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36 Cards in this Set

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Manifestation: loss consciousness, high fever, or fever worse at night; restlessness, delirious speech, red face, coarse breathing, or convulsions, dark yellow urine; crimson tongue, dry yellow and burnt yellow coating; thin rapid pulse
Heat Close Disorder
Heat invading Pericardium


Treatment Principle: clear HT and open orifices, disperse heat and protect Yin


Acupuncture: HT9, HT7, PC6, SP6
Formulas: Qing ying tang, An gong niu huang wan, Zhi bao dan, Zi xue dan
Manifestation: restlessness, irritability, delirium, loss consciousness in severe cases; fever, constipation, focal distention and abdominal fullness, abdominal pain, a tense and firm abdomen while palpating, dry mouth and dry tongue, coarse breathing, or wheezing; a dry yellow or dry black coating, deep forceful or deep slippery pulse
Heat obstructing ST and Intestines

Treatment Principle: Purge accumulation and drain heat

Acupuncture: LI11, LI4, SJ6, ST25, ST37, Shi xuan

Formulas: Da cheng qi tang (Major Order the Qi Decoction)
Manifestation: high fever, headaches, dizziness, vertigo, red face, red eyes, restlessness, agitated, irritability, loss consciousness, lock jaw, rigidity of the neck, convulsion of the four extremities; or deviated mouth and eye, hemiplegia; dry crimson tongue, wiry and rapid or thin wiry rapid pulse
Liver wind by extreme heat

Treatment Principle: Cool liver, extinguish wind and open orifices

Acupuncture: DU26, Jing-well, PC8, LR3, LI4, ST6

Formulas: Ling jiao gou teng tang plus Zi xue dan or An gong niu huang wan
Manifestation: oppression feeling in the chest, distention in abdomen, poor appetite, gradually loss consciousness, blurred speech, lethargy, bland emotions, no fever, no agitated and keep quiet, gurgling phlegm sound in the throat, nausea or vomiting; white greasy or gray greasy coating, deep slippery or moderate soggy pulse
Phlegm Close Disorder
Phlegm damp obstructing

Treatment Principle: transform phlegm and open orifices

Acupuncture: DU26, CV12, BL20, PC5, ST36, SP6, ST40

Formulas: Di tan tang plus Su he xiang wan
Manifestation: fever, red face, irritability, restlessness, manic behaviors, loss consciousness, coarse breathing, gurgling phlegm sound in throat, sticky yellow sputum, constipation, dark yellow urine; red tongue with yellow greasy coating, slippery rapid pulse
Phlegm fire harassing

Treatment Principle: clear heat, eliminate phlegm and open orifices

Acupuncture: CV17, CV22, PC6, LU11, ST40

Formulas: Huang lian wen dan tang plus An gong niu huang wan or Zhi bao dan
Manifestation: pale complexion, or dull pale stagnant complexion, dizziness, headache, nausea, vomiting, no appetite, stifling feeling in the chest and abdominal distention, chills, cold limbs, edema, scanty urine, incomplete bowel movements, lethargy, and gradually developed into coma; pale swollen tongue, white greasy coating, deep moderate or deep slow forceless pulse
Turbid Close Disorder

Treatment Principle: warm and tonify SP/KI yang, eliminate turbidity and open orifices

Acupuncture: BL20, BL23, CV12, ST36, SP9, SP1, DU20

Formulas: Wen pi tang plus Su he xiang wan
Wen pi tang (Warm the Spleen Decoction) – Da huang, Fu zi, Gan jiang, Ren shen, Gan cao
Manifestation: loss consciousness, coma, sweating, red face, warm body, fever, red dry lips and tongue, deficiency and rapid pulse
Abandoned Disorder (Collapse Disorder)
Yin Collapse

Treatment Principle: rescue yin and restrain yang

Acupuncture: Shi xuan, DU26, LI4, KI7, ST36

Formulas: Sheng mai san (Generate the Pulse Powder) Ren shen, Mai dong, Wu wei zi
Manifestation: loss consciousness, coma, opened mouth and closed eyes, snoring and feeble breathing, flaccid of limbs, cold extremities, profuse sweating, pale complexion, incontinence of urine and stools; pale lips and pale tongue, or cyanosis, minute pulse or scatter pulse
Yang Collapse

Treatment Principle: rescue devastated yang

Acupuncture: LI4, CV6, CV4, CV8, DU20, ST36, BL23

Formulas: Shen fu tang (Ginseng and Prepared Aconite Decoction)
Ren shen, Fu zi
Manifestation: mental depression, mental dullness, dementia, incoherent speech or muttering to oneself, mood swings, no appetite, no desire for eating; greasy tongue coating, wiry slippery pulse
Phlegm qi stagnation

Treatment Principle: regulate qi and relieve stagnation, resolve phlegm and open orifices

Acupuncture: BL18, LR3, LR2, BL20, ST36, ST40, BL15, HT7, PC6

Formulas: Shun qi dao tan tang (Regulate Qi and Guide Out Phlegm Decoction) 顺气导痰汤

Ban xia, Chen pi, Fu ling, Gan cao, Dan nan xing, Zhi shi, Xiang fu, Mu xiang, Sheng jiang
Manifestation: disorientation, inability to control oneself, melancholy, dream disturbed sleep, palpitation, easy frightening, grief, weeping, lassitude, fatigue, poor appetite; pale tongue, thin and weak pulse
HT and SP deficiency

Treatment Principle: strengthen SP and nourish HT, tonify Qi and calm Shen

Acupuncture: BL15, HT7, PC6, BL20, ST36, SP6

Formulas: Yang xin tang (Nourish the Heart Decoction)

Ren shen, Huang qi, Gan cao, Chuan xiong, Dang gui, Yuan zhi, Bai zi ren, Suan zao ren, Wu wei zi, Fu shen, Ban xia, Fu ling, Rou gui
Manifestation: sudden onset of manic and violent behaviors, madness, climbing over walls and houses, getting on roofs, scolding, shouting in anger, or damaging things and hitting people, smashing, having excessive strength, refusing to eat and sleep; patient had history of irritability, agitation, anger, headache, insomnia, red face and red eyes. Red or crimson tongue, yellow greasy coating, wiry slippery pulse
Phlegm fire disturbing upward

Acupuncture: DU26, PC8, ST40, CV13, DU14, LR3

Formulas: Sheng tie luo yin (Iron Filings Decoction)

Sheng tie luo, Dan nan xing, Bei mu, Chen pi, Fu ling, Shi chang pu, Yuan zhi, Fu shen, [Zhu sha], Mai dong, Tian dong, Lian qiao, Xuan shen, Gou teng, Dan shen
Manifestation: manic state gradually lessen, followed by lassitude, talkative, susceptibility to fright and panic, occasional irritability, emaciation, flushed face; red tongue, thin rapid pulse
Excessive fire damaging yin

Treatment Principle: nourish yin and drain fire, calm shen and tranquilize HT

Acupuncture: HT7, PC7, SP6, KI4, LR3, KI1

Formulas: Er yin jian (Two Yin Decoction) 二阴煎

Sheng di, Mai dong, Xuan shen, Huang lian, Mu tong, Dan Zhu ye, Deng xin cao, Fu shen, Suan zao ren, Gan cao
Blood stasis in either of Dian or Kuang syndrome (name two formulas)
Xue fu zhu yu tang (Drive out Blood Stasis in the Mansion of Blood Decoction)
Dang gui, Sheng di, Tao ren, Hong hua, Chuan xiong, Chi shao, Chai hu, Zhi ke, Gan cao, Jie geng, Niu xi

Dian kuang meng xing tang 癫狂梦醒汤
Tao ren, Chai hu, Xiang fu, Mu tong, Chi shao, Ban xia, Da fu pi, Qing pi, Chen pi, Sang bai pi, Su zi, Gan cao
Manifestation: poor memory, forgetfulness, fatigue, palpitations, poor appetite, insomnia; pale tongue, thin or weak pulse
Heart and Spleen deficiency

Treatment Principle: nourish HT and SP

Acupuncture: DU20, Si shen cong, BL15, HT7, BL20, SP6, BL49, ST36

Formulas: Gui pi tang (Restore the Spleen Decoction)

Dang shen, Huang qi, Bai zhu, Zhi gan cao, Long yan rou, Dang gui, Fu shen, Suan zao ren, Yuan zhi, Mu xiang, Sheng jiang, Da zao
Manifestation: poor memory, forgetfulness, soreness and weakness of low back and knees, tinnitus, dizziness, seminal emission, red tongue, thin rapid pulse
Kidney Jing deficiency

Treatment Principle: nourish KI jing

Acupuncture: DU20, Si shen cong, HT7, PC6, SP6, BL23, KI3, BL52, GB39

Formulas: Liu wei di huang wan (Six Ingredient Pill with Rehmannia) plus Suan zao ren, Wu wei zi, Yuan zhi, Shi chang pu

Shu di, Shan zhu yu, Shan yao, Ze xie, Mu dan pi, Fu ling
Manifestation: dizziness, stuffiness in the chest, and lassitude before the breakout; sudden falling sown, loss of consciousness, convulsions, spitting frothy sputum, gurgling phlegm sounds in throat, screaming, incontinence of urine and feces during the seizures; pale red tongue, white greasy coating, slippery and wiry pulse
Wind phlegm blockage

Treatment Principle: eliminate phlegm and extinguish wind, open orifices and arrest seizures

Acupuncture: DU1, CV15, GB34, DU8, GB13, GB20, LR3, ST40

Formulas: Ding xian wan (Arrest Seizures Pill)

Zhu li, Shi chang pu, Dan nan xing, Ban xia, Chuan bei mu, Tian ma, Quan xie, Jiang can, Hu po, Fu shen, Yuan zhi, [Zhu sha], Chen pi, Fu ling, Gan cao, Dan shen, Mai dong
Manifestation: sudden falling down, loss of consciousness, convulsion, spitting frothy sputum, screaming; patients usually have irritability, agitation, restlessness, insomnia, difficulty expectoration of sputum, bitter taste, dry mouth, constipation, red tongue yellow greasy coating, wiry slippery and rapid pulse
Excess internal phlegm fire

Treatment Principle: drain LR fire, eliminate phlegm and open orifices

Acupuncture: DU1, CV15, GB34, DU8, ST40, LR2

Formulas: Long dan xie gan tang plus Di tan tang

Long dan xie gan tang (Gentiana Longdancao Decoction to Drain the Liver) – Long dan cao, Chai hu, Huang qin, Zhi zi, Sheng di, Dang gui, Mu tong, Ze xie, Che qian zi

Di tan tang (Scour Phlegm Decoction) – Ban xia, Zhi nan xing, Zhu ru, Shi chang pu, Zhi shi, Chen pi, Ren shen, Fu ling, Gan cao
Manifestation: chronic seizure disorder, dizziness, insomnia, poor memory, soreness and weakness of low back and knees, constipation, dry stools, red tongue with scanty coating, thin rapid pulse
LR/KI yin deficiency

Treatment Principle: nourish LR/KI, anchor yang and calm shen

Acupuncture: BL18, BL23, SP6, KI3, HT5, CV15, GB34, DU8

Formulas: Zuo gui wan (Restore the Left Decoction)
Shu di, Shan zhu yu, Shan yao, Tu si zi, Gou qi zi, Chuan niu xi, Lu jiao jiao, Gui ban jiao
Manifestation: chronic seizures, lassitude, fatigue, dizziness, poor appetite, pale complexion, loose stools, or nausea, vomiting; pale tongue, soggy and weak pulse
SP/ST deficiency

Treatment Principle: tonify MJ qi, harmonize ST and resolve turbid

Acupuncture: BL20, LR13, BL21, CV12, ST36, ST40

Formulas: Liu jun zi tang (Six gentleman decoction)
Ren shen, Bai zhu, Fu ling, Gan cao, Ban xia, Chen pi
Manifestation: more common seen in acute stage; ulcerations in mouth/throat which is burning and painful ulcerations, followed by ulcerations in genitalia, red eyes; accompanying fever, restlessness, irritability, sweating, painful joints, stuffiness in chest and hypochondria, bitter taste, poor appetite, nausea, dry throat, yellow sticky vaginal discharges; red tongue, yellow coating, wiry slippery rapid pulse
Damp heat gathering

Treatment Principle: clear damp heat and drain toxin

Acupuncture: SP9, LI11, LR8, LR3, SP6, DU14, PC7

Formulas: Gan cao xie xin tang (Licorice Decoction to Drain the Epigatrium)

Gan cao 4, Huang qin 3, Huang lian 1, Ban xia 3, Gan jiang 3, Ren shen 3, Da zao 3ps

External herb: Ku shen tang (Sophora Root Decoction) - Ku shen
Manifestation: chronic, reoccurrence ulcerations in mouth/throat and genitalia, low grade fever, five palm heat, dizziness, dry mouth and dry throat, night sweats, seminal emission, irregular menses, soreness and weakness of low back and knees; red dry tongue or crack tongue, scanty coating, thin rapid pulse
LR/KI yin deficiency

Treatment Principle: nourish yin, clear heat and release toxicity

Acupuncture: BL23, BL18, LR3, BL43, KI7, SP6, CV4

Formulas: Liu wei di huang wan (Six Ingredient Pill with Rehmannia)

Shu di, Shan zhu yu, Shan yao, Ze xie, Mu dan pi, Fu ling
Manifestation: chronic, reoccurrence ulcerations in mouth and genitalia, worse with cold weather; accompanying lassitude, fatigue, shortness of breath, dislike to speak, poor appetite, chills, cold limbs, edema, loose stools, impotence, irregular menses; pale tongue, white coating, deep thin pulse
SP/KI yang deficiency

Treatment Principle: warm and tonify SP/KI

Acupuncture: BL23, BL20, KI3, SP3, DU4, CV4, ST36, SP6

Formulas: Bu zhong yi qi tang (Tonify the Middle and Augment the Qi Decoction)

Huang qi, Ren shen, Bai zhu, Gan cao, Dang gui, Chen pi, Sheng ma, Chai hu
Manifestation: enuresis, bed wetting 1-2 times per night or more; pale complexion, listlessness, lassitude, profuse and clear urine, frequent urination, chills, cold limbs; pale tongue, white coating, deep slow forceless pulse
KI qi deficiency

Treatment Principle: warm and tonify KI yang, stabilize LJ and stop leakage

Acupuncture: CV4, BL23, SP6, CV3, BL28

Formulas: Suo quan wan or Sang piao xiao san

Suo quan wan (Shut the Sluice Pill) – Yi zhi ren, Wu yao, Shan yao

Sang piao xiao san (Mantis Egg-case Powder) – Sang piao xiao, Long gu, Mu li, Ren shen, Fu shen, Dang gui, Shi chang pu, Yuan zhi
Manifestation: enuresis, bed wetting, frequent urination, pale complexion, fatigue, weakness in limbs, poor appetite, loose stools; pale tongue, moderate pulse or deep thin pulse
LU/SP qi deficiency

Treatment Principle: tonify LU/SP qi

Acupuncture: CV6, ST36, SP6, LU9

Formulas: Bu zhong yi qi tang (Tonify the Middle and Augment the Qi Decoction)

Ren shen, Huang qi, Bai zhu, Gan cao, Dang gui, Chen pi, Sheng ma, Chai hu
Manifestation: nocturnal emissions, insomnia, dream-disturb sleeping, restlessness, irritability, dizziness, blurred vision, lassitude, palpitations, poor memory, dry mouth, soreness and weakness of low back and knees, scanty yellow urine; red tongue, thin rapid pulse
Deficiency yin and hyperactive fire

Treatment Principle: drain HT fire, nourish yin, and calm shen

Acupuncture: HT7, KI3, CV4, SP6

Formulas:
Huang lian qing xin yin (Coptis Decoction to Clear Heart) – HT fire more predominant
Huang lian, Sheng di, Dang gui, Suan zao ren, Fu shen, Yuan zhi, Ren shen, Gan cao, Lian zi

San cai feng sui dan (Three-talent Pill to Seal Marrow) 三才封髓丹 – Xiang huo hyperactive
Tian dong, Shu di, Ren shen, Gan cao, Huang bai, Sha ren
Zhi bai di huang wan or Da bu yin wan – KI yin deficiency with empty fire

Zhi bai di huang wan (Anemarrhena, Phellodendron, and Rehmannia Pill) – Zhi mu, Huang bai, Liu wei di huang wan

Da bu yin wan (Great Tonify the Basal Decoction) – Zhi mu, Huang bai, Shu di, Gui ban, Zhu ji sui
Manifestation: frequent seminal emission, or discharge of seminal fluid while urinating; yellow cloudy urine with burning sensation in the urethra, or difficulty urination, bitter taste, thirst, restlessness, irritability, insomnia, ulcerations in mouth and tongue, smelly stools, heavy sensation in the anus after bowel movement, fullness and stuffiness in epigastrium and abdomen, nausea; yellow greasy coating, soggy rapid pulse
Damp heat disturbing Jing house

Treatment Principle: clear heat and eliminate damp

Acupuncture: BL28, BL32, BL23, SP9

Formulas: Cheng shi bei xie fen qing yin (Dr. Cheng’s Dioscorea hypoglauca Decoction to Separate the Clear)
Bei xie, Huang bai, Fu ling, Che qian zi, Lian zi xin, Dan shen, Shi chang pu, Bai zhu
Manifestation: seminal emission worse with exertion, palpitations, insomnia, poor memory, sallow complexion, fatigue, weakness of limbs, poor appetite, loose stools; pale tongue, thin coating, weak pulse
HT and SP deficiency, qi can’t control Jing

Treatment Principle: tonify HT and SP qi, stabilize Jing

Acupuncture: BL15, BL20, ST36, SP6, BL23, CV4

Formulas: Miao xiang san (Marvelously Fragrant Powder) 妙香散
Ren shen, Huang qi, Shan yao, Fu ling, Yuan zhi, [Zhu sha], Mu xiang, Jie geng
Manifestation: frequent nocturnal seminal emission, even spontaneous seminal emission, soreness and weakness of low back and knees, dry mouth, dizziness, tinnitus, poor memory, insomnia, restlessness, low grade fever, red cheeks, emaciation, night sweats, loose teeth, losing hairs; red tongue, scanty coating, thin rapid pulse; some chronic seminal emission patients, seen chills, cold limbs, impotence, premature ejaculation, frequent night urination, edema, pale complexion, pale swollen scallop tongue, deep thin pulse
KI deficiency and inability to store Jing

Treatment Principle: tonify and nourish KI Jing, stabilize leakage

Acupuncture
KI yin deficiency – CV3, KI6, BL52, PC8
KI yang deficiency – DU4, BL23, KI3

Formulas
KI yin deficiency – Liu wei di huang wan (Six Ingredient Pill with Rehmannia), or Zuo gui wan

Zuo gui wan (Restore the Left Decoction)
– Shu di, Shan yao, Shan zhu yu, Tu si zi, Gou qi zi, Chuan ni xi, Lu jiao jiao, Gui ban jiao

KI yang deficiency – You gui wan (Restore the Right Pill)
- Shu di, Shan yao, Shan zhu yu, Gou qi zi, Dang gui, Tu si zi, Du zhong, Fu zi, Rou gui, Lu jiao jiao
Manifestation: impotence, pale complexion, dizziness, tinnitus, lassitude, soreness and weakness of low back and knees, chills, cold limbs; pale tongue, white coating, deep thin pulse
Ming men fire insufficiency

Treatment Principle: warm and tonify KI yang

Acupuncture: CV4, CV3, SP6, BL23, DU4

Formulas: Zan yu dan (Special Pill to Aid Fertility) 赞育丹
Fu zi, Rou gui,Rou cong rong, Ba ji tian, Yin yang huo, She chuang zi, Jiu zi, Xian mao, Du zhong, Shu di, Shan zhu yu, Gou qi zi, Dang gui, Bai zhu
Manifestation: impotence, inability to maintain an erection, low libido, anxious, timidity, easily startled or frightened, palpitation, insomnia, frightened dreams; purple tongue, thin white greasy coating, thin wiry pulse
Fright and fear damaging KI

Treatment Principle: tonify KI and calm shen

Acupuncture: DU20, Si shen cong, HT7, BL23, DU4, CV4, SP6

Formulas: Da bu yuan jian (Great Tonify the Basal Decoction)
Ren shen, Shan yao, Gan cao, Shu di, Shan zhu yu, Gou qi zi, Dang gui, Du zhong
Manifestation: impotence, inability to maintain an erection, low libido, excessive sweating and smelly around the scrotum and groin, itching or pain in the genitals, heaviness and soreness in lower extremities, scanty dark yellow urine, difficult urination; red tongue, yellow greasy coating, slippery rapid pulse
Damp heat obstructing LJ

Treatment Principle: drain damp heat

Acupuncture: LR2, GB34, SP6, CV3, KI10

Formulas: Long dan xie gan tang (Gentiana Longdancao Decoction to Drain the Liver)
Long dan cao, Huang qin, Zhi zi, Mu tong, Che qian zi, Ze xie, Sheng di, Dang gui, Chai hu, Gan cao
Manifestation: impotence, inability to maintain an erection, low libido which is worse with fatigue, lassitude, timidity, anxiety, insomnia, palpitations, shortness of breath, spontaneous sweating, sallow complexion, poor appetite; pale tongue, thin white coating, thin weak pulse
HT and SP deficiency

Treatment Principle: tonify HT and SP, strengthen KI yang

Acupuncture: BL15, BL20, LR13, CV4, ST36, SP6

Formulas: Gui pi tang (Restore the Spleen Decoction)
Dang shen, Huang qi, Bai zhu, Gan cao, Long yan rou, Dang gui, Suan zao ren, Fu shen, Yuan zhi, Mu xiang
Manifestation: premature ejaculation, anxiety, depression, soreness and weakness of low back and knees, dizziness, blurred vision, bitter taste, dry mouth; red tongue, thin coating, wiry pulse
KI deficiency and LR constraint

Treatment Principle: tonify KI and stabilize Jing, soothe LR

Acupuncture: PC6, CV17, LR3, CV4, KI3, SP6

Formulas: Yi guan jian (Linking Decoction)
Sheng di, Gou qi zi, Dang gui, Sha shen, Mai dong, Chuan lian zi
Manifestation: premature ejaculation, seminal emission, hyperactive sexual desire, insomnia, restlessness, soreness and weakness of low back, 5 palm heat, tidal fever, night sweats; red tongue, scanty coating, thin rapid pulse
Yin deficiency with empty fire

Treatment Principle: nourish yin and stabilize Jing

Acupuncture: KI6, KI3, SP6, LR2, BL23, BL52, CV4

Formulas: Zhi bai di huang wan (Anemarrhena, Phellodendron, and Rehmannia Pill)
Shu di, Shan zhu yu, Shan yao, Ze xie, Mu dan pi, Fu ling, Zhi mu, Huang bai
Manifestation: premature ejaculation, seminal emission, low libido, soreness of low back and knees, profuse and clear urination, frequent night urination, pale tongue, white coating, deep weak pulse
KI qi deficiency not stabilizing

Treatment Principle: tonify KI qi and stabilize Jing

Acupuncture: BL23, DU4, BL52, CV4, KI3

Formulas: Jin gui shen qi wan (Kidney Qi Pill from the Golden Cabinet) or Jin suo gu jing wan
Jin suo gu jing wan (Metal Lock Pill to Stabilize the Essence) – Sha yuan zi, Qian shi, Lian zi, Duan long gu, Duan mu li, Lian xu
Manifestation: premature ejaculation, low libido, no sexual desires, palpitation, depression, easy fear and anxiety, pale red tongue, thin white coating, thin pulse
Fear and fright damaging KI

Treatment Principle: calm shen, tonify KI and stabilize Jing
Acupuncture: DU20, Si shen cong, HT7, KI3, CV4, SP6
Formulas: Da bu yuan jian (Great Tonify the Basal Decoction)
Ren shen, Shan yao, Gan cao, Shu di, Shan zhu yu, Gou qi zi, Dang gui, Du zhong