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ACTCM Diagnosis III
Zang-fu diagnosis
| Symptoms | T/P | Dx | Herbs | Points |
|---|---|---|---|---|
| Palpitations, shortness of breath on exertion, spontaneous sweating, listlessness, lassitude | T: pale, white coat P: thready, weak pulse or a intermittent | Ht. Qi Xu | ||
| Palpitations, shortness of breath on exertion, spontaneous sweating, listlessness, lassitude, chills, cold limbs, cyanosis of lips | T: Pale, swollen or a purplish dark white wet coat, P: deep weak or knotted | Ht. Yang Xu | ||
| Palpitations, shortness of breath, feeble breathing, profuse sweating, cold limbs, mental cloudiness or even coma | T: Very pale, or bluish purple P: Short minute or Feeble fading, knotted | Ht Yang Collapse | ||
| Palpitations, insomnia, dream-disturbed sleep, dizziness and vertigo, poor memory, pallor, pale lips | T: Thin, Pale slight dry coat P: Thready & weak choppy | 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 dry with no coat, redder tip w red points P: Thin & rapid | Ht Yin Xu | ||
| 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, redder tip, red points, yellow coat P: Rapid probably forceful | Ht. Fire Blazing | ||
| 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 depression and dullness or incoherent speech, weeping and laughing without apparent reason, gurgling with sputum in the throat, sudden collapse, coma | T: Swollen, White greasy coating P: String Taut & Rolling / slippery wiry | Phlegm misting the heart | ||
| 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 restlessness, irritability, insomnia, thirst, ulceration and pain of the tongue, scanty dark yellow urine, painful urinae, blood in urine, uncomfortable sensation and heat in chest (like HT fire with yellow painful urine) - Treat HT fire + promote | T: red with redder tip, yellow coat P: rapid | SI Full Heat | Da Chi San - esp for old & v young | UB 31-34, UB 28, SP 6, Ren 3 |
| 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 | ||
| sudden violent ad pain, ad distention, dislikes pressure, constipation, vomiting, borborygmus, flatulence (similar to appendicitis or acute ad issue) | T: thick white coat P: deep wiry | SI Qi Tie | ||
| dull pain in the abdominal region which is better with warmth and pressure, pake and abundant urine, borborygmus, diarrhea, desire for hot drinks and ressure on abdomen, the four limbs being not warm, loose stools | T: Pale & white coating P: deep, slow weak | SI deficient cold | ST 39, SI 8 | |
| Feeble cough, shortness of breath worse on exertion, copiuos clear dilute sputum, lack of desire to talk, low voice, lassitude, aversion to wind, frigid appearance, spontaneous sweating, bright white, propenstiy to get colds | T: pale, thin-white coating P: weak, deficient | Lu Qi Xu | ST 36, Ren 6 Ren 12, 4 doors, PC 6 | |
| 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 | mu li, long gu | LU 9, Lu 7 with cough, LU 5 with heat, Lu 1, nt swt - LI 4, SJ5, KI 6 & HT 7. With KI yin def - KI3, KI6, SP6 |
| 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 | gui ghi tang / ma huang tang / jing fang bai du san, xiao jian zhong tang | GB20, Du14, UB12, UB 13, SJ5 |
| 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 | yin qiao san, gan mao ling, ban lang gen | LI 4, LI11, Du14, Gua sha, LI 20 / bitong for nasal |
| sudden swelling of eyes / face, bright shiny complexion, scanty pale urine, acersion to wind, fever, no sweat, cough, SOB, wheezing, copious white and foaming sputum, fullness in chest, ACUTe. COPD, asthama attack. | T: white slippery P: floating slippery | Wind water invading lung | asthma - xiao qing long tang yin | Ren 12, 6, ST 36 |
| dry cough or cough with scanty sticky phlegm, dry skin / throat / mouth, thirst, hoarse voice, chills and fever or chest pain | T: dry coat P: floating | Dry invading LU | xing ren | LU1, Ren17, LU9, LU7, KI6, GB20, SJ5, LI4, Lu5 |
| 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: pale, white, sticky coating P: Slippery or soggy moderate | Damp-Phlegm Retention in the Lung | ST40, UB20, LU9, Ren12, ST36, SP6, LU1, Ren17 | |
| cough, SOB, splashing sounds in chest, vomit white watery frothy sputum, chilliness, cough which maybe elicited by a scare - more extremem than dam pphlegm in lu | T: pale, thich sticky white coat P: thin slippery or soft | Phlegm Fluid obstructing LU | ting li zi, lai fu zi, bai ki zi, su zi | |
| cough or wheezing, flaring of nostrils, chest pain, heat in chest, fever, thirst, swollen tonsils, dark yellow urine, constipation | T: red, yellow coat P: rapid | LU heat | shi gao, huang qin, xing ren | LU5 / 11/7, LI 4/11, Ren17, UB 13, Du14 |
| 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 | ban xia, sang bai pi | ren22, cupping ren 17, LU1 |
| 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 | huang bai | st 25, ST37, LI11, ST44, SP3, PC6, BL25, 20, 32,33BL17 - bld in stool |
| Constipation, burning anus, ad distention worse with pressure, fecal impacted with watery diarrhea, high fever, sweating, vomiting, yangming tidal fever, vomiting, thirst, even deliriumdryness of the mouth and throat | T: red thich dry yellow coat P: deep rapid, forceful | Heat in LI | da huang | ST25, ST37 |
| suddent ad pain, acute pattern from ext cold, !!diarrhea with pain, feeling of cold, cold sensation in ad | T: thich white coat, P: deep, wiry | Cold Invading LI | Moxa ST 36, 37, 25, ren6, 12, 8 | |
| Dry stools, constipation, dryness of the mouth and throat | T: red, little moisture, or dry yellow coating P: thready | Dryness of the Large Intestine | ||
| Chronic diarrhea, incontinence of stools, prolapsed rectum, hemorrhoids, dill ache in ab better with warm and pressure, tired after BM, cold limbs, no app, mental exhaustion, desire to drink warm | T: pale white slippery coat P: deep weak | Collapse of LI | huang lian, huang bai, qin pi | liv 3, ub 58 57 |
| 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 | ||
| vague discomfort in epigastrium, no app, belching, lack of taste, loose stool, tired, esp in morning, weak limbs, acid regurg | T: pale, maybe geographic coat P: weak | ST Qi Xu | Sym more specific to ST - vomit, belching, epigastric | |
| 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 | ||
| intermittent and spasmodic ab pain, better with warm and pressure, poor app, preference for warm drinks, vomit clear flud, loose stool, cold limb | T: pale, P: thin wiry | St deficient Cold | 4 doors, warm needle, ren 10,12,13, | |
| 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 | ||
| 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 | ||
| 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 | ||
| nausea, belching, vomiting, hiccoughs, acid regurg (xs / def) | T: pale red P: tight on R guan | ST QI rebelling upward | ban xia, sheng jiang | ST 44, ST 36, Ren 12, GB 21 & ST 36 to descend qi |
| Stabbing pain in epigastrium, worse with heat and pressure, pain after eating, vomiting of dark blood, blood in stools | T: purple with purple spots P: wiry or choppy | ST blood stasis | ||
| 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 | ||
| 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 | ||
| 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 | ||
| 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 |
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LAC2b
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