yin and yang, external and internal, hot and cold, weak and strong.
Four clinical diagnostics
Inspection:
Yin Patterns:
Pale or dark complexion, tiredness and likes to lie down, lack of strength, does not like physical activities, fat slippery tongue with oily look.
Yang Patterns:
Red face, hot body, prefers cool, uneasiness, dry and cracked lips, dark red tongue with yellow fur, or even with cracks, or black and with spurs.
Listening and Smelling:
Yin Patterns:
Voice is weak, quiet and dislikes talking, weak breathing, short of breath.
Yang Patterns:
Voice is strong and menacing, impatient, talkative, breathing is rough and fast with sound of phlegm, shouting and/or cursing.
Inquiring:
Yin Patterns:
Foul smelling feces, lack of appetite, uneasiness and not thirsty, or prefers warm beverages, urination is long and clear or short of urine.
Yang Patterns:
Stool is hard or constipated, or with foul smell, does not like to eat, dry mouth, thirsty and wants to drink, urine is short and dark.
Palpation:
Yin Patterns:
Stomach is painful and likes to be pressed, body and feet are cold, pulse is deep, thin, slow and weak.
Yang Patterns:
Stomach is painful and dislikes being pressed, body and feet are warm, pulse is large, floating, fast, and slippery and strong.
Location of Illness
External: skin and hair, muscle and meridians
Internal: zang fu, blood vessels, and bone marrow
Cold Patterns and Hot Patterns
Warm and Cold Preferences:
Cold Patterns: Prefers warm and dislikes cold;
Hot Patterns: Prefers cold and dislikes warm.
Thirst :
Cold Patterns:not thirsty
Hot Patterns: thirsty and likes cold drink
color of face:
Cold Patterns: pale
Hot Patterns: red or pink
limbs:
Cold Patterns: cold
Hot Patterns: hot
feces:
Cold Patterns: loose
Hot Patterns: rigid
urine:
Cold Patterns: light color and long duration
Hot Patterns: dark and short duration
tongue:
Cold Patterns: pale and with white coating
Hot Patterns: red and with yellow coating
Weak (deficient) Patterns (xu zheng) and Strong Patterns (shi zheng)
length of illness:
Weak (deficient) Patterns: illness has been lasting for long duration Strong Patterns: illness has been lasting for short duration
body type:
Weak (deficient) Patterns: weak
Strong Patterns: strong
energy:
Weak (deficient) Patterns: low and depressed
Strong Patterns: excited
voice and breath:
Weak (deficient) Patterns: low voice and weak breath
Strong Patterns: strong voice and strong breath
pain:
Weak (deficient) Patterns: likes being pressed
Strong Patterns: does not like being pressed
fullness in chest and abdomen:
Weak (deficient) Patterns: not painful when pressed. Fullness comes and goes.
Strong Patterns: painful when pressed. Fullness does not subside.
temperature:
Weak (deficient) Patterns: chest, palms and soles are uncomfortably warm. Feverish in the afternoon.
Strong Patterns: hot body
chill:
Weak (deficient) Patterns: chill sensation subsides when the body is covered or in a warm environment
Strong Patterns: chill sensation does not subside when the body is covered or in a warm environment
tongue phenomenon:
Weak (deficient) Patterns: tongue has tender look. No fur or little fur.
Strong Patterns: tongue has aged look and fur is thick and has an oily look.
pulse phenomenon:
Weak (deficient) Patterns: weak
Strong Patterns: strong
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