Inspection of the Expelled and Drained Matter (Excreta)

Question 1

General excreta observations to keep in mind:

White or pale, thinner=
yellow or dark, thicker=

Answer 1

White or pale, thinner= cold syndrome or deficiency syndrome

Yellow or dark, thicker= heat syndrome or excess syndrome

Question 2

Sputum

Answer 2

turbid, thick mucus expelled from the respiratory tract and is therefore a manifestation of phlegm retained in the lungs.

Question 3

Sputum:

White and watery

Answer 3

phlegm cold (usually yang def of the spleen or kidneys)

Question 4

Sputum: white and sticky

Answer 4

damp phlegm in the lungs ( external damp invasion or spleen dysfunction leading to damp accumulation)

Question 5

Sputum: yellow and sticky

Answer 5

phlegm heat in the lungs

Question 6

Sputum: yellow sticky and thick

Answer 6

toxic heat in the lungs

Question 7

Sputum: bloody tinged

Answer 7

phlegm with extreme heat in the lungs (if scanty it may be due to Lung yin deficiency)

Question 8

Sputum: foul smelling with pus and blood

Answer 8

pulmonary abscess: excessive pathogenic heat

Question 9

Nasal discharge

Answer 9

can indicate phlegm or dampness

Question 10

Nasal discharge: clear and watery

Answer 10

wind cold invasion or cold pattern (if it becomes chronic it is due to Lung Qi def and wei qi def )

Question 11

Nasal discharge: white and watery

Answer 11

phlegm cold or lung impairment

Question 12

Nasal Discharge: sticky and yellow

Answer 12

damp heat, phlegm heat or lung impairment

Question 13

Nasal discharge: white and sticky

Answer 13

wind heat invasion or damp accumulation

Question 14

Nasal discharge: blood streaked

Answer 14

phlegm heat or damp heat

Question 15

Saliva: clear and thin saliva

Answer 15

normal spleen and stomach function

Question 16

Saliva: excessive clear or white and thin

Answer 16

cold in the spleen

Question 17

Saliva: sticky and thick, possibly yellowish

Answer 17

heat in the spleen

Question 18

Saliva: excessive saliva

Answer 18

spleen qi or spleen yang deficiency (not burning up extra fluid)

Question 19

Saliva: coming out of mouth with facial paralysis and hemiplegia

Answer 19

wind

Question 20

Lack of Saliva

Answer 20

SP Qi Deficiency

Question 21

Vomit

Answer 21

Rebellious Stomach Qi

Question 22

Vomit: thin, without any foul smell

Answer 22

cold syndrome (spleen and stomach yang def or invasion of stomach pathogenic cold)

Question 23

Vomit:turbid and foul smelling

Answer 23

heat syndrome ( heat in spleen and stomach or liver fire invading the stomach)

Question 24

Vomit: vomit with undigested food

Answer 24

food retention in the stomach due to excessive eating and drinking or from dysfunction of spleen and stomach

Question 25

Vomit: made of water, sputum, phlegm or saliva

Answer 25

phlegm retention

Question 26

Vomit: yellowish or greenish with bitter taste (bile)

Answer 26

damp heat in the liver and gallbladder

Question 27

Vomit: dark red blood or dark purple blood with clumps

Answer 27

heat in stomach, liver fire invading the stomach or blood stagnation

Question 28

Vomit: Dry heaving

Answer 28

yin deficiency

Question 29

Urine: copious, clear or pale

Answer 29

cold pattern (usually KD yang def or cold in the bladder)

Question 30

Urine: scanty, dark yellow

Answer 30

heat pattern (usually KD yin def or heat in bladder)

Question 31

Urine: turbid or cloudy

Answer 31

dampness in the urinary passageways (usually the bladder)

Question 32

Urine: bloody

Answer 32

spleen qi def or heat pattern (usually heat in the bladder or KD yin def)

Question 33

Stools: light brown

Answer 33

normal

Question 34

Stools: black or dark

Answer 34

blood stasis

Question 35

Stools: dark bloody

Answer 35

spleen qi def or heat in the blood

Question 36

Stools: fresh red bloody

Answer 36

spleen qi def, heat in the blood or large intestine, anal fissure or hemorrhoids

Question 37

Stools: pale yellow

Answer 37

yin def of spleen, large intestine or kidneys

Question 38

Stools: dark yellow

Answer 38

excess heat in large intestine

Question 39

Stools: pale almost white

Answer 39

cold in the large intestine

Question 40

Dry stools (constipation)

Answer 40

indicate heat in the intestines, yin def of the large intestine, spleen, liver or kidneys or liver blood def

Question 41

Loose Stools (diarrhea)

Answer 41

def of the spleen or kidneys or cold pattern. Most common cause is Spleen Qi or Yang Def

Question 42

Cockscrow diarrhea

Answer 42

kid yang def

Question 43

Loose Stools with undigested food

Answer 43

spleen qi def

Question 44

Loose stools with mucus

Answer 44

dampness

Question 45

Stools: small pellets

Answer 45

liver qi stagnation or heat if they are also dry

Question 46

Stools: thin, pencil like

Answer 46

spleen qi def (could also indicate cancer)

Question 47

Sweat

Answer 47

usually due to heat or a def in yin, yang or qi

Question 48

Sweating: spontaneous

Answer 48

lung or heart qi def

Question 49

Sweating: night sweating

Answer 49

yin deficiency or damp heat

Question 50

Sweating: daytime sweating

Answer 50

qi or yang def

Question 51

Sweating on palms or soles of feet

Answer 51

yin def

Question 52

Sweating: oily leaving yellow stains

Answer 52

damp heat

Question 53

Sweating: oily especially on forehead

Answer 53

yang collapse

Question 54

Menstrual Blood: dark red or bright red

Answer 54

blood heat

Question 55

Menstrual Blood: pale

Answer 55

blood def

Question 56

Menstrual Blood: dark, dull clots

Answer 56

blood stasis

Question 57

Menstrual Blood: watery

Answer 57

blood or yin def

Question 58

Menstrual Blood: Sticky

Answer 58

damp or damp heat in the uterus

Question 59

Vaginal Discharge: white

Answer 59

cold (usually spleen or kidney yang def or exterior cold damp)

Question 60

Vaginal discharge: yellow

Answer 60

heat (usually damp hear in the lower jiao)

Question 61

Vaginal discharge: greenish

Answer 61

damp heat in the liver channel