Combined Syndromes

Question 1

palpitations, blue/purplish nails, lips, tongue, cough, wheezing, water retention, phlegm accumulation, clear phlegm, worse after physical movement, fatigue, low voice, dizziness, chest oppression, pale face, spontaneous sweating

t: pale
p: weak-intermittent-knotted

Answer 1

LU-HT qi deficiency

Question 2

shallow and discontinued breathing, more exhalation than inhalation which becomes worse on exertion, even breathing w/ rising shoulder and open mouth, inability to lie down, cough w/ low sound, chest oppression, difficulty to spit out phlegm, white-bubble phlegm, cold body, spontaneous sweating, dull facial complexion

t: pale w/ white-watery coating
p: deep-weak-thready

Answer 2

LU-KD qi deficiency

mother’s illness transfers to son;
metal not able to generate water

Question 3

chronic cough, shortness of breath, phlegm accumulation, profuse, clear phlegm, bloating, loose stool, poor appetite, facial and limb edema, fatigue, low voice, pale, dull face

t: pale w/ white-watery coating
p: thready-weak

Answer 3

LU-SP qi deficiency

mother to son, son to mother;
earth not able to generate metal

TP: boost SP to strengthen LU

Question 4

palpitations, forgetfulness, insomnia, dreaming, bloating, loose stool, poor appetite, subcutaneous hemorrhage; scanty, dilute, pale period blood; long period or non-stop period; pale, dull, yellowish face, lips, nails; shortness of breath, fatigue

t: tender
p: thready-weak

Answer 4

HT-SP qi deficiency

HT blood and SP qi deficiency

Question 5

fullness and pain in chest, palpitations, weak cough and wheezing, aversion to cold, cold limbs, blue lips

t: dull, dark, puffy w/ white-slippery coating
p: deep-slow-weak

Answer 5

LU-HT yang deficiency

Question 6

palpitations, fearful throbbing, cold body/limbs, fatigue, throbbing chest pain, blue/purplish nails, lips, tongue, edema of limbs and body, scanty urine (abundant urine in early stage)

t: white-watery coating
p: deep-thready-weak

Answer 6

HT-KD yang deficiency

Question 7

chronic diarrhea, 5 am diarrhea, watery/sticky diarrhea w/ undigested food, severe abdominal bloating, facial/body edema, scanty urine, lower back and knee cold/soreness, lower abdominal cold pain, pale face, cold limbs and body

t: pale, puffy w/ white-watery coating
p: deep-slow w/o strength

Answer 7

SP-KD yang deficiency

mingmen fire not able to supply spleen yang

Question 8

palpitations, forgetfulness, insomnia, dreaming, dry/itchy eyes, blurry vision, pale/brittle nails, limb numbness, tremors, muscle cramping; scanty, dilute, pale period blood, stopped period, impotence, headache, dizziness, pale face

t: pale
p: thready

Answer 8

HT-LV blood deficiency

Question 9

tinnitus, dizziness, forgetfulness, hypochondriac pain, insomnia, dream-disturbed sleep, dry mouth/throat, irregular period, lower back/knee soreness and pain, 5 centre heat, hot flashes, night sweating, seminal emission, hair loss, premature aging

t: red w/ little or no coating
p: thready-rapid

Answer 9

LV-KD yin deficiency

blood and essence deficiency; LV and KD share the same source

Question 10

cough, little sputum, blood-streaked sputum, hoarseness, slim body, dry symptoms, red cheeks, tinnitus, dizziness, forgetfulness, lower back/knee soreness and pain, 5 centre heat, hot flashes, night sweating, dry mouth/throat

t: red w/ little or no coating
p: thready-rapid

Answer 10

LU-KD yin deficiency

metal not able to generate water, therefore fluid is deficient

Question 11

irritability, insomnia, dreaming, palpitations, tinnitus, dizziness, forgetfulness, lower back/knee soreness and pain, 5 centre heat, hot flashes, night sweating, dry mouth/throat

t: red w/ little or no coating
p: thready-rapid

Answer 11

HT-KD yin deficiency (HT-KD disharmony)

water and fire disconnected; HT fire + KD yin deficiency

Question 12

sudden severe cough, yellow sticky sputum, blood in sputum, chest and rib cage pain, irritability, dry and bitter mouth, head distention, dizziness, red face, red eyes

t: red w/ thin yellow coating
p: wiry-rapid

Answer 12

LV fire attacking LU

LV fire + LU heat

Question 13

epigastric distention and pain, together w/ hypochondriac pain, chest oppression, sighing, belching, acid reflux, abdominal pain or bloating, borborygmus, gas, diarrhea, abdominal pain after bowel movement, loose stool, or alternating dry and loose stool

t: thin white coating
p: wiry or moderate-weak

Answer 13

LV qi attacking SP/ST

Question 14

epigastric burning pain, sharp pain, irritability, easily angered, dry mouth, bitter taste in mouth

t: red w/ yellow coating
p: wiry-rapid

Answer 14

LV fire attacking ST

Question 15

insomnia, fullness in chest and hypochondrium, fever, red face and eyes, acne on face, bitter taste in mouth, deep-yellow urine, irritability, easily angered, bleeding from lung or nose, dry stool

t: red tip and edges w/ dry-yellow coating
p: wiry-rapid-strong

Answer 15

LV and HT fire

Question 16

severe tongue ulceration, ulceration on inside of cheeks, ulceration of lips, oral thrush, red face and lips, irritability, crying, dry stools, scanty yellow urine

t: red w/ thin yellow coating
p: slippery-rapid w/ purplish-red index finger vein

Answer 16

HT and SP heat

mostly seen in kids

Question 17

excessive eating, frequent hunger, emaciation, constipation, or alternating dry and loose stool, dull yellow face, shortness of breath, dry and withered hair

t: pale w/ thin-yellow coating
p: thready-rapid or slippery-rapid

Answer 17

weak SP strong ST

(Sp qi deficiency + ST heat;
shortness of breath can be related to SP qi deficiency)

Question 18

irritability, mouth ulcers, sore throat, painful tongue tip, thirst, scanty dark urine, burning pain on urination, blood in urine

t: red tip w/ yellow caoting
p: rapid

Answer 18

HT fire descending to SI

Question 19

boils inside mouth and nose; burning, red, and itchy skin around nose; rosacea, toothache, sore throat, constipation

t: red w/ yellow coating
p: rapid-slippery

Answer 19

LU and ST heat

Question 20

palpitations, uneasiness, susceptibility to fright and fear, palpitations easily induced by fright and worsened by fatigue, chest oppression, shortness of breath, spontaneous sweating, uncomfortable whether sitting or laying down, dislike of loud sounds, insomnia, dream-disturbed sleep, easily awakened

t: pale
p: rapid-weak or thready-wiry

Answer 20

HT qi deficiency w/ GB timidity

Question 21

diarrhea due to SP-KD yang deficiency

Answer 21

SP yang deficiency w/ LI deficiency cold

Question 22

frequent urination, especially at night, clear and prolonged urine, incontinence of urine, pale face, soreness in lumbar region, lassitude, cold limbs

t: pale, puffy w/ white-watery coating
p: deep-weak-slow

Answer 22

KD yang deficiency w/ BL deficiency cold

Question 23

severe aversion to cold, mild fever, no perspiration, distending headache, body ache, heavy head and body, low muffled cough sound, sticky and profuse nasal discharge

t: white-greasy coating
p: soggy

Answer 23

wind-cold attacking exterior plus dampness

common cold; bi syndrome

Question 24

aversion to cold, fever, body ache, no sweating, irritability, thirst, preference for drinks, sore throat, cough w/ yellow sticky phlegm, constipation, yellow urine

t: yellow coating
p: floating-rapid

Answer 24

exterior cold w/ interior heat; cold wrapping heat

(unrelieved exterior cold transmits into interior and transforms into heat;
interior heat body gets exterior cold attack)

Question 25

fever, sweating, indigestion, loose stool w/ undigested food, clear abundant urine

t: puffy w/ thin coating

Answer 25

exterior heat w/ interior cold

(yang deficiency body type gets wind-heat attack;
over use of cold or cool herbs/food leading to injured yang qi)

Question 26

heat in chest, irritability, acne on face and/or chest, red face, abdominal cold pain, preference for warmth, loose stool or diarrhea

Answer 26

upper heat w/ lower cold

key: hot chest w/ abdominal cold pain

Question 27

cold chest and upper back, cold stomach pain, nausea, vomiting clear saliva, white sputum, pale face; burning, painful, and frequent urination; sticky, foul smelling stool, or constipation, lower leg boils, redness and burning of lower legs and feet

Answer 27

upper cold w/ lower heat

key: cold chest and stomach not able to digest food, heat from lower back and in bladder