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Giovanni's 4 Levels

Wei, Qi, Ying, Xue

DiagnosisSymptomsTongue & Pulse
Summerheat (Wei Level) **Fever ** Aversion to Cold **Headache **Sweating **Uncomfortable Sensation in the Epigastrium **Irritability **Thirst T: Red in front or sides with a white sticky coating P: Soft & Rapid
Damp Heat (Wei Level) **Fever worse in PM **Aversion to cold **Headache **Feeling of Oppression in the Epigastrium **Swollen Glands **Thirst, but no desire to drink ** Feeling of heaviness **Sticky taste ** Body that is hot to the touch T: Sticky white tongue coating P: Soft Pulse
Dry Heat (Wei Level) **Fever ** Sl. Aversion to Cold **Sl. Sweating **Dry Skin/Nose/Mouth/Throat/Cough T: Dry tongue w/ thin white coating P: Superficial-rapid
Lung Heat: Heat in the Chest & Diaphragm (Qi Level) **High Fever **Feeling of heat **No aversion to cold **Thirst **Cough w/ thin yellow sputum ** Shortness of breath **Sweating T: Red tongue with yellow coat P: Rolling and rapid
Stomach Heat (Qi Level) **High Fever: Worse in the PM **Feeling of heat **No aversion to cold **Intense thirst **Profuse sweating T: Red tongue w/ yellow coating P: Surging Rapid
Gallbladder heat (Qi Level) **Alternating Hot & Cold Feeling w/ a Prevalence of Heat **Thirst **Bitter taste **Dry throat **Hypochondrial Pain **Nausea **Feeling of a fullness in the epigastrium ** T: Red tongue w/ yellow unilateral sticky coating P:Stringtaut & Rapid
Damp Heat in the Spleen & Stomach (Qi Level) **Continuous fever that decreases after sweating but soon again increases **Feeling of heaviness of the body & head **Feeling of oppression of the chest & epigastrium **Nausea **Loose stools T: Red with sticky yellow coating P: Soft & Rapid
Heat in the Ying Level **Fever at night **Incoherent speech or aphasia **Delirium **Macules **Mental Restlessness **Insomnia T: Red without coat P: Thready-rapid
Heat in the Pericardium **Fever at night **Incoherent speech or aphasia **Delirium **Macules **Mental Confusion **Hot Body **Cold Hands and Feet T: Red without coat P: Thready-rapid
Heat Victorious Moving Blood (Xue Level) **High Fever **Mental Restlessness **Manic Behavior **Dark Macules **Vomiting of Blood **Epistaxis **Blood in Stools **Blood in Urine T: Dark-Red W/Out Coating P: String-Taut & Rapid
Heat Victorious Stirring Wind (Xue Level) **High Fever **Twitching of Limbs **Convulsions **Rigidity of Neck **Opisthotonos **Eyeballs turning up **Clenching of teeth T: Dark Red W/out Coating P: String Taut
Empty-Wind Agitating the Interior (Xue Level) **Low-Grade Fever **Tremor of Limbs **Loss of Weight **Malar Flush **Listlessness T: Dry, dark-red w/o coat P: Thready-rapid
Collapse of Yin (Xue Level) **Low-Grade Fever **Night Sweating **Mental Restlessness **Dry Mouth w/ Desire to Sip Liquids *Five Palm Heat **Malar Flush **Emaciation T: Dark-Red, Dry Tongue w/out Coating P: Thready, Rapid
Collapse of Yang (Xue Level) **Feeling of cold **Cold Limbs **Bright, white complexion **Profuse sweating on the forehead **Listlessness T: Pale, swollen & short P: Hidden, slow & scattered
Wind Heat (Wei Level) **Fever **Aversion to Cold **Headache **Sore Throat **Sl. Sweating **Runny Nose w/ Yellow Discharge **Swollen Tonsils **Body aches **Sl. Thirst T: Red in the front or sides w/ a thin white coating P: Superficial & Rapid
Created by: c-rex