Primary disease diagnosis | Internal accumulation of water-damp External contraction of cold-dampness Depressed dampness transforming into heat |
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Case example | Depressed dampness transforming into heat; Chronic respiratory tract infection; Asthma | Presentation |
Sticky, greasy and moist tongue coat-at first greasy and white in color and later becoming grey-black Light red tongue color Bright and damp along the sides | ||
Internal accumulation of cold-dampness, or external contraction of cold-dampness Yang deficiency and cold-dampness with internal collecting of phlegmrheum | Primary disease diagnosis | |
Spleen and kidney yang deficiency with internal collecting of phlegmrheum Chronic nephritis; Uremia | Case example | |
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Presentation | Small, sharp and hard white blisters (shaped like rice grains) appearing along the tongue tip Light red tongue body with tooth-marks along the sides Greasy white coating along the tongue sides-peeled-like at the tip and center, but with thin white coating beginning to grow. |
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Primary disease diagnosis | Qi and yin deficiency Qi and blood insufficiency | Presentation |
Internal accumulation of phlegm-damp with spleen and heart fire toxins attacking upward | ||
Case example |
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Case example | Qi and yin deficiency with fire toxins attacking upward; Viral common cold in recovery; Vitamin insufficiency and unbalanced nutrition |
Inspecting the condition of the head, face as well as hair color and sheen are especially significant when differentiating between excess and deficiency syndromes. Likewise, inspection of the five sense organs and seven orifices (nine orifices when including the anal and genital openings) are essential, perhaps even more so, when differentiating zang-fu syndromes. | |
Depressed fontanels-slowed closure of the fontanels | |
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Accumulation of turbid redness along the cheeks Persistent worrying tongue Crimson tongue with no coating Thin, straight and dry, withered hair | Presentation |
Heat accumulation in the heart and spleen Heat in the liver and lung Hyperactivity of fire due to yin deficiency Kidney deficiency and essence depletion | Primary disease diagnosis |
Gan accumulation; Kidney yin insufficiency; Exuberant heart and liver fire; Upper respiratory tract infection; Rickets | Case example |
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Presentation | Flattened occiput; frayed hair |
Primary disease diagnosis | Kidney qi insufficiency, with spleen and blood deficiency |
Case example | Gan accumulation; Spleen deficiency; Rickets |
Protruding forehead Flattening of the vertex | |
Same as case 106 |
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Presentation | Puffiness and swelling of the face and body Swelling of the eyelids with difficulty opening eyes Yellow complexion with tender, shiny redness of the cheeks | Presentation |
Primary disease diagnosis | Yang water (water swelling) Wind water swelling | Primary disease diagnosis |
Case example | Wind pathogen assailing the lung; Acute glomerulonephritis | |
Case example |
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Yin water swelling with spleen and kidney yang debilitation, and damp turbidity floating upward; Chronic nephritis; Uremia | Presentation | |
Presentation | Facial puffiness and swelling Redness and swelling of the lower lip Swelling and weakness of the extremities Somnolence Fear of cold and preference for warmth Blurry vision | Primary disease diagnosis |
Primary disease diagnosis | Edema due to yang deficiency, constrained dampness transforming into heat, which further transforms into toxins. | |
Case example | ||
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Case example | Edema due to yang deficiency with depressed damp transforming into heat and toxins; Nephrotic syndrome; Uremia |
Complete swelling of both cheeks from below the ear to the neck Neck area is wide and distended Appearance of sores at the mouth corners Thorough red facial complexion Bright piercing eyes | |
Exuberant heat toxin |
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Presentation | ||
Heat toxin attacking upward; Lymphoma | ||
Presentation | Face appears like a full moon (fatness of the face) White complexion appearing red Plump and thick shoulders and upper back (buffalo hump) | Primary disease diagnosis |
Primary disease diagnosis | Side effects of corticoid steroid use | |
Case example |
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Case example | Spleen deficiency with internal accumulation of damp heat; Rheumatoid arthritis |
Superficial and dispersed facial complexion with concealed red maculae Moist and lustrous ear Thick and fat earlobes Vitality of the eyes | |
Exterior syndrome Quickening of ying and blood due to internal heat toxins Condition of ear and earlobes indicates a natural endowment of abundant kidney qi |
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Quickening of ying and blood due to lung heat; Upper respiratory tract infection with concurrent skin eruptions from drug intake | Presentation | |
Presentation | Dim, pale and lusterless eyes, with no desire to open the eyes | |
Cloudy spirit Pale white complexion Patient has become thin Open mouth | Primary disease diagnosis | |
Primary disease diagnosis | Yin and yang debilitation Qi and blood depletion | Case example |
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Case example | Viscera type wind stroke with coma Cerebrovascular thrombosis |
Bright shining eyes possessing vitality Sallow facial complexion Shiny, red tongue with no coating-yet still moist and lustrous | |
Damage to qi and yin, but with the return of right qi |
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Presentation | ||
Damage to both qi and yin, but with the return of right qi Recovery stage of myocardial infarction | ||
Presentation | Eyes possess vitality Blueness of sclera, with clear distinction between the white and dark part of the eye Redness of the upper eyelid Redness of the cheek and blueness of the nose | Primary disease diagnosis |
Red tongue with bluish purple liver spots on the sides, yellow coating | ||
Case example |
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Primary disease diagnosis | Damp heat of the liver and gallbladder with liver wood insulting earth |
Case example | Damp heat of the liver and gallbladder with liver wood insulting earth Liver cancer, post surgery |
Redness of the sclera, especially the left eye Photophobia and tearing of the eyes Painful dry and rough eyes Redness of the cheeks |
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Wind-heat in the liver channel with exuberant fire of the heart and liver | Presentation | |
Exuberant fire of the heart and liver Hypertension with acute conjunctivitis | Primary disease diagnosis | |
Presentation | Sluggishness of the eyes Slight redness of the sclera Redness and deficiency type puffiness of the cheeks | |
Case example | ||
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Primary disease diagnosis | Deficiency fire of the heart an liver flaring upward with heat accumulation of the liver and spleen |
Case example | Heat accumulation of the liver and spleen Iridocyclitis |
Black host facial color Disease complexion is reddish yellow Reddish yellow eyes Emaciation of the face |
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Presentation | ||
Damp heat accumulation, with more heat and less damp Spleen and stomach damp-heat | ||
Gastric pain Damp heat accumulation with qi stagnation and blood stasis Bile duct and pancreatic cancer | Primary disease diagnosis | |
Presentation | Light yellow sclera-left eye is bloodshot Waxy yellow facial complexion White tongue Pale lips | Case example |
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Primary disease diagnosis | Spleen deficiency with qi and blood depletion | |
Case example | Qi and blood depletion Hemolytic anemia | |
Gaping eyes White sclera Startled expression |
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Presentation | |||
Counterflow of lung qi | |||
Counterflow of lung qi Acute onset of bronchial asthma | Primary disease diagnosis | ||
Presentation | Sunken orbits Dim and clouded eyes Dim, dark facial color Dark black color at the mid-forehead | ||
Case example |
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Primary disease diagnosis | Essential qi exhaustion of the viscera |
Case example | Essential qi exhaustion of the viscera Gastric cancer (post surgery) with recurring metastasis |
Swelling of the upper and lower eyelids, especially the left eye Sunken red facial complexion Deficiency type facial puffiness and swelling Dusky red tongue with gray coating |
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Presentation | ||
Spleen and kidney deficiency Internal accumulation of damp-heat | ||
Spleen and kidney deficiency with internal accumulation of damp-heat Pulmonary heart disease with insufficient heart function | Primary disease diagnosis | |
Presentation | Swollen upper and lower eyelids, especially the left eye White facial complexion with slight redness Facial puffiness and swelling | |
Case example | ||
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