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Hot/ Cold Pathology
| Question | Answer |
|---|---|
| Main signs • Aversion to wind or cold • Headache and painful stiff nape • Floating pulse • Divided into two main types • Greater yang wind strike • Greater yang cold damage | Greater Yang channel disease |
| • Heat effusion • Aversion to wind • Spontaneous sweating • Noisy nose • Dry retching Tongue: Pulse: floating, moderate | Greater Yang Wind Strike (太阳中风） T/P: Harmonize construction and defense |
| • Aversion to cold • Heat effusion • Headache • Soreness and pain of the limbs and body • Lack of sweating • Panting Tongue: Pulse: floating, tight | Greater Yang Cold Damage (太阳伤寒） T/P: Release exterior, promote sweat, diffuse lung, calm wheeze |
| • Heat effusion • Aversion to cold • Fullness in the lesser abdomen • Inhibited urination • Thirst • Vomiting immediately after the intake of fluids Tongue: Pulse: Floating or floating, rapid | Greater Yang Water Amassment T/P: Release exterior, transform qi, disinhibit urine |
| • Tense bound lesser abdomen or fullness and distention of the lesser abdomen • Uninhibited urine (urine flow is normal) • Mania or mania-like signs • Black stool; lacquer-colored stool • Forgetfulness Tongue: Pulse: Sinking rough or sinking bound | Greater Yang Blood Amassment T/P: Expel stasis, discharge heat |
| General Signs • Generalized heat effusion • No aversion to cold but aversion to heat • Spontaneous sweating Tongue: Pulse: Large | Yang brightness disease |
| • Great generalized heat effusion • Great sweating • Great thirst desiring cold fluids • Heart vexation and agitation • Rough breathing resembling panting • Red facial complexion Tongue: dry yellow coat Pulse: surging, large | Yang Brightness Channel disease T/P: Clear heat, drain fire OR Clear heat, resolve yang brightness |
| • Late afternoon tidal heat effusion • Drizzly sweating of the extremities • Distention fullness and pain in the navel and abdomen • Pain refusing pressure • Bound stool • Clouding of the spirit and delirious speech • Manic derangement and insomnia | Yang Brightness Bowel Disease T/P: Clear heat, purge accumulation |
| • Bitter taste in the mouth • Dry throat • Vertigo • Alternating heat [effusion] and [aversion to] cold • Bitter fullness in the chest and rib-side • Nausea and lack of desire to eat or drink • Heart vexation and a desire to retch Tongue: Pulse: w | Lesser Yang Disease 少阳病 T/P: Harmonize the Lesser Yang |
| • Aversion to cold • Fever • Painful body • Lack of sweat • Vexation and agitation Tongue: yellow coat Pulse: Floating and tight | Exterior repletion complicated by internal heat T/P: Release exterior cold, clear internal heat |
| • Fever • Sweating • Panting • Cough • Thirst Tongue: yellow coat Pulse: rapid | Lung Heat Panting Cough T/P: Clear heat, diffuse lung, downbear lung qi and stop panting |
| • Fresh yellow skin and eyes, yellow-red and scant urine • Fever, thirst, sweat • Heart vexation • Stomach-duct glomus, nausea and vomit • Bound stools Tongue: yellow and slimy coat Pulse: wiry and rapid OR slippery and rapid | Damp-heat jaundice T/P: Clear and resolve damp-heat |
| • Slight aversion to wind and cold • Headache or dizziness • Neck stiffness • Vexing soreness of the joints of the four limbs • Propping binding or hardness below the heart Tongue: white coat Pulse: floating or wiry | Lesser yang and greater yang T/P: Release exterior, harmonize and resolve |
| • Alternating fever and aversion to cold • Bitterness and fullness in the chest and rib-side, bitter taste in mouth • Tenseness and pain / hardness and glomus in the upper abdomen • Bound stools, tidal fever or diarrhea Tongue: dry, yellow or thick | Lesser yang and yang brightness T/P: Harmonize and resolve the lesser yang, purge accumulation (bowels) |
| • Heat effusion • Slight aversion to wind or cold • Headache • Cough • Slight thirst • Throat pain Tongue: red-tipped, yellow coat Pulse: floating rapid | Defense Aspect 卫分证 Wind Warmth T/P: Release exterior, cool heat |
| • Slight wind and cold aversion, fever, small amount of sweat • Headache • Cough with sticky phlegm • Dry nose, throat, thirst Tongue: Red, thin, white coat, dry Pulse: Large, rapid | Defense Aspect 卫分证 Warm Dryness T/P: Moisten dryness, cool heat and outthrust from lung |
| • Aversion to cold, fever, lack of sweat • Headache • Fatigued body, heaviness in the body • Stomach duct oppression, nausea, dry throat Tongue: Thin, slimy coat Pulse: floating, slippery | Defense Aspect 卫分证 Summerheat-damp/ Damp Warmth T/P: Clear summerheat, transform dampness OR Course exterior, dissipate cold, clear summerheat and transform dampness |
| • Cough and panting with chest pain, sticky yellow sputum • Vexation and anguish, unquiet sleep | Qi Aspect Heat Evil Obstructing the Lung / Lung Stomach Heat / Lung Heat T/P: Clear heat, diffuse the lung |
| (Yang Brightness Channel) • Great generalized heat effusion • Great sweating • Great thirst desiring cold fluids • Heart vexation and agitation • Rough breathing resembling panting • Red facial complexion Tongue: dry yellow coat Pulse: surging, la | Qi Aspect Heat Exubernace / Great Heat in the Qi Aspect /Stomach Heat T/P: Clear heat, engender fluids OR àClear heat, drain fire |
| • Fire in the chest and diaphragm, extreme thirst, constipation • Body heat, vexation and agitation | Qi Aspect Heat Scorching the Chest and Diaphram T/P: Course wind above, clear heat below |
| (Yang Brightness Bowel) • Late afternoon tidal heat effusion • Drizzly sweating of the extremities • Distention fullness and pain in the navel and abdomen • Pain refusing pressure • Bound stool • Clouding of the spirit and delirious speech • Man | Qi Aspect Binding Heat in Stomach and Intestines / GI heat bind/ Intestines Dry Heat T/P: Clear heat, purge accumulation |
| (Lesser Yang Channel + damp) Bitter taste in the mouth • Dry throat • Vertigo • Alternating heat [effusion] and [aversion to] cold • Bitter fullness in the chest and rib-side • Nausea and lack of desire to eat or drink • Heart vexation and a desi | Qi Aspect Damp-heat in the triple burner / Gall Bladder Heat T/P: Harmonize the Lesser Yang, clear Gall Bladder Heat OR Harmonize and resolve the Lesser Yang |
| • Generalized heat effusion that is worse at night • Absence of thirst • Heart vexation and insomnia • Possibly clouded spirit and delirious speech • Faint maculopapular eruptions Tongue: crimson red without coat Pulse: fine, rapid | Construction Aspect Heat damaging the construction-ying T/P: Clear constructon, clear heart, resolve toxin, outthrust to qi |
| • Scorching, high fever • Reversal cold of the limbs • Heart vexation and insomnia • Clouded spirit and delirious speech • Faint maculopapular eruptions Tongue: crimson red without coat or dry and dusky, possible retraction Pulse: fine, rapid | Construction Aspect 营分证 Heat blocking the pericardium T/P: Clear construction, clear heart, resolve toxins, open orifices |
| • Generalized heat effusion that is worse at night • Vexation and agitation • Clouding, mania, and delirious speech • Dark purple maculopapular eruptions • Vomiting blood, nose bleeds • Bloody stools, bloody urine T: dark crimson P: fine, rapid, wi | Blood Aspect Disease 血分证 Blood Heat Repletion / Blood Aspect – Blood Loss T/P: Clear heat from blood, resolve toxins |
| Tense bound lesser abdomen or fullness and distention of the lesser abdomen • Uninhibited urine • Mania or mania-like signs / vexation; forgetfulness • Black stool; lacquer-colored stool • Frank bleeding P: deep, replete T: stasis macules | Blood Aspect Disease 血分证 Blood Heat Repletion – Blood Amassment T/P: Attack below, discharge heat, invigorate blood, expel stasis |
| • Convulsions • Rigidity of the neck and nape, arched-back rigidity, tight closed jaw • Reversal cold of the limbs | Blood Heat Repletion – Heat Stirs Liver Wind T/P: Cool liver, quell wind |
| • Vexation and heat of the five hearts • Lassitude and desire to sleep • Emaciation and tinnitus • Wriggling of the extremities, tugging and slackening | Yin Vacuity – Liver and Kidney Yin Damage T/P: Foster yin, nourish liquid OR Nourish yin, engender fluids |
| • Fever, Slight aversion to wind and cold • Headache • No sweat or slight sweat • Thirst • Yellow urine Tongue: red with yellow coat Pulse: Rapid | Simultaneous Defense and Qi T/P: Resolve exterior, clear heat |
| • Fever, slight aversion to wind and cold • Headache • Slight sweat • Dry mouth • No thirst • Heart vexation Tongue: crimson with no coat Pulse: thin, rapid | Simultaneous Defense and Construction T/P: Resolve exterior, clear construction |
| • Vigorous fever • Thirst • Vexation and agitation • Maculopapular eruptions • (Vomiting of blood, nosebleeds) Tongue: crimson, yellow coat Pulse: rapid | Simultaneous Qi and Blood T/P: Clear qi, cool blood |
| • Aversion to cold AND Fever • Split headache, joint pain, low back pain • Clouding and blurring of eyes • Clouding mania and delir speech • Dry mouth, sore throat • (Vomit blood, nosebleeds, purp macula erupts) T: prickles, slimy, red | Simultaneous Defense, Qi, Construction, and Blood • Aka Heat in all Four Aspects T/P: Clear heat, downbear fire, cool blood, resolve toxins |
| • Mild evening fever, with chills • Aversion to cold • Slight to no sweating • Headache, body aches • Slight thirst • Runny nose, yellow nasal discharge Tongue: red tip and borders, thin white or yellow coat Pulse: floating, rapid | Upper Burner Warmth T/P: Release the exterior, cool heat, diffuse the lung |
| • Fever, especially in afternoon, aversion to cold • Sweating • No thirst • Cough, yellow phlegm • Shortness of breath, wheezing • Chest oppression , heavy head Tongue: red, slimy white or yellow coat Pulse: rapid, flooding | Upper Burner Damp-Heat T/P: Activate and scatter exterior damp |
| Great fever, OR evening cyclic fever, aver to heat • Gr sweating, red eyes and face • Sallow complex • Heavy head • Thirst, inability drink • Scanty urine, poss. constipation • Mental confusion T: red with white, sticky coat P: rapid, flooding | Yang Brightness Warm Disease T/P: Clear heat, resolve damp, engender fluids |
| • Unsurfaced fever • Sweat with no resolution • Sallow complex • Epigastric and abdominal fullness or distention • Stuffiness of the chest (glomus) • Sloppy stool • Nausea, vomit, lack of appetite T: red, yellow sticky or greasy coat P: mod, soggy | Middle Burner Damp Warmth T/P: Aromatically transform damp, clear heat |
| • Abdominal fullness and vomiting • Inability to hold down food • Abdominal pain • Diarrhea • Lack of thirst • Cold limbs Tongue: white slimy coat Pulse: deep moderate | Greater Yin disease T/P: Warm center, fortify spleen |
| • No heat effusion but aversion to cold • Desire only to sleep • Reversal cold of the limbs • Clear-food diarrhea • Retching inability to eat or vomit upon ingest food Tongue: pale, lilac, wet, white coat Pulse: Fine minute, on the verge of expiry | Lesser Yin Disease 少阴病 Cold transformation T/P: Boost yang, restrain yin |
| • Heart vexation and insomnia • Dry mouth and throat Tongue: red Pulse: Fine rapid | Lesser Yin Disease 少阴病 Heat transformation T/P: Nourish yin, clear heat |
| • Wasting-thirst • Qi rushing upward to the heart • Pain and heat within the heart • Hunger with no desire to eat • Vomiting of roundworms after eating • Reversal cold off the limbs • Alternating heat and cold* Tongue: red Pulse: small, frail | Reverting Yin Disease 厥阴病 T/P: Warm viscera, drain liver, calm stomach, calm roundworms OR Dispel exterior cold, clear heat |
| • Diarrhea • Distention and oppression in the abdomen and stomach duct, lingering abdominal pain • Fever, aversion to cold • Headache Tongue: white coat Pulse: floating and moderate | Greater yang and greater yin T/P: Warm the center, resolve the exterior |
| • Dark and dusky yellow eyes, skin, urine • Fear of cold • Huddled body • Oppression in the stomach duct and abdominal distention • Sloppy stools Tongue: pale, white and glossy coat Pulse: deep and slow | Cold-damp jaundice T/P: Warm the center, dispel cold, fortify spleen |
| • Fever • Aversion to cold • Headache • Lack of sweat • Cold feet Tongue: pale, thin, white coat Pulse: deep | Lesser yin with an exterior pattern T/P: Warm the interior, outthrust the exterior |
| • Vexation, inability lie down (sleeplessness) • Linger fever or low-grade fever, 5-center heat • Thirst, unable to drink • Lassitude • Deafness • 5 center heat, dry mouth and throat, night sweat T: red, yellow coat P: fine rapid OR floating empty | Lower Burner Warmth Disease T/P: Clear vacuity heat, nourish yin |
| • Diarrhea or constipation, foul or burning • Lower abdominal pain, worse with pressure • Scanty/ blocked, drk urine, burning • Thirst, small sips • Dizziness • Vaginal discharge (yellow, foul) T: red, dirty. Slimy, yellow coat P: deep, soggy,rapid | Lower Burner Damp Heat T/P: Dispel damp through the urine |
| Constant diarrhea, bleeding, yellow stool, watery, bright red blood p;Fine, rapid t:Crimson, no coat, dry | Qi and Yin Vacuity Clear heat, nourish yin, stop diarrhea |
| Stool with dark purplish clots p; Deep, wiry, choppy t: Dark purple, stasis macules thick coat | Static Blood Abdominal Pain Invigorate blood, transform stasis, move qi, stop pain |
| Watery diarrhea, foamy mucus, borborygmous, sloshing sounds p: Wiry OR Soft and slippery t: Pale, white, wet coat | Tan Yin / Phlegm Rheum Warm and transform phlegm rheum |
| Intermittent bouts of diarrhea, mucus, some blood, worse with oily foods Moderate OR fine and weak | Spleen Stomach Vacuity Fortify the spleen, boost qi, harmonize center, resolve dampness |
| Pus and blood in stool, burning sensation, tenesmus, foul smell p: Slippery, rapid t: Red, slimy yellow coat | Damp heat brewing in the intestines Clear heat, dry dampness, regulate the qi, harmonize the blood |
| Diarrhea with emotions, pain is better after defecation, may have mucus in stool p: Fine and wiry t: Large, lilac, white coat | Liver O/A on Spleen with Damp Course the liver, resolve stagnation, fortify the spleen, resolve dampness |
| Frequent, fearful dreaming, easily wakes, prone to fright, SOB, fatigue p:Pale, thin white coat t:Thin and wiry | Heart and Gall Bladder Qi Vacuity Supplement the qi, suppress fright, quiet the spirit, stabilize the mind |
| Frequent dreaming, and easily awakening slight sleep, forgetfulness P: weak, fine, thin t: Pale, thin white coat | Heart and Spleen Vacuity Supplement the heart and spleen, promote qi and blood production |
| Tinnitus, palpitations, forgetfulness, nocturnal; emissions; frequent dreams or lack of sleep p: Rapid, fine, thin t: Red body, very little coat | Yin Vacuity with Fire Nourish kidney yin, downbear heart fire, quiet the spirit |
| Aversion to food, reflux, heavy head; difficulty falling asleep, staying asleep, fearful dreams p: Rapid, slippery t: Red body, yellow, slimy coat | Phlegm-Fire Clear heat, transform phlegm, harmonize the stomach, quiet the spirit |
| Irritability, blood shot eyes, headache; fearful dreaming and restless sleep p: wiry t: Red body, yellow coat | Liver Fire Soothe liver, clear heat, calm the spirit |
| Tingling and numbness on one side (right) of the body, soft and weak muscles p: Empty t: Pale, thin white coat | Vacuity of Primal Qi |
| Numbness, heaviness, one-sided p: Slippery t: Swollen, greasy coat | Phlegm in the Channels Disperse phlegm, unblock channels |
| Numbness and tingling, better with movement, worse when inactive p: Weak OR choppy t: Purple, thin white coat | Qi Stagnation and Blood Stasis Invigorate qi and blood |
| Unilateral numbness in a limb, tingling, tremors p: Wiry and slippery t: Stiff or deviated and swollen, white coat | Wind Phlegm Quell wind, expel phlegm |
| Unilateral numbness in limb, vertigo, tics p: Wiry t: Deviated or quivering white coat | Internal Wind Quell wind |
| Tingling, dizziness, etc. p: Choppy or fine t: Pale, thin white coat | Liver Blood Vacuity Enrich liver blood |
| Profuse white or yellow, sticky, no odor p:Wiry t: Slightly red sides | Qi Stagnation Soothe Liver move qi strengthen Spleen |
| Profuse yellow, blood-streaked, smelly p: Slippery, rapid t: Red, sticky yellow or brown, red spots | Toxic Heat Clear heat, resolve toxin, resolve dampness, stop discharge |
| Profuse yellow or brown, sticky smelly p: slippery t: Sticky yellow root, red spots | Damp-heat Clear heat, resolve dampness |
| White, dilute, consistency p: Rapid, Thin t: Red, no coat | Kidney Yin Vacuity Nourish yin, strengthen kidneys, clear heat, consolidate essence |
| Profuse, white, dilute (like water or egg-white) p: weak T: pale, wet | Kidney Yang Vacuity Supplement and Warm KD, Consolidate Chong, Stop Discharge |
| Excessive, sticky, slightly yellow, no smell, persistent p: weak, soggy t: Pale, sticky-white coat | Spleen Qi Vacuity Strengthen SP, Supplement Qi, Raise Yang, Resolve Damp |
Created by:
oronde