Zang Fu Pattern Differentiation

Front 1

MAIN SX of Constrained Liver Qi / Liver Qi Stagnation

Back 1

-feelings of fullness or stuffiness in chest, sides, or infracostal regions; restricted breathing, frequent sighing or clearing of throat, or feeling that s/t is stuck in throat.

Front 2

AUX SX of Constrained Liver Qi / Liver Qi Stagnation

Back 2

Indigestion w/ abdominal or epigastric discomfort
-Irregular bowel movements
-Irregular menses, premenstrual breast distention, cramping
-Tendancy toward headaches
-Dry, sensitive eyes

Front 3

MAIN SX Liver Blood Stasis

Back 3

-Liver qi stagnation SX
-delayed/irregular menses, dysmenorrhea, dark/purple blood w/ clots
-Abdominal masses

Front 4

AUX SX Liver Blood Stasis

Back 4

-Hematemesis
-Epistaxis

Front 5

MAIN SX Liver Fire (upward/blazing/flaming)

Back 5

-Liver qi stagnation SX
-intense headaches
-insomnia
-dizzines
-eyes red (bloodshot), dry & painful; photophobic
-usu. feel hot, thirsty (prefers ice cold); bitter taste (constant)
-constipation/dry stools, dark, concentrated urine
-chest or flank (burning) pain, tend. to baldness

Front 6

AUX SX Liver Fire (upward/blazing/flaming)

Back 6

-Side pain
-epistaxis
-coughing or spitting up blood

Front 7

MAIN SX Liver and GB Damp Heat

Back 7

-jaundice
-nausea/vomitting
-bitter taste
-LOA

Front 8

AUX SX Liver and GB Damp Heat

Back 8

-fever, scant/dark urine, fullness and pain in chest + hypochondrium
-genital itching, pain, redness, swelling, +/or discharge
-may be constipated or burning diarrhea

Front 9

MAIN SX Cold Stagnating in the Liver Channel/Vessel

Back 9

-aches
-strange sensation in lower abdomen, genitals +/or inside of thigh

Front 10

AUX SX Cold Stagnating in the Liver Channel/Vessel

Back 10

-Shan qi = hernia/painful swellings, alleviated by warmth
-long, clear urination

Front 11

MAIN SX Liver Blood Xu

Back 11

-pallor, dizziness + blurry vision
-fainting spells (hypovolemia)
-insomnia (diff. falling asleep and waking early)
-elongated cycle w/ decreased menstrual flow, blood light colored, even watery; cramping occurs at end/after menses or amenorrhea
-headaches (vertex)

Front 12

AUX SX Liver Blood Xu

Back 12

-numbness + tingling of extremities, limbs easily fall asleep
-tendons + muscles stiff, tight + inflexible,
-muscles twitch, cramp, spasm
-dry skin, nails brittle + dull: deform, crack/split

Front 13

MAIN SX Liver Yang Rising (sub pattern = Liver Yin Xu)

Back 13

-headaches (usu. unilateral), dizziness, tinnitus, irritability
-dry eyes
-heat sensations in upper body, bitter taste

Front 14

AUX SX Liver Yang Rising (sub pattern = Liver Yin Xu)

Back 14

-dry mouth + throat
-sudden deafness
-insomnia (awakens early in morning, dreaming is vivid, hun is disturbed)
-weak or sore lower back
-stumbles easily (uncoordinated feet)

Front 15

MAIN SX Liver Wind (Internally Stirring)

Back 15

-tics, tremors, involuntary shaking, seizures, stroke, paralysis

Front 16

AUX SX Liver Wind (Internally Stirring)

Back 16

-headaches
-dizzy/vertigo
-numbness/tingling
-increased ocular +/or BP
-stroke sequela: deviation of eye or mouth, aphasia, hemiplegia

Front 17

MAIN SX Heart Blood Xu
T:
P:

Back 17

palpitations, insomnia, poor memory, dizziness
T: pale (curled/indented at tip)
P:thready + rough

Front 18

MAIN SX Heart Yin Xu
T:
P:

Back 18

palpitations, mentally/physically restless
T: red, red prickles, thin and narrow, pointed, dry, not coat/peeled, cracked
P: thready + rapid

Front 19

MAIN SX Heart Qi Xu
T:
P:

Back 19

palpitations (rate + rhythm prob's.)
fatigue, shortness of breath
T: normal to somewhat pale
P: empty, weak

Front 20

MAIN SX Heart Yang Xu
T:
P:

Back 20

Heart qi xu symptoms + cold signs/sx.
T: pale, wet, swollen
P: deep, weak or knotted

Front 21

Main SX Heart Blood Stasis
T:
P:

Back 21

palpitations, chest pain
T: purple (dark and contorted sublingual veins)
P: choppy or knotted

Front 22

Main SX Phlegm Confuses the Heart Portals/Mind
T:
P:

Back 22

muddled, unclear thinking; stupor, unconsciousness
T: flabby, with thick, sticky/slippery coat
P: slippery

Front 23

Main SX Phlegm & Fire Harass/Agitate the Heart
T:
P:

Back 23

pronounced agitation, bizarre, unpredictable behavior
T:red w/ greasy yellow coat; hyper-mobile
P: full, rapid and slippery

Front 24

Main SX Exuberant Heart Fire
T:
P:

Back 24

palpitations & tachycardia, insomnia (may sleep very little), tongue sores, thirst
T:long, dry, red, even redder tip, which is also enlarged, red prickles, yellow coat
P: rapid, overflowing, may be hasty (rapid and irreg.)