Descend to kidney and disperse to skin/poresExc

Opens into nose

LUNG Wind Cold Wind Heat Wind Water

S/Sx  Aversion to cold and/or wind  Aversion to cold  Aversion to wind
 Sneezing  Sneezing  Sudden swelling of the eyes and face
 Cough  Coughing – spreads to the rest of the body
 Runny nose with white d/c  Runny nose with slight yellow mucus  Bright shiny complexion
 Slight or no fever  Slight sweating  Scanty and clear urination
 Occipital stiffness and aches  Itchy and sore throat swollen tonsils  Fever
 No sweating or thirst  Thirst  Cough
 Mild SOB

Pulses  Floating, tight Floating and rapid  Floating and slippery

Tongue  Thin white coat  Red on tip or sides Sticky white coating
 Thin white coat

LUNG Qi Def Yin Def Dryness Lung Heat Damp-Phlegm Phlegm- Phlegm- Cold Phlegm-Dry Phlegm-Fluids
Heat Obstructing
EXCESS
CAUSES  Chronic cough or  Prolonged  Pathogenic  Pathogenic  Sp Qi or Yang  Wind heat  Wind cold  Yin defC leading Excessive physical
Asthma cough dryness Heat Deficiency invasion invasion – yang to loss of fluid activity causing SP/KD
 Insufficiency of Qi  Heat  Stomach Yin  Pathogenic  Recurrent EPIs  Smoking deficiency  Excess eating of yang deficiency
production disorders DefC ColdHeat  Excess eating or excess  Excess eating of dairy or greasy Excessive eating of
which  Wind heat (in Lu) raw, cold, greasy eating of dairy, cold/raw foods dairy or greasy foods
invades LU  Wind dryness  Wind heat foods hot and foods
 Prolonged greasy
dryness foods
SYMPTOMS  Feeble cough or  Dry cough  Dry cough  Cough,  Chronic cough in  Barking  Cough with  Dry cough – Cough with
Asthma (with small with little Asthma bouts cough production of difficult to production of white
 SOB, < exertion amounts of sputum  Yellow sticky  Profuse white  Profuse white-watery expectorate small watery sputum
 Low/hoarse voice sticky  Sputum too sputum/ sputum that is yellow or sputum amounts of sputum SOB
 Fatigue sputum, sticky to purulent w easy to green  Phlegm in throat  SOB Gurling in chest
 Spontaneous blood tinged) cough up blood expectorate sputum that  Chest oppression Chest oppression
sweating  Dry mouth  Dry nose and  Thirst (chronic is foul feeling feeling
 Dizziness and throat throat  Sore throat bronchitis) smelling  Small amounts of Heaviness of the
 Aversion to cold  Afternoon  Chest pain  Aversion to  White-pasty  Asthma phlegm in throat head
 Pale face fever  Dry skin heat (int) complexion  Heavy dry throat Fogginess of thought
 Watery or thin/clear  Malar flush  Thirst  Chest pain  Heavy feeling in feeling in  Heavy head Dizziness
sputum  Night sweats  Hoarse voice  Constipation the chest the chest  Fogginess of Cold feeling
 Catches cold easily  Heat  No heat  Scanty  Clogged up  SOB thought Cough due to a scare
sensation in 5 concentrated feeling  Wheezing
Centres urine  SOB  Pale-dry
 Dislikes lying complexion
down

TONGUE  Pale  Red body w  Red body  Red body,  Thick sticky  Red body  Swollen, sticky,  Swollen, dry, Pale with a thick
 Thin, white coating dry coat or  Thin coat thin white coating with a white coat sticky coating sticky white coating
little coasting  Yellow coat thick, sticky Thin and slippery or
and maybe yellow soggy or wiry
crack or coating
peeling

PULSES  Weak or empty (esp.  Rapid and  rapid and  rapid  slippery or weak  rapid and  slow and  thin slippery
in rt cun position) thready thready and floating slippery slippery
• Receives food and drink from the small intestine and extracts fluids from it
• Excretes the stools

LARGE LI Damp heat LI Heat LI Heat LI Qi Cold invading LI LI Cold LI dryness LI Collapse
INTESTINE Obstructing Stagnation

 Excessive  Excessive  Wind cold  Emotional  Chronic exposure to  Chronic exposure to  Dry and warm  Excessive
consumption of consumptio or wind heat strain – cold weather with cold weather with climates physical work
hot and greasy n of hot anger, abdomen exposed abdomen exposed  Irregular diet habits  SP and ST defC
goods foods (lamb, frustration  Sitting on cold,  Excessive – late at night, in a
 Pathogenic beef, wet surfaces for consumption of raw hurry Ddx: Sp Qi
summer heat, alcohol) Ddx Lv/ St/ LI long periods and cold foods  Dryness of ST sinking (prolapse)
damp and heat Qi stagnation  Usually from SP
yang Def
SYMPTOMS  Abdominal pain  Constipation  FEVER –  Abdominal  Sudden abdominal  Loose stools – duck  Dry stools –  Chronic diarrhea
 Tenesmus with dry high or tidal distension pain droppings difficult to expel  Prolapse of anus
 Blood and stools (afternoon) with pain  Diarrhea with pain  Dull abdominal  Constipation  Hemorrhoids
mucous in the  Burning  Constipation (<press)  Feeling of cold pain  Dry mouth ad  Fatigue post
stools sensation in  Burning  Constipation  Cold sensation in  Borborygmi throat defecation
 Burning the mouth sensation in  Irritability the abdomen  Pale urine  Dizziness  Cold limbs
sensation in  Burning and the anus  Sx  cold limbs  Yellow, scanty urine  No appetite
the anus swelling in  Sweating on aggravated  Desire of warm
 Diarrhea with the anus the limbs by mood drinks
yellow watery  Dark scanty  Vomiting  Desire for
stools urine  Thirst abdominal
 Offensive stool -no sweating  Delirium massage
odor  Mental fatigue
 Thirst with no
desire to drink
 Scanty deep
yellow urine
 Fever sweating
TONGUE  Red body  Red body  Red body  Either  Thick white coating  Pale  Dry, red or pale  Pale
 Yellow sticky  Thick with thick normal or body without
coat yellow or dry yellow slightly red coating
brown, dry or brown on sides
coat coat

PULSES  Rapid and  Full and  Deep and  Wiry in rear  Deep and wiry  Deep and weak  Thin  Deep thin and
slippery rapid full and position weak
rapid
 STOMACH Yin Def Qi Def Fire Qi Qi Rebelling Cold Damp Heat Food Blood Stasis
Stagnation Retention

CAUSES  irreg diet and  irregular diet  excessive  irreg diet  emotion:  exterior cold  excess diary  irregular  other organ
eating habits and eating consumption and eating anxiety and invasion and fried food intake pathologies
 esp eating late at habits of hot and habits worry  excessive foods  voracious
night  under eating greasy food  emotional intake of  emotional eating
(diet)  emotional strain raw and strain – anger,  eating food
 chronic depression cold food frustration that is hard
disease to digest

S/Sx  Hunger with  Discomfort  Burning  Epigastric  Nausea  Sudden pain  Epigastric pain  Fullness and  Severe
desire to eat in the sensation in the pain with  Vomiting in the and fullness pain in stabbing
constantly (not epigastrium epigastrium distention  Belching epigastrium  Heaviness epigastrium epigastric pain
voracious)  Lack of  Sour  Belching  Hiccups feeling cold feeling  Sour (< night, <
 Fever or appetite regurgitation  N+v  Dislikes  Facial pain regurgitation pressure)
afternoon fever  Absent taste  Empty and  Hiccups *usually seen pressure on  Nasal  Anorexia  Nausea
 Constipation (dry sensation uncomfortable  Irritability with other abdomen congestion or  Vomiting  Vomiting –
stool)  Fatigue in the feeling in the pathologies  Likes thick discharge undigested blood, similar
 Dry mouth and morning ST No poo sx present e.g. warmth  Thirst w/o food to coffee
throat  Weakness of  Thirst with a LV Qi  Vomiting or desire to drink  Hesitant ground
 Dry vomiting and the limbs preference for stagnation clear fluid  Nausea bowel
hiccups  Loose stools cold drinks with ST Qi  < after  Feeling of heat movement
 Uncomfortable  Foul breath rebelling ingesting cold  Dull-yellow  Foul breath
sensation in the  Voracious foods and complexion  Belching
stomach appetite and easily vomiting them  Sticky taste  Insomnia
 Scanty urine hungry right away in mouth
 Thirst with  Swelling and  Preference
drinking in small pain or for warm
sips ulceration of liquids
 Feeling of fullness the gums
after eating  Constipation
 Scanty yellow
urine
TONGUE  Dry red  Pale  Red  No changes  No changes  Thick with  Red with  Thick coat  Purple
 Without coating  Thick dry or red sides coat sticky yellow
yellow coat in central coat
section

PULSES  rapid and thready  empty (esp in  weak and deep,  wiry in  tight on RT  deep, slow,  slippery and  Full and  Wiry
maybe floating right guan) often slow R guan middle and tight rapid slippery
position position
(guan)
SPLEEN Qi Def Yang Def Qi sinking Failing to control Cold damp Damp heat invading Blood Def
Blood invading
CAUSES  poor nutrition  same as for Qi  Same as SP Qi DefC  Same as SP Qi  Excessive  Excessive consumption  Poor nutrition
(irreg habits, DefC  Standing for DefC consumption of raw of greasy and sweet (irregular habits, low
raw cold  excessive prolonged periods and cold good food protein, low meat and
foods) consumption  Wading in water or  Alcoholic drinking grain intake)
 over thinking of cold herbs being caught in the  Over thinking
 prolonged rain  Prolonged exposure to
exposure to  Residing in a damp dampness
dampness enviro  Chronic disease
 chronic disease
SYMPTOMS  Poor appetite  SP Qi DefC  SP Qi DefC plus  Purpura  Lack of appetite  Fullness and distention  Poor appetitie
 Abdominal plus  Bearing down  Bloody stool  Fullness and in the epigastrium and  Mild abdominal
distention (<  Sallow or sensation in the ab  Hematuria distention in the abdomen distention - < after
after eating) bright-white region  Menorrhagia or epigastrium and ab  Hunger with no desire eating
 Loose stools complexion  Prolonged diarrhea metrorrhagia  Heaviness of the to eat  Loose stools
 Fatigue  Cold limbs  Prolapse of any  Blood spots under head and body  Bitter taste in the  Fatigue
 Spontaneous  Chilliness organ (mainly ST, the tongue  Stickiness of the mouth  Lassitude
sweating  Edema uterus, anus, and mouth  Nausea and vomiting  Depression
 Apathy  Loose stools vagina)  Loose stools that are  Stickiness in the mouth  Weakness of the limbs
 Pale face (with digested  Frequency and sticky  Heaviness in the body  Thin body
 Anorexia food) urgency of urination  No thirst  Thirst with no desire to  Amenorrhea or scanty
 Emaciation  Easily startled  White vaginal drink periods
 Weakness of  Dull-pale discharge  Loose stools with  Insomnia
the limbs complexion  Lassitude offensive odor and
 Pale lips  Cloudy urination stickiness
 Lassitude
 Burning sensation in
the anus
 Scanty dark yellow
urine
 Fever
TONGUE  Pale  Pale swollen  pale  pale  thick white sticky  yellow sticky coat  pale with thin, dry
 Thin white  White smooth coat coating
coat or wet coat

PULSES  weak or empty  weak and deep  weak and thin  weak and thready  slow and slippery  rapid and slippery  choppy or thready
 often slow
HEART Qi Def Yang Def Blood Def Yin Def Fire Blazing Blood Stasis Qi stagnation Vessel Phlegm Fire Phlegm
Obstruction harassing misting mind
CAUSES  Poor  Same as Qi  Prolonged  Same as blood  Mental  Insufficiency  Emotional  Emotional stress –  Mental depression  Congenital in
constitution DefC illness DefC depression of heat blood stress – grief anger, anxiety,  Phlegm children
 Prolonged  Hemorrhage  Ext. pathogen and yang anxiety, worry worry accumulation in  Phlegm
illness/severe LEADS TO  Poor turning to heat  Mental  Excess dairy or the body accumulation
disease HEART production of inside the irritation fried foods in the body
 Congential YANG blood body  Exposure to CHF px  Excess physical Autism,
defC/senility COLLAPSE  Emotional  Interior heat cold work schizophrenia Mentally
(cyanosis of issues excess retarded
lips, hidden disturbing MI
pulse)-ER mind
SYMPTOM  Palpitations  Heart Qi  Palpitations  Malar flush  Palpitations  Palpitations  Palpitations  Palpitations  Mental restlessness  Mental
S  SOB, < exertion DefC + (changing  Low grade or (all the time;  Stabbing pain  Distention or  Mental restlessness  Palpitations confusion
 Low/horse  Chills cold location) afternoon fever w in the heart oppression in  Depression  Bitter taste in the  Unconsciousne
voice limbs  Insomnia  Dry mouth rest/exertion) region (may the chest  Flustered feeling morn ss
 Fatigue  Chest pain (trouble falling and throat  Thirst radiate to  Depression  SOB – inability to  Dream-disturbed  Lethargic
 Spontaneous (local) asleep)  5 centre heat  Month and shoulder or lt  Feeling of lump lie down sleep Stupor
sweating  Bright-pale  Excessive sensation tongue ulcers arm) in the throat  Stabbing or  Easily startled  Vomiting
 Dizziness face dreams  Night sweats  Mental  Feeling of  SOB pricking in the  Incoherent speech  Rattling sound
 Pale face  Poor memory  Insomnia restlessness constriction in  Pale mediastinum or Aphasia in throat
 Watery or  Dizziness (trouble staying  Agitated the chest complexion  Purple lips, face  Muttering to  Aphasia
thin/clear  Anxiety asleep, waking  Insomnia  Cyanosis of  Sighing and nails oneself (talk)  Starting @
sputum  Easily startled throughout the  Red face the lips and  Poor appetite  Pain worse with  Mental confusion walls
 Catches cold  Dull-pale night)  Dark urine or nails  Weak and cold cold exposure or depression  Muttering to
easily complexion blood in urine limbs  Expectoration of  Irrational self
 Pale lips  Bitter taste in EMERG  Slightly purple phlegm behaviour  Introverted
the mouth lips  Feeling of  Tendency to hit manner
only in the heaviness or scold ppl  depression
morning  Dislike of speaking  Uncontrolled
(ddx Lv all  Cold hands laughter, crying
day)  Signing shouting
TONGUE  Pale  Pale,  Pale and thin  Red body  Red with  Dark purple  Mild pale-  Purple on the  Red  Thin sticky
 Thin, white swollen  Thin white  Little or no redder tip or dark purple sides in the front  Sticky yellow coat
coating  White, coat coat purple spots  Swollen with coat  Maybe
smooth or  Rep tip with on the sticky coating swollen body
wet coating red papules tongue
 Deep midline
crack extending
to tip maybe
bifurcating the
tip
PULSES  Weak or  Weak and  Weak and  Rapid and  Fill and rapid  Thready and  Empty – over  Wiry choppy or  Wiry and  Slippery
empty deep thready thready hesitant or flowing in the knotted slippery  Often slow
 Often slow with missed L cun  Slippery – if
beats phlegm is strong
PERICARDIUM Heat Qi Stagnation
* think periods
CAUSES  Wind heat invasion – goes into  Emotional Strain
nutritive Qi level
Ddx Ht Qi Stagnation
SYMPTOMS  Fever at night  Feeling of distention and
 Mental confusion pain in the chest
 Incoherent speech or aphasia  tightness of chest (not
 Delirium oppression- Ht)
 Hot body with cold hands  Mild SOB (not specific w
and feet exertion- Ht)
 Macules  Signing
 Feeling of lump in throat
 Palpitations
 Depression
 Irritability
 Poor appetite
 Weak and cold limbs
 Slightly purple lips
 Pale complexion
TONGUE  Red and dry without  Mildly pale-purple on
coating sides at front
PULSES  Thready and rapid  Empty
 May overflow in L cun
Blood stasis
 Emotional strain
EMERG
 Palpitations
 Stabbing or prickling pain
in the chest - may radiate
to shoulder or lt arm (same
as HT)
 Feeling of constriction in
the chest
 SOB
 Cyanosis of the lips and
nails
 Cold hands
 Painful periods with dark
clots
 Dark purple everywhere
or only on sides at front
 Choppy, wiry or
knotted
 Full Heat in SI Qi Pain Qi Tied/ Obstructed/ Deficient and Cold
stagnation
SMALL INTESTINE
No palp’n
CAUSES  Excessive anxiety  Excessive consumption  Excessive consumption of  Excessive consumption of cold
of cold and raw foods cold and raw foods and raw food
Ddx Ht Fire  Factors which cause Ddx Sp Yang
LV Qi Stag

SYMPTOMS  Mental restlessness  Lower ab twisting pain  Severe abdominal pain - <  Ab pain
 Tongue ulcers which may extend to pressure  Desire of hot drinks
 Pain in the throat the back  Abdominal distention  Likes pressure on abdomen
 Deafness (SI 19)  Abdominal distention  Constipation  Boyboyugmi
 Uncomfortable feeling in  Dislikes pressure on  Vomiting  Diarrhea
the chest abdomen  Borborygmi  Pale and copious urine
 Abdominal pain  Borborygmi  Flatulence (doesn’t relieve
 Thirst  Flatulence pain specifically)
 Scanty and dark urine  Ab pain relieved by
 Painful urination passing wind
 Blood in the urine  Pain testis

TONGUE  Red with redder tip  White coating  Thick white coating  Pale body
 Yellow coat  White coating

PULSES  Rapid and full  Deep and wiry  Deep wiry  Deep, slow and weak
URINARY BLADDER Damp Heat Damp cold Deficient and Cold
(Kd Yang Def)
CAUSES  pathogenic Damp accumulation  pathogenic damp accumulation  Excess sex
 exogenous damp heat invasion  exogenous damp cold invasion  Exogenous damp cold invasion or
 excessive consumption of hot greasy foods cold
 Excess physical exercise

SYMPTOMS  Frequent and urgent urination  Frequent and urgent urination  Frequent pale ad copious urination
 Burning or urination  Difficult urination – stopping midstream  Incontinence
 Difficult urination  Heaviness feeling in hypogastrium and  Enuresis
 Dark yellow or turbid urine urethra  Lower back ache
 Hematuria  Dizziness
 Pale and turbid urine
 Sand in the urine  Nocturia
 White urethral discharge
 Fever
 A feeling of cold
 Thirst
 Lower abdominal distention
 Stones in the urine
 Back pain

TONGUE  Red with a sticky yellow coat  White sticky coating at the root  Pale and wet

PULSES  rapid and slippery  slippery, slow, slightly wiry (chi  Deep and weak
position)
 KIDNEY Yin Def Yang Def Yin Def: empty heat Essence Def Qi not Firm Failing to Receive
blazing Qi
CAUSES  chronic illness  chronic illness excessive  chronic illness overwork  congential  old age  prolonged cough or
 overwork sexual activity  excessive sex  poor nutrition  early lack of asthma
 excessive sexual activity  damp retention  depletion of body fluids blood  excessive sexual development of  LU defC
 depletion of body fluids  old age loss activity KI Qi  KI damage
 blood loss  misuse of KI yang tonics  prolonged illness  excessive sexual  Chronic disease
 misuse of KI yang tonics  excess emotions – worry, activity
anxiety  prolonged illness

S/SXS  soreness of the lumbar  Soreness of the back  Mala flush  Slow physical  Pale face  SOB on exertion
region  Cold knees  Mental restlessness development  Poor hearing  Rapid and weak
 weakness of the knees  Sensation of cold in the  Insomnia  Poor MSK  Sore back and breathing
 dizziness, vertigo back  Night sweating development knees  Difficult inhalation
 tinnitus  Aversion to cold  Low grade fever  Poor intelligence  Frequent, clear  Cough asthma
 insomnia with excessive  Dizziness  Afternoon fever  Dull action urine  Seating cold limbs
dreams  Lassitude  Five centered heat sensation  Late fontanel closure  Frequent dribbling  Cold limbs
 abnormal, frequent  Pallor or dark face  Scanty dark urine  Oligospermia or urine  Cold limbs after
erections  Erectile dysfunction  Blood in the urine  Infertility  Enuresis sweating
 increased libido  Infertility  Dry throat esp in evening  Amenorrhea  Incontinence  Swelling of the face
 nocturnal emissions  Cold uterus  Thirst for small sips  Weak sexual activity  Remarkable  Thin body
 premature ejaculations  Prolonged diarrhea  Dizziness (female) nocturia  Sore back and knees
 oligomenorrhea  5Am diarrhea (“cock  Tinnitus  Premature senility  Nocturnal
 amenorrhea crow’s”)  Hardness of hearing  Head hair loss emissions (male)
 5 centre heat sensation  Pitting edema esp below  Low back ache  Loose teeth  Premature
 Dry throat and mouth the lumbar region  Nocturnal emissions with  Tinnitus and deafness ejaculations
 Night sweats  Ab distention dreams  Poor memory  Clearing
 Malar flush  Copious clear urination  Excess sex desires  Weakness of the legs leukorrhea
 Decreased libido  Dry stools  Premature graying of  miscarriages
hair

TONGUE  Dry red  Pale wet flabby  Red, cracked with red tip, no  Small tongue  Pale  Pale
 Without or little coating coat

PULSES  rapid and thready  weak and deep  floating, empty and rapid  thready and weak  tight, weak, and  Tight, weak, deep
deep
LIVER (1) Qi Stagnation Lv Fire Blazing Blood Def Yin Def Qi Rebelling Blood Stasis

CAUSES  Emotional problems  Long standing emotional
 Pathogenic attack problems
 Excessive alcohol, fried
foods, meat
 Poor nutrition (↓protein)
 Emorrhage
 Prolonged Lv Qi Stag
 Chronic dz
 Kd def (Qi, essence, yin)
 Emotional problems  Emotional Stress  Qi stagnation
 Lv Qi Stagnation  Eating in a hurry, under  Cold
 Febrile d/o which stress or under emotional  Heat
injures Yin strain

S/SX  Hypochondriac pain
 Abdominal distention and
pain
 Migrating pain
 Distention of the breasts
 Discomfort in the chest
 Signing
 Sensation of “plum seed qi” in
the throat
 Lumps or masses along the
channel
 Emotional depression and
moodiness
 Frustration, irritability, anger
 Anorexia
 Nausea, belching, poor
digestion
 Sour regurgitation and
vomiting
 Epigastric pain and distention,
borborygmus, loose stool
 Jaundice, bitter taste in mouth
 PMS: distention of the breasts
and lower ab
 Irreg menses, amenorrhea
 Infertility
 HA (behind eyes/ side of
head)
 Red complexion/ eyes
 Bitter taste in mouth
 Sudden tinnitus/ deafness
 Hematemesis, epistaxis
 Int ear pain w purulent
d/c
 Dry mouth
 Irritability, anger
 Insomnia, nightmares
 Hypochondriac pain
 Constipation
 Yellow scanty urine
 Dizziness
 Tinnitus
 Sallow complexion
 Pale and brittle nails
 Insomnia, excessive
dreaming
 Dryness of eyes
 Floaters (spots in visual
field)
 Blurred vision
 Night blindness
 Weakness in limbs
 Numbness in mm
 Rigidity and stiffness in
jts
 Scanty menstrual flow,
amenorrhea
 Dizziness
 Tinnitus
 Dryness of eyes
 Flushed face
 Hypochondriac pain
(@night)
 Feverish sensation in 5
centers
 Afternoon fever
 Night sweats
 dry throat, mouth, skin
 Hypochondriac or epigastric  Hypochondriac pain
distention  Abdominal pain
 Hiccups  Vomiting of blood
 Signing  Epistaxis
 Nausea vomiting  Painful periods
 Belching  Irregular periods
 Churning feeling in the  Dark and clotted menses
stomach  Infertility
 Irritability  Masses in abdomen
 Breast distention  Purple nails, lips
 Purple or dark complexion
 Dry skin
 Purple petechiae

TONGUE  Normal or light purple  Red tongue  Small, pale tongue  Dry red tongue  red sides in severe  Purple esp on sides
 Yellow coat  White coat pathology
PULSES  Wiry  Wiry or rapid and thready  Wiry, weak, thready  Wiry, thread, rapid  Wiry  Wiry or firm
LIVER (2) Yang Rising Wind agitating Within Wind Agitating Within Damp heat in LV & GB Stagnation of Cold in
d/t extreme heat d/t Yang rising the LV
CAUSES  Water not nourishing wood  Extreme heat generating  Liver rang  Sp Qi DefC  Exogenous pathogenic
 LV & KI yin DefC wind – exogenous heat or rising  Excessive consumption of cold
 Anger and anxiety wind entering the blood generating wind greasy and sweet foods  LV Qi stagnation
level  LV yin DefC  Alcoholic drinking
 LV yang rising  Long-term LV Qi stagnation
S/SX  Vertigo  High temp  Sudden  Fullness and distention in  lower abdominal
 Tinnitus  Convulsions unconsciousness the chest and hypocondrium cramping
 Headache (vertex) distention  Neck rigidity  Convulsions  Loss of appetite  fullness and distention
and pain in the eyes  Deviation of eye and  Bitter taste in the mouth of the hypogastrium
 Limb tremors
 Flushes complexion
 Opisthothonos mouth  Nausea and vomiting  pain and distention of
 Red eyes
 Irritability  Coma (severe cases)  Hemiplegia  Stickiness in the mouth the testes and scrotum
 Anger palpitations  Aphasia or difficult  Heaviness in the body  straining of the testes
 Insomnia speech  Some diarrhea or  contraction of
 Excessive dreams  Dizziness constipation the scrotum
 Poor memory  Irregular bowel movements  contraction of the
 Soreness and weakness in  Thirst with no desire to labia in women
low back and knees drink  pain alleviated
 Loose stools with offensive by warmth
odor and stickiness
 Lassitude
 Jaundice
 Pain, redness and swelling of
the scrotum
 Vaginal discharge
 Vaginal itching
 Scanty dark yellow urine
 fever

TONGUE  Red  Deep Red with a thick  Peeled red and deviated  Red  Pale
 May not have coat yellow coating  Sticky yellow coat  Thick white coat
PULSES  Wiry and strong or thready  Rapid strong and wiry  Floating and weak or  Wiry and slippery  wiry
and rapid wiry and rapid  rapid  strong or tight
Gallbladder Damp heat in GB (same as LV) Deficient Qi Dampness

CAUSES  Sp Qi DefC  Due to the character of the patient  External dampness

 Excessive consumption of greasy and sweet  Excessive consumption of dairy, greasy,
foods fatty foods
 Alcoholic drinking
 Long-term LV Qi stagnation
S/SX  Fullness and distention in the chest and  Dizziness  Jaundice
hypochondrium  Blurred vision  Dull-yellow sclera and skin
 Loss of appetite  Floaters  Hypochondriac pain
 Bitter taste in the mouth  Nervousness  Fullness and distention
 Nausea and vomiting  Timidity  Nausea
 Stickiness in the mouth  Easily startled  Vomiting
 Heaviness in the body  Lack of courage/initiative  Inability to digest fats
 Some diarrhea or constipation  Indecision  Turbid urine
 Irregular bowel movements  Signing  Lack of thirst
 Thirst with no desire to drink  Waking early in morning  Sticky taste
 Loose stools with offensive odor and  Restless dreams  Dull headache
stickiness  Feeling of heaviness
 Lassitude
 Jaundice
 Pain, redness and swelling of the scrotum
 Vaginal discharge
 Vaginal itching
 Scanty dark yellow urine
 fever

TONGUE  Red  Pale or normal  Thick, sticky white coating

 Sticky yellow coat  Or unilateral coating

PULSES  Wiry and slippery  weak  Wiry and slippery

 rapid