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Stomach Deficiency and Excess Syndromres
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Acupuncturist Santa Cruz of Capitola

Zang Fu Diagnosis


Deficiency diagnosis

Excess diagnosis

Add Ba Gan and Yin Yang diagnosis, 4 levels and 6 stages... in each diagnosis

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Traditional Indications:

Conventional Classifications:


Aside: Green Tea is cooling, especially when combined with chrysanthemum. It also has vitamin C, has anti-cancer and antibacterial properties, kills bacteria, has some astringent properties, and contains minerals and caffeine.

Needs a glossary of terms (Xu, Shi, ...), needs statements about each organs properties and a five element chart, needs five element diagrams showing the counteracting, overacting... cycles, needs Ba-Gan and Yin Yang diagnosis relations under each topic

Near Soquel and Aptos

This page is specifically for licensed acupuncturists seeking to learn more about internal organ differential diagnosis.  The clinical information below is the Zang Fu system of Traditional Chinese Medicine diagnosis.  Other resources include WebMD and the NIH.  The World Health Organization has also provided a great deal of information regarding acupuncture and herbal medicine.  This article contains a great deal of internal organ information but is by no mean exhaustive.  Rather, it is a sample of a classical view of several internal organ systems.

Heart Deficiency Syndromes

Heart Excess Syndromes

Heart Qi Xu

Uprising Heart Fire

Heart Yang Xu

Heart Xue Stagnation (Chest Bi Pain)

Heart Yang Collapse

Heart and Shen Disturbed:

Heart Xue (Blood) Xu

Phlegm Fire Confuses the Heart

Heart Yin Xu

Phlegm Misting the Heart

Shen Disturbance


Heart Deficiency (Xu) Syndromes

Three Stage Heart Deficiency (Xu) Syndromes in Progression of Severity:

Stage 1)            Heart Qi Xu (short of breath)

Stage 2)            Heart Yang Xu (pain of blood stagnation)

Stage 3)            Heat Yang Collapse

Symptoms of above Xu syndromes:

palpitations, heart strength is not felt significantly, shortage of breath (puffing and never feeling as though there is enough oxygen), tired, fatigue after movement

Stage Ia)       Heart Qi Xu

Tongue:  puffy, tender, pale (Xu tongue)

Pulse:  Xu, pressing may make the hear pulse disappear

Traditional Indications:

Excessive Uncontrolled Sweating, Palpitations

Insomnia, Face loses Shen, Poor Memory, Low Vitality, Tired

Pale: face, whole body, tongue (later paleness becomes purple with Yang Xu)

Conventional Classifications:

Any heart disease (atherosclerosis, valve disorder, ...)

Psychosomatic           (fast heart beat, palpitations, chronic depression, neurasthenia, ...{clinically 60% of Heart Qi Xu})


Tonify Heart Qi (Ginseng, Huang Qi; Ht7, P6, Ear Shenmen and Heart)

Stage IIa)       Heart Yang Xu

Tongue: wet, swollen, red & purple, pale

Pulse: Xu, slow, knotted, choppy, sometimes intermittent (shows on EKG)

Traditional Indications:

Xue Stagnation: face and tongue are red, purple, and/or pale.

Channel Pain (or uncomfortable) and Angina

Heart Qi Xu syndrome, Cold Sweat, Four Limbs and Body Cold

Heart effects Spleen: cold feces

Conventional Classifications:

Heart Qi Xu disorders, however, usually not due to psychosomatic causes

Low Blood Pressure

Physical and Organic changes of the Heart whereby Digitalis is employed in treatment


Tonify Yang, Warm Interior  (Fu Zi to stimulate heart beat, ginger, Gui Zhi; Acupuncture is similar to Heart Qi Xu treatment)

Stage IIIa)       Heart Yang Collapse

Tongue: pale and purple

Pulse: very irregular, deep, weak, scattered, no root

Traditional Indications:

Cheng Qi unable to hold the sweat: Big cold water sweat even when not moving

Breathing: uneven, weak, stops and starts (Shock)

Shock: uncontrolled bowels and urine

Face loses Shen and eyes appear as in Shock, Cold four limbs, Pale: lips, face, tongue

Conventional Classifications:

Potential for Shock.  Hospitalize and do not cause pain as it may cause Shock (use morphine).


P6 and distal points are inappropriate as the pain may cause shock.

Other Heart Xu Syndromes:

IV)       Heart Xue Xu

Tongue: pale

Pulse: small, xu (especially Heart position)

Traditional Indications:

Anemia: dizzy, pale face and tongue, fatigue, tired

Shen: forgetful, disturbed dreaming, insomnia, palpitations

If combined with Yin Xu: mental restlessness

Conventional Classifications:

Anemia, Amenorrhea, Dysmenorrhea, Low or high blood pressure


Tonify Xue, Sedate Shen, Nourish Xue to benefit sleeping and thinking (Ht7, Ear Shenmen)

V)       Heart Yin Xu

Tongue: fresh red, not much coating, red tip

Pulse: small, rapid

Traditional Indications:

Rapid heart beat

Night sweating, thirsty, dry mouth, red cheeks, mental restlessness, palpitations

Shen: forgetful, insomnia, disturbed dreaming

Conventional Classifications:

High blood pressure, Rapid heart beat due to SA to NA node excess signals, Menopause, T.B., Hyperglycemia, Hormonal: estrogen imbalance, hyperthyroidism


Tonify Heart Yin, Cool the Blood (Sheng Di, Xuan Shen, ...)


Heart Excess Syndromes


I)       Uprising Heart Fire

Tongue: red, ulceration or tip broken

Pulse: rapid, rapid heart beat

Traditional Indications:

Shen: mental restlessness, insomnia, faster speech and motion in the daytime

Heart effects Small Intestine: concentrated, dark, and burning urination

Bitter taste in the mouth

Conventional Classifications:

Vitamin B deficiency causing tongue ulcers, Moth infection, Hyperglycemia, Hyperthyroidism, High blood pressure, Stress, U.T.I.


Purge Heart Fire (Mu Tong, Lian Zi Xin {Heart to Heart}, Deng Xin Cao, Huang Lian, Huang Qin, ...), Bitter to Bitter (cooling herbs)

II)       Heart Xue Stagnation (Chest Bi Pain)

Tongue: purple, purple spots, deep red

Pulse: choppy, wiry

Traditional Indications:

Pericardium and Heart meridian: needling and sharp pain maybe on & off and especially of the left arm

Purple: tongue, spots on tongue, face, fingernails

Conventional Classifications:

Angina, Intercostal neuralgia, Psychosomatic (stress related)


Invigorate the blood, Regulate Qi  (P6, CV17, Liv3, 14, Ear Heart and Chest, local)

III)       Heart and Shen Disturbed (2 types)

A)            Phlegm Fire Confuses the Heart:

Tongue: greasy yellow coat, red body

Pulse: slippery, rapid, wiry, excess

Traditional Indications:

Eyes reveal mental disturbance, Eyes and face are red

Heat: illogical or rapid speech

Mild Heat: mental restlessness, insomnia, bitter taste in the mouth, psychosomatic

Phlegm sound emanates from the mouth when speaking

Violent behavior: "Breaks the furniture"

B)            Phlegm Misting the Heart (2 sub-categories)

"The Shen is trapped inside and cannot come out".

B.1)            Shen Disturbance

Illogical speech and unexplained or uncontrolled bodily motion including strange eye movement

B.2)            Stroke (therefore no Shen and no dreams)

Tongue: white-thick-greasy coating

Pulse: slippery

Traditional Indications:

Coma with snoring, Sputum comes out from the mouth


Dissolve Phlegm, Open the Heart Orifice, Walk the Qi (Chen Pi...), Cool and Purge the Hot Phlegm  (Da Huang, Huang Lian)


Capitola Acupuncture

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Capitola, CA

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