IDENTIFICATION OF PATTERNS ACCORDING TO QI, BLOOD, YANG AND YIN

IDENTIFICATION OF PATTERNS ACCORDING TO QI, BLOOD, YANG AND YIN

Chapter contents

QI

Qi deficiency

Clinical manifestations

Slight shortness of breath, weak voice, spontaneous sweating, poor appetite, loose stools, tiredness, pale complexion, dislike of speaking.

Pulse Empty.

Qi sinking

Clinical manifestations

Breathlessness, weak voice, spontaneous sweating, poor appetite, loose stools, tiredness, pale complexion, dislike of speaking, a feeling of bearing down, prolapse of organs (stomach, uterus, anus, bladder), listlessness, chronic diarrhoea, chronic excessive vaginal discharge, mental depression.

Pulse Empty.

Collapse of Qi

Clinical manifestations

Sudden profuse sweating, mental confusion or unconsciousness, open eyes and hands, bright-white complexion, shortness of breath, incontinence of urine and faeces.

Pulse Minute.

Qi stagnation

Clinical manifestations

A feeling of distension of chest, epigastrium or abdomen, distending pain that moves from place to place, abdominal masses that appear and disappear, abdominal distension and pain which is not relieved by a bowel movement, premenstrual tension, breast distension, irregular periods, painful periods, mental depression, irritability, headache, constipation with bitty stools, a gloomy feeling, mood swings, frequent sighing.

Tongue In most cases, the tongue-body colour does not change but it will be slightly Red on the sides in severe cases of Qi stagnation.

Pulse Wiry.

Rebellious Qi

The clinical manifestations of rebellious Qi depend on the organ involved.

Clinical manifestations

Stomach-Qi rebelling upwards

Belching, hiccup, nausea, vomiting, sour regurgitation.

Liver-Qi rebelling towards Stomach

Belching, sour regurgitation, nausea, vomiting.

Liver-Qi rebelling towards Spleen

Diarrhoea, alternation of diarrhoea and constipation.

Liver-Qi rebelling upwards

Headache, dizziness, irritability, epistaxis.

Lung-Qi rebelling upwards

Cough, breathlessness, asthma.

Heart-Qi rebelling upwards

Nausea, insomnia, mental restlessness.

Kidney-Qi rebelling upwards

Breathlessness, a feeling of energy rising from the lower abdomen to the chest and throat, a feeling of tightness of the chest, a feeling of heat in the face, cold feet. This is equivalent to the Qi of the Penetrating Vessel rebelling upwards.

Qi obstructed

Qi obstructed occurs when internal pathogenic factors completely disrupt the proper flow of Qi and the balance of Yin and Yang, obstructing the orifices; this is a Full pattern seen only in acute cases, often with Phlegm, Fire, Wind and Blood stasis. The acute stage of Wind-stroke is an example of this condition.

Clinical manifestations

Sudden unconsciousness or intense, constant restlessness, red face, tinnitus, rattling sound in the throat, clenched teeth, clenched fists, constipation, retention of urine.

Tongue Stiff and Deviated.

Pulse Wiry.

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Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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