Deficiency of Yin of Liver and Kidney Symptoms and signs Half-body pain with soreness, dizziness, palpitations, a low

fever, night sweating, lassitude, insomnia, tinnitus, numbness of the limbs, hemiplegia, lumbago with soreness, a dry mouth, night sweating, a poor appetite, constipation, scanty menstruation with possibly red colour, a red tongue with a thin coating, and a thready and rapid pulse are the symptoms and signs of this deficiency. Principle of treatment Nourish the Yin of Liver and Kidney and relieve the pain. HERBAL TREATMENT PRESCRIPTION Main formulas QI JU DI HUANG WAN Lycuim Fruit, Chrysanthemum and Rehmannia Pill. ZUO GUI YIN and ZUO GUI WAN Restore the Left (Kidney) Decoction and Restore the Left (Kidney) Pill. The above formulas have some function which nourishes the Yin of the Liver and Kidney, bearing some difference in effect, but they are still too Case history A 66-year-old man had experienced a cerebral infarction 3 months previously. Since then he had suffered hemiplegia with pain on the left side of his body. His left limbs were numb and there was slight swelling. Also, he felt weak, dizzy and was tired especially after exercise. His tongue was enlarged and was a pale colour with a white coating. He had a deep and thready pulse.

Diagnosis Deficiency of Qi and stagnation of Blood. Principle of treatment Tonify Spleen-Qi, promote Qi and Blood circulation and remove Blood stagnation. Acupuncture treatment The points LI-4, TE-5, CV-12, ST-36, SP-6, LR-3 and BL-17 were selected. Treatment was given once every other day. Even method was used on these points. Explanations LI-4 is the Source point of the Large Intestine channel. TE-5 is the Connecting point of the Triple Burner channel. These two points in combination promote the circulation of Qi and relieve pain in the left arm CV-12 is the Front Collecting point of the Fu organs. ST-36 is the Lower Sea point of the Stomach. These two points in combination tonify the Spleen-Qi and promote the Qi and Blood circulation SP-6 is a crossing point of three Yin channels of the foot. LR-3 is the Stream and Source point of the Liver channel. These two points in combination promote the Blood circulation and remove the Blood stagnation so as to relieve the pain in the leg on the left side BL-17, the Gathering point for the Blood, regulates the Blood circulation and removes the Blood stagnation. After 2 months of treatment, the pain on the left

side of the patients body had gone. He was visited a year later and he said he had had no pain after the acupuncture treatment. 68 generalised body pain weak to relieve the unilateral pain because they are missing some pain relief herbs. Therefore, the following herbs could added into one of these formulas, such as Chuan Xiong Rhizoma Ligustici Chuanxiong 10g, Lu Lu Tong Fructus Liquidambaris Taiwanianae 10g, Luo Shi Teng, Caulis Trachelospermi Jasminodis 10g and Sang Ji Sheng Ramulus Loranthi 10g. Modifications 1. If there is dizziness, add Gou Teng Ramulus Uncariae cum Uncis 6g to pacify the Liver-Wind and to relieve the dizziness 2. If there is hemiplegia, add Dan Shen Radix Salviae Miltiorrhizae 10g and Di Long Lumbricus 10g to promote the Blood circulation and remove the Blood stasis 3. If there is much tingling at limbs, add Jiang Can Bombyx Batryticatus 10g, Xi Xian Cao Herba Siegesbeckiae 10g to harmonise the collaterals and relieve the numbness 4. If there is severe insomnia, add Suan Zao Ren Semen Ziziphi Spinosae 10g and Wu Wei Zi Fructus Schisandrae 10g to calm the Shen 4. If there are palpitations, add Long Gu Os Draconis 20g to calm the Shen and relieve the palpitations 5. If there is lower back pain, add Xu Duang Radix Dipsaci 10g to strengthen the Kidney and relieve the pain

6. If there is constipation, add Sheng Di Huang Radix Rehmanniae 10g and Xuan Shen Radix Scrophulariae 10g to nourish the Kidney-Yin, lubricate the Large Intestine and to relieve the constipation. Patent remedy Qi Ju Di Huang Wan Lycuim Fruit, Chrysanthemum and Rehmannia Pill. ACUPUNCTURE TREATMENT MAIN POINTS LI-4 Hegu, PC-6 Neiguan, LR-3 Taichong, KI-3 Taixi, KI-7 Fuliu, CV-6 Qihai, SP-6 Sanyinjiao and BL-23 Shenshu. Reinforcing method is used on these points. Explanations LI-4, the Source point, promotes the Qi circulation and relieves the pain PC-6, the Connecting point of the Pericardium channel, harmonise the collaterals, regulates the Shen and relieves the pain LR-3, the Stream and Source point of the Liver channel, promotes the circulation of Qi and nourishes the Liver-Yin CV-6, BL-23, the Back Transporting point of the Kidney, KI-3, the Stream and Source point, and KI-7, the Metal point, tonify the Yin of the Kidney and the Yin of the general body SP-6, the crossing point of the Spleen, Kidney and Liver channels of the foot, can nourish the Yin, clear the deficient Heat and to relieve pain. Alternative points LR-2 Xingjian, LR-8 Ququan, KI-2 Rangu, KI-6 Zhaohai, KI-10 Yingu, HT-7 Shenmen, HT-8 Shaofu,

CV-4 Guanyuan and BL-18 Ganshu, etc. Modifications 1. If there is dizziness or headache, add GB-20 to relieve the headache or dizziness 2. If there are palpitations, add HT-7 and BL-15 to calm the Shen and to relieve the palpitations 3. If there is restlessness and insomnia, add GV-20 and HT-8 to clear the Heat and calm the Shen 4. If there is a poor appetite and lassitude, add ST-36, CV-12 and SP-3 to promote the Qi circulation in the Middle Burner, activate the Spleen and to improve the appetite 5. If there is constipation, add ST-37 and ST-25 to nourish the Yin, promote the defecation and to relieve constipation 6. If there is hemiplegia, add TE-5, LI-11, GB-34 and ST-40 to promote the Qi circulation, harmonise the collaterals and remove the Blood stagnation. Prognosis It is usually easy to treat acute unilateral pain caused by invasion of External pathogenic factors; however, when it is caused by mixture of a few Internal pathogenic factors, then it would be not so easy to obtain a quick therapeutic result, especially for unilateral pain caused by Damp-Phlegm and stagnation of Blood, for instance, hemiplegia due to wind stroke. In any case, the treatment should be given as easily as possible. The longer the patient waits, the poorer result will appear. During the herbal treatment, the herbs to harmonise the collaterals, promote the circulation in the channels and to relax the Tendons should often be

combined with the basic formulas. During the acupuncture treatment, following points should often be applied, such as Accumulation points, Connecting point, Gathering point, and Source point, etc, because these points are good at regulating the meridians and promoting the Qi and Blood circulation, both in the Internal organs and meridians so as to relieve the pain successfully. Pain in the entire body, which occurs in more women than in men, can be either acute or chronic, often includes widespread pain in the soft fibrous tissues in the body such as muscles, ligaments and tendons, with multiple tender points, and can include severe fatigue, frequently feeling exhausted, and disturbed sleep. When there is pain, it is often characterised by muscle twitches and burning sensations. Besides the above symptoms, there is also possible irritable bowel syndrome, chronic headache, temperomandibular joint syndrome (TMJ), PMS, chest pain, morning stiffness, memory disturbance, numbness and tingling sensations, irritable bladder, the feeling of swollen extremities, skin sensitivities, dry eyes and mouth and dizziness, etc. Changes in weather, cold or draughty environments, infections, diet, stress, depression, anxiety and over-exertion may all cause aggravation of entire body pain. It is possible that even after numerous tests something may be discovered or nothing might be found to be wrong with the body. Pain throughout the body can, according to TCM, be caused by disorders in the Internal organs and disturbance

of the channels. There are many factors that may lead to this. They are differentiated in the following way: invasion of External Wind-Cold, invasion of External Wind-Damp, invasion of External Damp-Heat, stagnation of Liver-Qi, stagnation of Qi and Blood in the channels, deficiency of Qi and Blood, deficiency of Liver-Yin and Kidney-Yin and deficiency of Kidney-Yang. It is also possible to see some patients with such pain caused by a combination of a few of the above causative aetiologies and pathologies. In such cases the treatment is complicated, because a comprehensive and integrated treatment should be considered in order to rebalance the body and relieve the pain. Entire body pain may be attributed to any of the following disorders in Western medicine: the common cold, influenza, fibromyalgia, chronic fatigue syndrome (CFS), rheumatica, leptospirosis, poliomyelitis and polymyalgia, etc.