DSY Final Review 2

DSY class14

Small Intestine Patterns

DSY class 8

Excess Patterns

FULL-HEAT IN THE SMALL INTESTINE

Mental restlessness, insomnia, tongue/mouth ulcers, pain in the throat, deafness, uncomfortable feeling and heat sensation in the chest, abdominal pain, thirst for cold liquids, scanty and dark urine, burning painful urination, blood in urine. Tongue: Red with redder and swollen tip, yellow coating. Pulse: Rapid, Overflowing, especially in the Front position. Urinary symptoms, will be wiry in rear. Key symptoms: abdominal pain, tongue ulcers, scantydark-painful urination.

SMALL INTESTINE DEFICIENT AND COLD

Dull abdominal pain relieved by pressure, desire for hot drinks, borborygmi, diarrhea, pale and abundant urination, cold limbs.

Tongue: Pale, white coating.

Pulse: Deep, Slow, Weak. Key symptoms: abdominal pain, borborygmi, diarrhea.

Large Intestine Patterns

Excess Patterns

DAMP-HEAT IN THE LARGE INTESTINE

Abdominal pain unrelieved by defecation, abdominal fullness, diarrhea, mucus and blood in stools, offensive odor of stools, burning in anus, scanty-dark urine, fever, sweating (which does not decrease the fever), thirst without desire to drink, feeling of heaviness of the body and limbs. Tongue: Red, sticky-yellow coating. Pulse: Slippery, Rapid.

Key symptoms: abdominal pain, diarrhea with mucus and blood in the stools.

DAMP-HEAT INVADING THE SPLEEN

Fullness of epigastrium & lower abdomen, poor appetite, feeling of heaviness, thirst without desire to drink, nausea, vomiting, loose stools with offensive odor, burning sensation of the anus, scanty dark-yellow urination, feeling of heat, low-grade fever, dull headache with heaviness of the head, yellow complexion, yellow sclera of eyes, oily sweat, bitter taste, itchy skin or skin eruptions, sweating which does not reduce fever. Tongue: Red, sticky-yellow coating.
Pulse: Slippery-Rapid. Key symptoms: abdominal fullness, feeling of heaviness, sticky-yellow coating.

HEAT IN THE LARGE INTESTINE

Constipation with dry stools, burning sensation in the mouth, dry tongue, burning and swelling in anus, scanty-dark urine.

Tongue: thick-yellow (or brown or black) dry coating.

Pulse: Full, Rapid. Key symptoms: dry stools, burning sensation in anus, thick-yellow-dry coating.

COLD INVADING THE LARGE INTESTINE

Sudden cramping abdominal pain, diarrhea with pain, feeling of cold, cold sensation in abdomen. Tongue: thick-white coating. Pulse: Deep, Tight. Key symptoms: sudden abdominal pain, diarrhea, feeling of cold.

DEFICIENCY PATTERNS

LARGE INTESTINE DRY

Dry stools which are difficult to discharge, dry mouth and throat, thin body, foul breath, dizziness. Tongue: dry, either Pale or Red without coating. Pulse: Fine. Key symptoms: dry stools which are difficult to discharge, thin body.

Gall Bladder Patterns

DSY class 9

Excess Patterns

DAMP-HEAT IN THE GALLBLADDER

Hypochondriac pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion, scanty and dark yellow urine, fever, thirst without desire to drink, bitter taste, dizziness, tinnitus, irritability, feeling of heaviness, numb limbs, foot swelling, loose stools or constipation, feeling of heat or alternating heat and cold, yellow sclera.
Tongue: thick-sticky yellow coating, bilateral or unilateral. Pulse: Slippery, Wiry, Rapid. Key symptoms: hypochondriac fullness, bitter taste and thick-sticky yellow coating on the right side.

Deficiency Pattern

GALL-BLADDER DEFICIENT

Dizziness, blurred vision, floaters, nervousness, timidity, propensity to being easily startled, lack of courage and initiative, sighing, waking up early in the morning, restless dreams.
Tongue: Pale or normal. Pulse: Weak.

Key symptoms: timidity, sighing, lack of initiative, indecision.

Bladder Patterns

Excess patterns

DAMP-HEAT IN THE BLADDER

Frequent and urgent urination, burning on urination, difficult urination (stopping in the middle of flow), darkyellow and/or turbid urine, blood in the urine, sand in the urine, fever, thirst with no desire to drink, hypogastric fullness and pain, feeling of heat. Tongue: Red, thick-sticky yellow coating on the root with red spots. Pulse: Rapid, Slippery, slightly Wiry on left Rear position. Key symptoms: burning on urination, dark urine, difficult urination.

FULL-HEAT IN THE SMALL INTESTINE

Mental restlessness, insomnia, tongue/mouth ulcers, pain in the throat, deafness, uncomfortable feeling and heat sensation in the chest, abdominal pain, thirst for cold liquids, scanty and dark urine, burning painful urination, blood in urine. Tongue: Red with redder and swollen tip, yellow coating. Pulse: Rapid, Overflowing, especially in the Front position. Urinary symptoms, will be wiry in rear. Key symptoms: abdominal pain, tongue ulcers, scantydark-painful urination.

Identification of Patterns According to the Six Stages

DSY class 11

 (TAI YANG STAGE) ATTACK OF WIND Slight aversion to cold, aversion to wind,
slight fever, stiff neck, headache, aches in the body, sweating, sneezing and Floating-Slow pulse.

 (TAI YANG STAGE) ATTACK OF COLD Aversion to cold, slight fever, stiff neck,
headache, no sweating, aches in the body, shortness of breath, runny nose with white discharge and Floating-Tight pulse.

 (TAI YANG STAGE) ACCUMULATION

OF WATER

Aversion to cold, slight fever, retention of

urine, slight thirst, vomiting of fluids soon after drinking, Floating-Rapid pulse

 (TAIYANG STAGE) ACCUMULATION

OF BLOOD

Hypogastric distension, fullness and

urgency, blood in urine, mental restlessness, Reddish-Purple tongue without coat, Deep-Fine-Rapid or DeepChoppy pulse

 BRIGHT-YANG (YANG MING)

CHANNEL PATTERN

High fever, profuse sweating, feeling of

heat, intense thirst, red face, irritability, delirium, red tongue with yellow coating and Overflowing-Rapid or Big-Rapid pulse.

 BRIGHT-YANG (YANG MING) ORGAN

PATTERN

High fever which is worse in the

afternoon, profuse sweating, sweating on limbs, constipation, dry stools, fullness and pain in the abdomen which becomes worse on pressure, thirst, Red tongue with a thick dry yellow ("old yellow") coating and Deep-Full-Slippery-Rapid pulse.

 LESSER YANG (SHAO YANG) STAGE Alternation of chills and fever, fullness
and distension of the costal and hypochondriac regions, lack of appetite, irritability, dry throat, nausea, bitter taste, blurred vision, white tongue coating on one side only and Wiry or Wiry-Fine pulse.

 GREATER YIN (TAI YIN) STAGE Abdominal fullness, feeling of cold,

vomiting, no appetite, diarrhea, absence of thirst, tiredness, Pale tongue and DeepWeak-Slow pulse.

 LESSER YIN (SHAO YIN) COLD

PATTERN

Chills, feeling of cold, lying curled up,

listlessness, desire to sleep, cold limbs, diarrhea, no thirst, frequent pale urination, Pale wet tongue with white coating and DeepWeak-Slow pulse.

 LESSER YIN (SHAO YIN) HEAT

PATTERN

Feeling of heat, irritability, insomnia, dry

mouth and throat at night, dark urine, night sweating, Red tongue without coating and Fine-Rapid pulse.

 TERMINAL YIN (JUE YIN) Persistent thirst, feeling of energy rising

to the chest, pain and feeling of heat in the heart region, feeling of hunger with no desire to eat, cold limbs, diarrhea, vomiting, vomiting roundworms, Wiry pulse.

Identification of Patterns According to the Four Levels

DEFENSE (WEI) LEVEL

 (Wei Level) Wind Heat Fever, aversion to cold, headache, slight

sweating, runny nose with yellow discharge, slight thirst, sore throat, red and swollen tonsils, Red sides or tip of the tongue, Floating-Rapid pulse.

 (Wei Level) Summer Heat Fever, aversion to cold, headache,

sweating, feeling of heaviness, uncomfortable sensation in epigastrium, thirst, irritability, Red sides or tip of the tongue with white sticky coating, SoggyRapid pulse.

 (Wei Level) Damp Heat Fever worse in the afternoon, body hot to
touch, aversion to cold, swollen glands, headache, feeling of heaviness, oppression in epigastrium, sticky taste, thirst with no desire to drink, white sticky tongue coating, Soggy pulse.

 (Wei Level) Dry Heat Fever, slight aversion to cold, slight

sweating, dry skin, nose mouth and throat, dry cough, sore throat, dry tongue with thin white coating, Floating-Rapid pulse.

QI LEVEL

 (Qi Level) Lung Heat High fever, feeling of heat, no aversion to

cold, cough with thin-yellow sputum, shortness of breath, thirst, sweating, Red tongue with yellow coating, Rapid pulse.

 (Qi Level) Stomach Heat High fever worse in the afternoon, no

aversion to cold, feeling of heat, intense thirst, profuse sweating, Red tongue with yellow coating, OverflowingRapid pulse.

 (Qi Level) Intestine Dry Heat High fever worse in the afternoon,
constipation, dry stools, burning in anus, abdominal fullness and pain, irritability, delirium, Red tongue with a thick dry yellow coating and Deep-Full-Rapid pulse.

 (Qi Level) Gallbladder Heat Alternation of heat and cold with

prevalence of heat, bitter taste, thirst, dry throat, hypochondriac pain, nausea, fullness in epigastrium, red tongue with sticky unilateral coating and Wiry Rapid pulse.

 (Qi Level) Stomach-Spleen Damp Heat Continuous fever that decreases after
sweating then increases again, feeling of heaviness of head and body, oppression in epigastrium and chest, nausea, loose stools, Red tongue with sticky-yellow coating, Soggy-Rapid pulse.

NUTRITIVE (YING) LEVEL

 Heat in the Nutritive Qi Level Fever at night, dry mouth with no desire
to drink, insomnia, mental restlessness, delirium, incoherent speech or aphasia, spots on skin (macules), Deep-Red (crimson or scarlet) tongue without coating, Fine-Rapid pulse.

 (Ying Level) Heat in the Pericardium Fever at night, mental confusion,

incoherent speech or aphasia, delirium, body hot, cold hands and feet, macules, Deep-Red tongue without coating, FineRapid pulse.

BLOOD (XUE) LEVEL

 (Xue Level) Heat Victorious Moving

Blood

High fever, mental restlessness, manic

behavior, dark macules, vomiting of blood, epistaxis, blood in stools, blood in urine, DarkRed tongue without coating, Wiry-Rapid pulse.

 (Xue Level) Heat Victorious Stirring Wind High fever, fainting, twitching of limbs,
convulsions, rigidity of neck, opisthotonos, eyeballs turning up, clenching of teeth, DarkRed tongue without coating, Wiry-Rapid pulse.

 (Xue Level) Empty Wind Agitating

Interior

Low-grade fever, tremor of limbs,

twitching, loss of weight, malar flush, listlessness, DarkRed tongue without coating, Fine-Rapid pulse.

 (Xue Level) Collapse of Yin Low-grade fever, night sweating, mental

restlessness, dry mouth with desire to sip liquids, 5 palm heat, malar flush, emaciation, DarkRed dry tongue without coating, Fine-Rapid pulse.

 (Xue Level) Collapse of Yang Feeling of cold, cold limbs, bright white
complexion, profuse sweating on forehead, listlessness, PaleSwollenShort tongue, hidden slow scattered pulse.

 Qi Level Latent Heat Lesser-Yang Type: same as 6 stages

pattern

Bright Yang Channel Type: "4 Bigs",

same as 6 stages pattern

Bright Yang Organ Type:

stages pattern

same as 6

 Blood Level Latent Heat Lesser-Yin Type: Weary limbs before onset of other
symptoms, insomnia, irritability, dry mouth and throat, scanty dark urine, headache, backache, tiredness; Possibly also delirium, blood in urine, epistaxis, macules.

Deep-red tongue without coating and

Fine-Rapid pulse.

Identification of Patterns According to the Three Burners

 UPPER BURNER 3 Patterns: Wind-Heat Invading The Lungs (Wei

Level)

Heat In The Lungs (Qi Level) Heat In The Pericardium (Ying Level)

 MIDDLE BURNER 2 Patterns: Heat In The Bright Yang Damp-Heat Invading The Spleen

 LOWER BURNER 3 Patterns: Heat In The Kidneys Liver-Heat Stirs Wind Liver Empty-Wind

UPPER BURNER

 WIND-HEAT INVADING THE LUNGS (Wei

Level)

The

are the same as Wind Heat at the Defensive Qi Level of the 4 Level patterns.

 HEAT IN THE LUNGS (Qi Level) Fever, sweating, cough, breathlessness,

thirst, oppression and pain in the chest, Red tongue with yellow tongue coating and Rapid-Overflowing pulse

(corresponds to the Qi-Level Lung Heat

pattern from the 4-Levels).

 HEAT IN THE PERICARDIUM (Ying

Level)

Fever at night, burning sensation in the

epigastrium, cold limbs, delirium, aphasia, DeepRed stiff tongue without coating, Fine-Rapid pulse

(corresponds to the Ying-Level Heat in

the Pericardium pattern from the 4Levels).

MIDDLE BURNER

 HEAT IN THE BRIGHT YANG High fever worse in the afternoon, no

aversion to cold, feeling of heat, intense thirst, profuse sweating, Red tongue with yellow coating, OverflowingRapid pulse.

 DAMP-HEAT INVADING THE SPLEEN Fever, feeling of heaviness of head or of

the whole body, epigastric fullness, nausea, vomiting, red tongue with yellow-sticky tongue coating, Soggy and rapid pulse.

LOWER BURNER

 HEAT IN THE KIDNEYS Fever in the afternoon and evening, hot

palms and soles, dry mouth and throat, night sweats, lassitude, deafness, DeepRed tongue without coating, Fine-Rapid pulse.

 LIVER-HEAT STIRS WIND High fever at night, coma, convulsions,

clenching of teeth, DarkRed tongue without coating, Wiry-Fine-Rapid pulse.

 LIVER EMPTY-WIND Low-grade fever, cold limbs, dry and

black teeth, dry cracked lips, convulsions, tremor of limbs, DarkRed tongue without coating, Fine-Rapid pulse.