NEURASTHENIA

Clinical Manifestations
  • An ill-defined medical condition characterized by lassitude, fatigue, headache and irritability, associated chiefly with emotional disturbance.
Treatment Principle
Herb Formulas
  • Fry 12-15 seeds of Sm. Zizyphi Spinosae Suan Zao Ren to half-cooked, pulverize and grind. Take before sleep.
  • Decoct and drink 30g Sm. Zizyphi Spinosae Suan Zao Ren and 12g Rx. Salviae Miltiorrhizae Dan Shen.
  • Decoct and drink 4.5-9g Fr. Schisandrae Wu Wei Zi.
  • Chinese Patent Medicine:
    An Shen Bu Xin Wan
Points
Clinical Manifestations
  • Aversion to Wind
  • Mild, or severe chills
  • Fever which may be persistent
  • Uneasiness from fever
  • Spontaneous perspiration
  • Headache
  • Nausea
  • Nasal irritation
  • Nasal obstruction
  • Tendency to snore
  • Itchy throat
  • T: Normal
  • C: Thin and white
  • P: Superficial and slow or Moderate and maybe weak
Treatment Principle
  • Create sweat to relieve the Exterior and expel Wind
  • Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Fever
  • Headache
  • Anhidrosis
  • Anorexia
  • Belching
  • Aching shoulders
  • Tinnitus
  • Amenorrhea
  • A gasping cough
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Vertigo
  • Nausea
  • T: Normal
  • C: Thin and white
  • P: Floating or Floating and sinking
Treatment Principle
  • Regulate Qi
  • Release the Exterior
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
  • Alternating chills and fever (chills predominate) or
  • Chills without fever
  • Sensation of irritability in the chest
  • Sweating from the head
  • Fatigue
  • Gastrointestinal weakness
  • Heavy head
  • Neuralgia
  • Epigastric distension
  • Lower abdominal pain
  • Tension around pubic bone
  • Periumbilical pain
  • Urinary difficulty
  • T: Moist
  • C: White and slippery
  • P: Superficial and wiry
Treatment Principle
  • Disperse Clumping
  • Harmonize the Shao Yang
  • Warm the Interior
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Depression
  • 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
  • Sedate and calms the Spirit
  • Regulate Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Distention of the abdomen
  • Distention of the epigastrium
  • Fever
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Indigestion
  • Insomnia
  • Irritability
  • Resurgence of Heat signs
  • Thirst
  • T: Red
  • C: Greasy-dirty-yellow
  • P: Floating, slippery and rapid especially on the right position or Floating, full and rapid
Treatment Principle
  • Calm restlessness and irritability
  • Clear Heat
  • Disperse Stagnation
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Warm and transform Phlegm-Dampness
Herb Formulas
Points
Clinical Manifestations
  • Shortness of breath (difficult to inhale)
  • Dyspnea exacerbated by exertion
  • Asthma (inhalation difficult)
  • Soft, weak voice
  • Spontaneous perspiration
  • Aversion to Wind
  • Emaciated body
  • Exhausted Shen
  • Dispirited
  • Limbs cold
  • Face blue-green-colored
  • Maybe superficial edema of limbs and body
  • Maybe dysuria
  • Maybe stress incontinence on coughing
  • T: Pale, moist and swollen
  • C: White
  • P: Deep and thready or Weak
Treatment Principle
  • Nourish the Lungs
  • Soothe asthma
  • Reinforce the Kidneys to Grasp Qi
Herb Formulas
Points
Clinical Manifestations
  • 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
Points
Clinical Manifestations
  • Sallow complexion
  • Fatigue
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and deficient
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
Herb Formulas
Points
Clinical Manifestations
  • Prolapse of one or more organs
  • Sallow complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even or Soft and thready
Treatment Principle
  • Strengthen the Spleen
  • Benefit Qi
  • Reinforce the Center
  • Invigorate Yang
Herb Formulas
Points
  • DU-20, other points are selected according to the type of prolapse
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
  • Palpitations
  • Insomnia
  • Much dreaming
  • Easily startled
  • Poor memory
  • Panic attacks
  • Anxiety
  • Nervousness
  • Fatigue
  • Low spirits
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools
  • Sallow or pale, lusterless complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • Inability to get or maintain an erection
  • Impotence, worse with fatigue
  • Clammy palms
  • T: Pale
  • C: White
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
  • Gui Pi Tang modified
  • Chinese Patent Medicines:
    Gui Pi Wan
    Bai Zi Yang Xin Wan
    Ding Xin Wan
    Bu Nao Wan
    Yang Xin Ning Shen Wan
    Wu Zi Yan Zang 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
  • Insomnia
  • Restlessness
  • Agitation
  • Anxiety
  • Difficulty falling asleep
  • Dream disturbed sleep
  • Frequent waking with nightmares
  • Palpitations
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Restlessness
  • Irritability
  • Irascibility
  • Feeling of Heat and disturbance in the Heart
  • Flushed face
  • Bitter taste in the mouth
  • Scanty, dark urine
  • A red complexion
  • Maybe painful urination
  • Maybe hematuria
  • T: Red tip, ulcers especially on tip or Red with a redder tip
  • C: Normal or Yellow
  • P: Excess and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Insomnia
  • Continuous palpitations
  • A sensation of Heat and irritability in the chest
  • A desire to vomit without result
  • Dream-disturbed sleep
  • Anxiety
  • Tongue ulcers
  • Fidgeting
  • Maybe a rancorous disposition
  • Irritability
  • Fear and fright
  • Night sweats
  • Shortness of breath
  • Nausea
  • T: Red or Red tip
  • C: Normal
  • P: Thin and rapid
Treatment Principle
  • Sedate the Heart
  • Calm the Shen
  • Drain Fire
  • Nourish Yin
  • Relieve palpitations
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
  • Excessive perspiration (daytime)
  • Above symptoms worse after exertion or when tired
  • Cold limbs
  • Fatigue
  • Weakness
  • Maybe chills
  • Cyanosis
  • Suffocating sensation in chest
  • Depression
  • Facial pallor
  • T: Pale and swollen
  • C: White
  • P: Thready and weak or Knotted or Intermittent
Treatment Principle
  • Warm and Clear Heart Yang
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Dizziness
  • Epigastric fullness and contravection
  • Reflux vomiting
  • Sensation of Qi rushing upward to the chest (Running Piglet)
  • Suffocating sensation in chest
  • Weak cough
  • Expectorating watery white Phlegm
  • T: Pale
  • C: White
  • P: Deep and wiry
Treatment Principle
  • Clear Yang
  • Transform Harmful Fluid
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Dysuria
  • Shortness of breath
  • Dyspnea
  • Dizziness
  • Muscular twitching
  • Whole body edema
  • Cold body
  • Icy limbs
  • Cold abdomen with watery stools
  • Edema of limbs
  • Cough
  • Pale complexion
  • Lips and nails cyanosed
  • Soreness and aching of the shoulders and back
  • Abdominal pain
  • Diarrhea
  • T: Pale or Purple (Lavender)
  • C: White and greasy
  • P: Deep or Deep and minute
Treatment Principle
  • Support Yang
  • Expel Cold
  • Promote diuresis
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Low grade fever
  • Night sweats
  • Five sole Heat
  • Restlessness
  • Dry mouth
  • Thirst
  • Dry throat
  • Malar flush
  • 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 (especially on exertion)
  • Excessive perspiration (in daytime)
  • Symptoms worse after exertion or when tired
  • Facial pallor
  • Fatigue
  • Weakness
  • Suffocating sensation in chest
  • T: Pale and swollen
  • C: White
  • P: Weak or Big and weak or Intermittent
Treatment Principle
  • Reinforce and Strengthen Heart Qi
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Anxiety
  • Apprehension
  • Constant worry
  • Poor concentration
  • Irritability
  • Restless sleep
  • Insomnia
  • Dizziness
  • Emaciation
  • Shortness of breath
  • Constipation
  • Dry mouth and throat
  • Numbness
  • Dry cough
  • Cough with little or no sputum
  • Cough with blood streaked sputum
  • Spontaneous perspiration
  • Night sweats
  • Five Sole Heat due to stress
  • Early menses
  • Restlessness
  • Dry tongue
  • Pale copious menstrual flow
  • Weakness
  • Memory loss
  • Excess dreams
  • Fright
  • Physical and mental fatigue
  • Dry, hard stool
  • Coarse skin
  • Dry throat
  • Weakness
  • A skinny appearance
  • A pale complexion
  • T: Pale and shiny or Red
  • C: Thin and white or None
  • P: Knotted or Intermittent or Minute, forceless and Deficient or Thready and rapid
Treatment Principle
  • Augment Qi
  • Nourish Yin and Blood
  • Restores the Pulse
  • Calm the Shen
Herb Formulas
  • Zhi Gan Cao Tang
  • Chinese Patent Medicines:
    Jian Nao Wan
    Bai Zi Yang Xin Wan
    Ding Xin Wan
    Yang Xin Ning Shen Wan
    Bu Nan Wan
    An Shen Bu Xin Wan
Points
Clinical Manifestations
  • Palpitations
  • Irritability
  • Anxiety
  • Easily startled
  • Insomnia
  • Much dreaming
  • Poor memory
  • Dizziness
  • Pale face and lips
  • T: Pale
  • P: Thready and weak
Treatment Principle
  • Nourish Heart Blood
  • Calm the Heart and Shen
Herb Formulas
Points
Clinical Manifestations
  • Absent-mindedness
  • Frequent feelings of extreme sadness with an urge to cry
  • Inability to control one's emotions
  • Depression
  • Restless sleep
  • May be night sweats
  • Abnormal speech or behavior
  • Disorientation
  • Frequent yawning
  • T: Red
  • C: Scanty
  • P: Small and rapid
Treatment Principle
  • Nourish the Heart
  • Calm the Shen
  • Harmonize the Middle Jiao
  • Ease tension
  • Tonify Spleen Qi
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia with much dreaming
  • Easily startled
  • Eye dizziness
  • Both eyes dry and rough
  • Twitching of the eyes
  • Pain in the ribs and flanks
  • Numbness of the limbs
  • Stiffness and spasms of the tendons
  • Low grade fever
  • Night sweats
  • Irregular, scanty menses
  • T: Pale and thin
  • C: Little
  • P: Thready, choppy and forceless
Treatment Principle
  • Nourish Yin
  • Reinforce the Blood
  • Conceal Yang
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Irritability
  • Restless sleep
  • Occasional palpitations
  • Anxiety
  • Dizziness
  • Fright
  • Insomnia
  • Vertigo
  • T: Red or Pale or Pink
  • C: Little or None
  • P: Thready and wiry
Treatment Principle
  • Enrich Yin
  • Nourish the blood
  • Sedate the Heart
  • Calm the Shen
  • Calm the Liver
  • Anchor Yang
Herb Formulas
Points
Clinical Manifestations
  • Insomnia or frequent waking, often early in the morning
  • Unable to fall back to sleep
  • Nightmares
  • Waking terrified
  • Easily frightened or startled
  • Easily unsettled by seeming trivial events
  • Apprehension
  • Restlessness
  • Fearfulness
  • Inappropriate worry
  • Timidity
  • Phobias
  • Anxiety (frequent and severe)
  • Frequent panic attacks
  • Palpitations
  • Shortness of breath
  • Lethargy
  • Fatigue
  • Depression
  • Postnatal depression
  • Spontaneous sweating
  • T: Normal or Pale (chronic or congenital cases may show a deep narrow crack to the tip
  • C: Thin and white
  • P: Wiry and thready or Weak, thready and rapid
Treatment Principle
  • Strengthen Qi
  • Calm the Shen
  • Alleviate fearfulness
  • Calm the mind
  • Nourish and tranquilize the Heart
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
  • Nocturnal emissions
  • Forgetfulness
  • Dry stools
  • Dry mouth and throat
  • Mouth sores
  • Tongue sores
  • Low grade afternoon fever
  • Dream disturbed sleep
  • Dizziness
  • Light-headedness
  • Night sweats
  • Five Sole Heat
  • Tinnitus
  • Constipation
  • Low back pain
  • T: Red
  • C: Little
  • P: Rapid or Thready and rapid
Treatment Principle
  • Enrich the Yin
  • Nourish the Blood
  • TonifY the Heart
  • Calm the Shen
  • Clear Heat
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
  • Nocturnal emissions
  • Forgetfulness
  • Dry stools
  • Dry mouth and throat
  • Mouth sores
  • Tongue sores
  • Low grade afternoon fever
  • Dream disturbed sleep
  • Dizziness
  • Light-headedness
  • Night sweats
  • Five Sole Heat
  • Tinnitus
  • Constipation
  • Low back pain
  • T: Red
  • C: Little
  • P: Rapid or Thready and rapid
Treatment Principle
  • Enrich the Yin
  • Nourish the Blood
  • TonifY the Heart
  • Calm the Shen
  • Clear Heat
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Insomnia
  • Much dreaming
  • Wakes early
  • Sleepiness during the day
  • Easily startled
  • Lack of energy
  • Poor memory
  • Four limbs tired and lethargic
  • Loss of appetite
  • Distention and fullness of the epigastrium and abdomen
  • Loose stools or
  • Diarrhea
  • Sallow complexion
  • Copious, pale menses
  • Uterine bleeding or
  • Light menstrual flow or
  • Amenorrhea
  • T: Pale maybe with teeth marks
  • C: Thin and maybe slimy
  • P: Thready and weak
Treatment Principle
  • Reinforce and Benefit the Heart and Spleen
Herb Formulas
Points
Clinical Manifestations
  • Abdominal distention and pain
  • Gas
  • Borborygmus
  • Diarrhea
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Women:
    Irregular menses
    Dysmenorrhea
    Breast distention and pain before and during menses
  • T: Pink
  • C: White and greasy
  • P: Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
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
  • Depression
  • Irritability
  • Lassitude
  • Insomnia
  • 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
  • Shoulder and back pain
  • Rib pain
  • Tightness or fullness in the chest
  • Cold extremities
  • 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
  • Increased desire to sleep
  • T: Pink
  • C: Thin white or yellow
  • P: Wiry and Deficient or Wiry, tight and Deficient
Treatment Principle
  • Regulate Liver Qi
  • Nourish the Blood
  • Calm the Shen
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
  • A quick temper
  • 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
  • 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
  • Muscle spasms
  • Feverishness
  • Bruxism
  • Palpitations
  • Anxiety
  • Hysteria
  • Fever and chills
  • Alternating chills and fever
  • Spitting of sputum or saliva
  • Abdominal distention
  • Reduced appetite
  • Restless sleep
  • Nervousness
  • Rigidity and pain of the neck and head
  • Opisthotonos
  • Numbness of the limbs
  • Vertigo
  • Dizziness
  • Hemiplegia
  • Irritability
  • Insomnia
  • Clenching or grinding of teeth
  • Easily frightened
  • Restlessness
  • T: Pale red
  • C: Little or None
  • P Weak and rapid
Treatment Principle
  • Nourish Blood
  • Tonify the Spleen
  • 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
  • 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
  • A headache
  • Dizziness
  • Blurred vision
  • Bitter taste in the mouth
  • Nausea
  • Vomiting
  • Agitation
  • Restlessness
  • Irritability
  • A quick temper
  • Indecision
  • Suspiciousness
  • Palpitations with anxiety
  • Insomnia
  • Frequent sighing
  • Suffocating sensation in the chest
  • T: Pink
  • C: Yellow and greasy or Thin and white
  • P: Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle
  • Clear Heat
  • Transform Phlegm
  • Descend Contravecting Qi
  • Harmonize the Stomach
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • 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
  • 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
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of low back
  • Spermatorrhea or premature ejaculation
  • Aching in bones
  • Aching in leg and heel
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reinforce the Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Tinnitus or deafness
  • Poor memory
  • Aching, soreness or weakness of the low back
  • Spermatorrhea or
  • Premature ejaculation
  • 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
  • Feebleness
  • Exhaustion
  • Abdominal pain
  • Lower back pain
  • Low energy
  • Lethargy
  • Impotence
  • Cold and pain of the knees
  • Cold extremities
  • Shortness of breath
  • Fatigue
  • Nocturnal emission
  • Separation of Yang
  • T: Pale
  • C: White
  • P: Thin
Treatment Principle
  • Warm Kidney Yang
  • Replenish Jing
Herb Formulas
Points
Clinical Manifestations
  • Pallid or sallow complexion
  • Palpitations with anxiety that may be continuous
  • Reduced appetite
  • Shortness of breath
  • Laconic speech
  • Easily fatigued extremities
  • Light-headedness and/or vertigo
  • Dizziness
  • Anorexia
  • Thirst
  • Course skin
  • Headache
  • Blurred vision
  • Lassitude
  • Severe chills and fever
  • Midline pain in women
  • Lower abdominal pain
  • Lower abdominal distention
  • Severe chills and fever
  • Irregular menstruation
  • Weight loss
  • Abscesses that neither suppurate nor improve
  • Continuous spotting from uterine bleeding
  • Weakness of the limbs
  • Itching
  • Under weight
  • T: Pale
  • C: Thin and white
  • P: Thin and frail or Large and Deficient without strength
Treatment Principle
  • TonifY and augment Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Fatigue
  • Anorexia
  • Dizziness
  • Pale face
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Scanty periods
  • Chills
  • Cold limbs
  • Inability to get warm
  • Loose stools
  • Profuse clear urine
  • Spontaneous sweating
  • Lassitude
  • T: Pale
  • C: White or Thin, white and dry
  • P: Slow, deep and weak or Empty or Thready and rapid or Weak
Treatment Principle
  • Tonify Qi and Blood
  • Strengthen the Spleen
  • Tonify Yang
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Palpitations
  • Insomnia
  • Dry skin
  • Dry hair
  • Poor memory
  • Paleness
  • Fatigue
  • Scanty periods
  • 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
  • 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
Herb Formulas
Points
Clinical Manifestations
  • Mental disorientation
  • Irritability
  • Insomnia
  • Palpitations
  • Depression
  • Restlessness
  • Hopelessness
  • Sudden mood swings
  • Erratic behavior
  • Feels cold then not cold
  • Feels hot then not hot
  • Aversion to life
  • Dry mouth
  • Dry stools
  • Dry throat
  • Fatigue
  • Irregular stools
  • Lethargy
  • Mental instability
  • Obsessions
  • Craves food the hates food
  • Does not like to talk
  • Does not know what he/she wants
  • Dark urine
  • A bitter taste in the mouth
  • Dizziness
  • Muddled thinking
  • T: Red
  • C: Little or None
  • P: Slightly rapid or Weak and rapid or Thready and rapid
Treatment Principle
  • Moisten the Lungs and Heart
  • Nourish Fluids
  • Nourish Yin
  • Clear Deficiency Heat
  • Cool the Blood
Herb Formulas
Points