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Zang - Fu Diagnosis
Symptoms, Diagnosis & Tongue & Pulse
| Symptoms | Tongue & Pulse | Diagnosis |
|---|---|---|
| Palpitations, shortness of breath on exertion, spontaneous sweating, listlessness, lassitude, chills, cold limbs, cyanosis of lips | T: Pale, swollen & delicate tongue or a purplish dark tongue | Ht. Yang Xu |
| Palpitations, shortness of breath, feeble breathing, profuse sweating, cold limbs, mental cloudiness or even coma | Feeble fading pulse | Ht Yang Collapse |
| Palpitations, insomnia, dream-disturbed sleep, dizziness and vertigo, poor memory, pallor, pale lips | T: Pale P: Thready & weak | Ht. Blood Xu |
| Palpitations, insomnia, dream-disturbed sleep, poor memory, mental restlessness, dryness of the mouth, heat sensation in the palms and soles, tidal fever, night sweating | T: Red P: Thready & rapid | Ht Yin Xu |
| Palpitations, intermittent cardiac pain, which often refers to the shoulder and arm, in severe cases there may occur cyanosis of face, lips, and nails, cold limbs and spontaneous sweating | T: Purplish dark tongue or purplish spots P: Thready & hesitant or a missed beat pulse | Ht. Blood Stag |
| Mental restlessness, insomnia, flushed face, thirst, ulceration and pain of the mouth and tongue, hot and deep yellow urine, in severe cases, hesitant/painful urine | T: Red P: Rapid | Ht. Fire Blazing |
| Derangement of the mind, mania, aggressive and violent behavior, insomnia, dream-disturbed sleep, flushed face, coarse breathing, constipation, deep-yellow urine | T: Yellow, sticky coating P: Rolling, rapid & forceful | Phlegm fire harassing the heart |
| Mental depression and dullness or incoherent speech, weeping and laughing without apparent reason, gurgling with sputum in the throat, sudden collapse, coma | T: White, sticky coating P: String Taut & Rolling | Phlegm misting the heart |
| Acute pain of the lower abdomen, abdominal distension, borborygmus, breading down pain in the testes referring to the lumbar region | T: White coating P: Sting-taut & deep | SI Qi Pain |
| Feeble cough, shortness of breath worse on exertion, clear dilute sputum, lack of desire to talk, low voice, lassitude, aversion to wind, frigid appearance, spontaneous sweating | T: pale, thin-white coating P: weak, deficient | Lu Qi Xu |
| Unproductive cough, cough with a small amount of sticky sputum or cough with blood tinged sputum, dryness of the mouth and throat, afternoon fever, malar flush, night sweating, heat sensation in the palms and soles | T: red with a small amount of coating P: thready, rapid | Lu Yin Xu |
| Cough with mucoid sputum, nasal obstruction, watery nasal discharge, possible chills and fever, headache, absence of thirst, absence of sweating | T: thin-white coating P: superficial, tense | Wind-Cold Invade Lung |
| Cough with yellow purulent sputum, possibly with heat sensation of the body and aversion to wind, thirst, sore throat, headache | T: thin-yellow coating P: superficial, rapid | Wind Heat Invade Lung |
| Cough, much frothy or white, sticky sputum, fullness and stuffiness in the chest, gurgling with sputum in the throat, shortness of breath or asthma, orthopnea in severe cases | T: white, sticky coating P: Rolling | Damp-Phlegm Retention in the Lung |
| Cough, asthmatic and coarse breathing, yellow, thick sputum or expectoration of foul smelling bloody pus, chest pain on coughing, flapping of ala nasi in severe cases, dryness of mouth, yellow urine, constipation | T: Red, yellow-sticky coating P: Rolling & rapid | Phlegm Heat Retention in the Lung |
| Abdominal pain, blood and mucus in the stools, diarrhea with yellow, watery stools, burning sensation of the anus, tenesmus, scanty deep-yellow urine, possible fever and thirst | T: Yellow sticky coating P: rolling rapid or soft, rapid | Damp-heat in the Large Intestine |
| Dry stools, constipation, dryness of the mouth and throat | T: red, little moisture, or dry yellow coating P: thready | Dryness of the Large Intestine |
| Sallow complexion, emaciation, lassitude, reduced appetite, abdominal distension, loose stools, dislike of speaking | T: pale, thin white coating P: slowing-down, weak or soft, thready | Sp Qi Xu |
| Sallow complexion, emaciation, lassitude, reduced appetite, abdominal distension, loose stools, dislike of speaking, bearing down sensation in the abdominal region, viscera ptosis, prolapse of the anus | T: Pale, thin white coating P: Slowing down, weak or soft, thready | Sp Qi Sinking |
| Pale complexion, lassitude, dislike of speaking, purpura, bloody stools, excessive menstrual flow, uterine bleeding in women | T: Pale P: thready, weak | Spleen Unable to Control Blood |
| Pallor, poor appetite, abdominal distension which is worse after eating, dull pain in the abdominal region which is better with warmth and pressure, the four limbs being not warm, loose stools | T: Pale & delicate, white coating P: deep, slow | Sp Yang Xu |
| Fullness and distension in the epigastrium and abdomen, loss of appetite, sticky saliva, heaviness of the head and body, losse stools or diarrhea | T: White sticky coating P: soft | Cold Damp Invading the Spleen |
| Fullness and distension in the epigastrium and abdomen, loss of appetite, nausea, vomiting, bitter taste and stickiness in the mouth, heaviness of the body, lassitude, loose stools, scanty yellow urine, bright yellow face, eyes and skin | T: Yellow sticky coating P: Soft, rapid | Damp Heat invading Sp & St |
| Distension, fullness and pain in the epigastrium and abdomen, foul belching, sour regurgitation, vomiting, anorexia, hesitant bowel movement. | T: thick-sticky P: Rolling | Food retention in the Stomach |
| Epigastric fullness and pain, worse with cold, better with warmth, reflux of clear fluid or vomiting after eating | T: White Slippery coating P: Slow | Cold Fluid in the Stomach |
| Burning sensation & pain in epigastric region, empty & uncomfortable feeling in stomach, sour regurgitation, vomiting, foul breath, thirst with preference for cold drink, voracious appetite & getting hungry easily, swelling & pain or ulceration/bleeding o | T: Red, yellow coating P: Rapid | Stomach Fire |
| Palpitations, shortness of breath on exertion, spontaneous sweating, listlessness, lassitude | T: pale P: thready, weak pulse or a missed beat pulse | Ht. Qi Xu |
| Burning pain in the epigastric region, empty and uncomfortable sensation in the stomach, hunger with no desire to eat, dry vomiting and hiccups, dryness of the mouth and throat, constipation | T: red, little moisture P: thready, rapid | St. Yin Xu |
| Mental depression, irritability, sighing, distending/wandering pain in costal & hypochondriac regions, chest stuffiness , epigastric & abdominal distension & pain, belching, poor appetite, possibly a foreign body sensation in throat, breast distension, ir | T: thin white coating P: string taut | Liver Qi Stag |
| Pricking pain in hypochondriac regions or palpable mass | T: purple dark in color, purplish spots on the tongue | Liver Blood Stasis |
| Distending pain in the head, dizziness and vertigo, tinnitus like the sound of waves, redness, swelling, pain of eyes, bitter taste, dryness in mouth, irritability, intercostal/hypochondriac burning pain, yellow urine and constipation, hematemesis, hemopt | T: Red with yellow coating P: String taut rapid | Liver Fire Flare Up |
| Headache, distending sensation in head, dizziness and vertigo, tinnitus, flushed face and red eyes, irritability, insomnia and dream disturbed sleep, palpitation, poor memory, sore and weak of low back and knees | T: Red P: string taut, thready & rapid | Liver Yang Rising |
| High fever, convulsions, neck rigidity, upward staring of eyes, in severe case, opisthotonus, coma and lock jaw | T: deep red tongue P: string taut, rapid | Extreme Heat causing Liver Wind |
| Dizziness and vertigo, headache, numbness or tremor of the limbs, sudden collapse, coma, stiffness of the tongue, dysphasia, aphasia, deviation of the mouth and eyes and hemiplegia | T: Red & tremulous P: String taut, rapid | Liv Yang Rising Causing Liv Wind |
| Hypochondriac distension and pain, bitter taste, poor appetite, nausea, vomiting, abdominal distension, scanty and yellow urine, there may be ellow sclera and skin of the entire body or fever, men may have eczema of the scrotum, swelling and burning pain | T: yellow, sticky coating P: string-taut, rapid | Damp Heat in Liv & GB |
| Lower abdominal distending pain, with bearing down sensation in the testes, the scrotum may be contracted, pain is aggravated by cold and alleviated by warmth | T: White coating P: slippery, deep, string-taut | Stagnation of Cold in the Liver Meridian |
| Pallor, dizziness and vertigo, blurring of vision, dryness of the eyes, night blindness, numbness of the limbs, spasm of the tendons, scanty menstrual flow of amenorrhea | T: pale P: thready pulse | Liver Blood Xu |
| Soreness and weakness of the lumbar region and knee joints, frequent urination with clear urine, dribbling of urine after urination or enuresis, incontinence of urine in severe cases, spermatorrhea and premature ejaculation in men, clear, cold leukorrhea | T: Pale, white coating P: Thready, weak | Kidney Qi Xu |
| Pallor, cold limbs, soreness and weakness of the lumbar region and knee joints, impotence, infertility, dizziness, tinnitus | T: Pale, white coating P: Deep, weak | Kidney Yang Xu |
| Dizziness, tinnitus, poor memory, insomnia, soreness and weakness of the lumbar region and knee joints, nocturnal emission, dryness of the mouth, afternoon fever, malar flush, night sweating, yellow urine, constipation | T: red, little coating P: thready, rapid | Kidney Yin Xu |
| Frequent and urgency of urination, burning pain in the urethra, dribbling urination or discontinuation of urination in mid-stream, turbid urine, deep-yellow in color, hematuria, or stones in the urine, possible abdominal distension and fullness or lumbago | T: yellow, sticky coating P: rapid | Damp Heat in UB |
| Palpitations, poor memory, insomnia, dream-disturbed sleep, sallow complexion, reduced appetite, abdominal distension, loose stools, general lassitude, irregular menstruation in women | T: pale with thin, white coating P: thready, weak pulse | Ht. Blood & Sp Qi Xu |
| Mental restlessness, insomnia, palpitations, poor memory, dizziness, tinnitus, soreness of the lumbar region, spermatorrhea in dreams, dryness of the throat, tidal fever, night sweating | T: red, little coating P: thready, rapid | Ht & Kid not Harmonized |
| General lassitude, cough with profuse, diluted white sputum, poor appetite, loose stools, in severe cases, facial puffiness and edema of the feet | T: Pale, white coating | Lu & Sp Qi Xu |
| Asthmatic breathing, shortness of breath, more exhalation than inhalation worse on exertion, low voice, no spirit, cold limbs, blue complexion, spontaneous sweating, incontinence of urine due to severe cough | T: pale, thin coating P: weak, deficient | Lu & Kid Qi Xu |
| Cough with small amount of sputum, or blood tinged sputum, soreness and weakness of the lumbar region and knee joints, dryness of the mouth and throat, tidal fever, malar flush, night sweating | T: red, little coating P: thready, rapid | Lu & Kid Yin Xu |
| Pallor, cold limbs, soreness and weakness of the lumbar region and knee joints, loose stools or diarrhea at dawn, facial puffiness and edema of the limbs | T: pale, swollen, delicate, thin-white coating P: deep, weak | Sp & Kid Yang Xu |
| Dizziness, tinnitus, nocturnal emission, soreness and weakness of the lumbar region and knee joints, blurring of vision, dryness of the throat, heat sensation in the chest, palms and soles, malar flush, night sweating, scanty menstrual flow | T: red, little coating P: thready, rapid | Liv & Kid Yin Xu |
| Mental depression or irritability, distension, fullness and pain in the costal/hypochondriac regions, abdominal distension, poor appetite, loose stools | T: thin coating P: string taut | Liver and Spleen Disharmony |
| Distension and pain in the costal/hypochondriac and epigastric region, empty and uncomfortable sensation in the stomach, belching, acid regurgitation, mental depression or irritability | T: thin coating P: string taut | Liver & Stomach Disharmony |
| Burning pain in the costal and hypochondiac region, quick temper, irritability, restlessness, heat sensation in the chest, bitter taste, dizziness, red eyes, paroxymal cough or even hemoptysis in severe cases | T: red, thin yellow coating P: string taut, rapid | Liver Fire Insulting Lung |
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c-rex
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