Headache from external wind

-Headache in any part of head, fever and chills, dizziness, nasal congestion

- can be used for WC or WH depends on mods

-also used for wind in head

T: thin, white

P: Floating

WH attacking head

-copious purulent and fouls smelling discharge nasal discharge, nasal obstruction, dizziness, frontal HA

T: normal or yellow coating

P: floating, rapid

-know as bi yuan (profuse nasal discharge)

incompletely resolved exterior with interior excess heat

-fever, sweating, thirst, dysenteric diarrhea with foul smelling stools, burning sensation around anus

T: red with yellow coating

P: rapid

-focuses on interior

Qi level heat lingering in Lu and St

-vomiting, parched mouth, lips and throat, choking cough, stifling sensation in chest, deficient pulse

-also for summer heat

heat entering nutritive level

-high fever, worse at night, severe irritability, restlessness

T: dry, scarlet

P: thin, rapid

-pt may be thirsty, delirious, or have some faint indistinct erythema

Heat entering blood level

-fever that worsens at night, irritability, various types of bleeding, black and tarry stools, abdominal distension and fullness, thirst with inability to swallow

T: dry, scarlet, prickles on tongue

P: thin rapid

pt may become delirious

epidemic toxin with WH and Damp Phlegm

strong fever and chills, redness, swelling and burning pain of head and face, thirst

T: red, powdery white or yellow

P: forceful floating and rapid

-massive febrile disrorder of head (Da to Wen)

 Wu Wei Xiao Du Yin

toxic heat from externally contracted heat

localized erythema, swelling, heat and pain accomp by chills

T: red with yellow coat

P: rapid

-especially for deep rooted and hard lesions-relieve toxicity

Smoldering fire d/t constrained heat in Lu

-skin that feels hot to touch, coughing and wheezing and/or sore throat, dry mouth, little or difficult-to-expectorate sputum (all symptoms worse in afternoon)

T: red with yellow coat

P: thin rapid

useful for children

used for inverted menses

St heat with Yin deficiency

-toothache, loose teeth, bleeding gums, FRONTAL HA, irritability, fever, thirst

T: red, yellow coat

P: floating, slippery, deficient, large

- wasting and thirsting 

Lv and St disharmony

-indeterminate gnawing hunger, epigastric focal distention, vomiting, acid regurg, belching, dry mouth

T: red with yellow coating

P:  Wiry, rapid

also for hernial disorders

Lv and Kd yin deficiency leading to steaming bone disorder

-afternoon tidal fever or unremitting chronic low grade fever, sensation of heat in the bones but flesh is not warm to touch, irritability, insomnia, lethargy, red lips, dark red cheeks, night sweats, thirst, dry throat, emaciation

T: red with little coating

P: thin, rapid

-focuses on clearning heat rather than tonifying yin

Kd Yang xu

constipation, clear and copious urine, lower back pain

concurrent Shao yang and yang ming disorders

-intermittent chills and fever, continuous vomiting, fullness and pain in epigastrium, burning diarrhea, or no bowel movements, bitter taste in mouth, nausea, vomiting, sl irritability

T: yellow coating

P: wiry, forceful

heat excess in St/GB

SP deficiency with an overcontrolling Lv

recurrent problems of borborygmous, abdominal pain, diarrhea, with pain

T: thin white tongue coating

P: moderate or thin

Warm-dryness

-fever, hacking cough or one with scanty sticky sputum, dry throat

T: red with white coating

P: floating, rapid

may cough blood

Dryness attacking Lu

-fever, hacking cough, wheezing, dry throat, sensation of fullness in chest, hypochondriac pain, irritability 

T: dry

P: deficient, big, rapid

Damp Heat jaundice (middle burner)

Jaundice (color of fresh tangerine) throughout body, sl distention of of abdomen, urinary difficulty, heavy sensation of body, fever, no thirst

T: greasy, yellow

P: slippery or soggy

-also for sweating from head

Damp heat lodging in intestines (Lower Burner)

- abdominal pain, difficult defacation, diarrhea with equal amounts of pus and blood, tenesmus, burning sensation around anus, scanty and dark urine, heavy sensation in body, fever, no thirst

T: sl yellow and greasy

P: slippery, rapid

-early stage dysenteric disorder

Damp heat lodging in lower burner

-for variety of disorders, including low back pain and leg pain, weakness or atrophy of lower extremities, vaginal discharge, damp sores on lower extremities, heavy sensation in body, fever, no thirst

T: yellow greasy

P: slippery, soggy

usually foundation for larger formula

Wind damp in exterior and muscle layer

-heavy, painful head, generalized sensation of heaviness, generalized joint pain, difficulty in moving the spine, chills, mild fever

T: white coat

P: floating

-produce mild sweat

recurrent painful obstruction with localized heat

- swollen, painful joints (especially lower extremities) that are warm to touch and worsen at night, chills, abscence of sweating, weight loss

T: white greasy

P: wiry, slippery

Blood deficiency with injury to fluids

-spasms of calf muscles, irritability, sl chills

T: pale, no coating

P: thin

-also for spasmodic pain in other parts of body (partic the abdomen)

painful obstruction with Lv and Kd deficiency

-heavy, painful sensation in fixed locations of lower back and extremities accompanied by weakness and stiffness, aversion to cold and attraction to warmth

T: pale with white coat

P: slow, thin, weak

-may also be numbness or lack of sensation

-also atrophy disorder

consumptive disorders with Qi and Blood deficiency

palpitations with anxiety, irritability, insomnia, loss of appetite, emaciation, SOB, constipation, dry mouth and throat

T: shiny and pale

P: thin and frail (or consistantly irregular or slow-irregular)

-focuses on nourishing the blood and restoring a normal pulse

Kd yin xu with injury to essence and marrow

-low back soreness, spontaneous emissions, night sweats, dry mouth and throat, irritability, thirst with desire to drink, 

T: red, dry peeled

P: thin, rapid

-focuses on deficiency, its indicated for cases with NO signs of fire

Upward rising of fire from Kd and Lv xu

afternoon tidal fever, night sweats, spontaneous emissions, night sweats, irritability, sensation of heat and pain in knees and legs (sometimes accomp by weakness), soreness and weakness in low back

T: red,dry

P: rapid and forceful in rear position

-focuses more on causing fire from deficiency to descend, less on tonifying

Lv and Kd yin xu with Lv Qi constraint

- hypochondriac and chest pain, epigastric and abdominal distention, acid regurgitation, soreness and weakness of low back, dry mouth and throat, irritability

T: red, dry

P: thin, frail or deficient, wiry

-commonly used for chronic hepatitis

Kd and Lv yin xu

-weakness and soreness of low back and knees, dizziness, blurred vision, insomnia, dream disturbed sleep, premature graying or loss of hair, dry mouth and throat, irritability

T: red, dry

P: thin, rapid

-focuses on bleeding disorders or premature graying

Kd yin and yang deficiency, accomp by flaring up of fire d/t deficiency

-menopausal symptoms (esp hypertension), fatigue, aversion to cold, lower back pain, weakness of legs

T: pale, swollen

P: thin, frail (esp at proximal position)

-complex formula that is also used to treat essential hypertension and other disorders unrelated to menopause

cold invading Lv channel and causing Qi stagnation

- lower abdominal pain radiating to testicles

T: pale with white coating

P: slow or wiry

-also for hypochondriac or menstrual pain

Cold from deficiency of Lv and Kd

lower abdominal pain that is sharp and localized and increases with local application of cold

T: pale (esp sides and root)

P: submerged, tight

-a form of hernial disorder

- swollen and painful scrotum

WC in exterior and phlegm heat in interior

-copious, thick, yellow sputum, labored breathing, wheezing

T: greasy, yellow

P: slippery, rapid

-may have simultaneous fever and chills

Blood stasis in lower abdomen

-irregular menses, dysmenorrhea, retention of the lochia, post partum abdominal pain, acute colicky pain in lower abdomen, severe pain in middle abdomen, or epigastric pain

-particularly useful for blood stasis in Lv channel

-modified to treat angina pectoris

Blood stasis with normal Qi and Yang Qi xu

Sequelae of wind stroke, including hemiplegia, paralysis, and atrophy of lower limbs, facial paralysis, slurred speech, drooling, dry stools, frequent urination

T: white 

P: moderate

-also for atrophy disorders

Blood stasis and Qi stagnation d/t trauma

-severe pain in chest, hypochondria, or flanks

T: dark with stasis spots

P: wiry

-generally used for trunk pain

Unstable protective Qi with injury to Ht yin

-spontaneous sweating that worsens at night, palpitations, easily startled, SOB, irritability, general debility, lethargy

T: pale-red

P: thin, frail

stops sweating without any tonifying action

Kd deficiency leading to instability of Chong and Ren vessels

-restless fetus disorder, and in severe cases, vaginal bleeding during pregnancy or miscarriage , frequent urination to point of incontinence, dizziness, tinnitus, weak legs

T: slippery

P: frail, submerged

-also used as preventative measure

yin deficiency of Ht and Kd

-irritablity, sleep disturbance, palpitations with anxiety, inability to concentrate, nocturnal emissions, dry stools

T: red with little coating

P: thin, rapid

-focuses on irritability. also for apthous, ulcers, recurrent urticaria and chronic conjunctivits

congested fluids in the epigastrium

-cough with copious sputum, fullness in chest and hypochodria, palpitations, SOB, dizziness/vertigo

T: pale, swollen with white slippery

P: wiry, soggy

Cold Lung with food stagnation

-wheezing, focal distention in chest, loss of appetite, digestive difficulty

T: white, greasy

P: slippery

commonly used in elderly

Exterior cold Excess

Fever and chills (more chills), ABSENCE OF SWEATING, HA, generalized body aches, wheezing

T: pale, normal

P: floating, tight

-also for cold causing sneezing or nosebleeds, and for painful obstruction d/t WCD

Externally contracted Wind Cold at Tai Yang stage

-Fever and chills without sweating, stiff and rigid neck and upper back

T: thin white

P: floating and tight

-also for same pattern causing diarrhea or scanty urination

Heat lodged in Lu

-fever with or without sweating, thirst, wheezing, difficult-to-expectorate sputum, labored breathing, nasal flaring and pain

T: red with yellow coating

P: rapid, thin

Promote Qi movement d/t Lv Qi Stagnation

-hypochondriac fullness and pain, alternating chills and fever, irritability, abdominal pain and cramps. Maybe irregular menses and dysmenorrhea/amenorrhea

no T/P

Kd yin xu with Lu Qi or yin xu

-sore, weak low back, vertigo and dizziness, tinnitus, weak hearing, night sweats, nocturnal emission, 5 center heat

T: red with little fur

P: rapid, thin, thready

Blood Stasis between the diaphragm and naval

-masses under diaphragm (abdomen), or in children, abdominal pain (fixed location), bearing down sensation as if something in abdomen when lying down

T: dusky

P: choppy

Excess heat in Liver channel accompanied by Lv Wind Rising

-persistent high fever, irritability, vertigo, muscle twitching and spasms of extremities, in severe cases may be loss of consciousness

T: deep red, dry or burnt tongue with prickles

P: rapid, wiry

Lv and Kd yin xu affecting the eyes

-blurred vision, poor vision, dry eyes, tears when exposed to wind

T: red, with little fur

P: rapid, thin

Qi deficiency of Kd and Ht

-frequent urination, rice water like urine, poor shen, poor concentration, poor memory, eating little food, spermatorrhea, palpitations

T: pale, white fur

P: thin, frail. slow

Blood Stasis in lower abdomen d/t excess cold

-pain in groin, uterine pain, made worse with cold, hypogastric masses with or w/out pain or masses, hypogastric distention and lumbago during menses or 3-5 menstrual flows per month, painful menses with purple red or dark blood flow with clots, irreg menses, dark face

T: purple

P: wiry, choppy, slow

Blood Stasis/Bi Syndrome in extremites

-pain in shoulders, head, back, arms, low back, legs or all over body, stubborn to usual treatments

T: sl purple, thin white coat

P: wiry

Qi and Blood deficiencies failing to nourish fetus

-restless fetus, threatened miscarriage, or habitual miscarriage, pale complexion, fatigue, lack of appetite

T: pale with slippery coat

P: slippery but forceless

Exterior Wind Cold with congested Fluids

-fever and chills (more chills), without sweating, coughing, wheezing, copious sputum that is white, stringy and difficult to expectorate, stifling sensation in chest, heaviness and body aches, no particular thirst

T: moist

P: floating, tight

Kd yang xu

-fatigue or exhaustion, listlessness, pain and weakness of low back and knees, achy joints, cold limbs, cold intolerance, loss of hearing, tinnitus, poor appetite, loose stools undigested food, impotence, spermatorrhea, declining sexual function, frequent urination, incontinence, edema in lower extremities

T: pale and swollen with slippery white coat

P: deep, weak, slow

Lv fire overacting on St

Hypochondria pain, hunger, epigastric focal distention, vomiting, acid regurgitation, belchinghiccough, bitter taste in mouth

T: red with yellow coat

P: rapid, wiry