp9, lv2

• painful urination with blood

  sx: hematuria with pain and urgency of micturition, burning sensation and pricking pain in urination

  t: thin, yellow coating

  p: rapid, forceful

  pts: ub28, ren3, sp9, sp10, sp6

• dysuria with milky urine (damp heat in ub)

  sx: cloudy urine with milky or creamy appearance, urethral burning pain in urination.

  t: red with sticky coating

  p: thready, rapid

  pts: ub28, ren3, sp9, ub23, kd6

• dysuria due to overstrain

  excess sex, drugs, alcohol, mental stress - kd qi or spleen qi deficiency

  sx: difficulty in urination with dribbling of urine, occurring off and on, exacerbated after overwork and usually refractory to treatment

  t: n/a

  p: weak

  pts: ub28, ren3, sp9, du20, st36, ren6

• accumulation of heat in the bladder

  sx: scanty hot urine or retention of urine, distension and fullness of the lower abdomen, thirst but without desire to drink, constipation

  t: red with yellow coating

  p: rapid

  pts: ub28, ren3, sp6, ub39

• decline of mingmen fire

  caused by kidney yang deficiency

  sx: dribbling urination, attenuating in force of the urine discharge, pallor, listlessness, chilliness below the lumbus, weakness of the loins and knees

  t: pale

  p: deep, thready, weak at chi level

  pts: du4, (moxa) du20 & ren4, sj4, ub23

• damage of the qi of the meridian

  ub qi damage due to traumatic injury or surgery

  sx: dribbling urination or retention or urine, distension and dull pain in the lower abdomen

  t: purplish spots

  p: hesitant, rapid

  pts: ren3, sp6, st28, kd5

• decline of mingmen fire

  sx: failure of the penis in erection, or weak erection, pallor, cold extremities, dizziness, listlessness, soreness and weakness of the loins and knees, frequent urination

  t: pale with white coating

  p: deep, thready

  pts: (moxa) all ren4, du4, ub23, kd3

  damage of qi of heart and spleen: ub15, ht7, sp6

• downward flowing of damp heat

  sx: inability of the penis to erect, complicated with bitter taste in the mouth, thirst, hot and dark red urine, soreness and weakness of the lower extremities

  t: yellow, sticky coating

  p: soft, rapid

  pts: ren3, sp6, sp9, st36

• nocturnal emission ("wet dreams")

  sx: due to over contemplation or excessive sexual activities, which lead to disharmony between heart & kidney. could be dizziness, palpitation, listlessness, lassitude, scanty yellow urine

  t: red

  p: thready, rapid

  pts: ht7, ub15, kd3, ub52

• spermatorrhea (male form of leukorrhea)

  sx: due to damage of the kidney after a prolonged illness, indulgent sexual activity, or stubborn nocturnal emission, frequent spermatorrhea at day or night, desire for sex, pallor, lassitude, listlessness

  t: pale

  p: deep, thready

  pts: ub23, kd12 (assist control of essence), sp6, (moxa) ren4 & ren6

• deficiency of heart & spleen

  sx: difficulty in falling asleep, dream-disturbed sleep, palpitations, poor memory, lassitude, listlessness, anorexia, sallow complexion

  t: pale with thin coating

  p: thready, weak

  pts: ht7, sp6, amnian, moxa ub20, ub15, sp1 (moxa with small cones)

• disharmony of heart & kidney

  sx: restlessness, insomnia, dizziness, tinnitus, dry mouth with little saliva, burning sensation of the chest, palms and soles, or nocturnal emission, poor memory, palpitations, low back pain

  t: red

  p: thready, rapid

  pts: ht7, sp6, amnian, ub15, ub23, kd3

• upward disturbance liver fire

  sx: irritability, dream-disturbed sleep, fright and fear accompanied with headache, distending pain in the coastal region, bitter taste in the mouth

  t: n/a

  p: string-taut

  pts: ht7, sp6, amnian, ub18, ub19, gb12 (subdue the fire lv/gb)

• dysfunction of stomach

  sx: insomnia, suffocating feeling and distending pain in the epigastric region, belching, or difficult defecation

  t: sticky coating

  p: rolling

  pts: ht7, sp6, amnian, ub21, st36

• poor memory

  pts: ub15, ub20, ub23, kd6 (promotes kidney essence), st36, si shen cong

• disturbance of the mind

  phlegm heat/fire, depression, anger, stomach dysfunction

  sx: palpitations, fear and fright, irritability, restlessness, dream disturbed sleep, anorexia

  t: white, thin coating (phlegm heat: yellow, sticky)

  p: little bit rapid (phlegm heat: rolling, rapid)

  pts: ub15, ren14, ht7, pc6, ht5, gb40

  phlegm: st40 + ub19 (together dissolve phlegm and heat)

• insufficiency of qi and blood

  sx: palpitations, lusterless complexion, dizziness, blurring of vision, shortness of breath, lassitude

  t: pale with tooth prints

  p: thready, weak, or intermittent

  pts: ub15, ren14, ht7, pc6, ub20, ub21, st36

• hyperactivity of the fire due to yin deficiency

  sx: palpitations, restlessness, irritability, insomnia, dizziness, blurring of vision, tinnitus

  t: red with little coating

  p: thready, rapid

  pts: ub15, ren14, ht7, pc6, ub14, ub23, kd3

• retention of harmful fluid

  ht yang deficiency or spleen & kidney yang deficiency disturbs ht

  sx: palpitations, expectorations of mucoid sputum, fullness in the chest and epigastric region, lassitude, weakness, cold extremities

  t: white coating

  p: string taut, rolling

  pts: ub15, ren14, ht7, pc6, ren9, ren4, ren8, sp9 (reduce first, then reinforce with moxa)

• depressive disorder

  liver qi stagnation & spleen qi failing to ascend causes phlegm

  sx: gradual onset, emotional dejection and mental dullness at the initial stage, followed by incoherent speech, changing moods, or muteness, somnolence, anorexia

  t: thin, sticky coating

  p: string taut, thready or string taut, rolling

  pts: ub15, ub18, ub20, ht7, st40

• manic disorder

  liver fire causes phlegm heat

  sx: sudden onset, irritability, being easy to anger, insomnia, loss of appetite, followed by excessive motor activity with increased energy and violent behaviors

  t: yellow, sticky coating

  p: string taut, rolling, rapid

  pts: du14, du16, du26, pc6, st40

• schizophrenia

  pts: 13 points for manic-depressive disorder - prick to bleed in this order du26, lu11, sp1, pc7, ub62, du16, st6, ren24, pc8, du23, ren1, li11, shexiazhongfeng (extra, midline of the underside of the tongue)

fear & fright, or damp phlegm (spleen/stomach) combined with liver qi stagnation, or hereditary (only children)

• during seizure

  sx: typical seizure is preceded by dizziness, headache and suffocating sensation in the chest, and immediately followed by falling down with loss of consciousness, pallor, clenched jaws, upward staring of the eyes, convulsion, foam on the lips, screaming as pigs or sheep and even incontinence of urine and feces. gradually patient regains consciousness

  t: white, sticky coating

  p: string taut, rolling

  pts: du26, ren15, pc5, lv3, st40

• after seizure

  sx: listlessness, lusterless complexion, dizziness, palpitations, anorexia, profuse sputum, weakness and soreness of the loins and limbs

  t: pale with white coating

  p: thready, rolling

  pts: ub15, yintang, ht7, sp6, kd3, yaoqi

  daytime seizures: ub62

  night seizures: kd6

  phlegm stagnation: ren12, st40

  severe deficiency of qi & blood: ren4, st36

• 
  

  hyperactivity of liver yang

  sx: dizziness, aggravated by anger, irritability, flushed face, red eyes, tinnitus, bitter taste in the mouth, dream-disturbed sleep

  t: red with yellow coating

  p: string-taut, rapid

  pts: gb20, ub18, ub23, kd3, lv2

• deficiency of qi and blood

  sx: dizziness accompanied by pallor and lusterless complexion, weakness, palpitations, insomnia, pale lips and nails, lassitude, loss of consciousness if severe case.

  t: pale

  p: thready, weak

  pts: (moxa) du20, ub20, ren4, st36, sp6

• interior retention of phlegm dampness

  sx: dizziness with a heavy feeling of the head and suffocating sensation in the chest, nausea, profuse sputum, anorexia, somnolence

  t: white, sticky coating

  p: soft, rolling

  pts: st8, ub20, ren12, pc6, st40

• depression of the qi in the liver

  sx: mental depression, distress of the chest, hypochondriac pain, abdominal distension, belching, anorexia, or abdominal pain, vomiting, abnormal bowel movement

  t: thin, sticky coating

  p: string-taut

  pts: ub18, ren17, ren12, st36, sp4, lv3

• transformation of depressed qi into fire

  sx: headache, dryness and bitter taste in the mouth, irritability, distress of the chest, hypochondriac distension, acid regurgitation, constipation, red eyes, tinnitus

  t: red with yellow coating

  p: string taut, rapid

  pts: ren13 (regulate stomach acid, sj6 + gb34 (distress of the chest), lv2, gb43

• stagnation of phlegm (aka globus hystericus)

  sx: feeling of lump choking in the throat, hard to spit it out or to swallow it

  t: thin, sticky coating

  p: string-taut, rolling

  pts: ren22, ren17, pc6, st40, lv3

• insufficiency of blood (hysteria)

  sx: grief without reasons, capricious joy or anger, suspicions, liability to get frightened, palpitations, irritability, insomnia or sudden distress of the chest, hiccup, sudden aphonia, convulsion or loss of consciousness in severe cases

  t: thin, white coating

  p: string-taut thready

  pts: ren14, ht7, sp6 (all nourish blood), lv3

  chest distress: pc6, ren17

  hiccup: sp4, ren22

  sudden aphonia: ht5, ren23

  convulsion: li4, gb34 (check convulsions, relieves pain)

  loss of consciousness: du26, kd1

• headache due to invasion of pathogenic wind into the meridians and collaterals

  sx: headache occurs on exposure to wind. the pain may extend to the nape of the neck and back regions. it is violent, boring, and fixed pain. called head wind

  t: thin, white coating

  p: string-taut

  pts: combine local and distal points according to the location of headache and the affected meridian

  occipital: gb20, ub60, si3

  frontal: st8, yintang, du23, li4, st44

  temporal: taiyang, gb8, sj5, gb41

  parietal: du20, si3, ub67, lv3

• headache due to upsurge of liver yang

  sx: headache, blurred vision, severe pain on the bilateral sides of the head, irritability, hot temper, flushed face, bitter taste in the mouth

  t: reddened with yellow coating

  p: string taut, rapid

  pts: gb20, du20, gb5, gb43, lv2 (local/distal)

• headache due to deficiency of both qi and blood

  sx: lingering headaches, dizziness, blurred vision, lassitude, lusterless face, pain relieved by warmth and aggravated by cold, overstrain or mental stress

  t: pale with thin, white coating

  p: weak, thready

  pts: du20, ren6, ub18, ub20, ub23, st36

• facial pain due to invasion by pathogenic wind and cold

  sx: abrupt onset of pain occurs like an electric shock. the pain is cutting, boring, and intolerable, but transient and paroxysmal. each attack lasts a few seconds or one to two minutes. may recur several times a day. tender points can be found on the supraorbital foramen, infraorbital foramen, cheek foramen, and lateral side of ala nasi, angle of mouth, and nasolabial groove, where pressure induces attack of pain. pain is often accompanied by local spasm, running nose, and lacrimation, salivation or by exterior symptoms

  t: none

  p: string-taut, tense

  pts:

  pain at supraorbital region: gb14, taiyang, ub2, sj5

  pain at the maxillary region: st2, si18, li20, li4

  pain at mandibular regions: st7, st6, st5, li4, jiachengjiang, gb20 (wind)

  occipital: gb20, ub60, si3

  frontal: st8, yintang, du23, li4, st44

  temporal: taiyang, gb8, sj5, gb41

  parietal: du20, si3, ub67, lv3

• facial pain due to excessive fire in the liver and stomach

  sx: the attack of pain as described above is accompanied by irritability, hot temper, thirst, constipation

  t: yellow, dry coating

  p: string taut, rapid

  pts: all the previous points in wind/cold + lv3, st44

• facial pain due to deficiency of yin and excessive fire

  sx: insidious pain, emaciation, malar flush, soreness in the lumbar region, lassitude, pain aggravated by fatigue

  t: reddened with little coating

  p: thready, rapid

  pts: all previous points in wind/cold + kd6, sp6

derived from invasion of the meridians & collaterals, and muscle meridians in the facial region by wind & cold

sx: usually affects people between age 20 to 40, more often men. sudden onset, usually right after waking up, incomplete closure of the eye on affected side, drooping of the angle of the mouth, salivation and inability to frown, raise the eyebrow, close the eye, blow out the cheek, show the teeth or whistle, and in some cases, pain in the mastoid region or headache

t: thin, white coating

p: superficial, tense or superficial, slow

pts: sj17, gb14, taiyang, si18, st7, st4, st6, li4, headache gb20, difficulty in frowning & raising the eyebrow ub2, sj23, incomplete closing of the eye ub2, ub1, gb1, sj23, yuyao, difficulty in sniffing, li20, deviation of the philtrum du26, inability to show teeth st3, tinnitus & deafness gb2, tenderness in mastoid region gb12, sj5, in long standing cases: warm needle or moxa may be used on taiyang, st6, st4, st3, st7. cupping the affected side with small cups may help. stiff healthy side - retain needle at local points in combination with needles on affected side.

• 
  

  stagnation of qi (excess)

  sx: distending pain in costal and hypochondria region, stifling sensation in the chest, sighing, poor appetite, bitter taste in mouth

  t: thin, white coating

  p: string taut

  pts: lv14, sj6, gb34, lv3, gb40, (both regulate qi of lv, gb)

• stagnation of blood (excess)

  sx: fixed stabbing pain in the hypochondriac region, intensified by pressure and at night

  t: dark purplish tongue proper

  p: deep, hesitant

  pts: lv14, sj6, gb34, ub17, ub18

• deficient blood

  sx: dull pain lingering in the costal and hypochondriac region, dryness of the mouth, irritability, dizziness, blurring of vision

  t: red with little coating

  p: weak or rapid, thready

  pts: lv14, ub18, ub23, st36, sp6, lv3

• cold damp

  sx: low back pain usually after exposure to cold and damp, aggravated on rainy days, heavy sensation and stiffness of the muscles in the dorsolumbar region, limitation of extension and flexion of the back, pain radiating downwards to the buttocks and lower limbs, cold feeling of the affected area

  t: white, sticky coating

  p: deep, weak, or deep, slow

  pts: ub23 (moxa), du3, ub40, ub25, ub26

• kidney yin deficiency

  sx: insidious onset of protracted pain and soreness accompanied by lassitude and weakness of the lions and knees, aggravated by bed rest. irritability, insomnia, dry mouth and throat, flushed face, feverish sensation in the chest, palms and soles

  t: reddened with scanty coating

  p: thready, weak or thready, rapid

  pts: ub23 (moxa), du3, ub40, ub52, (nourish kidney yin), kd3

• kidney yang deficiency

  sx: insidious onset of protracted pain and soreness accompanied by lassitude and weakness of the loins and knee, aggravated by fatigue and alleviated by bed rest. cramp-like sensation in the lower abdomen, pallor, normal taste in the mouth cold limbs

  t: pale

  p: deep, thready or deep slow

  pts: ub23 (moxa), du3, ub40, du4, yaoyan (moxa)

• trauma

  sx: history of sprain of the lumbar region, rigidity and pain of the lower back which is aggravated by pressure and by turning the body

  t: pink or dark purplish tongue proper

  p: hesitant, string taut

  pts: ub23 (moxa), du3, ub40, du26, ashi points, yao tong xue

• wandering bi

  sx: low back pain usually after exposure to cold and damp, aggravated on rainy days, heavy sensation and stiffness of the muscles in the dorsolumbar region, limitation of extension and flexion of the back, pain radiating downwards to the buttocks and lower limbs, cold feeling of the affected area

  t: white, sticky coating

  p: deep, weak, or deep, slow

  pts: ub23 (moxa), du3, ub40, ub25, ub26

• painful bi

  sx: severe, stabbing pain in the joints alleviated by warmth and aggravated by cold, with fixed localization but no local redness and hotness

  t: thin, white coating

  p: string-taut, tense

  pts: all the points below + ub23, ren4 (initial treatment moxa then deep insertion after with prolonged retention) (severe pain indirect moxa with ginger)

• fixed bi

  sx: numbness and heavy sensation of the limbs, soreness and fixed pain of the joints, aggravated on cloudy and rainy days

  t: white, sticky coating

  p: soft

  pts: all the points below + st36, sp5 (both points strengthen sp/st & dispel damp (moxa))

• heat bi

  sx: arthralgia involving one or several joints, local redness, swelling and excruciating pain with limitation of movement, accompanied by fever and thirst

  t: yellow coating

  p: rolling, rapid

  pts: all the points below + du14, li11

• pain in various body regions

  pts:

  pain in shoulder: li15, sj14, si9, si10

  pain in the scapula: si11, si12, si14, ub43

  pain in the elbow: li11, lu5, sj10, sj5, li4

  pain in the wrist: sj4, li5, si5, sj5

  stiffness of fingers: si5, li4, si3

  numbness and pain in fingers: si3, li3, baxie

  pain in lumbar region: du26, du12, du3

  pain in hip joint: gb30, gb29, gb39

  pain in thigh region: ub54, ub36, gb34

  pain in the knee joint: he ding, st35, medial xiyan, gb34, sp9

  numbness and pain in the leg: ub57, ub58

  pain in the ankles: st41, sp5, gb40, ub60, kd3

  numbness and pain in toes: sp4, ub65, ba feng

  pain in back: du26, du12, du3

  general pain: si3, ub62, sp21, ub17, li15, li11, li4, sj4, gb30, gb34, gb39, st41

• 
  

• skin bi

  sx: numbness of skin with cold sensation

  pts: all the points above (moxa)

• muscle bi

  sx: soreness, numbness and pain of the muscles

  pts: all the points above (moxa)

• tendon bi

  sx: soreness, numbness and pain of the muscles

  pts: all the points above + gb34

• vessel bi

  sx: pain due to blockage of vessels

  pts: all the points above + ub17, sp10, gb20 (moxa)

• bone bi

  sx: soreness, heaviness and pain of joints which fail to perform their functions of lifting, extension and flexion

  pts: all the points above + ub11, gb39 (moxa)

• burning heat in lung

  sx: muscular flaccidity of lower limbs with motor impairment, accompanied by fever, cough, irritability, thirst, scanty and brownish and urine

  t: reddened with yellow

  p: thready, rapid or rolling

  pts: upper limbs: li15, li11, li4, sj5 lower limbs st31, gb30, sp10, st34, st36, gb34, st41, gb39, lu5, ub13

• damp heat

  sx: flaccid or slight swollen legs, a little hot sensation on touch, general heaviness, sensation of fullness in chest and epigastric region, painful urination, hot and brownish urine

  t: yellow, sticky coating

  p: soft, rapid

  pts: upper limbs: li15, li11, li4, sj5 lower limbs: st31, gb30, sp10, st34, st36, gb34, st41, gb39, ub20, sp9

• deficiency of yin in the liver & kidney

  sx: muscular flaccidity of the lower limbs with motor impairment, combined with soreness and weakness of the lumbar region, seminal emission, prospermia, leukorrhea, dizziness, blurring of vision

  t: reddened

  p: thready, rapid

  pts: upper limbs: li15, li11, li4, sj5 lower limbs: st31, gb30, sp10, st34, st36, gb34, st41, gb39, ub18, ub23

• trauma

  sx: history of trauma, flaccid, paralytic limbs, may be accompanied with incontinence of urine and feces

  t: pink or dark purplish with thin white coating

  p: relaxed or hesitant

  pts: upper limbs: li15, li11, li4, sj5 lower limbs: st31, gb30, sp10, st34, st36, gb34, st41, gb39, huatuojiaji at the corresponding level of spinal injury incontinence of urine: ren3, sp6 incontinence of feces: ub25, ub32

• heat in the blood - antedated menstruation

  antedated menstruation - earlier by 7-8 days or 2x/month

  sx: shortened cycle, dark red, thick blood, large quantities, restlessness, full chest, brown urine

  t: reddened with yellow

  p: rapid, forceful

  pts: li11, ren3, sp10, kd5. Liver qi transforming to fire is Lv2 Yin deficiency with internal heat is Kd2

• qi deficiency - antedated menstruation

  antedated menstruation - earlier by 7-8 days or 2x/month

  sx: profuse thin light red menses shortened cycle, lassitude, palpitation SOB, heavy empty sensation lower abdomen.

  t: pale with thin coating.

  p: weak.

  pts: ren6, sp6, ren12, st36

• blood deficiency - postdated menstruation

  postdated menstruation - postdated - later than 8-9 days or once every 40, 50 days

  sx: scanty, light red menses in delayed cycle, empty painful feeling in lower abdomen, emaciation, sallow complexion, lusterless skin, dizziness, blurred vision, palpitation and insomnia.

  t: pink with little coating

  p: weak, thready

  pts: ren4, ren6, sp6 (moxa) dizziness & blurred vision: du20 palpitations and insomnia: ht7

• cold in blood - postdated menstruation

  postdated menstruation - postdated - later than 8-9 days or once every 40, 50 days

  sx: history of trauma, flaccid, paralytic limbs, may be accompanied with incontinence of urine and feces

  t: pink or dark purplish with thin white coating

  p: relaxed or hesitant

  pts:upper limbs: li15, li11, li4, sj5 lower limbs: st31, gb30, sp10, st34, st36, gb34, st41, gb39, huatuojiaji at the corresponding level of spinal injury incontinence of urine: ren3, sp6 incontinence of feces: ub25, ub32

• qi stagnation - postdated menstruation

  sx: scanty dark red menses in delayed cycle, distending pain in the lower abdomen, mental depression, stuffy chest alleviated by belching, distension in hypochondrium and breast region.

  t: thin, white coating

  p: string-taut

  pts: st25, kd13, sp8, lv3 Fullness in chest: pc6 Distension in hypochondriac: lv14

• 
  qi stagnation in the liver

  depressed rage causes - liver qi stagnation

  sx: alteration of menses cycles and quantity of blood flow, thick sticky and purple colored menses, difficult to flow, distension in the hypochondriac region and breast, distending pain in the lower abdomen, mental depression, frequent sighing.

  t: thin, white coating

  p: string-taut

  pts: ren6, kd14, pc5, lv5 distension in hypochondriac region & breast ren17, lv14, mental depression ht7, lv3

• kidney deficiency

  kidney qi deficiency - essence & blood deficiency

  sx: scanty light red blood flow in altering cycles, dizziness and tinnitus, weak and aching of the lower back and knees, frequent night urination, loose stools.

  t: pale with thin coating

  p: deep and weak

  pts: ren4, ub23, kd8 (moxa) Low back & knees: kd10, yaoyan Dizziness & tinnitus: du20, kd3

• 
  dysmenorrhea - excess

  depressed rage causes - liver qi stagnation

  sx: alteration of menses cycles and quantity of blood flow, thick sticky and purple colored menses, difficult to flow, distension in the hypochondriac region and breast, distending pain in the lower abdomen, mental depression, frequent sighing.

  t: thin, white coating

  p: string-taut

  pts: ren6, kd14, pc5, lv5 distension in hypochondriac region & breast ren17, lv14, mental depression ht7, lv3

• dysmenorrhea - deficiency

  kidney qi deficiency - essence & blood deficiency

  sx: dull pain appearing at the end of or after menstruation, alleviated by warmth and pressure, pink, scanty and thin menses, accompanied by aversion to cold, cold extremities, pale complexion, palpitations and dizziness

  t: n/a

  p: thready, weak

  pts: ren4, ub20, ub23, st36, sp6 (moxa)

• amenorrhea - blood stagnation

  sx: stagnation of liver qi. Absence of menses for month, lower abdominal distending pain aggravated by pressure, hard mass in lower abdomen, distension and fullness in the chest and hypochondriac region.

  t: dark purple coating with purplish spots on its borders.

  p: is deep, string-taut.

  pts: ren3, st29, sp10, lv3, li4, sp6 Hard masses aggravated by pressure: kd14

• 
  

• amenorrhea - blood depletion

  sx: qi & blood deficiency signs. Delayed menstrual cycle, gradual decrease of menses and amenorrhea, sallow complexion in prolonged cases, lassitude, vertigo and dizziness, poor appetite, loose stools, dry skin. Deficiency of essence and blood - Add dizziness, tinnitus, sore and weak low back and knees, dry mouth and throat, hot sensation in the palms, soles and epigastrium, afternoon fever and night sweating.

  t: pale with white coating. essence and blood deficiency - pale

  p: slow and weak. essence and blood deficiency string-taut, thready

  pts: ren4, ub18, ub20, ub23, st36, sp6 (sometimes moxa is used)

• excessive heat

  sx: sudden onset of profuse or prolonged continuous vaginal bleeding in deep red color, fidgets, insomnia, dizziness

  t: red with yellow coating

  p: rapid.

  pts: ren3, sp10, sp1, lv8

  External heat: li11

  Excessive heat fire: ht8

  Excessive liver fire: lv3

• qi deficiency

  sx: sudden profuse bleeding or continuous scanty bleeding marked by light red and thin blood, lassitude, shortness of breath, apathy, anorexia.

  t: pale

  p: thready, weak

  pts: (moxa) du20, ren4, st36, sp6, sp1, sj4, spleen qi deficiency with anorexia and loose stools: ub20, ub21

• deficiency of the spleen

  sx: profuse thick, white or light yellow vaginal discharge without smell, pale or sallow complexion, lassitude, poor appetite and loose stools, edema in the lower limbs.

  t: pale with white, sticky coating

  p: slow, weak

  pts: gb26, ren6, ub30, sp9, st36 (moxa)

• deficiency of the kidney

  sx: profuse and continuous discharge of thin and transparent whites, severe soreness of the low back, cold sensation in the lower abdomen, frequent and excessive urine, loose stools

  t: pale with thin, white coating

  p: deep

  pts: ub23, ren4, kd12, gb26, kd7 (moxa)

• damp heat

  sx: sticky, viscous and stinking yellow leukorrhea in large quantity, itching in the vulva, dry stool, scanty and yellow urine. Or leukorrhea in reddish yellow color, bitter taste in the mouth, dry throat, irritability with a feverish sensation, palpitation, insomnia

  t: sticky, yellow coating

  p: string-taut, rapid

  pts: ren4, ub32, sp6, lv3

  Itching vulva: lv5

  Reddish: sp10

  Heat: li11

• 
  

  deficiency of spleen and stomach

  sx: nausea and vomiting of liquid or indigested food immediately after meals, fullness and distending feeling the chest, lassitude and sleepiness.

  t: pale with white coating

  p: slippery, weak during first trimester of pregnancy

  pts: ren12, ren13, pc6, st36, sp4

• disharmony between the liver & stomach

  sx: vomiting of bitter or sour liquid, epigastric fullness and hypochondria pain, frequent belching and sighing, mental depression, dizziness and eye distension

  t: yellowish coating

  p: slippery, string-taut in the early stage of gestation

  pts: ren17, ren12, pc6, st36, lv3

over 24 hours is considered prolonged

• deficiency of qi and blood

  sx: dull and paroxysmal labor pains with mild weighing and distending sensation or profuse hemorrhage in light color, pale complexion, lassitude, palpitation, shortness of breath

  t: pale

  p: weak

  pts: st36, sp6, ub67 (moxa)

• qi stagnation and blood stasis

  sx: sharp pains in the waist and abdomen, scanty hemorrhage in dark red color, prolonged delivery course, dark bluish complexion, depressive mood, fullness in the chest and epigastrium, frequent nausea.

  t: dark

  p: deep, forceful

  pts: li4, sp6, ub67

• malposition of fetus

  sx: after 30 weeks, ub67 (moxa) 15-20 minutes once or twice a day until the fetal position is corrected

• deficiency of qi and blood

  sx: insufficient secretion of milk after delivery or even absence of milk or decreasing secretion during lactation period, no distending pain in the breast, pale complexion, dry skin, palpitation, lassitude, poor appetite, loose stools

  t: pale with little coating

  p: weak, thready

  pts: st18, ren17, si1, ub20, st36, sp6 (moxa)

• liver qi stagnation

  sx: absence of mild secretion after delivery, distending pain in breast, mental depression, chest distress and hypochondriac pain, epigastric distension, loss of appetite

  t: pink

  p: string taut

  pts: st18, ren17, si1, lv14, pc6, lv3

• malposition of fetus

  sx: after 30 weeks, ub67 (moxa) 15-20 minutes once or twice a day until the fetal position is corrected

• lactifuge

  mothers who do not want to nurse the infant can check milk secretion by acupuncture on gb41 and gb37. 10 minutes of moxa is applied to each point after acupuncture. one treatment a day for 3 to 5 days

• 
  qi deficiency

  sx: drop of the uterus in the vagina or out of the vulva several inches, sinking sensation in the lower abdomen, lassitude, palpitation, shortness of breath, frequent urine, leukorrhagia

  t: pale with thin coating

  p: weak

  pts: du20, ren6, ren12, st36, st29 (moxa)

• kidney deficiency

  sx: prolapse of uterus, sore and weak low back and legs, bearing sensation in the lower abdomen

  t: pink

  p: deep, weak

  pts: ren4, lv8, kd6, zigong (moxa)

• acute - invasion of seasonal pathogenic factors

  sx: unconsciousness, upward gazing, lockjaw, neck rigidity, opisthotonos, contracture of limbs with fever headache, cough, congested throat, thirst and irritability, this is due to invasion of heat

  t: n/a

  p: rapid, string-taut

  pts: yintang, du26, lv3, du14, li11, jing-wells

• acute - accumulation of phlegm fire

  sx: unconsciousness, upward gazing, lockjaw, neck rigidity, opisthotonos, contracture of limbs with anorexia, vomiting, abdominal distention and pain, sputum gurgling in the throat, constipation or defecation with stinking smell are present. This is due to phlegm heat

  t: n/a

  p: n/a

  pts: yintang, du26, lv3, sj18, ren12, li4, st40

• acute - sudden fright

  sx: unconsciousness, upward gazing, lockjaw, neck rigidity, opisthotonos, contracture of limbs with no fever, but cold limbs, disturbed sleep or lethargy, crying and fearing after waking and intermittent contraction of muscles, the convulsion is due to fright

  t: n/a

  p: n/a

  pts: yintang, du26, lv3, sishencong, pc8, kd1

• chronic convulsions

  chronic illness injure sp/st

  sx: emaciation, pale complexion, lassitude, lethargy with eyes open, intermittent convulsion, cold limbs, loose stool containing undigested food, clear and profuse urination.

  t: n/a

  p: deep, weak

  pts: du20, du24, ren4, sp6, st36 (moxa)

  Sp & Kd yang def: ub20, ub23, ren12

  Blood def: lv3, kd2

• 
  

  diarrhea caused by overfeeding

  sx: abdominal distension is accompanied by borborygmus and frequent fits of pain. The fit of pain is followed by bowel movements and the pain will be relieved after defecation marked by presence of undigested milk and food in the fecal discharge, frequent eructation, and anorexia

  t: sticky coating

  p: rolling, rapid

  pts: st25, st37, sifeng, ren11, ren6

• diarrhea caused by damp heat

  sx: abdominal distension is accompanied by borborygmus and frequent fits of pain. The fit of pain is followed by bowel movements and the pain will be relieved after defecation. Loose stools with yellow color and offensive smell, abdominal pain, fever and thirst, burning sensation in the anus, scanty and dark urine

  t: yellow, sticky coating

  p: rolling, rapid

  pts: st25, st37, sifeng, li11, li4, sp9

irregularity of food, improper nursing, parasites, sp/st. deficiency due to chronic illness

sx: gradual onset of slight fever or tidal fever in the afternoon, dryness of the mouth, abdominal distension, and diarrhea with offensive odor, rice - water - like urine, crying with irritability and anorexia. then distending belly with protruding umbilicus due to internal stagnation, sallow complexion, emaciation, scaly and dry skin, sparse hair. if cravings of unnatural articles of food are present, the malnutrition is probably due to parasitosis

t: Dirty, sticky coating or complete loss of coating

p: Weak

pts: Ren 10, ub21, ub20, st36, sifeng, sp3, Ub23: to build up the yuan qi

parasitosis: Baichongwo

caused by invasion of pathogenic wind, damp, heat affecting lu/st, which injures meridians

sx: infantile paralysis is in the range of “wei syndrome” .the symptoms listed here are sequel of poliomyelitis. paralysis may occur in any part of the body, especially in the lower limb with weakness of the muscles and cold skin. paralysis of the abdominal muscles is revealed by bulging of the abdomen during crying. in chronic cases there is muscular atrophy of the affected part with deformity of the trunk and the paralysis is intractable.

t: n/a

p: n/a

pts: Paralysis of upper limbs: Li15, li11, li4, sj5, du14, ub10

Paralysis of lower limbs: St31, st36, st41, gb30, gb34, gb39, sp6, ub60, huatuojiaji points at lumbar region

Paralysis of abdominal muscles: St21, st25, gb26, ren4

Contracted knee: St33

Reverse flexion of knee: Ub36, ub40, ub57

Inversion of foot: Gb31, ub62, ub40

Eversion of the foot: Kd6, kd3

Difficult intorsion and extorsion of hand: Sj4, li5, si3, sj9, ht3

Drop of the wrist: Sj9, sj5

invasion of epidemic pathogen, with phlegm fire obstructing the shaoyang meridians

sx: at the onset there are chills and fever, redness, pain and swelling unilateral or bilateral parotid regions, and dysmasesia. When the pathogenic heat is intense, the redness, pain and swelling in the parotid region are more marked and there are pain and swelling of the testis, high fever with irritability, dryness of the mouth and constipation, dark urine.

t: Yellow coating

p: Superficial pulse

pts: St6, sj17, sj5, li11, li4

Chills and fever: Lu7

High fever: Du14, twelve jing wells

Swelling and pain in testis: Lv3 and lv8

stagnation of damp in skin and muscles with wind-cold or wind-heat, or accumulate heat in stomach/intestines with wind or parasites

an eruption of skin characterized by transitory, flat-topped wheals, which look measles or are as large as broad beans, termed “wind wheal”

resembles measles, not german measles

• wind heat

  sx: red rashes with severe itching

  t: n/a

  p: superficial, rapid

  pts: li11, li4, ub40, sp10, sp6, du14

• wind damp

  sx: red rashes with severe itching

  t: n/a

  p: superficial, rapid

  pts: li11, li4, ub40, sp10, sp6, du14

• accumulation of heat in the stomach and intestines

  sx: red rashes complicated by abdominal or epigastric pain, constipation or diarrhea

  t: thin, yellow coating

  p: rapid

  pts: li11, li4, ub40, sp10, sp6, st25, st36

damp heat in the sp/st.

due to qi and blood obstruction with wind and toxic heat

a contagious infectious skin disease characterized by sudden onset of chills fever, local redness and swelling which may take place on any site of the body and rapidly extend

• wind heat

  sx: rapid onset of a well demarcated path of redness, hotness and burning pain, rapidly extending in size, change in color of the patch from bright red to dull red in several days and then healing with desquamation. With chills fever, acute headache

  t: red with thin, yellow coating

  p: superficial, rapid

  pts: li11, li4, pc3, ub40, sp10, gb20

• damp heat

  sx: rapid onset of well demarcated patch of redness, hotness and burning pain, rapidly extending in size, change in color of the patch from bright red to dull red in several days and then healing with desquamation. With fever, irritability, thirst, stuffy sensation in the chest, poor appetite, constipation, and dark urine

  t: yellow, sticky coating

  p: soft, rapid

  pts: li11, li4, pc3, ub40, sp10, st36, sp9

• fever, constipation, toxins

  pts:

  Fever: Du14

  Constipation: sj6

  Pathogenic toxin attacking the interior: jing wells (lu11, li1, pc9, sj1, ht9, si1), pc8

endogenous damp heat, or liver/gb fire or exogenous toxin

sx: occurs mainly in lumbar and hypochondria region with small red vesicles like beads forming a girdle around the waist. Mostly from endogenous damp heat, hyperactivity of fire in liver and GB or affection of exogenous toxin. Onset there is stabbing pain of affected skin, which soon becomes erythematous. Patches of blisters in size of mump-beans or soybeans are evolved. Blisters look like a band with clear-cut interspaces between patches. Blisters are thick-walled and their contents are transparent at first, but turn turbid in five to six days. After ten days scar formation occurs

t: n/a

p: n/a

pts: li11, sp10, ub40, gb34, lv3

eliminate heat in blood

sx: Boil on the head, face or extremity first appears like a grain of millet in yellow or purple color. A blister or pustula with a hard base is formed, usually accompanied by tingling. Later there is increased redness, swelling and pain with burning sensation, often accompanied by chills and fever. Sometimes a red thread-like line extends proximally if the boil toxicity attacks the interior, there will be high fever, restlessness, dizziness, vomiting, impaired consciousness.

t: reddened with yellow coating

p: rapid

pts: du10, du12 (re-adjusts the Qi of all yang meridians), pc4 (xi-cleft point, also eliminates heat in blood), li4, ub40

retention of milk d/t liver qi stagnation, stomach heat caused by fatty food or obstruction of milk duct d/t invasion of toxic fire

sx: redness, swelling and pain of the breast, mostly occurring after delivery. At the early stage when the abscess has not yet been formed, there is a lump in the breast accompanied by swelling, distension, pain, difficult lactation, chills, fever, headache, nausea, and dire thirst. Growing of the lump with local bright redness and intermittent throbbing pain indicates suppuration. This condition corresponds to acute mastitis in modern medicine.

t: n/a

p: n/a

pts: gb21, ren17, st18, si1, st36, lv3. Chills & fever: li4, sj5. Distension & pain in the breast: gb41

caused by irregular eating, or retention of undigested food, or too much cold or heat, or jogging after a large meal

sx: sudden paroxysmal pain in the upper abdomen or around the umbilicus. Soon the pain becomes continuous and localizes in the lower right abdomen, accompanied by tenderness, mild contracture of the abdominal wall, difficulty in extension of the right leg, fever, chills, nausea, vomiting, constipation, dark urine

t: thin, sticky and yellow coating

p: rapid, forceful

pts: st25, li11, st37, lanweixue, (moxa may be used locally)

Fever: du14, li4

Vomiting: pc6, ren12

• qi goiter - caused by drinking mountain water or qi stagnation

  sx: qi goiter is marked by diffusive swelling in the neck, soft, gradually increasing in size with unclear margins, normal color, absence of pain in some cases big and drooping, accompanied with dyspnea and hoarseness of voice. Size changes with emotions.

  t: thin, sticky and yellow coating

  p: rapid, forceful

  pts: sj13, li17, si17, ren22, li4, st36

  liver Qi stagnation: ren17, lv3

• flesh goiter - qi stagnation and accumulation of phlegm damp

  sx: flesh Goiter often occurs in individuals below forty, more frequently in women than in men, a few oval movable lumps below the adam’s apple with smooth surface and without pain, accompanied by exophthalmos, hot temper, irritability, tremor of the hands, sweating, stuffiness in the chest, palpitations.

  t: n/a

  p: string-taut, slippery, and rapid

  pts: sj13, (li17, si17, ren22 window of sky points), li4, st36

  Liver qi stagnation: ren17, lv3

  Palpitations: pc6, ht7 = effective for palpitation when used with reinforcing method

  Exophthalmoses: sj23, ub2, ub1, gb20

  Hot temper, anxiety and sweating: sp6, kd7

local swelling

sx: local swelling and pain, redness or ecchymosis. A new injury is slightly swollen with tenderness. Large area of swelling together with motor impairment of the joints is found in serious cases. Old injury is characterized by absence of marked swelling but repeated recurrence due to invasion of exogenous pathogenic wind, cold and damp. The injury mostly happens, in the shoulder, elbow, wrist, back, hip knee, and ankle.

t: thin, sticky and yellow coating

p: rapid, forceful

pts: ashi points

Neck: ub10, si3

Shoulder: gb21, li15

Elbow: li11, li4

Wrist joint: sj4, sj5

Hip joint: gb30, gb34

Knee joint: st35, st44

Ankle joint: st41, gb40, ub60, (moxa local points)

wry neck

sx: wry neck caused by awkard sleeping position or an attack of wind cold on the nape of the neck. Symptoms are stiffness and pain of the neck and nape and stiff neck towards one side with motor impairment.

t: n/a

p: n/a

pts: (moxa only) du14, ub10, si14, gb39, si3, ub60, lu7, si7, luozhen

• excess type (lv/gb fire)

  sx: sudden deafness, distension sensation and constant ringing in the ear that cannot be eliminated by pressing. In the case of upward perversion of pathogenic wind fire of the liver and gallbladder, there are flushed face, dry mouth irritability and hot temper

  t: n/a

  p: forceful, string-taut

  pts: sj17, gb2, gb43, sj3, lv2, gb41, invasion of wind: sj5, li4

• deficiency type (kidney qi deficiency or kidney yin deficiency with fire)

  sx: protracted deafness intermittent tinnitus aggravated by strain and eliminated by pressing, dizziness, soreness and aching of the lower back, seminal emission, excessive leukorrhea.

  t: n/a

  p: Thready, weak

  pts: sj17, gb2, gb43, sj3, ub23, du4, kd3 (moxa)

  if invasion of exogenous wind - headache and superficial pulse

excess type (lv/gb fire)

sx: congestion, swelling and pain of the eye, photophobia, lacrimation and sticky discharge. In the case of wind heat, there would fever. If with fire of the liver and gallbladder, there would also be bitter taste in the mouth, irritability with feverish sensation, constipation.

t: n/a

p: Wind heat: superficial, rapid Liver and gallbladder fire: string-taut

pts: ub1, gb20, li4, lv2, taiyang, Wind heat: sj5, Fire: lv3

wind cold transforming to heat

sx: nasal obstruction, loss of the sense of smell, yellow fetid nasal discharge, thick and sticky accompanied by cough, dull pain in the forehead.

t: Reddened tongue with thin, white, and sticky coating

p: rapid

pts: lu7, li20, bitong, li4, yintang

• extreme heat in lung and stomach

  sx: epistaxis is accompanied by fever, cough, or dire thirst with preference for cold drink, constipation, foul breath

  t: reddened or reddened with yellow coating

  p: superficial, rapid or forceful, rapid

  pts: Li20, Li4, Du23, lung heat: Lu11, stomach heat St44

• deficiency of yin with preponderance of fire

  sx: epistaxis accompanied by malar flush, dryness of the mouth, feverish sensation of the palms and soles, afternoon fever, night sweating

  t: n/a

  p: n/a

  pts: Li20, Li4, Du23, Kd6

• 
  

  toothache due to stomach fire

  sx: severe toothache with foul breath, thirst, constipation

  t: Yellow coating

  p: Forceful, rapid

  pts: Li4, St6, St44, St7

• toothache caused by wind fire

  sx: acute toothache with gingival swelling with chills and fever

  t: n/a

  p: superficial, rapid

  pts: Sj2, Gb20, Li4, St6, St7, Sj5

• toothache caused by deficiency of kidney yin

  sx: dull pain off and on, loose teeth, absence of foul breath

  t: Reddened

  p: Thready, rapid

  pts: St6, St7, Kd3

• syndrome of excess of heat

  sx: abrupt onset with chills, fever, headache, congested and sore throat, thirst, dysphagia, constipation

  t: Reddened with thin yellow coating

  p: Superficial, rapid

  pts: Lu11, Li4, St44, Si17

• syndrome of deficiency of yin

  sx: gradual onset without fever or with low fever, slightly congested throat with intermittent pain or pain during swallowing, dryness of the throat, more marked at night, feverish sensation in the palms and soles.

  t: Reddened and furless

  p: Thready, rapid

  pts: Kd3, Lu10, Ren23, Kd6, Lu7, Li18

• deficiency of the liver and kidney yin

  sx: dryness of the eyes, blurred vision, dizziness, tinnitus, nocturnal emission, aching of the lower back.

  t: Reddened with scanty coating

  p: Thready, weak

  pts: Gb20, Ub1, Qiuhou, Gb37, Lv3, Kd3, Ub18, Ub23

• deficiency of qi and blood

  sx: blurred vision, weakness of breath, disinclination to talk, lassitude, poor appetite, loose stools

  t: Pale with thin, white coating

  p: Weak, thready

  pts: Gb20, Ub1, Qiuhou, Gb37, St36, Sp6

• stagnation of the liver

  sx: blurred vision, emotional depression, dizziness, vertigo, hypochondriac pain, and bitter taste in the mouth, dry throat

  t: n/a

  p: String-taut

  pts: Gb20, Ub1, Qiuhou, Gb37, Lv14, Lv3, Gb34

• depressed heart qi pattern

  sx: heart palpitations, heart vexation, insomnia, unregulated joy and anger, sorrow for no reason, fear, light and preference for dim places, chest oppression, frequent yawning and stretching

  t: pale

  p: deep and weak or deep and rough

  pts: n/a

  fm: gan mai da zao tang with an shen ding zhi wan

  analysis: excesses of the seven emotions can cause depression of the heart qi deficiency, or blood deficiency, or yin deficiency

• irregularity of the heart vessel

  sx: palpitations, shortness of breath, spirit fatiguee with a desire to sleep, dizziness of the head and eyes, a pale white facial complexion

  t: pale

  p: skipping, bound or regularly interrupted

  pts: n/a

  fm: zhi gan cao teng

  analysis: cold damaging the heart, incorrect use of acrid herbs to disperse warm evil when the body is debilitated and weak, qi and blood deficiency, or suffering from five stagnations of qi, blood, heat, phlegm, and food. could cause yang deficiency and then dual yin and yang deficiency.

• liver yang vacuity

  sx: depression, unhappiness, blurred vision, rib-side fullness or pain, possible hypertonicity below the ribs, tenseness or withering of the sinews, weakness of the feet or an inability to stretch the feet, a bright white complexion, fear of the cold, cold limbs

  t: pale white tongue fur

  p: deep, fine, string-taut and slow or tight

  pts: n/a

  fm: n/a

  analysis: long term collection of water-damp damaging the yang, or qi deficiency developing into yang deficiency or insufficiency of kidney, heart or spleen yang transforming. or it may be enduring disease, or raw or cold foods, or incorrectly using cold or cool medicinal agents, which cause the yang qi to become sparse

• depressed gall bladder with phlegm harassing

  sx: dizziness of the head and eyes, fright palpitations, vexing heat, difficulty in sleeping, fullness and oppression of the chest and rib-side, a bitter taste in the mouth with a desire to vomit

  t: yellow and slimy tongue fur

  p: slippery and slightly rapid

  pts: n/a

  fm: n/a

  analysis: qi depression generating phlegm, brewing over a long period of time, causing qi deficiency

• spleen yin vacuity

  sx: emaciation and lack of strength, torpid intake with no thought of food, abdominal distention with eating, dry lips and mouth, vexing heat of the five hearts, yellow urine, bound stools

  t: red tongue with little fur

  p: fine and rapid or rough

  pts: n/a

  fm: n/a

  analysis: this pattern has yin deficiency with heat and can exist by itself or with other yin deficiencies. (liver, heart)

• intestinal welling abscess pattern

  sx: pain in the left lower abdomen, lying with a huddled body, pain that refuses pressure, scorching heat and violent pain with pressure, generally there is fever, with yellow, short and red urine

  t: red tongue with yellow fur

  p: string-taut and rapid pulse

  pts: n/a

  fm: n/a

  analysis: indulgence in thick flavorful or heavy tasting food or raw or cold food, which causes food to stagnate in the middle burner. damp brews and heat accumulated and damages the intestines.

acute: caused by wind

chronic:

• weakness in the spleen t & t causing phlegm & damp to rise to lungs

• prolonged coughing injuries the lungs & kidneys. if there is a deficiency condition can not take in the lung qi

treatment

• spreading the lungs qi to descend and eliminating wind, and transforming phlegm

• pts: dingchuan, ub12, ub13, li4

• fever and chills: li11, du14, phlegm: st40, sore muscles of the back: hua tuo jia ji c7-t6 persistent cough: lu5, lu7

• ear points: lung, kidney, stop wheezing

panting and wheezing: associated with the lungs, spleen, and kidneys

chronic:

• weakness in the spleen t & t causing phlegm & damp to rise to lungs

• prolonged coughing injuries the lungs & kidneys. if there is a deficiency condition can not take in the lung qi

wind and cold

• invades lungs, which becomes obstructed with phlegm & dampness, which prevents the qi from descending. lung qi is rooted in kidneys if the asthma is prolonged the kidneys become weak and cannot accept qi from lungs. this can be excess and deficiency pattern. excess lungs and deficiency kidney

treatment

• relieve wheezing; spread the lung qi to eliminate phlegm. acupuncture is often used during an asthma attack

• pts: fever and chills: li11, du14, phlegm: st40, sore muscles of the back: hua tuo jia ji c7-t6 persistent cough: lu5, lu7

• phlegm: st40 respiratory infection: du14, li4 persistent wheezing: ren4, st36

• ear points: during an attack. lung, kidney, adrenal, sympathetic, stop wheezing

disruption of qi water and damp overflow

• considered to be part of a condition where yang qi of heart and kidneys are weak. yang functions of heart are weak. blood stasis occurs in vessels, kidney qi is deficiency, which means in can't take in lung qi. disruption of qi water and damp overflow

diagnoses

1. heart & spleen deficiency

2. heart and kidney yang deficiency

3. heart yang deficiency and heart blood stasis

4. kidney yang deficiency with water overflowing to the heart

treatment

• secure source (kidney) and strength the heart and spirit

• pts: pc6, pc5, ht8 or pc6, pc4, pc3

• regulate gi function: ren12, st25, ren6, st36

• strengthen source and facilitate movement in lower burner: ren4, st29, ren6

• facilitate urine and reduce edema: ren9, st28, kd7, kd5, ub58, sp9, ren3 toward ren2

• distention of liver: lv3, lv13, ub18

• relieve panting, suppress cough, eliminate phlegm: ub13, ren22, kd27, ren17, ht8, li4

wasting and thirst disease

• related to eating sweet or fatty foods in excess. heat exhausted the body fluids, injuring the yin. also could be from kidney yang deficiency

1. lung - great thirst

2. stomach - great hunger

3. kidneys - frequent urination or lumbar pain

treatment

• drain heat, which has collected in the triple burner.

• pts: ub13, ub20, ub23, st36, kd3

• excessive thirst: lu11, lu10, ub17

• increased appetite with emaciation of the muscles: ub21, ren12

• frequent urination: ren4, kd7, kd5

• ear points: thirst - endocrine, lung, thirst. hunger - endocrine, stomach. frequent urination - endocrine, kidney, urinary bladder.

imbalance of yin and yang

• caused by an imbalance of yin and yang functional aspects of kidneys and liver or overabundance of phlegm and dampness

treatment

1. liver fire ascendant

2. deficient yin/excessive yang

3. obstructing of phlegm and dampness

4. interior movement of liver wind (liver yang rising)

5. deficient yin and yang - dizziness, shortness of breath, mental fatigue, numbness in feet and hands, weak legs, frequent urination (especially at night), possible impotence, and a slightly pale tongue and fine pulse

• pts: gb20, li11, st36, lv3

• severe headache & dizziness, flushed face, red eyes: lv2, gb34, taiyang, sj17

• excessive phlegm and dampness: pc6, st40, sp9

• empty kidney yin: kd3, sp6, ht7, anmian

• empty kidney yang: ren4 and ren6 + moxa

• ear points: sub cortex, lower blood pressure grove, neurogate, heart, sympathetic

emotional distress or frustration

• from emotional distress or frustration, which prevents the qi of liver and spleen from flowing in the channels. instead, there is fire, which obstructs the heart yin causing phlegm to accumulate and gradually obstructs the channels in the neck

• liver fire

• liver qi stagnation

• heart yin deficiency

• damp phlegm obstructing

treatment

1. spread liver qi and drain fire, which will break up the accumulation

2. pts: pc5, sp6, hutojiaji from c3-c5

3. excessive sweating: ht6, kd7

4. palpitations/insomnia: ht7, anmian

5. sexual irritability and flushed face: lv3, gb20

6. protruding eyes: ub2, st2

7. tachycardia: pc6

8. ear points: neurogate, sub cortex, endocrine, thyroid, stop wheezing. heart, lung.

• urinary calculi

• bone pain or deformity

• hypercalcemia

attack of wind & heat

• attack of wind & heat from without obstructing qi and blood in channels

1. hot condition in liver & stomach

2. deficient yin and excess yang

3. kidney yin deficiency with fire blazing

treatment

• spread qi through the channels in affected area

• pts:

  • ophthalmic branch pain: tai yang, ub2

  • mandibular branch pain: st2

  • maxillary branch pain: st7, ub2, jiachenjiang

  • wind symptoms-wandering pain, cold sensitivity: li4, sj5

  • fire ascending from liver channel-irritability, thirst, constipation: lv3, st44, st36

  • deficient yin/excess yang-fatigue, emacation, flushed cheeks: kd3, gb20

  • ear points: forehead, mandible, maxilla, sympathetic

cold and dampness

• cold and dampness lodged in the channels obstructing qi and blood, or excessive use of tobacco and alcohol generating fire, which stagnates qi and blood. or this is a result of trauma.

thromboangiitis obliterans

• nonatherosclerotic occlusive inflammatory disease that affects the peripheral blood vessels. manifestations include severe pain, raynaud's phenomenon, venous thrombosis, and ulcerations/skin lesions. gangrene and intermittent claudications occur in advanced disease. most commonly affects the small and medium sized arteries and veins, and the nerves of the arms, hands, legs and feet. strongly associated with cigarette smoking.

• glomerulonephritis is NOT berger's disease

treatment

1. activate blood to clear channel

2. clear dampness from spleen/stomach

3. tonify qi

• pts: upper limb: li11 toward ht3, sj5 toward pc6, hua to jia ji c6 to t3. lower limb: gb34 toward sp9, gb39 toward sp6, hua tuo jia ji l1 to l3. ba xie and ba feng.

• ear: sympathetic, kidneys, adrenal, liver, endocrine, occiput, heart, sub cortex & point corresponding to affected limb

disorder of liver

• disorder of the liver. emotions or anger can injure the liver and cause it's qi to rebel in a lateral direction. also could come from stagnation of body fluids and phlegm in the area of the ribs, which prevents circulation of qi and causes pain

western

• nerve pain that occurs around the ribs. numerous nerves run from the spinal cord and along the spaces between the ribs to the front of the body. the pain may make breathing difficult or uncomfortable.

• symptoms: left side pain, left sided back pain, episodic pain, tingling, numbness, paralysis, loss of appetite, and muscle atrophy. note: that intercostal neuralgia symptoms usually refers to various symptoms known to a patient, but the phrase intercostal neuralgia signs may refer to those signs only noticeable by a doctor

treatment

• open the channels to facilitate the flow of qi

• pts: sj6, lv5, gb34, hua tuo jia ji corresponds to level of pain

• stagnant liver qi and lateral rebellion: lv2, lv3, pc6, gb40

• coagulated blood: lv14, ub17, ub18

• fluids collecting and forming phlegm: lv13, st40, sp9

• ear points: thorax, neurogate, sympathetic, occiput, lung and other points of tenderness in ear