Tcm Theory Shang Han Lun Six Stages

Front 1

Exterior deficiency

fever, aversion to wind/cold, stiff & pain in neck, sweating, superficial pulse that is slowing down.

Tx: Elimimate exterior syndromes, promote smooth circulation of Qi

Key words: chills, fever

Back 1

tai yang wind attack symptoms & tx

Front 2

P: superficial/floating, moderate

Back 2

tai yang wind attack pulse

Front 3

Exterior excess

fever, aversion to cold, stiff neck, headache, severe pains/aching in body, no sweating, shortness of breath (asthmatic breathing)

P: floating and tight

Tx: warm channels, promote sweating, regulate LU, relieve asthma

Back 3

tai yang cold attack symptoms & tx

Front 4

T: thin, white coating

Back 4

tongue for

tai yang cold attack
tai yang wind attack

Front 5

P: superficial, tight

Back 5

tai yang cold attack pulse

Front 6

ST Heat

Big 4: high fever, profuse sweating, extreme thirst with a desire to drink cold water, floating and forceful pulse; aversion to heat, flushed red face, mental restlessness

T: dry yellow TC

Tx: clear heat, nourish the fluids

Back 6

yang ming channel pattern + tx

Front 7

T: red + yellow coating

Back 7

yang ming channel pattern tongue

Front 8

P: surgeing (floating and forceful), rapid

Back 8

yang ming channel pattern pulse

Front 9

high fever which is worse in the afternoon, constipation, fullness and pain in abdomen (worse with pressure), restlessness, or perhaps delerium.

T: dry yellow TC or burnt yellow TC w/ thorns

P: deep and forceful (excess)

Tx: purgation using front-mu & lwr he-sea pts of yangming; also pts of Spleen

Back 9

yang ming fu/organ pattern

Front 10

T: red + dry yellow TC or burnt yellow w/ thorns

Back 10

yang ming fu/organ tongue

Front 11

P: deep and forceful (excess)

Back 11

yang ming fu/organ pulse

Front 12

alternation of chills and fever, fullness of hypochondriac regions, lack of appetite (anorexia), mental restlessness, vommiting, bitter taste in mouth, dryness in throat, blurred vision

P: string taut

Tx: harmonize shaoyang using Shaoyang and Jueyin meridians

Back 12

shao yang pattern

Front 13

T: yellow or white tongue coating, bitter taste, dryness in throat

Back 13

shao yang pattern tongue

Front 14

P: string taut / wiry

Back 14

shao yang pattern pulse

Front 15

abdominal fullness, vomiting, poor appetite, diarrhea, abdominal pain alleviated by wamth or pressure, absence of thirst

T: pale w/ white TC

P: slow or slowing down pulse

Tx: warm SP/ST using mu and shu of ST/SP/CV use acp and moxa

Back 15

tai yin pattern

Front 16

T: pale tongue white TC

Back 16

tai yin pattern
shao yin cold pattern

Front 17

P: slow or slowing down

Back 17

tai yin pattern pulse

Front 18

chills, aversion to cold, ling in a curled up position and cold limbs, listlessness, lethargy, diarrhea w/undigested food, no thirst or desire to drink warm fluids, copius pale urine

T: pale w/ white TC

P: deep thready pulse

Back 18

shao yin cold pattern

Front 19

P: deep, thready

Back 19

shao yin cold pattern pulse

Front 20

mental restlessness, insomnia, dry mouth and throat, scanty-dark(deep yellow) urine

T: red or deep red, no TC

P: rapid thready

Tx: nourish yin and clear off fire using HT + KD meridian

Back 20

shao yin heat pattern

Front 21

T: red tongue without coating

Back 21

shao yin heat pattern tongue

Front 22

P: rapid thready

Back 22

shao yin heat pattern

Front 23

emaciation, feeling of a stream of air rising to the chest, pain and feeling of heat in chest, hunger with no desire to eat, cold limbs, diarrhea and vomiting or vomiting of round worms;

Upper Heat & Lower Cold

Tx: warming method LV,CV,GB & Clear heat from SP

Back 23

jue yin pattern

Front 24

T: red thorns or slippery white coat

Back 24

jue yin pattern tongue

Front 25

P: deep, string-taut, wiry, bowstring

Back 25

jue yin pattern pulse