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Zang Fu Patterns

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31 views19 pages

Zang Fu Patterns

Uploaded by

Kukhyun Cho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Heart Deficiency

=
=

Yang collapse :
Palpitation, SOB, weak and shallow breathing, PROFUSE SWEATING, cold limbs, cyanosis of lips, greyish-white complexion

t
- ;severe: coma

T: very pale or bluish purple, short


P: Hidden, minute, knotted

- Yang Deficiency : Palpitation, shortness of breath on exertion, spontaneous sweating, tiredness, a slight feeling of stuffiness or discomfort in heart region, feeling of cold,
cold hands,
bright, pale face

T: pale, slightly wet


P: Deep, weak; severe: Knotted

-
Qi Deficiency Palpitations, SOB on exertion, pale face, spontaneous sweating, tiredness, slight depression

T: pale or normal
P: Empty; severe: Slightly Overflowing and Empty

Blood Deficiency Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled
dull, pale complexion, pale lips

T: pale, thin, sl. dry


P: Choppy or fine

Palpitations, insomnia, dream-disturbed sleep, propensity to be startled, poor memory, anxiety, mental restlessness
Yin Deficiency ‘uneasiness’, ‘fidgetiness’, dry mouth and throat, night sweating

T: no coat, deep midline crack reaching the tip


P: floating, empty

Empty Heat
-

malar flush, feeling of heat especially in the evening, ‘feeling hot and bothered’, five-palm heat

T: Red without coating, redder tip with red points


P: Floating-empty and rapid or Fire-Rapid
= Heart Excess =

-
Fire Blazing Palpitations, thirst, mouth and tongue ulcers,mental restlessness, feeling agitated, feeling of heat, insomnia, dream-disturbed sleep
red face, dark urine or blood in urine, bitter taste (after a bad night’s sleep)

T: red, tip redder and swollen with red points, yellow coat; maybe midline crack reaching to the tip
P: Full, Rapid, Overflowing especially left front; possibly Hasty (Rapid and stopping at irregular intervals)

Palpitations, thirst, red face, bitter taste, a feeling of oppression in the chest, expectoration of phlegm, rattle sound in the throat, mental restlessness,
-
Phlegm Fire insomnia, dream-disturbed sleep, agitation, incoherent speech, mental confusion, rash behaviour, tendency to hit or scold people,
uncontrolled laughter or crying shouting, muttering to oneself, mental depression and dullness, manic behaviour

T: red, swollen, yellow dry sticky coat, deep heart crack; the tip may be redder and swollen with red points
P: Full, Rapid, Slippery or Rapid, Overflowing, Slippery or Rapid, Full, Wiry

Mental confusion, unconsciousness, lethargic stupor, incoherent speech, slurred speech, aphasia, vomiting of phlegm, rattle sound in the throat,

-
phlegm misting mental depression, very dull eyes

T: swollen with thick sticky coat, midline crack reaching the tip (heart crack)
the mind P: Slippery

µ.. Palpitations, a feeling of distention or oppression in the chest, depression, a slight feeling of lump in the throat, slight shortness of breath, sighing,
poor appetite, weak and cold limbs, slightly purple lips, pale complexion

T: slightly pale-purple on the sides in the chest area


P: Empty but very slightly Overflowing on the left front position

Vessel obstruct palpitations, shortness of breath with inability to lie down, depression, mental restlessness, a feeling of oppression in the chest,
stabbing or prickling pain in heart region that come and goes and which may radiate to the upper back. or shoulder,
pain aggravated by exposure to cold and alleviated by heat, expectoration of phlegm, a feeling to heaviness, dislike to speak,
cold hands, sighing, purple lips, face and nails

T: purple on the sides in the chest area, swollen with a sticky coat
P: Wiry, Choppy or knotted (Slippery if Phlegm is predominant)

Palpitations, stabbing or prickling pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or
Blood stasis constriction of the chest, cyanosis of lips and nails, cold hands

T: purple in its entirety or only on the sides in the chest area


P: Choppy, Wiry or Knotted
Pericardium -

Deficiency Feeling of stuffiness and discomfort of the chest, dull ache in the chest, very slight shortness of breath, palpitations, anxiety,
dizziness, dream-disturbed sleep, poor memory, propensity to be startled, dull-pale complexion, pale lips, cold hands,
Blood scanty periods, amenorrhea
/ T: pale, thin, slightly dry
P: Choppy or Fine but very slightly hard on the left front position
Excess_
Fever at night, mental confusion, incoherent speech or aphasia, delirium, body hot, hands and feet colds, macule
-
Heat
T: red and dry without coat
P: Fine, Rapid

-
Fire Palpitations, a feeling of tightness and heat in the chest, slight chest ache, rapid breathing, thirst, mouth and tongue ulcers, mental restlessness, feeling of agitation, feeling of heat,
insomnia, dream-disturbed sleep, red face, bitter taste (after a bad night’s sleep), heavy periods

T: red, tip redder and swollen with red points, yellow coat; there may be a midline crack reaching the tip
P: Full, Rapid, Overflowing especially on left front position; possibly Hasty (Rapid and stopping at Irregular Intervals)

-
Phlegm Palpitations, feeling of oppression and heat of the chest, chest pain, rapid breathing, thirst, red face, bitter taste, expectoration of phlegm, rattle sound in the throat,
mental restlessness, insomnia, dream-disturbed sleep, agitation, incoherent speech, mental confusion, rash behaviour, tendency to hit or scold people, uncontrolled
Fire laughter or crying, shouting, muttering to oneself, mental depression and dullness and manic behaviour

T: red, swollen with yellow, dry, sticky coat, deep heart crack; tip may be redder and swollen with red points
P: full, Rapid, Slippery or Rapid, Overflowing, Slippery or Rapid, Full, Wiry

µ, µ
. A feeling of distention and slight pain in the chest, feeling of tightness in the chest, slight shortness of breath, sighing, feeling of a lump in the throat,
palpitations, depression, irritability, poor appetite, weak and cold limbs, slightly purple lips, pale complexion

T: slightly pale, purple on the sides in the chest area


P: Empty but very slightly Overflowing on the left front position

Blood Stasis Palpitations, stabbing or pricking pain in the chest which may radiate to the inner aspect of the arm or to the shoulder,
a feeling to oppression or constriction of the chest, shortness of breath, cyanosis of lips and nails, cold hands, painful periods with dark clots

T: purple in its entirety or only on the sides in the chest area


P: Choppy, Wiry or Knotted
Liver Deficiency

l" " "" " d

Dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in the eyes, diminished night vision
scanty menstruation or amenorrhea, dull, pale complexion without luster, pale lips, muscular weakness, cramps, withered and brittle nails,
dry hair and skin, depression, a feeling of aimlessness

T: pale, especially on the sides; extreme cases: can assume an orangey color, thin and slightly dry
P: Choppy or fine

[
"" " " " "

Dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in the eyes, dry eyes, diminished night vision,
scanty menstruation or amenorrhea, dull, pale complexion without luster but with red cheekbones, muscular weakness, cramps, withered and brittle nails,
very dry hair and skin, depression, feeling of aimlessness

T: normal coloured without coat or with rootless coat


P: Floating, Emapty

Empty Heat-

Malar flush, anxiety, a feeling of heat in the evening, night sweating, five-palm heat, thirst with desire to drink in small sips
heavy menstrual bleeding

T: red without coating


P: Floating-Empty and slightly Rapid
liver Excess

Feeling of distention of hypochondrium, chest, epigastrium or abdomen, sighing, melancholy, depression, moodiness, fluctuation of mental state,
- Qi stagnation
feeling wound up, feeling of a lump in the throat, irregular periods, distention of breasts before periods, premenstrual tension and irritability

T: body color may be normal; severe: may be slightly red on the sides
P: Wiry, especially on the left sides

QT Hypochondrial or epigastric distention, a slight feeling of oppression in the chest, irritability, melancholy, depression, moodiness, feeling of a lump
Stagnant liver in the throat, feeling of heat, red face, thirst, propensity to outburst of anger, premenstrual tension, irregular periods, premenstrual breast distention,
into Heat
-

heavy periods
turning
T: red on the sides
P: Wiry, especially on the left side and slightly Rapid

Hypochondrial or epigastric distention, hiccup, sighing, nausea, vomiting, belching, churning feeling in Stomach, irritability, in women breast distention
-
Rebellious Qi
T: normal; severe: sides will be red. P: Wiry (may be particularly Wiry on Liver and Stomach positions)

Hypochondrial pain, abdominal pain, vomiting of blood, epistaxis, painful periods, irregular periods, dark and clotted menstrual blood, infertility,
masses in abdomen, purple nails, purple or dark complexion, dry skin (in severe cases), purple petechiae
-
Blood stasis T: purple, especially or only on sides; severe: purple spots on side
P: Wiry or Firm

... . Irritability, propensity to outburst of anger, tinnitus, deafness, temporal headache, dizziness, red face and eyes, thirst, bitter taste, dream-disturbed sleep,
. constipation with dry stool, dark, yellow urine, epistaxis(nose bleeding), hematemesis(vomiting blood), hemoptysis(coughing blood)

T: red, redder on the sides, dry yellow coat P: Full, Wiry, Rapid

Fullness of the hypochondrium, abdomen or hypogastrium, bitter taste, sticky taste, poor appetite, nausea, feeling of heaviness of the body,
-

Damp heat yellow vaginal discharge, vaginal itching, vulvar eczema or sores, mid-cycle bleeding and/or pain, redness and swelling of the scrotum or genitals,
papular or vesicular skin rashes and itching, urinary difficulty, burning on urination, dark urine, dysuria

T: red with redder sides, sticky yellow coat


P: Slippery, Wiry, Rapid

of
stagnation Fullness and distention of the hypogastrium with pain which refers downwards to the scrotum and testis and upwards to the hypochondrium,
the pain is alleviated by warmth, straining of the testis or contraction of the scrotum, vertical headache, feeling of cold, cold hands and feet,
cold in the Liver vomiting of clear watery fluids or dry vomiting; in women there can be shrinking of the vagina

T: pale and wet with a white coat


P: Deep, Wiry, Slow
?⃝
Liver wind
L
-
LV Blood Deficiency Tremor, dizziness, tinnitus, headache, hypertension, dry throat, blurred vision, numbness or tingling of limbs, poor memory, insomnia

Wind
I Generating T: pale and thin
P: Wiry, Fine
E
R

Lu Yan
Tremor, facial tic, severe dizziness, tinnitus, headache, hypertension, dry throat, dry eyes, blurred vision, numbness or tingling of limbs,
Wmd
A Generating poor memory
-

¥ T: normal colored without coat


P: Wiry, Fine

si LV & KD Yin Tremor, facial tic, severe dizziness, tinnitus, headache, hypertension, dry throat, dry eyes, blurred vision, numbness or tingling of limbs,
poor memory, backache, scanty urination, night sweating
µ Generating Wmd T: normal colored without coat
G
P: Wiry, Fine

* www..nu. High temperature, convulsions, rigidity of the neck, tremor of limbs, opisthotonos; in severe case coma
wind
Generating T: deep, red, stiff, dry yellow coat
P: Wiry, Rapid

-
Lv Blood Deficiency Fine tremor, facial tic, dizziness, blurred vision, numbness or tingling of limbs, poor memory, insomnia, scanty periods

Generating wind T: pale and thin


P: Wiry, Fine

LV Fire
wind Tremor, irritability, propensity to outburst of anger, tinnitus and/or deafness (with sudden onset), temporal headache, dizziness,
Generating red face and eyes, thirst, bitter taste, dream-disturbed sleep, constipation with dry stools, dark, yellow urine, epistaxis,
hematemesis, hemoptysis

T: red with redder sides and dry yellow coat


P: Wiry, Rapid
liver combined

t÷: ÷÷
Headache that may be on the temples, eyes or lateral side of the head, dizziness, deafness, blurred vision, dry mouth and throat,
- liver Yang Rising insomnia, irritability, feeling worked-up, propensity to outburst of anger, stiff neck

T: Liver blood deficiency: pale; Liver Yin deficiency: slightly red on the sides without coat;
Rebellious Liver Qi: normal color or slightly red on sides
P: Wiry; Liver Blood or Liver Yin Deficiency: Wiry on one side or Wiry but Fine

Rebellious Lu Qi Irritability, abdominal distention and pain, alternation of constipation and diarrhea, stools sometimes dry and bitty (small pieces) and
-
sometimes loose, flatulence, tiredness

invading SP T: normal colored or slightly red on the sides


P: Wiry on the left and Weak on the right

Irritability, epigastric and hypochondrial distention and pain, a feeling of oppression in the epigastrium,
sour regurgitation, hiccup, belching, nausea, vomiting, sighing, weak limbs
on ST
T: normal colored or slightly red on the sides
P: Wiry on the left and Weak on the right or Wiry on both middle positions

liver Fire Breathlessness, asthma, a feeling and distention of the chest and hypochondrium, cough with yellow or blood-tinged sputum,
headache, dizziness, red face, bitter taste, bloodshot eyes, scanty dark urine, constipation
LU
insulting T: red with redder sides and dry yellow coat
P: Wiry

Blood Deficiency Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull-pale complexion,
pale lips, blurred vision, floaters in the eyes, diminished night vision, tingling or numbness of limbs, scanty periods or amenorrhea,
cramps, muscular weakness, dry hair and skin, depression, a feeling of aimlessness, withered and brittle nails

T: pale and thin, slightly dry


P: Choppy or Fine
Lung Deficiency
Slight SOB, Slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright-pale complexion,
propensity to catch colds, tiredness, dislike of cold

- Qi T: pale
P: Empty, especially on the right front position

Cough that is dry ow with scanty sticky sputum, weak and/or hoarse voice, dry mouth and throat, ticklish throat,
tiredness, dislike of speaking, thin body or thin chest, night sweating
-
Yin
T: normal colored, dry without coat (or with rootless coat)
P: Floating, Empty

Feeling of heat in the evening, afternoon fever, five-palm heat and malar flush
µ, .µµ T: red, no coat
P: Floating, Empty and Rapid

Dryness Dry cough, dry skin, dry throat, dry mouth, thirst, hoarse voice

T: dry
P: Empty, especially on the right front position

Combined
Lung

( ng
and Heart QT

Deficiency
slight SOB, weak voice, dislike of speaking, bright, white complexion, propensity to catch colds, tiredness,
palpitations, SOB on exertion, depression, spontaneous sweating, sighing

T: pale
P: Empty, especially on both front positions
?⃝
LungExcess Aversion to cold, fever, cough, itchy throat, slight breathlessness, stuffed/blocked or runny nose with clear watery discharge, sneezing,

{
occipital headache, body aches
T: thin white coat
wind cold P: Floating, tight
-
invading the Lung
Aversion to cold, fever, cough, sore throat, stuffed/blocked or runny nose with yellow discharge, headache, body aches,
wind Heat slight sweating, slight thirst, swollen tonsils
invading the Lung
-

T: slightly red on the sides in the chest areas or on the front part
P: Floating, Rapid

Sudden swelling of eyes and face gradually spreading to the whole body, bright, shiny complexion, scanty and pale urination
wind water aversion to wind, fever, cough, slight breathlessness
T: sticky white coat P: Floating, Slippery
invading the Lung
-

Heat
-
Lung

-
Damp phlegm Chronic cough coming in bouts with profuse white sticky sputum that is easy to expectorate, pasty-white complexion, a feeling of oppression in the chest,
phlegm in the throat, SOB, dislike to lying down, wheezing, nausea, a feeling of heaviness, muzziness and dizziness of the head
T: swollen with a sticky white coat
"un. P: Slippery or Soggy

Cough with expectoration of white watery sputum aggravated by exposure to cold, feeling cold, cold hands, phlegm in the throat, dizziness,
-
Cold Phlegm a feeling of oppression in the chest, a feeling of cold in the chest, a feeling of heaviness, muzziness and dizziness of the head
T: swollen and wet with a sticky white coat
In Lung P: Slippery, Slow

-
Phlegm Heat Barking cough with profuse sticky yellow or green sputum, SOB, wheezing, a feeling of oppression in the chest, phlegm in the throat, feeling of heat, thirst,
insomnia, agitation, a feeling of heaviness and muzziness of the head, dizziness
in Lung T: red, swollen with a sticky yellow coat
P: Slippery, Rapid

- Dry Phlegm Dry cough with occasional difficult expectoration of scanty sputum, SOB, a feeling of oppression in the chest, scanty phlegm in the throat,
a feeling of heaviness and muzziness of the head, dizziness, dry throat, wheezing, pasty, dry complexion
In Lung T: swollen with a dry sticky coat
P: Fine, Slippery

Phlegm Fluids Cough with expectoration of white water sputum, breathlessness, splashing sound in the chest, vomiting of white watery frothy sputum,
a feeling of oppression in the chest, a feeling of heaviness and muzziness of the head, a feeling of cold, coughing that my be elicited by a scare

obstructing -1h Lung T: pale with thick stikcy white coat


P: Fine, Slippery or Soggy or Wiry
spleen Deficiency

Poor appeite, slight abdominal distention after eating, tiredness, lassitude, desire to lie down, pale complexion, weakness of the limbs,
-
QT loose stools, tendecy towards obesity

T: pale
P: Empty

-
Yang Poor appetite, slight abdominal distention after eating, tiredness, lassitude, desire to lie down curled up, pale complexion, weakness of the limbs,
loose stools, a tendency towards obesity, a feeling of cold, cold limbs, edema

T: pale and wet


P: Deep, Weak

- QT sinking Poor appetite, slight abdominal distention after eating, tiredness, lassitude, pale complexion, weakness of the limbs,
loose stools, depression, tendency towards obesity, a bearing down sensation in the abdomen, prolapse of stomach, uterus, anus or bladder,
frequency and urgency of urination, menorrhagia

T: pale
P: Weak; when Stomach is prolapsed, this can be felt on the middle right position of the pulse

µ.. ...

Poor appetite, slight abdominal distention after eating, tiredness, lassitude, pale, sallow complexion, weakness of the limbs,
loose stools, depression, tendency towards obesity, blood spots under the skin, blood in the urine or stools, excessive uterine bleeding

T: pale
P: Weak or Fine

SP Blood Deficiency
Poor appetite, slight abdominal distention after eating, tiredness, lassitude, dull, pale complexion, weakness of the limbs,
loose stools, depression, thin body, scanty periods or amenorrhea, insomnia, joint ache

T: pale, thin and slightly dry


P: Choppy or Fine
?⃝
spleen Excess

[
Poor appetite, a feeling of fullness of the epigastrium and/or abdomen, a feeling of cold in the epigastrium which improves with the
application of the heat, a feeling of heaviness of the head and body, a sweetish taste or absence of taste, no thirst,
loose stools, lassitude, tiredness, nausea, edema, dull-white complexion, excessive white vaginal discharge

T: pale with a sticky white coat


Sleen Cold Damp P: Slippery, Slow

Feeling of fullness of the epigastrium and/or lower abdomen, epigastric/abdominal pain, poor appetite, a feeling of heaviness,
thirst without desire to drink, nausea, vomiting, loose stools with offensive odor, burning sensation in the anus, a feeling of heat,
scanty dark urine, low grade fever, dull headache with a feeling of heaviness of the head, dull, yellow complexion like tangerine peel,
Sleep Damp Heat yellow sclera of the eyes, oily sweat, bitter taste, itchy skin or skin eruptions (papules or vesicles), sweating which does not relieve the fever
and does not lead to the clearing of heat

T: red with sticky yellow coat


P: Slippery, Rapid

Spleen Combined

Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull-pale complexion, pale lips,
tiredness, weak muscles, loose stools, poor appetite, scanty periods
spleen & Heart
Deficiency T: pale and thin
-

Blood P: Choppy or Fine

Poor appetite, slight abdominal distention after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools,
a tendency towards obesity, slight SOB, slight coughing, weak voice, spontaneous daytime sweating, dislike of speaking,
spleen flung propensity to catch colds, dislike of cold
Deficiency
-
QT
T: pale
P: Empty, especially on the right side

µ , ... Poor appetite, slight abdominal distention after eating, tiredness, lassitude, dull pale complexion, weakness of the limbs, loose stools,
thin body, scanty periods or amenorrhea, insomnia, dizziness, numbness of limbs, blurred vision, floaters in eyes, diminished night
Blood Deficiency vision, pale lips, muscular weakness, cramps, withered and brittle nails, dry hair and skin, slight depression, a feeling of aimlessness

T: pale, especially on the sides, dry; extreme case: can assume an orange color and dry
P: Choppy or Fine

Spleen Damp W/ Feeling of oppression and fullness of the epigastrium, nausea, lack of appetite, loose stools, a feeling of heaviness,
dry mouth without a desire to drink, sallow complexion, hypochondriac pain, bitter taste, sticky taste, epigastric and hypochondriac
liver QT stagnation distention, irritability

T: thick, sticky, yellow coat


P: Slippery, Wiry
kidney Deficiency

I
-
QT Not Firm Soreness and weakness of the lower back, weak knees, clear frequent urination, weak, stream urination, abundant urination, incontinence of urine,
enuresis, urination at night, nocturnal emissions without dreams, premature ejaculation, spermatorrhea, tiredness, a feeling of cold, cold limbs,
in woman prolapse of uterus, chronic white vaginal discharge, a dragging down feeling in the lower abdomen, reccurent miscarriage
T: pale
P: Deep, Weak especially in the rear position

Dizziness, tinnitus, lower backache, cold and weak knees, a sensation of cold in the lower back, a feeling of cold, weak leg,

Yang Deficiency
- bright-white complexion, tiredness, lassitude, abundant clear urination, urination at night, apathy, edema of the legs, infertility in women,
loose stools, depression, impotence, premature ejaculation, low sperm count, cold and thin sperm, decrease libido
T: pale and wet
P: Deep, Weak

%
Edema especially of the legs and ankles, cold feeling in legs and back, fullness and distention of abdomen, soreness of lower back,

Yang Deficiency/water
-
feeling of cold, scanty clear urination; Water Overflowing to Heart: the above symptoms plus palpitations, breathlessness, cold hands;
Water Overflowing to Lung: the above symptoms plus thin watery frothy sputum, cough, asthma and breathlessness on exertion
overflowing T: pale, swollen and wet with a white coat
P: Deep, Weak, Slow

Shortness of breath on exertion, rapid and weak breathing, difficulty in inhaling, chronic cough/asthma, spontaneous sweating,
cold limbs, cold limbs after sweating, swelling of the face, thin body, mental listlessness, clear urination during asthma attack,
-

Failing to receive QT lower backache, dizziness, tinnitus

T: pale
P: Deep, Weak, Tight

Dizziness, tinnitus, vertigo, poor memory, hardness of hearing, night sweating, dry mouth and throat at night, lower backache, ache in bones,
nocturnal emission, constipation, dark scanty urine, infertility, premature ejaculation, tiredness, lassitude, depression, slight anxiety
' Em Deficiency T: Normal colored without coat P: Floating, Empty

§¥ Five-palm heat, a feeling of heat in the evening, malar flush, menopausal hot flush, thirst with desire to drink small sip, pronounced anxiety in the evening,
nocturnal emission with dreams
T: red without coat; severe: cracked
Empty Heat P: Floating, Empty and slightly Rapid

¥
-

Malar flush, mental restlessness, insomnia, night sweating, low grade fever, afternoon fever, five palm heat, a feeling of heat in the afternoon/
evening, scanty dark urine, blood in the urine, dry throat especially at night, thirst with desire to drink in small sips, dizziness, tinnitus,
npey.am, hardness of hearing, lower backache, nocturnal emissions with dreams, excessive sexual desire, dry stools

Fire
Blazing T: red, cracked with a red tip, no coat
P: Floating, Empty and Rapid

Children: Poor bone development, late closure of fontanel, deafness, mental dullness or retardation; Adults: softening of bones, weakness of
knees and legs, poor memory, loose teeth, falling hair or premature greying of hair, weakness of sexual activity, lower backache, infertility,
Essence Deficiency sterility, primary amenorrhea, dizziness, tinnitus, deafness, blurred vision, absentimindedness, decreased mental sharpness
T: no coat if there is KD Yin Deficiency; pale if there is KD Yang Deficiency
P: Floating, Empty or Leather
Kidney combined

Dizziness, tinnitus, hardness of hearing, lower backache, dull occipital or vertical headache, insomnia,
numbness or tingling of limbs, dry eyes, blurred vision, dry throat, dry hair and skin, brittle nails, dry vagina,
night sweating, dry stools, nocturnal emissions, scanty menstruation or amenorrhea, delayed cycle, infertility

-
Kidney and Lover Yin T: normal colored without coat or with rootless coat
P: Floating, Empty
Deficiency

Palpitations, mental restlessness, insomnia, dream-disturbed sleep, anxiety, poor memory, dizziness, tinnitus, hardness of hearing,
lower backache, nocturnal emissions with dreams, a feeling of heat in the evening, dry throat at night,
ones and Heart thirst with a desire to drink in small sips, night sweating, five-palm heat, scanty dark urine, dry stools

Not communicating T: red, redder tip without coat, midline Heart crack
P: Floating, Empty and Rapid or Deep, Weak on both rear positions and relatively Overflowing on both front positions

- Kidney and Lung Dry cough that is worse in the evening, dry throat and mouth, thin body, breathlessness on exertion,
lower backache, night sweating, dizziness, tinnitus, ,hardness of hearing, scanty urination
Yin Deficiency T: normal colored without coat or with rootless coat
P: Floating, Empty

Kidney and Spleen Lower backache, cold and weak knees, a sensation of cold in the back, a feeling of cold, weak legs, white complexion,

Yang Deficiency impotence, premature ejaculation, low sperm count, cold and thin sperm, decreased libido, tiredness, lassitude,
abundant clear urination, scanty clear urination, urination at night, apathy, edema of the legs, infertility in women,
loose stools, depression, poor appetite, slight abdominal distention, a desire to lie down, early morning diarrhea, chronic diarrhea

T: pale and wet


P: Deep, Weak
stomach Deficiency
-
QT Uncomfortable feeling in the epigastrium, lack of appetite, lack of taste sensation, loose stools, tiredness especially in the morning,
weak limbs

T: pale
P: Empty, especially on the right middle position

Discomfort or dull pain in the epigastrium, better after eating and better with pressure or massage, lack of or no appetite,
men, a. , ,
, preference for warm drinks and foods, vomiting of clear fluid, lack of thirst, cold and weak limbs, tiredness, pale complexion

T: pale and wet


P: Deep, Weak, Slow, especially on the right middle position

Yin No appetite or slight hunger but with no desire to eat, constipation (dry stool), dull or slightly burning epigastric pain,
dry mouth and throat especially in the afternoon with a desire to drink in small sips, a slight feeling of fullness after eating

÷ T: normal colored without a coat in the center, or with rootless coat


P: Floating, Empty on the right middle position

:
Thirst with desire to drink in small sips, feeling of hunger, night sweating, five-palm heat,
"
bleeding gums, feeling of heat in the evening
Empty Heat
-

T: Red and without coating in the center

stomach combined

"h
'

Poor appetite, slight abdominal distention after eating, tiredness, lassitude, pale complexion, weakness of limbs, loose stools,
& spleen uncomfortable feeling in the epigastrium, lack of taste sensation

QT Deficiency T: pale
P: Empty, especially on the right middle position

stomach & spleen Poor appetite, dry mouth, thirst with desire to drink in small sips, dry stools, dry lips, slight nausea, tiredness,
uncomfortable feeling in the epigastrium, lack of taste sensation
4m Deficiency T: without coating
P: Floating, Empty, especially on the right middle positions
?⃝
stomach Excess

-
Qi stagnation Epigastric pain and distention, belching, nausea, vomiting, hiccup, irritability
T: no particular signs except that in sever cases it may be red on the sides in the central section
P: Wiry on the right middle position

stomach Heat/
Burning epigastric pain, intense thirst with desire to drink cold liquids, mental restlessness, dry stools, dry mouth,
mouth ulcers, sour regurgitation, nausea, vomiting soon after eating, excessive hunger, foul breath, a feeling of heat
Heat T: red in the center with a dry yellow or dark, yellow coat
-

stomach phlegm P: Rapid and slightly Overflowing on the right middle position

a feeling of oppression of the chest and epigastrium, mucus in the stools, expectoration of phlegm,
- - - .
. .
stomach phlegm Fire mental derangement
T: Red with a sticky yellow coating
P: Rapid, Slippery, Overflowing

A feeling of fullness and pain of the epigastrium, a feeling of heaviness, facial pain, blocked nose or thick sticky nasal discharge,
-
Stomach Damp Heat thirst without a desire to drink, nausea, a feeling of heat, dull, yellow complexion, a sticky taste
T: red with a sticky, yellow coat
P: Slippery, Rapid

an . . .ua. Sudden severe pain in the epigastrium, a feeling of cold, cold limbs, preference for warmth, vomiting of clear fluids (which may
. alleviate the pain), nausea, feeling worse after swallowing cold fluids which are quickly vomited, preference for warm liquids
T: thick white coat
P: Deep, tight, slow

Nausea, difficulty in swallowing, belching, vomiting, hiccup


-
stomach QT Rebel T: no changes
P: Tight or Wiry on the right middle position

-
stomach Food Stag Fullness, pain and distention of the epigastrium that are relieved by vomiting, nausea, vomiting of sour fluids, foul breath
sour regurgitation, belching, insomnia, loose stools or constipation, poor appetite
T: thick coat (which could be white or yellow)
P: Full, Slippery

Stomach Blood Stasis Severe stabbing epigastric pain that may be worse at night, dislike of pressure, nausea, vomiting,
possibly vomiting of blood looking like coffee grounds
T: purple
P: Wiry
?⃝
Small Intestine
Deficiency
( Small Intestine Dull abdominal pain alleviated by pressure, a desire for hot drinks, borborygmi, diarrhea, pale and abundant urination, cold limbs
T: pale with white coat
Deficiency Cold P: Deep, Weak, Slow

Small Intestine
Excess

Mental restlessness, insomnia, tongue/mouth ulcers, pain in the throat, deafness, an uncomfortable feeling and sensation of heat in the chest,
-
Heat abdominal pain, thirst with a desire to drink cold liquids, scanty and dark urine, burning pain on urination, blood in urine
T: red with redder and swollen tip, yellow coat
P: Overflowing, Rapid, especially in the front position
With urinary problems; P: Wiry on the rear position

- QT Pain Lower abdominal twisting pain that may extend to the back, abdominal distention dislike of pressure on abdomen,
borborygmi, flatulence, abdominal pain relieved by. emission of wind, pain in testis
T: white coat
P: Deep, Wiry, especially on the rear positions

,,,
Severe abdominal pain, dislike of pressure, abdominal distention, constipation, vomiting, borborygmi, flatulence
T: thick white coat
P: Deep, Wiry

Abdominal pain and distention, bad taste in mouth, sallow complexion


worms Roundworms (ascarid): abdominal pain, vomiting of round worms, cold limbs
Hookworms : desire to eat strange objects such as soil, wax, uncooked rice or tea leaves
Pinworms: itchy anus, worse in the evening
Tapeworms: constant hunger
?⃝
LI Deficiency

f.
Dry stools that are difficult to discharge, dry mouth and throat, thin body, foul breath, dizziness
T: dry, either pale or red, with rootless coat
- Dryness P: Fine

Loose stools like duck droppings, dull abdominal pain, borborygmi, pale urine, cold limbs
. T: pale
P: Deep, Weak

collapse Chronic diarrhea, prolapse anus, hemorrhoids, tiredness after bowel movements, cold limbs, lack of no appetite,
mental exhaustion, a desire to drink warm liquids, a desire to have abdomen massaged
T: pale
P: Deep, fine, Weak

LI Excess

Constipation with dry stools, a burning sensation in the mouth, dry tongue, burning and swelling in anus,
scanty dark urine
-
Heat T: think yellow (or brown or black) dry coat
P: Full, Rapid

Constipation, burning in anus, abdominal distention and pain that are worse with pressure, high fever or tidal fever (fever that rises in the afternoon),
-
Heat Obstruct sweating especially on limbs, vomiting, thirst, delirium
T: thick dry yellow (or brown, black) coat, red body
P: Deep, Full

mpµeµ Abdominal pain that is not relieved by a bowel movement, abdominal fullness, diarrhea, mucus and blood in stools,
offensive odor of stools, burning in the anus, scanty dark urine, fever, sweating which does not decrease the fever,
a feeling of heat, thirst without desire to drink, a feeling of heaviness of the body and limbs,
T: red with sticky yellow coat
P: Slippery, Rapid
'
cold Invading Sudden, cramping abdominal pain, diarrhea with pain, a feeling of cold, a cold sensation in the abdomen
T: thick white coat
P: Deep, Tight

Qi Stagnation Abdominal distention and pain, constipation with bitty stools, irritability, aggravation of condition according to mood
T: normal or slightly red on the sides
P: Wiry on both rear positions
G- B Deficiency Dizziness, blurred vision, floaters, nervousness, timidity, propensity to being easily startled,
lack of courage and initiative, sighing, waking up early in the morning, restless dream
T: pale or normal
P: Weak

GB Excess

{
Jaundice, dull, yellow eyes and skin, hypochondriac pain, fullness and distention, nausea, vomiting,
inability to digest fats, dull, yellow sclera, turbid urine, lack of thirst, sticky taste, dull headache, a feeling of heaviness of the body
GB Damp T: thick sticky white coat, either bilateral in two strips or unilateral
P: Slippery, Wiry

Hypochondriac pain, fullness and distention, nausea, vomiting, inability to digest fats, yellow complexion,
scanty and dark, yellow urine, fever, thirst without a desire to drink, bitter taste, dizziness, tinnitus, irritability,
CTB Damp Heat a feeling of heaviness of the body, numbness of the limbs, swelling of the feet, loose stools or constipation,
alternation of hot and cold feelings, yellow sclera, feeling of heat
T: thick sticky yellow coat, either bilateral in two strips or unilateral
P: Slippery, Wiry, Rapid

CTB Combined
(GB / LV Damp Heat Hypochondriac pain, fullness and distention, nausea, vomiting, inability to digest fats, yellow complexion,
scanty and dark, yellow urine, fever, thirst without a desire to drink, bitter taste, dizziness, yellow sclera,
tinnitus, irritability, a feeling of heaviness of the body, numbness of the limbs, swelling of the feet,
burning on urination, difficulty in urination, excessive yellow vaginal discharge, loose stools or constipation,
alternation of hot and cold feelings, feeling of heat, genital papular skin rashes and itching,
swelling and heat of the scrotum
T: thick sticky yellow coat
P: Slippery, Wiry, Rapid
Urinary Bladder Frequent pale abundant urination, incontinence, enuresis, lower backache, dizziness,

Deficiency nocturia, white urethral discharge, a feeling of cold


T: pale, wet
P: Deep, Weak

Urinary Bladder
Excess
Uncomfortable bladder pressure, bladder pain, urinary frequency and urgency, burning sensation,

UB
Interstitial urinary hesitancy, suprapubic pain and distention, occasionally slight incontinence
T: x
\
cystitis P: x

☐ampiteat Frequent and urgent urination, burning on urination, difficult urination (stopping in the middle of flow),
dark, yellow/turbid urine, blood in the urine, fever, thirst but no desire to drink, hypogastric fullness and pain,
a feeling of heat
T: thick sticky yellow coat on the root with red spots
P: Slippery, Rapid and slightly Wiry on the left rear position

Frequent and urgent urination, difficult urination (stopping in midstream), a feeling of heaviness in the
cold hypogastrium and urethra, pale and turbid urine
UB Damp T: white sticky coat on root
P: Slippery, Slow and slightly Wiry on the left rear position

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