Diagnostics TCM 1)eyes 2)Color & Luster 3)Mentality and facial expresison 4)Physical Build and patterns of movement 1)Strong 2)Weak 3)Depletion of Spirit 4)False Spirit 5)Mental Abnormity Phlegm Turbitity Yin Type Phlegm Turbitity Yang Type Qi stagnation and Phlegm with Liver Wind Qi stagnation and Phlegm obstruction due to worry Dry and Dull or obvious Bright Extrernal Manifestation of Spirit Five conditions of spirit Depressive Psychosis Mania Epilepsy Dementia Unhealthy Compexion Complexion/Colour Light Blue or Bluish Black Bluish Black or Green Bluish/Purple Green Green-Purplish Sudden Green-Gray facial complexion,lip green,cold limps Green-Yellow Complexion Flushing red in the entire face Flushing red over the cheekbones,afternoon Heavy red make-up in a pale face Yellow & Dull Pale Yellow,sallow & without lustre(dull yellow) Yellow and swollen,floating yellow bright,orange yellow Smoky,dark Yellow yellow face and eyes Bright White,Obvious White Pale,Dull White/slight yellow Sallow white,without lustre Pale white Greenish dark Dull dark dark and dry Dark around the eyes sockets Dull dark/purple dark greenish dark Dull black with Dull yellow Cold Pain/Acute pain Blood Stasis Wind/Convulsion Heart Qi or Heart Yang Deficiency,Lung Qi obstuction,Blood Stagnation Obstructing in side Heart Yang Collapse,Heart Blood obstruction Liver Qi Stagnation with Spleen Deficiency Excess Heat Deficiency Heat Floating yang syndrome Dampness-Chronic Spleen Qi Deficiency Spleen Deficiency-Blood Deficiency Spleen Deficiency -Damp obstruction Yang Jaundice from Damp-heat Yin jaundice from damp-cold Jaundice Deficiency Cold (Yang deficiency) Qi & Blood deficiency Blood deficiency (loss of blood) Qi deficiency Cold Syndrome Kidney yang deficiency Kidney Yin deficiency Fluid retension syndrome Blood Stasis Pain Yin jaundice from Kidney deficiency Physique & Body Shape Strong,large skeleton,big chest,firm muscles,smooth moist skin Weak,small skeleton,small narrow chest,thin muscles,dull dry skin overweight,good appetite,firm muscles,good shen Overweight,poor appetite,loose skin and muscles,moves slowly and becomes breathless on walking thin,good appetite,firm muscles,good shen Thin ,slim body and muscles,dry skin,chronic illness(not able to walk) Tall and thin,long head,narrow shoulders,flat chest,cold preference Short and fat,round head,thick neck,broad shoulders,thick chest,heat preference Between the above two types Abundance of Qi-Blood,strong zang fu,tendency:excess-heat Deficiency of Qi-Blood,weak zang fu,tendency:deficiency-cold Abundant blood and harmonious qi Big Body with qi deficiency,predisposition to yang deficiency/damp-phlegm with qi deficiency Abundant blood and harmonious qi thin body with yin deficiency,tendency:yin deficiency,empty heat Yin deficiency,yang abundance,from yang to heat,damages the yin and body fluids Yang deficiency,yin abundance,from yin to cold,stagnation of cold-dampness Balanced yin and yang Body Movement Dynamic,active,stiffness,extension,open Quiescent,quietness,weak,proneness,bending Special posture protecting the pain spot Sitting-Looking uo,shrt breath,loud/heavy breathing,lots of sputum Sitting-looking down,short of breath,feeble voice,disinclination to talk Lying-face outward(light),easy to toss in bed Lying-face inward(dark),sluggish body,unable to toss in bed Lying on the back,with straight legs,dislike bedclothes Lying huddles up,like to have more bed clothes Have to sit-wheezing,inability to lie down have to lie-can olny lie to avoid sitting due to dizziness weak muscles,atrophy,motion difficulty pain,sriffness,swollen,deformed joints,heat/cold sensations around joints Sudden coma,deviation of mouth and eyes,hemiplegia Sudden coma,foam around mouth,convulsion and return to normal after eye twitch,leg shaking opisthotonos,increase incranial preasure,high fever,tetanus,spasm,cramping backwards yang,heat,excessive Yin,cold,deficiency Pain Lung Qi excessive/excessive Phlegm Lung Qi deficiency/failure to the kidney to receive qi Yang,heat excessive syndrome Yin,cold,deficiency syndrome Excess syndrome Deficiency syndrome Fluid retension in chest or abdomen/fluid stop in heart and lung Severe deficiency of qi and blood/qi collapse or severe bleeding Wei-flaccidity syndrome Bi-athralgia syndrome (Cold or Heat Bi syndrome) Stroke/apoplexy Epilepsy Mild Liver wind Liver Wind Observation of parts of the body Bigger skull(enlarged with open suture-small face),mental retardation Smaller skull(narrow skull,pointed and round vertex-early closed suture)mental retardation,low intelligence Square skull-rickets infants Tremor of head Protruding Fontanel Sunken fontanel Late closure of fontanel yellowish hair Spare,soft,easy to lose hair in young/middle age people,dizziness,forgetfullness,lower back/knee pain White/grey hair in young people with insomnia,forgetfullness 5 Delays (talk, walk, hair, teeth, and 5 softness ( Spare,soft,slow growing hair in infant or children Withered hair knotted like ear of grains hair exfoliates and the scalp is exposed alopecia areata Itchy scalp with dandruff,greasy Acute edema chronic edema of face Swelling & redness swelling,redness,pain of the cheek-parotidis deviation of the eye and mouth Moon face Goiter Scrofula Scrofula stiff neck soft neck,unable to raise up Eye Consumption of kidney essence,and retained fluid in the brain Kidney essence deficiency Kidney essence deficiency or hypofunction of SP and ST Liver Wind goes upwards,qi and blood deficiency,loss of tendon nourishment Excessive syndrome,upward attack of pathogenic fire in warm disease,disorder of brain,retention of fluid in brain Deficiency syndrome,qi and blood deficiency,vomiting and diarrhea injury the body fluids,deficiency of prenatal qi fails to nourish the brain Kidney qi deficiency,maldevelopment Essence/blood deficiency Kidney deficiency Kidney deficiency or overstrain injury the blood ??Kidney deficiency Prenatal deficiency,kidney deficiency Malnutrition-spleen-stomach deficiency Blood deficiency with wind blood heat causing the dryness Wind cold invasion of lung-yang water-wind water combatting Spleen & lung yang deficiency Invasion of wind-heat or toxic heat or infectious febrile disease Toxic heat Wind in the channels Spleen deficiency with damp-heat obstructing inside Liver qi stagnation with phlegm Acute excessive wind heat,toxin heat Chronic Lung kidney yin deficiency excessive fire goes upwards,brain infection Kidney deficiency syndrome, Part of the Eye Inner/outer canthus Sclera Iris Pupil Wheel of eye Heart-wheel of blood Lung-wheel of qi Liver-wheel of wind Kidney-wheel of water Eyelids Canthus Pale white canthus red swollen and pain Iris Pain swollen Iris red swollen Pupil excessive dilation Pupil Contracted eyelids red swollen eyelids Muscle weak eyelids dark/dull colour whole eyes swollen/redish edema sunken orbit Bulge with goiter Bulge with wheezing Sleeping with open eyes Sclera pale yellow eyes bulge red sclera with tears,intolerance to light Spleen-wheel of flesh Blood deficiency Heart fire Liver fire Liver fire Kidney essence all gone Toxin,liver fire Spleen damp heat Spleen deficiency Kidney deficiency Liver fire fluid retension Loss of fluid ,zang fu essence depletion Hyperthyreosis Lung qi depletion Spleen qi deficiency Spleen deficiency,qi-blood deficiency Liver qi stagnation,excessive liver fire Liver meridian wind heat,excessive fire heartliver Rebellious lung qi Spleen-kidney deficiency,damp retension bulge eyes with white sclera edema eyelids Ears Ears red swollen,discharge Ears Dry,thin,dark, dull Ears Squamous and dry skin Ears Bluish black Ears red line on the back ears pale colour Purulent ear discharge Excessive Liver/gallbladder damp-heat or heat toxin Kidney deficiency Blood stagnation Excessive yin cold or acute pain Measles(infant) Qi and blood deficiency Damp heat in LIV & GB or Kidney Yin deficiency,empty fire goes upwards Nose healty ,luster,and moisten dull,dry flapping of ala nasi clear discharge yellow discharge bad smell bleeding red nose green color around the nose mild black color around the nose Mouth and Lips Stomach qi abundant Stomach qi gone,severe illness Lung heat ,asthma Wind-cold Wind heat Lung-spleen heat Lung-spleen heat Cold type abdominal pain Kidney yang deficiency pale dark,red bluish purple dry and chapped ulceration of the lip/ulceration of the inside of the cheek salivation/drooling from the one corner of the mouth dark around the lips and mouth mouth always slightly open sudden collapse with open mouth oral thrust (goose mouth sore) red swollen mouth,painful and itchy teeth and gums teeth dry as stone teeth dry as dead bone Gums red,swollen,pain/bleeding gums pale,swollen/bleeding grinding teeth not red but bleeding upper gum lower gum throat,pharynx,tonsil dark,red,pain,swollen pink,swollen,tender without pain severe red,pain,ulcer,yellow or white spots false gray amnd white membrane over the throat that is hard to remove and bleeds following removal: red,swollen,yellow-white spots of pus Blood deficiency,over bleeding Excessive heat or deficiency heat Blood stasis-heart disease Body fluids deficiency (fluid injuiry) Heat in spleen and heart,yin deficiency (empty heat) infant:Spleen deficiency/dampness,adult:stroke,paralysis Kidney depletion,bad out come Deficiency Lung/spleen qi gone Heat in the heart-spleen YangmIng stomach fire Yangoing stomach fire,loss of fluids Depletion of kidney yin,essence can not go upward Yangming stomach fire goes upwards Spleen qi gone,empty fire goes upward Stomach heat,parasitic infection,poor digestion yin deficiency fire ST LI Excessive heat in the lung and stomach Empty heat goes upwards,lung-kidney yin deficiency Severe lung -stomach fire goes upwards Severe lung-stomach fire yin fluid lung-stomach toxin heat Chest flat chest flat chest lung-kidney yin deficiency lung-liver-kidney yin deficiency protruding chest bead-like rib,chicken chest bulged abdomen bulged abdomen depressed abdomen protruding chest depressed abdomen red,pain,swollen,hot/discharge in breast kyphosis scoliosis rigidity of upper/lower back veins on the legs squirm travelling pain fluid red swollen heat sensation obstruction and stagnation of lung qi,phlegm obstruction,retension of phlegm in the lung kidney qi deficiency, liver-spleen qi stagnation,liver qi stagnation attacking spleen,fluid retention spleen-lung qi deficiency,earth cant restrain water,wind-water overflowing spleen-stomach deficiency,qi-blood deficiency chronic accumulation of phlegm stomach-intestine shrink.depletion of zang fu essence liver qi obsruction, deficiency of kidney qi kidney essence deficiency damp-cold damp-cold invading in the interior,blood stagnation spleen-stomach qi deficiency,yin blood deficiency,wind syndrome wind bi damp bi heat bi Urine profuse,clear scanty,yellow Infantile bloody Index Finger Vein life,qi,wind stones:kidney light red,liitle purplish,single branch with proper turbid,greasy width,within wind gate,not obvious clearly visible deep/hidden bright red purple red greenish:pain purple black pale white intensity thin colour thick dark stagnant colour mild illness ,light evil qi serious,deep evil qi life threatening ,evil arrive organ critical ill shape more branch,width less branch cold pain and severe finger clubbing deficiency cold excess heat excess heat/damp heat in bladder,deficiency in spleen three kidneygates stones normal kidney deficiency,damp heat exterior syndrome interior exterior/common cold interior/heat liver-wind blood stasis spleen deficiency deficiency excess wind gate qi gate Life gate go through nails excess,heat deficiency,cold cold bi heart-lung qi Xu,blood stag.-dampness obstruction Sputum white and dilute sputum cold phlegm,yang deficiency white and sticky/easy to spit out/a lot yellow and sticky/purulent hard to spit out/little blood streaked/fresh blood stinking purulent bloody,lung abscess Saliva profuse/clear sticky infants,salive around the mouth noctural salivation Vomitus retention of morbid fluid:clear fluid anbd thin sputum yellowish,green bitter fluid brightly red,dark red blood messes Stools loose/watery yelllow,foul smell watery,undigested food jelly like,with blood hematochezia:near blood distant blood:dark red,mix with stool damp-phlegm:spleen deficiency heat-phlegm:inside body heat dry-phlegm: liver fire injury lung collaterals toxin-heat phlegm deficiency and cold in spleen-stomach damp-heat in spleen-stomach go upward deficiency and damp in the spleen,heat in the stomach,parasites spleen qi deficiency fluid phlegm retension liver-gallbladder damp heat liver fire invade stomach,stomach fire,stomach blood stagnation damp-cold damp-heat spleen-kidney yang deficiency damp heatin the large intestine,food poisoning wind heat in the large intestine spleen qi deficiency/stomach heat Genetalia hernia:swelling og scrotum prolapse of the uterus scrotum/vulva swelling,pain,red,hot sensation contraction of scrotum/vulva,pain edema od scrotum (3 yo) hemorroids:purple/red lumps grow inside or outside anus anal fissure:narrow and long opening in the skin od the anus,pain and bleeding on defecation prolapse of the rectum/rectum mucosa liver qi stagnation,damp-cold,middle qi sinking spleen-middle qi sinking invasion of the liver channel by damp-heat exogenous pathogenic cold invade liver channel,qi stagnation wind-damp obstructing liver meridian damp heat/blood heat/dryness in the intestine cause blood stagnation in anus area heat in blood/dryness spleen-middle qi sinking Skin reddish skin,bright paint,hot like burnt reddish skin,bright paint,hot like burnt :bright red,dark yellow urine,thirst,yellow-greasy tongue coating bright,dark yellow,smoky yellow,aversion to cold,neutral taste,white-greasy tongue coating black with yellow skin or dark and dull dark around lips,face,eyes,inside mouth,armpit leukoderma:well defined white patches,different sizes upper body:fire from wind-heat lower body:damp heat/exogenous toxins yang jaundice :liver gallbladder dampheat,spleen damp-heat yin jaundice: spleen-stomach damp-cold kidney yang deficiency yang changing to mingmen fire wind-dampness,imbalance of qi/blood luster of skin dry and luster skin squamous and dry skin without elevation or infiltrating of the skin,no colour change on pressure red ,a lot like clouds,fever,restlessness,rapid pulse: purple,not much,cold limbs,pale complexion,weak pulse: higher than skin surface,not smooth,color fading on pressure rubella urticaria ,urticaria measles:rose red,small like sesames rash appear sequence,face-chest-abdomenlimps disappear,same sequence,fever fade as the rash fade,conscious,good spirit: rash dark,not evenly spread,limps-chest,high fever miliaria crystallina chicken pox herpes simplex:pain eczema herpes zoster:rib/lower back,belt line carbuncle:red,painful,swelling,has root phlegmon:diffusive swelling,unchanged color with local numbness and little pain(no heat pain) nail-like furuncle:small as a millet,white top,deep,hard root,with numbness and pain,usually face,hands,feet: boil:small and round without much swelling and pain and heals when the pus comes out insufficient of fluids or blood blood stagnation(long term) maculae yang maculae:heat push blood out of vessel,heat toxin yin macualae:spleen qi deficiency,unable to control blood papulae exogenous wind,red,small exogenous wind,inner wind,blood deficiency stiring the wind,wind-heat wind-heat evil energy gone,qi remain evil energy go deeper damp-heat not enough sweat damp-heat exogenous wind-heat,around mouth,lung stomach damp-heat,exogenous wind liver-gallbladder,damp-heat,wind-heat yang syndrome:damp-heat and fire toxics,stagnation of the qi and blood yin syndrome:qi-blood deficiency with cold phlegm obstruction,toxic accumulation in five zang-organs exogenous wind,fire toxins (dont squize out) mild case:exogenous heat toxins,damp heat Tongue tip centre root margin Colour light red tongue body with energetic movement,enough fluid,not to light ,not to watery dark,dry tongue body with sluggish movement pale,puffy,and moist pale,white,slim ,thin yellow coating dry with crack Heart spleen/stomach kidney liver/gallbladder Glowing,full vitality withering,lack of vitality yang Qi deficiency Qi and Blood deficiency Excess heat syndrome:damp heat Internal heat from yin deficiency No coating:mirror tongue Crimson:darker than red dry crimson tongue with prickles dry crimson tongue with no coating red/crimson with coating Red/crimson without coating Cyanotic(blue) purple tongue pale purple purplish red spotted tongue-bluish purple spots appear on the part of the tongue,different size,not above the surface pale purple-dark purple/moist,white,grey coating Purplish red-deep purple/less coating,dry yellow coating Purple and swelling Cyanosis of the tongue body/bluish spot pink,pale red,moister pale,lighter than normal puffy tongue body,teeth mark,moister,slippery(dampness) cyanotic purple light purple,dull purple gray,moist,pale,tender,big tongue gray,black,yellow,greasy tongue black,tough,dry,crack tongue Tongue shape tough:rough,coarse texture,hard body,dark colour tender:delicate,fine texture,soft body,light colour swelling-enlarged tongue-thicker than normal pale,puffy,tender,moist red,enlarged,yellow coating,pain purplish,enlarged,dark pale and thin red,thin,little coating deep red,thin spotted-red purple spots,prickled-thorn like protrusions crack tongue crack,red,yellow coating crack,dry,no coating crack ,pale puffy,with a crack pale,moist,enlarged tongue,tooth marked red,enlarged tongue,tooth marked light red,delicate tooth marked not puffy but teeth marks Hypoglossal veins pale,purple,moist,2-3 mm thick pale,small thicker,more branches,bluish/dark purple,bead like,purple network Quality inflexible,rigid,hard to move or turning yin deficiency excessive heat deficiency of yin excessive heat invade into yin and blood,heat evil enter into nutrient level Yin deficiency excessive heat syndrome empty heat syndrome Stagnation of qi and blood yang deficiency heat syndrome invade nutrient level qi deficiency with stagnation yang deficiency,coldness qi deficiency,qi deficiency or stagnation Heat syndrome,invade nutrient level Alcoholic toxin invading the heart stasis of blood harmonious qi and blood Qi and blood deficiency yang deficiency Qi and blood stagnation Yang deficiency,yin excessive yang deficiency,cold damp retension inside damp heat retension inside for long time excessive heat,no fluid Excessive deficiency damp-phlegm spleen kidney yang deficiency,phlegm accumulation,damp damp-heat in the spleen-stomach-heart alcoholic toxicity,poisoning qi and blood deficiency heart yin deficiency yin deficiency,excessive empty heat extreme heat in zang fu organ,heat invade the blood blood deficiency,fluid injury due to heat excessive heat injure the fluid yin deficiency injure fluid blood deficiency spleen deficiency-damp obstruction cold dampness damp heat,phlegm qi and blood deficiency qi and blood deficiency Normal insufficiency qi and blood blood stasis Stiffness Stiffness,dark red stiffness,greasy coating weak,unable to protrude and curl flaccid,pale,dull flaccid,dark-red,yellow coating Flaccid,dark-red,no coating deviated to one side when extended deviated tongue pink with thin white coating shaking,quivering,trembling tongue pale,trembling red,trembling,no coating dark,red,purple,trembling trembling protruding tongue lickingContracts and shortens,unable to stretch,even can not reach the teeth shortened moist,purple shortened moist,pale shortened dark red,dry shortened,swollen,greasy coating Coating thin coating thick coating slippery Dry dense,grain like,sticking tightly,hard to scraped off loose,bigger grain like,thicker,easy to be scraped off greasy putrid The entire or part of the tongue coating peels front peeled root peeled middle peeled Patch peeled mirror like tongue thin,white,moist coating thin-white,dry coating thin-white,slippery` thick-white,greasy thick-white,greasy,dry thick-white as powder,not dry thick-white as sand ,tough,crack yellow coating excessive heat invade pericardium:nutritive level,excessive heat injure body fluid wind-phlegm obstruction,a sigh of stroke flaccid chronic disease,qi/blood insufficient excessive heat injure fluid injured yin,empty heat deviated liver-wind stirring up the phlegm,stagnation of phlegm and blood,obstruction in the meridian,premonitory sigh of stroke,stroke normal tongue wind disease qi/blood deficiency yin deficiency excessive heat mental problem or alcoholism exhastion of vital heart qi,splee-heart fire stirring wind-defective brain development in children Shortened tongue cold coagulated in the meridian qi/blood gone excessive heat inhure body fluid wind-phlegm obstruction in the meridian Superficial illness Internal illness due to damp,phlegm,food retention,internal heat yang deficiency,cold,fluid retension inside,dampness injured fluid due to excessive heat,loss fluid due to vomiting,diarhhea,blood stasis,damp-phlegm obstructing yang qi ascending Greasy putrid Damp-phlegm,food retention stomach qi gone,damp-phlegm upward exfoliation tongue Lung yin deficiency kidney yin deficiency spleen/stomach yin deficiency vital qi failing to promote turbit qi Severe yin deficiency,exhastion of yin fluid in the stomach-kidney mild internal syndrome,mild yang deficiency,internal cold common cold,heat syndrome exterior cold-damp,damp obstructed inside damp-phlegm,food retension damp-heat turbid obstructed in th MJ,fluid cant go upwards turbid dampness with heat toxin dry-heat damages fluid heat syndrome light yellow coating yellow mixes white yellow greasy tough,yellow,dry,brown yellow coating yellow ,slippery exogenous wind-heat,heat transformed from wind-cold entering the interior illness between exterior and interior damp-heat,phlegm transform as heat,food retension increase heat Excessive heat damages fluid,excessive syndrome in bowel (constipation) damp-phlegm contructed inside too long,tranforms into heat,exterior damp-heat (yang deficiency,cold-damp constitution)