Middle Jiao   中焦

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Pattern Names
Middle Jiao • 中焦 • Zhōng Jiāo
Classification
Category: 3 Jiao Syndrome: Middle Jiao
Symptoms
Tongue: Yang Ming Dry Heat (red tongue, dry yellow coat) • Damp Heat Invading Spleen (thick, greasy tongue)[Qiao] Pulse: Yang Ming Dry Heat (deep, forceful) • Damp Heat Invading Spleen (slippery)[Qiao]
Indications: LOCATION: from diaphragm to navel • SEVERITY: severe • ORGANS/CHANNELS: Stomach and Spleen• CLASSIFICATION: 1) Yang Ming Dry Heat 2)Damp Heat Invading Spleen • SYMPTOMS: 1)Yang Ming Dry Heat: Lhigh fever, thirst, constipation, red face, harsh breathing, abdominal pain, distention, red tongue, dry yellow coating, deep and forceful pulse 2) Damp Heat Invading Spleen: fever, lassitude, abdominal distention and bloating, nausea, dark scanty urine, heaviness of the body and limbs. Thick greasy tongue coating, and a slippery pulse [Qiao]
Etiology
Pattern identification based on San Jiao classifies clinical manifestations of disease as “febrile diseases arising from Wind Heat”. Starts with Wind Heat at the Upper Jiao(LU) and then gets worse as it migrates down. In the MJ, it becomes heat(ST, LI) and damp heat(SP). In the LJ, it becomes Yin deficiency(KD/LV). [42]
Figure 1