TCM Patterns Flashcards by Aimee Movold

Pallor, dizziness, blurring of vision, listlessness, lasstitude, SOB, unwillingness to speak, feeble voice, spontaneous perspiration, all aggregated on exertion, susceptible to cold, pale tongue, weak pulse

Qi Deficiency

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Tiredness, dizziness, blurring of vision, SOB, bearing down and distending sensation in abdomen, frequent urination, chronic diarrhea, prolapsed uterus or rectum, gastroptosis (stomach prolapse), nephroptosis, pale tongue, white tongue coating, weak pulse

Sinking of Qi

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Oppression and distending, unlocalized and fluctuating pain in chest, hypochondrium and abdomen which is subsided after eructation, fart and borborygmus, aggrevated when patient feels depressed

Stagnation of Qi

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Cough, asthma, hiccup, eructation (belching), nausea, vomiting, dizziness, painful distension in head or even syncope (fainting), hematemesis in serious cases

Reversed flow of Qi

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Pallor or sallow complexion, pale lips and nails, dizziness, blurring of vision, palpitation, insomnia, numbness of limbs, rough skin, hypomenorrhea with light color, delayed menstration, amenorrhea, pale tongue, thready weak pulse

Deficiency of Blood

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Stabbing fixed pain at certain region, aggrevated with pressure or at night, hard and fixed masses in the abdomen, subcutaneous hemotoma and pelidnoma, bleeding of caked and dark purple blood, darkish complexion, squamous and dry skin, cyanotic lips and nails, amenorrhea in women, dark purple tongue or with ecchymoses and petechiae, thready unsmooth pulse

Blood Stasis

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Hemoptysis, hematemesis, bleeding from eyes, ears, nose, mouth or subcutaneous tissues, hematuria, hematochezia, preceded menstral cycle, menorrhagia, mental restlessness or mania, coma, dryness of mouth with no desire to drink, feverish that is severe at night, crimson tongue, rapid pulse or slippery rapid pulse

Heat in Blood

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Coldness and pain in the hands, feet and lower abdomen which is relieved by warmth, intolerance to cold and preference for warmth, cold and blueish purple hands and feet, delayed menstration, dark purple menstral flow with clots, dysmenorrhea, pale tongue, white coating, slow deep unsmooth pulse

Cold in Blood

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Pallor or sallow complexion, SOB, unwillingness to speak, fatigue, dizziness, blurred vision, spontaneous perspiration, palpitation, insomnia, pale lips and nails, pale tongue, thready and weak pulse

Deficiency of both Qi and Blood

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Fullness, distension and migratory pains in chest and hypochondrium, depression, irritability, abdominal mass, stabbing pain with reluctance to pressure, distending pain in breasts before menstration, dysmenorrhea, dark purple menstration with clots, amenorrhea in a serious case, dark purple tongue with petechiae, wiry unsmooth pulse

Stagnation of Blood due to Stagnation of Qi

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Hemafecia (blood in stool), hematemesis, subcutaneous ecchymoses, teeth and gum bleeding, profuse menstration, metrorrhagia, metrostaxis, SOB, spontaneous perspiration, fatigue, pale tongue and complexion, thready weak pulse

Hemorrhage due to Deficiency of Qi

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Heavy bleeding, pallor, cold limbs, profuse cold sweating, feeble breath, coma, pale tongue, floating scattered pulse

Exhaustion of Qi resulting from Hemorrhage

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Dryness of mouth and throat, dry lips and tongue, dry skin, scanty urination, constipation, red tongue with little fluids, thready rapid pulse

Insufficiency of Body Fluids

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Puffiness of eyelids which spreads to the four limbs and whole body, the attack is abrupt, soreness and heaviness of limbs, scanty urination, mostly accompanied by aversion to wind cold, fever, thin white tongue coating, superficial tense pulse, sore throat, red tongue, superficial rapid pulse, general edema which develops slowly and produces deep dents on pressure, heaviness of the body and limbs, fullness of the epigastrium, anorexia, nausea, vomiting, white sticky tongue coating, deep retarded pulse

Yang Edema

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Edema worse in the lumbar region, dents on pressure, scanty urination, epigastric fullness, abdominal distension, loss of appetite, loose stools, pallor and sallow complexion, soreness and coldness of lumbar region and knee joints, cold limbs, intolerance to cold, lasstitude, pale and puffy tongue, white slippery tongue coating, deep slow forceful pulse

Yin Edema

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Cough, asthma, expectoration, fullness of chest, stuffiness of epigastrium, loss of appetite, nausea, dizziness, coma, mania, rattle in the throat, numbness of body and limbs, hemiplegia, scrofula, goiter, subcutaneous nodules, nodules in breasts, obstructed feeling in throat, white and sticky or yellow and sticky tongue coating, smooth pulse

Phlegm Syndrome

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Stuffiness and distension in the epigastrium and abdomen, rumbling sound in stomach and intestines, vomiting clear water, dizziness, blurred vision, palpitations, distension and fullness in chest and hypochondrium, cough, pain which occurs during respiration in turning the body laterally; or cough, asthma, fullness of chest that makes it impossible to lay flat, edema of body and limbs, heaviness and soreness, difficult urination, white smooth tongue coating, wiry pulse

Retained Fluids Syndrome

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Fever, aversion to cold, sweats or slight sweats, headache, stuffy and running nose, itching throat, slight cough, superficial moderate pulse, white thin tongue coating

Invasion of Wind in the Exterior

WIND PATTERN

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Itching of skin, skin rashes, come and go regularily and quickly

Retention of Wind in the Skin

WIND PATTERN

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Numbness of limbs or face, clenched jaw, deviation of mouth and eye, stiff neck, convulsion, tic

Invasion of Wind in the Channels and Collaterals

WIND PATTERN

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Unbearable pain in the joints, limitation of movement, SOB, spontaneous perspiration, superficial wiry or deep weak pulse, white greasy tongue coating

Retention of Wind in the Joints

WIND PATTERN

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Acute onset, no fever at beginning but later on, aversion to cold, no sweats, stiff neck and back, body aching, superficial tight pulse, white thin tongue coat

Invasion of Cold in the Exterior

COLD PATTERN

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Abdominal pain, borborygmus, diarrhea, vomit, pale tongue with white coating or spasm of four limbs, extremely cold limbs, minute pulse

Attack of Cold in the Interior

COLD PATTERN

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Severe joint pain which is fixed and swollen, aggrevated by cold and alleviated by warmth, pale puffy skin, skin cold to the touch, pale puffy tongue with white greasy/slippery tongue coating, wiry tight pulse

Invasion of Cold in the Channels and Collaterals

COLD PATTERN

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Fever, thirst, cough without sputum, chest tightness, hypochondriac pain, soft rapid pulse, strong in Cun position, may be dizzy, fever and chills, sweats, cough, thin white slightly greasy coating, weak pulse

Invasion of Summer Heat in the Lungs SUMMER HEAT PATTERN

Dizziness, vertigo, headache, aversion to heat, restlessness, red face, rough breathing, dry mouth, thirst with preference for cold drinks, profuse sweats, slight aversion to cold on the back, flooding large pulse

Scorchung of Summer Heat in the Yangming Meridian SUMMER HEAT PATTERN

Fever, red face, deafness, chest tightness, epigastrium fullness, diarrhea,scanty yellow urine, cough with bloody sputum, slight thirst with no desire to drink, red tongue with yellow and slippery coating

Summer Heat with Damp Heat SUMMER HEAT PATTERN

Headache, fever, aversion to cold, no sweats, stiffness of body, fullness in the epigastric region, restlessness, white and greasy tongue coating

Summer Heat with Cold Damp SUMMER HEAT PATTERN

High fever, spontaneous sweats, big thirst, vomit, diarrhea, heaviness of the head, fatigue, feeble pulse

Injury of Qi and Body Fluids by Summer Heat SUMMER HEAT PATTERN

Heaviness of the head and body, fever, no sweats, joint aching, fatigue, superficial moderate and soft pulse, thin white slippery tongue coating

Invasion of Damp in the Exterior DAMPNESS PATTERN

Skin rash, excema with yellowish liquid, boils, sores, unbearable itching

Invasion of Damp in the Skin DAMPNESS PATTERN

Swollen and painful joints in a fixed location, heaviness of body, numbness of skin, clumsiness, deep thready or soft moderate pulse, white greasy tongue coating

Retention of Damp in the Joints DAMPNESS PATTERN

Fullness and oppression in the chest and epigastric region, diarrhea with clear watery stool, abdominal pain, borborygmus, soft moderate pulse, whie greasy slippery tongue coating

Retention of Damp in the Middle Jiao DAMPNESS PATTERN

Fever, slight aversion to cold, headache, little sweat, cough with little sputum, dry mouth and nose, thirst, red tongue with white tongue coating, large rapid pulse in right Cun position

External Dryness Invasion of Warm Dry in the Exterior DRYNESS PATTERN

Aversion to cold, slight fever, headache, no sweats, obstruction of nose, dry throat and lips, cough with thin sputum

External Dryness Invasion of Cool Dry in the Exterior DRYNESS PATTERN

Dry cough or cough with little sputum which is difficult to expectorate, cough with blood, dry mouth, thirst, distension in the chest and abdomen, constipation, epistaxis, restlessness, dry yellow tongue coating

Internal Dryness DRYNESS PATTERN

Fever, sore throat, redness of eyes and face, thirst, halitosis, toothache, swelling gums with bleeding, deafness, bitter taste in the mouth, restlessness, constipation, scanty urine, burning pain in urination

Excessive Fire FIRE PATTERN

Afternoon fever, malar flush, hot in five heat, insomnia, restlessness, red tongue with little coating, thready rapid pulse

Deficient Fire FIRE PATTERN

Fever, slight aversion to wind or cold, absence of or little sweating, headache, cough, sore throat, dryness of mouth, mild thirst, red tip and edges of tongue body, thin and white or slightly yellow coating, superficial and rapid pulse

Syndrome of Wei level

High fever, aversion to heat rather than cold, flushed face, irritability, thirst, dark yellow and scanty urine, red tongue with yellow coating, rapid pulse

Syndrome of Qi level | General Manifestations

Fever, extreme thirst, sweating, cough, asthma, chest pain, expectoration with thick yellow sputum, flaring of nose, red tongue with yellow coating, slippery and rapid pulse

Retention of Heat in Lungs SYNDROME OF QI LEVEL

Fever, distressing and burning sensations in the epigastrium, restlessness, light yellow tongue coating in mild cases, high fever, irritability, burning sensation in chest and diaphragm, dryness of lips and throat, thirst, constipation, red tongue with yellow tongue coating, slippery and rapid pulse

Disturbance of the Chest and Diaphragm by Heat SYNDROME OF QI LEVEL

High fever, flushed face, irritability, polyphagia, severe thirst, preference for cold drinks, profuse sweating, yellow and dry tongue coating, flooding and rapid pulse

Retention of Heat in the Stomach SYNDROME OF QI LEVEL

Afternoon fever, constipation or watery diarrhea with foul smell, abdominal fullness and lain aggrevated by pressure, yellow and dry or dark yellow tongue coating with prickles, deep forceful pulse

Retention of Heat in the Intestional Tract SYNDROME OF QI LEVEL

Fever higher at night, restlessness, insomnia, even occasional coma and delirium, slight thirst with little desire to drink, faint skin rashes, deep red and dry tongue, thready and rapid pulse

Syndrome of Ying Level

Fever, loss of consciousness, delirium or mental confusion, contraction of tongue, cold limbs, deep red tongue, rapid Pulse

Invasion of Heat into the Pericardium SYNDROME OF YING LEVEL

Fever that is worse at night, restlessness, insomnia, mania, absence of thirst, Hemoptysis, epistaxis, bloody stools, hematuria, dense skin rashes, deep red tongue, rapid pulse, fever, flushed face, dry mouth and tongue, tinnitus, deafness, burning sensation in the chest/palms/soles, feeble and rapid pulse

Syndrome of Xue Level

Transmission law of Sanjiao Diseases

Upper Jiao- expel EPF Middle Jiao- reduce heat to protect fluids Lower Jiao - nourish yin to suppress yamg

Slight aversion to wind and cold, fever, sweating, thirst or absence of thirst, superficial rapid pulse

Invasion of Lung by Wind-Heat SYNDROME OF UPPER JIAO

Fever, sweating, thirst, cough, asthma, yellow tongue coating, rapid pulse

Retention of Heat in the Lung SYNDROME OF UPPER JIAO

Fever, loss of consciousness, delirium, mental confusion, aphasia, cold limbs, contraction of tongue, deep red tongue

Invasion of the Pericardium by Heat SYNDROME OF UPPER JIAO

Severe aversion to cold, mild or absence of fever, a heavy sensation in the head as if were tightly wrapped with a cloth, heaviness of the limbs and trunk, a stifling sensation in the chest, absence of thirst, dull facial expression, epigastric fullness and distension, poor appetite, borborygmus, loose stools, a white sticky tongue coating, soft retarded pulse

Damp Heat in the Upper Jiao

Low fever or tidal fever or unsurfaced fever, or fever which reoccurs after reduced sweating, distension and fullness in the chest and epigastrium, nausea, vomiting, thirst with desire to drink only a little, heaviness of the limbs, loose but hesitant stools, turbid or scanty deep yellow urine, sticky tongue coating, soft retarded pulse

Damp Heat in Middle Jiao

Fever, malar flush, burning sensation in the chest/palms/soles that is more severe on the dorsum side of hands and feet, dryness of mouth and tongue, restlessness, insomnia, listlessness, desfness, dry and deep red tongue. Feeble or thready and rapid pulse

Consumption of Kidney Yin SYNDROMES OF LOWER JIAO

Convulsions or trembling, listlessness, cold limbs, violent palpitations with an empty sensation, deep red tongue with little coating, weak and feeble pulse

Stirring up of Deficiency Wind SYNDROMES OF LOWER JIAO

Retention of urine, thirst with desire to drink only a little, constipation, hardness and fullness in the lower abdomen, a sticky yellow or white tongue coating, soft rapid pulse

Damp Heat in the Lower Jiao SYNDROMES OF LOWER JIAO

Fever, aversion to wind, pain and stiffness in the head and neck, sweating, superficial retarded pulse

Taiyang Syndrome of Attack by Wind TAIYANG MERIDIAN SYNDROME

Aversion to cold, fever, pain and stiffness in the head and neck, absence of sweating, asthma, general aching of the body, pain in the lower part of back, painful joints, superficial and tense pulse

Taiyang Syndrome of Attack by Cold TAIYANG MERIDIAN SYNDROME

Fever, aversion to wind, sweating, excessive thirst, vomits after drinking, difficulty in urination, distension and fullness in the lower abdomen, floating pulse

Water Retention Syndrome in Taiyang TAIYANG FU ORGAN SYNDROME

Subjective sensation of spasmatic distension and fullness or muscular ridigity of the lower abdomen, mad like or mania, normal urination, deep and unsmooth pulse or deep knotted pulse, jaundice in serious cases

Blood Retention Syndrome in Taiyang TAIYANG FU ORGAN SYNDROME

High fever,absence of aversion to cold but aversion to heat, profuse sweating, extreme thirst with preference for drinking cold water, flushed face, irritability, harsh breathing with dyspnea, yellow and dry coating, full large pulse

Yangming Meridian Syndrome

Fever, afternoon fever, fullness and pain in the abdomen, constipation,restlessness, irritability, polyhidrosison the hands and feet, delirium, loss of consciousness, carphology, red tongue with prickles, yellow dry or dark yellow tongue coating, deep and forceful or slippery and rapid pulse

Yangming Fu Organ Syndrome

Alternating chills and fever, fullness of costal and hypochondriac regions, loss of appetite, restlessness, vomiting, bitter taste in mouth, dryness of throat, blurred vision, wiry pulse

Shaoyang Syndrome

Abdominal fullness, vomiting, loss of appetite, diarrhea, abdominal pain tats relieved by warmth or by applying pressure, absence of thirst, pale tongue, white tongue coating, retarded and weak pulse

Taiyang Syndrome

Intolerance to cold, preference for laying in a curled up posture, listlessness with a desire to sleep, cold limbs, diarrhea containing undigested food, desire to vomit but without vomitus, absence of thirst or preference for hot drinks, profuse and clear urine, palpitation, pale tongue, white tongue coating, deep and faint pulse

Cold Transformation Syndrome of Shaoyin SHAOYIN SYNDROME

Irritability, insomnia, dryness of the throat and mouth, sore throat, red tip of tongue or deep red tongue with little coating, thready and rapid pulse

Heat Transformation Syndrome of Shaoyin SHAOYIN SYNDROME

Persistent thirst, a feeling of Qi rushing to the chest, pain and burning sensation in the chest, a feeling of hunger with no desire to eat, cold limbs, endless diarrhea, vomiting, even vomiting of ascarids

Jueyin Syndrome

Six Stages Identification - Meridians Order

1. Taiyang 2. Yangming 3. Shaoyang 4. Taiyin 5. Shaoyin 6. Jueyin