ALOPECIA - HAIR LOSS - BALDNESS

Etiology
  • The major types of alopecia are alopecia areata, telogen effluvium, drug-induced and androgenetic.
  • The cycle of each follicle is independent of its neighbors and
    passes through three phases – a growth phase (anagen),
    lasting for three to five years, a short conversion phase (catagen), and a resting phase (telogen), lasting for up to three months, after which the hair is shed. One possible cause of alopecia areata has been suggested as premature termination of the anagen phase.
  • Alopecia areata is sudden-onset patchy hair loss in one or more circumscribed round or oval areas, primarily on the scalp. The condition appears to have an Immunological basis, occurring in association with autoimmune and atopic disorders. Although the exact pathogenesis has yet to be definitively identified, the disease is often associated with emotional factors and endocrine dysfunction. Alopecia areata usually appears as patchy baldness, but occasionally causes all hair to be lost. Although total
    baldness is often permanent, regrowth is possible in cases with limited involvement.
  • Telogen effluvium is characterized by shedding of hair, rather than hair loss. It follows an acute illness, surgery, pregnancy, malnutrition, excessive dieting, blood loss or severe psychological stress.
  • The most common form is androgenetic which includes male pattern baldness and diffuse female alopecia.
  • Excess:
    1. Excess patterns are caused by excessive intake of spicy, hot or fried food or by a depressed mental state transforming into Fire, thus consuming Yin and Blood and generating Wind due to Blood-
    Heat. Wind-Heat then follows Qi upward to the vertex, preventing the hair root from being nourished by Yin and Blood. Sudden loss of hair, yellow discoloration of the hair or premature graying can then result.
    2. Another Excess pattern is caused by Blood Stasis in the hair orifices, depriving the hair root of nourishment by Yin and Blood. Both patterns manifest as unexpected hair loss.
    3. Overeating of sweet and fatty food tends to damage the Spleen and Stomach, leading to internal accumulation of Damp-Heat. If this Damp-Heat steams upward to the vertex along the channels and attacks the hair root, the hair will thin or fall out.
    4. Blood stasis in the hair orifices (follicles) obstructs the movement of Qi in the channels, making it difficult for new Blood to irrigate and nourish the hair root, thus leading to rapid hair loss over a large area.
  • Deficiency:
    1. Qi and Blood Deficiency or Liver and Kidney Yin Deficiency resulting in lack of transformation and generation of Qi and Blood. The hair root is empty and the hair has no source of growth, leading to large areas of hair loss.
    2. Looseness of the pores in the scalp allows external Wind to attack, thus making the hair root less secure and depriving it of proper nourishment, resulting in patches of hair loss.
    3. Qi and Blood Deficiency due to prolonged illness, or debilitation of the Chong and Ren vessels mean that the hair is no longer nourished properly, resulting in dry hair or thinning and lusterless hair, and eventually to hair loss.
    4. Internal damage due to the emotions can injure the Heart and Spleen, impairing the transformation and transportation function of the Spleen leading to loss of the transforming and generating Qi and Blood. This manifests in the Exterior as gray hair and hair loss and in the Interior as Deficiency-Heat due to restlessness and overstrain.
    5. When Lung Qi is abundant, it promotes the diffusion and distribution of Body Fluids and Blood to nourish the Zang-Fu organs internally and moisten and enrich the skin, flesh, hair, and orifices externally. Damage to the Lungs can lead to various hair
    disorders, including thinning hair, dry or gray hair, or hair loss.
    6. The Kidneys store the Jing. If the Jing is Deficient, the Kidneys cannot transform and generate Yin and Blood, causing depletion of the source for generating hair. This results in hair loss or premature graying of hair.
    7. Excessive sexual activity drains the Kidney Jing, damaging the Liver and Kidneys.
    8. Congenital Deficiency of Kidney Qi is also responsible for late growth of hair, thin hair, or lusterless dry yellowing hair.
Clinical Manifestations
  • The highest incidence of alopecia occurs among the young and middle-aged.
  • The disease is characterized by the sudden appearance of one or several clearly defined round or oval patches of hair loss, generally 1-4 cm in size.
  • In severe cases, there may be loss of eyebrow, moustache, beard, axillary, or genital hair. A few patients lose all the hair on the scalp (alopecia totalis); complete baldness of the head and body is known as alopecia universalis.
  • The skin is smooth and white or may have short stubs of hair at the margins of lesions (so-called “exclamation mark hairs”, about 4mm in length and tapering toward the scalp). Inflammation and scaling are absent.
  • Hair loss may be accompanied by fine pitting of the nails.
  • New hair growth is usually the same color and texture as existing hair, but may be fine and white, particularly in older patients.
  • The outcome is variable. A first episode usually results in regrowth within a few months. Further episodes often result in more extensive patches of hair loss, with slower regrowth.
Treatment Principle
Herb Formulas
  • Combination Internal and External Treatment: Bao Fa Tang + Sheng Fa Bao
  • Patent Medicines: He Shou Wu Wan
  • Topical:
    Sheng Fa Ding (Generating Hair Tincture),
    Gui Zhi Ban Mao Ding (Cinnamon Twig and Mylabris Tincture)
    Dong Chong Xia Cao Jiu (Cordyceps Wine)
    Alopecia Topical #3
    Fresh slices of ginger Sheng Jiang are rubbed onto the bald area to produce a hot feeling, three times daily
    Powder of Zhi Chuan Wu  is mixed with vinegar or ginger juice and applied once a day to the bald area.
    Alopecia Topical #4
    Alopecia Topical #5
    Cordyceps Yan Hu Suo tincture is applied to the affected area 3-5 times daily.
    Semen Sinapis Bai Jie Zi is powdered, mixed with oil to form an ointment, and applied to the affected area once daily.
    Psoralea tincture Bu Gu Zhi Ding, applied three times daily.
  • Apply 25% Zanthoxyli Chuan Jiao Tincture
  • MIx powdered Rx. Aconiti Chuan Wu with vinegar and apply.
    For hair loss with severe itching in children: Grind any amount of Sm. Sinapis Bai Jie Zi into a fine powder and mix with enough lard or oil to form an ointment. Apply to the head once daily.
  • Topical Patent Medicines:
    101 Hair Regenerating Alcohol
    Su Xiao Ke Tu Ling Sheng Fa Jing
    San Xian Dan

Points
Clinical Manifestations
  • Itchy nose, mouth, eyes, throat, skin, or any area
  • Problems with smell
  • Runny nose
  • Sneezing
  • Tearing eyes
  • Coughing
  • Clogged ears and decreased sense of smell
  • Sore throat
  • Dark circles under the eyes
  • Puffiness under the eyes
  • Fatigue and irritability
  • Headache
  • Memory problems and slowed thinking
  • Fever and chills unrelieved by sweating
  • Headache
  • Spontaneous perspiration
  • Decreased body resistance
  • Aversion to Wind
  • Nasal congestion
  • No thirst
  • Dry heaves
  • Stiff neck
  • T: Normal
  • C: White and moist
  • P: Floating and moderate or Floating and weak or slow
Treatment Principle
  • Dispel Wind
  • Release Wind-Cold from the muscle layer
  • Regulate and harmonize the Ying and Wei
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever
  • Runny nose
  • Achiness
  • Stiff neck and shoulders
  • Anhidrosis
  • Headache
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Cold
  • Maybe frozen shoulder
  • The Tai Yang symptoms remain for 2-3 days
  • Thirst with no desire to drink
  • May have vomiting immediately after drinking
  • Difficult urination
  • May have upper body edema
  • TC: White
  • P: Floating and slippery
Treatment Principle
  • Promote urination
  • Dispel Dampness
  • Expel Wind
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Headache
  • Joint pains
  • Severe diarrhea
  • Epigastric distention
  • Perspiration
  • Cold body and extremities
  • Weakness of the extremities
  • Upper abdominal palpitations
  • Cold feet
  • Dysuria
Treatment Principle
  • Release the Exterior
  • Warm the Interior
  • Tonify Qi
  • Relieve distention
Herb Formulas
Points
Clinical Manifestations
  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid
Treatment Principle
  • Harmonize the Shao Yang
  • Unblock the three Yang Levels
  • Sedate and calms the Spirit
Herb Formulas
Points
Clinical Manifestations
  • Dry cough with little or no sputum
  • Sputum is difficult to expectorate
  • Maybe hemoptysis
  • Cough may cause chest pain
  • Dry or sore throat
  • Hoarse voice
  • Dry lips and mouth
  • Thirst
  • Dryness in nose
  • Epistaxis
  • Chills and fever
  • Headache
  • Anhidrosis
  • Dry skin and hair
  • Constipation
  • T: Red tip
  • C: Thin, yellow and dry
  • P: Superficial, maybe rapid
Treatment Principle
  • Cleanse the Lungs
  • Moisten Dryness
Herb Formulas
Points
Clinical Manifestations
  • Emaciation
  • A sallow yellow facial complexion
  • Poor appetite
  • Lassitude
  • T: Pale and swollen
  • C: White
  • P: Deep and thready
Treatment Principle
  • Supplement the Middle Jiao
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • The hair falls out in patches
  • The eyebrows may be affected
  • Dizziness
  • Tinnitus
  • Insomnia
  • Dream disturbed sleep
  • Dysphoria
  • Five sole Heat
  • Palpitations
  • Forgetfulness
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
Herb Formulas
  • Replenish the Kidneys
  • Nourish the Heart
  • Acticate the Blood
  • Expel Wind
Points
Clinical Manifestations
  • Dizziness
  • Aching in the lower back
  • Weak legs
  • A bitter taste in the mouth
  • A sensation of fullness in the chest and hypochondrium
  • Irritability
  • Restlessness
  • T: Red
  • C: Little or None
  • P: Wiry or Thready and wiry
Treatment Principle
  • Dredge the Liver
  • Supplement the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Glaucoma
  • Distended pain in the lower abdomen
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Cold extremities
  • Tightness or fullness in the chest
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • Flatulence
  • T: Red edges
  • C:Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Regulate Liver Qi and Blood
  • Remove Stagnation
  • Regulate menstruation
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • T: Normal
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
  • Pain, swelling and burning sensations of testicles
Treatment Principle
  • Clear Dampness
  • Purge Heat from the Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Bitter taste in mouth
  • Nausea
  • Vomiting
  • Agitation
  • Restlessness
  • Irritability
  • Indecision
  • Suspiciousness
  • Palpitations with anxiety
  • Insomnia
  • Frequent sighing
  • Suffocating sensation in chest
  • T: Pink
  • C: Yellow and greasy or Thin and white
  • P: Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Descend Contravecting Qi
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Hair loss
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Heel pain
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Aching in bones
  • Aching in leg and heel
  • Dry mouth
  • Thirst
  • Night sweats
  • Five sole heat
  • Malar flush
  • Low grade fever in the afternoon
  • Dry throat, maybe recurrent sore throat
  • Dry stools and / or constipation
  • Urine short and red
  • Heightened libido
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish the Kidneys
  • Nourish Yin and Blood
Herb Formulas
Points
Clinical Manifestations
  • Low back and knees aching and weak
  • Hearing deficit
  • Loose teeth
  • Hair loss
  • Impotence
  • Jing Gate Not Consolidated:
    Spermatorrhea
    Premature ejaculation
    Vaginal discharge
    Infertility
  • Urinary disorder:
    Frequent, clear, abundant urination
    Dribbling after urination
    Incontinence of urine
    Nocturia
  • T: Pale and swollen with teethmarks
  • C: Thin white
  • P: Deep and thready or Deep and weak
Treatment Principle
  • Consolidate the Kidneys
  • Conserve Qi
Herb Formulas
Points
Clinical Manifestations
  • Memory loss
  • Dizziness
  • Tinnitus
  • Low back and knees weak and aching
  • Hair loss
  • Graying or whitening of hair
  • Weak sexual function
  • Atrophy and weakness of feet with difficulty walking
  • Senility (premature or mature)
  • Brittle bones
  • Gradual deterioration of hearing
Treatment Principle
  • Tonify the Kidneys
  • Nourish Jing
Herb Formulas
Points
Clinical Manifestations
  • Stabbing pain in the low back, feet, testes, penis and lower abdomen
  • Occasional swelling of penis and testes aggravated by resting and sleeping and better with movement
  • Maybe impotence
  • Maybe premature ejaculation
  • Maybe erection without stimulation
  • Maybe ejaculation without stimulation
  • Maybe partial erection during copulation
  • Incomplete ejaculation
  • Maybe ejaculation after copulation
  • Incontinence of urine
  • Dripping urine
  • Premature graying of the hair
  • Itch or pain of hairy areas
  • Tinnitus
  • Stuffy head
  • Chest oppression
  • Retardation of response to stimulation
  • Difficulty concentrating
  • Forgetfulness
  • Insomnia
  • High viscosity sperm with a high number of deformed sperm and abnormal sperm count
  • T: Purple spots
  • C: Normal
  • P: Grating and astringent
Treatment Principle
  • Invigorate the Blood
  • Free the flow of Jing
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Affects patients aged over 40 with a history of yellowing or graying hair.
  • The hair generally falls out, leaving large bald patches with no hair stubs
  • Severe cases:
    M may be loss of eyebrow, axillary and genital hair
  • Pale facial complexion
  • Cold limbs
  • Aversion to Cold
  • Dizziness
  • Tinnitus
  • Weak and sore low back and knees
  • Cold sensation in the glans penis
  • Loose teeth
  • Spontaneous emissions
  • Nocturnal emissions
  • T: Pale red with fissures
  • C: Little or none
  • P: Deep, thready and forceless
Treatment Principle
  • Enrich the Liver
  • Boost the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome), weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Spermatorrhea
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Alopecia occurs over the vertex or at the lateral frontal areas
  • The hair loss is insidious
  • Itching
  • Often affects people in their twenties and thirties
  • The scalp is frequently greasy or itchy with dandruff
  • Soreness of the lower back
  • Fatigued limbs
  • Abdominal pain
  • Emaciation
  • Achy and uncomfortable flesh and bones of the hands and feet
  • Five sole Heat
  • Anxiety
  • Dizziness
  • Light headedness
  • Tinnitus
  • Tidal fever
  • Fever with exhaustion
  • Recurrent fever with night sweats or hemoptysis
  • General disquietude
  • Gradually worsening afternoon fevers
  • T: Red
  • C: Scanty
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin and Blood
  • Clear Deficient Heat
Herb Formulas
Points
Clinical Manifestations
  • A dark facial complexion
  • Lassitude
  • Dry mouth
  • Deficiency-type irritability
  • Prolonged illness
  • T: Pale
  • C: White or None
  • P: Deep and thready
Treatment Principle
  • Augment Qi
  • Nourish Yin
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Usually occurs in patients with a weak constitution, or after a prolonged illness or postpartum
  • Dry, brittle hair
  • Hair loss
  • Hair loss gradually becomes increasingly serious
  • Bald patches growing in size and number, especially in
    areas that may be rubbed frequently such as the
    occiput.
  • The scalp is shiny and soft
  • Premature graying of the hair
  • Short stubs of hair scattered unevenly over the affected area may fall off on rubbing
  • Pale face and lips
  • Palpitations
  • Shortness of breath
  • Weakness
  • A low, weak voice
  • Dizziness
  • Sleepiness
  • Lassitude
  • Numbness of the limbs
  • T: Pale or Pale red
  • C: Thin white
  • P: Thready and weak
Treatment Principle
  • Augment Qi
  • Supplement the Blood
Herb Formulas
Points
Clinical Manifestations
  • Dry hair
  • Hair loss
  • Persistent, tight abdominal pain
  • Abdominal pain with spasms or radiates to back and waist
  • Cannot eat
  • Shortness of breath
  • Dyspnea
  • Pale face
  • Epigastric pain
  • Lusterless complexion
  • Fidgeting
  • Reduced appetite
  • Maybe low-grade fever
  • Palpitations
  • Irritability
  • Cold and sore extremities
  • Nonspecific discomfort
  • Dry mouth and throat
  • Nocturnal emission
  • Five sole Heat
  • Insomnia
  • Fatigue
  • Anemia
  • Bleeding
  • Abdominal weakness
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Night sweats
  • Tired limbs
  • Frequent urination
  • Night crying
  • Hernia pain in children
  • Chronic constipation
  • Purpura
  • Asthma
  • T: Pale
  • C: White.
  • P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle
  • Nourish the Blood
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Alopecia
  • Chronic eczema with thick, dry, dark flaky skin
  • Anemia
  • Itching
  • Swelling
  • Abscesses
  • Ulceration
  • T: Pale
  • C: Little or None
  • P: Thready or Floating and thready
Treatment Principle
  • Tonify the Blood
  • Moisten Dryness
  • Dispel Wind
  • Relieve itching
Herb Formulas
Points
Clinical Manifestations
  • Headache
  • Dizziness
  • Vertigo
  • Tinnitus
  • Blurred vision
  • Sensation of Heat rushing to the head
  • Insomnia
  • Dream disturbed sleep
  • Numbness
  • Twitching and spasms in the extremities
  • Trembling tongue
  • Light-headedness
  • Pallor
  • Broken skin
  • Dry skin
  • Sometimes bleeding and pain
  • Worse in Cold weather
  • Better during the summer
  • T: Pale or pink
  • C: Thin and white
  • P: Thin or Weak and taut or Deep or Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Nourish Blood
  • Dispel Wind
  • Moisten Dryness
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Headache or a stabbing pain in the scalp precedes alopecia
  • Numbness in the scalp
  • Sudden patches of hair loss
  • May persist to develop into complete baldness
  • Eyebrows and body hair may also be involved
  • Frequent nightmares
  • Difficulty falling asleep
  • Headache
  • Dizziness
  • Restlessness with a feverish sensation
  • Thirst with a desire to drink
  • Reddish-purple lips
  • Grinding of the teeth
  • Dream-disturbed sleep
  • Nightmares
  • A cyanotic complexion
  • Maybe afternoon fever
  • T: Dark red or Purple with stasis marks
  • C: Little
  • P: Deep and choppy or Wiry and tight or Thready and choppy
Treatment Principle
  • Free the orifices
  • Invigorate the Blood
  • Dispel Stasis
Herb Formulas
Points
Clinical Manifestations
  • Sudden hair loss
  • Rapidly evolving into large round or oval bare patches
  • Occasional itching
  • The skin is glossy
  • Minor itching
  • Maybe loss of hair in the eyebrows, moustache and beard
  • Maybe a sensation of Heat in the scalp
  • Maybe irritability
  • Maybe irascibility
  • Maybe restlessness
  • Maybe thirst
  • Maybe yellow urine
  • Maybe constipation
  • T: Red
  • C: Thin and yellow
  • P: Thready and rapid or Wiry, slippery and rapid
Treatment Principle
  • Cool the Blood
  • Extinguish Wind
  • Nourish Yin
  • Protect the hair
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Sore throat
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Heaviness in the head
  • T: Red
  • C: White or yellow, greasy
  • P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid
Treatment Principle
  • Disperse Wind
  • Release the Exterior
  • Drain Heat
  • Unblock the bowels
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Lumbago: low back feels Cold, weak and aching
  • Feeling chilled
  • Aversion to cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel Cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Nausea and vomiting
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Palpitations
  • Anxiety
  • Profuse white foamy sputum
  • Restlessness
  • Timidity
  • Indecisiveness
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia after serious illness
  • T: Pink or Red tip
  • C: Yellow and greasy
  • P: Slippery and rapid or Wiry and rapid
Treatment Principle
  • Regulate Qi
  • Transform Phlegm
  • Clear the Gallbladder
  • Harmonize the Stomach
  • Clear Heat
Herb Formulas
Points
  • General points