CHRONIC ACTIVE HEPATITIS (HCV, HEPATITIS B, HEPATITIS C)

Clinical Manifestations
  • Primary Stage: (This is mostly applicable to hepatitis A, in the early stage of the disease.)
    Fatigue
    Occasional jaundice (Damp-Heat Stage affecting the Blood)
  • If the disease is cured at this stage, there will be no further manifestations.
  • If the disease is not cured at this stage: (This stage is not seen in hepatitis C.)
    Fever and chills
    Nausea
    Gas
  • Hepatitis C: is a disease of the Blood rather than the Liver or Spleen. Symptoms happen once the Liver cells are damaged.
  • The main symptom is extreme fatigue
  • Middle Stage: This stage can last two to twenty years and is the most common.
    Spleen Qi and Yang Deficiency
    Yin
    Deficiency with Blood Stagnation
  • Late Stage:
    Liver and Kidney Yin and Jing Deficiency
    Damp-Stagnation
    Blood Stagnation
    Phlegm Stagnation
    Liver Cancer
    Liver Cirrhosis
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Fullness and focal distention in the chest and diaphragm
  • Pain in the chest and diaphragm with pressure
  • Thick, sticky, difficult-to-expectorate Phlegm
  • Panting
  • A bitter taste in the mouth
  • Chest pain with coughing or on deep inhalation
  • Anorexia
  • T: Normal
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Release the Shao Yang
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Fullness and focal distention in the chest and diaphragm
  • Pain in the chest and diaphragm with pressure
  • Thick, sticky, difficult-to-expectorate Phlegm
  • Panting
  • A bitter taste in the mouth
  • Chest pain with coughing or on deep inhalation
  • Anorexia
  • T: Normal
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Expand the chest
  • Release the Shao Yang
Herb Formulas
Points
Clinical Manifestations
  • Headache (wrapping)
  • Fever and chills, fever more pronounced or
  • Chills with afternoon fever
  • Heavy extremities
  • Heavy sensations in the body
  • Stifling sensation in the chest
  • Nausea
  • Dizziness
  • Gastric and abdominal distension
  • Sticky mouth
  • No thirst
  • T: Normal
  • C: Greasy, white or Greasy, yellow
  • P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle
  • Clear Damp-Heat
Herb Formulas
Points
Clinical Manifestations
  • Loose stools or watery diarrhea
  • Weak extremities
  • Weight loss
  • Distention and a stifling sensation in chest and epigastrium
  • Pale wan complexion
  • Abdominal distention
  • Indigestion
  • Vomiting
  • Fatigue
  • Chills
  • Maybe vomiting
  • Leukorrhea
  • Reduced appetite
  • Borborygmus
  • Edema
  • Reduced appetite
  • Diarrhea with onset of menstrual flow
  • Cough with copious sputum
  • Leukorrhea in obese women
  • T: Pale or Pale red
  • C: White - maybe greasy
  • P: Thready and even or Even and Deficient
Treatment Principle
  • Augment Qi
  • Strengthen the Spleen
  • Resolve Dampness
  • Stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Right-sided costal pain and distention
  • Distention and fullness of epigastrium and abdomen
  • Aversion to Cold
  • Nausea
  • Vomiting
  • Anorexia
  • Loose stools
  • Diarrhea
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • A sticky, tasteless sensation in mouth
  • Fatigue
  • Weakness
  • Borborygmus
  • Lassitude
  • Yin jaundice
  • Heavy head
  • Edema
  • Ascites
  • A pale, yellow facial complexion
  • Maybe copious white vaginal discharge
  • Cold limbs
  • Feeling chilled
  • No thirst
  • T: Pale and fat with teethmarks
  • C: Thick, white and greasy or sticky
  • P: Deep and slow or Soft and moderate
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
  • Eliminate jaundice
Herb Formulas
Points
Clinical Manifestations
  • Bright yellow face
  • Abdominal pain and distention
  • Dizziness
  • Fatigue
  • Weakness
  • A sticky, slimy, unclean feeling in the mouth
  • Maybe mouth ulcers
  • Nausea
  • Jaundice
  • Fever
  • Decreased appetite
  • Loose stools or
  • Diarrhea
  • Pale, but bright-yellow stools
  • Foul-smelling stools
  • Maybe anal burning after defecation
  • T: Red, maybe fat and enlarged
  • C: Yellow and greasy or Greasy and white
  • P: Slippery, soft and rapid
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Strengthen the Spleen
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Abdominal tenderness
  • Nausea/queasiness
  • Lack of appetite
  • Muscle weakness
  • Loose stools
  • T: Pale and swollen with toothmarks
  • P: Deficient
Treatment Principle
  • Tonify the Spleen
  • Tonify Qi
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
  • Edema in limbs, especially lower limbs
  • Maybe anasarca
  • Maybe abdominal distention
  • Loose stools
  • Physical and mental fatigue
  • T: Pale
  • C: White and moist
  • P: Soft and even
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Benefit Qi
  • Move water
Herb Formulas
Points
Etiology
  • Damp Accumulation Blocking the flow of Qi leading to Blood Stagnation
Clinical Manifestations
  • Fatigue
  • Dizziness
  • Anorexia
  • Nausea
  • Occasional vomiting
  • Abdominal bloating
  • Gas due to Cold-Dampness
  • Emotional depression
  • Pale and often puffy face
  • Swollen hands, especially in the morning
  • Sighing
  • Hiccup
  • T: Pale with teeth marks
  • C: White or gray and moist
  • P: Soft and soggy, especially in the Stomach and Spleen positions
  • Over time Blood Stagnation with become more obvious with a darker tongue and face
  • The following symptoms may be dominant after too much work or stress:
    Depression, sometimes to the point of suicide
    Anxiety
    Insomnia
    T: Dark
  • C: Little or none
  • P: Deep and soggy
Treatment Principle
  • Strengthen the Spleen
  • Drain Dampness
  • Dredge the Liver
Herb Formulas
Points
Clinical Manifestations
  • Yin jaundice
  • The face, eye and skin are a dull, lusterless yellow or very pale or sallow
  • Fatigue
  • Lethargy
  • Weakness in the extremities
  • Poor muscle tone
  • Loose stools or
  • Diarrhea
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Shortness of breath
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale and swollen or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy or Soft and thin
Treatment Principle
  • Strengthen the Spleen
  • Warm the Middle Jiao
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Profuse vaginal discharge that is white or pale-yellow
  • The discharge is thin in consistency, not foul smelling and usually continuous
  • Fatigue
  • Lethargy
  • A shiny, pale complexion
  • Loose stools
  • Diarrhea
  • T: Pale
  • C: White
  • P: Soggy and frail or Moderate or Slow or Soft and floating
Treatment Principle
  • Strengthen the Spleen
  • Drain Dampness
  • Dredge the Liver
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
  • 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
  • Abdominal distention
  • Ductal glomus
  • Fatigue
  • Anorexia
  • Body cold
  • Weakness of the limbs
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen with teethmarks
  • 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
  • Sharp, stabbing epigastric pain with fixed location
  • Pain is severe after eating
  • Dislike of pressure and heat on epigastrium
  • Pain predominates over distention or
  • Pain but no distention
  • Epigastric rumbling
  • Vomiting purple/black blood
  • Stools with blood like tar (melaena)
  • May be abdominal or epigastric lumps or masses
  • T: Dark purple with purple spots or dots
  • P: Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Adjust Qi
  • Transform Stagnation
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • T: Pink
  • C: Thick and greasy
  • P: Slippery
Treatment Principle
  • Clear Food
  • Conduct Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Unremitting belching
  • Unremitting Hiccup
  • Unremitting regurgitation
  • Unremitting nausea and vomiting of saliva and Phlegm
  • Vomiting soon after eating
  • Hard epigastric distention
  • Abdominal firmness and distention
  • Frequent salivation
  • Frequent urination
  • T: Normal
  • C: White and Slippery or White and smooth
  • P: Wiry and deficient or Wiry, taut and feeble
Treatment Principle
  • Descend Qi
  • Transform Phlegm
  • Augment Qi
  • Harmonize the Stomach
Herb Formulas
Points

Clinical Manifestations
  • Epigastric distention, fullness and hardness
  • Dry heaves
  • Nausea/Vomiting
  • Irritability
  • Borborygmus
  • Diarrhea with undigested food
  • Hysteria
  • Fatigue
  • Erosions of the throat
  • Insomnia with difficulty falling asleep
  • Frequent waking
  • Talking in one's sleep
  • Sleepwalking
  • Dream disturbed sleep
  • T: Pink
  • C: Yellowish
  • P: Wiry and rapid
Treatment Principle
  • Benefit Qi
  • Harmonize the Stomach
  • Relieve epigastric distention
  • Disperse lumps and hardness
  • Stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Resistance below the Heart
  • Soft epigastrium
  • Nausea
  • Ascites
  • Gurgling sounds
  • T: Normal or with a red tip
  • C: Thin, yellow and greasy
  • P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Harmonize the Stomach
  • Descend Rebellious Qi
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors
Herb Formulas
Points
Clinical Manifestations
  • Recurrent or relentless acid reflux and heartburn, aggravated by coffee, chocolate and alcohol or stress
  • The patient may wake in the middle of the night (1-2 am) with discomfort and reflux
  • Sour or bitter belching
  • Epigastric discomfort or burning sensation
  • Indeterminate, gnawing hunger
  • Foul stools
  • Dry mouth
  • Thirst
  • Irritability
  • Quick temper
  • T: Red with red edges
  • C: Yellow
  • P: Wiry and/or slippery, maybe rapid
Treatment Principle
  • Clear Heat from the Stomach and Liver
  • Harmonize the Stomach
  • Descend Stomach Qi
Herb Formulas
Points
Clinical Manifestations
  • Vomiting immediately after eating
  • Indeterminate gnawing hunger
  • Acid regurgitation
  • Belching
  • May be epigastric pain
  • Dry heaves or spitting of clear fluids with vertex headache
  • Vomiting and diarrhea with cold hands and feet
  • Restlessness
  • Severe fidgeting
  • Irritability
  • So agitated, the patient wants to die
  • Habitual headache
  • Subcardiac distention
  • A feeling of fullness and distention in the chest and diaphragm
  • T: Pale
  • C: White and slippery
  • P: Slow and weak or Sinking or slow and thin or Slow and wiry
Treatment Principle
  • Warm and tonify the Spleen, Stomach, Liver and Kidneys
  • Descend Rebellious Qi
  • Stop vomiting
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Easily startled
  • Severe cases:
    Incoherent speech
    Crying and laughing without reason
    Manic agitation with irrational behavior
    May physically attack or abuse others
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Irritability
  • Restlessness
  • Anxiety
  • Flushed face
  • Constipation
  • Abdominal distention
  • Delirious speech
  • Epigastric distention
  • Jaundice
  • Gastric distention
  • Dysenteric disorders
  • Hematemesis
  • Epistaxis
  • Red, swollen, painful eyes
  • Chest oppression
  • Red, swollen ears
  • Restlessness
  • Insomnia
  • Thirst
  • Dark, concentrated urine
  • Tinnitus
  • Hemoptysis
  • Vomiting
  • Shoulder stiffness
  • Bleeding
  • Diarrhea
  • Suppurative skin infection
  • Tongue and mouth ulcerations
  • T: Red tip
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Drain Fire
  • Relieve toxicity
  • Drain Dampness
  • Dispel noxious Heat and toxins from the Heart and Stomach
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
  • Fatigue
  • Stomach, ductal and costal, distention and pain
  • A tendency to sigh
  • Chest oppression
  • Emotional tension
  • Depression
  • Fatigue
  • Abdominal fullness
  • Nausea
  • Flatulence
  • Bloating
  • Irritability
  • Burping
  • Belching
  • Premenstrual syndrome
  • Menstrual irregularities
  • Increased Liver enzymes
  • Hepatosplenomegaly
  • T: Dark or Normal
  • C: White
  • P: Wiry
Treatment Principle
  • Regulate Liver Qi
  • Stop pain
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
  • Emotional tension
  • Irritability
  • Inappropriate anger
  • Fatigue
  • Weakness
  • Cold hands and feet
  • Maybe anorexia
  • A bland taste in the mouth
    Loose stools
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
    Premenstrual syndrome
  • T: Pale or Dark, fat and swollen
  • C: Thin and white or White and slippery
  • P: Slippery and wiry or Thready and wiry
Treatment Principle
  • Soothe the Liver
  • Strengthen the Spleen
  • Tonify Qi
Herb Formulas
Points
Clinical Manifestations
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Epigastric distention
  • 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
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Intermittent chest, epigastric or hypogastric pain
  • The pain is aggravated by ingestion of hot food or drink
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Anorexia
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Wiry and rapid or Wiry and tight and rapid
Treatment Principle
  • Spread Liver Qi
  • Soothe the Liver
  • Drain Heat
  • Activate the Blood
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of the Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark purple (maybe purple spots on edge of tongue)
  • P: Wiry, choppy and slow
Treatment Principle
  • Activate Blood circulation
  • Soften hardness
Herb Formulas
Points
Clinical Manifestations
  • Dry eyes
  • Dry nails
  • Dry throat
  • Dry mouth
  • Fatigue
  • Blurred vision
  • Dizziness
  • Muscle spasms
  • Malar flush
  • Red eyes
  • Numb extremities
  • Quick temper
  • T: Red
  • C: Thin or None
  • P: Thin, Deficient, wiry and rapid
Treatment Principle
  • Enrich Yin
  • Nourish the Liver and Kidneys
  • Enrich Blood
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • A quick temper
  • Poor memory
  • Frightens easily
  • Insomnia with difficulty falling asleep or frequent waking
  • Much dreaming
  • Restless sleep
  • Maybe talking during sleep
  • Severe: Sleep walking
  • Tinnitus
  • Waking with a dry throat or thirst
  • Palpitations
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Red and dry
  • C: Little or None
  • P: Wiry or Thready and rapid
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
  • Nourish Yin
  • Calm the Hun
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Pronounced chills with light fever or
  • Chills without fever
  • Cold extremities
  • Aversion to Wind
  • Headache
  • Thirst
  • Sweating on the head
  • Irritability
  • Insomnia
  • Dry cough
  • Tuberculosis
  • Diarrhea
  • Palpitations
  • Loose stools
  • Hypochondriac pain
  • A feeling of fullness and clumping in the chest and hypochondrium
  • Rapid Heart palpitations
  • Dysuria
  • Night sweats
  • Gastric distention
  • T: Moist
  • C: White and slippery
  • P: Wiry and tight on the left or Wiry and slow on the right or Thin and rapid or Irregular
Treatment Principle
  • Harmonize and release the Shao Yang
  • Disperse clumping
  • Warm the Interior
  • Dispel Cold
  • Dispel water accumulation
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Bright yellow face and eyes
  • Low-grade fever or
  • Alternating fever and chills
  • Costal pain
  • Red eyes
  • Headache
  • A bitter taste in the mouth
  • Maybe jaundice
  • Nausea
  • Anorexia
  • Aversion to greasy, fatty foods
  • Sticky and smelly stool
  • Incomplete passing of the stool
  • A feeling of incomplete evacuation
  • Reddish-yellow urine
  • T: Red
  • C: Yellow and greasy
  • P: Wiry, slippery and rapid
Treatment Principle
  • Dredge the Liver
  • Clear the Gallbladder
  • Clear Heat
  • Eliminate Dampness
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
  • Flushing up
  • 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
  • Dredge the Liver
  • Clear the Gallbladder
  • Clear Heat
  • Eliminate Dampness
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Right-sided costal pain
  • Anxiety
  • Easily agitated
  • Thin, cracked and dry hair
  • Low back and pain and weakness
  • Dry mouth
  • Parched throat
  • Five Sole Heat
  • Dizziness
  • Tinnitus
  • Dry, rough eyes
  • Scanty or late menstruation
  • Low sexual desire in men
  • Dark and dry complexion like snake skin or tree bark
  • Night sweats
  • Hot flashes
  • Bone steaming fever
  • Blurred vision
  • Spermatorrhea
  • Maybe insomnia with profuse dreams
  • This type easily moves into Liver cirrhosis
  • T: Dark red gradually becoming darker, may become dry and cracked and may have purple spots on the edge or enlarged vessels on the bottom.
  • C: Little or none
  • P: Thready and rapid or Soggy and choppy or Sticky
Treatment Principle
  • Nourish Blood, Yin and Jing
  • Nourish the Kidneys and Liver
  • Clear Heat
  • Drain Damp
Herb Formulas
Points
Clinical Manifestations
  • Premature graying of the hair
  • Hair loss
  • Loose teeth
  • Spontaneous emissions
  • Nocturnal emissions
  • Weak and sore low back and knees
  • T: Pale
  • C: White
  • P: Empty
Treatment Principle
  • Enrich the Kidney Jing
  • Nourish the Liver Blood
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Malar flush
  • Night sweats
  • Afternoon fevers
  • Hot flashes
  • Restlessness
  • Waking up during the night
  • T: Red
  • C: Little or None
  • P: Thready, Deficient , and rapid
Treatment Principle
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
  • Activate the Blood
  • Break up Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Immobile masses below the hypochondrium or in the abdomen
  • Abdominal pain
  • Emaciation
  • Poor appetite
  • Alternating chills and fever
  • Amenorrhea
  • Hard abdominal masses that produce pain
  • Aggravated by pressure
  • Hypochondriac distention
  • T: Purple with echymoses
  • P: Choppy
Treatment Principle
  • Activate the Blood
  • Remove Stasis
  • Circulate Qi
  • Resolve Phlegm
  • Eliminate accumulations
  • Soften and resolve hard masses
Herb Formulas
Points
Clinical Manifestations
  • Amnesia
  • Palpitations
  • Feverishness
  • Anorexia
  • Emaciation
  • Pale face
  • Insomnia
  • Dyspnea on mild exertion
  • Fatigue
  • Shortness of breath.
  • Weight loss
  • Dry skin
  • Dry mouth
  • Dry throat
  • Dry lips
  • Uterine bleeding
  • Irregular menstruation
  • May suddenly lose consciousness
  • Slack jaw
  • Restless at night
  • Lassitude
  • Tendency toward being frightened easily
  • Weakness
  • Sallow complexion
  • Dizziness
  • Tremors in the limbs
  • Spontaneous perspiration
  • Fever and severe chills
  • General debility
  • Mental instability
  • Coughing and gasping.
  • Night sweats
  • Amnesia.
  • Diarrhea
  • Turbid urine
  • Nocturnal emission
  • Impotence
  • Constipation
  • Feeble breathing.
  • Tired limbs.
  • T: Pale
  • C:White
  • P: Thready and weak or thready, rapid and weak or Deep and weak
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Strengthen the Spleen and Lungs
  • Nourish the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Ascites
  • Anorexia
  • Fullness, distention and pain in the hypochondrium
  • Epigastric and abdominal distention which is worse after eating
  • Belching
  • Flatulence
  • Irritability
  • Scanty urine
  • Sluggish stools
  • T: Pink
  • C: Greasy and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Regulate Qi
  • Drain Dampness
  • Reduce Fluid Accumulation
Herb Formulas
Points
Clinical Manifestations
  • Sharp, stabbing costal and hypochondria pain which is worse at night
  • Abdomen hurts with movement
  • Hypochondriac lumps
  • A dark, stagnant facial complexion
  • Dark, purplish lips, head chest and neck region with spots and red threads
  • Maybe spider naevi and/or palmar erythema
  • T: Purple or Purple edges or Static macules or Spots
    C: White
  • P: Choppy or Wiry (with pain) or Wiry and choppy
Treatment Principle
  • Activate the Blood
  • Transform Stasis
  • Unblock the Channels
  • Disperse Accumulation
Herb Formulas
Points
Clinical Manifestations
  • Pale and lusterless face
  • General dryness
  • Normalized enzymes
  • Shrunken liver
  • T: Pale
  • P: Deficient and thready/hollow (with blood loss)
Treatment Principle
  • Tonify the Spleen
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Ascites
  • Heaviness in the body and head
  • Aversion to Cold
  • Warming the abdomen makes it better
  • Edema of the extremities (usually not pitting)
  • Scanty urination
  • Loose stools or
  • Diarrhea
  • T: Normal
  • C: Greasy and white
  • P: Soft and moderate or Wiry and slow
Treatment Principle
  • Transform Dampness
  • Drain Fluids
  • Warm Yang
  • Disperse Cold
Herb Formulas
  • Shi Pi Yin modified
  • Chinese Patent Medicines: Fu Zi Li Zhong Wan
Points
Clinical Manifestations
  • A swollen, distended, firm abdomen
  • Epigastric and abdominal pain and distention that is worse with pressure
  • Feverishness
  • Flushing
  • A bitter taste in the mouth
  • Thirst or a dry mouth with with little desire to drink
  • Scanty, concentrated urine
  • Constipation and/or
  • Diarrhea
  • Maybe jaundice
  • T: Red tip and edges
  • C: Greasy and yellow or Grayish black
  • P: Wiry and rapid
Treatment Principle
  • Clear Heat
  • Dry Dampness
  • Purge Fluid accumulation
Herb Formulas
  • Zhong Man Fen Xiao Wan modified
  • Lian Po Yin
  • San Ren Tang
  • With very scanty urine or anuria, severe ascites and distention: Zhou Che Wan
  • Chinese Patent Medicines:
    Bi Xie Sheng Shi Wan
    Long Dan Xie Gan Wan
    Huang Lian Jie Du Wan
    + Ping We San
    Mu Xiang Shun Qi Wan

    Li Dan Pian
    An Gong Niu Huang Wan
    Zi Xue Dan
    Wan Shi Niu Huang Qing Xin Wan
Points
Clinical Manifestations
  • Spontaneous bleeding (epistaxis, bleeding gums, erysipelas, subdermal bleeding)
  • Costal pain
  • Abdominal distention
  • Glomus
  • Fullness
  • A bitter taste in the mouth
  • Bad breath
  • parched lips
  • Maybe red eyes
  • Headache
  • Vexation
  • Agitation
  • Easily angered
  • Insomnia
  • Frightens easily
  • Red, turbid urination
  • Loose stools with a foul odor
  • T: Red
  • C: Slimy and yellow
  • P: Surging, slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Dampness
  • Clear the Ying
  • Cool the blood
Herb Formulas
Points
Clinical Manifestations
  • Itching
  • Sensations of Heat
  • Agitation
  • T: Red with red spots
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Eliminate toxins
Herb Formulas
Points
Clinical Manifestations
  • Costal pain
  • Abdominal distention
  • Glomus
  • Fullness
  • A bitter taste in the mouth
  • Bad breath
  • parched lips
  • Maybe red eyes
  • Headache
  • Vexation
  • Agitation
  • Easily angered
  • Insomnia
  • Frightens easily
  • Red, turbid urination
  • Loose stools with a foul odor
  • T: Red
  • C: Slimy and yellow
  • P: Surging, slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve toxins
  • Dredge the Liver
  • Clear the Gallbladder
Herb Formulas
Points
  • GB-34, GB-40, LIV-3, UB-18, UB-19
    For weakness and fatigue: + ST-36
    For jaundice: + DU-9
    For abdominal distention or pain: + REN-12
    For abdominal distention or pain at the level of the waist: + ST-25
    For nausea, vomiting and/or belching: + PC-6, REN-13
    For aversion to greasy or fatty foods and/or anorexia due to Food Stagnation: + ST-24
    For susceptibility to fright: + PC-7
    For vexation and agitation: + DU-24
    For easy anger: + LIV-2
Clinical Manifestations
  • Profuse Phlegm
  • Plum-Pit Qi stagnation
  • Chest and abdominal glomus and fullness
  • Fatigue
  • Weakness
  • Lassitude
  • Anorexia
  • Maybe nausea and vomiting
  • Loose stools
  • Mucus in the stools
  • Subdermal nodulation
  • Hypochondriac accumulation lumps
  • T: Pink or Pale
  • C: Slimy
  • P: Slippery and wiry or Wiry and soft
Treatment Principle
  • Tonify the Spleen
  • Transform Phlegm
  • Scatter nodulation
  • Disperse accumulation
Herb Formulas
Points
Clinical Manifestations
  • Cough with sticky, yellow, difficult to expectorate sputum
  • Rapid breathing with a harsh voice
  • Restless fever
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Painful urination
  • Difficult, scanty urination
  • Heavy headache
  • Thirst with no desire to drink
  • Oliguria
  • Maybe constipation
  • Lower abdominal fullness and distention
  • Dizziness
  • Maybe urolithiasis
  • T: Normal or Red
  • C: White or Yellow
  • P: Soft and maybe rapid
Treatment Principle
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Palpable masses that may or may not be painful
  • Lower abdominal pain without palpable masses
  • Lower abdominal distention
  • Lower back pain
  • Lower abdominal distention during menstruation
  • Frequent menstruation (3-5 timer per month)
  • Spotting
  • Dark purple menstrual Blood (usually with clots)
  • Abnormal uterine bleeding with abdominal soreness and pain
  • Aversion to Cold
  • Depression
  • Cold extremities
  • White vaginal discharge
  • Lower Jiao pain
  • Constipation or
  • Diarrhea
  • Heaviness
  • Headache
  • Dull Spirit
  • Abdominal distention
  • Mental fuzziness
  • T: Normal or Pale
  • C: White or Yellowish white and greasy
  • P: Choppy or Soft or maybe Slippery and rapid
Treatment Principle
  • Activate the Blood
  • Promote the movement of Qi
  • Dispel Blood Stasis
Herb Formulas
Points