Oedema (Nephritis)

Front 1

Clinical Manifestations:
edema of eyes & face with sudden onset, aversion to cold, fever, aches in muscles, retention of urine. Acute facial edema

TB: no change
TC: no change
P: floating-slow

Back 1

Wind-Water invading the
Wei Qi layer
causing
Yang Edema

TP:
Release Exterior, expel Wind,
open the water passages,
stimulate the Lung's
dispersing of fluids

Front 2

Acupuncture:
LI-4, SJ-5, LU-7, BL-12, BL-13: release the exterior, expel Wind, & restore the Lung's dispersing & descending function

LI-6: opens the Water passages & resolves acute edema of upper limbs & face

LI-10: important local point for arms, used here for edema

Du-26: local point for facial edema

Ren-17: stimulates the descending of Lung Qi

ST-36: harmonizes Ying & Wei Qi & removes fluids from the space between the skin & muscles

~GB-20: expel Wind

~Ren-9: acts on fluid metabolism

Herbal:
Yue Bi Jia Zhu Tang

Back 2

Treatment for
Wind-Water invading the Wei Qi
causing
Edema

Front 3

Clinical Manifestations:
Edema of any part of the body, sores, carbuncles or furuncles

TB: red
TC: sticky-yellow
P: slippery-rapid

Back 3

Fire Poison
causing
Yang Edema

TP:
Tonify Lungs & Spleen,
drain Dampness,
clear Heat,
& resolve Fire-Poison

Front 4

Acupuncture:
Ren-12 & BL-20: tonify Spleen to resolve Dampness & edema

Ren-9, ST-28, BL-22: promote transformation of fluids & resolve edema

SP-9: resolve dampness

LU-7: stimulate Lung's Dispersing & Descending function

BL-13: tonifies Lung Qi

LI-11: clear heat

SP-10: skin issues from damp-heat or heat in blood

Herbal:
Ma Huang Lian Qiao Chi Xiao Dou Tang & Wu Wei Xiao Du Yin

Back 4

Treatment for
Fire Poison
causing
Yang Edema

Front 5

Clinical Manifestations:
Edema of whole body or legs, scanty urination, feel heavy, feel oppression in chest

TB: swollen
TC: sticky
P: slippery

Back 5

Dampness
causing
Yang Edema

TP:
Strengthen Spleen, resolve Dampness,
benefit Yang, & resolve edema

Front 6

Acupuncture:
Ren-12, BL-20, BL-21, ST-36: tonify Spleen & Stomach

Ren-9, ST-28: resolve edema

Ren-6: moxa, tonifies & moves Yang-Qi which helps to move & transform fluids & resolve edema

SP-9, SP-6: resolve Dampness

BL-22: stimulates the transformation & excretion of fluids in the LJ

Herbal:
Wu Pi San & Wei Ling Tang

Back 6

Treatment for
Dampness
causing
Yang Edema

Front 7

Clinical Manifestations:
Edema of legs or abdomen, thin & shiny skin, a feeling of oppression in chest, thirst no drink, scanty-dark urine, ~loose stools with strong smell, moist constitution

TB: not important
TC: sticky-yellow
P: slippery-rapid

Back 7

Damp-Heat
causing
Edema

TP:
Clear Heat & resolve Dampness

Front 8

Acupuncture:
LI-11: resolves damp-heat & clears heat

SP-9, SP-6: resolve damp-heat from LJ

Ren-9: promote transformation of fluids & separates clear from turbid. Resolves edema

ST-28: promotes the transformation of fluids in the LJ & resolves edema

BL-22: Shu of LJ, excretion of fluids, in LJ

BL-20, BL-23: transform & transport fluids

Herbal:
Shu Zao Yin Zi

Back 8

Treatment for
Damp-Heat
causing
Yang Edema

Front 9

Clincal Manifestations:
Edema of the abdomen and/or legs, pitting on pressure, feeling of oppression of chest & abdomen, loose stools, pale face, tiredness, scanty urine, ~cold limbs, poor appetite

TB: pale, swollen, teethmarks, moist
TC: n/a
P: weak & fine (minute)

Back 9

Spleen-Yang Xu
causing
Yin Edema

TP:
Tonify & warm the Spleen
& resolve edema

Front 10

Acupuncture:
Ren-12, ST-36, BL-20, BL-21, SP-6: tonify Spleen & Stomach

Ren-6: tonifies Qi in general & helps to resolve edema

Ren-9, ST-28, BL-22: promote the transformation of fluids & resolve edema

Herbal:
Shi Pi Yin

Back 10

Treatment for
Spleen Yang Xu
causing Yin Edema

Front 11

Clinical Manifestations:
edema of the whole body or legs, pitting on pressure, sore back & knees, feeling cold especially in the back & legs, urination scanty or profuse but very pale, tiredness, depression, bright-white complexion

TB: pale, swollen, wet, moist
TC: not important
P: deep-weak slow

Back 11

Kidney Yang Xu
causing
Yin Edema

TP:
Tonify & warm the Kidneys
& resolve edema

Front 12

Acupuncture:
Ren-4: moxa, tonify Kidney Yang

BL-23, KI-7: tonify Kidney Yang

BL-20, ST-36: tonify Spleen

BL-22, ST-28: resolve edema

Herbal:
Jin Gui Shen Qi Wan
(add wu ling san)

Back 12

Treatment for
Kidney Yang Xu
causing
Yin Edema

Front 13

Clinical Manifestations:
Edema of face & eyes of sudden onset gradually spreading to limbs, shiny skin, pitting resolves quickly, aversion to cold, fever, sore throat, body aches, cough, course breathing

TB: slightly red on sides
TC: thin, white
P: floating-tight

Back 13

Edema from
Invasion of External Wind-Water

TP:
Expel Wind-Water, release the Exterior, promote sweating

Front 14

Acupuncture:
LI-4, SJ-5, LU-7, BL-12, BL-13: release the exterior, expel Wind, & restore the Lung's dispersing & descending function

LI-6: opens the Water passages & resolves acute edema of upper limbs & face

LI-10: important local point for arms, used here for edema

Du-26: local point for facial edema

Ren-17: stimulates the descending of Lung Qi

ST-36: harmonizes Ying & Wei Qi & removes fluids from the space between the skin & muscles

~GB-20: expel Wind

~Ren-9: acts on fluid metabolism

Herbal:
Ling Gui Fu Ping Tang

Back 14

Treatment for
External Invasion of Wind-Water
causing Acute Nephritis

Front 15

Clinical Manifestations:
Sallow complexion, anemia, whole body edema, ache in lower back, abdominal fullness, chilliness, mental depression, loose stools, cold limbs, scanty or profuse urine, pronounced albuminuria

TB: pale & swollen & moist
TC: n/a
P: deep & weak

Back 15

Chronic Nephritis
Spleen- & Kidney-Yang Xu,
Water Overflowing

TP:
Warm the Kidneys, Strengthen Yang,
Stoke the Fire of the Ming Men,
Strengthen the Spleen, Eliminate Water

Front 16

Acupuncture:
ST-36, KI-7, Ren-12, BL-20, BL-23:
Tonify Spleen- & Kidney-Yang (moxa)

SP-6, SP-9, BL-22, Ren-9: eliminate dampness & edema (even method)

Herbal:
Bu Zhong Yi Qi Tang

Back 16

Treatment for
Spleen- & Kidney-Yang Xu
Water Overflowing
causing Chronic Nephritis

Front 17

Clinical Manifestations:
withered & sallow complexion, mental depression, soreness of lower back, weakness of knees, diarrhea, pronounced albuminuria, severe & chronic Spleen & Kidney deficiency

TB: pale
P: weak

Back 17

Spleen & Kidney Xu
Essence Leaking
causing Chronic Nephritis

TP:
Strengthen Spleen,
tonify Kidney-Yang,
nourish Yin & Essence

Front 18

Acupuncture:
BL-20, BL-23, Du-4, KI-7: tonify & warm Spleen & Kidneys

SP-4, PC-6: open the chong mai (penetrating vessel) thus relieve stagnation in chest

Ren-13: stop vomiting, subdue rebellious stomach qi

Ren-17: opens the chest, descends Lung Qi

Ren-9: promote fluid transformation & resolve edema

LU-5: resolve phlegm from Lungs & descend Lung Qi

KI-3, GB-39: nourish Yin & Essence

Herbal:
Jin Gui Shen Qi Wan &
Wu Zi Yan Zong Wan

Back 18

Treatment for
Spleen & Kidney Deficiency
Essence Leaking
causing Chronic Nephritis

Front 19

Clinical Manifestations:
lower back-ache, difficulty in walking, chilliness, tinnitus, dizziness, blurred vision, profuse urination at night, palpitations, breathlessness, dull headache, ~ pain in limbs

TB: Pale, ~ bluish-purple
TC: N/A
P: deep & weak

Back 19

Kidney- & Heart Yang Xu,
Qi-Blood Stagnant
causing Chronic Nephritis

TP:
Tonify Kidney & Heart,
Warm Yang,
Move Qi & Blood

Front 20

Acupuncture:
ST-36, KI-7, BL-20, BL-23: tonify Spleen- & Kidney-Yang (moxa)

BL-15: tonify Heart-Yang (moxa)

SP-6, SP-9, BL-22, ST-28, Ren-9: eliminate dampness & edema (reduce or even)

Herbal:
Yi Shen Tong Mai Tang

Back 20

Treatment for
Kidney- & Heart-Yang Xu
Qi-Blood Stagnant
causing Chronic Nephritis