6 Stages, 4 Levels, San Jiao Differentiation

Tai yang Channel

SI/UB

more blood, less qi

chills, fever, aversion to cold, head/neck stiffness and pain, superficial pulse

Tai yang channel excess

cold predominates; no sweating, pulse tense

Formula: Ma Huang Tang, Ge Gen Tang (neither on CALE)

Tai yang channel deficiency

more wind, sweating, pule moderate

Formula: Gue Zhi Tang

Tai yang Fu water accumulation

aversion to cols, urinary retention, vomiting immediately after drinking

formula: Wu Ling San

Tai yang blood accumulation

Lower jiao distention, fullness, urgency, blood in urine, restlessness

Formula: Tao He Cheng Qi Tang

Yang Ming channel

LI/ST

full of qi and blood

fever, sweating, aversion to heat

Yang Ming jing

LI/ST

high fever, profuse sweat over entire body, thirst for cold water, big pulse (4 bigs)

T: red, white/yellow coat

Formula: Bai Hu Tang

yang ming fu

tidal fever, sweating on hands and feet, constipation, fullness

T: red, dry yellow coat

P: rolling, rapid

Formulas: Da Cheng Qi Tang, Xiao Cheng Qi Tang, Tiao Wei Cheng Qi Tang

Shao yang Channel

SJ/GB

more qi, less blood

bitter taste, dry throat, dizziness, blurry vision, alt chills/fever, fullness in chest and hypochondrium, poor appetite, nausea, irritability

T: normal

P: string taught

Formula: Xiao Chai Hu Tang

Tai yin channel

LU/SP (*Sxs mainly of SP)

More qi, less blood

interior deficient cold, abdominal fullness, sometimes pain, better w/ warmth, reduced appetite, no thirst, loose stool, diarrhea, fatigue, edema

T: pale w/ white coat

P: deep, weak

Formula: Li Zong Wan

Shoa yin channel

HT/KD

more qi, less blood

Shen affected

Shao yin cold

aversion to cold, frigid extremities, listlessness, desire to sleep, lying with body curled up, diarrhea, frequent, pale urination

T: pale, white coat

P: deep, slow, thready, weak pulse

Formula: Si Ni Tang, Zhen Wu Tang

Shao yin heat

irritability, insomnia, dry mouth, dry throat, night sweats, dark urine

T: red, little coat

P: thready, rapid

formula: Huang Lian E Jiao Tang, Zhu Ling Tang

Jue Yin channel

PC/LV

more blood, less qi

mix heat and cold, heat above/cold below, heat and irritability in the chest, energy rushing upwards, wasting and thirsting, hunger no desire to eat, vomiting after meals, heart burn, frigid extremities, possible roundworms

T: pale, white coat

P: deep, slow

formula: Si NI San, Wu Zhu Yu Tang, Bai tou Weng Tan, Mu Wei Wan (Natl)

Wen Bing, Wei level

fever, sl chills, H/A, cough, thirst, dry mouth, yellow nasal d/c

T: normal or red tip

P: superficial, rapid

Exterior wind- heat

formula: Sang Ju Yin, Yin Qiao San

Wen Bing, Qi level

high fever, aversion to heat, sweating, thirst, dry mouth, irritability, cough w/ yellow sputum, scanty urine, constipation

T: red, dry, yellow coat

P: surging, rapid

Organ level heat

Formula: Bai Hu Tang, Da/Xiao/Tiao Wei Cheng Qi Tang

Wen Bing, Ying Level

fever worse at night, thirst no desire to drink, dry mouth, irritability, insomnia, delirium, restlessness, skin rashes

T: very red, little of no coat

P: rapid, thready, hesitant

Nutritive level heat

formula: Qing Ying Tang (natl)

Wen Bing, Blood level

like ying level but more severe, fever worse at night, thirst no desire to drink, dry mouth, irritability, insomnia, delirium, convulsions, loss of consciousness, obvious bleeding

T: red, little coat

P: thready, rapid

blood level heat

formula: Xi Jiao Di Huang Tang (not on exams)

San Jiao: upper jiao: lung

aversion to wind and cold, thirst, sore throat, cough, chest pain or oppression

T: red, yellow coat

similar to Wen Bing Wei or Qi level

San Jiao: upper jiao: pericardium

High fever at night, burning in epigastrium, delirium, aphasia

T: deep red

P: thread, rapid

similar to Wen Bing Ying or Blood level

San Jiao: middle jiao: Stomach or intestines

dry heat causing red face, red eyes, high fever, thirst, dry throat, nausea, vomiting, constipation

T: red, dry coat

P: thready, rapid

similar to Yang ming jing, Yang ming Fu, Wen Bing Qi level

San Jiao: middle jiao: spleen

damp heat in spleen causing fullness in epigastrium, no appetite, heavy limbs, diarrhea

T: sticky

P: rolling, rapid

similar to Wen Bing Qi Level

San Jiao: Lower Jiao: kidney

low-grade fever in afternoon or evening, 5-center heat, dry mouth and throat, night sweats, deafness, insomnia, lassitude

T: deep red, no coat

P: thready, rapid

similar to Shaoyin heat

San Jiao: Lower Jiao: Liver

fever, coma, convulsions, tremors, dizziness, dream disturbed sleep

T: deep red, no coat

P: thready, rapid or thready, rapid, string taught

similar to Wen Bing blood level