Cases

Question 1

palpitations and fearful throbbing, sallow complexion, listlessness and fatigue, poor appetite, loose stools
pulse: weak

Answer 1

HT-SP deficiency

Question 2

female patient with pale-thin-scanty period blood, lustreless complexion, fatigue, poor appetite and bloating, palpitations and insomnia
tongue: pale

Answer 2

HT-SP deficiency

Question 3

chronic cough and wheezing, fatigue, weak breath, exhalation more than inhalation, spontaneous sweat, tinnitus

tongue: pale
pulse: weak

Answer 3

LU-KD qi deficiency

Question 4

hoarse voice for more than 3 years, dry cough, scanty sputum, red cheeks, tidal fever, seminal emission
pulse: thin-rapid

Answer 4

LU-KD yin deficiency

Question 5

cough, sputum with blood streak, red face and eyes, fever, hypochondriac burning pain
pulse: wiry-rapid

Answer 5

LV fire attacking LU

Question 6

gastric discomfort, chest and hypochondriac pain, acid regurgitation, irritable and easily angered, poor appetite

tongue: thin yellow coating
pulse: wiry-rapid

Answer 6

LV fire attacking ST

Question 7

loose stool and diarrhea for the past half year, pale lustreless complexion, cold limbs, cold pain at lumbar, knees, and lower abdomen

tongue: pale, puffy tongue with slippery white coating
pulse: deep, thin

Answer 7

SP-KD yang deficiency

Question 8

insomnia, dream-disturbed sleep, easy to wake up with fear for 1 year, uneasiness, susceptible to fright and fear, hyperarousal, palpitations, shortness of breath, fatigue, dizziness, blurred vision, dry mouth

tongue: pale or red
pulse: wiry-thready or wiry-weak

Answer 8

HT qi deficiency with GB timidity (could be combined with blood deficiency)

Question 9

palpitations, shortness of breath, insomnia, dreaming, over-worrying, over-thinking for 3 years, fatigue, no energy, dizziness, forgetfulness, pale face without lustre, pale lips, poor appetite, abdominal bloating, loose stool

tongue: pale-thin coating
pulse: thready-weak

Answer 9

HT-SP qi deficiency

Question 10

mental wandering, restlessness, depression for 10 years, together with too much thinking, skeptical, palpitations, timidity, dizziness, lassitude, insomnia, poor memory, poor appetite, shortness of breath, reluctance to talk, lustreless complexion

tongue: pale, thin white coating
pulse: thready, weak

Answer 10

HT-SP qi deficiency

Question 11

shallow breathing, breathing stops, low cough sound, low voice for 15 years with chest fullness, even raised shoulders, open mouth, inability to lie down, coughing up phlegm like bubbles, difficulty to spit out phlegm, palpitations, fear of cold, sweating dull face

tongue: dull, pale, purplish, white-watery coating
pulse: deep, thready, intermittent, knotted

Answer 11

LU-KD qi deficiency

Question 12

no erection, or not hard enough after erection for 2 years, lustreless complexion, palpitations, dream-disturbed sleep, lassitude, poor appetite, abdominal distention, loose stools

tongue: pale tongue, thin-greasy coating
pulse: thready-weak

Answer 12

HT-SP qi deficiency

Question 13

clear, sticky, or white nasal discharge, no smell, medium amount, severe or mild nasal obstruction, loss of sense of smell, getting worse after wind for 8 years, headache, heavy head, dizziness, spontaneous sweating, aversion to wind, shortness of breath, fatigue, low voice, cough, dilute phlegm

tongue: pale, white-greasy coating
pulse: soggy, weak

Answer 13

LU-SP qi deficiency

Question 14

twitching eyelids, sometimes better, sometimes worse, gets worse from stress or fatigue for 5 years, irritability, insomnia, palpitations or fearful throbbing, forgetfulness, poor appetite, fatigue

tongue: pale
pulse: thready-weak

Answer 14

HT-SP qi deficiency

(according to meridian diagnosis, upper eyelid related to BL sinew, lower relates to ST; diagnosis would be BL sinew qi-blood deficiency)

Question 15

7 year old boy, bed-wetting for 2 years almost every night, frequent urination during the day time, abundant urine, easily catches colds, shortness of breath, pale face, fatigue, poor appetite, loose stool

tongue: pale
pulse: deep, weak

Answer 15

LU-SP-KD qi deficiency

BL 22, RN 3, RN 9, KD 7, SP 6, LV 8

Question 16

palpitations, chest oppression for 6 years, together with wheezing, white diluted phlegm for 4 years, blue-purplish nails, lips, and tongue, symptoms get worse after physical movement, fatigue, low voice, dizziness, chest oppression, pale face, spontaneous sweating

tongue: pale
pulse: weak, intermittent, knotted

Answer 16

HT-LU qi deficiency

HT problem affecting LU

Question 17

dyspnea with cough, inability to lie down, dilute and white sputum, palpitation, edema of face and eyes, scanty urine, cold limbs and body, dull face, purplish lips and nails

tongue: pale-puffy, or dull-puffy tongue, purplish spots, bluish-dark purple sublingual veins, white-slippery coating
pulse: deep-thready or choppy

Answer 17

HT-LU-KD yang deficiency

also water intimidating heart and lung

Question 18

fast breathing, shortness of breath, worse after physical exertion, cough with low voice, palpitations, profuse phlegm for 1 year, together with poor appetite, fear of cold, cold limbs, lower abdominal pain or numbness, palpitations below the navel, foot edema, difficult urination, or vomiting of saliva, dizziness, blurred vision

tongue: enlarged, pale tongue, white moist or greasy coating
pulse: deep, thready, slippery

Answer 18

SP-KD yang deficiency with fluid retention

Question 19

chest pain and stuffiness, shortness of breath getting worse when it’s cold for 1 year, palpitations, spontaneous sweating, knee and lower back soreness, fatigue, stomach cold, cold limbs, pale nails and lips, or purple lips, pain radiating to back, dyspnea, inability to lie down, facial and foot edema

tongue: pale or dark purple, white coating
pulse: deep-thready or knotted, intermittent

Answer 19

HT-KD yang deficiency