Transcript Pulse Tongue Signs Deficiency Patterns

Excess Patterns
Signs
Tongue
Pulse
Wind-Cold Invasion
Fever & chills w/chills
predominating, body
ache, stuffy nose
w/clear runny mucus,
sneezing, scratchy
throat, lack of sweat,
possibly a headache
Thin white coat
Floating, possibly a
little tight
Wind-Heat Invasion
Fever & chills w/fever
predominating, sore
throat, stuffy a/or runny
nose w/yellow
discharge, headache,
slight sweating, no thirst
Thin yellow coat or
Thin white coat
w/slightly red tip and
edges
Floating, rapid
Damp-Phlegm
Obstructing
Chronic cough which
comes in bouts, profuse
white sputum that is
easy to expectorate,
fullness of the chest,
asthma is possible, can
be either a chronic or
acute condition
Thick sticky white coat
Slippery or Weak,
floating & fine
Deficiency Patterns
Signs
Tongue
Pulse
Phlegm-Heat Obstructing
Barking cough,
SOB, asthma, chest
oppression,
yellow/green
mucus
Red, thick sticky
yellow coat
Slippery, rapid, full
LU Qi Deficiency
Fatigue, SOB, weak
voice, spontaneous
daytime sweating,
catch colds
easily/frequently,
pale complexion
Pale, slightly
swollen
Empty
LU Yin Deficiency
Dry cough possibly
w/blood tinged
sputum, dry throat
a/or mouth,
hoarseness, night
sweats, mallor flush
Red, no coat,
probably peeled,
horizontal cracks in
the LU area
possible
Thin, rapid or
Floating, empty
LU Dryness
Not as severe as LU
Yin Deficiency, dry
cough, dry throat,
hoarseness, dry
skin
Dry
Empty, possibly
Floating, empty
Lu 1 Zhong Fu Middle Palace
Location: Lateral to the sternum, at
the lateral side of the 1st intercostal
space, 6 cun lateral to REN
Lu 2 Yun Men Cloud Gate
Location: In the depression below
the acromial extremity of the clavicle,
6 cun lateral to REN
Lu 10 Yu Ji Fish Border
Location: On the radial aspect of the
midpoint of the 1st metacarpal bone, on
the junction of the yin and yang skin
Lu 11 Shao Shang Lesser Shang
Location: On the radial side of the
thumb, about 0.1 cun posterior to the
corner of the nail
Large Intestine
LI 1 Shang Yang Jing-well and Metal
Location: On the radial side of the
index finger, about 0.1 cun posterior to
the corner of the nail
LI 4 He Gu Joining Valley
Location: In the middle of the 2nd
metacarpal bone on the radial side,
in the adductor pollicis muscle
LI 5 Yang Xi Yang Stream
Location: In the “snuffbox”
On the radial side of the wrist. When
the thumb is tilted upward, it is in the
depression between the tendons of
extensor pollicis longus and brevis
LI 10 Shou San Li Arm Three Miles
Location: On the line joining LI 5
and LI 11, 3 cun distal to LI 11
LI 11 Qu Chi Pool at the Crook
Location: When the elbow is flexed, the
point is in the depression at the lateral end
of the transverse cubital crease, midway
between LU 5 and the lateral epicondyle of
the humerus.
LI 20 Ying Xiang Welcome Fragrance
Location: In the nasolabial groove, at
the level of the midpoint of the lateral
border of the ala nasi
Excess
Patterns
Signs
Tongue
Pulse
ST Fire
Constant hunger, painful, swollen
&/or bleeding gums, regurgitation
&/or vomiting likely after eating,
burning sensation in the
epigastrium, nausea, constipation
Red, dry
w/thick yellow
coat
Full,
deep,
rapid
ST Excess
Cold
Usually an acute situation, acute
pain in the epigastrium which feels
Thick white
better with warm foods/drinks
coat
a/or the application of heat and
worse with cold
Pattern usually appears with ST
a/or other organ patterns and is
ST Rebellious
related to the ST not descending
Qi
the Qi, regurgitation, belching,
hiccups, vomiting
ST Food
Retention
Vomiting, regurgiation, belching,
epigastric pain &/or distention,
lack of appetite, insomnia
Normal
Deep,
slow,
tight
Tight
Thick yellow or Full,
white coat
slippery
Deficiency
Signs
Patterns
ST Yin
Deficiency
Epigastric pain, poor appetite,
heat in the 5 palms,
constipation, dry mouth a/or
throat, thirst w/no desire to
drink
Tongue
Pulse
Red or peeled
Floating,
in the ST/SP
empty
area
*** St 1 Cheng Qi Container of Tears
Location: Directly below the pupil,
Between the eyeball and infraorbital
ridge
*** St 8 Tou Wei Head’s Binding
Location: 0.5 cun within the anterior
hairline at the corner of the forehead
*** St 25 Tian Shu Heaven’s Pivot
Location: 2 cun lateral to the center
of the umbilicus
St 35 Du Bi Calf’s Nose
Location: When the knee is flexed, the
point is at the lower border of the patella,
in the depression lateral to the patellar
ligament
*** St 36 Zu San Li Leg Three Miles
Location: 3 cun below ST 35,
One finger width from the anterior crest
of the tibia
*** St 40 Feng Long Abundant Bulge
BEST POINT IN BODY FOR PHLEGM
Location: 8 cun superior to the external
malleolus, about one finger width lateral
to ST 38 (2 finger widths lateral to tibia
crest)
*** St 45 Li Dui Strict Exchange
Location: On the lateral side of the
2nd toe, 0.1 cun posterior to the
corner of the nail
Excess Signs
Tongue Pulse
Dampcold
Poor appetite, chest &/or
epigastric distention, sensation of
cold in the abdomen which feels
better with the application of heat,
heavy head &/or body, lack of
thirst, loose stools
Dampheat
Epigastric &/or abdominal
oppression, lack of appetite, heavy
body, thirst with little/no desire to Yellow
drink, abdominal pain, loose stools sticky
with strong odor possibly
coat
w/burning anus, nausea, vomiting,
fever, headache
Thick
sticky
white
coat
Slippery
slow
Slippery
rapid
Deficiency
Patterns
Signs
Tongue
SP Qi
Deficiency
Poor appetite, distention after eating,
weakness of the four limbs, fatigue,
loose stools
Pale,
swollen
Empty
with
teethmarks
SP Qi Sinking
SP Qi Deficiency (above) plus
prolapses of the stomach, uterus, anus
Pale
&/or vagina along with frequency &/or
urgency of urination
Empty
or
weak
SP Qi not
controlling
Blood
SP Qi Deficiency (above) plus
hemorrhages, vaginal bleeding,
bleeding under the skin
Pale
Fine
SP Yang
Deficiency
Further progression of SP Qi
Deficiency (above) with more cold
signs, cold limbs, chilliness, edema
(more in the middle warmer)
Pale, wet,
swollen
Deep
with
teethmarks
Pulse
Sp 1 Yin Bai Hidden White
Location: On the medial side of the
great toe, 0.1 cun posterior to the
corner of the nail
Sp 6 San Yin Jiao Three Yin Intersection
Location: 3 cun directly above the tip
of the medial malleolus, on the
posterior border of the medial aspect
of the tibia
Sp 9 Yin Ling Quan Yin Mound Spring
Location: On the lower border of the
medial condyle of the tibia, in the
depression on the medial border of the
tibia
Sp 10 Xue Hai Sea of Blood
Location: When the knee is flexed, the
point is 2 cun superior to the
mediosuperior border of the patella, on
the bulge of the medial portion of
quadriceps femoris
Sp 21 Da Bao Great Enveloping
Location: On the mid-axillary line, 6 cun
below the axilla, midway between the
axilla and the free end of the 11th rib
Deficiency
Patterns
Signs
Tongue
Pulse
HT Blood
Deficiency
Palpitations, dizziness, insomnia,
dream disturbed sleep, anxiety, easily
startled, poor memory, poor
concentration, dull pale complexion,
lips are likely to be pale
Pale, possibly
thin, maybe dry
Thin or choppy
HT Qi
Deficiency
Palpitations on exertion,
spontaneous sweating, fatigue
Pale, possibly a
midline crack
down to the tip
Empty
HT Yin
Deficiency
Similar to Blood Deficiency but with
more anxiety and restlessness,
palpitations, insomnia, dream
disturbed sleep, easily startled, poor
memory, fidgeting, mallor flush,
night sweats, heat in the 5 palms, dry
mouth
Red or peeled
w/no coat
Floating, empty or
Thin, fast
HT Yang
Deficiency
Similar to HT Qi Deficiency
(palpitations on exertion, fatigue,
spontaneous sweating) but with cold
limbs, feeling of cold, bright pale face
Pale, wet &
swollen
Deep, weak,
possibly knotted
HT Yang
Collapse
Serious, patient should go to hospital,
severe palpitations, weak and shallow Pale or purple
breathing, cyanosis of the lips
Hidden, minute or
very knotted
Excess
Patterns
Signs
Tongue
Pulse
HT Fire
Palpitations, thirst, tongue/mouth
ulcers, restlessness, red complexion,
bitter taste in morning
Red w/yellow
coat, red point
on tip
Full, rapid,
overflowing (esp.
in HT)
Phlegm Fire
Mental confusion, lack of mental
clarity, palpitations, restlessness,
incoherent speech, rash behavior,
tendency towards hitting a/or
scolding people, uncontrollable
laughter &/or crying, mani
depression
Red w/yellow
greasy coat,
possibly red
points on tip
a/or deep
midline crack
running to the
tip
Full, slippery
Phlegm
Misting the
Mind
(Heart)
Phlegm signs w/o heat, mental
confusion, unconsciousness, rattling
sound in the throat, asphasia,
vomiting
Thick greasy
coat
Slippery
HT Blood
Stagnation
Angina, chest oppression, HT pain
which may radiate down to the left
arm or shoulder (emotionally or
physiologically related), palpitations,
cyanosis of the lips (in more severe
cases)
Purplish
Knotted
He 1 Ji Quan Summit Spring
Location: When the arm is abducted, in
the center of the axilla, on the medial
side of the axillary artery
He 9 Shao Chong Lesser Rushing
Location: On the radial side of the little
finger, about 0.1 cun posterior to the corner
of the nail
SI 1 Shao Ze Lesser Marsh
Location: 0.1 cun posterior to the corner of the nail
on the ulnar side of the little finger
SI 3 Hou Xi Back Stream
Location: With a loose fist made, ulnar end of distal
palmar crease proximal to the 5th metacarpal phalangeal
joint at the junction of the red and white skin
Great for any pain or blockage on SI or GV,
neck pain, back pain, occipital headache
SI 9 Jian Zhen True Shoulder
Location: With arm abducted, 1 cun above the posterior end
of the axillary fold, posterior and inferior to the shoulder joint
Great for Shoulder Pain
SI 10 Nao Shu Upper Arm Shu
Location: With arm abducted, directly above SI 9 in a
depression inferior to scapular spine
Great for Shoulder Pain
SI 19 Ting Gong Listening Palace
Location: Anterior to the tragus and posterior to the
condyloid process of the mandible in a depression formed
when mouth is opened
UB 1 Jing Ming Bright Eyes
Location: 0.1 superior to the inner canthus
BI 10 Tian Zhu Celestial Pillar
Location: 1.3 cun lateral to GV 15 or .5 cun above the
posterior hairline and 1.3 cun lateral to the midline on the
lateral aspect of the trapezius muscle
Use with lower UB pt. such as UB36, UB 57 or UB 60 to
open the whole channel - for any back problems or stiff
posterior neck or shoulders. (Sea of Qi)
BI 13 Fei Shu Lung Shu
1.5 cun lateral to the depression inferior to the spinous
process of T3
LU Shu
BI 15 Xin Shu Heart Shu
1.5 cun lateral to the depression inferior to the spinous
process of T5
Heart Shu
BI 18 Gan Shu Liver Shu
1.5 cun lateral to the depression inferior to the spinous
process of T9
Liver Shu
BI 19 Dan Shu Gall Bladder Shu
1.5 cun lateral to the depression inferior to the spinous
process of T10
GB Shu
BI 20 Pi Shu Spleen Shu
Location: 1.5 cun lateral to the depression inferior to the
spinous process of T11
Spleen Shu
BI 23 Shen Shu Kidney Shu
Location: 1.5 cun lateral to the depression inferior to the
spinous process of L2
Kidney Shu
BI 25 Da Chang Shu Large Intestine Shu
Location: 1.5 cun lateral to the depression inferior to the
spinous process of L4
Large Instestine Shu
BI 28 Pang Guang Shu Bladder Shu
Location: 1.5 cun lateral to midline. Level with
2nd Posterior Sacral Foramun
UB Shu
BI 32 Ci Liao Second Crevice
Location: In the 2nd Posterior Sacral Foramen
Low Back Pain, Menstrual Problems
BI 36 Cheng Fu Hold and Support
Location: On the posterior side of the thigh at the
midpoint of the inferior gluteal crease
LBP
BI 42 Po Hu Door of the Corporeal Soul
Location: 3 cun lateral to the depression inferior to the
spinous process of T3
BI 52 Zhi Shi Residence of the Will
Location: 3 cun lateral to the depression inferior to the
spinous process of L2
BL 53 Bao Huang Bladder’s Vitals
Location: 3 cun lateral to the medial sacral crest
at the level of the 2nd Posterior Sacral Foramen
BL 57 Cheng Shan Support the Mountain
Location: 8 cun below UB 40 in a pointed depression
between the heads of the gastrocnemius
BL 60 Kun Lun Kunlun Mountains
Location: In a depression between the tip of
the external malleolus and the achilles tendon.
BL 67 Zhi Yin Reaching Yin
Location: .1 cun posterior to the corner of
the nail on the lateral side of the little toe.
Kidney Meridian (Shen)
Deficiency Patterns
Signs
Tongue
Pulse
SOB, asthma, cold limbs, weak
back a/or knees, copious clear
urination, incontinence, nighttime urination
Pale
Deep,
Weak,
Possibly
Tight
KD Qi
Xu
KD Yin
Xu
Dizziness, tinnitus, vertigo, sore
back, constipation, may also
have empty heat signs, mallor
flush, night sweats, heat in the
5 palms, insomnia, dry throat
Red w/no
coat, may
have
horizontal
cracks,
red tip
w/empty
fire
Floating
empty,
Rapid
KD Yang
Xu
Sore a/or weak back/knees,
sensation of cold, aversion to
cold, weak lower limbs,
lassitude, clear copious urine,
poor appetite, looses stools,
edema (which can be severe)
Pale, swollen,
wet
possibly a
white coat
w/strong
water
signs
Deep,
Weak,
Possibly
slow
KD Jing
Xu
In children poor physical a/or
mental development - In adults
weakening of the bones, teeth,
back a/or knees, memory
problems, lessening of sexual
libido/ability
Red, peeled
Floating
empty
* Kidney 1
Yongquan
Bubbling Spring
Location: On sole, in depression with foot in plantar flexion, at
the junction of the anterior 1/3 and posterior 2/3 of line
connecting base of the 2nd and 3rd toes with the heel.
* KI 3 Tai Xi Supreme Stream
Location: In depression midway between the tip of the medial
malleolus and the (posterior border of the) achilles tendon.
Yuan Source Point
* KI 6 Zhao Hai Shining Sea
Location: In a depression below the tip of the medial malleolus
Yin Qiao Master Point coupled with LU 7 (CV Master Point)
* KI 25 Shen Cang Spirit Storehouse
Location: In the 2nd Intercostal Space,
2 cun lateral to the Ren channel
* KI 26 Yu Zhong Comfortable Chest
Location: In the 1st Intercostal Space,
2 cun lateral to the Ren meridian
* KI 27 Shu Fu Shu Mansion
Location: In a depression on the lower border of the clavicle,
2 cun lateral to the Ren meridian
P
E
R
I
Heart
C
Envelope
A
R
D
I
U
M
P1 Tian Chi Heavenly Pool
Location: 1 cun lateral to the nipple in the
4th ICS (intercostal space).
5 cun lateral to the ventral midline
P6 Nei Guan Inner Pass
Location: 2 cun above the wrist crease between the
tendons of palmaris longus and flexor carpi radialis.
Luo Connecting Point and confluent point of Yin Wei Mai
P9 Zhong Chong Middle Rushing
Location: In the tip of the middle finger
San Jiao = Triple Heater = Triple Warmer
SJ 1 Guan Chong Rushing Pass
On the lateral side of the ring finger, about
0.1 cun posterior to the corner of the nail
SJ 5 Wai Guan Outer Pass
2 cun proximal to the wrist crease,
between the radius and the ulna
SJ 15 Tian You
On the superior angle of the scapula
SJ 23 Si Zhu Kong Silken Bamboo Hollow
In the depression at the lateral end of
the eyebrow
Gall Bladder Meridian and Acupoints
GB 1 Tong Zi Liao Pupil Crevice
0.5 cun lateral to the outer canthus, in
the depression on the lateral side of
the orbit
GB 14 Yang Bai Yang White
1 cun directly above the midpoint of
the eyebrow
GB 21 Jian Jing Shoulder Well
Midway between Du 14 and the
acromion, at the highest point of the
shoulder
GB 30 Huan Tiao Jumping Circle
At the junction of the lateral 1/3 and
the medial 2/3 of the distance between
the greater trochanter and the hiatus
of the sacrum
GB 34 Yang Ling Quan Yang Mound Spring
In the depression 1 cun anterior and
inferior to the head of the fibula
GB 44 Zu Qiao Yin Yin Portals of the Foot
On the lateral side of the 4th toe,
about 0.1 cun posterior to the corner
of the nail
Excess Patterns
Signs
Tongue
Pulse
LV Qi Stagnation
Chest distention, hypochondriac pain
a/or distentino, sighing, nausea,
vomiting, poor appetite, diarrhea,
depression, moodiness, plum pit qi,
PMS, breast tenderness, painful a/or
irregular menstruation
Normal
Wiry
LV Blood Stagnation
Abdominal pain, palpable masses in
the abdomen, irregular a/or painful
menstruation possible with dark clots,
purple nails, purple lips
Purple, possibly w/purple spots
Wiry
LV Cold Stagnation
Pain in the genital area, general cold
signs
Pale, wet w/white coat
Wiry, deep, slow
LV Fire
Headache, irritability, explosive
anger, dizziness, tinnitus, bitter taste
in the mouth, red face, red eys,
dream-disturbed sleep, constipation
Red, dry w/yellow coat, possibly
redder along the LV/GB area
Wiry, full, rapid
Liver Wind Rising
Can come from LV Blood
Deficiency, LV Yang Rising or from
Internal heat generating wind
(discussed here), muscle spasms,
convulsions, high fever, fairly serious
condition
Red, stiff w/thick yellow coat
Wiry, rapid, full
LV Yang
Storke, asphasia, dizziness, twitching
Red, peeled possibly deviated
Floating, empty or Wiry, fine, rapid
LV/GB Damp Heat
Chest a/or hypochondriac
pain/distention, jaundice, fever, bitter
taste in the mouth, poor appetite,
nausea, vomiting, swelling a/or
itching of the genitals
Red w/yellow sticky coat
Slippery, wiry, rapid
Deficiency Patterns
Signs
Tongue
Pulse
LV Blood Deficiency
Numbness in the extremities, tics,
tremors, dizziness, blurred vision,
floaters, insomnia, dry skin/hair,
scanty or lack of menstruation
Pale, thin, dry
Thin, choppy
* Lv 1 Da Dun Big Mound
Location: lateral side of the dorsum
on the terminal phalanx of the great
toe, between the lateral corner of the
nail and the interphalangeal joint
* Lv 3 Tai Chong Great Rushing
Location: On the dorsum, of the
foot in the depression distal to the
junction of the 1st and 2nd
metatarsal bones
Lv 14 Qi Men Cycle Gate
Location: Directly below the nipple, in
the 6th intercostal space
Conception Vessel
REN = R = CV = CON =
Ren 1 Hui Yin Meeting of Yin
In women: between the anus and the
posterior/labial commisure
In men: between the anus and the
root of the scrotum
Ren 4 Guan Yuan Gate of Origin
On the midline of the abdomen, 3 cun
below the umbilicus
Ren 6 Qi Hai Sea of Qi
On the midline of the abdomen,
1.5 cun below the umbilicus
Ren 24 Cheng Jiang Container of Fluids
In the depression at the center of the
mentolabial groove
Governing Vessel
DU = GOV
Du 1 Chang Qiang Long Strong
Midway between the tip of the coccyx
and anus
DU 2
In the hiatus of the sacrum
Du 16 Feng Fu Palace of Wind
1 cun directly above the midpoint os
the posterior hairline, in the depression
below the spinous process of the 1st
cervical vertebrae
Du 28 Yin Jiao Gum Intersection
At the junction of the gum and the
frenulum of the upper lip
Ex-HN 3 Yin Tang Hall of Impression