-
Diagnosis by asking two components :
- 1. How did main complaint arise?
- 2. Identify the prevailing patterns by using the appropriate method of pattern ID.
-
Procedure for interrogation:
- 1. Main complaint differentiation
- 2. Information to confirm or exclude presenting pattern
- 3. Organize the presenting symptoms and signs into patterns
- 4. Exclude or confirm presence of other patterns that may stem from existing one
-
Qi stagnation:
Distension, bloating more than pain, or distending pain, no fixed location- coming and going
-
Blood stasis:
Severe, boring or stabbing pain with fixed location
-
Liver yang rising:
Chronic headahces with distending throbbing pain
-
Cold:
Stomach, intestines, uterus
-
Damp Heat :
Burning pain with feeling of fullness and heaviness
-
External Wind :
Occipital headaches and stiffness
-
External Dampness:
Pain in the joints or epigastrim
-
Retention of food:
Intense pain with feeling of fullness
-
Phlegm:
Does not usually cause pain but it may do so especially in the joints (rheumatoid arthritis)
-
Condition relieved by eating:
Empty
-
Condition aggravated by eating:
Full
-
Lack of appetite:
SP Qi deficiency
-
Excessive hunger:
ST Heat
-
Feeling of fullness:
Dampness or retention of food
-
Bitter taste- constant:
Full Heat in Liver
-
Bitter taste in morning; insomnia:
Full Heat in Heart
-
Lack of taste sensation:
SP and ST deficiency
-
Sour vomit:
Invasion of Stomach by LV
-
Bitter vomit:
LV or GB Heat
-
Clear watery vomit:
Cold in ST
-
Vomit soon after eating:
Heat in ST
-
Vomit with sudden loud noise:
Full
-
Slow in coming vomit with weak noise:
Empty
-
Aggravation of a condition with bowel movement:
Empty pattern
-
Amelioration of a condition after bowel movement:
Full pattern
-
Acute constipation with thirst and dry yellow Tongue Coating:
Heat in ST and intestines
-
Constipation in old people or women after child birth:
Blood deficiency
-
Constipation with small, dry, bitty stools like goat stools:
LV Qi stagnation
-
Alternation of constipation and diarrhea:
Stagnant Liver Qi invading SP
-
Chronic loose stools:
SP or KD Yang deficiency
-
Chronic diarrhea every day every early in AM (cock crow):
KD Yang deficiency
-
Loose stools with undigested food:
SP Qi deficiency
-
Diarrhea with mucus in the stools:
Dampness in intestines
-
Diarrhea with mucus and blood in the stools; blood comes first with splashing:
Damp Heat in intestines
-
Burning sensation in the anus while passing stools; foul smelling stools:
Heat
-
Borborygmi with loose stools:
Spleen deficiency
-
Borborygmi with abdominal distention and without loose stools:
Liver Qi stagnation
-
Enuresis or incontinece of urine:
KD deficiency
-
Pain before urination:
Stagnation of Qi in lower burner
-
Pain during urination:
Damp Heat in bladder
-
Pain after urination:
Qi deficiency
-
Pale urine:
Cold pattern, usually BL and KD
-
-
Turbid or cloudy urine:
Dampness in the bladder
-
Thirst with no desire to drink:
Damp Heat
-
Desire to drink cold liquids:
Heat
-
Desire to drink warm liquids:
Cold
-
Chronic tiredness, desire to lie down, poor appetite, loose stools:
SP Qi deficiency
-
Chronic tiredness, weak voice, propensity to catch cold:
LU Qi deficiency
-
Chronic tiredness, backache, lassitude, a feeling of cold, depression, frequent urination:
KD Yang deficiency
-
Chronic tiredness, feeling of heaviness of the body, muzziness:
Retention of Dampness
-
Chronic tiredness, anxiety, tenseness, wiry pulse:
LV Qi stagnation
-
Recent onset short duration headache:
Headache from Exterior attack of Wind-Cold
-
Headache with gradual onset, in attacks:
Interior pattern
-
Headache with heavy feeling:
Dampness or Phlegm
-
Headache with pain inside the head hurting the brain:
KD deficiency
-
Headache with distending throbbing:
LV Yang rising
-
Headache with boring like a nail to a small point:
Blood stasis
-
Headache with feeling of muzziness, heaviness:
Dampness
-
Headache with aversion to Wind or Cold:
Exterior pattern
-
Headache with aggravated by Cold:
Cold pattern
-
Headache with aggravation by Heat:
Heat pattern
-
Headache with aggravation by fatigue:
Qi deficiency
-
Headache aggravated by emotional stress:
LV Yang Rising
-
Headache aggravated by sexual activity:
KD deficiency
-
Dizziness with throbbing headache:
LV Yang rising
-
Slight dizziness aggravated when tired:
Blood deficiency
-
Facial pain, acute onset, severe pain of cheeks or jaw, face feels hot, sore throat, headache, aversion to cold, fever:
Invasion of Wind Heat
-
Facial pain with acute onset, spastic pain of cheeks and jaw, sneezing, aversion to cold, runny nose; dorsum of hands hot: :
Invasion of Wind Cold
-
Bleeding gums, tiredness, poor appetite loose stools:
SP Qi deficiency, SP not holding blood
-
Inflamed bleeding gums, feeling of heat, thirst:
ST Full Heat
-
Ulcers on tip of the tongue:
HT-fire or Heart Empty Heat
-
Pain in whole body, sudden onset with aversion to cold, and fever:
Exterior Wind invasion
-
Pain in whole body with ache all over, feeling of tiredness:
Qi and Blood Deficiency
-
Dull pain in women after child birth:
Blood deficiency
-
Continuous backache till better with rest:
KD deficiency
-
Backache with recent onset, severe and with stiffness:
Sprain of back causing Blood Stasis
-
Boring pain with inability to turn at the waist:
Stasis of Blood
-
Stabbing pain in the HT:
Stasis of Blood in HT
-
Pain accompanied by cough with profuse yellow mucus:
LU Heat
-
Feeling of oppression in chest:
Phlegm in LU, severe LR Qi stagnation
-
Feeling of distention in hypochondium:
LV Qi stagnation
-
Dull pain alleviated by eating:
Empty type
-
Severe pain aggravated by eating:
Full type
-
Pain relieved by bowel movement:
Full in nature
-
Pain aggravated by bowel movement:
Empty in nature
-
More tingling than numbness, especially in women:
Blood deficiency
-
More numbness, often unilateral especially in elderly:
Wind
-
Cold hands with palpitations and dizziness:
HT Blood deficiency
-
Cold fingers and toes:
LV Qi stagnation
-
Very restless sleep with feeling of heat, agitation and excessive dreaming:
Full type, LV patterns cause more severe restlessness than HT patterns
-
Difficulty falling asleep:
Blood deficiency of Heart, Spleen or Liver
-
Waking up many times during the night:
Deficiency of Yin (may be Heart, Liver or Kidney)
-
Insomnia, waking up frequently during the night with excessive dreams, sweating and palpitations:
HT and KD Yin deficiency with Empty Heat
-
Dream distrubed sleep:
Liver fire or Heart fire
-
Sleepiness after eating:
Spleen Qi deficiency
-
Sweating on plams, soles, and chest:
Yin deficiency (5 Palm Sweat)
-
Sweat in day time:
Yang deficiency
-
Sweat in night time:
Yin deficiency (in some cases it may also be from Damp Heat)
-
Tinnitis sudden onset:
Full condition from LV fire, LV yang rising, LV Wind
-
Tinnitis gradual onset:
Empty condition, usually Kidney deficiency
-
Loud high pitched noise like a whistle:
LV Yang, LV fire, LV Wind rising
-
Low pitched noise like a rushing water:
Kidney deficiency
-
Pain, swelling and redness of eye:
Invasion of the eye channel by Exterior Wind Heat or Interior LV fire
-
Blurred vision and floaters:
LV blood, LV Yin or Kidney Yin deficiency
-
Dry eyes:
LV Kidney Yin deficiency
-
Lower abdomen feels cold:
Full Cold in the uterus
-
Cold, sweaty hands:
Yin deficiency of HT or LU
-
Cold in limbs and abdomen:
SP Yang ST Yang deficiency
-
Cold legs, knees, feet, back:
KD Yang deficiency
-
Cold hands, and feet and especially the fingers:
Qi stagnation
-
Feeling of heat in the afternoon:
Empty Heat
-
Low grade fever getting worse in the afternoon or only occuring in the afternoon:
Yin deficiency
-
Impotence, feeling cold, backache, weak knees, dizziness, tinnitus, poor memory, abundant clear urine:
KD Yang deficiency
-
Impotence, heaviness in the scrotum, urethral discharge, sticky yellow tongue coating:
Damp Heat in the LV channel
-
Lack of libido:
Deficiency of Qi or Yang of the KD
-
Lack of libido or inability to reach orgasm (Women):
KD or HT Qi Deficiency or KD Yang and Minister Fire
-
Excessive sexual desire:
Fire from the LR or HT and Empty Heat deriving from KD Yin deficiency
-
Headache soon after orgasm:
Rebelloius Qi of the penetrating vessel or HT fire
-
Periods always early:
Heat in the blood or Qi deficiency
-
Periods always late:
Blood deficiency or stagnation of blood or cold
-
Periods irregular:
Stagnation of LR Qi or LR Blood or SP deficiency
-
Heavy blood loss:
Heat in the blood or Qi deficiency
-
Scanty periods:
Blood deficiency, stagnation of blood or cold
-
Dark red or bright red blood:
Heat in the blood
-
Pale blood:
Blood deficiency
-
Purple or blackish blood:
Stasis of blood or cold
-
Fresh red blood:
Empty Heat from Yin deficiency
-
Congealed blood with clots:
Stasis of blood or cold
-
Pain before periods:
Stagnation of Qi or blood
-
Pain during the periods:
Blood Heat, stagnation of cold, Blood Stasis
-
Pain after periods:
Blood deficiency
-
White discharge:
Cold from SP or KD Yang deficiency, Exterior Cold Damp, stagnation of LR Qi
-
Yellow discharge:
Heat, usually Damp Heat in lower burner
-
Greenish discharge:
Damp Heat in the LR channel
-
Red and white discharge:
Damp Heat with blood
-
Infertility:
Blood or Kidney Essence deficiency, Damp Heat in the lower burner, Blood Stasis in the uterus
-
Vomiting during pregnancy:
Stomach and penetrating vessel deficiency
|
|