ULCERATIVE COLITIS

Clinical Manifestations
  • Passage of watery stool and pus
  • Abdominal pain or tenderness
  • Colic
  • Intermittent or irregular fever
  • May be hemorrhage
  • May be perforation
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Headache
  • Joint pains
  • Severe diarrhea
  • Epigastric distention
  • Perspiration
  • Cold body and extremities
  • Weakness of the extremities
  • Upper abdominal palpitations
  • Cold feet
  • Dysuria
  • T: Pale or pink
  • C: White
  • P: Slow and tight or Soft
Treatment Principle
  • Release the Exterior
  • Warm the Interior
  • Tonify Qi
  • Relieves distention
Herb Formulas
Points
  • General 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
  • Chronic colitis
  • Nausea
  • Clear, frequent urination
  • Lack of thirst
  • Anorexia
  • Vomiting of clear fluid
  • Abdominal distension and pain (sharp)
  • Diarrhea or loose stool
  • Prefers warmth
  • T: Pale or pink
  • C: White
  • P: Slow and tight or Soft
Treatment Principle
  • Regulate the middle
  • Warm the Middle Jiao
  • Disperse Cold
  • Relieve pain
Herb Formulas
Points
  • For pain and Cold: moxa the abdomen
  • To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe)
  • For abdominal pain and nausea: PC-6, SP-4, ST-25
  • For frequent, clear urination: moxa REN-4, REN-6, UB-23
  • For diarrhea: moxa REN-8
  • Use few needles with deep insertion and moxa
Clinical Manifestations
  • Clear, frequent urination
  • Abdominal distension
  • Anorexia
  • Nausea
  • Vomiting clear fluid
  • Dull abdominal pain
  • Diarrhea or loose stools
  • Prefers warmth and pressure
  • T: Pale
  • C: White
  • P: Slow and sinking or Soft and weak
Treatment Principle
  • Regulate the Middle
  • Warm the Middle Jiao
  • Disperse Cold
Herb Formulas
Points
  • For pain and Cold: moxa the abdomen
  • To strengthen the Spleen and Stomach: LIV-13, REN-10, ST-36, UB-20, UB-21 (moxa if severe)
  • For abdominal pain and nausea: PC-6, SP-4, ST-25
  • For frequent, clear urination: moxa REN-4, REN-6, UB-23
  • For diarrhea: moxa REN-8
  • Use few needles with deep insertion and moxa
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
  • Diarrhea with tenesmus which intensifies after defecation
  • Frequent stools which are small in quantity
  • Stools are yellow or brown, thin, watery, with foul smell or sticky and pasty like jam or sticky fluid or containing pus and Blood
  • Burning hot sensation in anus
  • Abdominal pain
  • Urine short and red
  • Sustained fever despite profuse perspiration or
  • Raging fever in the afternoon
  • Belching
  • A bitter taste in the mouth
  • Flatulence
  • Heartburn
  • Maybe nausea and vomiting
  • Sacral pain
  • Dry, itchy eyes
  • Maybe weakness
  • Maybe dizziness
  • Mouth dry but no desire to drink
  • Body heavy
  • Limbs tired
  • Fullness in chest
  • Lump in epigastrium
  • Anorexia
  • Yellow urine
  • Severe cases:
    High fever and coma
  • T: Red or Pale with red edges
  • C: Yellow and greasy
  • P: Slippery and rapid or Rapid and deep or Thin and soggy
Treatment Principle
  • Clear Heat
  • Transform Dampness
  • Regulate Qi
  • Harmonize the Blood
  • Stop dysentery
Herb Formulas
Points
Clinical Manifestations
  • Bleeding of fresh Blood from the bowel which often precedes the bowel movement
  • The bleeding may follow the passage of stool
  • The bleeding may be alarmingly copious
  • Abdominal pain or
  • Absence of pain, itching, swelling or distention or
  • A burning sensation in the rectum and anus
  • Dry mouth
  • Tendency toward constipation
  • Dry or difficult stools
  • T: Red
  • C: Yellow
  • P: Slippery and rapid or Thready and rapid
Treatment Principle
  • Clear Heat from the Intestines
  • Cool the Blood
  • Stop bleeding
Herb Formulas
Points
  • Ahshi points, DU-1, Erbai, SP-1, ST-25, ST-37, UB-30, UB-32, UB-57
    With pain in the rectum or lower Intestine: + UB-2, UB-52
    With severe bleeding: + PC-4, SP-10
  • Ear:
    1. Large Intestine, Small Intestine, Distal Segment Rectum, Subcortex, Shenmen
    2. Hemorrhoids, Large Intestine, Distal Segment Rectum, Shenmen
Clinical Manifestations
  • Chronic dysentery or
  • Chronic diarrhea or
  • Rectal prolapse
  • Dull abdominal pain with liking for warmth and pressure
  • Borborygmus
  • Cold limbs
  • Poor appetite
  • Mental fatigue
  • T: Pale
  • C: White
  • P: Minute, thready and forceless
Treatment Principle
  • Benefit the Intestines
  • Consolidate and astringe
Herb Formulas
Points
Clinical Manifestations
  • Occasional loose stools or diarrhea
  • A long disease course
  • Recurrent relapses
  • Mucus in the stool
  • Occasional hemafecia
  • Slight abdominal pain
  • Increased bowel movements due to eating oily, greasy food
  • Undigested food in the stools
  • Fatigue
  • Weakness
  • Poor appetite
  • Abdominal distention after eating
  • A pale, possibly sallow, facial complexion
  • If severe, s prolapsed rectum
  • T: Pale
  • C: White
  • P: Moderate, thready and weak
Treatment Principle
  • Tonify the Spleen
  • Boost Qi
  • Harmonize the Middle
  • Transform Dampness
Herb Formulas
Points
Clinical Manifestations
  • Sallow or pale complexion
  • Anorexia
  • Four limbs feel tired and heavy
  • Physical and mental exhaustion
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose or unformed stools
  • Shortness of breath
  • Dizziness
  • Palpitations
  • Functional Uterine Bleeding
  • Purpura
  • Epistaxis
  • Hemafecia
  • Hematuria
  • Menorrhagia
  • Metrorrhagia
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Thready and weak
Treatment Principle
  • Benefit Qi
  • Conserve Blood
Herb Formulas
Points
Clinical Manifestations
  • Chronic loose stools or diarrhea which may contain undigested food
  • The stools may be urgent
  • Early morning diarrhea
  • Dark, purplish or pale Blood preceding, following or
  • Black, tarry or Blood-streaked loose stools (the bleeding may also be occult)
  • Dull, persistent abdominal or epigastric cold-pain which improves with warmth and pressure
  • Sallow complexion
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Intolerance to Cold
  • Shortness of breath
  • Cold abdomen
  • Cold limbs
  • Feeling chilled
  • Frequent, clear urination
  • Mental fatigue
  • Weakness
  • Exhaustion
  • Maybe scanty urine with edema
  • Maybe clear, watery vaginal discharge
  • T: Pale, wet and swollen with toothmarks
  • C: Thin and white
Treatment Principle
  • Warm the Center
  • Dispel Cold
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
  • Repeated occurrences of diarrhea over a long period of time
  • Very thin, loose stools
  • Fecal incontinence if severe
  • Occasional dark, purplish Blood and mucus in the stool
  • A somber, white facial complexion
  • Lower back and knee coldness and pain.
  • Cold extremities
  • Aversion to Cold
  • fatigue
  • Weakness
  • Lassitude
  • Mostly seen in the elderly
  • A poor appetite
  • T: Pale and thick
  • C: White
  • P: Deep and thready
Treatment Principle
  • Warm and tonify the Kidneys and Spleen
  • Astringe and stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Watery diarrhea with or without foamy mucus
  • Abdominal distention
  • Borborygmus
  • Possible palpitations
  • Possible shortness of breath
  • Sloshing water in the abdomen when jiggled or palpated
  • Scanty urination
  • T: Pale
  • C: Glossy and white
  • P: Soft and slippery
Treatment Principle
  • Warm the Middle
  • Resolve Dampness
Herb Formulas
Points
Clinical Manifestations
  • Epigastric focal distention
  • Fullness and tightness with very slight or no pain
  • Dry heaves
  • Vomiting
  • Borborygmus
  • Diarrhea
  • Anorexia
  • Stomach pain
  • Abdominal pain
  • Subcardiac distention
  • Heartburn
  • Resistance below the Heart
  • Soft epigastrium
  • Nausea
  • Ascites
  • Gurgling sounds
  • T: Normal or with a red tip
  • C: Thin, yellow and greasy
  • P: Wiry and rapid or Wiry, tight and rapid
Treatment Principle
  • Harmonize the Stomach and Intestines
  • Descend Rebellious Qi
  • Disperse clumping
  • Eliminate focal distention due to Cold and Heat factors
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Recurrent diarrhea which may be preceded by cramping abdominal pain
  • The pain is relieved by defecation
  • Diarrhea may alternate with constipation
  • The diarrhea may be explosive and initiated by stress or tension or eating
  • There may be mucus or Blood in the stool
  • Abdominal distention
  • Flatulence or belching may relieve the abdominal discomfort
  • Gas
  • Borborygmus
  • Anorexia
  • Nausea
  • Heartburn
  • Indigestion
  • Distention and pain in the sides or flanks
  • Hypochondriac ache, discomfort or tightness, usually worse on the right side
  • Suffocating sensation in the chest
  • Tendency to sigh
  • Melancholy
  • Depression
  • Irritability
  • Moodiness
  • Inappropriate anger
  • Irregular menses
  • Dysmenorrhea
  • Breast distention and pain before and during menses
  • Shoulder and neck tension
  • Temporal or tension headaches
  • T: Darkish pink or Pale or Slightly red edges
  • C: White and greasy
  • P: Wiry or Slippery and wiry
Treatment Principle
  • Soothe the Liver
  • Invigorate the Spleen
  • Alleviate pain
  • Stop diarrhea
Herb Formulas
Points
Clinical Manifestations
  • Episodes of diarrhea brought about by worry, anxiety, frustration or anger
  • Diarrhea most often accompanied by abdominal pain which subsides after passing stools
  • Possible mucus or pus in the stools
  • Possible, flank, chest or breast distention and pain
  • Irritability
  • Sighing
  • Burping or belching
  • Irregular menstruation
  • Poor appetite
  • Fatigue
  • Cold hands and feet
  • A pale or sallow facial complexion
  • T: Thick and pale but dark
  • C: White
  • P: Thready and wiry
Treatment Principle
  • Regulate the Liver
  • Resolve depression
  • Strengthen the Spleen
  • Overcome Dampness
Herb Formulas
  • Xiao Yao San  modified
  • For Liver/Spleen Disharmony with Yang Deficiency and Damp-Heat: Wu Mei Wan  modified
Points
Clinical Manifestations
  • Enduring diarrhea, bleeding or damaged yin due to corticosteroids
  • Yellow, watery diarrhea
  • Bright red Blood
  • Lassitude
  • Fatigue
  • Weakness
  • Possibly shortness of breath
  • Vexation and agitation
  • Short, scanty urination
  • Dry skin
  • Dry mouth
  • Red lips
  • Malar flush
  • Five-Sole-Heat
  • T: Crimson and dry
  • C: Little or None
  • P: Thready and rapid
Treatment Principle
  • Clear Heat
  • Nourish Yin
  • Tonify Qi
Herb Formulas
Points
Clinical Manifestations
  • Right sided lower abdominal aching and pain or
  • Fixed pain
  • Palpable lumps in the lower abdomen
  • Purple-black blood clots expelled with the stool
  • T: Dark, purplish or Static spots
  • C: White
  • P: Deep, wiry and choppy
Treatment Principle
  • Invigorate the Blood
  • Resolve Stasis
  • Circulate Qi
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Abdominal pain
  • Constipation
  • Hypochondriac pain
  • Chills
  • Low-grade fever
  • Cold hands and feet
  • Intolerance of Cold
  • Pain in the armpits
  • Unilateral pain in the abdomen and hypochondrium
  • Stiffness and spasms beside and below the umbilicus
  • Pain in the waist and legs
  • T: Normal
  • C: Greasy and white
  • P: Deep, tight and wiry
Treatment Principle
  • Warm the Interior
  • Disperse Cold
  • Unblock the bowels
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
  • Diarrhea and /or dysentery
  • A swollen, distended, firm abdomen
  • Epigastric and abdominal pain and distention that is worse with pressure
  • Feverishness
  • Flushing
  • A bitter taste in the mouth
  • Thirst or a dry mouth with with little desire to drink
  • Scanty, concentrated urine
  • Constipation and/or
  • Diarrhea
  • Maybe jaundice
  • 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 or Red tip and edges
  • C: White and greasy or Greasy and yellow or Grayish black
  • P: Slippery and wiry or Wiry and rapid
Treatment Principle
  • Clear Heat
  • Dispel Dampness
  • Soothe the Liver
  • Invigorate the Spleen
Herb Formulas
Points
Clinical Manifestations
  • Diarrhea or dysentery
  • Local inflammation with pus
  • Deep-rooted, hard and painful boils
  • Erythema
  • Swelling
  • Heat
  • Carbuncles
  • Furuncles
  • Fever and chills
  • Pain
  • T: Red
  • C: Yellow and greasy
  • P: Rapid
Treatment Principle
  • Clear Heat
  • Purge Fire
  • Relieve toxicity
  • Cool the Blood
Herb Formulas
Points
Clinical Manifestations
  • Pterygium
  • Tinnitus
  • Hearing loss
  • Diminished visual and aural acuity
  • Blurred vision
  • Abdominal pain
  • Dizziness
  • Light headedness
  • Anorexia
  • Spontaneous sweating
  • Chronic diarrhea
Treatment Principle
  • Strengthens and raises the Qi of the Middle Jiao
  • Improves visual and aural acuity
  • Stop vertigo
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Lower abdominal distention and pain (usually on right)
  • Pain increases on pressure with rebound tenderness
  • Guarding of the abdominal musculature
  • Groin pain resembling urinary dysfunction without urinary difficulty
  • Groin pain relieved by flexing hip and knee
  • Groin pain intensified by extending hip
  • Perspiration
  • Irregular or intermittent fever followed by chills and perspiration
  • May be mass in lower right quadrant of abdomen
  • Aversion to Cold
  • Hard lumps
  • T: Pink
  • C: Thin, white or yellow and greasy
  • P: Slippery and rapid or Tight or Wiry and tight or Tight and rapid
Treatment Principle
  • Drain Heat
  • Break up Blood Stasis
  • Invigorate the Blood
  • Reduce swelling
Herb Formulas
Points