ANEMIA

Clinical Manifestations
  • Aplastic: Failure of the bone marrow to produce Blood
    Weakness
    Fatigue
    Fever
    Petechiae
    Bleeding
    Waxy pallor of the skin and mucous membranes
    Brown skin pigmentation
    Thrombocytopenia with bleeding into the skin
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Vomits clear fluid
  • Vertex headache
  • Body cold
  • Diarrhea
  • Complete exhaustion of Yang
  • T: Pale
  • C: White
  • P: Weak.
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Acute onset
  • High fever, worse at night or
  • Recurrent low-grade fever
  • Non-productive sweating
  • Dizziness
  • Shortness of breath
  • Insomnia
  • Irritability
  • Mild thirst with no desire to drink
  • Lack of strength
  • Difficulty walking
  • A somber, white facial complexion
  • Vexation
  • Agitation
  • A dry throat
  • Blood blisters in the mouth and on the tongue
  • Red, dry, painful rashes
  • Heart palpitations
  • T: Deep red
  • C: Little or None
  • P: Thready and rapid
  • Severe:
    Mental disturbance
    Speech disturbance
    Multiple sites of spontaneous ejection of Blood
    Dry stools
    Red urine
    T: Pale with possible static spots
    C: Dry and yellow or Black
    P: Thready and rapid or Empty, large, and forceless
Treatment Principle
  • Reduce Heat in the Ying
  • Detoxify
  • Clear Blood Heat
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Confusion of mind
  • Delirium
  • Mania
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage:
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • T: Deep red, dry or Purple red
    C: None
    P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle
  • Cool the Blood
  • Dispel Heat and Toxins from the Xue Stage
  • Promote Blood Circulation
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and Deficient
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
  • Functional Uterine Bleeding
  • Purpura
  • Epistaxis
  • Hemafecia
  • Hematuria
  • Menorrhagia
  • Metrorrhagia
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Thready and weak
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
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
  • Frequent, clear urination
  • 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
  • Mild constant epigastric pain; relieved by warmth and pressure
  • Anorexia
  • Abdominal pain and fullness after meals
  • Nausea
  • Vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Strengthen the Spleen
  • Warm Yang
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • A prolonged disease course
  • A weak voice or
  • Insufficient strength to speak
  • Spontaneous sweating
  • Shortness of breath
  • Aversion to Cold
  • Body cold
  • Limbs icy
  • Complexion white and shiny or
  • Sallow
  • Somber white lips and nails
  • Low back ands knees sore and weak
  • Low back, knees and abdomen feel cold and painful
  • Lack of strength in the extremities
  • Fatigue
  • Tinnitus
  • Lower abdomen feels cold and painful
  • Anorexia
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Clear, long, frequent urination
  • Impotence
  • Seminal emissions
  • Irregular menstruation
  • Maybe spontaneous perspiration
  • Maybe gum bleeding
  • Maybe subdermal bleeding
  • Maybe uterine bleeding
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness and distention
  • No desire for food and drink
  • Frequent belching
  • Borborygmus
  • Loss of sensation of taste
  • Stools not solid
  • Urine clear and abundant
  • T: Pale
  • C: Thin and white
  • P: Weak and Deficient
Treatment Principle
  • Strengthen Qi
  • Invigorate the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Low grade fever
  • Night sweats
  • Five sole Heat
  • Restlessness
  • Dry mouth
  • Thirst
  • Dry throat
  • Malar flush
  • T: Red, dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Reinforce Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Dizziness
  • Epigastric fullness and contravection
  • reflux vomiting
  • Sensation of Qi rushing upward to the chest (Running Piglet)
  • Suffocating sensation in chest
  • Weak cough
  • Expectorating watery white Phlegm
  • T: Pale
  • C: White
  • P: Deep and wiry
Treatment Principle
  • Clear Yang
  • Transform Harmful Fluid
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath (especially on exertion)
  • Excessive perspiration (in daytime)
  • Symptoms worse after exertion or when tired
  • Facial pallor
  • Fatigue
  • Weakness
  • Suffocating sensation in chest
  • T: Pale and swollen
  • C: White
  • P: Weak or Big and weak or Intermittent
Treatment Principle
  • Reinforce and Strengthen Heart Qi
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Anxiety
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Dizziness
  • Pale face and lips
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Nourish Heart Blood
  • Calm the Heart and Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia with much dreaming
  • Easily startled
  • Eye dizziness
  • Both eyes dry and rough
  • Twitching of the eyes
  • Pain in the ribs and flanks
  • Numbness of the limbs
  • Stiffness and spasms of the tendons
  • Low grade fever
  • Night sweats
  • Irregular, scanty menses
  • T: Pale and thin
  • C: Little
  • P: Thready, choppy and forceless
Treatment Principle
  • Nourish Yin
  • Reinforce the Blood
  • Conceal Yang
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Insomnia with much dreaming
  • Spermatorrhea with erotic dreams
  • Premature ejaculation
  • Irritability
  • Easily startled
  • Palpitations
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reduce Fire
  • Make Heart and Kidney communicate
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready or Wiry
Treatment Principle
  • Nourish Liver Blood
  • Soothe the Liver
  • Clear Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Continuous cramping pain in the abdomen
  • Pain is not severe
  • Pain is relieved by pressure
  • Edema of the feet
  • Urinary difficulty
  • Slight edema (primarily of the lower limbs)
  • Symptoms generally occur during pregnancy
  • Pale face
  • Fatigue
  • Heaviness of head
  • Lassitude
  • Lower abdominal pain
  • Dizziness
  • Tinnitus
  • Lumbago
  • Edema
  • Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation
  • Oliguria
  • Palpitations
  • Cold feet
  • Extreme coldness of the hands and feet
  • Vertigo
  • Weakness and numbness of lower back and legs during pregnancy or postpartum
  • Mal position of the fetus
  • Dysmenorrhea
  • Irregular menstruation
  • Right upper quadrant pain
  • Hepatomegaly
  • Anemia
  • Lack of energy
  • Sore back
  • Thirst with no desire to drink
  • T: Pale or pink maybe petechiae on margin
  • C: Thin or Greasy white
  • P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle
  • Nourish Liver Blood
  • Soften the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Resolve Dampness
  • Reinforce the Spleen and Kidney
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of limbs
  • Tremor, spasms or involuntary movements (chorea)
  • Involuntary shaking of head
  • Light menses or amenorrhea
  • Late menses
  • Tic or tremor of hands and feet
  • Maybe trismus
  • T: Pale
  • C: Little
  • P: Thready and wiry
Treatment Principle
  • Nourish the Blood
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Pale lips and nails
  • Headache
  • Dry throat
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome)
  • Weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Heart vexation
  • Palpitations
  • 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
  • Maybe epistaxis
  • Maybe gum bleeding
  • Maybe subdermal bleeding
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • Severe cases:
    Hemafecia
    Hematemesis
    Metrorrhagia
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
  • Nourish Yin
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 ("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
  • Night sweats
  • Perspiration
  • Nervousness
  • Muscular flaccidity
  • Fatigue
  • Mood swings
  • Amenorrhea
  • Irregular menstruation
  • Hot flashes
  • Cold feet
  • Lassitude
  • Frequent, clear urine
  • Irritability
  • Headache
  • Palpitations
  • Insomnia
  • T: Pale
  • C: Thin and white
  • P: Thready and rapid
Treatment Principle
  • Replenish Kidney Yin and Yang
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus
  • Low back and knees weak and aching
  • In adults:
    Hair loss
    Graying or whitening of the hair
    Weak sexual function
    Atrophy and weakness of the feet with difficulty walking
    Poor memory
    Senility (premature or mature)
    Brittle bones
    Gradual deterioration of the hearing
  • In children:
    Retardation in mental and/or physical development
    Failure to thrive
    Late or incomplete closing of the fontanel
    Poor bone development
    Brittle bones
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Reinforce the Kidneys
  • Benefit Jing
  • Nourish the Liver
  • Reinforce the Blood
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Restlessness
  • Five-sole-Heat
  • A dry throat and mouth
  • A tendency to develop Blood-Heat hemorrhages
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • A somber, white facial complexion
  • Dizziness
  • Lack of strength
  • Low back and lower leg soreness and weakness
  • Seminal emission
  • Decreased sexual desire
  • Sometimes hot, sometimes cold
  • Spontaneous perspiration
  • Night sweats
  • Tinnitus
  • Heart palpitations
  • T: Pale
  • C: White or Little
  • P:Deep, thready and forceless or Deep, thready and rapid
Treatment Principle
  • Nourish Yin
  • Tonify Yang
Herb Formulas
Points
  • SP-6, UB-18, UB-20, UB-21, UB-23
    For marked Kidney Yang Deficiency: + DU-4
    For marked Kidney Yin Deficiency: + KI-7
    For dizziness: + DU-20
    For lack of strength: + ST-36
    For low back and lower leg soreness and weakness: + KI-7
    For Yin Deficiency Fire: + KI-6
    For decreased libido: + DU-4
    For seminal emission: + UB-52
    For spontaneous perspiration: + DU-14
    For night sweats : + HT-6
    For Blood Stagnation or bleeding: + UB-17
Clinical Manifestations
  • Fatigue
  • Lack of energy
  • Shortness of breath
  • Soft, weak voice
  • Reluctance to speak
  • Spontaneous perspiration
  • Five sole Heat
  • Dry throat
  • Persistent thirst
  • Afternoon fever
  • Dry stools
  • Constipation
  • Scanty, dark-colored urine
  • Night sweats
  • T: Red or Swollen and scalloped
  • C: Little or None or White
  • P: Thready and rapid or Deep, weak, soft and small or Floating
Treatment Principle
  • Tonify Qi
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Pain that is fixed, stabbing and /or severe or
  • Pains that move around
  • Distention
  • Depression
  • Irritability
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas,
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Break up Stagnation
Herb Formulas
Points
Clinical Manifestations
  • The onset is usually slow and insidious and the disease progression short
  • Blurred vision
  • Fatigue
  • Lack of strength
  • A somber white or yellow facial complexion
  • Shortness of breath
  • Loose stools
  • Poor appetite
  • Dizziness
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Deep and thready or Thin and choppy or Soft, floating and thready
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Anemia
  • Uterine bleeding
  • Cold extremities
  • Pale or sallow face
  • Dizziness
  • General fatigue
  • Coarse skin
  • Nocturnal emissions
  • Weak knees
  • Fatigue
  • Dyspnea
  • Night sweats
  • Irregular menstruation
  • Insomnia
  • Intolerance of Cold
  • Decreased eyesight after a prolonged illness
  • Anxiety
  • Intermittent fever
  • Jaundice
  • Deficient cough
  • Shortness of breath
  • Palpitations
  • Anorexia
  • Listlessness
  • Lassitude
  • Spontaneous sweating
  • Spermatorrhea
  • Continuous spotting
  • Leukorrhea
  • Weak legs and knees
  • T: Pale
  • C: Thin and white
  • P: Thready and weak
Treatment Principle
  • Replenishes Yang
  • Warms and tonifies Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Fatigue
  • Scanty periods
  • T: Pale
  • C: Thin, white and dry
  • P: Thready and rapid or Weak
Treatment Principle
  • Nourish Blood
  • Tonify the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Copious bleeding of dark purple blood
  • The blood is sticky during menstruation
  • May or may not have clots
  • Menstrual cycle is shortened (early menstruation)
  • Palpitations
  • Dizziness
  • Blurred vision
  • Pale, lusterless complexion
  • Pale nails
  • Abdominal pain
  • Irregular menstruation with little flow
  • Fixed lower abdominal pain
  • Vertigo
  • Tinnitus
  • Pale lips
  • May be amenorrhea
  • Insomnia
  • Menstruation may also be accompanied by distention and pain
  • T: Pale
  • C: Normal
  • P: Thin and weak or Thin and choppy
Treatment Principle
  • Tonify and invigorate the Blood
  • Break up Blood Stagnation
  • Regulate menstruation
  • Alleviate pain
Herb Formulas
Points