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Zang-Fu Patterns from The Foundations of Chinese Medicine

QI DEFICIENT PATTERNS: 1. HEART QI DEFICIENT Palpitations Shortness of Breath (on exertion) Sweating Pallor Tiredness does not feel rested when waking Listlessness Tongue: pale or normal color; may be midline crack reaching the tip Pulse: Qi deficient qualities at the LDP; arrhythmias; Intensity Change (FI); small rate increase with exertion (<8 beats); Slippery or Smooth Vibration at the MV; slow rate 2. LUNG QI DEFICIENT Shortness of Breath Cough Watery sputum Weak voice Spontaneous/Daytime Sweating Dislike to speak Dislike of Cold Bright-white complexion Catches colds easily Tiredness Tongue: pale or normal color Pulse: Qi deficient qualities at the RDP or SLP 3. SPLEEN QI DEFICIENT No appetite Abdominal distension after eating Tiredness (especially after eating) Lassitude Sallow complexion Weakness of the limbs Loose stools Tongue: Pale & swollen with teeth-marks Pulse: Qi deficient qualities at the RMP; Complementary Spleen position present 4. STOMACH QI DEFICIENT Uncomfortable feeling in the epigastrium Tiredness (especially in the morning) Weak limbs Lack of taste sensation Loose stools No appetite Tongue: pale Pulse: Qi deficient qualities at the RMP 5. KIDNEY QI DEFICIENT (Kidney Qi Not Firm)
4/3/05

Soreness and weakness of the low back and knees Frequent and clear urination Dribbling of urine Nocturia Enuresis Incontinence Men: spermatorrhea and premature ejaculation Women: leucorrhea that is cold and clear Tongue: pale and swollen Pulse: Qi deficient qualities at the PP

YANG DEFICIENT PATTERNS: 1. HEART YANG DEFICIENT Palpitations Shortness of Breath (on exertion) Tiredness does not feel rested when waking Listlessness Sweating Feeling of stuffiness of discomfort in the heart region Feeling cold Cold limbs (especially hands) Bright-pale face Tongue: pale, wet & swollen Pulse: Deep, Feeble-Absent LDP; frequent missed beats; rate decrease with exertion; slow rate; Heart Enlarged position present 2. SPLEEN YANG DEFICIENT No appetite Abdominal distension after eating Tiredness (especially after eating) Weakness of the four limbs Loose stools Edema (of the abdomen and/or legs) Chilliness Cold limbs Sallow or bright-white complexion Tongue: pale, swollen & wet with teeth-marks Pulse: Deep, Feeble-Absent RMP; Complementary Spleen position present 3. KIDNEY YANG DEFICIENT Soreness of the low back Cold knees & low back Aversion to cold Weak legs & knees Impotence Premature ejaculation Lassitude Abundant-clear urination or Scanty-clear urination

Jamin Nichols, AP

Zang-Fu Patterns from The Foundations of Chinese Medicine


Apathy Edema of the legs Infertility in women Bright-white complexion Tongue: pale, swollen & wet Pulse: Deep, Feeble-Absent PP Night sweating Dry mouth & throat 5-palm heat Tongue: red, no coating, redder at the tip Pulse: Tight or Wiry LDP; Hesitant

BLOOD DEFICIENT PATTERNS: 1. HEART BLOOD DEFICIENCY Palpitations Dizziness Insomnia Dream-disturbed sleep Poor memory Anxiety Easily startled Dull-pale complexion Pale lips Tongue: pale, thin & dry Pulse: Thin LDP; rate increase with exertion (>12 beats) 2. LIVER BLOOD DEFICIENCY Dizziness Numbness of the limbs Insomnia Vision problems (blurred vision, floaters, photophobia, poor night vision) Scanty menses or amenorrhea Dull-pale complexion Pale lips Muscular weakness Muscle spasms Cramps Withered and brittle nails Tongue: pale or peach colored sides, dry Pulse: Thin LMP

2. LUNG YIN DEFICIENT Cough that is dry or with a little sticky sputum Blood-tinged sputum Low-grade fever in the afternoon Feeling of heat in the afternoon or evening Malar flush Night sweating 5-palm heat Insomnia Dry mouth & throat Hoarse voice Tickly throat Tongue: red, peeled, cracks in the Lung area, dry Pulse: Tight or Wiry RDP or SLP 3. KIDNEY YIN DEFICIENT Dizziness Tinnitus (sounds like cicadas) Vertigo Poor memory Deafness Night sweating Dry mouth at night 5-palm heat Thirst (likes to sip to moisten dry mouth) Sore back Achy bones Nocturnal emissions with dreams Constipation Dark-scanty urination Tongue: red, no coating, cracks Pulse: Tight or Wiry PP

YIN DEFICIENT PATTERNS: 1. HEART YIN DEFICIENT Palpitations 4. STOMACH YIN DEFICIENT No appetite or likes to snack a lot Insomnia restless sleep w/ frequent waking Fever or feeling of heat in the afternoon Dream-disturbed sleep Constipation (dry stools) Easily startled Epigastric pain Poor memory Dry mouth & throat (especially in the Anxiety afternoon) Mental restlessness Thirst with desire to drink in small sips Uneasiness Feeling of fullness after evening Fidgetiness Tongue: red & peeled in the center or coating Malar flush w/o root; transverse cracks Low-grade fever or feeling of heat especially in Pulse: Tight or Wiry RMP the evening Feeling hot and bothered
4/3/05 Jamin Nichols, AP

Zang-Fu Patterns from The Foundations of Chinese Medicine


QI & BLOOD STAGNANT PATTERNS: 1. HEART BLOOD STAGNATION Palpitations Pain in the heart region that may radiate to the inner aspect of the left arm or to the shoulder Stuffiness of the chest Discomfort or feeling of oppression or constriction of the chest Cyanosis of lips and nails Cold hands Tongue: dusky-purple, especially at the tip Pulse: Choppy LDP 2. LIVER BLOOD STAGNATION Vomiting of blood Nosebleeds Pain during periods Irregular periods Dark & clotted menstrual blood Abdominal pain Masses in the abdomen Tongue: purple-dusky, especially on the sides Pulse: Choppy LMP; Liver Engorged positions present 3. LIVER QI STAGNATION Emotional problems are the most common cause (ie. repressed anger, frustration, resentment, irritability, etc) Distension of the hypochondrium & chest Sighing Hiccup Melancholy Depression Moodiness Fluctuation of mental state Plum-pit Qi Irregular periods Pain before periods Breast distension Premenstrual tension and irritability Digestive System (nausea, vomiting, epigastric pain, no appetite, loose stools, belching, borborygmi, diarrhea, reflux, etc) Tongue: may be swollen on the sides Pulse: Taut, Tense, or Inflated LMP 4. BLOOD STAGNATION IN THE STOMACH Stabbing pain in the epigastrium which is worse w/ heat & pressure Pain after eating Vomiting of dark blood Blood in the stools
4/3/05

Tongue: purple w/ purple spots, especially in the center Pulse: Choppy in the RMP (or SPEP)

5. SMALL INTESTINE QI STAGNATION (Qi Pain) Lower abdominal twisting pain which may extend to the back Abdominal distension Dislike of pressure on the abdomen Borborygmi Flatulence Abdominal pain relieved by passing gas Pain in the testes Tongue: white coating Pulse: Tense, Inflated SI (w/ pain may also be Tight-Wiry or Biting) 6. SMALL INTESTINE QI STAGNATION (Qi Tied) Violent abdominal pain Dislike of pressure Abdominal distension Constipation Vomiting Borborygmi Flatulence Appendicitis Tongue: thick white coating Pulse: Tight-Wiry, Biting, Inflated, Tense SI/LI HEAT PATTERNS: 1. HEART FIRE (Blazing) Palpitations Thirst w/ desire for large amounts of cold liquids Tongue ulcers Mental restlessness Feeling agitated Impulsiveness Feeling of heat Insomnia (difficulty falling asleep) Red face Dark urine Blood in urine Bitter taste (in morning after poor sleep) Tongue: red w/ red points, especially at the tip; swollen tip; yellow coating; may be midline crack reaching the tip Pulse: Pounding LDP 2. LIVER FIRE (Blazing Upwards) Irritability Propensity to outbursts of anger Tinnitus high pitch, sudden onset

Jamin Nichols, AP

Zang-Fu Patterns from The Foundations of Chinese Medicine


Deafness Temporal headaches sudden onset, bursting in nature Dizziness Red face Red eyes Thirst w/ desire for large amounts of cold liquids Bitter taste Dream-disturbed sleep Constipation w/ dry stools Dark-yellow urine Nosebleeds Coughing up blood Vomiting blood Tongue: red body w/ prickles, especially on the sides; dry-yellow coating Pulse: Tense, Pounding, Flooding Excess LMP

Burning sensation in the mouth Dry tongue Burning and swelling in the anus Scanty-dark urine Tongue: thick-yellow (or brown or black) & dry coating Pulse: Tense-Tight & Pounding LI

3. STOMACH FIRE Burning & pain in the epigastrium Thirst w/ desire to drink large amounts of cold beverages Always hungry Swelling & pain in the gums Bleeding gums Reflux Constipation w/ dry stools Nausea Vomiting soon after eating Bad breath Tongue: red body w/ thick-yellow-dry coating Pulse: Tense, Pounding, Flooding Excess RMP (or SPEP)

6. HEAT OBSTRUCTING THE LARGE INTESTINE Constipation Burning in the anus Abdominal distension and pain which is worse w/ pressure High Fever (or tidal fever) Sweating, especially on the limbs Vomiting Thirst Delirium Tongue: thick-dry-yellow (or brown or black) coating; red body Pulse: Flooding Excess, Pounding RMP (or SPEP) DAMP-HEAT PATTERNS: 1. DAMP-HEAT IN THE LIVER & GALL BLADDER Fever Scanty-dark urine Fullness and pain of the chest and hypochondrium Jaundice Bitter taste Nausea Vomiting Loss of appetite Abdominal distension Vaginal discharge yellow w/ a strong odor Pain-redness-swelling of the scrotum Vaginal itching Tongue: red body; sticky-yellow coating Pulse: Slippery & Pounding in the LMP & GB

4. HEAT IN THE SMALL INTESTINE Mental restlessness Tongue ulcers Pain in the throat Deafness Uncomfortable feeling and heat sensation in the chest 2. DAMP-HEAT INVADING THE SPLEEN Stuffiness of the epigastrium & lower abdomen Abdominal pain No appetite Thirst w/ desire to drink large amounts of cold Feeling of heaviness beverages Thirst w/o desire to drink Scanty-dark urine Nausea Painful urination Vomiting Blood in the urine Abdominal pain Tongue: red body w/ yellow coating Loose stools w/ a offensive odor Pulse: Tense-Tight, Pounding SI Burning sensation of the anus Scanty-dark-yellow urine 5. HEAT IN THE LARGE INTESTINE Constipation w/ dry stools Low-grade fever constant throughout the day
4/3/05 Jamin Nichols, AP

Zang-Fu Patterns from The Foundations of Chinese Medicine


Headache Tongue: sticky-yellow coating Pulse: Slippery & Pounding RMP Mental restlessness Palpitations Bitter taste Insomnia Dream-disturbed sleep Easily startled Incoherent speech Mental confusion Rash behavior Tendency to hit or scold others Uncontrolled laughter or crying Agitation Shouting Muttering to oneself Mental depression and dullness Aphasia & coma (severe cases) Schizophrenia Mania (manic stage of bipolar) Tongue: Red body, especially the tip; thicksticky-yellow coating Pulse: Slippery & Pounding LDP; rapid rate

3. DAMP-HEAT IN THE LARGE INTESTINE Abdominal pain Diarrhea Mucus & blood in the stools Offensive odor of stools Burning in anus Scanty-dark urine Fever Sweating does not break the fever Thirst w/o desire to drink Feeling of heaviness of the body and limbs Stuffiness of the chest and epigastrium Tongue: red body; sticky-yellow coating Pulse: Slippery & Pounding, Tense-Tight LI

4. DAMP-HEAT IN THE GALL BLADDER Most common cause is a diet rich in greasy and fatty foods (the American fast food diet) Hypochondriac pain & distension 2. PHLEGM-HEAT OBSTRUCTING THE LUNGS Barking cough Nausea Profuse yellow (or green or dark) sputum that Vomiting is foul smelling Inability to digest fats Shortness of breath Jaundice Asthma Scanty-dark-yellow urine Stuffiness of the chest Fever Tongue: red body; thick-sticky-yellow coating Thirst w/o desire to drink Pulse: Slippery & Pounding RDP or SLP Bitter taste May lead to gall stones Tongue: thick-sticky-yellow coating (may only 3. PHLEGM-FIRE IN THE STOMACH Stuffiness of the epigastrium be on one side) Thirst w/ little desire to drink Pulse: Slippery & Pounding, Tense-Tight GB Constipation w/ mucus in the stools Mental derangement (Phlegm-Fire in the Heart) 5. DAMP-HEAT IN THE BLADDER Urinary Tract Infections (UTIs) Insomnia (Phlegm-Fire in the Heart) Frequent & urgent urination Tongue: red body; thick-yellow-sticky coating Burning on urination Pulse: Slippery & Pounding (& Tense-Tight) Difficult urination (stopping mid-stream) RMP or SPEP Dark-yellow and turbid (cloudy) urine Blood in the urine COLD PATTERNS: 1. STAGNATION OF COLD IN THE LIVER CHANNEL Sand or stones in the urine The Liver channel flows around the external Fever genitalia Thirst Fullness and distension of the hypogastrium Tongue: red body; thick-sticky-yellow coating (just over the bladder) w/ pain that refers to the on the root w/ red spots scrotum and testis Pulse: Slippery & Pounding, Tense (or Tight) Straining of the testis RPP or PLB Contraction of the scrotum Shrinking of the vagina PHLEGM-FIRE PATTERNS: 1. PHLEGM-FIRE HARASSING THE HEART The pain is relieved by warmth
4/3/05 Jamin Nichols, AP

Zang-Fu Patterns from The Foundations of Chinese Medicine


Tongue: pale body; white, wet coating

2. COLD INVADING THE STOMACH Sudden pain in the epigastrium Feeling cold Preference for warmth (& warm liquids) Vomiting of clear fluids Feeling worse after swallowing cold fluids which are quickly vomited Tongue: thick-white coating 3. COLD INVADING THE LARGE INTESTINE Sudden abdominal pain Diarrhea w/ pain (which is watery and has no odor) Feeling of cold Cold sensation in the abdomen Tongue: thick-white coating

Tongue: thick-sticky-slippery coating; midline crack reaching the tip with prickles in it; tongue body swollen Pulse: Slippery LDP w/ a slow rate

2. DAMP-PHLEGM OBSTRUCTING THE LUNGS Chronic cough coming in bouts Profuse white sputum which is east to expectorate White-pasty complexion Stuffiness of the chest Feeling clogged-up Shortness of breath Dislike of lying down Tongue: thick-sticky white coating Pulse: Slippery RDP or SLP

3. PHLEGM-FLUIDS OBSTRUCTING THE LUNGS Cough w/ white-watery-frothy sputum may be elicited by a scare DAMP-COLD PATTERNS: 1. COLD-DAMPNESS INVADING THE SPLEEN Breathlessness No appetite Splashing sounds in the chest Stuffiness of the chest and epigastrium Vomiting of white-watery-frothy sputum Feeling of cold in the epigastrium that improves Chilliness w/ warmth Tongue: pale body; thick-sticky-white coating Feeling of heaviness of the head Pulse: Slippery RDP or SLP; Qi deficient Sweetish taste in the mouth or absence of taste qualities found at the RDP/SLP and RMP No thirst Loose-thin stools WIND PATTERNS: 1. LIVER-WIND AGITATING WITHIN White vaginal discharge General manifestations: tremors; tics; Lassitude numbness; dizziness; convulsions; Feeling of heaviness paralysis; Floating-Tight pulse Tongue: sticky-thick-white coating a. EXTREME HEAT GENERATING WIND High temperature Convulsions Lock jaw Rigidity of the neck Tremor of the limbs Opisthotonos Coma (severe cases) Biomedical: stroke; hypertension; encephalitis; meningitis Tongue: deep-red body; stiff; deviated; thick-yellow coating Pulse: Floating-Tight (especially at the LMP); Pounding; Flooding Excess b. LIVER-YANG RISING CAUSING WIND Sudden unconsciousness Convulsions Deviation of the eyes and mouth

2. DAMP-COLD IN THE BLADDER Frequent and urgent urination Difficult urination (stopping mid-stream) Feeling of heaviness in the hypogastrium and urethra Pale and turbid/cloudy urine Tongue: white-sticky coating at the root PHLEGM-COLD PATTERNS: 1. PHLEGM MISTING THE MIND (Heart) (not actually a cold pattern; should compare w/ Phlegm-Fire Harassing the Heart) Mental confusion Unconsciousness Lethargic stupor Vomiting Rattling sound in the throat Aphasia The depressive state of a bipolar condition
4/3/05

Jamin Nichols, AP

Zang-Fu Patterns from The Foundations of Chinese Medicine


Hemiplegia (one sided paralysis) Breathlessness Aphasia or difficult speech Tongue: white-slippery coating Dizziness Pulse: Floating-Slippery Biomedical: stroke; epilepsy; hypertension Tongue: red-peeled; deviated DRYNESS PATTERNS: Pulse: Floating-Tight; Empty or Tight-Wiry 1. LUNG DRYNESS A preceding stage to Lung Yin Deficiency LMP Dry cough Dry skin c. DEFICIENT LIVER BLOOD CAUSING WIND Numbness of limbs Dry throat Tics / twitches Dry mouth Shaking of head Thirst Tremor or limbs Hoarse voice Tongue: pale body (sides may be peachy); Tongue: dry deviated Pulse: Tight RDP or SLP Pulse: Floating-Tight; Thin LMP 2. LARGE INTESTINE DRY Dry stools which are difficult to pass 2. INVASION OF THE LUNGS BY WIND-COLD Cough Dry mouth & throat Simultaneous fever & chills (chills Thin body predominate) Tongue: dry Aversion to cold Itchy throat QI / YANG DEFICIENT VARIATION PATTERNS: 1. HEART YANG COLLAPSE Stuffed or runny nose w/ clear-watery mucus Palpitations Sneezing Shortness of breath Occipital headaches Weak and shallow breathing Body aches (especially neck & shoulders) Profuse sweating Tongue: thin-white coating Cold limbs Pulse: Floating-Tense (especially at the Lung Cyanosis of the lips positions) and Slow Coma (severe cases) Tongue: very pale or bluish-purple; short 3. INVASION OF THE LUNGS BY WIND-HEAT Cough Pulse: tendency to Collapse; Deep, Feeble Simultaneous fever and chills (fever Absent LDP predominates) Aversion to cold 2. SPLEEN-QI SINKING Spleen Qi Deficient symptoms plus: Sore throat Bearing down sensation in the abdomen Stuffed or runny nose w/ yellow mucus Prolapse (stomach, anus, vagina, uterus, etc) Headaches Hemorrhoids Body aches Diarrhea Slight sweating Frequent & urgent urination (may be Thirst incontinence) Swollen tonsils Tongue: pale Tongue: red body; thin-white or yellow coating Pulse: severe Qi deficient qualities at the RMP Pulse: Floating-Yielding & slightly Rapid 4. INVASION OF THE LUNGS BY WIND-WATER Sudden swelling of eyes and face Bright-shiny complexion Scanty-pale urination Aversion to Wind Fever Cough
4/3/05

3. SPLEEN NOT CONTROLLING BLOOD Spleen Qi Deficient symptoms plus: Purpura (purple patches on the skin) Blood spots under the skin Blood in the urine or stools Menorrhagia (excessive menstrual flow) Metrorrhagia (bleeding between periods)
Jamin Nichols, AP

Zang-Fu Patterns from The Foundations of Chinese Medicine


Sallow complexion Shortness of breath Tongue: pale body Prefers warm drinks and foods Vomiting of clear fluids Loose stools No thirst Cold limbs Tiredness Tongue: pale and swollen Pulse: Deep, Feeble-Absent RMP

4. KIDNEYS FAILING TO RECEIVE QI Shortness of breath on exertion Rapid & weak breathing Difficulty in inhalation Cough Asthma (w/ difficulty inhaling) Sweating Cold limbs Swelling of the face Thin body Mental listlessness Clear urination during asthma attack Soreness of the low back Tongue: pale Pulse: Deep, Feeble-Absent PP 5. KIDNEY YANG DEFICIENT, WATER OVERFLOWING Edema, especially of the legs and ankles Cold feeling (especially in the legs and back) Fullness and distension of abdomen Soreness of the lower back Scanty-clear urine Tongue: pale body; swollen; thin-white coating Pulse: Deep, Feeble-Absent PP a. KIDNEY & HEART YANG DEFICIENCY The above symptoms plus: Palpations Breathlessness Cold hands Pulse: Deep, Feeble-Absent LDP; frequent missed beats; rate decrease with exertion; slow rate; Heart Enlarged position present b. KIDNEY YANG & LUNG QI DEFICIENCY The above symptoms plus: Thin-watery-frothy sputum Cough Asthma Breathlessness on exertion Pulse: Qi deficient qualities at the RDP or SLP 6. STOMACH DEFICIENT & COLD Spleen Yang Deficient Internal Cold Discomfort in the epigastrium which is worse after bowel movements & better after eating and with pressure No appetite
4/3/05

7. SMALL INTESTINE DEFICIENT & COLD Associated w/ Spleen Yang Deficiency Abdominal pain Desire for hot drinks and pressure on the abdomen Borborygmi Diarrhea Pale-copious urination Tongue: pale body; white coating Pulse: Deep, Feeble-Absent RMP 8. COLLAPSE OF LARGE INTESTINE Associated w/ chronic Qi deficiency of the Spleen, Stomach & Large Intestine w/ Spleen Qi Sinking Chronic diarrhea Prolapsed ani Hemorrhoids Tiredness after bowel movements Cold limbs No appetite Mental exhaustion Desire to drink warm liquids and have the abdomen massaged Tongue: pale & swollen body Pulse: Qi deficient qualities in the GI positions 9. LARGE INTESTINE COLD Basically the same as Spleen Yang Deficient Loose stools like duck droppings Dull abdominal pain Borborygmi Pale urine Cold limbs Tongue: pale & swollen Pulse: Qi deficient qualities at the RMP 10. GALL BLADDER DEFICIENT More of a personality than a pattern GB-40 source pt ideal pt used Lack of courage Timidity Lack of initiative Dizziness

Jamin Nichols, AP

Zang-Fu Patterns from The Foundations of Chinese Medicine


Blurred vision Nervousness Easily startled Pulse: Wiry or Feeble-Absent PP; Leather

11. BLADDER DEFICIENT & COLD Basically the same as Kidney Qi/Yang Deficiency Frequent-pale-copious urination Incontinence Enuresis (bed-wetting) Lower backache Tongue: pale-wet-swollen Pulse: Qi deficient qualities at the PP OTHER PATTERNS: 1. LIVER-YANG RISING Liver Yin is deficient and cannot root the Yang, so it rises Headache throbbing temples, eyes, or sides Dizziness Tinnitus high pitch, gradual onset Deafness Dry mouth & throat Insomnia Irritability Feeling worked-up Shouting in anger Hypertension Tongue: red body, especially on the sides Pulse: Tight-Wiry LMP; may be Empty 2. KIDNEY YIN DEFICIENT, EMPTY-FIRE BLAZING Advanced Kidney Yin Deficient Malar Flush Mental restlessness Feeling jagged Night-sweating Low-grade fever or feeling hot in the afternoon Insomnia Scanty-dark urine Blood in urine Dry throat, especially at night Soreness of the lower back Nocturnal emissions w/ dreams Excessive sexual desire Dry stools Tongue: red-peeled-cracked-red tip Pulse: Tight-Wiry PP 3. KIDNEY-ESSENCE DEFICIENCY Dizziness Low back and knees weak and aching Tongue: red & peeled; hammer-shaped
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a. IN Children Poor bone development Late closure of fontanel Failure to thrive Mental dullness or retardation b. IN ADULTS Softening of bones (osteoporosis) Weakness of knees and legs Poor memory Loose teeth Bad teeth (lots of cavities) Senility Tinnitus Gradual loss of hearing Hair loss Premature graying of hair Weakness of sexual activity Soreness of the lower back 4. KIDNEY & HEART YIN DEFICIENCY (Kidney & Heart not Harmonized) Palpitations Mental restlessness Insomnia Poor memory Dizziness Tinnitus sounds like cicadas Deafness Soreness of the lower back Nocturnal emissions w/ dreams Fever or feeling of heat in the afternoon Night sweating Scanty-dark urine Tongue: red-peeled w/ redder tip & midline crack Pulse: Tight-Wiry LDP & PP 5. STOMACH-QI REBELLING UPWARDS Nausea Belching Vomiting Hiccup 6. RETENTION OF FOOD IN THE STOMACH No appetite Fullness and distension of the epigastrium which is relieved by vomiting Nausea Foul breath Sour regurgitation

Jamin Nichols, AP

Zang-Fu Patterns from The Foundations of Chinese Medicine


Belching Insomnia Tongue: thick coating Pulse: Slippery Esophagus position; stagnant qualities in the GI positions

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7. SMALL INTESTINE WORM INFESTATION Abdominal pain and distension Bad taste in mouth Sallow complexion Roundworms: abdominal pain, vomiting of roundworms, cold limbs Hookworms: desire to eat strange objects such as soil, wax, uncooked rice or tea leaves Pinworms: itchy anus (worse in the evening) Tapeworms: constant hunger

4/3/05

Jamin Nichols, AP

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