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TCM theory - diagnosis
zang fu diagnosis
91
Other
Graduate
05/22/2013

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Term
Heart and Kidney Not Communicating
Definition
Heart and Kidney water and fire imbalance; Heart and Kidney yin deficiency with yang flaring
Irritability, insomnia, fright palpitations, copious dreaming, vivid sexual dreams (sometimes with seminal
emission) (yang flaring)
Dizziness, tinnitus, poor memory
Sore and weak lumbar and knees
Five-palm heat, tidal fever, night sweats
Dry throat and mouth

Tongue: red, little to no coat (often just the tip is really red)
Pulse: thin and rapid
Term
Liver Fire invading Lung
Definition
Burning pain in the chest and flanks
Irritability, easy angry
Distending headache, dizziness
Red face and eyes
Feeling hot and irritable
Bitter mouth
Cough, sometimes with blood, sometimes with thick yellow phlegm

Tongue: red, yellow coat
Pulse: rapid, wiry
Term
Liver and Stomach Disharmony
Definition
Constrained Liver qi (Liver Qi Stagnation) horizontally invading Stomach; Stomach qi disharmonious and failing to descend
aka Liver Qi Attacking Stomach
Distention, fullness & pain in the epigastrium & hypochondrium
Hiccough, belching, acid regurgitation, emptiness and burning in the stomach
Depression, moodiness, irritability, easy angry, sighing
Poor appetite

Tongue: thin white or thin yellow coat
Pulse: wiry, or rapid and wiry
Term
Liver Depression with Spleen Deficiency
aka Liver and Spleen Disharmony
Definition
Distention, fullness & pain in the epigastrium & hypochondrium
Hiccough, belching, acid regurgitation, emptiness and burning in the stomach
Depression, moodiness, irritability, easy angry, sighing
Poor appetite and abdominal distention
Loose stools, but not complete; flatulence, borborygmus
Abdominal pain with diarrhea, pain decreases after diarrhea
Alternating constipation and diarrhea

Tongue: thin white coat
Pulse: wiry, or moderate and weak
Term
Liver and Kidney Yin Xu
Definition
Dizziness, blurry vision, tinnitus, poor memory
Dry mouth and tongue
Insomnia, copious dreams
Flank pain
Sore and weak low back and knees
Five palm heat, night sweats, malar flush
Seminal emission
Scant menstruation

Tongue: red, little to no coat
Pulse: thin and rapid
Term
Heart and Kidney Yang Xu
Definition
Weakness of “warming and moving”, leads to impaired movement of blood, stasis of water and dampness, etc.
Palpitations
Extremities: cold/frigid, edema
Urinary difficulty
Aversion to cold
Fatigue, listlessness
Cyanotic lips and nail-beds

Tongue: pale, dusky, blue-green, purple; white, slippery coat
Pulse: deep, thin, faint (also can see weak, knotted, and intermittent)
Term
Heart and Lung Qi Xu
Definition
Palpitations and cough are primary symptoms; all sx’s worse with exertion
Palpitations
Weak cough, sometimes with thin, clear, watery sputum
Weak voice, dislike of speaking, shortness of breath
Lassitude, dizziness
Chest oppression
Spontaneous sweats
Pale white complexion

Tongue: pale with white coat
Pulse: deep, weak; knotted, intermittent
Term
Heart and Spleen Both Deficient
Aka Heart and Spleen Qi and Blood Deficiency or Deficiency of Spleen Qi and Heart Blood
Definition
Palpitations, insomnia, copious dreams
Dizziness, forgetfulness - poor memory and lack of concentration
Poor appetite, abdominal distention, loose stools
Fatigue, listlessness
Sallow-yellow complexion
Easy bruising
Late menstruation with scant, pale flow, spotting - sometimes heavy menstruation

Tongue: pale, thin white coat
Pulse: thin, weak
Term
Heart and Liver Blood Xu
Definition
Palpitations, forgetfulness, insomnia, copious dreams
Dizziness, blurry vision, dry eyes, floaters
Extremities: numbness, spasms, tremors
Pale, brittle nails
Pale, lusterless complexion
Menst: late, scant and pale flow, or amenorrhea

Tongue: pale with white coat
Pulse: thin and weak (left cun and guan position)
Term
Spleen and Lung Qi Xu
Definition
Poor appetite, abdominal distention, loose stool
Chronic/persistent weak cough, dyspnea, wheezing, weak voice, dislike to speak
White, clear, watery sputum
Fatigue
Edema of the extremities
Pale-white complexion

Tongue: pale with white (slippery) coat
Pulse: thin and weak (right cun and guan)
Term
Lung and Kidney Qi Xu
Definition
Chronic wheezing, dyspnea, difficulty especially with inhalation and worse with exertion
Weak voice, dislike of speaking,
Spontaneous sweating
Fatigue
Sore and weak lumbar and knees

Tongue: pale; Pulse: weak
In severe cases: (Qi xu becomes yang xu or yang abandonment)
More severe wheezing, cold and copious sweating, cold limbs, large pulse with no root
Term
Lung an Kidney Yin Xu
Definition
Cough with scant sputum, possibly blood-streaked
Dry throat and mouth, hoarse voice
Sore and weak lumbar and knees
Steaming-bone, tidal fever, night sweats, red cheeks, five-palm heat
Emaciation
Nocturnal emission
Irregular menstruation

Tongue: red, little to no coat
Pulse: thin, rapid
Term
Kidney Yang Xu
Definition
Soreness, weakness, dull-pain & cold sensation in lumbar & knees - (weight bearing areas)
Cold body and extremities, especially legs
Bright-white or dim complexion
Fatigue, lassitude
Dizziness, blurry vision, tinnitus (insufficiency of marrow not nourishing sea of marrow)
Impotence, premature ejaculation
Cold uterus with infertility
Decreased libido, infertility
Five-gong diarrhea (daybreak diarrhea) w/watery, undigested stool
Polyuria, nocturia, pale urine
Pitting edema

Tongue: swollen/puffy, pale with slippery/wet white coat
Pulse: deep, weak, slow
Term
Kidney Yang Xu with Water overflowing
Definition
Pitting edema, especially severe in lower half of body (below waist)
Aversion to cold, cold extremities
Cold and sore lumbar and knees
Abdominal fullness and distention (ascites)
Palpitations (water/fluids that begin to affect the upper burner - affects the zhong qi), dyspnea
Cough and/or wheezing with phlegm sounds
Scant urination

Tongue: pale, puffy/swollen with white and slippery coat
Pulse: deep, slow, weak
Term
Kidney Yin Xu
Definition
Soreness, weakness, dull pain in lumbar region (hot)
Dizziness, tinnitus (low-pitch)
Loose teeth, alopecia
Insomnia, dream-disturbed sleep, poor memory (Ht not nourished)
Strong libido, impotence, easy and frequent erections, vivid sexual dreams, wet-dreams, infertility
Late menstruation, scant flow, spotting
Malar flush, tidal fever, five-palm heat, steaming bone, night-sweats
Dry mouth and throat
Emaciation
Scant, yellow urine; constipation with dry stool

Tongue: red, dry, little to no coat
Pulse: thin and rapid
Term
Kidney Essence Xu
Definition
Mainly manifests as stunted growth and development, decreased reproductive function, and premature aging.
Stunted childhood development, poorly developed body, delayed closure of fontanel, decreased/impaired mental capacity/function
Bones: weak, soft, atrophy
Clumsy movements, poor coordination
Men: low sperm count, infertility, decreased reproductive function
Women: amenorrhea, infertility, decreased reproductive function
Premature aging, tinnitus, deafness, poor memory
Weakness and atrophy of feet (heel pain)
Alopecia, loose teeth

Tongue: pale
Pulse: thin, weak
Term
Kidney Qi Xu
Definition
Pale white complexion
Dizziness, tinnitus, hearing loss, deafness
Fatigue, lassitude
Sore and weak lumbar and knees
Urine: frequent, clear, dribbling, nocturia, enuresis, incontinence; turbid-white urine (semen in urine)
Premature ejaculation, spermatorrhea w/out sexual dreams
Spotting (light or heavy); miscarriage (habitual); profuse, clear, thin leukorrhea

Tongue: pale, white coat
Pulse: weak
Term
Kidney not Grasping the Qi
Definition
Chronic, persistent cough, breathlessness, wheezing; difficult inhalation, trouble catching one’s breath, shortness of breath, all worse with exertion
Weak voice, spontaneous sweating, listlessness, fatigue, sore and weak low back and knees

Tongue: pale with white coat
Pulse: deep and weak
Term
Damp Heat in the Bladder
Definition
Urine: frequent, urgent, hesitant, painful, burning, scant, dribbling, partially blocked mid-stream, blood or sand in urine, dark-yellow, cloudy, strong odor
Fullness and distention in low abdomen
Low back pain
High fever (possibly)

Tongue: red with greasy, yellow coat
Pulse: rapid, slippery
Term
Liver Qi Stagnation
Definition
Mental depression (sadness to full-blown depression), irritability, easy angry
Distending and/or wandering pain
Costal region/hypochondrium (often worse on right side)
Epigastrum
Lower abdomen
Stuffiness of the chest
Belching, poor appetite
Frequent sighing -> helps to move the Qi
Plum-pit throat: foreign-body sensation in the throat, aka: globus pharyngis
Goiter, scrofula (lymphadenitis of cervical lymph)
Abdominal masses (cirrhosis, etc)
Irregular menstruation, dysmenorrhea, PMS with emotional disturbances and distended and painful breasts - lumpiness (qi and phlegm)
herbs: xing pi or juo lou (pith of citrus)
Most menstrual problems have some Liver Qi stagnation

Tongue: thin white coat.
Pulse: wiry
Term
Exuberance of Liver Fire
Definition
Distending headache
Dizziness, vertigo
Red face; Red, swollen and painful eyes - heat going to face
Dry mouth with bitter taste (bitter from GB - Liver fire messing with GB - going up)
Irritability, easy angry; Insomnia with copious dreams/nightmares -> heat harassing the shen)
Burning pain in flank/hypochondrium
High-pitched tinnitus; deafness; redness, swelling and pain in ear canal
Bleeding: hematemesis (Liver overacting on stomach), hemoptysis: coughing blood (liver overacting on the lung), epistaxis: nose bleed- (liver overacting on lung)
Dark yellow urine; Constipation (with dry stool)

Tongue: red, yellow coat
Pulse: wiry, rapid
Term
Liver Blood Xu
Definition
Pale complexion without luster
Dizziness and vertigo
Blurry vision, dry eyes, night blindness
Numbness of the limbs, spasm of the tendons
Scant and pale menstrual flow; amenorrhea in severe cases
Weak nails
Hair: thin, dry, lusterless, alopecia

Tongue: pale.
Pulse: thin
May be due to insufficient production of blood, excessive loss of blood, consumption of the liver blood due to prolonged illness.
Term
Liver Yin Xu
Definition
Dizziness
Blurry vision, dry and uncomfortable eyes
Hot face, red cheeks
Irritability
Dry mouth and throat
Five palm heat, tidal fever, nightsweats
Tremor of hands and/or feet
Mild burning pain in flanks

Tongue: red, little to no coat
Pulse: thin, rapid, wiry
Term
Liver Yang Rising
Definition
Distending pain in head and behind eyes
Dizziness, vertigo
High-pitched tinnitus
Red face and eyes
Irritability, short and hot temper, easy angry
Insomnia, copious dreams, palpitations, poor memory
Yin deficiency, shen not nourished
Sore/weak low back and knees, weak legs
Unsteady gait, feeling of falling down
Heavy head, light feet”
Excess above, deficiency below

sometimes show with kidney xu symptoms

Tongue: red.
Pulse: wiry, thin, rapid; or wiry and rapid
Term
Liver Yang turning in to Wind
Definition
Dizziness, vertigo, headache
Liver yang rising
Shaking/tremor of head, numbness and/or tremor of the limbs, dysphasia, rigid neck
Liver yin xu and/or phlegm obstructing qi and blood
In extreme cases may have sudden collapse, coma, mental confusion or inability to recognize familiar people or things, phlegm in throat
Liver yang stirring wind and causing qi and blood to move upward to head and mix with phlegm-fire to obstruct clear orifices
Deviation of eyes/mouth, hemiplegia
Invasion of vessels by wind and phlegm impairs qi and blood circulation

Tongue: red
Pulse: wiry, rapid, (thin)
Term
Extreme Heat stirring Wind
Definition
Pathogenic heat damages/consumes the fluids leading to malnourishment of the tendons and leading to wind
High fever, irritability, mania
Convulsions, neck rigidity, upward staring of the eyes, opisthotonos (hyperextension/arching convulsion), lock-jaw
Coma
Heat disturbs the mind
may have - dry stool, high heat symptoms

Tongue: crimson-red
Pulse: rapid, wiry (not thin)
Term
Deficiency of Liver Blood producing Wind
Definition
Insufficient Liver blood to nourish the tendons and other tissues
When the vessels are “empty”, wind blows in them
Tremor, spasm, and/or numbness - don't always need tremor or spasm
Dizziness, vertigo, tinnitus
Pale and lusterless complexion
Thin, dry, brittle nails
(Itchy skin; blood xu wind is a component of many dermatological conditions) skin conditions -> tonify the blood

Tongue: pale
Pulse: thin and weak
Term
Deficiency of Liver Yin causing Wind
Definition
Tremor, spasm
Dizziness, vertigo, tinnitus
Tidal fever, red cheeks
Emaciation

Tongue: red with little fluid, scant coat
Pulse: thin, rapid
Term
Cold Stagnation in the Liver Vessel
Definition
Pathogenic cold residing in and obstructing the Liver vessel
Main symptom is cold-pain along the Liver vessel
Cold and pain in the lower abdomen, groin or genital region; testicular pain, cold and contraction; cold vertex headache
All relieved by heat, aggravated by cold
Cold body and limbs

Tongue: pale, with a moist and white coat
Pulse: deep and tight, or wiry and tight
Term
Damp Heat in the Liver and Gall Bladder
Definition
Damp and heat bind the Liver and Gallbladder, impairing the free flow of qi
Hypochondriac distention, pain (and burning)
Bitter mouth
Abdominal distention, poor appetite, nausea, vomiting
Scanty, dark urination

Tongue: red with greasy yellow coat
Pulse: wiry and rapid, or slippery and rapid

May present with alternating chills and fever, yellow sclera and skin (jaundice), genital itching, yellow leukorrhea with strong odor
Term
Stagnation of Qi and Hot Phlegm in the Gall Bladder
Definition
Phlegm-heat harassing GB and impairing free flow of qi
Timidity and easily frightened/startled
“Fright palpitations” and difficulty calming down
Insomnia with copious dreams
Irritability, vexation, restlessness
Chest and hypochondrium stuffiness and distention
Frequent sighing
Dizziness and vertigo
Bitter mouth, nausea

Tongue: red
Pulse: wiry and rapid
Term
Blood Stagnation in the Stomach
Definition
sharp fixed epigastric pain that is worse at night and averse to pressure

Tongue: dim purple possibly with stasis pain
Pulse: deep, choppy
Term
Stomach Strong - Spleen Weak
Definition
stomach's rotting and ripening function is over active and Spleens transforming and transporting function is weak
excessive hunger, gnawing hunger discomfort
epigastric distention after meals (SP qi xu)(superficial gastritis)
emaciation
diarrhea, loose stools, diarrhea after meals

Tongue: red with yellow coat - (sometimes tooth marks, puffy - depends on what is more predominant)
Pulse: thin, wiry, rapid
Term
Damp-Heat obstructing Spleen and Stomach
Definition
epigastric & abdominal discomfort fullness & distention
loss of appetite : thirsty but can't drink much
bitter & sticky (damp) mouth (heat is causing this bitter - liver ALSO includes flank pain)
nausea vomiting & aversion to greasy/oily foods
loose stool, diarrhea but not complete bowel movement (dampness - sticky not wanting to come out)
heaviness of body and limbs
tidal fever that is not relieved by sweating (yin -> damp yang -> heat. yin pushes down on yang so fever not all the time.)
jaundice with bright-yellow color and itchy skin (yang jaundice) (like hepatitis)
scant dark yellow urine - possibly cloudy

Tongue: greasy yellow coat
Pulse: soggy, rapid
Term
Stomach Qi Xu
Definition
insufficiency of stomach qi leads to impairment of receiving and rotting/ripening functions which leads to disharmony of ST and impaired descending of ST qi

epigastric pain and or distention that improves with pressure and worsens after eating
low appetite and thirst
belching (rebellious stomach qi - not seen in SP qi xu)
sallow-yellow complexion
shortness of breath lassitude, dislike of speaking

Tongue: pale with thin, white coat
Pulse: deficient and weak
Term
Stomach Yang Xu
Definition
epigastric pain and distention that is mild, intermittent, cold, and improving with warmth and pressure
vomiting clear (thin) fluids, sometimes with undigested food (because -cold)
low appetite, no thirst bland taste in mouth
weakness fatigue
aversion to cold cold limbs

Tongue: pale puffy, wet (textbook yang xu tongue - impaired fluid metabolism)
Pulse: deep, slow, weak (interior, cold, xu)
Term
Stomach Yin Xu
Definition
burning epigastric pain that is relatively mild and intermittent
empty and uncomfortable sensation in the stomach
poor appetite or hunger with little desire to eat
dry vomiting, hiccups
dry mouth and throat - not enough fluids
constipation with dry stool
five-palm heat

Tongue: red, little moisture, little to no coat(especially in the center)
Pulse: thin, rapid
Term
Cold Invading the Stomach
Definition
cold and paroxysmal pain that is aggravated by cold and alleviated by warmth
nausea, vomiting
bland mouth, no thirst, possibly with copious clear fluids in mouth
aversion to cold, cold limbs
getting better with heat/warmth

Tongue: white coat(could be wet - but NOT puffy)
Pulse: tight (almost always excess cold)
Term
Stomach Fire
Definition
burning epigastric pain that is averse to pressure
thirst with a preference for cold drinks
strong hunger (always feeling hungry) - can eat
halitosis - very common
gums; swollen, painful ulcers, bleeding (gums related to stomach)
constipation with dry stool
Scant yellow urine

Tongue: red with yellow coat
Pulse: slippery and rapid (excess pulse type)
Term
Food Stagnation in the Stomach
Definition
abdominal and epigastric distention, fullness and pain - after eating
more acute - can be severe or mild
belching with rotten oder, sour regurgitation (starting to transform in to heat)
after vomiting the abdominal pain and discomfort is reduced
no desire to eat
diarrhea or constipation with foul smelling stool

Tongue: thick, greasy coat
Pulse: slippery or deep & excess
Term
Heart Qi Xu
Definition
Palpitations: worse with exertion
Chest fullness: worse with exertion
Dyspnea, shallow breathing: worse with exertion
Spontaneous sweating, fatigue: worse with exertion
Pale complexion.

Tongue: pale, white coat
Pulse: Weak, Deficient
Term
Heart Yang Xu
Definition
Heart Qi Xu signs and symptoms (but more severe): Palpitations, chest fullness, dyspnea, shallow breathing, spontaneous sweating, fatigue: all worse with exertion.
Plus: Chest oppression, aversion to cold, cold body and extremities, pale-bright-white or dim complexion

Tongue: swollen, pale; wet and white coat
Pulse: Deep, Weak, Faint; Knotted if severe
Term
Heart Blood Xu
Definition
Palpitations
Insomnia, dream-disturbed sleep
Anxiety, easily startled
Poor memory
Dizziness
Pale and lusterless/dull complexion, pale lips.

Tongue: Pale, possibly slightly dry
Pulse: Choppy, Thin
Term
Heart Yin Xu
Definition
Heart Blood Xu signs and symptoms: palpitations, insomnia, dream-disturbed sleep, anxiety, easily startled, poor memory
Yin Xu signs and symptoms
Five-palm heat
Malar flush
Tidal fever
Night-sweats
Dry mouth and throat

Tongue: Red, not much coat, dry, possibly with midline crack that reaches the tip of the tongue.
Pulse: Thin, Rapid
Term
Exuberant Heart Fire
Definition
Irritability, mania, insomnia; delirium, confused speech if severe
Chest oppression
Red face
Dry and bitter mouth, mouth and tongue ulcers
Urination: burning, urgent, frequent, dark/with blood
Dry stool
Thirst for cold water
Bleeding
Sores, carbuncles

Tongue: Red, crimson-red; tip especially red and possibly swollen and with red-points, ulcers; dry, yellow coat
Pulse: Rapid, forceful
Term
Heart Channel Obstruction - Chest Bi Syndrome
Definition
General signs and symptoms
Palpitations
Chest oppression/stuffiness
Chest pain (often intermittent) that radiates to upper back, shoulder, down left arm and into fifth-finger (along Heart vessel)
Variations due to differing etiologies
Blood stasis
Phlegm
Cold
Qi stasis
Term
Heart Channel Obstruction - Blood Stasis
Definition
General Heart Channel Obstruction signs and symptoms plus:
Sharp, stabbing, prickling pain in cardiac region
Frigid extremities
Purple-blue-green lips and nail-beds

Tongue: blue-green or purple with purple stasis-patches (ecchymosis)
Pulse: choppy, knotted (jie), regularly-intermittent (dai)
Term
Heart Channel Obstruction - Phlegm
Definition
General Heart Channel Obstruction signs and symptoms, plus:
Fullness and oppression in the chest
Sensation of heaviness throughout body
Often overweight; edema
Copious phlegm; leukorrhea
Lassitude; dizziness

Tongue: thick, greasy, white coat
Pulse: deep, slippery, knotted
Term
Heart Channel Obstruction - Cold
Definition
General Heart Channel Obstruction signs and symptoms, plus:
Paroxysmal (sudden, severe) cardiac-region pain that is aggravated or induced by cold and alleviated with warmth
Aversion to cold, cold limbs/extremities

Tongue: pale body, white coat
Pulse: deep and slow, or deep and tight
Term
Heart Channel Obstruction - Qi Stasis
Definition
General Heart Channel Obstruction signs and symptoms, plus:
Distending pain in chest and hypochondrium that fluctuates with emotions and stress
Frequent sighing
Poor appetite, abdominal distention

Tongue: faint blue-green body, thin white coat
Pulse: wiry
Term
Cold Phlegm Clouding the Shen/Misting the Heart
Definition
Mental confusion, mental depression
Unconsciousness, lethargic-stupor
Incoherent or slurred speech; aphasia
Rattling sound in throat, vomiting phlegm
Dull eyes

Tongue: puffy-swollen body, thick and sticky white coat
Pulse: slippery
Term
Small Intestine Excess Heat
Definition
Irritability, insomnia, palpitations
Thirst with a preference for cold drinks
Urination: hot, burning, painful; dark color, blood in urine
Hemorrhoids
Mouth and tongue ulcers

Tongue: red, yellow coat
Pulse: rapid, forceful
Term
Small Intestine - Deficiency Cold
Definition
Lower-abdominal pain that likes warmth and pressure
Urination: frequent but never complete
Taiyang cold and deficient
Loose stools
Cold body and limbs

Tongue: pale
Pulse: deep, slow
Term
Hot Phlegm Misting the Shen/Misting the Heart
Definition
Mental restlessness, agitation, incoherent speech, mental confusion, rash and aggressive behavior, uncontrolled laughing or crying, shouting, muttering to self, mental depression and dullness, manic behavior.
Insomnia, dream-disturbed sleep
Palpitations, chest oppression
Copious phlegm, rattling sound in throat
Red face, bitter mouth, thirst

Tongue: Red, swollen body; yellow, dry, sticky coat; deep heart crack; tip redder, swollen, with red-points
Pulse: Rapid, slippery, forceful; Rapid, surging, slippery; Rapid, wiry
Term
Spleen Qi Xu - Bowel Movement
Definition
Loose stool - Increased frequency
Term
Spleen Yang Xu
Definition
Watery stool - Diarrhea
Term
Kidney Yang Xu
Definition
Daybreak diarrhea - Watery with undigested food
Term
Lung Heat
Definition
Cough with chest pain, possibly with yellow sputum or with blood and puss in sputum
Breathlessness, coarse and hasty breathing
*Fever (relatively stronger), aversion to heat
Flaring nostrils
Mental restlessness
Nosebleed
Scant, dark urine
Constipation with hard and dry stool

Tongue: red, yellow coat
Pulse: rapid, excess
Term
Dry Phlegm obstructing the Lungs
Definition
Dry cough, occasionally with scant, thick, sticky, sputum that is difficult to expectorate
Shortness of breath, chest oppression
Dry throat
Thirst

Tongue: Dry and sticky coat
Pulse: thin, slippery
Term
Hot Phlegm obstructing the Lungs
Definition
Cough with copious, thick, sticky, yellow or green sputum
Shortness of breath, wheezing
Fullness or oppression in the chest
Feeling of heat
Thirst

Tongue: red with a greasy yellow coat
Pulse: slippery and rapid
Term
Turbid-Phlegm obstructing the Lungs
Definition
Cough with copious white phlegm that is easy to expectorate
Wheezing
Chest fullness
Nausea, or vomiting in extreme cases

Tongue: greasy white coat
Pulse: slippery
Term
Dry Evil Invading the Lungs
Definition
Dry cough; or cough with small amount of thick and sticky phlegm that is difficult to expectorate; or cough with blood- tinged sputum
Chest pain
Mild fever, aversion to wind and/or cold (chills)
Dry nose and throat

Tongue: red, dry yellow coat
Pulse: rapid
Term
Wind-Heat Invading the Lungs
Definition
Fever and chills: fever more than chills
Cough, possibly with sticky yellow phlegm
Runny nose with thick, turbid mucous or thick yellow mucous
Thirst
Sore throat

Tongue: red (mostly tip), possibly with thin yellow coat
Pulse: floating, rapid
Term
Wind-Cold invading the Lungs
Definition
Slight fever (fa re), aversion to cold (chills)
Chills more than fever
Cough with thin, clear, white sputum
Nasal congestion, runny nose with thin and clear mucous
No sweating
Occipital headache, bodyaches

Tongue: thin white coat
Pulse: floating, tight
Term
Lung yin Xu
Definition
Dry cough; or cough with scant, sticky sputum; or cough with blood-streaked sputum
Weak and hoarse or lost voice
Dry mouth and throat
Tidal fever, five-palm heat, night sweats, steaming bone, malar flush

Tongue: red, little or no coat
Pulse: thin, rapid
Term
Lung Qi Xu
Definition
Slight and weak cough
Mild dyspnea and/or wheezing
Spontaneous sweating
Dislike of speaking, weak voice
Fatigue
Aversion to wind and cold
Tendency to catch colds
All of the above worse with exertion
Pale complexion

Tongue: pale, white coat
Pulse: Weak, Deficient
Term
Large Intestine fluid Xu
Definition
Constipation with dry and hard stool that is difficult to pass
Halitosis
->Stomach disharmony from inability to descend, turbid qi rebels upward to mouth
Dizziness
->Turbid qi rebels upward to head

Tongue: dry, yellow coat.
Pulse: thin, rapid
Fluid deficiency leading to heat signs
Term
Large Intestine Damp-Heat
Definition
Diarrhea- foul smelling, with burning sensation around anus
->With blood (from heat), mucous and puss (damp); OR watery, yellow diarrhea
Abdominal pain
Tenesmus (incomplete bowel movement - feel like you need to go but can't go)
Urgency of defecation/diarrhea with incomplete evacuation, followed by a sensation of heaviness and down-bearing that occurs after the diarrhea 里急后重 li ji hou zhong

->Damp-heat impairing qi-mechanism and passage/conduction
Urine: scant and dark
Fever: yes or no- can be tidal fever
Thirst

Tongue: red, with greasy, yellow coat.
Pulse: slippery, rapid (heat>damp); soggy/soft and rapid (damp>heat)
Term
Spleen Qi Xu
Definition
Poor appetite - always spleen or stomach
craving sugar
abdominal distention that worsens after meals (also could be food stagnation)
loose stool - not well-formed - sticky (needing to wipe a lot, sticking to bowl)undigested food
fatigue, lassitude, weakness of limbs (spleen commands the muscles)
shortness of breath, dislike of speaking (earth generates metal)
sallow-yellow complexion
emaciation (not absorbing nutrition) or overweight, edema

Tongue: pale, white coat
Pulse: weak, moderate (come and go smoothly) - sometimes see soggy pulse
Term
Spleen Qi Sinking
Definition
heaviness and down-bearing sensation in abdomen that worsens after eating or activity (even just standing)
frequent urge to defecate, heaviness and down-bearing in the rectum. (hemorrhoids possible)
chronic diarrhea, in severe cases with rectal prolapse
organ prolapse; uterus, stomach, rectum, any kind of prolapse. inguinal hernia
cloudy turbid urination
accompanied by spleen qi xu signs & symptoms
Term
Spleen Yang Xu
Definition
more extreme version of spleen qi xu
little to no appetite, bland taste in the mouth (typical spleen deficiency sign), no thirst (deficiency cold)
abdominal distention that worsens after meals
chronic, low grade fever, dull abdominal pain that improves with warmth and pressure
loose/watery stool, chronic diarrhea - undigested food
scant urination (not transforming - fluids aren't metabolized)
cold limbs
pale-white complexion (could also be yellow)
edema
profuse, thin, white leukorrhea (also common with Kidney Yang Xu)

Tongue: pale, puffy, teeth marks, slippery white coat
Pulse: deep, weak, slow
Term
Spleen Not Controlling the Blood
Definition
bleeding
rectal, urinary, sub-dermal (bruising) nose, vaginal(heavy,menstruation, or uterine bleeding)
sallow complexion
poor appetite
loose Stools
listlessness, fatigue
shortness of breath, dislike of speaking

Tongue: pale
Pulse: thin, weak
Term
Cold-Damp Obstructing the Spleen
Definition
Epigastric and abdominal fullness, distention & pain
sticky mouth (dampness), loss of appetite (impaired spleen and stomach from dampness - especially in morning)
nausea, feel like vomiting - possibly vomiting
bland mouth, loss of taste sensation, no thirst
loose stool or diarrhea, also sticky - smell not so bad
heaviness of head and body (dampness makes people feel heavy, dampness impairs clear yang)
edema
scant urination (cold is impairing fluid metabolism - qi and yang impaired by damp & cold)
Jaundice (yin-yellow - more chronic, not bright dim pasty yellow)
profuse, white leukorrhea
obesity

Tongue: white & greasy or white slippery coat
Pulse: Slow, Soft, Slippery
Term
19 laws 1,2,3
Definition
1. “All wind with shaking and dizziness is ascribed to the Liver”
2. “All cold with contracture and tautness is ascribed to the Kidney”
3. “All qi rushing and constraint is ascribed to the Lung”
Term
19 laws 4,5,6
Definition
4. “all dampness with swelling and fullness is ascribed to the Spleen”
5. “all heat with visual distortion and tugging is ascribed to fire”
6. “all painful and itching sores are ascribed to the Heart”
Term
19 laws 7,8,9
Definition
7. “all reversal with constipation or diarrhea is ascribed to the lower body”
8. “all atrophy/wilting, panting/wheezing, and retching are ascribed to the upper body”
9. “all clenching, shuddering, and chattering [of the jaws] with the seeming loss of spirit is ascribed to fire”
Term
19 laws 10,11,12,13
Definition
10. “all tetany and rigidity of the neck is ascribed to dampness”
11. “all counterflow upsurging is ascribed to fire”
12. “all major abdominal distention is ascribed to heat”
13. “all excessive agitation and mania is ascribed to fire”
Term
19 laws 14,15,16
Definition
14. “all fulminant rigidity is ascribed to wind”
15. “all diseases with [abdominal] sounds, where tapping makes a drum-like sound, are ascribed to heat”
16. “all diseases with aching pain and swelling of the instep, fright and fear are ascribed to fire”
Term
19 laws 17,18,19
Definition
17. “all cramp, arched-back rigidity, and turbid watery humors are ascribed to heat”
18. “all disease with watery humors that are clear, pure, and cold are ascribed to cold”
19. “all sour retching and vomiting, and fulminant downpour with lower body distress are ascribed to heat”
Term
Wei/Defensive Level
Definition
Early stage of warm disease. Exogenous warm-heat pathogen invades and resides in superficial layers, wei qi is impaired, Lung qi is impaired
Fever, slight chills (fever>chills)
Headache, body aches
Cough
Sore throat - scratchy dry throat -not really heat
Slight sweating
Runny nose with yellow mucous
Slight thirst

Tongue: red tip and sides
Pulse: floating, rapid
Term
Qi Level
Definition
Warm-heat pathogen transmits internally to the organs, zheng qi is strong and xie/pathogen is excess, yang and heat are over-abundant.
Depending on where the heat-pathogen goes, the signs and symptoms will differ

General/common/primary signs and symptoms:

4 BIGS:
Big fever and aversion to heat. NO chills (because its interior)
Big sweating
Big thirst
Big Pulse

Tongue: red with yellow coat
Pulse: forceful (big) and rapid
Term
Qi Level Pathogenic Heat Obstructing the Lungs
Definition
Heat pathogen in the qi level obstructing the Lung, impairs downward movement of Lung qi, congeals body fluids
General signs and symptoms, plus:
Cough, wheezing, dyspnea
Coughing up thick, sticky, yellow sputum
Chest pain
Term
Qi Level Pathogenic Heat Knotted in the Intestines
Definition
Heat pathogen in the qi level obstructing the Lung, impairs downward movement of Lung qi, congeals body fluids
General signs and symptoms, plus:
Cough, wheezing, dyspnea
Coughing up thick, sticky, yellow sputum
Chest pain
Term
Ying/Nutritive Level
Definition
Warm-heat pathogen sinks deeper into body, nutritive and yin are cooked/burnt, Heart and shen are harassed.
Relatively deep and severe stage of Warm Disease.
Fever which is worse at night - because it is on the yin side
Dry mouth and strong desire to drink cold water, but only a little bit at a time
Irritability, mental restlessness, insomnia
Possible delirium, incoherent speech, coma
Indistinct macules/rash

Tongue: crimson-red, no coat
Pulse: thin and rapid
Term
Xue/Blood Level
Definition
Warm-heat pathogen sinks deep into yin and blood, causes reckless movement of blood, consumption of yin,stirring of wind.
Deepest and most severe stage of Warm Disease.
Term
Blood Level Heat Victorious and Moving Blood
Definition
Burning heat of body - subjective, but warm to the touch - on the yin aspect of the body and chifu (forearm)
Mental restlessness, manic behavior, delirium
Distinct, dark-purple macules
Bleeding: epistaxis, hematemesis, hematuria, bloody stool

Tongue: deep crimson-red
Pulse: thin and rapid
Term
Xue/Blood Level Heat Victorious and Stirring Wind
Definition
Burning heat of body
Twitching, convulsions
Neck rigidity
Eyeballs turning upwards
Clenching of teeth

Tongue: deep crimson-red
Pulse: thin and rapid
Term
Shaoyin Cold Transformation Pattern
Definition
Deficiency of yang with “cold transforming from yin”
Aversion to cold, cold limbs
Lying in a curled up position (bundled up)
Listlessness, desire to sleep
No appetite, absence of thirst
Diarrhea (watery and with undigested food): fire not nourish earth
clear urination

Tongue: pale with slippery, white coat
Pulse: deep, fine, faint, possibly almost imperceptible
May also present with false heat signs and symptoms (yin kicking the yang out; true cold, false heat)
Hot body, no aversion to cold, red face
Term
Shaoyin Heat Transformation Pattern
Definition
Deficiency of yin with “heat transforming from yang”
Irritability, insomnia
Feeling of heat, low-grade fever
Dry mouth and throat
Night sweats
Dark, scanty urine
Dry stool, constipation

Tongue: red tip
Pulse: Thin and rapid
Term
Jueyin
Definition
“When Jueyin is diseased there is unquenchable thirst, a sensation of qi rising up to the heart/chest, heat and pain in the epigastrium, and hunger but no desire to eat. If [one] purges there will be unremitting diarrhea.”
Heat above, cold below
Cold and heat mixed (han re cuo za••
Liver constraint transforms to heat [above]
Deficiency and cold of Spleen and intestines (cold below)
Almost or actual separation of yin and yang
Term
Jueyin Stage Pattern
Definition
Persistent thirst
Sensation of “qi” rushing up into the chest
Hot and painful sensation in epigastrium and chest
Hunger but no desire to eat; vomiting after eating, vomiting roundworms
Cold limbs (especially lower limbs)
Diarrhea
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