脏腑之证 心，心包，肝Zang Fu Patterns: HT PC LV

Question 1

Palpitations, shortness of breath, weak and shallow breathing, profuse sweating, cold limbs, cyanosis of lips, grayish-white complexion; in severe cases: coma; T: very pale or bluish purple, short; P: Hidden, Minute, Knotted

Answer 1

HT Yang Collapse

Question 2

Palpitations, shortness of breath on exertion, spontaneous sweating, tiredness, a slight feeling of stuffiness or discomfort in heart region, feeling of cold, cold hands, bright, pale face, slightly dark lips; T: pale, slightly wet; P: Deep, Weak; Severe: Knotted

Answer 2

HT Yang Deficiency

Question 3

Palpitations, shortness of breath on exertion, pale face, spontaneous sweating, tiredness, slight depression; T: pale or normal; P: Empty; Severe: Slightly Overflowing and Empty

Answer 3

HT Qi Deficiency

Question 4

Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull, pale complexion, pale lips; T: pale, thin, slightly dry; P: Choppy or Fine

Answer 4

HT Blood deficiency

Question 5

Palpitations, insomnia, dream-disturbed sleep, propensity to be startled, poor memory, anxiety, mental restlessness, ‘uneasiness’, ‘fidgetiness’, dry mouth and throat, night sweating; T: no coat, deep midline crack reaching the tip; P: Floating, Empty; Empty-Heat: malar flush, feeling of heat especially in the evening, ‘feeling hot and bothered’, five-palm heat; T: Red without coating, redder tip with red points; P: Floating-Empty and Rapid or Fire-Rapid

Answer 5

HT Yin Deficiency

Question 6

Palpitations, thirst, mouth and tongue ulcers, mental restlessness, feeling agitated, feeling of heat, insomnia, dreamdisturbed sleep, red face, dark urine or blood in urine, bitter taste (after a bad night’s sleep); T: red, tip redder and swollen with red points, yellow coat; maybe midline crack reaching to the tip; P: Full, Rapid, Overflowing especially left front position; possibly Hasty (Rapid and stopping at Irregular Intervals)

Answer 6

HT Fire Blazing

Question 7

Mental confusion, unconsciousness, lethargic stupor, incoherent speech, slurred speech, aphasia, vomiting of phlegm, rattling sound in the throat, mental depression, very dull eyes; T: swollen with thick sticky coat, midline crack reaching the tip (Heart crack); P: Slippery

Answer 7

HT Phlegm Misting the Mind

Question 8

Palpitations, a feeling of distention or oppression in the chest, depression, a slight feeling of lump in the throat, slight shortness of breath, sighing, poor appetite, weak and cold limbs, slightly purple lips, pale complexion; T: slightly palepurple on the sides in the chest area; P: Empty but very slightly Overflowing on the left front position

Answer 8

HT Qi stag

Question 9

Palpitations, shortness of breath with inability to lie down (orthopnea), depression, mental restlessness, a feeling of oppression in the chest, stabbing or prickling pain in heart region that comes and goes and which may radiate to the upper back or shoulder, pain aggravated by exposure to cold and alleviated by heat, expectoration of phlegm, a feeling of heaviness, dislike to speak, cold hands, sighing, purple lips, face and nails; T: purple on the sides in the chest area, swollen with a sticky coat; P: Wiry, Choppy or Knotted (Slippery if Phlegm is predominant)

Answer 9

HT vessel obstruction

Question 10

Palpitations, stabbing or pricking pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, cyanosis of lips and nails, cold hands; T: purple in its entirety or only on the sides in the chest area; P: Choppy, Wiry or Knotted

Answer 10

HT blood stasis

Question 11

Feeling of stuffiness and discomfort of the chest, dull ache in the chest, very slight shortness of breath, palpitations, anxiety, insomnia, dizziness, dream-disturbed sleep, poor memory, propensity to be startled, dull-pale complexion, pale lips, cold hands, scanty periods, amenorrhea; T: pale, thin, slightly dry; P: Choppy or Fine but very slightly hard on the left front position

Answer 11

PC Blood Deficiency

Question 12

Fever at night, mental confusion, incoherent speech or aphasia, delirium, body hot, hands and feet cold, macules; T: red and dry without coat; P: Fine, Rapid

Answer 12

PC Heat

Question 13

Palpitations, a feeling of tightness and heat in the chest, slight chest ache, rapid breathing, thirst, mouth and tongue ulcers, mental restlessness, feeling of agitation, feeling of heat, insomnia, dream-disturbed sleep, red face, bitter taste (after a bad night’s sleep), heavy periods; T: red, tip redder and swollen with red points, yellow coat; there may be a midline crack reaching the tip; P: Full, Rapid, Overflowing especially on left front position; possibly Hasty (Rapid and stopping at Irregular Intervals

Answer 13

PC Fire

Question 14

Palpitations, feeling of oppression and heat of the chest, chest pain, rapid breathing, thirst, red face, bitter taste, expectoration of phlegm, rattling sound in the throat, mental restlessness, insomnia, dream-disturbed sleep, agitation, incoherent speech, mental confusion, rash behavior, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, mental depression and dullness and manic behavior; T: red, swollen with yellow, dry, sticky coat, deep heart crack; tip may be redder and swollen with red points; P: Full, Rapid, Slippery or Rapid, Overflowing, Slippery or Rapid, Full, Wiry

Answer 14

PC Phlegm Fire

Question 15

A feeling of distention and slight pain in the chest, feeling of tightness in the chest, slight shortness of breath, sighing, feeling of a lump in the throat, palpitations, depression, irritability, poor appetite, weak and cold limbs, slightly purple lips, pale complexion; T: slightly pale, purple on the sides in the chest area; P: Empty but very slightly Overflowing on the left front position

Answer 15

PC Qi Stag

Question 16

Palpitations, stabbing or pricking pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, shortness of breath, cyanosis of lips and nails, cold hands, painful periods with dark clots; T: purple in its entirety or only on the sides in the chest area; P: Choppy, Wiry or Knotted

Answer 16

PC blood stasis

Question 17

Dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in the eyes, diminished night vision, scanty menstruation or amenorrhea, dull, pale complexion without luster, pale lips, muscular weakness, cramps, withered and brittle nails, dry hair and skin, depression, a feeling of aimlessness; T: pale, especially on the sides; extreme cases: can assume an orangey color, thin and slightly dry; P: Choppy or Fine Empty Heat: Malar flush, anxiety, a feeling of heat in the evening, night sweating, five-palm heat, thirst with desire to drink in small sips, heavy menstrual bleeding; T: Red without coating; P: Floating-Empty and slightly Rapid

Answer 17

LV Blood Deficiency

Question 18

Feeling of distention of hypochondrium, chest, epigastrium or abdomen, sighing, melancholy, depression, moodiness, fluctuation of mental state, feeling wound, up, feeling of a lump in the throat, irregular periods, distention of breasts before periods, premenstrual tension and irritability; T: body color may be normal; severe: may be slightly red on the sides; P: Wiry, especially on the left side

Answer 18

LV Qi stag

Question 19

Hypochondrial or epigastric distention, a slight feeling of oppression in the chest, irritability, melancholy, depression, moodiness, feeling of a lump in the throat, feeling of heat, red face, thirst, propensity to outbursts of anger, premenstrual tension, irregular periods, premenstrual breast distention, heavy periods; T: red on the sides; P: Wiry, especially on the left side and slightly Rapid

Answer 19

LV Qi stag turning into heat

Question 20

Hypochondrial or epigastric distention, hiccup, sighing, nausea, vomiting, belching, churning feeling in Stomach, irritability, in women breast distention; T: normal; severe: sides will be red; P: Wiry (may be particularly Wiry on Liver and Stomach positions)

Answer 20

Liver Reb Qi

Question 21

Hypochondrial pain, abdominal pain, vomiting of blood, epistaxis, painful periods, irregular periods, dark and clotted menstrual blood, infertility, masses in abdomen, purple nails, purple lips, purple or dark complexion, dry skin (in severe cases), purple petechiae; T: purple, especially or only on sides; severe: purple spots on side; P: Wiry or Firm

Answer 21

LV Blood stasis

Question 22

Fullness of the hypochondrium, abdomen or hypogastrium, bitter taste, sticky taste, poor appetite, nausea, feeling of heaviness of the body, yellow vaginal discharge, vaginal itching, vulvar eczema or sores, mid-cycle bleeding and/or pain, pain, redness and swelling of the scrotum or genitals, papular or vesicular skin rashes and itching, urinary difficulty, burning on urination, dark urine, dysuria; T: red with redder sides, sticky yellow coat; P: Slippery, Wiry, Rapid

Answer 22

Liver Damp Heat

Question 23

Fullness and distention of the hypogastrium with pain which refers downwards to the scrotum and testis and upwards to the hypochondrium, the pain is alleviated by warmth, straining of the testis or contraction of the scrotum, vertical headache, feeling of cold, cold hands and feet, vomiting of clear watery fluids or dry vomiting; in women there can be shrinking of the vagina; T: pale and wet with a white coat; P: Deep, Wiry, Slow

Answer 23

Stagnation of Cold in Liver

Question 24

Irritability, propensity to outbursts of anger, tinnitus, deafness, temporal headache, dizziness, red face and eyes, thirst, bitter taste, dream-disturbed sleep, constipation with dry stools, dark, yellow urine, epistaxis, hematemesis, hemoptysis; T: red, redder on the sides, dry yellow coat; P: Full, Wiry, Rapid

Answer 24

Liver fire blazing

Question 25

Tremor, dizziness, tinnitus, headache, hypertension, dry throat, blurred vision, numbness or tingling of limbs, poor memory, insomnia; T: pale and thin; P: Wiry, Fine

Answer 25

Wind due to LV yang rising, LV blood deficiency

Question 26

Tremor, facial tic, severe dizziness, tinnitus, headache, hypertension, dry throat, dry eyes, blurred vision, numbness or tingling of limbs, poor memory; T: normal colored without coat; P: Wiry, Fine

Answer 26

Wind due to LV yang rising/ LV yin deficiency

Question 27

High temperature, convulsions, rigidity of the neck, tremor of limbs, opisthotonos; in severe cases coma; T: deep, red, stiff, dry yellow coat; P: Wiry, Rapid

Answer 27

Extreme heat generating wind

Question 28

Fine tremor, facial tic, dizziness, blurred vision, numbness or tingling of limbs, poor memory, insomnia, scanty periods; T: pale and thin; P: Wiry, Fine

Answer 28

LV Blood deficiency generating wind

Question 29

Tremor, irritability, propensity to outbursts of anger, tinnitus and/or deafness (with sudden onset), temporal headache, dizziness, red face and eyes, thirst, bitter taste, dream-disturbed sleep, constipation with dry stools, dark, yellow urine, epistaxis, hematemesis, hemoptysis; T: red with redder sides and dry yellow coat; P: Wiry, Rapid

Answer 29

LV fire generating wind

Question 30

Headache that may be on the temples, eyes or lateral side of the head, dizziness, tinnitus, deafness, blurred vision, dry mouth and throat, insomnia, irritability, feeling worked-up, propensity to outbursts of anger, stiff neck; T: Liver Blood deficiency: pale; Liver Yin deficiency: slightly red on the sides without coat; Rebellious Liver Qi: normal color or slightly red on sides; P: Wiry; Liver Blood or Liver Yin Deficiency: Wiry on one side or Wiry but Fine

Answer 30

Liver yang rising

Question 31

Tremor, facial tic, severe dizziness, tinnitus, headache, hypertension, dry throat, dry eyes, blurred vision, numbness or tingling of limbs, poor memory, backache, scanty urination, night sweating; T: normal colored without coat; P: Wiry, Fine

Answer 31

Wind due to LV yang rising LV and KD yin deficiency

Question 32

Dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in the eyes, dry eyes, diminished night vision, scanty menstruation or amenorrhea, dull, pale complexion without luster but with red cheekbones, muscular weakness, cramps, withered and brittle nails, very dry hair and skin, depression, feeling of aimlessness; T: normal colored without coat or with rootless coat; P: Floating, Empty

Answer 32

LV Yin Deficiency

Question 33

Palpitations, thirst, red face, bitter taste, a feeling of oppression in the chest, expectoration of phlegm, rattling sound in the throat, mental restlessness, insomnia, dream-disturbed sleep, agitation, incoherent speech, mental confusion, rash behavior, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, mental depression and dullness, manic behavior; T: red, swollen, yellow dry sticky coat, deep Heart crack; the tip may be redder and swollen with red points; P: Full, Rapid, Slippery or Rapid, Overflowing, Slippery or Rapid, Full, Wiry

Answer 33

HT Phlegm Fire