Article Index
Acupuncturist Practitioners
Small Instestine Disorders
Lung Disorders
Large Intestine Disorders
Spleen and Stomach Disorders
Liver, Gallbladder, Spleen and Stomach Disorders Compared
Stomach Deficiency and Excess Syndromres
Liver Disorders
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Acupuncturist Santa Cruz of Capitola

Zang Fu Diagnosis

Organ

Deficiency diagnosis

Excess diagnosis

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

Template for Copy:

I

Tongue:

Pulse:

Traditional Indications:

Conventional Classifications:

Treatment:

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
	Stroke

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})

Treatment:

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

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).

Treatment:

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

Treatment:

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

Treatment:

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.

Treatment:

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)

Treatment:

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

Treatment:

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

 

Small Intestine Excess (Shi)	Small Intestine Xu
Small Intestine Excess Heat	Small Intestine Xu & Cold
Small Intestine Qi Stagnation Pain

I.Shi)       Small Intestine Excess Heat

Tongue: ulcer with burning pain especially on the tip

Pulse: rapid, slippery, wiry

Traditional Indications:

Urinary Tract Infection: small amount of painful, dark & concentrated, and burning urine

Constipation, Lower abdominal pain or bloating

Mental restlessness

Conventional Classifications:

U.T.I. treated by antibiotics

Treatment:

Purge Fire, Sedate Shen of the Heart, Promote Water

Note:

Heart Fire can transfer to the Small Intestine thus causing U.T.I.  The Heart is more related to the Shen while the Small Intestine is more related to the U.T.I.

II.Shi)       Small Intestine Qi Stagnation Pain

Tongue: normal, thin & white coat or greasy yellow coat

Pulse: wiry, deep

Traditional Indications:

Lower Jiao:  groin pain may spread to the Liver channel therefore affecting the external genitalia leading to bloated testicles which in turn leads to Xue Stagnation.

Gas, bloated or painful abdomen, loss of appetite

Conventional Classifications:

Hernia, Colitis, Food allergies, Irritable bowels (muscle cramps of the S.I.)

Treatment:

Regulate Qi then Warm Interior  (syndromes may change to cold which can lead to cold congestion of the Liver channel).

I.Xu)       Small Intestine Xu & Cold

Tongue: tender, pale, thin-white coat

Pulse: xu, deep, or moderate

Traditional Indications:

Urine: frequent, clear

Digestion: loose stool, diarrhea, bloated abdomen, loss of appetite

Xu: dull pain, chronic, and likes pressure

Cold: patient likes warm food and moxa, cold food increases diarrhea

Conventional Classifications:

Chronic amebic or bacterial dysentery, Parasites, Crohn's disease, Food allergies to cold food, Colitis, A.I.D.S., Candida, Giardia

Treatment:

Warm Interior, Tonify

Note:

Infections can be cold such as chronic infections.  Acute pneumonia is another example of an infection that may be cold in nature (see Lung).

 

Diagnostic Summary Chart
Lung Excess	Lung Xu
I)     Wind-Cold knots the Lung (tightness)	I)   Lung Yin Xu
II)   Wind-Heat attacks the Lung	II)  Lung Qi Xu
III)  Phlegm Dampness blocks the Lung
IV)  Heat Phlegm Stagnation in the Lung
V)   Dry Evil Qi attacks the Lung

Lung Excess Syndromes

I)       Wind-Cold Knots (ties, contracts) the Lung

(Tai-Yang Shan Han is a Wei Level illness)

Tongue:

Pulse: tight, floating

Traditional Indications:

No sweating, Chills more than fever

Cough, deep and muted Lung sound from tightness, Lung pain, white-clear phlegm

Occipital Headache, Neck and shoulder pain, Whole body: cold, pain

Conventional Classifications:

U.R.I. (Upper respiratory infection), Common cold, Throat infection, Bronchitis (early stage)

Treatment:

Spice-Warm Release Surface, Sauna, Hot-Tea (Gui Zhi, Sheng Jiang, Cong Bai,...)

II)       Wind-Heat Attacks the Lung

Tongue: red, slight yellow coat

Pulse: rapid

Traditional Indications:

Fever more than chills

Loud and strong cough (voice and cough may be muted due to general sickness)

Headache, Yellow phlegm, Red face, Whole body pain

Conventional Classifications:

U.R.I., Bronchitis, ....

Treatment:

Spice-Cool Release Surface (Bo He, Ju Hua, Jin Yin Hua), Drink more water

L.I.4, 11 and white flower oil on the back to reduce heat and cool.

III)       Phlegm Dampness Blocking the Lung

Tongue: thick-white coat, flabby, swollen

Pulse: slippery, wiry

Traditional Indications:

Short of breath, Wheezing, Asthma, Cannot lie down, Large amount of phlegm that is easy to cough up, Sweet taste (damp), Cough, Chest congestion

Conventional Classifications:

Pneumonia, Bronchitis, Bronchiectasis, Asthma

Treatment:

Dissolve Dampness and Phlegm (Hou Po, Chen Pi, ...), Regulate Qi, Sink Qi

IV)       Heat Phlegm Stagnation in the Lung

Tongue: thick-dry yellow or brown coat, maybe brown tongue body as well

Pulse: rapid, slippery, wiry

Traditional Indications:

Cough, Chest pain,

Hot Phlegm Stagnation: yellow phlegm may progress to green and finally a rusty brown color, bad smell and sticky

Strong Infection: abscess (leads to Xue Stagnation)

Constipation, Burning and concentrated urine

Conventional Classifications:

Acute bronchitis, Pneumonia, Lung Abscess

Hospitalization is often necessary.

Treatment:

Clear Heat, Dissolve Phlegm (Lu Gen, Dong Gua Zi, Yu Xing Cao, Yi Yi Ren, ...)

V)       Dry Evil Qi Attacks the Lung

Tongue: dry, thin white or yellow coat

Pulse: rapid, small

Traditional Indications:

Dry cough with a small amount of blood and mucus that is difficult to expectorate

Throat tickle or itch, Loss of voice from coughing, Chest pain, Thirsty

Fever, Sensitivity to the Cold & Wind, Constipation, Dry: mouth, nose, skin

Conventional Classifications:

Laryngitis, Throat infection, Acute smoke inhalation, Bronchitis (often the dry weather of winter compounded with heating systems that cause dryness)

Treatment:

Moisten the Lung, Tonify Yin, Cool Blood (Shi Gao, ...)

Lung Deficiency Syndromes

I)       Lung Yin Xu

Traditional Indications:

Dry cough, Sore throat, Thirsty, Dry skin, Night sweating

Similar to Dry Evil Attacking the Lungs (Acute, Excess), this is the Chronic and Xu equivalent.

Conventional Classifications:

Chronic bronchitis, Asthma, Lung T.B., Emphysema, Smoker's Cough (smoking, although a dry evil, is a chronic disorder)

Treatment:

Tonify Yin, Stop Bleeding

II)       Lung Qi Xu

Tongue: pale, puffy, xu

Pulse: xu

Traditional Indications:

Fatigue and low energy with Lung syndromes.

Cough, Short of breath, Phlegm: small amount, white, clear, running nose

Day sweating

Easy to catch a common cold (similar to Wei Qi Xu)

Conventional Classifications:

Chronic Lung illnesses, Emphysema, Allergies, Asthma, Chronic bronchitis, Epstein-Barr, A.I.D.S.

Treatment:

Tonify Lung Qi (Ginseng)

 

Large Intestine Excess	Large Intestine Xu
Excess Heat	Fluid Xu
Damp-Heat	Xu & Cold
Knotted
Heat and Xue Stagnation

Large Intestine Excess Syndromes

I)       Large Intestine Excess Heat

(Trapped Qi Level heat: Fever, Constipation)

Tongue: red, yellow coat

Pulse: rapid, excess

Traditional Indications:

Fever

Constipation or forceful "jet fighter" diarrhea, Bad smell, Maybe blood in stool

Urine: burning, dark and concentrated

Abdominal pain and bloating, Thirsty, Whole body: hot, sweating

Conventional Classifications:

Acute dysentery (with diarrhea), Gastroenteritis (L.I. infection), Acute infectious disease of the L.I.

Treatment:

Purge and Clear Heat (Da Huang, Mang Xiao, Huang Lian, Huang Bai, ....)

II)       Large Intestine Damp-Heat

Tongue: greasy yellow coat, puffy, swollen

Pulse: rapid, slippery

Traditional Indications:

Stool: "burning butt", frequent but incomplete, bad smell, mucus, blood, constipation

Burning urination, abdominal pain

Conventional Classifications:

Acute amebic dysentery, Chronic hemorrhoids

Treatment:

Clear Heat, Cool Blood, Stop Bleeding  (Bai Tou Weng, Huang Lian, Huang Bai, Qin Pi)

III)       Large Intestine Knotted

Tongue: variable- normal, thick yellow or white coat, greasy....

Pulse: wiry (from pain)

Traditional Indications:

Constipation therefore vomiting "There are two doors of the digestive system, if one is closed the other backs up", Abdominal bloating, pain and gas

Conventional Classifications:

Bowel Obstruction, Tumor, Factors: old age, post operative, baby with no stool whose abdomen grows and then vomits; Intussusception may be necessary.

Treatment:

Purge

IV)       Large Intestine Heat and Xue Stagnation

Tongue: red, yellow greasy coat

Pulse: rapid, slippery, excess

Traditional Indications:

Yong (abscess) syndromes: strong infection, acute, specific area

Very sharp pain in the Large Intestine (especially on the right side)

Constipation or diarrhea, Fever, Vomit, Nausea

Conventional Classifications:

Appendicitis, Diverticulitis (pocket in L.I. that collects then infects); Hospitalize.

Treatment:

Clear Heat and Toxins, Invigorate Xue to Move Xue Stagnation, Purge Excess Heat (Da Huang, Mu Dan Pi, ....)

Large Intestine Deficiency Syndromes

I)       Large Intestine Fluid Xu

(Often chronic nutritional deficiency)

Tongue: dry, thick or no coat

Pulse: small

Traditional Indications:

Constipation: dry, firm hard

Dry mouth, Bad breath, Dizzy, Blurring of vision, Tired (Fluid Xu related to Xue Xu)

Dehydration: Wen Bing fever, Jin Ye Xu from Kidney Yin Xu in the elderly, Excess blood loss from menses or after birth producing amenorrhea, Any blood loss, Alcoholism.

Conventional Classifications:

Dehydration

Treatment:

Lubricate the Large Intestine (Huo Ma Ren, Yu Li Ren, Yi Yi Ren), Produce Fluid (Sheng Di, Xuan Shen), Tonify Xue, Drink water to lubricate food.

Food treatment: black sesame butter, vegetables, fruit, oatmeal, cream of wheat, honey

II)       Large Intestine Xu & Cold

Tongue: pale, thin white & wet coat, greasy, teeth marks

Pulse: deep, slow, xu

Traditional Indications:

Chronic and dull lower abdominal pain (xu type): likes hot bath, moxa, warmth

Watery diarrhea or loose stool with clear or white mucus (especially from cold food and weather), Gurgling

Conventional Classifications:

People who eat only raw foods, Chronic bacterial dysentery, Chronic U.T.I. (now resistant to antibiotics), Food allergies, Digestive disorders without bacterial problem.

Treatment:

Warm Interior, Aromatic Transform Dampness, Regulate Qi (Moxa with ginger slice, CV12, 4  St36)

spell checked to here

 

 

Spleen Deficiency Syndromes	Half Deficient, Half Excess
Spleen Qi Xu:	Cold-Damp Surrounding the Spleen
Middle Jiao Qi Xu (general)
Middle Qi Prolapse	Spleen Excess Syndrome
Spleen Cannot Control the Xue	Spleen and Stomach Damp-Heat
Dirty Water Stagnation (edema)
Spleen Yang Xu

I)       Spleen Qi Xu (4 types)

Tongue: teeth marks, tender, pale, thin white coat

Pulse: xu, weak

A)            Middle Jiao Qi Xu (general Spleen Qi Xu)

Traditional Indications:

Low appetite, Constipation, Diarrhea (especially after eating), Undigested food in stool, Abdominal bloating or pain, Ascites (Spleen controls Jin-Ye circultation) , Nausea

Leukorrhea, Excess menses

Chronic fatigue (Spleen control muscles) or tired (especially after eating)

Sweet taste in the mouth

Spleen controls blood: bruises easily, chronic bleeding

Shortage of breath, general weakness, too soft a voice

Later stage: prolapse of Large Intestine, Kidney, Spleen, Stomach, Rectum, Uterus

Conventional Classifications:

Chronic Fatigue Syndrome, Epstein-Barr virus, A.I.D.S., Chronic Diarrhea, Nutritional deficiency (Ascites), Parasites

Treatment:

Tonify Qi (Huang Qi, Dang Shen, ....)

B)            Middle Qi Prolapse

Traditional Indications:

Spleen Controls the Muscles: Rectum prolapse after bowel movement (usually from chronic diarrhea condition), Hemorrhoids

Muscle weakness, Bloated after eating, Lower abdominal pain

Conventional Classifications:

Organ Prolapse: Large Intestine, Kidney, Spleen, Stomach, Rectum, Uterus

Treatment:

Raise the Qi (Sheng Ma, Chai Hu, Zhi Ke)

C)            Spleen Cannot Control the Xue

Pulse: Very small

Traditional Indications:

Uncontrolled bleeding, bruises easily, Menses: excess or deficient flow

Conventional Classifications:

Hemophelia, Menstrual disorder, Cancer

Treatment:

Stop Bleeding, Raise Spleen Qi (Sheng Ma, Chai Hu, Dan Shen, Huang Qi, ....)

D)            Dirty Water Stagnation: Spleen Qi Xu Edema

Traditional Indications:

Puffy body or body part

Conventional Classifications:

Ascites (poor nutrition), Liver sclerosis, Chronic congestive Heart failure, Kidney: Nephritis, P.M.S.

Treatment:

Drain Damp, Promote Water, Regulate Qi (Fu Ling, Chen Pi, ....)

II)       Spleen Yang Xu

Tongue: pale

Pulse: deep, slow

Traditional Indications:

Abdominal pain, Low appetite, Does not like cold or damp food, Four limbs cold

All Spleen Qi Xu disorders

Treatment:

Warm Interior, Eat warming foods

Spleen HalF Deficient (Xu), Half Excess (Shi)

I)       Cold-Damp Surrounding the Spleen

Tongue: pale, teethmarks, swollen, puffy, white greasy thick coat

Pulse: soggy, slippery, moderate

Traditional Indications:

Cold Yin Yellow: face and body are dark yellow or sallow pale green

No appetite, bloated abdomine, Abdominal pain (Xu or Shi type), Gurgling

Edema, Mouth sputum is sticky and sweet, General sticky feeling in the mouth

Whole body: cold to the touch, tired, fatigue, heavy, dizzy, likes a little hot water

Conventional Classifications:

Hepatitis (can be chronic), Edema, Digestive disorder, Gastroenteritis, Chronic dysentary, General fatigue

Treatment:

Regulate Qi (Chen Pi), Drain Damp (Fu Ling), Warm Interior

Important Herb: Yin Chen Hao

Spleen Excess Syndrome

I)       Spleen and Stomach Damp-Heat

Tongue: thick yellow greasy coat, red

Pulse: wiry, rapid

Traditional Indications:

Yang Yellow, Itchy skin, Discharge: skin and other areas

Mouth: Bitter taste and sticky

Damp: poor appetite, does not like greasy or fried foods

Nausea, Vomit (bitter taste, sour, bad smell, dark color)

Damp-Heat stool: burning diarrhea or constipation

Pain: adbomine, Spleen and Stomach, costal region

Conventional Classifications:

Jaundice, Hepatitis (usually type A, also type B), Ecszema, Gall Bladder infection, Pancreas disorder

Treatment:

Clear Heat, Dry Dampness, Promote Water

(Huang Lian, Da Huang, Chen Pi, Huang Qin, Yin Chen Hao Tang)

 

A Comparison of Three Zang-Fu Diagnoses
Liver Fire	Liver & G.B. Damp-Heat	Spleen & Stomach Damp-Heat
Upper Jiao bitter taste in the mouth, headache, blurry vision, dizzy, anger, red eyes and face, constipation, damp-heat burning diarrhea, concentrated urine Jaundice	Lower Jiao genital involvement less anger Increased dampness: vomit, diarrhea Jaundice	No liver channel involvement: no costal or genital disorders.  Otherwise, the indications are the same. Jaundice

Stomach Xu Syndromes	Stomach Excess Syndromes
Qi Xu	Spleen and Stomach Damp-Heat (see Spleen)
Yin Xu	Food Stagnation
	Fire Uprising
	Blood Stagnation
	Qi Stagnation Pain

Stomach Deficiency Syndromes

I       Stomach Qi Xu

(Related to Spleen and Stomach: Yang Xu, Xu & Cold, and Cold-Damp Dirty Water)

Tongue: puffy, teeth marks, greasy white coat

Pulse: slow, xu, slippery

Traditional Indications:

Stomach: bloating, pain, likes warmth and pressure, Dirty Water (sloshing, gurgling)

Diarrhea, Loose stools, Sputum especially after cold food

Sputum especially after cold food

Leukorrhea: clear discharge that is not very sticky

Conventional Classifications:

Gastroenteritis, Mucus Lining of Stomach: ulcer, infection

Treatment:

Tonify Stomach Qi, Warm Interior, Drain Dampness, Regulate Qi (Chen Pi)

II)       Stomach Yin Xu

Tongue: fresh red, no coat

Pulse: small, rapid

Traditional Indications:

Feels hungry but cannot eat much (difficult to digest)

Burning and pain sensation in the Stomach, More pain if Stomach is empty

Dry mouth (especially when wakes up or midnight & awakens to drink water)

Constipation, Five palms heat

Conventional Classifications:

Stomach ulcer, Diabetes (Middle Jiao), Gastritis which can develop into an ulcer, Psychosematic

Treatment:

Clear Xu Heat, Tonify Yin, Diet: no hot & spicy, greasy, and sugary foods.  Food treatment: American Ginseng cooked with lean meat.

Stomach Excess (Shi) Syndromes

I)       Stomach Food Stagnation

Tongue: greasy thick white coat

Pulse: slippery, full

Traditional Indications:

The root is Xu and the syndromes is Excess (inability of Spleen and Stomach Qi to digest normal meals)- Excess type abdominal pain (pressure causes pain, firmness).

Vomit, Nausea, and Gas (bad smell, abdominal bloating) followed by no appetite from relative overeating.

Treatment:

Remove Food Stagnation, Regulate Qi: Break the Qi (Qing Pi, Da Fu Pi, Zhi Shi), If constipation: Da Huang, Mang Xiao, Hou Po.

II)       Stomach Fire Uprising

Tongue: very red, yellow thick dry coat

Pulse: slippery, excess

Traditional Indications:

Burning Stomach pain, Constipation, Hunger, Thirst (prefers cold water), Bad breath

Gums & Teeth: pain, swelling, bleeding

Conventional Classifications:

Canker sore, Ulcer, Gum disease (periodontitis, gingivitis), Diabetes

Treatment:

Purge Stomach Fire, Clear Heat (Da Huang, Shi Gao, Lu Gen), Huang Lian has antibiotic properties to address heat infection related disorders.

III)       Stomach Blood Stagnation

Tongue: purple spots, purple cast to the coat

Pulse: wiry, choppy, With blood loss: rapid, xu

Traditional Indications:

Vomit with blood

Stool with blood (blood can be detected by dark stool, small amounts of blood can be detected by a lab): diarrhea, loose stool

Xue Stagnation: fixed, needling, and sharp pain in the Stomach area

History of Stomach bleeding

Blood loss from defacation may lead to anemia, a drop in blood pressure, dizziness, fainting, and coma: Qi Xu Big Sweating (Hospitalize)

Conventional Classifications:

Bleeding Stomach ulcer, Stomach Cancer

Treatment:

Regulate Xue: Stop Bleeding (Xian He Cao, Pu Huang, ....)

IV)       Stomach Qi Stagnation Pain

Tongue: thin white coat or normal tongue appearance

Pulse: wiry, deep

Traditional Indications:

Pain in the Stomach area: moves, on and off, bloating

Pain related to emotional changes

Chest and costal region pain

Rebellious Qi:  more gas produces more pain, nausea, vomit, beltching, gurgling

Poor appetite

Conventional Classifications:

Hiatal hernia, Ulcer, Gastritis

Chronic Hepatitis (Liver attacks Spleen and Stomach)

Stomach physiological disturbances involving the muscularis, the lower esophageal sphincter or the pyloric sphincter: hernia, spasm causing narrowing of passageways

Psychosematic (Rebelious Qi): anorexia, bulimia

Treatment:

Regulate the Stomach and Liver Qi: Sink the Qi (Qing Pi, Fo Shou, Chen Xiang, Chai Hu, Patent: Shun Qi Wan)

 

 

Liver Excess Syndromes	Liver Xu Syndromes
Liver Qi Stagnation or Liver Qi Knotted	Liver Xue Xu
Liver Fire Uprising	Liver Yin Xu
Liver & Gall Bladder Damp-Heat
Liver Wind moves Internally
Excess Heat produces Wind
Liver Yang Uprising changes to Wind...	(Xu and Shi)
Blood Xu generates Wind...	(Xu and Shi)
Cold Stagnation in the Liver Channel

I)       Liver Qi Stagnation

Tongue: normal

Pulse: normal or wiry, thin-white coat

Traditional Indications:

Sighs (helps Qi circulate), beltches, irritable, bad attitude, depression

P.M.S., irregular menstruation

If Qi is stuck in the throat: plum pit throat, difficulty swallowing

If Wood attacks Earth: poor appetite, bloated abdomen

Pain: chest pain sometimes with palpitations, costal region, stomach, breast

Lumps under armpit, short of breath

Conventional Classifications:

Dysmenorrhea, Gallbladder stones or chronic infection, Chronic throat infection, Hernia, Food allergies, Depression (lithium is often prescribed)

Treatment: Regulate Liver Qi (Chai Hu, Wu Yao, Zhi Shi, Bai Shao)

Liv 14 for costal pain, Cv 17 for chest pain, St-36, GB-34, Liv 3,2, Ear: Liver, Shen Men

Note: The liver is like a small tree that draws water up and circulates it through small tubules.  Injury blocks the tubules hurting the Qi, thus causing knots.  Likewise, Liver Qi Stagnation progresses into Liver Qi Knotted, also known as Liver Qi Congestion.

II)       Liver Fire Uprising

Tongue: very red, dry yellow coat

Pulse: rapid, slippery, wiry

Traditional Indications:

Headache over the whole head, dizzy, blurring of vision, red eyes and face, bitter taste in the mouth, vomit with blood, epistaxis, constipation, burning urine, tinnitus, ear pain

Conventional Classifications:

Hypertension, Psychosematic illness, Conjunctivitis, Ear infection, Alcoholism causing minor U.T.I., Acute Hepatitis, Hyperthyroidism,  Liver sclerosis (Hard livers give rise to symptoms and sign such as: high blood pressure, vomiting with very red blood, and an esopahgus with a broken blood vessel (danger)), Drug withdrawl symptoms (cigarettes, opium, cocaine)

Treatment: Purge Liver Fire, Clear Heat  (Xia Ku Cao, Da Huang, Huang Lian, Huang Qin, Bai Ju Hua, Long Dan Cao)

III)       Liver and Gallbladder Damp-Heat

Tongue: greasy yellow coat, puffy body

Pulse: wiry, rapid, slippery

Traditional Indications:

Heavy feeling, tired, reduced appetite, dirty water, mucus, nausea, vomit, does not like greasy-oily food, jaundice, costal region pain

Channel pain especially groin or testicular pain

Burning discharge: herpes, exzema, infection

Conventional Classifications:

Gallbladder infection, Hepatitis (can also be Spleen & Stomach Damp-Heat), Herpes, Vaginal infection, Testicular infection, Jaundice

Treatment: Clear Liver and G.B. Damp-Heat, Promote Water (Liv-14, 2  GB-34  Sp-9,10  Local points)

IV)       Liver Wind Moves Internally

A)            Excess Heat Produces Wind

Tongue: dry, thick coat, gray

Pulse: very fast, excess, wiry

Traditional Indications:

High temperature, spasms, seizures

Conventional Classifications:

Cerebral and other Infectious diseases, Meningitis, Tetanus

Treatment:

Clear Heat and Toxins Strongly, Extinguish Wind

B)            Liver Yang Uprising changes to Wind  (Excess Yang with underlying Yin Xu)

Tongue: red, shaking, deviated, stiff, numb (shows more on the body and less on the coat)

Pulse: small, wiry, rapid, xu

Traditional Indications:

Heavy head and upper portion of the body and "light", weak feet: easy to fall down

Stiff tongue: poor speech, If serious: coma, spasm, seizures

Dizzy, blurring of vision

Conventional Classifications:

Hypertension produces Stroke

Treatment:

Clear Heat, Sink the Yang

Acup: bleed ear or well points, Sp6;  Huang Qin, Mu Li, Long Gu, Sheng Di

Note: The heavy head and light foot syndrome exemplifies Excess Yang floating upward with an underlying Yin deficiency.

C)    Blood Xu causes (generates) Wind  (Deficiency produces Excess)

C) Blood Xu causes (generates) Wind (Deficiency produces Excess)

Tongue:

Pulse:

Traditional Indications:

Conventional Classifications:

Treatment: