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.<<< 

Rebellious Liver Qi Affecting Stomach

Key Words
vomiting, belching, sighing, epigastric oppression, hypochondriac pain
Symptoms
Belching, Sighing, Hiccup, Vomiting, Nausea, Acid reflux, Sighing, Irritability, Hypochondriac distention, Hypochondriac pain, Epigastrium oppression, Emotional problems, Intermittent gnawing hunger, Weak limbs
Tongue
Normal, Slightly red on sides
Pulse
Wiry-left, Weak-right, Wiry middle
Treatment
Subdue LV Qi, Harmonize ST
Acupunct
LI 4, LV 3, RN 12, RN 17, PC 6, ST 36, GB 21
Herbs
Xuan Fu Dai Zhe Tang, Zuo Jin Wan, Si Mo Tang, Xuan Fu Dai Zhe Tang, Ban Xia Hou Po Tang, Ju Pi Zhu Ru Tang

Spleen and Kidney Yang Deficiency

Key Words
early morning diarrhea, weakness, cold, poor appetite, aversion to cold
Symptoms
Early morning diarrhea, Weakness, Fatigue, Cold limbs, Cold lower back, Like pressure, Like warming, Poor appetite, Yin edema, Scanty urine, Painful diarrhea, Low libido, Premature ejaculation, Female infertility, Bright white complexion, Low sperm count, Lassitude, Scanty urination, Night urination, Loose stool, Like lying down
Tongue
Pale, Swollen, Teeth marks, Wet
Pulse
Weak, Slow, Deep
Treatment
Tonify and warm Spleen and Kidney yang
Acupunct
BL 20, BL 23, DU 4, KD 3, ST 36, Moxa
Herbs
Si Shen Wan, Shen Qi Wan, Zhen Wu Tang, Li Zhong Wan, Jin Gui shen Qi Wan

Dai Channel

Symptoms
cold water soaking sensation • uterus prolapse • muscle atrophy • Abdominal distention • weak lumbar • leukorrhea • irregular menses • weak lower limbs
Notes
CONFLUENCE POINTS: GB-41 + SJ-05 (Yang Wei) • The only transverse channel • Points: GB-26, GB-27, GB-28 • No LUO or Xi-Cleft points • PATH: Below hypochondrial area (LV-13) > GB-26 to GB-28 > Transversely around the waist

Yang Deficiency

Key Words
Weakness, Coldness
Symptoms
Abdominal cold pain that is alleviated by pressure and warmth, Continuous sense of cold, aversion to cold, spontaneous sweating, early morning diarrhea, possibly edema, reduced lavish, depression, fatigue, bright pale/ ashen face, and Qi Deficiency-type signs
Tongue
Pale, Wet
Pulse
Weak, Slow
Treatment
Tonify Yang, Warm Yang
Acupunct
BL 23, DU 4, KD 3
Herbs
Shen Qi Wan

Yin Deficiency

Key Words
4 smalls (small coat, small sweating, small fever, small thirst)
Symptoms
Low-grade fever in the afternoon/evening /night, bone-steaming, malar flush, five-sole heat, little to no sweating or nightsweats, thirst, peeled red lips, dry mouth, red tongue, scanty coating
Tongue
Red, Little or no coating, Cracks
Pulse
Thready, Rapid
Treatment
Clear deficiency heat, Nourish Yin
Acupunct
KD 3, KD 6, BL 52
Herbs
Liu Wei Di Huang Wan

Deficiency Cold

Key Words
cold signs, weakness
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
Tongue
Blue, Pale, Dusky
Pulse
Slow, Weak
Treatment
Warm Cold, Tonify Qi
Acupunct
BL 23, DU 4, KD 3
Herbs
Shen Qi Wan

DU Channel

Symptoms
opisthotonos • headache • epilepsy • spinal column issues • LUO (DU-01): head tremors • spinal column disorder • heavy head • LUO: (DU-01) spinal column stiffness, heavy head, head tremors • Sea of Yang
Notes
CONFLUENCE POINTS: SI-03+BL-62 (Yang Qiao) • POINTS: DU-01 to DU-28 • SPECIAL CATEGORIES: DU-14 and DU-15 (Sea of Qi), DU-16 and DU-20 (Sea of Marrow) • PATH: 1) Lower abs > Perineum/ Uterus > DU-01 > Scrotum > Spine > DU-15 > Brain > DU-20 > Nose > Philtrum > Upper Lip/Gum, 2) Lower abs > External genitalia > Umbilicus > HT > Throat > Around the mouth > Below mid eyes, 3) Lower abs > Around anus > Spine > KD

Blood Stagnation

Key Words
Slow moving blood, Sharp pain
Symptoms
Stabbing /Fixed/Sharp pain, Worse with pressure or at night, hard/fixed rough tumor/mass always present never disappearing, Dark blood with clots, Black/Blue complexion, Varicose veins, Dry Scaly skin, Poor circulation, Cold fingers and toes, Mass / tumor firm and fixed on palpation, Hemorrhage, Clots, Ecchymoses / Petechia
Tongue
Purple spots, Dusky, Cloudy dark red
Pulse
Choppy
Treatment
Move blood
Acupunct
BL 17, SP 10, LI 4, LV 3, RN 17, LU 9
Herbs
Xue Fu Zhu Yu Tang

Food Stagnation

Key Words
distending pain, foul stool
Symptoms
Rotted smell in the mouth, aversion to food, distension / distending pain in stomach, foul smelling stool, indigestion, shortness of breath, chapped lips, belching, thick yellow coating
Tongue
Greasy coat
Pulse
Slippery pulse
Treatment
Move Qi
Acupunct
RN 12, PC 6, ST 36, Inner Neiting (under ST 44)
Herbs
Bao He Wan

Non-subtantial Phlegm

Symptoms
• Phlegm under the skin — lumps or nodules • Phlegm in the channels — Wind-Stroke • Phlegm Misting the Heart — psychosis, inappropriate laughter/crying… • Phlegm in the joints — swelling, deformity (Bi Syndrome) • Phlegm in the Gallbladder or Kidney — stones • Shock-Phlegm - Pain in the heart region, chest oppression, anxiety, mental restlessness P: Moving (Spinning Bean) • Wine-Phlegm - N/v, epigastric fullness, foul breath, rattling in throat, purple nose, purple complexion, chest oppression. T: Red-Purple +Swollen, Sticky yellow.
Treatment
Dispel phlegm
Acupunct
SP 9, ST 40, ST 4, ST 5, ST 6, ST 36, LI 4, LI 10, DU 20
Herbs
Bu Yang Huan Wu Tang

Phlegm-Flooding Fluids

Key Words
pain, deep heaviness, swelling
Symptoms
PAIN, DEEP HEAVINESS, PUFFY SWELLING, Edema, muscle pain, no desire for drinks, no sweating, cough with profuse white sputum
Tongue
Swollen, Sticky coat
Pulse
Wiry
Treatment
Dispel phlegm

Phlegm-fluid Retention

Key Words
Gurgling Sound
Symptoms
GURGLING SOUND, Borborygmus, abdominal fullness and distension, vomiting of watery fluids, dry tongue and mouth with no desire to drink, stomach splashing sound, loose stools, chest fullness. Phlegm in Stomach and Intestines.
Tongue
Swollen, Sticky coat
Pulse
Slippery, Wiry, Deep
Treatment
Move Qi

Phlegm-Propping Fluids

Key Words
cough, panting, inability to lie flat
Symptoms
COUGH, PANTING, INABILITY TO LIE FLAT, asthma, edema, chest oppression, dizziness, profuse white sputum, symptoms worse with cold.
Tongue
Swollen, Sticky and thick white coat
Pulse
Wiry
Treatment
Dispel phlegm

Phlegm-Suspended Fluids

Key Words
Cough, Ribcage pain
Symptoms
COUGH, RIBCAGE PAIN, pain and fullness in hypochondriac region, Hypochondriac pain worse with coughing and breathing, SOB
Tongue
Swollen, Sticky coat
Pulse
Wiry, Deep
Treatment
Dispel phlegm

Qi Stagnation

Key Words
Distending pain, Moving pain, Emotional pain
Symptoms
STRESS, Chest congestion, Sighing, Hypochondriac Distending pain, Breast distention, Distention along LV channel, Anxiety, Irritability, Depression, Poor appetite, poor sleep, Insomnia
Tongue
Normal, Thin white coat
Pulse
Wiry
Treatment
Move Qi, Soothe Liver
Acupunct
LI 4, LV 3, RN 17, HT 7, PC 6

Wind Phlegm

Key Words
Sudden Deviation of mouth/tongue/eye or Hemiplegia
Symptoms
Severe dizziness, n/v, numbness of limbs, expectorating phlegm, chest oppression, blurry vision, a rattling in the throat, slurred speech • If Wind-Stroke, then also includes aphasia, eye-mouth deviation, hemiplegia, numbness and tingling
Tongue
Swollen, Sticky coat • If Wind Stroke, then swollen and deviated
Pulse
Wiry, Slippery
Treatment
Dispel phlegm
Acupunct
SP 9, ST 40, ST 4, ST 5, ST 6, ST 36, LI 4, LI 10, DU 20
Herbs
Bu Yang Huan Wu Tang

Exterior Deficiency Cold (Wind attack)

Key Words
Chills and Fever • Mild Sweating
Symptoms
• Sudden onset of symptomology • Relatively short disease duration • Chills and Fever, Headache, Body Ache, Sneezes, Cough, Nasal Congestion or Drip
Tongue
Normal, Thin white coat
Pulse
Floating/ Superficial/ Weak
Treatment
Release Exterior, Stop sweating
Acupunct
LI11, LI4, DU14, Cupping
Herbs
Jin Yin Hua, Bo He, Gui Zhi, Xi Xin, Sang Ye

Exterior Excess Cold (Cold Attack)

Key Words
Chills and Fever • NO Sweating
Symptoms
• Sudden onset of symptomology • Relatively short disease duration • Chills and Fever, Headache, Body Ache, Sneezes, Cough, Nasal Congestion or Drip
Tongue
Thin white coat
Pulse
Floating/ Superficial/ Tight
Treatment
Release exterior, Warm cold, Boost yang, Promote sweating
Acupunct
LI 4, LU 7, GB 20
Herbs
Ma Huang Tang

Exterior Heat

Key Words
Chills and Fever • Heat • Sore throat
Symptoms
• Sudden onset of symptomology • Relatively short disease duration • Chills and Fever, Headache, Body Ache, Sneezes, Cough, Nasal Congestion or Drip
Tongue
Thin white coat
Pulse
Floating, Full, Replete, Surging, Superficial, Big
Treatment
Clear heat, Release exterior
Acupunct
LI 4, LI 11, DU 14, LU 7, GB 20, LU 11
Herbs
Yin Qiao San, Gan Mao Ling

Half Exterior and Half Interior

Key Words
alternating chills and fever
Symptoms
Chronic disease states • Relatively longer disease duration • Chills OR Fever, Headache, Body Ache, Sneezes, Cough, Nasal Congestion or Drip
Tongue
Half thick coat, half normal
Pulse
Wiry, Normal
Treatment
Harmonize Shao Yang
Acupunct
GB 41, SJ 5, LV 14, LI 4, LV 3
Herbs
Xiao Chai Hu Tang