Summary of pattern identification. 辨證要略 (1/3)
Summary of pattern identification. 辨證要略 (1/3)
1. incessant aversion to cold and heat
effusion with headache and generalized pain are related with external
contraction.
2. the heat on the palm of the hand and
loss of appetite indicate internal damage.
3. vexing heat in the chest, palms and soles
with cough and becoming leaning indicate yin deficiency with effulgent fire (陰虛火旺)
4. episodic headache indicate internal
damage and constant headache does external contraction.
5. thirst with drinking of cold water
indicates heat pattern, thirst with drinking of hot water is deficient pattern,
and great thirst with a preference to drink water in summer indicates summer-heat
evil.
6. sudden neck stiffness indicates wind
cold but prolonged neck stiffness does phlegm fire.
7. sudden tends to be phlegm-heat, occasional
sore throat indicats deficiency of the lower source.
8. if the back of the hand is heat, this
indicates external contraction, if the palm of the hand is heat, this does
internal damage, and if the back and palm of the hand are heat, this indicates
internal damage with external contraction.
9. the cold of the fingertips indicate
contracting to cold evil, if the fingertips are not cold, this means damage to
wind evil, if the fingertips are cold as usual, this means deficiency and
weakness.
10. inability to move the left limbs with
inability to raise one’s arm or pain, this indicates vacuity blood with fire. In
case of the right side, this means qi vacuous with phlegm.
11. sudden severe pain in the shoulder and
back indicates external contraction, prolonged pain means vacuity detriment
with qi depression.
12. acute back pain indicates external
contraction, prolonged back pain indiecates kidney vacuity with stagnant qi and
blood.
13. acute pain of the coccyx indicates
exterior evil in greater yang channel, prolonged pain of the coccys indicates
fire evil in the greater yang channel.
14. when there is fullness and oppression,
if it happens after precipitation, this is accumulation and stagnation in the
chest, this is related with chest bind in cold damage. If it happens without
precipitation, this indicates that pathogenic evil invades lesser yang channel,
this is not chest bind, if there is often fullness in the chest, this indicates
stagnation or phlegm-fire with the deficiency of lower source due to water
toxin.
15. pain in the left side of the chest and
rib-side indicates invading of liver evil due to blood vacuity or the
depression of liver qi due to angry, if the pain also occurs in the right side,
this indicates that fire which is engendered by liver evil restrains and damges
lung metal.
16. upper abdominal pain is related with
greater yin channel, pain around the umblicus is related with lesser yin
channel, and lower abdominal pain is related with reverting yin channel.
17. even though there is a lump or mass in
the abdomen, do not use vomiting or preicipiating medicine, just treat slowly
with digestant medicinal and qi moving medicinal.
18. acute pain of the stomach and heart
belongs to cold, prolonged pain belongs to fire or vacuity.
19. constipation with thirst and fullness
and distension indicates heat repletion, constipation without thirst and
fullness and distension indicates vacuity pattern.
20. cleared and disinhibited urination
indicates pathogenic evil in the exterior, red and inhibited urination
indicates evil in the interior, frequent urination indicates vacuity in the
lower with fire evil, if this signs appears in the prolonge patient and old
people, this is a critical condition.