NOT COVERED IN CLASS Flaws

Disease Key S & S General CAUSES Tongue & Pulse /

Patterns TX
LV Qi 1. Depression/ Moodiness 1. Plum Pit Qi a. Frustration; anger Pulse: Wiry / String
Stagnation 2. Easily Anger/Irritable 2. Distention & Pain of the Hypochondrium b. Liver Blood Xu Taught/
3. Sighing 3. Middle Jiao Signs c. Liver Yin Xu bowstring
4. Pre-Mentrual Breast Distention 4. Irregular Periods d. Kidney Yin Xu
5. Rib-side Distention e. Kidney Yang Xu
Tongue: Normal or Red sides;
6. Pre-Menstrual Tension f. everything that inhibits Lungs
distended sides
to diffuse & govern Qi
g. evil Qi TX: Course the Liver;
h. presence of evil Rectify the Qi

LV 1. Feeling of Heat 1. Red face & eyes Liver Qi Transformative Heat Pulse: Wiry/String
Depression/ 2. Irritability 2. Premenstrual Acne LV Qi S & S + heat (over time) Taught/bowstring; (possibly
Transformative Heat 3. Rage like anger 3. Thirst slightly rapid)
4. Distention and Pain of Breast 4. Bitter Taste
5. Nipple Hypersensitivity 5. Mental Restlessness Tongue: Red sides
6. Insomnia:
a. difficulty falling asleep
b. waking up hot w/ a racing mind
7. Heart Palpitations TX: Course the LV;
8. Chest Oppression Rectify the Qi;
9. Early Periods: Flooding and Leaking Clear heat (resolve depression)

LV FIRE BLAZING 1. Head Ache: Vertex or Temporal
UPWARDS 2. Irritability; Rage like outbursts
3. Red Face and Eyes
4. Redness in the Genital Area
LIVER YIN XU 1. Dry Eyes (Chronic)
2. Blurred Vision
(diminished acuity of eyes
2. Empty Heat Signs
1. Serious Insomnia: Dreamed Disturbed Sleep a. Enduring Qi stagnation Pulse: Full; String Taught;
2. Dizziness: Intense Vertigo to transformative heat then Rapid
3. Tinnitus; deafness to Fire (blazing upwards)
4. Epistaxis - could be fast through a key Tongue: Red Tongue;
5. Hemoptysis event redder on sides;
4. Hematemesis b. Emotional Disturbances Possibly Dry yellow Coating
5. Thirst c. Alcohol Cigarettes
6. Bitter Taste Coffee
7. Constipation with Dry Stools d. Refined Sugar to heat
8. Dark Yellow Urine TX: Drain Liver Fire
e. ST Qi increases, so does
appetite. Patient eats poorly
(grease & sugar).
1. H.A. (Vertex) a. Kidney Yin Xu Tongue: No Coating;
2. Dizziness b. Kidney Essence Xu
3. Tinnitus - Spleen Qi Xu mainly Possibly Red Body
4. Thirst; Dry throat; No or little desire to drink c. enduring Liver Blood vacuity w/ Empty heat
5. Insomnia w/ Vivid Dreaming
 6. Nervousness: Vexation & Agitation
(worse in the evening)
TX: Enrich Liver Yin;
General Yin Xu signs:
1. Tital Fever
2. Dry mouth and throat
3. Night Sweats
4. KD Yin XU Signs
5. Heat in 5 Hearts
6. Malar Flushing

PATTERN KEY SIGNS & SYMPTOMS GENERAL S & S CAUSES TONGUE & PULSE

LIVER 1. H.A.: overwhelming, debilitating 1. Red Face and Red Eyes Liver Yin Xu: complication from pulse: wiry & -poss. Fine
YANG one sided H.A.; sensation of heat 2. Loud and Forceful Tinnitus LIV Yin Xu -rapid w/heat
RISING (w/ rushing to the head; like waving 3. Insomnia w/dreams
LV Yin XU) crashing on shore; heavy 4. Palpitations Tongue: Red Body; Sides
headedness 5. Poor Memory Redder;
2. Raging on People; irritability 6. Constipation Diminished Coating
*Patient (Shouting in Anger) 7. low back soreness
suffers! 8. knee weakness & soreness TX: Enrich Liver Yin;
Subdue Liver Yang

LIVER 1. Dizziness: Strong; room sping General Liver Wind Signs: Enduring Liver Yang Pulse: Wiry & fine
YANG 2. Convulsions 1. Tremor Rising Tongue: Normal color: no coat
RISING 3. Sudden unconsciousness 2. Tic
CAUSING 4. Hemiplegia: numbness/ 3. Numbness
WIND lack of sensation 4. Dizziness TX: Nourish LV Yin; Subdue
5. Deviation of mouth & eyes 5. Convulsions or Paralysis Liver Yang;
- one sided paralysis Subdue Wind
6. Aphasia: Difficult Speech

LIVER 1. Dull Pale complexion
BLOOD XU 2. Pale Nails: Withered
& brittle nails.
3. Blurred Vision
4. Floaters in eyes
(stars lights Blood XU) 5. Muscle Weakness: hyper tonicity
5. Night blindness
6. Scanty Menstruation:
*amenorrhea
*late menstruation
1. Dry skin and hair Blood Loss: Tongue: A Pale
2. Pale lips 1. Menstrual Bleeding tongue;
3. Dizziness Disorders 2. paler side
4. Insomnia: Mathidinal (easy awake), Profuse Bleeding -Possibly thin
Vivid Dreams 3. Dysfunctional Bleeding -Poss. Slightly
4. HT SP- KD dry
6. Dull Pain (referred Pain) 5. SP Qi XU (insuff. blood
7. Heart Palpitations prod.) Pulse: Thready/fine,
6. Fear through Kidneys choppy
7. Essence: (blood xu pulse)
- Insufficient natural
endowment - Aging
- Enduring Disease TX: Supplement LV;
- Severe Disease Nourish LV Blood
 LIVER 1. Shaking of Head General Liver Wind Signs: Enduring Liver Blood XU: Tongue: A pale tongue
BLOOD 2. Blurred/Flowery Vision 1. Tremor 1. Hyperactive LV Yang with TWC; Possibly
CAUSING 3. Numb Limbs Tremor 2. Tic 2. Fire deviated
WIND of Limbs 3. Numbness 3. Blood XU Pulse: Fine,
4. Opistothonos 4. Dizziness bowstring/Wiry
5. Convulsions or Paralysis
Blood XU: TX: Tonify LV Blood
1. Dull white Complexion (first);
2. Pale Lips and Nails Dispel Wind
EXTREME 1. High Temperatures General Liver Wind Signs: Invasion of Exterior Wind- Tongue: Deep Red;
HEAT 2. Blue-Green color between eyes 1. Tremor Heat Stiff;
GENERATI (glubella) 2. Tic Ex. meningitis Dry Yellow
NG WIND 2. Rigidity of Neck 3. Numbness Coat
3. Coma (in severe cases) 4. Dizziness
4. Opisthotonos - Tetany 5. Convulsions or paralysis Pulse: Rapid & Wiry

TX: Drain Fire; Subdue

Wind
LIVER (QI) 1. Gets worse with Stress 1. Acid Regurgitation (heat) *Aggravated Emotional Tongue: Normal or
INVADING 2. Belching Turmoil Slightly Red on
STOMACH *Emotional Turmoil 3. Nausea Vomiting *LV Qi Stagnation Sides
4. Distention, Pain & Fullness in -leads to LV Qi Pulse: Wiry L. Guan
*With aggravation of Liver epigastric Reg. Counter-flow Weak R Guan
Wood-Earth + Rib Side Distention and Pain *Diet: Irrecgular Diet Or Wiry L & R
Disharmony -Causes ST Qi to Guan
counter-flow TX: Course Liver; Rectify
Qi;
Harmonize Stomach
LIV DEPRESSION, 1. Loose Stools: damp, looser LV Depression: *When Wood attacks SP, Tongue: A pale,
SP XU 1. Menstrual irregularity SP becomes Weak somewhat
2. Painful Diarrhea 2. Breast distention *LV may loose its orderly Darkish
3. Irritability reaching tongue which
- Due to Stress, anger & Is typically
Wood-Earth Qi XU: frustration swollen w/
Disharmony 3. Abdominal Pain (around umbilicus) -Stagnant qi accumulates Teeth marks
4. Borborygmous -Liver Counter-flows to Pulse: Bowstring; fine
5. Flatulence Spleen
with indulgence of TX: Course the LV;
sweets Resolve
Depression;
LV Qi Stag. SP XU Fortify the SP;
Blood XU Harmonize the
Worsens LV Qi constructive
Stagnation!
LIV/GB 1. Yellow complexion, body and 1. Dizziness 1. Outside invasion by D-H evils Tongue: Thick or Slimy
DAMP Eyes (Damp heat signs): 2. Sticky Fever alternating fever &
 HEAT *If steam collect in flesh between
layer of skin-Yang Jaundice
The color of orange:
Red Fire + Yellow-Dampness
2. No appetite: Inability to digest
3. Aversion to fatty foods
-smelling fatty foods
can trigger nausea
4. Abdominal Distention
5. Bitter Taste: heat.
*Heat steams bile
*Steam Collects in the mouth
*If steam collects in portal of
wood, the sclera turns yellow.
****YIN JAUNDICE****
6. Rib side distention
Hypochondriac
GALL BLADDER 1. Timidity
2. Lack of Initiative or Courage
QI XU
-Indecisiveness
(OR QI TIMIDITY) 3. Insomnia: Waking up with:
a. Heat
b. Fright
c. Panic
4. Easily Startled
HEART FIRE 1. Mouth & Tongue Ulcers
BLAZING 2. Insomnia: cant sleep
3. Palpitations
4. Thirst for cold drinks
5. Bitter Taste
PHLEGM VEILING 1. Larthargic
chills: 2. Internal Engendered: Yellow Coat &
Sweat but fever is not gone; low grade body
a. Greasy, fried, fatty, thick-fl food
fever.
3. Drags Down to the lower part of body: b. Over-consumption - Cold & Raw
a. Abnormal Vaginal Discharge/itch Pulse: Slippery and Rapid
c. Too much alcohol
b. Scrotal sciroccos or pain, redness,
swelling in scrotum
4. Abdominal Distention (subjective or TX: Clear heat;
objective) *Mechanism: Heat in the LV &
5. Thirst without a desire to drink Disinhibit Dampness
Dampness in the SP combine.
1. Dizziness/Vertigo 1. Constitutional Tongue: Pale or
2. Excessive Dreaming Deficiency Normal
3. Poor Memory a. Triggered by upsetting
4. Irritability events Pulse: Weak;
5. Nervousness/anxiety b. GB energetics is about or bowstring; or
6. Blurred Vision movement, Weakness slippery
7. Sighing (Deep breaths once in a while) creates
8. Excess Phlegm: Chest Oppression improper function (lack TX: Tonify and Warm
9. Palpitations of mvt) Gall Bladder; Rectify
10. Nausea & Vomiting c. Fire gets trapped Qi
2. Enduring disease (Formula breaks ups
3. Aging slime and promotes
4. General Qi Xu Causes movement)
GB Qi XU
1. Red Face Heat More Heat Tongue: Raised Red,
2. Feeling of Heat/ Emitting Heat FIRE Redder Tip;
3. Insomnia: 1. Enduring emotional turmoil Red Prickles
a. hard time falling asleep 2. Too much thinking & worrying in HT
b. Waking up at night 3. External Causes: Heat Evils Part if Tongue
c. Feeling warm w/ racing thoughts 4. A. Too much peppery, acrid Pulse: Rapid; poss. Forceful
4. Vexation (Mental Restlessness); feel agitated B. * coffee *thick flavored *fried
5. Manic Behavior C. *smoking *alcohol (damp & ht) (Surging, forceful, large, rapid,
6. Impulsiveness: misspeak & tight tongue D. *Warm herbs *KD Yang suppl excess (L) Cun position
7. Frequent, urgent, dark Urine 4. Anything that leads to ST fire
TX: Drain Fire (or Drain HT
5. LV fire which can into HT fire Fire)
1. Nausea/Vomiting *Enduring Phlegm Veiling Tongue: Thin or Very
(or Misting) Stupor/Mental Confusion the Portals Into Heat thick coat. Sticky or
THE PORTALS LOC a. A. Emotional Turmoil Slippery Coat. Cracks
(or the Mind) Mania/withdrawal B. Spleen XU up to tip of tongue; tip
(alternating) w/ prickles.
b. Mood Swings Pulse: Slippery; Wiry/String
2. Rattling sound in throat; Taught; Bound/Knotted
rails/Post Nasal Drip
TX: Transform Phlegm; Open
3. Speech Problems: Shouting or the Portals
Muttering to oneself, difficulty
articulating, Aphasia
PHLEGM 1. Rash Behavior: 1. Coma 1. PHLEGM MISTING Tongue: Red; Swollen;
FIRE tendency to hit or scold 2. Incoherant Speech PORTALS 2. thick Yellow, sticky
HARRASSI people (aggressive/violent) 3. Shouting Emotional Turmoil Coat
NG THE 2. Mental: Sometimes agitation; 4. Uncontrolled Laughter & Crying 3. Spleen XU Pulse: < than 90 BPM; Full;
HEART sometimes w/drawn 3. 5. Palpitations w/ Chest Oppression 4. Fire Stewing the Juices Slippery or Flooding or
Easily Angered 4. 6. Insomnia w/ dreamed disturbed Sleep Surging; or String Taught
Bitter Taste 7. Easily Startled
TX: Drain Fire; Transform
8. Constipation
Phlegm; Open the Portals

PATTERNS KEY SIGNS & GENERAL SIGNS & SYMPTOMS CAUSES TONGUE & PULSE
SYMPTOMS
INVISIBLE 1. Drooling Spleen Qi Xu Tongue: Red &
PHLEGM 2. Constipation Damp Humidity Fluids Phlegm Swollen w/ thick
(like tapioca) yellow, sticky coat w/
mid-line crack to tip,
*Warmth congeals into phlegm red tip; Greasy Yellow
Coating
TX: Purge (Use Da Huang)
Pulse: Rapid;
Flooding/Surging; forceful;
Rolling
Wiry: indicates lack of free
flow
HEART 1. Poor Memory Too Much Thinking (SP Qi Tongue: A Pale, Fat
SPLEEN 2. Fatigue/Lassitude of Spirit XU + Heart Blood XU) tongue
DUAL 3. Insomnia: -Falls Asleep Easily *Taxes spleen & wears the Blood w/ TWC
VACUITY -Vivid Dreams Pulse: Huan Mai
-Wakes Frequently
Fine, Moderate or fine, weak
-Tired all Day
4. Palpitations TX: Boost Qi; Supplement
5. Possible Night Sweat (HT Blood XU) Blood, Fortify Spleen; Nourish
6. Shen/Ming: Middle Jiao SP/ST Heart Blood
7. Diminished Appetite
 8. Loose Stools/ Bloody Stools (mixed w/turbid) Heart Blood SP Qi XU: Gui Pi
9. Menorrhagia, Metorrhagia, or early period w/ Tang
pale, water, dripping blood, abnormal Vaginal
discharge
10. Lack of Strength in the Limbs
11. Bruises Easily
HEART QI 1. Tiredness 1. Sweating Common Causes for all Xu
XU 2. Heart Palpitations 2. Dizziness (not strong) Patterns: 1. Enduring
3. Pallor (bloodless look in the face) Disease
4. S.O.B: -hasty painting -easily winded 2. Aging
-diminished Zong qi -less wish to talk 3. Insufficient natural Endowment
5. Poor Memory 4. Iatrogenesis: overdose of Sweat
6. Insomnia (anxiety): -Awake Easily effusing medicinals; or purging
medicinal
5. Too Much thinking & worrying
HEART 1. Palpitations 1. Bright Pale Face; bright white (Cold) 1. Enduring Heart Qi XU Tongue: Cyanosis
YANG XU 2. Cold limbs; especially hands 2. Feeling cold (sensitivity to cold) 2. KD Yang XU (Dark Purple tongue)
3. Cold Sweat Common Causes for all Xu
4. Tiredness/ Listlessness Patterns: 1. Enduring
5. SOB Disease
2. Aging
3. Insufficient natural Endowment
HEART 1. Poor Memory 1. Dizziness; empty headedness Qi XU Patterns:
BLOOD XU 2. Palpitations 2. Dull pale complexion 1. Enduring Disease
3. Insomnia: dreamed disturbed 3. Pale lips 2. Aging
sleep 4. Restlessness: Visceral agitation 3. Insufficient natural
(Zang Zou) Endowment
4. Wears the blood-emotional
turmoil
5. Blood Loss from Too much
thinking/worrying
6. Lack of Blood Production
HEART YIN 1. Mental Restlessness 1. Dry mouth & throat w/o desire to Qi XU Patterns:
XU 2. Night Sweats drink 2. Poor memory 1. Enduring Disease
3. Tidal Fever 3. Vivid Dreaming 2. Aging
4. 5 Heart Heat/Vexation 4. Insomnia 3. Insufficient natural
5. Malar Flush (Macocia) 5. Agitation Endowment
6. Palpitations 6. Vexation 4. Enduring Blood XU
5. Emotional Turmoil
6. KD Yin XU
7. Febrile Diseases
HEART 1. Cyanotic Lips 1. Dark Hue 1. Qi Stagnation
BLOOD 2. Pain in the Heart: Stabbing pain 2. Palpitations 2. Qi XU
 STASIS in chest; radiating into the arm & 3. Chest Oppression 3. Emot. Turmoil/turmoil in Qi Ji
shoulder; in women also into back 4. Insomnia; agitation; tension; anger 4. Cold
5. Cold hands
6. Cyanotic Nails
SPLEEN QI 1. Fatigue: Lassitude of 1. Abdominal Distention after eating Qi XU Patterns: Tongue: Tooth
XU Spirit 2. Post 2. Diminished or poor appetite 1. Enduring Disease Marked tongue; Pale
Prandial Somnolence 3. Loose Stools 2. Aging or normal color
3. Weakness of Limbs: 4. Sallow 3. Insufficient natural
lack of strength 5. Faint Voice (Can be LU & SP XU) Endowment
6. Accumulation of Body Fluids 4. Too much thinking & Pulse: could be soggy and
(Puffiness) worrying 5. Too little weak; Forceless
or too much exercise TX: Tonify SP; Supplement SP
6. Over taxation Qi
7. Improper Diet

SPLEEN QI 1. Dizziness upon standing 1. Organ Prolapse (late stage) 1. Enduring SP QI XU

SINKING Continuum 2. Frequent, urgent urination caused by bearing 2. Standing too much and too long
2. Bearing Down Sensation in down sensation 3. Bearing too many children Pulse: Weak
Lower Abdomen (uterine prolapse)
4. Carrying too heavy loads
5. Bowel movement problems
(Rectal prolapse)
SPLEEN NOT 1. Sallow Complexion 1. SOB 1. SP Qi XU Tongue: Pale
CONTAINING 2. Any Bleeding 2. Blood spots under the skin: bruises, Pulse: Fine
(CONTROLLIN 3. Easy Bruising spider veins, varicose veins
G) BLOOD 4. Menstual Bleeding: 3. Blood in Stool & Urine (refer to
Menorrhagia; MD)
Metrorrhagia

DISEASE KEY SIGNS & GENERAL SIGNS & SYMPTOMS CAUSES TONGUE & PULSE/
PATTERN SYMPTOMS TX
SPLEEN 1. Tiredness 1. Bright white complexion (also Qi XU Patterns: Tongue; A swollen,
YANG XU 2. Feeling Cold; Chilliness, Sallow or Pale) 2. Edema between 1. Enduring Disease pale tongue w/ teeth
cold body: objective or flesh & skin (potential signs) 3. 2. Aging prints on its border &
subjective *Cold Nose Abdominal Distention 3. Insufficient natural thin, white, slightly
*Cold hands 4. Post Pranial Somnulence Endowment slimy fur
3. Loose Stools 5. No appetite 4. Enduring SP Qi XU Pulse: A deep & weak, faint,
4. Weakness of limbs/cold 6. Dull Abdominal Pain (empty pain, 5. Over consumption of moderate, or slow pulse
limbs/sensitive to cold better w/pressure) Cold or cooling medicinals
TX: Tonify, warm &
in food
supplement SP Yang (MOXA)
COLD- 1. Feeling of Heaviness in 1. No taste in mouth (dampness or 1. Weather: environment Tongue: Sticky
DAMP the head 2. H.A: like a depression) 2. Internally Engendered White
 INVADING wet towel on the head 3. 2. No thirst 3. Enduring Qi XU
SPLEEN Fatigue; tiredness; 3. Little or No appetite 4. Enduring Yang XU
(SP XU W/ lassitude of spirit 4. Chest & Epigrastric Pressure Pulse: A soggy, fine, bowstring,
DAMP) 4. Heavy; cumbersome 5. Feeling of Cold in Epigastrium or slippery, relaxed pulse
*Mixture of limbs; clumsy 6. White Vaginal Discharge w/ itching
XU & Excess 5. Post Pranial 7. Thin loose stools (nearly diarrhea)
Somnolence w/ a slight fish odor or no odor
6. Abdominal Fullness 8. Sticky stools
(w/pressure) 7. ***Drool
SPLEEN 1. Abdominal Fullness; 1. H.A.: Sensation of heaviness in head 1. Internal dampness + Tongue: Sticky, slimy
DAMP stuffiness of epigastrium 2. Sallow Complexion w/ yellow tint Heat Yellow coat
HEAT 2. Feeling of Heaviness 3. No desire to drink; or drinking in LV Qi Stagnation into Pulse: Slippery & Rapid, May
3. Sticky Fever w/ damp small sips 4. Nausea & vomiting heat be deep (interior)
heat; Low grade or 5. Poor appetite SP QI XU Damp Damp
tidal fever 6. Lack of Strength heat
7. Lassitude of Spirit TX: Clear heat, dry damp
8. Sticky loose stools w/bad strong (Resolve Evil)
smell; possibly w/ burning of anus
9. Scanty, Dark Yellow Urine; poss.
Inhibited

STOMACH 1. Dull Pain in the 1. Dry Heaves/Vomiting; nausea Yin XU: 1. Enduring Tongue: No Coat;
YIN XU Epigastrium; Burning 2. Clamoring Stomach Disease redder center; crack in
sensation 3.Indeterminate Knawing hunger. *Heat mutual consumption the middle
*If hungry eating feels better *Dry Condensed fluids mutual Pulse: Empty, R Guan (middle)
*if not hungry does not help to eat consumption TX: Enrich ST Yin; Possibly
*Strange empty feeling, uncomfortable
2. Belemia (Enduring) Harmonize Stomach
4. Bizarre Appetite. Hunger w/o Eating
5. Difficulty Swallowing: Plum Pit Qi 3. Severe Disease:
6. Fever/heat in the afternoon a. Yang Ming: 4 Bigs
7. Dry Stools b. Qi Level
8. Dry mouth w/no desire 4. Aging: 40 +
5. Insufficient Natural Endowment
STOMACH 1. Clamoring Epigastrium 1. Lack of taste sensation
QI XU 2. Tiredness 2. Poor Appetite
3. Weak limbs (more w/SP QI XU)
4. Loose Stools

DISEASE KEY SIGNS & SYMPTOMS GENERAL SIGNS & SYMPTOMS CAUSES TONGUE & PULSE/ TX
STOMACH 1. Nausea; dry heaves; 1. Hiccups Phlegm, damp, heat, cold, Tongue: No Change or
QI retching/vomiting 2. Difficulty Swallowing LV Qi (wind), Food tender red
COUNTERF 2. Belching 3. Choking sensation in throat. Stagnation, Yin XU (dry) Pulse: Tight pulse R Guan;
LOW *Patterns have disease cause & maybe Fine, rapid, vacuous
Mechanism
 TX: Harmonize ST Qi; Treat
Cause
FOOD 1. Sour or Acid 1. Insomnia 1. Eating too much Tongue: Thick; maybe
STAGNATI Regurgitation 2. Hiccups; belching; vomiting (voracious) slimy coat
ON 2. Epigastric Fullness 3. Difficulty Swallowing 2. Eating too fast Pulse: Slippery
3. Foul Smelling 4. Foul Breath: Fetid Odor (rotting 3. Failing to chew food
Flatulence food) 5. No sufficiently 4. Eating
Appetite food that is difficult to TX: Open & Exit. Disperse
6. Sense of Distention & Bloating digest Food; transform Stagnation
7. Loose Stools or constipation 5. Food can be a Ying (Abduct Food Stagnation)
8. Undigested food in stools Turbid Evil: w/o proper Qi
flow in ST Food
Stagnation
STOMACH 1. Thirst w/ desire for cold 1. Frontal H.A. Yang Ming H.A. 1. Febrile Disease Tongue: Red Tongue
FIRE/ drinks 2. Burning 2. Red Eyes 2. Over Consumption of w/a thick yellow dry
STOMACH sensation and pain in the 3. Easy Anger peppery, hot, acrid, greasy, coat
PHLEGM epigastrium 4. Bad (often sour) Breath: not fried, fatty, thick flavored If Phlegm Fire: Thick yellow
FIRE 3. Clamoring Stomach overwhelming 5. Heart foods. sticky coat
4. Constant Hunger: Rapid Vexation 3. Wood/earth disharmony
Pulse: Full, deep, rapid; maybe
Hungering w/ increased intake 6. Fire: *Swelling & Pain in the gums (LV Qi Stagnation)
surging
5. Constipation: Difficult coming *Bleeding gums *Sores in the Mouth 4. Emotional Turmoil
out *Tooth ache (w/o cavities) transforms into heat and TX: Drain ST Fire or clear ST
7. Nausea; vomiting soon after eating burns body fluids heat
8. Acid Regurgitation
9. Reddish Urine (Dark Urine)
BLOOD 1. Stabbing pain in the 1. Dark Hue 1. Physical: Tongue: Purple
STASIS IN epigastrium ( w/ 2. Dark Blood in Stools a. Physical Trauma b. tongue; or w/ purple
THE pressure); location is pin 3. Pain after Eating bleeding 2. Qi: a. spots or purple center
STOMACH point accurate 4. Masses (hard and fixed) Qi Stagnation b. Qi XU Pulse: Wiry/string taught;
2. Vomiting Dark Blood 3. Temperature: a. Blood hesitant; could be knotted or
Heat even Dai Mai
b. Blood Cold TX: Invigorate Blood;
Transform Stasis; Stop Pain
COLD 1. Vomiting clear fluids 1. Preference for warm liquids. 1. Cold food and Drinks Tongue: Thick white tongue
INVADING 2. Feels worse after 2. Extremely Cold weather coating (excess evil)
THE swallowing clear cold Pulse: Deep (interior),
STOMACH fluids; clear cold fluids tight, slow pulse
vomitted still feels cold
coming up
TX: Warm & Scatter Cold.
3. Feeling cold; preference for
Moxa Ren 12 (Mu point of
warmth.
stomach) & ST 36
4. Sudden, sharp pain in the
Warm fluids: Ginger Tea
epigastrium (No free flow)
INVASION OF 1. NO sweat
LUNG BY WIND- 2. HA; occipital (& nape);
COLD Taiyang HA
(COLD-DAMAGE)
3. cough; w/thin, watery or frothy
(bubbles wind) white sputum
4. sneezing; runny or blocked nose
w/clear. watery discharge
INVASION OF 1. Sore, red, swollen throat
LUNG BY WIND- 2. fever w/ sweat
HEAT 3. Slight sensitivity to cold;
aversion to cold
(WIND-HEAT
EXTERIOR
INVASION)
LUNG QI XU 1. Soft, weak voice
w/ reluctance to speak
2. SOB: Shao Qi/ less Qi;
*worse w/ exertion
3. Shao Qi
(Zong Qi ancesterol Qi)
Speech, strength in voice
4. Enduring Cough
5. Occasional Chest Oppression:
Relieved by inhaling
LUNG YIN XU 1. Dry Cough
2. Dry, weak-hoarse voice or
no voice at all ( in afternoon)
3. Severe, dry, hacking cough
*No sputum expectorated or
*Small amount of thick
difficult to expectorate phlegm
or * Blood tinged sputum
1. itch or tickling in throat External cold Pulse: Floating Pulse; tight
and tense in HT & LU
2. sensitive to cold; aversion to cold position
3. fa Re/ heat emission/ low grade fever.
4. General Body aches
5. Cough; hasty panting / xiao chuan TX: a. release Exterior; scatter
or wheezing (phlegm sounds) & panting cold & diffuse Lungs (Resolve
Exterior Cold)
1. Runny or blocked nose w/thick, External wind-heat evil Pulse: Floating-Rapid pulse
yellow discharge In the Lung position
2. Thick yellow discharge from nose
3. Cough w/thick, sticky, yellow sputum Tongue: Red tip; red body;
yellow coat
4. Thirst for cold drinks
5. HA: Taiyang or generalized HA TX: Resolve external heat
5. Cough; wheezing (a Phlegm sign); (Resolve exterior heat; release
hasty panting (dyspnea) w/flared nostrils the surface w/ acrid cool
6. Occasionally: chest oppression medicinals)
1. Pale complexion / face 1. enduring disease Tongue: Pale w/TWC
2. Dizziness 2. decline due to aging
3. Low Voice 3. insufficient natural Pulse: Empty
4. Soft, weak cough w/clear, thin sputum endowment
5. Possibly cough a-c: common cause for ALL Xu
6. Occasionally night cough patterns
7. Tendency to contract external evils easily
4. sadness/unrelenting grief TX: supplement Lung Qi: Stop
1. Qi vacuity signs: 5. Enduring cough coughing (if cough present)
- lassitude of spirit 6. Talking too much
- mental exhaustion 7. Spleen Qi Xu Formula: Bu Fei Tang
- taxation fatigue
- lack of strength Secures Ext.:Yu Ping Feng Pian
Spontaneous Sweat: w/ exertion
1. Night Sweats 1. Enduring disease Tongue: Dry, scanty coat;
3. Tidal Fever; low grade fever 2. Decline due to aging (Red Body; crack in the front
3. Mallar Flushing (in the afternoon) 3. Insufficient natural endowment 3rd , ; possibly thin body)
4. Vexing heat of the 5 hearts a-c: common cause for ALL Xu
5. Dry mouth & throat (w/o thirst) patterns Pulse: Fine/Thready, rapid
6. Emaciation if severe Yin Xu 4. Sadness / unrelenting grief TX: Enrich Lung Yin;
5. Enduring cough Stop coughing; if cough present
6. Talking too much
7. Spleen Qi Xu Herbal: Mi Men Dang;
8. Fever Sha Shen
LUNG DRYNESS 1. Chills and Fever
(External) 2. Acute Onset
LUNG DRYNESS 1. Dry nose; dry nasal passages;
(Both internal & Epistaxis
External) 2. Thirst & dry throat, mouth, lips
-w/hoarse voice
3. Dry cough w/ thick, difficult to
expectorate, scanty phlegm
4. Dry cough with no phlegm
DAMP-PHLEGM 1. cough: copious, dilute, white,
IN THE LUNGS frothy sputum
- easy to expectorate
- chronic cough w/profuse
white sputum
- stops on expectoration
2. Hasty panting/ dyspnea
- worse when lying down
3. Xiao chuan/wheezing & panting
PHLEGM-HEAT 1. Cough w/ often copious yellow
IN THE LUNGS phlegm could be purulent
Foul Smelling
Containing blood (if severe)
(interior)
*Hot phlegm in lungs can burn
flesh and lead to LU abscess
-Refer to MD
1. Blood speckled, foul smelling
pus green color
LU HEAT 1. Fa Re: emit heat
2. If severe: Nostrils flare
3. Hacking of yellow phlegm or
blood streaked phlegm
+ LU ABSCESS 1. Cough with feted or fishy
smelling pus
1. Aversion to cold, effusion of heat
1. H.A.
2. Dry hair & skin
3. No Sweating
4. Possible itchy, sore throat
5. Chest pain when coughing is severe.
1. Facial Edema (LU upper source of water)
2. Chest congestion & chest oppression
3. Chest & stomach glomus (focal distention)
& distention
5. Diaphragm Oppression
5. Possibly feeling of heaviness
6. Fatigue; cumbersome limbs (heavy)
7. Reduced Food Intake
8. Nausea; possibly vomiting
1. occasionally: fever & chills / fever
& aversion to cold
2. xiao chuan/wheezing & panting
3. occasionally: pain in ribs
4. Dyspnea
5. Hot air from the mouth & nose
6. Dry or sore throat
7. Bitter taste in the mouth
8. Pain & oppression in the chest.
9. Dark colored urine.
1. Thirst
2. Chest Pain: worse with cough
3. Panting
4. Constipation
1. Outside Evil
2. External Invasion
3. Dry Evil
1. Dry Environment
- external invasion of dry evil
2. Long standing Lung Yin XU
1. Qi vacuity
- enduring Lung &/or Spleen
vacuity
- often the cause; because it
prevents transformation of
fluids by Spleen the root
of Phlegm engenderment; the
Lungs are the receptacle &
store Phlegm
- Spleen Qi upbears the clear
& Phlegm goes up to lung
w/clear
2. Enduring cough
- coughing drains Qi & can
lead to Lung Qi vacuity
3. Living in a damp environment
4. Damp Environment
5. Damp-Heat Envasion
6. Yin Evil Obstructing Qi Dynamic
1. Progression from wind-heat
-often chronic
2. Relatively High Humidity
TX: Resolve Toxicity;
Pulse: Floating (and rapid)
TX: Exterior Releasing Herbs
(Temp. based on presentation)
Tongue: Thin Dry Coat
( Red tip w/ yellow coat)
Pulse: Fine & Rapid
TX: Moisten Lungs
(expectorate);
Nourish Fluids
Tongue: thick, sticky, white
tongue coating; greasy
Pulse: Soggy; slippery
TX: (aromatically) transform
damp-phlegm; Rectify Qi
Herbal: Zhe Ke, Chen Pi
Tongue: Red body with
Sticky yellow Coat
Pulse: Rapid-Slippery
TX: Clear Heat; Transform
Phlegm; Stop Cough (if
There is one)
Tongue: Red w/ yellow coat
Pulse: Rapid or slippery, rapid
Clear heat; drain fire;
Stop cough, if necessary
DAMP HEAT IN LI 1. Thin, watery stools w/ foul smell:
-Diarrhea w/ mucus & Blood
-could be acrid smell
-w/ burning heat in anus
LI DRY 1. Dry stools that are hard to
(Deficiency of Fluid discharge (dry & bound)
in Colon) 2. Knotted Constipation
HEAT IN LI 1. Constipation: Knotted,
dry stools
2. Sensation of boring heat
(heat when exiting)
-in anus; anal fissures
-burning sensation in anus
HEAT BINDING 1. 4 Bigs:
THE INTESTINES *Sweat, *Thirst, *Pulse,
*Fever (Delirium; tidal
BOWEL REPLETION fever)
2. Hands & feet dripping
LI SHI/HEAT perspiration
Obstructing the LI 3. Knotted Constipation
(dry constipation)
or watery, thin diarrhea
1. No Appetite; anorexia
2. Vomiting
3. Dry mouth w/ no desire to drink
4. Fullness in chest
-Feeling of lump in epigastrium
-Abdominal Pain
5. Short/scanty, dark urine
6. Heavy body feeling
7. Sticky fever different styles of fever;
Raging, low, afternoon fever
8. Frequent stools in small quantityyellow/brn
9. Tenesmus
1. Dry mouth & throat
1. Short/ scanty urine, dark urine
2. Mouth parched; JinYe
-Desperate to drink
3. Swelling & pain of anus fissures
(fissures can be caused by pushing)
1. Abdominal Distention & Pain
2. Dislikes Pressure
3. Burning, hot sensation in anus.
1. Over-consumption of greasy,
fried thick flavored foods.
*Alcohol
* Unclean foods (food poisoning)
2. Dampness peculating down to
lower part of the body.
3. LV attacking SP
4. External invasion of damp heat.
5. Summerheat
1. Depleted body fluids/ especially Tongue: Thin Body; Dirty
in older people. looking, old looking Coat
2. Enduring Disease *Thick, greasy, yellow to
3. Febrile disease; after high fever brown or grey & dry, thick
consumes fluids
3. Dry Stomach conditions LI Pulse: Wiry image in KD
dryness Position
4. Over consumption of dry /drying
5. Postpartum constipation TX: Soften the stools-eat seeds
Blood xu (Moisten the intestines);
6. Global Problem Nourish the blood.
Yin Xu Blood Xu
1. Febrile Disease: Yangming level Tongue: Thick, yellow tongue
(4 Bigs goes to Fu) Coating
2. OC of spicy foods, greasy, fried,
fatty, thick flavored foods.
3. OC of baked goods or grilled
(fire black scorched) foods
4. Depressive heat from 6
depressions. TX: Clear out causal heat;
5. OC of alcohol Moisten intestines; clear heat
1. LI Excess heat: Bowel Shi TX: Clear Heat in Stomach
2. The Qi of Yang Ming is Dryness And LI; Promote bowel
3. From Shan Han/wind cold (exter) Movement
(or Move Qi, Purge Heat,
Moisten Intestines)
TX: Purge Dryness & Heat
if not treated, may result in
a lack of bowel sounds
Initially treat mildly until
flatulence comes them purge
DIARRHEA WITH
CIRCUMFLUENCE Constipation with sudden diarrhea
(Green slimmy bad (Liquid feces flows around hard
smelling diarrhea) bound stool in intestines.)
LI ABSCESS 1. Intense Stabbing pain in RLQ:
Guarding and rebound pain
migrates from navel to RLQ
Lifts Right Leg
McBurney Point pain tends to
settle in the LR abdomen near
the appendix. Point is about 1/2
way between the navel and the
top of the right pelvic bone.
2. Rupture possible w/abscess
3. Stools w/ pus; smelly;
Occasionally bloody
COLD (invading) LI 1. Abdominal Pain:
-Sudden pain
(sign for invasion of cold)
2. Cold sensation in abdomen
3. Feeling of cold/ repletion
LI 1. Cold Limbs (sign of vacuity)
(Deficient) COLD 2. Dull Abdominal Pain
(Sign of Xu)
likes pressure
likes warmth; fears cold
3. Distention; bloating & sagging
of rectum (tenesmus)
DAMP HEAT 1. Sliminess of the mouth;
Possibly foul odor
2. Heavy; cumbersome limbs
TAN YIN 1. Possibly Puffy swelling of face &
=PHLEGM RHEUM Limbs
WIND COLD External Invasion:
EXTERIOR 1. Acute Onset
INVASION 2, Aversion to cold or wind.
completely. (Caution: Due to
possible intestinal torsion)
1. Fever and chills (Drive patient to hospital) 1. Bad dietary habits;
2. Nausea; vomiting w/ no desire to eat Sweet; spicy; fatty; greasy; fried;
3. Constipation with mild diarrhea Thick flavored; cold; raw foods.
2. Eating at irregular times
3. Eating during stress
4. Eating irregular amounts
5. Imbalance hot/cold
6. Strenuous physical Activity
7. Transformation of one of the TX: Clear heat;
6 evils theoretically Relieve Toxicity
8. Injury to abdomen
9. Damp & Heat in LI
1. Aversion to cold: Palliative-better w/ warmth * 2 Patterns: direct strike by cold;
Provocative-worse w/ cold cold damp in LI (same as cold
2. Constipation or diarrhea/ repletion encumbering Spleen); Macocia: LI
cold Xu; cold invading LI Shi. TX: Warm & free flow of
intestines; warm & invigorate
* Direct Strike by cold Yang
external cold
1. Lassitude of Spirit 1. Aging
2. Aversion to cold/palliative & Provocative 2. Insufficient Natural Endowment
-Palpably cold *cold TX: Warm & Supplement SP;
3. Poor appetite 3. Spleen &/ or KD Yang XU KD and LI
4. Chronic Dysentery 4. Vacuity cold in lower Jiao *Moxa
-stools w/ pus & blood KD Yang XU root of true fire/
- chronic diarrhea Lower part of body.
-Rectal prolapse
- Loose stools
5. Borborygmus (sign of cold)
1. Possibly Fever Tongue: Thin; greasy, yellow
2. No thought of food or drink Coat
3. Occasional Nausea
4. Chest Oppression Pulse: Soggy; rapid
5. Aching Limbs TX: Clear heat; dry damp
1. Aversion to cold > Emit Heat Tan Yin: Pathological accumulation Tongue: White, glossy coat
2. Cough & Panting: Profuse thin white phlegm Of normal fluids Pulse: Tight
3. Chest Oppression TX: Resolve Exterior Cold:
Transform Tan Yin
1. Itchy (wind) Throat Tongue: TWC
2. Heavy Voice Pulse: Floating; tight
3. Cough with low sound (Superficial; tense)
 3. Effusion of Heat
Cold:
4. H.A. (occipital)
5. Runny nose (earlier)
w/ clear discharge.
6. Nasal Congestion
(becomes obstructed)
7. Thin, white phlegm
SUMMER HEAT 1. Effusion of Heat which is not
(Exterior Invasion of abaded by profuse sweating
Damp Heat) Damp Heat:
1. Thirst w/o large fluid intake
2. Coughing w/ profuse,
thick phlegm; chest oppression
KIDNEY YIN XU 1. Sore or weak low back & knees
*backache
2. Tinnitus/deafness
3. Seminal Emissions (spermatoria)
4. Empty heat causes menses to
flow ahead of schedule:
*Early Periods
*Amenorrhea
*Metorrhagia
*Flooding & leaking
5. Hair Loss
6. Loose Teeth
KIDNEY YIN XU & 1. Night sweats intense, wet
EMPTY FIRE (Thief deep inside)
BLAZING 2. Mental Restlessness/Vexation/
Agitation
*Heat vs. Fire 3. Excessive Sexual Desire:
Determined by degree Artificial Drive (ming men fire)
of intensity 4. Sore Low Back
KIDNEY YANG XU 1. Sore low back: (deep pain)
*Cold feeling in back (palpably)
* when tired
2. Weak, sore & cold knees
3. *Abundant Clear Urine
4. Aching joints
TX: Warm Acrid Exterior
Releasing Herbs
1. Slight Aversion to Cold Tongue: Red body w/ thin,
2. Head Distention Yellow coat (yellow-moving to
3. H.A. Interior)
4. Red Facial Complexion Pulse: Soggy, rapid
5. Vexation
6. Short Voidings of Dark Urine. TX:
1. Poor Memory 1. Insufficient Natural Endowment
2. Insomnia: Wakes easily; hard to stay asleep 2. Aging
3. Malar flushing (possibly in evening) 3. Enduring Disease
4. Dry mouth &/or throat w/ no desire to drink 4. General Xu causes
5. Tidal fever (low grade fever) TX: Enrich Kidney Yin
6. Night Sweats
7. 5 heart heat/vexation
8. Aching bones (Steaming Bones)
9. Dark scanty urine; frequent urine
(empty heat steaming)
10. Constipation
1. Insomnia 1. Insufficient Natural Endowment Tongue: Red-Peeled (no coat
2. Dizziness 2. Aging or Mirror like);
3. Tinnitus 3. Enduring Disease cracks, red tip
4. Malar Flushing 4. General Xu causes (Possibly scanty yellow)
5. Steaming Bones Syndrome + Fire
6. Tidal Fever: feeling of heat in the afternoon Pulse: Floating; empty, rapid or
7. Feeling of heat: heat flashes *Often triggered by a big event after slippery, fine pulse.
8. Heat in the 5 hearts/5 vexation heat years of vacuity heat.
9. Heart Palpitations Note: condition aggravated by
10. Dry mouth & tongue (Dry & Red) bedroom taxation. TX: Enrich Yin; Clear heat/
11. Seminal emissions Drain Fire; Stop night sweats-
-pre-mature ejaculation add herbs to stop sweating:
-could be with dreams (clear empty heat/fire)
12. Scanty, dark urine
13. Dry stools
1. Fearing/ hates cold Tongue: Pale, swollen, wet
2. Cold in the lower half Pulse: Deep, weak, fine
3. Extremely Bright White complexion
4. Lassitude of spirit (lack of qi) TX: Warm & Supplement KD
5. Poor appetite, abdominal distention Yang
 * Nocturia 6. Loose stools; cock crow diarrhea (turn up flame: make sure there
*Scanty urine 7. Undigested Food in stools is enough yin to secure yang)
4. Cold feet 8. Weak Legs
5. Undigested food in stools
6. Diminished Libido
7. Premature ejaculation;
Impotence
7. Infertility
KIDNEY QI XU 1. Nocturia 1. Hair loss 1. Insufficient natural endowment Tongue: Pale r red Tongue
2. Backaches (tendency to get) 2. Tinnitus; diminished auditory acuity 2. Decline due to aging
3. Possibly loose teeth 3. Enduring disease Pulse: Deep, weak, esp. in
4. Soreness & weakness in low back & knees Chi position
5. Urinary dribbling / incontinence / a-c: general Xu causes
Dribbling after urination 4. Taxation fatigue TX: constrain, restrain, secure,
6. Clear & frequent urination 5. Enduring fear & astringe
7. Weak stream urination (supplement Kidney Qi)
8. Copious/abundant urine
9. Enuresis
10. Dizziness
11. Chronic vaginal discharge)
12. Prolapsed uterus (unlikely)
KINDEY NOT 1. Loose stools: (SP KD Yang XU) 1. Sore Low back Kidney Qi XU: Tongue: Pale
ATRINGING THE *3-4-5 bowel movements 2. Intolerant to cold 1. Insufficient natural endowment Pulse: Deep, slow, forceless
INTESTINGES *Possibly cock crow diarrhea 3. Possibly cold limbs 2. Decline due to aging
*Possibly enduring diarrhea 4. Fatigue; lassitude of spirit 3. Enduring disease TX: Warm & supplement KD;
that wont heal 5. Poor appetite Astringe intestines (sour)
6. Dull abdominal pain: a-c: general Xu causes
*Likes warmth, dislikes cold 4. Taxation fatigue
*Likes massage, pressure 5. Enduring fear
*better with rest; worse with activity
6. KD Qi XU Signs
KIDNEY NOT 1. Soreness & weakness in low 1. Soreness & weakness of knees Kidney Qi XU Tongue: Pale
SECURING back 2. Clear, long voiding: (from KD not absorbing Qi): Pulse: Deep, fine
ESSENCE 2. Flooding & leaking (menstrual) frequent clear urination 1. Insufficient natural endowment
3. Seminal Emission; Enuresis 2. Decline due to aging TX: Warm KD &
Premature ejaculation Nocturia 3. Enduring disease secure (astringe) Qi
Inappropriate loss of
Reproductive essence a-c: general Xu causes
4. Taxation fatigue
5. Enduring fear

KIDNEY NOT 1. SOB: on exertion
ABSORBING QI 2. Panting
3. Rapid, Weak, Breathing
4. Difficulty inhaling (not exhaling)
KD govern inhalation-grasping Qi
1. Sweating, thin body
2. Mental Restlessness
3. Swelling of face (LU)
4. Sore back
5. Clear Urination
Kidney Qi XU:
1. Insufficient natural endowment
2. Decline due to aging
3. Enduring disease
a-c: general Xu causes
Tongue: Pale
Pulse: Deep, weak, fine, tight
TX: Tonify & Warm KD
(Sour flavor; astringent)
 5. Enduring Weak Cough: tired 6. Cold limbs 4. Taxation fatigue Herbal: Wu Wei Zi
6. Cant breath when lying down 5. Enduring fear
*KD relationship with Lungs
INSUFFICIENCY Small Children Small Children: 1. Insufficient Natural Endowment
OF ESSENCE 2. Poor Bone Development 1. physical &/ 2. Aging
or mental developmental delay 3. Enduring Disease
Aging: 4. General Xu causes
3. Diminished libido; weak sexual Aging TX: Supplement Kidney;
activity 1. infertility Nourish Essence
2. premature aging
3. excessive graying or hair loss
4. decline of mental faculties; memory
- mental dullness
5. sore, weak low back
6. blocked menstruation / amenorrhea
7. softening & weakening of bones
- weak knees
DAMP-HEAT 1. Urination: 1. fever: sticky fever; low grade fever; 1. Damp & heat combined: obstruct Tongue: Greasy yellow Coat
IN UB Frequent hidden fever function of UB Pulse: Slippery; rapid
Urgent better when sweating; worse w/o sweating 2. Poor hygiene
Painful Urination: 3. External invasion of TX: Clear heat evil out;
Burning 2. dribbling & dripping dampness-heat Disinhibit damp (Promote
2. Dark Urine: heat 3. Hot or bloody strangury urination)
3. Difficult urination 4. Hematuria
/inhibited urination 5. Bubbly urine / turbid Lin
*Cloudy (rice water) indicates turbidity
*How long foam stays indicates amount of
turbidity. -Continuum
6. Thirst & dry mouth w/no desire to drink
7. Abdominal distention & fullness
(below navel)