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Diagnosis - Class 02
Chinese Medicine Diagnostic Systems
By: David Botton

Substance Disharmonies

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Substance Disharmonies

Deficient Qi

affects Kidney, Spleen and Lungs

symptoms

lassitude

hypo function of zang fu

weak breathing

hypo function of zang fu

weak voice

hypo function of zang fu

blurry vision

poor promotion of blood to brain

dislike of speaking

hypo function of zang fu

spontaneous sweating

wei-Qi unable to close poors

symptoms worse on exertion

consumes Qi

(light headed) dizziness

poor promotion of blood to brain

deficient pulse

poor promotion of blood in vessels

pale tongue

inability of qi to push blood to tongue

causes

weakness after long illness

age

poor diet

lack of rest

Deficient Yang

affects Kidney, Spleen and Heart

Symptoms

same as Qi but exaggerated

also signs of cold

slow sinking pulse

pale moist tongue

Blood Stasis

affects Liver and Heart

symptoms

severe pain

fixed location

dark complexion

ecchymoses, petechice

dark clotted bleading

purple spots on skin and tongue

tumors

choppy/knotted/abrupt pulse

dark purple tongue

causes

injury

hemorage

Qi stagnation

cold

sub-patterns

Qi Deficiency

Qi Stagnation

Accumulation of excess Cold

Accumulation of excess Heat

Perversion/Rebellious Qi

affects Lung, Stomach, Liver

symptoms

Lung

coughing, asthmatic breathing

Stomach

Belching, hiccups, nausea, vomiting

Liver

Headaches, dizziness (vertigo), coma

hemoptysis (coughing blood), hematmesis (vomit blood)

cause

lack of Lung, Stomach or Liver performing their Qi function

Lung

pathogens

phlegm acumulation

Stomach

accumulations / stagnations in Stomach

Liver

emotional problems

rage

Heat in Blood

affects Heart

symptoms

mental restlessness / mania

dry mouth and no desire to drink

hemorrhaging - dark red

profuse menstrual flow

insomnia

deep red tongue

rapid pulse

Stagnant Qi

affects Liver, Heart and Lungs

symptoms

distention (greater) and soreness

Qi flow stagnation

not at a fixed point

Qi flow stagnation

improves with release of gas

release of stagnation

aggravated with emotional stress

emotions affecting Qi coursing

frequent sighing

Qi flow stagnation

string-tight/wiry pulse

purple tongue

causes

emotional stress / depression

improper diet

invasion of pathogens

external injury

Deficient Yin

affects Kidney, Liver, Heart and Lungs

symptoms

signs of deficient heat

thin rapid pulse

red thin tongue

Deficient Blood

affects Spleen, Heart and Liver

symptoms

dull pale/sallow face

lack of blood

numbness or weak shaking in limbs

lack of nourishment

emaciation

dizziness

lack of blood to brain

palpitations

blood not nourishing the heart

ensomnia

shen needs blood to be housed

numbess and tingling in handness and feat

lack of nourishment

scanty to absent period

long standing blood deficiency - dry skin and hair

thin deficient pulse

pale thin tongue

causes

Stomach and Spleen weakness

severe blood loss including menstruation

axiety, grief

Sinking Qi

affects Spleen

symptoms

same as Qi

bearing down sensation / prolapse

deficient Spleen Qi to consolidate organs

deficient pulse

pale tongue

causes

same as Deficient Qi


(c) 2005 All Rights Reserved - David Botton