Tcm Theory 4 Levels

Front 1

Pattern Identification according to 4 Levels?

Back 1

Wen Bing Lun
Discussion on Warm Diseases
Ye Tain Shi (1677-1746)

Front 2

Wei/Defensive Qi Level
Clinical Manifestations
?

Back 2

Fever,
aversion to cold,
headache,
sore throat,
slight sweating,
runny nose with yellow discharge, body aches,
slight thirst,
red tongue tip and margin and a floating, rapid pulse.

Front 3

Qi Level
Clinical Manifestations?

Back 3

Fever,
aversion to heat, r
ed tongue with a yellow coating, and a rapid pulse
* Cough,
asthmatic breathing,
chest pain,
expectoration of sticky yellow sputum
* constipation with dry stools, fullness,
hardness and pain in the abdomen, tidal fever,
great thirst, a
red tongue with a dry, yellow coating and a deep forceful pulse

Front 4

Ying Level/Nutritive-Qi Level
Clinical Manifestations

Back 4

Feverishness of the body which is worse at night,
dry mouth without a strong desire to drink,
mental restlessness,
insomnia,
possible coma,
delirium and incoherent speech, indistinct macules,
a red crimson tongue and a
fine rapid pulse

Front 5

Order going from lower to higher richer and stickiness

Back 5

water= Bf.---Blood---Yin---Essence
In Chinese Medicine, water is outside of body
Functions of Body fluids: moistening and nourshing
BF= water (90%) + nutriton (90/10)
Blood= Body Fluids + nutritive Qi (30/70)
Yin= Blood + more nutritive Qi (20/90)
Essence = Yin + more nutritive Qi (90%)

Front 6

Pattern Identification According to 4 Levels
Xue/ Blood Level (Ht)– Excess Heat Pattern
Heat Victorious Moving Blood
Clinical Manifestations?

Back 6

Burning heat of the body,
mental restlessness,
manic behavior,
delirium,
distinct dark macules,
vomiting of blood,
nosebleed,
blood in urine,
blood in stool,
a crimson or purple tongue, and a fine, rapid pulse
(fine pulse does not always mean weak. Can be fine and strong.)

Front 7

Xue Level / Blood Level
Deficient Heat Pattern
Clinical Manifestations?

Back 7

Long-Standing low grade tidal fever, 5 palm heat,
dry mouth and throat,
listlessness (shen disturbed), hearing loss,
emaciation,
possible tics or tremors of the limbs with small amplitude (versus excess which is gross)
, thin dry tongue without coating and a weak, fine, rapid pulse