CM SD Index - Differential Diagnosis

Condition Details
TCM Diagnosis
Accumulation of toxic heat
Herbal Formula
GI Care II
- Left side: Liangqiu (ST 34), Zusanli (ST 36), Shangjuxu (ST 37), Tiaokou (ST 38), Ximen (PC 4), Neiguan (PC 6) or ah shi points nearby, and Large Intestine on the left ear.
- Right side: Taibai (SP 3), Gongsun (SP 4), Xuehai (SP 10), Hegu (LI 4), Quchi (LI 11), Shousanli (LI 10) or ah shi points nearby, and Small Intestine on the right ear.
- Left and right sides can be alternated from treatment to treatment.
- Primary points: Sihuashang (T 77.08), Sihuazhong (T 77.09), Sihuafu (T 77.10), Sihuaxia (T 77.11), Changmen (T 33.10), Ganmen (T 33.11), Xinmen (T 33.12), Tongguan (T 88.01), Tongshan (T 88.02), Tongtian (T 88.03), Tushui (T 22.11), Menjin (T 66.05), Muliu (T 66.06), Mudou (T 66.07), Zhiwujin (T 11.08)
- Secondary points: Shouwujin (T 33.08), Shouqianjin (T 33.09), Beimian (T 44.07), Zuqianjin (T 77.24), Zuwujin (T 77.25), Tianhuang (T 77.17), Tianhuangfu [Shenguan] (T 77.18)
- Gastroenteritis (acute): Huozhi (T 88.15), Qihuang (T 88.14), Zusanli (ST 36), Ganmen (T 33.11), Changmen (T 33.10), Fuchang (T 77.12), Zhiwujin (T 11.08), Zuqianjin (T 77.24), Zuwujin (T 77.25), Sihuashang (T 77.08), Sihuazhong (T 77.09), Jinyingshang (T 88.33)* and Jinyingxia (T 88.34)*. Bleed the LU area on the lower limb.
- Gastroenteritis (chronic): Piyi (T 88.35)*, Pier (T 88.36)*, Pisan (T 88.37)*, Cesanli (T 77.22), Menjin (T 66.05), Linggu (T 22.05), Changmen (T 33.10), Zhiwujin (T 11.08). Bleed the dark veins nearby the ST channel on the lower limb.
- Enteritis: Changmen (T 33.10), Sihuashang (T 77.08), Sihuazhong (T 77.09), Zusanli (ST 36), Ganmen (T 33.11), Fuchang (T 77.12), Jinyingshang (T 88.33)*, Jinyingxia (T 88.34)*, Dajian (T 11.01), Xiaojian (T 11.02), Zhiwujin (T 11.08), Zuqianjin (T 77.24), Zuwujin (T 77.25)
- Bloating: Pizhong (T 11.18), Sihuashang (T 77.08), Sihuazhong (T 77.09), Sihuaxia (T 77.11), Fuchang (T 77.12), Menjin (T 66.05), Huoju (T 66.11), Changmen (T 33.10), Minghuang (T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14), Beimian (T 44.07), Fukuai (T 1010.15), Shangjiuli (T 88.26), Zhongjiuli (T 88.25), Xiajiuli (T 88.27), Sifuyi (T 1010.11), Sifuer (T 1010.10)
- Food poisoning: Jinyingshang (T 88.33)*, Jinyingxia (T 88.34)*, Shoujie (T 22.10)
- Vomiting: Tushui (T 22.11), Xinling (T 33.17)*, Sihuashang (T 77.08), Sihuali (T 77.13), Menjin (T 66.05), Linggu (T 22.05), Xinmen (T 33.12), Quling (T 33.16), Shuijin (T 1010.20), Shuitong (T 1010.19), Tongguan (T 88.01), Tongtian (T 88.03), Tongshan (T 88.02). Bleed Jinjin (Ex-HN12), Yuye (Ex-HN13), Yamen (GV 15) or dark veins nearby. Bleed before needling for the best results.
- Gastroenteritis (acute):
- Bleeding : Bleed the dark veins on the top of the foot or nearby the ST channel on the lower leg. Bleed before needling for the best results.
- Source 6 : Zhongwan (CV 12), Tianshu (ST 25), Neiguan (PC 6), Zusanli (ST 36). Bleed Weizhong (BL 40)
- Source 13 : Liangqiu (ST 34), Kunlun (BL 60), Tianshu (ST 25) Source 15: Bleed Shixuan
- Source 18 : Zusanli (ST 36), Tianshu (ST 25), Shangjuxu (ST 37), Weishu (BL 21), Zhongwan (CV 12), Guanyuan (CV 4), Neiguan (PC 6), Hegu (LI 4), Quchi (LI 11), Yinlingquan (SP 9)
- Source 23 : Weizhong (BL 40), Quze (PC 3), Zhongwan (CV 12), Zusanli (ST 36), Neiguan (PC 6). Moxa Guanyuan (CV 4), Qihai (CV 6)
- Source 27: Due to Heat: Taixi (KI 3), Quchi (LI 11), Yinlingquan (SP 9), Yanglingquan (GB 34), Taibai (SP 3), Gongsun (SP 4), Xiajuxu (ST 39), Quze (PC 3), Hegu (LI 4), Zusanli (ST 36), Neiting (ST 44), Chengshan (BL 57). Bleed Weizhong (BL 40), Quze (PC 3).
- Source 30:
- Bleed all jing (well) points, Jin Jin, Shaoshang (LU 11), Yu Ye, Shangyang (LI 1), Quze (PC 3), Zhongchong (PC 9), Weizhong (BL 40), Baihui (GV 20), Weizhong (BL 40). Squeeze out at least one drop of blood per point.
- Bleeding: Bleed the Lung and Stomach areas below the knees.
- Shangjuxu (ST 37), Tianshu (ST 25), Zusanli (ST 36), Shangwan (CV 13), Guanyuan (CV 4)
- Needle Tianshu (ST 25), Shangjuxu (ST 37), and Xiajuxu (ST 39). Bleed veins next to Zusanli (ST 36)
- Taixi (KI 3), Quchi (LI 11), Yinlingquan (SP 9), Yanglingquan (GB 34), Taibai (SP 3), Gongsun (SP 4), Xiajuxu (ST 39), Quze (PC 3), Hegu (LI 4), Zusanli (ST 36), Neiting (ST 44), Chengshan (BL 57). Bleed Weizhong (BL 40), Quze (PC 3)
- Gastroenteritis (chronic):
- Bleeding : Bleed the dark veins on the top of the foot or nearby the ST channel on the lower leg. Bleed before needling for the best results.
- Source 18: Zusanli (ST 36), Neiguan (PC 6), Tianshu (ST 25), Shangjuxu (ST 37), Xiajuxu (ST 39), Pishu (BL 20), Dachangshu (BL 25), Yinlingquan (SP 9)
- Source 27:
- Yinlingquan (SP 9), Zusanli (ST 36), Ququan (LR 8), Rangu (KI 2), Shugu (BL 65), Yinbai (SP 1), Sanjiaoshu (BL 22), Zhongwan (CV 12), Tianshu (ST 25), Pishu (BL 20), Shenshu (BL 23), Dachangshu (BL 25), Sanyinjiao (SP 6). Moxa Shenque (CV 8), Guanyuan (CV 4)
- Zhongwan (CV 12), Qihai (CV 6), Guanyuan (CV 4), Qimen (LR 14), Tianshu (ST 25), Pishu (BL 20), Shenshu (BL 23), Sanyinjiao (SP 6), Zhongji (CV 3), Weishu (BL 21), Shuifen (CV 9), Neiting (ST 44). Moxa Huiyang (BL 35), Shenque (CV 8), Guanyuan (CV 4)
- Source 27 : Guanyuan (CV 4), Zhongji (CV 3), Tianshu (ST 25), Sanyinjiao (SP 6), Zhongwan (CV 12), Liangmen (ST 21), Qihai (CV 6), Moxa Baihui (GV 20), Tianshu (ST 25), Zhongwan (CV 12), Qihai (CV 6), Guanyuan (CV 4), Pishu (BL 20), Shenshu (BL 23).
- Bloating:
- Source 27 : Zhongwan (CV 12), Shangwan (CV 13), Zhangmen (LR 13), Shimen (CV 5), Shangqiu (SP 5), Taiyuan (LU 9), Yuji (LU 10), Zusanli (ST 36), Neiguan (PC 6), Geshu (BL 17), Weishu (BL 21), Pishu (BL 20), Shenshu (BL 23), Gongsun (SP 4), Juque (CV 14). Moxa Rugen (ST 18), Geshu (BL 17), Weishu (BL 21), Shenshu (BL 23), Ganshu (BL 18), Pishu (BL 20), Zusanli (ST 36), Taichong (LR 3).
- Source 29 : Zhaohai (KI 6), Zhongwan (CV 12), Shanzhong (CV 17), Shuifen (CV 9), Xingjian (LR 2), Sanyinjiao (SP 6).
- Borborygmi:
- Source 21 : Zusanli (ST 36), Xiangu (ST 43), Gongsun (SP 4), Taibai (SP 3), Zhangmen (LR 13), Sanyinjiao (SP 6), Shuifen (CV 9), Weishu (BL 21), Sanjiaoshu (BL 22)
- Source 27 : Xiangu (ST 43), Shangjuxu (ST 37), Xiajuxu (ST 39), Zusanli (ST 36), Pishu (BL 20), Chengman (ST 20), Zhangmen (LR 13), Wenliu (LI 7), Lougu (SP 7), Fuliu (KI 7), Taibai (SP 3), Gongsun (SP 4), Sanyinjiao (SP 6), Weishu (BL 21), Sanjiaoshu (BL 22), Pangguangshu (BL 28). Moxa Shangwan (CV 13), Shenque (CV 8), Weishu (BL 21), Zusanli (ST 36), Dachangshu (BL 25)
- Source 29 : Qihai (CV 6), Shangjuxu (ST 37), Shanglian (LI 9), Zusanli (ST 36)
- Colitis:
- Source 14 : Zhongwan (CV 12), Xiawan (CV 10), Tianshu (ST 25), Qihai (CV 6), Shangjuxu (ST 37)
- Source 29 : Tianshu (ST 25), Zusanli (ST 36), Taixi (KI 3), Qihai (CV 6), Changqiang (GV 1), Guanyuan (CV 4), Zhigou (TH 6), Neiguan (PC 6), Taichong (LR 3), Dachangshu (BL 25), Dazhui (GV 14), Quchi (LI 11)
- Food poisoning:
- Dysentery:
- Source 18: Shangjuxu (ST 37), Zusanli (ST 36), Tianshu (ST 25), Guanyuan (CV 4), Zhongwan (CV 12), Hegu (LI 4), Neiguan (PC 6), Quchi (LI 11)
- Source 19: Hegu (LI 4), Tianshu (ST 25), Guanyuan (CV 4), Zusanli (ST 36), Zhongwan (CV 12)
- Source 21: Ququan (LR 8), Taixi (KI 3), Taichong (LR 3), Taibai (SP 3), Pishu (BL 20), Xiaochangshu (BL 27), Neiting (ST 44), Tianshu (ST 25), Yinbai (SP 1), Qihai (CV 6), Zhaohai (KI 6), Neiguan (PC 6), Waiguan (TH 5), Zhongwan (CV 12), Shenmai (BL 62), Chengshan (BL 57), Changqiang (GV 1)
- Source 23: Needle and moxa Zusanli (ST 36), Tianshu (ST 25), Guanyuan (CV 4).
- Source 27:
- Ququan (LR 8), Taixi (KI 3), Taichong (LR 3), Pishu (BL 20), Xiaochangshu (BL 27), Changqiang (GV 1), Mingmen (GV 4), Shuidao (ST 28), Qihai (CV 6), Wailing (ST 26), Zusanli (ST 36), Sanyinjiao (SP 6), Dachangshu (BL 25), Shouwuli (LI 13). Moxa Shenque (CV 8), Sanyinjiao (SP 6), Tianshu (ST 25), Zhongwan (CV 12)
- Needle and moxa Hegu (LI 4), Dazhui (GV 14), Tianshu (ST 25), Guanyuan (CV 4)
- Moxa Qihai (CV 6), Chengman (ST 20), Juque (CV 14), Xiaochangshu (BL 27), Pishu (BL 20), Sanjiaoshu (BL 22).
- Taichong (LR 3), Ququan (LR 8), Huiyang (BL 35), Sanjiaoshu (BL 22), Xiaochangshu (BL 27), Yishe (BL 49), Zhangmen (LR 13), Xialiao (BL 34)
- Needle and moxa Ququan (LR 8), Zhonglushu (BL 29), Pangguangshu (BL 28), Guanyuan (CV 4), Qihai (CV 6), Pishu (BL 20), Xiaochangshu (BL 27), Shimen (CV 5), Daheng (SP 15), Fuliu (KI 7), Shugu (BL 65), Huiyang (BL 35), Dachangshu (BL 25), Tianshu (ST 25)
- Needle and moxa Gongsun (SP 4), Xiawan (CV 10), Tianshu (ST 25), Zhaohai (KI 6), Lieque (LU 7), Sanyinjiao (SP 6) Neiting (ST 44)
- Dachangshu (BL 25), Xiaochangshu (BL 27), Zusanli (ST 36), Neiting (ST 44), Tianshu (ST 25), Yinbai (SP 1), Qihai (CV 6), Zhaohai (KI 6), Neiguan (PC 6), Waiguan (TH 5), Zhongwan (CV 12), Shenmai (BL 62)
- Baihui (GV 20), Pishu (BL 20), Shenshu (BL 23), Mingmen (GV 4), Changqiang (GV 1), Chengman (ST 20), Liangmen (ST 21), Zhongwan (CV 12), Shenque (CV 8), Tianshu (ST 25), Qihai (CV 6), Shimen (CV 5), Guanyuan (CV 4), Sanyinjiao (SP 6)
- Tianshu (ST 25), Guanyuan (CV 4), Pishu (BL 20), Taibai (SP 3), Sanjian (LI 3), Chize (LU 5), Jiexi (ST 41), Shanglian (LI 9), Dachangshu (BL 25), Taixi (KI 3), Ququan (LR 8), Qihai (CV 6), Zusanli (ST 36), Fuai (SP 16), Yinlingquan (SP 9), Sanyinjiao (SP 6)
- Ququan (LR 8), Taixi (KI 3), Taichong (LR 3), Taibai (SP 3), Pishu (BL 20), Xiaochangshu (BL 27), Chengshan (BL 57), Jiexi (ST 41)
- Needle and moxa Hegu (LI 4), Zusanli (ST 36), Dachangshu (BL 25), Xiaochangshu (BL 27), Baihuanshu (BL 30), Guanyuan (CV 4), Pishu (BL 20), Tianshu (ST 25), Zhongwan (CV 12)
- Source 29: Guanyuan (CV 4), Taixi (KI 3), Mingmen (GV 4), Gongsun (SP 4), Guanchong (TH 1), Renzhong (GV 26), Jianshi (PC 5).
- Damp heat: Lieque (LU 7), Shuidao (ST 28), Qihai (CV 6), Wailing (ST 26), Tianshu (ST 25), Zusanli (ST 36), Sanyinjiao (SP 6)
- Cold: Quchi (LI 11), Jingqu (LU 8), Hegu (LI 4), Sanjian (LI 3), Jianshi (PC 5)
- Heat with unremitting high fever: Gongsun (SP 4), Jianshi (PC 5), Dazhui (GV 14), Xuanzhong (GB 39).
- Chills before fever: Gongsun (SP 4), Houxi (SI 3), Quchi (LI 11), Laogong (PC 8)
- Fever before chills: Gongsun (SP 4), Quchi (LI 11), Dazhui (GV 14), Xuanzhong (GB 39)
- With headache: Gongsun (SP 4), Hegu (LI 4), Zhongwan (CV 12), Lieque (LU 7)
- With joint pain: Gongsun (SP 4), Pohu (BL 42), Dazhui (GV 14), Rangu (KI 2)
- Tenesmus:
- Source 16 : Zhongwan (CV 12), Tianshu (ST 25), Zusanli (ST 36), Hegu (LI 4), Quchi (LI 11), Shangjuxu (ST 37), Qihai (CV 6), Sanyinjiao (SP 6), Weishu (BL 21), Pishu (BL 20), Shenshu (BL 23)
- Source 21 : Chengshan (BL 57), Jiexi (ST 41), Taibai (SP 3), dai (Girdle) channel
- Source 31: Xiawan (CV 10), Tianshu (ST 25), Zhaohai (KI 6)
- Source 27 : Chengshan (BL 57), Jiexi (ST 41), Taibai (SP 3)
- Source 29 : Gongsun (SP 4), Xiawan (CV 10), Tianshu (ST 25), Zhaohai (KI 6)
- Stomach, Small Intestine, Large Intestine, Spleen. Use ear seeds.
- Stomach, Large Intestine, lower part of the Rectum, Spleen. Use three needles on different parts of the Large Intestine. Large Intestine and Stomach are the main points. Strength of stimulation should be determined by the patient’s constitution and tolerance. Both needles and seeds can be used. Strong stimulation is necessary if ear seeds are selected. If diarrhea is severe, points should be massaged every two to four hours. After symptoms subside, needle every other day or twice a week. Ten days equals one treatment course.
- Acute gastroenteritis: Spleen, Stomach, Sympathetic, Rectum, Large Intestine, Small Intestine, Sigmoid, Digestive Subcortex. Bleed Ear Apex.
- Abdominal spasm: add Shenmen, Occiput
- Bearing down sensation in the abdomen: add Abdominal Distention Area and Lower Jiao
Important! The information is intended as a reference for professional TCM practitioners. It's important to recognize that a single symptom may point to multiple potential diagnoses, and a specific diagnosis can require different treatment protocols due to varying clinical presentations and underlying causes. Informed professional judgment and careful evaluation must be exercised prior to recommending any treatment protocols to patients.