DIABETES (XIAO KE)

Clinical Manifestations
  • Diabetes mellitus: A group of metabolic diseases in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced.
  • Diabetes insipidus: A condition in which the Kidneys are unable to conserve water.
  • Insulin dependent (type 1): Severe - absolute deficiency of insulin
    Occurs mostly in children but may occur in adults, especially the non-obese or elderly when hyperglycemia first appears
    Polyuria
    Polydipsia
    Rapid weight loss
    Hyperglycemia
    Ketonemia
    Ketonuria
  • Non-insulin dependent (type 2):
    Most patients are over 40 years of age
    Most patients are obese
    Candida vaginitis in women
    Hypertension
    Hyperlipidemia
    Arteriosclerosis
    Many patients have few or no symptoms
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Sweating
  • Thirst
  • Dysenteric diarrhea
  • Foul-smelling stools
  • A burning sensation around the anus
  • Gasping
  • Ephidrosis
  • Palpitations
  • Tenesmus
  • Maybe red tinged urine
  • Irritability and Heat in the chest and epigastrium
  • Stiffness and spasms at the back of the neck
  • Dry mouth
  • Dyspnea with perspiration
  • Maybe wheezing
  • T: Red
  • C: Yellow (Greasy)
  • P: Rapid
Treatment Principle
  • Release the Exterior
  • Clear Internal Yang Ming Heat
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Profuse sweat
  • Generalized weakness
  • Severe chills
  • Aversion to Heat
  • Red face
  • Severe thirst
  • Thirst may be unquenchable
  • Irritability
  • Anxiety
  • Pruritis
  • Headache
  • Toothache
  • Gum bleeding
  • Epistaxis
  • Dry lips
  • Dry tongue
  • Dry mouth
  • May be sensitive to Cold in the upper back
  • Polyuria
  • Delusions
  • Eye congestion
  • Burning sensation on the skin
  • Itching skin
  • Abdominal fullness without resistance
  • Dry, course skin
  • Listlessness
  • May be heavy labored breathing.
  • Delirious speech (serious cases)
  • Mania (serious cases)
  • T: Red tip and sides
  • C: Yellow, dry or white
  • P: Large and forceless
Treatment Principle
  • Clear Heat
  • Drain Stomach Fire
  • Generate Fluids
  • Alleviate thirst
  • Nourish Qi
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
  • 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
  • Fever
  • Pressure headache - like a bandage
  • Gastric distension
  • Poor appetite
  • Heaviness
  • Body aches
  • Chest distension
  • Diarrhea
  • Dysentery
  • T: Red
  • C: Greasy and yellow
  • P: Soft and rapid or Soft and slow or Wiry thin and soft
Treatment Principle
  • Clean Damp-Heat and toxins
Herb Formulas
Points
Clinical Manifestations
  • Lingering fever from a febrile disease
  • Vomiting
  • Irritability
  • Thirst with a desire to drink
  • Parched mouth, lips and throat
  • Choking cough
  • Restlessness
  • Insomnia
  • Nausea
  • Anorexia
  • Profuse perspiration
  • A dry mouth
  • Indigestion
  • Listlessness
  • Chest oppression
  • Ulcerations of the mouth
  • Coarse skin
  • Cough
  • Night sweats
  • Stifling sensation in the chest or epigastrium
  • T: Red
  • C: Little or None
  • P: Rapid and Deficient or Thready and rapid
Treatment Principle
  • Clear Heat
  • Generate fluids
  • Tonify Qi
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Thirst
  • Drinks a lot of water
  • Hot esophagus
  • Dry mouth
  • Polyuria
  • Urine can be clear, red or turbid
  • T: Red and dry or Red tip and edges
  • C: Thin and yellow
  • P: Forceful and rapid
Treatment Principle
  • Clear Lung Heat
  • Drain Fire
  • Nourish Yin
  • Generate fluids
Herb Formulas
Points
Clinical Manifestations
  • Thirst
  • Drinks a lot of water
  • Hot esophagus
  • Dry mouth
  • Polyuria
  • Urine can be clear, red or turbid
  • T: Red
  • C: Thin and yellow or Thick and yellow
  • P: Big and Forceless
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Generate Fluids
  • TonifY Qi
Herb Formulas
Points
Clinical Manifestations
  • Vexatious thirst
  • Polydipsia
  • A dry mouth and tongue
  • Frequent, copious urination
  • T: Red edges and tip
  • C: Thin and yellow
  • P: Surging and rapid
Treatment Principle
  • Clear Heat from the Lungs and Stomach
  • Generate Fluids
  • Stop thirst
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Dry, sore throat
  • Wheezing
  • Dyspnea
  • Shortness of breath
  • Polydipsia
  • Deep- seated Phlegm which is difficult to expectorate
  • Polyuria
  • T: Red, dry
  • C: Little
  • P: Thin, rapid and strong
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
  • Eliminate Phlegm
  • Relieve cough
Herb Formulas
Points
Clinical Manifestations
  • Chronic cough with sparse sputum
  • Sputum difficult to expectorate
  • Shortness of breath
  • Spontaneous perspiration
  • Dry mouth and tongue
  • Palpitations with a stifling sensation in chest
  • Fatigue
  • Irritability
  • Thirst
  • Dry throat
  • Insomnia
  • Listless speech
  • T: Red and dry or Pink and dry
  • C: Thin and dry
  • P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular
Treatment Principle
  • Augment Qi
  • Generate Fluids
  • Clear Heat
  • Preserve Yin
  • Stop Excess perspiration
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lung
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Calcaneus pain
  • May be bone spur
  • Unproductive cough or
  • Scanty, sticky phlegm or
  • Sometimes blood-streaked sputum
  • Dry mouth
  • Dry throat
  • Low back and knees sore and weak
  • "Steaming Bone" tidal fever
  • Night sweats
  • Malar flush
  • Maybe hoarse voice
  • Maybe pain in shin, foot, and heel
  • Spermatorrhea
  • Irregular menses
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Lungs and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Dry mouth
  • Dry Tongue
  • Five Sole Heat
  • Fever
  • Physical and mental overexertion
  • T: Red
  • C: Little or None
  • P: Deep and rapid
Treatment Principle
  • Clear Heart Fire
  • Disperse Damp-Heat
  • Benefit Qi and Yin
  • Promote urination
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
  • Frequent urination
  • Cloudy urine that resembles rice-water
  • Seminal emissions
  • Enuresis
  • Disorientation
  • Forgetfulness
  • Anorexia
  • T: Paler Light pink
  • C: Thin and white
  • P: Thin, slow and frail
Treatment Principle
  • Regulate and tonify the Heart and Kidney
  • Stabilize Jing
  • Stop seminal emissions
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Thirst
  • Drinks a lot of water
  • Hot esophagus
  • Dry mouth
  • Polyuria
  • Urine can be clear, red or turbid
  • T: Red
  • C: Dry and yellow
  • P: Forceful
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Thirst with a desire for profuse drinking
  • Excessive eating with rapid hungering or only a feeling of hunger
  • Anorexia
  • Abdominal distention and discomfort
  • Suffocating sensation in the chest
  • 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
  • Excessive thirst
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired, weak and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Emaciation
  • Epigastric fullness and distention
  • No desire for food and drink
  • Frequent belching
  • Borborygmus
  • Loss of sensation of taste
  • Shortness of breath
  • Urine clear and abundant
  • T: Pale and flabby - may have teethmarks
  • C: White or White and dry
  • P: Even, forceless and deficient or Thready and forceless
Treatment Principle
  • Strengthen the Spleen and Stomach
  • Benefit Qi
  • Transform Fluids
  • Stop thirst
Herb Formulas
Points
Clinical Manifestations
  • Milky, turbid spermatorrhea
  • Listlessness
  • Fatigue
  • A shiny, white complexion
  • Anorexia or
  • Increased food intake
  • Restlessness
  • Vaginal discharge
  • Diarrhea
  • Dryness of the external ears
  • Dizziness
  • Enuresis
  • Copious urination
  • Thirst
  • Premature ejaculation
  • Lumbago
  • T: Pale
  • C: White
  • P: Deep and frail
Treatment Principle
  • TonifY the Kidneys
  • Stabilize Jing
  • Stop leakage
  • Strengthen the Spleen
  • Drain Dampness
  • Benefit the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Polydipsia
  • Polyphagia
  • Polyuria
  • Aversion to Cold
  • Body cold
  • Limbs icy
  • Complexion white and shiny
  • Fatigue
  • Weakness
  • Shortness of breath
  • 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
  • Spermatorrhea
  • Impotence
  • Spontaneous perspiration
  • Maybe urinary incontinence
  • Maybe turbid urine
  • 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
  • Regulate Yin and Yang
Herb Formulas
Points
Clinical Manifestations
  • Perspiration
  • Eats a lot but still hungry
  • Loss of weight
  • Thirst
  • Polyuria
  • Constipation with hard, dry stools
  • Emaciation
  • T: Red
  • C: Dry and yellow
  • P: Rolling or Rolling and Excess or Slippery, large and forceful
Treatment Principle
  • Clear Stomach Heat
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Burning Heat and pain in the epigastrium
  • Irritating thirst: drinks copious fluids and prefers cold drinks
  • Excessive appetite: hungry again quickly after eating (as if food vanishes)
  • Swelling, pain, ulceration and bleeding of gums
  • Foul breath
  • Toothache
  • Maybe vomiting right after eating
  • Vomiting acid or undigested food
  • Constipation
  • Maybe scanty, red urine
  • T: Red
  • C: Thick, yellow and dry
  • P: Slippery, big, Excess and rapid
Treatment Principle
  • Clear and Purge Stomach Fire
Herb Formulas
Points
Clinical Manifestations
  • Dry mouth
  • Thirst
  • T: Red
  • C: Thin and yellow
  • P: Thready and rapid
Treatment Principle
  • Clear Stomach Heat
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Hiccups
  • T: Red
  • C: Little and dry
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Stomach
Herb Formulas
Points
Clinical Manifestations
  • Cough with little yellow sputum or
  • No sputum expectorated
  • 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
  • Sallow complexion
  • Epigastrium cold with pain
  • Pain is dull and relieved by warmth and pressure
  • Vomiting clear, watery fluid
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools or watery stools containing undigested food
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale
  • C: Thin and white
  • P: Deep and weak
Treatment Principle
  • Warm Yang
  • Strengthen the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Alternating fever and chills
  • Fullness in the chest and hypochondrium (with or without pain)
  • Bitter taste in mouth
  • Nausea
  • Continuous vomiting
  • Hard focal distension in the epigastrium
  • Fullness and pain in the epigastrium
  • Burning diarrhea or no bowel movement
  • Despondency
  • Slight fidgeting
  • Slight irritability
  • Headache
  • Constipation or discharge of fluids rectally
  • Tinnitus
  • Diminished hearing
  • Diminished vision
  • Red eyes
  • Manic behavior
  • Asthma
  • Mental instability
  • T: Normal or red
  • C: Yellow or Thick and yellow
  • P: Wiry and forceful or Wiry tight and forceful
Treatment Principle
  • Harmonize and Disperse the Shao Yang
  • Drain Internal Heat Retention
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
  • Regulate Qi
  • Transform Phlegm
  • Clear the Gall Bladder
  • Harmonize the Stomach
  • Dry Dampness
  • Dispel Heat
Herb Formulas
Points
Clinical Manifestations
  • Polyuria
  • Frequent nocturia
  • Cloudy urine
  • Dry mouth
  • Night sweats
  • Five Sole Heat
  • Tidal fever
  • dizziness
  • Tinnitus
  • Low back and knee soreness and weakness
  • Itching
  • Impotence
  • Premature ejaculation
  • Dark, blackish facial complexion
  • Eyes are black or green
  • Ears are wilted
  • Limbs emaciated
  • Feet and shins painful and weak
  • T: Red
  • C: Thin or None
  • P: Thready and rapid or Thready and wiry
Treatment Principle
  • Nourish Yin
  • Reduce Fire
Herb Formulas
Points
Clinical Manifestations
  • Frequent, copious urination
  • Cloudy urine
  • Dark facial color
  • Dry, thin helix
  • General condition poor
  • Lower back pain
  • May be impotence or infertility
  • T: Normal
  • C: Thin
  • P: Deep and Thready
Treatment Principle
  • Warm the Kidneys
  • Strengthen Yang
  • Nourish Yin
  • Astringe discharge
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
  • Aversion to Cold
  • Cold extremities
  • Scanty urination
  • Abdominal distention
  • Edema of the legs
  • Cold sensations in the lower body
  • Sensory numbness
  • Low back pain
  • Severe pitting edema
  • Fatigue
  • Urinary difficulties
  • T: Pale and swollen with teethmarks
  • C: White and slippery
  • P: Deep and wiry
Treatment Principle
  • Warm Yang
  • Tonify the Kidneys
  • Aid water transformation
  • Promote urination
  • Reduce edema
Herb Formulas
Points
Clinical Manifestations
  • Men:
    Spermatorrhea
    Premature ejaculation
  • Women:
    Vaginal discharge
    Infertility
  • Frequent, clear, abundant urination
  • Dribbling after urination
  • Incontinence of urine
  • Low back and knees aching and
  • weak
  • Hearing deficit
  • T: Pale and swollen with teethmarks
  • C: Thin white
  • P: Deep and thread
Treatment Principle
  • Consolidate the Kidneys
  • Conserve Qi
Herb Formulas
Points
Clinical Manifestations
  • Feebleness
  • Exhaustion
  • Abdominal pain
  • Lower back pain
  • Low energy
  • Lethargy
  • Impotence
  • Cold and pain of the knees
  • Cold extremities
  • Shortness of breath
  • Fatigue
  • Nocturnal emission
  • Separation of Yang
  • T: Pale
  • C: White
  • P: Thin
Treatment Principle
  • Warm Kidney Yang
  • Replenish Jing
Herb Formulas
Points
Clinical Manifestations
  • Low back, knees and legs painful and weak
  • Foot pain
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Five sole Heat
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Dry skin
  • Deafness
  • Steaming bones
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Dry tongue
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Dry mouth
  • Blurred vision
  • Hemoptysis
  • Asthma
  • Hot flashes
  • Nocturnal emissions
  • Urinary incontinence
  • Spontaneous and nocturnal emissions
  • Night sweats
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Enrich Yin
  • Astringe and Nourish the Essence of the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Excessive thirst
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired, weak and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Emaciation
  • Epigastric fullness and distention
  • No desire for food and drink
  • Frequent belching
  • Borborygmus
  • Loss of sensation of taste
  • Shortness of breath
  • Urine clear and abundant
  • Low back, knees and legs painful and weak
  • Foot pain
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Diminished hearing
  • Chronic dry, sore throat
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Dizziness
  • Muscular weakness
  • Dry skin
  • Deafness
  • Steaming bones
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion and infection
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Acne
  • Chills
  • High fever
  • Restlessness
  • Urticaria
  • Dry tongue
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Dry mouth
  • Blurred vision
  • Hemoptysis
  • Asthma
  • Hot flashes
  • Nocturnal emissions
  • Urinary incontinence
  • Spontaneous and nocturnal emissions
  • Night sweats
  • Frequent, copious, possibly turbid urination
  • Frequent nocturia
  • Lassitude
  • Chronic cough or
  • Dry cough
  • A pale face
  • Possible malar flush
  • Insomnia
  • Excessive dreaming
  • Night sweats
  • Spontaneous perspiration
  • Weakness
  • Poor memory
  • Dizziness
  • Five sole Heat
  • Palpitations
  • Irritability
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Heaviness in the head
  • Possible dry stools and constipation
  • Sore throat
  • Swelling of the throat
  • Skin rashes
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • T: Red and dry or Red and swollen
  • C: Little or None or White or Yellow and greasy
  • P: Thready, weak and rapid or Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle
  • Tonify the Kidneys, Spleen and Liver
  • Tonify Qi
  • Nourish Yin
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Collapse of Yin:
    Abundant perspiration (flows like oil)
    Skin is hot to the touch
    Hot limbs
    Dry mouth with a desire to drink cold liquids in small sips
    Retention of urine
    Constipation
    T: Red and dry
    C: Peeled
    P: Floating, empty and rapid
  • Collapse of Yang:
    Chilliness
    Cold limbs
    Weak breathing
    Abundant perspiration (flows like oil)
    No thirst
    Frequent, profuse urination or
    Urinary incontinence
    Loose stools or
    Fecal incontinence
    T: Pale, moist and swollen
    C: White
    P: Deep and minute
Treatment Principle
  • Restore Yin
  • Rescue Yang
Herb Formulas
Points
Clinical Manifestations
  • Excessive thirst
  • Frequent, copious, possibly turbid urination
    Frequent nocturia
  • Fatigue
  • Lassitude
  • Chronic cough or
  • Dry cough
  • A pale face
  • Possible malar flush
  • Insomnia
  • Excessive dreaming
  • Night sweats
  • Spontaneous perspiration
  • Weakness
  • Emaciation
  • Poor memory
  • Dizziness
  • Five sole Heat
  • Palpitations
  • Shortness of breath
  • Fever
  • Irritability
  • Possible dry stools and constipation
  • T: Red and dry or Red and swollen
  • C: Little or None
  • P: Thready and weak
Treatment Principle
  • Tonify Qi
  • Nourish Yin
  • Generate Fluids
  • Moisten Dryness
  • Stop thirst
Herb Formulas
Points
Clinical Manifestations
  • Lassitude
  • Fatigue
  • Shortness of breath
  • Dizziness
  • Tinnitus
  • Palpitations
  • Emaciation
  • Lack of strength
  • Dry, rough eyes
  • Possible distended feeling in eyes
  • A pale, lusterless face
  • Possible malar flush
  • Restless
  • Insomnia
  • Poor memory
  • Dry, parched throat
  • Tasteless feeling in the mouth
  • Low back and knee soreness and weakness
  • Low grade fever
  • Five sole heat
  • Possible sweating
  • Possible tremors of the hands and tongue
  • Scanty intake
  • Abdominal distention after meal
  • Loose stools
  • T: Red
  • C: Thin or Peeled
  • P: Empty and rapid or Thready and rapid
Treatment Principle
  • TonifY Qi and Blood
  • Promote urination
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Nourish Yin
  • Generate fluids
  • Clear Heat
  • Drain Kidney Fire
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Pain that is fixed, stabbing and /or severe
  • 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
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich the Yin
  • Nourish the Blood and Yang
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion and infection
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Acne
  • Chills
  • High fever
  • Restlessness
  • Urticaria
  • Sore throat
  • Swelling of the throat
  • Skin rashes
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Heaviness in the head
  • T: Red
  • C: White or Yellow and greasy
  • P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle
  • Disperse Wind
  • Release the Exterior
  • Drain Heat
  • Unblock the bowels
Herb Formulas
Points
Clinical Manifestations
  • Excessive thirst
  • Dry throat and mouth
  • Dry cough
  • Hoarse voice
  • Night sweats
  • Malar flush
  • Emaciation
  • Tidal fevers
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Strengthen the Lungs
  • Nourish Yin
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Excessive appetite
  • Bad breath
  • Dry lips
  • Painful swelling and/or bleeding of the gums
  • Burnng sensation in the epigastrium
  • Preferrence for cold drinks
  • Constipation
  • T: Red
  • C: Thick and yellow with ulcerations on the tip
  • P: Rapid and full
Treatment Principle
  • Clear Stomach Heat and Dryness
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • Excessive urination
  • Low back weakness and pain
  • Weakness of the legs
  • Constipation
  • Blurred vision
  • Dizziness
  • Malar flush
  • Afternoon fever
  • Poor memory
  • Nocturnal emissions
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Strengthen the Kidneys
  • Nourish Yin
Herb Formulas
Points