Diagnostic Clues

Acid Reflux - Excessive Li Fire blood shot eyes, nausea, migraine. SM Acne Heat & Humidity in Taiyin, mostly Metal Source SM or BW? Acromegaly- Body accretion beyond normal limits, is a physical manifestation of an imbalance or problem in Water Phase. SM Afternoon Fatigue (3-4pm) Ying Qi Crash SM Alcohol injures Li Yin. SM Anal Retentive; over-organized - Li Pathology BW Asthma Pulse SM Distal to Metal pulse position will feel small BB in wrist crease, will go away As asthma clears. Back Pain (Low Back) Ki Yang SM Barrel Chested-Oxygen Deprived- Stressing Lu SM Bedwetting (Nocturnal Enuresis) of young adult implicates Metal & Water. SM Beta Carotene O.D. will not turn eyes yellow even if skin turns yellow. SM Bloating Actual Bloating = Wei Qi Deficiency. SM Feeling of being Bloated = Common Internal Channel (CIC). SM Blood blisters, purple spots on skin-Li Fire; if they burst, are burning(?) Sp. SM Blood Dryness = Blood Qi Deficiency SM Implicates Metal; harmonize Lu & Ki; need Energy to keep Blood moving Can be Global Water Deficiency/Ki, if Sp & Lu are ok. Blood Tonification linked to Ministerial Fire Mobilization & Impetus SM Blood Building seeks to increase volume. Blood Vessels Tonicity of = Wood Integrity of = Earth (Easy bruising = Earth) Bruises Easily = SP SM Cancer- LM Breast cancer = Sp

Diagnostic Clues
Tumor = decelerated Wei Qi Humidity = Form Yuan point moves Humidity Disperse boundary of Cold material field from the Humid, Warm Cold hands & Feet Afflux Ki & Bl SM Complexion SM Beta Carotene O.D. will not turn eyes yellow even if skin turns yellow. SM Redness in Face esp. w/ alcoholics w/ red noses have underlying Lu Deficiency. Red Complexion, raspy voice, and sweating- Call ambulance, Serious He issue. Roscasea(on nose)/enlarged capillaries underlying oxygen deficiency stressing Lu. Translucent Complexion indicates disturbance in Taiyin. SM Emaciated transparent skin (onion skin) Dehydration, lack of Humidity in Sp Correlate all subjective & objective data according to Yin, Yang & Wuxing. If of recent onset can be 1 phase, chronic settles to triad. SM Constipation Patterns MS Shape: Small, round pebbles (Goat Turd); dry Heat LI (Heat in digestion is Yangming Heat) Small, round pebbles (Goat Turd); not dry Liver Qi Stagnation Long & Thin Spleen Qi Deficiency Moisture: Dry Heat or Yin Deficiency (Blood Deficiencies may also cause dryness) Heat also thirst for cold beverages Yin Deficiency also dry mouth with desire to sip water Watery & Explosive Damp-Heat/Damp-Cold Damp-Heat also yellow & frothy stool Pain: Not severe, accompanied by distention Liver Qi Stagnation (?IBS Li invades Sp typically pain before BM & relieved by BM??) Severe & spastic Pain indicates Cold Effort: Difficult BMs with great effort & exhaustion following Qi or Yang Deficiency Cramps after BMs Cold or Qi Stagnation Loose but hesitant/difficult stool Spleen Qi Deficiency with Liver Qi Stagnation

Diagnostic Clues
Constipation Patterns MS Color Pale- Dampness/Damp-Heat in GB Dark- Heat Stomach/Intestinal Heat Acute constipation with thirst and dry yellow tongue Blood Deficiency Usually in older folks and/or postpartum women Liver Qi Invading Spleen Alternating constipation/diarrhea ________________________________________________________________________ Diarrhea Patterns MS Damp-Cold/Damp-Heat Acute onset with exterior symptoms (fever, aversion to cold, etc) Food Retention Foul smelling stool with pain and/or borborygmus, bloating, sour reflux Liver Qi Invading Spleen Chronic diarrhea with bloating, belching, flatulence, influenced by emotions Spleen/Stomach Deficiency Frequent BMs, stool sometimes like water, mb mucus, poor appetite, undigested Food seen, borborygmi Kidney-Yang Deficiency Early morning diarrhea with abd. Pain/borborygmi/feelings of cold Liver/GB Damp-Heat Smelly pale yellow stool, pain, burning sensations General Heat Very dark colored stool, Foul-smelling stool, Burning during BMs, Pain General Cold Very watery stool, no odor General Deficiency Abdominal Pain worse after diarrhea

Diagnostic Clues
Diarrhea Patterns MS General Excess Abdominal Pain better after diarrhea Intestinal Dampness Mucus seen in stool. If blood too = Damp-Heat Diarrhea SM Odorless = Cold Odorful = Hot Burns, Blood in Stool = Hot ________________________________________________________________________ Dehydration- Test for in Channel by pinching skin on that channel if returns back to shape slowly the dehydrated. SM Depression Quiet, retreating most likely Yi Pathology. SM Dietary Heat = Internal SM Eating disorders (bulimia, anorexia) affect SI, GB Heat. SM Edema SM -Lack of acceleration of Wei Qi can lead to back up in Sp leading to Edema. -Non-Pitting Edema = Lu Pathology -Pitting Edema = Sp Pathology BW -Non-Pitting Edema = Ki Deficiency -Pitting Edema = Lu Deficiency Eyes/Vision Blood Shot Eyes - Excessive Li Fire SM Cloudy Vision-(Looking thru- haze) Smoke from raging Li Fire. SM Dark circles under eyes = Ki, fatigue, exhaustion. SM Floaters Black = Blood Pathology/Deficiency SM White = Qi Deficiency SM

Diagnostic Clues
Fever & green mucous may be bacterial. BW Wind/Heat LM Gallstones Li/Wood invading Earth. SM Gynecology Hyper-mennorhea, & Excess Female Facial Hair implicates Chong Mai SM Liao Points Always palpate for tenderness w/ all Gyn. Needle tender BW Polycystic Ovaries SM -Retardation of Yuan Qi ____? -Stagnation of Humidity & Heat -Numerous failed ovulations-no rupture, cyst formation Psychogenic Dysfunctions Affecting Reproduction implicates Yang Wei Mai SM Vaginal dryness-Failure of Common Internal Channel (CIC) & Chongmai. SM Headaches SM Frontal/Occipital = Taiyang Sinus/Mandibular = Yangming Temporal = Shaoyang Behind Eye = inot jueyin Vascular = XB/Jueyin Heat in 5 Hearts (Tongue, Palms, Soles) Extreme He Yin Deficiency (Insomnia (least noise awakens) & High Blood Pressure ??) SM (cardiomyopathy BW) Heat (Internal) Inorganic Cold manifests as Internal Heat, Li Fire Gynecology Lots of Heat & scant menses means Blood is being burned. SM Lots of Heat & ample blood/frequent heavy flow means ??? Psoriasis- Vascular Toxic Heat in Jueyin, burns dermis & epidermis (red, hot, dry, flaky), can come from interior or exterior SM Congestion & Heat- Bleed Jing-Wells SM Heart Rate < 60 BPM = He Yin Deficiency SM Hypersomnalence- Def Yin Qiao Mai- Def Fire Leads to SM

Diagnostic Clues
Hypothyroidism BW Take temperature for 1-2 weeks if averages below 97.8 F indicates hypothyroidism If missing last 1/3 of eyebrow possible hypothyroidism Insomnia- Def Yang Qiao Mai- Decreased Water to eyes Leads to SM Introspection (excessive) can be caused by Unhealthy Yi. SM Joints that become re-injured may be due to Li Fire. SM Lao Syndrome- Injury to Jing, Taxation Fatigue, Global Injury. Need moxa & herbs Eight Treasures, Womans Precious. SM Lethal Combination-caffeine, nicotine, grease, vigorous exercise. SM Lips Dry = Sp BW Lungs BW/LM Conditions which allow Perverse Invasions 1. Essential Energy Deficiency 2. Pre-Existing Kidney Yin Deficiency 3. Cold attacks the Energy/Liu Qi Progression of Cold Wind Invasion 1. Skin 2. Lungs repulse 3. Nose (runny); Lu 20 (LI 20??) (Yangming) 4. Eyes tear; Bl 2 (Taiyang) 5. Sneezing Bl 2 a. When Perverse Energy attacks Bl 1, it follows Bl Channel to Bl 2. When it reaches Bl 2, patient will have sneezing. When you have sneezing it becomes tiring. Some patients will come in and say they havesneezed 100 times today. That is a serious pathology because so tiring. Therefore do not forget Bl 2. b. Goes to Bl 2 because Lungs have deviated the Energy towards the Bl Channel. 6. Frontal Headache Bl 7 a. At Bl 2, if you do not treat it now it will evolve. The patient will have pain of the forehead and the frontal headache. Then this Perverse Energy from Bl 7 does not go to Bl 8, it is wrong on the charts. There is not a continuous line from Bl 7 to Bl 8. 7. Vertex Headache (top of Head), Dizziness, Ringing in Ears-GV 20. a. Treatment Bl 7, 8 GV 20. b. Bl 7 goes to GV 20, and then goes into the vestibular cochlear region, patient will present w/ a vertex HA, because the Energy has passed to GV 20, which is on top of head.

Diagnostic Clues
c. At the same time as the vertex HA, have dizziness and ringing in ears. i. Because Perverse Energy enters vestibular cochlear region. d. When Perverse Energy reaches this level treat Bl 7, 8; & GV 20. i. Needle Bl 7 point toward GV 20 ii. Needle GV 20 perpendicular to brain and cochlear vestibular region. 8. Occipital Headache, Stiff Neck: Bl 10 to GV 16 to Brain. a. Treatment- GV 16; Bl 10; if you can add GB 20 & SJ 16 b. Progresses to Bl 10 from Bl 10 Channel (?) from Du Mai Channel, GV 1 have the Longitudinal Luo of GV & reaches GV 16. From GV 16 there are several radiations, first it goes in to the brain, second it goes to Bl 10, GB 20 & SJ 16. In other words, when it reaches Bl 10, because Longitudinal Luoof the GV, see close connection between Bl 10 and GV 16. GV 16 penetrates the brain. So the patient will say my HA was on the front of my head, then it was on top, and now it is occipital, and stiffness of neck because GV 16 penetrates brain. c. Needle GV 16, Bl 10, if you can add GB 20 & SJ 16, and then from GV 16 Perverse Energy goes to GV 14 and then GV 13 and then goes into Taiyang level at Bl 11. 9. Back Ache & Curvature- Bl 23 Taiyang (Lui Qi) a. When Perverse Energy gets to the Taiyang level it will go all the way down to Bl 23, which is the Back Shu points of the Kidneys. Because of the progression the patient comes in with back pain with general curvature. 10. Flu

Ki Yang SM -Distribution of Water -Thermogenesis -Steroids (Anything that would respond to steroidal therapy) -Low Back Pain Mental Disorder implicates He Yin SM Migraine Excesive Li Fire SM Mu Points- tender upon palpation indicates pathology of associated organ. SM Nausea Excessive Li Fire SM Rebellious St Qi SM Morning Sickness SM Nausea/Vomiting- Rebellious Qi- Counter flow; reversal of Polarity. SM Rebellious St Qi- Nausea/Vomiting, counter flow; reversal of Polarity. SM

Diagnostic Clues
Numbness/Lack of Sensation= Vacuity SM Nutritional Liquid Deficiency SM If from Ki to Sp, or just Sp then Global Dehydration If particular phase dehydrated, can check that channel with skin pinch test Pain= Active Stagnation SM Palpitations are bursts of Li Fire. SM Pulse Amplitude Following Meal. SM -Increased Pulse Amplitude post meal is good. -Decreased pulse amplitude post meal indicates stagnation of bolus, not getting enough warm humidity. Cardiac Pathology-More prevelant in XB pulse than in He pulse. Jing Deficiency: Right Pulses stronger that than the left-person is relying on Digestive Energies. Running on Ying Qi, Have Deficient Jing. SM True/False Cold/Hot SM - True Heat/Cold =Large & fast; ample full rapid - False Heat/Cold =Small & fast; submerged; rapid, weak, floating w/ no resiliency, thin narrow. Procrastination, tardiness, clutter, disorganization, shop-o-haulic. Sp Pathology BW Restless Limbs-Wei Qi Deficiency, leaving Capillary and Tendinomusculars empty. SM Sapors Sulfur Taste = Biliary Heat SM Sweet craving after meal-indicates Earth needs more impetus, so we eat sweet to engender Sp. SM Shoulder Differntial Diagnosis BW Yangming-Inability to put hand on opposite shoulder Shaoyang- Inability to put hand on back of head Taiyang- Inability to put hand in middle of back (bra strap)

Diagnostic Clues
Spleen Cold in the Spleen TVD/LM Always due to hypofunction of the Yang of the Spleen. This hypofunction will cause cold signs. That is to say, Water, Humidity can no longer be metabolized and create a state on Yin Cold. It can be caused by diet of cold raw foods. All this will cause abdominal pain, diarrhea stool is liquid and undigested because cold (hypofunction of Spleen) undigested food, & cold limbs. Since Humidity is heavy, energy of patient has sensation of heaviness in all the body. Spleen distributes energy to entire body. Pulse deep and slow, tongue pale with a white sticky coating, This is what we call Deficiency of Spleen Yang causing Cold. Emptiness of Spleen TVD/LM Emptiness of the Sp always results in a poor functioning of metabolism. If the food is poorly digested in the St and then it is poorly spread out by the Sp, it will eventually bring about a state of emptiness. And will bring poor digestion, dyspepsia, with loss of appetite. When the St energy ascends there will be nausea and vomiting; and the SP energy descends there is bloating and abdominal pain. Bloating is improved by massage. Can have soft sticky stools, cold in the four limbs, weak limbs, patient tired with always wanting to lay down. They can have anascara, yellowish complexion, dry lips, abundant mucous, tongue white and sticky and pulse empty. Sx: Nausea & Vomiting; Bloating & Abdominal Pain, Can Have Soft Stools, Cold in all 4 Limbs, Weak Limbs, Patient Tired-Always Wants to Lay Down. May have Anascara, Yellowish Complexion; Lips Dry; Abundant Mucous, Tongue White & Sticky, Pulse Empty. Fullness of Spleen TVD/LM In order to have Fullness, must have a penetration of Perverse Energy, which is Humidity. Humidity can penetrate only when Organic Humidity is diminished. So, initially there is an emptiness of the Sp, which results in a fullness of the Sp. Due to accumulated Perverse Humidity; can occur over navel or in muscle fibers. If in navel it will be abdominal bloating. If in muscular fibers, pain and heaviness in the body, gastric oppression, dysuria, and the signs I gave you earlier for the Sp. Sx: Abdominal Bloating, or Pain & Heaviness in Body, Gastric Oppression Dysuria Heat in the Spleen TVD/LM Perverse Heat will attack Spleen, which is Humidity and Earth. Humidity and Heat will over heat and will migrate to upper part of body, towards head. Patients who complain of a sensation of heaviness in the head and the whole body, tired, abdominal bloating, gastric disturbance, thoracic discomfort. In nature, the suns rays descend-the Yang descends; and the plants go upward- the Yin ascends. Yang (Stomach) descends and Yin Spleen ascends. If there is hypofunctioning of the Sp, there will be a Deficiency in the whole system. The Sp will no longer ascend, but will ascend and cause thoracic oppression. There is a paste in the moth, sticky. Too much saliva and normally saliva thick and sticky, and this is very unpleasant. St/Sp metabolized Humidity, and Wei Qi metabolizes Humidity. Bring Wei and it will metabolize Humidity. Treatment of salivation very effective.

Diagnostic Clues
Heat in the Spleen Continued Treatment: points of exteriorization of Wei to upper part is: CV 5, 22, 23, St 9. Also, Tonify the Sp/St system using the Spleen Reflex. Modern Pathology TVD/LM Spleen & St are modern pathology. The pathology of bad diet, pre-occupation with work, eat quickly and cold. First, cannot expect the Sp/St to function well if there is not enough time to function properly. Digestion means activity i.e. function therefore Yang Heat. But often we eat cold, so how do you expect St to function? Diet is cereal energy and is Earth. Good food means warm, and takingtime to eat. This is a modern pathology. Do not eat quickly and cold foods in a hurry. Second, we live in a crazy period in life, i.e. worry and pre-occupation. Wake with anxiety and worry, problems all day. At home problems never leave you, worries harm the function of the Sp. How do you expect Sp and St to function properly? Remember Sp/St is the point of departure of everything that is acquired. Do not forget. We are actively destroying system that allows us to acquire our entire Energetic system. We are so much in habit of living with this that we ignore it. If you touch your St we all have a bloated abdomens, and it is not normal to have a bloated abdomen. We all have a bloated abdomens, including me. You think I am skinny, but if you touch my belly it is also bloated-but I am also shy. We all have bellies like big toads. It is not normal though. Sp/St system is questionable because bad diet and bad thinking process. It mest be treated. Humidity brings about lots of pathologies. Little by little, it develops into phlegm, it is all form. Form is Earth, tumors, and it is not a coincidence that there is a lot of cancer and a lot of tumors. This is a pathology regarding Form. If you touch and abdomen bloated, risk of hypofunctioning of Sp. If you can prevent you can help patients from developing tumors. Spleen Reflex 1. Mu-Shu-Yuan St/Sp: Sp 3; St 42; Li 13; CV 12; Bl 20, 21 2. Middle Jiao: CV 12, St 25 3. Yang Ming: St 36, Sp 6 4. Wei Qi Reflex- Now we are going to go further. Sp is a lymphoid organ, speaking energetically. It is the point of departure for all that is acquired energy. Among all the acquired energy is Wei. Pathologies of the Sp are Humidity. To metabolize Humidity, must increase the function of the Sp, as we have done in the Sp Reflex, and we must circulate the Wei Qi. a. Points of Exteriorization of Wei for Sp: CV 12; St 30; Li 13 i. Do not use upper points because we are talking Sp/St do not use Exteriorization of upper part. b. Circulate the Wei. Regional points for the Sp/St is the abdomen: Ki 16, St 25 and all the pointsbetween T7 to S1. Moxa all those points to circulate the Wei. You have to metabolize Humidity. In a woman, as soon as you touch te abdomen, you must treat. If you are lazy, just circulate the Wei. It will relieve the bloating. Why because the Wei Energy helps metabolize Humidity. Its very importantIts the pathology of modern life. 5. Move the Thinking Reflex

10

Diagnostic Clues
Spleen Reflex Continued Yi Thinking; Thinking is the mental aspect of the Sp organ. It is the mental aspect that makes it function. The spirit makes it function. Right now I have no energy, but I continue to talk because my spirit drives me. Mental aspect of Sp is Thinking. It must function properly. So I must move the thoughts, move the Thinking. In the ancient texts they say, You either think or you do not think, but if you think you must act. You must to action and not think about it anymore. There is an Energetic continuity between the thinking and the action; between the Sp and the Ki; between the acquired and the innate. If the thinking is stagnated, and think and think, but do not come to a decision. The thinking becomes pathological and becomes preoccupation and worry. This preoccupation denotes a stagnation of the thinking. Think, make a decision, and act. Sp 1 is the Wind Point. Sp is thinking. Jing-Well on Yin Channel is Wood and Wind moves and so it moves our thinking. Once it moves you will bring it to the Heart. GB is the decision making. GB is the last stage of purification, and the GB is pure and loyal. It is like a judge and can make a decision. When you have pure intentions in your head, you are afraid of nothing. GB/Li has to do with courage. Some folks hesitate their whole life, and they are bloated like an elephant. Some make a decision, and tomorrow never put the decision into action. Well Ill do it tomorrow. And they avoid action. Increase their will power to solve the problem. Have to help them move into action stage and increase their will power or there will be a blockage in the thinking process. The Sp not connect with the Ki, the Thinking will not connect with the Will, the acquired will not connect with the innate and this will lead to hypofunctioning of the Sp. First, move the thinking: Sp 1, GB 40, Ki 3 to move thinking make decision and lead to action.Points of entry and exit of Sp Yi, is exit and entry of mental aspect of Sp which is between T4/5. When you do that think, I am Tonifying Yi to help the functioning of the organ. Also, moxa Bl 20, 49. Thinking increase function of Yi, is acquired Jing-Shen. It needs the innate. And so at that moment my next Reflex-Tong Qi: CV 12 (no this is not Lu), and CV 6 for Sp. This is the first time ever, that I have given a treatment for the Sp/St that is so complete. Because modern life and its pathology. All that I am giving you is to consolidate acquired energy, but you must never forget the innate energy. The innate energy allows the formation and the birth of the acquired Jing. The innate has a predetermined potential, and little by little it will decline. That is why the acquired must return to consolidate the innate. When you do this treatment well, you will permit the acquired to return innate to consolidate. Children have to comeback and help their parents. Like students should think

11

Diagnostic Clues
Spleen Continued of their teacher. When you eat a fruit, think of the person that planted the tree. Think Sp must also consolidate Ki, Reflexes when you treat the Lu treat Ki now when you treat the Sp you treat the Ki and when you treat the Ki you treat the Sp. There must always be a relationship stronger because acquired and innate. When you have a thought, decide and act. When you have a thought and do not act, you isolate the Ki from the Sp, the innate from the acquiredbloating. Sweating is a loss of Yin of He. SM Tinnitus Differntial Diagnosis TVD Verify Press SI 19 if sound changes then Li (excess), if sound same then Ki (deficiency) Sound same or worse= Li; Sound better=Ki BW Tongue Bright Red Tip Tongue- Cardiopathy, atherosclerosis. SM Burning Tip of Tongue- Heat, & Bitter poisoning. SM Cracks in Tongue- Dehydration SM Center crack + dehydration or Heat Craters in Tongue- Pock marks on tongue are always present in asthma, mostly in distal tongue, but can extend into Middle Jiao. SM Fur on Tongue-Epithelial, Lu-usually a little white-Undigested Qi, Immobilzed Ying. SM Medications SM - See in Ki and Li areas of tongue - May be Swelling - Stagnation - Heat - Toxicity-Greasy, viscous saliva Quivering Tongue = Deficiency or Essential Energy Fatigue- Unstable SM Serrated/Scalloped Tongue SM -Tongue gets swollen & teeth imprint on sides -Either Edema -Or Blood Stagnation in tongue Swampy coated tongue indicates Middle Jiao Pathology. SM Thin Tongue = Yin Deficiency BW

12

Diagnostic Clues
Tongue Continnued Ulcer-Indicated by Tongue SM -Starts out as a crevasse in middle of tongue -Next crevasse widens -Bleeding ulcer will look like blood river in bottom of crack. White Tongue- Especially in back/root/base of tongue can be ice/snow + Cold, or can be intense Heat i.e. White Hot. Use pulse to differentiate. SM Tumor Formation SM Wei Qi de-accelerates leading to Bloating leading to Edema leading to Tumor. Voice Raspy voice, red complexion, and sweating- Call ambulance, Serious He issue. Raspy & hoarse voice indicated Imperial Fire Pathology. SM Tonal Quality/Harmonic Distortion = Assessment of Heart SM Volume/Buoyancy = Assessment of San Jiao SM Watch and see where people point & see which channel they are on, note Yang & Yin surface of body. SM Yang of Body (To Examine State of) -St 9 Ling Shu/CCM Yin and Yang of Head (To Compare) BW Temporal artery pulse (Taiyang CP) = Yang to Head St 9/ carotid artery = Yin to Head

Yin (lower) & Yang of Lower Body (To Compare Them) BW St 42 pulse = Yang to Foot to Ki 3 pulse = Yin Return

13

Diagnostic Clues
Energetic Relationships & Connections Adrenal Function & Endocrine System & yuan = Ki Yang/Functional aspects of Water Phase. Works in unison w/ SJ Energetics, but not synonymous. SM Afflux SM Passive congestion leads to congestion leads to stagnation leads to Afflux leads to ___afflux. Can generate spontaneously. e.g someone pushes your buttons; see a beautiful woman Afflux - Cold hands & Feet Ki & Bl SM Bloating Actual Bloating = Wei Qi Deficiency. SM Feeling of being Bloated = Common Internal Channel (CIC). SM Blood = Fire SM Blood Vessels Tonicity of = Wood Integrity of = Earth (Easy bruising = Earth) Childhood Illnesses SM Most childhood illness have to do with digestion, whether the Lungs ability to digest air, or the bodies ability to breakdown and digest the cereals. Cold-Wants to attack Energy, loves to invade thru- Liu Qi. SM -Wind invades Fung Fu. -Invades Bai Hui (GV 20) over Bl channel to Bl 1 -Into eyes-Watery itchy -Into Sinus-provides ingress to Taiyin- watery/runny nose -Bleeds into Shaoyang/GB-achy muscles -Into Throat- cough -Into Lu- upper respiratory infection -Then Nausea Tx by fortifying from middle Context/Focus/Mind/Spirit/Consciousness = He/Shen SM Content = Earth Chronic Conditions- All 5 Phases can be affected. SM Dark circles under eyes = Ki, fatigue, exhaustion. SM

14

Diagnostic Clues
Earth responsible for intake of environment & expression (outtake) to environment. SM Diaphragm is the Minister of the St & Sp Descending-Energy of St-Everything that enters-sensory input from the world Ascending Energy- Sp Out put to the world Expel External Pathogens, Supplement Internal Deficiencies. SM Gonads, sexual organs - Common Internal Channel? SM Granulocyte migration is promoted by Yuan Qi. SM Heat- attacks Blood thru the Energetic Layers. SM The 8 Diagnostic Criteria/Methods SM Yin Yang Empty Full Internal External Hot Cold Heat in Upper Jiao - Red eyes, Underweight, Smoker, Coffee. SM Heavy Arms & Legs Sp SM Jing Depletion-Cant do acupuncture, need Sweet flavored herbs, to build back up Essential Jing. SM Jing Shen Points will take supplemental Energy from moxa w/out drawing Qi from Organs. SM Joint Phase Relationships SM Wrists-Metal Elbow-Fire Shoulder-Wood/Fire Knees-Water Ankles-Sp? BW Joints that become re-injured may be due to Li Fire. SM LI & St Connect Upper & Lower SM Lu & Sp Connect Inner & Outer

15

Diagnostic Clues
Deficiency in Jin to Li will cause Ministerial Fire of Li to start to burn/consume Li Yin, this Heat may heat up Middle & Upper Jiaos, causing Heat Sx, may also effect eyes (Smoke in eyes/cloudy vision). If Li Yin Deficiency is resulting in blurred vision (like smoke in forest clouding vision), muscle wasting, where Li Fire has almost burnt all of Li Yin, the Water (Li 8) may put out Ministerial Fire of Li. SM Excessive Li Fire - Acid reflux, blood shot eyes, nausea, migraine, re-injured joints. SM Lung Dehumidifies Sp. SM Lungs serve as a plug on pipette of Kidneys, if canopy of Lu lifts up water of Ki drains out. SM Proprioception = Earth SM Shu Antique Points SM -Yin Channels- Mediate ability of Yin organs to process Sapors -Yang Channels- Bowels & Cosmic Qi Coerce activity of internal environment. Spinal cord, cerebral zone, posterior pituitary nurtured by GV. SM Thyroid, anterior pituitary, pineal gland nurtured by CV. SM Trauma = Mechanical damage, not External Energies. SM True Heat & True Cold Always of external origin. SM Upper Belt Channel oversees cardiac rhythm. SM When Li Fire does not have enough Jin from Ki, then the Li Fire will start to consume Li Yin SM As Winter comes Qi interiorizes leaving external temporarily vulnerable. SM XB & SJ SM -Entirety of metabolic system - allows Polarization of Fire. - Points on XB & SJ have hinge like influences on therapy, creating a bridge in both directions between Taiyin & Taiyang yoke. -XB = Entirety of vascular system Yuan Qi leaves Dan Tien and circulates in and on periosteum. SM

16

Diagnostic Clues
Nails-Each 1/3 horizontal division of nail shows nutrition 3 months ago. SM Nausea/Vomiting- Rebellious Qi- Counter flow; reversal of Polarity. SM Rebellious St Qi- Nausea/Vomiting, counter flow; reversal of Polarity. SM Deficiency of Inorganic Cold manifests as Internal Heat e.g. Li Fire. SM

Xi Cleft Points- Good for mentational, common pattern usage-can blow carbon out of Stagnant Channel, Use with Yung Spring & Tonification Points. Bleed point to clear Channel of Stagnation. SM Lao Syndrome- Injury to Jing, Taxation Fatigue, Global Injury. Need moxa & herbs. SM Bile SM = Liquid Courage. Effects Li Energetically to Tx Constipation GB Removal seems to put drain on Ki getting estrogen predominance. SM St Channel Collapse = Patient Death SM Lymph = Conspiracy between Wood & Earth. SM Easy Bruising = SP SM Interface between cartilage, tendon, and ligaments equally moisturized by Ki, Li, & Sp. Water, Wood, (Earth ?) SM Ki Yang in terms of thermogenesis = Imperial Fire SM

Polycystic Ovaries SM -Retardation of Yuan Qi ____? -Stagnation of Humidity & Heat -Numerous failed ovulations-no rupture, cyst formation Dietary Heat = Internal SM Hypersomnalence- Def Yin Qiao Mai- Def Fire Leads to SM Insomnia- Def Yang Qiao Mai- Decreased Water to eyes Leads to SM Blood Deficiency-Global low amplitude in all pulse positions. SM

17

Diagnostic Clues
Transformation is destructive to consolidation. SM Deficient Yin Qiao Mai = Decreased Fire to eyes SM Deficient Yang Qiao Mai = Deficient Water to eyes Sp affect St thru Coupled Pair, Sp affects Lu across Taiyin. SM Potentize Luteal phase of ovulation-Zi Gong (Child Palace) Curious Point SM

Phlegm-Undigested/unmetabolized Cereal Qi-Phlegm Heat/Mucous in digestive tract can become material & effect mentational & Bowel. (connective tissues, pleural cavities, Water??)SM XB 6 & SJ 5 Luo Pts bypass Yangming & Taiyin yoke connect Yang directly to Yin. SM Cloudy Vision-(Looking thru- haze) Smoke from raging Li Fire. SM Lack of acceleration of Wei Qi can lead to back up in Sp leading to Edema. SM Look to Li function, even Qi distribution, Ministerial Fire leading to Wei Qi for sexual genital function, integrity of prostate. SM Sexuality-Metal SM Tumor Formation SM Wei Qi de-accelerates leading to Bloating leading to Edema leading to Tumor. Energetic Layers & Blood closely related to Shaoyin, Blood, Jueyin; muscle SM Energetic Layers & Tendinomusculars assoc. w/ dermis. SM Energetic Layers & Principal Channel assoc. w/ Blood Repair of Body Progression SM Wei Qi To Yuan Qi to Ying Qi to Initiate repair. Impetus of Ying Qi is necessary to deliver Wei Qi to Jing Well Pts. SM Unhealthy Yi leads to excessive introspection. SM Lu controls opening & closing of pores. SM Disease Progression SM Repletion, Insult, Direct Ki Def w/ Extreme Cold-Very dark base of tongue w/ slow pulse rate. SM

18

Diagnostic Clues
Redness in Face esp. w/ alcoholics w/ red noses have underlying Lu Deficiency. SM Cold Invasions consume the Yang and progress. SM Bathing while perspiring injures He. SM Mentational Pathology Yokes. SM -Yi & Zhi -Hun & Po Chronic Cold illness left untreated will eventually turn into a Heat illness. SM Raspiness & hoarsness of voice indicated Imperial Fire Pathology. SM Patient w/ quiet, retreating depression most likely Yi Pathology. SM Swampy coated tongue indicates Middle Jiao Pathology. SM Yang Wei Mai assoc. w/ cerebral zone, mentational influences, & posterior pituitary. SM Craving for Sapor may indicate that patient has a Organ Deficiency & require nutritional supplementation, the Organ has been poisoned by an over-use of particular Sapor and patient has developed an allergic addiction. SM Energetic Layer most associated w/ Longitudinal Luo is muscle. SM Dryness in Lu will pull moisture from the Sp. SM Patient w/ underlying Deficiency of Oxygen will stress the Lu to reach for oxygen in many ways: enlargement of chest cavity (barrel chest), increase respiratory rate, and enlarged capillaries in the nose reaching to absorb air in room. SM Body accretion beyond normal limits, as in acromegaly is a physical manifestation of an imbalance or problem in Water Phase. SM Pathogenic states are energetic states & therefore can be altered, can move from one state to another, can be transformed, & can be sublimated into a more productive state. SM Translucent Complexion indicates disturbance in Taiyin. SM Summer Heat (Perverse Energy) can lead to dehydration. SM Nocturnal Enuresis (Bedwetting) of young adult implicates Metal & Water. SM Sp Pathology may manifest as: tardiness, procrastination, clutter, disorganization, shopohaulic. BW

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Diagnostic Clues

Li Pathology may manifest as: anal retentive, over-organized. BW Gallstones Li/Wood invading Earth. SM Restless Limbs-Wei Qi Deficiency, leaving Capillary and Tendinomusculars empty. SM Prednisone injure Ki Yang. SM Alcohol injures Li Yin. SM Sweating is a loss of Yin of He. SM Palpitations are bursts of Li Fire. SM Blood blisters, purple spots on skin-Li Fire; if they burst, are burning(?) Sp. SM He Yin implicates mental disorders not cardiac pathology. SM He does not participate in metabolic processing of Ying, SI does. SM Alkaloids in coffee ignite Li Fire. SM Vaginal dryness-Failure of Common Internal Channel (CIC) & Chongmai. SM Eating disorders (bulimia, anorexia) affect SI, GB Heat. SM Muscles & arteries epitome of Jueyin. SM All Curious Points Mobilize and affect Jing. BW

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