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Pale with Blue Tinge and Severe Pain in the Epigastrium and Abdomen Excess Yin and Cold
Bluish Purple Face and Lips with Intermittent Pain Behind the Sternum or Precordial Stagnation of Heart Blood
Region
Bluish Purple Face and Lips with High Fever and Violent Movement of Limbs in Children Infantile Convulsion
Pale and Dark with Lumbar Soreness and Cold Feet Kidney Yang Xu
Appearance Meaning
Pain, Soreness, Heaviness and Numbness in Tendons, Bones and Muscles, with Swelling Bi Syndromes
and Restricted Movement of Joints
Numbness or Impaired Movement of Limbs on One Side of the Body Hemiplegia or Wind Stroke
Eyes Meaning
Nose Meaning
Flapping of Ala Nasi Heat in the Lungs or Qi Xu of both Lung and Kidney
Ears Meaning
Burnt Black and Dry and Withered Auricles in Severe Illness Consumption of Kidney essence
Gums Meaning
Throat Meaning
Redness and Swelling with Yellow or White Ulcer Spots Toxic Heat in Lung and Stomach
False Gray and White Membrane over Throat that is Hard to Remove, and Bleeds Diphtheria from Heat in the Lung Consuming Yin.
Following Removal
Chills Accompanied by Fever (External Pathogen Fighting with Antipathogenic Qi (Zheng Qi))
Severe Chills, Mild Fever, Absence of Sweating, Headache, General Aching, and a Wind Cold
Superficial Tight Pulse
Mild Chills, Severe Fever, Thirst, Sweating, and a Superficial Rapid Pulse Wind Heat
Alternating Chills and Fever with a Bitter Taste in the Mouth, Thirst, Fullness and Intermediate Syndrome
Stuffiness in the Chest and Hypochondrium
High Fever with Aversion to Heat, Profuse Sweating, Severe Thirst, and a Surging Pulse Excess Heat in the Interior
Tidal Fever in the Afternoon or Evening, with Night Sweating, and a Red Tongue with Little Yin Xu
Moisture
Fever more Pronounced in the Afternoon with Constipation, and Fullness and Pain in the Yangming Fu Syndrome
Abdomen
Chilled Appearance, Cold Limbs, and a Deep, Slow, and Weak Pulse Interior Cold Xu
Perspiration Meaning
Presence of Sweating in Exterior Syndromes Exterior Xu from Exposure to Wind, or Exterior Heat from Invasion of Pathogenic Wind
Heat
Night Sweating (May also have Tidal Fever, and a Red Tongue with Little Coat Yin Xu with Hyperactivity of Yang Heat
Spontaneous Sweating (May also have Chills, Listlessness, and Lassitude) Qi and Yang Xu
Profuse Sweating with High Fever, Mental Restlessness, Thirst for Cold Drinks, and a Excess Interior Heat
Surging Pulse
Profuse Sweating with Listlessness, Feeble Energy, Cold Limbs, and a Deep Thready Pulse Total Exhaustion of Yang Qi
in a Severe Case
Poor Appetite in a Prolonged Illness with Emaciation, Loose Stools, Lassitude, and a Pale Spleen and Stomach Weakness
Tongue with Thin White Coat
Poor Appetite with Stuffiness in the Chest, Fullness in the Abdomen, and a Thick Sticky Stagnation of Qi of the Spleen and Stomach Caused by Retention of Food or Dampness
Tongue Coat
Excessive Appetite and Easily Hungry in a Skinny Patient Excess Stomach Fire
Hunger with no Desire to Eat, or Eating Small Amounts of Food Impairment of Stomach Yin, Producing Internal Xu Heat
Lack of Thirst During an Illness Body Fluids are not Consumed (Usually present in a Cold Syndrome, or where Heat is not
Noticeable)
Presence of Thirst During an Illness Consumption of Body Fluid or Retention of Phlegm Damp in the Interior Preventing Fluid
from Ascending
Sweet Taste in the Mouth Damp Heat in the Spleen and Stomach
Tastelessness Spleen Xu
Constipation from Dryness of the Stool Accumulation of Heat or Consumption of Body Fluids
Bloody Stool with Mucus and Tenesmus Damp Heat in the Intestines and Stagnation of Qi in the Intestinal Tract
Turbid Urine Damp Heat Pouring Downward, or Downward Leakage of Turbid Essence.
Clear Urine with Increased Volume Infirmity of Kidney Qi, and Bladder Dysfunction in Controlling Urine
Scanty, Yellow Urine, with Urgent and Painful Urination Downward Movement of Damp Heat in to the Bladder
Dribbling Urination or Retention of Urine in Severe Cases Exhausted Kidney Qi (Xu) or Stagnant Bladder Qi (Excess) due to the Downward Infusion
of Damp Heat, Stagnant Blood, or Stones.
Pain Meaning
Severe Distention and Mild Pain Moving from Place to Place, Often Occurring in the Qi Stagnation
Chest, Epigastric, Hypochondriac, and Abdomen
Headache with Distending Sensation in the Head Upward Disturbance by Fire and Heat
Prickling Pain, Sharp and Fixed in Location, Often Occurring in the Chest, Epigastric, Blood Stagnation
Hypochondriac, and Lower Abdominal Regions.
Pain with and Heavy Sensation (Weighty Pain), Often Occurring in the Head, Four Limbs Dampness Blocking Qi and Blood
and Lumbar Regions
Pulling Pain which is Spasmodic in Nature and Short in Duration Liver Wind
Burning Pain with a Burning Sensation and a Preference for Coolness, Often Occurring in Invasion of the Collaterals by Pathogenic Fire and Heat or from Excessive Yang Heat due
the Hypochondriac regions on Both Sides, and in the Epigastric Region to Yin Xu
Pain with a Cold Sensation and a Preference for Warmth, Often Occurring in the Head, Pathogenic Cold Blocking the Collaterals or Lack of Warmth and Nourishment in the Zang
Lumbar, Epigastric, and Abdominal Regions. Fu and Meridians due to Yang Qi Xu
Dull Pain that is not severe, lingers, and lasts for a long time Xu Cold Syndrome
Headaches 1. Disturbance of the Clear Yang by Pathogenic Factors (Usually Excess) 2. Stagnation of
Qi and Blood in Endogenous Diseases Blocking the Meridians and Depriving the Brain of
Nourishment 3. Blood and Qi Xu Failing to Nourish the Head, and the Sea of Marrow
Becomes Empty.
Epigastric Pain (Upper, Middle. Lower) Invasion of the Stomach by Pathogenic Cold, Retention of Food in the Stomach, or
Invasion of the Stomach by Liver Qi
Abdominal Pain Excess Causes: Retention of Cold, Accumulation of Heat, Stagnation of Qi, Stagnation of
Blood, Retention of Food or Parasitic Diseases
- Upper is SP
- Lower is KI, BL, LI, SI, Uterus Xu Causes: Qi Xu, Blood, Xu, Deficiency of Cold
- Sides are LIV
Lumbago Obstruction of the Kidney Meridian or Deficiency of the Kidney Failing to Nourish the
Lumbar Region
Pain in the Limbs (Joints, Muscles, or Meridians) Retardation of Qi and Blood Circulation due to Invasion of the Exogenous Pathogenic
Factors
Persistent Pain in a Recent Disease or Pain that is Aggravated by Pressure Excess Condition
Sleep Meaning
Insomnia with Palpitations and Dizziness Failure of Blood to Nourish the Heart due to Heart and Spleen Xu
Insomnia with a Restless Mind, and Dream Disturbed Sleep Hyperactive Heart Fire
Difficulty Falling Asleep due to an Uncomfortable and Empty Sensation in the Stomach or Derangement of Stomach Qi Leading to Mental Restlessness
Gastric Discomfort After a Full Meal
Menses Meaning
Menses of Shortened Cycle, Excessive in Amount, Deep Red in Color, and Thick in Quality Excess Heat in the Blood
Menses that are Light Colored, Profuse in Amount, and Thin in Quality Failure of Qi to Command Blood
Prolonged Cycle with Scanty Purplish Dark Discharge or Clots Stagnation of Blood due to Cold
Irregular Menstrual Cycle Disharmony of the Flush and Conception Vessels due to Obstruction of Liver Qi
Premenstrual or Menstrual Distending Pain in the Breasts and Lower Abdomen which Stagnation of Blood due to Cold
Intensifies on Pressure During Menses
Dull Pain in the Lower Abdomen During or After Menses which is Alleviated by Pressure Qi and Blood Xu
References Used
The TCM information presented here has been referenced from numerous sources; including teachers, practitioners, class notes from Five Branches University
(http://www.fivebranches.edu), the following books, as well as other sources. If you have benefited from this information, please consider supporting the authors and their
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