Actcm Intmed4 Part2 Sx To Dx And Tx

Front 1

Infertility - five patterns

Back 1

KD yang deficiency
KD yin deficiency
LV qi stagnation
Damp heat obstruction
Qi and Blood deficiency

Front 2

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

Back 2

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

Front 3

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

Back 3

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

Front 4

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

Back 4

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

Front 5

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

Back 5

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

Front 6

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

Back 6

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

Front 7

Masses - Ji and Ju,

Ju - two patterns
Ji - three patterns

Back 7

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

Front 8

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

Back 8

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

Front 9

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

Back 9

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

Front 10

Manifestation: Fixed abdominal masses but soft, with distention sensation and pain; purple tongue with thin white coating, wiry pulse

Back 10

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

Front 11

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

Back 11

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

Front 12

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

Back 12

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

Front 13

Goiter - five patterns

Back 13

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

Front 14

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

Back 14

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

Front 15

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

Back 15

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

Front 16

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

Back 16

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

Front 17

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

Back 17

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

Front 18

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

Back 18

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

Front 19

Phlegm Diseases - 10 patterns

Back 19

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

Front 20

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

Back 20

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

Front 21

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

Back 21

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

Front 22

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

Back 22

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

Front 23

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

Back 23

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

Front 24

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

Back 24

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

Front 25

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

Back 25

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

Front 26

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

Back 26

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

Front 27

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

Back 27

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

Front 28

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

Back 28

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

Front 29

Blood Stasis Disease - 10 patterns

Back 29

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

Front 30

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

Back 30

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

Front 31

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

Back 31

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

Front 32

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

Back 32

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

Front 33

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

Back 33

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

Front 34

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

Back 34

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

Front 35

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

Back 35

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

Front 36

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

Back 36

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

Front 37

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

Back 37

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

Front 38

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

Back 38

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

Front 39

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

Back 39

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

Front 40

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)

Back 40

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

Front 41

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)

Back 41

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

Front 42

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

Back 42

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

Front 43

Manifestation: poor appetite, discomfort in epigastrium after eating, fatigue, lassitude, loose stools, sallow complexion; pale tongue with thin coating, weak pulse

Back 43

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

Front 44

Manifestation: palpitations, poor memory, insomnia, dreams sleep, pale complexion; pale tongue, thin pulse or irregular pulse (knotted or intermittent pulse)

Back 44

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

Front 45

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

Back 45

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

Front 46

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

Back 46

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

Front 47

Manifestation: palpitations, insomnia, irritability, restlessness, tidal fever, night sweats, malar flushes, ulceration in mouth and tongue; dry red tongue, thin rapid pulse

Back 47

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

Front 48

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

Back 48

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

Front 49

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

Back 49

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

Front 50

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

Back 50

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

Front 51

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

Back 51

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

Front 52

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

Back 52

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

Front 53

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

Back 53

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