Patterns Comparisons

Anger

Pin Yin
Nu
Chinese
Pulse
wiry
Symptoms
Red face and eyes, emotional depression, easily angered, dizziness, headache, chest oppression and frequent sighing, distension and pain in the hypochondria and breast area, and plum-pit syndrome. In severe cases, vomiting or cough with blood, or sudden fainting can be seen. Wiry pulse [Qiao]

Bladder Damp Heat

Pin Yin
Páng Guāng Shī Rè
Chinese
膀胱湿热
Tongue
red with yellow coating
Pulse
slippery, rapid
Symptoms
Frequent urination, urgent and painful urination, dark colored urination, bloody urine. Red tongue with yellow coating, a slippery and rapid pulse, Heat Lin, Blood Lin, Stone Lin, Gao Lin [Qiao]
Key Words
Frequent, urgent, burning and painful urination, plus damp-heat signs and symptoms [Qiao]
Treatment
Clear heat, promote urination, unblock painful urinary dysfunction[Qiao]
Etiology
Pathogenic damp heat / Poor diet / Alcohol ⇢ damaging Bladder function
Acupunct
BL22, BL63, BL66, REN3, SP6, SP9, ST28 [Qiao]
Herbs
Ba Zhen San, Wu Ling San

Bladder Deficiency Cold

Pin Yin
Páng Guāng Xū Hán
Chinese
膀胱虚寒
Tongue
pale, white and greasy coating
Pulse
deep, weak
Symptoms
Frequent urination with clear urine or bedwetting, intolerance of cold, cold limbs, lassitude, listlessness. A pale tongue with white greasy, and a deep and weak pulse [Qiao]
Key Words
Frequent clear and copious urine day or night, incontinence, plus yang deficiency signs and symptoms [Qiao]
Treatment
Warm yang, tonify Kidneys, Stop urinary frequency and leakage [Qiao]
Etiology
Kidney yang deficiency ⇢ inability to warm bladder
Acupunct
BL22, BL23, BL28, DU4, REN4, ST36 [Qiao] • KD3
Herbs
Ji Sheng Shen Qi Wan, Suo Quan Wan [Qiao]

Bladder Foot Taiyang Channel

Pin Yin
Zú Tài Yáng Páng Guāng Jīng
Chinese
足太阳膀胱经
Symptoms
Impotence • sole heat • irregular menses • nocturnal emission • frequent urination • enuresis • asthma • edema • dry tongue • hemoptysis • lumbar pain • lumbago • mental restlessness • urine retention • stifling chest sensation • LUO (BL-58): headache • congestion • runny nose • back pain • epistaxis
Notes
5 ELEMENTS: Yang counterpart to Kidney/Water Channel • FUNCTIONS: BL Qi transforms urine

Blood Cold

Pin Yin
Xuè Hán
Chinese
血寒
Tongue
Pale
Pulse
Deep/Slow/Choppy
Symptoms
Cold and pain in feet, hands and lower abdomen which can be relieved by warmth; dysmenorrhea, dark purple menses w clots.
Key Words
Cold feet, hands, lower abdomen
Notes
Blood cold can lead to blood stagnation
Herbs
Sheng Di Huang, Mu Dan Pi, Chi Shao, Huang Qin, Di Gu Pi, Ou Jie

Blood Deficiency

Pin Yin
Xuè Xū
Chinese
血虚
Tongue
Pale
Pulse
Thready
Symptoms
Sallow complexion, Pale lips, pale gums, Dizziness, Blurry vision, Palpitations, Insomnia, Numbness of hands and feet, Poor circulation, Dark skin, scanty menses or amenorrhea, poor memory, dream-disturbed sleep, pale lips, pale tongue
Key Words
Pale, Blurry vision, Insomnia
Treatment
Tonify Blood
Acupunct
ST 36, SP 6, SP 10, RN 12, LI 10, BL 17, BL 20
Herbs
Gou Qi Zi, Shu Di Huang, Dang Gui, Da Zao, E Jiao, Chuan Xiong

Blood Heat

Pin Yin
Xuè Rè
Chinese
血热
Tongue
Crimson
Pulse
Rapid/ Floating
Symptoms
Mental restlessness, Mania if severe, Dry mouth, Hemorrhage, Excess menstural flow, Rash, Petechia, Epistaxis, Hemoptysis, Hematemesis, Hematuria
Key Words
Bleeding, Rash, Mental issues
Notes
Blood heat is very common. For example, a young girl with irregular menses or heavy menses can be due to blood heat because of their excess yang. Blood heat can lead to blood stagnation
Treatment
Clear blood heat, Nourish blood, Moisten dryness
Acupunct
Jing-Well, Ying-Spring, He-Sea, Ear Apex, DU 14, BL 40
Herbs
Sheng Di Huang, Mu Dan Pi, Chi Shao, Huang Qin, Di Gu Pi, Ou Jie

Blood Stagnation

Pin Yin
Xuè yū
Chinese
血瘀
Tongue
purple or dark spots on side; possible distended purple veins underside.
Pulse
choppy, irregular
Symptoms
Pain (piercing, burning, stabbing) aggravated at night, refuses pressure and is in a fixed location; dark complexion, purple lips, masses/lumps that do not move, bleeding with dark blood and clots, squamous/dry skin, menorrhagia/amenorrhea/dysmenorrhea. –Liver blood stagnation –Heart blood stagnation –Lung blood stagnation –Stomach blood stagnation –Intestines blood stagnation –Uterus blood stagnation [Qiao]
Key Words
Pain, aches, dysmenorrhea, dark, purple
Notes
Blood stagnation is a pattern caused by many etiology, including blood stasis, blood cold, blood heat, Qi stagnation, etc
Etiology
blood stasis, blood cold, blood heat, Qi stagnation

Blood Stasis

Tongue
Purple spots
Pulse
Choppy
Symptoms
clots, thrombosis, dysmenorrhea, fixed stabbing pain. Blood stasis can cause blood stagnation.
Key Words
Pain, aches, dysmenorrhea, dark, purple
Notes
Blood stagnation is a pattern caused by many etiology, including blood stasis, blood cold, blood heat, Qi stagnation, etc
Etiology
blood stasis, blood cold, blood heat, Qi stagnation

Chong Channel

Symptoms
Pain in abdomen • ASTHMA • Infertility • Irregular menses • Qi rebellion • Sea of Blood
Notes
CONFLUENCE POINTS: SP-04 + PC-06 (Yin Wei) • POINTS: REN-01, REN-07, ST-30, KD-11, KD-12, KD-13, KD-14, KD-15, KD-16, KD-17, KD-18, KD-19, KD-20, KD-21 • No LUO or Xi-Cleft points • PATH: Lower abs > Perineum > ST-30 > KD channel > Curve around the lips

Cold

Pin Yin
Han
Chinese
Tongue
pale, white coating
Pulse
tight, wiry
Symptoms
EXTERNAL (Cold Attack Exterior) • INTERNAL (Cold Attack Interior, Cold Bi)

Excess Cold

Tongue
Blue, Pale, Dusky
Pulse
Slow, Tight, Short
Symptoms
Chronic disease states, Relatively longer disease duration, Chills, Headache, Body Ache, Sneezes, Cough, Nasal Congestion or Drip, NO Fever, NO Thirst, NO Sweating, Cold Signs, White Coating, Pale Tongue, Slow Pulse, bluish purple lips
Key Words
cold signs, pale, cold
Treatment
Warm Cold
Acupunct
RN 4, RN 6, PC 6, ST 36, Moxa
Herbs
Liang Fu Wan

True Cold False Heat

Tongue
Pale
Pulse
Superficial, Weak
Symptoms
Feverishness of the body, flushed face, thirst, but wants to cover up the body in spite of feverishness • Wants to take warm drinks to relieve thirst• NO Fever • NO Sweating • Cold Signs • White Coating • Pale Tongue • Slow Pulse
Key Words
Feverishness of the body, flushed face, thirst, but wants to cover up the body in spite of feverishness
Treatment
Warm Cold
Acupunct
RN 4, RN 6, PC 6, ST 36, Moxa
Herbs
Liang Fu Wan

Qi and Blood Deficiency

Tongue
Pale with thin white coat
Pulse
Choppy / Thin and Frail / Large and Weak
Symptoms
Fatigue, loose stools, poor appetite, weak muscles, weak voice, dislike of speaking, spontaneous sweating, palpitations, blurred vision, dizziness, SOB, dull-pale complexion, numbness and tingling of the limbs, Periods: scanty, late, or heavy
Key Words
Pale, Weak
Treatment
Tonify and nourish Qi and Blood
Acupunct
ST 36, SP 6, KD 3, BL 20, BL 17, LI 10
Herbs
Ba Zhen Tang

Qi and Yin Deficiency

Tongue
No coating
Pulse
Fine
Symptoms
Tiredness, loose stools, poor appetite, weak muscles, weak voice, dislike of speaking, spontaneous sweating, SOB, dry throat, dry mouth, dry cough, dry eyes, feeling of heat in the afternoon
Key Words
Fatigue, Weakness, Drained
Treatment
Tonify Qi, Nourish yin
Acupunct
SP6, KD3, BL52, BL23, BL20, BL17, BL13
Herbs
Sheng Mai San

Wind Stroke

Tongue
see specific types
Symptoms
Zang-fu attack (severe): Closed or Open types • Channel attack (mild) • Sequelae (beyond 2 years after acute attack)
Biomed
Stroke

Yin and Yang Deficiency

Tongue
Pale or Red, scanty coat
Pulse
Fine / Thin, Weak, Rapid
Symptoms
Thin body, depression, shortness of breath, dislike of speaking, tired, cold limbs, a cold sensation, sweating and heat on exertion, palpitations, blurred vision, dizziness, tinnitus
Key Words
Dryness, Weakness, Cold, Heat
Treatment
Tonify yang, Nourish yin, Moisten dryness, Tonify Qi
Acupunct
SP 6, RN 6, RN 8, DU 4, DU 14, DU 20, KD 3, BL 23, BL 52
Herbs
Er Xian Tang

Heart and Kidney Disharmony/ Yin Xu

Pin Yin
Xīn Shèn Bù Jiāo
Chinese
心肾不交
Tongue
Red tongue with redder tip, no coat, mid-line heart crack
Pulse
Thready, Rapid, Deep, Weak, Floating, or Empty
Symptoms
"With heart empty heat": Night sweating, Palpitations, Insomnia, 5 Sole heat, Weakness, Soreness of low back & knees, Sexual problems, Malar flush, Little thirst, Tinnitus, Easily startled, Anxiety, Vertigo, Anxiety, Dream disturbed sleep, Poor memory, Nocturnal emissions, Evening heat, Dry throat at night, Thirst with desire to drink in small amounts, Steaming bone, Scanty dark urine, Dry stool [Maciocia] • Palpitations, insomnia, vexation, dream disturbed sleep, dizziness, tinnitus, dry mouth, malar flush, five center heat, night sweats, weakness and aching of the lower back and knees, seminal emissions; a red tongue with little or no coating, and a thready and rapid pulse [Qiao]
Key Words
Irritability, seminal emissions, hot flashes, and lower back ache. [Qiao]
Treatment
Harmonize HT and KD, Clear empty heat, Calm Shen, Moisten dryness
Etiology
KD Yin Xu + Heart Yin Xu • Kidney Yin deficiency leading to Heart Yin deficiency [Maciocia] • A pattern caused by a lack of coordination between the Heart fire and Kidney water manifests as yin deficiency with yang excess of the Heart and Kidney. –  Long term excessive worry, thinking or depression. Or sexual hyperactivity, aging, or chronic illness –  Heart fire exorbitant, disturbs spirit cause insomnia, palpitation, vexation –  Kidney yin deficient fail to fill the marrow cause low back pain, dizziness, tinnitus, or poor memory –  Yin deficiency lead yang relative excess, resultdeficient heat cause hot flush, night sweating, heat sensation in five center [Qiao]
Biomed
menopausal syndrome
Acupunct
BL 15, BL 23, BL 52, KD 3, KD 6, SP 6, AnMian, HT 7, PC 6, RN 14
Herbs
Tian Wang Bu Xin DanZhu Sha An Shen Wan • Jiao Tai Wan • Bai Zi Yang Xin Tang

Heart and Kidney Yang Deficiency

Pin Yin
Xīn Shèn Yáng Xū
Chinese
心肾阳虚
Tongue
Ⓣ pale, purple with slippery white coat
Pulse
deep, weak, slow, thready
Symptoms
"Water overflowing to Heart": Edema in legs and ankles, cold limbs, cold back, abdominal distension, abdominal fullness, lower back pain, scanty urination, dislike cold, palpitations, breathlessness, cold hands, yin edema (below the waist), sexual problems [Maciocia] • Palpitations, edema on the face and lower extremities, scanty or difficult urination, fear of cold, cold limbs, physical and mental fatigue, sleepiness, dark and dim facial complexion and purplish lips, pale and purple tongue, a white slippery tongue coating, and a deep, faint and thready pulse[Qiao]
Key Words
weak, cold, palpitations, edema, cold hands [Maciocia] • Palpitations, edema, plus yang deficiency symptoms [Qiao]
Treatment
warm/tonify HT&KD Yang
Etiology
1. Kidney yang xu 2. Chronic diseases 3. Lifestyle 4. Cold foods [Maciocia] • The pattern is characterized by an insufficiency of Heart and Kidney yang, and manifests with blood stagnation due to a lack of the Heart yang’s motive force, and dampness accumulation due to the Kidney yang’s weakened function of warming and transforming fluids. –  Chronic illness, aging, or overstrain –  Heart yang deficient: lack of motive force, slow the blood movement result palpitation –  Kidney yang deficiency: failed qi transformation lead water retention cause edema, difficult urine –  Yang deficient: failed to warm up, result cold limbs, desire for warmth [Qiao]
Biomed
chronic renal failure
Acupunct
PC 6, DU 4, KD 3, BL 15, BL 23, RN 4, RN 6, RN 9, RN 14, SP 9
Herbs
Shen Qi Wan, Zhen Wu Tang

Heart and Liver Blood Deficiency

Pin Yin
Xīn Gān Xuè Xū
Chinese
心肝血虚
Tongue
pale, thin
Pulse
fine, choppy
Symptoms
Pale, Dizziness, Numbness, Palpitation, Insomnia, Dream-disturbed sleep, Poor memory, Eye problems (Blurry vision, night blindness), Scanty menses, Amenorrhea, Cramps, Muscular weakness, Dry hair, Dry skin, Depression, Brittle nails, Easily startled, Vertigo [Maciocia] • Palpitations, poor memory, insomnia, dream disturbed sleep; dry eyes, blurry vision, dry and withered nails, numbness or spasms of extremities; irritability, dizziness, tinnitus, pale facial complexion, light and scanty menstruation or amenorrhea, a pale tongue with white coating, and a thready and weak pulse [Qiao]
Key Words
pale complexion, dizziness, palpitation, dry nails, dry eyes, shen issues [Maciocia] • Palpitations, poor memory, numbness, irritability, plus blood deficiency pattern signs and symptoms [Qiao]
Notes
AKA: HT Blood and LV Blood Deficiency
Treatment
Nourish Heart blood, Nourish Liver Blood, Calm shen
Etiology
1. Sadness, overthinking, anxiety 2) Diet 3) Excessive physical work 4) Trauma/ blood loss 5) Child birth [Maciocia] • –  Chronic bleeding or long term excessive pensiveness and mental overstrain –  Heart blood deficient, failed to nourishes Spirit –  Liver blood deficiency failed filled chong/ren channel and  failed to nourishes eye, tendons and nails [Qiao]
Acupunct
BL 17, BL 20, ST 36, SP 6, PC 6, BL 18, RN 14, HT 7, SP 10, LV 8
Herbs
Si Wu Tang, Suan Zao Ren Tang, Gui Pi Tang, Sheng Yu Tang, Bu Gan Tang, Dang Gui Ji Xue Teng Tang
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