COUGH

Etiology
  • A. Invasion of exogenous pathogenic factors
    Exogenous pathogenic factors such as Wind, Cold, Heat, Dryness, etc., attack the Lungs through the mouth, nose, or skin, which leads to dysfunction of the Lungs and adverse ascending of Lung Qi, thus causing cough. The pathogenic factors may change from one to another if the treatment is improper. For example, Wind-Cold may change to Heat, Wind-Heat to Dryness, thus inducing the production of sputum by heat retained in the Lungs. Moreover, when the cough of exogenous origin continues for a long period, other organs may be impaired, and the dysfunction of internal organs becomes the major cause of the cough instead of exogenous factors.
  • B. Impairment of internal organs
    Cough can be caused by the dysfunction of internal organs which may originate from either the Lungs or other organs involving the Lungs. For example: (1) Emotional upset may impair the Liver, causing stagnation of Liver Qi with production of Fire; as a result, the Liver Fire Attacks the Lungs. (2) Immoderate diet and drinking impair the Spleen and lead to the disturbance of food digestion and fluid transportation, and sputum is produced and accumulates in the Lungs. (3) Lung disorders consume Yin and Qi rendering the Lungs incapable of keeping Lung Qi downward, and Deficiency and adverse ascending of Qi results. (4) Hypofunction of Kidneys which leads to accumulation of Fluid in the Lungs, or Deficiency of the Kidney Qi with inability to regulate inspiration may also cause adverse ascending of Lung Qi.
  • In cases due to the impairment of internal organs, Phlegm and Fire are two agents closely related to the pathogenesis of cough. There are two kinds of sputum, i.e., cold sputum and hot sputum, and two kinds of Fire, i.e., Excess Fire and Deficiency Fire. Prolonged retention of sputum may produce Fire, and in turn, Fire can produce sputum by acting on the Body Fluids
Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Acute, hacking dry cough
  • Cough with scant, sticky white or yellowish, difficult-to-expectorate sputum
  • Acute fever and chills
  • Dry mouth, throat, nose and lips
  • Chest pain which is worse when coughing
  • Painful or wheezing respiration
  • Lethargy
  • Malaise
  • Weakness
  • Anorexia
  • T: Red tip
  • C: Thin and yellow
  • P: Floating and rapid or Slippery
Treatment Principle
  • Clear Lung Heat
  • Disperse Wind-Heat
  • Eliminate Phlegm
  • Stop cough
Herb Formulas
  • Yin Qiao San
  • Chinese patent medicines:
    Qing Fei Yi Huo Pian
    Ma Xing Zhi Ke Pian
    Niu Huang Jie Du Pian
    Chuan Ke Ling
Points
Clinical Manifestations
  • Aversion to wind
  • Generalized edema that begins in the face
  • Slight fever or no fever
  • Slight but continuous sweating or no sweating
  • Absence of thirst or
  • Thirst
  • Decreased urination
  • Asthma
  • Dysuria
  • Coughing
  • T: Normal
  • C: White
  • P: Floating or Floating and rapid
Treatment Principle
  • Induce sweating
  • Release the Exterior
  • Disseminate the Lung Qi
  • Promote urination
  • Eliminate water accumulation
  • Eliminate Heat
Herb Formulas
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
  • Unblock the nose
  • Release Wind-Cold from the muscle layer
  • Regulate and harmonize the Ying and Wei
Herb Formulas
Points
Clinical Manifestations
  • Cough with a high husky sound
  • Thick yellow sputum
  • Fever
  • Chilliness
  • Headache
  • General aching
  • Sore throat
  • Thirst
  • Yellow nasal discharge
  • T: red tip
  • C: Thin yellow
  • P: Floating and rapid or Smooth
Treatment Principle
  • Clear away Heat
  • Disperse Wind
  • Release stagnated Lung Qi
  • Eliminate Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Cough with a heavy sound
  • Choking cough
  • Stuffy and runny nose
  • Thin white sputum
  • Aversion to Wind and Cold
  • Chills and fever
  • Headache
  • Nasal obstruction
  • Itching larynx
  • A heavy voice
  • Aching joints
  • Aching of limbs
  • Muscle soreness
  • Chilliness
  • Anhidrosis
  • T: Normal
  • C:Thin and white
  • P: Floating or Floating and tense or Floating and slow
Treatment Principle
  • Disperse Wind and Cold
  • Release Lung Qi
  • Relieve cough
Herb Formulas
Points
Clinical Manifestations
  • Itching or tickling in the throat
  • Blocked or stuffy nose
  • Sneezing
  • General body aches
  • Cough with little or no mucus or
  • Cough with expectoration of thin, watery or frothy white sputum
  • Dry nasal passages
  • Dry lips
  • Mild headache
  • Chills with low grade fever
  • Slight headache
  • Nasal obstruction
  • Dry throat
  • No thirst
  • Intolerance of Cold
  • Anhidrosis
  • Maybe asthma
  • Nasal congestion
  • Cough
  • Sore throat
  • T: Pink
  • C: Thin, white and dry
  • P: Superficial and wiry or Tight or Wiry
Treatment Principle
  • Mildly Disperse Cool Dryness
  • Disperse and descend Lung Qi
  • Resolve Phlegm
  • Transform thin mucus
  • Soothe the Lungs
  • Stop cough
Herb Formulas
  • Xing Su San
  • Chinese patent medicines:
    Chuan Bei Pi Pa Gao

Points
Clinical Manifestations
  • Chills and fever or
  • Fever with no thirst
  • Achiness
  • Stiff neck and shoulders
  • Anhidrosis
  • Headache
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Cold
  • Maybe frozen shoulder
  • Dyspnea
  • Shortness of breath
  • Mild or severe gasping
  • Hiccups
  • Fullness in chest
  • Vomiting
  • Heaviness of the body
  • Edema
  • Dysuria
  • Maybe thirst
  • Maybe diarrhea
  • Maybe scanty urine
  • Maybe lower abdominal fullness
  • T: Normal
  • C: Greasy and white
  • P: Floating and slippery or tight
Treatment Principle
  • Relieve the Exterior
  • Expel Cold
  • Disperse the Lungs
  • Stop asthma
  • Expel water or Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Cough with a heavy sound
  • Choking cough
  • Stuffy and runny nose
  • Copious thin, watery nasal discharge
  • Excessive lacrimation
  • Wheezing with expectoration of copious thin watery or string mucus
  • Orthopnea
  • Thin white sputum
  • Chills and fever
  • Headache
  • Nasal obstruction
  • Itching larynx
  • Aching of limbs
  • Muscle soreness
  • Chilliness
  • Anhidrosis
  • T: Normal
  • C:Thin and white
  • P: Floating or Floating and tense
Treatment Principle
  • Disperse Wind and Cold
  • Warm the Lungs
  • Warm and transform Phlegm Fluids
  • Stop wheezing
Herb Formulas
Points
Clinical Manifestations
  • Chills and fever
  • 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
  • T: Normal
  • C: White
  • P: Floating and slippery
Treatment Principle
  • Promote urination
  • Dispel Dampness
  • Expel Wind
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Fever
  • Headache
  • Anhidrosis
  • Anorexia
  • Belching
  • Aching shoulders
  • Tinnitus
  • Amenorrhea
  • A gasping cough
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Vertigo
  • Nausea
  • T: Normal
  • C: Thin and white
  • P: Floating or Floating and sinking
Treatment Principle
  • Regulate Qi
  • Release the Exterior
Herb Formulas
Points
Clinical Manifestations
  • Severe chills
  • May have mild fever
  • No sweat
  • Aversion to Cold
  • Cold extremities
  • Cold sensation on back
  • Pale face
  • Extreme fatigue
  • Muscle aching
  • T: Pale with scallop
  • C: White
  • P: Deep, weak and thready
Treatment Principle
  • Warm Yang
  • Expel Cold from the Exterior
  • Dispel Cold from the Interior
Herb Formulas
Points
Clinical Manifestations
  • Cough with a husky sound
  • Thick sputum
  • Dyspnea
  • Fever and chills
  • Maybe high fever
  • Maybe fever only
  • Achiness
  • Anhidrosis
  • Headache
  • Cough
  • Asthma
  • Aversion to cold
  • Edema
  • Thirst
  • Restlessness
  • Irritability
  • Fidgeting
  • Constipation
  • Sometimes dry achy eyes
  • T: Normal or red or Red tip
  • C: Yellow or white
  • P: Floating and tight or rapid or Rapid and smooth
Treatment Principle
  • Expel Wind
  • Disperse Cold
  • Cool Heat
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Anhidrosis
  • Pain and stiffness of the head and neck
  • Stuffy nose
  • Blood shot eyes
  • Sores that are red, swollen and painful
  • Generalized body aches and pain
  • Headache
  • Swollen eyes
  • Thirst or no thirst
  • T: Normal
  • C: Thin white
  • P: Floating or Floating and rapid
Treatment Principle
  • Induce sweat
  • Release the Exterior
  • Dispel Wind
  • Alleviate pain
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
  • Aversion to Cold
  • Curls up a lot
  • Doesn't like to talk
  • Tired
  • No spirit
  • Dull Shen
  • Severe edema in the chest
  • Cold extremities
  • Diarrhea with loose stools
  • No thirst
  • Likes warm drinks
  • Sluggish urination
  • Vertigo
  • Palpitations
  • More water metabolism disturbance with excess fluid in the body
    Abdomen: pain and cold
    Lower Jiao: pain with difficult urination
    Intestines: watery stools
    Stomach: clear vomit
    Lungs: cough, dyspnea, Phlegm and asthma
    Extremities: edema and heaviness
  • T: Pale with scallops
  • C:White or greasy white
  • P: Sinking, weak and may be soft or thready
Treatment Principle
  • Tonify Yang
  • Strengthen water circulation
Herb Formulas
Points
Clinical Manifestations
  • Acute, frequent hacking dry cough
  • Cough with a high husky sound
  • The cough may be painful
  • Thick, yellow, difficult-to-expectorate sputum
  • Maybe Blood flecked sputum
  • Coarse breathing
  • Mild fever
  • Little or no chills
  • Hot body
  • Mild sweat
  • Dry mouth
  • Nasal obstruction
  • Chilliness
  • Headache, usually frontal
  • General aching
  • Sore throat
  • Dry, scratchy throat
  • Thirst
  • Thick, yellow or green nasal discharge
  • T: Red tip
  • C: Thin and yellow or Thin and white
  • P: Floating and rapid or Smooth
Treatment Principle
  • Clear away Heat
  • Disperse Wind
  • Release stagnated Lung Qi
  • Descend Lung Qi
  • Eliminate Phlegm
  • Stop cough
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Anhidrosis
  • Aversion to Cold
  • Headache
  • Muscle aches
  • Nasal congestion
  • Cough with sputum
  • Suppurative infection
  • Carbuncles
  • Stiffness of the muscles
  • T: Red
  • White and greasy or Yellow and greasy
  • P: Floating and feeble or Floating and rapid or Deep and rapid
Treatment Principle
  • Dispel External Wind Heat and Dampness
  • Relieve toxicity
Herb Formulas
Points
Clinical Manifestations
  • Dry choking cough with a husky sound
  • Cough with thick, sticky, hard to expectorate sputum
  • Cough may cause chest pain
  • Dry skin
  • Dryness of nose, mouth and lips
  • Little or no sweat
  • Itching and dryness of throat
  • Sore throat
  • Headache
  • Stuffy nose
  • Aversion to Wind
  • Cool Dryness:
    Chills and fever with more chills than fever
    Maybe watery sputum
    T: Dry
    C: White or Thin
    P: Wiry
  • Warm Dryness:
    Fever and chills with more fever than chills
    Thick, scanty or blood-tinged sputum
    Dry, itchy, painful throat
    Thirst
    T: Red tip and Dry or Red and dry
    C: Thin and yellow or yellow and dry
    P: Floating and rapid or Thready and rapid
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Moisten Dryness
  • Descend Lung Qi
  • Relieve cough
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills, fever more pronounced or
  • Tidal fever
  • Fever is not abated by profuse sweating
  • Slight aversion to Cold
  • Coughing of thick phlegm
  • Stifling sensation in the chest
  • Headache
  • Head distention
  • A red facial complexion
  • Abdominal distention
  • Thirst with no desire to drink
  • Sweat
  • Restlessness
  • Vexation
  • Gastric disturbances:
    Heaviness
    Nausea
    Severe diarrhea
  • Scanty, dark urine
  • T: Red or Red tip and edges
  • C: Greasy white or yellow
  • P: Rapid and soft
Treatment Principle
  • Disperse Wind
  • Clear Summerheat
  • Resolve Damp
  • Disperse the Lungs
  • Harmonize the Middle
Herb Formulas
Points
Clinical Manifestations
  • Cough with sticky yellow Phlegm
  • The cough is dry, hacking and painful
  • Phlegm may be bloody (brown)
  • Dyspnea
  • Shortness of breath
  • Labored breathing
  • Wheezing
  • Chest tightness and pain
  • Aversion to Heat
  • Sensation of Heat in the chest
  • Fever
  • Asthma
  • Restlessness
  • Nasal obstruction
  • Dry mouth and larynx
  • Bitter taste in the mouth
  • Continuous or sustained nasal congestion
  • Thick, sticky, yellow nasal discharge
  • Transient, declining sense of smell or loss of sense of smell
  • Generally severe frontal, maxillary or temporal headache
  • Distention in the head
  • Sore throat
  • Thirst
  • Dark yellow urine
  • Reduced memory
  • Sometimes flared nostrils
  • Sometimes fever or high fever
  • Constipation
  • T: Red or Red tip
  • C: Yellow or White or Thick and yellow, maybe dry and sticky
  • P: Rapid or Wiry and rapid or Slippery and rapid or Rapid, maybe slippery, maybe forceful or Flooding and rapid
Treatment Principle
  • Dispel Lung Heat
  • Disseminate Lung Qi
  • Descend Qi
  • Stop cough
  • Drain pus
  • Unblock the Orifices (especially the nose)
Herb Formulas
Points
Clinical Manifestations
  • Chronic, incessant cough
  • Chronic hoarseness
  • Throat lesions
  • Itching throat
  • Fever
  • Restlessness
  • Irritability
  • Thirst
  • Nocturnal emission
  • Insomnia
  • Dream disturbed sleep
  • Lack of spirit
  • Fatigue
  • Low back pain
  • Tinnitus
  • Dysuria
  • Depression
  • Turbid urine
  • Abnormal uterine bleeding
  • Polyuria
  • Enuresis
  • Seminal emission
  • Leukorrhea
  • Blood tinged leukorrhea
  • Anorexia
  • Five sole Heat
  • Physical and mental overexertion
  • Phlegm
  • Dry mouth
  • T: Reddish and dry
  • C: Little or None
  • P: Thready and rapid or Deep and rapid
Treatment Principle
  • Clear the Lungs
  • Transform Phlegm
  • Relieve cough
  • Drain Fire
  • Moisten Dryness
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Bitter taste in mouth
  • Thirst
  • Dry throat
  • Cough
  • Rib pain (doesn't like touch)
  • Hypochondriac pain
  • Nausea
  • Vomiting
  • Hypogastric pain and distension
  • T: Red
  • C: Yellow
  • P: Rapid and wiry
Treatment Principle
  • Relieve Gall Bladder Heat
  • Pacify the Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • High fever with or without chills
  • A hacking, painful cough with copious, purulent, malodorous mucus
  • The mucus may be Blood-streaked
  • Restricted movement of the chest
  • Labored breathing
  • Sweating
  • Dry mouth and throat
  • Irritability
  • Restlessness
  • Lethargy
  • Malaise
  • T: Red
  • C: Greasy and yellow
  • P: Slippery and rapid or Flooding and rapid
Treatment Principle
  • Clear Heat and toxins
  • Disperse pus accumulation
  • Disperse Blood Stasis
Herb Formulas
  • Wei Jing Tangmodified
  • Chinese patent medicines:
    Niu Huang Xiao Yan Wan
    Wan Shi Niu Huang Qing Xin Wan
    Xi Ling Jie Du Pian

    Chuan Ke Ling
Points
Clinical Manifestations
  • Cough with profuse or sticky white Phlegm
  • Dyspnea with lots of sputum
  • Shortness of breath
  • Panting
  • The sputum is difficult to expectorate
  • The sputum rattles in the throat
  • Chest and diaphragm blocked
  • Chest pain
  • The pain may radiate to the back with inability to lie flat
  • Inability to sleep
  • Fullness of the chest
  • Anorexia
  • Nausea
  • T: Normal or Pale
  • C: Sticky and white
  • P: Slippery or Slippery and large
Treatment Principle
  • Expel Phlegm
  • Stop asthma
Herb Formulas
Points
Clinical Manifestations
  • Chronic or recurrent cough
  • Cough with a heavy sound
  • Profuse thick or thin white or clear and watery sputum
  • Fullness and oppressive sensation over the chest and epigastrium
  • A noticeable rattle in the chest with coughing which is worse in the morning and after eating
  • Maybe facial edema
  • Fatigue
  • Poor appetite
  • Nausea
  • Vomiting
  • Diarrhea
  • Facial edema
  • Loose stools
  • T: Normal
  • C: White and greasy
  • P: Soft, or Slippery or Soft, floating and smooth or Deep and slow (Spleen Yang Deficiency)
Treatment Principle
  • Tonify the Spleen
  • Dry Dampness
  • Eliminate Phlegm
  • Relieve cough
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Wheezing
  • Copious sputum
  • Chest distention
  • Anorexia
  • Indigestion
  • Hiccup
  • Shortness of breath
  • T: Normal
  • C: Greasy, white
  • P: Slippery
Treatment Principle
  • Warm the Lungs
  • Descend Qi
  • Relax the diaphragm
  • Reduce Food Stagnation
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Rapid breathing with a harsh voice
  • Hacking cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess)
  • The sputum is difficult to expectorate
  • Painful chest on coughing
  • Distention and fullness in the chest
  • Hot air is expelled from the nose and mouth
  • Maybe chills and fever
  • Dyspnea
  • Asthma
  • Maybe sore or congested throat
  • Bitter taste in the mouth
  • Wheezing that tends to be worse in the afternoon and first thing in the morning
  • Fullness and distention in the chest and diaphragm
  • Fever with sweating
  • Pain in the ribs
  • Dry mouth
  • Bitter taste in the mouth
  • Thirst
  • Dry or sore throat
  • Anorexia
  • Nausea
  • Dry stools or
  • Constipation or
  • Loose stools
  • Lethargy
  • Weakness
  • Scanty, dark urine
  • T: Scarlet
  • C: Yellow or Yellow and greasy or Yellow and smooth
  • P: Rapid and smooth or Slippery and rapid or Rapid, full and slippery
Treatment Principle
  • Clear Heat
  • Eliminate Phlegm
  • Descend Lung Qi
  • Relieve cough
  • Counteract Toxin
  • Transform Stasis
  • Drain Pus
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Yellow Phlegm
  • Dry mouth
  • Thirst with a desire to drink
  • Constipation
  • Sore throat
  • Hematemesis
  • Hemoptysis
  • T: Red and dry
  • C: Yellow
  • P: Rapid
Treatment Principle
  • Clear and purge Lung Heat
  • Transform Phlegm
  • Stop cough and asthma
Herb Formulas
Points
Clinical Manifestations
  • Chronic, weak cough
  • Coughing fatigues the patient
  • Continuous cough
  • Cough is aggravated by fatigue, exertion or exposure to Wind
  • Aversion to Wind
  • Aversion to Cold
  • Frequent colds
  • Shortness of breath
  • Clear thin or white mucus
  • Chest oppression which is relieved by inhaling
  • Wheezing
  • Spontaneous perspiration
  • Weary Spirit
  • Catches cold easily
  • Weak, low voice or
  • Reluctance to speak
  • Dry, white face
  • Dry throat
  • Dyspnea on movement
  • Parched mouth
  • T: Pale
  • C: Thin and white
  • P: Forceless and weak
Treatment Principle
  • Tonify Lung Qi
  • Transform Phlegm
  • Stop cough
Herb Formulas
Points
Clinical Manifestations
  • Longstanding weak, dry cough with a little amount of white mucous or blood-tinged sputum
  • If mucus is present, it is thick and hard to expectorate
  • Dry mouth
  • Dry throat
  • Hoarseness
  • Flushed cheeks
  • Afternoon fever
  • Five Sole Heat
  • Insomnia
  • Night sweating
  • Fatigue
  • Emaciation
  • T: Red or Red and dry
  • C: Little or None or Peeled
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
  • Eliminate Phlegm
  • Relieve cough
Herb Formulas
Points
Clinical Manifestations
  • A dry cough
  • Difficult expectoration which often causes chest pain
  • A hoarse voice
  • A dry nose and throat
  • An itchy throat
  • T: Red
  • C: Dry
  • P: Thready and slightly rapid
Treatment Principle
  • Clear Dryness
  • Moisten the Lungs
  • Stop coughing
Herb Formulas
Points
Clinical Manifestations
  • Chronic cough with sparse sputum
  • Sputum difficult to expectorate
  • Shortness of breath
  • Spontaneous perspiration
  • Drenching night sweats
  • Dry mouth and tongue
  • Palpitations with a stifling sensation in chest
  • Fatigue
  • Weakness
  • Anorexia
  • Mild chest pain
  • Irritability
  • Restlessness
  • Thirst
  • Dry throat and mouth
  • Lingering low-grade fever which is worse in the afternoon
  • Insomnia
  • Listless speech
  • T: Red and dry or Pink and dry
  • C: Thin and dry or Thin and yellow
  • P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular or Thready, rapid and weak
Treatment Principle
  • Augment Qi
  • Clear Heat
  • Nourish Yin
  • Clear lingering toxins
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Spontaneous sweating
  • Weak voice
  • Reluctance to speak
  • A general air of sadness or melancholy
  • A waxy, pale complexion
  • Rounded or hunched shoulders
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale with a thin crack
  • C: White or White and greasy
  • P: Thready and weak or Floating and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Descend Lung Qi
  • Disperse accumulation
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Spontaneous sweating
  • Weak voice
  • Reluctance to speak
  • A general air of sadness or melancholy
  • A waxy, pale complexion
  • Rounded or hunched shoulders
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Chest pain and distention
  • Pain stretches through to the back or Heart
  • Spitting
  • Panting
  • T: Pale
  • C: White
  • P: Deep and wiry
Treatment Principle
  • Tonify Lung Qi
  • Warm Heart Yang
Herb Formulas
Points
  • Moxa needle DU-4, REN-4, REN-6
    For frequent, profuse, clear urination: + moxa needle UB-23
    For enduring diarrhea: + moxa DU-20
    For seminal emission: + moxa needle UB-52
    For an irregularly interrupted pulse: + PC-6
Clinical Manifestations
  • Shortness of breath (difficult to inhale)
  • Dyspnea exacerbated by exertion
  • Asthma (inhalation difficult)
  • Soft, weak voice
  • Spontaneous perspiration
  • Aversion to Wind
  • Emaciated body
  • Exhausted Shen
  • Dispirited
  • Limbs cold
  • Face blue-green-colored
  • Maybe superficial edema of limbs and body
  • Maybe dysuria
  • Maybe stress incontinence on coughing
  • T: Pale, moist and swollen
  • C: White
  • P: Deep and thready or Weak
Treatment Principle
  • Nourish the Lungs
  • Soothe asthma
  • Reinforce the Kidneys to Grasp Qi
Herb Formulas
Points
Clinical Manifestations
  • Unable to smell
  • Headache
  • Deficient memory
  • Strong odor inside nose
  • May be able to squeeze out green or yellow chunky chunks from the nose
  • Dry, hacking cough with little or no sputum
  • Flushed face
  • Sputum is difficult to expectorate
  • Restlessness
  • Maybe hemoptysis
  • Hiccups
  • Cough may cause chest pain
  • Dyspnea
  • Dry or sore throat
  • Upper respiratory tract infection
  • Hoarse voice
  • Asthma
  • Dry lips and mouth
  • Fever
  • Shortness of breath
  • Hemoptysis
  • Constipation
  • Thirst
  • Dry skin and hair
  • Dryness in nose
  • Sensation of fullness in chest
  • Epistaxis
  • Hypochondriac pain
  • Chills and fever
  • Headache
  • Anhidrosis
  • Irritability
  • Itching
  • T: Red tip, dry
  • C: Thin, yellow, or White and dry, or None
  • P: Superficial, maybe rapid or Big and weak or Deficient, big and rapid
Treatment Principle
  • Eliminates Dryness
  • Nourish Kidney and Lung Yin
  • Moistens the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Cough with blood streaked sputum
  • Wheezing
  • Chest oppression and pain
  • Expectoration of small amounts of thick, sticky sputum
  • Dry mouth
  • Dry, sore throat
  • Five sole Heat
  • Afternoon fever
  • Low grade fever
  • Night sweats
  • Malar flush
  • Irritability
  • Insomnia
  • Shortness of breath
  • Nocturnal emission
  • Steaming bones
  • Vivid dreaming
  • Fatigue
  • Anorexia
  • Tinnitus
  • Dizziness
  • Dyspnea
  • Dysphoria
  • Hoarseness
  • Restlessness
  • Emaciation
  • Irregular menstruation
  • Dry stools
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
  • Transform Phlegm
  • Stop Cough
  • Clear Heat
  • Nourish the Blood
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Continuous cough
  • Loss of body hair
  • Haggard appearance
  • Shivering
  • Aversion to Cold
  • Hemoptysis
  • Malar flush
  • Emaciation
  • Hot body
  • P: Thready and rapid
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Coughing up copious, thin, white sputum
  • Dyspnea
  • Sallow complexion
  • A slightly puffy face
  • Distention of chest and epigastrium
  • Aversion to Cold
  • A bland taste in the mouth
  • Anorexia
  • Rolled lips
  • Pale lips
  • Stiff tongue
  • Tired limbs
  • Heavy limbs
  • Abdominal and epigastric distention after meals
  • Nausea
  • Vomiting
  • Maybe bleeding
  • Stifling sensation in the chest and epigastrium
  • Acid regurgitation
  • Shortness of breath
  • Loose stools or diarrhea
  • Lethargy
  • Thin muscles
  • Fatigue
  • Does not like to speak
  • Weak, soft voice
  • Maybe enuresis
  • Maybe borborygmus
  • Maybe cold extremities
  • Muscle weakness in arms and legs
  • Weak abdomen
  • T: Pale and flabby, may have teeth marks
  • C: White and greasy
  • P: Soft and weak
Treatment Principle
  • Tonify Qi
  • Strengthen the Spleen and Stomach
  • Transform Phlegm
  • Dry Dampness
  • Circulate Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Wheezing
  • Copious sputum
  • Chest distention
  • Anorexia
  • Indigestion
  • Hiccup
  • Shortness of breath
  • T: Normal
  • C: Greasy, white
  • P: Slippery
Treatment Principle
  • Descend Qi
  • Relax the diaphragm
  • Reduce Food Stagnation
  • Resolve Phlegm
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
  • Cough
  • 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
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • Maybe cough
  • Epigastric mass
  • Maybe abdominal pain on palpation
  • Yang jaundice (sclera and skin are bright yellow)
  • Dislike of oily foods
  • Nausea
  • Vomiting
  • Lassitude
  • Scanty, dark urine
  • Maybe thirst or thirst with no desire to drink
  • Diarrhea with foul smell or
  • Constipation
  • Fever
  • Sweet sticky taste or bitter taste in mouth
  • T: Pink
  • C: Thick, yellow and greasy (maybe sticky)
  • P: Soft and rapid
Treatment Principle
  • Clear Heat
  • Benefit Dampness
Herb Formulas
Points
Clinical Manifestations
  • A chronic, recurrent cough
  • Worse with exertion
  • Thin, watery mucus
  • Wheezing
  • Dyspnea
  • Spontaneous sweating
  • Dizziness
  • Palpitations
  • Body cold
  • Intolerance of Cold
  • Limbs icy and heavy
  • 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
  • Pitting edema
  • Dysuria
  • Nocturia
  • Severe:
    Abdominal ascites
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow or Deep and slippery
Treatment Principle
  • Warm and Reinforce the Spleen and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Hacking cough with little yellow sputum or
  • No sputum
  • Blood tinged sputum (when Yin Deficient Fire is present)
  • Spitting saliva
  • Wheezing
  • Shortness of breath
  • Dry, uncomfortable sensation in throat
  • Hiccups
  • Dry mouth
  • Dry mouth and throat
  • Itching in throat
  • Coughing up difficult-to-extectorate Phlegm
  • Nausea
  • Hoarse voice, low voice or loss of voice
  • Thirst
  • Asthma
  • Flushed face
  • Five sole Heat
  • Afternoon fever
  • Night sweats
  • Malar flush (especially in afternoon)
  • Emaciation
  • Vomiting
  • No appetite or
  • Famished but with no desire to eat
  • Abdominal distention after meals
  • Dry stools
  • Irritability with low grade fever
  • Maybe dry retching or
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid or Deficient and rapid
Treatment Principle
  • Clear and Nourish the Lungs and Stomach
  • Generate Fluids
  • Moisten Dryness
Herb Formulas
Points
Clinical Manifestations
  • Cold limbs
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Asthma
  • Wheezing
  • Cough
  • Depression
  • Facial pallor
  • Shortness of breath
  • T: Pale and swollen
  • C: White
  • P: Thready and weak or Knotted or Intermittent
Treatment Principle
  • Warm and Clear Heart Yang
Herb Formulas
Points
Clinical Manifestations
  • Expectoration of white, watery Phlegm
  • 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
  • Dysuria
  • Shortness of breath
  • Dyspnea
  • Dizziness
  • Muscular twitching
  • Whole body edema
  • Cold body
  • Icy limbs
  • Cold abdomen with watery stools
  • Edema of limbs
  • Cough
  • Pale complexion
  • Lips and nails cyanosed
  • Soreness and aching of the shoulders and back
  • Abdominal pain
  • Diarrhea
  • T: Pale or Purple (Lavender)
  • C: White and greasy
  • P: Deep or Deep and minute
Treatment Principle
  • Support Yang
  • Expel Cold
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Cough with sticky, yellow sputum
  • 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, Shi, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Mental confusion
  • Clouding of consciousness
  • Talking to oneself
  • Acting as if no one else is present
  • Dull expression with blank stare
  • Odd behavior
  • Cough and wheezing with copious sputum
  • Maybe loss of consciousness
  • Maybe falling to the ground
  • Sound of phlegm in throat with gurgling
  • T: Pink
  • C: White and greasy
  • P: Deep and slippery; maybe wiry
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Asthma
  • Soft weak cough
  • Spontaneous perspiration
  • T: Pale
  • C: Thin and white
  • P: Weak
Treatment Principle
  • Reinforce the Lungs and Heart
  • Strengthen Qi
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed
  • 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: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Upper respiratory cough
  • Chest pain
  • Alternating chills and fever'
  • Sweating
  • Joint pain with a crackling sensation
  • Epigastric pain
  • Fatigue
  • Gastrointestinal weakness
  • Headache
  • Heaviness in the head
  • Distension beneath the Heart
  • Periumbilical or lower abdominal pain
  • Tenseness around the pubic bone
  • Subcostal pain
  • Epigastric fullness
  • Nausea
  • Mild vomiting
  • Mild thoraco-costal discomfort
  • Costal distress
  • Tension in the rectus abdominus
  • Chest distension
  • Abdominal pain
  • Abdominal distension
  • Constipation
  • Irritability
  • Insomnia
  • Repeated loss of spinal alignment due to muscular tension
  • P: Floating and weak
Treatment Principle
  • Release the Exterior and muscle layer
  • Harmonize and releases the Shao-Yang
  • Harmonize the Liver and Lungs
Herb Formulas
Points
Clinical Manifestations
  • A sensation of fullness, distention and pain in the chest which is improved with massage
  • Cough
  • Prefers warm drinks
  • P: Wiry and large
Treatment Principle
  • Unblock Yang
  • Expand the chest
  • Dredge Stasis
  • Transform clumps
Herb Formulas
Points
Clinical Manifestations
  • Severe, dry and paroxysmal cough
  • Cough with sputtering
  • Worse with emotional turmoil or anger
  • Difficult to cough up sputum
  • Scanty, sticky Phlegm
  • Maybe Blood-streaked sputum
  • The cough may drag on or may recur regularly
  • Pain over the chest and hypochondrium aggravated by coughing
  • During the coughing, the patient may get hot, flushed and upset
  • Redness of eyes and face
  • Red face during coughing
  • Bitter taste in the mouth
  • Dry mouth and throat
  • Angers easily
  • Irritability
  • Restlessness
  • Depression
  • Dizziness
  • Headaches
  • T: Red edges and tip or Red and dry
  • C: Thin and yellow or Thick and yellow
  • P: Rapid and wiry or Rapid and slippery
Treatment Principle
  • Clear Lung Heat
  • Calm the Liver
  • Descend Qi
  • Suppress Fire
  • Moisten the Lungs
  • Expel Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Hemoptysis
  • 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
  • Men:
    Spermatorrhea
  • Women:
    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
  • A history of illness
  • Cough with frothy, maybe salty sputum
  • Dyspnea which is worse on exertion
  • Difficult to inhale but not to exhale
  • Shortness of breath, shallow breathing
  • Soft voice
  • Perspiration
  • Asthma
  • Low back pain
  • Aversion to Cold
  • Dark complexion
  • All symptoms worse on exertion
  • Dizziness
  • Vertigo
  • Aversion to Cold
  • In chronic cases:
    Thin physique
    Mental weariness
    Urinary incontinence on coughing
    Cold limbs
    Facial edema of Deficiency type
  • In severe cases: a sensation of Qi rising from the umbilicus
  • T: Pale and swollen or Pale, swollen and moist
  • C: Thin and white
  • P: Superficial and Deficient or Deep and thready or Weak
Treatment Principle
  • Reinforce the Kidneys to grasp Qi
Herb Formulas
Points
Clinical Manifestations
  • Cough with copious, thin watery phlegm
  • Asthma with phlegmy sound (wheezing)
  • Dyspnea
  • Facial edema
  • Edema of limbs
  • Dysuria
  • T: Pale and swollen
  • C: White and moist or White and greasy
  • P: Superficial and tight
Treatment Principle
  • Warm the Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Dry cough
  • 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
  • Moisten the Yin
  • Restrain the Fire
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Chronic cough
  • Constipation with very dry stools
  • Dry, flaky skin
  • Numbness
  • Painful obstruction
Treatment Principle
  • Nourish the Liver and Kidneys
  • Clear the Head and Eyes
  • Expel Wind-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Bleeding gums
  • Spasmatic cough
  • Radiating chest and lateral-costal pain
  • Red tinged Phlegm
  • A dry mouth
  • Irritating Heat
  • Epistaxis
  • Abdominal glomus and pain
  • Black colored stools
  • Dizziness
  • Tidal fever
  • Short, red urination
  • T: Red
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Calm the Shen
  • Open the Channels
  • Descend Qi
  • Transform Stasis
  • Clear Heat
  • Cool the Blood
  • Stop bleeding
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
  • Replenish Yang
  • Warm and tonify Qi and Blood
Herb Formulas
Points
Etiology
  • Usually follows some sort of trauma to the chest
  • May be the result of late-stage Lung disease such as Lung cancer
Clinical Manifestations
  • Recurrent irritating cough with a history of trauma to the chest or other chronic Lung disease
  • Cough is worse at night
  • Scanty or Blood streaked mucus
  • Mucus may have dark patches of clotted Blood
  • Pain around the site of the injury during bouts of coughing
  • Maybe cold extremities
  • T: Pale or Purplish with brown or purple petechiae
  • C: Normal
  • P: Wiry or Choppy or Thready and weak
Treatment Principle
  • Resolve Stagnant Blood in the Lungs
  • Stop cough
Herb Formulas
  • Xue Fu Zhu Yu Tangmodified
  • Chinese patent medicines:
    Xue Fu Zhu Yu Wan
    Sheng Tian Qi Pian
    Jin Gu Die Shang Wan
    Yan Hu Suo Zhi Tong Pian
    Fu Ke Wu Jin Wan

    For traumatic injury: Qi Li San
Points
Clinical Manifestations
  • Cough with profuse sputum
  • Sputum is thin, watery and white
  • Wheezing
  • Discomfort in the chest and diaphragm
  • T: Normal or Pale
  • C: White and slippery
  • P: Wiry and slippery
Treatment Principle
  • Warm the Lungs
  • Transform congested Fluids
Herb Formulas
Points
Clinical Manifestations
  • Coughing
  • Swelling and pain of the throat
  • Thick, salty sputum with mucus and Blood
  • Chills
  • Aversion to Cold
  • Fullness and congestion in the chest
  • Dry mouth
  • No thirst
  • Foul-smelling sputum
  • P: Slippery and maybe rapid
Treatment Principle
  • Eliminate Phlegm and pus
  • Clear Deficiency Fire
  • Clear Toxins
Herb Formulas
Points
Clinical Manifestations
  • Occurs in children and the elderly with chronic wheezing
  • Recurs every winter
  • Repeated attacks of productive cough
  • Thin, watery mucus
  • There may be scanty, tenacious mucus
  • Triggered by a Cold Invasion during winter
  • Wheezing
  • Shortness of breath
  • Tightness in the chest
  • Usually occurs at night or in the early morning
  • Severe cases:
    Orthopnea
    Weakness and pain of the lower back and legs
    Fatigue
    Edema of the extremities
  • T: Pale and swollen with toothmarks
  • C: Moist, greasy and white
  • P: soft and slippery
Treatment Principle
  • Warm and transform Clod Phlegm
  • Descend Rebellious Qi
  • Stop cough and wheezing
Herb Formulas
Points
Clinical Manifestations
  • Fullness in the chest and hypochondrium
  • Restlessness
  • Irritability
  • Heartburn
  • Dizziness
  • Vertigo
  • A greasy mouth cavity
  • Coughing with sputum
  • Difficulty expectorating
  • Alternating chills and fever as that in malaria every other day
  • T: Normal
  • C: Thick and rough
  • P: Taut and slippery or Wiry and slippery
Treatment Principle
  • Dispel Dampness
  • Dissolve Phlegm
  • Eliminate pathogenic factors from pleurodiaphragmatic interspace (membrane source)
Herb Formulas
Points

Clinical Manifestations
  • Cough with sticky yellow or blood tinged sputum Steaming bones sensation
  • Night sweats
  • Tidal fever
  • Warm sensation in the afternoon
  • Red lips
  • Red cheeks
  • Lethargy
  • Alternating chills and fever
  • Five-sole-Heat
  • Dry mouth
  • Dry throat
  • Emaciation
  • Weak limbs
  • T: Red
  • C: Little or None
  • P: Faint and rapid
Treatment Principle
  • Nourish Yin and Blood
  • Clear Deficiency Heat
  • Reduce steaming bones sensation
  • Dispel Wind-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Cough with sputum
  • Cough
  • Wheezing
  • Copious sputum
  • Chest distention
  • Anorexia
  • Indigestion
  • Hiccup
  • Shortness of breath
  • T: Normal
  • C: Greasy, white
  • P: Slippery
Treatment Principle
  • Warm Cold
  • Descend Qi
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Mental cloudiness
  • Heavy head
  • Facial puffiness
  • Heavy sensation in the body
  • Cough with Excess sputum
  • Chest and epigastric distention
  • Suffocating sensation in the chest and epigastrium
  • Nausea
  • Profuse, sticky sputum , more pronounced in the morning and worse after meals
  • Vomiting
  • Anorexia
  • Fatigue
  • Borborygmus
  • Tinnitus
  • Mouth glutinous
  • No thirst
  • Likes to sleep
  • Maybe palpitations
  • Weak limbs
  • T: Thick
  • C: White and greasy or Sticky and white
  • P: Rolling or Wiry and slippery
Treatment Principle
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Eliminate Dampness
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Heavy pressure headache
  • Anorexia
  • Mental dullness
  • Cough with white Phlegm
  • Severe chills
  • Slight fever
  • Maybe no fever or
  • Afternoon fever
  • Heavy head and extremities
  • Anhidrosis
  • Chest distention
  • A sluggish feeling
  • A sticky mouth
  • Diarrhea or
  • Loose stools
  • Borborygmus
  • Sticky saliva
  • No thirst
  • Epigastric distention
  • T: Pale
  • C: White or Greasy and white
  • P: Soft or Floating and slow
Treatment Principle
  • Dry Damp
  • Warm the body
Herb Formulas
Points
Clinical Manifestations
  • General edema of the body and extremities
  • Dysuria
  • Oliguria
  • Orthopnea
  • Pitting edema
  • Cough
  • Dyspnea
  • Anorexia
  • Abdominal fullness and pain
  • T: Thick
  • C: White and thick
  • P: Slow or Wiry
Treatment Principle
  • Dispel Stagnant Water
  • Dry Dampness
  • Eliminate water from the Lungs
  • Harmonize the Spleen
  • Relieve edema
  • Move Qi
Herb Formulas
Points
Clinical Manifestations
  • Pain in both arms
  • Inability to lift the hands
  • Symptoms more pronounced on one side
  • Numbness in both hands
  • Superficial edema in all four extremities
  • Palpitations with vomiting
  • Coughing
  • T: Normal
  • C: White and greasy
  • P: Deep and thready or Wiry and slippery
Treatment Principle
  • Dry Dampness
  • Move Qi
  • Soften hardness
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • More Heat symptoms than Damp symptoms
  • Thicker Fluid
  • Feverish
  • Chest discomfort
  • Cough
  • Nausea
  • Vomiting
  • T: Normal
  • C: Greasy and white or Greasy and yellow
  • P: Slippery and maybe rapid
Treatment Principle
  • Clear Heat
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Perspiration
  • Cannot breathe due to pain in the ribs
  • Pain at GB-30
  • Cannot raise the thigh
Treatment Principle
Herb Formulas
Points