TCM Diagnosis Pattern Chart

8/14/2019 TCM Diagnosis Pattern Chart

1/16

NOT COVERED IN CLASS Flaws

Disease

Patterns

Key S & S General CAUSES Tonge & Plse !

T"LV #i

Stagnation

$% Deression! 'oo(iness

)% Easily Anger!Irrita*le

+% Sig,ing-% Pre.'entral /reast Distention

0% Ri*.si(e Distention

1% Pre.'enstral Tension

1. Plum Pit Qi

2. Distention & Pain of the Hypochondrium

3. Middle Jiao Signs. !rregular Periods

a. "rustration# anger

$. %ier 'lood (u

c. %ier )in (ud. *idney )in (u

e. *idney )ang (u

f. eerything that inhi$its %ungs

to diffuse & goern Qi

g. eil Qi

h. presence of eil

Plse2 3iry ! String

Tag,t!

*owstring

Tonge2 Nor4al or Re( si(es5

(isten(e( si(es

T"2 Corse t,e Li6er5

Re7ti8y t,e #i

LV

Deression!

Trans8or4ati6e 9eat

$% Feeling o8 9eat

)% Irrita*ility

+% Rage li:e anger

-% Distention an( Pain o8 /reast

0% Nile 9yersensiti6ity

1. +ed face & eyes

2. Premenstrual ,cne

3. -hirst

. 'itter -aste

. Mental +estlessness/. !nsomnia0

a. difficulty falling asleep

$. aing up hot a racing mind

4. Heart Palpitations

5. 6hest 7ppression

8. 9arly Periods0 "looding and %eaing

%ier Qi -ransformatie Heat

%: Qi S & S ; heat


2/16

/. Berousness0 :e?ation & ,gitation

w!

LV =in "U?

*Patientsuffers!

$% 9%A%2 o6erw,el4ing@ (e*ilitating

one si(e( 9%A%5 sensation o8 ,eat

rs,ing to t,e ,ea(5 li:e wa6ing

7ras,ing on s,ore5 ,ea6y

,ea(e(ness

)% Raging on Peole5 irrita*ility

>S,oting in Anger?

1. +ed "ace and +ed 9yes

2. %oud and "orceful -innitus

3. !nsomnia dreams

. Palpitations

. Poor Memory

/. 6onstipation

4. lo $ac soreness

5. nee eaness & soreness

%ier )in (u0 complication from

%!: )in (u

pulse0 wiry& Eposs. "ine

Erapid heat

-ongue0 +ed 'ody# Sides

+edder#

Diminished 6oating

-(0 9nrich %ier )in#

Su$due %ier )ang

LIVER

=ANG

RISING

CAUSING

3IND

$. Diiness2 Strong5 roo4sinBg

2% Con6lsions

3% S((enn7ons7iosness

-. 9e4ilegia2 n4*ness!

la7: o8sensation

0. De6iation o84ot, & eyes

- one si(e(aralysis

1. A,asia2 Di88i7lt See7,

Ceneral %ier Find Signs0

1. -remor

2. -ic

3. Bum$ness

. Di>>iness

. 6onulsions or Paralysis

9nduring %ier )ang

+ising

Pulse0 Firy & fine

-ongue0 Bormal color0 no coat

-(0 Bourish %: )in# Su$due

%ier )ang#

Su$due Find

LIVER

/LOOD "U

$% Dll Pale 7o4lestars lig,ts /loo( "U?

0% Nig,t *lin(ness

1% S7anty 'enstration2

a4enorr,ea

late 4enstration

1. Dry sin and hair

2. Pale lips3. Di>>iness

. !nsomnia0 Mathidinal


3/16

LIVER

/LOOD

CAUSING

3IND

1. S,a:ing o8 9ea(

2. /lrre(!Flowery Vision

3. N4* Li4*s Tre4or

o8 Li4*s

. Oistot,onos

Ceneral %ier Find Signs0

1. -remor

2. -ic

3. Bum$ness

. Di>>iness

. Con6lsionsor Paralysis

'lood (@0

1. Dll w,ite Co4lee the

constructie

LIV!G/DA'P

$% =ellow 7o4leDa4 ,eat signs?2

1. Di>>iness2. Sticy "eer alternating feer &

1. 7utside inasion $y DEH eils +ongue# +hic, or Sli'


4/16

9EAT I8 stea4 7olle7t in 8les, *etween

layer o8 s:in.=ang an(i7e

T,e 7olor o8 orange2

Re( Fire H =ellow.Da4ness

)% No aetite2 Ina*ility to (igest

+% A6ersion to 8atty 8oo(s

.s4elling 8atty 8oo(s

7an trigger nasea

-% A*(o4inal Distention0% /itter Taste2 ,eat%

9eat stea4s *ile

Stea4 Colle7ts in t,e 4ot,

I8 stea4 7olle7ts in ortal o8

woo(@ t,e s7lera trns yellow%

=IN AUNDICE

1% Ri* si(e (istention

9yo7,on(ria7

chillsK0

Seat $ut feer is not gone# lo grade

feer.

3. Drags Don to the loer part of $ody0

a. ,$normal :aginal Dischargeitch

$. Scrotal sciroccos or painA rednessA

selling in scrotum

. ,$dominal Distention >iness:ertigo

2. 9?cessie Dreaming

3. Poor Memory. !rrita$ility

. Berousnessan?iety

/. 'lurred :ision

4. Sighing


5/16

>or 'isting?

T9E PORTALS

>or t,e 'in(?

Stor!'ental Con8sion

LOC a%

'ania!wit,(rawal

>alternating?

*% 'oo( Swings

)% Rattling son( in t,roat5

rails!Post Nasal Dri

+% See7, Pro*le4s2 S,oting or

'ttering to onesel8@ (i88i7ltyarti7lating@ A,asia

the Portals !nto Heat

,. 9motional -urmoil

'. Spleen (@

thic coat. Sticy or

Slippery 6oat. 6racs

up to tip of tongue# tip

pricles.

Pulse0 Slippery# FiryString

-aught# 'ound*notted

-(0 -ransform Phlegm# 7pen

the Portals

P9LEG'

FIRE

9ARRASSI

NG T9E

9EART

$% Ras, /e,a6ior2

ten(en7y to ,it or s7ol(

eole >aggressi6e!6iolent?

)% 'ental2 So4eti4es agitation5

so4eti4es w!(rawn +%

Easily Angere( .

/itter Taste

1. 6oma

2. !ncoherant Speech

3. Shouting

. @ncontrolled %aughter & 6rying

. Palpitations 6hest 7ppression

/. !nsomnia dreamed distur$ed Sleep

4. 9asily Startled

5. 6onstipation

1. PH%9CM M!S-!BC

P7+-,%S 2.

9motional -urmoil

3. Spleen (@

. "ire Steing the Juices

-ongue0 +ed# Sollen#

thic )elloA sticy

6oat

Pulse0 N than 8O 'PM# "ull#

Slippery or "looding or

Surging# or String -aught

-(0 Drain "ire# -ransform

Phlegm# 7pen the Portals

PATTERNS KE= SIGNS &

S='PTO'S

GENERAL SIGNS & S='PTO'S CAUSES TONGUE & PULSE

INVISI/LE

P9LEG'

1. Drooling

2. 6onstipation

-(0 Purge


6/16

5. %oose Stools 'loody Stools 'a7o7ia?

1% Palitations

1. Dry mouth & throat o desire to

drin 2. Poor memory

3. :iid Dreaming

. !nsomnia

. ,gitation

/. :e?ation

Qi (@ Patterns0

1. 9nduring Disease

2. ,ging

3. !nsufficient natural

9ndoment

. 9nduring 'lood (@

. 9motional -urmoil

/. *D )in (@

4. "e$rile Diseases

9EART

/LOOD

$% Cyanoti7 Lis

)% Pain in t,e 9eart2 Sta**ing ain

1. Dar Hue

2. Palpitations

1. Qi Stagnation

2. Qi (@


7/16

STASIS in 7,est5 ra(iating into t,e ar4 &s,ol(er5 in wo4en also into *a7:

3. 6hest 7ppression

. !nsomnia# agitation# tension# anger

. 6old hands

/. 6yanotic Bails

3. 9mot. -urmoilturmoil in Qi Ji

. 6old

SPLEEN #I

"U

$% Fatige2 Lassit(e o8

Sirit )% Post

Pran(ial So4nolen7e

+% 3ea:ness o8 Li4*s2

la7: o8 strengt,

1. ,$dominal Distention after eating

2. Diminished or poor appetite

3. %oose Stools

. Sallo

. "aint :oice


8/16

INVADING

SPLEEN

>SP "U 3!

DA'P?

'i


9/16

-(0 Harmoni>e S- Qi# -reat

6ause

FOOD

STAGNATI

ON

$% Sor or A7i(

Regrgitation

)% Eigastri7 Fllness

+% Fol S4elling

Flatlen7e

1. !nsomnia

2. Hiccups# $elching# omiting

3. Difficulty Salloing

. "oul 'reath0 "etid 7dor w!ressre?5 lo7ation is in

oint a77rate

)% Vo4iting Dar: /loo(

1. Dar Hue

2. Dar 'lood in Stools

3. Pain after 9ating

. Masses No 8ree 8low?

1. Preference for arm liuids. 1. 6old food and Drins

2. 9?tremely 6old eather

-ongue0 T,i7: w,ite tonge

7oating


10/16

INVASION OF

LUNG /= 3IND.

COLD

>COLD.DA'AGE?

1. NO sweat

)% 9A5 o77iital >& nae?5

Taiyang 9A

3. cough; w/thin, watery or frothy

(bubbles wind) white sputu

!. snee"ing; runny or bloc#ed nose

w/clear. watery discharge

1. itch or tic#ling in throat

2. sensitie to cold# aersion to cold

3. fa +e heat emission lo grade feer.

. Ceneral 'ody aches

. 6ough# hasty panting ?iao chuan

or hee>ing >iness

3. %o :oice

. SoftA ea cough clearA thin sputum

. Possi$ly cough

/. 7ccasionally night cough

4. -endency to contract e?ternal eils easily

1. Qi acuity signs0

- lassitude of spirit

- mental e?haustion

- ta?ation fatigue

- lac of strength

Sontaneos Sweat2 w! e


11/16

LUNG DR=NESS

>E


12/16

DA'P 9EAT IN LI 1. -hinA atery stools foul smell0

EDiarrhea mucus & 'lood

Ecould $e acrid smell

E $urning heat in anus

1. Bo ,ppetite# anore?ia

2. :omiting

3. Dry mouth no desire to drin

. "ullness in chest

E"eeling of lump in epigastrium

EA*(o4inal Pain

. ShortscantyA dar urine

/. Heay $ody feeling

4. Sticy feer different styles of feer#

+agingA loA afternoon feer

5. "reuent stools in small uantityyello$rn

8. -enesmus

1. 7erEconsumption of greasyA

fried thic flaored foods.

G,lcohol

G @nclean foods De8i7ien7y o8 Fli(

in Colon?

$% Dry stools t,at are ,ar( to

(is7,arge >(ry & *on(?

)% Knotte( Constiation

1. Dry mouth & throat 1. Depleted $ody fluids especially

in older people.

2. 9nduring Disease

3. "e$rile disease# after high feer

consumes fluids

3. Dry Stomach conditions %!

dryness

. 7er consumption of dry drying

. Postpartum constipation 'lood ?u

/. Clo$al Pro$lem

)in (u 'lood (u

Tonge2 T,in /o(y5 Dirty

loo:ing@ ol( loo:ing Coat

T,i7:@ greasy@ yellow to

*rown or grey & (ry@ t,i7:

Plse2 3iry i4age in KD

Position

-(0 Soften the stoolsEeat seeds ,eat w,en e


13/16

DIARR9EA 3IT9

CIRCU'FLUENCE

>Green sli44y *a(

s4elling (iarr,ea?

Constiation wit, s((en (iarr,ea

>%iuid feces flos around hard

$ound stool in intestines.=

completely. in6a(ing? LI $% A*(o4inal Pain2

.S((en ain

sign o8 6a7ity?

)% Dll A*(o4inal Pain

>Sign o8 "?

li:es ressre

li:es war4t,5 8ears 7ol(

+% Distention5 *loating & sagging

o8 re7t4 >tenes4s?

1. %assitude of Spirit

2. ,ersion to coldpalliatie & Proocatie

EPalpa$ly cold

3. Poor appetite

. 6hronic Dysentery

Estools pus & $lood

E chronic diarrhea

E+ectal prolapse

E Loose stools. 'or$orygmus


14/16

+% E88sion o8 9eat

Col(2

-% 9%A% >o77iital?

0% Rnny nose ser4atoria?

-% E4ty ,eat 7ases 4enses to

8low a,ea( o8 s7,e(le2

Early Perio(s

A4enorr,ea

'etorr,agia

Floo(ing & lea:ing

0% 9air Loss

1% Loose Teet,

1. Poor Memory

2. !nsomnia0 Faes easily# hard to stay asleep

3. Malar flushing T,ie8 (ee insi(e?

)% 'ental Restlessness!Ve(ee ain?

Col( 8eeling in *a7: >ala*ly?

w,en tire()% 3ea:@ sore & 7ol( :nees+% A*n(ant Clear Urine

1. "earing hates cold

2. 6old in the loer half

3. 9?tremely 'right Fhite comple?ion

. %assitude of spirit


15/16

No7tria

S7anty rine

-% Col( 8eet

0% Un(igeste( 8oo( in stools

1% Di4inis,e( Li*i(o

J% Pre4atre ea7lation5

I4oten7e

J% In8ertility

/. %oose stools# coc cro diarrhea

4. @ndigested "ood in stools

5. Fea %egs


16/16

0% En(ring 3ea: Cog,2 tire(

1% CanBt *reat, w,en lying (own

/. 6old lim$s . -a?ation fatigue

. 9nduring fear

G*D relationship ith %ungs

Her$al0 Fu Fei i

INSUFFICIENC=

OF ESSENCE

S4all C,il(ren

)% Poor /one De6elo4ent

Aging2

+% Di4inis,e( li*i(o5 wea: se

TCM Diagnosis Pattern Chart

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