Descend to kidney and disperse to skin/poresExc Opens

into nose

LUNG Wind Cold Wind Heat Wind Water

▪ Aversion to cold and/or wind ▪ Aversion to cold ▪ Aversion to wind
S/Sx

▪ Sneezing ▪ Sneezing ▪ Sudden swelling of the eyes and face

– spreads to the rest of the body
▪ Cough ▪ Coughing
▪ Bright shiny complexion
▪ Runny nose with white d/c ▪ Runny nose with slight yellow mucus ▪ Scanty and clear urination
▪ Slight or no fever ▪ Slight sweating ▪ Fever
▪ Occipital stiffness and aches ▪ Itchy and sore throat swollen tonsils
▪ Cough
▪ No sweating or thirst ▪ Thirst
▪ Mild SOB
▪ Floating, tight ▪ Floating and slippery
Pulses Floating and rapid

▪ Thin white coat ▪ Red on tip or sides

Tongue Sticky white coating

▪ Thin white coat

EXCESS
LUNG Qi Def Yin Def Dryness Lung Heat Damp-Phlegm Phle Phlegm- Cold Phlegm-Dry Phlegm-Fluids
gm- Obstructing
Heat
CAUSES
▪ Chronic ▪ Prolon ▪ Pathog ▪ Pathog ▪ Sp Qi or ▪ Wind ▪ Wind cold ▪ Yin defC
Excessive
physical activity
cough or ged enic enic Yang heat invasion – leading to causing SP/KD
Asthma cough dryness Heat Deficiency invasi yang loss of fluid yang deficiency
▪ Insufficiency ▪ Heat ▪ Stomach ▪ Pathoge ▪ Recurrent EPIs on deficiency
▪ Excess Excessive
of Qi
disorder
Yin DefC nic ▪ Excess eating ▪ Smok ▪ Excess eating of
eating of dairy or
s which greasy foods
production
invades ▪ Wind heat Cold🡪H or raw, cold, ing eating of dairy or
exces dairy, greasy foods
LU ▪ Wind eat (in greasy foods
s cold/raw
▪ Prolon dryness Lu) eatin foods
ged
drynes ▪ Wind heat g of
s hot
and
gre
asy
foo
ds
 Feeble ▪ Dry ▪ Dry  Cou ▪ Chronic  Bark ▪ Cough ▪ Dry cough –
SYMPTOMS Cough with
production of
cough or cough cough gh, cough in ing with difficult to white watery
Asthma (with with Ast bouts coug productio expectorate sputum
 SOB, < exertion small little hma
▪ Profuse
h n of small amounts SOB
Gurling in chest
 Yellow  Profuse
amounts sputum white- of sputum
 Low/hoarse voice Chest
▪ SOB
white
▪ Sputum
of sticky watery
 Fatigue sputum, sticky sputum yellow sputum oppression
▪ Chest feeling
▪ Phlegm in
blood too sputum/ that is or green
 Spontane sticky purulent w easy to sputum Heaviness of
tinged) throat oppression
ous to blood expectorat that is the head
▪ Dry feeling
sweating cough  Thirst e (chronic foul Fogginess of
▪ Small
 Dizziness mouth up
 Sore throat
bronchitis smellin thought Dizziness
Cold feeling
▪ Dry nose
and ) g amounts of
 Aversion to cold Cough due to a
throat  Aversio ▪ White-  Asthma phlegm in scare
 Pale face and throat
▪ Aftern
throat dry
▪ Chest pain
n to pasty  Heav
 Watery or heat throat
oon complex
fever ▪ Dry skin (int) ion
y ▪ Heavy head
thin/clear feelin
▪ Malar flush ▪ Thirst  Chest pain ▪ Foggines
sputum ▪ Heavy g in
  Catches cold easily ▪ Night ▪ Hoarse voice  Constipation feeling in the the s of
sweats chest chest thought
▪ No heat  Scanty
▪ Heat ▪ Clogge  SOB ▪ Wheezing
sensation concentr
ated d up ▪ Pale-dry
in 5 feeling
Centres urine complex
▪ SOB ion
▪ Dislikes
lying
down
TONGUE ▪ Pale ▪ Red body Pale with a
▪ Red body ▪ Red ▪ Thick ▪ Red ▪ Swollen, ▪ Swollen,
thick sticky
▪ Thin, white coating w dry ▪ Thin coat body, sticky body sticky, white dry, sticky white coating
coat or thin white with a coat coating Thin and
little ▪ Yellow coat coating thick, slippery or soggy
coasting sticky or wiry
and yellow
maybe coating
crack or
peeling
PULSES
▪ Weak or empty ▪ Rapid ▪ rapid ▪ rapid ▪ slippery or ▪ rapid ▪ slow ▪ thin slippery
(esp. in rt cun and and weak and and and
position) thread threa floating slippe slipp
y dy ry ery
Receives food and drink from the small intestine and extracts fluids from it

Excretes the stools

LARGE LI Damp heat LI Heat LI Heat LI Qi Cold invading LI LI Cold LI dryness LI Collapse
INTESTI Obstructi Stagnation
NE ng
▪ Excessive ▪ Excessive ▪ Wind ▪ Emotio ▪ Chronic exposure ▪ Chronic exposure ▪ Dry and ▪ Excessive
consumption consumpt cold or nal to cold weather to cold weather warm physical
of hot and io n of hot wind heat strain – with abdomen with abdomen climates work
▪ Irregular diet ▪ SP and ST
greasy goods foods anger, exposed exposed
▪ Pathogenic
(lamb, frustrati
▪ Sitting on ▪ Excessive habits
defC
beef, on
summer alcohol) cold, wet consumption of – late at night,
raw and cold in a hurry Ddx: Sp Qi
heat, damp Ddx Lv/ St/ surfaces for
sinking
▪ Dryness of ST
and heat long periods foods
LI Qi (prolapse)
stagnation ▪ Usually from SP
yang Def
SYMPTOMS
 Abdominal pain  Constipati  FEVER –  Abdomi  Sudden  Loose stools – ▪ Dry stools –  Chronic
diarrhea
duck droppings difficult to
 Tenesmus
on with high or nal abdominal pain
 Prolapse of
 Dull
expel
 Diarrhea with pain
dry stools tidal distensio
 Blood and  Burning
(afternoo n with ▪ Constipation anus
abdominal
n) pain  Feeling of cold  Hemorrhoids
mucous in sensation pain ▪ Dry mouth
 Constipatio (<press)
 Cold sensation  Borborygmi
the stools in the
n  Constipatio ad throat  Fatigue
 Burning mouth
 Burning n in the  Pale urine ▪ Dizziness post
sensation in  Burning abdomen
 Irritability
defecatio
the anus and
sensation  cold limbs ▪ Yellow, scanty n
in the
 Diarrhea swelling
anus  Sx urine  Cold limbs
in the
with yellow
anus  Sweating aggravat  No appetite
watery ed by
stools  Dark on the
mood  Desire of
limbs
 Offensive scanty
urine  Vomiting warm drinks
stool odor  Desire
-no sweating  Thirst
 Thirst with for
no desire to  Delirium abdomi
drink nal
massag
 Scanty e
deep  Mental fatigue
yellow
urine
 Fever sweating
TONGUE
▪ Red body ▪ Red body ▪ Red ▪ Either ▪ Thick white ▪ Pale ▪ Dry, red or ▪ Pale
coating pale body
▪ Yellow ▪ Thick
body normal
with or without
sticky coat yellow thick slightly coating
or dry red on
brown, yellow sides
 dry coat or
brown
coat
PULSES ▪ Deep and weak ▪ Thin ▪ Deep thin
▪ Rapid ▪ Full ▪ Deep ▪ Wiry in ▪ Deep and wiry
and and and rear and weak
slipper rapid full position
y and
rapid
 STOMACH Yin Def Qi Def Fire Qi Qi Cold Damp Heat Food Blood Stasis
Stagnation Rebelling Retention

CAUSES
▪ irreg diet ▪ irregular ▪ excessive ▪ irreg ▪ emotion ▪ exterior ▪ excess ▪ irregular ▪ other
and eating diet and consumpti diet : cold diary food organ
habits eating on of hot and anxiety invasion and fried intake patholog
habits and eating and foods ies
▪ esp eating ▪ excess ▪ voraci
greasy habits worry
late at night ▪ under ive ▪ emotional ous
food
eating ▪ emotio intake strain – eating
(diet) ▪ emotio nal of raw anger,
frustration ▪ eating
nal strain and
▪ chro food
depress cold
nic ion food that is
dise hard to
ase digest
S/Sx
▪ Hunger ▪ Discomf ▪ Burning ▪ Epigas ▪ Nausea ▪ Sudden ▪ Epigastric ▪ Fullness ▪ Severe
with desire ort in sensation in tric ▪ Vomiting pain in pain and and pain stabbing
to eat the the pain the fullness in epigastric
constantly epigastri epigastrium with ▪ Belching epigastri epigastri pain (<
▪ Heavin
(not um distent um um night, <
▪ Sour ▪ Hiccups ess
voracious) ion feeling pressure)
▪ Lack regurgitation feeling ▪ Sour
cold
▪ Fever or of ▪ Belching regurgitati ▪ Nausea
▪ Empty and *usually ▪ Dislikes ▪ Facial pain
afternoon appe seen with on
uncomforta ▪ N+v ▪ Vomiting
fever tite other pressure ▪ Nasal
ble feeling ▪ Anorexia – blood,
▪ Hiccups pathologie on
▪ Constipation ▪ Absent in the ST congestion similar to
s present abdome ▪ Vomiti
(dry stool) taste n or thick coffee
▪ Thirst with ▪ Irritability e.g. LV Qi
sensation discharge ng ground
▪ Dry mouth a stagnati ▪ Like undiges
▪ Fatigue in No poo sx on with ▪ Thirst w/o
and throat preference s ted
the for cold ST Qi desire to food
▪ Dry vomiting war
morning drinks rebellin drink
mth ▪ Hesitan
and hiccups g
▪ Weaknes ▪ Foul breath ▪ Nausea
▪ Vomiting t bowel
▪ Uncomforta
▪ Voracious
s of the or clear ▪ Feeling of movem
ble sensation limbs ent
fluid heat
in the appetite and
stomach ▪ Loose stools
easily ▪ < after ▪ Dull- ▪ Foul breath
hungry ingestin yellow
▪ Scanty urine ▪ Belching
▪ Swelling g cold complex
▪ Thirst with foods ion ▪ Insomnia
and pain
drinking in and
or ▪ Sticky
small sips vomiting
ulceration taste in
them
▪ Feeling of of the mouth
right
gums
fullness after away
eating ▪ Constipation
▪ Prefere
▪ Scanty nce for
yellow warm
liquids
 urine
TONGUE
▪ Dry red ▪ Pale ▪ Red ▪ No ▪ No ▪ Thick ▪ Red with ▪ Thick coat ▪ Purple
changes
▪ Without coating ▪ Thick changes with sticky
or red coat yellow
dry
yellow sides in coat
coat central
section
PULSES
▪ rapid and ▪ empty ▪ weak and ▪ wiry ▪ tight on ▪ deep, ▪ slippery ▪ Full ▪ Wiry
thready maybe (esp in deep, often in R RT slow, and and
floating right slow guan middle and rapid slipp
guan) positi position tight ery
on (guan)
SPLEEN Qi Def Yang Def Qi sinking Failing to Cold Damp heat invading Blood Def
control Blood damp
invading
CAUSES
▪ poor ▪ same as for ▪ Same as SP Qi DefC ▪ Same as SP ▪ Excessive ▪ Excessive ▪ Poor nutrition
nutrition Qi DefC Qi DefC consumption of consumption of (irregular habits,
▪ Standing for
(irreg raw and cold greasy and sweet low protein, low
▪ excessive prolonged
habits, raw good food meat and grain
cold foods) consumpti periods intake)
▪ Wading in water ▪ Alcoholic drinking
on of cold
▪ over thinking ▪ Over thinking
herbs or being caught
▪ prolonge in the rain ▪ Prolonged exposure
d ▪ Residing in a to dampness
exposure damp enviro ▪ Chronic disease
to
dampnes
s
▪ chronic
disease
SYMPTOMS
▪ Poor appetite ▪ SP Qi ▪ SP Qi DefC plus ▪ Purpura ▪ Lack of appetite ▪ Fullness and ▪ Poor appetitie
DefC distention in the
▪ Abdomin ▪ Bearing down ▪ Bloody stool ▪ Fullness and ▪ Mild abdominal
plus epigastrium and
al sensation in the distention in the abdomen distention - <
▪ Sallow or ▪ Hematuria
distention ab region epigastrium and after eating
(< after bright- ab ▪ Hunger with no
▪ Prolonged diarrhea ▪ Menorrhagia ▪ Loose stools
eating) white desire to eat
or ▪ Heaviness of
▪ Loose stools complexi ▪ Prolapse of any ▪ Fatigue
metrorrhagia the head and ▪ Bitter taste in
on organ (mainly
▪ Fatigue ▪ Blood spots body the mouth ▪ Lassitude
▪ Cold limbs ST, uterus,
anus, and under the ▪ Stickiness of ▪ Nausea and vomiting ▪ Depression
▪ Spontane
▪ Chilliness vagina) tongue the mouth ▪ Stickiness in the mouth
ous ▪ Weakness of the limbs
sweating ▪ Edema ▪ Frequency and ▪ Loose stools that ▪ Heaviness in the body
▪ Apathy urgency of are sticky ▪ Thin body
▪ Loose urination ▪ Thirst with no desire
▪ Pale face stools (with ▪ No thirst ▪ Amenorrhea or
▪ Easily startled to drink
digested ▪ White scanty periods
▪ Anorexia ▪ Dull-pale ▪ Loose stools
food) ▪ Insomnia
vaginal
▪ Emaciation complexi discharge with offensive
on odor and
▪ Weakness ▪ Lassitude stickiness
▪ Pale lips
of the ▪ Cloudy urination ▪ Lassitude
limbs
▪ Burning sensation
in the anus
▪ Scanty dark
yellow urine
▪ Fever
TONGUE
▪ Pale ▪ Pale swollen ▪ pale ▪ pale ▪ thick white ▪ yellow sticky coat ▪ pale with thin,
sticky coat dry coating
▪ Thin ▪ White
white smooth or
coat wet coat
PULSES
▪ weak or empty ▪ weak and deep ▪ weak and thin ▪ weak and thready ▪ slow and slippery ▪ rapid and slippery ▪ choppy or thready
▪ often slow
HEART Qi Def Yang Def Blood Def Yin Def Fire Blazing Blood Stasis Qi stagnation Vessel Phlegm Fire Phlegm
Obstruction harassing misting mind
CAUSES ▪ Poor ▪ Same as Qi ▪ Prolonged ▪ Same as blood ▪ Mental ▪ Insufficienc ▪ Emotional ▪ Emotional stress ▪ Mental ▪ Congenital in
constitution DefC illness DefC depression y stress – – depression children
of heat grief anger,
▪ Prolonged ▪ Hemorrhage ▪ Ext. ▪ Phlegm ▪ Phlegm
LEADS blood and anxiety, anxiety,
illness/sev TO ▪ Poor pathogen yang worry accumulati accumula
worry
ere HEART production turning to on in the tion in
disease heat inside ▪ Men ▪ Excess body the body
YANG of blood
COLLA the body tal dairy or
▪ Congenti CHF px
PSE ▪ Emoti irrita fried foods Autism, Ment
al ▪ Interior schizophrenia
(cyanosi onal tion ally
defC/sen heat ▪ Excess
s of lips, issues retar
ility excess ▪ Exposur physical
hidden disturb ded
e to cold work
pulse)- ing
ER mind
MI
SYMPTO  Palpitations  Heart Qi  Palpitations ▪ Malar flush  Palpitations ▪ Palpitations  Palpitations  Palpitations  Mental  Mental
M restlessness
 SOB, <  Mental
DefC + (changing (all the confusion
S  Distentio
 Palpitations
▪ Low grade ▪ Stabbing
exertion  Chills location) time; w restlessness  Unconscio
or pain in n or
 Insomnia
rest/exerti
 Low/ cold afternoon on) the heart oppressio  Depression  Bitter taste usne ss
limbs
horse (trouble fever  Thirst
region n in the
 Flustered
in the morn  Letha
voice  Chest falling (may chest
 Dream-
 Month
▪ Dry mouth rgic
 Fatigue pain
asleep) radiate to  Depression feeling
Stupo
and throat shoulder disturbed
 Exces and
 Feeling  SOB – r
 Spontane
(local) or lt arm) of sleep
▪ 5 centre
 Vomiting
tongue
ous  Bright- sive
ulcers lump in the
inability to lie  Easily startled
dream heat ▪ Feeling of down
sweating pale throat
 Incoherent  Rattling
s sensatio  Mental constrictio
 Stabbing
 Dizziness face  SOB
 Poor n
restless n in the speech or sound in
 Pale face memory ▪ Night sweats ness chest  Pale or
Aphasia throat
 Aphasia
complexion pricking
 Dizziness  Agitated ▪ Cyanos  Mutterin
 Sighing
▪ Insomnia in the
 Water  Startin
 Anxiety (trouble  Insomnia is of the mediastin g to
y or staying lips and  Poor appetite um oneself
 Red face
g@
 Easily
thin/cl
 Purple lips,
asleep, nails (talk) walls
ear startled  Weak and
 Dark  Mental
waking
sputu EMERG face and  Mutterin
 Dull- throughout cold limbs
m urine or nails confusion or g to self
 Slightly
the night)
 Catches
pale blood in  Pain worse depression
comple urine purple lips  Introve
cold xion
with cold  Irratio rted
easily  Bitter exposure nal manner
 Pale lips taste in  Expectoratio behav
 depression
the mouth iour
n of phlegm
 Tendency to
only in the
morning  Feelin
(ddx hit or scold
g of
Lv all ppl
heavi
 Uncontroll
day) ness
 Dislike of ed
speaking laughter,
 Cold hands crying
shouting
 Signing
TONGUE
▪ Pale ▪ Pale, ▪ Pale and ▪ Red body ▪ Red ▪ Dark ▪ Mild ▪ Purple on the ▪ Red ▪ Thin
swollen thin
▪ Thin, ▪ Little or with purple or pale- sides in the ▪ Sticky sticky
▪ White, ▪ Thin redder dark purple front coat
white no coat yellow
white tip purple
coating smooth ▪ Swollen coat ▪ Maybe
coat ▪ Rep tip spots on
or wet with swollen
coating with red the
tongue sticky body
papules
coating
▪ Deep
midline
crack
extending to
tip maybe
bifurcating
the
tip
PULSES
▪ Wea ▪ Weak ▪ Weak ▪ Rapid ▪ Fill and ▪ Thready ▪ Empty – ▪ Wiry ▪ Wiry ▪ Slippery
rapid
k or and and and and over choppy or and ▪ Often slow
empt deep thread thread hesitant flowing in knotted slippe
y ▪ Often y y or with the L cun ▪ Slippery – if ry
slow missed phlegm is
beats strong
PERICARDIUM Heat Qi Stagnation Blood stasis
* think periods
CAUSES ▪ Wind heat invasion – goes ▪ Emotional Strain ▪ Emotional strain
into
nutritive Qi level
Ddx Ht Qi Stagnation EMERG

SYMPTOMS  Fever at night  Feeling of distention and  Palpitations

pain in the chest
 Mental confusion  Stabbing or prickling
 tightness of chest
 Incoherent speech or pain in the chest - may
aphasia (not oppression- radiate to shoulder or
Ht)
 Delirium
lt arm (same as HT)
 Mild SOB (not  Feeling of
 Hot body with cold hands
specific w exertion- constriction in the
and feet Ht) chest
 Macules  Signing  SOB
 Feeling of lump in throat  Cyanosis of the lips
 Palpitations and nails
 Depression  Cold hands

 Irritability  Painful periods with

 Poor appetite dark clots

 Weak and cold limbs

 Slightly purple lips

 Pale complexion
TONGUE
▪ Red and dry ▪ Mildly pale-purple ▪ Dark purple
without coating on sides at front everywhere or only
on sides at front

PULSES
▪ Thready and rapid ▪ Empty ▪ Choppy,
▪ May overflow in L cun wiry or
knotted
 Full Heat in SI Qi Pain Qi Tied/ Obstructed/ Deficient and Cold
stagnation
SMALL INTESTINE
No palp’n
CAUSES
▪ Excessive ▪ Excessive ▪ Excessive consumption ▪ Excessive consumption of
consumption of cold of cold and raw foods cold and raw food
anxiety Ddx Ht and raw foods Ddx Sp Yang
▪ Factors which
Fire
cause LV Qi Stag

SYMPTOMS
 Mental restlessness  Lower ab twisting  Severe abdominal pain -  Ab pain

 Tongue ulcers  Desire of hot drinks

pain which may < pressure
extend to the back  Abdominal distention
 Pain in the throat  Abdominal distention  Likes pressure on abdomen
 Constipation
 Deafness (SI 19)  Dislikes pressure  Boyboyugmi
 Vomiting
on abdomen
 Uncomfortable feeling  Diarrhea
 Borborygmi  Borborygmi
 Pale and copious urine
in the chest
 Abdominal pain  Flatulence  Flatulence (doesn’t

 Thirst  Ab pain relieved relieve pain specifically)

by passing wind
 Scanty and dark urine
 Pain testis
 Painful urination

 Blood in the urine

TONGUE
▪ Red with redder tip ▪ White coating ▪ Thick white coating ▪ Pale body

▪ Yellow coat ▪ White coating

PULSES
▪ Rapid and full ▪ Deep and wiry ▪ Deep wiry ▪ Deep, slow and weak
URINARY BLADDER Damp Heat Damp cold Deficient and Cold
(Kd Yang Def)
CAUSES ▪ pathogenic Damp accumulation ▪ pathogenic damp accumulation ▪ Excess sex

▪ exogenous damp heat invasion ▪ exogenous damp cold invasion ▪ Exogenous damp cold invasion
or cold
▪ excessive consumption of hot greasy foods
▪ Excess physical exercise
SYMPTOMS ▪ Frequent and urgent urination ▪ Frequent and urgent urination ▪ Frequent pale ad copious urination
▪ Incontinence
▪ Burning or urination ▪ Difficult urination – stopping midstream ▪ Enuresis
▪ Difficult urination ▪ Heaviness feeling in hypogastrium ▪ Lower back ache
and urethra ▪ Dizziness
▪ Dark yellow or turbid urine
▪ Pale and turbid urine ▪ Nocturia
▪ Hematuria ▪ White urethral discharge
▪ A feeling of cold
▪ Sand in the urine

▪ Fever

▪ Thirst

▪ Lower abdominal distention

▪ Stones in the urine

▪ Back pain

TONGUE
▪ Red with a sticky yellow coat ▪ White sticky coating at the root ▪ Pale and wet

PULSES ▪ slippery, slow, slightly wiry

▪ rapid and slippery ▪ Deep and weak
(chi position)
KIDNEY Yin Def Yang Def Yin Def: empty Essence Def Qi not Firm Failing to
heat blazing Receive Qi
CAUSES
▪ chronic illness ▪ chronic illness ▪ chronic illness overwork ▪ congential ▪ old age ▪ prolonged cough
excessive sexual or asthma
▪ overwork ▪ excessive sex ▪ poor nutrition ▪ early lack of
activity ▪ LU defC
development
▪ excessive sexual activity ▪ damp retention ▪ depletion of body fluids ▪ excessive
of KI Qi ▪ KI damage
▪ old age blood loss sexual activity
▪ depletion of body fluids ▪ excessive
▪ misuse of KI yang tonics ▪ prolonged illness ▪ Chronic disease
▪ blood loss sexual activity
▪ excess emotions –
▪ prolonged illness
▪ misuse of KI yang tonics worry, anxiety
S/SXS
▪ soreness of the ▪ Soreness of the back ▪ Mala flush ▪ Slow ▪ Pale face ▪ SOB on exertion
lumbar region physical
▪ Cold knees ▪ Mental restlessness ▪ Poor hearing ▪ Rapid and
▪ weakness of the knees developme
nt weak
▪ Sensation of cold in ▪ Insomnia ▪ Sore back
▪ dizziness, vertigo breathing
the back ▪ Poor and knees
▪ Night sweating ▪ Difficult inhalation
▪ tinnitus ▪ Aversion to cold MSK ▪ Frequent,
▪ Low grade fever developm ▪ Cough asthma
▪ insomnia with ▪ Dizziness clear urine
ent
excessive dreams ▪ Afternoon fever ▪ Frequent ▪ Seating cold limbs
▪ Lassitude ▪ Poor intelligence
▪ abnormal, ▪ Five centered heat sensation dribbling or ▪ Cold limbs
▪ Pallor or dark face ▪ Dull action urine
frequent
▪ Scanty dark urine ▪ Cold limbs
erections ▪ Erectile dysfunction ▪ Late fontanel closure ▪ Enuresis
after sweating
▪ increased libido ▪ Blood in the urine ▪ Oligospermia
▪ Infertility ▪ Incontinence ▪ Swelling of the face
▪ nocturnal emissions ▪ Dry throat esp in evening
▪ Cold uterus ▪ Infertility ▪ Remarka ▪ Thin body
▪ premature ejaculations ▪ Thirst for small sips ble
▪ Prolonged diarrhea ▪ Amenorrhea ▪ Sore back and knees
nocturia
▪ oligomenorrhea ▪ Dizziness
▪ 5Am diarrhea ▪ Weak sexual ▪ Nocturnal
▪ amenorrhea (“cock crow’s”) ▪ Tinnitus activity (female) emissions
▪ 5 centre heat sensation ▪ Premature senility (male)
▪ Pitting edema esp ▪ Hardness of hearing
below the lumbar ▪ Head hair loss ▪ Prematur
▪ Dry throat and mouth ▪ Low back ache
region e
▪ Loose teeth
▪ Night sweats ▪ Nocturnal emissions ejaculati
▪ Ab distention
▪ Tinnitus and deafness ons
▪ Malar flush with dreams
▪ Copious clear urination ▪ Clearin
▪ Excess sex desires ▪ Poor memory
▪ Decreased libido g
▪ Dry stools ▪ Weakness of the legs leukorr
hea
▪ Premature graying ▪ miscarriages
of hair
TONGUE
▪ Dry red ▪ Pale wet flabby ▪ Red, cracked with red tip, ▪ Small tongue ▪ Pale ▪ Pale
no coat
▪ Without or little coating

PULSES
▪ rapid and thready ▪ weak and deep ▪ floating, empty and rapid ▪ thready and weak ▪ tight, weak, ▪ Tight, weak, deep
and deep
LIVER Qi Stagnation Lv Fire Blazing Blood Def Yin Def Qi Rebelling Blood Stasis
(1)
CAUSES ▪ Emotional problems ▪ Long standing ▪ ▪ Emotional problems ▪ Emotional Stress ▪ Qi stagnation
Poor nutrition (protein)
emotional problems
▪ Pathogenic attack ▪ Lv Qi Stagnation ▪ Eating in a hurry, ▪ Cold
▪ Excessive alcohol, ▪ Emorrhage under stress or under
▪ Febrile d/o ▪ Heat
fried foods, meat emotional strain
▪ Prolonged Lv Qi Stag which injures
Yin
▪ Chronic dz

▪ Kd def (Qi, essence,

yin)
S/SX  Hypochondriac pain ▪ HA (behind eyes/ side ▪ Dizziness ▪ Dizziness ▪ Hypochondriac or ▪ Hypochondriac pain
 Abdominal distention of head) epigastric distention
▪ Tinnitus ▪ Tinnitus ▪ Abdominal pain
and pain ▪ Red complexion/ eyes ▪ Hiccups
 Migrating pain ▪ Sallow complexion ▪ Dryness of eyes ▪ Vomiting of blood
▪ Bitter taste in mouth ▪ Signing
 Distention of the breasts
▪ Pale and brittle nails ▪ Flushed face ▪ Epistaxis
 Discomfort in the chest ▪ Sudden tinnitus/ deafness ▪ Nausea vomiting
 Signing ▪ Insomnia, ▪ Hypochondriac ▪ Painful periods
▪ Hematemesis, epistaxis ▪ Belching
 Sensation of “plum seed excessive pain (@night)
▪ Irregular periods
qi” in the throat ▪ Int ear pain w dreaming ▪ Churning feeling in
▪ Feverish sensation in
▪ Dark and clotted menses
 Lumps or masses along purulent d/c ▪ Dryness of eyes
5 centers the stomach
the channel ▪ Dry mouth ▪ Floaters (spots in ▪ Afternoon fever ▪ Irritability ▪ Infertility
 Emotional depression ▪ Irritability, anger visual field) ▪ Breast distention
▪ Night sweats ▪ Masses in abdomen
and moodiness ▪ Blurred vision
 Frustration, irritability, ▪ Insomnia, nightmares ▪ dry throat, mouth, skin ▪ Purple nails, lips
anger ▪ Night blindness
▪ Hypochondriac pain
 Anorexia ▪ Purple or dark complexion
▪ Weakness in limbs
 Nausea, belching, ▪ Constipation
▪ Dry skin
poor digestion ▪ Numbness in mm
▪ Yellow scanty urine
▪ Purple petechiae
 Sour regurgitation ▪ Rigidity and stiffness
and vomiting in jts
 Epigastric pain and ▪ Scanty menstrual
distention, borborygmus, flow, amenorrhea
loose stool
 Jaundice, bitter taste in
mouth
 PMS: distention of the
breasts and lower ab
 Irreg menses, amenorrhea

 Infertility
TONGUE
▪ Normal or light purple ▪ Red tongue ▪ Small, pale tongue ▪ Dry red tongue ▪ red sides in ▪ Purple esp on sides
 severe
▪ Yellow coat ▪ White coat
pathology
PULSES
▪ Wiry ▪ Wiry or rapid and thready ▪ Wiry, weak, thready ▪ Wiry, thread, rapid ▪ Wiry ▪ Wiry or firm
LIVER (2) Yang Rising Wind agitating Wind Agitating Damp heat in LV & GB Stagnation of Cold
Within d/t extreme Within d/t Yang in the LV
heat rising
▪ Extreme heat ▪ Liver rang ▪ Sp Qi DefC ▪ Exogenous
CAUSES ▪ Water not nourishing wood
generating wind – rising pathogenic cold
▪ LV & KI yin DefC ▪ Excessive consumption
exogenous heat or generating
▪ Anger and anxiety of greasy and sweet ▪ LV Qi stagnation
wind entering the wind
blood level foods
▪ LV yin DefC
▪ Alcoholic drinking
▪ LV yang rising
▪ Long-term LV Qi
stagnation
▪ High temp ▪ Sudden ▪ Fullness and distention in ▪ lower
S/SX ▪ Vertigo
unconsciousn the chest and abdominal
▪ Tinnitus ▪ Convulsions
ess hypocondrium cramping
▪ Neck rigidity
▪ Headache (vertex)
▪ Convulsions ▪ Loss of appetite ▪ fullness and
distention and pain in the
eyes ▪ Limb tremors ▪ Deviation of eye ▪ Bitter taste in the mouth
distention of the
▪ Flushes complexion hypogastrium
▪ Opisthothonos and mouth
▪ Nausea and vomiting ▪ pain and distention
▪ Hemiplegia
▪ Red eyes
▪ Coma (severe cases) ▪ Stickiness in the mouth of the testes and
▪ Irritability
▪ Aphasia or scrotum
▪ Anger palpitations ▪ Heaviness in the body ▪ straining of the testes
difficult speech
▪ Insomnia ▪ Dizziness ▪ Some diarrhea ▪ contraction of
▪ Excessive dreams or the scrotum
constipation
▪ Poor memory ▪ contraction of
▪ Irregular bowel movements
▪ Soreness and weakness the labia in
in low back and knees ▪ Thirst with no desire women
to drink ▪ pain alleviated
▪ Loose stools with by warmth
offensive odor and
stickiness
▪ Lassitude

▪ Jaundice

▪ Pain, redness and swelling

of the scrotum
▪ Vaginal discharge
 ▪Vaginal itching

▪Scanty dark yellow urine

▪fever
TONGUE
▪ Red ▪Deep Red with a ▪Peeled red and ▪Red ▪Pale
▪ May not have coat thick yellow deviated
▪Sticky yellow coat ▪Thick white coat
coating
PULSES
▪ Wiry and strong or ▪Rapid strong and wiry ▪Floating and weak ▪Wiry and slippery ▪wiry
thready and rapid or wiry and rapid
▪rapid ▪strong or tight
Gallbladder Damp heat in GB (same as LV) Deficient Qi Dampness

CAUSES
▪Sp Qi DefC ▪Due to the character of the patient ▪External dampness
▪Excessive consumption of greasy and ▪Excessive consumption of dairy,
sweet foods greasy, fatty foods
▪Alcoholic drinking

▪Long-term LV Qi stagnation
S/SX
▪Fullness and distention in the chest ▪Dizziness ▪Jaundice
and hypochondrium ▪Blurred vision ▪Dull-yellow sclera and skin
▪Loss of appetite
▪Floaters ▪Hypochondriac pain
▪Bitter taste in the mouth
▪Nervousness ▪Fullness and distention
▪Nausea and vomiting
▪Timidity ▪Nausea
▪Stickiness in the mouth
▪Easily startled ▪Vomiting
▪Heaviness in the body
▪Lack of courage/initiative ▪Inability to digest fats
▪Some diarrhea or constipation
▪Indecision ▪Turbid urine
▪Irregular bowel movements
▪Signing ▪Lack of thirst
▪Thirst with no desire to drink
▪Waking early in morning ▪Sticky taste
▪Loose stools with offensive odor
▪Restless dreams ▪Dull headache
and stickiness
▪Lassitude ▪Feeling of heaviness

▪Jaundice

▪Pain, redness and swelling of the scrotum

▪Vaginal discharge

▪Vaginal itching

▪Scanty dark yellow urine

▪fever
TONGUE
▪Red ▪Pale or normal ▪Thick, sticky white coating
▪Sticky yellow coat ▪Or unilateral coating
PULSES
▪Wiry and slippery ▪weak ▪Wiry and slippery
▪rapid