Zang Fu Patterns

heart yang collapse

palpitations, sob, weak and shallow breathing, profuse sweating, cold limbs, cyanosis of lips, grayish-white complexion, coma

t: very pale or bluish purple, short

p: hidden, minute, knotted

heart yang deficiency

palpitations, sob on exertion, spontaneous sweating, tiredness, slight feeling of stuffiness or discomfort in heart region, feeling of cold, cold hands, bright pale face, slightly dark lips

t: pale, slightly wet

p: deep, weak, knotted

heart qi deficiency

palpitations, sob on exertion, pale face, spontaneous sweating, tiredness, slight depression

t: pale or normal

p: empty, slightly overflowing and empty

heart blood deficiency

palpitations, dizziness, insomnia, dream disturbed sleep, poor memory, anxiety, mental restlessness, uneasiness, fidgetiness, dry mouth and throat, night sweating

t: no coat, deep midline crack reaching the tip

p: floating, empty

heart empty heat

malar flush, feeling of heat especially in the evening, feeling hot and bothered, five palm heat

t: red without coat, redder tip with red points

p: floating empty and rapid

heart fire blazing

palpitations, thirst, mouth and tongue ulcers, mental restlessness, feeling agitated, feeling of heat, insomnia, dream disturbed sleep, red face, dark urine or blood in the urine, bitter taste after a bad nights sleep

t: red, tip redder and swollen with red points, yellow coat, midline crack reaching the tip

p: full, rapid, overflowing especially left front position, hasty

heart phlegm fire

palpitations, thirst, red face, bitter taste, a feeling of oppression in the chest, expectoration of phlegm, rattling sound in the throat, mental restlessness, insomnia, dream disturbed sleep, agitation, incoherent speech, mental confusion, rash behavior, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, mental depression and dullness, manic behavior

t: red, swollen, yellow dry sticky coating, deep heart crack, the tip may be redder and swollen with red points

p: full, rapid, slippery or rapid, overflowing, slippery, or rapid, full, wiry

heart phlegm misting the mind

mental confusion, unconsciousness, lethargic stupor, incoherent speech, slurred speech, aphasia, vomiting of phlegm, rattling sound in the throat, mental depression, very dull eyes

t: swollen with thick sticky coating, midline crack reaching the tip

p: slippery

heart qi stagnation

palpitations, a feeling of distention or oppression in the chest, depression, a slight feeling of lump in the throat, slight shortness of breath, sighing, poor appetite, weak and cold limbs, slightly purple lips, pale complexion

t: slightly pale purple on the sides in the chest area

p: empty but very slightly overflowing on the left front position

heart vessel obstruction

palpitations, shortness of breath with inability to lie down, depression, mental restlessness, a feeling of oppression in the chest, stabbing or pricking pain in heart region that comes and goes and which may radiate to the upper back or shoulder, pain aggravated by exposure to cold and alleviated by heat, expectoration of phlegm, a feeling of heaviness and dislike to speak, cold hands, sighing, purple lips, face and nails

t: purple on the sides of the chest area, swollen with a sticky coat

p: wiry, choppy or knotted

heart blood stasis

palpitations, stabbing or pricking pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, cyanosis of the lips and nails, cold hands

t: purple in its entirety or only on the sides in the chest area

p: choppy, wiry, or knotted

pericardium blood deficiency

feeling of stuffiness and discomfort of the chest, dull ache in the chest, very slight sob, palpitations, anxiety, insomnia, dizziness, dream disturbed sleep, poor memory, propensity to be startled, dull pale complexion, pale lips, cold hands, scanty periods, amenorrhea

t: pale, thin, slightly dry

p: choppy or fire but slightly hard on the left from position

pericardium heat

fever at night, mental confusion, incoherent speech and aphasia, delirium, body heat, hands and feet cold, macules

t: red and dry without coat

p: fine, rapid

pericardium fire

palpitations, feeling of tightness and heat in the chest, slight chest ache, rapid breathing, thirst, mouth and tongue ulcers, mental restlessness, feeling of heat, insomnia, feeling of agitation, dream disturbed sleep, red face, bitter taste after a bad night’s sleep, heavy periods

t: red, tip redder and swollen with red points, yellow coat

p: full, rapid, overflowing especially on left front position, possibly hasty

pericardium phlegm fire

palpitations, feeling of oppression and heat of the chest, chest pain, rapid breathing, thirst, red face, bitter taste, expectoration of phlegm, rattling sound in the throat, mental restlessness, insomnia, dream disturbed sleep, agitation, incoherent speech, mental confusion, rash behavior, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, mental depression and dullness and manic behavior

t: red, swollen with yellow dry sticky coat, deep heart crack, tip may be redder and swollen with red points

p: full, rapid, slippery or rapid, overflowing, slippery or rapid, full wiry

pericardium qi stagnation

a feeling of distention and slight pain in the chest, feeling of tightness in the chest, slight shortness of breath, sighing, feeling of a lump in the throat, palpitations, depression, irritability, poor appetite, weak and cold limbs, slightly purple lips, pale complexion

t: slightly pale, purple on the sides in chest area

p: empty but very slightly overflowing on the left front position

pericardium blood stasis

palpitations, stabbing or pricking pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, shortness of breath, cyanosis of lips and nails, cold hands, painful periods with dark clots

t: purple in its entirety or only on the sides in the chest area

p: choppy, wiry or knotted

liver blood deficiency

dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in the eyes, diminished night vision, scanty menstruation or amenorrhea, dull pale complexion without luster, pale lips, muscular weakness, cramps, withered and brittle nails, dry hair and skin, depression, a feeling of aimlessness

t: pale especially on the sides, orangey color

p: choppy or fine

liver yin deficiency

dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in the eyes, diminished night vision, scanty menstruation or amenorrhea, dull, pale complexion without luster but with red cheekbones, muscular weakness, cramps, withered and brittle nails, very dry hair and skin, depression, feeling aimless

t: normal without coat or with rootless coat

p: floating, empty

liver qi stagnation

feeling of distention of hypochondrium, chest, epigastrium or abdomen, sighing, melancholy, depression, moodiness, fluctuation of mental state, feeling wound up, feeling of a lump in the throat, irregular periods, distention of breast before periods, premenstrual tension and irritability

t: body color may be normal, may be slightly red on the sides

p: wiry especially on the left side

stagnant liver qi turning into heat

hypochondrial or epigastric distention, a slight feeling of oppression in the chest, irritability, melancholy, depression, moodiness, feeling a lump in the throat, feeling heat, red face, thirst, propensity to outbursts of anger, premenstrual tension, irregular periods, premenstrual breast distention, heavy periods

t: red on the sides

p: wiry especially on the left side and slightly rapid

rebellious liver qi

hypochondrial or epigastric distention, hiccup, sighing, nausea, vomiting, belching, churning feeling in stomach, irritability, breast distention

t: normal, red sides in severe cases

p: wiry (particularly in liver and stomach positions)

liver blood stasis

hypochondrial pain, abdominal pain, vomiting of blood, epistaxis, painful periods, irregular periods, dark and clotted menstrual blood, infertility, masses in abdomen, purple nails, purple lips, purple or dark complexion, dry skin, purple petechiae

t: purple especially on the sides

p: wiry or firm

liver damp heat

fullness of the hypochondrium, bitter taste, sticky taste, poor appetite, nausea, feeling of heaviness of the body, yellow vaginal discharge, vaginal itching, vulvar eczema or sores, midcycle bleeding and/or pain, redness and swelling of the scrotum or genitals, papular or vesicular skin rashes and itching, urinary difficulaty, burning on urination, dark urine, dysuria

t: red with redder sides, sticky yellow coat

p: slippery, wiry, rapid

liver stagnation of cold

fullness and distention of the hypogastrium with pain which refers downwards to the scrotum and testis and upwards to the hypochondrium, the pain is alleviated by warmth, straining of the testis or contraction of the scrotum, vertical headache, feeling of cold, cold hands and feet, vomiting of clear watery fluids or dry vomiting, shrinking. ofthe vagina

t: pale and wet with white coat

p: deep, wiry, slow

liver fire blazing

irritability, propensity to outbursts of anger, tinnitus, deafness, temporal headache, dizziness, red face and eyes, thirst, bitter taste, dream disturbed sleep, constipation with dry stools, dark yellow urine, epistaxis, hematemesis, hemoptysis

t: red, redder on the sides, dry yellow coat

p: full, wiry, rapid

wind d/t liver yang rising/liver blood def

tremor, dizziness, tinnitus, headache, hypertension, dry throat, blurred vision, numbness or tingling of limbs, poor memory, insomnia

t: pale and thin

p: wiry, fine

wind d/t lv yang rising/lv yin def

tremor, facial tic, severe dizziness, tinnitus, ha, htn, dry throat and eyes, blurred vision, numbness or tingling in the limbs, poor memory

t: normal color without coat

p: wiry, fine

wind d/t lv yang rising/lv and kd yin def

tremor, facial tic, severe dizziness, tinnitus, ha, htn, dry throat and eyes, blurred vision, numbness or tingling of hte limbs, poor memory, backache, scanty urination, night sweating

t: normal color without coat

p: wiry, fine

extreme liver heat generating wind

high temperature, convulsions, rigidity of the neck, tremor of limbs, opisthotonos, coma

t: deep, red, stiff, dry yellow coat

p: wiry, rapid

lv blood def generating wind

fine tremor, facial tic, dizziness, blurred vision, numbness or tingling of limbs, poor memory, insomnia, scanty periods

t: pale and thin

p: wiry, fine

lv fire generating wind

tremor, irritability, propensity to outbursts of anger, tinnitus and/or deafness with sudden onset, temporal headache, dizziness, red face and eyes, thirst, fitter taste, dream disturbed sleep, constipation with dry stools, dark yellow urine, epistaxis, hematemesis

t: red with redder sides and dry yellow coat

p: wiry, rapid

lv yang rising

ha that may be on the temples, eyes or lateral side of the head, dizziness, tinnitus, deafness, blurred vision, dry mouth and throat, insomnia, irritability, feeling worked up, propensity to outbursts of anger, stiff neck

liver blood deficiency: tongue pale, pulse wiry on one side or wiry but fine

liver yin deficiency: tongue slightly red on the sides without coat, pulse wiry on one side or wiry and fine

rebellious liver qi: tongue normal color or slightly red on sides, pulse wiry on one side or wiry but fine

rebellious lv qi invading sp

irritability, abdominal distention and pain, alternation of constipation and diarrhea, stools sometimes dry and bitty and sometimes loose, flatulence, tiredness

t: normal or slightly red on the sides

p: wiry on the left and weak on the right

lv overacting on st

irritability, epigastric and hypochondrial distention and pain, a feeling of oppression in the epigastrium, sour regurgitation, hiccup, belching, nausea, vomiting, sighing, weak limbs

t: normal color or slightly red on the sides

p: wiry on the left and weak on the right or wiry on both middle position

lv fire insulting lu

breathlessness, asthma, a feeling of distention of the chest and hypochondrium, cough with yellow of blood tinged sputum, headache, dizziness, red face, thirst, bitter taste, bloodshot eyes, scanty dark urine, constipation

t: red and redder sides and dry yellow coat

p: wiry

lv and ht blood def

palpitations, dizziness, insomnia, dream disturbed sleep, poor memory, anxiety, propensity to be startles, dull pale complesion, pale lips, blurred vision, floaters, diminished night vision, tingling or numbness of limbs, scanty periods of amenorrhea, cramps, muscular weakness, dry hair and skin, depression, a feeling of aimlessness, withered and brittle nails

t: pale and thin, slightly dry

p: choppy or fine

lu qi def

slight sob, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright pale complexion, propensity to catch colds, tiredness, dislike of cold

t: pale

p: empty especially on the right front position

lu yin def

cough that is dry or with scanty sticky sputum, weak and or hoarse voice, dry mouth and throat, tickly throat, tiredness, dislike of speaking, thin body or thin chest, night sweating

t: normal colored, dry without coat (or with rootless coat)

p: floating, empty

lu dryness

dry cough, dry skin, dry throat, dry mouth, thirst, hoarse voice

t: dry

p: empty especially on the right front position

lu wind cold

aversion to cold, fever, cough, itchy throat, slight breathlessness, stuffed/blocked or runny nose with clear watery discharge, sneezing, occipital headache, body aches

t: thin white coat

p: floating tight

lu wind heat

aversion to cold, fever, cough, sore throat, stuffed/blocked or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, sneezing

t: sl red on the sides of the chest areas of on the front part

p: floating rapid

lu wind water

sudden swelling of eyes and face gradually spreading to the whole body, bright, shiny complexion, scanty and pale urination, aversion to wind, fever, cough, slight breathlessness

t: sticky white coat

p: floating, slippery

lu heat

cough, slight breathlessness, feeling of heat, chest aches, flaring of nostrils, thirst, red face

t: red with yellow coat

p: overflowing, rapid

lu dry phlegm

dry cough with occasional difficult expectoration of scanty sputum, sob, a feeling of oppression in the chest, scanty phlegm in the throat, a feeling of heaviness and muzziness of the head, dizziness, dry throat, wheezing, pasty dry complexion

t: swollen with a dry sticky coat

p: fine slippery

lu phlegm fluids obstructing

cough with expectoration of white watery sputum, breathlessness, splashing sound in the chest, vomiting of white watery, frothy sputum, a feeling of oppression in the chest, a feeling of heaviness and muzziness of the head, dizziness, a feeling of cold, coughing that may be elicited by a scare

t: pale with a thick sticky white coat

p: fine, slippery or soggy or wiry

lu damp phlegm

chronic cough coming in bouts with profuse white sticky sputum that is easy to expectorate, white pasty complexion, a feeling of oppression in the chest, phlegm in the throat, sob, dislike of lying down, wheezing, nausea, a feeling of heaviness, muzziness and dizziness of the head

t: swollen with a sticky white coat

p: slippery or soggy

lu cold phlegm

cough with expectoration of white watery sputum aggravated by exposure to cold, cold hands, phlegm in the throat, dizziness, a feeling of oppression in the chest, a feeling of cold in the chest, a feeling of heaviness, muzziness and dizziness of the head

t: swollen and wet with a white sticky coat

p: slippery, slow

lu phlegm heat

barking cough with profuse sticky yellow or green sputum, sob, wheezing, a feeling of oppression in the chest, phlegm in the throat, feeling of heat, thirst, insomnia, agitation, a feeling of heaviness and muzziness of the head, dizziness

t: red, swollen with a sticky yellow coat

p: slippery, rapid

lu and ht qi def

slight sob, slight cough, weak voice, dislike of speaking, bright, white complexion, propensity to catch colds, tiredness, palpitation, sob on exertion, depression, spontaneous sweating, sighing

t: pale

p: empty, especially on both front positions

spleen qi def

poor appetite, sl abdominal distention after eating, tiredness, lassitude, desire to lie down, pale complexion, weakness of the limbs, loose stools, tendency toward obesity

t: pale

p: empty

spleen yang def

poor appetite, sl abdominal distention after eating, tiredness, lassitude, desire to lie down, pale complexion, weakness of the limbs, loose stools, tendency towards obesity

t: pale

p: empty

spleen qi sinking

poor appetite, sl abdominal distention after eating, lassitude, pale complexion, weakness of the links, loose stools, depression, tendency towards obesity, a bearing down sensation in the abdomen, prolapse of stomach, uterus, anus, or bladder, frequency and urgency of urination, menorrhagia

t: pale

p: weak, especially on the right middle position

sp not controlling blood

poor appetite, sl abd distention after eating, tiredness, lassitude, pale, sallow complexion, weakness of the limbs, loose stools, depression, tendency towards obesity, blood spots under the skin, blood in the urine or stools, excessive uterine bleeding

t: pale

p: weak or fine

sp blood def

poor appetite, sl abd distention after eating, tiredness, lassitude, dull pale complexion, weakness of the limbs, loose stools, depression, thin body, scanty periods or amenorrhea, insomnia, joint ache

t: pale, thin and slightly dry

p: choppy or fine

sp cold damp

poor appetite, a feeling of fullness of the epigastrium and/or abdomen, a feeling of cold in the epigastrium which improves with the application of heat, a feeling of heaviness of the head and body, a sweetish taste or absence of taste, no thirst, loose stools, lassitude, tiredness, nausea, edema, dull white complexion, excessive white vaginal discharge

t: pale with a sticky white coat

p: slippery, slow

sp damp heat

feeling of fullness of the epigastrium and or lower abd, epigastric/abdominal pain, poor appetite, a feeling of heaviness, thirst without desire to drink, nausea, vomiting, loose stools with offensive odor, burning sensation in the anus, a feeling of heat, scanty dark urine, low grade fever, dull headache with a feeling of heaviness in the head, dull yellow complexion like tangerine peel, yellow sclera of the eyes, oily sweat, bitter taste, itchy skin or skin eruptions (papules and vesicles), sweating which does not relieve the fever and does not lead to the clearing of heat

t: red with sticky yellow coat

p: slippery, rapid

sp and ht blood def

palpitations, dizziness, insomnia, dram disturbed sleep, poor memory, anxiety, propensity to be startled, dull pale complexion, pale lips, tiredness, weak muscles, loose stools, poor appetite, scanty periods

t: pale and thin

p: choppy or fine

sp and lu qi def

poor appetite, sl abd distention after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, a tendency towards obesity, slight sob, slight coughing, weak voice, spontaneous daytime sweating, dislike of speaking, propensity to catch colds, dislike of cold

t: pale

p: empty, especially on the right side

sp and lv blood def

poor appetite, sl abd distention after eating, tiredness, lassitude, dull pale complexion, weakness of the limbs, loose stools, thin body, scanty periods or amenorrhea, insomnia, dizziness, numbness of limbs, blurred vision, floaters, diminished night vision, pale lips, muscular weakness, cramps, withered and brittle nails, dry hair and skin, slight depression, a feeling of aimlessness

t: pale especially on the sides, dry, orange color

p: choppy and fine

sp damp with lv qi stag

feeling of oppression and fullness of the epigastrium, nausea, lack of appetite, loose stools, a feeling of heaviness, dry mouth without desire to drink, sallow complexion, hypochondrial pain, bitter taste, sticky taste, epigastric and hypochondrial distention, irritability

t: thick, sticky yellow coat

p: slippery, wiry

kd qi not firm

soreness and weakness of lower back, weak knees, clear frequent urination, weak, stream urination, abundant urination, dribbling after urination, incontinence of urination, enuresis, urination at night, nocturnal emissions without dreams, premature ejaculation, spermatorrhea, tiredness, a feeling of cold, cold limbs, prolapse of the uterus, chronic white vaginal discharge, a dragging down feeling in the lower abdomen, recurrent miscarriage

t: pale

p: deep, weak especially in the rear positions

kd yang def

dizziness, tinnitus, lower backache, cold and weak knees, a sensation of cold in the lower back, a feeling of cold weak legs, bright white complexion, tiredness, lassitude, abundant

kd yang def with water overflowing

edema especially of the legs and ankles, cold feeling in the legs and back, fullness and distention of abdomen, soreness of lower back, feeling cold, scanty clear urination

t: pale, swollen and wet with a white coat

p: deep, weak, slow

kd yang def with water overflowing to ht

edema especially of the legs and ankles, cold feeling in the legs and back, fullness and distention of abdomen, soreness of lower back, feeling cold, scanty clear urination, breathlessness, cold hands

t: pale, swollen and wet with a white coat

p: deep, weak, slow

kd yang def with water overflowing to lu

edema especially of the legs and ankles, cold feeling in the legs and back, fullness and distention of abdomen, soreness of lower back, feeling cold, scanty clear urination, frothy sputum, cough, asthma and breathlessness

t: pale, swollen and wet with a white coat

p: deep, weak, slow

kd failing to receive qi

sob on exertion, rapid and weak breathing, difficulty in inhaling, chronic cough/asthma, spontaneous sweating, cold limbs, cold limbs after sweating, swelling of the face, thin body, mental listlessness, clear urination during asthma attack, lower backache, dizziness, tinnitus

t: pale

p: deep, weak, tight

kd yin def

dizziness, tinnitus, vertigo, poor memory, hardness of hearing, night sweating, dry mouth and throat at night, lower backache, ache in bones, nocturnal emissions, constipation, dark scanty urine, infertility, premature ejaculation, tiredness, lassitude, depression, sl anxiety

t: normal colored without coat

p: floating, empty

kd empty heat

five palm heat, a feeling of heat in the evening, malar flush, menopausal hot flashes, thirst with desire to drink in small sips, pronounced anxiety in the evening, nocturnal emissions with dreams

t: red without coat, cracked

p: floating, empty and sl rapid

kd yin def with fire blazing

malar flush, mental restlessness, insomnia, night sweating, low grade fever, afternoon fever, five palm heat, a feeling of heat in the afternoon/evening, scanty dark urine, blood in the urine, dry throat especially at night, thirst with desire to drink in small sips, dizziness, tinnitus, hardness of hearing, lower backache, nocturnal emissions with dreams, excessive sexual desire, dry stools

t: red, cracked with a red tip, no coat

p: floating, empty and rapid

kd essence deficiency

poor bone development, late closure of fontanel, deafness, mental dullness or retardation

softening of the bones, weakness of knees and legs, poor memory, loose teeth, falling hair or premature graying of hair, weakness of sexual activity, lower backache, infertility, sterility, primary amenorrhea, dizziness, tinnitus, deafness, blurred vision, absentmindedness, decreased mental sharpness

t: no coat if yin def, pale if yang def

p: floating, empty or leather

kd and lv yin def

dizziness, tinnitus, hardness of hearing, lower backache, dull occipital or vertical headache, insomnia, numbness or tingling of limbs, dry eyes, blurred vision, dry throat, dry hair and skin, brittle nails, dry vagina, night sweating, dry stools, nocturnal emissions, scanty menstruation or amenorrhea, delayed cycle, infertility

t: normal colored without coat or with rootless coat

p: floating, empty

kd and ht not communicating

palpitations, mental restlessness, insomnia, dream disturbed sleep, anxiety, poor memory, dizziness, tinnitus, hardness of hearing, lower backache, nocturnal emissions with dreams, a feeling of heat in the evening, dry throat at night, thirst with a desire to drink in small sips, night sweating, five palm heat, scanty dark urine, dry stools

t: red, redder tip without coat, midline crack

p: floating, empty and rapid or deep, weak on both rear positions and relatively overflowing on both front positions

kd and lu yin def

dry cough that is worse in the evening, dry throat and mouth, thin body, breathlessness on exertion, lower backache, night sweating, dizziness, tinnitus, hardness of hearing, scanty urination

t: normal colored without coat or with rootless coat

p: floating, empty

kd and sp yang def

lower backache, cold and weak knees, a sensation of cold in the back, a feeling of cold, weak legs, bright, white complexion, impotence, premature ejaculation, low sperm count, cold and thin sperm, decreased libido, tiredness, lassitude, abundant clear urination, scanty clear urination, urination at night, apathy, edema of the legs, infertility in women, loose stools, depression, poor appetite, slight abd distention, a desire to lie down, early morning diarrhea

t: pale and wet

p: deep weak

st qi def

uncomfortable feeling in the epigastrium, lack of appetite, lack of taste sensation, loose stools, tiredness especially in the morning, weak limbs

t: pale

p: empty, especially on the right middle position

st def cold

discomfort or dull pain in the epigastrium, better after eating and better with pressure or massage, lack of or no appetite, preference for warm drinks and foods, vomiting of clear fluid, lack of thirst, cold and weak limbs, tiredness, pale complexion

t: pale and wet

p: deep and weak, slow especially on the right middle position

st yin def

no appetite or slight hunger but with no desire to eat, constipation (dry stools), dull or slightly burning epigastric pain, dry mouth and throat especially in the afternoon with a desire to drink in small sips, a slight feeling of fullness after eating

t: normal color without a coat in the center or rootless coat

p: floating, empty on the right middle position

st empty heat

thirst with desire to drink in small sips, feeling of hunger, night sweating, five palm heat, bleeding gums, feeling of heat in the evening

t: red and without coating in the center

st qi stag

epigastric pain and distention, belching, nausea, vomiting, hiccup, irritability

t: no particular signs except that in more severe cases it may be red on the sides in the central section

p:wiry on the right middle position

st heat

burning epigastric pain, intense thirst with desire to drink cold liquids, mental restlessness, dry stools, dry mouth, mouth ulcers, sour regurgitation, nausea, vomiting soon after eating, excessive hunger, foul breath, a feeling of heat

t: red in the center with a dry yellow or dark coat

p: rapid or slightly overflowing on the right middle position

st phlegm heat

a feeling of oppression of the chest and epigastrium, mucus in the stools, expectoration of phlegm, mental derangement

t: red with a sticky yellow coat

p: rapid, slippery, overflowing

st damp heat

a feeling of fullness and pain of the epigastrium, a feeling of heaviness, facial pain, blocked nose or thick sticky nasal discharge, thirst without a desire to drink, nausea, a feeling of heat, dull yellow complexion, a sticky taste

t: red with a sticky yellow coat

p: slippery rapid

st cold invading

sudden severe pain in the epigastrium, a feeling of cold, cold limbs, preference for warmth, vomiting of clear fluids which may alleviate the pain, nausea, feeling worse after swallowing cold fluids which are quickly vomited, preference for warm liquids

t: thick white coat

p: deep, tight, slow

st qi rebelling

nausea, difficulty swallowing, belching, vomiting, hiccup

t: no changes

p: tight or wiry on the right middle position

st food stagnation

fullness, pain and distention of the epigastrium that are relieved by vomiting, nausea, vomiting of sour fluids, foul breath, sour regurgitation, belching, insomnia, loose stools or constipation, poor appetite

t: thick coat which could be white or yellow

p: full, slippery

st blood stasis

severe stabbing epigastric pain that may be worse at night, dislike of pressure, nausea, vomiting, possibly vomiting of blood, vomiting of food looking like coffee grounds

t: purple

p: wiry

st and sp qi def

poor appetite, slight abd distention after eating, tiredness, lassitude, pale complexion, weakness of limbs, loose stools, uncomfortable feeling in the epigastrium, lack of taste

t: pale

p: empty especially on the right middle position

st and sp yin def

poor appetite, dry mouth, thirst with desire to drink in small sips, dry stools, dry lips, sl nausea, tiredness, uncomfortable feeling in the epigastrium, lack of taste

t: without coat

p: floating, empty especially on the right middle position

si def cold

dull abd pain alleviated by pressure, a desire for hot drinks, borborygmi, diarrhea, pale and abundant urination, cold limbs

t: pale with white coat

p: deep, weak, slow

si heat

mental restlessness, insomnia, tongue/mouth ulcers, pain in the throat, deafness, an uncomfortable feeling and sensation of heat in the chest, abdominal pain, thirst with a desire to drink cold liquids, scanty and dark urine, burning pain on urination, blood in urine

t: red with redder and swollen tip, yellow coat

p: overflowing, rapid especially in the front position

si qi pain

lower abdominal twisting pain that may extend to the back, abdominal distention, dislike of pressure on the abdomen, borborygmi, flatulence, abdominal pain relieved by emission of wind, pain in the testis

t: white coat

p: deep, wiry especially on the rear positions

si q tied

severe abdominal pain, dislike of pressure, abdominal distention, constipation, vomiting, borborygmi, flatulence

t: thick white coat

p: deep, wiry

si worms

abdominal pain and distention, bad taste in mouth, sallow complexion

roundworms

abdominal pain, vomiting of round worms, cold limbs

hookworms

desire to eat strange objects such as soil, wax, uncooked rice or tea leaves

pinworms

itchy anus worse in the evening