Blood Deficiency (Xue Deficiency + Kidney Qi Deficiency)

Formulas and Herbs:

• Gui Shen Wan (Shu Di, Shan Yao, Shan Zhu Yu, Fu Ling, Dang Gui, Gou Qi Zi, Du Zhong, Tu Si Zi) + Zi He Si, Rou Cong Rong, Dan Shen, Niu Xi

Modifications:

• With cold: + Rou Gui
• With abdominal pain: + E Jiao, Xiang Fu
• With not much Kidney Deficiency: use either Ba Zhen Tang or Gui Pi Tang, modify as needed

Acupuncture Points:

• REN-4
• KI-13 Moxa

Yang Deficiency

Formulas and Herbs:

• You Gui Yin (Shu Di, Shan Yao, Shan Zhu Yu, Gou Qi Zi, Gan Cao, Du Zhong, Rou Gui, Fu Zi)

Modifications:

• You Gui Wan is You Gui Yin – Gan Cao, + Tu Si Zi, Lu Jiao Jiao, Dang Gui.
  This form is stronger in function but more slowly absorbed, used for long term (3 or months, follow-up)

Acupuncture Points:

• Use points indicated for the general pattern

Yin Deficiency

Formulas and Herbs:

• Zuo Gui Yin (Shu Di, Shan Yao, Gou Qi Zi, Zhi Gan Cao, Fu Ling, Shan Zhu Yu) + Dan Shan, Niu Xi, Yi Mu Cao (sometimes)

Modifications:

• With insomnia: + Suan Zao Ren
• With intense thirst: + Nan Sha Shen, Bei Sha Shen, Mai Men Dong
• With night sweats: + Wu Wei Zi

Acupuncture Points:

• NO Moxa.
• Use DU, KI, LIV, Spleen channels (otherwise, the same as Yang Deficiency)

Cold Congestion

Formulas and Herbs:

• Wen Jing Tang (Dang Gui, Chuan Xiong, Ren Shen, Bai Shao, Rou Gui, E Zhu, Mu Dan Pi, Niu Xi, Gan Cao) + Wu Zhu Yu, Gui Zhi, E Jiao

Modifications:

• When treatment is not working: + Shi Xiao San (Pu Huang, Wu Ling Zhi)
• With heavy bleeding: – E Zhu, Niu Xi + Pao Jiang, Ai Ye

Acupuncture Points:

• REN-6
• KI-13
• ST-29,25 Moxa
• With more cold: + REN-4 Moxa

Qi Stagnation

Formulas and Herbs:

• Jia Wei Wu Chen San (Sha Ren, Tan Xiang or Mu Xiang, Yan Hu Suo, Xiang Fu, Gan Cao, Wu Yao) + Dang Gui, Chuan Xiong

Modifications:

• With delayed period and dark, red heavy bleeding: + Mu Dan Pi, Zhi Zi
• With very tender breasts , chest pain: + Chen Pi, Bai Shao

Acupuncture Points:

• REN-3,4
• SJ-4
• LIV-14
• GB-34
• LIV-3

Phlegm Blockage - Tan Zhu

Formulas and Herbs:

• Er Chen Tang (Ban Xia, Chen Pi or Ju Hong, Fu Ling, Zhi Gan Cao, Sheng Jiang) + Dang Gui, Chuan Xiong

Modifications:

• If in need of more drying action: + Ju Hong – Chen Pi
• With more Spleen Qi Deficiency: + Ren Shen, Bai Zhu
• With nausea, chest tightness: Sha Ren, Zhi Ke
• With heavy vaginal discharge: + Cang Zhu, Yi Yi Ren
• With vertigo (DH-type): + Tian Ma, Yuan Zhi

Acupuncture Points:

• REN-6,12
• ST-36,40
• BL-17,20
• SP-6,9