GINGIVITIS, PERIODONTITIS, PERIODONTAL DISEASE

Clinical Manifestations
  • Gingivitis is a common and mild form of gum disease (periodontal disease) that causes irritation, redness and swelling (inflammation) of the gingiva, the part of your gum around the base of your teeth. It's important to take gingivitis seriously and treat it promptly. Gingivitis can lead to much more serious gum disease called periodontitis and tooth loss.
    The most common cause of gingivitis is poor oral hygiene. Good oral health habits, such as brushing at least twice a day, flossing daily and getting regular dental checkups, can help prevent and reverse gingivitis.

    Healthy gums are firm and pale pink and fitted tightly around the teeth.
    Signs and symptoms of gingivitis include:
    Swollen or puffy gums
    Dusky red or dark red gums
    Gums that bleed easily when you brush or floss
    Bad breath
    Receding gums
    Tender gums

  • Periodontitis is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. Periodontitis can cause teeth to loosen or lead to tooth loss.
    Chronic periodontitis: is the most common type, affecting mostly adults, though children can be affected, too. This type is caused by plaque buildup and involves slow deterioration that may improve and get worse over time but causes destruction in the gums and bone and loss of teeth if not treated.
    Aggressive periodontitis: usually begins in childhood or early adulthood and affects only a small number of people. It tends to affect families and causes rapid progression of bone and tooth loss if untreated.
    Necrotizing periodontal disease: is characterized by the death of gum tissue, tooth ligaments and supporting bone caused by lack of blood supply (necrosis), resulting in severe infection. This type generally occurs in people with a suppressed immune system — such as from HIV infection, cancer treatment or other causes — and malnutrition.
    Signs and symptoms of periodontitis include:
    Swollen or puffy gums
    Bright red, dusky red or purplish gums
    Gums that feel tender when touched
    Gums that bleed easily
    Gums that pull away from your teeth (recede), making your teeth look longer than normal
    New spaces developing between your teeth
    Pus between your teeth and gums
    Bad breath
    Loose teeth
    Painful chewing
    A change in the way your teeth fit together when you bite
Treatment Principle
Herb Formulas
Clinical Manifestations
  • Severe chills
  • Mild or no fever
  • Gingivitis
  • Headache
  • Generalized discomfort
  • Stiff neck and shoulders or
  • Frozen shoulder
  • Body aches
  • Joint ache
  • Nausea
  • Vomiting
  • Hiccups
  • Anhidrosis
  • Gasping
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Wind and Cold
  • Maybe low back pain
  • Maybe frozen shoulder
  • Maybe dyspnea
  • Maybe epistaxis (severe)
  • T: Normal
  • C: Thin and white
  • P: Floating and tight
Treatment Principle
  • Relieve the Exterior
  • Expel Cold
  • Disperse the Lungs
  • Stop asthma
Herb Formulas
Points
Clinical Manifestations
  • Gingivitis
  • Fever and chills with fever increasing and chills decreasing
  • Headache
  • Anhidrosis
  • Stiffness and pain of the extremities
  • Orbital pain
  • Eye pain
  • Shoulder and neck tension
  • Dry nasal passages
  • Irritability
  • Insomnia
  • Thirst
  • Epistaxis
  • T: Normal
  • C: Thin and yellow
  • P: Floating and slightly flooding
Treatment Principle
  • Dispel Wind
  • Release the muscle layer
  • Clear Interior Heat
Herb Formulas
Points

Clinical Manifestations
  • Early-stage gingivitis
  • 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
  • Gingivitis
  • High fever
  • Profuse perspiration
  • Great thirst with a desire to drink
  • Abdominal pain
  • Dryness
  • Irritability
  • Restlessness
  • Feverish body parts
  • Red face
  • Dry stools
  • No constipation
  • No aversion to Cold
  • T: Red, dry
  • C: Dry yellow
  • P: Rolling and rapid (gigantic)
Treatment Principle
  • Clear Heat
  • Reduce fever
  • Moisten and replenish fluids
Herb Formulas
Points
Clinical Manifestations
  • Previous history of Yin, Jin Ye, or Blood Deficiency
  • Previous history of Yang Ming
  • Fluid and Yin depleted
  • Gingivitis
  • Anhidrosis
  • Numbness
  • Weakness
  • Dryness
  • Constipation
  • T: Red
  • C: Yellow and dry
  • P:  Weak and thready
Treatment Principle
  • Moisten and Lubricate
  • Nourish Yin and Fluids
Herb Formulas
Points
Clinical Manifestations
  • Gingivitis
  • Abdominal pain
  • Constipation
  • Hypochondriac pain
  • Chills
  • Low-grade fever
  • Cold hands and feet
  • Intolerance of Cold
  • Pain in the armpits
  • Unilateral pain in the abdomen and hypochondrium
  • Stiffness and spasms beside and below the umbilicus
  • Pain in the waist and legs
  • T: Normal
  • C: Greasy and white
  • P: Deep, tight and wiry
Treatment Principle
  • Warm the Interior
  • Disperse Cold
  • Unblock the bowels
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Gingivitis
  • Long standing cold hands and feet that are cold to the touch and feel cold to the patient
  • Maybe lumbago and leg pain
  • Abdominal pain and distention
  • Midline pain
  • Uterine pain
  • Chills
  • Diarrhea
  • Menstrual abdominal pain
  • Maybe chest pain
  • Increased sweating, particularly of the feet
  • Increased salivation
  • Spasm and pain of the limbs
  • Scanty urination
  • Pain at the waist, hips, legs and feet
  • Sciatica
  • Joint pain
  • Irregular menstruation
  • Abdominal Cold
  • Migraine headache
  • Vaginal discharge
  • Vomits clear fluid
  • Vertex headache
  • Body cold
  • Diarrhea
  • Complete exhaustion of Yang
  • T: Pale
  • C: White
  • P: Weak.
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Periodontitis
  • Severe sore and swollen throat
  • High fever with convulsions in infants
  • Difficulty swallowing
  • Carbuncles
  • Acute localized infection
  • Lymphangitis
  • Furuncles
  • Boils
  • Abscesses
  • T: Red
  • C: Greasy and yellow
  • P: Rapid
Treatment Principle
  • Relieve Toxic Heat
  • Reduce swelling
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Gingival redness, swelling, Heat and pain
  • Leakage of pus and Blood
  • Bad breath
  • Maybe fever
  • Maybe aversion to Cold
  • Thirst
  • T: Red
  • C: Dry and white
  • P: Floating and rapid
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Resolve toxins
  • Disperse swelling
Herb Formulas
Points
Clinical Manifestations
  • Periodontitis
  • High fever or
  • Fever
  • Aversion to Heat
  • Irritability
  • Restlessness (neither activity nor resting brings relief)
  • Heat sensation in the chest
  • Thirst
  • Has urge to vomit but cannot
  • May have dark yellow urine
  • T: Red
  • C: Yellow
  • P: Rapid or Forceful and rapid
Treatment Principle
  • Clear Heat
  • Remove Obstructions
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
  • Toothache
  • 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
  • Gingivitis
  • Alternating chills and fever
  • Bitter taste in mouth
  • Thirst
  • Dry throat
  • 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
  • Gingivitis
  • High fever
  • Confusion of mind
  • Delirium
  • Mania
  • Dark yellow urine
  • Excessive skin rashes all over body
  • Hemorrhage:
    Hematemesis
    Hemoptysis
    Epistaxis
    Hemafecia
    Hematuria
  • T: Deep red, dry or Purple red
    C: None
    P: Rapid or Thready and rapid or Thready and feeble
Treatment Principle
  • Cool the Blood
  • Dispel Heat and Toxins from the Xue Stage
  • Promote Blood Circulation
Herb Formulas
Points
Clinical Manifestations
  • Gingivitis
  • Dry stools
  • Knotted constipation
  • Mouth parched
  • Sensation of burning heat, swelling and pain of anus
  • Urine short and dark
  • T: Pink
  • C: Yellow and dry
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Purge constipation
Herb Formulas
Points
Clinical Manifestations
  • Gingivitis
  • Knotted constipation or
  • Watery, thin diarrhea
  • Burning hot sensation in the anus
  • Abdominal distention and pain (dislikes pressure)
  • High fever or infantile tidal fever
  • Hands and feet dripping with perspiration
  • Vomiting
  • Irritating thirst
  • Delirium
  • T: Pink, maybe prickles or Red
  • C: Thick, yellow and dry
  • P: Deep and Excess
Treatment Principle
  • Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas
Points
Clinical Manifestations
  • Swelling and inflammation of the gums with or without pus
  • Mouth ulcers
  • Bad breath
  • Sore throat
  • Toothache
  • Dry mouth
  • Constipation
  • Dysuria
  • Bleeding from the gums
  • T: Red and dry
  • C: Yellow-green
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Generate Fluids
  • Clear Heat
  • Detoxify the Blood
  • Stop inflammation
  • Disseminate Lung Qi
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Bleeding gums on slight stimulation
  • Bleeding possibly profuse
    Bleeding worse with fatigue
  • Pale gums
  • Bruises easily
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Fatigue
  • Lassitude
  • Weakness
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Disinclination to speak
  • A weak voice
  • Insomnia
  • 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
  • Periodontal disease
  • Loss of taste
  • Anorexia
  • Abdominal fullness and distention
  • Irregular bowel movements
  • Fatigue
  • Lethargy
  • A sensation of heaviness in the body
  • Joint pain
  • Chills
  • Aversion to Wind
  • A stuffy nose with mucus
  • Sweating
  • Sore limbs
  • Dizziness
  • Tinnitus
  • Scanty, dark urination
  • Frequent urination
  • Leukorrhea
  • Borborygmus
  • A shiny, pale complexion
  • A dry mouth and tongue
  • A bitter taste in the mouth
  • T: Pale
  • C: Thin and white
  • P: Floating, large and slow or Slippery and empty
Treatment Principle
  • Strengthens the Spleen
  • Tonifies Qi
  • Raises Yang
  • Leaches out Dampness
  • Dispels Wind and Dampness
Herb Formulas
Points

Clinical Manifestations
  • Bleeding gums
  • Pale, puffy gums
  • Loose teeth
  • A thin secretion from the cracks in the gums
  • Somber white colored gums
  • Listlessness
  • Weakness
  • Body cold
  • Limbs icy
  • Aversion to Cold
  • Poor appetite
  • 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
  • Redness, swelling, pain, ulceration and bleeding of gums
  • Bleeding gums with fresh, red Blood
  • Maybe discharge of pussy, bloody secretions
  • Dry mouth
  • 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)
  • Foul breath
  • Toothache
  • Red, flushed face
  • Red lips
  • Frontal headache
  • Maybe vomiting right after eating
  • Vomiting acid or undigested food
  • Constipation or
  • Sluggish stools
  • Maybe scanty, red urine
  • T: Red and possibly dry
  • C: Thick, yellow and dry
  • P: Slippery, big, Excess and rapid
Treatment Principle
  • Clear and Purge Stomach Fire
Herb Formulas
  • Qing Wei San modified
  • Hua Ban Tang
  • Topical:
    1. Boil 15g Rx. Scutellariae Huang Qin  in 1 cup of water for 20 minutes and hold the liquid in the mouth for as long as possible.
    2. Bing Peng San
    3. With dental caries and relatively severe pain: Gargle a decoction of 12g Nidus Vespae Lu Feng Fang and 12g Cx. Erythrinae Hai Tong Pi
  • Chinese Patent Medicines:
    For Stomach Heat and Damp-Heat: Huang Lian Jie Du Wan
    For constipation: Niu Huang Qing Huo Wan
    For Heat in the upper body:
    Bei Jing Niu Huang Jie Du Pian
    Huang Lian Shang Qing Pian
    For Liver Fire: Long Dan Xie Gan Wan
    For massaging into the affected area to relieve pain and swelling: Shuang Lian Hou Feng San
    Topically to relieve pain and swelling: Xi Gua Shuang
Points
Clinical Manifestations
  • Bleeding gums
  • Atrophy and retraction of the gums
  • The roots of the teeth are revealed
  • Maybe ulceration of the gums with slightly red margins
  • Maybe occasional suppuration
  • Toothache
  • Loose, chipped or broken teeth
  • Maybe pain when chewing
  • Frontal headache
  • Irritability
  • Fever
  • Thirst with a desire to drink cold beverages
  • Epistaxis
  • Dysphoria
  • Excess hunger
  • Hemoptysis
  • Dry throat
  • Dry skin
  • Dry mucus membranes
  • Blurred vision
  • Poor memory
  • Malar flush
  • Night sweats
  • Five-Sole-Heat
  • Low back pain
  • Hematemesis
  • Restlessness
  • Night sweats
  • Warm sensations
  • T: Red and dry
  • C: Little or None or White or Yellow and dry
  • P: Superficial, full, slippery, deficient and large or Gigantic and rapid or Rapid
Treatment Principle
  • Drain Heat from the Stomach
  • Replenish Yin
Herb Formulas
  • Yu Nu Jian modified
  • With Kidney Yin Deficiency: Liu Wei Di HUang Wan  modified
  • Topical: Rinse the mouth with a decoction of 60-120g Hb. Ecliptae Mo Han Lian
  • Chinese Patent Medicines:
    With Kidney Yin Deficiency: Liu Wei Di Huang Wan
    With Stomach Qi and Yin Deficiency: Gu Ben Wan
    With Deficient Heat: Zhi Bai Di Huang Wan
    With ulcerations and/or Heart and Kidney Yin Deficiency: Tian Wang Bu Xin Dan
    Topical to remove pain and swelling: Xi Gua Shuang
Points
Clinical Manifestations
  • Gingivitis
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Irritability
  • Irascibility
  • Feeling of Heat and disturbance in the Heart
  • Insomnia
  • Flushed face
  • Bitter taste in the mouth
  • T: Red tip with ulcers especially on the tip
  • P: Excess and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Gingivitis or periodontitis
  • Palpitations
  • Insomnia
  • Anxiety
  • Much dreaming
  • Easily startled
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
  • Gui Pi Tang  modified
  • Chinese Patent Medicines:
    Ba Zhen Wan
    Gui Pi Wan
    With Cold: Shi Quan Da Bu Wan
    With Kidney Yang Deficiency: Jin Gui Shen Qi Wan
Points
Clinical Manifestations
  • Gingivitis
  • Irritability
  • Short temper
  • Restlessness
  • Fever or tidal fever
  • Red eyes
  • Dry mouth and throat
  • Palpitations
  • Lower abdominal pain
  • Difficult urination
  • Painful urination
  • Increased menstrual flow
  • Uterine bleeding
  • Early menstruation
  • Aching in limbs
  • Dizziness
  • Mental instability
  • Red face
  • Thirst
  • Turbid urine
  • Alternating chills and fever
  • Red cheeks
  • Wheezing
  • Nervousness
  • Headache
  • Red eyes
  • Dry mouth
  • Anorexia
  • Infertility
  • Abdominal pain
  • Spontaneous sweating or night sweats with fever
  • Anxiety
  • Dry eyes
  • Hypochondriac pain
  • Somnolence
  • Insomnia
  • Aching shoulders
  • Five Sole Heat
  • Earache
  • Premenstrual tension
  • Hot flashes
  • Fatigue
  • Lassitude
  • Depression
  • Restlessness
  • Constipation with flushing up
  • Pale complexion
  • Bitter taste in mouth
  • Vertigo
  • Abdominal distention near the umbilicus
  • Epistaxis
  • Irregular menstruation
  • Heaviness in the lower abdomen
  • T:Red or Red edges
  • C: Thin and yellow
  • P: Thready, rapid and wiry or Wiry and tight and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish the Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points

Clinical Manifestations
  • Gingivitis or periodontitis
  • Redness, swelling and bleeding of the gums
  • Symptoms worse with emotional stress
  • Hematemesis
  • Severe, splitting headaches with dizziness
  • Sudden tinnitus or
  • Sudden deafness
  • Flushed face
  • Red, swollen, painful eyes
  • Irascibility with violent angry outbursts
  • Dry mouth
  • Bitter taste in mouth
  • Thirst
  • Vomiting sour or bitter liquid
  • Insomnia
  • Restlessness
  • Constipation or dry stools
  • Maybe rib pain
  • In severe cases:
    Mania
    Hemoptysis
    Epistaxis
  • T: Red tip and edges
  • C: Thick, yellow, dry and rough
  • P: Wiry, Excess and rapid
Treatment Principle
  • Clear the Liver
  • Purge Fire
Herb Formulas
  • Long Dan Xie Gan Tang  modified
  • Chinese Patent Medicines:
    Long Dan Xie Gan Wan
    For massaging into the affected area to relieve pain and swelling: Shuang Lian Hou Feng San
    Topically to relieve pain and swelling: Xi Gua Shuang
Points
Clinical Manifestations
  • Gingivitis
  • Yang jaundice (sclera and skin bright yellow)
  • Pain and fullness in ribs on both sides
  • Maybe pain in the right hypochondrium
  • Bitter taste in mouth
  • Nausea
  • Vomiting sour and bitter fluids
  • Anorexia
  • Maybe alternating chills and fever
  • Concentrated, dark urine
  • Abdominal distention
  • Women:
    Yellow vaginal discharge with foul smell
    Pruritis vulvae
  • Men:
    Pain, swelling and burning sensations of testicles
  • T: Pink
  • C: Yellow and greasy or sticky
  • P: Wiry and rapid or Slippery and rapid
Treatment Principle
  • Clear Dampness
  • Purge Heat from Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Gingivitis
  • Headache
  • Dizziness
  • Red eyes
  • Tinnitus
  • Oral ulcers
  • Bleeding gums
  • Constipation
Treatment Principle
  • Purge Fire
  • Detoxify
  • Draw out pus
Herb Formulas
Points

Clinical Manifestations
  • Loose teeth
  • Receding, atrophic gums
  • Possible gum swelling with slight pain
  • 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
  • Strengthen the bones
  • Harden the teeth
Herb Formulas
Points
Clinical Manifestations
  • Gingivitis
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • Aching in the bones
  • Aching in the 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
  • If Heart Fire also Flares:
    Insomnia
    Frequent dreams
    Palpitations
  • If Liver Yang also Rises:
    Dizziness
    Blurred vision
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Subdue Fire
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
  • Gingivitis
  • Atrophy of the gums revealing the roots of the teeth
  • Pale gums
  • Loose teeth
  • The gums bleed easily with brushing and chewing
  • May bruise easily
  • Maybe epistaxis
  • Maybe uterine bleeding
  • Maybe heavy menstrual bleeding
  • A waxy, pale complexion
  • Pale lips
  • Pale conjunctiva
  • Postural dizziness
  • Blurred vision
  • Anorexia
  • Abdominal distention
  • Loose stools
  • Fatigue
  • Weakness
  • Shortness of breath
  • Low voice
  • Insomnia
  • Frequent vivid dreaming
  • Restless sleep
  • Palpitations
  • T: Pale
  • C: Thin and white
  • P: Thready and weak or Hollow (with significant Blood loss)
Treatment Principle
  • Tonify Qi and Blood
  • Aid discharge of pus
  • Promote healing
Herb Formulas
  • Ba Zhen Tang
  • Chinese Patent Medicines:
    Ba Zhen Wan
    Gui Pi Wan
    With Cold: Shi Quan Da Bu Wan
    With Kidney Yang Deficiency: Jin Gui Shen Qi Wan
Points
Clinical Manifestations
  • Chronic gum disease
  • Discolored, purplish, patchy or dark red atrophic gums
  • Loose teeth
  • Painful receding gums
  • Persistent insomnia with much dreaming and restlessness
  • Low grade fever at night
  • Irritability
  • A short temper
  • Depression
  • Mood swings
  • Frequently bleeding gums
  • Dizziness
  • Forgetfulness
  • Dry, scaly skin
  • Hair loss
  • Broken vessels or spider naevi on the face, trunk, inner knee and ankle
  • Purplish lips, sclera, conjunctiva and nails
  • Dark rings around the eyes
  • Pain that is fixed, stabbing and /or severe
  • Pain is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Purple lips
  • Purple nails
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Purple, possible purple or red spots
  • C: White
  • P: Choppy or Wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Break up Stagnation
Herb Formulas
  • Xue Fu Zhu Yu Tang  modified
  • Topical: Zhi Teng Jiu
  • Chinese Patent Medicines:
    Xue Fu Zhu Yu Wan + Tong Jing Wan
    Jian Kang Wan
    Sheng Tian Qi Pian
    To stop bleedings: + Yun Nan Bai Yao
Points
Clinical Manifestations
  • Gingivitis
  • Suppurative, bleeding gums with copious, fresh, red Blood
  • Maybe epistaxis
  • Maybe bleeding sclera
  • Maybe bleeding skin eruptions
  • Fever and chills or
  • High fever
  • Malaise
  • Irritability
  • Restlessness
  • Severe thirst
  • Bad breath
  • Muscle and bone aches
  • Constipation or
  • Diarrhea
  • Concentrated urine
  • T: Red
  • C: Yellow
  • P: Forceful and rapid or Hollow
Treatment Principle
  • Clear Toxic Heat from the Stomach
  • Cool the Blood
Herb Formulas
  • Huang Lian Jie Du Tang modified
  • Huang Lian Shang Qing Wan
  • Xi Jiao San
  • Chinese Patent Medicines:
    For Stomach Heat and Damp-Heat: Huang Lian Jie Du Wan
    For constipation: Niu Huang Qing Huo Wan
    For Heat in the upper body:
    Bei Jing Niu Huang Jie Du Pian
    Huang Lian Shang Qing Pian

    For massaging into the affected area to relieve pain and swelling: Shuang Lian Hou Feng San
    Topically to relieve pain and swelling: Xi Gua Shuang
Points