Diagnostics

>>This material is a compilation of the editor's personal notes, lecture notes, and the following references: 1. Diagnosis in Chinese Medicine by Giovanni Maciocia 2. Formulas and Strategies by Bensky 3. Chinese Acupuncture and Moxibustion by Shanghai College of Traditional Chinese Medicine and many other texts.  Accuracy is not guaranteed.  For studying only, not intended as medical advice.<<< 

Bladder Foot Taiyang Channel

Symptoms
Impotence • sole heat • irregular menses • nocturnal emission • frequent urination • enuresis • asthma • edema • dry tongue • hemoptysis • lumbar pain • lumbago • mental restlessness • urine retention • stifling chest sensation • LUO (BL-58): headache • congestion • runny nose • back pain • epistaxis
Notes
5 ELEMENTS: Yang counterpart to Kidney/Water Channel • FUNCTIONS: BL Qi transforms urine

Blood Deficiency

Key Words
Pale, Blurry vision, Insomnia
Symptoms
Sallow complexion, Pale lips, pale gums, Dizziness, Blurry vision, Palpitations, Insomnia, Numbness of hands and feet, Poor circulation, Dark skin, scanty menses or amenorrhea, poor memory, dream-disturbed sleep, pale lips, pale tongue
Tongue
Pale
Pulse
Thready
Treatment
Tonify Blood
Acupunct
ST 36, SP 6, SP 10, RN 12, LI 10, BL 17, BL 20
Herbs
Gou Qi Zi, Shu Di Huang, Dang Gui, Da Zao, E Jiao, Chuan Xiong

Blood Heat

Key Words
Bleeding, Rash, Mental issues
Symptoms
Mental restlessness, Mania if severe, Dry mouth with no desire to drink, Hemorrhage, Excess menstural flow, Rash, Petechia, Epistaxis, Hemoptysis, Hematemesis, Hematuria
Tongue
Crimson
Pulse
Rapid/ Floating
Treatment
Clear blood heat, Nourish blood, Moisten dryness
Acupunct
Jing-Well, Ying-Spring, He-Sea, Ear Apex, DU 14, BL 40
Herbs
Sheng Di Huang, Mu Dan Pi, Chi Shao, Huang Qin, Di Gu Pi, Ou Jie

Chong Channel

Symptoms
Pain in abdomen • ASTHMA • Infertility • Irregular menses • Qi rebellion • Sea of Blood
Notes
CONFLUENCE POINTS: SP-04 + PC-06 (Yin Wei) • POINTS: REN-01, REN-07, ST-30, KD-11, KD-12, KD-13, KD-14, KD-15, KD-16, KD-17, KD-18, KD-19, KD-20, KD-21 • No LUO or Xi-Cleft points • PATH: Lower abs > Perineum > ST-30 > KD channel > Curve around the lips

Excess Cold

Key Words
cold signs, pale, cold
Symptoms
Chronic disease states, Relatively longer disease duration, Chills, Headache, Body Ache, Sneezes, Cough, Nasal Congestion or Drip, NO Fever, NO Thirst, NO Sweating, Cold Signs, White Coating, Pale Tongue, Slow Pulse, bluish purple lips
Tongue
Blue, Pale, Dusky
Pulse
Slow, Tight, Short
Treatment
Warm Cold
Acupunct
RN 4, RN 6, PC 6, ST 36, Moxa
Herbs
Liang Fu Wan

True Cold False Heat

Key Words
Feverishness of the body, flushed face, thirst, but wants to cover up the body in spite of feverishness
Symptoms
Feverishness of the body, flushed face, thirst, but wants to cover up the body in spite of feverishness • Wants to take warm drinks to relieve thirst• NO Fever • NO Sweating • Cold Signs • White Coating • Pale Tongue • Slow Pulse
Tongue
Pale
Pulse
Superficial, Weak
Treatment
Warm Cold
Acupunct
RN 4, RN 6, PC 6, ST 36, Moxa
Herbs
Liang Fu Wan

Qi and Blood Deficiency

Key Words
Pale, Weak
Symptoms
Fatigue, loose stools, poor appetite, weak muscles, weak voice, dislike of speaking, spontaneous sweating, palpitations, blurred vision, dizziness, SOB, dull-pale complexion, numbness and tingling of the limbs, Periods: scanty, late, or heavy
Tongue
Pale with thin white coat
Pulse
Choppy / Thin and Frail / Large and Weak
Treatment
Tonify and nourish Qi and Blood
Acupunct
ST 36, SP 6, KD 3, BL 20, BL 17, LI 10
Herbs
Ba Zhen Tang

Qi and Yin Deficiency

Key Words
Fatigue, Weakness, Drained
Symptoms
Tiredness, loose stools, poor appetite, weak muscles, weak voice, dislike of speaking, spontaneous sweating, SOB, dry throat, dry mouth, dry cough, dry eyes, feeling of heat in the afternoon
Tongue
No coating
Pulse
Fine
Treatment
Tonify Qi, Nourish yin
Acupunct
SP6, KD3, BL52, BL23, BL20, BL17, BL13
Herbs
Sheng Mai San

Wind Stroke

Symptoms
Zang-fu attack (severe): Closed or Open types • Channel attack (mild) • Sequelae (beyond 2 years after acute attack)
Biomed Assoc
Stroke
Tongue
see specific types

Yin and Yang Deficiency

Key Words
Dryness, Weakness, Cold, Heat
Symptoms
Thin body, depression, shortness of breath, dislike of speaking, tired, cold limbs, a cold sensation, sweating and heat on exertion, palpitations, blurred vision, dizziness, tinnitus
Tongue
Pale or Red, scanty coat
Pulse
Fine / Thin, Weak, Rapid
Treatment
Tonify yang, Nourish yin, Moisten dryness, Tonify Qi
Acupunct
SP 6, RN 6, RN 8, DU 4, DU 14, DU 20, KD 3, BL 23, BL 52
Herbs
Er Xian Tang

Heart and Kidney Yang Deficiency

Key Words
weak, cold, palpitations, edema, cold hands
Symptoms
"Water overflowing to Heart": Edema in legs and ankles, cold limbs, cold back, abdominal distension, abdominal fullness, lower back pain, scanty urination, dislike cold, palpitations, breathlessness, cold hands, yin edema (below the waist), sexual problems
Tongue
Pale, slippery white coat
Pulse
Deep, Weak, Slow
Treatment
Tonify and warm Heart and Kidney yang
Acupunct
PC 6, DU 4, KD 3, BL 15, BL 23, RN 4, RN 6, RN 9, RN 14, SP 9
Herbs
Shen Qi Wan, Zhen Wu Tang

Heart and Kidney Yin Deficiency

Key Words
4 smalls, palpitation, sore/weak lower back, tinnitus, poor memory, spermatorrhea
Symptoms
"With heart empty heat": Night sweating, Palpitations, Insomnia, 5 Sole heat, Weakness, Soreness of low back & knees, Sexual problems, Malar flush, Little thirst, Tinnitus, Easily startled, Anxiety, Vertigo, Anxiety, Dream disturbed sleep, Poor memory, Nocturnal emissions, Evening heat, Dry throat at night, Thirst with desire to drink in small amounts, Steaming bone, Scanty dark urine, Dry stool
Tongue
Red, no coat, mid-line heart crack
Pulse
Thready, Rapid
Treatment
Harmonize HT and KD, Clear empty heat, Calm Shen, Moisten dryness
Acupunct
BL 15, BL 23, BL 52, KD 3, KD 6, SP 6, AnMian, HT 7, PC 6, RN 14
Herbs
Tian Wang Bu Xin Dan, Zhu Sha An Shen Wan

Heart and Liver Blood Deficiency

Key Words
pale complexion, dizziness, palpitation, dry nails, dry eyes, shen issues
Symptoms
Pale, Dizziness, Numbness, Palpitation, Insomnia, Dream-disturbed sleep, Poor memory, Eye problems (Blurry vision, night blindness), Scanty menses, Amenorrhea, Cramps, Muscular weakness, Dry hair, Dry skin, Depression, Brittle nails, Easily startled, Vertigo
Tongue
Pale, Thin
Pulse
Fine/Choppy
Treatment
Nourish Heart blood, Nourish Liver Blood, Calm shen
Acupunct
BL 17, BL 20, ST 36, SP 6, PC 6, BL 18, RN 14, HT 7, SP 10, LV 8
Herbs
Gui Pi Tang, Sheng Yu Tang, Bu Gan Tang, Dang Gui Ji Xue Teng Tang, Si Wu Tang, Suan Zao Ren Tang

Heart and Lung Qi Deficiency

Key Words
weakness, cough, palpitations, SOB-exertion worse, dislike cold, sighing
Symptoms
Weakness, Lack of energy, Palpitations, Weak cough / sputum / asthma, Tiredness, Dislike talking, Sighing, Spontaneous sweat, Easily catch colds, Complexion-white, SOB worse on exertion, depression, Dislike cold
Tongue
Pale
Pulse
Weak or Empty (especially on both Cun)
Treatment
Tonify Heart Qi, Tonify Lung Qi, Calm Shen
Acupunct
RN 12, RN 14, PC 6, ST 36, BL 13, BL 15, BL 17, BL 20, SP 6, LU 1
Herbs
Bu Fei Tang, Liu Jun Zi Tang

Heart and Spleen Blood Deficiency

Key Words
Weakness, Pale complexion, Palpitations, Poor memory, Poor appetite, Loose stool
Symptoms
Pale complexion, Pale lips, Dizziness, Numbness, Palpitations, Insomnia, Dream-disturbed sleep, Poor memory, Weak muscles & limbs, Atrophy, Fatigue, Poor appetite, Anxiety, Scanty periods, Loose stool, Easily startled
Tongue
Pale
Pulse
Weak / Thready / Thin/Intermittent/Choppy
Treatment
Tonify Spleen Qi, Nourish Heart Blood
Acupunct
BL 15, BL 17, BL 20, ST 36, PC 6, SP 6, AnMian, HT 7, RN 14
Herbs
Gui Pi Tang, Ba Zhen Tang, Shi Quan Da Bu Wan

Liver and Kidney Yin Deficiency

Key Words
4 smalls, dry eyes, blurred vision, dry throat, weak/sore lower back, dryness
Symptoms
Night sweating, 5 Sole heat, Malar flush, Little thirst, Burning pain in hypochondrium, Eye problems, Tinnitus, Weakness, Soreness of low back & knees, Sexual problems, Bitter taste, Dry mouth and throat, Constipation, Occipital headache, Vertex headache, Limb numbness/tingling, Scanty menses, Delayed menses, Infertility, Insomnia, Dry stool, Dizziness, Tinnitus, Dry hair, Dry skin, Brittle nails, Dry vagina, Night sweats, Diminished hearing, amenorrhea
Tongue
Red, Dry, no coat, or normal
Pulse
Thready, Rapid, Weak, Wiry, Floating-empty
Treatment
Nourish LV and KD yin, Nourish body fluids
Acupunct
BL 18, BL 23, BL 52, KD 3, KD 6, LV 3, SP 6
Herbs
Yi Guan Jian, Qi Ju Di Huang Wan, Zuo Gui Wan

Liver Fire Attacking Lungs

Key Words
burning chest pain, burning flank pain, red eyes, dry cough with scanty bloody sputum, dry stool, scanty urine
Symptoms
Hypochondrium pain, Chest distension, Red eyes/face, Bitter taste, Thirsty, Easily angered, Paroxysmal or prolonged cough w/ scanty sticky sputum possibly with blood, Dry throat, Headache, Dizziness, Depression, Irritability, Breathlessness, Asthma, Constipation, Scanty dark urine, Constipation, Cough, Sputum-yellow/bloody
Tongue
Red, red sides, dry yellow coating
Pulse
Wiry, Rapid, Slippery
Treatment
Clear LV fire, Stop cough
Acupunct
LV 2, LV 3, LV 14, LI 4, LI 11, ST 40, LU 1, BL 13
Herbs
Long Dan Xie Gan Tang

Lung and Kidney Yin Deficiency

Key Words
4 smalls, cough-scanty sputum, aching weak and lower back, seminal emissions
Symptoms
Night sweating, Little thirst, 5 Sole heat, Dry cough, Soreness, Weak low back and knees, Steaming bone, Sexual dysfunction, Nocturnal emission, Scanty menses, Wheezing, SOB, Hoarse voice, Scanty urine, SOB on exertion, Exhale>inhale, Dry mouth, Dry throat, Malar flush, 4 smalls, Scanty sputum
Tongue
Red, no coat
Pulse
Thready, Rapid, Floating-empty
Treatment
Nourish LU and KD yin, Nourish body fluids
Acupunct
BL 13, BL 52, KD 3, KD 6, LU 1, LU 6
Herbs
Bai He Gu Jin Tang, Mai Wei Di Huang Wan

Lung and Spleen Qi Deficiency

Key Words
cough, fatigue, poor appetite, SOB, loose stool, weakness
Symptoms
Weakness, Fatigue, Lassitude, Weak Cough or breathless, Sputum/asthma, Poor appetite, Abdominal distension, Loose stool, Diarrhea, Possibly edema, Easily catch colds, Spontaneous daytime sweating, Pale complexion, Weak limbs, Obesity, SOB, Cough, Dislike cold, Quiet voice
Tongue
Pale
Pulse
Empty
Treatment
Tonify Lung Qi, Tonify Spleen Qi
Acupunct
RN 6, RN 12, ST 36, ST 40, LU 1, BL 13, BL 17, BL 20, SP 6
Herbs
Liu Jun Zi Tang

Rebellious Liver Qi Affecting Spleen

Key Words
alternating constipation/diarrhea, dry bitty stool, distending flank pain, poor appetite, emotional problems
Symptoms
Abdominal distention, Dry and bitty stool, Alternating diarrhea and constipation, Loose stool, Flatulence, Painful diarrhea, SOB, Sighing, Borborygmus, Poor appetite
Tongue
Normal, Slightly red on sides
Pulse
Wiry-left, Weak-right, Slippery
Treatment
Subdue LV Qi, Tonify Spleen, Harmonize middle jiao
Acupunct
LI 4, LV 3, RN 17, BL 17, BL 18, BL 20, ST 25, ST 36, SP 6
Herbs
Si Shen Wan, Shen Qi Wan, Zhen Wu Tang, Li Zhong Wan, Jin Gui shen Qi Wan
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