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INDEX

Page references to figures and tabular Large Intestine imbalances 430, headaches 239
summaries will be in italics and 431–2, 433, 434–5, 436 jinye imbalances
followed by the letters ‘f ’ or ‘t’, as Liver imbalances 599–600, fluids, accumulation of 382–3
appropriate. Names of herbs are 602, 604, 607, 609, 612, internally generated Dampness
in italics. 614, 616–17, 618–19, 620, 385
622–3, 625, 628, 631, 633, jinye xu 381
636, 639 Phlegm 391
abdomen Lung imbalances 400, 402, 404, mu-collecting points 191, 192–3
lumps 184–5 406, 408, 411, 412, 415, palpation of points 191–3
pain 184 417, 419, 421, 424, 426 patterns of imbalance 19–20
palpation of 183–7 Pericardium imbalances 579 pulse diagnosis 159
sounds 141–3, 185 Small Intestine imbalances 526, qi imbalances
temperature 183 528, 530 qi sinking 360–1
tension and hardness 183–4 Spleen imbalances 466–7, 469, qi xu 290, 358–9
zones 186–7 472, 477, 478–9, 481, 483, rebellious qi 365
acupressure 752 485 ren mai imbalances 724
acupuncture Stomach imbalances 441, 443, San Jiao theory
back-shu points 191, 192–3 445, 448, 449–50, 452, 456, lower jiao 707–8, 709, 711
chong mai imbalances 725 458 middle jiao 704, 705
dai mai imbalances 726 Urinary Bladder imbalances 536, upper jiao 697, 701, 702
diagnosis according to Eight 538, 540, 541, 543, 545 a-shi points 191
Principles model diagnosis according to the twelve Six Stages model
exterior imbalances 266, 267–8 regular channels jueyin stage 669
qi xu 290 Gall Bladder channel imbalances shaoyang stage 660
shi Cold 284 720 shaoyin stage 665, 667
shi Heat 274, 278 Heart channel imbalances 717 taiyang stage 648, 650, 652, 653
xue xu 293 Kidney channel imbalances 719 taiyin stage 662
yang xu 298 Large Intestine imbalances 716 yangming stage 656, 657–8
yin xu 296 Liver channel imbalances 721 xu Cold 287
diagnosis according to xie qi Lung channel imbalances 715 xue imbalances
Cold 318 Pericardium channel imbalances xue loss 379
exogenous Dampness 323 719 xue stagnation 193, 350, 373
exogenous Dryness 338 San Jiao channel imbalances 720 xue xu 293, 369
food stagnation 353–4 Small Intestine channel yang wei mai imbalances 728
internally generated Dampness imbalances 718 yin qiao mai imbalances 727
326 Spleen channel imbalances 717 yin wei mai imbalances 728
internally generated Dryness 340 Stomach channel imbalances 717 acupuncture channels
internally generated Wind 315 Urinary Bladder channel abdominal palpation 187
invasion of Exogenous Wind imbalances 719 diagnosis according to the 12
312–13 diagnostic approach 15, 18, 26, 27 regular channels 712–21
Phlegm 345 du mai imbalances 724 Gall Bladder channel imbalances
shi Heat and Fire 334–5 Five Element acupuncture system 720
Summer-Heat 330 37, 46 Heart channel imbalances 717
xu Heat 337 Five Phase diagnosis Kidney channel imbalances 719
xue stagnation 350 Ke phase dominating patterns Large Intestine channel imbalances
diagnosis according to zangfu 733, 734, 735 715–16
organ patterns Ke phase ‘insulting’ patterns Liver channel imbalances 720–1
Gall Bladder imbalances 583, 736, 737 Lung channel imbalances 715
585, 587, 589–90 Sheng phase patterns 730, 731, observation 112
Heart imbalances 496, 500, 502, 732 palpation 191–2
505, 508, 511, 513, 515–16, Four Levels model Pericardium channel imbalances
518, 519–20, 522 qi level 678, 679–80, 681, 683, 719
Kidney imbalances 551, 555, 685, 686–7 San Jiao channel imbalances
560, 562, 564, 566–7, 570, wei level 672, 674 719–20
572, 574, 576 xue level 691, 692, 694, 695 Small Intestine channel imbalances
Ying level 689 718

775
The Art and Practice of Diagnosis in Chinese Medicine

acupuncture channels cont. bian zheng lun zhi (differentiation gums 121
Spleen channel imbalances 717 of symptoms and signs by index finger vein 119
Stomach channel imbalances imbalance patterns) 17, 18–19, lips 120
716–17 20, 27, 33 mouth 72
Urinary Bladder channel Bin Hu Mai Xue (The Study of movement 117–18
imbalances 718–19 the Pulse by the Bin Hu Lake muscle tone 118
see also twelve regular channels, Master) 156 shen 117
diagnosis according to Birch, Stephen 186 skin colours 118
age/gender of patient 200–1 black hue, skin 59, 65, 106 sleeping position 122
aggressive voice 137 black macules 109 throat 120–1
An Gong Niu Huang Wan 330, 689, bleeding tongue 120
703, 758 disease history 204 veins 119
antibiotics 79 and dizziness 229 Chinese Medical Palmistry (Xiao and
appetite 215–16 menstrual 146, 204, 240, 241–4, Liscum) 103
Applied Channel Theory in Chinese 243, 244–5t Chinese medicine see Traditional
Medicine (Robertson) 193 spontaneous 33, 114 Chinese Medicine (TCM)
artificial lighting 41 visual observation 68, 73 chong mai imbalances 725
ascending Liver yang 605–8 vomit, blood in 218 abdominal symptoms 217
asthma sprays 79 xue loss 377–9 Eight Extraordinary Vessels,
auditory diagnosis 124, 125–38 blocked Heart vessels 498–501 diagnosis according to 725
focus areas 125–6 blue tinge, skin 59, 106 visual observation 70, 71
signs to look for 126 body hair 96, 97t Choppy pulse 160, 176
sounds from the abdominal cavity body language 29 Chuan Xiong Cha Tiao Tang 266,
141–3 body movements, visual observation 268, 284, 400, 759
sounds from the mouth, nose and 40, 42, 49–51, 117–18 Clinical Medicine Guide, The
chest 138–40, 141t body odour 144–5 (Gascoigne) 203
sounds of person in the clinic body shape and posture 44–9, 46t clothing
142–3 Five Phase body shapes 46–9 advice to patient 750
voice 126–38 general 44–5 colour choices 53–4
auricular acupuncture 113 body temperature 206–8 drabness 53–4
Auriculotherapy Manual (Oleson) bones, shen, observation of 42 harmony, dressing in 52–3
194 borborygmi 141 observation of 43, 52–4
breath, olfactory analysis 146 shen 43
breathing patterns clumsiness 51
Ba Hu Jia Gui Zhi Tang 758 auditory diagnosis 139–40 Cold
Ba Zhen Tang 294, 369, 513, 758 diagnostic approach 23 acupuncture 318
Ba Zheng San 758 visual observation 42 aetiology 316
Ba Zheng Tang 276, 294, 335, 536 Bu Fei Tang 291, 359, 415, 759 in children 117
Ba Zheng Wan 323, 708 Bu Gan Tang 294, 625, 759 clothing, observation of 52
Ba Zheng Wan Yu Dai Wan 327 Bu Zhong Yi Qi Tang 291, 361, 366, combined Hot and Cold imbalance
back muscles, visual observation 415, 424, 426, 472, 477, 759 patterns 288–9
98–9 bulla 110 diagnosis according to Eight
Bai He Gu Jin Tang 420, 422, 758 Principles model 270–1, 280–9
Bai Hu Jia Gui Zhi Tang 268 ‘false’ 57
Bai Hu Tang 330, 656, 678, 758 cardiac pain 225 herbal formulas 318–19
Bai Tou Weng Tang 276, 323, 327, caricatures 52 shi Cold 280–4
708, 758 cereals 754–5 stagnation 236
Bai Tou Weng Wan 430 Chai Hu Shu Gan Tang 363, 366, and Stomach qi xu 457–9
Ban Xia Hou Po Tang 366, 443, 496, 529, 600, 602, 759 symptoms and signs 317
634, 758 Cheng Zhong Ling 261 abdomen 185, 218
Bao He Wan 354, 446, 758 chest body movements 49, 50
barley 754 interviewing of patients in relation face 57, 58, 59
beans 756 to 224–8 menstrual problems 244
beef, consumption of 755 pain in 225 skin 105, 188
Bei Xie Fen Qing Yin I 538, 758 palpation of 187, 188t visual observation
Bei Xie Fen Qing Yin II 536, 758 visual observation 98 body movements 49, 50
Bei Xie Shen Shi Tang 323, 327, 759 chicken, consumption of 755 clothing 52
belching 142 children face 57, 58, 59
bi syndrome 101, 105, 188, 316 food stagnation 201 lips 70–1
bian bing lun zhi (differentiation of visual observation skin 105
symptoms and signs by disease ears 120 tongue diagnosis 83, 87, 88
category) 17–18, 27, 32 eyes 119–20 xie qi, diagnosis according to
see also Western diagnosis forehead/root of nose 67, 121 315–19

776
Index

yin nature 70–1, 105, 315–16 visual observation 59, 92 itch 230
see also Heat; Wind-Cold see also Urinary Bladder Damp- skin 107, 229
colours Cold sperm quality 249
clothing choices 53–4 Damp-Heat urinary disturbances 224
ears 120 acupuncture 430 vaginal discharge 245–6
energetic resonance 53 aetiology 429 visual observation
eyes 63–4 diagnosis according to xie qi acupuncture channels 112
area around 65–6 319–20 back 98
facial skin see facial colours diagnosis according to zangfu body movements 51
fingernails 103 organ patterns 428–31 clothing 54
gums 73 disease history 205 eyes 65
hair 95–6 Four Levels model nails 103
hands 101, 103 qi level 683–5 skin 107
nose 68 wei level 673–4 tongue diagnosis 79, 85, 86, 93
shi conditions 282 hand and foot palpation 190 xie qi 319–28
skin lesions 109 herbal formulas 430 see also Damp-Heat
tongue 22, 81–4, 84–5t invading the Large Intestine Damp-Phlegm
coating 92–3 428–31 acupuncture 406
vaginal discharge 115 invading the Spleen 468–70 aetiology 405
complaining/moaning 130, 139 invading the Stomach 450–2 herbal formulas 406
complex patients, treating 34 olfactory diagnosis 146 Lung imbalances 397, 404–7
‘difficult to treat, knotty diseases’ symptoms and signs 429–30 symptoms and signs 218, 227,
29 abdominal 221–2 405–6
concentration problems 253 genitalia, in men 250 visual observation 45, 59, 121
Confined pulse 172 hair/scalp 95, 98, 230 voice, auditory diagnosis of 134
conformism, clothes choices 52–3, impotence, in men 249 Dan Shen Yin 500, 759
54 skin 104, 107, 110, 111, 229, dandruff 111
constipation 220 230 Dao Chi San 276, 335, 527, 759
constitution 44 sperm quality 249 deafness 232
corn 754 sweating 214 Deep pulse group 170–2
Cosmological Five Phases see Five urinary disturbances 224 delirium 137
Phases visual observation Di Tan Tang 391, 760
coughing ears 69 Diagnosis in Chinese Medicine
auditory diagnosis 126, 140, 141t eyes 64, 65 (Maciocia) 103
chronic cough 226 face 59 diagnosis/diagnostic process 14
interviewing of patients 226–7 forehead/root of nose 67 approaches according to disease
Lung imbalances 397 hair/scalp 95, 98 category or imbalance patterns
cracking of skin 111 lips 71 17–19
cracks on tongue 88 nails 103 checklist approach, limitations
crusting of skin 111 secretions and exudations 114 of 30
crying 130, 139 skin 104, 107, 110, 111 combining of approaches 18–19
cystitis 223 stools 115 complex patients, treating 29, 34
tongue diagnosis 77, 83 diagnostic journal, correct use
see also Dampness; Gall Bladder of 30
Da Bu Yin 694, 695, 709 Damp-Heat; Heat; Intestines different processes/strategies 32–3
Da Bu Yin Wan 279, 303, 555, 759 Damp-Heat; Liver Damp- information gathering 21, 28,
Da Chai Hu Tang 678, 687, 759 Heat; Urinary Bladder Damp- 31–2
Da Cheng Qi Tang 658, 683, 704, Heat investigation 30
759 Damp-Heat in the Liver 619–21 lack of standard treatments for
Da Cheng Tang 678 Damp-Heat in the lower jiao 706–8 specific diseases 19–20
Da Ding Feng Zhu 617, 693, 711, Damp-Heat in the upper jiao linear approach 17, 18
759 698–700 process starting at first contact 28
Da Jian Zhong Tang 448, 759 Dampness skills 14–15
dai mai imbalances 725–6 abdominal palpation 184 structured approach 29–30, 40
dairy products 755 disease history 204 telescope metaphor 19
Damp-Cold emotional problems 252 time constraints 32
acupuncture 433 Exogenous 319, 320, 321–2t, in Traditional Chinese Medicine
aetiology 432 323–4 17, 31
herbal formulas 433 fatigue 211–12 Western see Western diagnosis
invading the Large Intestine 432–4 hair 230 see also diagnostic pillars;
invading the Spleen 465–7 headaches 239 diagnostic perquisites
symptoms and signs 246, 433 internally generated 319, 324–8

777
The Art and Practice of Diagnosis in Chinese Medicine

diagnostic models 33–4, 258–60 Lung imbalances 397 elasticity, skin 108
diagnosis according to Eight seasonal pattern 337 elderly people, body movements 50
Principles model see Eight visual observation 71, 111 emotions
Principles model xie qi 337–40 interviewing of patients 251–3
diagnosis according the Eight yang nature 338 mental and emotional approach to
Extraordinary Vessels 722–37 dryness, hair 95 life 748–9
diagnosis according to qi, xue and Du Huo Ji Sheng Tang 268, 760 and the voice 131–2
jinye imbalances 355–92 du mai 68, 70 Empty pulse 168
diagnosis according to the 12 du mai imbalances 723–4 energy levels 209–12
regular channels 712–21 duck, consumption of 755 environment, response to 43
diagnosis according to the Four Duo Huo Ji Sheng Tang 284 Er Chen Tang 327, 345, 391, 406,
Levels 669–96 760
diagnosis according to the san jiao erosion, skin 111
theory 696–711 E Jiao Ji Zi Huang Tang 619, 760 excoriation of skin 111
diagnosis according to the Six ear acupuncture 113 exercise 254, 299, 750
Stages 642–9 ears Exogenous Dampness 323–4
diagnosis according to xie qi children 120 acupuncture 322–3
305–54 discharges/exudations from 69–70, aetiology 320
diagnosis according to zangfu 114 herbal formulas 323
organ patterns 393–640 interviewing of patients in relation symptoms and signs 321–2t
outline of 259 to 231 Exogenous Dryness 338–9
diagnostic pillars shape 69 exterior imbalances 263–8
auditory and olfactory 124–46 visual diagnosis 69–70, 120 acupuncture 266, 267–8
interviewing of patients 195–255 Earth dominates Water 733 acute 264–5
palpation 148–94 Earth not generating Metal 730 chronic 267–8
questions to ask 37 Earth type, Five Phase system 48, herbal formulas 266, 268
symptoms and signs 37–8 130, 131 symptoms and signs 265–6, 267
use of all four 31 eating 254, 745–8 exudations 114–15
visual see visual observation Eight Extraordinary Vessels, eyes
diagnostic perquisites diagnosis according to 722–37 area around the eyes 65–6
experience 14, 25 chong mai imbalances 725 ‘bags’ under the eyes 66
imbalance patterns, identifying dai mai imbalances 725–6 in children 119–20
17, 24–5 du mai imbalances 723–4 colours 63–4
intuition 25–6 and Five Phases, diagnosis exudations 114
‘norm’, recognising deviations from according to 729–37 inflammation 64
15, 22–3, 36, 52 Ke phase dominating patterns interviewing of patients in relation
techniques, knowledge and skill 732–5 to 231
23–4 Ke phase ‘insulting’ patterns 735–7 puffiness 66
understanding of Chinese medicine ren mai imbalances 724 shen 42, 62
physiology and pathology 21–2 Sheng phase patterns 729–32 styes 64
diarrhoea 77, 221–2 yang qiao mai imbalances 727 tears and mucous 64–5, 233
diet 254–5 yang wei mai imbalances 728 visual observation 61–6
difficulty adhering to dietary yin qiao mai imbalances 726–7 zones 63
recommendations 739–41 yin wei mai imbalances 727–8
lack of familiarity with/access to Eight Principles model 34
certain foods 741 benefits of use 262 face
Ding Chuan Tang 366, 760 clothing, observation of 52 areas of face 60
Ding Zhi Wan 516, 760 Cold 270–1, 280–8 colours see facial colours
disease history 204–6 combined Hot and Cold imbalance moistness 57, 58
dizziness 18, 228–9, 342 patterns 288–9 observation of 55–60
drabness, clothing 53–4 diagnosis according to 261–304 radiance 57
drinks, affecting tongue diagnosis 79 diagnostic approach 20 shen 42
drooling from mouth 72 exterior imbalances 263–8 tics 60
Drumskin pulse 167 facial colours 56–7 wrinkles 67
dry voice 136 Heat 271–80 zangfu organs 61f
Dry-Heat 674–6 interior imbalances 263, 268–70 facial colours
Dryness pulse diagnosis 148 area around the eyes 65–6
coughing 226–7 Shi conditions 289, 300–1 Eight Principles model 56–7
Exogenous 338–9 tongue diagnosis 78f, 91t intensity and depth 57
internal 339–40 Xu conditions 289–300 normal 42, 58
itch 230 yin and yang 261, 301–4 pathological 58–60
Large Intestine imbalances 434–5 ejaculation, uncontrolled 249 in relation to Five Phases 55
see also face

778
Index

faeces see stools diagnosis according to zangfu Gan Mai Da Zao Tang 590, 760
Faint pulse 180 organ patterns 444–7 Gascoigne, Stephen 203, 204
false Heat and Cold 57 herbal formulas 354, 446 gasping 139
false shen 43–4 insomnia 234 gates, index finger 119
Fang Ji Huang Qi Tang 383, 760 symptoms and signs 353, 444–5 Ge Gan Tang 760
fatigue visual observation 91 Ge Gen Tang 648
Dampness 211–12 foods Ge Xia Fu Zhu Yu Tang 450, 760
Phlegm 211–12 affecting tongue diagnosis 79 Ge Xia Zhu Yu Wan 604
qi stagnation 211 cereals 754–5 genitalia, in men 250
qi xu 209–10 dairy products 755 gravelly voice 136
xue xu 210 energetic properties 754–7 green macules 112
yang xu 210 fish 755 green skin 58, 106
yin xu 211 fruit 755 green vegetables 756
feet 190–1, 208 meat 755–6 grey hair 95–6
fertility problems 242 nuts and seeds 756 grey skin, face 58
Fine pulse 180 seaweed 756 Gui Pi Tang 294, 479, 486, 513,
fingernails 103, 104t vegetables 756–7 522, 639, 760
fingers 101–3 forehead/root of nose, visual Gui Zhi Fu Ling Tang 351, 373, 760
Fire not generating Earth 730 observation 66–8 Gui Zhi Tang 266, 400, 650, 761
Fire type, Five Phase system 47, Four Levels model 212 gums, visual observation 73, 121
129–30 diagnosis according to 669–96
first impressions 28, 39 qi level 676–87
fish 755 wei level 670–6 hair
Five Element acupuncture system xue level 690–6 body hair 96, 97t
37, 46, 55, 144–5 Ying level 687–96 colour 95–6
Five Element Constitutional fruit 755 dryness 95
Acupuncture (Hicks and Mole) Fu Zi Li Zhong Tang 436, 760 hair loss 95–6
144 Full pulse 152, 181 head 94–6
Five Elements and Ten Stems Fundamentals of Acupuncture, The interviewing of patients in relation
(Matsumoto and Birch) 186 (Ching) 251, 254 to 230
‘five palm Heat’ 207 scalp 96
Five Phase diagnosis 729–37 halogen lighting 79, 80
body shapes 46–9 Gall Bladder Damp-Cold 582–4 hands
Earth type 48, 130, 131 Gall Bladder Damp-Heat palpation of 190–1
Fire type 47, 129–30 aetiology 584 temperature 208
Hara diagnosis 185 diagnosis according to zangfu visual observation 101–3, 104t
Ke phase dominating patterns organ patterns 584–6 Hara diagnosis 185–7
732–5 symptoms and signs 232, 584–5 headaches 18, 239–40, 241t
Ke phase ‘insulting’ patterns 735–7 visual observation 59, 69–70, 71 exterior imbalances 264–5
Metal type 48–9, 130, 131 Gall Bladder Heat 69, 686–7 hearing, diagnosis using see auditory
Sheng phase patterns 729–32 Gall Bladder imbalances diagnosis
visual observation 46–9, 55 abdominal palpation 184 hearing difficulties 232
voice 129–35, 135–6t chest palpation 187 Heart and Gall Bladder qi xu
Water type 49, 130, 131 combined patterns 588–90
Wood type 47, 130–1 Heart and Gall Bladder qi xu Heart Fire
flaccidity, tongue 87 588–90 acupuncture 508
flatulence 142, 146, 222 Liver and Gall Bladder Damp- aetiology 506
Flaws, Bob 32, 198 Heat 586–8 auditory diagnosis 127
Flooding pulse 169–70 diagnosis according to zangfu diagnosis according to zangfu
flowcharts 34 organ patterns 580–90 organ patterns 506–9
fluids, accumulation of 381–4 Gall Bladder channel imbalances herbal formulas 508
acupuncture 382–3 720 symptoms and signs 506–7
aetiology 382 Gall Bladder Damp-Cold 582–4 Heart imbalances
herbal formulas 383 Gall Bladder Damp-Heat see Gall aetiology 488–90
symptoms and signs 382 Bladder Damp-Heat appetite 216
food stagnation general symptoms and signs 581 combined patterns, Heart xue su
acupuncture 445–6 see also Gall Bladder Damp-Heat; and Spleen qi xu 520–4
aetiology 352–3, 444–5 Gall Bladder qi xu; Gall diagnosis according to zangfu
appetite 217 Bladder Wind-Heat organ patterns 487–524
in children 201 Gall Bladder qi xu 142 general symptoms and signs 494–5
diagnosis according to xie qi 352–4 Gall Bladder Wind-Heat 69 Heart channel imbalances 717
Gan Jiang Ling Zhu Tang 418 Heat 196

779
The Art and Practice of Diagnosis in Chinese Medicine

Heart imbalances cont. combined Hot and Cold imbalance Bai Hu Jia Gui Zhi Tang 268
pathology 490–4 patterns 288–9 Bai Hu Tang 330, 656, 678, 758
shi patterns 495–509 diagnosis according to Eight Bai Tou Weng Tang 276, 323, 327,
blocked Heart vessels 498–501 Principles model 270–80 708, 758
Heart Fire 506–9 excessive 45 Bai Tou Weng Wan 430
Heart qi stagnation see Heart qi exterior and interior imbalances Ban Xia Hou Po Tang 366, 443,
stagnation 264 496, 634, 758
Heart xue stagnation see Heart ‘false’ 57 Bao He Wan 354, 446, 758
xue stagnation ‘five palm Heat’ 207 Bei Xie Fen Qing Yin I 538, 758
Phlegm obscuring the shen 501–3 in Heart 196 Bei Xie Fen Qing Yin II 536, 758
Phlegm-Heat agitating the Heart herbal formulas 432 Bei Xie Shen Shi Tang 323, 327,
503–6 insomnia 234 759
voice, auditory diagnosis of 126–7, in Large Intestine 431–2 Bu Fei Tang 291, 359, 415, 759
133 pulse diagnosis 178 Bu Gan Tang 294, 625, 759
xu patterns 509–20 symptoms and signs 431 Bu Zhong Yi Qi Tang 291, 361,
Heart qi xu see Heart qi xu abdominal 218, 222 366, 415, 424, 426, 472, 477,
Heart xue xu 512–14 skin 188 759
Heart yang collapse 519–20 urinary disturbances 223 Chai Hu Shu Gan Tang 363, 366,
Heart yang xu 517–19 vaginal discharge 246 529, 600, 602, 759
Heart yin xu see Heart yin xu temporary state 71 Chuan Xiong Cha Tiao Tang 266,
Heart qi stagnation tongue diagnosis 82, 83, 85, 86, 268, 284, 400, 759
acupuncture 496 88, 92 Da Bu Yin 694, 695, 709
aetiology 495 visual observation Da Bu Yin Wan 279, 303, 555, 759
auditory diagnosis 127 body movements 49, 50 Da Chai Hu Tang 678, 687, 759
diagnosis according to zangfu clothes 52 Da Cheng Qi Tang 658, 683, 704,
organ patterns 495–7 eyes 63 759
herbal formulas 496 face 56 Da Cheng Tang 678
palpitations 225 forehead/root of nose 67 Da Ding Feng Zhu 617, 693, 711,
symptoms and signs 495–6 joints 100 759
visual observation 62 skin 109 Da Jian Zhong Tang 448, 759
Heart qi xu veins 102 Dan Shen Yin 500, 759
acupuncture 515–16 voice, auditory diagnosis of 126, Dao Chi San 276, 335, 527, 759
aetiology 515 133, 135, 136, 137 Di Tan Tang 391, 760
auditory diagnosis 127 yang nature 82, 87, 105, 232–3 Ding Chuan Tang 366, 760
diagnosis according to zangfu see also Cold; Gall Bladder Heat; Ding Zhi Wan 516, 760
organ patterns 514–17 Intestines Heat; Kidney Heat; Du Huo Ji Sheng Tang 268, 760
herbal formulas 516 Kidney yin xu Heat; Liver Duo Huo Ji Sheng Tang 284
palpitations 225 Heat; Lung Heat; Pathogenic E Jiao Ji Zi Huang Tang 619, 760
symptoms and signs 515 Heat; Phlegm-Heat; Spleen Er Chen Tang 327, 345, 391, 406,
visual observation 62 Heat; Stomach Heat; Systemic 760
Heart xue stagnation Heat; Toxic-Heat; Urinary Fang Ji Huang Qi Tang 383, 760
aetiology 497 Bladder Heat; Wind-Heat; xue Fu Zi Li Zhong Tang 436, 760
diagnosis according to zangfu Heat Gan Jiang Ling Zhu Tang 418
organ patterns 497–8 Heat and Fire 331–3 Gan Mai Da Zao Tang 590, 760
symptoms and signs 58, 225, Heat blocking the Pericardium Ge Gan Tang 760
497–8 578–80 Ge Gen Tang 648
visual observation 58 Heat in the chest and diaphragm Ge Xia Fu Zhu Yu Tang 450, 760
Heart xue xu 512–14 680–2 Ge Xia Zhu Yu Wan 604
Heart yang collapse 519–20 Heat in the Stomach and Intestines Gui Pi Tang 294, 479, 486, 513,
Heart yang xu 517–19 682–3 522, 639, 760
Heart yin xu heat loss 45 Gui Zhi Fu Ling Tang 351, 373,
acupuncture 511 Heat qi xu, auditory diagnosis 142 760
aetiology 509 herbal formulas Gui Zhi Tang 266, 400, 650, 761
diagnosis according to zangfu An Gong Niu Huang Wan 330, Hou Po Wen Zhong Tang 467, 761
organ patterns 509–12 689, 703, 758 Huang Lian E Jiao Tang 667, 761
herbal formulas 511 Ba Hu Jia Gui Zhi Tang 758 Huang Lian Jie Du Pian 441
insomnia 235 Ba Zhen Tang 294, 369, 513, 758 Huang Lian Jie Du Tang 276, 430,
symptoms and signs 509–11 Ba Zheng San 758 452, 761
visual observation 97 Ba Zheng Tang 276, 335, 536 Huang Lian Tang 335
Heat Ba Zheng Wan 323, 708 Huang Qin Tang 323, 327, 335,
acupuncture 431–2 Ba Zheng Wan Yu Dai Wan 327 761
aetiology 431 Bai He Gu Jin Tang 420, 422, 758 Huang Tu Tang 761

780
Index

Huo Po Xia Ling Tang 674, 699, Shen Tong Zhu Yu Tang 351, 373, hiccupping 141
761 764 Hicks, John and Angela 144
Huo Xiang Zheng Qi Tang 266, Sheng Mai San 426, 516, 764 Hidden pulse 171
268, 284, 313, 318, 323, 327, Shi Hui San 764 hoarse voice 136
433, 761 Shi Wei San 764 Hollow pulse 168
Ji Sheng Qi Wan 761 Si Miao San 327, 764 Hou Po Wen Zhong Tang 467, 761
Ji Sheng Shen Qi Wan 383 Si Ni Tang 665, 764 Huang Di Nei Jing – Ling Shu
Jia Wei Xiao Yao Wan 602 Si Sheng Wan 376, 764 (The Yellow Emperor Classic –
Jian Pi Wan 354, 446, 761 Si Wu Tang 294, 764 Spiritual Axis) 46–7, 58, 60
Jin Gui Shen Qi Tang 287, 291, Su Zi Jiang Qi Tang 366, 409, 418, Huang Di Nei Jing – Su Wen (The
299, 557, 560, 576, 761 562, 764 Yellow Emperor’s Classic –
Ju Pi Zhu Ru Tang 366, 761 Suo Quan Wan 543, 764 Simple Questions) 60, 151
Juan Bi Tang 313, 318, 323, 761 Tao He Cheng Qi Tang 350, 373, Huang Lian E Jiao Tang 667, 761
Li Zhong An Hui Tang 532, 762 653, 764 Huang Lian Jie Du Pian 441
Li Zhong Tang 284, 287, 318, 418, Tao Hong Si Wu Tang 350, 373, Huang Lian Jie Du Tang 276, 430,
458, 475, 576, 662, 762 764 452, 761
Ling Gan Wu Wei Jiang Xin Tang Tian Ma Gou Teng Yin 315, 607, Huang Lian Tang 335
406, 762 764 Huang Qin Tang 323, 327, 335, 761
Ling Jiao Gou Teng Yin 612, 614, Tian Tai Wu Yao San 531, 545, Huang Tu Tang 761
762 623, 765 hun 62, 234, 292, 591
Liu Jun Zi Tang 291, 359, 456, Tian Wang Bu Xin Dan 279, 511, Huo Po Xia Ling Tang 674, 699, 761
472, 483, 762 572, 765 Huo Xiang Zheng Qi Tang 266, 268,
Liu Wei Di Huang Tang 296, 552, Wei Ling Tang 327, 765 284, 313, 318, 323, 327, 433,
570, 628, 762 Wen Dan Tang 391, 505, 765 761
Long Dan Xie Gan Tang 276, 323, Wen Jing Tang 284, 319, 765 husky voice 136
327, 335, 376, 585, 588, 609, Wu Ling San 383, 652, 765 hypochondria 238
621, 762 Wu Mei Wan 532, 669, 765
Long Dan Xie Gan Wan 636 Wu Pi San 383, 765
Ma Huang Tang 266, 284, 313, Wu Zhu Yu Tang 669, 765 imbalance patterns, identifying
318, 400, 648, 762 Xe Bai San 678 17–20
Ma Zi Ren Wan 432, 762 Xi Bai San 413 acupuncture points, choice of
Mai Men Dong Tang 340, 381, 762 Xi Jiao Di Huang Tang 376, 691, 19–20
Mai Wei Di Huang Tang 574 765 difficulty complying with
Ping Wei San 327, 385, 762 Xiao Chai Hu Tang 660, 765 recommendation 742
and pulse diagnosis 159 Xiao Feng San 327, 376, 765 exterior imbalances 263–8
Qi Ju Di Huang Tang 570, 762 Xiao Qing Long Tang 266, 313, mistakes with relation to 33–4
Qiang Huo Sheng Shi Tang 268, 383, 404, 409, 766 multiple patterns 34
762 Xiao Yao San 600, 766 own patterns, consciousness of
Qin Qi Hua Tan Tang 391, 678, Xiao Yao Wan 631 29–30
680, 701 Xie Bai San 276, 335, 680, 701, studying 24–5
Qing Luo Yin 330, 762 766 see also bian zheng lun zhi
Qing Qi Hua Tan Tang 681, 763 Xie Xin Tang 508, 766 (differentiation of symptoms
Qing Wei San 276, 335, 441, 763 Xing Su San 313, 339, 766 and signs by imbalance
Qing Ying Tang 376, 579, 689, Xue Fu Zhu Yu Tang 351, 373, patterns); diagnostic models
703, 763 498, 766 Imperial fire 246
Run Chang Wan 435, 763 Yan Hu Suo San 604 impotence, in men 248–9
San Ren Tang 323, 327, 452, 470, Yi Pi Tang 481, 766 infants 201
685, 706, 763 Yin Chen Zhu Fu Yu Tang 583, 766 inflammation 64, 69
San Shi Tang 330, 763 Yin Qiao San 266, 275, 313, 335, information gathering 21, 28, 126
San Wu Bei Ji Wan 319, 433, 763 672, 698, 766 conflicting information, managing
San Zi Yang Qin Tang 406, 763 You Gui Wan 287, 299, 557, 560, 31–2
Sang Ju Yin 672, 763 766 insomnia 234
Sang Xing Tang 313, 339, 676, 763 Zhen Fu Tang 520 interior imbalances 263, 268–70
Sha Shen Mai Men Dong Tang 420, Zhen Gan Xi Feng Tang 617, 766 Intermittent pulse 173
454, 763 Zhen Ren Yang Zang Tang 436, 766 Internal Heat 207, 217
Shao Fu Shu Yu Tang 540 Zhen Wu Tang Tang 518, 565, 766 internally generated Dampness
Shao Fu Zhu Yu Tang 351, 373, Zhi Bai Di Huang Tang 279, 337, acupuncture 326, 385
763 555, 628, 767 aetiology 324, 384
Shao Yao Tang 430, 763 Zhi Zi Dou Chi Tang 678, 681, diagnosis according to xie qi 324–8
Shen Fu Tang 304, 764 767 herbal formulas 327, 385
Shen Ling Bai Zhu Tang 456, 483 Zou Gui Wan 296, 552, 567, 570, jinye imbalances 384–92
Shen Ling Bai Zhu Wan 454 767 symptoms and signs 324–5,
herpes simplex 71 325–6t

781
The Art and Practice of Diagnosis in Chinese Medicine

internally generated Wind jing xu, visual observation 69, 95, Kidney yang xu, overflowing
skin 230 96, 98 water 563–5
visual observation 72, 100 Jing Yue Quan Shu (Jing Yue Kidney yin xu see Kidney yin xu
xie qi, diagnosis according to Complete Book) 156 Kidney yin xu Heat 553–5
314–15 jinge, visual observation 100, 101 Kidney jing, visual observation 69
interviewing of patients 29–30, 31 jinye imbalances 380–92 Kidney jing xu
current medication 203–4 fluids, accumulation of 381–4 aetiology 566
as diagnostic pillar 195–255 internally generated Dampness diagnosis according to zangfu
disease history 204–6 384–92 organ patterns 565–7
ears and eyes 231 jinye xu 380–1 ears 231, 232
emotions and mental state 251–3 Phlegm 386–92 herbal formulas 567
employment 202 joints, visual observation 100–1 symptoms and signs 566
energy levels 209–12 joy and laughter, voice 129–30, 131 Kidney qi not grasping Lung qi
enquiry specific to men 248–50 Ju Pi Zhu Ru Tang 366, 761 561–2
enquiry specific to women 241–8 Juan Bi Tang 313, 318, 323, 761 Kidney qi xu
family situation 202–3 jueyin energetic stage 643, 668–9 aetiology 559
general questions 200–4 Ju-Yi, Wang 193 diagnosis according to zangfu
habitation 202 organ patterns 559–62
housing 202 symptoms and signs 559–60
lifestyle and diet 254–5 ke cycle 55 Kidney xu 53, 59
medical history 203 Ke phase dominating patterns 732–5 Kidney yang xu
sleep patterns 234–5 Earth dominates Water 733 acupuncture 557
stools 220–2, 222–3t Fire dominates Metal 734 aetiology 556
sweating 212–14 Water dominates Fire 733–4 diagnosis according to zangfu
techniques 196–9 Wood dominates Earth 732–3 organ patterns 556–9
temperature 206–8 Ke phase ‘insulting’ patterns 735–7 herbal formulas 557
ten questions 199–200 Earth insults Wood 737 symptoms and signs 556–7
thirst, appetite and taste 214–20 Fire insults Water 736 visual observation 61, 65, 66, 69,
see also questioning of patient Metal insults Fire 735–6 100
Intestines Damp-Heat, forehead/root Water insults Earth 736 Kidney yang xu, overflowing water
of nose 67 Wind insults Metal 735 563–5
Intestines Heat, forehead/root of Kidney Heat 708–10 Kidney yin, pulse diagnosis 153
nose 67 Kidney imbalances Kidney yin xu
intuition 25–6, 40 aetiology 546–7 acupuncture 551
invasion of Cold in the Stomach auditory diagnosis 131 aetiology 550
447–9 combined patterns 567–77 diagnosis according to zangfu
invasion of exogenous Wind 311–14 Kidney yang xu and Spleen yang organ patterns 550–3
acupuncture 312 xu 575–7 dryness in mucous membranes 247
aetiology 311 Kidney yin xu and Heart yin xu ears 231, 232
herbal formulas 313 570–2 herbal formulas 552
symptoms and signs 311 Kidney yin xu and Kidney yang impotence, in men 248, 249
see also Wind xu 568 insomnia 235
invasion of Wind-Cold Kidney yin xu and Liver yin xu symptoms and signs 550–1
auditory diagnosis 140 568–70 urinary disturbances 223
Lung imbalances 398–401 Kidney yin xu and Lung yin xu visual observation 61, 65, 70, 88,
Six Stages model 646–9 573–4 99, 101
visual observation 20, 24, 72, 97 diagnosis according to zangfu Kidney yin xu and Heart yin xu
invasion of Wind-Heat 401–3 organ patterns 546–77 570–2
invasion of Wind-Water 403–4 general symptoms and signs Kidney yin xu and Kidney yang xu
invasion of xie qi 91 549–50 568
inventory boxes 34 Kidney channel imbalances 719 Kidney yin xu and Liver yin xu
irregular pulse group 172–4 pathology 547–9 568–70
itch 230, 232, 233 urinary disturbances 223 Knotted pulse 172–3
visual observation 77
xu patterns 550–67
Ji Sheng Qi Wan 761 Kidney jing xu see Kidney jing xu lamb, consumption of 756
Ji Sheng Shen Qi Wan 383 Kidney qi not grasping Lung qi Large Intestine imbalances
Jia Wei Xiao Yao Wan 602 561–2 diagnosis according to zangfu
Jian Pi Wan 354, 446, 761 Kidney qi xu 559–62 organ patterns 427–37
jiao, tongue 76, 77 Kidney yang xu see Kidney yang Large Intestine channel imbalances
Jin Gui Shen Qi Tang 287, 291, 299, xu 715–16
557, 560, 576, 761 shi patterns 428–34

782
Index

Damp-Cold 432–4 diagnosis according to zangfu extreme Heat generating 611–13


Damp-Heat 428–31 organ patterns 590–640 herbal formulas 612, 614, 617,
Heat 431–2 dizziness 229 619
visual observation 68, 77 general symptoms and signs 597 Liver Fire generating 613–14
xu patterns 434–7 Liver channel imbalances 720–1 Liver xue xu generating 617–19
Large pulse 180 pathology 594–7 symptoms and signs 611–12,
length of tongue 87–8 shi patterns 613–14, 615–16, 617–18
Li Shi Zhen (Ming dynasty doctor) ascending Liver yang 605–8 visual observation 64, 118
153, 156 Damp-Heat in the Liver 619–21 Liver Wind-Heat, visual observation
Li Zhong An Hui Tang 532, 762 Liver Fire see Liver Fire 69
Li Zhong Tang 284, 287, 318, 418, Liver qi stagnation see Liver qi Liver xue stagnation
458, 475, 576, 662, 762 stagnation acupuncture 604
libido 246–7 Liver qi stagnation Heat 601–3 aetiology 603
lichenification of skin 111 Liver Wind see Liver Wind diagnosis according to zangfu
Life Gate, index finger 119 Liver xue stagnation see Liver xue organ patterns 603–5
lifestyle and diet 254–5 stagnation herbal formulas 604
see also Yangshen, supporting stagnation of Cold in the Liver symptoms and signs 230, 603–4
treatment through channel 622–3 visual observation 67, 68
lighting, visual observation 39, visual observation 60, 62 Liver xue xu
40–1, 55 voice, auditory diagnosis of 137 acupuncture 625
tongue diagnosis 79–80 xu patterns 623–9 aetiology 624
limbs, visual observation 99–100 Liver xue xu see Liver xue xu diagnosis according to zangfu
Ling Gan Wu Wei Jiang Xin Tang Liver yin xu see Liver yin xu organ patterns 623–6
406, 762 see also Liver Damp-Heat; Liver diagnostic approach 20
Ling Jiao Gou Teng Yin 612, 614, Fire; Liver qi stagnation; Liver herbal formulas 625
762 Wind; Liver Wind-Heat; Liver symptoms and signs 624–5
lips 70–1, 72ti, 120 xue stagnation; Liver yin xu eyes 233
Liu Jun Zi Tang 291, 359, 456, 472, Liver qi invading the Spleen 629–32 menstrual problems 244
483, 762 Liver qi invading the Stomach 632–4 numbness and tingling 237
Liu Wei Di Huang Tang 296, 552, Liver qi stagnation visual observation 68, 103
570, 628, 762 aetiology 598 Liver yang 45
Liver and Gall Bladder Damp-Heat diagnosis according to zangfu Liver yin 153
586–8 organ patterns 598–601 Liver yin xu
Liver and Heart xue xu 637–40 diagnostic approach 18, 20, 30 acupuncture 628
Liver Damp-Heat 59, 69–70, 71, hand and foot palpation 190, 191 aetiology 627
232 stress 205 diagnosis according to zangfu
Liver Fire symptoms and signs 598–9 organ patterns 626–9
abdominal symptoms 217–18 cold and hot hands and feet 208 disease history 204
acupuncture 609 constipation 221 eyes 233
aetiology 608 emotional problems 252 herbal formulas 628
diagnosis according to zangfu hypochondria 238 numbness and tingling 237
organ patterns 608–10 insomnia 234 symptoms and signs 627–8
diagnostic approach 30 libido, lack of 247 visual observation 97, 99, 103
eyes 233 menstrual problems 243, 244 Long Dan Xie Gan Tang 276, 323,
herbal formulas 609 sexual problems 247 327, 335, 376, 585, 588, 609,
symptoms and signs 608–9 visual observation 621, 762
visual observation 64, 97, 103 back 98 Long Dan Xie Gan Wan 636
Liver Fire invading the Lung 634–7 body movements 50 Long pulse 179–80
Liver Heat 69 eyes 62 lower jiao
Liver Heat generating Wind 710–11 forehead/root of nose 67 Damp-Heat in the lower jiao
Liver imbalances posture 45 706–8
abdominal palpation 184 skin 58 Kidney Heat 708–10
aetiology 591–4 stools 116 Liver Heat generating Wind
chest palpation 187 throat 97 710–11
combined patterns tongue diagnosis 84 Lung and Heart qi xu 425–7
Liver and Heart xue xu 637–40 Liver qi stagnation Heat 601–3 Lung and Spleen qi xu 422–5
Liver Fire invading the Lung Liver Wind 610–19 aetiology 422–3
634–7 acupuncture 612, 614, 616, symptoms and signs 423
Liver qi invading the Spleen 618–19 Lung Dryness 421–2
629–32 aetiology 611, 613, 615, 617 Lung Heat
Liver qi invading the Stomach ascending Liver yang generating aetiology 412
632–4 615–17 qi level 679–80

783
The Art and Practice of Diagnosis in Chinese Medicine

Lung Heat cont. Ma Huang Tang 266, 284, 313, 318, ‘norm’, recognising deviations from
symptoms and signs 412 400, 648, 762 15, 22–3, 36, 52
upper jiao 700–3 Ma Zi Ren Wan 432, 762 nose 68, 69t, 114
visual observation 68 Maciocia, G. 93, 169, 170, 577, 723 numbness 237–8
Lung imbalances macules 67, 109 nuts and seeds 756
aetiology 393–4 Mai Jing (The Pulse Classic) 155
air pollution 394 Mai Men Dong Tang 340, 381, 762
auditory diagnosis 127–8, 140 Mai Wei Di Huang Tang 574 oats 754
combined patterns maize 754 observation see visual observation
Lung and Heart qi xu 425–7 mania 253 oedema 100, 382
Lung and Spleen qi xu 422–5 Matsumoto, Kiiko 186 Oleson, Terry 194
Damp-Phlegm 397 meat, consumption of 755–6 olfactory diagnosis 124, 125, 143–6
diagnosis according to zangfu mediation 753 onions 757
organ patterns 393–427 medical history 203 orgasm 247
Dryness 397 medication 203–4 Overflowing pulse 170
emotions 252, 395 menarche (first menstruation) 242
Lung channel imbalances 715 menopause 241
pathology 395–8 menstruation 146, 204, 348
shi Heat 397 interviewing of patients 240, pain 184, 225, 235–8
shi patterns 398–413 241–4, 244–5t pale and wan skin 106
Damp-Phlegm see Damp-Phlegm mental illness 43 pale tongue 82
invasion of Wind-Cold 398–401 mental restlessness 253 palpation 31, 148–94
invasion of Wind-Heat 401–3 Metal type, Five Phase system 48–9, of abdomen 183–8
invasion of Wind-Water 403–4 130, 131 Hara diagnosis 185–7
Lung Heat see Lung Heat micro-systems of chest 187, 188t
Phlegm-Fluids blocking the Lung palpation 194 relative strengths and weaknesses
407–9 visual diagnosis 75, 113–16 149
Phlegm-Heat see Phlegm-Heat middle jiao see also pulse diagnosis
skin 229 Spleen Damp-Heat 705–6 palpitations 224–5
visual observation 104 Yangming Heat 703–5 papillae, tongue 83
xu patterns 413–22 millet 754 papules 109–10
Lung Dryness 421–2 mindfulness 753 partially swollen tongue body 86
Lung qi xu see Lung qi xu Ministerial fire 246 Pathogenic Heat, visual observation
Lung yang su 416–18 moaning 130, 139 93
Lung yin xu see Lung yin xu moistness patterns of imbalance see imbalance
Lung qi face 57, 58 patterns, identifying
employment patterns 202 hands 102 Pericardium Heat 701–3
sneezing 227 skin 107, 108t, 189 Pericardium imbalances
visual observation 23, 66 tongue coating 93 diagnosis according to zangfu
Lung qi xu Mole, Peter 144 organ patterns 577–80
acupuncture 415 mood swings 252 Pericardium channel imbalances
aetiology 414 mouth, visual diagnosis 72, 114 719
auditory diagnosis 128 moxa 752–3 shi patterns 578–80
breathing problems 226 mucous, eyes 64–5 voice, auditory diagnosis of 137
diagnosis according to zangfu muscles, visual observation pharmaceutical medicines, effect 79
organ patterns 413–16 back muscles 98–9 pharynx, visual observation 97
herbal formulas 415 in children 118 Phlegm
sneezing 227 muscle tone 98–9, 118 acupuncture 345, 391
symptoms and signs 414–15 shen 42 aetiology 343–4, 389
visual observation 68, 72, 86 tension 45 blocking action of 45, 58, 108,
Lung yang su 416–18 mushrooms 757 124, 137, 139, 190, 194, 225,
Lung yin xu 229, 341–2, 490, 493, 713
acupuncture 419–20 shen 134, 490, 493, 501–3
aetiology 418–19 diagnosis according to xie qi 340–6
Nan Jing (The Classic of Difficulties) diagnostic approach 18–19
diagnosis according to zangfu 21, 151, 155, 185, 186
organ patterns 418–20 herbal formulas 345–6, 391
nasal mucus, olfactory analysis 146 jinye imbalances 386–92
herbal formulas 420 nasal voice 137
symptoms and signs 419 skin 107, 108, 229, 230
nausea and vomiting 18–19, 217–18 substantial or insubstantial 341,
visual observation 88, 101 neck, observation of 97 386
nightmares 234 symptoms and signs 341–5,
nodules 110 386–90

784
Index

breathing patterns 139 diagnostic parameters 161–2 qi stagnation 361–4


coughing 227 disturbing factors and natural abdominal palpation 183, 184
eyes 62, 64, 233 differences 158–60, 161t aetiology 362
fatigue 211–12 group types 166 auditory diagnosis 141, 142
hair 230 guan position 152, 154, 160 coughing 227
headaches 239 hands-on training requirement 74 diagnostic approach 24
heaviness 342, 387 having root 158 fatigue 211
numbness and tingling 237 history 151 pain 235, 237
visual observation horizontal plane 152, 155 Small Intestine 527–9
body movements 51 interfering factors 159t symptoms and signs 361–3
in children 121 length of pulse 165 see also Heart qi stagnation; Liver
clothing 54 natural variations 161t qi stagnation; Stomach qi
eyes 62, 64, 65 normal pulse 158 stagnation
face 58 physiology 151 qi xu 356–60
nails 103 practice, need for 150–1 acupuncture 290, 358–9
posture 45 in pregnancy 160 aetiology 290, 357–8
skin 107, 108 qualities of pulse 162–6, 181–2t diagnosis according to Eight
throat 97 questions to ask 24 Principles model 289–91
tongue diagnosis 79, 86, 87, 93 rate 163–4 dizziness 228–9
voice, auditory diagnosis of 134, rhythm and regularity of pulse 165 fatigue 209–10
137, 138 six parameters 150 herbal formulas 291, 359
see also Wind-Phlegm strength of pulse 74, 150, 164–5 sweating 214
Phlegm-Cold 101 structure of pulse 151–2 symptoms and signs 290, 358
Phlegm-Dampness taking the pulse 156–8, 159 visual observation 50, 56, 58, 72,
auditory diagnosis 140 three levels 152–3 86, 87, 106
headaches 240 three positions 154–6 voice, auditory diagnosis of 135
visual observation 86, 95, 97, 101, time of day taken 159 Qiang Huo Sheng Shi Tang 268
116 two-dimensional structure of pulse Qiang Huo Sheng Shi Tang 268, 762
Phlegm-Fluids blocking the Lung 152 Qin Qi Hua Tan Tang 391, 678,
407–9 vertical plane 152 680, 701
Phlegm-Heat width of pulse 165 Qing (green/blue colour) 58
aetiology 410 see also specific pulse groups and types Qing Luo Yin 330, 762
agitating the Heart 503–6 purple macules 109 Qing Qi Hua Tan Tang 681, 763
diagnosis according to zangfu purple papules 110 Qing Wei San 276, 335, 441, 763
organ patterns 409–12 purple skin 59–60, 106 Qing Ying Tang 376, 579, 689, 703,
herbal formulas 411 purple tongue 83–4 763
symptoms and signs 410 pustules 110 questioning of patient
visual observation 30, 92, 101, 114 general questions 199–200
pigmentation, skin 112 pulse diagnosis 24
pillars, diagnostic see diagnostic qi (cosmic energy) ten questions 199–200
pillars distribution in body 44–5 quinoa 754
ping mai (healthy pulse) 158 imbalances see qi imbalances
Ping Wei San 327, 385, 762 qi-producing organs 160–1
pork, consumption of 756 rebellious 364–6, 397 Rapid pulse 177–9
posture 44, 45 stagnation see qi stagnation rebellious qi 364–6
pregnancy qi Gate, index finger 119 red macules 109, 112
fertility problems 242 qi imbalances 356–66 red papules 110
nausea and vomiting 217 qi sinking 360–1 red skin, face 58, 59, 65
pulse diagnosis 160 qi stagnation see qi stagnation red spots, tongue 83
premature ejaculation 249 qi xu see qi xu red tongue 82–3
Prescribed Drug Guide, The rebellious qi 364–6, 397 referral to Western doctors, where
(Gascoigne) 204 Qi Ju Di Huang Tang 570, 762 necessary 16
prostate gland 249–50 qi level 676–87 ren mai 70, 71, 247, 724
pulmonary mucus, olfactory analysis Damp-Heat 683–5 respiration see breathing patterns
146 Gall Bladder Heat 686–7 rice 754
pulse diagnosis 150–82 Heat in the chest and diaphragm Robertson, Jason D. 193
challenges/difficulties 23, 74, 150 680–2 root vegetables 757
Choppy pulse 160 Heat in the Stomach and Intestines rumbling, abdominal 141
compared to tongue diagnosis 682–3 Run Chang Wan 435, 763
73–4 Lung Heat 679–80 rye 754
depth 162–3 see also Four Levels model
diagnostic images 166–81 qi sinking 360–1

785
The Art and Practice of Diagnosis in Chinese Medicine

salad vegetables 756 Fire not generating Earth 730 visual observation 49–50, 56
San Jiao channel imbalances 719–20 Metal not generating Water 731 shi Heat and Fire 333–6
San Jiao theory, diagnosis according Water not generating Wood 731–2 acupuncture 334–5
to 696–711 Wood not generating Fire 729–30 aetiology 333
and diagnosis according to zangfu shi Cold herbal formulas 335
organ patterns 577–80 acupuncture 284 symptoms and signs 333, 334t
lower jiao 706–11 compared to xu Cold 285t shi Heat in the Small Intestine
middle jiao 703–6 differences between exterior and 525–7
upper jiao 696–703 interior patterns 283t Shi Hui San 764
San Ren Tang 323, 327, 452, 470, exterior pattern 280–1, 285t Shi Wei San 764
685, 706, 763 herbal formulas 284 Short pulse 179
San Shi Tang 330, 763 interior pattern 281–4, 285t shouting 130–1
San Wu Bei Ji Wan 319, 433, 763 symptoms and signs 283 Si Miao San 327, 764
San Zi Yang Qin Tang 406, 763 thirst 215 Si Ni Tang 665, 764
Sang Ju Yin 672, 763 vaginal discharge 246 Si Sheng Wan 376, 764
Sang Xing Tang 313, 339, 676, 763 shi conditions Si Wu Tang 294, 764
scalp 96 abdominal symptoms 141, 220, sighing 138–9
Scattered pulse 169 222 signs and symptoms see symptoms
screaming 139 acute 222 and signs
seaweed 756 aetiology 301 singing 130
secretions 114–15 in channel 713t Six Stages model 212
sexuality/sexual desire 246–7 colours 282 diagnosis according to 642–9
Sha Shen Mai Men Dong Tang 420, compared to xu conditions 220, energetic stages
454, 763 299t jueyin 643, 668–9
Shao Fu Shu Yu Tang 540 diagnosis according to Eight shaoyang 642, 659–61
Shao Fu Zhu Yu Tang 351, 373, 763 Principles model 262–3, 300–1 shaoyin 643, 663–7
Shao Yao Tang 430, 763 disease history 204 taiyang 642, 643, 644–54
shaoyang energetic stage 642, 659–61 dizziness 228 taiyin 643, 661–3
xie qi locked in 213–14 emotions 251 yangming 642, 654–8
shaoyin energetic stage 44, 663–7 exterior and interior imbalances location of disease 643–4
shaoyin Cold stage 663–6 265t, 269, 282 skin
shaoyin Heat stage 666–7 fatigue 209 colours 58–60, 105–7, 118
shaoyin Stage Cold, diagnostic headaches 240 elasticity 108
approach 18 Lung imbalances 187 facial 42, 58–60
shen (spirit, mind and consciousness, pain 236, 238t humidity, effects on 189
or vitality) 43 palpation 186, 188t interviewing of patients in relation
blocked 45, 54, 62, 134, 490, 493 symptoms and signs 301 to 229–30
in children 117 visual observation lesions see skin lesions, visual
concept 42–3, 62 skin 105 diagnosis
false 43–4 tongue diagnosis 86 moistness 107, 108t, 189
formation 42 veins 119 palpation of 188–90
insomnia 234 see also shi Cold; shi Heat; xu rough or flaky 189
observation 42 conditions shen, observation of 42
in pulse 158 shi Heat sticky/oily 189
strong or weak 42 acupuncture 275, 279 suppleness 189–90
visual diagnosis 41–4 aetiology 274, 278 temperature 188
breathing patterns 42 age/gender of patient 200–1 visual diagnosis 42, 58–60,
clothing 43 auditory diagnosis 128, 142 104–12, 118
eyes 42, 62 compared to xu Heat 276t, 277, skin lesions, visual diagnosis 109–12
hair 95 332t primary 109–12
muscles and bones 42 diagnosis according to Eight secondary 111–12
skin, facial 42 Principles model 271–2 Skipping pulse 173
tongue 81 exterior 273 sleep, talking in 137
Shen Fu Tang 304, 764 hand and foot palpation 190 sleep patterns 234–5, 750–1
Shen Ling Bai Zhu Tang 456, 483 herbal formulas 275–6, 279 sleeping position, children 122
Shen Ling Bai Zhu Wan 454 insomnia 234 Slippery pulse 160, 175, 176
Shen Tong Zhu Yu Tang 351, 373, interior 272–3 Slow pulse 177
764 Lung imbalances 397 slumped posture 45
sheng cycle 55 pulse diagnosis 159 slurred voice 137
Sheng Mai San 426, 516, 764 symptoms and signs 274–5, 278–9 Small Intestine imbalances
Sheng phase patterns 729–32 temperature 207 diagnosis according to zangfu
Earth not generating Metal 730 thirst 215 organ patterns 524–32

786
Index

general symptoms and signs 525 diagnosis according to zangfu visual observation 59, 67, 72, 93,
shi patterns 525–32 organ patterns 470–3 120
shi Heat in the Small Intestine emotional problems 252, 253 Stomach imbalances
525–7 herbal formulas 472 combined patterns 459
Small Intestine qi bound 529–31 olfactory diagnosis 146 diagnosis according to zangfu
Small Intestine qi stagnation symptoms and signs 471–2 organ patterns 437–59
527–9 visual observation general symptoms and signs
worms 531–2 back 98 439–40
Small Intestine channel imbalances fingers 101 shi patterns 440–52
718 gums 73 Damp-Heat 450–2
visual observation 77 mouth 72 food stagnation see food
Small Intestine qi bound 529–31 nose 68 stagnation
smell, diagnosis using 124, 125, stools 116 invasion of Cold 447–9
143–6 tongue diagnosis 86 Stomach Fire see Stomach Fire
sneezing 140, 227 urine 115 Stomach qi stagnation 442–4
snoring 139 Spleen qi xu and Liver xue xu 484–6 xue stagnation 449–50
soft voice 137 Spleen yang xu Stomach channel imbalances
Soggy pulse 169, 180 aetiology 473–4 716–17
spelt 755 diagnosis according to zangfu xu patterns 453–9
sperm count, low 249 organ patterns 473–6 Stomach qi xu see Stomach qi xu
spine, abnormal curvature 98 herbal formulas 475 Stomach yin xu see Stomach
Spleen symptoms and signs 222, 474–5 yin xu
appetite, influence on 216 visual observation 66, 69, 100 Stomach qi
central role 745 Spleen yin xu diagnostic approach 19
development 201 acupuncture 481 rebellious movement of 21–2
imbalances see Spleen imbalances aetiology 480 visual observation 57, 99
weak 352–3 diagnosis according to zangfu Stomach qi stagnation 442–4
Spleen Damp-Heat 705–6 organ patterns 479–81 Stomach qi xu
Spleen Heat, visual observation 59 herbal formulas 481 acupuncture 456, 458
Spleen imbalances symptoms and signs 480 aetiology 455
aetiology 460–2 visual observation 88 appetite 216
combined patterns 482–7 sputum 226, 227 and Cold 457–9
Spleen qi xu and Liver xue xu staccato voice 137 diagnosis according to zangfu
484–6 stagnation organ patterns 455–7
Stomach and Spleen qi xu 482–4 Cold 236 herbal formulas 456, 458
diagnosis according to zangfu food see food stagnation symptoms and signs 455–6, 458
organ patterns 457–87 Heart qi 62 visual observation 68, 101
pathology 462–5 Heart xue 58 Stomach yin xu
shi patterns 465–70 Liver qi see Liver qi stagnation acupuncture 454
Damp-Cold 465–70 Liver xue 67, 68 aetiology 453
Damp-Heat 468–70 stagnation of Cold in the Liver diagnosis according to zangfu
Spleen channel imbalances 717 channel 622–3 organ patterns 453–5
xu patterns 470–81 xue see xue stagnation herbal formulas 454
Spleen qi not holding xue inside see also qi stagnation symptoms and signs 453–4
the vessels 477–9 Stirring pulse 177 visual observation 73, 88
Spleen qi sinking 476–7 Stomach stools 115–16, 123
Spleen qi xu see Spleen qi xu appetite, influence on 216 constipation 220
Spleen yang xu see Spleen yang xu central role 745 interviewing of patients in relation
Spleen yin xu see Spleen yin xu development 201 to 220–2, 222–3t
see also Spleen Heat; Spleen qi xu; imbalances see Stomach imbalances loose 221–2
Spleen yang xu; Spleen yin xu weak 352–3 olfactory diagnosis 145
Spleen qi 27, 68, 88, 99, 202 Stomach and Spleen qi xu 482–4 structured approach 29–30, 40
Spleen qi not holding xue inside the Stomach Fire styes 64
vessels 477–9 acupuncture 441 Su Zi Jiang Qi Tang 366, 409, 418,
Spleen qi sinking 476–7 diagnosis according to zangfu 562, 764
Spleen qi xu organ patterns 440–2 Summer-Heat
abdominal symptoms 221, 222 herbal formulas 441 abdominal symptoms 218
acupuncture 472 symptoms and signs 216, 217–18, acupuncture 330
aetiology 471 440–1 aetiology 329
appetite 215, 216 visual observation 64, 93, 97 diagnosis according to xie qi
auditory diagnosis 141 Stomach Heat 328–31
breathing problems 226 headaches 240 herbal formulas 330

787
The Art and Practice of Diagnosis in Chinese Medicine

symptoms and signs 329, 330t Pericardium imbalances 579 shaoyang stage 659–60
sunken areas, tongue 87 Small Intestine imbalances 526, shaoyin stage 664–5, 666–7
Suo Quan Wan 543, 764 528, 530, 531 taiyang stage 647–8, 649, 651,
Superficial pulse group 152, 153, Spleen imbalances 466, 468–9, 653
157, 163, 166–70 474–5, 476–7, 478, 480, taiyin stage 661–2
sweating 114, 212–14 482–3, 484–5 yangming stage 655–6, 657
olfactory diagnosis of sweat 146 Spleen qi xu 471–2 tongue diagnosis 80
swollen tongue body 86, 88 Stomach imbalances 440–1, visual observation 39–41
symptoms and signs 442–3, 447–8, 449, 451, weighting of 37–8
chong mai imbalances 725 455–6, 458 xue imbalances
dai mai imbalances 725–6 Urinary Bladder imbalances 535, xue loss 378
diagnosis according to Eight 537–8, 539, 541, 542–3, 544 xue stagnation 347–50, 370–3
Principles model diagnosis according to the twelve xue xu 292–3, 368–9
exterior imbalances 265–6 regular channels yang qiao mai imbalances 727
interior imbalances 270 Gall Bladder channel imbalances yang wei mai imbalances 728
qi xu 290 720 yin qiao mai imbalances 726–7
shi Cold 283 Kidney channel imbalances 719 yin wei mai imbalances 727–8
shi conditions 300–1 Large Intestine channel see also bian bing lun zhi
shi Heat 274–5, 278–9 imbalances 715–16 (differentiation of symptoms
xu Cold 286–7 Liver channel imbalances 720–1 and signs by disease
xue xu 292–3 Lung channel imbalances 715 category); bian zheng lun zhi
yang xu 297–8 san jiao channel imbalances (differentiation of symptoms
yin xu 295 719–20 and signs by imbalance
diagnosis according to xie qi Small Intestine channel patterns); visual observation
Cold 317 imbalances 718 Systemic Heat, eyes 63
Exogenous Dryness 338 Spleen channel imbalances 717
food stagnation 353 Stomach channel imbalances
internally generated Dampness 716–17 taiyang energetic stage 44, 642, 643,
324–5, 325–6t Urinary Bladder channel 644–54
internally generated Dryness imbalances 718–19 accumulation of Water 651–2
339–40 du mai imbalances 723–4 invasion of Wind-Cold
internally generated Wind Five Phase diagnosis Cold is dominant 646–9
314–15 Ke phase dominating patterns Wind is dominant 649–51
invasion of Exogenous Wind 732–4 Taiyang fu – accumulation of xue
311, 312t Ke phase ‘insulting’ patterns 652–5
Phlegm 341–5 735–6, 737 see also Six Stages model
shi Heat and Fire 333, 334t Sheng phase patterns 729–30, taiyin body type 44
xu Heat 336 731, 732 taiyin energetic stage 643, 661–3
xue stagnation 347–50 Four Levels model Tao He Cheng Qi Tang 350, 373,
diagnosis according to zangfu qi level 677–8, 679, 680–1, 653, 764
organ patterns 682–3, 684–5, 686 Tao Hong Si Wu Tang 350, 373, 764
Gall Bladder imbalances 582–3, wei level 671–2, 673, 675 taste 219–20
584–5, 586–7, 589 xue level 690–1, 692, 693–4, 695 tears, eyes 64–5, 233
Heart imbalances 495–6, 497–8, Ying level 688–9 temperature
499, 501–2, 504–5, 506–7, jinye imbalances abdomen 183
509–11, 513, 515, 517–18, fluids, accumulation of 382 interviewing of patients 206–8
519, 521–2 internally generated Dampness skin 188
Kidney imbalances 550–1, 384–5 theoretical foundations 40
553–4, 556–7, 559–60, 561, jinye xu 380–1 thin skin 111
563–4, 566, 568–9, 571–2, mistakes with relation to 33 thin tongue body 85–6
573–4, 575–6 qi imbalances thirst 215
Large Intestine imbalances 430, qi sinking 360 thorax 98 188t
431, 433, 434, 435–6 qi stagnation 361–3 three treasures (shen, qi and jing) 158
Liver imbalances 598–9, 602, qi xu 290, 358 throat
603–4, 606, 608–9, 611–12, rebellious qi 364–5 sensation of something being stuck
613–14, 615–16, 617–18, ren mai imbalances 724 in 238
619–20, 622, 624–5, 627–8, san jiao theory visual observation 97, 120–1
630–1, 633, 635–6, 637–8 lower jiao 707, 708–9, 710 Tian Ma Gou Teng Yin 315, 607,
Lung imbalances 399, 401–2, middle jiao 703–4, 705 764
403–4, 407–8, 410, 412, upper jiao 697, 698–9, 700, 702 Tian Tai Wu Yao San 531, 545, 623,
414–15, 416–17, 419, 421, Six Stages model 765
423, 425–6 jueyin stage 668

788
Index

Tian Wang Bu Xin Dan 279, 511, Toxic-Heat, visual observation 64 diagnosis according to zangfu
572, 765 Traditional Acupuncture Volume II – organ patterns 532–45
tics 60 Traditional Diagnosis (Worsley) general symptoms and signs 534
Tight pulse 162, 167, 174, 175t, 213 144 shi patterns
time constraints 32 Traditional Chinese Medicine Urinary Bladder Damp-Cold
tingling sensations 237–8 (TCM) 537–9
tinnitus 231 compared to Western diagnosis 18, Urinary Bladder Damp-Heat
tongue coating 90–3, 94t 19, 36 534–7
causes 75 diagnostic prerequisites 21–6 Urinary Bladder stones 540–2
colour 92–3 facial colours, observation 56 Urinary Bladder xue stagnation
Eight Principles model 91t linear approach 17 539–40
moistness 93 patterns of imbalance, identifying Urinary Bladder channel
normal tongue 22 see imbalance patterns, imbalances 718–19
rootless 91–2 identifying urinary disturbances 223
tongue diagnosis shamanistic past 305 visual observation 77
body colour 84–5t treatment of patient, supporting see xu patterns 542–3
body shape 85–8, 89–90t Yangshen, supporting treatment Urinary Bladder stones 540–2
brushing tongue 79 through 17 Urinary Bladder xu Cold 542–3
in children 120 tremors 102 Urinary Bladder xue stagnation
coating see tongue coating turquoise skin, face 58 539–40
colours 22, 81–4, 84–5t, 92–3 twelve regular channels, diagnosis urine 115, 123
compared to pulse diagnosis 73–4 according to 712–21 interviewing of patients in relation
cracks 88 Gall Bladder channel imbalances to 223–4
effective tool 74 720 olfactory diagnosis 145
Eight Principles model 78f Heart channel imbalances 717
flaccidity 87 Kidney channel imbalances 719
foods and drink affecting tongue Large Intestine channel imbalances vagina 247–8
79 715–16 vaginal discharge 115, 241
general condition of patient 74 Liver channel imbalances 720–1 varicose veins 100
length of tongue 87–8 Lung channel imbalances 715 vegetables 756–7
lighting conditions 79–80 Pericardium channel imbalances veins
normal tongue 22 719 hands 102
optimal conditions 78–81 san jiao channel imbalances index finger vein, children 119
pale tongue 82 719–20 on underside of tongue 84, 88
partially swollen body 86 Small Intestine channel imbalances varicose veins 100
pharmaceutical medicines, effect 718 visual observation 84, 88, 102, 108
79 Spleen channel imbalances 717 venison, consumption of 756
red tongue 82 Stomach channel imbalances vertigo 229
reflecting body as a whole 81 716–17 Very Rapid pulse 179
relaxed tongue 80 treatment of channel problems vesicles 110
root 77 714–15 visual observation 39–123
shen 81 Urinary Bladder channel acupuncture channels 112
sunken areas 87 imbalances 718–19 back 98–9
swollen body 86, 88 see also acupuncture channels body movements 40, 42, 49–51,
thin body 85–6 117–18
topography of tongue 76–7, 78f body shape and posture 44–9
uncontrolled movement and ulcers 111 chest 98
stillness 87 uncontrolled movement and children 67, 117–23, 122t
veins on underside 84, 88 stillness, tongue 87 clothing 43, 52–4
zones 77 upper jiao 696–703 ears 69–70
tonsils, swollen 97 Damp-Heat in the upper jiao eyes 42, 61–6
Tourette’s syndrome 138 698–700 face 55–60, 61f
Toxic-Fire Lung Heat 700–3 forehead/root of nose 66–8
ears 232 Pericardium Heat 701–3 gums 73
olfactory diagnosis 146 Wind-Heat invasion in the upper hair 94–6, 97t
visual observation jiao 697–8 hands 101–3, 104t
in children 120, 121 Urinary Bladder Damp-Cold 537–9 intuition, limitations of 40
secretions and exudations 113, Urinary Bladder Damp-Heat 534–7 joints 100–1
114, 115 Urinary Bladder Heat, forehead/root lighting conditions 39, 40–1, 55,
skin 110, 111 of nose 67 79–80
throat 97 Urinary Bladder imbalances limbs 99–100
tongue diagnosis 93 combined patterns 544–5 lips 70–1, 72t

789
The Art and Practice of Diagnosis in Chinese Medicine

visual observation cont. Western diagnosis see also Gall Bladder Wind-Heat;
micro-systems 75, 113–16 based on Western medicine Liver Wind-Heat
mouth 72 physiological and pathological Wind-Heat invasion in the upper
nose 68, 69t model 26–7 jiao 697–8
pharynx 97 compared to Chinese approach 18, Wind-Phlegm 72, 137
shen 41–4, 62, 81 19, 36 Wiry pulse 152, 174
skin see skin correct use of 27–8 Wood dominates Earth 732–3
symptoms and signs to be aware incorrect, where 26 Wood not generating Fire 729–30
of 39–41 linear approach 18 Wood type, Five Phase system 47,
thorax 98 multiple causes of disorder, 130–1
throat 97 recognising 27 worms in the Small Intestine 531–2
tongue see tongue problems with using as a starting Worsley, J. R. 40, 144
veins 84, 88, 102, 108 point 26–8 wrinkles 67, 71, 108
when patient unaware of being similarities to bian bing lun zhi Wu Ling San 383, 652, 765
observed 40 17–18 Wu Mei Wan 532, 669, 765
yuan-source points 113 see also bian bing lun zhi Wu Pi San 383, 765
see also symptoms and signs (differentiation of symptoms Wu Zhu Yu Tang 669, 765
voice, auditory diagnosis of 126–38 and signs by disease category)
complaining/moaning 130 wheat 755
crying 130 white macules 109 Xe Bai San 678
emotions 131–2 white skin, face 58 Xi Bai San 413
engagement of patient in Wind Xi Jiao Di Huang Tang 376, 691, 765
conversation 132–3 internally generated Wind 314–15 Xiao Chai Hu Tang 660, 765
Five Phases in voice 129–35, invasion of Exogenous Wind Xiao Feng San 327, 376, 765
135–6t 311–14 Xiao Qing Long Tang 266, 313, 383,
flow and structure of speech pain 237 404, 409, 766
133–5, 135–6t visual observation 60, 85, 111 Xiao Yao San 600, 766
joy and laughter 129–30, 131 xie qi 310–15 Xiao Yao Wan 631
normal voice 129 yang nature 310 Xie Bai San 276, 335, 680, 701, 766
quality of voice 136–8 see also Wind Gate, index finger; xie qi (pathogen) 24
shouting 130–1 Wind-Cold; Wind-Damp; abdominal symptoms 218, 220,
singing 130 Wind-Heat; Wind-Phlegm 221
strength and quality 128 Wind Gate, index finger 119 Cold 315–19
vomiting 141, 142 Wind-Cold coughing 226
auditory diagnosis 140 Damp-Heat 319–20
diagnostic approach 18, 20 Dampness 319–20
Water dominates Fire 733–4 exterior imbalances 263 exogenous 320, 321–2t, 323–4
water retention 185 exterior shi Cold 281 internally generated 324–8
Water type, Five Phase system 49, headaches 239 diagnosis according to 305–54
130, 131 invasion of the Wind-Cold 20, 24, and Eight Principles model 309
watering eyes 64–5 72, 140 Dryness 337–40
Weak pulse 171 Lung imbalances 396 exogenous 338–9
weals 110 pulse diagnosis 154 internally generated 339–40
wei level 670–6 sneezing 227 exogenous 320, 321–2t, 323–4,
Damp-Heat 673–4 temperature 207 338–9, 645
Dry-Heat 674–6 visual observation 66, 72, 74, 96, food stagnation 352–4
Wind-Heat 671–2 114, 115 Heat and Fire 331–3
see also Four Levels model Wind-Damp 18, 239 interior imbalances 269
Wei Ling Tang 327, 765 Wind-Heat invasion of xie qi 91
wei qi ears 232 locked in shaoyang aspect 213–14
diagnostic approach 24 exterior imbalances 263 Phlegm 340–6
Lung imbalances 396 hair 230 prolonged exposure to 308
pulse diagnosis 154 headaches 239 pulse diagnosis 166
sweating 212, 213 invasion of 97, 136 shi Heat and Fire 333–6
temperature 206, 207 sneezing 227 strong 308
visual observation 96 sweating 213 sudden exposure to 308
Wind 310 temperature 207 Summer-Heat 328–31
Wen Bing Tiao Bian (The Text on visual observation 68, 97, 110, 121 susceptibility to 308
Differentiation and Treatment of in children 119, 120 sweating 213–14
Heat Disorders) 642 eyes 64, 66 temperature 207
Wen Dan Tang 391, 505, 765 voice, auditory diagnosis of 136 urinary disturbances 223
Wen Jing Tang 284, 319, 765 wei level 671–2 visual observation 76, 115, 119

790
Index

eyes 64, 66 xue Heat generating Wind 691–3 yang xu


tongue diagnosis 91, 92 xue Heat injuring yin 693–4 acupuncture 298
voice, auditory diagnosis of 137 yin expiring and extreme aetiology 298
Wind 310–15 dehydration 694–5 diagnosis according to Eight
internally generated Wind xue loss 377–9 Principles model 297–9
314–15 xue stagnation 370–4 fatigue 210
invasion of Exogenous Wind abdominal palpation 184 herbal formulas 299
311–14 acupuncture 193, 350, 373 sweating 214
xu Heat 336–7 aetiology 349, 372 symptoms and signs 298
xue stagnation 347–51 diagnosis according to xie qi temperature 206
and zheng qi 207, 307–8 347–51 visual observation 50, 58, 73, 106
Xie Xin Tang 508, 766 disease history 206 voice, auditory diagnosis of 135
Xing Su San 313, 339, 766 ears 231 yang xu Cold 215
xu Cold 285–8 in elderly patients 347 yangming energetic stage 642, 654–8
acupuncture 287 headaches 239 Yangming channel syndrome
aetiology 286 herbal formulas 350–1, 373 655–6
compared to shi Cold 285t itch 230 Yangming organ stage 656–8
herbal formulas 287 menstrual problems 243 Yangming Heat 703–5
in Large Intestine 435–7 pain 236, 237 Yangshen, supporting treatment
symptoms and signs 286–7 palpitations 225 through 738–53
xu conditions 357, 397, 494, 595 in Stomach 449–50 altering diet when living with
abdominal symptoms 141, 142, symptoms and signs 347–50, others 742
220 370–3 central role of Stomach and Spleen
auditory diagnosis 127 visual observation 745
in channel 713t acupuncture channels 112 clothing 750–1
compared to shi conditions 220, body movements 50 conflicting advice 741
299t eyes 64 cooperation with patient 738–42
diagnosis according to Eight face 56, 59 dietary recommendations 748
Principles model 289–300 limbs 99, 100 encouraging compliance with
disease history 204 nails 103 advice 743–4
dizziness 228 skin 107, 108, 110, 111 enjoyment 742
headaches 239 stools 115 ethical aspects 742
menstrual blood 243 throat 97 exercise 750
pain 235–6 tongue diagnosis 83, 84 following natural rhythm of life
palpation 186, 187, 192t see also Heart xue stagnation; Liver 751–2
pulse diagnosis 173, 265 xue stagnation; Urinary Bladder golden rules of eating 745–8
sweating 212, 214 xue stagnation lack of familiarity with/access to
visual observation xue xu 367–9 certain foods 741
body shape and posture 44 acupuncture 293, 369 lack of time and energy 739
movement 117 aetiology 292, 368 mental and emotional approach to
nose 68 auditory diagnosis 128, 136 life 748–9
skin 105, 106, 118 bleeding 229 patient having difficulty adhering
veins 119 diagnosis according to Eight to dietary recommendations
see also shi conditions Principles model 291–4 739–41
Xue Fu Zhu Yu Tang 351, 373, 498, disease history 204 patient having difficulty complying
766 dizziness 228–9 with recommendations 742
xue Heat 374–7 fatigue 210 resistance to giving things up
aetiology 375 herbal formulas 294, 369 744–5
herbal formulas 376 insomnia 234 rest 750–1
symptoms and signs 375–8 numbness and tingling 237 see also lifestyle and diet
visual observation 120 symptoms and signs 293, 368–9 yawning 138–9
xue Heat agitating xue 690–1 visual observation 58, 64, 70, 73, Ye Tian Shi 642
xue Heat generating Wind 691–3 86, 104 yellow skin 106
xue Heat injuring yin 693–4 yellow skin, face 59
xue imbalances 367–79 Yi Pi Tang 481, 766
xue Heat 120, 374–7 Yan Hu Suo San 604 yin and yang 301–4
xue loss 377–9 yang qi 24, 114, 115 Yin Chen Zhu Fu Yu Tang 583, 766
xue stagnation see xue stagnation yang qi xu, 107 yin expiring and extreme dehydration
xue xu see xue xu yang qiao mai imbalances 727 694–5
xue level 690–6 yang wei mai imbalances 728 yin qiao mai imbalances 726–7
xue Heat agitating xue 690–1 Yin Qiao San 266, 275, 313, 335,
672, 698, 766

791
The Art and Practice of Diagnosis in Chinese Medicine

yin wei mai imbalances 727–8 zangfu organs visual observation


yin xu diagnosis according to patterns face 58, 60, 61f
acupuncture 296 148, 393–640 tongue diagnosis 75, 77, 78f
aetiology 295 emotions 251 Zhang Jie-Bin 156
auditory diagnosis 128, 136 Gall Bladder imbalances 580–90 Zhang Zhong Jing 641, 642
diagnosis according to Eight Heart imbalances 487–524 Zhen Fu Tang 520
Principles model 294–7 Kidney imbalances 546–77 Zhen Gan Xi Feng Tang 617, 766
fatigue 211 Large Intestine imbalances 427–37 Zhen Ren Yang Zang Tang 436, 766
herbal formulas 296 Liver imbalances 590–640 Zhen Wu Tang Tang 518, 565n, 766
insomnia 234 Lung imbalances 393–427 zheng qi 207, 213, 307–8
sweating 214 palpation of acupuncture points Zhi Bai Di Huang Tang 279, 337,
symptoms and signs 295–6 191 555, 628, 767
visual observation 86 Pericardium imbalances 577–80 Zhi Zi Dou Chi Tang 678, 681, 767
voice, auditory diagnosis of 136 and pulse diagnosis 148 zong qi
Ying level 687–96 San Jiao imbalances 577–80 auditory diagnosis 127–8, 138
You Gui Wan 287, 299, 557, 560, Small Intestine imbalances 524–32 chest palpation 187
766 Spleen imbalances 459–87 pulse diagnosis 153
yuan-source points, visual observation Stomach imbalances 437–59 visual observation 98
113 taste 219 Zou Gui Wan 296, 552, 567, 570,
Urinary Bladder imbalances 767
532–45

792