MENOPAUSE SYNDROME (CLIMACTERIC SYNDROME)

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Joint pain with a crackling sensation
  • Epigastric pain
  • Fatigue
  • Gastrointestinal weakness
  • Headache
  • Heaviness in the head
  • Fever
  • Moderately severe chills
  • Distension beneath the Heart
  • Periumbilical or lower abdominal pain
  • Tenseness around the pubic bone
  • Subcostal pain
  • Epigastric fullness
  • Nausea
  • Mild vomiting
  • Mild thoraco-costal discomfort
  • Costal distress
  • Tension in the rectus abdominus
  • Chest distension
  • Abdominal pain
  • Abdominal distension
  • Constipation
  • Irritability
  • Insomnia
  • Repeated loss of spinal alignment due to muscular tension
  • P: Floating and weak
Treatment Principle
  • Release the Exterior and muscle layer
  • Harmonize and releases the Shao-Yang
  • Harmonize the Liver, Spleen and Intestines
Herb Formulas
Points
Clinical Manifestations
  • Spasms
  • Tics
  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid
Treatment Principle
  • Harmonize the Shao Yang
  • Unblock the three Yang Stages
  • Calm the Liver
  • Transform Phlegm
  • Sedate and calm the Spirit
  • Alleviate spasms
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
  • Stifling sensation in the chest or epigastrium
  • Dyspnea
  • Night sweats
  • Hemoptysis
  • Sore throat
  • Throat sores
  • Facial flushing
  • Constipation
  • A dry mouth and throat
  • Wheezing
  • Steaming bones
  • Hoarseness
  • T: Red or Red, dry and cracked
  • C: Little or None
  • P: Thready and rapid or Thready, rapid and weak or Rapid and Deficient
Treatment Principle
  • Clear Heat
  • Generate fluids
  • Tonify Qi and Blood
  • Harmonize the Stomach
  • Nourish Yin
  • Descend Fire
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
  • 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
  • Palpitations
  • Shortness of breath
  • Insomnia
  • Restless sleep
  • Much dreaming
  • Easily startled
  • Absent-mindedness
  • Fatigue
  • Four limbs tired and lethargic
  • Puffiness of the face and limbs
  • 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
  • Frequent feelings of extreme sadness with an urge to cry
  • Inability to control one's emotions
  • Depression
  • Gastrointestinal spasms
  • Abnormal speech or behavior
  • Disorientation
  • Frequent yawning
  • T: Pale
  • C: Scanty
  • P: Small and rapid or Thready and weak
Treatment Principle
  • Nourish the Heart
  • Calm the Shen
  • Harmonize the Middle Jiao
  • Relax tension
  • Tonify Spleen Qi
Herb Formulas
Points
Clinical Manifestations
  • Edema of the face and limbs
  • Lassitude
  • Weakness
  • Epigastric distention and pain
  • Anorexia
  • A sallow complexion
  • Cold pain in the waist and knees
  • Watery feces
  • Maybe vaginal bleeding of pale and watery blood
  • T: Plump and may have indentations on the sides
  • C: Thin and white
  • P: Deep, thready and even
Treatment Principle
  • Warm the Kidneys
  • Strengthen the Spleen
  • Activate Qi
  • Mobilize water
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Palpitations
  • Bitter taste in mouth
  • Insomnia
  • Much dreaming
  • Dizziness
  • Easily startled
  • Restlessness
  • A stuffy feeling in the chest
  • T: Red tip
  • C: Yellow and greasy
  • P: Slippery, Excess, rapid and maybe wiry
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Palpitations, easily brought on by fright
  • Startles easily
  • Irritability
  • Insomnia
  • Much dreaming
  • Waking with palpitations or panic attacks and anxiety
  • Poor memory
  • Poor concentration
  • Low grade fever
  • Night sweats
  • Five Sole Heat
  • Restlessness
  • A dry mouth and throat
  • Thirst
  • Dizziness
  • Tinnitus
  • Malar flush
  • Low back pain
  • Dry stools or
  • Constipation
  • Possible mouth or tongue ulcers
  • T: Red, dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Clear Heat
  • Reinforce Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Emotional instability
  • Irritability
  • Anxiety
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Dizziness
  • Itchy skin
  • Pale face and lips
  • Fatigue
  • Anorexia
  • Epigastric fullness
  • Pale face
  • T: Pale
  • C: Thin and white or White and sticky
  • P: Thready and weak
Treatment Principle
  • Nourish Heart Blood
  • Calm the Heart and Shen
Herb Formulas
Points
Clinical Manifestations
  • Anxiety
  • Panic attacks
  • Easily startled or frightened
  • Irritability
  • Restlessness
  • Palpitations
  • Fatigue
  • Insomnia often waking to anxiety or panic
  • Very restless sleep
  • Nightmares
  • Inability to think or concentrate even for short periods
  • Forgetfulness
  • Abnormal emotional activity
  • Dry stools
  • Dry mouth and throat
  • Mouth sores
  • Tongue sores
  • Low grade afternoon fever
  • Dream disturbed sleep
  • Dizziness
  • Vertigo
  • Light-headedness
  • Night sweats
  • Five Sole Heat
  • Tinnitus
  • Constipation
  • Low back pain
  • T: Red
  • C: Little
  • P: Rapid or Thready and rapid or Deep, thready and rapid
Treatment Principle
  • Enrich the Yin
  • Nourish the Blood
  • TonifY the Heart
  • Calm the Shen
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Irregular menstruation
  • Heart palpitations
  • Restlessness
  • Insomnia with dream-disturbed sleep
  • Dizziness
  • Forgetfulness
  • Depression
  • Maybe grief with easy crying
  • Maybe emotional disturbances
  • T: Red tip
  • C:Scanty
  • P: Thready and rapid
Treatment Principle
  • Nourish Kidney Yin
  • Reduce Heart Fire
  • Calm the mind
Herb Formulas
Points
Clinical Manifestations
  • Hypochondriac pain
  • Headache
  • Vertigo
  • Bitter taste in the mouth
  • Dizziness
  • Frequent sighing
  • Epigastric pain and distention
  • Flatulence
  • Dry mouth and throat
  • Fatigue
  • Anorexia
  • Alternating chills and fever
  • Irregular menstruation
  • Breast distention
  • Lassitude
  • Insomnia
  • Shoulder and back pain
  • Rib pain
  • Cold extremities
  • Tightness or fullness in the chest
  • Pain in the arms and legs
  • Heaviness of the head
  • Night sweats
  • Bloating and pain at the umbilicus and abdomen
  • Diarrhea alternating with constipation
  • Five sole heat
  • Palpitations
  • Malar flush
  • Depression
  • Irritability
  • Increased desire to sleep
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Pacifies the Liver
  • Spreads Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Feeling of obstruction in throat as if a slice of roast meat were stuck there which cannot be coughed up nor swallowed down. This sensation becomes more prominent during emotional upset and subsides when relaxed
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Slippery and wiry (slippery due to Phlegm)
Treatment Principle
  • Spread Qi
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Difficulty falling asleep
  • Insomnia, worse when stressed
  • Dream-disturbed sleep
  • Waking in the early hours of the morning
  • Frontal or temporal headaches
  • Neck and shoulder tension
  • Teeth grinding at night
  • Frequent sighing
  • Dizziness
  • Red eyes
  • Facial flushing
  • Depression
  • Irritability
  • Moodiness
  • Easily angered
  • Hypochondriac tension or discomfort
  • Continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell
  • Nasal swelling
  • Sinus pain
  • Generally severe frontal, maxillary or temporal headache
  • Chronic sinus inflammation and congestion which is worse with stress or emotional upset
  • A sensation of something caught in the throat
  • May have pain or sinus pressure
  • May have occasional postnasal discharge
  • Bitter taste in the mouth
  • Irregular menstruation
  • Premenstrual syndrome
  • Breast tenderness
  • Poor appetite
  • alternation constipation and diarrhea
  • T: Red edges with spots
  • C: Thin and yellow
  • P: Wiry and possibly rapid
Treatment Principle
  • Soothe the Liver Qi
  • Clear Heat
  • Open the nose
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Weepiness
  • Irritability
  • Frustration
  •  Positively:
     Greater assertiveness
     Greater creativity
     Greater clarity
     Less passivity
  • Breast distention and/or swelling
  • Breast and/or nipple pain with dislike of pressure (severe cases may begin around ovulation)
  • Lumps or nodules which disappear after the on set of menstruation or enlarge or reduce according to the cycle
  • Suffocating sensation in the chest with difficulty taking a satisfying breath
  • Undue consciousness of breathing
  • Sighing
  • Headache
  • Neck ache
  • Shoulder pain
  • Desire to stretch the body
  • Desire to yawn
  • Lower abdominal distention or pain which is relieved at onset
  • Irregular menstruation (may be early or late)
  • Dream disturbed sleep
  • Constipation
  • Early or profuse menstruation
  • Restlessness
  • Thirst
  • Angry outbursts maybe alternating with crying and depression
  • Dizziness
  • Tinnitus
  • Insomnia
  • Fearful dreams
  • T: Red sides and tip
  • C: Normal
  • P: Wiry and rapid
Treatment Principle
  • Pacify the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Nourish Blood and Yin
  • Regulate menstruation
  • Sedate the Heart
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • 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
    Hematemesis
    Epistaxis
  • Liver Fire Attacks the Lungs:
    Hemoptysis
    Rib pain which is severe when coughing
  • Liver Fire Attacks the Stomach:
    Hematemesis
  • 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
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphagia
  • Unsteady gait
  • Dizziness
  • Vertigo
  • A feeling of distention in the eyes
  • Tinnitus
  • Feverish sensation in the head
  • Headache
  • Irritability
  • Flushed face as if intoxicated
  • Frequent belching
  • Progressive motor dysfunction occurring over hours to days
  • Development of facial asymmetry
  • Sudden loss of consciousness
  • Spasms
  • Heat and pain of the brain
  • Mental confusion with moments of lucidity
  • Inability to fully recover after loss of consciousness
  • Hiccups
  • Irritable Heat in the Heart
  • Deviation of mouth and eyes
  • Tremors
  • Limited mobility of the limbs
  • Maybe coma
  • Sometimes death
  • T: Red
  • C: Little
  • P: Thready and wiry or Wiry, Excess and long
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Blurred vision
  • Impaired vision
  • Dry eyes
  • Night blindness
  • Tinnitus
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five sole Heat
  • Night sweats
  • Light menses or
  • Late menses or
  • Amenorrhea
  • T: Red
  • C: Little
  • P: Thready, wiry and rapid
Treatment Principle
  • Nourish Yin
  • Nourish the Liver
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Impaired vision
  • Night blindness
  • Tinnitus
  • Irascibility
  • Throbbing headache with distended feeling
  • Flushed face
  • Blurred vision
  • Red, dry eyes with feeling of grit in eye
  • Dry mouth and throat with bitter taste in mouth
  • Palpitations
  • Headache
  • Nervousness
  • Insomnia with much dreaming
  • Dry throat
  • Thirst
  • Five Sole Heat (palms, soles and center of chest)
  • Night sweats
  • Light or late menses or
  • Amenorrhea
  • T: Red and dry
  • C: Little or None
  • P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Yang
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • A quick temper
  • Poor memory
  • Frightens easily
  • Insomnia with difficulty falling asleep or frequent waking
  • Much dreaming
  • Restless sleep
  • Maybe talking during sleep
  • Severe: Sleep walking
  • Tinnitus
  • Waking with a dry throat or thirst
  • Palpitations
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Red and dry
  • C: Little or None
  • P: Wiry or Thready and rapid
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
  • Nourish Yin
  • Calm the Hun
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Anxiety
  • Palpitations
  • Night sweats
  • Dizziness
  • Vertigo
  • Dry throat and mouth no thirst
  • Fidgeting
  • Insomnia
  • Insomnia due to stress
  • Excessive dreams
  • Lack of energy
  • Weakness and fatigue
  • Weak abdomen
  • Restlessness
  • Sleepiness
  • Light-headedness
  • Impatience
  • T: Pale or Red and dry
  • P: Wiry and rapid or Thready and rapid or Thready and weak or Thready and tight
Treatment Principle
  • Nourish Liver Blood
  • Calm the Shen
  • Clears Heat in Liver
  • Eliminate irritability
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Dry, rough eyes
  • A dry mouth
  • Low back and knees sore and painful
  • Numbness of the extremities
  • Throat dry and painful
  • Malar flush
  • Five Sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Spermatorrhea
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Vaginal discharge
  • Maybe palpitations
  • T: Red and tender
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
  • Lower Blood pressure
Herb Formulas
Points
  • GB-39, KI-3, LI-11, SP-6, ST-36
    With Kidney Yin Deficiency predominant: + UB-23
    With Liver Blood Deficiency predominant: +UB-18
    With Heart Yin Deficiency: + HT-7
    With Deficiency Fire Flaring: + KI-2
    With Liver Yang Rising: + GB-20
    For severe hypertension: + DU-14
    With nausea and vomiting: + PC-6
    With Heart palpitations: +PC-6
    For hypertension especially at night: + KI-6
    For a headache in the corner of the head: + ST-8
    For a headache at the temple: + needle then bleed Taiyang
    For a head at the occiput or neck tension: + UB-65
    For dizziness: + DU-20
  • KI-3, LIV-3, SP-6, UB-18, UB-23
Clinical Manifestations
  • Menstrual disorders
  • Flush fever
  • Irritability
  • Insomnia
  • Frequent dizziness
  • Tinnitus
  • Hot flashes
  • Sweating
  • Five sole Heat
  • Heart palpitations
  • Aches in the waist and knees
  • Maybe early or irregular menstruation, with bright red menses that may be increased or decreased
  • Maybe dry and itchy skin
  • Dry mouth and throat
  • Dry constipation
  • Decreased and dark urine
  • T: Red
  • C: Little or none or Slightly yellow
  • P: Thready and rapid
Treatment Principle
  • Nourish Kidney Yin
  • Suppress rising Yang
Herb Formulas
Points
Clinical Manifestations
  • Menstrual disorders
  • Lower back Cold pain
  • Edema
  • Cold pain in the waist and knees
  • Cold sensation in the lower abdomen
  • Cold body and limbs
  • A pale face
  • Aversion to Cold
  • Edema in the face and limbs
  • Loose stools
  • Clear, copious urination
  • Nocturia or polyuria with incontinence or
  • Oliguria
  • A dusky complexion
  • Lassitude
  • Maybe polymenorrhea
  • Maybe profuse vaginal bleeding of pale or gray Blood with clots
  • Maybe clear and thin vaginal discharge
  • With Spleen Yang Deficiency:
    Abdominal distention
    Epigastric fullness
    Anorexia
    Phlegm
    Obesity
  • T: Pale
  • C: Thin and white or White and greasy
  • P: Deep, thready and forceless or Deep, weak and slippery
Treatment Principle
  • Tonify Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Cold limbs
  • Frequent hot flashes with sweating
  • Headache
  • Dizziness
  • Vertigo
  • Tinnitus
  • Dry mouth and throat
  • Aches in the waist
  • Weakness
  • Five Sole Heat
  • Malar flush
  • Irregular menstruation
  • Metrorrhagia
  • Alternating Hot and Cold sensations
  • T: Pale or Pink or Pale-pink
  • C: Thin or None
  • P: Deep and thready or Deep and weak or Deep, thready and wiry
Treatment Principle
  • Nourish and balance Kidney Yin and Yang
  • Tonify the Chong and Ren channels
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus
  • Hearing loss
  • Stiffness of the spine
  • Low back and knees weak and aching
  • Leg pain and weakness
  • Decalcification of teeth
  • Hair loss
  • Graying or whitening of the hair
  • Weak sexual function
  • Atrophy and weakness of the feet with difficulty walking
  • Poor memory
  • Loss of concentration
  • Sexual activity weakened
  • Reproductive ability ceases
  • Senility (premature or mature)
  • Brittle bones
  • Gradual deterioration of the hearing
  • With Yang Deficiency:
    Aversion to Cold
    Edema of the lower limbs
    Incontinence
    Fatigue
    Anorexia
    Soft stools
    Hypersalivation
    Leukorrhea
    T: Pale and swollen
    C: White
    P: Deep and weak
  • With Yin Deficiency:
    A flushed face
    Dry mouth, worse in the evening
    Thirst
    Constipation
    Night sweats
    Five Sole Heat
    Pain during intercourse
    Lack of secretions
    T: Red
    C: Little or None
    P: Thready and rapid
Treatment Principle
  • Reinforce the Kidneys
  • Benefit Jing
Herb Formulas
Points
Clinical Manifestations
  • Pale facial complexion
  • Hair loss
  • Cold limbs
  • Aversion to Cold
  • Dizziness
  • Tinnitus
  • Weak and sore low back and knees
  • Cold sensation in the glans penis
  • Loose teeth
  • Spontaneous emissions
  • Nocturnal emissions
  • T: Pale red with fissures
  • C: Little or none
  • P: Deep, thready and forceless
Treatment Principle
  • Enrich the Liver
  • Boost the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Five Sole Heat
  • Low-grade fever
  • Night sweats
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Dry mouth and tongue
  • Lower back and knee pain
  • Urinary difficulty
  • Weakness of the lower back, knees and extremities
  • Steaming bones
  • Light-headedness
  • Headache
  • Vertigo
  • Chronic dry, sore throat
  • Hypertension
  • Diabetes
  • Facial flushing
  • Toothache
  • Wasting and thirsting disorder (Xiao Ke)
  • Muscular weakness
  • Irritability
  • Neuroses
  • Dry skin
  • Spontaneous and nocturnal emissions
  • Tidal fevers
  • Loose teeth
  • Dripping urine
  • Thirst
  • Swollen gums, painful and light red in color
  • Numbness and weakness at the waist and knees
  • Heel pain
  • Urinary incontinence
  • Pain at midline and in lower back
  • Flank pain
  • Irregular menses or
  • Scanty menses or
  • Amenorrhea
  • Metrorrhagia
  • Vaginal discharge
  • T: Red
  • C: Little or None
  • P: Thready and rapid (large at the Kidney positions)
Treatment Principle
  • Enrich Yin
  • Nourish the Essence of the Liver and Kidneys
  • Reduce Deficiency Fire
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Agitation
  • Irascibility
  • Dizziness
  • Headache
  • Chest tightness and pain
  • Malar flush
  • Afternoon sweating
  • Insomnia with much dreaming
  • Dizziness
  • Vertigo
  • A dry throat with a bitter taste or sputum in the throat
  • Menstruation is highly irregular
  • The menses are increased in amount and bright or dark red in color
  • Dysmenorrhea
  • Constipation
  • Weakness and pain in the low back and legs
  • T: Red edges
  • C: Scant or Thin and yellow
  • P: Taut and thready or Rapid.
Treatment Principle
  • Strengthen the Kidneys
  • Soften the Liver
  • Nourish Yin
  • Suppress Yang
Herb Formulas
Points
Clinical Manifestations
  • Memory loss
  • Forgetfulness
  • Absent-mindedness
  • Lack of concentration
  • Menorrhagia
  • Palpitations with or without anxiety
  • Insomnia (difficulty falling asleep)
  • Nightmares
  • Reduced appetite
  • Pale, wan complexion
  • Pale lips and nails
  • Early menstruation with copious pale blood
  • Continuous flow with little blood (spotting)
  • Excess perspiration
  • Night sweats
  • Irregular menstruation
  • Leukorrhea
  • Dizziness (mild and postural, worse with sitting or rising or lying down or when fatigued)
  • Blurred vision
  • Spots before the eyes
  • Low spirits
  • Depression
  • Bruising easily
  • Dream disturbed sleep
  • Short attention span
  • Anxiety
  • Phobias
  • Panic attacks
  • Fear
  • Low grade fever
  • Withdrawal
  • Fatigue and lethargy
  • Weakness
  • Genital itch
  • Impotence
  • Nocturnal emissions
  • Weak abdomen
  • Abdominal distention after eating
  • Premenstrual spotting
  • Dry skin and hair
  • T: Pale, maybe swollen
  • C: White
  • P: Thready and weak or Thready and moderate
Treatment Principle
  • Augment the Qi
  • Nourish the Blood
Herb Formulas
Points
Clinical Manifestations
  • Constipation
  • Facial flushing
  • Melancholy
  • Restlessness
  • Headache
  • Vertigo
  • Tinnitus
  • Abdominal distention
  • Acid regurgitation
  • Vertigo
  • Stiff shoulders
  • Neurosis
  • Fever
  • Palpitations
  • Lower back pain
  • Hot flashes
  • Belching
Treatment Principle
  • Tonify Qi
  • Nourish the Blood
  • Regulate Qi
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Abdominal masses which are visible when lying down
  • Piercing hypochondriac pain
  • Irritability
  • Indigestion
  • Constipation
  • Dysmenorrhea
  • Amenorrhea
  • Chronic diarrhea
  • Daybreak diarrhea
  • Palpable abdominal masses
  • Irregular menstruation
  • Breast distention
  • Abdominal tumors
  • Hypochondriac distention
  • T: Purple with purple spots on the side
  • P: Wiry, choppy and tight
Treatment Principle
  • Invigorate Blood
  • Dispel Blood Stasis
  • Move Qi
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Fatigue
  • Scanty periods
  • Amenorrhea
  • T: Pale
  • C: Thin, white and dry
  • P: Thready and rapid or Weak
Treatment Principle
  • Nourish Blood
  • Tonify the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Chronic, continuous uterine bleeding
  • A pale complexion
  • Stabbing pain in the abdomen
  • Alternating chills and fever
  • Irregular menstruation with profuse bleeding
  • Abdominal pain
  • Fever
  • Thirst
  • Itchy skin
  • Heat in the upper body with Cold in the lower body
  • Irritability and restlessness despite fatigue and exhaustion
  • Mood swings
  • A sallow complexion
  • Emaciation
  • T: Dry with a red tip
  • C: Thin white
  • P: Deep and rapid
Treatment Principle
  • Drain Fire
  • Resolve toxicity
  • TonifY the Blood
  • Stop Bleeding
  • Warm the menses
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Chronic stabbing pain in the chest
  • Pain in the hypochondrium
  • Chronic, stubborn headache with a fixed, piercing quality
  • Palpitations
  • Chronic incessant hiccups
  • Five sole Heat
  • Choking sensation when drinking
  • Dry heaves
  • Depression or low spirits with a sensation of warmth in the chest
  • Chest distention
  • Dry, scaly skin
  • Dark rings under the eyes
  • Spider naevi on the cheeks, nose, trunk, inner knee and ankle
  • Dizziness
  • Chronic tinnitus
  • Chronic gum disease with dark, purplish, patchy or dark, red atrophic gums
  • Loose teeth
  • Painful receding gums
  • Frequently bleeding gums
  • Vomiting after intake of water
  • Palpitations
  • Persistent daytime drowsiness
  • Insomnia (persistent with much dreaming)
  • Restless sleep
  • Forgetfulness
  • Irritability
  • Fidgeting
  • A bad temper
  • Extreme mood swings
  • Evening tidal fever
  • Dark or purplish lips, conjunctiva or nail beds
  • Dark complexion
  • Dark sclera
  • Hair loss on the head and body
  • T: Dark-red with purple spots on the edges
  • P: Choppy or Wiry and tight or Wiry and choppy or thready or Deep and choppy or Wiry
Treatment Principle
  • Invigorate the Blood
  • Dispel Blood Stasis
  • Unblock the channels
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Mild, persistent uterine bleeding of purple and black blood during pregnancy
  • Abdominal pain that is worse with pressure
  • Abdominal spasms and tension
  • Immobile masses in the lower abdomen with pain and tenderness
  • Amenorrhea with distention and pain
  • Dysmenorrhea
  • Headache
  • Sinus congestion
  • Constipation
  • Excess weight in the pelvis
  • Lower back ache
  • Irregular menstruation
  • Nervousness
  • Fatigue
  • Fetal instability
  • Skin eruptions
  • Scanty menstrual flow
  • Scaly, dry skin
  • Retention of lochia
  • Headache
  • Shoulder stiffness
  • Vertigo
  • Cold low body and feet
  • Flushed face
  • Protruding abdomen
  • T: Dark purple or with echymoses or petechiae or pale with purplish spots
  • C: White
  • P: Choppy or Tense and deep and slow
Treatment Principle
  • Invigorate Blood
  • Transform Blood Stasis
  • Soften lumps
  • Reduces fixed abdominal pain
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Severe headache
  • Flushed cheeks
  • Bad breath
  • Tinnitus
  • Hearing loss
  • Irritability
  • Insomnia
  • Coughing up viscous, thick sputum
  • Dark urine
  • Swollen lymph nodes
  • Abdominal tension and itching
  • Darkened skin
  • Epistaxis
  • Itching
  • Formation of cellulitis
  • T: Red
  • P: Wiry and rapid
Treatment Principle
  • Drains Fire
  • Relieves toxicity
  • Spreads the Liver Qi
  • Strengthens the Spleen
  • Disperses Wind-Heat
Herb Formulas
Points
Clinical Manifestations
  • Abrupt alternating chills and fever
  • malar flush
  • Paroxysmal feverishness
  • Sweating
  • Dizziness
  • Tinnitus
  • Dysphoria
  • Five Sole Heat
  • Palpitations Insomnia
  • Soreness and weakness of the low back and knees
  • Aversion to Cold
  • Cold limbs
  • Puffiness of the face
  • Edema of the limbs
  • Melancholy
  • Irritability
  • Extreme dysphoria
  • T: Red with teethmarks
  • C: Thin
  • P: Taut and thready
Treatment Principle
  • Nourish the Kidneys
  • Regulate Liver Qi
  • Harmonize the Chong and Ren channels
  • Balance Yin and Yang
Herb Formulas
  • Zi Xue Qing Gan Yin  modified
  • Chinese Patent Medicines:
    Liu Wei Di Huang Wan
    Jin Gui Shen Qi Wan
    Ren Shen Jian Pi Wan
Points