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53 Cards in this Set

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Infertility - five patterns
KD yang deficiency
KD yin deficiency
LV qi stagnation
Damp heat obstruction
Qi and Blood deficiency
Manifestation: infertility, low libido, impotence, premature ejaculation, low sperm count, weak mobility of sperms; soreness and weakness of low back and knees, chills, cold limbs, pale complexion, loose stools, clear profuse urine, pale tongue, thin white coating, deep thin pulse
KI yang deficiency

Treatment Principle: tonify KI yang and strengthen KI Jing

Acupuncture: CV4, DU4, BL23, SP6

Formulas: You gui wan (Restore the Right Pill)
Fu zi, Rou gui, Lu jiao jiao, Shu di, Shan yao, Shan zhu yu, Gou qi zi, Dang gui, Tu si zi, Du zhong
Manifestation: infertility, seminal emission, scanty semen, decreased sperm mobility, or thick sticky semen; dizziness, tinnitus, five palm heat, night sweats, tidal fever; red tongue, scanty coating, deep thin rapid pulse
KI yin deficiency

Treatment Principle: nourish KI yin and drain empty fire

Acupuncture: CV4, BL52, KI3, KI6

Formulas: Zuo gui wan or Zhi bai di huang wan (Anemarrhena, Phellodendron, and Rehmannia Pill)
Zuo gui wan (Restore the Left Decoction) – Shu di, Shan yao, Shan zhu yu, Tu si zi, Gou qi zi, Chuan niu xi, Lu jiao jiao, Gui ban jiao
Manifestation: infertility, low libido, impotence, inability to sustain an erection, or no ejaculation; depression, anxiety, tightness in the chest, distention pain in hypochondria and chest, frequent sighing, belching, acid regurgitation, poor appetite; purple tongue, thin coating, thin wiry pulse
LR qi stagnation

Treatment Principle: soothe LR and regulate qi, tonify KI and strengthen yang

Acupuncture: CV4, CV2, BL23, SP6, PC6, LR3

Formulas: Xiao yao san (Rambling Powder)
Dang gui, Bai shao, Chai hu,Bo he, Bai zhu, Fu ling, Gan cao, Sheng jiang
Manifestation: infertility, impotence or inability to sustain an erection, decreased sperm counts, sperm morphology changes (increased dead sperms); dizziness, heaviness of the body, distention feeling in lower abdomen, scanty yellow urine; thin yellow coating, slippery wiry pulse
Damp heat obstruction

Treatment Principle: clear LJ damp heat, tonify KI qi

Acupuncture: CV3, SP9, CV2, BL23, BL32

Formulas: Jia wei er miao san (Augmented Two-Marvel Powder)
Huang bai, Can zhu, Fang ji, Bei xie, Dang gui, Gui ban, Niu xi
Manifestation: infertility, low libido, impotence, scanty semen, decreased sperm count and mobility, increased dead sperm; fatigue, lassitude, pale complexion, dizziness, blurred vision; pale tongue, white coating, deep thin and forceless pulse
Qi and blood deficiency

Treatment Principle: tonify qi and blood, strengthen KI yang

Acupuncture: CV6, CV4, ST36, SP6, BL23

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
Masses - Ji and Ju,

Ju - two patterns
Ji - three patterns
Ju:
1. LV qi stagnation
2. Food rentention and phlegm obstruction

Ji:
3. Qi and blood stagnation
4. Blood stasis
5. Qi and blood deficiency with blood stasis
Manifestation: Qi accumulation in the abdomen, distention and with pain in abdomen which comes and goes; depression, anxiety, frequent sighing, discomfort and stuffiness in the hypochondria and epigastrium; thin white coating, wiry pulse
LR qi stagnation

Treatment Principle: Regulate liver qi, relieve stagnation, disperse the accumulation

Acupuncture: BL18, LR13, CV13, CV6, LR1

Formulas: Xiao yao san (Rambling Powder)
Chai hu, Bai shao, Dang gui, Bo he, Bai zhu, Fu ling, Sheng jiang, Gan cao
Manifestation: Abdominal distention and pain, sometimes there are visible cord-like masses on the abdomen which are tender with the pressure, constipation, belching, poor appetite; greasy coating, wiry and slippery pulse
Food retention and phlegm obstruction

Treatment Principle: Promote the movement of qi, dissipate clumps

Acupuncture: CV12, ST25, CV6, ST36, BL25, ST40

Formulas: Liu mo tang (Six Milled-Herb Decoction)
Da huang, Zhi shi, Bing lang, Chen xiang, Mu xiang, Wu yao
Manifestation: Fixed abdominal masses but soft, with distention sensation and pain; purple tongue with thin white coating, wiry pulse
Qi and blood stagnation

Treatment Principle: Invigorate qi and blood, disperse accumulation

Acupuncture: BL18, LR13, BL17, LR2

Formulas: Da qi qi tang 大七气汤
Qing pi, Chen pi, Xiang fu, Jie geng, Huo xiang, San leng, E zhu, Gui zhi, Yi zhi ren, Gan cao
Manifestation: Fixed abdominal masses which increased in size and feel hard, with fixed pain; fatigue, lassitude, emaciation, dark grey complexion, poor appetite; purple tongue with purple spots, thin white coating, thin choppy pulse
Blood stasis

Treatment Principle: eliminate stasis and soften hardness, harmonize SP/ST

Acupuncture: BL18, BL17, LR3, BL20, BL21

Formulas: Ge xia zhu yu tang (Drive out Blood Stasis below the Diaphragm Decoction)
Dang gui, Chuan xiong, Tao ren, Hong hua, Chi shao, Wu ling zhi, Mu dan pi, Yan hu suo, Xiang fu, Wu yao, Zhi ke, Gan cao
Manifestation: the abdominal masses are solid hard and the pain increased dramatically; sallow or dark grey complexion, emaciation, body weight lost, decreased muscle tone, no appetite; pale purple tongue, scanty coating or no coating, thin rapid or thin wiry pulse
Qi and blood deficiency with blood stasis

Treatment Principle: greatly tonify qi and blood, invigorate blood

Acupuncture: CV12, ST36, CV6, BL21, BL20, BL17, SP6

Formulas: Ba zhen tang (Eight Treasure Decoction)
Si jun zi tang + Si wu tang
Goiter - five patterns
1.Qi stagnation and phlegm retention
2. Phlegm obstruction and blood stasis
3. Qi and blood deficiency
4. LV fire
5. HT and LV yin deficiency
Manifestation: diffused swollen mass at the front of neck, soft mass with no pain, with distending sensation in the neck region with normal skin color; fullness and stuffiness in the chest and hypochondria, emotional stress, anxiety, frequent sighing, fullness in abdomen, poor appetite; thin greasy coating, wiry pulse
Qi stagnation and phlegm retention

Treatment Principle: soothe LR and relieve stagnation, regulate qi and transform phlegm

Acupuncture: CV22, Local Ashi, LI4, ST36, LR3, SJ13

Formulas: Si hai shu yu wan (Four Sea to Spread Constrict Pill) 四海舒郁丸
Qing mu xiang, Chen pi, Kun bu, Hai dai, Hai zao, Hai piao xiao, Hai ge ke
Manifestation: A hard mass or nodule in the front of the neck which is immobile and stays there for long period of time, cause no change in the color of the skin and not ulceration; fullness in the chest, poor appetite; a dark purple tongue with thin greasy coating, wiry or choppy pulse
Phlegm obstruction and blood stasis

Treatment Principle: regulate qi and invigorate blood, transform phlegm and dissipate nodules

Acupuncture: CV22, Local Ashi, LI4, ST36, LR3, SJ13, SP10, BL17

Formulas: Hai zao yu hu tang (Sargassum Decoction for the Jade Flask)
Hai zao, Kun bu, Hai dai, Qing pi, Chen pi, Ban xia, Bei mu, Lian qiao, Gan cao, Dang gui, Chuan xiong, Du huo
Manifestation: chronic swollen mass at the front of neck, tightness or distention feeling in the neck region; fatigue, lassitude, listlessness, shortness of breath, shallow breathing, fullness in the chest, dizziness, poor appetite, loose stools; pale tongue, thin greasy coating, thin wiry pulse
Qi and blood deficiency

Treatment Principle: tonify qi and nourish blood, regulate qi and transform phlegm

Acupuncture: CV22, ST10, Local Ashi, LI4, ST36, SP6, CV17

Formulas: Bu zhong yi qi tang (Tonify the Middle and Augment the Qi Decoction)
Huang qi, Dang shen, Bai zhu, Gan cao, Dang gui, Chen pi, Chai hu, Sheng ma
Manifestation: Mild or moderate swelling in the front of the neck, which feels soft and smooth; restlessness, irritability, easily loss of temper, hot sensation in the chest, red face, easy sweating, bulging eyeball, trembling hands, bitter taste; red tongue with thin yellow coating, wiry rapid pulse
LR fire

Treatment Principle: clear and drain LR fire

Acupuncture: SJ13, CV22, LI17, SI17, LR3, LR2, GB34, SP6

Formulas: Zhi zi qing gan tang plus Zao yao san

Zhi zi qing gan tang (Gardenia Decoction to Clear Liver) – Zhi zi, Mu dan pi, Chai hu, Bai shao, Dang gui, Chuan xiong, Fu ling, Gan cao, Niu bang zi

Zao yao san 藻药散 – Hai zao, Huang yao zi
Manifestation: soft swollen masses in front of neck; palpitations, restlessness, insomnia, tremors in fingers, 5 palm heat, night sweats, dry eyes, blurred vision, dizziness; red tongue, scanty coating or no coating, thin wiry rapid pulse
HT and LR yin deficiency

Treatment Principle: nourish yin and Jing, soften LR and calm HT

Acupuncture: LR3, SP6, KI3, PC5, SJ13, Local Ashi

Formulas: Tian wang bu xin dan (Emperor of Heaven’s Special Pill to Tonify the Heart)
Sheng di, Xuan shen, Mai dong, Tian dong, Ren shen, Fu ling, Wu wei zi, Dang gui, Dan Shen, Suan zao ren, Bai zi ren, Yuan zhi, Jie geng
Phlegm Diseases - 10 patterns
1. Phlegm retention in LU
2. Phlegm obstruction in MJ
3. Phlegm & qi obstructing together
4. Phlegm misting mind
5. Wind phlegm obstruction
6. Phlegm obstructing channels
7. LU deficiency and phlegm retention
8. LU yin deficiency and phlegm retention
9. SP deficiency and phlegm obstruction
10. KD deficiency and phlegm obstruction
Manifestation: oppression and fullness in chest, cough, wheezing, asthma, with profuse sputum which is easily expectorated, gurgling phlegm sound in the throat; greasy coating, slippery pulse
Phlegm retention in LU

Treatment Principle: facilitate LU qi and eliminate phlegm

Acupuncture: BL13, LU7, CV22

Formulas: Xing su san (Apricot Kernel and Perilla Leaf Powder)
Xing ren, Zi su ye, Qian hu, Jie geng, Zhi ke, Ban xia, Chen pi, Fu ling, Gan cao, Sheng jiang, Da zao
Manifestation: fullness and distention in epigastrum and abdomen, poor appetite, nausea, vomiting, heaviness in the body, dizziness and heaviness in the head, loose stools or diarrhea; white greasy coating, soggy or slippery pulse
Phlegm obstruction in MJ

Treatment Principle: harmonize MJ and transform phlegm

Acupuncture: BL21, CV12, ST36, SP4, ST40, BL20

Formulas: Er chen tang plus Ping wei san

Er chen tang (Two-cured Decoction) – Ban xia, Chen pi, Fu ling, Gan cao

Ping wei san (Calm the Stomach Powder) – Cang zhu, Hou po, Chen pi, Gan cao
Manifestation: depression, irritability, moodiness, frequent sighing, a feeling of something caught in the throat that can neither be swallowed nor spitted (plum-pit qi, Mei he qi), or Ying liu (goiter), or difficult swallowing, fullness and stuffiness in the chest, hypochondria pain; greasy coating, wiry slippery pulse
Phlegm and qi obstructing together

Treatment Principle: eliminate stagnation and transform phlegm

Acupuncture: SP4, ST40, LR3, BL18, BL20, PC5

Formulas: Wen dan tang (Warm the Gallbladder Decoction)
Ban xia, Zhu ru, Zhi shi, Chen pi, Fu ling, Gan cao
Manifestation: mental dullness, depression, or manic behavior, Dian Kuang or even loss consciousness; oppression and fullness in the chest, gurgling phlegm sound in the throat; white greasy coating, wiry and slippery pulse
Phlegm misting mind

Treatment Principle: eliminate phlegm and open orifices

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

Formulas: Di tan tang (Scour Phlegm Decoction)
Ban xia, Chen pi, Fu ling, Gan cao, Tian nan xing, Zhu ru, Zhi shi, Shi chang pu, Ren shen
Manifestation: dizziness, vertigo, headache, deviated eyes and mouth, hemiplegia, numbness in the extremities, or sudden loss consciousness, stifling sensation in the chest, copious sputum, gurgling phlegm sound in the throat, nausea, vomiting; thick greasy coating, wiry slippery pulse
Wind phlegm obstruction

Treatment Principle: eliminate phlegm and extinguish wind

Acupuncture: ST36, CV12, ST40, GB20, LR3, LI4

Formulas: Ban xia bai zhu tian ma tang (Pinellia, Atractylodes macrocephala, and Gastrodia Decoction)
Ban xia, Chen pi, Fu ling, Gan cao, Tian ma, Bai zhu
Manifestation: swelling and painful joints, numbness of the extremities, Ying liu (goiter), masses, breast lumps, cysts, nodules , swelling of lymph nodes; white greasy coating, wiry slippery pulse
Phlegm obstructing channels

Treatment Principle: soften hardness and dissipate nodules, eliminate phlegm and invigorate channels

Acupuncture: CV12, ST36, ST40, SJ10, GB21, LR13, Zhou jian

Formulas: Zhi mi fu ling wan 指迷茯苓丸
Ban xia, Fu ling, Zhi ke, Mang xiao
Manifestation: chronic cough, wheezing, or asthma which is worse with exertions; LU qi deficiency seen copious white sputum, spontaneous sweating, easily to catch a cold, fatigue, pale complexion, shortness of breath, pale tongue with thin greasy coating, thin slippery pulse; LU yin deficiency seen scanty sticky sputum and hard to expel, tidal fever, red cheeks, night sweats, red tongue with scanty coating, thin rapid pulse
LU deficiency and phlegm retention

Treatment Principle: tonify LU and transform phlegm

Acupuncture: BL13, BL23, LU9, LI4, LU5, ST40

Formulas
LU qi deficiency – Liu jun zi tang or Shen ling bai zhu san

Liu jun zi tang (Six Gentleman Decoction) – Ren shen, Bai zhu, Fu ling, Gan cao, Ban xia, Chen pi

Shen ling bai zhu san (Ginseng Poria and Atractylodes Macrocephala Powder) – Ren shen Bai zhu, Fu ling, Gan cao, Shan yao, Lian zi, Bai bian dou, Yi yi ren, Sha ren

LU yin deficiency – Bu fei e jiao tang or Bai he gu jin tang

Bu fei e jiao tang (Tonify the Lungs Decoction with Ass-hide Gelatin) – E jiao, Ma dou ling, Niu bang zi, Xing ren, Geng mi, Gan cao

Bai he gu jin tang (Lily Bulb Decoction to Preserve the Metal) – Bai he, Sheng di, Shu di, Mai dong, Xuan shen, Dang gui, Bai shao, Bei mu, Jie geng, Gan cao
Manifestation: poor appetite, or no appetite, nausea, vomits; fatigue, lassitude, sallow complexion, fullness or distention in epigastrium and abdomen, loose stools or diarrhea; greasy coating, thin weak pulse
SP deficiency and phlegm obstruction

Treatment Principle: strengthen SP and transform phlegm

Acupuncture: BL20, BL13, CV12, ST40, SP9

Formulas: Liu jun zi tang (Six Gentleman Decoction)
Ren shen, Bai zhu, Fu ling, Gan cao, Ban xia, Chen pi
Manifestation: chronic cough, wheezing and asthma which is worse with exertions, difficulty inhalation, copious watery sputum; chills, edema, lassitude, soreness and coldness in low back and knees, morning diarrhea, frequent night urination; pale swollen tongue, greasy coating, deep thin forceless pulse
KI deficiency and phlegm obstruction

Treatment Principle: tonify KI and eliminate phlegm

Acupuncture: BL23, CV4, KI3, KI4, LU9, SP3, ST40

Formulas: Jin gui shen qi wan (Kidney Qi Pill from the Golden Cabinet)
Fu zi, Gui zhi, Shu di, Shan zhu yu, Shan yao, Ze xie, Mu dan pi, Fu ling
Blood Stasis Disease - 10 patterns
1. Evil heat entering blood
2. Cold congealing blood
3. Qi stagnation
4. Stasis in chest and hypochondria
5. Stasis in abdomen
6. Stasis in lower abdomen
7. Stasis in channels
8. Qi deficiency and blood stasis
9. Yin deficiency and blood stasis
10. Yang deficiency and blood stasis
Manifestation: dark-red blotches on the skin, skin rashes, nose bleeding, high fever, even loss of consciousness; crimson tongue or purple red tongue, scanty coating, deep thin rapid pulse
Evil heat entering blood

Treatment Principle: clear toxin heat, cool blood and expel stasis

Acupuncture: LI11, LI4, BL40, SP10, SP6, HT7

Formulas: Xi jiao di huang tang (Rhinoceros Horn and Rehmannia Decoction)
Xi jiao, Sheng di, Chi shao, Mu dan pi
Manifestation: local fixed pain or whole body pain, pain is prickly or stabbing which worse with pressure and better with warm; cold hands and feet; purple tongue or purple spots on the tongue, deep choppy pulse
Cold congealing blood

Treatment Principle: warm channels and invigorate blood vessels

Acupuncture: CV4, BL23, SP6, SP10, PC5, LI11, LI4, GB30, BL40, Local Ashi

Formulas: Dang gui si ni tang (Tangkuei Decoction for Frigid Extremities)
Dang gui, Bai shao, Gui zhi, Xi xin, Mu tong, Gan cao, Da zao
Manifestation: headache, painful eyes, hair loss, tinnitus or deafness, insomnia, dream-disturbed sleeping, dizziness, vertigo, poor memory, depression, anxiety, or epilepsy; purple tongue or purple spots on the sides of tongue, choppy pulse
Qi stagnation and blood stasis - Stasis in head and face

Treatment Principle: invigorate blood, expel blood stasis, and open orifices

Acupuncture: LI4, SP6, LR3, BL18, GB20, DU20

Formulas: Tong qiao huo xue tang (Unblock the Orifices and Invigorate the Blood Decoction)
Tao ren, Hong hua, Chuan xiong, Chi shao, Cong bai, She xiang, Sheng jiang, Da zao, Rice wine
Manifestation: stabbing and prickly pain in the chest and hypochondria, stifling and uncomfortable sensation in the chest, frequent sighing, palpitations, restlessness, anger, anxiety, purple lips; dark purple tongue, or purple spots on the sides of tongue, wiry or choppy pulse
Stasis in chest and hypochondria

Treatment Principle: regulate LR, invigorate blood and expel stasis

Acupuncture: BL18, LR14, BL17, PC5, SP6

Formulas: Xue fu zhu yu tang (Drive out Blood Stasis in the Mansion of Blood Decoction)
Tao ren, Hong hua, Sheng di, Dang gui, Chuan xiong, Chi shao, Chai hu, Zhi ke, Gan can, Jie geng, Niu xi
Manifestation: masses in abdomen, fixed pain in the abdomen which is worse with pressure, fullness in the abdomen with visible small veins, chronic diarrhea, or dark tarry stools; purple tongue, deep choppy pulse
Stasis in abdomen

Treatment Principle: invigorate blood, expel stasis, and dissipate nodules

Acupuncture: BL18, BL17, LR3, ST36, LI4, SP10, SP6, CV11, CV9

Formulas: Ge xia zhu yu tang (Drive out Blood Stasis below the Diaphragm Decoction)
Tao ren, Hong hua, Dang gui, Chuan xiong, Chi shao, Mu dan pi, Zhi ke, Wu yao, Xiang fu, Yan hu suo, Wu ling zhi, Gan cao
Manifestation: lower abdominal pain or distention, palpable masses in lower abdomen; dysmenorrhea, abnormal uterine bleeding with dark or purple menstrual blood, or with clots, or amenorrhea; difficulty urination with dark purple urine; dark purple tongue, thin coating, deep thin choppy pulse
Stasis in lower abdomen

Treatment Principle: invigorate blood and expel stasis, warm channels and alleviate pain

Acupuncture: LR3, LR8, SP6, SP10, CV4, CV6

Formulas: Shao fu zhu yu tang (Drive out Blood stasis in the lower Abdomen Decoction)
Xiao hui xiang, Gan jiang, Rou gui, Yan hu suo, Mo yao, Pu huang, Wu ling zhi, Dang gui, Chuan xiong, Chi shao
Manifestation: shoulder pain, arm pain, lower back pain, leg pain, or other chronic aches and pains of the body; numbness in the extremities, or tremors in the limbs; or hemiplegia; cold hands and cold feet, purple lips and purple fingers; purple tongue, thin choppy pulse
Stasis in channels

Treatment Principle: invigorate blood, dispel stasis, and unblock collaterals

Acupuncture: LR3, SP10, SP6, ST36, GB34, LI11, LI4, LI15

Formulas: Shen tong zhu yu tang (Drive out Blood stasis from a painful Body Decoction)
Tao ren, Hong hua, Dang gui, Chuan xiong, Mo yao, Wu ling zhi, Xiang fu, Qin jiao, Qiang huo, Niu xi, Di long, Gan cao
Manifestation: tightness and aches in the chest, abdominal masses, distention and pain in the abdomen, or hemiplegia, poor appetite, palpitations, shortness of breath, fatigue; purple tongue, or purple spots on sides of tongue, thin coating, thin soggy pulse
Qi deficiency and blood stasis

Treatment Principle: tonify qi and invigorate blood

Acupuncture: BL17, PC6, SP6, LI4, BL15, BL20, CV6, ST36

Formulas: Bu yang huan wu tang (Tonify the Yang to Restore Five Decoction)
Huang qi, Dang gui wei, Chuan xiong, Chi shao, Tao ren, Hong hua , Di long
Manifestation: dull aches in chest and epigastrium, difficulty swallowing, vomiting, or abdominal pain, constipation, dark grey complexion, emaciation, dry skin and scaly skin, dizziness, tinnitus, dry eyes; reddish purple tongue, dry tongue with scanty coating, thin wiry pulse
Yin deficiency and blood stasis

Treatment Principle: nourish yin and invigorate blood

Acupuncture: KI7, BL18, LR2, SP6, ST36

Formulas: Tong you tang 通幽汤
Sheng di, Shu di, Dang gui, Tao ren, Hong hua, Sheng ma, Gan cao
Manifestation: abdominal cold pain, masses, or distention and fullness in abdomen, ascites, edema; dysmenorrhea, or amenorrhea; chills, cold hands and feet, purple lips; pale purple tongue, or purple spots on sides of tongue, deep weak pulse
Yang deficiency and blood stasis

Treatment Principle: tonify yang and dispel cold, invigorate blood and expel stasis

Acupuncture: BL23, BL20, CV4, DU4, LI4, SP6

Formulas: Fu zi li zhong tang or Wen jing tang

Fu zi li zhong tang (Prepared Aconite Pill to Regulate the Middle) – Fu zi, Gan jiang, Ren shen, Bai zhu, Gan cao

Wen jing tang (Warm the Menses Decoction) – Wu zhu yu, Gui zhi, Dang gui, Chuan xiong, Bai shao, E jiao, Mai dong, Mu dan pi, Ren shen, Gan cao, Ban xia, Sheng jiang
A symptom complex characterized by impairment of Zang-fu organ functions, and exhaustion of qi, blood, yin and yang

The main pathogenesis of the disorder is deficiency and exhaustion of Qi, Xue, Yin, and Yang. The major disease organs are Five Zangs (SP, KI, LU, LR, HT)
CONSUMPTIVE DISEASE 虚劳 (XU LAO)
Also called Xu Suen (虚损)

Tonify SP and KI has clinical significance for treating consumptive disease

Shu yu wan (薯蓣丸) to treat all kinds of Xu lao

Shan yao, Ren shen, Bai zhu, Fu ling, Gan cao, Dang gui, Bai shao, Sheng di, Chuan xiong, E jiao, Mai dong, Xing ren, Jie geng, Fang feng, Chai hu ,Gui zhi, Bai lian, Bai bian dou, Shen qu, Gan jiang, Da zao
Consumptive Disease (Xu Lao) - 13 patterns
(the first is to treat all kinds of Xu lao, then 2 qi, 2 blood, 5 yin, 3 yang, all are deficiencies)
1. All kinds of Xu Lao (Shu yu wan)
2. LU qi deficiency
3. SP qi deficiency
4. HT blood deficiency
5. LV blood deficiency
6. LU yin deficiency
7. HT yin deficiency
8. ST yin deficiency
9. LV yin deficiency
10. KD yin deficiency
11. HT yang deficiency
12. SP yang deficiency
13. KD yang deficiency
Manifestation: shortness of breath, spontaneous sweating, chronic cough, fatigue, low and weak voice, aversion to wind and cold, easily to catch a cold, pale complexion; pale tongue, weak pulse
Treatment Principle: tonify LU qi
LU qi deficiency

Treatment Principle: tonify LU qi

Acupuncture: BL13, BL43, LU9, LI4, BL23

Formulas: Bu fei tang (Tonify the Lungs Decoction)

Ren shen, Huang qi, Shu di, Wu wei zi, Sang bai pi, Zi wan
Manifestation: poor appetite, discomfort in epigastrium after eating, fatigue, lassitude, loose stools, sallow complexion; pale tongue with thin coating, weak pulse
SP qi deficiency

Treatment Principle: strengthen SP and tonify Qi

Acupuncture: CV12, BL20, BL21, ST36, SP6

Formulas: Jia wei si jun zi tang (Augmented Four-Gentleman Decoction)
Ren shen, Huang qi, Bai zhu, Gan cao, Fu ling, Bai bian dou
Manifestation: palpitations, poor memory, insomnia, dreams sleep, pale complexion; pale tongue, thin pulse or irregular pulse (knotted or intermittent pulse)
HT blood deficiency

Treatment Principle: nourish blood and calm shen

Acupuncture: BL15, BL17, BL20, ST36, PC6, HT7

Formulas: Yang xin tang (Nourish the Heart Decoction)

Ren shen, Huang qi, Fu ling, Gan cao, Dang gui, Chuan xiong, Wu wei zi, Bai zi ren, Suan zao ren, Yuan zhi, Fu shen, Rou gui, Ban xia
Manifestation: dizziness, blurred vision, hypochondria pain, numbness in the extremities, spasm of sinews, tremors in hands and fingers, irregular menstruation, or amenorrhea, pale complexion; pale thin tongue, thin wiry pulse or thin choppy pulse
LR blood deficiency

Treatment Principle: tonify blood and nourish LR

Acupuncture: BL17, BL18, BL20, ST36, LR2

Formulas: Bu gan tang (Tonify the Liver Decoction)
Dang gui, Shu di, Bai shao, Chuan xiong, Mu gua, Suan zao ren, Gan cao
Manifestation: dry cough, scanty sputum or blood-tinged sputum, dry throat, or even loss of voice; tidal fever, malar flushes, night sweats; dry red tongue with scanty coating, thin rapid pulse
LU yin deficiency

Treatment Principle: nourish Yin and moisten LU

Acupuncture: LU8, BL13, KI3, CV22

Formulas: Sha shen mai dong tang or Bai he gu jin tang

Sha shen mai dong tang (Glehnia and Ophiopogonis Decoction) – Sha shen, Mai dong, Yu zhu, Tian hua fen, Sang ye, Gan cao, Bai bian dou

Bai he gu jin tang (Lily Bulb Decoction to Preserve the Metal) – Sheng di, Shu ding, Bai he, Mai dong, Xuan shen, Dang gui, Bai shao, Bei mu, Jie geng, Gan cao
Manifestation: palpitations, insomnia, irritability, restlessness, tidal fever, night sweats, malar flushes, ulceration in mouth and tongue; dry red tongue, thin rapid pulse
HT yin deficiency

Treatment Principle: tonify yin and nourish HT

Acupuncture: HT7, BL15, KI3, SP6

Formulas: Tian wang bu xin dan (Emperor of Heaven’s Special Pill to Tonify the Heart)
Sheng di, Xuan shen, Mai dong, Tian dong, Ren shen, Fu ling, Dang gui, Wu wei zi, Dan shen, Bai zi ren, Suan zao ren, Yuan zhi, Jie geng
Manifestation: dry mouth, dry lips, dry stools, constipation, poor appetite, nausea, retching, hiccups, malar flushes; dry red tongue, scanty or no coating, thin rapid pulse
ST yin deficiency

Treatment Principle: nourish yin and harmonize ST

Acupuncture: BL21, BL20, ST36, SP3, ST45

Formulas: Yi wei tang (Benefit Stomach Decoction)
Sha shen, Mai dong, Sheng di, Yu zhu, Bing tang
Manifestation: headaches, dizziness, tinnitus, dry eyes, blurred vision or decreased vision, photophobia, irritability, anger, numbness in extremities, muscle twitches and cramps, malar flushes; dry red tongue, thin wiry rapid pulse
LR yin deficiency

Treatment Principle: nourish LR yin

Acupuncture: BL18, LR2, GB34, GB2, Taiyang, ST36, SP6

Formulas: Bu gan tang or Yi guan jian

Bu gan tang (Tonify the Liver Decoction) – Shu di, Dang gui, Bai shao, Chuan xiong, Mu gua, Gan cao, Suan zao ren

Yi guan jian (Linking Decoction) – Gou qi zi, Sheng di, Sha shen, Mai dong, Dang gui, Chuan lian zi
Manifestation: soreness and weakness of low back and knees, muscle atrophy and weakness in lower extremities, seminal emission, dizziness, tinnitus, hair loss, loose teeth, dry mouth, sore throat, tidal fever, malar flushes, night sweats; dry red tongue, thin deep rapid pulse
KI yin deficiency

Treatment Principle: nourish KI yin

Acupuncture: BL23, BL52, SP6, KI7, SI19

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

Zuo gui wan (Restore the Left Decoction) – Shu di, Gou qi zi, Shan yao, Gui ban jian, Niu xi, Shan zhu yu, Tu si zi, Lu jiao jiao
Manifestation: palpitations, stuffiness and pain in the chest, spontaneous sweating, lassitude, chills, cold hands and cold feet, pale complexion; pale tongue or pale purple tongue, thin weak pulse or deep slow pulse
HT yang deficiency

Treatment Principle: warm and tonify HT yang

Acupuncture: BL15, BL14, HT7, PC6, ST36

Formulas: Zheng yang li lao tang 拯阳理劳汤
Ren shen, Huang qi, Wu wei zi, Gan cao, Rou gui, Sheng jiang, Bai zhu, Chen pi, Dang gui, Da zao
Manifestation: sallow complexion, poor appetite, chills, fatigue, lassitude, shortness of breath, dislike to speak, loose stools, or diarrhea, borborygmus and abdominal cold pain which worse with cold or improper diet; pale tongue, white coating, weak pulse
SP yang deficiency

Treatment Principle: warm MJ and strengthen SP

Acupuncture: BL20, BL21, CV8, SP3, PC6

Formulas: Fu zi li zhong wan (Prepared Aconite Pill to Regulate the Middle)
Fu zi, Gan jiang, Ren shen, Bai zhu, Gan cao
Manifestation: soreness and weakness of low back and knees, seminal emission, impotence, frequent clear urination, incontinence, frequent night urination, pale complexion, chills, cold extremities, diarrhea with undigested foods in the stools, early morning diarrhea (cock’s crow diarrhea, Wu geng xie); pale swollen tongue with teeth marks, white coating, deep slow pulse
KI yang deficiency

Treatment Principle: warm and tonify KI yang

Acupuncture: BL23, DU4, CV4, KI3, ST36

Formulas: You gui wan (Restore the Right Pill)
Fu zi, Rou gui, Du zhong, Shan zhu yu, Tu si zi, Lu jiao jiao, Shu di, Shan yao, Gou qi zi, Dang gui