Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Pale with Blue Tinge and Severe Pain in the Excess Yin and Cold
Epigastria and Abdomen
Bluish Purple Face and Lips with Intermittent Pain Stagnation of Heart Blood
Behind the Sternum or Pericardial Region
Bluish Purple Face and Lips with High Fever and Infantile Convulsion
Violent Movement of Limbs in Children
Pale and Dark with Lumbar Soreness and Cold Feet Kidney Yang Xu
Appearance Meaning
Eyes Meaning
Nose Meaning
Burnt Black and Dry and Withered Auricles in Consumption of Kidney essence
Severe Illness
Gums Meaning
Throat Meaning
Redness and Swelling with Yellow or White Ulcer Toxic Heat in Lung and Stomach
Spots
Throat Meaning
False Gray and White Membrane over Throat that is Diphtheria from Heat in the Lung Consuming Yin.
Hard to Remove, and Bleeds Following Removal
Chills Accompanied by Fever (External Pathogen Fighting with Antipathogenic Qi (Zheng Qi))
High Fever with Aversion to Heat, Profuse Excess Heat in the Interior
Sweating, Severe Thirst, and a Surging Pulse
Perspiration Meaning
Night Sweating (May also have Tidal Fever, and a Yin Xu with Hyperactivity of Yang Heat
Red Tongue with Little Coat
Poor Appetite with Stuffiness in the Chest, Fullness Stagnation of Qi of the Spleen and Stomach Caused
Appetite, Eating, and Taste Meaning
in the Abdomen, and a Thick Sticky Tongue Coat by Retention of Food or Dampness
Hunger with no Desire to Eat, or Eating Small Impairment of Stomach Yin, Producing Internal Xu
Amounts of Food Heat
Lack of Thirst During an Illness Body Fluids are not Consumed (Usually present in
a Cold Syndrome, or where Heat is not Noticeable)
Sweet Taste in the Mouth Damp Heat in the Spleen and Stomach
Tastelessness Spleen Xu
Bloody Stool with Mucus and Tenesmus Damp Heat in the Intestines and Stagnation of Qi in
the Intestinal Tract
Clear Urine with Increased Volume Infirmity of Kidney Qi, and Bladder Dysfunction in
Controlling Urine
Scanty, Yellow Urine, with Urgent and Painful Downward Movement of Damp Heat in to the
Urination Bladder
Dribbling Urination or Retention of Urine in Severe Exhausted Kidney Qi (Xu) or Stagnant Bladder Qi
Cases (Excess) due to the Downward Infusion of Damp
Heat, Stagnant Blood, or Stones.
Pain Meaning
Headache with Distending Sensation in the Head Upward Disturbance by Fire and Heat
Pain with and Heavy Sensation (Weighty Pain), Dampness Blocking Qi and Blood
Often Occurring in the Head, Four Limbs and
Lumbar Regions
Burning Pain with a Burning Sensation and a Invasion of the Collaterals by Pathogenic Fire and
Preference for Coolness, Often Occurring in the Heat or from Excessive Yang Heat due to Yin Xu
Hypochondriac regions on Both Sides, and in the
Epigastria Region
Pain with a Cold Sensation and a Preference for Pathogenic Cold Blocking the Collaterals or Lack
Warmth, Often Occurring in the Head, Lumbar, of Warmth and Nourishment in the Zang Fu and
Epigastric, and Abdominal Regions. Meridians due to Yang Qi Xu
Dull Pain that is not severe, lingers, and lasts for a Xu Cold Syndrome
long time
Epigastric Pain (Upper, Middle. Lower) Invasion of the Stomach by Pathogenic Cold,
Retention of Food in the Stomach, or Invasion of
the Stomach by Liver Qi
Pain in the Limbs (Joints, Muscles, or Meridians) Retardation of Qi and Blood Circulation due to
Invasion of the Exogenous Pathogenic Factors
Pain Meaning
Sleep Meaning
Insomnia with Palpitations and Dizziness Failure of Blood to Nourish the Heart due to Heart
and Spleen Xu
Menses Meaning
Menses that are Light Colour, Profuse in Amount, Failure of Qi to Command Blood
and Thin in Quality
Prolonged Cycle with Scanty Purplish Dark Stagnation of Blood due to Cold
Discharge or Clots
Benefiting Fever
Condition.
Angina.
Quality of: Excess Yang - Yin Xu - Chronic Excess Yin - Acute Yang Xu -
Acute (Deficient Heat (Excess Chronic
(Excess Heat Condition) Cold/Dampness (Deficient
Condition) Condition) Cold
Condition)
Thirst High Thirst, Likes Thirsty, Sips Cool Might/Might Not Low Thirst,
High Quantity Of Drinks, But Can Have Low Thirst. Likes Warm
Cold Drinks. Not Drink Very Water.
Much.
Truly A
Constipation
Condition Where
Only Fluids Can
Be Passed
(Appears To Be
Diarrhoea), But
Solids Are Not
Passed
Notes:
Do Not Give
Patients Warm
Water Or Spicy
Foods.
Menses Very Red Color, Brown Or Dark Dark Purplish, Long Cycle,
Normal: Short Cycle. Red, Scanty. Long Period Or No Thin, Or Light
Regular, No Period Due To Colored,
- Poss. Early
PMS, No Excess Fluids Or Delayed
Menstruation (5
Cramps, No Cold Respectively Menstruation.
To 7 Days)
Clots, No
- Poss. Blood Clots - Poss.
Spotting Notes:
Skipping
Blood Is Either Cycle (No
Dried Up In A Cycle)
Short Cycle, Or
Heavy Due To
Pushing Force Of
Heat.
Energy High Level Of Restless, But Often Feel Tired, Weak, Due To
Exhausted. Tired, Lethargic w/no No Functional
Quality of: Excess Yang - Yin Xu - Chronic Excess Yin - Acute Yang Xu -
Acute (Deficient Heat (Excess Chronic
(Excess Heat Condition) Cold/Dampness (Deficient
Condition) Condition) Cold
Condition)
Body Hot, High Fever, Low Grade Fever, Cold, Sensitive To Very Cold,
Temperature Sensitive To Heat. 5 Palm Heat (Also Cold. Sensitive To
called 5 Center Cold.
Heat).
Causes of Illness - 6 Evils
The Six Evils or Six Pernicious Influences in Chinese
Medicine
The evils are external in origin, but can penetrate deeply into the body.
Wind
Cold
Damp
Heat
Summer Heat
Dryness
Wind
Wind is involved with movement and activity, and brings other evil Qi in with it. It is the most
important evil as it is the cause of the "100 diseases".
Illnesses manifest in upper and outer parts of the body in early stage: head, sense organs and
skin
Stroke
aversion to cold
occipital headache
stiff neck
sneezing
runny nose
Little or no sweating
Ma Huang Tang
Xu Type External Wind
Sweating
Wei Qi is weak. There is sweating but it does not release the Exterior
Harmonize Ying and Wei Qi. Ying nourishes Wei to gently strengthen it, without tonifying Evil Qi
sore throat
earache
red face
Tongue: slightly red in early stage, yellow coat, thorns on lung area
3.) Wind-Damp
sensitivity to wind
sinus headache
Pulse: slippery
Arthritis, nerve pain, and numbness that is worse with cold and damp
weather
Pulse: slippery
disruption of Jin-Ye
acute onset
Pulse: slippery
acute onset
Wind Syndromes - Internal Wind
Associated with the Liver, and causes diseases of shaking and abnormal body positions.
It combines easily with phlegm, as in Deviation (Wind blows it out of position and the phlegm
makes it stick in an abnormal position).
Symptoms of Internal Wind
convulsions
Parkinson's
post-stroke squeal
seizures(epilepsy)
Wind blows it into an abnormal position and phlegm makes it stick. It affects Liver (Wind) and
Heart (Phlegm misting). There is rigidity especially of limbs, neck, tongue, and stiffness in tongue
(May affect the Speech)
Neurological conditions
brain disorders
Alzheimer's, senility
Stroke
brain tumours
Fire and Phlegm occurring together
red face
causes Qi and Blood to contract and congeal which creates stagnation, pain, stiffness
Syndromes of Cold
Wind Cold
chills more than fever
aversion to cold
occipital headache
stiff neck
runny nose
sneezing
o little or no sweating
o sweating
Looks like spleen Qi Cut but the cause is external (Examples are living by the ocean or eating
cold foods). Phlegm and Dampness can also collect and cause dizziness.
diarrhoea
loose stools
watery stools
bloating
poor digestion
nausea
vomiting
loss of appetite
fatigue
Pulse: slow
Tongue: pale
Cold evil damaging both spleen and Kidney Yang
Can be acute, as in hypothermia, or chronic, as in a cold climate damaging spleen and kidneys.
watery stools
bird stools
aversion to cold
strong fatigue
pale face
Liver Qi Stagnation
abdominal bloating
depression, irritability
Pulse: wiry
Pulse: choppy
endometriosis
hernia
testicular problems
sperm production
may be infertility
Pulse: choppy
Damp
oedema or swelling
sneezing
afternoon fever
nausea, vomiting
swelling of joints
oedema
Pulse: slippery
Damp poison in skin
Infection or inflammation that can affect many places, such as the Liver, Gallbladder, Urinary
Bladder, Intestines, Sinuses, etc.
"itis" Diseases
Bronchitis
Hepatitis
Virginities
Prostitutes
Colitis
Tongue: red, thick yellow coat, swollen (how thick, how swollen, how red?)
Internal dampness arising in the body
Dampness arising from Spleen Xu: Dampness is the main factor, the Xu is secondary. It often
compromises immunity due to congestion of lymphatic system, autoimmune conditions in
particular. If severe, it becomes Phlegm. A long term chronic situation is often due to damp, cold,
raw foods.
Symptoms may be associated with a wide variety of diseases: Chronic Fatigue, Fibromyalgia,
Candida, Lymphoma, Etc.
bloating
nausea
vomiting
diarrhoea
dizziness
low appetite
Heat
Damages Yin
agitation, restlessness
Syndromes of Heat
Wind-Heat
sore throat
big thirst
sinus infection
Strong heat that reaches deep in to organs. It can have an external or internal origin.
Symptoms
big thirst
redness
restlessness
Syndromes of Fire
Lung fire
can be loud, forceful cough with blood (fire has burnt off protection of mucous membranes so
capillaries have burst)
Stomach channel problems: toothache (infection), frontal headache strong pain or burning on
channel
Heart fire
strong anxiety
restlessness
insomnia
mania
Liver fire
anger
dysentery
bone infection
Yin Xu, Yang Kan, Heat is deep in the body: Ying level. Pattern of mixed Xu and excess.
Treatment must include quelling fire as well as nourishing yin
severe restlessness
slight bleeding
Tongue: scarlet
high fever
restlessness
dizziness
blurred vision
headache
constipation
coma
Yin collapse
profuse sweating
A person with a Damp constitution experiencing Summer Heat, or a person who eats Damp
foods in summer (ice cream, cold soda).
nausea
vomiting
dizziness
heavy head
foggy thinking
tightness in chest
Dry skin
Dry hair
Dry eyes
Dry lips
Dry stools
Scant urine
Thirst
Easily damages lungs
Could be from dry climate or smoking
Syndromes of Dryness
Warm Dryness
Symptoms
Fever
Headache
Thirst
Dry Mouth
Pulse: rapid
Treatment
Symptoms
Sensitive to cold
Chills
Mild fever
Headache
Dry cough
Dry mouth
Emotional related diseases factors, which effect the organ associated with the emotion as well as
organs that have a Five Element relationship with that elements emotion.
Anger
Fear
Fright
Grief
Joy
Palpitations
Insomnia
Unclear Thinking
Heart Attack
Example: Migraine headache caused by sudden joy from receiving good news.
Vertex Headache
Dizziness
Blurry Vision
Stroke
Internal Wind (trembling from anger or an onset of Wind symptoms such as a seizure)
Spleen Qi Xu
Rebellious Stomach Qi
Bleeding
Asthma
Weakens, Depletes, or Dissolves the Qi - Joy Controls Grief (Fire controls Metal)
Asthma
Skin problems
Stagnates or Knots the Qi - Wood controls Earth (Anger controls Worry and Pensiveness)
Palpitations
Spleen Qi Deficiency
Heart Blood Deficiency
Fright Confuses or Scatters the Qi - Grief controls Fright (Metal controls Wood)
Note: There is a difference between fear and fright: Fright: startling, scared by things that are
present. Fear: deeper, more chronic; scared by things not present
Indecisive
Confused
Lack Courage
Long-term fright turns to fear (child abused once causes fright; ongoing abuse leads to fear of when
it will happen again)
Harms Liver
become angry at what frightened us (a mother becomes angry with a child that loves to startle her
as a joke)
Makes Qi Descend - Concentration and thinking controls Fear (Earth Controls Water)
Depression
Indecisive
Confused
Lack Courage
Harms the Heart
anxiety, restlessness
Weak Constitution
Adverse Factors:
A person's basic constitution is largely determined at conception, and it can also be affected during
the mother's pregnancy.
However, those with weak constitution can develop Qi by balanced lifestyle, avoidance of stress and
excess (work or sexual activity), adequate rest, right nutrition, breathing exercises, and
strengthening "inner" exercises such as Qi Gong and Tai Ji Quan (that originated in ancient Taoist
longevity and immortality practices but are still applicable for health promotion).
Assessment of constitution is essential for accurate prognosis; what can realistically be expected
from treatments.
Over Exertion
(Post-Heaven Qi, i.e., Qi transformed from food and drink on a daily basis).
In daily activities we use Qi: Jing provides material base for long term changes but is foundation of
our inner strength and vitality.
Qi used in normal work and exercise is quickly replenished by proper food and rest. (If your patient
appears weak and depleted, ask about recent excesses of work or study or lack of sleep).
If overwork occurs over months or years, Qi cannot be restored quickly enough by Spleen. Person
then draws on the Jing as a reserve. This way the Jing can become depleted and signs of Deficiency
of Yin may begin to appear. This situation takes a long time to remedy.
Mental Overwork
Very common in western society: long hours of stress and mental activity very common together
with irregular meals taken in hurry. These things affect Stomach, Spleen and Kidneys. Irregular diet
(or eating late at night) can cause deficient Stomach Qi or Stomach Yin.
Physical Overwork
Depletes primarily Spleen Qi (SP dominates flesh and muscles). However, excessive physical exercise
also demands that the Liver supply its Blood and Yin to the tendons/muscles; therefore excessive
exercise can deplete Liver Blood and Yin (including workouts).
Excessive use of one part of body (i.e., repetitive movement) can cause Qi to stagnate in that part.
Especially bad during puberty for girls (leads to later menstrual problems).
Lack of Exercise
Certain exercises (e.g., Yoga and Tai Ji Quan) are aimed at developing Qi rather than muscles and are
useful for those with Deficient Qi who have to little energy for Western style exercises.
Male sexual fluids are external manifestation of Kidney Jing: hence loss of these lead to temporary
loss of Kidney Jing. Female sexual fluids primarily Jin-Ye.
Normally this is made up (by postnatal Jing) and does not lead to depletion. However, when sexual
activity is excessive, body does not have time to restore the Jing.
Adjust sexual activity according to constitution, age, physical condition. (See chart in book pg. 138 as
broad guideline).
Seasons: increase in Spring; decrease in Winter.
In treating sexual problems, i.e., impotence, often a decrease in sexual activity is important.
In men, the Kidney Jing is depleted by excessive sexual activity; in women it is depleted by repeated
childbirth.
Deficient Kidney Yin: excessive interest in sex and inability to be satisfied, erotic dreams and
nocturnal emissions.
Other important causes of unsatisfactory sexual life: (e.g., lack of warmth and love, relationship
issues) can be causes of disease especially where they cause a lot of anxiety and unhappiness.
However, Chinese dietary theories do not take into account our modern food preservatives,
colourings, pesticide residues, etc.
Dietary habits can cause disease: e.g., poor quality or imbalanced quantity of food. Malnutrition not
only in 3rd world countries but also in the west, from poverty and "fad" diets.
Trying to slim by "starving" weakens SP Qi and can actually cause increase in weight because SP will
be too weak to transform and transport fluids and food. Proper foods need to be eaten to
strengthen SP & St.
Overeating also weakens SP & ST and leads to accumulation of Phlegm and stagnation of food.
Excessive consumption of cold energy and raw food can weaken the Spleen.
Raw vegetables, salads and fruit in excess can weaken Spleen Yang:
Excessive consumption of hot energy and spicy foods (curry, chilli, hot sauce, lamb, beef) causes
Heat especially of Stomach and Liver.
Excessive consumption of greasy/fried foods (deep fried foods, milk, cheese, cream, butter, bananas,
fatty meats, nuts) cause Phlegm or Damp which can obstruct Spleen function of transformation and
transportation.
How food is consumed is important.
Eating in a hurry, eating late in evening, eating when upset, discussing work while eating, etc.,
interfere with digestion and cause deficiency of Stomach Yin.
NOTE: Foods, like herbs, have their own energetic properties and can be used therapeutically to
strengthen the body and treat disease. It is very useful to understand Chinese dietary therapy in
order to be able to suggest to the patient the foods they should eat and those they should avoid.
Physical Trauma
Trauma can affect an area for a long time and produce local stagnation of Qi and/or Blood.
Old accidents/falls can cause or contribute to current disease especially if compounded by later re-
injury or later contraction of pathogen (e.g., Wind Damp will often invade a previously injured area
where there is an underlying weakness in the circulation of Blood & Qi).
Contributory factor: poor diet, especially excessive consumption of greasy and sweet food which
leads to Dampness (perfect breeding ground for worms and also Candidacies).
Incorrect Treatment
Incorrect use of moxa (i.e., use where heat is present) can aggravate a heat condition. Chinese herbs
however have more specific effect than acupuncture.
E.g., if one tonifies Yang (heating herbs) by mistake when there is deficient Yin (producing heat signs)
one can seriously aggravate the condition.