NEPHRITIS

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Severe chills
  • Mild or no fever
  • Headache
  • Generalized discomfort
  • Stiff neck and shoulders
  • 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
  • Acute nephritis
  • Chills and fever
  • Achiness
  • Stiff neck and shoulders
  • Anhidrosis
  • Headache
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Cold
  • Maybe frozen shoulder
  • * The Tai Yang symptoms remain for 2-3 days
  • Thirst with no desire to drink
  • May have vomiting immediately after drinking
  • Nausea with epigastric splash on palpation
  • Difficult urination
  • Dribbling urination or
  • An interrupted urinary stream
  • Scanty urination
  • Urinary retention
  • Edema
  • May have upper body edema
  • T: Normal
  • C: White
  • P: Floating and slippery
Treatment Principle
  • Promote urination
  • Dispel Dampness
  • Expel Wind
  • Expel Cold fro the Tai yang Channels and Bladder
Herb Formulas
Points
Clinical Manifestations
  • Distention and fullness of epigastrium and abdomen
  • Nausea
  • Vomiting
  • Anorexia
  • Loose stools
  • Diarrhea
  • Reduced sensation of taste
  • No thirst or preference for hot drinks
  • Sticky sensation in mouth
  • Borborygmus
  • Lassitude
  • Yin jaundice
  • Heavy head
  • Maybe edema
  • Maybe copious white vaginal discharge
  • Maybe cold limbs, fear of Cold or feeling chilled
  • T: Pink
  • C: Thick, white and greasy or sticky
  • P: Deep and slow
Treatment Principle
  • Warm Cold
  • Transform Dampness
  • Harmonize the Stomach
  • Strengthen the Spleen
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
  • 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 release the Shao-Yang
  • Harmonize the Liver, Spleen and Intestines
  • Dispel Water Accumulation
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
  • Alternating chills and fever
  • Restlessness
  • Irritability
  • Anorexia
  • Sometimes fatigue
  • Nausea
  • Occasional vomiting
  • Headaches (side of head)
  • Hypochondriac pain
  • Rib pain
  • Achiness
  • Ear infection
  • Hearing difficulty
  • Red eyes
  • Stiff shoulders
  • Throat pain
  • Hip pain
  • T: Normal with bumps or dots on side
  • C: Thin white
  • P: Wiry
Treatment Principle
  • Harmonize the Liver and Gall Bladder
Herb Formulas
Points
Clinical Manifestations
  • Alternating chills and fever
  • Thirst
  • A bitter taste in the mouth
  • Anorexia
  • Edema
  • Vomiting and diarrhea with water intake
  • Dysuria
  • Fullness and oppression in the chest and hypochondrium
  • Diarrhea
  • T: Pink
  • C: White
  • P: Superficial and wiry
Treatment Principle
  • Harmonize the Exterior and the Interior
  • Relieve the Shao Yang
  • Dispel Water Accumulation
  • Resolve Phlegm Accumulation
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Curls up a lot
  • Doesn't like to talk
  • Tired (disoriented)
  • Fatigue
  • Constant somnolence
  • Sleeping with the knees drawn up to the chest
  • Generalized edema
  • No spirit
  • Dull Shen
  • Cold extremities
  • Aching and heaviness in the extremities
  • Diarrhea or loose stools or undigested food
  • Clear, frequent urine
  • Nocturia
  • Oliguria
  • Lower back pain
  • Maybe nausea (wants to vomit but can't)
  • Abdominal pain which is relieved by warmth and pressure
  • No thirst
  • Cough with thin, watery mucus
  • Likes warm drinks
  • Severe edema in chest
  • Palpitations
  • Dizziness
  • T: Pale, swollen and moist
  • C: White and greasy
  • P: Deep and weak or Slow, deep and weak
Treatment Principle
  • Restore Yang
  • Reverse inward energy
  • Expel Cold
Herb Formulas
Points
Clinical Manifestations
  • Urinary difficulty
  • Thirst with a desire to drink
  • Fever worse at night
  • Cough
  • Nausea/vomiting
  • Irritability
  • Insomnia
  • Restlessness
  • Diarrhea
  • Anxiety
  • Edema
  • Lower abdominal distention and pain
  • Maybe hematuria
  • Painful urination with Yin Deficiency
  • Urinary dribbling
  • Decreased urination
  • Dry skin
  • Sunken eyes
  • Dry throat and/or mouth
  • Chronic sore throat (not acute)
  • Restlessness
  • Malar flush
  • Insomnia
  • Disturbed speech
  • Low grade fever, worse in afternoon
  • Yellow urine
  • Irritability with a sensation of Heat in the chest
  • Palpitations with anxiety
  • Sores in the mouth or on the tongue
  • More Heat than in Yin Deficiency (chronic low grade fever)
  • T: Red or Dark red and dry
  • C: None or Thin and yellow
  • P: Deep, thready and rapid or Thready and rapid or forceful and rapid
Treatment Principle
  • Promote urination
  • Clear Heat
  • Nourish Yin
Herb Formulas
Points
Clinical Manifestations
  • 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
  • T: Pale
  • C: White
  • P: Deep and thready (may be almost imperceptible).
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Nourish the Blood
  • Unblock the Blood vessels
Herb Formulas
Points
Clinical Manifestations
  • Lingering fever from a febrile disease
  • Vomiting
  • Irritability
  • Thirst with a desire to drink
  • Parched mouth, lips and throat
  • Choking cough
  • Restlessness
  • Insomnia
  • Nausea
  • Anorexia
  • Profuse perspiration
  • A dry mouth
  • Indigestion
  • Listlessness
  • Chest oppression
  • Ulcerations of the mouth
  • Coarse skin
  • Cough
  • Night sweats
  • Stifling sensation in the chest or epigastrium
  • T: Red
  • C: Little or None
  • P: Rapid and Deficient or Thready and rapid
Treatment Principle
  • Clear Heat
  • Generate fluids
  • TonifY Qi
  • Harmonize the Stomach
Herb Formulas
Points
Clinical Manifestations
  • 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
  • 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
  • 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
  • Abrupt onset
  • Attacks the head first, then the face, then the lower extremities
  • Lustrous skin
  • Cough
  • Asthma
  • Chest fullness and discomfort
  • Rapid respiration
  • Inability to stretch
  • Chills and fever
  • Thirst
  • Scanty urine
  • Low back pain
  • T: Normal
  • C: White
  • P: Floating, rolling and rapid
Treatment Principle
  • Dispel Wind-Cold
  • Dispel Dampness
Herb Formulas
Points
Clinical Manifestations
  • Numbness and pain of the extremities
  • Joint swelling and pain, especially hands and feet
  • Heaviness of joints
  • Numbness of the joints
  • Stiffness of the joints
  • Fever
  • Heaviness of the body
  • Coldness of the body
  • Dizziness
  • Likes pressure
  • Fatigue
  • Pale complexion
  • Preference for warmth
  • Swelling, pain, numbness and stiffness of the joints
  • Skin cornification
  • T: Pale
  • C: Thick, white or Greasy white
  • P: Thready and slippery
Treatment Principle
  • Dispel Wind and Dampness
  • Benefit Qi
  • Invigorate Blood circulation
  • Reduce swelling
  • Moisten dry Blood
  • Tonify the Blood
  • Warm the Channels
  • Relieve spasms
  • Relieve muscular tension
Herb Formulas
Points
Clinical Manifestations
  • Generalized body aches and pains
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Multiple sores, carbuncles furuncles or abscesses
  • Redness
  • Itching
  • Persistent swelling
  • Chest pain
  • Fever
  • Thirst
  • Aching and painful extremities
  • Aching and painful joints
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • T: Normal
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight
Treatment Principle
  • Resolve Dampness
  • Clear Heat
  • Disperse Wind
  • Stop pain
  • Invigorate the Blood
  • Tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Difficult urination
  • Scanty, pale urination
  • Often follows an acute febrile disease
  • Orbital and facial edema, followed by
  • Edema of the limbs or
  • Whole body edema
  • Fever and chills
  • Dry, sore throat
  • Coughing
  • Dyspnea
  • Heaviness in the limbs
  • Aching joints and muscles
  • T: Pink
  • C: Thin and white
  • P: Floating and tight or Floating, slippery and rapid
Treatment Principle
  • Descend Lung Qi
  • Open the water passages
Herb Formulas
  • Yue Bi Jia Zhu Tang
  • With Internal Heat affecting the Lungs: Qing Fei Yin Er Hao
  • If neither of the above treatments is successful after a few days, or the patient exhibits marked Qi Deficiency manifestations: Fang Ji Huang Qi Tang modified
  • Chinese Patent Medicines:
    Ma Xing Zhi Ke Pian
    Zhi Sou Ding Chuan Wan
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
  • 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
  • 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
  • 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
  • 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
  • Generalized edema
  • Sensation of heaviness, distention and fullness in the epigastrium and abdomen
  • Labored, heavy breathing
  • Urinary difficulty
  • Asthma
  • Chest distention
  • General edema in summer
  • Gasping
  • Rapid breathing
  • T: Normal
  • C: White and slippery
  • P: Thready and moderate or slipper
Treatment Principle
  • Resolve Dampness
  • Reduce edema
  • Regulate Qi
  • Strengthen the Kidneys
  • Reduce swelling
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
  • Suprapubic pain, fullness or discomfort
  • The pain is dull and dragging and is relieved by warmth and pressure over the Bladder area
  • Urinary dribbling or mild incontinence
  • Frequent, clear urination with dull or empty pain over the Bladder area
  • All symptoms are worse with overexertion or when fatigued
  • Chronic, recurrent cloudy urine that is like rice-water
  • A dragging or sinking feeling in the lower abdomen
  • Prolapse of one or more organs
  • May be a history of lower abdominal surgery
  • A pale or sallow complexion
  • Puffy eyelids
  • Edema of the extremities, especially the fingers which is worse in the morning
  • Anorexia
  • Four limbs feel tired and heavy
  • Lethargy
  • 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 or Deficient, thready and weak
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
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
  • 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
  • Shi Pi Yin
  • With little or no edema Cold or no obvious symptoms: Bu Zhong Yi Qi Tang
  • Chinese Patent Medicines:
    Fu Zi Li Zhong Wan
    Bu Zhong Yi Qi Wan
Points
Clinical Manifestations
  • 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
  • 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
  • Focal and generalized distention
  • Fullness, distention and pain in the epigastrium and abdomen with constipation or
  • Red and white dysenteric diarrhea with tenesmus
  • Pus-like bloody stool
  • Difficult defecation
  • Difficult urination
  • T: Normal
  • C: Yellow and greasy
  • P: Deep and Excess
Treatment Principle
  • Promote the movement of Qi
  • Guide out Stagnation
  • Purge accumulations
  • Drain Heat
Herb Formulas
Points

Clinical Manifestations
  • Restlessness
  • Irritability
  • Thirst
  • Nocturnal emission
  • Insomnia
  • Dream disturbed sleep
  • Lack of spirit
  • Fatigue
  • Low back pain
  • Tinnitus
  • Dysuria
  • Depression
  • Turbid urine
  • Abnormal uterine bleeding
  • Polyuria
  • Enuresis
  • Seminal emission
  • Leukorrhea
  • Blood tinged leukorrhea
  • Anorexia
  • Dry mouth
  • Dry Tongue
  • Five Sole Heat
  • Fever
  • Physical and mental overexertion
  • T: Red
  • C: Little or None
  • P: Deep and rapid
Treatment Principle
  • Clear Heart Fire
  • Disperse Damp-Heat
  • Benefit Qi and Yin
  • Promote urination
Herb Formulas
Points

Clinical Manifestations
  • 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
  • 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
  • Frequent urination
  • Cloudy urine that resembles rice-water
  • Seminal emissions
  • Enuresis
  • Disorientation
  • Constipation
  • Forgetfulness
  • Anorexia
  • T: Pale or Light pink
  • C: Thin and white
  • P: Thin, slow and frail or Deep and weak
Treatment Principle
  • Regulate and tonify the Heart and Kidney
  • Stabilize Jing
  • Stop seminal emissions
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Continuous cramping pain in the abdomen
  • Pain is not severe
  • Pain is relieved by pressure
  • Edema of the feet
  • Urinary difficulty
  • Slight edema (primarily of the lower limbs)
  • Symptoms generally occur during pregnancy
  • Pale face
  • Fatigue
  • Heaviness of head
  • Lassitude
  • Lower abdominal pain
  • Dizziness
  • Tinnitus
  • Lumbago
  • Edema
  • Abdominal pain with edema during pregnancy due to Blood Deficiency and abnormal water circulation
  • Oliguria
  • Palpitations
  • Cold feet
  • Extreme coldness of the hands and feet
  • Vertigo
  • Weakness and numbness of lower back and legs during pregnancy or postpartum
  • Mal position of the fetus
  • Dysmenorrhea
  • Irregular menstruation
  • Right upper quadrant pain
  • Hepatomegaly
  • Anemia
  • Lack of energy
  • Sore back
  • Thirst with no desire to drink
  • T: Pale or pink maybe petechiae on margin
  • C: Thin or Greasy white
  • P: Deep and weak or Soft, floating, small and slow or Wiry and small or Wiry and rough
Treatment Principle
  • Nourish Liver Blood
  • Soften the Liver
  • Spread Liver Qi
  • Strengthen the Spleen
  • Resolve Dampness
  • Reinforce the Spleen and Kidney
Herb Formulas
Points
Clinical Manifestations
  • Pale complexion
  • Pale lips
  • Blurred or failing vision
  • Spots before the eyes
  • Dizziness
  • Dry eyes
  • Pale nail beds
  • Irritability
  • Frightens easily
  • Insomnia with much dreaming
  • Tinnitus
  • Numbness of the limbs
  • Light menses or
  • Amenorrhea
  • Late menses
  • T: Pale
  • C: Little
  • P: Thready
Treatment Principle
  • Nourish the Liver
  • Reinforce the Blood
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
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Chronic, or recurrent cloudy or opaque urination that is frequent and copious
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Waxy, pale complexion with dark rings under the eyes
  • Oliguria with edema
  • Edema below the waist and in the ankles
  • Cold extremities
  • Maybe nocturia
  • Lassitude
  • Listlessness
  • Lethargy
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Difficult urination
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Low back and knees aching and weak
  • Hearing deficit
  • Jing Gate Not Consolidated:
    Spermatorrhea
    Premature ejaculation
    Vaginal discharge
    Infertility
  • Urinary disorder:
    Frequent, clear, abundant urination
    Dribbling after urination
    Incontinence of urine
  • T: Pale and swollen with teethmarks
  • C: Thin white
  • P: Deep and thready
Treatment Principle
  • Consolidate the Kidneys
  • Conserve Qi
Herb Formulas
Points
Clinical Manifestations
  • Scanty, concentrated urine
  • Dry mouth and throat
  • Restlessness
  • Irritability
  • Insomnia
  • Malar flush
  • Night sweats
  • Dizziness
  • Five Sole Heat
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Aching in bones
  • Aching in leg and heel
  • A tendency toward dry stools or constipation
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reinforce the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Chronic cloudy, scanty, yellow urine or
  • Opaque urine like rice-water
  • 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
  • Amenorrhea
  • Irregular menstruation
  • Hot flashes
  • Dizziness
  • Tinnitus
  • Night sweats
  • Perspiration
  • Nervousness
  • Muscular flaccidity
  • Fatigue
  • Mood swings
  • Cold feet
  • Lassitude
  • Frequent, clear urine
  • Irritability
  • Headache
  • Palpitations
  • Insomnia
  • T: Pale
  • C: Thin and white
  • P: Thready and rapid
Treatment Principle
  • Replenish Kidney Yin and Yang
  • Tonify Kidney Jing
  • Purge Deficiency Fire
  • Regulate the Chong and Ren
Herb Formulas
Points
Clinical Manifestations
  • Light-headedness
  • Vertigo
  • Tinnitus
  • Soreness and weakness in low back and legs
  • Spontaneous and nocturnal emissions
  • Night sweats
  • Dry mouth and throat
  • Thirst with a desire to drink
  • Dizziness
  • Forgetfulness
  • Deafness
  • Rhinitis
  • Dribbling of urine
  • Malar flush
  • Five Sole Heat
  • Insomnia
  • Hair loss
  • Loss of teeth
  • Infertility
  • Amenorrhea
  • Uterine bleeding
  • Spontaneous perspiration
  • Spermatorrhea
  • Poor vision
  • T: Red and shiny
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Tonify the Kidneys
  • Supplement Jing
  • Benefit the Marrow
Herb Formulas
Points
Clinical Manifestations
  • Cloudy or oily urination
  • The cloudiness may be intermittent
  • Difficult urination
  • Painful urination
  • Uncomfortable urination
  • Frequent urination
  • Maybe urinary incontinence
  • Low back pain
  • Weak, sore knees
  • Dizziness
  • Weakness
  • Fatigue
  • Emaciation
  • Pallor
  • T: Pale
  • C: Greasy
  • P: Thready and weak
Treatment Principle
  • Tonify and consolidate Kidney Qi
  • Leach out residual Dampness
Herb Formulas
Points
Clinical Manifestations
  • General weakness
  • Sexual dysfunction
  • Impotence
  • Premature ejaculation
  • Male infertility
  • Frequent urination
  • Dribbling of urine
  • Lumbar pain or weakness
  • Depression
  • Fatigue and poor memory following ejaculation
  • Weak bladder
  • Low sperm count
Treatment Principle
  • Tonify the Kidneys
  • Nourish and astringe Jing
  • Benefit the eyes
  • Tonify Kidney Yang
  • Tonify the Blood
Herb Formulas
Points
Clinical Manifestations
  • Urinary frequency
  • Urinary urgency
  • Painful urination or
  • Continuous dripping of urine or
  • Sudden interruption to the urinary stream
  • Turbid urine or
  • Pus and blood in the urine or
  • Sand and stones in the urine
  • In Damp-Heat Pouring Downward there may also be:
    Fever
    Thirst
    Dry mouth
    Low back pain
  • In Damp-Heat Crystallizes in Urinary Bladder there may also be:
    Colicky pain in the low back, possibly radiating to the groin
  • T: Red
  • C: Yellow
  • P: Slippery and rapid
Treatment Principle
  • Clear Heat
  • Eliminate Dampness by diuresis
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Aching bones and joints
  • Muscle ache
  • Whole body pain
  • Aversion to Cold, especially at the back
  • Cold limbs
  • No Thirst
  • Lower abdominal pain and Cold
  • Abdomen feels chilled
  • Maybe fever
  • No thirst
  • T: Normal
  • C: White and slippery
  • P: Deep and faint or Forceless or Choppy and slow or Wiry
Treatment Principle
  • Dispel Cold
  • Warm the channels
  • Assist Yang
  • Dispel Dampness
  • Relieve pain
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Cough which may be productive or non-productive
  • Dyspnea
  • Night sweats
  • Hemoptysis
  • Sore throat
  • Throat sores
  • Facial flushing
  • Constipation
  • A dry mouth and throat
  • Wheezing
  • Steaming bones
  • Hoarseness
  • Thirst
  • T: Red, dry and cracked
  • C: Little or None
  • P: Thready and rapid or Thready, rapid and weak
Treatment Principle
  • Nourish Yin
  • Descend Fire
  • Tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Wind and Cold
  • Spontaneous sweat
  • Recurrent colds
  • Shiny, pale complexion
  • Increased susceptibility to external invasion
  • T: Pale or pink
  • C: White
  • P: Floating, Deficient and soft
Treatment Principle
  • Tonify Qi
  • Stabilize the exterior
  • Stop sweat
Herb Formulas
Points
Clinical Manifestations
  • Pitting edema, worse in the extremities
  • A sensation of heaviness in the body and extremities
  • Fibrillations in the skin and muscles of the extremities
  • Dysuria
  • T: Normal
  • C: White and slippery
  • P: Floating
Treatment Principle
  • Augment Qi
  • Unblock Yang
  • Promote urination
  • Reduce edema
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
  • Strengthen the Spleen and Lungs
  • Nourish the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Postpartum emaciation and weakness
  • Persistent, tight abdominal pain
  • Abdominal pain with spasms or radiates to back and waist
  • Cannot eat
  • Shortness of breath
  • Dyspnea
  • 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
  • Relieve spasmodic pain
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Abdominal Cold
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich Yin
  • Nourish the Blood and Yang
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • Ascites
  • Heaviness in the body and head
  • Aversion to Cold
  • Warming the abdomen makes it better
  • Edema of the extremities (usually not pitting)
  • Scanty urination
  • Loose stools or
  • Diarrhea
  • T: Normal
  • C: Greasy and white
  • P: Soft and moderate or Wiry and slow
Treatment Principle
  • Transform Dampness
  • Drain Fluids
  • Warm Yang
  • Disperse Cold
Herb Formulas
  • Shi Pi Yin modified
  • Chinese Patent Medicines: Fu Zi Li Zhong Wan
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
  • Harmonizes the Spleen
  • Relieve edema
  • Move Qi
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Irritability
  • Fidgeting
  • Dry mouth
  • Dry throat
  • Incoherent speech
  • Insomnia
  • Dark urine
  • Deep-rooted boils
  • Maculae
  • Carbuncles
  • Hematemesis
  • Hemoptysis
  • Palpitations
  • Furuncles
  • Tinnitus
  • Purpura
  • Red face
  • Rashes
  • Deep-rooted boils
  • Red eyes
  • Itchy skin
  • Fidgeting
  • Dry lips
  • Delirium
  • Dysentery with fever
  • Jaundice
  • Epistaxis
  • Hematuria
  • Cloudy mind
  • Diarrhea
  • T: Red
  • C: Yellow
  • P: Rapid and forceful
Treatment Principle
  • Clear Heat
  • Drain Fire
  • Relieve toxicity from all three Jiaos
  • Relieve inflammation
  • Stop bleeding
  • Purge Damp-Heat
  • Purge the Gallbladder
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
  • Marked emotional changes and behavior
  • Irritability
  • A feeling of Qi rushing upward
  • Red eyes
  • Headache - lasts all day
  • Tinnitus
  • Palpitations
  • Insomnia
  • Hot flushes
  • Anorexia
  • A feeling of distention and oppression below the Heart
  • Abdominal bloating
  • Muscle spasms in the shoulders, neck and back
  • Dizziness
  • Vertigo
  • T: Red edges
  • C: Greasy
  • P: Soft and wiry and maybe rapid
Treatment Principle
  • Clear Heat from the Liver channel
  • Descend Liver Yang
  • Extinguish Liver Wind
  • Transform Phlegm
  • Strengthen the Spleen
  • Enrich Fluids
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Paralysis
  • Atrophy of the lower limbs
  • Facial paralysis
  • Slurred speech
  • Drooling
  • Dry stools
  • Frequent urination
  • Urinary incontinence
  • Deviation of the eyes and mouth
  • Excess salivation
  • Cold extremities
  • Asthenia
  • T: Normal
  • C: White
  • P: Moderate
Treatment Principle
  • Tonify Qi
  • Invigorate the Blood
  • Unblock the channels
  • Promote movement in the limbs
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
  • Heaviness
  • Swollen extremities
  • Pain in the extremities
  • Sluggish urination
  • Aversion to Cold
  • Fever
  • Anhidrosis
  • Cough
  • Asthma with Phlegm
  • T: Swollen
  • C: Greasy and white
  • P: Tight and wiry
Treatment Principle
  • Warm Yang
  • Benefit water
  • Dispel exogenous pathogens
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
  • Generalized edema
  • Wheezing
  • Dyspnea
  • Restlessness
  • Anuria
  • Irritability
  • Thirst
  • Constipation
  • Urinary obstruction
Treatment Principle
  • Drain downward
  • Drive out water
  • Expel Wind
  • Release the Exterior
Herb Formulas
Points