DYSPNEA (SHORTNESS OF BREATH, BREATHLESSNESS)

Clinical Manifestations
  • Difficult or labored breathing.
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Itching or tickling in the throat
  • Cough with expectoration of thin, watery or frothy white sputum
  • Dyspnea
  • Chills with low grade fever
  • Anhidrosis
  • No thirst
  • Headache
  • Aversion to Wind
  • Blocked and / or runny nose with clear, watery nasal discharge
  • Sneezing
  • General body aches
  • Maybe asthma
  • T: Pink
  • C: Thin, white and moist
  • P: Superficial and tight
Treatment Principle
  • Expel Wind
  • Dispel Cold
  • Ventilate the Lungs
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Fever and chills
  • 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
  • C: Yellow or white
  • P: Floating and tight or rapid
Treatment Principle
  • Expel Wind
  • Disperse Cold
  • Cool Heat
Herb Formulas
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
  • 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
  • Raise Yang to stop diarrhea
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
  • Coughing
  • Reddish urine
  • Dyspnea
  • Vertigo
  • Severe aversion to Cold
  • 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
  • Sensation of extreme Cold
  • Severe chills
  • Chills are not relieved by clothing or covers
  • Slight fever
  • Anhidrosis
  • Exhaustion
  • Almost constant desire to sleep
  • Pale face
  • Cold extremities
  • Cold feet
  • Severe aversion to Cold
  • Headache
  • Shortness of breath
  • Fatigue
  • Joint pain
  • Edema
  • Cough
  • Pain penetrating to the back
  • Toothache
  • Sore throat
  • Raspy voice
  • Edema due to Wei Qi Stagnation
  • Weak extremities
  • Chronic wheezing
  • Severe pain and obstructed feeling over the throat
  • T: Pale and swollen
  • C: White and slippery
  • P: Deep and weak
Treatment Principle
  • Disperse Wind-Cold
  • Replenish Yang
Herb Formulas
Points
Clinical Manifestations
  • Cough with thick, sticky, yellow sputum
  • Sore, red, swollen throat
  • Thirst with a desire to drink cold liquids
  • Runny or blocked nose with thick, yellow discharge
  • Fever with perspiration
  • Slight chills
  • Aversion to Wind
  • Headache
  • Maybe dyspnea with flared nostrils
  • Maybe chest pain
  • Red face
  • Red lips
  • T: Red tip
  • C: Thin and yellow
  • P: Superficial and rapid
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Ventilate the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Dry cough with little or no sputum
  • Sputum is difficult to expectorate
  • Maybe hemoptysis
  • Cough may cause chest pain
  • Dry or sore throat
  • Hoarse voice
  • Dry lips and mouth
  • Thirst
  • Dryness in nose
  • Epistaxis
  • Chills and fever
  • Headache
  • Anhidrosis
  • Dry skin and hair
  • Constipation
  • T: Red tip
  • C: Thin, yellow and dry
  • P: Superficial, maybe rapid
Treatment Principle
  • Clear the Lungs
  • Moisten Dryness
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Profuse sweating
  • Irritability
  • Thirst
  • Scanty, dark urine
  • Restlessness
  • Fatigue
  • Fatigued limbs
  • Shortness of breath
  • Apathy
  • T: Pale or Red
  • P: Deficient and rapid
Treatment Principle
  • Clear Summerheat
  • Tonify Qi
  • Nourish Yin
  • Generate Fluids
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • No chills
  • Aversion to Heat
  • Cough
  • Asthma
  • Restlessness
  • Thirst
  • Dark yellow urine
  • Dyspnea
  • Chest pain
  • Shortness of breath
  • Thick yellow Phlegm
  • T: Red
  • C: Thick and yellow, maybe dry and sticky
  • P:  Rapid, maybe slippery, maybe forceful
Treatment Principle
  • Clear Heat in Lungs
  • Strengthen when weak or elderly
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Impaired consciousness
  • Childhood convulsions
  • Irritability
  • Restlessness
  • Wheezing
  • Nausea
  • Night crying
  • Vomiting milk
  • Diarrhea
  • Abdominal pain
  • Excessive secretion of mucus and saliva
  • Sounds of mucus in the throat
  • Fidgeting
  • Delirium
  • Dyspnea
  • Coughing with sputum
Treatment Principle
  • Open the Sensory Orifices
  • Arrest spasms and convulsions
  • Clear Heat
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Low grade fever
  • Purple skin rash
  • Malar flush (deep red cheeks - dangerous)
  • Night sweats every night (gets progressively drier)
  • Restlessness
  • Insomnia
  • Hearing loss
  • Dry mouth and throat
  • Short, sunken, dry gums
  • Thirst
  • Five Sole heat
  • Emaciation
  • Collapse of Yin:
      a. Moist skin
      b. Sticky with sweat
      c. Extreme thirst
      d. Tired spirit
      e. Shortness of breath
      f. Extreme disorientation or confusion
  • T: Deep red and scorched
  • C: Dry
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin and Jing
  • Nourish the Liver and Kidney
  • Tonify the Blood
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Wind and Cold
  • Facial edema moving to generalized edema
  • Slight fever or fever and chills
  • Thirst
  • Slight but continuous perspiration
  • Sore, heavy limbs
  • Decreased urination
  • Headache
  • Edematous orbits
  • A red, swollen sore throat
  • Weak abdomen
  • Belching
  • Cough
  • Asthma
  • Dyspnea
  • Bulging eyes
  • Severe cough
  • Weak, aching feet
  • Skin problems
  • T: Normal
  • C: White or Thin white
  • P: Floating or Floating and big
Treatment Principle
  • Promote perspiration
  • Disseminate Lung Qi
  • Clear Heat
  • Move water
  • Suppress asthma
Herb Formulas
Points
Clinical Manifestations
  • Cough with copious, thin, white, frothy sputum
  • Chest congestion with full feeling
  • Dyspnea which is worse when lying down
  • Sputum rattles in the throat
  • Dyspnea
  • Unable to rest
  • Sometimes asthma
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Slippery
Treatment Principle
  • Activate the Spleen
  • Dry Dampness
  • Expel Phlegm
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Cough with copious, thin, white, frothy sputum
  • Chest and diaphragm congestion with full feeling
  • Dyspnea which is worse when lying down
  • Panting with rales in the throat which usually occurs when exposed to Cold
  • Sometimes asthma
  • Maybe cold upper back
  • A greenish-blue, stagnant facial complexion
  • No thirst or
  • A preference for warm drinks
  • Aversion to Cold
  • Maybe a slight fever
  • Headache
  • Itchy throat
  • Sneezing
  • Runny nose
  • Body aches
  • Maybe itchy skin at the beginning of the acute stage
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Slippery or Floating and tight
Treatment Principle
  • Activate the Spleen
  • Dry Dampness
  • Expel Phlegm
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus (as in Lung abscess)
  • Dyspnea
  • Asthma
  • Pain in the ribs
  • Maybe chills and fever
  • T: Scarlet
  • C: Yellow and smooth
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Counteract Toxin
  • Transform Stasis
  • Drain Pus
  • Resolve Phlegm
  • (The use of Clear Heat / Counteract Toxin herbs and the principle of "Draining Pus" are only relevant when foul-smelling pus is being expectorated such as in pulmonary abscess)
  • Soothe asthma in case of asthma
Herb Formulas
Points
Clinical Manifestations
  • Severe, dry hacking cough
  • No sputum expectorated
  • Small amounts of difficult to expectorate sputum
  • Blood tinged sputum (when Yin Deficiency Fire is present)
  • Afternoon fever
  • Night sweats
  • Malar flush (especially in afternoon)
  • Five Sole Heat
  • Dry mouth and throat
  • Itching in throat
  • Hoarse voice, low voice or loss of voice
  • Emaciation
  • T: Red and dry
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Dyspnea
  • Soft, weak cough with clear thin sputum
  • Physical and mental exhaustion
  • Soft, weak voice
  • Reluctance to speak
  • Shortness of breath
  • Unable to rest
  • Spontaneous sweating
  • Pale face
  • With Wei Qi Deficiency:
    Spontaneous perspiration (daytime)
    Low resistance to common cold
    Tendency to a blocked nose
  • T: Pale
  • C: Thin and white
  • P: Weak or Empty
Treatment Principle
  • Reinforce the Lungs
  • Strengthen Qi
Herb Formulas
Points
Clinical Manifestations
  • Dyspnea
  • Soft, weak cough with clear thin sputum
  • Physical and mental exhaustion
  • Soft, weak voice
  • Reluctance to speak
  • Shortness of breath
  • Unable to rest
  • Spontaneous sweating
  • Pale face
  • Low resistance to common cold
  • Tendency to a blocked nose
  • Severe, dry hacking cough
  • No sputum expectorated
  • Small amounts of difficult to expectorate sputum
  • Blood tinged sputum (when Yin Deficiency Fire is present)
  • Afternoon fever
  • Night sweats
  • Malar flush (especially in afternoon)
  • Five Sole Heat
  • Dry mouth and throat
  • Itching in throat
  • Hoarse voice, low voice or loss of voice
  • Emaciation
  • T: Pale or Red and dry
  • C: Thin and white or None
  • P: Weak or Empty or Thready and rapid
Treatment Principle
  • Reinforce the Lungs
  • Strengthen Qi
  • Nourish Yin
  • Moisten the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Dyspnea which is worse on exertion
  • Difficult to inhale but not to exhale
  • Soft, weak cough with clear thin sputum
  • Physical and mental exhaustion
  • Soft, weak voice
  • Reluctance to speak
  • Shortness of breath
  • Pale face
  • Shortness of breath, shallow breathing
  • Soft voice
  • Perspiration
  • With Wei Qi Deficiency:
    Spontaneous perspiration (daytime)
    Low resistance to common cold
    Tendency to a blocked nose
  • In chronic cases:
    Thin physique
    Mental weariness
    Urinary incontinence on coughing
    Cold limbs
    Facial edema of Deficiency type
  • T: Pale and swollen
  • C: Thin and white
  • P: Superficial and Deficient or Deep and thready
Treatment Principle
  • Reinforce the Lungs
  • Strengthen Qi
  • Reinforce the Kidneys to Grasp Qi
Herb Formulas
Points
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
  • 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
  • Sterility
  • Spermatorrhea
  • T: Red and dry
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
  • Reinforce the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Head feels heavy as if wrapped up
  • Four limbs tired
  • Lethargic
  • Sensations of stuffiness and fullness in chest and epigastrium
  • Decreased food intake or vomits immediately after eating
  • Cough
  • Asthma
  • Abundant white watery phlegm, easily expectorated
  • Cannot lie flat (due to breathing difficulties)
  • T: Pink
  • C: Thick and slimy
  • P: Slippery and even
Treatment Principle
  • Warm and Reinforce the Spleen and Lungs
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Dyspnea
  • Withered chest
  • The ribs on both sides collapse and become concave
  • Confused Shen
  • Depression
  • Haggard and confused appearance
  • T: Normal
  • C: White
  • P: Floating and rapid
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • 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
  • LU-9, REN-6, REN-12, REN-17, ST-36
    With dizziness and blurred vision: + moxa or moxa needle DU-20
    With sagging distention in the abdomen: + SP-3
    With vaginal protrusion: + DU-20
    With rectal prolapse: + UB-57
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
  • Functional Uterine Bleeding
  • Purpura
  • Epistaxis
  • Hemafecia
  • Hematuria
  • Menorrhagia
  • Metrorrhagia
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Thready and weak
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • 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
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 (dyspnea)
  • 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
  • Shortness of breath
  • Body cold
  • 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
  • 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
  • Shortness of breath
  • 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
  • Dyspnea
  • Coughing
  • Glutinous sputum
  • Red lips
  • Parched mouth
  • Heart troubled
  • Red face
  • 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
  • Coughing with little yellow sputum
  • Spitting saliva
  • Wheezing
  • Shortness of breath
  • Dry, uncomfortable sensation in throat
  • Hiccups
  • Dry mouth
  • Coughing up difficult-to-extectorate Phlegm
  • Nausea
  • Scanty urination
  • Hoarseness
  • Thirst
  • Asthma
  • Flushed face
  • Five sole Heat
  • Vomiting
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid or Deficient and rapid
Treatment Principle
  • Benefit the Stomach and Lungs
  • Nourish Yin
  • Generate Fluids
  • Descend Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Stabbing pain in the anterior region over the Heart
  • Suffocating sensation in the chest
  • Maybe drawing pain down the internal aspect of arm (especially the left arm)
  • Pain (in chest and/or arm) tends to be severe and intermittent
  • Severe cases:
    Cold limbs
    Cyanosis of lips and nails
  • T: Dark red with purple spots or Purple body
  • C: Little
  • P: Minute (scarcely perceptible) and thready or Knotted
Treatment Principle
  • Clear Yang
  • Invigorate the Blood
  • Transform Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Red face
  • Body feels hot
  • Coarse breathing
  • Bad breath
  • Restlessness
  • Involuntary movements
  • Usual sequelae of C.V.A. such as:
    Hemiplegia
    Aphasia
    Facial paralysis
  • T: Pink
  • C: Yellow and greasy
  • P: Slippery, wiry and rapid
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
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
  • Maybe loss of consciousness
  • Maybe falling to the ground
  • Sound of phlegm in throat with gurgling
  • Dyspnea
  • Vertigo
  • Headache
  • Accumulation of congested Fluids that won't dissipate
  • Vomiting
  • Stifling sensation of chest and diaphragm
  • Distention of chest and diaphragm
  • Distention and fullness of hypochondria and flanks
  • Nausea
  • Restlessness when sitting or lying down
  • Coughing and wheezing
  • Copious sputum
  • Thick, gummy nasal discharge and saliva
  • Reduced appetite
  • T: Pink
  • C: White and greasy
  • P: Slippery
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath (especially on exertion)
  • Excessive perspiration (in daytime)
  • Symptoms worse after exertion or when tired
  • Facial pallor
  • Fatigue
  • Weakness
  • Suffocating sensation in chest
  • T: Pale and swollen
  • C: White
  • P: Weak or Big and weak or Intermittent
Treatment Principle
  • Reinforce and Strengthen Heart Qi
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Excessive perspiration (daytime)
  • Above symptoms worse after exertion or when tired
  • Cold limbs
  • Fatigue
  • Weakness
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • 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
  • Palpitations
  • Shortness of breath
  • Excessive perspiration (daytime)
  • Above symptoms worse after exertion or when tired
  • Fatigue
  • Weakness
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • All four limbs cold
  • Watery stools with undigested food
  • Maybe loss of consciousness
  • T: Pale and swollen
  • C: White
  • P: Thready and weak or Knotted or Intermittent
Treatment Principle
  • Return Yang
  • Relieve contravection
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Drenched with perspiration
  • Above symptoms worse on exertion or when tired
  • Four limbs cold
  • Cyanosis of mouth and lips
  • Faint, weak respiration
  • P: Minute (on the point of collapse)
Treatment Principle
  • Return Yang
  • Consolidate Exhaustion
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Dizziness
  • Epigastric fullness and contravection
  • Reflux vomiting
  • Sensation of Qi rushing upward to the chest (Running Piglet)
  • Suffocating sensation in chest
  • Weak cough
  • Expectorating watery white Phlegm
  • T: Pale
  • C: White
  • P: Deep and wiry
Treatment Principle
  • Clear Yang
  • Transform Harmful Fluid
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • 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
  • A long period of extreme fatigue
  • Depression
  • Impaired memory
  • Insomnia
  • Sighing
  • Shortness of breath
  • A faint, weak voice
  • Disinclination to speak
  • Fatigue
  • Palpitations
  • Anorexia
  • A lack of strength
  • Flabby muscles
  • Possible joint soreness and pain
  • T: Pale red and fat
  • C: White
  • P: Thready and wiry
Treatment Principle
  • Supplement Heart Qi and Blood
  • Strengthen the Spleen
  • Tonify Qi
  • Regulate Liver Qi
  • Resolve depression
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Asthma
  • Soft weak cough
  • Prolonged bouts of coughing with dyspnea
  • Expectoration of clear, watery Phlegm
  • Suffocating sensation in the chest
  • Spontaneous, weak perspiration
  • All of the above manifestations are exacerbated by exertion
  • Shiny white complexion
  • Weak voice
  • Catches colds easily
  • T: Pale
  • C: Thin and white
  • P: Weak or Thready and weak
Treatment Principle
  • Reinforce and Benefit Heart and Lung Qi
Herb Formulas
Points
Clinical Manifestations
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Easily frightened or startled
  • Easily unsettled by seeming trivial events
  • Anxiety
  • Palpitations
  • Shortness of breath
  • Lethargy
  • Fatigue
  • Depression
  • Spontaneous sweating
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: Wiry and thready
Treatment Principle
  • Strengthen Qi
  • Calm the Shen
  • Alleviate fearfulness
Herb Formulas
Points
Clinical Manifestations
  • Shallow, rapid respiration
  • Palpitations
  • Cold limbs and body
  • Facial and ankle edema
  • Scanty urine
  • Sometimes cyanosis
  • T: Pale, moist and swollen
  • C: White
  • P: Deep and minute
Treatment Principle
  • Tonify Heart and Yang
  • Tonify Lung Qi
Herb Formulas
Points

Clinical Manifestations
  • Dyspnea
  • No sputum
  • Chest and rib distention
  • Depression
  • T: Normal
  • C: White
  • P: Deep and large
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Coughing fits with hemoptysis
  • Burning pain in chest and sides
  • Dizziness
  • Face and eyes red
  • Bitter taste in mouth
  • Dry lips
  • Short-tempered
  • Irascibility
  • Restlessness
  • Maybe dark urine
  • Maybe constipation
  • T: Red
  • C: Thin, yellow and dry
  • P: Wiry and rapid
Treatment Principle
  • Clear Liver Fire
  • Purge the Lungs
Herb Formulas
Points
Clinical Manifestations
  • Constitutional shortness of breath
  • Chronic wheezing
  • Inhalation more difficult than exhalation
  • Worse with exertion, fatigue or Cold
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale or cyanotic face
  • Dark rings under the eyes
  • Facial puffiness
  • Spontaneous sweating
  • Frequent colds
  • Urinary frequency with abundant, clear urine or
  • Oliguria with pitting edema
  • Maybe nocturia
  • Lethargy
  • Listlessness
  • 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 or Purplish/bluish
  • C: Thin and white
  • P: Deep and thready - maybe slow or Imperceptible or Large, deficient and rootless
Treatment Principle
  • Warm and Reinforce Kidney Yang
  • Support Wei Qi
Herb Formulas
Points
Clinical Manifestations
  • Dyspnea which is worse on exertion
  • Difficult to inhale but not to exhale
  • Shortness of breath, shallow breathing
  • Soft voice
  • Perspiration
  • In chronic cases:
    Thin physique
    Mental weariness
    Urinary incontinence on coughing
    Cold limbs
    Facial edema of Deficiency type
  • T: Pale and swollen
  • C: Thin and white
  • P: Superficial and Deficient or Deep and thready
Treatment Principle
  • Reinforce the Kidneys to Grasp Qi
Herb Formulas
Points
Clinical Manifestations
  • Edema of whole body particularly at and below the waist
  • Pitting edema
  • Low back pain, aching and heaviness
  • Abdominal distention with full sensations
  • Oliguria
  • Cold limbs
  • Face gray and congested or pale
  • Feeling nervous and cold with mental weariness
  • In severe cases:
    Ascites
    Edema of scrotum
  • T: Pale and swollen
  • C: Thin, white or Thick, white and sticky
  • P: Deep and thready
  • With Water Flooding the Lungs:
    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 Kidneys
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Shortness of breath
  • Hasty panting with better exhalation than inhalation
  • Coughing with profuse white Phlegm
  • Chest and diaphragm oppression and fullness
  • Low back pain
  • Cold limbs
  • Frequent urination
  • T: Pale
  • C: White
  • P: Deep and thready or Soft, slippery and forceless
Treatment Principle
  • Descend Qi
  • Transform Phlegm
  • Stop panting
Herb Formulas
Points
Clinical Manifestations
  • Constitutional shortness of breath
  • 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
  • *All signs and symptoms marked with an asterisk (*) are due to Deficiency Fire
Treatment Principle
  • Nourish Yin
  • Reinforce the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Pain that is fixed, stabbing and /or severe or
  • Pains that move around
  • Distention
  • Depression
  • Irritability
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas,
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
    Red purple if there is Heat
    Blue purple if there is Cold
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Break up Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Panting with rales in the throat
  • Shortness of breath which is worse on exertion
  • A white facial complexion
  • Sweating
  • Cold limbs
  • T: Fat and tender or Pale purple
  • C: White
  • P: Deep, weak and forceless
Treatment Principle
  • Warm Yang
  • Tonify Qi
  • Descend Qi
  • Transform Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Shortness of breath
  • Frequent spitting of saliva and gastric fluids
  • Weight loss
  • Severe fatigue
  • Pale sallow complexion
  • Cold intolerance
  • Cold extremities
  • Hyper-salivation
  • Edema of the face
  • Abdominal distension
  • Chronic difficulty swallowing food and fluid
  • Pale-white face
  • Tiredness
  • Excessive phlegm
  • Frequent belching with clear mucus
  • Cold body
  • Face and ankle swelling
  • Sometimes abdominal swelling
  • T: Pale and swollen
  • C: White
  • P:Thready, weak and imperceptible
Treatment Principle
  • Tonify Qi
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Clear Damp
Herb Formulas
Points
  • PC-6, REN-12, REN-17, ST-36, UB-17, moxa or moxa needle DU-4, REN-4
    With vomiting from Stomach Qi Deficiency: + UB-20, UB-21
    For Qi and Yin Deficiency: + SP-6
    With tired limbs, panting on exertion and a large, forceless pulse: + REN-6
    With palpitations, insomnia, and a withered, yellow facial complexion: + UB-15, UB-20
Clinical Manifestations
  • Dyspnea
  • Dry, hacking cough with little or no sputum
  • Flushed face
  • Sputum is difficult to expectorate
  • Restlessness
  • Maybe hemoptysis
  • Hiccups
  • Cough may cause chest pain
  • Dry or sore throat
  • Upper respiratory tract infection
  • Hoarse voice
  • Asthma
  • Dry lips and mouth
  • Fever
  • Shortness of breath
  • Hemoptysis
  • Decreased urination
  • 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
  • Eliminate Dryness
  • Moisten the Lungs
  • Nourish Lung Yin
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Loose stools
  • Poor appetite
  • Dizziness
  • Pale face
  • Weak voice
  • Shortness of breath
  • Reluctance to speak
  • Sweating with little or no exertion
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
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
  • 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
  • Warm Yang
  • Strengthen the Spleen and Lungs
  • Nourish s the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Dyspnea
  • Postpartum emaciation and weakness
  • Persistent, tight abdominal pain
  • Abdominal pain with spasms or radiates to back and waist
  • Cannot eat
  • Shortness of breath
  • Pale face
  • Intermittent spasmodic abdominal pain which is better with Heat and pressure
  • Epigastric pain
  • Lusterless complexion
  • Fidgeting
  • Reduced appetite
  • Maybe low-grade fever
  • Palpitations
  • Irritability
  • Cold and sore extremities
  • Nonspecific discomfort
  • Dry mouth and throat
  • Nocturnal emission
  • Five Sole Heat
  • Debilitated constitution in children
  • Enuresis in children
  • Insomnia
  • Fatigue
  • Anemia
  • Bleeding
  • Abdominal weakness
  • Epistaxis
  • Habitual constipation
  • Maybe warm extremities
  • Night sweats
  • Tired limbs
  • Frequent urination
  • Night crying
  • Diarrhea in children
  • Habitual headache in children
  • Hernia pain in children
  • Chronic constipation
  • Purpura
  • Asthma
  • T: Pale
  • C: White
  • P: Weak and slow or Thready, wiry and even or Thready and weak
Treatment Principle
  • Warm and tonify the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Shortness of breath
  • Increased dyspnea when lying down
  • Asthma
  • Abdominal pain
  • Chest and epigastric fullness and distention
  • A dark facial complexion
  • Scanty urination
  • Edema
  • P: Deep and tight
Treatment Principle
  • Activate Water circulation to eliminate Stagnation
  • Descend Qi
Herb Formulas
Points
Clinical Manifestations
  • General edema of the body and extremities
  • Dysuria
  • Oliguria
  • Orthopnea
  • Pitting edema
  • Dyspnea
  • Gasping
  • 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
  • Chest fullness and pain
  • Dyspnea
  • Shortness of breath
  • Severe pain radiating to the back
  • Severe wheezing
  • Chest oppression
  • Severe cough
  • Disturbed sleep
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Tight
Treatment Principle
  • Unblock the Yang
  • Disperse Stagnation
  • Dispel Phlegm
  • Relieve chest fullness
Herb Formulas
Points
Clinical Manifestations
  • Anorexia
  • Edema
  • Abdominal distention
  • Chest and hypochondriac distention
  • Dizziness
  • Nausea
  • Vomiting
  • Vertigo
  • Thirst with no desire to drink
  • Maybe no thirst
  • Palpitations
  • Shortness of Breath
  • T: Normal
  • C: Thick and slippery
  • P: Slippery, full and maybe wiry
Treatment Principle
  • Warm and Dissolve Tan Yin
Herb Formulas
Points
Clinical Manifestations
  • Cough with sharp pain in the chest and hypochondrium
  • Hypochondriac distention and pain
  • Hard focal distention in the epigastrium
  • Dry heaves
  • Shortness of breath
  • Headache
  • Abdominal distention
  • Wheezing
  • Fullness in the chest
  • Dyspnea caused by extreme chest and back pain
  • Dizziness
  • Vertigo
  • Asthma
  • Rapid breathing
  • Generalized edema which is worse in the lower body
  • Difficult urination and defecation
  • T: Normal or Dark
  • C: Thick, greasy and white
  • P: Deep and wiry
Treatment Principle
  • Attack and Dispel water
Herb Formulas
Points
Clinical Manifestations
  • Cough
  • Asthma
  • Shortness of breath which is worse when lying down
  • Abdominal distention with water retention
  • Edema in the lower extremities
  • Facial edema
  • T: White bubbles
  • C: Thick, greasy and white
  • P: Thready
Treatment Principle
  • Regulate the Lungs
  • Purge Yin
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
  • Chills
  • Chest fullness
  • Aversion to Cold
  • Stabbing pain in the bones and joints
  • Cough with sputum
  • Cough
  • Wheezing
  • Copious sputum
  • Chest distention
  • Anorexia
  • Indigestion
  • Hiccup
  • Shortness of breath
  • T: Pale
  • C: Thick, white
  • P: Sinking and slow
Treatment Principle
  • Warm Cold
  • Disperse Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Fullness and pain in the chest or
  • Stabbing pain that radiates from the chest to the back
  • Wheezing
  • Coughing with sputum
  • Drooling
  • Shortness of breath
  • Focal distention in the chest that feels like a flow of Qi proceeding from the flanks to the area around the Heart
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Deep and tight
Treatment Principle
  • Unblock Yang
  • Dissipate clumps
  • Expel Phlegm
  • Descend Qi
Herb Formulas
Points
Clinical Manifestations
  • Epistaxis with incessant, profuse bleeding
  • Severe: bleeding of the mouth, teeth, ears and skin
  • Profuse perspiration
  • A drained, whiter facial complexion
  • An open mouth with closed eyes
  • Counterflow frigidity of the limbs
  • Open hands
  • Enuresis
  • Clouded Shen
  • Dyspnea
  • T: Pale
  • C: Little or None
  • P: Faint, on the verge of expiring
Treatment Principle
  • Return Yang
  • Stem counterflow
  • Tonify Qi
  • Stop bleeding
Herb Formulas
Points
Clinical Manifestations
  • Dyspnea
  • Fullness in the chest
  • Flank oppression
Treatment Principle
Herb Formulas
Points