9780443064487

Diagnosis in Chinese Medicine : A Comprehensive Guide

by
  • ISBN13:

    9780443064487

  • ISBN10:

    0443064482

  • Format: Hardcover
  • Copyright: 2004-01-16
  • Publisher: Churchill Livingstone
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Summary

Easily accessible and heavily illustrated, this complete guide to diagnosis in Chinese Medicine places an emphasis on "real world" issues. Focusing on clear interpretations of signs and symptoms, it addresses the practice beyond the theory and leads readers through both basic and sophisticated levels of diagnostic interpretation. Since Chinese medicine diagnosis relies on a subtle appraisal of a patient's disharmony, many factors beyond traditional Western symptoms are considered, including a patient's voice, the absence of thirst, feeling hot or cold, the patient's smell, tone of voice, and glitter of eyes. This practical resource helps readers carefully interpret of a range of nuances. Provides a clinical understanding of Traditional Chinese Medicine Offers an unparalleled depth of information that is meticulously cross-referenced Includes all the signs and symptoms, however subtle, that a modern patient may present in the clinic Provides clinical experience and understanding from a leader in the field of Chinese medicine Clearly outlines the decision-making options in key situations to help readers through the most challenging topics Logically organized so readers can quickly find the information they need in clinical situations

Table of Contents

Foreword xxxv
Preface xxxvii
Acknowledgements xli
Note on the translation of Chinese terms xliii
How to use this book xlv
Index of symptoms and signs xlix
List of abbreviations
liii
PART 1 DIAGNOSIS BY OBSERVATION
1(6)
Introduction
1(1)
Relationship between the Five Senses, the Nine Orifices and the Internal Organs
2(1)
Relationship between Different Areas of the Face and the Internal Organs
3(1)
Relationship between the Five Tissues and the Internal Organs
3(1)
Relationship between the Five Sites of Qi Transportation and the Yin Organs
4(1)
Manifestations of the Five Yin Organs
4(1)
The 12 Cutaneous Regions
5(2)
SECTION 1 OBSERVATION OF THE BODY, MIND AND COMPLEXION
7(60)
Introduction
7(1)
Correspondence between an Individual Part and the Whole
7(2)
Observation of Constitutional Traits
9(2)
Observation of the Body Shape, Physique and Demeanour
11(20)
Introduction
11(1)
Classification of Body Shape According to Yin and Yang
12(3)
Body shape abundant in Yang
12(1)
Body shape abundant in Yin
13(1)
Body shape deficient in Yang
14(1)
Body shape deficient in Yin
14(1)
Body shape with Yin and Yang in balance
15(1)
Classification of Body Shape According to the Five Elements
15(6)
Wood type
15(1)
Fire type
16(1)
Earth type
17(2)
Metal type
19(1)
Water type
19(2)
Clinical application of the Five Element types
21(1)
Classification of Body Shape According to Prenatal and Postnatal Influences
21(4)
Body shape with strong prenatal constitution
21(2)
Body shape with weak prenatal constitution
23(1)
Body shape with strong postnatal Qi
23(1)
Body shape with weak postnatal Qi
24(1)
Classification According to Body Build
25(2)
Robust type
25(1)
Compact type
25(1)
Muscular type
26(1)
Thin type
26(1)
Overweight type
27(1)
Classification of Body Shape According to Pain and Drug Tolerance
27(4)
Body shape indicating high pain and drug tolerance
27(1)
Body shape indicating low pain and drug tolerance
28(3)
Observation of the Mind, Spirit and Emotions
31(8)
Introduction
31(1)
The Three Aspects of the Spirit
32(1)
The embodiment of the Spirit
32(1)
The vitality of the Spirit
32(1)
The lustre of the Spirit
33(1)
The Three Conditions of the Spirit
33(1)
Strong Spirit
33(1)
Weak Spirit
34(1)
False Spirit
34(1)
The Spirit and Constitution
34(2)
Strong Spirit and strong constitution
35(1)
Weak Spirit and weak constitution
35(1)
Weak Spirit and strong constitution
35(1)
Strong spirit and weak constitution
36(1)
The Spirit and the Emotions
36(3)
Eyes
36(1)
Complexion
36(1)
Tongue
36(3)
Observation of the Complexion Colour
39(20)
Introduction
39(1)
Dominant and Guest Colours
40(2)
Dominant colours
40(1)
Guest colours
41(1)
Clinical significance
41(1)
Observation of Different Aspects of Complexion Colour
42(8)
Superficial or deep colour
42(1)
Distinct or obscure colour
42(1)
Scattered or concentrated colour
43(1)
Thin or thick colour
43(1)
Lustrous or lustreless colour
44(1)
Conforming or opposing colours
44(3)
Prognosis according to complexion colour
47(2)
Changes in complexion colour during a disease
49(1)
Complexion colours and emotions
49(1)
Complexion Colours
50(9)
Normal complexion colour
50(1)
White complexion colour
51(1)
Sallow complexion colour
52(1)
Yellow complexion colour
52(2)
Red complexion colour
54(1)
Bluish/Greenish complexion colour
55(1)
Dark complexion colour
56(1)
Purple complexion colour
56(3)
Observation of Body Movements
59(8)
Head
59(1)
Tremor of the head
59(1)
Rigidity of the neck
59(1)
Face
60(1)
Deviation of eye and mouth
60(1)
Facial paralysis (Bell's palsy)
60(1)
Facial tic
61(1)
Limbs and Body
61(6)
Paralysis
61(1)
Tremor or spasticity of the limbs
62(1)
Twitching of the muscles
63(1)
Opisthotonos
63(1)
Contraction of the limbs
63(1)
Hemiplegia
64(1)
Tremor of the hands
64(1)
Tremor of the feet
64(1)
Contraction of the fingers
65(2)
SECTION 2 OBSERVATION OF PARTS OF THE BODY
67(134)
Introduction
67(2)
Observation of Head, Face and Hair
69(6)
Head
69(1)
Dry scalp
69(1)
Redness and pain of the scalp
69(1)
Tremor of the head
70(1)
Swelling of the whole head
70(1)
Boils on the scalp
70(1)
Ulcers on the scalp
70(1)
Ulcers in the mastoid region
70(1)
Erosion of the scalp
70(1)
Head leaning to one side
70(1)
Head tilted backwards
70(1)
Late closure of the fontanelles
70(1)
Face
70(1)
Acne
71(1)
Papular/macular eruptions
71(1)
Oedema of the face
71(1)
Swelling and redness of the face
71(1)
Swelling, redness and pain of the cheeks
71(1)
Ulcers below the zygomatic arch
71(1)
Lines on the face
71(1)
Deviation of eye and mouth
71(1)
Hair
71(4)
Hair falling out
72(1)
Alopecia
72(1)
Dry and brittle hair
72(1)
Greasy hair
73(1)
Premature greying of the hair
73(1)
Dandruff
73(2)
Observation of the Eyes
75(12)
Introduction
75(1)
Channels Influencing the Eyes
76(1)
Relationship between the Internal Organs and the Eyes
76(4)
The eyes and the Liver
76(1)
The eyes and the Kidneys
77(1)
The eyes and the Heart
77(1)
The eyes and the Stomach and Spleen
77(1)
The eyes and the Gall-Bladder
77(1)
The eyes and the Bladder
78(1)
The eyes and the Small Intestine
78(1)
The Five Wheels
78(1)
The Eight Ramparts
79(1)
The Eye System
79(1)
Aspects of Observation of the Eyes
80(1)
The lustre of the eyes
80(1)
The control of the eyes
80(1)
The normal eye
81(1)
Observation of Pathological Signs of the Eye
81(6)
Abnormal colour
81(1)
Other features
82(5)
Observation of the Nose
87(6)
Introduction
87(1)
Channels Influencing the Nose
87(1)
Relationships between the Nose and the Internal Organs
88(1)
Abnormal Colour
89(1)
Pale
89(1)
Yellow
89(1)
Red
89(1)
Bluish-greenish
89(1)
Reddish-purple
89(1)
Dark
90(1)
Swollen Nose
90(1)
Flapping Alae Nasi (The Outside of the Nostrils)
90(1)
Dry Nostrils
90(1)
Nosebleed
90(1)
Polyps
90(1)
Ulcers on the Nose
90(1)
Papules on the Nose
90(3)
Observation of Lips, Mouth, Palate, Teeth, Gums and Philtrum
93(12)
Channels Influencing the Mouth and Lips
93(1)
Lips
94(2)
Abnormal colour
94(2)
Dry or cracked lips
96(1)
Peeled lips
96(1)
Swollen lips
96(1)
Trembling lips
96(1)
Inverted lips
96(1)
Drooping lips
96(1)
Mouth
96(2)
Cold sores
97(1)
Cracked corners of the mouth
97(1)
Mouth ulcers
97(1)
Mouth open
97(1)
Deviation of mouth
97(1)
Dribbling from the corners of the mouth
98(1)
Palate
98(1)
Abnormal colour
98(1)
Teeth and Gums
99(2)
Teeth
99(1)
Gums
100(1)
Philtrum
101(4)
Flat philtrum
102(1)
Stiff-looking philtrum
102(1)
Abnormal colour
102(3)
Observation of the Ears
105(4)
Introduction
105(1)
Channels Influencing the Ears
105(1)
Ear Size
106(1)
Large ears
106(1)
Small ears
106(1)
Swollen ears
107(1)
Contracted ears
107(1)
Dry and Contracted Helix
107(1)
Sores on the Ear
107(1)
Warts on the Ear
107(1)
Abnormal Colour
107(1)
Yellow helix
107(1)
Pale helix
107(1)
Bluish-greenish (qing) helix
107(1)
Dark helix
107(1)
Red helix
107(1)
Red back of the ear
108(1)
Swelling and redness of the concha
108(1)
Distended Blood Vessels on the Ear
108(1)
Excessive Wax Production
108(1)
Discharge from the Ears
108(1)
Observation of the Throat and Neck
109(6)
Channels Influencing the Throat and Neck
109(1)
Throat
110(2)
Redness on the throat
110(1)
Goitre
110(1)
Pulsation of the carotid artery
110(1)
Observation of the pharynx
110(1)
Swollen tonsils
111(1)
Abnormal tonsils colour
111(1)
Neck
112(3)
Neck length
112(1)
Rigidity of the neck
112(1)
Soft neck
113(1)
Deviated neck
113(1)
Neck width
113(1)
Swollen neck glands
114(1)
Observation of the Back
115(6)
Channels Influencing the Back
115(1)
Atrophy of the Muscles Along the Spine
116(1)
Rigidity of the Lower Back
116(1)
Spinal Curve Abnormalities
116(2)
Spine bent forward
116(1)
Scoliosis
117(1)
Lordosis
117(1)
Kyphosis
117(1)
Flattening of lumbar spine
118(1)
List of spine
118(1)
Skin Signs
118(3)
Spots on the back
118(1)
Vesicles on the lower back
119(1)
Dryness and redness of the skin of the lower back
119(1)
Yellow colour of the lower back
119(1)
Skin marks on the lower back
119(1)
Boils on BL-23 Shenshu
119(1)
Papules or pustules on the buttocks
119(2)
Observation of Women's Breasts
121(6)
Introduction
121(1)
Channels Influencing the Breasts
121(1)
Breast Size
122(1)
Small breasts
122(1)
Breast distension
122(1)
Swollen breasts
122(1)
Redness and swelling of the breasts
122(1)
Breast Lumps
122(2)
Nipple Abnormalities
124(1)
Milky nipple discharge
124(1)
Sticky yellow nipple discharge
124(1)
Bloody discharge from the nipple
124(1)
Inverted nipples
125(1)
Cracked nipples
125(1)
Peau D'Orange Skin
125(2)
Observation of the Heartbeat
127(2)
Introduction
127(1)
Heartbeat Displaced Downwards
128(1)
Heartbeat Displaced Upwards
128(1)
Heartbeat Displaced to the Left
128(1)
Heartbeat Displaced to the Right
128(1)
Heartbeat below the Xyphoid Process
128(1)
Observation of the Hands
129(8)
Introduction
129(1)
Abnormal Colour
129(1)
Pale hands
129(1)
Red dorsum of the hands
129(1)
Red palms
129(1)
Venules on the Thenar Eminence
130(1)
Atrophy of the Thenar Eminence
130(1)
Atrophy of the Muscles of the Dorsum of the Hands
130(1)
Tremor of the Hands
130(1)
Tinea (Ringworm)
130(1)
The Fingers
130(2)
Contraction of the fingers
130(1)
Spoon-shaped fingers
131(1)
Thin, pointed fingers
131(1)
Swollen fingers
131(1)
Cracked fingers
132(1)
Thickened fingers like cocoons
132(1)
Shrivelled and wrinkled fingers
132(1)
Deformed Knuckles
132(1)
The Palms
132(5)
Dry, cracked, peeling palms
132(1)
Sweaty palms
133(1)
Hand lines
133(4)
Observation of the Nails
137(6)
Introduction
137(1)
Surface Abnormalities
137(2)
Ridged nails
137(1)
Indented nails
137(1)
Thin and brittle nails
138(1)
Thickening of the nails
138(1)
Coarse and thick nails
138(1)
Withered and brittle nails
138(1)
Withered and thickened nails
138(1)
Cracked nails
138(1)
Flaking nails
138(1)
Twisted Nails
139(1)
Curling Nails
139(1)
Nails Falling Off
139(1)
Abnormal Colour
139(1)
Nails with white spots
139(1)
Pale-white nails
139(1)
Dull-white nails
139(1)
Red nails
139(1)
Yellow nails
139(1)
Bluish-greenish nails
139(1)
Dark nails
139(1)
Purple nails
139(1)
Lunulae
140(1)
Correspondence of Nails to Organ Systems
140(3)
Thumb
140(1)
Index finger
140(1)
Middle finger
141(1)
Ring finger
141(1)
Little finger
142(1)
Observation of the Chest and Abdomen
143(6)
Chest
143(2)
Protruding chest
144(1)
Sunken chest
144(1)
Protruding sternum
144(1)
Chest sunken on one side
144(1)
Chest protruding on one side
145(1)
Gynaecomastia
145(1)
Abdomen
145(4)
Abdominal size
146(1)
Abdominal masses
146(1)
Umbilicus signs
147(1)
Skin signs
147(2)
Observation of the Genitalia
149(4)
Channels Influencing the Genitalia
149(1)
Pubic Hair
150(1)
Loss of pubic hair
150(1)
Excessive pubic hair
150(1)
Penis
150(1)
Redness and swelling of the glans penis
150(1)
Ulcers on the penis
150(1)
Peyronie's disease
150(1)
Priapism
150(1)
Soft and withered penis
150(1)
Long penis in children
150(1)
Scrotum
150(1)
Contracted scrotum
150(1)
Loose scrotum
151(1)
Scrotum drooping on one side
151(1)
Swollen scrotum
151(1)
Swollen and oozing scrotum
151(1)
Abnormal colour
151(1)
Vulva and Vagina
151(2)
Vulvar sores
151(1)
Leukoplakia
151(1)
Swelling of the vulva
151(1)
Prolapse of the vagina
151(2)
Observation of the Four Limbs
153(6)
Introduction
153(1)
Atrophy of the Four Limbs
153(1)
Flaccidity of the Four Limbs
154(1)
Rigidity of the Four Limbs
154(1)
Paralysis of the Four Limbs
154(1)
Limb Movements
155(1)
Contraction of the four limbs
155(1)
Convulsions of the four limbs
155(1)
Tremor or spasticity of the four limbs
156(1)
Oedema of the Four Limbs
156(1)
Swelling of the Joints of the Four Limbs
157(2)
Observation of the Legs
159(4)
Legs Signs
159(2)
Oedema
159(1)
Atrophy
160(1)
Paralysis
160(1)
Arched legs
160(1)
Gait
161(2)
Festination
161(1)
Unstable gait
161(1)
Staggering gait
161(1)
Stepping gait
161(1)
Shuffling gait
161(2)
Observation of Excretions
163(6)
Introduction
163(1)
Sputum
163(1)
Nasal Discharge
164(1)
Sweat
164(1)
Stools
164(1)
Colour
164(1)
Consistency
165(1)
Shape
165(1)
Urine
165(1)
Menstrual Blood
166(1)
Colour
166(1)
Consistency
166(1)
Vaginal Discharge
166(3)
Colour
166(1)
Consistency
166(1)
Lochia
166(3)
Observation of the Skin
169(22)
Introduction
169(1)
Skin layers
169(1)
Types of skin lesion
170(1)
The Skin and the Internal Organs
170(4)
The skin and the Lungs
170(2)
The skin and the Stomach and Spleen
172(1)
The skin and the Kidneys
172(1)
The skin and the Liver
173(1)
The skin and the Heart
173(1)
The skin and the Connecting channels
174(1)
Skin Signs
174(7)
Skin colour
174(1)
Skin texture
175(1)
Skin of the forearm (inner aspect)
176(1)
The space between skin and muscles (Cou Li)
176(1)
Body hair
176(1)
Macules, papules, vesicles and pustules
176(2)
Dry skin
178(1)
Greasy skin
179(1)
Swelling of the skin
179(1)
Scales
179(1)
Erosion of the skin
179(1)
Rashes
180(1)
Fissures
180(1)
Skin ulcers
180(1)
Dermographism
181(1)
Skin Diseases
181(10)
Eczema
181(1)
Acne
182(1)
Psoriasis
183(2)
Urticaria
185(1)
Naevi
185(1)
Malignant melanoma
186(1)
Tinea
186(1)
Candida
187(1)
Herpes simplex
188(1)
Herpes zoster
188(1)
Warts
189(1)
Rosacea
189(2)
Observation in Children
191(10)
Introduction
191(1)
Complexion
191(1)
Red
191(1)
Yellow
191(1)
Pale
192(1)
Bluish-greenish
192(1)
Orifices
192(2)
Eyes
192(1)
Ears
192(1)
Nose
192(1)
Mouth
193(1)
Urethra and anus
193(1)
Body Movement
194(1)
Spinal Muscles
194(1)
Index Finger
194(5)
Veins on the index finger
194(1)
Creases on the index finger
195(4)
Root of the Nose
199(2)
SECTION 3 TONGUE DIAGNOSIS
201(32)
Introduction
201(2)
Tongue Diagnosis
203(6)
Conditions for Examining the Tongue
203(1)
Lighting
203(1)
Techniques of observation of the tongue
203(1)
External factors affecting the colour of the tongue
204(1)
Areas of the Tongue
204(2)
Clinical Significance of the Tongue
206(3)
Tongue-body colour
206(1)
Tongue-body shape
206(1)
Tongue coating
206(1)
Tongue spirit
207(2)
Tongue-Body Colour
209(6)
Tongue Spirit
209(1)
Tongue-Body Colours
210(3)
Pale
210(1)
Red
210(2)
Purple
212(1)
Sublingual Veins
213(2)
Tongue-Body Shape
215(6)
Introduction
215(1)
Thin
215(1)
Swollen
216(1)
Partially Swollen
216(1)
Stiff
216(1)
Flaccid
217(1)
Long
217(1)
Short
217(1)
Cracked
217(1)
Deviated
218(1)
Moving
218(1)
Quivering
219(1)
Toothmarked
219(2)
Tongue Coating
221(6)
Physiology of Tongue Coating
221(1)
Clinical Significance of Tongue Coating
221(1)
Presence or Absence of Coating
222(1)
Coating with or without Root
222(1)
Coating Thickness
223(1)
Coating Distribution
223(1)
Coating Moisture
223(1)
Coating Texture
224(1)
Sticky coating
224(1)
Slippery coating
224(1)
Mouldy coating
224(1)
Tongue Coating in External Diseases
224(3)
Tongue Images and Patterns
227(6)
Qi-Deficiency Tongues
227(1)
Yang-Deficiency Tongues
227(1)
Blood-Deficiency Tongues
228(1)
Yin-Deficiency Tongues
228(2)
The Tongue in Phlegm and Dampness
230(1)
The Tongue in Heat
230(1)
The Tongue in Cold
230(1)
The Tongue in Qi and Blood Stagnation
231(1)
The Tongue in Internal Wind
231(1)
The Tongue in External Invasions of Wind
231(2)
PART 2 DIAGNOSIS BY INTERROGATION
233(198)
Introduction
233(2)
Introduction
235(18)
Nature of Diagnosis by Interrogation
235(1)
Nature of `Symptoms' in Chinese Medicine
236(1)
Tongue and pulse
237(1)
The Art of Interrogation: Asking the Right Questions
237(1)
Terminology Problems in Interrogation
238(1)
Patients' Expressions
239(1)
Pitfalls to Avoid in Interrogation
239(1)
Procedure for Interrogation
240(1)
Time Scale of Symptoms
241(1)
Integration of Interrogation with Observation
242(1)
Identification of Patterns and Interrogation
242(1)
Tongue and Pulse Diagnosis: Integration with Interrogation
243(6)
The 10 Traditional Questions
249(1)
Limitations of the 10 traditional questions
249(1)
Questions on emotional state
250(1)
Questions about sexual life
250(1)
Questions on energy levels
250(1)
The 16 Questions
250(3)
Pain
253(8)
Introduction
253(2)
Area of Pain
255(1)
Nature of Pain
255(2)
Soreness
255(1)
Pain with a sensation of heaviness
255(1)
Distending pain
255(1)
Pain with a feeling of fullness
256(1)
Pain with a feeling of emptiness
256(1)
Pain with a feeling of cold
256(1)
Burning pain
256(1)
Colicky pain
256(1)
Spastic pain
256(1)
Pain with a distressing feeling
256(1)
Pain with a sensation of stuffiness
257(1)
Pushing pain
257(1)
Pulling pain
257(1)
Cutting pain
257(1)
Throbbing pain
257(1)
Boring pain
257(1)
Lurking pain
257(1)
Time of Pain
257(1)
Factors Affecting Pain
258(1)
Pressure
258(1)
Temperature
258(1)
Food and drink
258(1)
Bowel movement
258(1)
Movement and rest
258(1)
Organ versus Channel Pain
259(2)
Food and Taste
261(8)
Introduction
261(1)
Main Patterns of Digestive Symptoms
262(2)
Qi deficiency
262(1)
Qi stagnation
262(1)
Qi rebellious
262(1)
Blood stasis
262(1)
Dampness
262(1)
Phlegm
262(1)
Retention of food
262(2)
Food
264(1)
Appetite
264(1)
Excessive hunger
264(1)
Aversion to food
264(1)
Hunger but no desire to eat
265(1)
Taste
265(1)
Nausea and Vomiting
266(1)
Belching
266(1)
Sour Regurgitation
267(2)
Stools and Urine
269(8)
Introduction
269(1)
Stools
270(4)
Frequency
270(1)
Consistency of stools
271(1)
Shape
272(1)
Colour
272(1)
Odour and sounds
273(1)
Abdominal pain related to evacuation
273(1)
Urine
274(3)
Frequency
274(1)
Colour
274(1)
Amount
275(1)
Difficulty in micturition
275(1)
Cloudiness
275(1)
Incontinence
275(1)
Urination at night
275(1)
Pain
275(1)
Smell
275(2)
Thirst and Drink
277(4)
Introduction
277(1)
Thirst
278(1)
Dry Mouth
279(1)
Preference for Hot or Cold Drinks
279(1)
Absence of Thirst
279(2)
Energy Levels
281(6)
Introduction
281(1)
Historical Background
282(1)
Patterns Causing Tiredness
282(5)
Head
287(14)
Introduction
287(1)
Headache
288(7)
Onset
288(1)
Time
288(1)
Location
288(1)
Character of pain
288(1)
Ameliorating or aggravating factors
289(1)
Internal and external origin
289(6)
Dizziness
295(1)
Fainting
296(1)
Feeling of Distension of the Head
297(1)
Feeling of Heaviness of the Head
297(1)
Feeling of Muzziness (Fuzziness) of the Head
297(1)
Brain Noise
298(1)
Feeling of Cold of the Head
298(1)
Feeling of Heat of the Head
299(1)
Numbness/Tingling of the Skin of the Head
299(1)
Itchy Scalp
299(2)
Face
301(10)
Introduction
301(1)
Face
302(1)
Feeling of heat of the face
302(1)
Facial pain
302(1)
Feeling of numbness/tingling of the face
303(1)
Nose
303(3)
Blocked nose
304(1)
Itchy nose
304(1)
Sneezing
304(1)
Runny nose
305(1)
Nose ache
305(1)
Nose pain
305(1)
Dry nostrils
306(1)
Loss of sense of smell
306(1)
Teeth and Gums
306(2)
Toothache
306(1)
Inflamed gums
307(1)
Bleeding gums
307(1)
Receding gums
307(1)
Mouth and Lips
308(1)
Mouth ulcers
308(1)
Cold sores
309(1)
Tongue
309(2)
Itchy tongue
309(1)
Numbness of the tongue
309(1)
Tongue pain
309(2)
Throat and Neck
311(6)
Introduction
311(1)
Channels Influencing the Throat and Neck
312(1)
Throat
312(3)
Sore throat
312(1)
Dry throat
313(1)
Itchy throat
313(1)
Hoarse voice
313(1)
Feeling of obstruction in the throat
314(1)
Swollen and red tonsils
314(1)
Neck
315(2)
Goitre
315(1)
Painful or stiff neck
316(1)
Body
317(4)
Introduction
317(1)
Aches in the Whole Body
317(1)
Pain in the Joints
318(1)
Lower Backache
318(1)
Numbness/Tingling
319(1)
Itching
319(1)
Loss of Weight
319(1)
Obesity
319(2)
Chest and Abdomen
321(16)
Chest
321(5)
Cough
322(1)
Chest pain
323(1)
Pain in the ribs
324(1)
Feeling of oppression of the chest
324(1)
Feeling of heat in the chest
325(1)
Palpitations
325(1)
Abdomen
326(11)
Sensations
326(1)
Areas of abdominal pain
327(10)
Limbs
337(10)
Introduction
337(1)
Weakness of the Limbs
338(1)
Difficulty in Walking (Atrophy/Flaccidity of Limbs)
338(1)
Feeling of Distension of the Limbs
338(1)
Feeling of Heaviness of the Limbs
339(1)
Muscle Ache in the Limbs
339(1)
Numbness/Tingling of the Limbs
339(1)
Generalized Joint Pain
339(1)
Tremor of Limbs
340(1)
Upper Limbs
341(2)
Pain and inability to raise the shoulder
341(1)
Pain in the elbow
342(1)
Pain in the hands
342(1)
Cold hands
342(1)
Hot hands
343(1)
Itchy hands
343(1)
Numbness/tingling of the hands
343(1)
Oedema of the hands
343(1)
Lower Limbs
343(4)
Pain in the hip
343(1)
Pain in the thigh
344(1)
Pain in the knees
344(1)
Weak knees
344(1)
Cramps in the calves
344(1)
Cold feet
344(1)
Pain in the feet
344(1)
Oedema of the feet
345(1)
Pain in the soles
345(1)
Burning sensation in the soles
345(2)
Sleep
347(4)
Introduction
347(1)
Insomnia
348(1)
Excessive Dreaming
349(1)
Somnolence
349(2)
Sweating
351(4)
Introduction
351(1)
Clinical Significance of Sweating
352(1)
Exterior patterns
352(1)
Interior patterns
352(1)
Pathology of Sweating
352(1)
Classification of Sweating
353(1)
Area of body
353(1)
Time of day
353(1)
Condition of illness
353(1)
Quality of sweat
353(1)
Absence of Sweating
353(2)
Ears and Eyes
355(6)
Ears
355(2)
Tinnitus
356(1)
Deafness
357(1)
Earache
357(1)
Itchy ears
357(1)
Eyes
357(4)
Eye pain
358(1)
Itchy eyes
359(1)
Feeling of distension of the eyes
360(1)
Streaming eyes
360(1)
Dry eyes
360(1)
Blurred vision
360(1)
Feeling of Cold, Feeling of Heat and Fever
361(18)
Introduction
361(1)
Feeling of Cold
362(5)
Feeling of cold in interior conditions
363(2)
Feeling of cold in exterior conditions
365(1)
How to distinguish between external and internal causes of feeling of cold
366(1)
Simultaneous Feeling of Cold and Fever in Exterior Conditions
367(3)
Wind-Cold and Wind-Heat
369(1)
Summer-Heat
370(1)
Damp-Heat
370(1)
Dry-Heat
370(1)
Alternating Feeling of Cold and Feeling of Heat
370(1)
Feeling of Heat from Internal Causes
371(1)
Interior Fever
372(4)
Acute fever
372(2)
Chronic fever
374(2)
Five-Palm Heat
376(1)
Contradictory Feelings of Cold and Heat in Internal Conditions
376(3)
Simultaneous deficiency of Kidney-Yin and Kidney-Yang
376(1)
Blood deficiency with Empty-Heat
376(1)
Disharmony of the Penetrating Vessel
376(1)
Yin Fire
376(3)
Mental--Emotional Symptoms
379(12)
Introduction
379(1)
Depression
380(4)
Definition of depression
380(1)
Diagnosis of depression
381(1)
Depression in Chinese medicine
381(1)
Patterns in depression
382(2)
Fear/Anxiety
384(1)
Irritability/Anger
385(1)
Worry/Overthinking
386(1)
Sadness/Grief
387(1)
Excess Joy
388(1)
Mental Restlessness
388(3)
Sexual Symptoms
391(4)
Introduction
391(1)
Men
392(1)
Impotence
392(1)
Lack of libido
392(1)
Premature ejaculation
393(1)
Nocturnal emissions
393(1)
Tiredness and dizziness after ejaculation
393(1)
Women
393(2)
Lack of libido
393(1)
Headache soon after orgasm
394(1)
Women's Symptoms
395(16)
Introduction
395(1)
The Gynaecological History
396(1)
Breast Symptoms
397(1)
Breast lumps
397(1)
Premenstrual breast distension
398(1)
Menstruation
398(8)
Amount of bleeding
399(1)
Colour
400(1)
Consistency
400(1)
Cycle
400(1)
Menarche
401(1)
Menopause
401(1)
Pain
401(3)
Premenstrual symptoms
404(1)
Other symptoms occurring around menstruation
405(1)
Pregnancy and Childbirth
406(3)
Fertility
406(2)
Miscarriage and abortion
408(1)
Childbirth
408(1)
Lactation
408(1)
Vaginal Discharge
409(2)
Children's Symptoms
411(4)
Introduction
411(1)
Mother's Pregnancy
411(1)
Childbirth
412(1)
Postpartum Problems
412(1)
Childhood Diseases
412(1)
Digestive Symptoms
412(1)
Immunizations
412(1)
Respiratory Symptoms and Earache
412(1)
Coughs and wheezing
413(1)
Earache
413(1)
Chronic catarrh
413(1)
Sleep
413(1)
Slow Development
413(2)
Diagnosing the Causes of Disease
415(16)
Introduction
415(1)
Interactions between Causes of Disease
416(1)
Interaction of trauma with climate
416(1)
Interaction of hereditary weak constitution with diet
416(1)
Interaction of emotional problems at puberty with overwork
416(1)
Interaction of weak Heart constitution and emotional problems
417(1)
The Five Stages of Life
417(1)
Childhood
417(1)
Adolescence
417(1)
Young adulthood
417(1)
Middle age
418(1)
Old age
418(1)
The Causes of Disease
418(13)
Heredity
418(2)
Emotions
420(7)
Overwork
427(1)
Diet
427(1)
Climate
428(1)
Trauma
428(1)
Drugs including immunizations
429(1)
Excessive sexual activity
430(1)
PART 3 DIAGNOSIS BY PALPATION
431(108)
Introduction
431(2)
Pulse Diagnosis
433(32)
Introduction
433(1)
The `Nine Regions' of the Pulse from the `Yellow Emperor's Classic of Internal Medicine'
434(1)
The Pulse in the `Classic of Difficulties'
435(1)
The Three Sections of the Pulse
436(2)
Assignment of Pulse Positions to Organs
438(7)
Organ positions on the pulse
438(5)
Reconciling different pulse arrangements
443(2)
The Three Levels
445(1)
Method of Pulse Taking
446(3)
Time
446(1)
Levelling the arm
446(1)
Equalizing the breathing
447(1)
Placing the fingers
447(2)
Factors Affecting the Pulse
449(2)
Season
449(1)
Gender
450(1)
Age
450(1)
Body build
450(1)
Menstruation
451(1)
Pregnancy
451(1)
Fan Guan Mai and Xie Fei Mai
451(1)
Attributes of the Normal Pulse
451(3)
Spirit
451(1)
Stomach-Qi
451(1)
Root
452(2)
Guidelines for Interpreting the Pulse
454(3)
Feeling the pulse as a whole with three fingers
454(1)
Feeling the spirit, Stomach-Qi and root
454(1)
Feeling the three positions together first and then individually
454(1)
Feeling the three levels
455(1)
Feeling the overall quality of the pulse, if there is one
456(1)
Feeling the pulse quality, strength and level of each individual position by rolling and pushing the fingers
456(1)
Counting the pulse rate
457(6)
Clinical Application of Pulse Diagnosis
457(1)
The pulse is often crucial in clinching a diagnosis
457(1)
The pulse is essential to distinguish Deficiency from Excess
457(1)
The pulse is essential to determine the treatment principle
458(1)
The pulse in emotional problems
458(1)
The pulse as an indicator of an organ problem
459(1)
The pulse as an indicator of a heart problem
459(2)
The pulse does not necessarily reflect all the aspects of a disharmony
461(1)
The pulse indicates disharmonies beyond the presenting patterns
461(1)
The pulse can indicate an underlying Deficiency in the absence of symptoms
461(1)
The pulse in cancer
462(1)
Integration of Pulse and Tongue Diagnosis
463(1)
Qi and Blood
463(1)
Time factor
463(1)
When the pulse is Rapid and the tongue is not Red
463(1)
When the pulse is Slow and the tongue is Red
463(1)
Pulse diagnosis adds detail to tongue diagnosis
463(1)
Limitations of Pulse Diagnosis
464(1)
It is subjective
464(1)
It is subject to short-term influences
464(1)
Pulse Qualities
465(44)
Introduction
465(1)
Feeling and Identifying the Pulse Quality
466(1)
The Eight Basic Pulse Qualities
467(12)
Floating
467(2)
Deep
469(1)
Slow
470(2)
Rapid
472(2)
Empty
474(1)
Full
475(1)
Slippery
476(1)
Choppy
477(2)
Empty-Type Pulses
479(6)
Weak
479(1)
Fine
480(1)
Minute
480(1)
Soggy (Weak-Floating)
481(1)
Short
481(1)
Hollow
482(1)
Leather
482(1)
Hidden
483(1)
Scattered
484(1)
Full-Type Pulses
485(6)
Wiry
485(1)
Tight
486(1)
Overflowing
487(1)
Big
488(1)
Firm
489(1)
Long
490(1)
Moving
490(1)
Pulses with Irregularities of Rate or Rhythm
491(3)
Knotted
491(1)
Hasty
492(1)
Hurried
492(1)
Intermittent
493(1)
Slowed-Down
494(1)
Three Non-Traditional Pulse Qualities
494(2)
Irregular
494(1)
Stagnant
495(1)
Sad
495(1)
Classification of Pulse Qualities
496(2)
The eight basic groups of pulse qualities
496(1)
The different aspects for the classification of pulse qualities
497(1)
Classification of pulse qualities according to Qi, Blood and Body Fluids patterns
497(1)
Classification of pulse qualities according to the Eight Principles
497(1)
Classification of pulse qualities according to the Six Stages patterns
498(1)
Classification of pulse qualities according to the Four Levels patterns
498(1)
Classification of pulse qualities according to the Triple Burner patterns
498(1)
Terminology
498(1)
The Pulse Positions in Detail
499(7)
Left Front position (Heart)
500(1)
Left Middle position (Liver)
501(1)
Left Rear position (Kidney)
502(1)
Right Front position (Lungs)
503(1)
Right Middle position (Stomach and Spleen)
504(2)
Right Rear position (Small Intestine and Kidney)
506(1)
Pulse Qualities Indicating Dangerous Conditions
506(1)
The Influence of Drugs on the Pulse
507(2)
Palpation of Parts of the Body
509(16)
Introduction
509(1)
Palpation of the Chest and Abdomen
510(6)
Palpation of the chest
512(1)
Palpation of the abdomen
513(3)
Palpation of the Skin
516(3)
Body skin
516(1)
Forearm diagnosis
517(1)
Palpation of temples in children
518(1)
Palpation of Hands and Feet
519(1)
Temperature
519(1)
Palpation and comparison of dorsum and palm
520(1)
Palpation of feet and hands in children
520(1)
Palpation of the nails
520(1)
Palpation of Acupuncture Points
520(5)
Front Collecting (Mu) points
521(1)
Back Transporting (Bei Shu) points
522(1)
Source (Yuan) points
522(3)
Palpation of Channels
525(14)
Introduction
525(1)
Connecting Channels
525(2)
Muscle Channels
527(1)
Palpation of the Channels in Painful Obstruction Syndrome (Bl)
527(1)
Palpation of Channels
528(11)
Lung channel
528(1)
Large Intestine channel
528(1)
Stomach channel
529(1)
Spleen channel
530(1)
Heart channel
531(1)
Small Intestine channel
532(1)
Bladder channel
533(1)
Kidney channel
533(1)
Pericardium channel
534(1)
Triple Burner channel
535(1)
Gall-Bladder channel
536(1)
Liver channel
536(3)
PART 4 DIAGNOSIS BY HEARING AND SMELLING
539(14)
Introduction
539(2)
Diagnosis by Hearing
541(8)
Introduction
541(1)
Voice
541(3)
Normal voice
542(1)
The voice and the Five Elements
542(1)
Strength and quality of the voice
543(1)
Speech
544(1)
Crying in Babies
544(1)
Breathing and Sighing
544(1)
Breathing
544(1)
Pathological breathing sounds
545(1)
Sighing
545(1)
Coughing and Sneezing
545(1)
Coughing
545(1)
Sneezing
546(1)
Hiccup
546(1)
Belching
546(1)
Vomiting
547(2)
Diagnosis by Smelling
549(4)
Introduction
549(1)
Body Odour
549(1)
Odour of Bodily Secretions
550(3)
Breath
550(1)
Sweat
550(1)
Sputum
550(1)
Urine and stools
550(1)
Vaginal discharge and lochia
551(1)
Intestinal gas
551(2)
PART 5 SYMPTOMS AND SIGNS
553(4)
Introduction
553(4)
SECTION 1 SYMPTOMS AND SIGNS OF PARTS OF THE BODY
557(266)
Introduction
557(2)
Head, Hair and Face
559(16)
Head
559(6)
Dizziness
559(1)
Fainting
560(1)
Feeling of heaviness of the head
561(1)
Headache
561(1)
Feeling of distension of the head
562(1)
Feeling of muzziness (fuzziness) of the head
563(1)
Feeling of cold of the head
563(1)
Feeling of heat of the head
563(1)
Numbness of the head
563(1)
Drooping head
563(1)
Leaning of the head to one side
564(1)
Tremor of the head
564(1)
Brain noise
564(1)
Swelling of the whole head
564(1)
Ulcers in the mastoid region
564(1)
Head tilted backwards
565(1)
Hair and Scalp
565(4)
Premature greying of the hair
565(1)
Hair falling out
565(1)
Alopecia
566(1)
Dry and brittle hair
566(1)
Greasy hair
566(1)
Dandruff
567(1)
Itchy scalp
567(1)
Dry scalp
568(1)
Redness and pain of the scalp
568(1)
Boils on the scalp
568(1)
Erosion of the scalp
568(1)
Ulcers on the scalp
568(1)
Face
569(6)
Acne
569(1)
Feeling of heat of the face
569(2)
Facial pain
571(1)
Numbness of the face
572(1)
Oedema of the face
572(1)
Tic
572(1)
Deviation of eye and mouth
573(1)
Facial paralysis
573(1)
Papular/macular eruptions
573(1)
Swelling and redness of the face
573(1)
Swelling, redness and pain of the cheeks
573(1)
Ulcers below the zygomatic arch
574(1)
Lines on the face
574(1)
Face Colour
575(6)
White/Pale
575(1)
Yellow
576(1)
Red
577(1)
Bluish/Greenish
577(1)
Purple
578(1)
Dark
578(1)
Sallow
578(1)
Blushing
579(2)
Ears
581(8)
Tinnitus/Deafness
581(1)
Itchy Ears
582(1)
Earache
582(1)
Bleeding from the Ears
583(1)
Discharge from the Ears
583(1)
Excessive Wax Production
583(1)
Abnormal Size
584(1)
Swollen ears
584(1)
Contracted ears
584(1)
Dry and Contracted Helix
584(1)
Sores on the Ear
584(1)
Warts on the Ear
585(1)
Abnormal Helix Colour
585(1)
Yellow
585(1)
Pale
585(1)
Bluish-greenish (Qing)
585(1)
Dark
585(1)
Red
586(1)
Red Back of the Ear
586(1)
Distended Blood Vessels on the Ear
586(1)
Swelling and Redness of the Concha
586(3)
Nose
589(12)
Abnormal Colour
589(2)
Pale
589(1)
Yellow
589(1)
Red
590(1)
Bluish-greenish
590(1)
Reddish-purple
591(1)
Dark
591(1)
Sneezing
591(1)
Blocked Nose
591(1)
Runny Nose
592(1)
Itchy Nose
593(1)
Dry Nostrils
593(1)
Nosebleed
594(1)
Nose Ache
595(1)
Nose Pain
595(1)
Swollen Nose
596(1)
Bad Smell
597(1)
Loss of Sense of Smell
597(1)
Polyps
598(1)
Flapping Alae Nasi (The Outside of the Nostrils)
598(1)
Ulcers on the Nose
598(1)
Papules on the Nose
598(3)
Throat
601(8)
Sore Throat
601(1)
Redness of the Pharynx
602(1)
Redness and Swelling of the Pharynx
602(1)
Redness and Erosion of the Pharynx
602(1)
Swollen Tonsils
603(1)
Phlegm in the Throat
603(1)
Goitre (Swelling of the Sides of the Neck)
604(1)
Itchy Throat
605(1)
Dry Throat
605(1)
Hoarse Voice or Loss of Voice
606(1)
White Purulent Spots in the Throat
606(1)
Feeling of Obstruction of the Throat
607(1)
Redness on the Throat
607(2)
Mouth, Tongue, Teeth, Gums, Lips, Palate and Philtrum
609(18)
Mouth
609(4)
Mouth ulcers
609(1)
Cold sores
610(1)
Cracked corners of the mouth
611(1)
Itching around the mouth
611(1)
Dribbling from the corners of the mouth
612(1)
Trembling mouth
612(1)
Mouth open
612(1)
Deviation of the mouth
613(1)
Tongue
613(2)
Itchy tongue
613(1)
Painful tongue
613(1)
Numbness of the tongue
614(1)
Tongue ulcers
614(1)
Teeth
615(3)
Toothache
615(1)
Tooth cavities
616(1)
Loose teeth
616(1)
Grinding teeth
616(1)
Plaque
617(1)
Dry and white teeth
617(1)
Dry and dull teeth
617(1)
Yellow and dry teeth
618(1)
Grey teeth
618(1)
Upper teeth moist and lower teeth dry
618(1)
Gums
618(3)
Inflamed gums
618(1)
Bleeding gums
619(1)
Receding gums
619(1)
Gums oozing pus
620(1)
Pale gums
620(1)
Red gums
620(1)
Purple gums
620(1)
Lips
621(3)
Pale lips
621(1)
Red lips
621(1)
Purple lips
621(1)
Bluish-greenish lips
622(1)
Yellow lips
622(1)
Dry or cracked lips
622(1)
Trembling lips
623(1)
Peeled lips
623(1)
Swollen lips
623(1)
Inverted lips
624(1)
Drooping lips
624(1)
Abnormal lip colour in pregnancy
624(1)
Palate
624(1)
Pale palate
624(1)
Dull-pale palate
624(1)
Yellow palate
625(1)
Red palate
625(1)
Purple palate
625(1)
Philtrum
625(2)
Flat philtrum
625(1)
Stiff-looking philtrum
625(1)
Pale philtrum
625(1)
Red philtrum
626(1)
Bluish-greenish philtrum
626(1)
Dark philtrum
626(1)
Eyes
627(26)
Vision
628(3)
Blurred vision and floaters
628(1)
Strabismus
628(1)
Myopia
629(1)
Hyperopia
629(1)
Decreased night vision
630(1)
Decreased visual acuity
630(1)
Sudden blindness
630(1)
Itchy Eyes
631(1)
Dry Eyes
631(1)
Hot and Painful Eyes
632(1)
Streaming Eyes
633(1)
Discharge from the Eyes
634(1)
Eye Colour
634(3)
Yellow (sclera)
634(1)
Red (sclera)
635(1)
Bluish-greenish (sclera)
635(1)
Dark (sclera)
636(1)
Pale corners
636(1)
Red corners
636(1)
Eyelids
637(4)
Stye
637(1)
Red eyelids
637(1)
Dark eyelids
638(1)
Green eyelids
638(1)
Pale eyelids
638(1)
Swollen eyelids
638(1)
Boil on the eyelid
639(1)
Pain of the eyelids
639(1)
Flapping eyelids
639(1)
Drooping eyelids
640(1)
Loss of control of the eyelids
640(1)
Nodules within the eyelids
640(1)
Small red grains inside the eyelids
641(1)
Redness inside the lower lids
641(1)
Glaucoma
641(1)
Feeling of Distension of the Eyes
641(1)
Eyeball
642(2)
Protruding eyeball
642(1)
Sunken eyeball
643(1)
Scaly eyeballs
643(1)
Quivering eyeball
644(1)
Eyeball turning up
644(1)
Ecchymosis Under Conjunctiva
644(1)
Red Veins/Membrane
645(1)
Red veins in the eyes
645(1)
Drooping red membrane
645(1)
Red membrane in the corner of the eye
646(1)
Cornea
646(1)
Corneal opacity
646(1)
Scarring after corneal opacity
647(1)
White Specks
647(1)
Pupils
647(3)
Red ring around the pupil
647(1)
White membrane on the pupil in children
648(1)
Yellow fluid between pupil and iris
648(1)
Bleeding between pupil and iris
649(1)
Dilated pupils
649(1)
Contracted pupils
649(1)
Staring, Fixed Eyes
650(1)
Closed Eyes
650(1)
Open Eyes
650(1)
Inverted Eyelashes
650(1)
Cataract
651(2)
Neck, Shoulders and Upper Back
653(6)
Neck and Shoulders
653(3)
Stiff neck
653(1)
Rigidity of the neck
654(1)
Neck pain
654(1)
Soft neck
654(1)
Deviated neck
654(1)
Wide neck
655(1)
Thin neck
655(1)
Swollen neck glands
655(1)
Pulsation of the carotid artery
655(1)
Shoulder ache
656(1)
Frozen shoulder
656(1)
Upper Back
656(3)
Upper backache
656(1)
Cold upper back
656(1)
Hot upper back
656(1)
Stiffness of the back as if wearing a tight belt
657(2)
Chest
659(12)
Cough
659(2)
Acute cough
659(1)
Chronic cough
660(1)
Coughing blood
660(1)
Breathlessness
661(1)
Wheezing
662(1)
Pain
663(1)
Chest pain
663(1)
Pain in the ribs
664(1)
Feelings in the Chest and Heart
664(2)
Feeling of oppression of the chest
664(1)
Feeling of distension of the chest
664(1)
Feeling of heat of the chest
665(1)
Heart feeling vexed
665(1)
Feeling of stuffiness under the heart
666(1)
Palpitations
666(1)
Palpitations under the heart
666(1)
Displaced Heartbeat
667(1)
Heartbeat displaced downwards
667(1)
Heartbeat displaced upwards
667(1)
Heartbeat displaced to the left
668(1)
Heartbeat displaced to the right
668(1)
Heartbeat below the xyphoid process
668(1)
Abnormal Chest Shape
668(1)
Protruding chest
668(1)
Sunken chest
668(1)
Protruding sternum
669(1)
Chest sunken on one side
669(1)
Chest protruding on one side
669(1)
Gynaecomastia
669(1)
Yawning
670(1)
Sighing
670(1)
Limbs
671(8)
Muscle Ache in the Limbs
671(1)
Pain in the Limbs
672(1)
Hands and Feet
672(1)
Cold hands and feet
672(1)
Hot hands and feet
672(1)
Abnormal Feelings in the Limbs
673(1)
Numbness/tingling of the limbs
673(1)
Feeling of heaviness of the limbs
673(1)
Feeling of distension of the limbs
674(1)
Weakness and Atrophy
674(1)
Weakness of the limbs
674(1)
Atrophy of the limbs
674(1)
Flaccidity of the limbs
675(1)
Limb Swelling
675(1)
Oedema of limbs
675(1)
Swelling of the joints of the limbs
676(1)
Limb Movement
676(3)
Rigidity of the limbs
676(1)
Paralysis of the limbs
676(1)
Contraction of the limbs
677(1)
Tremor or spasticity of the limbs
678(1)
Convulsions of the limbs
678(1)
Arms
679(14)
Pain in the Elbow
679(1)
Hands
680(6)
Cold hands
680(1)
Hot hands
680(1)
Pale hands
681(1)
Red dorsum of the hands
681(1)
Red palms
681(1)
Sweaty palms
681(1)
Pain in the hands
682(1)
Itchy hands
683(1)
Numbness/tingling of the hands
683(1)
Tremor of the hands
684(1)
Oedema of the hands
684(1)
Deformed knuckles
684(1)
Tinea (ringworm)
684(1)
Dry, cracked and peeling palms
684(1)
Venules on the thenar eminence
685(1)
Atrophy of the thenar eminence
685(1)
Atrophy of the muscles of the dorsum of the hands
685(1)
Fingers
686(2)
Swollen fingers
686(1)
Contraction of the fingers
686(1)
Spoon-shaped fingers
687(1)
Thin, pointed fingers
687(1)
Cracked fingers
687(1)
Thickened fingers
688(1)
Shrivelled and wrinkled fingers
688(1)
Nails
688(5)
Ridged nails
688(1)
Thickening of the nails
688(1)
Coarse and thick nails
688(1)
Cracked nails
688(1)
Nails falling off
689(1)
Indented nails
689(1)
Thin and brittle nails
689(1)
Withered and brittle nails
689(1)
Withered and thickened nails
690(1)
Curling nails
690(1)
Flaking nails
690(1)
Twisted nails
691(1)
Nails with white spots
691(1)
Pale-white nails
691(1)
Dull-white nails
691(1)
Red nails
691(1)
Yellow nails
691(1)
Bluish-greenish nails
691(1)
Dark nails
692(1)
Purple nails
692(1)
Small or absent lunulae
692(1)
Large lunulae
692(1)
Legs
693(10)
Feet
693(1)
Oedema
693(1)
Cold feet
694(1)
Atrophy of the Legs
694(1)
Paralysis of the Legs
695(1)
Gait
695(1)
Festination
695(1)
Unstable gait
695(1)
Staggering gait
696(1)
Stepping gait
696(1)
Shuffling gait
696(1)
Arched Legs
696(1)
Pain
696(2)
Pain in the thigh
696(1)
Pain in the hip
697(1)
Pain in the knee
697(1)
Pain in the foot
697(1)
Pain in the groin
698(1)
Pain in the soles
698(1)
Knees
698(1)
Weak knees
698(1)
Stiff knees
699(1)
Weakness of the Legs
699(1)
A Feeling of Heaviness of the Legs
699(1)
Restless Legs
700(1)
Tremor of the Legs
700(1)
Cramps in the Calves
700(1)
Lower Leg Ulcers
701(1)
Toe Ulcers
701(1)
Burning Sensation in the Soles
701(2)
Lower Back
703(6)
Lower Backache
703(1)
Sciatica
704(1)
Feeling of Cold and Heaviness of the Lower Back
704(1)
Weakness of the Lower Back and Knees
704(1)
Stiffness of the Lower Back
705(1)
Coccyx Pain
705(1)
Atrophy of the Muscles Along the Spine
705(1)
Rigidity of the Lower Back
705(1)
Skin Signs
706(1)
Spots on the back
706(1)
Vesicles on the lower back
706(1)
Dryness and redness of the skin of the lower back
706(1)
Yellow colour of the lower back
706(1)
Skin marks on the lower back
706(1)
Boils on BL-23 Shenshu
706(1)
Ulcers on the buttocks
706(1)
Papules or pustules on the buttocks
707(1)
Spinal Curvature
707(2)
Scoliosis
707(1)
Lordosis
707(1)
Spine bent forward
707(1)
Kyphosis
708(1)
Flattening of lumbar spine
708(1)
List of spine
708(1)
Body
709(8)
Body Aches
709(1)
Pain in the Joints
710(1)
Loss of Feeling
710(3)
Paralysis
710(1)
Hemiplegia
711(1)
Numbness/tingling
712(1)
Numbness of half the body
712(1)
Itching
713(1)
Oedema
713(1)
Weight Change
713(1)
Obesity
713(1)
Loss of weight
714(1)
Jaundice
714(1)
Twitching of Muscles
714(1)
Opisthotonos
715(2)
Digestive System and Taste
717(14)
Belching
717(1)
Regurgitation
718(1)
Sour regurgitation
718(1)
Regurgitation of food
718(1)
Hiccup
719(1)
Hunger and Eating
719(3)
Poor appetite
719(1)
Excessive hunger
720(1)
Aversion to food
721(1)
Hunger with no desire to eat
721(1)
Gnawing hunger
721(1)
Craving for sweets/constant picking
722(1)
Sleepiness after Eating
722(1)
Nausea, Retching and Vomiting
723(3)
Nausea
723(1)
Vomiting
724(1)
Retching
725(1)
Vomiting of blood
725(1)
Difficulty in Swallowing (Diaphragm Choking)
726(1)
Taste
726(5)
Bitter taste
726(1)
Sweet taste
727(1)
Salty taste
727(1)
Sour taste
727(1)
Sticky taste
728(1)
Loss of taste
728(1)
Foul breath
729(2)
Thirst and Drink
731(4)
Thirst
731(1)
Dry Mouth
732(1)
Absence of Thirst
733(1)
Increased Salivation
733(2)
Abdomen
735(12)
Introduction
735(1)
Pain
736(4)
Area below the xyphoid process
736(1)
Epigastric pain
737(1)
Hypochondrial pain
738(1)
Umbilical pain
738(1)
Central-lower abdominal pain
739(1)
Lateral-lower abdominal pain
740(1)
Distension and Fullness
740(1)
Abdominal distension
740(1)
Abdominal fullness
741(1)
Abnormal Feelings in the Abdomen
741(1)
Feeling of cold in the abdomen
741(1)
Feeling of pulsation under the umbilicus
742(1)
Feeling of energy rising in the abdomen
742(1)
Borborygmi
742(1)
Flatulence
743(1)
Skin Signs
743(1)
Distended abdominal veins
743(1)
Lines
743(1)
Maculae
743(1)
Abdominal Masses
744(1)
Small, hypochondrial lumps
744(1)
Lumps in the epigastrium
744(1)
Oedema of the Abdomen
745(1)
Abnormal Size
745(1)
Thin abdomen
745(1)
Large abdomen
745(1)
Sagging Lower Abdomen
745(1)
Umbilicus
745(2)
Protruding umbilicus
745(1)
Sunken umbilicus
745(2)
Defecation
747(6)
Diarrhoea or Loose Stools
747(1)
Diarrhoea with Vomiting
748(1)
Constipation
748(1)
Alternation of Constipation and Loose Stools
749(1)
Incontinence of Faeces
750(1)
Blood and Mucus in the Stools
750(1)
Mucus in the Stools
751(1)
Blood in the Stools
751(1)
Difficulty in Defecation
751(1)
Straining in Defecation
752(1)
Urination
753(8)
Dark Urine
753(1)
Pale and Abundant Urine
754(1)
Turbid Urine
754(1)
Painful Urination
754(1)
Scanty and Difficult Urination
755(1)
Difficult Urination
755(1)
Frequent Urination
756(1)
Dribbling of Urine
756(1)
Incontinence of Urine
757(1)
Nocturnal Enuresis
757(1)
Urination at Night
758(1)
Blood in the Urine
758(1)
Sperm in the Urine
759(2)
Anus
761(4)
Itching of the Anus
761(1)
Haemorrhoids
761(1)
Anal Prolapse
762(1)
Anal Fissure
762(1)
Anal Fistula
762(1)
Anal Ulcers
763(2)
Men's Sexual and Genital Symptoms
765(10)
Impotence
765(1)
Lack of Libido
766(1)
Ejaculation
766(2)
Premature ejaculation
766(1)
Nocturnal emissions
767(1)
Inability to ejaculate
767(1)
Blood in the sperm
768(1)
Cold-watery sperm
768(1)
Tiredness and dizziness after ejaculation
768(1)
Priapism
768(1)
Cold Genitals
769(1)
Scrotum
769(2)
Contraction of the scrotum
769(1)
Loose scrotum
769(1)
Scrotum drooping to one side
769(1)
Swollen scrotum
770(1)
Swollen and oozing scrotum
770(1)
Pale scrotum
770(1)
Red scrotum
770(1)
Purple scrotum
770(1)
Dark scrotum
771(1)
Itchy scrotum
771(1)
Penis
771(2)
Pain and itching of the penis
771(1)
Soft and withered penis
771(1)
Redness and swelling of the glans penis
772(1)
Peyronie's disease
772(1)
Ulcers
772(1)
Swelling and Pain of the Testicles
773(1)
Pubic Hair
773(2)
Loss of pubic hair
773(1)
Excessive pubic hair
773(2)
Sweating
775(6)
Spontaneous Sweating
775(1)
Night Sweating
776(1)
Sweating from Collapse
776(1)
Yellow Sweat
777(1)
Localized Sweating
777(3)
Unilateral sweating
777(1)
Sweating on the head
778(1)
Sweating on the chest
778(1)
Sweating of hands and feet
778(1)
Sweating of the palms
779(1)
Sweating in the axillae
779(1)
Absence of Sweating
780(1)
Skin Signs
781(10)
Greasy Skin
781(1)
Dry Skin
782(1)
Eruptions
782(3)
Eczema
782(1)
Psoriasis
783(1)
Acne
783(1)
Urticaria
784(1)
Rosacea
785(1)
Rash in the axillae
785(1)
Red, itchy and swollen fingers
785(1)
Infections
785(2)
Herpes simplex
785(1)
Herpes zoster
786(1)
Tinea
786(1)
Candida
787(1)
Growths and Masses
787(2)
Warts
787(1)
Naevi (moles)
787(1)
Malignant melanoma
788(1)
Furuncle (boil) on the head
788(1)
Carbuncles on the neck
788(1)
Carbuncles on the upper back
788(1)
Nodules under the skin
788(1)
Neck Ulcers
789(2)
Emotional Symptoms
791(6)
Propensity to Anger
791(1)
Propensity to Worry
791(1)
Sadness
792(1)
Fear/Anxiety
792(1)
Tendency to be Easily Startled
793(1)
Excess Joy
794(1)
Mental Restlessness
794(1)
Severe Timidity
795(1)
Inappropriate Laughter
795(2)
Mental and Emotional Symptoms
797(6)
Depression
797(1)
Depression and Manic Behaviour
798(1)
Depressive phase
798(1)
Manic phase
799(1)
Anxiety
799(1)
Irritability
800(2)
Schizophrenia
802(1)
Mental Difficulties
803(4)
Poor Memory
803(1)
Difficulty in Concentration
804(1)
Learning Difficulty in Children
804(1)
Hyperactivity
804(3)
Sleep Problems
807(6)
Insomnia
807(1)
Excessive Dreaming
808(2)
Somnolence
810(1)
Sleep Talking
810(1)
Sleep Walking
810(1)
Snoring
811(2)
Feeling of Cold, Feeling of Heat, Fever
813(6)
Feeling of Cold, Shivering
813(1)
Exterior
813(1)
Interior
814(1)
Fever
814(3)
Acute fever
814(1)
Chronic fever
815(1)
Tidal fever
816(1)
Fever in cancer
816(1)
Fever after chemotherapy
817(1)
Five-Palm Heat
817(1)
Contradictory Feelings of Cold and Heat
817(2)
Voice, Speech and Sounds
819(4)
Loud Voice
819(1)
Weak Voice
820(1)
Muffled Voice
820(1)
Hoarse Voice
820(1)
Nasal Voice
820(1)
Snoring
821(1)
Slurred Speech
821(1)
Incoherent, Incessant Speech
821(1)
Muttering to Oneself
821(1)
Delirious Speech
822(1)
Difficulty in Finding Words
822(1)
Stuttering
822(1)
Groaning
822(1)
Crying Out
822(1)
SECTION 2 GYNAECOLOGICAL SYMPTOMS AND SIGNS
823(38)
Introduction
823(2)
Menstrual Symptoms
825(6)
Menstrual Blood
825(2)
Pale menstrual blood
825(1)
Purple menstrual blood
825(1)
Menstrual clots
826(1)
Sticky menstrual blood
826(1)
Watery menstrual blood
826(1)
Periods
827(4)
Early periods (short cycle)
827(1)
Late periods (long cycle)
827(1)
Irregular periods
827(1)
Heavy periods
827(1)
Scanty periods
828(1)
Painful periods
828(1)
Absence of periods
829(1)
Mid-cycle bleeding
829(1)
Periods that stop and start
830(1)
Periods that return after the menopause
830(1)
Problems at Period Time
831(6)
Premenstrual Tension
831(1)
Headache
832(1)
Breast Distension
832(1)
Fever
833(1)
Body Aches
833(1)
Oedema
833(1)
Diarrhoea
833(1)
Constipation
834(1)
Nosebleed
834(1)
Mouth Ulcers
834(1)
Skin Eruptions
834(1)
Dizziness
835(1)
Vomiting
835(1)
Insomnia
835(1)
Eye Pain
835(2)
Problems During Pregnancy
837(6)
Morning Sickness
837(1)
Vaginal Bleeding
838(1)
Abdominal Pain
838(1)
Oedema
838(1)
Urination Problems
839(1)
Painful urination
839(1)
Retention of urine
839(1)
Blood in the urine
839(1)
Constipation
839(1)
Anxiety
840(1)
Dizziness
840(1)
Cough
840(1)
Loss of Voice
840(1)
Feeling of Suffocation
841(1)
Convulsions (Eclampsia)
841(1)
Problems with the Fetus
841(2)
Threatened miscarriage
841(1)
Fetus not growing
842(1)
Breech presentation
842(1)
Habitual miscarriage
842(1)
Problems After Childbirth
843(6)
Retention of Placenta
843(1)
Lochia
843(1)
Persistent lochial discharge
843(1)
Retention of lochia
844(1)
Pain
844(1)
Abdominal pain
844(1)
Join pain
844(1)
Hypochondrial pain
844(1)
Vaginal Bleeding
845(1)
Vaginal bleeding after childbirth
845(1)
Amenorrhoea after miscarriage
845(1)
Urinary Difficulty
845(1)
Constipation
845(1)
Sweating
846(1)
Dizziness
846(1)
Oedema
846(1)
Fever
846(1)
Breast Milk
847(1)
Breast milk not flowing
847(1)
Spontaneous flow of milk after childbirth
847(1)
Postnatal Depression/Psychosis
847(1)
Collapse
847(1)
Convulsions
848(1)
Breast Signs
849(6)
Breast Distension and Swelling
849(1)
Breast distension
849(1)
Swollen breasts
850(1)
Redness and swelling of the breasts
850(1)
Breast Pain
850(1)
Breast Lumps
850(1)
Nipples
851(1)
Milky nipple discharge
851(1)
Sticky yellow nipple discharge
851(1)
Bloody discharge from the nipple
851(1)
Cracked nipples
852(1)
Inverted nipples
852(1)
Peau D'Orange Skin
852(1)
Small Breasts
852(3)
Miscellaenous Gynaecological Symptoms
855(6)
Infertility
855(1)
Menopausal Syndrome
856(1)
Abdominal Masses
856(1)
Vaginal Discharge
857(1)
White
857(1)
Yellow
857(1)
Red-white
857(1)
Five-colour
857(1)
Inflammation and Swelling
858(1)
Vaginal itching
858(1)
Genital eczema
858(1)
Vulvar sores
858(1)
Swelling of the vulva
858(1)
Prolapse
859(1)
Prolapse of uterus
859(1)
Prolapse of vagina
859(1)
Leukoplakia
859(1)
Dyspareunia
859(1)
Bleeding on Intercourse
859(1)
Lack of Libido
860(1)
Pubic Hair
860(1)
Loss of pubic hair
860(1)
Excessive pubic hair
860(1)
SECTION 3 PAEDIATRIC SYMPTOMS AND SIGNS
861(12)
Introduction
861(2)
Children's Problems
863(10)
Fever
863(1)
Low-grade fever
864(1)
Vomiting
864(1)
Diarrhoea
865(1)
Respiratory Problems
865(1)
Cough
865(1)
Wheezing
865(1)
Ear Problems
865(1)
Earache
865(1)
Glue ear
866(1)
Hot Palms and Soles
866(1)
Constitutional Weakness
866(1)
Constipation in Infancy
867(1)
Urination Problems
867(1)
Retention of urine in infancy
867(1)
Nocturnal enuresis
867(1)
Crying
868(1)
Crying at night in babies
868(1)
Disturbed Sleep
868(1)
Accumulation Disorder
868(1)
Worms
869(1)
Pinworms
869(1)
Roundworms
869(1)
Five Flaccidities
869(1)
Five Retardations
869(1)
Inflammation
869(1)
Acute skin rash
869(1)
Erysipelas
870(1)
Jaundice
870(1)
Infections
870(1)
Chickenpox
870(1)
Mumps
870(1)
Flapping of Nostrils
870(1)
Convulsions
870(1)
Acute
870(1)
Chronic
871(1)
Fetus Toxin
871(1)
Fontanelles
871(1)
Sunken fontanelles
871(1)
Raised fontanelles
871(1)
Late closure of fontanelles
872(1)
White Spots on the Palate and Tongue
872(1)
Long Penis
872(1)
PART 6 IDENTIFICATION OF PATTERNS
873(4)
Introduction
873(4)
SECTION 1 IDENTIFICATION OF PATTERNS ACCORDING TO THE INTERNAL ORGANS
877(50)
Introduction
877(2)
Heart
879(6)
Heart-Qi Deficiency
879(1)
Heart-Yang Deficiency Patterns
879(1)
Heart-Yang deficiency
879(1)
Heart-Yang deficiency with Phlegm
880(1)
Heart-Yang Collapse
880(1)
Heart-Blood Deficiency
880(1)
Heart-Qi and Heart-Blood Deficiency
880(1)
Heart-Yin Deficiency Patterns
880(1)
Heart-Yin deficiency
880(1)
Heart-Yin deficiency with Empty-Heat
881(1)
Heart-Qi and Heart-Yin Deficiency
881(1)
Deficiency of both Heart-Yang and Heart-Yin
881(1)
Heart-Qi Stagnation
881(1)
Heart-Fire Blazing
881(1)
Phlegm Patterns
882(1)
Phlegm-Fire harassing the Heart
882(1)
Phlegm misting the Mind
882(1)
Heart-Blood Stasis
882(1)
Heart Vessel Obstruction
882(1)
Water Overflowing to the Heart
883(1)
Turbid Dampness Surrounding the Heart
883(1)
Combined Patterns
883(2)
Spleen
885(6)
Spleen-Qi Deficiency Patterns
885(1)
Spleen-Qi deficiency
885(1)
Spleen-Qi deficiency with Dampness
885(1)
Spleen-Qi deficiency with Phlegm
886(1)
Spleen-Yang Deficiency
886(1)
Spleen-Blood Deficiency
886(1)
Spleen-Qi Sinking
886(1)
Spleen Not Controlling Blood
886(1)
Spleen-Yin Deficiency Patterns
887(1)
Spleen-Yin deficiency
887(1)
Spleen-Yin deficiency with Empty-Heat
887(1)
Cold-Dampness in the Spleen
887(1)
Damp-Heat in the Spleen
887(1)
Spleen-Heat
888(1)
Phlegm Obstructing the Middle Burner
888(1)
Yin Fire from Deficiency of the Stomach and Spleen and Original-Qi
888(1)
Combined Patterns
888(3)
Spleen- and Stomach- Qi deficiency
888(1)
Spleen- and Heart-Blood deficiency
888(1)
Spleen- and Lung-Qi deficiency
889(1)
Spleen- and Liver-Blood deficiency
889(1)
Obstruction of the Spleen by Dampness with stagnation of Liver-Qi
889(2)
Liver
891(8)
Liver-Qi Stagnation Patterns
891(1)
Stagnation of Liver-Qi
891(1)
Stagnant Liver-Qi turning into Heat
891(1)
Liver-Qi stagnation with Phlegm
892(1)
Rebellious Liver-Qi
892(1)
Liver-Yang Rising
892(1)
Liver-Blood Stasis
892(1)
Liver-Fire Blazing Upwards
893(1)
Damp-Heat
893(1)
Damp-Heat in the Liver
893(1)
Damp-Heat in the Liver and Gall-Bladder
893(1)
Liver-Wind
893(2)
Extreme Heat generating Wind
893(1)
Liver-Yang rising generating Wind
894(1)
Liver-Fire generating Wind
894(1)
Liver-Blood deficiency giving rise to Wind
894(1)
Liver-Wind harbouring Phlegm
895(1)
Liver-Blood Deficiency Patterns
895(1)
Liver-Blood deficiency
895(1)
Liver-Blood deficiency with phlegm
895(1)
Stagnation of Cold in the Liver Channel
895(1)
Liver-Yin Deficiency Patterns
895(1)
Liver-Yin deficiency
895(1)
Liver-Yin deficiency with Empty Heat
896(1)
Liver-Qi Deficiency
896(1)
Liver Phlegm-Fire
896(1)
Liver-Yang Deficiency
896(1)
Combined Patterns
897(2)
Rebellious Liver-Qi invading the Spleen
897(1)
Rebellious Liver-Qi invading the Stomach
897(1)
Liver-Fire insulting the Lungs
897(1)
Liver- and Heart-Blood deficiency
898(1)
Lungs
899(6)
Lung-Qi Deficiency Patterns
899(1)
Lung-Qi deficiency
899(1)
Lung-Qi deficiency with Phlegm
899(1)
Lung-Yang Deficiency
900(1)
Lung-Yin Deficiency Patterns
900(1)
Lung-Yin deficiency
900(1)
Lung-Yin deficiency with Empty-Heat
900(1)
Lung-Yin deficiency with Phlegm
900(1)
Lung-Qi and Lung-Yin Deficiency
900(1)
Lung-Dryness
901(1)
Invasion of Lungs by Wind
901(1)
Invasion of Lungs by Wind-Cold
901(1)
Invasion of Lungs by Wind-Heat
901(1)
Invasion of Lungs by Wind-Dryness
901(1)
Invasion of Lungs by Wind-Water
901(1)
Lung-Heat
902(1)
Phlegm Patterns
902(1)
Damp-Phlegm in the Lungs
902(1)
Cold-Phlegm in the Lungs
902(1)
Phlegm-Heat in the Lungs
902(1)
Phlegm-Dryness in the Lungs
902(1)
Phlegm-Fluids in the Lungs
903(1)
Lung-Qi Stagnation
903(1)
Lung-Qi Collapse
903(1)
Combined Patterns
903(2)
Lung- and Heart-Qi deficiency
903(2)
Kidneys
905(6)
Kidney-Qi Deficiency
905(1)
Kidney-Yang Deficiency Patterns
905(1)
Kidney-Yang deficiency
905(1)
Kidney-Yang deficiency, Water overflowing
906(1)
Kidney-Yin Deficiency Patterns
906(1)
Kidney-Yin deficiency
906(1)
Kidney-Yin deficiency with Empty-Heat
906(1)
Kidney-Yin deficiency, Empty-Heat blazing
906(1)

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