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دسته بندی: طب طبیعی ویرایش: 2 نویسندگان: Giovanni Maciocia سری: ISBN (شابک) : 9780702044144, 0702075108 ناشر: Churchill Livingstone, Elsevier سال نشر: 2018 تعداد صفحات: 1127 زبان: English فرمت فایل : PDF (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود) حجم فایل: 63 مگابایت
کلمات کلیدی مربوط به کتاب تشخیص در طب چینی: راهنمای جامع: طب چینی، طب جایگزین و مکمل، طب سوزنی و طب گیاهی
در صورت تبدیل فایل کتاب Diagnosis in Chinese Medicine: A Comprehensive Guide به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب تشخیص در طب چینی: راهنمای جامع نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
کتاب تشخیص در طب چینی، ویرایش دوم توسط نویسنده و معلم مشهور جهان، جیووانی ماسیوسیا، منبعی جامع، بسیار مصور و قابل فهم است. این نسخه جدید با تمرکز بر تفاسیر واضح علائم و نشانههای «دنیای واقعی»، به تمرین فراتر از نظریه میپردازد و شما را در سطوح پایه و پیچیده تفسیر تشخیصی راهنمایی میکند. از آنجایی که تشخیص طب چینی بر ارزیابی ظریف ناهماهنگی بیمار متکی است، عوامل زیادی فراتر از علائم سنتی غربی در نظر گرفته می شود، از جمله صدای بیمار، عدم تشنگی، احساس گرما یا سردی، بوی بیمار، لحن صدا، و درخشش چشم بیمار. . این منبع عملی به دانشآموزان و پزشکان کمک میکند تا طیف وسیعی از تفاوتهای تشخیصی را با دقت تفسیر کنند. ویژگی های کلیدی متن بی نظیر به شما درک بالینی از طب سنتی چینی می دهد. محتوای غنی و منحصر به فرد، عمق بی نظیری از اطلاعات را ارائه می دهد که به دقت به آنها ارجاع داده می شود. شامل تمام علائم و نشانه هایی است که یک بیمار مدرن ممکن است در کلینیک ارائه دهد، مهم نیست که چقدر ظریف باشد. گزینههای تصمیمگیری را در موقعیتهای کلیدی برای کمک به شما در چالشبرانگیزترین موضوعات بیان میکند. تاریخچه مورد با تشخیص، شرایط رایجی را ارائه می دهد که متخصصان اغلب در عمل پیدا می کنند. سازماندهی منطقی برای کمک به شما در یافتن سریع اطلاعات مورد نیاز در موقعیت های بالینی. نوشته شده توسط یک رهبر در زمینه طب چینی، تجربه و درک بالینی متخصص را در اختیار شما قرار می دهد.
Written by world-renowned author and teacher Giovanni Maciocia, Diagnosis in Chinese Medicine, 2nd Edition is a comprehensive, highly illustrated, and easy-to-understand resource. With a focus on clear interpretations of "real world" signs and symptoms, this new edition addresses the practice beyond the theory and leads you through both basic and sophisticated levels of diagnostic interpretation. Since Chinese medicine diagnosis relies on a subtle appraisal of a patient's disharmony, many factors beyond traditional Western symptoms are considered, including a patient's voice, the absence of thirst, feeling hot or cold, the patient's smell, tone of voice, and glitter of eyes. This practical resource helps students and practitioners alike carefully interpret a wide range of diagnostic nuances. Key Features One-of-a-kind text gives you a clinical understanding of Traditional Chinese Medicine. Rich, unique content offers an unparalleled depth of information that is meticulously cross-referenced. Includes all the signs and symptoms that a modern patient may present in the clinic, no matter how subtle. Outlines the decision-making options in key situations to help you through the most challenging topics. Case histories with diagnoses present common conditions that professionals will often find in practice. Logically organized to help you quickly find the information you need in clinical situations. Written by a leader in the field of Chinese medicine provides you with an expert’s clinical experience and understanding.
Front Cover Diagnosis in Chinese Medicine Copyright Page Table Of Contents Foreword Preface Acknowledgments Note on the Translation of Chinese Terms End Notes How to Use This Book How to move between different parts of the book Index of Signs and Symptoms 1 Diagnosis by Observation Part Contents Introduction Relationship between the five senses, the nine orifices, and the internal organs Relationship between different areas of the face and the internal organs Yi Zong Jin Jian – Diagnosis (areas of face and Internal Organs) Comments Ling Shu, Chapter 49 (face areas and colours) Ling Shu, Chapter 29 Su Wen, Chapter 32 (areas of face involved in febrile disease) Relationship between the five tissues and the internal organs Relationship between the five sites of Qi transportation and the Yin organs Manifestations of the five Yin organs The twelve cutaneous regions End Notes 1 Observation of The Body, Mind and Complexion Introduction 1. Correspondence between an individual part and the whole The face as a microsystem The ear as a microsystem Microsystems over the whole body 2. Observation of constitutional traits End Notes 1 Observation of the Body Shape, Physique and Demeanour Chapter Contents 1. Classification of body shape according to yin and yang a) Body shape abundant in Yang Observation Clinical significance Quotations from the classics b) Body shape abundant in Yin Observation Clinical significance Quotations from the classics c) Body shape deficient in Yang Observation Clinical significance d) Body shape deficient in Yin Observation Clinical significance e) Body shape with Yin and Yang in balance Observation Clinical significance Quotations from the classics 2. Classification of body shape according to the five elements a) Wood type Observation Clinical significance Quotations from the classics b) Fire type Observation Clinical significance Quotations from the classics c) Earth type Observation Clinical significance Quotations from the classics d) Metal type Observation Clinical significance Quotations from the classics e) Water type Observation Clinical significance Quotations from the classics f) Clinical application of the Five Element types 3. Classification of body shape according to pre-natal and post-natal influences a) Body shape with strong pre-natal constitution Observation Clinical significance Quotations from the classics b) Body shape with weak pre-natal constitution Observation Clinical significance Quotations from the classics c) Body shape with strong post-natal Qi Observation Clinical significance Quotations from the classics d) Body shape with weak post-natal Qi Observation Clinical significance Quotations from the classics 4. Classification according to type of body build a) Robust type Observation Clinical significance Quotations from the classics b) Compact type Observation Clinical significance Quotations from the classics c) Muscular type Observation Clinical significance Quotations from the classics d) Thin type Observation Clinical significance Quotations from the classics e) Overweight type Observation Clinical significance 5. Classification of body shape according to pain and drug tolerance a) Body shape indicating high pain and drug tolerance Observation Clinical significance Quotations from the classics b) Body shape indicating low pain and drug tolerance Observation Clinical significance Quotations from the classics End Notes 2 Observation of Mind, Spirit and Emotions Chapter Contents 1. The three aspects of the Spirit a) The embodiment of the Spirit Observation Clinical significance b) The vitality of the Spirit Observation Clinical significance c) The lustre of the Spirit Observation Clinical significance 2. The three conditions of the Spirit a) Strong Spirit Observation Clinical significance b) Weak Spirit Observation Clinical significance c) False Spirit Observation Clinical significance 3. The Spirit and the constitution a) Strong Spirit and strong constitution Observation Clinical significance b) Weak Spirit and weak constitution Observation Clinical significance c) Weak Spirit and strong constitution Observation Clinical significance d) Strong Spirit and weak constitution Observation Clinical significance 4. The Spirit and the emotions Eyes Complexion Tongue End Notes 3 Observation of Complexion Colour Chapter Contents 1. Introduction a) Dominant colours b) Guest colours c) Clinical significance of complexion colour and lustre 2. Observation of different aspects of complexion colour a) Superficial or deep colour Observation Clinical significance b) Distinct or obscure colour Observation Clinical significance c) Scattered or concentrated colour Observation Clinical significance d) Thin or thick colour Observation Clinical significance e) Lustrous or lustreless colour Observation Clinical significance f) Conforming or opposing colour Observation i. Conforming or opposing colour according to pattern ii. Conforming or opposing colour according to the Five Elements Clinical significance g) Prognosis according to complexion colour Observation i. Presence or absence of lustre ii. Thin or thick colour iii. Conforming or rebellious colour according to area of the face iv. Conformity or deviation of colour according to season h) Changes in complexion colour during a disease Observation Clinical significance i) Complexion colours and emotions 3. Complexion colours a) Normal complexion colour Observation Clinical significance b) White complexion colour Bright-white Observation Clinical significance Dull-white Observation Clinical significance Pale-white Observation Clinical significance Sallow-white Observation Clinical significance Bluish-white Observation Clinical significance c) Yellow complexion colour Dull-yellow Observation Clinical significance Greyish-yellow Observation Clinical significance Bluish-yellow Observation Clinical significance Floating, reddish-yellow Observation Clinical significance Floating yellow Observation Clinical significance Dry-yellow Observation Clinical significance Ash-like yellow Observation Clinical significance Rich-yellow Observation Clinical significance Bright-yellow (jaundice) Observation Clinical significance d) Red complexion colour Red cheeks Observation Clinical significance Red cheek-bones Observation Clinical significance Floating red Observation Clinical significance e) Bluish/greenish complexion colour Pale-greenish under the eyes Observation Clinical significance Dark-bluish under the eyes Observation Clinical significance White-bluish Observation Clinical significance Dull-bluish Observation Clinical significance Bluish Observation Clinical significance Greenish Observation Clinical significance f) Dark complexion colour Dark and dry Observation Clinical significance Dull-dark Observation Clinical significance Faint-dark Observation Clinical significance Very dark Observation Clinical significance g) Purple complexion colour Reddish-purple Observation Clinical significance Bluish-purple Observation Clinical significance End Notes 4 Observation of Body Movements Chapter Contents 1. Head a) Tremor of the head Observation Clinical significance b) Rigidity of the neck Observation Clinical significance 2. Face a) Deviation of eyes and mouth Observation Clinical significance b) Facial paralysis (Bell’s palsy) Observation Clinical significance c) Facial tic Observation Clinical significance 3. Limbs and body a) Paralysis Observation Clinical significance b) Tremor or spasticity of the limbs Observation Clinical significance c) Twitching of the muscles Observation Clinical significance d) Opisthotonos Observation Clinical significance e) Contraction of the limbs Observation Clinical significance f) Hemiplegia Observation Clinical significance g) Tremor of the hands Observation Clinical significance h) Tremor of the feet Observation Clinical significance i) Contraction of the fingers Observation Clinical significance End Note 2 Parts of The Body 5 Observation of the Head, Face and Hair Chapter Contents 1. Head a) Dry scalp b) Redness and pain of the scalp c) Tremor of the head d) Swelling of the whole head e) Boils on the scalp f) Ulcers on the scalp g) Ulcers in the mastoid region h) Erosion of the scalp i) Head leaning to one side j) Head tilted backwards k) Late closure of the fontanelles 2. Face a) Acne b) Papular/macular eruptions c) Oedema of the face d) Swelling and redness of the face e) Swelling, redness and pain of the cheeks f) Ulcers below the zygomatic arch g) Lines on the face h) Deviation of eye and mouth 3. Hair a) Hair falling out Observation Clinical significance b) Alopecia Observation Clinical significance c) Dry and brittle hair Observation Clinical significance d) Greasy hair e) Premature greying of the hair Observation Clinical significance f) Dandruff Observation Clinical significance 6 Observation of the Eyes Chapter Contents 1. Relationship between the internal organs and the eyes a) The eyes and the liver b) The eyes and the kidneys c) The eyes and the heart d) The eyes and the stomach and spleen e) The eyes and the gall-bladder f) The eyes and the bladder g) The eyes and the small intestine h) The five wheels i) The eight ramparts j) The eye system 2. Aspects of observation of the eyes a) The lustre of the eyes b) The control of the eyes c) The normal eye 3. Observation of pathological signs of the eye 1. Colour a) Yellow b) Red c) Bluish-Greenish d) Dark 2. Other features a) White specks b) Protruding eyeball c) Sunken eyeball d) Strabismus e) Staring, fixed eyes f) Abnormal colour of the eyelids g) Swollen eyelids h) Streaming eyes i) Discharge from the eyes j) Abnormal colours of the corners of the eyes k) Abnormal colour of the eye sockets l) Ling Shu Chapter (eye blood vessels diagnosis) End Notes 7 Observation of the Nose Chapter Contents 1. Pale nose 2. Yellow nose 3. Red nose 4. Bluish-greenish nose 5. Reddish-purple nose 6. Dark nose 7. Swollen nose 8. Flapping alae nasi (the outside of the nostrils) 9. Polyps 10. Dry nostrils 11. Nosebleed 12. Ulcers on the nose 13. Papules on the nose End Notes 8 Observation of the Lips, Mouth, Palate, Teeth, Gums and Philtrum Chapter Contents 1. Lips a) Pale lips b) Red lips c) Purple lips d) Bluish-greenish lips e) Yellow lips f) Dry or cracked lips g) Peeled lips h) Swollen lips i) Trembling lips j) Inverted lips k) Drooping lips l) Abnormal lip colour in pregnancy 2. Mouth a) Cold sores b) Cracked corners of the mouth c) Mouth ulcers d) Mouth open e) Deviation of the mouth f) Dribbling from the corners of the mouth 3. Palate a) Pale palate b) Dull-pale palate c) Yellow palate d) Red palate e) Purple palate 4. Teeth a) Tooth cavities b) Loose teeth c) Plaque d) Dry and white teeth e) Dry and dull teeth f) Yellow and dry teeth g) Grey teeth h) Upper teeth moist and lower teeth dry 5. Gums a) Inflamed gums b) Bleeding gums c) Receding gums d) Gums oozing pus e) Pale gums f) Red gums g) Purple gums 6. Philtrum a) Flat philtrum b) Stiff-looking philtrum c) Pale philtrum d) Red philtrum e) Bluish-greenish philtrum (qing) f) Dark philtrum End Notes 9 Observation of the Ears Chapter Contents 1. Large ears 2. Small ears 3. Swollen ears 4. Contracted ears 5. Dry and contracted helix 6. Sores on the ear 7. Warts on the ear 8. Yellow helix 9. Pale helix 10. Bluish-greenish (qing) helix 11. Dark helix 12. Red helix 13. Red back of the ear 14. Distended blood vessels on the ear 15. Excessive wax production 16. Swelling and redness of the concha 17. Discharge from the ears End Notes 10 Observation of Throat and Neck Chapter Contents 1. Throat a) Redness on the throat b) Goitre c) Pulsation of the carotid artery d) Observation of the pharynx e) Swollen tonsils Case History Diagnosis Treatment principle Treatment f) Red and swollen tonsils g) Red and swollen tonsils with exudate h) Greyish tonsils 2. Neck a) Long neck b) Short neck c) Rigidity of the neck d) Soft neck e) Deviated neck f) Wide neck g) Thin neck h) Swollen neck glands 11 Observation of the Back Chapter Contents 1. Spine bent forward 2. Atrophy of the muscles along the spine 3. Spots on the back 4. Scoliosis 5. Lordosis 6. Kyphosis 7. Flattening of the lumbar spine 8. List of the spine 9. Rigidity of the lower back 10. Vesicles on the lower back 11. Dryness and redness of the skin of the lower back 12. Yellow colour of the lower back 13. Skin marks on the lower back 14. Boil on BL-23 shenshu 15. Papules or pustules on the buttocks 12 Observation of Female Breasts Chapter Contents 1. Breast distension 2. Swollen breasts 3. Small breasts 4. Breast lumps Case History Diagnosis 5. Redness and swelling of the breasts 6. Milky nipple discharge 7. Sticky-yellow nipple discharge 8. Bloody discharge from the nipple 9. Inverted nipples 10. Cracked nipples 11. Peau d’orange End Note 13 Observation of the Heartbeat Chapter Contents The pulsation of Xu Li 1. Heartbeat displaced downwards 2. Heartbeat displaced upwards 3. Heartbeat displaced to the left 4. Heartbeat displaced to the right 5. Heartbeat below the xyphoid process End Note 14 Observation of the Hands Chapter Contents 1. Pale hands 2. Red dorsum of the hands 3. Red palms 4. Venules on the thenar eminence 5. Atrophy of the thenar eminence 6. Atrophy of the muscles of the dorsum of the hands 7. Tremor of the hands 8. Contraction of the fingers 9. Spoon-shaped fingers 10. Thin, pointed fingers 11. Swollen fingers 12. Cracked fingers 13. Tinea (ringworm) 14. Thickened fingers like cocoons 15. Shrivelled and wrinkled fingers 16. Deformed knuckles 17. Dry, cracked, peeling palms 18. Sweaty palms 19. Hand lines a) Description of the lines b) Description of abnormal signs on the lines c) Diseases indicated on the lines Diseases of the digestive system Circulatory diseases Respiratory diseases Diseases of the urinary system Diseases of the reproductive system Cancer End Notes 15 Observation of the Nails Chapter Contents 1. Ridged nails 2. Indented nails 3. Thin and brittle nails 4. Thickening of the nails 5. Coarse and thick nails 6. Withered and brittle nails 7. Withered and thickened nails 8. Cracked nails 9. Twisted nails 10. Nails falling off 11. Nails with white spots 12. Pale-white nails 13. Dull-white nails 14. Red nails 15. Yellow nails 16. Bluish-greenish nails 17. Dark nails 18. Purple nails 19. Curling nails 20. Flaking nails 21. Lunulae 22. Correspondence of nails to organ systems a) Thumb b) Index finger c) Middle finger d) Ring finger e) Little finger 16 Observation of the Chest and Abdomen Chapter Contents 1. Chest a) Protruding chest b) Sunken chest c) Protruding sternum d) Chest sunken on one side e) Chest protruding on one side f) Gynaecomastia 2. Abdomen a) Abdominal distension b) Thin abdomen c) Large abdomen d) Sagging lower abdomen e) Lumps in the epigastrium f) Abdominal masses g) Oedema of the abdomen h) Protruding umbilicus i) Sunken umbilicus j) Distended abdominal veins k) Lines on the abdomen l) Maculae on the abdomen m) Small hypochondrial lumps 17 Observation of the Genitalia Chapter Contents 1. Pubic hair a) Loss of pubic hair b) Excessive pubic hair 2. Scrotum a) Contracted scrotum b) Loose scrotum c) Scrotum drooping on one side d) Swollen scrotum e) Swollen and oozing scrotum f) Pale scrotum g) Red scrotum h) Purple scrotum i) Dark scrotum 3. Penis a) Redness and swelling of the glans penis b) Ulcers on the penis c) Peyronie’s disease d) Priapism e) Soft and withered penis f) Long penis in children 4. Vulva and vagina a) Vulvar sores b) Leukoplakia c) Swelling of the vulva d) Prolapse of the vagina End Note 18 Observation of the Four Limbs Chapter Contents 1. Atrophy of the four limbs 2. Flaccidity of the four limbs 3. Rigidity of the four limbs 4. Paralysis of the four limbs 5. Contraction of the four limbs 6. Convulsions of the four limbs 7. Tremor or spasticity of the four limbs 8. Swelling of the joints of the four limbs 9. Oedema of the four limbs 19 Observation of the Legs Chapter Contents 1. Legs a) Oedema of the legs Case History Diagnosis b) Atrophy of the legs c) Paralysis d) Arched legs 2. Gait a) Festination b) Unstable gait c) Staggering gait d) Stepping gait e) Shuffling gait 20 Observation of Excretions Chapter Contents 1. Sputum 2. Nasal discharge 3. Sweat 4. Lochia 5. Urine 6. Stools a) Consistency b) Shape c) Colour 7. Vaginal discharge a) Colour b) Consistency 8. Menstrual blood a) Colour b) Consistency 21 Observation of the Skin Chapter Contents Overview Skin layers The skin and the lungs The skin and the stomach and spleen The skin and the kidneys The skin and the liver The skin and the heart The skin and the connecting channels 1. Skin signs a) Skin colour i) Pale body-skin ii) Red body-skin iii) Yellow body-skin iv) Bluish-greenish body-skin v) Dark body-skin b) Skin texture i) Lustre ii) Moisture iii) Texture iv) Growths c) Skin of the forearm (inner aspect) d) The space between the skin and the muscles (Cou Li) e) Body hair f) Macules i) Red macules ii) Purple macules iii) Black macules iv) White macules g) Papules h) Vesicles i) Pustules j) Dry skin k) Greasy skin l) Swelling of the skin m) Scales n) Erosion of the skin o) Rashes i) Measles, German measles, and chickenpox p) Fissures q) Skin ulcers i) Western pathology and diagnosis ii) Chinese pathology and diagnosis r) Dermographism 2. Skin diseases a) Eczema i) Western pathology and diagnosis ii) Chinese pathology and diagnosis Case History Diagnosis b) Acne i) Western pathology and diagnosis ii) Chinese pathology and diagnosis c) Psoriasis i) Western pathology and diagnosis ii) Chinese pathology and diagnosis d) Urticaria i) Western pathology and diagnosis ii) Chinese pathology and diagnosis e) Naevi i) Western pathology and diagnosis ii) Chinese pathology and diagnosis f) Malignant melanoma i) Western pathology and diagnosis ii) Chinese pathology and diagnosis g) Tinea i) Western pathology and diagnosis ii) Chinese pathology and diagnosis h) Candida i) Western pathology and diagnosis ii) Chinese pathology and diagnosis i) Herpes simplex i) Western pathology and diagnosis ii) Chinese pathology and diagnosis j) Herpes zoster i) Western pathology and diagnosis ii) Chinese pathology and diagnosis k) Warts i) Western pathology and diagnosis ii) Chinese pathology and diagnosis l) Rosacea i) Western pathology and diagnosis ii) Chinese pathology and diagnosis End Notes References 22 Observation of Children Chapter Contents 1. Complexion a) Red complexion b) Yellow complexion c) Pale complexion d) Bluish-greenish complexion 2. Orifices a) Eyes b) Ears c) Nose d) Mouth e) Urethra and anus 3. Body movement 4. Spinal muscles 5. Veins on the index finger a) Depth of colour b) Intensity of colour c) Actual colour d) Movement of veins e) Concentration of colour f) Length of veins g) Thickness 6. Creases on the index finger 7. Root of the nose 3 Tongue Diagnosis Introduction 23 Tongue Diagnosis Chapter Contents General principles 1. Conditions for examining the tongue a) Lighting b) Techniques of observation of the tongue c) External factors affecting the colour of the tongue Medicines 2. Areas of the tongue 3. Clinical significance of the tongue a) Tongue-body colour b) Tongue-body shape c) Tongue coating d) Tongue spirit End Note 24 Tongue-Body Colour Chapter Contents 1. Tongue spirit 2. Tongue-body colour a) Pale b) Red i) Red points ii) Red points in external diseases c) Purple 3. Sublingual veins End Note 25 Tongue-Body Shape Chapter Contents 1. Thin 2. Swollen 3. Partially swollen 4. Stiff 5. Flaccid 6. Long 7. Short 8. Cracked 9. Deviated 10. Moving 11. Quivering 12. Tooth-marked 26 Tongue Coating Chapter Contents 1. Physiology of the tongue coating 2. Clinical significance of the tongue coating 3. Presence or absence of a coating 4. Coating with or without root 5. Coating thickness 6. Coating distribution 7. Coating moisture 8. Coating texture a) Sticky coating b) Slippery coating c) Mouldy coating 9. Tongue coating in external diseases 27 Tongue Images and Patterns Chapter Contents 1. Qi deficiency 2. Yang deficiency 3. Blood deficiency 4. Yin deficiency 5. Phlegm and dampness 6. Heat 7. Cold 8. Qi and blood stagnation 9. Internal wind 10. External invasions of wind 2 Diagnosis by Interrogation 28 Introduction Chapter Contents 1. Nature of diagnosis by interrogation a) Su Wen, Chapter 77 b) Su Wen, Chapter 78 2. Nature of ‘symptoms’ in Chinese medicine a) Tongue and pulse 3. The art of interrogation: asking the right questions 4. Terminology problems in interrogation 5. Patients’ expressions 6. Pitfalls to avoid in interrogation 7. Procedure for interrogation 8. Timescale of symptoms 9. Integration of interrogation with observation 10. Identification of patterns and interrogation 11. Tongue and pulse diagnosis: integration with interrogation Case History Case History Case History (see Fig. 28.4) Case History (Fig. 28.5) 12. The 10 traditional questions a) Limitations of the 10 traditional questions b) Questions on emotional state c) Questions about sexual life d) Questions on energy levels 13. The 16 questions End Notes 29 Pain Chapter Contents WHY we ask WHEN we ask HOW we ask Location of pain Nature of pain Timing of pain Factors affecting pain 1. Area of pain 2. Nature of pain a) Soreness b) Pain with a sensation of heaviness c) Distending pain d) Pain with a feeling of fullness e) Pain with a feeling of emptiness f) Pain with a feeling of cold g) Burning pain h) Colicky pain i) Spastic pain j) Pain with a distressing feeling k) Pain with a sensation of stuffiness l) Pushing pain m) Pulling pain n) Cutting pain o) Throbbing pain p) Boring pain q) Lurking pain 3. Time of pain 4. Factors affecting pain a) Pressure b) Temperature c) Food and drink d) Bowel movement e) Movement and rest 5. Organ versus channel pain 30 Food and Taste Chapter Contents Why we ask When we ask How we ask 1. Introduction 2. Main patterns of digestive symptoms a) Qi deficiency b) Qi stagnation c) Qi rebellious d) Blood stasis e) Dampness f) Phlegm g) Retention of food 3. Food 4. Appetite a) Excessive hunger b) Aversion to food c) Hunger but no desire to eat 5. Taste 6. Nausea and vomiting Case History Diagnosis 7. Belching 8. Sour regurgitation Case History Diagnosis 31 Stools and Urine Chapter Contents Why we ask When we ask How we ask 1. Stools a) Frequency b) Consistency Case History Diagnosis c) Shape d) Colour e) Odour and sounds f) Abdominal pain related to evacuation Case History Diagnosis 2. Urine a) Frequency b) Colour c) Amount d) Difficulty in micturition e) Cloudiness f) Incontinence g) Urination at night h) Pain i) Smell 32 Thirst and Drink Chapter Contents Why we ask When we ask How we ask 1. Thirst 2. Dry mouth 3. Preference for hot or cold drinks 4. Absence of thirst Case History Diagnosis 33 Energy Levels Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Historical background 2. Patterns causing tiredness Case History Diagnosis Case History Diagnosis Case History Diagnosis Case History Diagnosis Case History Diagnosis Case History Diagnosis Case History Diagnosis Case History Diagnosis End Notes 34 Head Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Headache a) Onset b) Time c) Location d) Character of pain e) Ameliorating or aggravating factors f) Headaches of internal origin g) Headaches of external origin Case History Diagnosis Case History Diagnosis Case History Diagnosis Case History Diagnosis Case History Diagnosis Case History Diagnosis 2. Dizziness WHY we ask WHEN we ask HOW we ask Case History Diagnosis 3. Feeling of distension of the head 4. Feeling of heaviness of the head 5. Feeling of muzziness (fuzziness) of the head 6. Brain noise 7. Numbness/tingling of the skin of the head 8. Itchy scalp 9. Feeling of cold of the head 10. Feeling of heat of the head 11. Fainting Case History Diagnosis 35 Face Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Face a) Feeling of heat of the face i) Feeling of heat in the face in women ii) Feeling of heat in the face in men b) Facial pain c) Feeling of numbness/tingling of the face 2. Nose a) Blocked nose b) Itchy nose c) Sneezing d) Nose ache e) Nose pain f) Dry nostrils g) Loss of sense of smell h) Runny nose 3. Teeth and gums a) Toothache b) Inflamed gums c) Bleeding gums d) Receding gums 4. Mouth and lips a) Mouth ulcers b) Cold sores 5. Tongue a) Itchy tongue b) Numbness of the tongue c) Tongue pain End Notes 36 Throat and Neck Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Throat a) Sore throat i) Sore throat of external origin ii) Sore throat of internal origin b) Dry throat c) Itchy throat d) Hoarse voice e) Feeling of obstruction in the throat f) Swollen and red tonsils i) Acute conditions ii) Chronic conditions Case History Diagnosis 2. Neck a) Goitre b) Painful or stiff neck End Note 37 Body Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Aches in the whole body 2. Pain in the joints 3. Lower backache 4. Numbness/tingling 5. Itching 6. Loss of weight 7. Obesity 38 Chest and Abdomen Chapter Contents 1. Chest WHY we ask WHEN we ask HOW we ask a) Cough i) Acute cough ii) Chronic cough Case History Diagnosis b) Chest pain c) Pain in the ribs d) Feeling of oppression of the chest e) Feeling of heat in the chest f) Palpitations Case History Diagnosis 2. Abdomen WHY we ask WHEN we ask HOW we ask a) Sensations i) Distension ii) Pain iii) Fullness iv) Stuffiness b) Areas of abdominal pain i) Area under the xyphoid process ii) Epigastrium Epigastrium manifestation on the tongue Epigastrium manifestation on the pulse iii) Hypochondrium Case History Diagnosis iv) Umbilical area v) Central-lower abdominal area Case History Diagnosis Treatment vi) Right-lateral lower abdominal area vii) Left-Lateral Lower Abdominal Area 39 Limbs Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Weakness of the limbs 2. Difficulty in walking (atrophy/flaccidity of limbs) 3. Feeling of distension of the limbs 4. Numbness/tingling of the limbs Case History Diagnosis 5. Generalized joint pain Case History Diagnosis 6. Tremor of limbs Case History Diagnosis Case History Diagnosis 7. Pain and inability to raise the arm 8. Pain in the elbow 9. Pain in the hands 10. Cold hands 11. Hot hands 12. Itchy hands 13. Numbness/tingling of the hands 14. Oedema of the hands 15. Pain in the hip 16. Pain in the thigh 17. Pain in the knees 18. Weak knees 19. Cold feet 20. Pain in the feet 21. Oedema of the feet 22. Pain in the soles 23. Burning sensation in the soles 24. Feeling of heaviness of the limbs 25. Cramps in the calves 26. Muscle ache in the limbs 40 Sleep Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Insomnia 2. Excessive dreaming 3. Somnolence 41 Sweating Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Clinical significance of sweating in exterior patterns 2. Clinical significance of sweating in interior patterns 3. Pathology of sweating 4. Classification of sweating A) Area of body B) Time of day C) Condition of illness D) Quality of sweat 5. Absence of sweating 42 Ears and Eyes Chapter Contents 1. Ears WHY we ask WHEN we ask HOW we ask a) Tinnitus Case History Diagnosis b) Deafness c) Earache d) Itchy ears 1. Eyes WHY we ask WHEN we ask HOW we ask a) Eye pain i) Full or Empty character of eye pain ii) Radiation of pain iii) Eye pain of internal or external origin b) Blurred vision c) Itchy eyes d) Feeling of distension of the eyes e) Streaming eyes f) Dry eyes 43 Feeling of Cold, Feeling of Heat and Fever Chapter Contents WHY we ask WHEN we ask HOW we ask Terminology 1. Feeling of cold a) Feeling of cold in interior conditions b) Feeling of cold in exterior conditions i) External invasions ii) Wind-Cold versus Wind-Heat c) How to distinguish between external and internal causes of feeling of cold i) Differentiation of pathology of a feeling of cold from external or internal causes 2. Simultaneous feeling of cold and fever in exterior conditions Cold feeling (‘aversion to cold’) in exterior patterns Fever in exterior patterns Simultaneous fever and feeling of cold Pathology of fever Degrees of fever a) Wind-Cold and Wind-Heat i) Factors determining the development of Wind-Cold or Wind-Heat ii) Clinical manifestations of Wind-Heat and Wind-Cold iii) Wind-Cold: differentiation between ‘Attack of Wind’ and ‘Attack of Cold’ b) Summer-Heat c) Damp-Heat d) Dry-Heat 3. Alternating feeling of cold and feeling of heat Case History Diagnosis 4. Feeling of heat from internal causes 5. Internal fever a) Acute Fever The Four Levels Heat in the Lungs (Qi level) Clinical manifestations Phlegm-Heat in the Lungs (Qi level) Clinical manifestations Heat in Bright Yang–Channel pattern Clinical manifestations Heat in Bright Yang–Organ pattern Clinical manifestations Damp-Heat in the Stomach and Intestines Clinical manifestations Heat at Nutritive-Qi Level Clinical manifestations Heat at Blood Level Clinical manifestations Damp-Heat in the Gall-Bladder and Liver Clinical manifestations Damp-Heat in the Bladder Clinical manifestations b) Chronic fever i) Empty Heat from Yin deficiency Clinical manifestations ii) Qi deficiency Clinical manifestations iii) Blood deficiency Clinical manifestations iv) Stagnant Liver-Qi turned into Heat Clinical manifestations v) Blood stasis Clinical manifestations 6. Five-palm heat 7. Contradictory feelings of cold and heat in internal conditions a) Simultaneous deficiency of Kidney-Yin and Kidney-Yang b) Blood deficiency c) Disharmony of the Penetrating Vessel d) Yin Fire End Notes 44 Mental-Emotional Symptoms Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Depression a) Definition of depression b) Diagnosis of depression c) Depression in Chinese medicine d) Patterns in depression 2. Fear/anxiety Case History Diagnosis 3. Irritability/anger 4. Worry 5. Sadness and grief Case History Diagnosis 6. Excess joy 7. Mental restlessness End Notes 45 Sexual Symptoms Chapter Contents WHY we ask WHEN we ask HOW we ask 1. Men a) Impotence b) Lack of libido c) Premature ejaculation d) Nocturnal emissions e) Tiredness and dizziness after ejaculation 2. Women a) Lack of libido b) Headache soon after orgasm End Note 46 Women’s Symptoms Chapter Contents WHY we ask WHEN we ask HOW we ask Case History Diagnosis 1. Menstruation a) Menarche b) Cycle c) Amount of bleeding Case History Diagnosis d) Colour e) Consistency f) Pain i) Time of pain ii) Nature of pain Case History Diagnosis Case History Diagnosis Case History Diagnosis g) Premenstrual symptoms Case History Diagnosis h) Other symptoms occurring around menstruation 2. Vaginal discharge a) Colour b) Consistency c) Smell 3. Fertility and pregnancy Case History Diagnosis Case History Diagnosis Case History Diagnosis 4. Childbirth 5. Lactation 6. Miscarriage and abortion 7. Breast symptoms a) Premenstrual breast distension b) Breast lumps Case History Diagnosis 8. Menopause End Note 47 Children’s Symptoms Chapter Contents 1. Mother’s pregnancy 2. Childbirth 3. Post-partum problems 4. Childhood diseases 5. Digestive symptoms 6. Respiratory symptoms and earache a) Cough and wheezing b) Earache c) Chronic catarrh 7. Sleep 8. Immunizations 9. Slow development 48 Diagnosis of the Causes of Disease Chapter Contents 1. Interactions between causes of disease a) Interaction of trauma with climate b) Interaction of hereditary weak constitution with diet c) Interaction of emotional problems at puberty and overwork d) Interaction of weak heart constitution and emotional problems 2. The five stages of life a) Childhood b) Adolescence c) Young adulthood d) Middle age e) Old age 3. The causes of disease a) Heredity i) Weak-Spleen constitution ii) Weak-Lung constitution iii) Weak-Heart constitution iv) Weak-Liver constitution v) Weak-Kidney constitution b) Emotions i) Anger ii) Joy iii) Worry iv) Pensiveness v) Sadness and grief vi) Fear vii) Shock viii) Love ix) Hatred x) Craving xi) Guilt c) Overwork d) Diet i) Choice of foods Eating too much cold food Eating too much hot food Eating too much greasy food Not eating enough ii) Eating habits e) Climate f) Trauma g) Drugs, including immunizations h) Recreational drugs i) Excessive sexual activity End Notes 3 Diagnosis by Palpation 49 Pulse Diagnosis Chapter Contents 1. Introduction Su Wen, Chapter 17 (best time to take the pulse) a) The pulse identifies organ and pattern disharmony b) The pulse gives us an idea of the state of Qi and Blood as a whole 2. The ‘nine regions’ of the pulse from the ‘yellow emperor’s internal classic’ Su Wen, Chapter 20 (nine regions of the pulse) 3. The pulse in the ‘classic of difficulties’ 4. The three sections of the pulse 5. Assignment of pulse positions to organs a) Organ positions on the pulse i) ‘Classic of Difficulties’ (Nan Jing, AD 100) ii) ‘Pulse Classic’ (Mai Jing, AD 280) iii) ‘The Study of the Pulse from Pin Hu Lake’ (Pin Hu Mai Xue, 1564) iv) ‘The Golden Mirror of Medicine’ (Yi Zong Jin Jian, 1742) v) Modern China b) Reconciling different pulse arrangements i) Yin and Yang organ as reflected on the pulse ii) The acupuncturist’s and herbalist’s perspectives in pulse diagnosis iii) Small and Large Intestine channels versus organs in pulse diagnosis iv) Clinical significance of pulse diagnosis irrespective of organ positions v) Clinical interpretation of the pulse in acute versus chronic conditions vi) The pulse as a reflection of Heart-Qi 6. The three levels 7. Method of pulse-taking a) Time b) Levelling the arm c) Equalizing the breathing d) Placing the fingers i) Placing the fingers ii) Arranging the fingers iii) Regulating the fingers iv) Using the fingers v) Moving the fingers 8. Factors affecting the pulse a) Season b) Sex c) Age d) Body build e) Menstruation f) Pregnancy g) Fan Guan Mai and Xie Fei Mai i) Fan Guan Mai ii) Xie Fei Mai 9. Attributes of the normal pulse a) Spirit b) Stomach-Qi c) Root 10. Guidelines for interpreting the pulse a) Feeling the pulse as a whole with three fingers b) Feeling the spirit, Stomach-Qi and root c) Feeling the three positions together first and then individually d) Feeling the three levels e) Feeling the overall quality of the pulse, if there is one f) Feeling the pulse quality, strength and level of each individual position by rolling and pushing the fingers g) Counting the pulse rate 11. Clinical application of pulse diagnosis a) The pulse is often crucial in clinching a diagnosis Case History b) The pulse is essential to distinguish deficiency from excess c) The pulse is essential to determine the treatment principle d) The pulse in emotional problems Case History e) The pulse as an indicator of an organ problem f) The pulse as an indicator of a heart problem Case History Case History Case History g) The pulse does not necessarily reflect all the aspects of a disharmony h) The pulse indicates disharmonies beyond the presenting patterns i) The pulse can indicate an underlying deficiency in the absence of symptoms j) The pulse in cancer 12. Integration of pulse and tongue diagnosis a) Qi and Blood b) Time factor c) When the pulse is rapid and the tongue is not red d) When the pulse is slow and the tongue is red e) Pulse diagnosis adds detail to tongue diagnosis 13. Limitations of pulse diagnosis a) It is subjective b) It is subject to short-term influences End Notes 50 Pulse Qualities Chapter Contents The eight basic pulse qualities 1. Floating a) Pulse description b) Clinical significance c) Combinations i) Exterior conditions ii) Interior Conditions d) Differentiation of similar pulse qualities e) Clinical significance in each position Li Shi Zhen 2. Deep a) Pulse description b) Clinical significance i) Deep-Full ii) Deep-Weak c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 3. Slow a) Pulse description b) Clinical significance i) Common Cold conditions manifesting with a Slow pulse ii) Contradictory manifestations characterized by a Slow pulse and Heat symptoms iii) The Slow pulse and jogging iv) Situations that may cause a Slow pulse without involving Cold c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 4. Rapid a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 5. Empty a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 6. Full a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 7. Slippery a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 8. Choppy a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen Empty-type pulses 9. Weak a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 10. Fine a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 11. Minute a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 12. Soggy (weak-floating) a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 13. Short a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 14. Hollow a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 15. Leather a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 16. Hidden a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 17. Scattered a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen Full-type pulses 18. Wiry a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 19. Tight a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 20. Overflowing a) Pulse description b) Clinical significance i) Overflowing with strength ii) Overflowing without strength c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 21. Big a) Pulse description b) Clinical significance i) Big with strength ii) Big without strength c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position 22. Firm a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 23. Long a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen 24. Moving a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Li Shi Zhen Pulses with irregularities of rate or rhythm 25. Knotted a) Pulse description b) Clinical significance i) Knotted with strength ii) Knotted without strength c) Combinations d) Clinical significance in each position e) Clinical significance in each position 26. Hasty a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position 27. Hurried a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position 28. Intermittent a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position 29. Slowed-down a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Three nontraditional pulse qualities 30. Irregular a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position 31. Stagnant a) Pulse description c) Combinations c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position 32. Sad a) Pulse description b) Clinical significance c) Combinations d) Differentiation of similar pulses e) Clinical significance in each position Classification of pulse qualities 1. The eight basic groups of pulse qualities a) Floating pulses b) Deep pulses c) Slow pulses d) Rapid pulses e) Slippery pulses f) Choppy pulses g) Empty pulses h) Full pulses 2. The different aspects for the classification of pulse qualities a) According to depth b) According to rate c) According to strength d) According to size e) According to length f) According to shape g) According to rhythm 3. Classification of pulse qualities according to qi, blood and body fluids patterns a) Qi deficiency b) Yang deficiency c) Blood deficiency d) Yin deficiency e) Qi stagnation f) Blood stasis g) Phlegm h) Dampness 4. Classification of pulse qualities according to the eight principles a) Yin-Yang i) Yang deficiency: ii) Yin deficiency: iii) Collapse of Yang: iv) Collapse of Yin: b) Exterior-Interior i) Exterior: ii) Interior: c) Heat-Cold i) Heat: ii) Cold: d) Deficiency-Excess i) Deficiency: ii) Excess: 5. Classification of pulse qualities according to the six stages patterns 6. Classification of pulse qualities according to the four levels patterns 7. Classification of pulse qualities according to the triple burner patterns Terminology The pulse positions in detail 1. Left-front position (heart) a) Overflowing b) Short c) Weak d) Floating e) Slippery f) Hollow g) Choppy h) Wiry 2. Left-middle position (liver) a) Floating b) Deep c) Slippery d) Overflowing e) Wiry 3. Left-rear position (kidney) a) Floating b) Deep c) Slippery d) Weak e) Fine f) Overflowing g) Hollow 4. Right-front position (lung) a) Floating b) Slippery c) Overflowing d) Hollow 5. Right-middle position (stomach and spleen) a) Floating b) Wiry c) Weak d) Fine e) Slippery f) Soggy g) Hollow 6. Right-rear position (small intestine and kidneys) a) Floating b) Weak c) Slippery d) Wiry Pulse qualities indicating dangerous conditions a) Boiling cauldron pulse b) Circling fish pulse c) Swimming shrimp pulse d) Leaking roof pulse e) Pecking bird pulse f) Untying rope pulse g) Bouncing stone pulse h) Upturned knife pulse i) Spinning bean pulse j) Sesame seed hasty pulse The influence of drugs on the pulse 1. Tranquilizers and hypnotics 2. Antidepressants a) Tricyclic antidepressants b) Selective serotonin reuptake inhibitors (SSRIs) c) Monoamine oxydase inhibitors (MAOIs) 3. Beta-blockers 4. ACE-inhibitors 5. Warfarin 6. Diuretics 7. H2-receptor antagonists 8. Insulin End Notes 51 Palpation of Parts of the Body Chapter Contents 1. Palpation of the chest and abdomen a) Introduction i) Temperature ii) Texture iii) Distension versus fullness iv) Tenderness v) Lumps vi) Umbilical pulse b) Palpation of the chest i) Apical pulse ii) Chest iii) Breast c) Palpation of the abdomen i) Hypochondrium ii) Epigastrium iii) Umbilical region iv) Central abdomen v) Lateral-lower abdomen vi) Central-lower abdomen 2. Palpation of the skin a) Body skin i) Temperature ii) Moisture iii) Texture iv) Forehead b) Forearm diagnosis Ling Shu Chapter 74 (forearm diagnosis) c) Palpation of temples in children 3. Palpation of hands and feet a) Temperature b) Palpation and comparison of dorsum and palm c) Palpation of feet and hands in children d) Palpation of the nails 4. Palpation of acupuncture points a) Introduction b) Front-Collecting (Mu) points c) Back-Transporting (Bei Shu) points d) Source (Yuan) points End Notes 52 Palpation of Channels Chapter Outline 1. The connecting channels Palpation 2. The muscle channels Characteristics Functions Palpation 3. Palpation of the channels in painful obstruction syndrome (Bi) 4. Palpation of channels a) Lung channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness b) Large intestine channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness c) Stomach channel i) Palpation of blood vessel ST-42 Chongyang ST-9 Renying ii) Palpation of skin Temperature Texture Tenderness d) Spleen channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness e) Heart channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness f) Small intestine channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness g) Bladder channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness h) Kidney channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness i) Pericardium channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness j) Triple burner channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness k) Gall-Bladder channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness l) Liver channel i) Palpation of blood vessel ii) Palpation of skin Temperature Texture Tenderness End Notes 4 Diagnosis by Hearing and Smelling Introduction End Notes 53 Diagnosis by Hearing Chapter Contents Introduction 1. Voice a) Normal voice b) The voice and the Five Elements c) Strength and quality of the voice i) Nasal voice ii) Hoarse voice iii) Snoring iv) Groaning v) Crying out vi) Stuttering 2. Speech 3. Crying in babies 4. Breathing and sighing a) Breathing b) Pathological breathing sounds c) Sighing 5. Coughing and sneezing a) Coughing b) Sneezing 6. Hiccup Acupuncture 7. Belching Acupuncture 8. Vomiting Acupuncture 9. Sighing End Notes 54 Diagnosis by Smelling Chapter Outline Clinical significance 1. Body odour 2. Odour of bodily secretions a) Breath b) Sweat c) Sputum d) Urine and stools e) Vaginal discharge and lochia f) Intestinal gas 5 Symptoms and Signs Introduction Section 1 Section 2 Section 3 1 Symptoms and signs of parts of the body Introduction 55 Head and Face Chapter Contents 1. Head a) Dizziness Empty Liver-Blood deficiency Acupuncture Kidney deficiency Acupuncture Full Liver-Yang rising Acupuncture Liver-Wind Acupuncture Phlegm obstructing the head Acupuncture Other patterns Liver-Fire Qi and Blood deficiency of the Spleen and Heart Stomach- and Spleen-Qi deficiency b) Fainting Empty Heart-Blood deficiency Acupuncture Liver-Blood deficiency Acupuncture Full Phlegm obstructing the clear orifices Acupuncture Other patterns Heart-Yin deficiency Liver-Yin deficiency Kidney-Yang deficiency and deficiency of the Original Qi Liver-Qi stagnation with Liver-Qi rebelling upwards to cloud the orifices Blood-Heat with Liver-Fire blazing upwards to cloud the orifices Retention of Food c) Feeling of heaviness of the head Full Damp-Phlegm Acupuncture Dampness Acupuncture d) Headache Full Liver-Yang rising Acupuncture Dampness obstructing the head Acupuncture Turbid Phlegm obstructing the head Acupuncture Liver-Yang rising with Phlegm obstructing the head Acupuncture Empty Blood deficiency Acupuncture Other patterns Wind-Phlegm Liver-Fire Liver-Wind Liver-Qi stagnation Blood stasis Stomach-Heat Qi deficiency Kidney deficiency Retention of Food Invasion of Wind-Cold Invasion of Wind-Heat Invasion of Wind-Dampness Greater-Yang channels Acupuncture Bright-Yang channels Acupuncture Lesser-Yang channels Acupuncture Greater-Yin channels Acupuncture Lesser-Yin channels Acupuncture Terminal-Yin channels Acupuncture e) Feeling of distension of the head Full Liver-Yang rising Acupuncture Other patterns Liver-Fire Invasion of Wind-Heat f) Feeling of muzziness (fuzziness) of the head Full Phlegm Acupuncture Dampness Acupuncture g) Feeling of cold of the head Empty Governing Vessel Empty and Cold Acupuncture Other patterns Cold in the Liver Channel h) Feeling of heat of the head Full Liver-Fire Acupuncture Stomach-Heat Acupuncture Empty Kidney-Yin deficiency with Empty Heat Acupuncture Yin Fire Acupuncture Empty Heat from Blood deficiency Acupuncture i) Numbness of the head Empty Liver-Blood deficiency Acupuncture Full Damp-Phlegm Acupuncture Other patterns Liver-Wind j) Drooping head Empty Emptiness of the Sea of Marrow Acupuncture Other patterns Stomach- and Spleen-Qi deficiency k) Leaning of the head to one side Empty Emptiness of the Sea of Marrow Acupuncture Other patterns Spleen-Qi sinking l) Tremor of the head Full Liver-Wind Acupuncture Empty Empty-Wind from Blood deficiency Acupuncture Empty-Wind from Yin deficiency Acupuncture m) Brain noise Empty Emptiness of the Sea of Marrow Acupuncture Other patterns Deficiency of Qi and Blood of the Spleen and Heart Phlegm-Heat rising Liver-Qi stagnation n) Swelling of the whole head ‘Big Head Warm Disease’ (invasion of Toxic Heat in the head) o) Ulcers in the mastoid region Full Damp-Heat in the Gall-Bladder channel Acupuncture Other patterns Liver-Fire p) Head tilted backwards Internal Wind in acute febrile diseases 2. Hair and scalp a) Premature graying of the hair Empty Liver and Kidney deficiency Acupuncture Kidney-Yin deficiency with Empty Heat Acupuncture Kidney-Essence deficiency Acupuncture Other patterns Liver-Blood deficiency Deficiency of Qi and Blood Liver- and Heart-Fire Liver-Qi stagnation b) Hair falling out Empty Kidney deficiency Acupuncture Liver-Blood deficiency Acupuncture Other patterns Blood Heat from Liver-Fire c) Alopecia Empty Empty Liver-Wind from Blood deficiency Acupuncture Full Full Liver-Wind Acupuncture Other patterns Blood Heat from Liver-Fire Liver-Blood stasis d) Dry and brittle hair Empty Liver-Blood deficiency Acupuncture Kidney-Yin deficiency Acupuncture Other patterns Deficiency of Qi and Blood Stomach- and Spleen-Qi deficiency Loss of blood e) Greasy hair Full Dampness Acupuncture Damp-Heat Acupuncture Phlegm Acupuncture f) Dandruff Empty Liver-Blood deficient and dry Acupuncture Other patterns Liver-Blood deficiency with Liver-Wind Liver-Fire Damp-Heat in the Liver Toxic Heat Invasion of Wind-Heat and Dryness g) Itchy scalp Empty Liver-Blood deficiency Acupuncture Empty/Full Liver-Blood deficiency with Liver-Wind Acupuncture Other patterns Liver-Yin deficiency Liver-Fire Damp-Heat in the Liver channel h) Dry scalp Empty Liver-Yin deficiency Acupuncture Kidney-Yin deficiency Acupuncture i) Redness and pain of the scalp Invasion of Wind-Heat Liver-Fire j) Boils on the scalp Full Liver-Fire Acupuncture Damp-Heat in the Liver channel Acupuncture Other patterns Toxic Heat in the head k) Erosion of the scalp Damp-Heat in the Liver channel l) Ulcers on the scalp Liver-Fire Damp-Heat in the Liver channel Heat in the Governing Vessel 3. Face a) Acne Full Damp-Heat in the skin Acupuncture Toxic Heat in the skin Acupuncture Toxic Heat with Blood stasis in the skin Acupuncture Heat in the Lungs and Stomach Acupuncture Empty/Full Spleen-Qi deficiency with Dampness Acupuncture Other patterns Damp-Phlegm in the skin Damp-Phlegm with Blood stasis in the skin Disharmony of Penetrating and Directing Vessels b) Feeling of heat of the face Full Liver-Yang rising Acupuncture Liver-Fire Acupuncture Heart-Fire Acupuncture Lung-Heat Acupuncture Stomach-Heat Acupuncture Empty/Full Heart-Yin deficiency with Empty Heat Acupuncture Kidney-Yin deficiency with Empty Heat Acupuncture Lung-Yin deficiency with Empty Heat Acupuncture Stomach-Yin deficiency with Empty Heat Acupuncture Other patterns Damp-Heat in the Spleen Spleen-Heat Spleen-Yin deficiency with Empty Heat Yin-Fire c) Facial pain Full Liver-Fire Acupuncture Damp-Heat Acupuncture Blood stasis Acupuncture Other patterns Invasion of Wind-Cold in the channels Invasion of Wind-Heat in the channels Deficiency of Qi and Blood Yin deficiency with Empty Heat Yin deficiency with Empty Heat and internal Wind Phlegm-Heat Yin deficiency with Phlegm-Heat d) Numbness of the face Empty Blood deficiency Acupuncture Full Liver-Wind Acupuncture Wind-Phlegm Acupuncture Other patterns Stomach-Fire Invasion of Wind e) Oedema of the face Empty Lung-Qi deficiency Acupuncture Spleen-Yang deficiency Acupuncture Other patterns Wind-Water invading the Lungs f) Tic Full Liver-Wind Acupuncture Empty/Full Liver-Blood deficiency leading to Liver-Wind Acupuncture Other patterns Liver-Wind and Phlegm Liver-Qi stagnation External Invasion of Wind-Cold in the channels of the face g) Deviation of the eye and mouth Full Liver-Wind Acupuncture External invasion of Wind-Cold in the channels of the face Acupuncture Other patterns Liver-Wind and Phlegm Liver-Qi stagnation Deficiency of Qi and Blood Toxic Heat in the channels of the face h) Facial paralysis Full External invasion of Wind-Cold in the channels of the face Acupuncture i) Papular/macular eruptions Lung-Heat Blood-Heat j) Swelling and redness of the face Invasion of Toxic Heat k) Swelling, redness, and pain of the cheeks Toxic Heat in the face l) Ulcers below the zygomatic arch Toxic Heat in the Stomach m) Lines on the face Blood deficiency Heat with dryness End Notes 56 Face Colour Chapter Contents 1. White/pale a) Empty Yang deficiency Acupuncture Blood deficiency Acupuncture b) Full Full Cold Acupuncture c) Other patterns Qi deficiency Collapse of Yang Invasion of Wind-Cold Heat stagnating in the Interior (True Heat – False Cold) 2. Yellow a) Full Dampness Acupuncture Chronic Damp-Heat Acupuncture b) Empty Chronic Spleen-Qi deficiency Acupuncture c) Other patterns Liver-Blood deficiency Spleen-Qi deficiency with stagnation of Liver-Qi Damp-Heat with Blood stasis Stomach-Heat Stomach-Yin deficiency with Empty Heat Spleen-Heat Blood stasis Invasion of Wind-Heat Invasion of Wind-Dampness 3. Red a) Full Full Heat Acupuncture Liver-Yang rising Acupuncture Damp-Heat Acupuncture b) Empty/Full Yin deficiency with Empty Heat Acupuncture c) Other patterns Blood deficiency with Empty Heat Yin-Fire Invasion of Wind-Heat Deficient Yang floating 4. Bluish/greenish a) Full Full Cold Acupuncture Liver-Qi stagnation Acupuncture b) Empty Heart- and Kidney-Yang deficiency Acupuncture Lung- and Kidney-Yang deficiency Acupuncture c) Other patterns Chronic pain Liver-Qi stagnation Liver-Wind 5. Purple a) Full Blood stasis from Cold Acupuncture Blood stasis from Heat Acupuncture 6. Dark a) Empty Severe Kidney-Yang deficiency Acupuncture b) Full Severe Blood stasis Acupuncture c) Other patterns Kidney-Essence deficiency 7. Sallow a) Empty Chronic Spleen-Qi deficiency Acupuncture b) Full Blood deficiency Acupuncture c) Empty/Full Spleen-Qi deficiency with Dampness Acupuncture d) Other patterns Blood stasis 8. Blushing a) Full Heart-Heat Acupuncture b) Empty/Full Heart-Yin deficiency with Empty Heat Acupuncture c) Other patterns Liver-Yang rising Liver-Fire Lung-Yin deficiency with Empty Heat 57 Ears Chapter Contents 1. Tinnitus and/or deafness a) Empty Kidney deficiency Acupuncture b) Full Liver-Yang rising Acupuncture c) Other patterns Liver-Fire Phlegm-Fire affecting the Liver channel Heart- and Kidney-Yin deficiency Heart-Blood deficiency Heart- and Lung-Qi deficiency (deficiency of Gathering-Qi) Liver-Blood deficiency Invasion of Wind-Heat (in the Lesser Yang channels) 2. Itchy ears a) Full Damp-Heat in the Gall-Bladder Acupuncture Invasion of Wind-Heat Acupuncture b) Other patterns Blood deficiency with Internal Wind Kidney-Yin deficiency with Empty Heat 3. Earache a) Full Invasion of Wind-Heat Acupuncture Damp-Heat in the Gall-Bladder Acupuncture b) Other patterns Liver-Fire Stagnation of Qi and stasis of Blood 4. Bleeding from the ears a) Damp-Heat in the Gall-Bladder b) Liver-Fire c) Kidney-Yin deficiency with Empty Heat d) Spleen-Qi deficiency 5. Discharge from the ears a) Full Damp-Heat in the Gall-Bladder Acupuncture Invasion of Wind-Heat Acupuncture b) Other patterns Kidney-Yin deficiency with Empty Heat Toxic Heat in the Liver and Gall-Bladder Spleen-Qi deficiency with Dampness 6. Excessive wax production a) Phlegm b) Damp-Heat in the Gall-Bladder c) Spleen- and Kidney-Yang deficiency d) Kidney-Yin deficiency with Empty Heat e) Toxic Heat with Stagnation of Qi and stasis of Blood 7. Swollen ears a) Damp-Heat in the Gall-Bladder b) Heat in the Gall-Bladder c) Invasion of Wind-Water in the Lungs 8. Contracted ears a) Kidney-Yin deficiency b) Aftermath of acute Heat in febrile diseases c) Severe Blood stasis in the abdomen with abdominal masses 9. Dry and contracted helix a) Blood stasis b) Blood stasis with Damp-Heat c) Kidney-Yin deficiency 10. Sores on the ear a) Heat in the Gall-Bladder and Liver b) Invasion of Wind-Heat in the Lesser Yang channels 11. Warts on the ear a) Heat in the Gall-Bladder and Liver b) Stomach-Fire 12. Yellow helix a) Damp-Heat in the Gall-Bladder b) Blood stasis deriving from Heat (Liver and Gall-Bladder) 13. Pale helix a) Yang deficiency b) Blood deficiency 14. Bluish-greenish (qing) helix a) Blood stasis from Heat b) Blood stasis from Cold c) Internal Wind in children 15. Dark helix a) Blood stasis b) Blood stasis from Cold c) Chronic Heat 16. Red helix a) Lung-Heat b) Heart-Fire c) Heat in the Lesser-Yang channels d) Damp-Heat in the Liver and Gall-Bladder e) Kidney-Yin deficiency with Empty Heat 17. Red back of the ear a) Invasion of Wind-Heat (especially in children) b) Measles 18. Distended blood vessels on the ear a) Lung deficiency with Phlegm-Heat b) Blood stasis c) Damp-Heat in the Gall-Bladder d) Heart-Heat 19. Swelling and redness of the concha a) Damp-Heat in the Gall-Bladder b) Kidney-Yin deficiency with Empty Heat c) Toxic Heat 58 Nose Chapter Contents 1. Pale nose a) Stomach- and Spleen-Yang deficiency with Empty Cold b) Liver-Blood deficiency c) Phlegm-Fluids 2. Yellow nose a) Damp-Heat in the Spleen b) Chronic Spleen-Qi deficiency with retention of Dampness c) Liver-Blood stasis d) Spleen-Heat e) Phlegm-Fluids 3. Red nose a) Lung-Heat b) Liver-Fire c) Spleen-Heat d) Invasion of Wind-Heat 4. Bluish-greenish nose a) Liver-Blood stasis b) Internal Cold c) Phlegm-Fluids 5. Reddish-purple nose a) Liver-Blood stasis b) Heart-Blood stasis c) Blood stasis in the Stomach 6. Dark nose a) Liver-Fire b) Exhaustion (Xu Lao) 7. Sneezing a) Full Invasion of Wind Acupuncture b) Empty Lung-Qi deficiency Acupuncture Kidney-Yang deficiency Acupuncture 8. Blocked nose a) Full Invasion of Wind Acupuncture Damp-Heat in the Stomach and Spleen Acupuncture b) Empty Lung- and Spleen-Qi deficiency Acupuncture c) Other patterns Lung-Heat Heat in the Gall-Bladder Damp-Heat in the Liver and Gall-Bladder Lung- and Kidney-Yang deficiency Stagnation of Qi and stasis of Blood 9. Runny nose a) Full Invasion of Wind-Cold Acupuncture Invasion of Wind-Heat Acupuncture b) Empty Lung-Qi deficiency with Empty Cold Acupuncture Kidney-Yang deficiency Acupuncture c) Other patterns Damp-Heat in the Stomach and Spleen Toxic Heat in the Lungs and Stomach 10. Itchy nose a) Invasion of Wind b) Dry-Heat in the Lungs c) Toxic Heat in the Lungs d) Damp-Heat in the Spleen channel e) Lung-Qi deficiency f) Lung-Qi and Kidney-Yang deficiency (Governing Vessel deficient) g) Nose Childhood Nutritional Impairment 11. Dry nostrils a) Dryness injuring the Lungs b) Lung-Heat c) Stomach-Heat d) Lung-Yin deficiency with Empty Heat e) Stomach-Yin deficiency with Empty Heat f) Lung- and Spleen-Qi deficiency g) Blood stasis h) Invasion of Wind-Heat i) Invasion of Wind-Dryness j)Toxic Heat in the Lungs 12. Nose bleed a) Liver-Fire insulting the Lungs b) Acute Lung-Heat c) Spleen-Qi deficiency d) Stomach-Fire e) Kidney-Yin deficiency with Empty Heat f) Liver-Blood stasis g) Invasion of Wind-Heat h) Residual Dry Heat in the Lungs i) Collapse of both Yin and Yang 13. Nose ache a) Invasion of Wind-Heat b) Phlegm-Heat in the Lungs c) Lung- and Spleen-Qi deficiency 14. Nose pain a) Invasion of Wind b) Lung- and Stomach-Heat c) Stomach channel Damp-Heat d) Lung-Yin deficiency with Empty Heat e) Liver-Blood stasis f) Carcinoma of the nose 15. Swollen nose a) Damp-Heat in the Stomach and Spleen b) Lung-Heat c) Liver-Fire d) Heart-Fire e) Heart-Yin deficiency with Empty Heat f) Kidney-Yin deficiency with Empty Heat g) Damp-Phlegm in the Lungs h) Toxic Heat in the Lungs i) Toxic Heat at Nutritive-Qi or Blood level j) Heat Childhood Nutritional Impairment k) Worms in children 16. Bad smell a) Phlegm-Heat in the Lungs b) Lung-Qi deficiency with Damp-Heat c) Damp-Heat in the Gall-Bladder and Liver d) Spleen-Qi deficiency with Damp-Heat 17. Loss of sense of smell a) Full Damp-Heat in the Stomach and Spleen Acupuncture Invasion of Wind-Heat Acupuncture b) Empty Lung- and Spleen-Qi deficiency Acupuncture c) Other patterns Deficiency of Qi and Blood Damp-Heat in the Gall-Bladder Cold-Dampness in the Stomach and Spleen Blood stasis in the Lungs 18. Polyps a) Full Damp-Heat in the Stomach and Spleen Acupuncture b) Other patterns Cold-Dampness in the Stomach and Spleen Phlegm in the Lungs 19. Flapping alae nasi (outside of the nostrils) a) Acute Lung-Heat b) Lung-Yin deficiency with Empty Heat c) Invasion of Wind-Heat 20. Ulcers on the nose a) Lung-Heat b) Damp-Heat in the Stomach and Spleen c) Liver-Fire d) Toxic Heat in the Liver 21. Papules on the nose a) Stomach-Heat b) Lung-Heat c) Blood-Heat in the Lungs 59 Throat Chapter Contents 1. Sore throat a) Full Invasion of Wind-Heat Acupuncture b) Empty/Full Lung- and Kidney-Yin deficiency with Empty Heat Acupuncture c) Other Patterns Damp-Heat in the Stomach Stomach-Fire Deficiency of Qi and Yin Qi stagnation 2. Redness of the pharynx a) Invasion of Wind-Heat b) Stomach-Heat c) Lung-Yin deficiency with Empty Heat d) Kidney-Yin deficiency with Empty Heat 3. Redness and swelling of the pharynx a) Full Invasion of Wind-Heat with Toxic Heat Acupuncture Heat in the Lungs and Stomach Acupuncture Toxic Heat Acupuncture b) Empty/Full Lung- and Kidney-Yin deficiency with Empty Heat Acupuncture 4. Redness and erosion of the pharynx a) Full Heat in the Stomach and Intestines Acupuncture b) Empty/Full Lung-Yin and Stomach-Yin deficiency with Empty Heat Acupuncture c) Other patterns Toxic Heat Severe Yin deficiency Blood stasis with Phlegm-Heat 5. Swollen tonsils a) Full Invasion of Wind-Heat with Toxic Heat Acupuncture Toxic Heat in the throat at the Qi level Acupuncture Toxic Heat in the Stomach and Intestines Acupuncture b) Empty/Full Stomach- and Lung-Yin deficiency with Empty Heat Acupuncture 6. Phlegm in the throat a) Full Phlegm-Heat in the Lungs Acupuncture Damp-Phlegm in the Lungs Acupuncture b) Other patterns Phlegm with Lung-Qi stagnation Phlegm obstructing the clear orifices Phlegm-Heat and Wind Spleen- and Kidney-Yang deficiency 7. Goitre (swelling of the sides of the neck) a) Full Qi stagnation and Phlegm Acupuncture Liver-Fire blazing with Phlegm-Heat Acupuncture b) Full-Empty Liver-Qi stagnation, Spleen-Qi deficiency and Phlegm Acupuncture c) Other patterns Blood stasis and Phlegm Heart- and Liver-Yin deficiency with Phlegm 8. Itchy throat a) Invasion of Wind b) Lung-Yin deficiency c) Lung Dryness d) Dryness invading the Lungs 9. Dry throat a) Empty Lung-Yin deficiency Acupuncture Kidney-Yin deficiency Acupuncture b) Other patterns Stomach-Yin deficiency Liver-Yin deficiency Invasion of Wind-Heat Heat in the Stomach and Spleen Heat in the Liver and Gall-Bladder Lesser Yang pattern (6 Stages) Gall-Bladder Heat pattern (Qi level of 4 levels) Wind-Dryness-Heat invading the Lungs 10. Hoarse voice or loss of voice a) Empty Lung- and Kidney-Yin deficiency Acupuncture Lung-Yin deficiency Acupuncture b) Other patterns Invasion of Wind-Heat and Dryness Lung-Heat Blood stasis and Phlegm 11. White purulent spots in the throat a) Epidemic Toxic Heat on the Exterior b) Epidemic Toxic Heat in the Interior c) Turbid Phlegm in the throat d) Lung- and Kidney-Yin deficiency e) Lung- and Kidney-Yin deficiency with Empty Heat f) Heat in the Lungs and Stomach g) Kidney-Yang deficiency 12. Feeling of obstruction of the throat a) Full Liver-Qi stagnation Acupuncture Lung- and Stomach-Qi stagnation Acupuncture Qi stagnation and Phlegm Acupuncture b) Other patterns Lung-Yin deficiency Kidney-Yin deficiency 13. Redness on the throat a) Heart-Fire b) Heart-Yin deficiency with Empty Heat c) Lung-Heat d) Lung-Yin deficiency with Empty Heat e) Liver-Yang rising f) Liver-Fire 60 Mouth, Tongue, Teeth, Gums, Lips, Palate, and Philtrum Chapter Contents 1. Mouth a) Mouth ulcers Full Stomach-Heat Acupuncture Heart-fire Acupuncture Empty Stomach- and Spleen-Qi deficiency with Yin Fire Acupuncture Empty/full Yin deficiency with Empty Heat Acupuncture Other patterns Liver-Fire Toxic Heat Invasion of Wind-Heat with Phlegm Invasion of Wind-Cold with Kidney deficiency b) Cold sores Full Invasion of Wind-Heat Acupuncture Damp-Heat in the Stomach Acupuncture Empty/Full Stomach-Yin deficiency with Empty Heat Acupuncture Other patterns Stomach-Heat Heat in the Large Intestine Damp-Heat in the Large Intestine c) Cracked corners of the mouth Stomach-Heat Stomach-Yin deficiency Stomach-Yin deficiency with Empty Heat d) Itching around the mouth Stomach-Heat Liver-Blood deficiency with Empty Wind Damp-Heat in Stomach and Spleen Disharmony of Penetrating and Directing vessels e) Dribbling from the corners of the mouth Spleen-Qi deficiency Lung-Qi deficiency with Empty Cold Stomach- and Spleen-Heat Wind-Phlegm Invasion of External Wind f) Trembling mouth Liver-Blood and Liver-Yin deficiency with internal Wind Qi stagnation and Phlegm Stomach-Heat Liver-Wind g) Mouth open Lung-Qi deficiency with Phlegm Heart-Fire Heart-Qi deficiency h) Deviation of the mouth Liver-Wind Liver-Wind and Phlegm Invasion of Wind-Cold in the channels of the face Liver-Qi stagnation Deficiency of Qi and Blood Toxic Heat in the channels of the face 2. Tongue a) Itchy tongue Heart-Fire Heart-Yin deficiency with Empty Heat Heart- and Kidney-Yin deficiency Invasion of Wind-Heat b) Painful tongue Heart-Fire Heart-Yin deficiency with Empty Heat Stomach-Fire Stomach-Yin deficiency with Empty Heat Liver-Fire Phlegm-Fire harassing the heart c) Numbness of the tongue Heart-Blood deficiency Phlegm obstructing the Heart Liver-Wind Liver-Wind and Phlegm Spleen-Qi deficiency Chronic Blood stasis d) Tongue ulcers Full Heart-Fire Acupuncture Damp-Heat in the Small Intestine Acupuncture Empty/Full Heart-Yin deficiency with Empty Heat Acupuncture Other patterns Full Heat in the Small Intestine 3. Teeth a) Toothache Stomach-Fire Damp-Heat in the Stomach Stomach-Yin deficiency with Empty Heat Stomach- and Spleen-Qi deficiency Heat in Large Intestine Damp-Heat in the Large Intestine Heat in the Spleen and Heart Invasion of External Wind ‘Wind-Cold in the Brain’ b) Tooth cavities Damp-Heat in the Stomach and Spleen Stomach- and Spleen-Qi deficiency Damp-Heat in the Large Intestine Kidney deficiency c) Loose teeth Stomach-Heat Kidney deficiency Spleen-Yin deficiency with Empty Heat Kidney-Yin deficiency with Empty Heat d) Grinding of the teeth Liver-Qi invading the Spleen Stomach- and Heart-Fire Retention of Food Deficiency of Qi and Blood Internal Empty Wind Invasion of External Wind e) Plaque Stomach-Heat Heat in the Stomach and Kidneys Kidney-Yin deficiency f) Dry and white teeth Acute Interior Heat following an invasion of Wind-Heat Stomach-Heat g) Dry and dull teeth Kidney-Yin deficiency Kidney-Yin deficiency with Empty Heat Liver-Blood deficiency h) Yellow and dry teeth Damp-Heat in the Stomach and Spleen with predominance of Heat Kidney-Yin deficiency Accumulation of Cold in the abdomen with False Yang above i) Grey teeth Kidney-Yin deficiency with Empty Heat j) Upper teeth moist and lower teeth dry Kidney- and Heart-Yin deficiency with Heart Empty Heat (Kidneys and Heart not harmonized) 4. Gums a) Inflamed gums Full Stomach-Heat Acupuncture Empty/Full Stomach-Yin deficiency with Empty Heat Acupuncture Other patterns Invasion of Wind-Heat Purple Leg Teeth Nutritional Impairment Pattern ‘Walking Crow’ Teeth Nutritional Impairment Pattern b) Bleeding gums Empty Deficient Spleen-Qi not holding Blood Acupuncture Full/Empty Stomach-Yin deficiency with Empty Heat Acupuncture Full Stomach-Fire Acupuncture Other patterns Kidney-Yin deficiency with Empty Heat c) Receding gums Deficiency of Qi and Blood Stomach-Fire Kidney-Yin deficiency with Empty Heat d) Gums oozing pus Stomach-Fire Invasion of Wind-Heat with Toxic Heat Severe deficiency of Qi and Blood with Toxic Heat e) Pale gums Spleen-Qi deficiency Blood deficiency Spleen-Yang deficiency with Empty Cold f) Red gums Stomach-Heat Stomach-Yin deficiency with Empty Heat Spleen-Heat Spleen Empty Heat g) Purple gums Blood stasis in the Stomach Heat at the Blood level in febrile diseases 5. Lips a) Pale lips Deficiency of Qi and Blood of the Spleen Liver-Blood deficiency Spleen-Yang deficiency with Empty Cold b) Red lips Full-Heat Yin deficiency with Empty Heat Invasion of Wind-Heat Acute Heat at the Qi level in febrile diseases (Heat) Acute Heat at the Qi level in febrile diseases (Fire) c) Purple lips Blood Stasis Severe Spleen-Yang deficiency with Empty Cold Severe Kidney-Yang deficiency with Empty Cold Internal Full Cold Turbid Phlegm in the Lungs Heat at the Nutritive-Qi or Blood level in acute febrile diseases Bluish-greenish lips Internal Cold Stagnation of Qi and stasis of Blood e) Yellow lips Damp-Heat in the Stomach and Spleen Cold-Dampness in the Stomach and Spleen Full Heat with Blood stasis f) Dry or cracked lips Stomach- and Spleen-Yin deficiency Full Heat Yin deficiency with Empty Heat Liver-Blood deficiency Blood stasis g) Trembling lips Spleen-Qi deficiency Blood Deficiency with Empty Wind Stomach-Fire h) Peeled lips Spleen-Heat Spleen-Yin deficiency with Empty Heat i) Swollen lips Toxic Heat affecting Stomach and Spleen Damp-Heat in the Stomach and Spleen Wind-Heat in the skin j) Inverted lips Severe Yang deficiency Severe Yin deficiency k) Drooping lips Spleen-Qi deficient and sinking Spleen- and Kidney-Yang deficiency l) Abnormal lip colour in pregnancy Blood deficiency Severe Blood deficiency Blood stasis from Cold 6. Palate a) Pale palate Stomach- and Spleen-Qi deficiency Stomach- and Spleen-Yang deficiency b) Dull-pale palate Spleen- and Liver-Blood deficiency Deficiency of Qi and Blood c) Yellow palate Chronic Stomach- and Spleen-Qi deficiency Dampness in the Stomach and Spleen d) Red palate Full Heat e) Purple palate Blood stasis 7. Philtrum a) Flat philtrum Kidney deficiency Damp-Heat in the Stomach and Spleen b) Stiff-looking philtrum Blood stasis c) Pale philtrum Qi deficiency Full Cold Empty Cold d) Red philtrum Heat in the Blood Invasion of Wind-Heat Damp-Heat in the Intestines e) Bluish-greenish philtrum Internal Cold Liver-Qi stagnation f) Dark philtrum Heat in the Blood Damp-Heat in the Lower Burner 61 Eyes Chapter Contents 1. Blurred vision and floaters a) Empty Liver-Blood deficiency Acupuncture Liver-Yin deficiency Acupuncture Kidney-Yin deficiency Acupuncture b) Full Turbid Phlegm in the head Acupuncture c) Other patterns Liver-Yang rising Heart-Blood deficiency Liver-Fire Heat in the Gall-Bladder Deficiency of Minister Fire (Kidney-Yang deficiency) Spleen-Qi deficiency 2. Itchy eyes Liver-Blood deficiency Liver-Yin deficiency Liver-Fire Heart-Fire Liver-Wind Damp-Heat in the Gall-Bladder Invasion of Wind-Heat 3. Dry eyes a) Empty Liver-Yin deficiency Acupuncture Kidney-Yin deficiency Acupuncture b) Full Liver-Fire Acupuncture c) Other patterns Heart-Yin deficiency Severe Liver-Blood deficiency Lung- and Kidney-Yin deficiency 4. Hot and painful eyes a) Full Liver-Fire Acupuncture Heart-Fire Acupuncture b) Other patterns Liver-Yang rising Liver-Wind Damp-Heat in the head Phlegm-Heat Blood Stasis in the head Liver-Blood deficiency Heart-Blood deficiency Kidney deficiency Deficiency of Qi and Yin Invasion of Wind-Heat 5. Streaming eyes Liver-Blood deficiency Kidney-Yang deficiency Liver-Blood deficiency with Liver-Heat Liver-Fire Kidney- and Liver-Yin deficiency with Empty Heat Heart-Fire Damp-Phlegm in the Spleen and Lungs Empty Cold in the Liver channel Invasion of Wind-Heat Invasion of Wind-Cold 6. Discharge from the eyes Liver-Fire Heart-Fire Yin deficiency with Empty Heat Deficiency of Qi and Blood Invasion of Wind-Heat Toxic Heat (Measles) 7. Yellow eyes (sclera) Damp-Heat with predominance of Heat Damp-Heat with predominance of Dampness Cold-Dampness Toxic Heat Liver-Blood deficiency Blood stasis 8. Red eyes (sclera) Liver-Fire Heart-Fire Liver- and Kidney-Yin deficiency with Empty Heat Invasion of Wind-Heat Lung-Heat or Phlegm-Heat Damp-Heat in the Bladder 9. Bluish-greenish eyes (sclera) Liver-Wind Internal Cold Kidney-Yin deficiency 10. Dark eyes (sclera) Phlegm Liver- and Kidney-Yin deficiency Severe Full Heat 11. Red corners of the eyes Liver-Fire Heart-Fire Lung-Heat Liver-Yin deficiency with Empty Heat Heart-Yin deficiency with Empty Heat Lung-Yin deficiency with Empty Heat Kidney-Yin deficiency with Empty Heat Damp-Heat Invasion of Wind-Heat 12. Pale corners of the eye Blood deficiency Yang deficiency 13. Stye Heat in Lungs and Spleen Heat in Lungs and Stomach Spleen-Qi deficiency with Dampness Damp-Heat in the Stomach and Spleen 14. Red eyelids Damp-Heat in the Stomach and Spleen Spleen-Heat Stomach-Heat Invasion of Wind-Heat 15. Dark eyelids Kidney deficiency Cold-Phlegm Phlegm-Heat Wind-Phlegm 16. Green eyelids Stomach-Cold 17. Pale eyelids Blood deficiency Yang deficiency Retention of Food 18. Swollen eyelids Invasion of Wind-Heat Spleen-Yin deficiency with Empty Heat Spleen-Heat Water overflowing Cold-Phlegm 19. Boil on the eyelid Toxic Heat in the Stomach Deficiency of Qi and Yin Spleen-Qi deficiency Spleen-Qi deficiency with Damp-Heat Invasion of Wind-Heat 20. Pain of the eyelids Heat in Lungs and Spleen Heat in Lungs and Stomach 21. Flapping eyelids Blood deficiency with Internal Wind Stomach- and Spleen-Qi deficiency Invasion of Wind-Cold 22. Drooping eyelids Stomach- and Spleen-Qi deficient and sinking Deficiency of Qi and Blood Liver and Kidney deficiency Stagnation of Qi and stasis of Blood Stomach-Heat Invasion of Wind 23. Loss of control of the eyelids Liver-Blood deficiency Liver-Qi invading the Spleen Wind-Heat affecting the Liver channel Childhood Nutritional Impairment 24. Nodules within the eyelids Damp-Phlegm obstructing the Spleen Phlegm-Heat obstructing the Spleen 25. Small red grains inside the eyelids Damp-Heat in the Spleen Wind-Heat affecting the Spleen channel 26. Redness inside the lower lids Full Heat Yin deficiency with Empty Heat 27. Strabismus Kidney-Essence deficiency Liver-Wind Liver-Yang rising Severe, chronic deficiency of Qi and Blood of the Liver Internal Cold Liver- Blood stasis Toxic Heat Phlegm obstructing Lungs and Spleen 28. Myopia Liver-Blood deficiency Liver- and Kidney-Yin deficiency 29. Hyperopia Kidney-Essence deficiency Kidney-Yin deficiency with Empty Heat Deficiency of Qi and Blood 30. Decreased night vision Liver-Blood deficiency Liver- and Kidney-Yin deficiency Spleen-Qi deficiency Spleen- and Kidney-Yang deficiency Deficiency of Qi and Blood 31. Glaucoma Stagnant Liver-Qi turned into Heat rebelling upwards Liver-Fire Kidney-Yin deficiency with Empty Heat Empty Cold in the Liver channel 32. Decreased visual acuity a) Empty Liver-Blood deficiency Acupuncture Liver-Yin deficiency Acupuncture Kidney-Yin deficiency Acupuncture b) Full Turbid Phlegm obstructing the head’s orifices Acupuncture c) Other patterns Heart-Blood deficiency 33. Feeling of distension of the eyes Liver-Fire Liver-Yang rising Liver-Wind Phlegm obstructing the Lungs and Spleen Liver- and Kidney-Yin deficiency with Empty Heat Liver-Qi stagnation Damp-Heat in Liver and Gall-Bladder 34. Protruding eyeball Liver-Fire Heart-Fire Liver-Qi stagnation and Phlegm Liver-Wind Liver-Wind with Phlegm-Heat Liver-Qi stagnation Liver-Qi stagnation and Liver-Blood stasis Damp-Heat in Liver and Gall-Bladder Toxic Heat Deficiency of Kidney-Yin and Kidney-Yang Deficiency of Qi and Blood Rebellious Lung-Qi (Lung-Qi not descending) Invasion of Wind-Heat 35. Sunken eyeball Severe, chronic, Lung- and Spleen-Qi deficiency Spleen-Qi deficiency following food poisoning Collapse of Yin or Yang 36. Scaly eyeballs Lung-Heat Heart-Yin deficiency with Empty Heat Invasion of Wind-Heat 37. Ecchymosis under conjunctiva Liver-Fire Kidney-Yin deficiency with Empty Heat Invasion of Wind-Heat Dry-Heat invading the Lungs Liver Phlegm-Fire 38. Red veins in the eyes Liver-Fire Liver-Yin deficiency with Empty Heat Heart-Fire Heart-Yin deficiency with Empty Heat Kidney-Essence deficiency 39. Drooping red membrane Liver-Fire Heat in the Lungs and Spleen Wind-Heat affecting the Liver and Lung channels 40. Red membrane in the corner of the eye Liver-Fire Heart-Fire Heart-Yin deficiency with Empty Heat Heat in the Lung channel Heat in the Stomach and Spleen Kidney-Yin deficiency with Empty Heat 41. Red ring around the pupil Liver-Fire Heat in the Stomach and Spleen Qi deficiency with Internal Wind 42. Corneal opacity Kidney-Yin deficiency Deficiency of Qi and Blood Wind-Heat affecting the Liver channel Toxic Heat 43. Scarring after corneal opacity Kidney-Yin deficiency Stomach-Yin deficiency Stagnation of Qi and stasis of Blood 44. White specks Phlegm obstructing the Lungs Liver- and Kidney-Yin deficiency Yang deficiency with internal Cold 45. White membrane on the pupil in children Spleen-Qi deficiency with Dampness Spleen-Qi deficiency Retention of Food Spleen- and Kidney-Yang deficiency 46. Yellow fluid between the pupil and the iris Heat in the Stomach and Spleen Stomach and Spleen deficient and Cold Damp-Heat in Stomach and Spleen 47. Bleeding between the pupil and the iris Liver-Fire Liver- and Kidney-Yin deficiency and Blood deficiency Deficient Spleen-Qi not holding Blood 48. Staring, fixed eyes Heart-Fire Phlegm-Heat in the Heart 49. Dilated pupils Kidney-Yang deficiency Deficiency of Qi and Yin Kidney-Yin deficiency with Empty Heat Liver-Wind with Phlegm Collapse of Yang 50. Contracted pupils Liver-Fire Liver-Wind Liver-Blood stasis in the Connecting channels of the Brain (Eye System) Toxic Heat at the Blood Level Damp-Heat in the Stomach and Spleen Invasion of Wind-Heat 51. Closed eyes Excess of Yin Heat in febrile disease (Blood level) Wind-stroke (acute stage) 52. Open eyes Wind-stroke (acute stage) Stomach- and Spleen-Qi deficiency 53. Quivering eyeball Internal Wind (acute stage of Wind-stroke) Empty Wind from Blood deficiency Kidney-Essence deficiency Liver-Qi invading the Spleen 54. Eyeball turning up Heat generating Wind (Blood level of the Four Levels) Stagnant Blood generating Wind Internal Wind Kidney deficiency 55. Inverted eyelashes Lung- and Spleen-Qi deficiency Damp-Heat in Stomach and Spleen Empty-Cold in the Bladder Invasion of Wind-Heat 56. Sudden blindness Liver-Fire Liver-Blood stasis Phlegm-Heat in the Liver Phlegm-Heat in the Heart Liver-Wind Heat at the Blood level (within the Four Levels) 57. Cataract Stomach- and Spleen-Qi deficiency Liver- and Kidney-Yin deficiency Heart- and Kidney-Yin deficiency 62 Neck, Shoulders and Upper Back Chapter Contents Neck and shoulders 1. Stiff neck a) Full Wind-Damp Painful Obstruction Syndrome Acupuncture Liver-Qi stagnation Acupuncture Liver-Yang rising Acupuncture Invasion of Wind-Cold Acupuncture b) Empty Kidney deficiency Acupuncture c) Other patterns Liver-Wind 2. Rigidity of the neck a) Full Cold Painful Obstruction Syndrome Acupuncture Liver-Qi stagnation Acupuncture Liver-Yang rising Acupuncture b) Other patterns Liver-Wind 3. Neck pain a) Full Wind-Damp Painful Obstruction Syndrome Acupuncture Liver-Qi stagnation Acupuncture Liver-Yang rising Acupuncture Invasion of Wind Acupuncture b) Other patterns Liver-Wind 4. Soft neck Severe deficiency of Qi and Blood Kidney-Yang deficiency 5. Deviated neck Kidney-Essence deficiency Liver-Qi stagnation 6. Wide neck Qi stagnation with Phlegm Phlegm with Blood stasis Liver-Fire 7. Thin neck Severe deficiency of Qi and Blood Severe Yin deficiency 8. Swollen neck glands a) Full Invasion of Wind-Heat with Toxic Heat Acupuncture Toxic Heat with Qi and Yin deficiency Acupuncture b) Full-Empty Residual Damp-Heat with Qi deficiency Acupuncture c) Other patterns Toxic Heat with Blood stasis 9. Pulsation of the carotid artery Kidney- and Heart-Yang deficiency with Water overflowing to the Heart Chronic Phlegm in the Lungs 10. Shoulder ache Damp-Cold Wind-Cold Stagnation of Qi and stasis of Blood 11. Frozen shoulder Cold Damp-Cold Blood stasis Upper back 12. Upper backache Invasion of Wind-Cold Stagnation of Qi and stasis of Blood Damp-Cold Liver-Yang rising Liver-Qi stagnation 13. Cold upper back Invasion of Wind-Cold Yang deficiency 14. Hot upper back Lung-Heat Lung-Yin deficiency 15. Stiffness of the back as if wearing a tight belt Girdle Vessel Pathology Damp-Heat in the Liver channel 63 Chest Chapter Contents 1. Acute cough a) Full Invasion of Wind-Cold Acupuncture Invasion of Wind-Heat Acupuncture Phlegm-Heat in the Lungs Acupuncture Lung-Heat Acupuncture Residual dryness and Phlegm in the Lungs Acupuncture b) Other patterns Residual dryness in the Lungs Invasion of Wind-Dryness 2. Chronic cough a) Full Damp-Phlegm in the Lungs Acupuncture Phlegm-Dryness in the Lungs Acupuncture b) Empty Lung-Yin deficiency Acupuncture Lung-Yin deficiency with Empty Heat Acupuncture c) Other patterns Lung-dryness Lung-Qi deficiency Cold-Phlegm in the Lungs Liver-Fire insulting the Lungs Phlegm-Fluids in the Lungs 3. Coughing blood Lung-Heat Phlegm-Heat in the Lungs Lung-Yin deficiency with Empty Heat Invasion of Wind-Heat Lung- and Spleen-Qi deficiency Lung-Heat at the Blood level (Four Levels) 4. Breathlessness a) Empty Lung-Qi deficiency Acupuncture Lung-Yin deficiency Acupuncture b) Full Phlegm-Heat in the Lungs Acupuncture Damp-Phlegm in the Lungs Acupuncture c) Other patterns Kidneys not receiving Qi Lung-Qi stagnation Lung-Heat Cold-Phlegm in the Lungs Kidney-Yang deficiency with Phlegm Kidney-Yang deficiency with Water overflowing to the Lungs Phlegm in the Lungs with Lung-Qi deficiency Lung-Qi and Kidney-Yang deficiency Rebellious Qi of the Penetrating Vessel Liver-Fire insulting the Lungs 5. Wheezing a) Full Phlegm-Heat in the Lungs Acupuncture Damp-Phlegm in the Lungs Acupuncture b) Other patterns Cold-Phlegm in the Lungs Lung-Yang deficiency with Phlegm Lung-Yin deficiency with Phlegm Lung-Qi deficiency with Phlegm Spleen-Qi deficiency with Phlegm Kidney-Yang deficiency with Phlegm 6. Chest pain a) Full Heart-Blood stasis Acupuncture Phlegm-Heat in the Lungs Acupuncture b) Other patterns Heart-Yang deficiency Heart-Yang deficiency with Phlegm Liver-Qi stagnation Rebellious Qi in the Penetrating Vessel Lung-Qi stagnation Damp-Heat in the Liver and Gall-Bladder channels 7. Pain in the ribs Liver-Qi stagnation Liver-Blood stasis Damp-Heat in the Liver and Gall-Bladder 8. Feeling of oppression of the chest Phlegm in the Lungs Lung-Qi stagnation Liver-Qi stagnation Rebellious Qi in the Penetrating Vessel Heart-Yang deficiency with Phlegm 9. Feeling of distension of the chest Liver-Qi stagnation Lung-Qi stagnation 10. Feeling of heat of the chest Lung-Heat Lung-Yin deficiency with Empty Heat Heart-Fire Heart-Yin deficiency with Empty Heat Residual heat in the Diaphragm 11. Heart feeling vexed a) Full Heart-Fire Acupuncture Phlegm-Heat in the Heart Acupuncture b) Full/Empty Heart-Yin deficiency with Empty Heat Acupuncture c) Other patterns Qi and Yin deficiency of the Heart Residual Heat in the Diaphragm 12. Palpitations Shock affecting the Heart Kidney-Yang deficiency with Water overflowing to the Heart Rebellious-Qi in the Penetrating Vessel affecting the Heart 13. Palpitations under the heart Heart-Yang deficiency Heart-Yin deficiency with Empty Heat Phlegm-Fire harassing the Heart Rebellious Qi in the Penetrating Vessel Kidney-Yang deficiency with Water overflowing to the Heart 14. Feeling of stuffiness under the heart Heat Cold Phlegm Rebellious Qi in the Penetrating Vessel Phlegm-Fluids 15. Heart beat displaced downwards Heart-Qi deficiency with Heart-Blood stasis Liver- and Kidney-Yin deficiency Phlegm-Fluids obstructing the Heart Toxic Heat invading the Heart 16. Heart beat displaced upwards Kidney- and Heart-Yang deficiency with Water overflowing 17. Heart beat displaced to the left Phlegm-Fluids in the chest and hypochondrium Liver-Blood stasis with Water overflowing 18. Heart beat displaced to the right Heart-Qi deficiency with Heart-Blood stasis Phlegm-Fluids in the chest and hypochondrium 19. Heart beat below the xyphoid process Heart-Blood stasis Heart-Qi deficiency 20. Protruding chest Chronic Phlegm in the Lungs Severe Liver-Qi stagnation Liver-Blood stasis 21. Sunken chest Lung-Qi deficiency Lung-Yin deficiency Kidney-Yang deficiency Lung- and Kidney-Yin deficiency 22. Protruding sternum Constitutional deficiency of Lungs and Kidneys Phlegm in the Lungs 23. Chest sunken on one side Lung-Yin deficiency Phlegm-Fluids in the Lungs Phlegm-Fluids in the Lungs with Blood stasis 24. Chest protruding on one side Phlegm-Fluids in the Lungs Severe Liver-Qi stagnation Heart-Qi deficiency with Blood stasis 25. Gynaecomastia Liver-Blood stasis Damp-Heat in the Penetrating vessel 26. Yawning Liver-Qi stagnation Lung-Qi stagnation Stagnation of Qi and stasis of Blood Spleen- and Kidney-Yang deficiency 27. Sighing Liver-Qi stagnation Lung-Qi stagnation Spleen- and Heart-Qi deficiency 64 Limbs Chapter Contents 1. Muscle ache in the limbs a) Full Dampness in the muscles Acupuncture Liver-Qi stagnation Acupuncture b) Empty Liver-Blood deficiency Acupuncture c) Other patterns Phlegm-Heat in the muscles 2. Pain in the limbs a) Full Wind Acupuncture Cold Acupuncture Dampness Acupuncture b) Empty Qi and Blood deficiency Acupuncture Liver and Kidney deficiency Acupuncture c) Other patterns Damp-Heat 3. Cold hands and feet a) Empty Yang deficiency Acupuncture Blood deficiency Acupuncture b) Full Qi stagnation Acupuncture c) Other patterns Phlegm Heat stagnating in the Interior (True Heat – False Cold) 4. Hot hands and feet a) Damp-Heat b) Heart- and Kidney-Yin deficiency with Empty Heat c) Stomach-Heat d) Stomach-Yin deficiency with Empty Heat 5. Numbness/tingling of the limbs a) Empty Liver-Blood deficiency Acupuncture b) Full Phlegm in the limbs Acupuncture Dampness Acupuncture c) Other patterns Wind-Phlegm Liver-Wind Damp-Heat Qi stagnation and Blood stasis Invasion of Wind-Cold 6. Weakness of the limbs a) Stomach-Qi deficiency b) Deficiency of Qi and Blood c) Kidney-Yang deficiency 7. Feeling of heaviness of the limbs a) Full Dampness Acupuncture Damp-Heat Acupuncture Phlegm in the limbs Acupuncture b) Full/Empty Spleen-Qi deficiency with Dampness Acupuncture c) Other patterns Kidney-Yang deficiency with Dampness Stomach- and Spleen-Qi deficiency with Dampness 8. Atrophy of the limbs a) Stomach- and Spleen-Qi deficiency b) Liver- and Kidney-Yin deficiency c) Spleen- and Kidney-Yang deficiency d) Deficiency of Qi and Blood e) Kidney-Essence deficiency 9. Flaccidity of the limbs a) Stomach- and Spleen-Qi deficiency b) Damp-Heat in the Stomach and Spleen c) Kidney-Yin deficiency d) Qi deficiency with Blood stasis e) Heat at the Nutritive-Qi level 10. Oedema of limbs a) Empty Spleen-Yang deficiency Acupuncture Kidney-Yang deficiency Acupuncture b) Full Dampness Acupuncture Qi Stagnation Acupuncture c) Other patterns Lung-Qi deficiency Cold-Dampness Qi deficiency and Blood stasis Wind-Water invading the Lungs 11. Swelling of the joints of limbs a) Damp Painful Obstruction (Bi) syndrome b) Phlegm in the joints 12. Rigidity of limbs a) Wind in the joints b) Qi stagnation and Blood stasis c) Liver-Yang rising d) Liver- and Kidney-Yin deficiency e) Liver-Wind f) Wind-Phlegm 13. Paralysis of the limbs a) Stomach- and Spleen-Qi deficiency b) Deficiency of Qi and Blood c) Liver- and Kidney-Yin deficiency d) Liver- and Kidney-Yin deficiency with Internal Wind e) Retention of Dampness in the muscles f) Liver-Blood stasis g) Wind and Phlegm in the channels 14. Contraction of limbs a) Liver-Blood deficiency b) Liver- and Kidney-Yin deficiency c) Cold-Dampness d) Internal Wind e) Invasion of Wind-Cold f) Phlegm g) Blood stasis 15. Feeling of distension of the limbs a) Qi stagnation with Dampness b) Blood stasis from Qi deficiency c) Wind-Phlegm 16. Tremor or spasticity of limbs a) Liver-Wind b) Wind-Phlegm c) Liver-Blood or -Yin deficiency leading to Empty Wind d) Heat generating Wind 18. Convulsions of the limbs a) Liver-Yang rising generating Liver-Wind b) Liver-Blood deficiency leading to Liver-Wind c) Liver-Wind and Phlegm d) Liver- and Kidney-Yin deficiency and Liver-Blood deficiency giving rise to Liver-Wind e) Heat victorious stirring Wind (Blood Level) f) Yin deficiency generating Empty Wind (Blood Level) 65 Arms Chapter Contents 1. Pain in the elbow a) Full Invasion of Cold-Dampness Acupuncture b) Stagnation of Qi and stasis of Blood Acupuncture b) Other patterns Invasion of Cold Damp-Heat 2. Cold hands a) Empty Heart-Yang deficiency Acupuncture Lung-Yang deficiency Acupuncture Heart-Blood deficiency Acupuncture Spleen-Yang deficiency Acupuncture b) Other patterns Liver-Qi stagnation Phlegm in the channels 3. Hot hands a) Heart-Fire b) Lung-Heat c) Stomach-Heat d) Heart-Yin deficiency with Empty Heat e) Lung-Yin deficiency with Empty Heat f) Stomach-Yin deficiency with Empty Heat g) Stomach Damp-Heat h) Invasion of Wind 4. Pale hands a) Heart-Yang deficiency b) Lung-Yang deficiency c) Liver-Blood deficiency d) Heart-Blood deficiency 5. Red dorsum of the hands a) Full Heat 6. Red palms a) Empty Heat 7. Sweaty palms a) Empty Lung-Qi deficiency Acupuncture Lung-Yang deficiency Acupuncture Lung-Yin deficiency Acupuncture Heart-Qi deficiency Acupuncture Heart-Yang deficiency Acupuncture Heart-Yin deficiency Acupuncture b) Other patterns Lung-Heat Heart-Fire 8. Pain in the hands a) Wind b) Cold c) Dampness d) Damp-Heat in the channels e) Liver-Qi stagnation f) Stagnation of Qi and stasis of Blood g) Blood deficiency h) Heart-Yang deficiency i) Lung-Yang deficiency j) Stomach-Yang deficiency k) Heart-Yin deficiency l) Lung-Yin deficiency 9. Itchy hands a) Dampness b) Damp-Heat c) Invasion of Wind d) Blood deficiency leading to Wind in the skin 10. Numbness/tingling of the hands Liver-Blood deficiency a) Phlegm b) Wind-Phlegm c) Liver-Wind d) Dampness e) Damp-Heat f) Stagnation of Qi and stasis of Blood g) Invasion of external Wind 11. Tremor of the hands a) Liver-Wind b) Liver-Wind and Phlegm c) Liver-Blood or Liver-Yin deficiency leading to Wind d) Heat generating Wind 12. Oedema of the hands a) Lung-Yang deficiency b) Spleen-Yang deficiency c) Liver-Qi stagnation 13. Swollen fingers a) Cold-Dampness Painful Obstruction Syndrome b) Damp-Heat Painful Obstruction Syndrome c) Wind-Dampness Painful Obstruction Syndrome d) Lung- and Spleen-Yang deficiency e) Qi stagnation f) Blood stasis g) Liver and Kidney-Yin deficiency with Blood Heat h) Wind-Water invading the Lungs 14. Deformed knuckles a) Chronic Painful Obstruction Syndrome with Phlegm b) Chronic Painful Obstruction Syndrome with Phlegm and Blood stasis c) Chronic Painful Obstruction with Phlegm and Qi and/or Yin deficiency 15. Contraction of the fingers a) Liver-Blood deficiency b) Liver-Yin deficiency c) Blood stasis d) Liver-Wind e) Wind-Phlegm f) Cold-Dampness g) Liver-Qi stagnation h) Invasion of external Wind-Cold 16. Spoon-shaped fingers a) Cold-Phlegm in the Lungs b) Phlegm-Heat in the Lungs c) Lung and Kidney-Yin deficiency 17. Thin, pointed fingers a) Cold-Dampness in the Stomach b) Damp-Heat in the Stomach c) Stomach- and Spleen-Qi deficiency 18. Cracked fingers a) Liver-Blood deficiency b) Liver-Blood stasis c) Yang deficiency with Empty-Cold 19. Tinea (ringworm) a) External invasion of Wind-Heat b) External invasion of Damp-Heat c) Toxic Heat in the skin 20. Thickened fingers a) Deficiency of Qi and Blood 21. Shrivelled and wrinkled fingers a) Loss of fluids 22. Dry, cracked, and peeling palms a) Blood deficiency b) Blood deficiency with Wind 23. Venules on the thenar eminence a) Cold in the Stomach b) Stomach Deficient and Cold c) Full Heat d) Empty Heat e) Blood stasis in the Stomach f) Damp-Heat in the Stomach 24. Atrophy of the thenar eminence a) Liver-Blood deficiency b) Kidney-Yin deficiency c) Stomach- and Spleen-Qi deficiency 25. Atrophy of the muscles of the dorsum of the hands a) Liver-Blood deficiency b) Kidney-Yin deficiency c) Stomach- and Spleen-Qi deficiency 26. Ridged nails a) Liver-Blood deficiency b) Liver-Yin deficiency 27. Thickening of the nails a) Liver-Fire b) Liver-Blood stasis c) Phlegm 28. Coarse and thick nails a) Qi and Blood deficiency with dryness of Blood generating Wind 29. Cracked nails a) Qi and Blood deficiency with dryness of Blood b) Yin deficiency c) Liver-Blood stasis 30. Nails falling off a) Toxic Heat in the Liver 31. Indented nails a) Liver-Blood deficient and dry b) Deficiency of Qi and Blood c) Heat injuring fluids 32. Thin and brittle nails a) Qi and Blood deficiency b) Liver-Yin deficiency c) Liver-Blood stasis d) Phlegm in the joints e) Kidney-Essence deficiency 33. Withered and brittle nails a) Liver-Blood deficiency b) Liver-Yin deficiency c) Liver-Blood stasis d) Liver-Fire e) Kidney-Yin deficiency Phlegm Blood Dryness and Empty Heat in acute febrile diseases 34. Withered and thickened nails a) Severe Stomach- and Spleen-Qi deficiency b) Liver-Blood deficient and dry c) Liver-Yin deficiency d) Damp-Heat with Toxic Heat 35. Curling nails a) Qi and Blood deficiency with Blood stasis 36. Flaking nails a) Spleen and Kidney deficiency with Dampness 37. Twisted nails a) Liver-Blood deficiency 38. Nails with white spots a) Qi deficiency 39. Pale-white nails a) Liver- and Spleen-Blood deficiency 40. Dull-white nails a) Spleen- and Kidney-Yang deficiency b) Loss of fluids 41. Red nails a) Full Heat 42. Yellow nails a) Damp-Heat in the Stomach and Spleen b) Damp-Heat in the Liver and Gall-Bladder c) Phlegm 43. Bluish-greenish nails a) Liver-Blood deficiency with internal Cold b) Severe Spleen-Qi deficiency with internal Wind (children) c) Liver-Blood stasis 44. Dark nails a) Kidney deficiency b) Blood stasis 45. Purple nails a) Liver-Blood stasis b) Heat at the Blood Level 46. Small or absent lunulae a) Chronic Qi and Blood deficiency b) Yang Deficiency c) Internal Cold 47. Large lunulae a) Yin deficiency with Empty Heat 66 Legs Chapter Contents 1. Oedema of the feet a) Empty Spleen-Yang deficiency Acupuncture Kidney-Yang deficiency Acupuncture b) Other patterns Damp-Heat Qi Stagnation and stasis of Blood Cold-Dampness Qi deficiency and Blood stasis 2. Atrophy of the legs a) Stomach- and Spleen-Qi deficiency b) Liver- and Kidney-Yin deficiency c) Spleen- and Kidney-Yang deficiency d) Deficiency of Qi and Blood E) Kidney-essence deficiency 3. Paralysis of the legs a) Stomach- and Spleen-Qi deficiency b) Deficiency of Qi and Blood c) Liver- and Kidney-Yin deficiency d) Retention of Dampness in the muscles e) Liver-Blood stasis f) Wind and Phlegm in the channels 4. Festination a) Liver- and Kidney-Yin deficiency with internal Wind b) Qi and Blood deficiency with internal Wind 5. Unstable gait a) Liver- and Kidney-Yin deficiency with internal Wind b) Qi and Blood deficiency with internal Wind 6. Staggering gait a) Liver- and Kidney-Yin deficiency b) Phlegm and Blood stasis 7. Stepping gait a) Liver- and Kidney-Yin deficiency with internal Wind b) Qi and Blood deficiency with internal Wind 8. Shuffling gait a) Liver- and Kidney-Yin deficiency with Wind-Phlegm in the channels 9. Arched legs a) Congenital deficiency of Stomach and Spleen b) Congenital deficiency of Liver and Kidneys 10. Cold feet a) Empty Kidney-Yang deficiency Acupuncture Liver-Blood deficiency Acupuncture Spleen- and Kidney-Yang deficiency Acupuncture b) Other patterns Phlegm in the Lower Burner 11. Pain in the thigh a) Damp-Heat b) Cold-Dampness c) Qi deficiency and Blood stasis d) Kidney-Yang deficiency e) Stagnation of Qi and stasis of Blood in the descending branch of the Penetrating Vessel 12. Pain in the hip a) Stagnation of Qi and stasis of Blood b) Invasion of Cold and Dampness 13. Pain in the knee a) Invasion of Cold and Dampness b) Invasion of Cold c) Damp-Heat d) Stagnation of Qi and stasis of Blood e) Kidney deficiency 14. Pain in the foot a) Dampness b) Damp-Heat c) Kidney deficiency d) Deficiency of Qi and Blood e) Damp-Phlegm 15. Weak knees a) Kidney-Yang deficiency b) Kidney- and Liver-Yin deficiency c) Stomach- and Spleen-Qi deficiency 16. Stiff knees a) Cold-Dampness in the channels b) Cold in the channels c) Dampness d) Damp-Heat e) Stagnation of Qi and stasis of Blood f) Kidney-Yang deficiency 17. Weakness of the legs a) Stomach- and Spleen-Qi deficiency b) Kidney-Yang deficiency c) Kidney-Yin deficiency d) Liver- and Kidney-Yin deficiency 18. Feeling of heaviness of the legs a) Full Dampness Acupuncture Damp-Heat Acupuncture b) Full/Empty Spleen-Qi deficiency with Dampness Acupuncture Kidney-Yang deficiency with Dampness Acupuncture 19. Restless legs a) Empty Liver- and Kidney-Yin deficiency Acupuncture Stomach-Yin deficiency Acupuncture Liver-Blood deficiency Acupuncture b) Other patterns Deficiency of Blood in the Penetrating Vessel 20. Tremor of the legs a) Liver-Blood or Liver-Yin deficiency leading to Wind b) Kidney-Yin deficiency with internal Wind 21. Cramps in the calves a) Liver-Blood deficiency b) Liver-Blood deficiency with Empty-Wind c) Wind-Phlegm d) Liver-Blood stasis 22. Pain in the groin a) Dampness b) Stagnation of Qi and stasis of Blood in the Liver channel c) Girdle Vessel pathology (Damp-Heat) 23. Lower leg ulcers a) Damp-Heat b) Spleen-Qi deficiency with Dampness c) Qi stagnation and Blood stasis d) Liver- and Kidney-Yin deficiency 24. Toe ulcers a) Toxic Heat b) External Toxic Heat 25. Pain in the soles a) Stomach-Qi deficiency b) Stomach-Qi deficiency with Dampness c) Stomach-Heat d) Liver-Fire e) Dampness in the Spleen f) Kidney-Yang deficiency g) Kidney-Yin deficiency h) Kidney deficiency with Dampness 26. Burning sensation in the soles a) Kidney-Yin deficiency with Empty Heat b) Stomach Heat c) Liver-Fire 67 Lower Back Chapter Contents 1. Lower backache a) Empty Kidney-Yang deficiency Acupuncture Kidney-Yin deficiency Acupuncture b) Full Sprain of the back Acupuncture Cold-Dampness in the lower back Acupuncture Blood stasis in the back Acupuncture c) Other patterns Invasion of Wind-Cold 2. Sciatica a) Full Cold-Dampness in the lower back and legs Acupuncture Damp-Heat in the lower back and legs Acupuncture Stagnation of Qi and stasis of Blood Acupuncture b) Empty/Full Kidney-Yang deficiency with Dampness Acupuncture 3. Feeling of cold and heaviness of the lower back a) Kidney-Yang deficiency b) Cold-Dampness in the back c) Invasion of Wind-Water 4. Weakness of the lower back and knees a) Empty Kidney-Yang deficiency Acupuncture b) Other patterns Kidney-Yin deficiencyc Cold-Dampness in the lower back Damp-Heat in the lower back 5. Stiffness of the lower back a) Stagnation of Qi and stasis of Blood b) Cold-Dampness in the lower back c) Kidney-Yang deficiency 6. Coccyx pain a) Traumatic injury b) Kidney deficiency c) Cold-Dampness in the Bladder channel d) Damp-Heat in the Bladder channel 7. Ulcers on the buttocks a) Toxic Heat b) External Toxic Heat 8. Papules or pustules on buttocks a) Damp-Heat in the Bladder 9. Scoliosis a) Empty Kidney-Essence deficiency Acupuncture b) Other patterns Kidney deficiency with Blood stasis Retention of Wind-Dampness in the channels of the back 10. Lordosis a) Kidney-Essence deficiency b) Deficiency of Liver- and Kidney-Yin c) Retention of Wind-Dampness in the channels of the back d) Deficiency of the Stomach and Spleen 11. Spine bent forward a) Kidney-Essence deficiency with weakness of the Governing Vessel 12. Atrophy of the muscles along the spine a) Spleen-Qi deficiency 13. Spots on the back a) Wind-Heat with Toxic Heat b) Damp-Heat c) Stagnant Liver-Qi turned into Heat 14. Rigidity of the lower back a) Retention of Damp-Cold b) Blood stasis 15. Vesicles on the lower back a) Retention of Damp-Heat 16. Dryness and redness of the skin of the lower back a) Liver-Fire b) Heart-Fire 17. Yellow colour of the lower back a) Damp-Heat in the Spleen and Kidneys 18. Skin marks on the lower back a) Girdle Vessel pathology with Kidney deficiency 19. Boils on BL-23 shenshu a) Phlegm with Kidney deficiency 20. Kyphosis a) Kidney-Essence deficiency in the elderly b) Liver- and Kidney-Yin deficiency c) Deficiency of the Governing Vessel d) Kidney-Essence deficiency in children 21. Flattening of lumbar spine a) Qi stagnation b) Blood stasis c) Cold 22. List of spine a) Qi stagnation b) Blood stasis c) Cold 68 Body Chapter Contents 1. Body aches a) Wind b) Dampness c) Qi Stagnation d) Blood stasis e) Blood deficiency f) Stomach-Heat 2. Pain in the joints a) Invasion of Wind in the joints b) Invasion of Dampness in the joints c) Invasion of Cold in the joints d) Damp-Heat in the joints e) Stagnation of Qi and stasis of Blood f) Liver-Blood deficiency g) Kidney deficiency 3. Paralysis a) Empty Stomach- and Spleen-Qi deficiency Acupuncture Liver- and Kidney-Yin deficiency Acupuncture b) Empty/Full Liver- and Kidney-Yin deficiency with Internal Wind Acupuncture c) Other patterns Kidney-Yang deficiency Qi and Blood deficiency Liver-Blood stasis Cold-Dampness Damp-Heat Liver-Qi stagnation and Liver-Blood deficiency Stomach and Spleen Fluids injured 4. Hemiplegia a) Wind in the channels b) Liver-Wind c) Wind-Phlegm d) Phlegm-Fire e) Damp-Phlegm f) Qi deficiency and Blood stasis g) Liver and Kidney deficiency h) Collapse of Yang i) Collapse of Yin 5. Numbness/tingling a) Empty Liver-Blood deficiency Acupuncture b) Full Phlegm in the channels Acupuncture Internal Wind Acupuncture Wind-Phlegm Acupuncture c) Other patterns Dampness in the channels Stagnation of Qi and stasis of Blood 6. Numbness of half the body a) Liver-Blood deficiency b) Damp-Phlegm c) Liver-Wind d) Deficiency of Central Qi e) Dampness 7. Itching a) Full Wind in the skin Acupuncture Dampness in the skin Acupuncture Damp-Heat in the skin Acupuncture Blood Heat Acupuncture b) Empty Blood deficiency Acupuncture c) Other patterns Toxic Heat 8. Oedema a) Empty Spleen-Yang deficiency Acupuncture Kidney-Yang deficiency Acupuncture b) Full Dampness Acupuncture Qi stagnation Acupuncture c) Other patterns Deficiency of Qi and Blood Wind-Water invading the Lungs Qi deficiency and Blood stasis 9. Obesity a) Damp-Phlegm with Qi deficiency 10. Loss of weight a) Yin deficiency b) Liver-Blood deficiency c) Stomach- and Spleen-Qi deficiency d) Liver-Fire e) Stomach-Heat 11. Jaundice a) Damp-Heat in the Gall-Bladder b) Cold-Dampness in the Gall-Bladder c) Blood stasis d) Spleen-Qi deficiency and Blood deficiency 12. Twitching of muscles a) Spleen- and Kidney-Yang deficiency b) Heart- or Lung-Yang deficiency with Water Overflowing c) Deficiency of Qi and Blood 13. Opisthotonos a) Liver-Wind 69 Digestive System and Taste Chapter Contents Digestive System 1. Belching a) Full Liver-Qi invading the Stomach Acupuncture b) Empty Stomach- and Spleen-Qi deficiency Acupuncture Stomach-Yin deficiency Acupuncture c) Other patterns Stomach-Heat Retention of food Stomach deficient and Cold 2. Acid reflux a) Full Liver-Qi invading the Stomach Acupuncture b) Empty Stomach-Yin deficiency Acupuncture c) Other patterns Retention of food Damp-Heat in the Stomach Cold-Dampness in the Stomach 3. Hiccup a) Cold in the Stomach b) Stomach-Heat c) Stomach-Qi deficiency d) Stomach-Yin deficiency e) Liver-Qi invading the Stomach f) Spleen- and Kidney-Yang deficiency 4. Poor appetite a) Stomach- and Spleen-Qi deficiency b) Stomach and Spleen Deficient and Cold c) Spleen- and Kidney-Yang deficiency d) Stomach-Yin deficiency e) Cold-Dampness in the Stomach and Spleen f) Damp-Heat in the Stomach and Spleen g) Liver-Qi invading the Stomach h) Phlegm obstructing the Stomach i) Food poisoning 5. Nausea a) Full Liver-Qi invading the Stomach Acupuncture Phlegm obstructing the Stomach Acupuncture Cold-Dampness in the Stomach Acupuncture Cold in the Stomach Acupuncture b) Empty Stomach-Qi deficiency Acupuncture Stomach-Yin deficiency Acupuncture c) Other patterns Stomach-Heat Food poisoning Heart-Qi stagnation 6. Vomiting a) Liver-Qi invading the Stomach b) Cold in the Stomach c) Stomach-Heat d) Stomach-Qi deficiency e) Stomach deficient and Cold f) Stomach-Yin deficiency g) Heat in the Liver and Gall-Bladder h) Stomach- and Liver-Fire i) External Cold invading the Stomach j) Phlegm obstructing the Stomach k) Cold-Dampness in the Stomach l) Retention of Food m) Food poisoning 7. Retching a) Liver-Qi invading the Stomach b) Stomach-Heat c) Cold in the Stomach d) Retention of Food e) Spleen-Yin deficiency 8. Vomiting of blood a) Stomach-Fire b) Liver-Fire invading the Stomach c) Blood stasis in the Stomach d) Stomach-Yin deficiency with Empty Heat e) Heart- and Spleen-Qi deficiency f) Spleen- and Kidney-Yang deficiency 9. Excessive hunger a) Stomach-Heat b) Stomach-Fire c) Stomach-Yin deficiency with Empty Heat 10. Aversion to food a) Food poisoning b) Retention of Food c) Damp-Heat in the Liver, Gall-Bladder, Stomach, and Spleen d) Rebellious Qi in the Penetrating Vessel in pregnancy 11. Hunger with no desire to eat a) Damp-Heat in the Stomach b) ‘Stomach strong – Spleen weak’ 12. Gnawing hunger a) Liver-Qi invading the Stomach b) Stomach-Heat c) Cold in the Stomach d) Food poisoning e) Spleen-Yin deficiency Case History 13. Sleepy after eating a) Spleen-Qi deficiency b) Damp-Phlegm in the Spleen c) Spleen-Qi deficiency with Dampness 14. Regurgitation of food a) Cold in the Stomach b) Stagnation of Qi and Phlegm in the Stomach c) Damp-Heat in the Stomach d) Stasis of Blood in the Stomach e) Retention of food f) Stomach-Yin deficiency with Blood dryness g) Deficiency of Qi and Yin of the Stomach h) Deficiency of Minister Fire 15. Difficulty in swallowing (diaphragm choking) a) Stagnation of Qi and Phlegm b) Blood stasis in the Stomach c) Qi and Yang deficiency of the Stomach d) Stomach-Yin deficiency e) Spleen- and Kidney-Yang deficiency 16. Craving for sweets and/or constant picking a) Spleen-Qi deficiency b) Heart-Blood deficiency c) Heart-Fire d) Liver-Qi invading the Spleen e) Spleen- and Kidney-Yang deficiency f) Spleen-Heat Taste 17. Bitter taste a) Liver-Fire b) Heart-Fire c) Damp-Heat in the Liver and Gall-Bladder d) Lesser-Yang Pattern 18. Sweet taste a) Deficiency of Qi and/or Yin of the Stomach and Spleen b) Damp-Heat in the Spleen c) Stomach- and Spleen-Heat 19. Salty taste a) Kidney-Yin deficiency b) Kidney-Yang deficiency 20. Sour taste a) Liver-Fire b) Liver-Qi invading the Spleen c) Liver-Qi invading the Stomach d) Retention of Food e) Stomach Heat 21. Sticky sensation in the mouth a) Cold-Dampness b) Damp-Heat c) Phlegm d) Phlegm-Heat in the Lungs 22. Loss of taste a) Deficiency of Stomach- and Spleen-Qi b) Dampness obstructing the Middle Burner c) Damp-Phlegm obstructing the Spleen d) Stomach- and Spleen-Qi deficiency with Cold in the Stomach 23. Foul breath a) Stomach-Heat b) Phlegm-Heat in the Lungs c) Retention of food 70 Thirst and Drink Chapter Contents 1. Thirst a) Full Stomach-Heat Acupuncture Liver-Fire Acupuncture Heart-Fire Acupuncture Damp-Heat in Stomach and Spleen Acupuncture b) Empty Stomach-Yin deficiency Acupuncture Stomach-Yin deficiency with Empty Heat Acupuncture c) Other patterns Damp-Heat in Liver and Gall-Bladder Phlegm-Heat in the Lungs Heart-Yin deficiency with Empty Heat Lung-Heat Lung-Yin deficiency with Empty Heat Heart-Yin deficiency Liver-Yin deficiency Kidney-Yin deficiency Lung-Yin deficiency 2. Dry mouth a) Yin deficiency b) Damp-Heat in the Stomach and Spleen c) Phlegm-Heat in the Stomach 3. Absence of thirst a) Deficiency of Yang of the Spleen and Stomach b) Cold in the Stomach c) Dampness in the Stomach and Spleen 4. Increased salivation a) Stomach and Spleen Deficient and Cold b) Kidney-Yang deficiency, Water overflowing 71 Abdomen Chapter Contents Introduction Distension Feeling of oppression Feeling of fullness Feeling of stuffiness 1. Pain in the area below the xyphoid process a) Rebellious-Qi of the Penetrating Vessel b) Stomach-Heat c) Stomach-Qi stagnation d) Heart-Qi stagnation e) Retention of food in the stomach f) Stomach- and Spleen-Qi deficiency with Heart-Heat g) Phlegm in the Stomach h) Qi stagnation and Phlegm 2. Epigastric pain a) Empty Stomach- and Spleen-Qi deficiency Acupuncture Stomach-Yin deficiency Acupuncture b) Full Liver-Qi invading the Stomach Acupuncture Cold in the Stomach Acupuncture Stomach-Heat Acupuncture Damp-Heat in the Stomach Acupuncture c) Other patterns Stomach-Fire Cold-Dampness in the Stomach Blood stasis in the Stomach Phlegm-Heat in the Stomach Retention of food Liver-Fire invading the Stomach Phlegm-Fluids in the Stomach 3. Hypochondrial pain a) Full Liver-Qi stagnation Acupuncture Damp-Heat in Liver and Gall-Bladder Acupuncture b) Other patterns Liver-Blood stasis Liver-Yin deficiency Lesser-Yang syndrome Phlegm-Fluids in the hypochondrium 4. Umbilical pain a) Stagnation of Qi in the Stomach and Intestines b) Cold in the Intestines c) Damp-Heat in the Intestines d) Spleen- and Kidney-Yang deficiency e) Food poisoning f) Heat in Bright Yang 5. Abdominal distension a) Full Liver-Qi stagnation Acupuncture b) Empty Spleen-Qi deficiency Acupuncture c) Other patterns Damp-Phlegm obstructing the Spleen Liver-Yin deficiency 6. Abdominal fullness a) Cold-Dampness in the Intestines b) Damp-Heat in the Intestines c) Retention of Food d) Stomach and Spleen Deficient and Cold e) Heat in Bright Yang (Organ pattern) 7. Feeling of cold in the abdomen a) Yang deficiency of the Stomach and Spleen b) Kidney-Yang deficiency c) Directing and Penetrating Vessels Deficient and Cold d) Stagnation of Cold in the Liver channel 8. Feeling of pulsation under the umbilicus a) Rebellious Qi in the Penetrating Vessel b) Kidneys not receiving Qi c) Phlegm-Fluids in the abdomen 9. Feeling of energy rising in the abdomen a) Rebellious Qi in the Penetrating Vessel b) Stagnant Liver-Qi turned into Heat rebelling upwards c) Yin-Cold in the abdomen 10. Borborygmi a) Liver-Qi invading the Spleen b) Damp-Heat in the Intestines c) Damp-Phlegm in the Intestines d) Spleen- and Kidney-Yang deficiency e) Stomach and Spleen Deficient and Cold 11. Flatulence a) Spleen-Qi deficiency b) Liver-Qi invading the Spleen c) Liver-Qi stagnation 12. Central-lower abdominal pain a) Damp-Heat in the Bladder b) Stagnation of Qi in the Bladder c) Intestines Deficient and Cold d) Stasis of Blood in the Bladder e) Liver-Qi stagnation f) Liver-Blood stasis g) Liver-Fire h) Retention of Food and Cold i) Spleen-Qi deficiency j) Kidney-Yin deficiency k) Kidney-Yang deficiency 13. Lateral-lower abdominal pain a) Liver-Qi stagnation b) Damp-Heat in the Large Intestine c) Cold-Dampness in the Large Intestine d) Liver-Blood stasis e) Large Intestine Deficient and Cold f) Girdle Vessel pain g) Stagnation of Qi and stasis of Blood in the Penetrating Vessel h) Stagnation of Cold in the Liver channel 14. Distended abdominal veins a) Stasis of Blood in the Liver and Spleen b) Qi stagnation with Dampness c) Spleen- and Kidney-Yang deficiency d) Liver- and Kidney-Yin deficiency e) Blood-Heat f) Stagnation of Cold 15. Abdominal masses a) Liver-Qi stagnation b) Liver-Blood stasis c) Phlegm and retention of food d) Stomach- and Spleen-Qi deficiency e) Kidney-Yang deficiency with Liver-Blood stasis f) Damp-Phlegm g) Damp-Heat 16. Small hypochondrial lumps a) Liver-Blood stasis 17. Oedema of the abdomen a) Spleen-Yang deficiency b) Kidney-Yang deficiency 18. Thin abdomen a) Qi and Blood deficiency b) Yin deficiency 19. Large abdomen a) Phlegm obstructing the Spleen 20. Sagging lower abdomen a) Damp-Phlegm in the Lower Burner b) Severe Spleen- and Kidney-Yang deficiency 21. Lumps in the epigastrium a) Damp-Phlegm in the Middle Burner b) Blood stasis c) Phlegm and Blood stasis in the Middle Burner 22. Protruding umbilicus a) Empty-Cold with Qi stagnation b) Blood stasis with oedema c) Spleen- and Kidney-Yang deficiency 23. Sunken umbilicus a) Blood stasis with Spleen-Qi sinking b) Damp-Heat in the abdomen 24. Lines on the abdomen a) Blood stasis deriving from Cold b) Blood stasis with Blood Heat 25. Maculae on the abdomen a) Blood Heat b) Blood stasis 72 Defecation Chapter Contents 1. Diarrhoea or loose stools a) Empty Spleen-Qi deficiency Acupuncture Kidney-Yang deficiency Acupuncture b) Full Liver-Qi invading the Spleen Acupuncture Damp-Heat in the Intestines Acupuncture Cold-Dampness in the Intestines Acupuncture c) Other patterns Spleen-Qi deficient and sinking Retention of food 2. Diarrhoea with vomiting a) Food poisoning b) Cold-Dampness in the Stomach and Intestines c) Stomach and Intestines Deficient and Cold d) Retention of food e) Invasion of Summer Heat 3. Constipation a) Full Heat in the Intestines Acupuncture Liver-Fire Acupuncture Liver-Qi stagnation Acupuncture b) Empty Kidney-Yang deficiency Acupuncture Blood deficiency Acupuncture Yin deficiency of the Stomach and Intestines Acupuncture c) Other patterns Heat in Bright Yang (Organ Syndrome) Kidney- and Liver-Yin deficiency Spleen- and Lung-Qi deficiency Cold in the intestines Dampness in the Intestines Retention of food in the Intestines 4. Alternation of constipation and loose stools a) Full Stagnant Liver-Qi invading the Spleen Acupuncture Stagnant Liver-Qi invading the Spleen, Dampness Acupuncture b) Full/Empty Stagnant Liver-Qi invading the Spleen, Dampness, Spleen-Qi deficiency Acupuncture c) Other patterns Severe Spleen-Qi deficiency 5. Incontinence of faeces a) Spleen- and Kidney-Yang deficiency b) Spleen- and Lung-Qi deficiency 6. Blood and mucus in the stools a) Damp-Heat in the Intestines b) Deficiency of Yin of the Stomach and Intestines with Empty Heat c) Cold-Dampness in the Intestines d) Large Intestine Deficient and Cold e) Toxic Heat in the Intestines 7. Mucus in the stools a) Dampness in the Intestines b) Damp-Heat in the Intestines 8. Blood in the stools a) Damp-Heat in the Intestines b) Stomach- and Spleen-Qi deficiency c) Heat in the Intestines d) Toxic Heat in the Intestines e) Blood stasis in the Intestines f) Liver- and Kidney-Yin deficiency with Empty Heat 9. Difficulty in defecation a) Stagnation of Qi in the Intestines b) Damp-Heat in the Intestines c) Spleen-Qi deficiency d) Intestines Dryness and Liver-Blood deficiency 10. Straining in defecation a) Liver-Qi invading the Spleen b) Spleen- and Lung-Qi deficiency c) Spleen- and Kidney-Yang deficiency d) Kidney- and Liver-Yin deficiency e) Damp-Heat in the Intestines f) Heat in the Intestines 73 Urination Chapter Contents 1. Dark urine a) Damp-Heat in the Bladder b) Kidney-Yin deficiency with Empty Heat c) Heat in the Heart and Small Intestine d) Damp-Heat in the Liver e) Heat in the Intestines f) Cold-Dampness in the Intestines 2. Pale and abundant urine a) Kidney-Yang deficiency b) Cold in the Bladder 3. Turbid urine a) Dampness in the Bladder b) Kidney-Yin deficiency c) Kidney-Yang deficiency d) Spleen-Qi deficiency 4. Painful urination a) Full Damp-Heat in the Bladder Acupuncture Liver-Fire Acupuncture b) Empty/Full Kidney-Yin deficiency with Empty Heat Acupuncture c) Other patterns Heart-Fire Liver-Qi stagnation Stasis of Blood in the Bladder 5. Scanty and difficult urination a) Damp-Heat in the Bladder b) Liver-Qi stagnation c) Kidney-Yin deficiency d) Kidney-Yang deficiency e) Spleen-Yang deficiency with Dampness f) Deficient Lung-Qi not descending 6. Difficult urination a) Full Damp-Heat in the Bladder Acupuncture Liver-Qi stagnation Acupuncture b) Empty Kidney-Yang deficiency Acupuncture c) Other patterns Lung-Qi deficiency Stomach- and Spleen-Qi deficiency Stasis of Blood in the Lower Burner 7. Frequent urination Kidney-Yang deficiency Acupuncture a) Full Damp-Heat in the Bladder Acupuncture b) Other patterns Lung- and Spleen-Qi deficiency Kidney-Yin deficiency 8. Dribbling of urine a) Kidney-Qi not firm b) Stomach- and Spleen-Qi deficiency c) Damp-Heat in the Bladder 9. Incontinence of urine a) Kidney-Qi not firm b) Lung- and Spleen-Qi deficiency c) Heat in the Bladder d) Liver- and Kidney-Yin deficiency 10. Nocturnal enuresis a) Empty Kidney-Yang deficiency Acupuncture b) Full Liver-Fire Acupuncture c) Other patterns Spleen-Qi deficient and sinking Lung-Qi deficiency Kidney-Yin deficiency 11. Urination at night a) Kidney-Yang deficiency b) Spleen- and Kidney-Yang deficiency 12. Blood in the urine a) Damp-Heat in the Bladder b) Damp-Heat in the Liver c) Heart-Fire d) Kidney-Yin deficiency with Empty Heat e) Spleen- and Kidney-Yang deficiency 13. Sperm in the urine a) Damp-Heat in the Bladder b) Kidney-Yin deficiency with Empty Heat c) Kidney-Qi not firm 74 Anus Chapter Contents 1. Itching of the anus a) Damp-Heat in the Bladder channel b) Cold-Dampness in the Bladder channel c) Damp-Heat in the Governing Vessel d) Blood deficiency generating Empty Wind 2. Haemorrhoids a) Full Damp-Heat in the Bladder channel Acupuncture Stagnation of Qi and stasis of Blood in the Bladder channel Acupuncture b) Other patterns Spleen-Qi deficient and sinking Liver-Fire 3. Anal prolapse a) Spleen-Qi deficient and sinking b) Kidney-Yang deficiency c) Damp-Heat in the Bladder channel 4. Anal fissure a) Damp-Heat in the Bladder b) Blood deficiency and Intestines Dryness c) Fire in the Intestines 5. Anal fistula a) Full Heat b) Empty Heat c) Empty Cold 6. Anal ulcers a) Deficiency of Lungs, Spleen, and Kidneys b) Toxic Heat 75 Men’s Sexual and Genital Symptoms Chapter Contents 1. Impotence a) Empty Kidney-Yang deficiency Acupuncture Spleen- and Heart-Yang deficiency Acupuncture Liver- and Kidney-Yin deficiency Acupuncture Kidney-Essence deficiency Acupuncture b) Full Damp-Heat in the Lower-Burner Acupuncture 2. Lack of libido a) Kidney-Yang deficiency b) Heart-Yang deficiency c) Heart-Blood deficiency d) Heart- and Spleen-Blood deficiency e) Liver-Qi stagnation 3. Premature ejaculation a) Empty Kidney-Qi not firm Acupuncture Spleen- and Heart-Yang deficiency Acupuncture b) Full Damp-Heat in the Liver channel Acupuncture 4. Nocturnal emissions a) Heart-Fire b) Spleen-Qi and Heart-Blood deficiency c) Heart- and Kidney-Yin deficiency with Empty Heat d) Minister Fire blazing upwards e) Kidney-Qi not firm f) Damp-Heat in the Lower Burner g) Kidney-Essence deficiency 5. Inability to ejaculate a) Kidney-Yin deficiency with Empty Heat b) Blood stasis in the Lower Burner 6. Blood in the sperm a) Kidney-Yin deficiency with Empty Heat b) Damp-Heat in the Lower Burner c) Toxic Heat in the Lower Burner d) Blood stasis in the Lower Burner 7. Cold-watery sperm a) Kidney-Qi not firm b) Cold in the Lower Burner 8. Priapism a) Damp-Heat in the Liver channel b) Kidney-Yin deficiency with Empty Heat 9. Tiredness and dizziness after ejaculation a) Kidney-Yang deficiency b) Kidney-Yin deficiency c) Spleen-Blood and Heart-Blood deficiency 10. Cold genitals a) Deficiency of Minister of Fire b) Stagnation of Cold in the Liver channel c) Cold-Dampness in the Lower Burner 11. Contraction of the scrotum a) Stagnation of Cold in the Liver channel b) Deficiency of Qi and Blood c) Collapse of Yang d) Collapse of Yin 12. Loose scrotum a) Kidney-Yang deficiency b) Spleen-Qi sinking 13. Scrotum drooping to one side a) Empty Cold in the Lower Burner b) Damp-Phlegm in the Lower Burner 14. Swollen scrotum a) Spleen- and Kidney-Yang deficiency b) Heart-Yang deficiency c) Liver-Blood deficiency with Empty Internal Wind 15. Swollen and oozing scrotum a) Damp-Heat in the Liver channel b) Toxic Heat in the Liver channel 16. Pale scrotum a) Spleen- and Kidney-Yang deficiency 17. Red scrotum a) Damp-Heat in the Liver channel b) Toxic Heat in the Liver channel 18. Purple scrotum a) Liver-Blood stasis b) Damp-Heat with Blood stasis in the Liver channel 19. Dark scrotum a) Stagnation of Cold in the Liver channel b) Kidney-Yang deficiency 20. Itchy scrotum a) Damp-Heat in the Lower Burner b) Kidney-Yin deficiency with Empty Heat c) Cold-Dampness in the Lower Burner 21. Pain and itching of the penis a) Damp-Heat in the Lower Burner b) Blood stasis in the Lower Burner c) Kidney-Yin deficiency with Empty Heat d) Heart-Fire 22. Soft and withered penis a) Liver-Qi deficiency b) Kidney-Yin deficiency c) Kidney-Yang deficiency d) Phlegm and Blood stasis in the Lower Burner 23. Swelling and pain of the testicles a) Cold in the Lower Burner b) Cold-Dampness in the Lower Burner c) Damp-Heat in the Lower Burner d) Stagnation of Qi in the Lower Burner e) Toxic Heat in the Lower Burner 24. Redness and swelling of the glans penis a) Toxic Heat in the Liver channel b) Damp-Heat in the Liver channel 25. Peyronie’s disease a) Blood stasis in the Liver channel b) Dampness in the Lower Burner with Blood stasis in the Liver channel c) Blood stasis in the Liver channel with Kidney-Yang deficiency d) Cold in the Liver channel with Blood stasis 26. Penis ulcers a) Damp-Heat in the Liver channel b) Liver-Fire c) Kidney deficiency with Dampness d) Liver- and Kidney-Yin deficiency with Empty Heat e) Toxic Heat 27. Loss of pubic hair a) Kidney-Essence deficiency b) Spleen- and Kidney-Yang deficiency 28. Excessive pubic hair a) Phlegm and Blood stasis b) Kidney-Yin deficiency with Empty Heat 76 Sweating Chapter Contents 1. Spontaneous sweating a) Empty Lung-Qi Deficiency Lung-Yang deficiency Full Heat Phlegm-Heat Invasion of Wind-Cold with prevalence of Wind Wind-Dampness on the Exterior Invasion of Summer-Heat 2. Night-sweating a) Yin deficiency b) Yin deficiency with Empty heat c) Damp-heat in Stomach and Spleen d) Deficiency of Qi and Blood of the Heart e) Lesser-Yang Pattern 3. Sweating from collapse a) Collapse of Qi and Yin b) Collapse of Yang 4. Yellow sweat a) Damp-Heat b) Nutritive and Defensive Qi Obstructed c) Stagnant Liver-Qi turned into Heat d) Spleen- and Lung-Qi deficiency e) Yin deficiency with Empty Heat and Dampness 5. Unilateral sweating a) Wind-Phlegm b) Phlegm with Blood stasis c) Deficiency of Qi and Blood d) Cold-Dampness e) Nutritive and Defensive Qi not harmonized f) Wind-Dampness in the Girdle Vessel 6. Sweating on the head a) Stomach Damp-Heat steaming upwards b) Liver-Fire c) Deficient Yang floating upwards d) Retention of Food with Stomach-Heat in children 7. Sweating on the chest a) Heart- and Spleen-Qi deficiency b) Heart- and Kidney-Yin deficiency 8. Sweating of hands and feet a) Damp-Heat in Stomach and Spleen b) Stomach- and Spleen-Qi deficiency c) Stomach- and Spleen-Yin deficiency 9. Sweating of the palms a) Lung-Qi Deficiency b) Lung-Yin Deficiency c) Heart-Qi Deficiency d) Heart-Yang Deficiency e) Heart-Yin Deficiency 10.Sweating in the axillae a) Liver-Yin Deficiency with Empty Heat b) Damp-Heat in liver and Gall-Bladder c) Heart-Yin deficiency with Empty Heat d) Heart-Fire 11. Absence of sweating a) Invasion of Wind-Cold b) Cold on the Exterior, heat in the Interior c) Cold-Dampness on the Exterior End Notes 77 Skin Signs Chapter Contents 1. Greasy skin a) Dampness b) Damp-Phlegm c) Phlegm-Heat 2. Dry skin a) Empty Liver-Blood deficiency Acupuncture Lung-Yin deficiency Acupuncture Kidney-Yin deficiency Acupuncture Liver-Yin deficiency Acupuncture Lung Dryness Acupuncture b) Full Severe, chronic Blood stasis Acupuncture Full Heat Acupuncture Empty Heat Acupuncture c) Other patterns Wind-Dryness invading the Lungs Wind in the skin Liver-Blood deficiency with Empty Wind 3. Eczema a) Full Damp-Heat with predominance of Heat Acupuncture Damp-Heat with predominance of Dampness Acupuncture b) Empty Blood deficient and dry Acupuncture c) Other patterns Spleen-Qi deficiency with Dampness 4. Psoriasis a) Blood-Heat b) Blood-Heat with Wind and Dryness c) Blood deficient and dry with Wind in the skin d) Blood stasis e) Blood stasis with Wind and Dryness f) Wind and Heat in the skin g) Blood Heat with Wind and Dampness in the skin h) Liver- and Kidney-Yin deficiency with Empty-Heat 5. Acne a) Full Damp-Heat in the skin Acupuncture Toxic Heat in the skin Acupuncture Toxic Heat with Blood stasis in the skin Acupuncture b) Empty Spleen-Qi deficiency with Dampness Acupuncture c) Other patterns Heat in the Stomach and Lungs Damp-Phlegm in the skin Damp-Phlegm with Blood stasis in the skin Disharmony of Penetrating and Directing Vessels 6. Urticaria a) Wind-Heat in the skin b) Wind-Cold in the skin c) Heart-Fire d) Liver-Blood deficiency with internal Wind e) Toxic Heat in the skin f) Wind-Heat in the skin with Stomach- and Spleen-Qi deficiency g) Disharmony of the Penetrating and Directing Vessels h) Blood stasis in the skin i) Stomach-Heat j) Blood Heat 7. Rosacea a) Heat in Lungs and Stomach b) Blood Heat c) Blood stasis d) Toxic Heat 8. Herpes simplex a) Damp-Heat in the skin b) Damp-Heat in the skin with Spleen-Qi deficiency c) Damp-Heat with Toxic Heat in the skin d) Invasion of Toxic Heat e) Damp-Heat with invasion of Wind-Heat f) Damp-Heat in the Liver channel g) Yin deficiency with Empty Heat and Damp-Heat 9. Herpes zoster a) Full Wind-Heat in the skin Acupuncture Damp-Heat in the skin Acupuncture Damp-Heat in the Gall-Bladder Acupuncture b) Other patterns Stagnation of Qi and stasis of Blood Toxic Heat Blood stasis 10. Warts a) Blood deficiency and dryness b) Blood Heat c) Blood stasis d) Damp-Heat in the Liver channel e) Damp-Heat with Toxic Heat 11. Naevi (moles) a) Blood-Heat b) Damp-Heat c) Blood stasis 12. Tinea a) Damp-Heat b) Toxic Heat c) Wind-Heat d) Dampness with chronic Spleen-Qi deficiency 13. Candida a) Damp-Heat b) Dampness c) Dampness with chronic Spleen-Qi deficiency 14. Malignant melanoma a) Blood Heat b) Blood stasis c) Blood-Heat with Damp-Heat 15. Furuncle (boil) on the head a) Damp-Heat in the Stomach and Spleen b) Summer-Heat with Toxic Heat 16. Neck carbuncle a) Damp-Heat in Stomach and Spleen b) Empty Heat with Toxic Heat in the Stomach c) Deficiency of Qi and Blood 17. Neck ulcers a) Heat in Liver and Stomach b) Toxic Heat in Lungs and Stomach c) Liver-Qi and Liver-Blood stagnation d) Liver-Qi stagnation and Liver-Blood stasis with Phlegm 18. Rash in the axillae a) Liver-Qi stagnation with Blood Heat b) Toxic Heat c) Damp-Heat in the Gall-Bladder d) Heart-Fire 19. Carbuncles on the upper back a) Toxic Heat in Stomach and Lungs b) Summer Heat 20. Red, itchy and swollen fingers a) Toxic Heat in the Stomach b) Damp-Heat in the Stomach c) Invasion of External Toxic Heat 21. Nodules under the skin a) Spleen-Qi deficiency with Phlegm b) Phlegm-Heat c) Wind-Phlegm 78 Emotional Symptoms Chapter Contents 1. Propensity to anger a) Full Liver-Qi stagnation Acupuncture Liver-Yang rising Acupuncture Liver-Fire Acupuncture 2. Propensity to worry a) Empty Lung-Qi deficiency Acupuncture Heart- and Spleen-Qi deficiency Acupuncture b) Full Lung-Qi stagnation Acupuncture c) Other patterns Heart-Blood deficiency Liver-Blood deficiency Heart-Yin deficiency Heart-Yin deficiency with Empty Heat 3. Sadness a) Empty Lung- and Heart-Qi deficiency Acupuncture Heart-Blood deficiency Acupuncture Liver-Blood deficiency Acupuncture b) Other patterns Lung-Qi stagnation 4. Fear/anxiety a) Deficiency of Qi and Blood b) Kidney-Yin deficiency c) Kidney-Yang deficiency d) Liver-Blood deficiency e) Gall-Bladder deficiency f) Liver-Qi deficiency 5. Easily startled a) Heart-Blood deficiency b) Heart-Yin deficiency c) Deficiency of Heart and Gall-Bladder d) Heart-Fire e) Phlegm-Fire harassing the Heart f) Liver-Qi stagnation and Blood deficiency 6. Excess joy a) Heart-Fire b) Heart Empty Heat c) Phlegm-Fire harassing the Heart 7. Mental restlessness a) Yin deficiency with Empty Heat b) Phlegm-Heat in the Stomach and Heart c) Heart-Fire d) Lung-Heat 8. Severe timidity a) Gall-Bladder deficiency b) Liver-Qi deficiency c) Kidney-Yang deficiency d) Heart- and Spleen-Qi deficiency e) Heart- and Spleen-Blood deficiency 9. Inappropriate laughter a) Heart-Fire b) Phlegm-Fire harassing the Heart c) Kidney- and Heart-Yin deficiency with Heart Empty Heat 79 Mental and Emotional Symptoms Chapter Contents 1. Depression a) Full Liver-Qi stagnation Acupuncture Liver-Qi stagnation with Qi-Phlegm Acupuncture b) Empty Kidney-Yang deficiency Acupuncture Heart-Blood deficiency Acupuncture Liver-Blood deficiency Acupuncture Spleen- and Heart-Blood deficiency Acupuncture c) Other patterns Stagnant Liver-Qi turned into Heat rebelling upwards Heart-Yang deficiency Heart- and Kidney-Yin deficiency with Empty Heat Phlegm-Fire harassing the Heart Heart-Blood stasis Heat in the Gall-Bladder Worry injuring the Mind Diaphragm Heat 2. Depression and manic behaviour a) Depressive phase Stagnation of Qi and Phlegm Heart- and Spleen-Blood deficiency b) Manic phase Phlegm-Fire harassing the Mind Stomach Phlegm-Fire affecting the Heart Stomach and Pericardium Fire Fire injuring Yin 3. Anxiety a) Empty Heart-Blood deficiency Acupuncture Heart-Yin deficiency Acupuncture Kidney-Yin deficiency Acupuncture b) Empty/full Heart-Yin deficiency with Empty Heat Acupuncture Heart- and Kidney-Yin deficiency with Empty Heat Acupuncture c) Full Heart-Fire Acupuncture Phlegm-Fire harassing the Heart Acupuncture d) Other patterns Heart-Blood stasis Liver-Blood deficiency Liver-Yin deficiency Liver-Qi stagnation Liver-Fire Liver-Yang rising Deficiency of Qi of the Heart and Gall-Bladder Diaphragm Heat 4. Irritability a) Liver-Qi stagnation b) Lung-Qi stagnation c) Liver-Blood stasis d) Heart-Blood stasis e) Liver-Yang rising f) Liver-Fire g) Heart-Fire h) Lung-Heat i) Stomach-Heat j) Liver-Blood deficiency k) Kidney-Yin deficiency l) Heart-Blood deficiency m) Kidney-Yin deficiency with Empty Heat n) Heart-Yin deficiency with Empty Heat o) Damp-Heat 5. Schizophrenia a) Heart- and Spleen-Blood deficiency b) Stagnation of Qi and Phlegm c) Phlegm-Fire harassing the Heart d) Phlegm-Fire and Yin deficiency with Empty Heat 80 Mental Difficulties Chapter Contents 1. Poor memory a) Empty Qi and Blood deficiency of the Heart and Spleen Acupuncture Kidney deficiency Acupuncture b) Full Turbid Phlegm in the Heart Acupuncture c) Other patterns Heart- and Kidney-Yin deficiency with Empty Heat Heart-Blood stasis 2. Difficulty in concentration a) Empty Spleen-Qi and Spleen-Blood deficiency Acupuncture Heart-Blood deficiency Acupuncture Kidney deficiency Acupuncture b) Full Phlegm Acupuncture Dampness Acupuncture 3. Learning difficulty in children a) Spleen- and Heart-Blood deficiency b) Emptiness of the Sea of Marrow 4. Hyperactivity a) Liver- and Kidney-Yin deficiency with Liver-Yang rising b) Qi deficiency of Spleen and Heart with floating Yang c) Liver-Fire d) Phlegm-Fire e) Blood stasis leading to obstruction of the upper orifices 81 Sleep Chapter Contents 1. Insomnia a) Empty Heart-Blood deficiency Acupuncture Deficiency of Qi and Blood of the Spleen and Heart Acupuncture Heart-Yin deficiency Acupuncture Liver-Blood deficiency Acupuncture Liver-Yin deficiency Acupuncture Heart- and Kidney-Yin deficiency Acupuncture b) Full Liver-Fire Acupuncture Phlegm-Fire harassing the Heart Acupuncture Heart-Fire Acupuncture c) Other patterns Heart- and Kidney-Yin deficiency with Heart Empty Heat Gall-Bladder and Heart deficiency Residual Heat in the diaphragm 2. Excessive dreaming a) Liver-Fire b) Heart-Fire c) Phlegm-Fire harassing the Heart d) Phlegm-Fire in the Stomach e) Heart-Yin deficiency with Empty Heat f) Liver-Yin deficiency with Empty Heat g) Heart- and Kidney-Yin deficiency with Empty Heat h) Heart and Gall-Bladder deficiency 3. Somnolence a) Empty/Full Spleen-Yang deficiency with Dampness Acupuncture Spleen-Qi deficiency with Phlegm Acupuncture b) Empty Spleen- and Heart-Qi deficiency Acupuncture Kidney-Yang deficiency Acupuncture 4. Sleep-talking a) Heart-Fire b) Heart-Yin deficiency with Empty Heat c) Liver-Yin deficiency d) Liver-Yin deficiency with Empty Heat e) Gall-Bladder Heat f) Stomach-Heat g) Heart-Blood deficiency 5. Sleep-walking a) Liver-Yin deficiency b) Liver-Yin deficiency with Empty Heat c) Liver-Blood stasis 6. Snoring a) Phlegm-Heat in the Lungs b) Damp-Phlegm in the Lungs c) Dry Phlegm in the Lungs d) Phlegm in the Lungs with Lung- and Spleen-Qi deficiency References 82 Feeling of Cold, Feeling of Heat, Fever Chapter Contents 1. Feeling of cold, shivering Exterior a) Full Invasion of exterior Wind Acupuncture b) Other patterns Lesser-Yang pattern Lesser-Yang pattern with predominance of Heat Exterior Cold and Interior Heat Long-lasting invasion of Wind-Heat Interior a) Empty Deficiency of Yang of the Heart and/or Lungs Acupuncture Yang deficiency of the Stomach and Spleen Acupuncture Kidney-Yang deficiency Acupuncture Heart-Blood deficiency Acupuncture Liver-Blood deficiency Acupuncture b) Full Internal Cold Acupuncture Liver-Qi stagnation Acupuncture c) Other patterns Phlegm in the Interior Heat stagnating in the Interior (True Heat-False Cold) 2. Fever Acute fever a) Full Invasion of external Wind-Heat in the Lungs’ Defensive-Qi portion Acupuncture Heat in the Lungs (Qi level) Acupuncture b) Other patterns Invasion of External Wind-Cold Invasion of Summer-Heat Heat in Bright Yang – Channel pattern Heat in Bright Yang – Organ pattern Damp-Heat in the Stomach and Intestines Heat at Nutritive-Qi level Heat at Blood level Chronic fever Empty Heat from Yin deficiency Qi Deficiency Blood deficiency Stagnant Liver-Qi turned into Heat rebelling upwards Blood stasis Tidal fever Yin deficiency Stomach- and Spleen-Qi Deficiency Blood Stasis Bright-Yang Organ Pattern Summer-Heat Fever in cancer Blood stasis Phlegm Damp-Heat Toxic-Heat Yin deficiency with Empty Heat Stagnant Liver-Qi turned into Heat rebelling upwards Heat in Nutritive-Qi Yang deficiency Fever after chemotherapy Stagnation of Qi and stasis of Blood Deficiency of Qi and Blood Blood Heat 3. 5-palm heat a) Yin deficiency with Empty Heat b) Blood deficiency c) Liver-Fire d) Latent Heat in Lesser Yin 4. Contradictory feelings of cold and heat a) Simultaneous deficiency of Kidney-Yin and Kidney-Yang with prevalence of Kidney-Yin b) Simultaneous deficiency of Kidney-Yin and Kidney-Yang with prevalence of Kidney-Yang c) Blood deficiency d) Disharmony of Penetrating Vessel e) Co-existence of a Heat and a Cold pattern in different organs f) Lesser-Yang pattern (Six Stages) g) Gall-Bladder Heat (Four Levels) 83 Voice, Speech and Sounds Chapter Contents 1. Loud voice a) Heart-Fire b) Liver-Fire c) Liver-Qi stagnation d) Lung-Heat e) Lung-Qi stagnation 2. Weak voice a) Empty Lung-Qi deficiency Acupuncture Spleen-Qi deficiency Acupuncture Kidney-Yang deficiency Acupuncture b) Other patterns Severe depletion of Qi 3. Muffled voice a) Invasion of Wind b) Deficiency of Qi and Blood 4. Hoarse voice a) Full Lung-Qi stagnation Acupuncture b) Empty Lung- and Kidney-Yin deficiency Acupuncture c) Other patterns Phlegm and Blood stasis Collapse of Yin or Yang Kidney channel pathology in pregnancy Invasion of Wind-Heat 5. Nasal voice a) Invasion of Wind-Cold b) Invasion of Wind-Dampness c) Phlegm in the nasal passages d) Dampness in the nasal passages e) Spleen- and Lung-Qi deficiency with Phlegm and/or Dampness in the nasal passages 6. Snoring a) Full Phlegm-Heat in the Lungs Acupuncture Damp-Phlegm in the Lungs Acupuncture Dry Phlegm in the Lungs Acupuncture b) Full/Empty Phlegm in the Lungs with Lung- and Spleen-Qi deficiency Acupuncture 7. Slurred speech a) Phlegm b) Wind-Phlegm c) Heart-Blood deficiency 8. Incoherent, incessant speech a) Phlegm-Fire harassing the Heart 9. Muttering to oneself a) Phlegm obstructing the Mind’s orifices 10. Delirious speech a) Heat in the Pericardium 11. Difficulty in finding words a) Phlegm b) Heart-Blood deficiency c) Kidney deficiency 12. Stuttering a) Heart-Blood deficiency b) Heart-Fire 13. Groaning a) Dampness b) Qi stagnation 14. Crying out a) Blood stasis b) Damp-Heat c) Toxic-Heat 2 Gynaecological Symptoms and Signs Introduction 84 Menstrual Symptoms Chapter Contents 1. Pale menstrual blood a) Blood deficiency b) Qi deficiency c) Spleen- and Kidney-Yang deficiency d) Damp-Phlegm in the Uterus 2. Purple menstrual blood a) Qi stagnation and Blood stasis in the Uterus b) Blood stasis with Heat in the Uterus c) Blood stasis with Cold in the Uterus d) Blood deficiency with Cold in the Uterus 3. Menstrual clots a) Full Blood stasis in the Uterus (and Liver) Acupuncture Cold in the Uterus Acupuncture b) Other patterns Blood Heat Qi deficiency 4. Sticky menstrual blood a) Damp-Heat in the Uterus b) Damp-Phlegm in the Uterus c) Liver and Heart-Fire d) Blood stasis in the Uterus with Heat 5. Watery menstrual blood a) Qi deficiency b) Blood deficiency c) Cold-Dampness in the Uterus d) Spleen- and Kidney-Yang deficiency e) Liver- and Kidney-Yin deficiency 6. Early periods (short cycle) a) Qi deficiency b) Blood Heat c) Liver- and Kidney-Yin deficiency d) Blood stasis in the Uterus 7. Late periods (long cycle) a) Blood deficiency b) Cold in the Uterus c) Damp-Phlegm in the Uterus d) Kidney deficiency 8. Irregular periods a) Full Liver-Qi stagnation Acupuncture b) Empty Kidney deficiency Acupuncture c) Other patterns Heart- and Spleen-Blood deficiency 9. Heavy periods a) Empty Qi deficiency Acupuncture Spleen- and Kidney-Yang deficiency Acupuncture Liver- and Kidney-Yin deficiency Acupuncture b) Full Blood Heat Acupuncture c) Other patterns Liver-Fire Liver- and Kidney-Yin deficiency with Blood Empty Heat Blood stasis in the Uterus 10. Scanty periods a) Blood deficiency b) Kidney-Yang deficiency c) Kidney-Yin deficiency d) Blood stasis in the Uterus e) Phlegm obstructing the Uterus f) Cold in the Uterus 11. Painful periods a) Full Liver-Qi stagnation Acupuncture Liver-Blood stasis Acupuncture Stagnation of Cold in the Uterus Acupuncture b) Other patterns Damp-Heat in the Uterus Stagnant Liver-Qi turning to Liver-Fire Deficiency of Qi and Blood Spleen-Yang and Liver-Blood deficiency Liver- and Kidney-Yin deficiency 12. No periods a) Empty Blood deficiency Acupuncture Liver and Kidney deficiency Acupuncture Spleen- and Kidney-Yang deficiency Acupuncture Liver- and Kidney-Yin deficiency Acupuncture b) Full Stagnation of Qi and stasis of Blood Acupuncture Damp-Phlegm in the Uterus Acupuncture c) Other patterns Lung-Yin and Blood deficiency Heart- and Kidney-Yin deficiency Heart- and Spleen-Blood deficiency Stagnation of Qi and stasis of Blood Damp-Phlegm in the Uterus 13. Mid-cycle bleeding a) Liver- and Kidney-Yin deficiency with Empty Heat b) Damp-Heat c) Blood-Stasis d) Spleen- and Kidney-Yang deficiency 14. Periods starting and stopping a) Blood stasis in the Uterus b) Cold in the Uterus c) Liver-Qi stagnation 15. Periods returning after the menopause a) Liver- and Kidney-Yin deficiency with Empty Heat b) Stagnant Liver-Qi turned into Liver-Fire c) Spleen-Qi deficiency d) Toxic Heat in the Uterus 85 Problems at Period Time Chapter Contents 1. Pre-menstrual tension a) Full Liver-Qi stagnation Acupuncture Liver- and Heart-Fire Acupuncture Heart-Fire Acupuncture b) Empty/Full Liver-Blood deficiency with secondary Liver-Qi stagnation Acupuncture Liver- and Kidney-Yin deficiency Acupuncture Spleen- and Kidney-Yang deficiency Acupuncture c) Other patterns Phlegm-Fire harassing upwards Spleen-Qi deficiency with Dampness and secondary Liver-Qi stagnation 2. Headache a) Liver-Blood deficiency b) Liver-Yang rising c) Liver-Fire d) Blood stasis 3. Breast distension a) Liver-Qi stagnation b) Liver-Blood stasis c) Phlegm with stagnation of Qi d) Liver- and Kidney-Yin deficiency with Liver-Qi stagnation e) Stagnant Liver-Qi turning to Liver-Fire f) Spleen- and Kidney-Yang deficiency with Liver-Qi stagnation g) Liver-Blood and Kidney-Yang deficiency h) Lung-Qi stagnation i) Phlegm with Lung-Qi stagnation 4. Fever a) Blood Heat b) Kidney- and Liver-Yin deficiency with Empty Heat c) Qi and Blood deficiency with disharmony of Nutritive and Defensive Qi d) Blood stasis in the Uterus 5. Body aches a) Blood deficiency b) Blood stasis 6. Oedema a) Spleen- and Kidney-Yang deficiency b) Qi Stagnation 7. Diarrhoea a) Spleen-Qi deficiency b) Stagnant Liver-Qi invading the Spleen c) Kidney-Yang deficiency 8. Constipation a) Stagnant Liver-Qi invading the Intestines b) Liver-Blood deficiency c) Kidney-Yang deficiency 9. Nose bleed a) Stagnant Liver-Qi turning into Fire b) Lung- and Kidney-Yin deficiency with Empty Heat c) Stomach-Fire d) Spleen-Qi deficiency 10. Mouth ulcers a) Kidney-Yin deficiency with Empty Heat b) Stomach-Fire c) Stomach Damp-Heat with Spleen-Qi deficiency 11. Skin eruptions a) Blood deficiency b) Wind-Heat invading Blood 12. Dizziness a) Blood deficiency b) Kidney- and Liver-Yin deficiency with Liver-Yang rising c) Phlegm with Spleen-Qi deficiency 13. Vomiting a) Stagnant Liver-Qi invading the Stomach b) Stomach- and Spleen-Qi deficiency c) Phlegm with Spleen-Qi deficiency 14. Insomnia a) Liver-Yang rising b) Liver- and Heart-Fire c) Heart- and Spleen-Blood deficiency 15. Eye pain a) Liver-Blood deficiency b) Liver-Blood deficiency giving rise to Internal Wind c) Liver-Fire d) Liver-Blood stasis 86 Problems of Pregnancy Chapter Contents 1. Morning sickness a) Empty Stomach-Qi deficiency Acupuncture Stomach-Qi deficiency with Empty Cold Acupuncture Stomach-Yin deficiency Acupuncture b) Full Stagnant liver-Qi invading the Stomach Acupuncture Stomach-Heat Acupuncture c) Other patterns Accumulation of Phlegm Heart-Qi deficiency Heart-Fire 2. Vaginal bleeding during pregnancy a) Spleen-Qi deficiency b) Liver-Blood deficiency c) Kidney-Yang deficiency d) Blood-Heat e) Kidney-Yin deficiency with Empty Heat f) Trauma 3. Abdominal pain during pregnancy a) Liver-Blood deficiency b) Liver-Qi stagnation c) Empty-Cold in the uterus 4. Threatened miscarriage a) Empty Kidney deficiency Acupuncture b) Other patterns Deficiency of Qi and Blood Blood-Heat Liver-Qi stagnation Falls, trauma 5. Oedema a) Spleen-Yang deficiency b) Kidney-Yang deficiency c) Qi stagnation 6. Painful urination a) Heart-Fire b) Damp-Heat in the Bladder c) Kidney-Yin deficiency with Empty Heat d) Spleen-Qi deficiency 7. Retention of urine a) Spleen-Qi deficient and sinking b) Kidney-Qi deficient and sinking c) Damp-Heat in the Bladder d) Liver-Qi stagnation 8. Blood in the urine a) Heart-Fire b) Kidney-Yin deficiency with Empty Heat c) Liver-Yin deficiency with Empty Heat 9. Constipation a) Liver-Blood deficiency b) Kidney-Yang deficiency c) Kidney-Yin deficiency c) Liver-Qi stagnation 10. Anxiety a) Liver-Fire b) Liver- and Kidney-Yin deficiency with Empty Heat c) Phlegm-Fire harassing the Mind d) Heart-Fire e) Liver-Qi stagnation 11. Dizziness a) Liver- and Kidney-Yin deficiency with Liver-Yang rising b) Spleen deficiency with Liver-Yang rising and Phlegm c) Deficiency of Qi and Blood 12. Cough a) Lung-Yin deficiency b) Phlegm-Heat in the Lungs c) Damp-Phlegm in the Lungs 13. Loss of voice a) Kidney-Yin deficiency b) Phlegm-Heat c) Lung-Yin deficiency 14. Feeling of suffocation a) Qi stagnation with disharmony of the Liver and Spleen b) Qi stagnation with deficiency of Blood and Kidneys 15. Convulsions a) Liver-Wind agitating within b) Phlegm-Fire harassing upwards c) Empty-Wind d) Blood deficiency 16. Foetus not growing a) Deficiency of Qi and Blood b) Spleen- and Kidney-Yang deficiency 17. Breech presentation a) Liver-Qi stagnation b) Spleen-Qi deficiency with Dampness c) Deficiency of Qi and Blood 18. Habitual miscarriage a) Empty Kidney-Yang deficiency Acupuncture Kidney-Yin deficiency Acupuncture b) Full Blood-Heat Acupuncture Blood stasis Acupuncture c) Other patterns Spleen-Qi deficiency Blood deficiency 87 Problems After Childbirth Chapter Contents 1. Retention of placenta a) Kidney-Qi deficiency b) Liver-Blood stasis c) Cold in the Uterus 2. Persistent lochial discharge a) Kidney-Qi deficiency b) Liver-Blood stasis c) Blood Heat d) Kidney-Yin deficiency with Empty Heat 3. Retention of lochia a) Qi stagnation and Blood stasis b) Stagnation of Cold and Stasis of Blood c) Deficiency of Qi and Blood 4. Abdominal pain a) Liver-Blood deficiency b) Liver-Blood Stasis c) Retention of Food d) Cold in the Uterus 5. Vaginal bleeding a) Kidney-Qi deficiency b) Liver-Blood stasis 6. Urinary difficulty a) Spleen-Qi deficiency b) Kidney-Qi deficiency c) Liver-Qi stagnation d) Kidney-Yin deficiency with Bladder-Heat e) Lung- and Spleen-Qi deficiency f) Injury to the Bladder 7. Constipation a) Liver-Blood deficiency b) Kidney-Yang deficiency c) Kidney-Yin deficiency d) Cold in the Uterus 8. Sweating a) Kidney-Qi deficiency b) Kidney-Yin deficiency 9. Dizziness a) Liver-Blood deficiency b) Blood stasis c) Kidney deficiency 10. Oedema a) Deficiency of Qi and Blood b) Qi stagnation and Blood stasis c) Spleen-Qi deficiency d) Kidney-Yang deficiency e) Damp-Heat 11. Fever a) Invasion of external toxins b) Invasion of Wind-Cold c) Invasion of Wind-Heat d) Spleen-Qi deficiency e) Liver-Blood deficiency f) Liver-Blood Stasis g) Steaming Breast h) Retention of Food 12. Joint pain a) Liver-Blood deficiency b) Invasion of Wind c) Liver-Blood stasis d) Liver-Blood and Kidney-Yang deficiency 13. Hypochondrial pain a) Liver-Blood deficiency b) Liver-Qi stagnation c) Liver-Blood stasis 14. Breast milk not flowing a) Deficiency of Qi and Blood b) Liver-Qi stagnation 15. Spontaneous flow of milk a) Stomach- and Spleen-Qi deficiency b) Liver-Fire 16. Post-natal depression/ psychosis a) Empty Liver- and Heart-Blood deficiency Acupuncture b) Full Heart-Blood stasis Acupuncture c) Other patterns Liver- and Heart-Yin deficiency 17. Collapse a) Collapse of Qi with deficiency of Blood b) Blood stasis 18. Convulsions a) Blood and Yin deficiency with Empty Wind b) Exterior invasion of Toxin 19. Amenorrhoea after miscarriage a) Deficiency of Qi and Blood b) Liver-Blood stasis c) Liver-Qi stagnation 88 Breast Signs Chapter Contents 1. Breast distension a) Full i) Liver-Qi stagnation ii) Phlegm and Qi stagnation b) Empty i) Deficiency of Qi and Blood ii) Spleen- and Kidney-Yang deficiency c) Other Patterns i) Lung-Qi stagnation ii) Phlegm with Lung-Qi stagnation 2. Swollen breasts i) Liver-Qi stagnation with Phlegm ii) Liver-Qi stagnation with Phlegm-Heat iii) Spleen- and Kidney-Yang deficiency with Phlegm 3. Breast pain i) Severe Liver-Qi stagnation ii) Liver-Qi stagnation with Phlegm iii) Liver-Blood stasis iv) Toxic Heat 4. Breast lumps i) Liver-Qi stagnation ii) Liver-Qi stagnation with Blood stasis iii) Phlegm and Qi stagnation iv) Spleen- and Kidney-Yang deficiency with Phlegm v) Disharmony of Directing and Penetrating vessels vi) Stagnant Liver Qi turned into Fire vii) Phlegm with Lung-Qi stagnation viii) Toxic Heat ix) Liver- and Kidney-Yin deficiency 5. Redness and swelling of the breasts Stagnant Liver-Qi turning into Heat with Blood stasis i) Toxic Heat ii) Stagnant Liver-Qi turning into Heat 6. Milky nipple discharge i) Severe deficiency of Qi and Blood ii) Spleen- and Kidney-Yang deficiency iii) Liver-Qi stagnation 7. Sticky-yellow nipple discharge i) Damp-Heat in the Liver channel ii) Toxic Heat 8. Bloody discharge from the nipple i) Toxic Heat ii) Stagnant Liver-Qi turning into Heat iii) Deficiency of the Liver and Kidneys and of the Penetrating Vessel 9. Cracked nipples i) Stagnant Liver-Qi turning into Fire ii) Yin deficiency with Blood-Heat 10. Inverted nipples i) Liver-Qi stagnation and Liver-Blood stasis with Phlegm ii) Toxic Heat with Blood stasis 11. Peau d’orange i) Liver-Qi stagnation and Liver-Blood stasis with Phlegm ii) Toxic Heat with Blood stasis 12. Small breasts i) Qi and Blood deficiency ii) Liver- and Kidney-Yin deficiency iii) Stomach-Qi deficiency iv) Blood deficient and dry 89 Miscellaneous Gynaecological Symptoms Chapter Contents 1. Infertility i) Kidney deficiency ii) Blood deficiency iii) Cold in the Uterus iv) Dampness in the Lower Burner v) Blood Heat vi) Qi stagnation vii) Blood stasis viii) Kidney-Yin deficiency with Blood Empty Heat 2. Menopausal syndrome i) Kidney-Yin deficiency ii) Kidney-Yang deficiency iii) Kidney-Yin and Kidney-Yang deficiency iv) Kidney- and Liver-Yin deficiency with Liver-Yang rising v) Heart- and Kidney-Yin deficiency vi) Accumulation of Phlegm and stagnation of Qi vii) Blood stasis 3. Abdominal masses i) Liver-Qi stagnation ii) Stagnation of Qi and stasis of Blood iii) Blood stasis knotted in the interior iv) Damp-Phlegm 4. Vaginal discharge a) White vaginal discharge i) Spleen-Qi deficiency ii) Kidney-Yang deficiency iii) Cold-Dampness iv) Damp-Heat b) Yellow vaginal discharge i) Damp-Heat ii) Spleen-Qi deficiency c) Red-white vaginal discharge i) Damp-Heat ii) Liver-Qi stagnation with Damp-Heat in the Liver channel iii) Liver- and Kidney-Yin deficiency with Empty Heat d) Five-colour vaginal discharge i) Damp-Heat ii) Liver- and Kidney-Yin deficiency with Empty Heat iii) Cold in the Lower Burner iv) Liver-Qi stagnation with Damp-Heat in the Liver channel v) Toxic Heat 5. Vaginal itching i) Damp-Heat in the Liver channel ii) Spleen-Qi deficiency with Dampness iii) Liver- and Kidney-Yin deficiency 6. Genital eczema i) Damp-Heat in the Liver channel ii) Blood deficient and dry 7. Vulvar sores i) Toxic Heat with Liver-Fire and Damp-Heat ii) Toxic Heat with Blood stasis in the Liver Channel iii) Retention of Cold 8. Swelling of the vulva i) Toxic Heat with Blood stasis in the Liver channel ii) Damp-Phlegm in the Lower Burner iii) Damp-Heat and Toxic-Heat in the Liver channel 9. Prolapse of uterus i) Spleen-Qi sinking ii) Kidney-Qi deficient and sinking 10. Prolapse of vagina i) Spleen-Qi sinking ii) Kidney-Qi not Firm 11. Leukoplakia i) Damp-Heat in the Liver channel ii) Spleen-Qi deficiency with Dampness iii) Liver-Blood deficiency iv) Liver- and Kidney-Yin deficiency v) Kidney-Yang deficiency 12. Dyspareunia i) Liver-Blood stasis ii) Dampness in the Lower Burner iii) Liver-Fire iv) Liver- and Kidney-Yin deficiency 13. Bleeding on intercourse i) Kidney- and Liver-Yin deficiency ii) Damp-Heat in the Directing and Penetrating vessels iii) Spleen-Qi deficiency 14. Lack of libido i) Heart-Qi deficiency ii) Heart- and Kidney-Yin deficiency with Heart Empty Heat iii) Kidney-Yang deficiency iv) Liver-Blood deficiency v) Liver-Qi stagnation vi) Dampness in the Lower Burner 15. Loss of pubic hair i) Kidney-Essence deficiency ii) Spleen- and Kidney-Yang deficiency 16. Excessive pubic hair i) Phlegm and Blood stasis ii) Kidney-Yin deficiency with Empty Heat End Notes 3 Paediatric Symptoms and Signs Introduction 90 Children’s Problems Chapter Contents 1. Fever a) Full i) External invasion of Wind-Cold ii) External invasion of Wind-Heat iii) Heat in Bright Yang iv) Heat at the Ying level v) Heat at the Blood level b) Other Patterns i) Dry-Heat in the Intestines 2. Low-grade fever i) Retention of food ii) Residual Heat in the Lungs iii) Damp-Heat iv) Qi deficiency v) Yin deficiency 3. Vomiting i) Accumulation of breast milk from overfeeding in infants ii) Damp-Heat in the Stomach and Spleen iii) Stomach-Qi deficiency iv) Stomach-Yin deficiency v) Spleen- and Kidney-Yang deficiency vi) Invasion of Cold in the Stomach 4. Diarrhoea a) Empty i) Spleen-Qi deficiency b) Full i) Retention of food ii) Invasion of Cold in the Spleen iii) Invasion of Damp-Heat 5. Cough a) Full i) Invasion of Wind-Cold ii) Invasion of Wind-Heat iii) Phlegm-Heat in the Lungs iv) Damp-Phlegm in the Lungs b) Empty i) Lung- and Spleen-Qi deficiency 6. Wheezing a) Full i) Cold-Phlegm in the Lungs ii) Damp-Phlegm in the Lungs iii) Phlegm-Heat in the Lungs b) Full/Empty iv) Residual Phlegm in the Lungs with Lung-Qi deficiency v) Residual Phlegm in the Lungs with Spleen-Qi deficiency b) Empty i) Deficiency of the Defensive-Qi system of the Lungs and Kidneys 7. Earache a) Full i) Invasion of Wind-Heat in the Lesser-Yang channels ii) Invasion of Damp-Heat in the Lesser-Yang channels iii) Damp-Heat in the Gall-Bladder and Liver channels b) Full/Empty i) Residual Damp-Heat in the Lesser-Yang channels with Spleen-Qi deficiency 8. Glue ear i) Damp-Phlegm ii) Dampness 9. Hot palms and soles i) Accumulation Disorder with Spleen deficiency ii) Blood and Yin deficiency 10. Constitutional weakness a) Empty i) Heart deficiency ii) Liver deficiency iii) Spleen deficiency iv) Lung deficiency v) Kidney deficiency 11. Constipation in infancy i) Foetus Heat ii) Constitutional weakness 12. Retention of urine in infancy i) Heat in the Bladder ii) Deficiency of original Qi 13. Crying i) Spleen deficient and Cold ii) Heart-Heat iii) Heart deficiency iv) Shock v) Retention of food 14. Crying at night in babies i) Spleen deficient and Cold ii) Heart-Heat iii) Shock 15. Disturbed sleep a) Full i) Liver-Fire ii) Heart-Fire iii) Residual pathogenic factor (Heat) iv) Retention of food v) Stomach-Heat vi) Shock 16. Accumulation disorder i) Stagnation of food ii) Spleen-Qi deficiency with retention of food 17. Pinworms 18. Roundworms 19. Nocturnal enuresis i) Kidney-Yang deficiency ii) Liver-Fire iii) Spleen- and Lung-Qi deficiency 20. Five flaccidities i) Constitutional Kidney deficiency ii) Constitutional Spleen deficiency 21. Five retardations i) Cold Foetus ii) Liver- and Spleen deficiency 22. Acute skin rash i) Wind-Heat at Defensive-Qi level ii) Heat at the Qi level 23. Erysipelas i) Toxic Heat on the Exterior ii) Toxic Heat in the Interior 24. Jaundice i) Damp-Heat ii) Cold-Dampness 25. Chickenpox i) Wind-Heat at the Defensive-Qi level ii) Toxic Heat 26. Flapping nostrils i) Wind-Heat in the Lung Defensive-Qi portion ii) Phlegm-Heat in the Lungs iii) Lung and Kidney deficiency 27. Mumps i) Invasion of Wind-Heat ii) Toxic Heat at the Qi level 28. Acute convulsions i) Invasion of Wind with penetration of Heat at the Qi level ii) Phlegm-Heat iii) Retention of food iv) Shock 29. Chronic convulsions i) Liver- and Kidney-Yin deficiency with Empty-Heat ii) Stomach- and Spleen-Yang deficiency iii) Spleen- and Kidney-Yang deficiency 30. Foetus toxin i) Foetus-Toxin Heat ii) Foetus-Toxin Cold iii) Foetus-Toxin convulsions iv) Foetus-Toxin jaundice 31. Sunken fontanelles i) Spleen- and Kidney-Yang deficiency ii) Exhaustion of Qi and Fluids 32. Raised fontanelles i) Toxic Heat ii) Cold in the Interior 33. Late closure of fontanelles i) Kidney-Essence deficiency ii) Spleen deficiency 34. White spots on the palate and tongue i) Heat in Spleen and Heart ii) Spleen- and Kidney-Yin deficiency 35. Long penis i) Congenital Kidney-Yin deficiency ii) Spleen-Qi sinking iii) Phlegm and Blood stasis in the Lower Burner iv) Damp-Heat in the Liver channel 6 Identification of Patterns Introduction Identification of patterns according to internal organs Characteristics and points of attention in identification of patterns according to the internal organs 91 Heart Patterns Chapter Contents 1. Heart-Qi deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 2. Heart-Yang deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 3. Heart-Yang collapse i) Clinical manifestations ii) Acupuncture iii) Prescription 4. Heart-Blood deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 5. Heart-Qi and Heart-Blood deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 6. Heart-Yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 7. Heart-Yin deficiency with Empty Heat i) Clinical manifestations ii) Acupuncture iii) Prescription 8. Heart-Qi and Heart-Yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 9. Deficiency of both Heart-Yang and Heart-Yin i) Clinical manifestations ii) Acupuncture iii) Prescription 10. Heart-Yang deficiency with Phlegm i) Clinical manifestations ii) Acupuncture iii) Prescription 11. Heart-Qi stagnation i) Clinical manifestations ii) Acupuncture iii) Prescription 12. Heart-Fire blazing i) Clinical manifestations ii) Acupuncture iii) Prescription 13. Phlegm-Fire harassing the Heart i) Clinical manifestations ii) Acupuncture iii) Prescription 14. Phlegm misting the Mind i) Clinical manifestations ii) Acupuncture iii) Prescription 15. Heart-Blood stasis i) Clinical manifestations ii) Acupuncture iii) Prescription 16. Heart-Vessel obstruction i) Clinical manifestations ii) Acupuncture iii) Prescription 17. Water overflowing to the Heart i) Clinical manifestations ii) Acupuncture iii) Prescription 18. Turbid dampness surrounding the Heart i) Clinical manifestations ii) Acupuncture iii) Prescription 19. Combined patterns 92 Spleen Patterns Chapter Contents 1. Spleen-Qi deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 2. Spleen-Yang deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 3. Spleen-Blood deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 4. Spleen-Qi sinking i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 5. Spleen not controlling Blood i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 6. Spleen-Yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 7. Spleen-Yin Deficiency with Empty Heat i) Clinical manifestations ii) Acupuncture iii) Prescription 8. Cold-Dampness in the Spleen i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 9. Damp-Heat in the Spleen i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 10. Spleen-Heat i) Clinical manifestations ii) Acupuncture iii) Prescription 11. Spleen-Qi deficiency with Dampness i) Clinical manifestations ii) Acupuncture iii) Prescription 12. Spleen-Qi deficiency with Phlegm i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 13. Phlegm obstructing the Middle Burner i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 14. Yin Fire from deficiency of the Stomach and Spleen and original Qi i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 15. Combined Patterns a) Spleen- and Stomach-Qi deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures b) Spleen- and Heart-Blood deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures c) Spleen- and Lung-Qi deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures d) Spleen- and Liver-Blood deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures e) Obstruction of Spleen by Dampness with stagnation of Liver-Qi i) Clinical manifestations ii) Acupuncture iii) Prescription 93 Liver Patterns Chapter Contents 1. Stagnation of Liver-Qi i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures and Women’s Treasure 2. Stagnant Liver-Qi turning into heat i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 3. Rebellious Liver-Qi i) Clinical manifestations ii) Acupuncture iii) Prescription 4. Liver-Yang rising i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 5. Liver-Blood stasis i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Women’s Treasure 6. Liver-Fire blazing upwards i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 7. Damp-Heat in the liver i) Clinical manifestations ii) Prescription iii) Three Treasures 8. Damp-Heat in the Liver and gall-bladder i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 9. Liver-Wind a) Extreme Heat generating Wind i) Clinical manifestations ii) Acupuncture iii) Prescription b) Liver-Yang rising generating Wind i) Liver-Yang rising deriving from Liver-Yin deficiency Clinical manifestations Acupuncture Prescription Three Treasures ii) Liver-Yang rising deriving from Liver- and Kidney-Yin deficiency Clinical manifestations Acupuncture Prescription Three Treasures iii) Liver-Yang rising deriving from Liver-Blood deficiency Clinical manifestations Acupuncture Prescription Three Treasures c) Liver-Fire generating Wind Clinical manifestations Acupuncture Prescription Three Treasures d) Liver-Blood deficiency giving rise to Wind Clinical manifestations Acupuncture Prescription Three Treasures 10. Liver-Wind harbouring Phlegm i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 11. Liver-Qi stagnation with Phlegm i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 12. Liver-Blood deficiency with Phlegm i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 13. Stagnation of cold in the Liver channel i) Clinical manifestations ii) Acupuncture iii) Prescription 14. Liver-Blood deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 15. Liver-Yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 16. Liver-Qi deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 17. Liver-Yin deficiency with Empty-Heat i) Clinical manifestations ii) Acupuncture iii) Prescription 18. Liver Phlegm-Fire i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 19. Liver-Yang deficiency i) Clinical manifestations iii) Acupuncture iii) Prescription 20. Combined patterns a) Rebellious Liver-Qi invading the spleen i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures b) Rebellious Liver-Qi invading the stomach i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures c) Liver-Fire insulting the lungs i) Clinical manifestations ii) Acupuncture iii) Prescription d) Liver- and Heart-Blood deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures End Notes 94 Lung Patterns Chapter Contents 1. Lung-Qi deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 2. Lung-Yang deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 3. Lung-Yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three treasures 4. Lung-Yin deficiency with empty heat i) Clinical manifestations ii) Acupuncture iii) Prescription 5. Lung-QI and Lung-Yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 6. Lung-Dryness i) Clinical manifestations ii) Acupuncture iii) Prescription 7. Invasion of Lungs by Wind-Cold i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 8. Invasion of Lungs by Wind-Heat i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 9. Invasion of Lungs by Wind-Dryness i) Clinical manifestations ii) Acupuncture iii) Prescription 10. Invasion of Lungs by Wind-Water i) Clinical manifestations ii) Acupuncture iii) Prescription 11. Lung-Heat i) Clinical manifestations ii) Acupuncture iii) Prescription 12. Damp-Phlegm in the Lungs i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 13. Cold-Phlegm in the Lungs i) Clinical manifestations ii) Acupuncture iii) Prescription 14. Phlegm-Heat in the Lungs i) Clinical manifestations ii) Acupuncture iii) Prescription 15. Phlegm-Dryness in the Lungs i) Clinical manifestations ii) Acupuncture iii) Prescription 16. Phlegm-Fluids in the Lungs i) Clinical manifestations ii) Acupuncture iii) Prescription 17. Lung-Qi deficiency with Phlegm i) Clinical manifestations ii) Acupuncture iii) Prescription 18. Lung-Yin deficiency with Phlegm i) Clinical manifestations ii) Acupuncture iii) Prescription 19. Lung-Qi stagnation i) Clinical manifestations ii) Acupuncture iii) Prescription 20. Lung-Qi collapse i) Clinical manifestations ii) Acupuncture iii) Prescription 21. Combined patterns a) Lung- and Heart-Qi deficiency i) Clinical manifestations ii) Acupuncture ii) Prescription 95 Kidney Patterns Chapter Contents 1. Kidney-qi deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 2. Kidney-yang deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 3. Kidney-yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 4. Kidney-yin deficiency with empty heat i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 5. Kidney-yang and kidney-yin deficiency (kidney-yin and kidney-yang deficiency – predominance of kidney-yin deficiency) i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 6. Kidney-yin and kidney-yang deficiency – predominance of kidney-yang deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 7. Kidney-qi not firm i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 8. Kidneys failing to receive qi i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 9. Kidney-essence deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 10. Kidney-yang deficiency, water overflowing i) Clinical manifestations ii) Acupuncture iii) Prescription 11. Kidney-yin deficiency, empty heat blazing i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 12. Kidney-yin deficiency with phlegm i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 13. Combined patterns 14. Kidney-yin and liver-yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 15. Kidney-yin and liver-yin deficiency with empty-heat i) Clinical manifestations ii) Acupuncture iii) Prescription 16. Kidney and heart not harmonized (kidney-yin and heart-yin deficiency with heart empty-heat) i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 17. Kidney-yin and lung-yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 18. Kidney-yin and lung-yin deficiency with empty-heat i) Clinical manifestations ii) Acupuncture iii) Prescription 19. Kidney-yang and spleen-yang deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription 96 Small Intestine Patterns Chapter Contents 1. Full-Heat in the Small Intestine i) Clinical manifestations ii) Acupuncture iii) Prescription 2. Small Intestine Qi pain i) Clinical manifestations ii) Acupuncture iii) Prescription 3. Small Intestine Qi tied i) Clinical manifestations ii) Acupuncture iii) Prescription 4. Small Intestine deficient and Cold i) Clinical manifestations ii) Acupuncture iii) Prescription 5. Infestation of worms in the Small Intestine i) Clinical manifestations ii) Acupuncture iii) Prescription 97 Stomach Patterns Chapter Contents 1. Stomach-Qi deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 2. Stomach deficient and Cold (Stomach-Yang Deficiency) i) Clinical manifestations ii) Acupuncture iii) Prescription 3. Stomach-Yin deficiency i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 4. Stomach-Yin deficiency with Empty Heat i) Clinical manifestations ii) Acupuncture iii) Prescription 5. Deficiency of Stomach-Yin and Stomach-Yang i) Clinical manifestations ii) Acupuncture iii) Prescription 6. Stomach-Qi stagnation i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 7. Blood Stasis in the Stomach i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 8. Stomach-Heat i) Clinical manifestations ii) Acupuncture iii) Prescription 9. Stomach-Fire i) Clinical manifestations ii) Acupuncture iii) Prescription 10. Stomach Phlegm-Fire i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 11. Stomach Damp-Heat i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 12. Cold invading the Stomach i) Clinical manifestations ii) Acupuncture iii) Prescription 13. Stomach-Qi rebelling upwards i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 14. Retention of food in the Stomach i) Clinical manifestations ii) Acupuncture iii) Prescription 98 Gall-Bladder Patterns Chapter Contents 1. Damp-heat in the gall-bladder and liver i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 2. Damp-heat in the gall-bladder i) Clinical manifestations ii) Acupuncture iii) Prescription 3. Damp-cold in the gall-bladder i) Clinical manifestations ii) Acupuncture iii) Prescription 4. Gall-bladder heat i) Clinical manifestations ii) Acupuncture iii) Prescription 5. Gall-bladder deficient i) Clinical manifestations ii) Acupuncture iii) Prescription 6. Stagnation of the gall-bladder with phlegm-heat i) Clinical manifestations ii) Acupuncture iii) Prescription 99 Large Intestine Patterns Chapter Contents 1. Damp-heat in the Large Intestine i) Clinical manifestations ii) Acupuncture iii) Prescription 2. Heat in the Large Intestine i) Clinical manifestations ii) Acupuncture iii) Prescription 3. Heat obstructing the Large Intestine i) Clinical manifestations ii) Acupuncture iii) Prescription 4. Cold invading the Large Intestine i) Clinical manifestations ii) Acupuncture iii) Prescription 5. Large Intestine Dryness i) Clinical manifestations ii) Acupuncture iii) Prescription 6. Large Intestine Cold i) Clinical manifestations ii) Acupuncture iii) Prescription 7. Dampness in the Large Intestine i) Clinical manifestations ii) Acupuncture iii) Prescription 8. Large Intestine deficient and Cold i) Clinical Manifestations ii) Acupuncture iii) Prescription 9. Large Intestine deficient and Damp i) Clinical manifestations ii) Acupuncture iii) Prescription 10. Collapse of Large Intestine i) Clinical manifestations ii) Acupuncture iii) Prescription 100 Bladder Patterns Chapter Contents 1. Damp-heat in the bladder i) Clinical manifestations ii) Acupuncture iii) Prescription iv) Three Treasures 2. Damp-cold in the bladder i) Clinical manifestations ii) Acupuncture iii) Prescription 3. Bladder deficient and cold i) Clinical manifestations ii) Acupuncture iii) Prescription Appendices Appendix 1 Case Histories: Index Appendix 2 Prescriptions Note Ai fu nuan gong wan An shen ding zhi wan Ba xian chang shou wan Ba zhen tang Ba zheng san Bai he gu jin tang Bai hu tang Bai tou weng tang Ban xia hou po tang Ban xia tang Bao he wan Bao yin jian Bao yuan tang Bei mu gua lou san Bu fei tang Bu gan tang Bu shen gu chong wan Bu shen yang xue tang Bu zhong yi qi tang Cang er bi dou yan fang Cang fu dao tan wan Chai hu shu gan tang Chang tai bai zhu san Chen xiang jiang qi tang (stomach-qi stagnation) Da bu yin wan Da bu yuan jian Da ding feng zhu Dan shen yin Dan zhi xiao yao san Dang gui shao yao san Dang gui si ni tang Dang gui ji xue teng tang Dang gui long hui wan Dang gui gui zhi tang Dao chi qing xin tang Dao chi san Di sheng tang Di tan tang Ding xiang shi di tang Duo ming san E jiao ji zi huang tang Empirical prescription by dr chen jia xu for liver-qi deficiency Er chen tang Er zhi wan Fo shou san Fu tu dan Fu zi li zhong wan Gan cao gan jiang tang Gan lu xiao du dan Ge gen qin lian tang Ge xia zhu yu tang Gu tai jian Gui pi tang Gui shen wan Gui zhi fu ling wan Gui zhi tang Gun tan wan Hao qin qing dan tang Hei shen san Hua chong wan Hua gan jian Huang lian e jiao tang Huang qi jian zhong tang Huo po xia ling tang Huo xiang zheng qi san Jian ling tang Jie du huo xue tang Jin gui shen qi wan Jin ling zi san Jin suo gu jing wan Jing fang si wu tang Ju he wan Ju pi zhu ru tang Li yan cha Li yin jian Li zhong an hui tang Li zhong tang Lian mei an hui tang Lian po yin Liang di tang Liang fu wan Liang ge san Liang shou tang Ling gan wu wei jiang xin tang Ling gui zhu gan tang Ling jiao gou teng tang Liu jun zi tang Liu wei di huang wan Long chi qing hun tang Long dan bi yuan fang Long dan xie gan tang Lu jiao tu si zi wan Ma huang tang Ma xing shi gan tang Ma zi ren wan Mai men dong tang Mu xiang liu qi yin Nei bu wan Nuan gan jian Ping wei san Qi ju di huang wan Qing e wan Qing gan tou ding tang Qing gu san Qing hai wan Qing hao bie jia tang Qing jing san Qing luo yin Qing qi hua tan tang Qing re an tai yin Qing re gu jing tang Qing re tiao xue tang Qing wei san Qing ying tang Qing zao jiu fei tang Qing zao run chang tang Qu tiao tang Ren shen bu fei tang Rou fu bao yuan tang San jia fu mai tang San miao hong teng tang San ren tang San zi yang qin tang Sang ju yin Sang piao xiao san Sang xing tang Sha shen mai dong tang Shao fu zhu yu tang Shao yao tang She gan ma huang tang Shen fu tang Shen ge san Shen ling bai zhu san Shen qi si wu tang Sheng hua tang Sheng mai san Sheng yang tang Sheng yu tang Shi pi yin Shi xiao san Shou tai wan Si hai shu yu wan Si jun zi tang Si mo tang Si ni tang Si wu ma zi ren wan Si wu tang Su he xiang wan Su zi jiang qi tang Suo gong zhu yu tang Suo quan wan Tao he cheng qi tang Tao hong si wu tang Tian di jian Tian ma gou teng yin Tian tai wu yao san Tian wang bu xin dan Tiao wei cheng qi tang Tiao zheng san Tong you tang Tu si zi wan Wei ling san Wei ling tang Wen dan tang Wen pi tang Wen yang bu gan jian Wu hu tang Wu ling san Wu mei wan Wu ren wan Wu yao san Wu zhu yu tang Wu zi yan zong wan Xi jiao di huang tang Xiang leng wan Xiao chai hu tang Xiao jian zhong tang Xiao qing long tang Xiao yao san Xie bai san Xie huang san Xie xin tang Xin yi qing fei yin Xing su san Xuan fu dai zhe tang Xue fu zhu yu tang Yan hu suo tang Yang yin qing fei tang Yi gan san Yi guan jian Yi jia zheng qi san Yi wei tang Yi yin jian Yin chen hao tang Yin jia wan Yin qiao san You gui wan Yu nu jian Yue ju wan Zeng ye tang Zhen gan xi feng tang Zhen ren yang zang tang Zhen wu tang Zheng qi tian xiang san Zhi bo di huang wan Zhi gan cao tang Zhi shi dao zhi wan Zhi shi gua lou gui zhi tang Zhu ye shi gao tang Zuo gui wan Zuo gui yin Zuo jin wan Appendix 3 History of Diagnosis in Chinese Medicine Pulse diagnosis Pulse diagnosis in early times Bian Que Ma Wang Dui texts The Yellow Emperor’s Classic of Internal Medicine (Huang Qi Nei Jing Su Wen) Pulse diagnosis in Han, Jin, Sui and Tang dynasties Yi Chun Yu Pulse diagnosis in the ‘Classic of Difficulties’ (Nan Jing) Zhang Zhong Jing The ‘Pulse Classic’ (Mai Jing) The ‘Thousand Golden Ducats Prescriptions’ (Qian Jin Fang) Pulse diagnosis in Song, Yuan, Ming and Qing dynasties Pulse diagnosis in modern times Channel diagnosis Observation of the thenar eminence Observation of the ear Plucking of the vein in the inner leg Observation of sublingual veins Observation of the index finger in babies Origin of observation of the index finger in babies Observation of the index finger in the Song and Yuan dynasties Observation of the index finger in babies during the Ming and Qing dynasties Observation of the index finger in babies in modern times Tongue diagnosis Warring States period (475–221bc) Han Dynasty (206bc–ad220) Sui and Tang dynasties (ad581–907) Song, Jin and Yuan dynasties (960–1368) Ming and Qing dynasties (1368–1911) Modern times End Notes Appendix 4 The Classics Of Chinese Medicine The Yellow Emperor’s Classic Of Internal Medicine (between 300 and 100 BC, Warring States Period, Qin and Han dynasties) Huang Di Nei Jing The classic of difficulties (ca. 100 BC, Han dynasty) Nan Jing Essential prescriptions of the golden chest (AD 220, Han dynasty) Jin Gui Yao Lue The Pulse Classic (AD 280, Three Kingdoms Period) Mai Jing Discussion of the origin of symptoms in diseases (AD 610, Sui dynasty) Zhu Bing Yuan Hou Lun Thousand golden ducats prescriptions (AD 652, Tang dynasty) Qian Jin Yao Fang Discussion on Stomach and Spleen (1249, Song dynasty) Pi Wei Lun Qi Jing Ba Mai Kao (1578, Ming dynasty) A Study of the Eight Extraordinary Vessels A study of the pulse by the pin hu lake master (1578, Ming dynasty) Pin Hu Mai Xue Compendium of acupuncture (1601, Ming dynasty) Zhen Jiu Da Cheng Classic of categories (1624, Ming dynasty) Lei Jing Jing Yue Quan Shu (1624, Ming dynasty) Complete Book of Jing Yue An explanation of the acupuncture points (1654, Qing dynasty) Jing Xue Jie Yi Zong Jin Jian (1742, Qing dynasty) Golden Mirror of Medicine Discussion on blood patterns (1884, Qing dynasty) Xue Zheng Lun End Notes Pinyin-English Glossary of Chinese Terms General Symptoms and signs Disease-symptoms Vital substances Emotions Channels and points Pulse positions Pulse qualities Methods of treatment Pathogenic factors Bibliography Chinese Chronology Index A B C D E F G H I J K L M N O P Q R S T U V W X Y Z