NEUROSIS(CARDIAC NEUROSIS)

Clinical Manifestations
Treatment Principle
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
  • Alternating chills and fever
  • Restlessness
  • Irritability
  • Anorexia
  • Sometimes fatigue
  • Nausea
  • Occasional vomiting
  • Headaches (side of head)
  • Hypochondriac pain
  • A bitter taste in the mouth
  • Rib pain
  • Achiness
  • Ear infection
  • Hearing difficulty
  • Red eyes
  • Blurred vision
  • Dizziness
  • 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
  • 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
  • Delirium
  • Heat in upper body
  • Cold in lower body
  • Sensation of Qi rushing to the chest
  • Vomits worms
  • Persistent thirst
  • Feverishness
  • Anorexia (hungry but can't eat)
  • Chronic diarrhea
  • Cold extremities
  • Maybe edema
  • Vertex headache
  • Vomits food
  • Cardiac Heat with pain
  • T: Red or pink or pale and flabby
  • C: Thick and greasy or thin
  • P: Deep, thready and weak or wiry
Treatment Principle
  • Clear worms
  • Clear Heat (Do not purge, create diaphoresis, or create emesis)
  • Revive Yang
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
  • Alternating chills and fever
  • Bitter taste in mouth
  • Thirst
  • Dry throat
  • Rib pain (doesn't like touch)
  • Hypochondriac pain
  • Nausea
  • Vomiting
  • Hypogastric pain and distension
  • T: Red
  • C: Yellow
  • P: Rapid and wiry
Treatment Principle
  • Relieve Gallbladder Heat
  • Pacify the Liver and Gallbladder
Herb Formulas
Points

 

Clinical Manifestations
  • Heart vexation
  • Wheezing which changes with the weather
  • Panting
  • Shortness of breath, worse on exertion
  • Above symptoms are worse with exertion
  • Weak cough
  • Little or no mucus
  • A soft or weak voice with little desire to talk
  • Spontaneous sweating
  • Aversion to Wind
  • Frequent colds and flu
  • A dry mouth
  • Occasional dry, sore throat
  • Malar flush
  • Afternoon fever
  • Insomnia
  • T: Pale red, dry, swollen often with extensive cracks or Pale with a red tip
  • C: Little or None
  • P: Weak and soft, possibly extending up the thenar eminence
Treatment Principle
  • Tonify and nourish Lung Qi and Yin
  • Descend Lung Qi
  • Stop wheezing and panting
Herb Formulas
Points
Clinical Manifestations
  • Knotted constipation or
  • Watery, thin diarrhea
  • Burning hot sensation in the anus
  • Abdominal distention and pain (dislikes pressure)
  • High fever or infantile tidal fever
  • Hands and feet dripping with perspiration
  • Vomiting
  • Irritating thirst
  • Delirium
  • T: Pink, maybe prickles or Red
  • C: Thick, yellow and dry
  • P: Deep and Excess
Treatment Principle
  • Clear Excess Heat with bitter, cold, strong purgative herbs
Herb Formulas
Points
Clinical Manifestations
  • Memory loss
  • Forgetfulness
  • Absent-mindedness
  • Lack of concentration
  • Menorrhagia
  • Palpitations with or without anxiety
  • Insomnia (difficulty falling asleep)
  • Nightmares
  • Poor memory
  • Poor concentration
  • 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
  • Anorexia
  • Low spirits
  • Dream-disturbed sleep
  • Depression
  • Bruising easily
  • Dream disturbed sleep
  • Wakes easily
  • 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
  • Loose stools
  • Premenstrual spotting
  • Dry skin and hair
  • T: Pale, maybe swollen
  • C: White
  • P: Thready and weak or Thready and moderate or Thready and soft
Treatment Principle
  • Augment Qi
  • Nourish the Blood
  • Strengthen the Spleen
  • Nourish the Heart
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • Epigastric fullness, distention and pain with dislike of pressure
  • Abdominal distension
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • Heaviness
  • Anorexia
  • Feverish
  • Chest discomfort
  • Coughing up Phlegm
  • Uncomfortable bowel movements
  • Nausea and /vomiting
  • Lower abdominal distension
  • Excruciating abdominal pain
  • Mania
  • Delirious speech from extreme pain
  • Afternoon fever
  • Amenorrhea
  • Dysmenorrhea
  • Irregular menstruation
  • Chills and fever
  • Headache
  • Hard stool
  • Sharp, stabbing epigastric pain with fixed location
  • Pain is severe after eating
  • Dislike of pressure and heat on epigastrium
  • Pain predominates over distention or
  • Pain but no distention
  • Epigastric rumbling
  • Vomiting purple / black blood
  • Stools with blood like tar (melaena)
  • May be abdominal or epigastric lumps or masses
  • T: Pink or Dark purple with purple spots or dots
  • C: Thick and greasy white or yellow
  • P: Slippery, maybe rapid or Wiry and choppy
Treatment Principle
  • Tonify the Spleen
  • Augment Q
  • Dry Dampness
  • Regulate Qi
  • Adjust the Middle
  • Transform Phlegm
  • Descend Qi
  • Dissipate accumulations
  • Reduce Food Stagnation
  • Activate the Blood
  • Stop pain
Herb Formulas
Points

Clinical Manifestations
  • Epigastric fullness and distention
  • No desire for food and drink
  • Frequent belching
  • Borborygmus
  • Loss of sensation of taste
  • Stools not solid
  • Urine clear and abundant
  • T: Pale
  • C: Thin and white
  • P: Weak and Deficient
Treatment Principle
  • Strengthen Qi
  • Invigorate the Spleen and Stomach
Herb Formulas
Points
Clinical Manifestations
  • Ulceration, erosion, and pain of mouth and tongue
  • Thirst with a desire for cold drinks
  • Irritability
  • Irascibility
  • Feeling of Heat and disturbance in the Heart
  • Insomnia
  • Flushed face
  • Bitter taste in the mouth
  • T: Red tip with ulcers especially on the tip
  • P: Excess and rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Calm the Shen
Herb Formulas
Points
Clinical Manifestations
  • 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
  • Insomnia
  • Dream-disturbed sleep with unusual dreams
  • Wakes easily
  • Palpitations
  • Anxiety
  • Nervousness
  • Dizziness
  • Vertigo
  • Heavy or foggy headedness
  • Profuse white foamy sputum
  • Nausea/Vomiting
  • Restlessness
  • Easily startled
  • Indeterminate gnawing hunger
  • Seizures accompanied by copious sputum
  • Flushing up
  • Chest distention
  • Expectoration of yellow Phlegm
  • Bitter taste in the mouth
  • Chills and fever
  • Abdominal distention
  • Frequent dark, scanty urine
  • Irritability
  • Depression
  • Slight thirst
  • Anorexia
  • Belching
  • Acid reflux
  • Unsatisfying bowel movements
  • T: Pink or Red tip or Red
  • C: Yellow and greasy
  • P: Slippery and rapid or Wiry and rapid or Rolling and rapid
Treatment Principle
  • Clear the Heart
  • Break through Phlegm
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, 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 (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
  • 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
  • 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
  • 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
  • Insomnia with much dreaming
  • Spermatorrhea with erotic dreams
  • Premature ejaculation
  • Irritability
  • Easily startled
  • Palpitations
  • Poor memory
  • Dizziness
  • Tinnitus
  • Low back soreness
  • Legs weak
  • Tidal fever
  • Night sweats
  • Dry mouth
  • Red cheeks
  • Urine short and red
  • T: Red
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Reduce Fire
  • Make Heart and Kidney communicate
Herb Formulas
Points
Clinical Manifestations
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Neurosis
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Pink
  • C: Thin and white
  • P: Wiry
Treatment Principle
  • Soothe the Liver
  • Clear Stagnation
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
  • A 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
  • Women:
    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
  • 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
  • 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
  • With Wind-Stroke:
    Sudden loss of consciousness
    Tongue stiffness with aphasia
    Facial paralysis
    Hemiplegia
  • Maybe coma
  • Sometimes death
  • T: Red
  • P: Thready and wiry
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
  • Epigastric pain (worse when emotionally upset)
  • Belching with acid regurgitation
  • Nausea
  • Vomiting
  • Anorexia
  • Epigastric distention
  • 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: Wiry
Treatment Principle
  • Soothe the Liver
  • Harmonize the Stomach
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
  • 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
  • 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
  • Dizziness
  • Blurred vision
  • Bitter taste in the mouth
  • Nausea
  • Vomiting
  • Agitation
  • Restlessness
  • Irritability
  • 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
Herb Formulas
Points
Clinical Manifestations
  • 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
  • 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
  • Facial color dark and dull
  • Emaciation
  • Sides and ribs distended on both sides (maybe with sharp pain)
  • Enlargement of the Liver and Spleen
  • Suffocating sensation in chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • T: Dark purple (maybe purple spots on edge of tongue)
  • P: Wiry, choppy and slow
Treatment Principle
  • Activate the Blood
  • Break up Stasis
  • Regulates Qi
Herb Formulas
Points
Clinical Manifestations
  • Chronic tinnitus and/or hearing loss that tend to be intermittent and worse with fatigue
  • In some cases the tinnitus may be loud enough to impair hearing
  • Fatigue
  • Weakness
  • Anorexia
  • Shortness of breath
  • Palpitations with anxiety and insomnia
  • Loose stools
  • Poor appetite
  • Light headedness or
  • Postural dizziness
  • Pale or sallow face
  • Spots before the eyes
  • Weak voice
  • Reluctance to speak
  • Sweating with little or no exertion
  • Dry skin
  • Dry hair
  • Easily fatigued limbs
  • Poor memory
  • Pale lips and nails
  • Scanty periods
  • T: Pale or Pale, thin and dry
  • C: Thin and white
  • P: Weak or Thin and choppy or Thready and weak
Treatment Principle
  • Tonify 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
  • 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
  • Activate the Blood
  • Unblock the channels
  • Promote movement in the limbs
Herb Formulas
Points
Clinical Manifestations
  • Depression
  • Melancholy
  • Anxiety
  • Obsession
  • Irritability
  • Pain that is fixed, stabbing and/or severe or
  • Pains that move around
  • Distention
  • Pan is worse with pressure
  • Dark complexion
  • Fixed, palpable masses
  • Bleeding with clots
  • Sore throat
  • Constipation
  • Dry stools
  • Mania
  • Shortness of breath
  • Dyspnea
  • Nausea
  • Vomiting
  • Chest and/or epigastric fullness
  • Pain in the ribs
  • Distention and pain in the sides or flanks
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Inappropriate anger
  • Irregular menses
  • Breast distention and pain before and during menses
  • Epigastric fullness, distention and pain with dislike of pressure
  • Belching with rotten food smell
  • Acid regurgitation
  • Detests food or
  • Vomits after eating
  • Distention is reduced after vomiting
  • Unformed stools or
  • Knotted constipation
  • Purple lips
  • Purple nails
  • Dry skin
  • Blue, dark or purplish discoloration of skin in small or large areas
  • Varicose and spider veins
  • Cold hands and feet
  • Tendency to hemorrhage dark blood or clots
  • T: Pink or Purple, possible purple or red spots or Thick
  • C: White or Greasy and white or Greasy and yellow
  • P:Wiry or Choppy or Wiry and choppy or Slippery
Treatment Principle
  • Regulate Qi
  • Activate the Blood
  • Clear Heat
  • Relieve toxicity
  • Cool the Blood
  • Transform Phlegm
  • Relieve Food Stagnation
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • 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
  • 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
  • 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
  • Activate the Blood
  • Dispel Blood Stasis
  • Spread Liver Qi
Herb Formulas
Points
Clinical Manifestations
  • Marked emotional changes and behavior
  • Irritability
  • A feeling of Qi rushing upward
  • Red eyes
  • Headache - lasts all day
  • Palpitations
  • Tinnitus
  • A feeling of distention and oppression below the Heart
  • Abdominal bloating
  • Muscle spasms in the shoulders, neck and back
  • Dizziness
  • Vertigo
  • Insomnia
  • Hot flushes
  • Anorexia
  • Paralysis
  • Numbness
  • Slurred speech
  • Deviated eyes
  • Deviated mouth (wry mouth)
  • Sputum in the throat
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Hypertension
  • Stroke
  • T: Deviated and trembling, maybe red edges
  • C: Thick or Greasy
  • P: Slippery and maybe wiry or Soft and wiry and maybe rapid
Treatment Principle
  • Resolve Phlegm
  • Subdue Wind
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