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Emaciation

Spleen/Stomach Deficiency (Stressed digestive problems)

Clinical manifestations:

• Anemia, malnutrition, indigestion, thin constitution with indigestion
• Poor appetite, chronic loose stool, fatigue, shortness of breath, weak voice
• Sallow or pale complexion
• T: Pale
• P: Weak

Treatment principle

• Tonify Spleen

Formula

• Si Jun Zi Tang
• Ba Zhen Tang
• Stress carminative herbs

Qi and Blood Deficiency (Digestive problems less stressed)

Clinical manifestations:

• Anemia, malnutrition.
• Pale face, nails, tongue, lips
• fatigue, dizziness, vertigo
• Yang Qi and Blood unable to rise to nourish head
• T: Pale
• P: Thready/Weak

Formula

• Ba Zhen Tang
• Stress tonic herbs such as He Shou Wu, E Jiao, Ji Xue Teng

Lung Yin Deficiency (Any Yin deficiency leads to a certain amount of emaciation)

Clinical manifestations:

• Thin, emaciated body
• Chronic dry cough, i.e. allergies
• Lung TB, AIDS, both lead to this sort of emaciation
• Cough with blood streaked sputum
• Hematemesis
• Dry mouth, tidal fever, night sweats, five center heat
• T: Red with scanty coat
• P: Thready, rapid

Treatment principle

• Tonify Yin

Formula

• Bai He Gu Jin Tang for Lung Yin deficiency
• Liu Wei Di Huang Wan for any Yin deficiency

Stomach Heat (genetic, or acquired, usually chronic)

Clinical manifestations:

• Excessive appetite, hyper-metabolism, bad breath, thin constitution
• Craves cold drinks
• Irritability
• Scanty urine, tends to be constipated
• T: Red with dry coat
• P: Thready, rapid, forceful

Formula

• Qing Wei San for Stomach heat
• Yu Niu Jiao for Stomach Yin deficiency due to Stomach heat

Liver Fire (XS heat)

Clinical manifestations:

• Easily angered
• Chest and hypochondriac pain or burning
• Bitter taste, dry mouth
• Insomnia, restlessness
• Dark yellow urine, constipation
• T: Red with yellow coat
• P: Wiry, rapid, forceful

Formula

• Long Dan Xie Gan Tang

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