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Category Archives: TCM Diagnosis

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in

TCM Diagnosis, TCM Lecture Note

Posted

March 23, 2016 at 6:53 pm

The tongue diagnosis

Tongue Body Shape and Texture

Flaccid

Rigid

Deviated

Quivering

Long

Short

Qi & Blood Xu(Pale)

Exterior heat invading PC

Exterior wind invading channel

Qi & Blood Xu

SP/HT heat

Yang Xu internal cold

Heat injuring body fluid(red)

Heat injuring body fluid

Interior Liver wind & phelgm

Extream heat generating wind

HT fire

Heat injuring body fluid

KI Yin Xu with heat(Deep red)

Internal wind

phlegm block channel

wind phelgm block channel

Retention of turbid phelgm

 

Tongue Body Shape and Texture

Withered

soft-tendered

Thin

Swollen

Thorny

Cracked

Excess syndrome

Deficiency syndrome

blood Xu (Pale body)

SP/KI Yang Xu

Heat

Yin Xu

Yin Xu ( red body)

Phlegm & damp

Pale & cracked (Blood Xu)

HT/SP heat

50% of normal people

toxicosis/alchoholism

 

Tongue Body Colour

Pale

Red

Deep Red

Purple

Blue

Blood Xu (slightly dry)

Excess heat (with coating)

Heat in Ying & Blood level

bluish purple (blood stasis & cold)

Yin cold

Yang Xu ( slightly wet)

Xu heat(without coating)

Yin Xu fire

reddish purple (blood stasis & heat)

Blood stasis

 

Tongue Coating Textrue

Thck & Thin Coating

Dry

Moist

Greasy

Granular

Peeled Coating

Severity of the pathogenic factors

Excess Heat

Cold syndrome

Phlegm

Heat with turbid ST Qi

ST Qi/Yin Xu

Progression of the pathogenic condition

Yin xu empty heat

Damp

Damp

Yang Xu with damp

Food retension

 

Tongue Coating Colour

White

Yellow

Gray

Black

Exterior Syndrome

Heat syndrome

Heat syndrome

Extreme Heat

Cold Syndrome

Cold damp

Extreme Cold
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By

in

TCM Diagnosis, TCM Lecture Note

Posted

March 23, 2016 at 6:31 pm

Differentiation of The Eight Principles

Syndromes Symptoms Tongue and pulse
Exterior Chills, fever, headache, general aching, Deficiency – sweating Thin white Ct

Floating pulse
Excess – no sweating
Interior    
Half exterior half interior Alternate chills and fever, fullness in the coastal and hypochondriac regions, anorexia, mental restlessness, vomiting, a bitter taste in the mouth, dryness of the throat, blurring of vision Wiry pulse
Cold Pallor, aversion to cold, absence of thirst or drinking a little hot drinks, loose stools. Clear urine increased volume Pale Tg, White, moist Ct Slow pulse
Heat Red complexion, fever, thirst with preference for cold drinks, constipation, deep-yellow and scanty urine Red Tg, yellow, dry Ct

Rapid pulse
True heat

False cold

 Cold limbs, but a burning sensation in the chest and abdomen, no aversion to cold, but aversion to heat, deep but forceful pulse, thirst with preference for cold drinks, irritability, dry throat, foul breath, scanty, deep-yellow urine, constipation, and a deep red tongue with yellow dry coating
True cold

False heat

 Feverishness of the body, flushed face, thirst and a superficial pulse. But to cover up the body in spite of the feverishness, wants to take warm drinks to relieve the thirst, and has a superficial and weak pulse, clear urine, loose stools
Deficiency Emaciation, listlessness, lassitude, feeble breathing, dislike of speaking, pallor, palpitations, shortness of breath, insomnia, poor memory, spontaneous and night sweating, nocturnal emission, nocturnal enuresis, pain alleviated by pressure. Dry Tg, no Ct or little Ct

Deficiency type pulse
Excess Sturdiness, agitation, sonorous voice, coarse breathing, distension and fullness in the chest and abdomen, pain aggravated by pressure, constipation or tenesmus, dysuria Thick and sticky Ct

Excess type pulse
Yin deficiency Emaciation, afternoon fever, malar flush, heat sensation in the palms and soles, night sweating, dryness of the throat and mouth, yellow urine, dry stools Red Tg, Little Ct

Thready-rapid pulse
Yang deficiency Chill, cold limbs, listlessness, lassitude, spontaneous sweating, absence of thirst, clear urine in creased in volume, loose stools. Pale Tg, white Ct

Weak pulse
Yin collapse Sticky and hot sweating, feverishness of the body, warm hands and feet, shortness of breath, irritability, restlessness, thirst with preference for cold drinks Red and dry Tg

Thready, rapid and weak pulse
Yang collapse Profuse cold sweat, coolness of the body, cold hands and feet, feeble breathing, listlessness, absence of thirst or preference for hot drinks Pale and moist Tg

Thready and fading pulse
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By

in

TCM Diagnosis

Posted

June 18, 2015 at 10:46 pm

The 29 Pulse Qualities

Floating Floating 浮 sensible under light pressure, weak and constant beating under heavy pressure Exterior Syndrome, Xu Syndrome
Full 洪 beating like roaring waves surges as well as sudden flowing and ebbing Extream internal heat
Soggy 柔 floating and thready Xu Syndrome, Damp Syndrome
Scattered 散 rootless, arrhythmic and disappearing under pressure Yuan Qi is scattering, Depletion of Zang-fu Qi
Hollow 芤 floating, large and hollow like the leaf of scallion loss of blood, Impairment of Yin
Drum-skin 革 stretched like the skin of a drum and empty at the deep level Essence and Blood Xu
Deep Deep 沈 Sensible only under heavy pressure Internal Syndrome
Hidden 伏 felt only with a strong pressure at a deep level near the bone Jue Syndrome. Extreme pain
Firm 牢 full, wiry and long Internal Cold, Accumulation in the interior, Hernia
Weak 弱 deep and thready Qi and Blood Xu
Slow Slow 遲 No more than 4 beats in a cycle of breath Cold Syndrome
Moderate 緩 moderate and powerful, beating 4 times in a cycle of breath Damp Syndrome, SP & ST Xu
Choppy 澁 like scraping a piece of bamboo Qi and Blood Stasis, Blood & Essense Xu
Knotted 結 slowly with occasional and irregular intermittence Yin excess and Qi stasis, Cold-Phelgm, Blood stasis,
Rapid Rapid 數 beats over 5-6 times in a cycle of breath Heat Syndrome, Deficiency syndrome
Skipping 促 fast with occasional and irregular intermittence Hyperactivity of Yang Heat; Qi,Blood,Phelgm and food stasis
Racing 疾 beats over 7 times in a cycle of breath Extream Yang, Exhaustion Yin, Depletion of Yuan Qi
Moving 動 slippery and rapid, shaped like a bean without head and tail Pain, Fright
Xu Deficient 虛 weak beating of the pulseat all cun,guan and chi regions Xu Syndrome, Qi & Blood Xu
Feeble 微 very thin and soft, almost insensible under pressure Extreme Xu of Qi & Blood, Yang Qi declination
Thready 細 as thin as a thread, weak and quite sensible under pressure Qi & Blood Xu, Overwork, Dampness
Intermittent 代 slowly with regular and longer intermittence Declination of Zang Qi, Traumatic injuries
Short 短 shorter than normal content of cun, guan and chi regions Qi Xu or Qi stagnation
Excess Excesive 實 feels hard, full and long , felt easily at all levels Excess Syndrome
Slippery 滑 beating freely and smoothly like the movement of beads of an abacus Phlegm fluid, Food stasis, Excess heat
Tight 緊 like the pulling of a rope and flicks the finger when pressed Cold, Pain syndrome, Food stasis
Long 長 surpasses the range of cun, guan and chi regions Yang, Heat, Excess Syndrome
Wiry 弦 straight, energetic and hard like the feeling of pressing the string of a violin LR & GB diseases, Pain, Phlegm fluid, Malraria

The combinations of pulses

Floating-Tight Wind-cold, Bi syndromes(wind-cold-damp type)
Floating-Moderate Exterior wind attacks Wei qi, Ying and Wei disharmony. Tai-Yang Wind syndrome
Floating-Rapid Wind-heat
Floating-Slippery Exterior syndromes with phlegm, wind-phlegm
Deep-Slow Interior-Cold syndromes, SP & KI Yang Xu, Yin Cold excess
Wiry-Rapid Liver heat syndromes; LR fire, LR&GB damp-heat
Slppery-Rapid Phlegm-heat, Damp-heat, Food stasis with heat
Full(Flooding)-Rapid Heat in the Wei Fen(level),
Deep-Wiry LR qi stasis, Cold stasis in the LR channel, Water retention
Deep-Choppy Blood stasis, Yang Xu, Cold stasis with blood stasis
Wiry-Thready LR&KI Yin Xu, Blood Xu with LR qi stasis,
LR qi stasis with SP Xu
Deep-Moderate SP Xu, Water-dampness
Thready-Rapid Yin Xu fire
Wiry-Slippery-Rapid LR qi stasis with phlegm, wind-yang uprising, Phlegm-fluid
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By

in

TCM Diagnosis

Posted

June 18, 2015 at 10:32 pm

The stomach patterns

Diagnosis

 Symptoms

Tongue and pulse
Major ST Sx Abdominal distension and pain, poor appetite, nausea, vomiting, hiccup, belching
XU

 

 Qi Xu Uncomfortable epigastrium, tiredness in the morning, no appetite, lack of taste sensation, loose stools, weak limbs Pale Tg,Empty pulse in ST position
SP/ST Yang Xu Cold Discomfort or dull pain in the epigastrium which is worse after bowel movements, better after eating and better with pressure of massage, no appetite, preference for warm drinks and foods, vomiting of clear fluid, loose stools, no thirst, cold limbs, tiredness Pale and swollen Tg,Deep weak pulse in ST position
Yin Xu Epigastric pain, hunger with no desire to eat, empty and uncomfortable sensation in the ST, dry throat and mouth, dry vomiting and belching, thirst but no desire to drink, thin body, scanty urine, constipation or dry stools, poor appetite Ping Tg, thin-white CtFloating-tight pulse
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 ST Cold Epigastric fullness and pain which are worse on exposure to cold and better with warmth, reflux of fluid or vomiting after eating, no thirst, nausea, loose stools, cold limbs, cold complexion, Pale Tg , slippery-white Ct wiry of deep, tight pulse
ST Heat Burning sensation and pain in the epigastrium, thirst with desire to drink cold liquids, constant hunger, halitosis, painful, bleeding, swollen gums, sour regurgitation, nausea, vomiting, constipation, yellow urine Red Tg,,thick-yellow-dry Ct

Slippery-full pulse
Food Stasis Epigastric fullness and distension which are relieved by vomiting, sour regurgitation, poor appetite, foul belching, nausea, gas with strong smell, insomnia Thick-dirty CtSlippery pulse
Qi stasis‘LR invade ST’ Distending and wandering Pain in the epigastrium and hypochondrium which are related to emotion, belching, acid regurgitation, vomiting, nausea, anorexia, difficulty in defecation Dark Tg, thin white CtWiry pulse
Blood stasis Stabbing pain in the epigastrium which is worse with heat and pressure, pain after eating, vomiting of dark blood, blood in the stools. Puplre Tg with dark spots, thin yellow coating
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By

in

TCM Diagnosis

Posted

June 18, 2015 at 10:31 pm

The spleen patterns

Diagnosis

 Symptoms

Tongue and pulse
Major SP Sx Abdominal distension and pain, poor appetite, loose stools, edema, heaviness, organ prolapse, bleeding
XU

 

 Qi Xu Abdominal distention after eating, reduced appetite, loose stools, lassitude, shortness of breath, dislike of speaking, emaciation, sallow complexion, edema Pale Tg or with teeth mark, thin-white CtWeak- slow Ps
Yang Xu Abdominal distention after eating, dull and cold pain in the abdomen which is better with warmth and pressure, aversion to cold, cold limbs and body, sallow or bright white complexion, no thirst, loose stools, scanty urine, edema, profuse-thin leucorrhea Pale-swollen Tg, White CtWeak-deep-slow Ps
Qi Sinking Bearing down sensation, prolapse of stomach, uterus, anus, vagina, frequency and urgency of urination, extreme chronic diarrhea. + Any of SP Qi Xu symptoms Pale Tg, thin CtWeak Ps
Dysfunction of controlling blood Purpura blood spots under the skin, bloody urine or stools, uterine bleeding, metrorrhagia.+ Any of SP Qi Xu symptoms Pale TgWeak Ps
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 Cold damp Feeling of oppression of the chest and abdomen, sticky saliva, no appetite, nausea, no thirst, slight abdominal pain, loose stools, heaviness of head and body, feeling of cold in the epigastrium which improves with the application of warmth, scanty urine, edema, white virginal discharge, jaundice. White sticky CtSoft slippery Ps
Damp heat Stuffiness and fullness in epigastrium and lower abdomen, no appetite, nausea, vomiting, loose stools with offensive odor, burning sensation of the anus, feeling of heaviness, thirst without desire to drink or with a desire to drink in small sips, yellow urination, low-grade fever, jaundice. Red Tg, Yellow sticky CtRapid-slippery or

soft-slippery-rapid Ps
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 SP/LU Qi Xu Shortness of breath, asthmatic breathing, more exhalation than inhalation, which becomes worse on exertion, low voice, cold limbs bluish complexion, spontaneous sweating, Pale Tg, thin Ct,Weak pulse
SP/HT Xu Palpitation, insomnia, lots of dreams, dizziness, poor memory, loss of appetite, abdominal distension, loose stools, lassitude, sallow complexion, scanty menses or uterine bleeding Pale Tg,Thready-weak pulse
SP/LR disharmony Fullness and pain in chest and hypochondrium, sighing, depression, irritability, easily angered, gurgling noise in intestine, more gases, diarrhea right after abdominal pain, pain is relived after diarrhea or alternate loose of dry stools. White Ct.Wiry or tardy-weak Ps
SP/KI Yang Xu Bright white complexion, aversion to cold, cold limbs, feeling of cold in the back and lower abdomen, loose stools, diarrhea at dawn, edema, abundant clear or scanty-clear urination, abdominal distension, Pale, swollen Tg, White slippery CtDeep weak slow Ps
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By

in

TCM Diagnosis

Posted

June 18, 2015 at 10:28 pm

The kidney patterns

Diagnosis

 Symptoms

Tongue and pulse
Major KI Sx Soreness and weakness of lumbar and knees, tinnitus and deafness, loose teeth, impotence, seminal emission, poor memory, edema, problem of urination and stool
XU KI Yang Xu Soreness and weakness of lumbar and knees, sensation of cold in the back, feeling of cold, cold limbs, lassitude, impotence, premature ejaculation, infertility, loose stools, abundant and clear urination, urination at night, bright-white complexion, Pale swollen Tg, white CtDeep-slow-thin pulse
KI Yang Xu Edema Edema especially of the legs and ankles, feeling of cold, cold limbs, Soreness and weakness of lumbar and knees, fullness and distension of abdomen, Water to the HT palpitation, breathlessness,cold hand Pale swollen Tg ,white slippery Ct

Deep weak slow pulse
Water to the LU thin, watery, frothy sputum, cough, asthma, breathlessness on exertion
KI Yin Xu Soreness and weakness of lumbar and knees, dizziness, tinnitus, loose stool, seminal emission, premature ejaculation, infertility, insomnia, poor memory, dry mouth and throat, hot sensation in palms and soles, afternoon fever, night sweating, malar flush, emaciation, scanty and yellow urine, Red Tg, Little CtThready-rapid pulse
KI Essence Xu Children Poor bone development, late closure of the fontanelles, short body, mental dullness of retardation, Pale TgThin-weak pulse
Adult Softening of bones, weakness of knees, legs and sexual activity, poor memory, loose teeth, falling hair of premature graying of hair, lower back ache, tinnitus and deafness, decreased mental sharpness, infertility
KI Qi not firm Frequent, clear and prolonged urination especially night, dripping urine, enuresis, seminal emission, premature ejaculation, clear and thin leucorrhea, easy to have miscarriage, Soreness and weakness of lumbar and knees, lassitude, tinnitus, pale face Pale Tg, white CtDeep-weak pulse
KI ‘s failing to receive Qi Difficulty of breathing, more exhale than inhale, which is worse on exertion, cough, asthma, spontaneous sweating, cold limbs, swelling of the face, thin body, mental listlessness, clear urination Pale Tg, white CtDeep -weak pulse
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 KI/HT disharmony Palpitation, mental restlessness, insomnia, poor memory, dizziness, tinnitus, seminal emission, Soreness and weakness of lumbar and knees, hot sensation in palms and soles, afternoon fever, night sweating, dry mouth and throat Red Tg, Little CtThready-rapid pulse
KI/HT Yang Xu Palpitation, feeling of cold, cold limbs, edema, scanty urine, lassitude, blue lips. Pale and dark blue Tg, white slippery CtDeep-thready-weak Ps
KI/LU Qi Xu Shortness of breath, asthmatic breathing, more exhalation than inhalation, which becomes worse on exertion, low voice, cold limbs bluish complexion, spontaneous sweating, Pale Tg, thin Ct,Weak pulse
KI/LU Yin Xu Cough, small amount of sputum, or bloody sputum, dry mouth and throat, hoarseness, soreness and weakness of lumbar region and knees, tidal fever, malar flush, night sweating, seminal emission Red Tg, Little CtThready-rapid pulse
KI/LR Yin Xu Dizziness, blurred vision, tinnitus, forgetfulness, insomnia, lots of dreams, dryness of throat, lower backache, hot palms and soles, night sweating, red cheeks, seminal emission, scanty menstruation, Red Tg, Little CtThready-rapid pulse
KI/SP Yang Xu Bright white complexion, aversion to cold, cold limbs, feeling of cold in the back and lower abdomen, loose stools, diarrhea at dawn, edema, abundant clear or scanty-clear urination, abdominal distension, Pale, swollen Tg, White slippery CtDeep weak slow Ps
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By

in

TCM Diagnosis

Posted

June 18, 2015 at 10:25 pm

The liver patterns

Diagnosis

 Symptoms

Tongue and pulse
Major LU Sx Cough, asthma, sputum, chest fullness/pain, disorders of throat, nose, edema
XU LU Qi Xu Weak cough and wheezing, shortness of breath, dilute and clear sputum, dislike of speaking, low voice, spontaneous sweating, aversion to cold, lassitude, lower resistance to colds, bright-white complexion Pale Tg, white CtWeak-forceless pulse
LU Yin Xu Dry cough, sticky sputum, bloody sputum, dryness in mouth and throat, hoarseness, emaciation, afternoon fever, flushed cheeks, hot sensation in the palms and soles, night sweating, Red Tg, little CtThready-rapid pulse
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 Wind cold Cough, aversion to cold, low fever, mucous sputum, nasal obstruction with watery discharge, itchy throat, headache, no thirst Ping Tg, thin-white CtFloating-tight pulse
Wind heat Cough, sticky-yellow sputum, nasal obstruction, slight aversion to cold, fever, thirst, sore throat, Red Tg tip, thin yellow Ct Floating-rapid pulse
Wind dryness Dry cough, scanty-sticky sputum, bloody sputum, dry mouth, throat, skin, thirst, hoarseness Red Tg, dry, little CtRapid-thready pulse
Phlegm damp Cough, profuse, white, and thick sputum which is easy to expectorate, fullness and stuffiness in chest, gurgling with sputum in the throat, athmatic breathing, dislike of lying down Pale Tg, white-greasy CtSlippery pulse
Phlegm heat Cough, sticky-yellow sputum, stuffiness of the chest, athmatic and coarse breathing, flapping of ala nasi, expectoration of foul-smelling bloody pus, chest pain on coughing Red Tg, yellow-greasy Ct slippery pulse
Phlegm fluid ①   ZHI YIN – Cough, fullness in chest, difficulty in lying down, profuse or copious or white sputum, swelling of face, white slippery Tc, tight & wiry pulse②   XUAN YIN – distension and fullness in the chest and hypochondriac region, pain is worse on coughing and expectorating, shortness of breath, white Tc, deep & wiry pulse
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 LU/KI Qi Xu Shortness of breath, asthmatic breathing, more exhalation than inhalation, which becomes worse on exertion, low voice, cold limbs bluish complexion, spontaneous sweating, Pale Tg, thin Tc,Weak pulse
LU/KI Yin Xu Cough, small amount of sputum, or bloody sputum, dry mouth and throat, hoarseness, soreness and weakness of lumbar region and knees, tidal fever, malar flush, night sweating, seminal emission Red Tg, Little TcThready-rapid pulse
LU/SP Qi Xu Lassitude, cough, profuse, dilute and white sputum, poor appetite, loose stools, facial puffiness, feet edema, white complexion Pale Tg, white Tc.Weak pulse
LU/HT Qi Xu Palpitation, cough, wheezing, shortness of breath which is worse on exertion, profuse-thin-clear sputum, dizziness, lassitude, low voice, dislike of speaking, spontaneous sweating, pale face Pale Tg, white Tc.Deep weak or knotted, intermittent pulse
LR fire attack LU Burning pain in costa and hypochondrium, paroxysmal cough or even hemoptysis, bad temper, irritability, hot sensation in chest, bitter taste, dizziness, red eyes Red Tg, thin-yellow TcWiry rapid pulse
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By

in

TCM Diagnosis

Posted

June 18, 2015 at 10:23 pm

The lung patterns

Diagnosis

 Symptoms

Tongue and pulse
Major LU Sx Cough, asthma, sputum, chest fullness/pain, disorders of throat, nose, edema
XU LU Qi Xu Weak cough and wheezing, shortness of breath, dilute and clear sputum, dislike of speaking, low voice, spontaneous sweating, aversion to cold, lassitude, lower resistance to colds, bright-white complexion Pale Tg, white CtWeak-forceless pulse
LU Yin Xu Dry cough, sticky sputum, bloody sputum, dryness in mouth and throat, hoarseness, emaciation, afternoon fever, flushed cheeks, hot sensation in the palms and soles, night sweating, Red Tg, little CtThready-rapid pulse
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 Wind cold Cough, aversion to cold, low fever, mucous sputum, nasal obstruction with watery discharge, itchy throat, headache, no thirst Ping Tg, thin-white CtFloating-tight pulse
Wind heat Cough, sticky-yellow sputum, nasal obstruction, slight aversion to cold, fever, thirst, sore throat, Red Tg tip, thin yellow Ct Floating-rapid pulse
Wind dryness Dry cough, scanty-sticky sputum, bloody sputum, dry mouth, throat, skin, thirst, hoarseness Red Tg, dry, little CtRapid-thready pulse
Phlegm damp Cough, profuse, white, and thick sputum which is easy to expectorate, fullness and stuffiness in chest, gurgling with sputum in the throat, athmatic breathing, dislike of lying down Pale Tg, white-greasy CtSlippery pulse
Phlegm heat Cough, sticky-yellow sputum, stuffiness of the chest, athmatic and coarse breathing, flapping of ala nasi, expectoration of foul-smelling bloody pus, chest pain on coughing Red Tg, yellow-greasy Ct slippery pulse
Phlegm fluid ①   ZHI YIN – Cough, fullness in chest, difficulty in lying down, profuse or copious or white sputum, swelling of face, white slippery Tc, tight & wiry pulse②   XUAN YIN – distension and fullness in the chest and hypochondriac region, pain is worse on coughing and expectorating, shortness of breath, white Tc, deep & wiry pulse
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 LU/KI Qi Xu Shortness of breath, asthmatic breathing, more exhalation than inhalation, which becomes worse on exertion, low voice, cold limbs bluish complexion, spontaneous sweating, Pale Tg, thin Tc,Weak pulse
LU/KI Yin Xu Cough, small amount of sputum, or bloody sputum, dry mouth and throat, hoarseness, soreness and weakness of lumbar region and knees, tidal fever, malar flush, night sweating, seminal emission Red Tg, Little TcThready-rapid pulse
LU/SP Qi Xu Lassitude, cough, profuse, dilute and white sputum, poor appetite, loose stools, facial puffiness, feet edema, white complexion Pale Tg, white Tc.Weak pulse
LU/HT Qi Xu Palpitation, cough, wheezing, shortness of breath which is worse on exertion, profuse-thin-clear sputum, dizziness, lassitude, low voice, dislike of speaking, spontaneous sweating, pale face Pale Tg, white Tc.Deep weak or knotted, intermittent pulse
LR fire attack LU Burning pain in costa and hypochondrium, paroxysmal cough or even hemoptysis, bad temper, irritability, hot sensation in chest, bitter taste, dizziness, red eyes Red Tg, thin-yellow TcWiry rapid pulse
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By

in

TCM Diagnosis

Posted

June 18, 2015 at 10:20 pm

The heart patterns

Diagnosis

 Symptoms

Tongue and pulse
Major HT Sx Palpitation, cardiac pain, irritability, insomnia, poor memory, lots of dreams, missed-beat pulse
XU HT Blood Xu Palpitation, dizziness, insomnia, lots of dreams, poor memory, dull-pale complexion, pale lips Pale Tg,Weak-thready pulse
HT Yin Xu Irritability, palpitation, insomnia, lots of dreams, 5-palm heat, afternoon fever, night sweating, malar flush Red Tg, little CtThready-rapid pulse
HT Qi Xu Palpitation, shortness of breath, listlessness, which are worse on exertion, spontaneous sweating, pallor Pale Tg,Xu type pulse
HT Yang Xu Palpitation, fullness and pain in chest, shortness of breath, spontaneous sweating, aversion to cold, cold limbs, bright-pale face, cyanosis of lips Pale-wet-swollen or purplish dark Tg, white wet Ct, weak or knotted pulse
HT Yang collapse HT Yang Xu symptoms + sudden profuse and cold sweating, cold limbs, weak breathing, pale face, blue lips, mental cloudiness or even coma Very pale or bluish-purple Tg, fading and weak pulse
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 HT fire Irritability, palpitation, insomnia, red face, thirsty, fever, constipation, mouth and tongue ulcers, hesitant and painful urination, dark or bloody urine, hemoptysis, feeling agitated ,bitter taste Red with redder tip Tg, Yellow Ct, rapid-full pulse
Phlegm misting the mind Mental confusion, lethargic stupor, unconsciousness, incoherent speech, convulsion, vomiting of foamy phlegm, gurgling sound in the throat, , fullness in chest, dark face, nausea and vomiting Stiff Tg, white sticky Ct slippery pulse
Phlegm-fire disturbing the heart Fever, irritability, red face, thirsty, constipation, yellow urine, bitter taste, gurgling sound in the throat, fullness in chest, insomnia, mania, coarse breathing, aggressive and violent behavior, tendency to hit or scold people, uncontrolled laughter or crying, shouting, Red Tg, Yellow sticky CtRapid-slippery pulse
HT Blood stasis Palpitation, discomfort or feeling of oppression or constriction of the chest , intermittent cardiac pain, which often refers to the shoulder and arm, a purplish dark tongue or purplish spots on the tongue, cyanosis of face, lips and nails, cold limbs, spontaneous sweating Purple Tg, with dark spotsThready, hesitant, missed-beat pulse
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 HT/KI disharmony Palpitation, mental restlessness, insomnia, poor memory, dizziness, tinnitus, seminal emission, Soreness and weakness of lumbar and knees, hot sensation in palms and soles, afternoon fever, night sweating, dry mouth and throat Red Tg, Little CtThready-rapid pulse
HT/KIYang Xu Palpitation, feeling of cold, cold limbs, edema, scanty urine, lassitude, blue lips Pale and dark blue Tg, white slippery CtDeep-thready-weak Ps
HT/LU Qi Xu Palpitation, cough, wheezing, shortness of breath which is worse on exertion, profuse-thin-clear sputum, dizziness, lassitude, low voice, dislike of speaking, spontaneous sweating, pale face Pale Tg, white Ct.Deep weak or knotted, intermittent pulse
HT/SP Xu Palpitation, insomnia, lots of dreams, dizziness, poor memory, loss of appetite, abdominal distension, loose stools, lassitude, sallow complexion, scanty menses or uterine bleeding Pale Tg,Thready-weak pulse
HT/LR Blood Xu Palpitation, poor memory, insomnia, lots of dreams, dizziness, blurred vision, dry eyes, diminished eyesight, numbness of limbs, tremors, scanty menstruation, pale face and nails Pale Tg, White CtThready weak pulse
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By

in

TCM Diagnosis

Posted

June 18, 2015 at 10:09 pm

The differentiation according to the 6 meridians

太阳经证(The meridian syndromes of Tai-yang) 太陽傷寒证(Cold-attack on Taiyang) Fever, aversion to cold, no sweating, severe headache, pronounced aching, stiff neck, sneezing, runny nose with white discharge Normal Tg, thin white Ct,Floating-tight Ps
太陽中風证(Wind-attack on Taiyang) Fever, aversion to wind, aversion to cold, sweating, mild headache, slight aching, stiff neck, sneezing Normal Tg, thin white Ct,Floating – moderate Ps.
太阳腑证(The Fu OrganSyndromes of Tai-yang) 太阳蓄水证(Water accumulation) Fever, aversion to cold, retention of urine, fullness in the lower abdomen, thirst with desire for drink, vomiting after intaking water Floating-rapid Ps
太阳蓄血证(Blood accumulation) Painful rigidity and masses in lower abdomen, frequent urination, delirium, restlessness, black stools Reddish-purple Tg,Deep-choppy-rapid Ps
Yang-ming Syndrome Yang-ming Meridian High fever, profuse sweating, intense thirst, red face, irritability, delirium, Dry yellow Ct,Overflowing-rapid Ps
Yang-ming Fu Organ High fever that is worse in the afternoon, sweating on limbs, abdominal fullness and pain, constipation, delirium, restlessness Thick-dry-yellow Ct,Deep-full-slippery-rapid Ps
Shao-yang Syndrome Alternate chills and fever, fullness in the coastal and hypochondriac regions, anorexia, mental restlessness, vomiting, a bitter taste in the mouth, dryness of the throat, blurring of vision Wiry Ps
Tai-yin Syndrome Abdominal fullness, vomiting, anorexia, diarrhea, abdominal pain, absence of thirst Pale with sticky white Ct,Deep-week-slow Ps
Shao-yinSyndrome Cold transformation Chills, a feeling of cold, lying with the body curled, listlessness with desire to sleep, cold limbs, diarrhea with undigested food, absence of thirst or preference for hot drinks, frequent pale urination. Pale with wet, white Ct,Deep-thready Ps
Heat transformation A feeling of heat, irritability, insomnia, dry mouth and throat at night, dark urine, night sweating Red Tg little CtThready-rapid Ps
Jue-yinSyndrome Persistent thirst, a feeling of energy rising to the chest, pain and a sensation of heat in the heart region, hunger but no desire to eat, cold limbs, diarrhea, vomiting, vomiting of roundworms Wiry Ps

Essential features of the disease of 6 meridians

The disease of Taiyang the pulse is floating, the head and nape are stiff and painful, and [there is]aversion to cold
The disease of Yangming the stomach domain is replete
The disease of Shaoyang [there is] a  bitter taste in the mouth, dry throat and dizzy vision
The disease of Taiyin [there is] abdominal fullness and vomiting, inability to get food down, severe spontaneous diarrhea, and periodic spontaneous abdominal pain, and if precipitation [is used], there will be a hard bind below the chest.
The disease of Shaoyin the pulse is feeble and thready and [there is] a desire only to sleep
The disease of Jueyin [there is] thirst, qi surging upward to the heart, pain and heat in the heart, hunger with no desire to eat, vomiting right after eating, vomiting of roundworms, [if] purging [is used], [there will be] incessant diarrhea.
太陽之爲病 脈浮 頭項强痛而惡寒
陽明之爲病 胃家实是也
少阳之爲病 口苦, 咽干, 目眩也
太阴之爲病 腹滿而吐, 食不下, 自利益甚, 時腹自痛. 若下之, 必胸下結硬.
少阴之爲病 脈微細, 但欲寐
厥阴之爲病 消渴 氣上撞心 心中疼熱 饑而不能食 食則吐 吐蚘 下之 利不之
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