IDENTIFICATION OF PATTERNS ACCORDING TO BODY FLUIDS

Published on 22/06/2015 by admin

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Chapter 102

IDENTIFICATION OF PATTERNS ACCORDING TO BODY FLUIDS

Chapter contents

DEFICIENCY OF BODY FLUIDS

OEDEMA

Clinical manifestations

Pitting oedema of the face, hands, abdomen, ankles or legs, a feeling of oppression of the chest, a feeling of heaviness of the body, scanty urination.

Tongue Swollen.

PHLEGM

The patterns caused by Phlegm are:

Wind-Phlegm

Clinical manifestations

Severe dizziness, nausea, vomiting, numbness of the limbs, coughing of phlegm, a feeling of oppression of the chest, blurred vision, a rattling sound in the throat, slurred speech.

Tongue Swollen with sticky coating.

Pulse Wiry-Slippery.

In cases of Wind-stroke, manifestations also include: aphasia, deviation of eyes and mouth, hemiplegia and a Swollen-Deviated tongue.

Phlegm-Heat

Clinical manifestations

Cough with expectoration of profuse yellow sputum, which may be blood tinged, a feeling of oppression of the chest, dark eye sockets, red cheekbones, red face, thirst, oily skin, breathlessness, chest pain, insomnia, dark urine, a feeling of heat, mental restlessness.

Tongue Red-Swollen with sticky yellow coating.

Pulse Rapid-Slippery.

Cold-Phlegm

Clinical manifestations

Cough with expectoration of watery white sputum, a feeling of cold, cold hands and feet, nausea, vomiting, a feeling of oppression of the chest and epigastrium, dull-white complexion, pale urine.

Tongue Pale-Swollen with wet-white coating.

Pulse Slippery-Slow.

Damp-Phlegm

Clinical manifestations

Cough with easy expectoration of profuse, sticky white sputum, a feeling of oppression of the chest and epigastrium, breathlessness, rattling sound in the throat, dark eye sockets, sallow-greyish complexion, a feeling of heaviness, tendency to obesity, swollen hands and feet, poor appetite, nausea, dizziness, blurred vision, oily skin.

Tongue Swollen with sticky coating.

Pulse Slippery.

Dry-Phlegm

Clinical manifestations

Sputum in the chest that is difficult to expectorate, bouts of dry cough followed by expectoration of sticky sputum, breathlessness, dull-white complexion, dark eye sockets, dry throat, dry nose and lips, dry mouth but no desire to drink.

Tongue Swollen with sticky dry coating.

Pulse Slippery.

Qi-Phlegm

Clinical manifestations

A feeling of a lump in the throat, difficulty in swallowing, a feeling of oppression of the chest and diaphragm, mental depression, irritability, nausea, sighing.

Pulse Wiry.

Food-Phlegm

Clinical manifestations

Cough with abundant sputum, nausea, vomiting, sour regurgitation, belching, a feeling of fullness in the epigastrium, a feeling of oppression of the chest and epigastrium, epigastric pain after eating that is better after bowel movement.

Tongue Swollen with thick sticky coating.

Pulse Slippery.

Phlegm with Blood stasis

Clinical manifestations

A feeling of oppression of the chest, numbness/tingling of the limbs, pain in the joints, stiffness and rigidity of joints, abdominal masses, fibroids, goitre, mental restlessness, insomnia, dark eye sockets.

Tongue Purple-Swollen with sticky coating.

Pulse Slippery-Wiry or Slippery-Firm.

Phlegm-Fluids

Clinical manifestations

Phlegm-Fluids in Stomach and Intestines (Tan Yin)

Abdominal fullness and distension, nausea, vomiting of watery fluids, splashing sound in the stomach, dry mouth without a desire to drink, palpitations, shortness of breath, dizziness, a feeling of oppression of the chest, loose stools, loss of weight.

Tongue Swollen with sticky coating.

Pulse Deep-Wiry or Deep-Slippery.

Phlegm-Fluids in the hypochondrium (Xuan Yin)

Hypochondrial pain which is worse on coughing and breathing, a feeling of distension and pulling of the hypochondrium, shortness of breath.

Tongue Swollen with sticky coating.

Pulse Deep-Slippery-Wiry.

Phlegm-Fluids in the limbs (Yi Yin)

A feeling of heaviness of the body, pain in the muscles, absence of sweating, lack of desire to drink, cough with profuse watery sputum, swelling of the limbs, lethargy, breathlessness.

Tongue Swollen with sticky coating.

Pulse Wiry-Slippery or Tight-Slippery.

Phlegm-Fluids above the diaphragm (Zhi Yin)

Cough with watery white sputum, breathlessness, swelling of the limbs, dizziness, inability to lie down, swollen face, a feeling of cold.

Tongue Swollen with sticky white coating.

Pulse Slippery.

Phlegm under the skin

Clinical manifestations

Lumps or nodules under the skin, nerve-ganglia swellings, swelling of lymph nodes, swelling of the thyroid, lipoma.

Phlegm in the channels

Clinical manifestations

Numbness/tingling in the limbs (seen in Wind-stroke).

Phlegm misting the Heart

Clinical manifestations

Inappropriate laughter or crying, dull thinking, hypomania, manic behaviour, manic depression, psychosis.

Phlegm in the joints

Clinical manifestations

Swelling and deformities of joints seen in Chronic Painful Obstruction Syndrome (often seen in rheumatoid arthritis).

Phlegm in the Gall-Bladder

Clinical manifestations

Gall-Bladder stones.

Phlegm in the Kidneys

Clinical manifestations

Kidney stones.

Shock-Phlegm

Clinical manifestations

Pain in the heart region, a feeling of oppression in the chest, anxiety, mental restlessness following a shock.

This pattern is supposed to occur when a severe shock displaces the Spirit from the Heart and its place is taken by Phlegm.

Pulse Moving.

Wine-Phlegm

Clinical manifestations

Nausea, vomiting, a feeling of fullness of the epigastrium, foul breath, a rattling sound in the throat, purple nose, purple complexion, a feeling of oppression of the chest.

This pattern is seen in older people with Phlegm deriving from excessive alcohol consumption.

Tongue Reddish-Purple and Swollen with a sticky yellow coating.

Pulse Slippery.

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IDENTIFICATION OF PATTERNS ACCORDING TO BODY FLUIDS

IDENTIFICATION OF PATTERNS ACCORDING TO BODY FLUIDS

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