OSTEOARTHRITIS(DEGENERATIVE JOINT DISEASE)

Clinical Manifestations
  • Chronic non-inflammatory joint pain (Combines destructive alterations of cartilage + (epi-physical) bone modifications)
  • Hip joint:
    Hip pain
    Maybe buttock pain
    Maybe lateral thigh (trochanteric) pain
    Maybe anterior inguinal symptoms
    Limited range of motion
    Stiffness
    Aggravated by use
    Relieved by rest
    Pain reproduced with passive internal rotation of the thigh
    Maybe limited hip flexion
    Night pain
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Wind
  • Mild, or severe chills
  • Fever which may be persistent
  • Uneasiness from fever
  • Spontaneous perspiration
  • Headache
  • Muscle aches and pain
  • Stiff neck and shoulders
  • 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 Wind
  • Mild, or severe chills
  • Fever which may be persistent
  • Uneasiness from fever
  • Spontaneous perspiration
  • Headache
  • Nausea
  • Dysentery
  • Nasal irritation
  • Nasal obstruction
  • Tendency to snore
  • Itchy throat
  • T:  Normal
  • C:  Thin and white
  • P:  Superficial and slow or Moderate and maybe weak
  • Stiff neck and shoulders*.
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
  • Severe fever and chills without sweat
  • Intolerance of Cold
  • Irritability
  • Fidgeting
  • Headache
  • Cough
  • Wheezing (asthma)
  • Muscle aches
  • General body aches
  • Thirst
  • Heaviness and aching of the entire body
  • Shortness of breath
  • Floating edema (severe)
  • Restlessness
  • Anhidrosis
  • Fidgeting
  • May be high fever
  • Edema
  • Dyspnea
  • T: Normal
  • C:Thin white or Yellow
  • P: Floating and tight or Rapid or Tight and rapid or wiry and tight
Treatment Principle
  • Promote diaphoresis
  • Release the Exterior
  • Clear Interior Heat
  • Relieve irritability
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Severe chills
  • May have mild fever
  • No sweat
  • Aversion to Cold
  • Cold extremities
  • Cold sensation on back
  • Pale face
  • Extreme fatigue
  • Muscle aching
  • T: Pale with scallop
  • C: White
  • P: Deep, weak and thready
Treatment Principle
  • Warm Yang
  • Expel Cold from the Exterior
  • Dispel Cold from the Interior
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Asymmetry of the face
  • Paralysis of the face
  • Slow and slurred speech
  • Aphasia
  • Fever and chills
  • Semi-consciousness
  • Loss of consciousness
  • Convulsions
  • Neck rigidity
  • Limited movement of the joints
  • Loss of consciousness
  • Muscle spasms
  • Low back pain
  • Numbness of the muscles and skin
  • Hemiplegia
  • Urticaria
  • T: ; Pale
  • C: Thin and white
  • P: Floating and Empty or Tense or Wiry and tense
Treatment Principle
  • Warm the channels
  • Disperse Wind
  • Releases Yang
  • Supports the Qi 
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Painful joints
  • Heavy and painful sensations at fixed locations in lower back and extremities with weakness and stiffness or hypertonicity and immobility
  • Aversion to Cold
  • Attraction to warmth
  • Palpitations
  • Pain in the midline and back during pregnancy
  • Pain worse at night General coldness
  • Sallow complexion
  • Wandering pain
  • Pale complexion
  • Shortness of breath
  • May be paresthesia and numbness
  • Cold pain in the low back and knees
  • Limited movement
  • Soreness, weakness and numbness of the joints
  • Tinnitus
  • Muscle spasms
  • Dizziness
  • T: Pale
  • C: Thin and white or White and moist
  • P: Thin, weak and slow or Deep, thready and weak or slippery
Treatment Principle
  • Disperse Wind-Dampness
  • Warm Cold
  • Stop Bi pain
  • Tonify the Kidneys and Liver
  • Tonify Qi
  • Nourish the Blood
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Migrating pain in the joints especially the :
    Shoulders
    Elbows
    Wrists
    Fingers
    Upper back and neck
  • Pain quality changes
  • Pain changes with the weather
  • May move from soreness to numbness to aching
  • Sensitivity varies
  • Pain often appears abruptly, acutely or paroxysmal and then disappears
  • Limited range of motion
  • Chills and fever
  • Aversion to Wind
  • Sore throat
  • General body aches
  • Maybe perspiration
  • T: Pink
  • C: Thin and white
  • P: Superficial and moderate or Flooding and moderate
Treatment Principle
  • Eliminate Wind
  • Warm Cold
  • Expel Damp
  • Clear the Channels
Herb Formulas
Points
Clinical Manifestations
  • Joint swelling and pain, especially hands and feet
  • Heaviness of the 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
  • T: Pale
  • C: Thick and white or Greasy and white
  • P: Thready and slippery
Treatment Principle
  • Eliminate Wind
  • Resolve Dampness
  • Reduce swelling
  • Move Qi
  • Warm the channels
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Aversion to Wind, Cold and Dampness
  • Stiff and painful muscles and joints
  • Limited movement
  • Pain aggravated by Wind
  • Sensitive to climatic changes
  • Pain aggravated by Cold
  • Numbness of muscles
  • Pain aggravated by Dampness
  • Cold joints
  • Pain worse at night
  • Low back pain or soreness
  • Lumbago
  • Fatigue
  • Heaviness of the body
  • Heaviness of the muscles
  • Preference for warmth
  • Weak joints
  • Palpitations
  • Pale face
  • Joint deformity
  • Shortness of breath
  • Preference for dry weather
  • T: Pale or Purplish
  • C: Thin, white and greasy
  • P: Thready and weak or Thready and slippery
Treatment Principle
  • Dispel Wind-Cold-Damp
  • Nourish and Activate the Blood
  • Break up Blood Stasis
  • Eliminate Damp
  • Stop pain
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Chronic pain, weakness and numbness (especially in the lower extremities) due to Windstroke
  • Muscle spasms
  • Cramps
  • Heaviness and pain in the lower back and legs
  • Fixed or migrating pain in the bones in the bones and joints with reduced range of motion
  • Long-term numbness or paralysis in the hands and feet
  • T: Normal
  • C: White and moist
Treatment Principle
  • Dispel Wind
  • Eliminate Dampness
  • Transform Phlegm
  • Invigorate the Blood
  • Unblock the collaterals
  • Alleviate pain
  • Warm the channels and collaterals
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Chills and fever (more chills than fever)
  • Anhidrosis
  • Headache
  • Stiff neck
  • Generalized ache and pains
  • Slight thirst
  • A bitter taste in the mouth
  • T: Normal
  • C: White
  • P: Floating
Treatment Principle
  • Induce sweating
  • Expel Wind-Cold
  • Dispel Dampness
  • Drain Interior Heat
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Excruciating sharp, stabbing joint pain
  • Pain alleviated by warmth and aggravated by Cold
  • Spasms and contractions
  • Pain with fixed location
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • Pain worse at night and better during the day
  • Pain mostly affects low back and lower extremities
  • Ankylosis (stiffness) of joint
  • Aversion to Cold
  • Maybe chills with a slight fever
  • Anhidrosis
  • Frequent nocturnal urination
  • T: Pink or Pale
  • C: Thin and white (thicker than for Wind-Bi)
  • P: Superficial and tight or Wiry and tight - maybe slow
Treatment Principle
  • Warm the channels
  • Scatter Cold
  • Activate Qi and Blood
  • Eliminate Dampness
  • Expel Wind
Herb Formulas
Points
Clinical Manifestations
  • Numbness and heaviness of the extremities
  • Soreness, aching and fixed pain of joints
  • Marked swelling of the affected area
  • Pain worse on cloudy or rainy days
  • Maybe peripheral or systemic edema
  • Pain is alleviated by pressure and warmth
  • Pain lingers and is recalcitrant to treatment
  • Limited movement
  • Difficulty flexing and extending the joint
  • Pain is worse in the lower half of the body
  • Maybe stifling sensation in chest
  • Maybe anorexia or indigestion
  • Maybe abdominal distention
  • Maybe loose or semi-liquid stools
  • T: Pink or Pale
  • C: Greasy and white
  • P: Slow, moderate and soft
Treatment Principle
  • Expel Damp
  • Clear the channels
  • Dispel Wind
  • Scatter Cold
Herb Formulas
Points
Clinical Manifestations
  • Excruciating sharp, stabbing joint pain
  • Pain alleviated by warmth and aggravated by Cold
  • Pain with fixed location
  • The joints cannot be flexed or extended
  • No local redness or Heat
  • Painful area often feels cold to the touch
  • Pain worse at night and better during the day
  • Pain mostly affects low back and lower extremities
  • Ankylosis (stiffness) of joint
  • Aversion to Cold
  • Maybe chills with a slight fever
  • Anhidrosis
  • Frequent nocturnal urination
  • T: Pink or Pale
  • C: Thin and white (thicker than for Wind-Bi)
  • P: Superficial and tight or Wiry and tight - maybe slow
Treatment Principle
  • Warm the channels
  • Activate Qi and Blood.
Herb Formulas
Points
Clinical Manifestations
  • Aphasia
  • Deviation of the mouth
  • Lack of sensation and numbness of hands and feet
  • Revulsed eyes
  • Chills
  • Fever
  • Joint pain
  • Muscle spasms
  • Walking difficulty
  • T: Normal
  • C: Yellow or White
  • P: Thready, floating and wiry or Floating, tight and wiry
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Nourishes Blood
  • Invigorate the Blood
Herb Formulas
Points
  • General 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
  • Activate the Blood
  • Tonify Qi and Blood
Herb Formulas
Points
Clinical Manifestations
  • Sore, achy joints
  • The pain moves from joint to joint
Treatment Principle
  • Clear Heat
  • Dry Dampness
  • Activate the Blood
  • Dispel Wind
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Arthralgia involving one or several joints of the extremities
  • Knee swelling is frequent
  • Local redness and Heat
  • Swelling with excruciating pain
  • Severe limitation of movement
  • Pain better during the day and worse at night
  • The pain is relieved by Cold
  • Fever
  • Sometimes slight chills and fever
  • Thirst with a desire to drink
  • Dryness of the mouth and tongue
  • Heart vexation
  • Irritability
  • Nervousness
  • Restlessness
  • Aversion to Heat
  • Desire for Cold drinks
  • Dark urine
  • Anorexia
  • Fatigue
  • T: Pink or Red
  • C: Thin and yellow or Dry yellow or Greasy and yellow
  • P: Rolling and rapid maybe slippery
Treatment Principle
  • Clear Heat
  • Relieve toxicity
  • Activate the Blood
  • Clear the channels
  • For Wind-Damp-Heat Bi:
    Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • Protracted, incessant cough
  • Expectoration of copious, clear, watery or white Phlegm
  • Short, weak, breathing
  • Asthma
  • Spontaneous sweating
  • Weak voice
  • Reluctance to speak
  • A general air of sadness or melancholy
  • A waxy, pale complexion
  • Rounded or hunched shoulders
  • Four limbs tired
  • Anorexia
  • General lassitude
  • Distention and pain of the epigastrium and abdomen
  • Loose stools
  • Severe cases:
    Frightens easily
  • T: Pale with a thin crack
  • C: White or White and greasy
  • P: Thready and weak or Floating and weak
Treatment Principle
  • Reinforce the Spleen
  • Benefit the Lungs
  • Descend Lung Qi
  • Disperse accumulation
Herb Formulas
  • Wu Ji San
  • Chinese Patent Medicines:
    Su Zi Jiang Qi Wan
    Jiu Fei Su He Wan
Points
Clinical Manifestations
  • Enduring disease which does not improve
  • Slight joint pain
  • Stiffness of the sinews which prevents walking
  • Sometimes deformation
  • Maybe cold joints
  • Lassitude
  • Fatigue
  • Poor appetite
  • Body cold
  • Limbs icy
  • Aversion to Cold
  • 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
  • Frequent, copious urination
  • Nocturia
  • 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
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Watery stools with undigested food
  • Lower back pain
  • Weakness of the lower extremities
  • A cold sensation in the lower half of the body
  • Tenseness in the lower abdomen
  • Pain and cramps in the lower abdomen
  • Panting and irritability to the point of having difficulty lying down
  • Will breathe most comfortably while leaning against something
  • Nocturia
  • May be numbness in the lower abdomen
  • Urinary difficulty with edema or Spasmodic pain in the lower abdomen
  • Excessive urination
  • If severe, may be incontinence of urine
  • May have persistent diarrhea
  • Dysuria
  • May have flushed face (Yang floating upward)
  • Thirst with frequent, copious urination (Xiao Ke)
  • Fatigue (severe)
  • May have severe perspiration (Yang floating upward)
  • Constipation
  • Lassitude
  • Pale face
  • Edema of the face and feet
  • Severe edema of the legs (may prevent walking)
  • Maybe cough
  • Maybe asthma
  • T: Pale, may be swollen
  • C: Thin, white and moist
  • P: Deep, Deep and thready and/or Weak and slow
Treatment Principle
  • Warms and Tonifies Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Extremely cold extremities
  • Aversion to Cold
  • Sleeping with knees drawn up
  • Lethargy with a constant desire to sleep
  • Vomiting
  • Diarrhea with undigested food
  • Abdominal pain and Cold
  • Lack of thirst
  • Coma
  • Indigestion
  • Edema
  • Pale face
  • Superficial fever
  • Red face
  • Cyanosis of the lips and nails
  • T: Pale or Dark purple
  • C: White and slippery
  • P: Deep and thready or Deep and slow or Deep and faint
Treatment Principle
  • Warm Yang
  • Warms the Middle Jiao
  • Disperses Internal Cold
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Low back pain
  • Sciatica
  • Leg pain
  • Preference for pressure and warmth
  • Pain worse at night
  • Limitation of joint movement
  • Local feeling of Cold
  • Stabbing pain
  • Muscle spasms
  • Referred pain toward the legs
  • Lower back weakness
  • Nocturia
  • Stiffness of the back
  • Numbness of the legs
  • Feebleness of the knees
  • Tinnitus
  • T: Pale or Purplish
  • C: Thin and white or Thin, white and greasy
  • P: Slippery or Wiry or Thready
Treatment Principle
  • Dispel Wind-Cold-Damp
  • Invigorate the Blood
  • Smooth the channels
  • Harmonize the collaterals
  • Benefit the muscles
  • Tonify Kidney Jing
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Exhaustion from long-term illness
  • Low energy
  • Lethargy
  • Aversion to Cold
  • Coolness of the extremities
  • Impotence
  • Spermatorrhea
  • Aching and weakness of the lower back and knees
  • Infertility
  • Premature ejaculation
  • Seminal emission
  • Loose stools (sometimes with undigested food)
  • Incontinence of urine
  • Edema of the lower extremities
  • Pale face
  • Spontaneous perspiration
  • Dizziness
  • Enuresis
  • T: Pale
  • P: Deep, slow and weak
Treatment Principle
  • Warm and tonify Kidney Yang
  • Replenish Jing
  • Tonify the Blood
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
  • Severe pain in the joints and muscles
  • Numbness
  • Poor circulation
  • Constant, fixed pain
  • The pain can result from, trauma, surgery or degeneration
  • Muscle ache of the neck, back, legs and shoulder
  • Hip pain
  • Whole body pain
  • Neck and spine pain
  • Shoulder pain
  • Elbow pain
  • Pain at the waist
  • Arm pain
  • Low back pain
  • Leg pain
  • T: Dark
  • C: Normal
  • P: Choppy
Treatment Principle
  • Move Qi
  • Activate the Blood
  • Break up Blood Stasis
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Hot sensations in the muscles and skin
  • Red face
  • Irritability
  • Thirst with a preference for warm beverages or does not wish to drink
  • Fatigue
  • Fever
  • Headache
  • Slight perspiration
  • hypermenorrhea during menstruation or after labor
  • Purulent abscesses
  • Red eyes
  • Dry, feverish skin
  • Postpartum fever
  • Distress
  • Postpartum headache
  • Postpartum irregular menstruation
  • Slow healing of wounds
  • Excessive Blood loss after labor
  • T: Pale
  • P: Flooding, big, forceless and Deficient when pressed hard or Big and weak
Treatment Principle
  • TonifY Qi
  • Generate Blood
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Weakness of the knees
  • Soreness of the lower back
  • Lumbago
  • Atrophy of the leg muscles
  • Lower back weakness
  • Knee pain
  • Difficulty walking
  • Emaciation
  • Impotence
  • Poor memory
  • Dizziness
  • Night sweats
  • Five-sole Heat
  • Aggravation of the pain by Damp weather
  • Pale complexion
  • Profuse urination at night
  • Tinnitus
  • Hair loss
  • Sensation of warmth
  • Thirst
  • Dry skin
  • T: Red or Pale and flabby with teethmarks
  • C: Little or Thin and white
  • P: Thready and weak, especially in the Kidney positions
Treatment Principle
  • Tonify the Liver and Kidneys
  • Strengthen the tendons and bones
  • Eliminate Damp-Heat
  • Tonify Kidney Jing
  • Relieve rheumatic pain
Herb Formulas
Points
Etiology
  • Long term illness leads to Yang Deficiency which may lead to Wei Qi Deficiency, allowing pathogens to easily penetrate deeply.
Clinical Manifestations
  • Painful, numb bones and joints
  • Deformed bones and joints
  • Localized Cold sensation
  • Muscles and sinews atrophied
  • Pale, lusterless face
  • Cold body and limbs
  • Spine bent forward (hunched)
  • Weak, sore low back
  • Weak, sore knees
  • Profuse urination
  • Watery stools
  • Daybreak diarrhea
  • T: Pale
  • C: White P:
  • Deep and Weak
  • With Spleen Yang Deficiency :
    Anorexia
    Weakness
    Shortness of breath
Treatment Principle
  • Warm the Yang
  • Augment Qi
Herb Formulas
Points
Etiology
  • Chronic Bi weakens Qi and Blood and the pathogen is retained.
  • Constitutional Qi and Blood Deficiencies, severe hemorrhage or Kidney and Spleen Yang Deficiencies.
Clinical Manifestations
  • Enduring joint pain with swelling and possibly slight deformation
  • Bones and joints sore and painful
  • Worse with movement
  • Difficulty walking
  • Difficulty seizing objects
  • Inhibited flexion and extension of the affected joints
  • Alternating periods of worsening and improvement
  • Face is dull yellow or pale
  • Spasms or contractures of muscles and sinews
  • Palpitations
  • Dizziness
  • Asthenia
  • Shortness of breath
  • Spontaneous sweating
  • Weight loss
  • Poor appetite
  • Weakness
  • Fatigue
  • Diarrhea
  • T: Pale or Pale and swollen
  • C: None or White
  • P: Soggy and Weak or Thin and faint or Deep, thready and wiry
Treatment Principle
  • Harmonize and Tonify Qi and Blood
Herb Formulas
Points
Etiology
  • Long term illness or excess hot drying herbs leads to Yin Deficiency, interfering with the nourishment of sinews and bones. Blood Deficiency can generate internal Wind, leading to tension and tightness of tendons and vessels.
Clinical Manifestations
  • Bone and joint pain is prolonged without improvement
  • Sinews and vessels are tense and tight
  • A slight burning sensation, redness and swelling in the affected area
  • Pain is worse with movement
  • Pain is worse at night
  • Slightly inhibited flexion and extension of the affected joints
  • Tendency towards a thin body
  • Irritability
  • General soreness and weakness
  • Restlessness
  • Low back and knee soreness and weakness
  • Five-Sole-Heat
  • Night sweats
  • Dizziness
  • Vertigo
  • Tinnitus
  • Facial flushing
  • Hot flashes
  • Dry throat
  • Unremitting low grade fever
  • Afternoon fever
  • Low back pain
  • Knees weak
  • Joints may be red, hot, swollen and deformed
  • Maybe, significant decrease in range of motion
  • Symptoms worse at night
  • Dry mouth
  • Anorexia
  • Dry, hard stools
  • T: Red
  • C: Little or none
  • P: Thready
Treatment Principle
  • Nourish Kidney and Liver Yin
  • Harmonize the blood
    Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Cold pain in the lower back and body
  • Sciatica
  • Copious urination
  • Extreme heavy sensation in the lower back
  • Absence of thirst
  • T: Pale
  • C: White
  • P: Deep, thready and moderate
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Dispel Cold
  • Eliminate Dampness
Herb Formulas
Points
Clinical Manifestations
  • The lower back feels hot either to the patient or practitioner
  • Pain in low back and knees
  • The pain is aggravated by Heat , humid or rainy weather and is not improved by rest
  • Aches and pains in the bones and sinews
  • Weakness or atrophy of lower extremities
  • Scanty yellow urine
  • Red, hot, swollen and painful feet or knees
  • Edema in lower legs
  • Leukorrhea (thick, yellow, foul-smelling)
  • Sores on lower extremities due to Damp
  • Redness, swelling and pain of the knees with burning sensations
  • Oliguria
  • Eczema
  • Irritability
  • Feverishness
  • Thirst
  • T: Normal
  • C: Yellow and greasy
  • P: Soft and and rapid
Treatment Principle
  • Clear Damp-Heat from the Lower Jiao
  • Ease the tendons
  • Stop pain
Herb Formulas
  • Er Miao San modified
  • Si Miao Wan
  • Chinese Patent Medicines:
    Qian Jin Zhi Dai Wan
    Yu Dai Wan
    Shi Lin Tong Pian
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
  • 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
  • General points
Clinical Manifestations
  • A long course of the disease
  • Stiffness of the joints
  • Inhibited flexion and extension
  • Joint deformation
  • Severe, fixed, stabbing pain which is worse with pressure
  • Possible numbness
  • Possible swollen joints
  • Thickening and hardening of the articular tendons
  • Possible darkness or discoloration of the affected joints
  • Muscular atrophy around the articulation
  • Possible subcutaneous nodules on or surrounding the joint
  • T: Purple and dark with static spots or maculae
  • C: White and greasy
  • P: Soft, choppy and thready or Wiry and slippery
Treatment Principle
  • Invigorate the Blood
  • Transform Blood Stasis
  • Transform Phlegm
  • Soften lumps
  • Unblock the channels
Herb Formulas
Points
Clinical Manifestations
  • Relatively superficial numbness without pain
  • Paresthesia and numbness of the skin and flesh
  • Paresthesia of the shoulders
  • Neck and shoulder stiffness and pain
  • Abdominal pain alleviated by warmth and pressure
  • Pale complexion
  • Hemiplegia
  • Stiff tongue
  • Flaccidity if the extremities
  • Migratory pain
  • Pain, weakness, tightness or spasms of the extremities
  • Spontaneous sweating
  • Shortness of breath
  • Aphasia
  • Excess salivation
  • Aversion to wind
  • T: Normal or Thick
  • C: White or Smooth and white or White and greasy
  • P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle
  • Tonify Qi and Blood
  • Warm and harmonize the channels and collaterals
  • Harmonize the Ying and Wei
  • Unblock painful obstruction
  • Warm the Middle Jiao
  • Dispel Cold
  • Alleviate pain
Herb Formulas
Points
  • General points