With very weak and pale patient: + ST-36 and DU-4 Moxa
Liver Fire Uprising
Formulas and Herbs:
Qi Ju Di Huang Tang (change Shu Di to Sheng Di) + Long Dan Cao, Ling Yang Jiao, Gou Teng, Xia Ku Cao, Bai Ji Li
Modifications:
With severe, Stroke: + Shi Jue Ming
With Yin Deficiency, Yang Kan: + Nu Zhen Zi, Han Lian Cao
Acupuncture Points:
GB-20,43,8
LIV-3
LI-4
SP-6
KI-3
With bitter taste and chest pain: + GB-34
With insomnia: + P-6
Blood Stagnation - Xue Yu
Formulas and Herbs:
Tong Qiao Huo Xue Tang (Chi Shao, Chuan Xiong, Tao Ren, Hong Hua, She Xiang, Sheng Jiang, Da Zao, can substitute Gui Zhi for She Xiang, also can add the green parts of green onions.
Modifications:
If Qi and Blood Deficiency leads to can't move the Blood: + Dan Shen
With frontal HA: + Bai Zhi, Ge Gen
With occipital HA: BL-9, 10
With vertex HA: + Sishencong, Wu Zhu Yu, Chuan Xiong
With back/occipital HA: + Gao Ben, Qiang Huo
Acupuncture Points:
Head Ahshi
ST-8
BL-17
GB-20
LI-4
SP-6,10
With eyes pain: + BL-2
With migraine headache: + Taiyang toward GB-8
Damp-Phlegm Blockage - Tan Shi
Formulas and Herbs:
Ban Xia Bai Zhu Tian Ma Tang (Ban Xia, Tian Ma, Bai Zhu, Ju Hong, Fu Ling, Gan Cao, Sheng Jiang, Da Zao) + Man Jing Zi, Shi Chang Pu, Dan Shen
Modifications:
With Tan > Heat, bitter taste, vertigo: use Wen Dan Tang + Huang Lian
With phlegm stag > insomnia: + Huang Lian (to either formula)
Acupuncture Points:
GB-20,26,27,28
ST-40
Fever Associated With Menstruation Time
Yin Deficiency
Formulas and Herbs:
Liang Di Tang (Sheng Di, Di Gu Pi, Xuan Shen, Mai Men Dong, E Jiao, Bai Shao)
Modifications:
With severe hot flashes: + Yin Chai Hu, Bai Wei
Acupuncture Points:
HT-6 Tonify
KI-6 Sedate
SP-6
Qi and Blood Deficiency
Formulas and Herbs:
Bu Zhong Yi Qi Tang (Ren Shen, Huang Qi, Gan Cao, Dang Gui, Chen Pi, Sheng Ma, Chai Hu, Bai Zhu) + Shu Di, Gou Qi Zi
Modifications:
With lot of bleeding: decrease dosage of Dang Gui and Dang Shen
Acupuncture Points:
DU-20
REN-6
HT-7
ST-36 Tonify
BL-18,20
Heat in the Blood - Xue Re
Formulas and Herbs:
Qing Jing Tang/San (Mu Dan Pi, Di Gu Pi, Bai Shao, Shu Di Huang, Qing Hao, Fu Ling, Huang Bai)
Modifications:
With too much heat: + Yi Mu Cao
Acupuncture Points:
Ear: Apex
LI-11
ST-36
SP-8,10
KI-6
LI-4 (Only for extreme heat, otherwise it is too strong)
Blood Stagnation > Heat
Formulas and Herbs:
Xue Fu Zhu Yu Tang (Dang Gui, Sheng Di, Tao Ren, Hong Hua, Chi Shao, Chai Hu, Jie Geng, Chuan Xiong, Niu Xi)
Acupuncture Points:
REN-3,4
Zigong
SP-8,10
ST-36
KI-6
Liver Qi Stagnation
Formulas and Herbs:
Xiao Yao San (Chai Hu, Bai Zhu, Fu Ling, Dang Gui, Bai Shao, Bo He, Gan Cao, Sheng Jiang, Da Zao) + Mu Dan Pi, Xia Ku Cao
Modifications:
With Liver Qi Stagnation > Heat (bitter taste, dry mouth): + Zhi Zi
Acupuncture Points:
P-6
LI-11
GB-34
SP-10
LIV-3
Mouth Sores Associated With Menstruation Time
Stomach Fire
Formulas and Herbs:
Liang Ge San (Da Huang, Mang Xiao, Zhi Zi, Bo He, Huang Qin, Lian Qiao, Dan Zhu Ye, Gan Cao)
Modifications:
The root of this problem is deficiency although it often appears as excess. Yin Deficiency Fire Uprising is often combined with Stomach Fire
Alt. Fx: Jia Wei Yu Nu Jian (Shi Gao, Shu Di, Mai Men Dong, Zhi Mu, Niu Xi) and Moxa KI-1 (leads internal heat downward)
Acupuncture Points:
P-6
SP-4
ST-36,44
HT Fire Uprising
Formulas and Herbs:
Dao Chi San + Huang Lian
Acupuncture Points:
P-7
HT-7
ST-36
KI-3,6
Yin Deficiency Fire Uprising
Formulas and Herbs:
Zhi Bai Di Huang Wan (Shu Di, Shan Zhu Yu, Shan Yao, Ze Xie, Mu Dan Pi, Fu Ling, Zhi Mu, Huang Bai)
Modifications:
If before period time: Sheng Di-3, Mo Tong-3, Mo Yao-3, Da Huang-0.5, Huang Qin-3, Zhi Zi-3, Gan Cao-1.5
Acupuncture Points:
HT-6
KI-3,6,7
ST-3,4,44 Even method
Vomiting Associated With Menstruation Time
Spleen/Stomach Qi Deficiency
Formulas and Herbs:
Li Zhong Wan
Acupuncture Points:
Use points indicated for the general pattern
Liver Attack Spleen
Formulas and Herbs:
Zuo Jin Wan (Huang Lian, Wu Zhu Yu)
Si Qi Tang
Modifications:
With bitter taste in the mouth (heat): + Mu Dan Pi, Zhi Zi
Acupuncture Points:
Use points indicated for the general pattern
Phlegm Blockage - Tan Yin
Formulas and Herbs:
Er Chen Tang (Ban Xia, Chen Pi or Ju Hong, Fu Ling, Zhi Gan Cao, Sheng Jiang) + Bai Zhu, Sha Ren
Modifications:
With Stomach heat: Er Chen Tang + Zhu Ru, Huang Qin
With cold: + Pao Jiang, Ding Xiang
Acupuncture Points:
With Liver attack Spleen: + LIV-3, Ear: Stomach, Diaphragm, Sympathetic
With dampness: + ST-40, BL-17, 18, 20
Diarrhea Associated With Menstruation Time
Spleen Qi Deficiency
Formulas and Herbs:
Shen Ling Bai Zhu San (Dang Shen, Fu Ling, Bai Zhu, Bai Bian Dou, Shan Yao, Lian Zi, Yi Yi Ren, Jie Geng, Sha Ren, Gan Cao)
Modifications:
With abdominal pain, very loose stools, cold hads and feet: use Li Zhong Wan (Ren Shen, Bai Zhu, Gan Jiang, Zhi Gan Cao) + Wu Zhu Yu
With Liver attack Spleen (after eating diarrhea, cramping better with defacation: use Tong Xie Yao Feng (Bai Shao 3, Bai Zhu 3, Che
Acupuncture Points:
BL-20
ST-25,36
SP-7 Tonify
REN-12
Kidney Qi Deficiency
Formulas and Herbs:
Jie Gu Tang (Ren Shen, Bai Zhu, Yi Yi Ren, Ba Ji Tian) + Si Shen Wan (Bu Gu Zhi, Wu Zhu Yu, Rou Dou Kou, Wu Wei Zi) + Sheng Jiang, Da Zao
Acupuncture Points:
BL-20
ST-25,36
SP-7 Tonify
REN-12
REN-4 moxa
DU-4 moxa
Ear: KI, SP, LI, SJ
Nosebleeding Associated With Menstruation Time
Liver Fire
Formulas and Herbs:
Qing Gan Ying Jing Tang (Dang Gui, Bai Shao, Sheng Di, Mu Dan Pi, Huang Qin, Zhi Zi, Chuan Lian Zi, Niu Xi, Qian Cao, Bai Mao Gen, Gan Cao)
Modifications:
With heavy bleeding: + Han Lian Cao, Ou Jie Tan
With low abdomen pain, period not heavy: + Tao Ren, Hong Hua
With Liver Fire Uprising vertigo: + Shi Jue Ming, Gou Teng, Ju Hua
With breast tenderness: + Yu Jin, Mai Ya
With constipation, yellow coat: + Da Huan
Acupuncture Points:
DU-23,24
Yintang
ST-3
LI-4,20
LU-5
LIV-3
Stomach Fire Uprising
Formulas and Herbs:
Yu Nu Jian (Shu Di, Shi Gao, Zhi Mu, Niu Xi, Mai Men Dong) + Mu Dan Pi, Bai Mao Gen, Lu Gen (fresh is best)
Acupuncture Points:
DU-23,24
Yintang
ST-3,44
LI-4,11,20
LU-5
LIV-3
SP-4
REN-12,13 Sedate
Lung and Kidney Yin Deficiency
Formulas and Herbs:
Shun Jing Tang (Dang Gui, Shu Di, Bai Shao, Mu Dan Pi, Fu Ling, Sha Shen, Jing Jie Tan) + Niu Xi
Modifications:
With lots of bleeding: + Chuan Bei Mu, Bai Mao Gen
With Kidney Deficiency is severe: + Qing Hao, Bie Jia, Di Gu Pi
If can't take tea: Zhi Bai Di Huang Wan
Acupuncture Points:
DU-23,24
Yintang
ST-3,44
LI-4,11,20
LU-5
LIV-3
SP-4
REN-12,13 Sedate
LU-6,9
KI-6,8
Hives Associated With Menstruation Time
Blood (Xue) Deficiency
Formulas and Herbs:
Dang Gui Yin Zi (Dang Gui, Chuan Xiong, Bai Shao, Shu Di, Fang Feng, Bai Ji Li, Jing Jie, He Shou Wu, Huang Qi, Gan Cao)
Acupuncture Points:
LI-11
GB-20,31
ST-33,36
SP-6
Internal Wind-Heat
Formulas and Herbs:
Xiao Feng San (Jing Jie, Fang Feng, Dang Gui, Sheng Di, Ku Shen, Cang Zhu, Chan Tui, Mu Tong, Hu Ma Ren, Zhi Mu, Shi Gao, Niu Bang Zi, Gan Cao)
Modifications:
If patient is a vegetarian: warn about Chan Tui and try to use (it's effective!)
Acupuncture Points:
SP-10
SJ-5
LI-4,11
LU-5, 7
DU-14
BL-11,13
Liver Qi Stagnation
Formulas and Herbs:
Xiao Yao San (Chai Hu, Bai Zhu, Fu Ling, Dang Gui, Bai Shao, Bo He, Gan Cao, Sheng Jiang, Da Zao) + Mu Dan Pi, Xia Ku Cao
Modifications:
With Liver Qi Stagnation > Heat (bitter taste, dry mouth): + Zhi Zi
