Kidney
Basic Kidney Signs:
All Kidney pathologies are
deficient
Kidney Qi deficiency
Difficulty Inhaling or at least
one Basic Kidney sign and
an indication of a failure to
absorb (leakage).
True Kidney Yang
Deficiency At least one
Basic Kidney sign and an
indication of Yang
deficiency. This means you
will see at least one
indication of a failure to
warm or warmly transform
fluids:
Kidney Yin deficiency
Any one of the following
signs with or without Basic
Kidney Sign
Low back, knee, hip or ankle pain or weakness that is deficient.
Chronic Night urination
Dark circles under the eyes with general deficiency signs
Emptiness in the lower belly
Concave dip in the back of the tongue
Uterine bleeding
Vaginal discharge
Premature labor or threatened miscarriage
Diarrhea
Frequent or copious urination
Spermatorrhea
Sweating
Nasal discharge
Failure to absorb the Lung Qi (Difficulty inhaling)
Infertility (failure to absorb sperm) with other Kidney Qi deficiency signs
Generalized chronic chilliness of lower limbs, buttocks, lower belly
or whole body
Pale puffy tongue
Pitting edema especially in the lower body
Clear-diarrhea (watery diarrhea with undigested food and little smell)
Peeled tongue moss generalized over tongue or in patches over much
of the tongue
Rootless tongue moss
Red short tongue body
Cracks over a large area of the tongue or just in the back
Generally dry emaciated body type with heat
Steaming bone tidal fever
Primary onset dysmenorrhea or highly irregular, scanty or late menses
Kidney Jing Deficiency
You must have at least one
Primary onset developmental disorder
of the following signs with
Failure to mature at 2 x 7 years and 3 x 7 years
or without any Basic Kidney
Bone disorders
Sign
Pre-mature aging
Amenorrhea, late or scanty menses
With Basic Kidney Signs
(none of these indicate Jing
Infertility and ovulation disorders
deficiency without at least
Menopausal disorders
one Basic Kidney Sign).
Lack of libido
Even if the tongue is pale and thin and not peeled, if a patient is very thin and dry with empty heat signs,you
can diagnose Kidney Yin deficiency. In a case like this I would be enriching the blood and Yin aswell as
rooting empty heat.
Spleen
Digestive upset Symptoms: Nausea, Vomiting, Abdominal
Disruption of Transformation and
distention, Abdominal pain, Flatulence, Irregular bowel
Transportation Function of the
movements, Borborygmus, Poor appetite, Gnawing hunger
Spleen
Food stagnation, Damp obstructing the Spleen (also see
Disruption of Transformation and
causes of damp), Liver invading the Spleen, Liver Qi failing
Transportation can be caused by:
It may or may not involve SP Qi
to course the Spleen, Liver Invading the Spleen, Spleen Qi
Deficiency
deficiency, Spleen Yang deficiency, Spleen or Stomach Yin
deficiency, Dryness in Yang Ming
Scalloped edges to the tongue, Weakness of the four limbs,
Spleen Qi Deficiency
If one or more of these signs appears
Pale and/or puffy tongue body with digestive upset, Soft
spongy
abdominal flesh
With these sinking signs: Literally prolapsed organs
Sinking Spleen Qi
1 too much flesh or fibroids.
Sagging distention of the abdomen
2 phlegm damp predominating
Sinking Earth abdominal pattern
Spleen Yang Deficiency: one
Chilly limbs (not just hands and feet)
sign of Spleen Qi deficiency,
Abdominal pain that responds favorably to warmth and
disturbance of the transportation and
pressure
transformation of food with at least
Clear food diarrhea (watery diarrhea with little smell and
one of these signs and symptoms
undigested food)
Failure to ascend symptoms: Loose stool, Okay appetite
Spleen and Stomach Yin
Deficiency: digestive disturbance
but
and
difficulty digesting Or digestive disturbance with Peeled
edges
of the tongue, Transverse cracks on edges of the tongue, or
Emaciation with inability to gain weight
Ascending or failure to descend symptoms: Constipation,
Stomach Yin Deficiency
Signs of Spleen and Stomach Yin
Hiccups, Nausea, Vomit or dry heaves, or Hunger with no
Deficiency with one of these
desire
to eat
Spleen Not Controlling Blood: Spleen Qi or Yang Deficiency signs with bleeding pathologyincluding easy
bruising.
Damp Oppressing the Spleen is excess. It will have signs of
Lack of taste discrimination
Spleen Involvement and may or may not involve Spleen Qi deficiency. It
Thirst with little desire to drink
will include at least one of the following symptoms:
Scanty clear urination
Swelling and non-pitting edema of the four limbs
Dampness Oppressing
the Flesh may or may not
Sensation of heaviness
have Spleen Qi Deficiency
Aching pain that is worse with damp exposure
signs. It will include one of
these:
Food Stagnation Signs if
Foul smelling stool with undigested food
you see any sign of digestive
Poor appetite with sour regurgitation or reflux
disturbance with any of these: background to disruption is irregular eating or overeating
Phlegm Damp in the Flesh means that the flesh is too corpulent and may or may not appear with Spleen Qi
deficiency or disruption of transformation and transportation. Look at the causes of phlegm and damp to
determine the particular cause of the phlegm damp in each individual case.
Liver
Symptom is worse with stress
Basic Liver signs
The liver is involved if any
Symptom changes relative to the menstrual cycle
one of these signs appears:
Difficulties with anger – irritability, lack of expression of anger.
PMS symptoms
Liver Qi Stagnation
If any one of these signs
Breast or rib-side pain or distention(subjective or objective with
appears with or without
palpation)
Basic Liver Signs.
Indented tongue edges
Low-grade headache in the Shao Yang or vertex area
Liver Depression Liver depression is a repressed type of Liver Qi Stagnation. You can definitively
diagnose Liver depression if there are Liver Qi Stagnation symptoms along with repressed expression.
Liver Qi Hyperactivity You can diagnose Liver Qi hyperactivity definitively if you have Liver Qi
Stagnation signs along with Irritability and touchiness.
Sallow complexion
Liver Blood Deficiency
If any one of these signs
Flowery vision (blurred or dizzy vision or floaters)
appears with or without
Poor night vision
Basic Liver Signs.
Weak fingernails
Since the Liver stores the
Orange or extremely pale sides to the tongue
blood, Blood deficiency is
Pale tongue with a thin body
Liver Blood deficienc
Pale watery menstrua
Red spots on the tongue
Liver Depressive Heat
At least one Basic Liver Sign
Red tongue edges
or Liver Qi stagnation sign
Red tight tongue body
with one of these signs.
Liver Fire Depressive
Bleeding, Intense agitation, Intense thirst, High Fever
Liver Heat and at least one of
Very strong headache located in the Shao Yang or Vertex area with:
these signs
Light sensitivity, Seeing auras, Red eyes Worse with stimulation like
touch or noise. If it is stable it is heat and if it is moving it is fire.
Liver Yin Deficiency Kidney Yin Deficiency and Liver Involvement.
Liver Yang Rising With
curled up edges on the tongue
Basic Liver Signs or Liver
mild to moderate head, neck or jaw ache
Stagnation Sign or Liver or
mild tinnitus
Kidney Yin deficiency Signs
mild dizziness
you see:
Liver Wind At least one
Tremors, Tics, Dizziness, Convulsions, Numbness, Paralysis
of these symptoms with other
Quivering or deviated tongue, Deviated face, Spastic Headache.
Liver signs.
If it moves involuntarily it is Wind - If it is internal Wind it is Liver Wind
Cold in the Liver Channel If there is genital or uterine pain that is better with warmth and worse
with cold
Damp Heat in the Liver Channel If you definitively diagnose Damp Heat that is located in the
liver channel (inner leg, genitals, pelvic area, rib-side, eyes and scalp.
Lung
Cough, Wheezing, Shortness of Breath, Sneezing, Rhinitis and Sinusitis
Basic Lung Signs
Lung Deficiency at least Deficiency Shortness of breath (worse when tired, better with rest),
one Basic Lung Sign
Weak voice, Background of Spleen, Kidney Qi, or Yang deficiency with
and at least one of these: pale tongue, Background of Kidney Yin Deficiency with red tongue
Lung Qi Deficiency To Spontaneous sweat worse with movement, Pale tongue, Dip in Lung
Differentiate the Lung
area of tongue, Background of Spleen or Kidney Qi or Yang deficiency
Deficiency as Lung Qi
with pale tongue.
Deficiency you must see
at least one of these
Kidney Yin Deficiency tongue signs, Transverse creases or peeling in
Lung Yin deficiency
To differentiate Lung
the Lung area of the tongue, Dry cough, Scanty thick sputum,
Deficiency as Lung Yin Background of Kidney Yin Deficiency with red tongue
Deficiency you must see
at least one of these
Dormant Wind and Phlegm in the Lungs: One Basic Lung Sign that runs a chronic course
with exacerbations and remissions and is triggered by irritants such as inhalants, seasonal changes,
wind, cold, humidity, heat, stress or diet or it is found in combination with triggered skin itchiness. A
helpful way to identify and pathogen as an “irritant” is – if it is removed the symptoms get better.
Also differentiate as: wind heat, wind cold, etc and the relative extent of wind and phlegm.
In addition, as a branch category, the root must be determined.
Lung Dryness does not involve deficiency signs but
Dry cough and dry orifices (mouth, nose, eyes).
does include some Basic Lung Signs and:
Lung Excess: One Basic Lung Sign along with the
Lung sign worse with laying down, Loud
following signs:
Cough, A strong type person with no or few
deficiency signs.
Cough with profuse phlegm
Phlegm Excess Obstructing the Lungs
Lung Excess Signs and:
Chest oppression
Excessively wet or thick tongue moss
Cough with profuse watery, dilute and frothy
Phlegm Rheum Obstructing the Lung
Excess Signs and:
phlegm, Splashing sounds in the chest.
External Invasion of the Lungs Basic Lung Sign
Achy body, Feverishness and Chills, Scratchy
with the feeling of coming down with
or Sore Throat, Aversion to wind.
something and one of these:
Wind Cold Invading the Lungs: a sign of
Predominance of chills,
External Invasion of the Lungs with one of these:
Pale mucous membranes in the nose and throat.
Wind Heat Invading the Lungs: a sign of
Chills less than Fever, Hot feeling in the
External Invasion of the Lungs with one of these:
orifices, Stuffy nose with yellow mucous, Red
mucous membranes in the nose and throat
Wind Water Invading the Lungs: a sign of
Gradually spreading swelling in the upper body,
External Invasion of the Lungs with one of these:
Scanty pale urine.
Heart
Basic Heart Signs There is Heart
Disturbances of the heart beat, Sleep disturbance,
Involvement if any one of these signs appear:
Poor memory or concentration, Spirit disturbance.
Heart Yin or Blood Deficiency Signs At least one Basic Heart Sign along with an indented
tongue tip.
Heart Blood Deficiency can be differentiated if there are signs of Liver Blood Deficiency.
Heart Qi deficiency A Basic Heart Sign with any signs of Lung, Spleen or Kidney Qi deficiency
Heart Yang deficiency A Basic Heart Sign with any signs of Spleen or Kidney Yang deficiency
Phlegm misting the orifice of the Heart A Basic Heart Sign with any sign of Phlegm
Heart Blood Stasis You can definitively diagnose Heart Blood Stasis if you see a Basic Heart
Sign with any sign of Blood Stasis.
Heart Heat A Basic Heart Sign
Red long tongue, Uplifted tongue tip, Protuberance of tongue
with any sign of Excess Heat or:
tip, Red swollen tongue tip.
Phlegm Fire harassing the Heart A Basic Heart Sign with any sign of Phlegm Fire or Yellow
greasy tongue moss
The Basic Heart Signs may be present whether it is deficiency of Yin, Yang, Qi or Blood or an Excess such as
Phlegm, Phlegm Heat, or Blood stasis.