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Index
Title page
Table of Contents
Copyright page
To the memory of my parents
Foreword
Preface
Acknowledgements
Note on the translation of Chinese terms
How to use this book
Index of symptoms and signs
LIST OF ABBREVIATIONS
PART 1: DIAGNOSIS BY OBSERVATION
DIAGNOSIS BY OBSERVATION
INTRODUCTION
SECTION 1: OBSERVATION OF THE BODY, MIND AND COMPLEXION
OBSERVATION OF THE BODY, MIND AND COMPLEXION
INTRODUCTION
Chapter 1: OBSERVATION OF THE BODY SHAPE, PHYSIQUE AND DEMEANOUR
INTRODUCTION
CLASSIFICATION OF BODY SHAPE ACCORDING TO YIN AND YANG
CLASSIFICATION OF BODY SHAPE ACCORDING TO THE FIVE ELEMENTS
CLASSIFICATION OF BODY SHAPE ACCORDING TO PRENATAL AND POSTNATAL INFLUENCES
CLASSIFICATION ACCORDING TO BODY BUILD
CLASSIFICATION OF BODY SHAPE ACCORDING TO PAIN AND DRUG TOLERANCE
Chapter 2: OBSERVATION OF THE MIND, SPIRIT AND EMOTIONS
INTRODUCTION
THE THREE ASPECTS OF THE SPIRIT
THE THREE CONDITIONS OF THE SPIRIT
THE SPIRIT AND CONSTITUTION
THE SPIRIT AND THE EMOTIONS
Chapter 3: OBSERVATION OF THE COMPLEXION COLOUR
INTRODUCTION
DOMINANT AND GUEST COLOURS
OBSERVATION OF DIFFERENT ASPECTS OF COMPLEXION COLOUR
COMPLEXION COLOURS
Chapter 4: OBSERVATION OF BODY MOVEMENTS
HEAD
FACE
LIMBS AND BODY
SECTION 2: OBSERVATION OF PARTS OF THE BODY
OBSERVATION OF PARTS OF THE BODY
INTRODUCTION
Chapter 5: OBSERVATION OF HEAD, FACE AND HAIR
HEAD
FACE
HAIR
Chapter 6: OBSERVATION OF THE EYES
INTRODUCTION
CHANNELS INFLUENCING THE EYES
RELATIONSHIP BETWEEN THE INTERNAL ORGANS AND THE EYES
ASPECTS OF OBSERVATION OF THE EYES
OBSERVATION OF PATHOLOGICAL SIGNS OF THE EYE
Chapter 7: OBSERVATION OF THE NOSE
INTRODUCTION
CHANNELS INFLUENCING THE NOSE
RELATIONSHIPS BETWEEN THE NOSE AND THE INTERNAL ORGANS
ABNORMAL COLOUR
SWOLLEN NOSE
FLAPPING ALAE NASI (THE OUTSIDE OF THE NOSTRILS)
DRY NOSTRILS
NOSEBLEED
POLYPS
ULCERS ON THE NOSE
PAPULES ON THE NOSE
Chapter 8: OBSERVATION OF LIPS MOUTH, PALATE, TEETH, GUMS AND PHILTRUM
CHANNELS INFLUENCING THE MOUTH AND LIPS
LIPS
MOUTH
PALATE
TEETH AND GUMS
PHILTRUM
Chapter 9: OBSERVATION OF THE EARS
INTRODUCTION
CHANNELS INFLUENCING THE EARS
EAR SIZE
DRY AND CONTRACTED HELIX
SORES ON THE EAR
WARTS ON THE EAR
ABNORMAL COLOUR
DISTENDED BLOOD VESSELS ON THE EAR
EXCESSIVE WAX PRODUCTION
DISCHARGE FROM THE EARS
Chapter 10: OBSERVATION OF THE THROAT AND NECK
CHANNELS INFLUENCING THE THROAT AND NECK
THROAT
NECK
Chapter 11: OBSERVATION OF THE BACK
CHANNELS INFLUENCING THE BACK
ATROPHY OF THE MUSCLES ALONG THE SPINE
RIGIDITY OF THE LOWER BACK
SPINAL CURVE ABNORMALITIES
SKIN SIGNS
Chapter 12: OBSERVATION OF WOMEN’S BREASTS
INTRODUCTION
CHANNELS INFLUENCING THE BREASTS
BREAST SIZE
BREAST LUMPS
NIPPLE ABNORMALITIES
PEAU D’ORANGE SKIN
Chapter 13: OBSERVATION OF THE HEARTBEAT
INTRODUCTION
HEARTBEAT DISPLACED DOWNWARDS
HEARTBEAT DISPLACED UPWARDS
HEARTBEAT DISPLACED TO THE LEFT
HEARTBEAT DISPLACED TO THE RIGHT
HEARTBEAT BELOW THE XYPHOID PROCESS
Chapter 14: OBSERVATION OF THE HANDS
INTRODUCTION
ABNORMAL COLOUR
VENULES ON THE THENAR EMINENCE
ATROPHY OF THE THENAR EMINENCE
ATROPHY OF THE MUSCLES OF THE DORSUM OF THE HANDS
TREMOR OF THE HANDS
TINEA (RINGWORM)
THE FINGERS
DEFORMED KNUCKLES
THE PALMS
Chapter 15: OBSERVATION OF THE NAILS
INTRODUCTION
SURFACE ABNORMALITIES
TWISTED NAILS
CURLING NAILS
NAILS FALLING OFF
ABNORMAL COLOUR
LUNULAE
CORRESPONDENCE OF NAILS TO ORGAN SYSTEMS
Chapter 16: OBSERVATION OF THE CHEST AND ABDOMEN
CHEST
ABDOMEN
Chapter 17: OBSERVATION OF THE GENITALIA
CHANNELS INFLUENCING THE GENITALIA
PUBIC HAIR
PENIS
SCROTUM
VULVA AND VAGINA
Chapter 18: OBSERVATION OF THE FOUR LIMBS
INTRODUCTION
ATROPHY OF THE FOUR LIMBS
FLACCIDITY OF THE FOUR LIMBS
RIGIDITY OF THE FOUR LIMBS
PARALYSIS OF THE FOUR LIMBS
LIMB MOVEMENTS
OEDEMA OF THE FOUR LIMBS
SWELLING OF THE JOINTS OF THE FOUR LIMBS
Chapter 19: OBSERVATION OF THE LEGS
LEG SIGNS
GAIT
Chapter 20: OBSERVATION OF THE EXCRETIONS
INTRODUCTION
SPUTUM
NASAL DISCHARGE
SWEAT
STOOLS
URINE
MENSTRUAL BLOOD
VAGINAL DISCHARGE
Chapter 21: OBSERVATION OF THE SKIN
INTRODUCTION
THE SKIN AND THE INTERNAL ORGANS
SKIN SIGNS
SKIN DISEASES
Chapter 22: OBSERVATION IN CHILDREN
INTRODUCTION
COMPLEXION
ORIFICES
BODY MOVEMENT
SPINAL MUSCLES
INDEX FINGER
ROOT OF THE NOSE
SECTION 3: TONGUE DIAGNOSIS
TONGUE DIAGNOSIS
INTRODUCTION
Chapter 23: TONGUE DIAGNOSIS
CONDITIONS FOR EXAMINING THE TONGUE
AREAS OF THE TONGUE
CLINICAL SIGNIFICANCE OF THE TONGUE
Chapter 24: TONGUE-BODY COLOUR
TONGUE SPIRIT
TONGUE-BODY COLOURS
SUBLINGUAL VEINS
Chapter 25: TONGUE-BODY SHAPE
INTRODUCTION
THIN
SWOLLEN
PARTIALLY SWOLLEN
STIFF
FLACCID
LONG
SHORT
CRACKED
DEVIATED
MOVING
QUIVERING
TOOTHMARKED
Chapter 26: TONGUE COATING
PHYSIOLOGY OF TONGUE COATING
CLINICAL SIGNIFICANCE OF TONGUE COATING
PRESENCE OR ABSENCE OF COATING
COATING WITH OR WITHOUT ROOT
COATING THICKNESS
COATING DISTRIBUTION
COATING MOISTURE
COATING TEXTURE
TONGUE COATING IN EXTERNAL DISEASES
Chapter 27: TONGUE IMAGES AND PATTERNS
QI-DEFICIENCY TONGUES
YANG-DEFICIENCY TONGUES
BLOOD-DEFICIENCY TONGUES
YIN-DEFICIENCY TONGUES
THE TONGUE IN PHLEGM AND DAMPNESS
THE TONGUE IN HEAT
THE TONGUE IN COLD
THE TONGUE IN QI AND BLOOD STAGNATION
THE TONGUE IN INTERNAL WIND
THE TONGUE IN EXTERNAL INVASIONS OF WIND
PART 2: DIAGNOSIS BY INTERROGATION
DIAGNOSIS BY INTERROGATION
INTRODUCTION
Chapter 28: INTRODUCTION
NATURE OF DIAGNOSIS BY INTERROGATION
NATURE OF “SYMPTOMS” IN CHINESE MEDICINE
THE ART OF INTERROGATION: ASKING THE RIGHT QUESTIONS
TERMINOLOGY PROBLEMS IN INTERROGATION
PATIENTS’ EXPRESSIONS
PITFALLS TO AVOID IN INTERROGATION
PROCEDURE FOR INTERROGATION
TIME SCALE OF SYMPTOMS
INTEGRATION OF INTERROGATION WITH OBSERVATION
IDENTIFICATION OF PATTERNS AND INTERROGATION
TONGUE AND PULSE DIAGNOSIS: INTEGRATION WITH INTERROGATION
THE 10 TRADITIONAL QUESTIONS
THE 16 QUESTIONS
Chapter 29: PAIN
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
AREA OF PAIN
NATURE OF PAIN
TIME OF PAIN
FACTORS AFFECTING PAIN
ORGAN VERSUS CHANNEL PAIN
Chapter 30: FOOD AND TASTE
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
MAIN PATTERNS OF DIGESTIVE SYMPTOMS
FOOD
APPETITE
TASTE
NAUSEA AND VOMITING
BELCHING
SOUR REGURGITATION
Chapter 31: STOOLS AND URINE
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
STOOLS
URINE
Chapter 32: THIRST AND DRINK
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
THIRST
DRY MOUTH
PREFERENCE FOR HOT OR COLD DRINKS
ABSENCE OF THIRST
Chapter 33: ENERGY LEVELS
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
HISTORICAL BACKGROUND
PATTERNS CAUSING TIREDNESS
Chapter 34: HEAD
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
HEADACHE
DIZZINESS
WHY WE ASK
WHEN WE ASK
HOW WE ASK
FAINTING
FEELING OF DISTENSION OF THE HEAD
FEELING OF HEAVINESS OF THE HEAD
FEELING OF MUZZINESS (FUZZINESS) OF THE HEAD
BRAIN NOISE
FEELING OF COLD OF THE HEAD
FEELING OF HEAT OF THE HEAD
NUMBNESS/TINGLING OF THE SKIN OF THE HEAD
ITCHY SCALP
Chapter 35: FACE
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
FACE
NOSE
TEETH AND GUMS
MOUTH AND LIPS
TONGUE
Chapter 36: THROAT AND NECK
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
CHANNELS INFLUENCING THE THROAT AND NECK
THROAT
NECK
Chapter 37: BODY
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
ACHES IN THE WHOLE BODY
PAIN IN THE JOINTS
LOWER BACKACHE
NUMBNESS/TINGLING
ITCHING
LOSS OF WEIGHT
OBESITY
Chapter 38: CHEST AND ABDOMEN
CHEST
WHY WE ASK
WHEN WE ASK
HOW WE ASK
ABDOMEN
WHY WE ASK
WHEN WE ASK
HOW WE ASK
Chapter 39: LIMBS
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
WEAKNESS OF THE LIMBS
DIFFICULTY IN WALKING (ATROPHY/FLACCIDITY OF LIMBS
FEELING OF DISTENSION OF THE LIMBS
FEELING OF HEAVINESS OF THE LIMBS
MUSCLE ACHE IN THE LIMBS
NUMBNESS/TINGLING OF THE LIMBS
GENERALIZED JOINT PAIN
TREMOR OF THE LIMBS
UPPER LIMBS
LOWER LIMBS
Chapter 40: SLEEP
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
INSOMNIA
EXCESSIVE DREAMING
SOMNOLENCE
Chapter 41: SWEATING
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
CLINICAL SIGNIFICANCE OF SWEATING
PATHOLOGY OF SWEATING
CLASSIFICATION OF SWEATING
ABSENCE OF SWEATING
Chapter 42: EARS AND EYES
EARS
WHY WE ASK
WHEN WE ASK
HOW WE ASK
EYES
WHY WE ASK
WHEN WE ASK
HOW WE ASK
Chapter 43: FEELING OF COLD, FEELING OF HEAT AND FEVER
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
FEELING OF COLD
SIMULTANEOUS FEELING OF COLD AND FEVER IN EXTERIOR CONDITIONS
ALTERNATING FEELING OF COLD AND FEELING OF HEAT
FEELING OF HEAT FROM INTERNAL CAUSES
INTERIOR FEVER
FIVE-PALM HEAT
CONTRADICTORY FEELINGS OF COLD AND HEAT IN INTERNAL CONDITIONS
Chapter 44: MENTAL—EMOTIONAL SYMPTOMS
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
DEPRESSION
FEAR/ANXIETY
IRRITABILITY/ANGER
WORRY/OVERTHINKING
SADNESS/GRIEF
EXCESS JOY
MENTAL RESTLESSNESS
Chapter 45: SEXUAL SYMPTOMS
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
MEN
WOMEN
Chapter 46: WOMEN’S SYMPTOMS
INTRODUCTION
WHY WE ASK
WHEN WE ASK
HOW WE ASK
THE GYNAECOLOGICAL HISTORY
BREAST SYMPTOMS
MENSTRUATION
PREGNANCY AND CHILDBIRTH
VAGINAL DISCHARGE
Chapter 47: CHILDREN’S SYMPTOMS
INTRODUCTION
MOTHER’S PREGNANCY
CHILDBIRTH
POSTPARTUM PROBLEMS
CHILDHOOD DISEASES
DIGESTIVE SYMPTOMS
IMMUNIZATIONS
RESPIRATORY SYMPTOMS AND EARACHE
SLEEP
SLOW DEVELOPMENT
Chapter 48: DIAGNOSING THE CAUSES OF DISEASE
INTRODUCTION
INTERACTIONS BETWEEN CAUSES OF DISEASE
THE FIVE STAGES OF LIFE
THE CAUSES OF DISEASE
PART 3: DIAGNOSIS BY PALPATION
DIAGNOSIS BY PALPATION
INTRODUCTION
Chapter 49: PULSE DIAGNOSIS
INTRODUCTION
THE ‘NINE REGIONS’ OF THE PULSE FROM THE ‘YELLOW EMPEROR’S CLASSIC OF INTERNAL MEDICINE’
THE PULSE IN THE ‘CLASSIC OF DIFFICULTIES’
THE THREE SECTIONS OF THE PULSE
ASSIGNMENT OF PULSE POSITIONS TO ORGANS
THE THREE LEVELS
METHOD OF PULSE TAKING
FACTORS AFFECTING THE PULSE
ATTRIBUTES OF THE NORMAL PULSE
GUIDELINES FOR INTERPRETING THE PULSE
CLINICAL APPLICATION OF PULSE DIAGNOSIS
INTEGRATION OF PULSE AND TONGUE DIAGNOSIS
LIMITATIONS OF PULSE DIAGNOSIS
Chapter 50: PULSE QUALITIES
Chapter 51: PALPATION OF PARTS OF THE BODY
INTRODUCTION
PALPATION OF THE CHEST AND ABDOMEN
PALPATION OF THE SKIN
PALPATION OF HANDS AND FEET
PALPATION OF ACUPUNCTURE POINTS
Chapter 52: PALPATION OF CHANNELS
INTRODUCTION
CONNECTING CHANNELS
MUSCLE CHANNELS
PALPATION OF THE CHANNELS IN PAINFUL OBSTRUCTION SYNDROME (BI)
PALPATION OF CHANNELS
PART 4: DIAGNOSIS BY HEARING AND SMELLING
DIAGNOSIS BY HEARING AND SMELLING
INTRODUCTION
Chapter 53: DIAGNOSIS BY HEARING
INTRODUCTION
VOICE
SPEECH
CRYING IN BABIES
BREATHING AND SIGHING
COUGHING AND SNEEZING
HICCUP
BELCHING
VOMITING
Chapter 54: DIAGNOSIS BY SMELLING
INTRODUCTION
BODY ODOUR
ODOUR OF BODILY SECRETIONS
PART 5: SYMPTOMS AND SIGNS
SYMPTOMS AND SIGNS
INTRODUCTION
SECTION 1: SYMPTOMS AND SIGNS OF PARTS OF THE BODY
SYMPTOMS AND SIGNS OF PARTS OF THE BODY
INTRODUCTION
Chapter 55: HEAD, HAIR AND FACE
HEAD
Hair and scalp
Face
Chapter 56: FACE COLOUR
WHITE/PALE
YELLOW
RED
BLUISH/GREENISH
PURPLE
DARK
SALLOW
BLUSHING
Chapter 57: EARS
TINNITUS/DEAFNESS
ITCHY EARS
EARACHE
BLEEDING FROM THE EARS
DISCHARGE FROM THE EARS
EXCESSIVE WAX PRODUCTION
ABNORMAL SIZE
DRY AND CONTRACTED HELIX
SORES ON THE EAR
WARTS ON THE EAR
ABNORMAL HELIX COLOUR
RED BACK OF THE EAR
DISTENDED BLOOD VESSELS ON THE EAR
SWELLING AND REDNESS OF THE CONCHA
Chapter 58: NOSE
ABNORMAL COLOUR
SNEEZING
BLOCKED NOSE
RUNNY NOSE
ITCHY NOSE
DRY NOSTRILS
NOSEBLEED
NOSE ACHE
NOSE PAIN
SWOLLEN NOSE
BAD SMELL
LOSS OF SENSE OF SMELL
POLYPS
FLAPPING ALAE NASI (THE OUTSIDE OF THE NOSTRILS)
ULCERS ON THE NOSE
PAPULES ON THE NOSE
Chapter 59: THROAT
SORE THROAT
REDNESS OF THE PHARYNX
REDNESS AND SWELLING OF THE PHARYNX
REDNESS AND EROSION OF THE PHARYNX
SWOLLEN TONSILS
PHLEGM IN THE THROAT
GOITRE (swelling of the sides of the neck
ITCHY THROAT
DRY THROAT
HOARSE VOICE OR LOSS OF VOICE
WHITE PURULENT SPOTS IN THE THROAT
FEELING OF OBSTRUCTION OF THE THROAT
REDNESS ON THE THROAT
Chapter 60: MOUTH, TONGUE, TEETH, GUMS, LIPS, PALATE AND PHILTRUM
MOUTH
TONGUE
TEETH
GUMS
LIPS
PALATE
PHILTRUM
Chapter 61: EYES
VISION
ITCHY EYES
DRY EYES
HOT AND PAINFUL EYES
STREAMING EYES
DISCHARGE FROM THE EYES
EYE COLOUR
EYELIDS
GLAUCOMA
FEELING OF DISTENSION OF THE EYES
EYEBALL
ECCHYMOSIS UNDER CONJUNCTIVA
RED VEINS/MEMBRANE
CORNEA
WHITE SPECKS
PUPILS
STARING, FIXED EYES
CLOSED EYES
OPEN EYES
INVERTED EYELASHES
CATARACT
Chapter 62: NECK, SHOULDERS AND UPPER BACK
NECK AND SHOULDERS
UPPER BACK
Chapter 63: CHEST
COUGH
BREATHLESSNESS
WHEEZING
PAIN
FEELINGS IN THE CHEST AND HEART
PALPITATIONS
DISPLACED HEARTBEAT
ABNORMAL CHEST SHAPE
GYNAECOMASTIA
YAWNING
SIGHING
Chapter 64: LIMBS
MUSCLE ACHE IN THE LIMBS
PAIN IN THE LIMBS
HANDS AND FEET
ABNORMAL FEELINGS IN THE LIMBS
WEAKNESS AND ATROPHY
LIMB SWELLING
LIMB MOVEMENT
Chapter 65: ARMS
PAIN IN THE ELBOW
HANDS
FINGERS
NAILS
Chapter 66: LEGS
FEET
ATROPHY OF THE LEGS
PARALYSIS OF THE LEGS
GAIT
ARCHED LEGS
PAIN
KNEES
WEAKNESS OF THE LEGS
A FEELING OF HEAVINESS OF THE LEGS
RESTLESS LEGS
TREMOR OF THE LEGS
CRAMPS IN THE CALVES
LOWER LEG ULCERS
TOE ULCERS
BURNING SENSATION IN THE SOLES
Chapter 67: LOWER BACK
LOWER BACKACHE
SCIATICA
FEELING OF COLD AND HEAVINESS OF THE LOWER BACK
WEAKNESS OF THE LOWER BACK AND KNEES
STIFFNESS OF THE LOWER BACK
COCCYX PAIN
ATROPHY OF THE MUSCLES ALONG THE SPINE
RIGIDITY OF THE LOWER BACK
SKIN SIGNS
SPINAL CURVATURE
Chapter 68: BODY
BODY ACHES
PAIN IN THE JOINTS
LOSS OF FEELING
ITCHING
OEDEMA
WEIGHT CHANGE
JAUNDICE
TWITCHING OF MUSCLES
OPISTHOTONOS
Chapter 69: DIGESTIVE SYSTEM AND TASTE
BELCHING
REGURGITATION
HICCUP
HUNGER AND EATING
SLEEPINESS AFTER EATING
NAUSEA, RETCHING AND VOMITING
TASTE
Chapter 70: THIRST AND DRINK
THIRST
DRY MOUTH
ABSENCE OF THIRST
INCREASED SALIVATION
Chapter 71: ABDOMEN
INTRODUCTION
PAIN
DISTENSION AND FULLNESS
ABNORMAL FEELINGS IN THE ABDOMEN
BORBORYGMI
FLATULENCE
SKIN SIGNS
ABDOMINAL MASSES
OEDEMA OF THE ABDOMEN
ABDOMINAL SIZE
SAGGING LOWER ABDOMEN
UMBILICUS
Chapter 72: DEFECATION
DIARRHOEA OR LOOSE STOOLS
DIARRHOEA WITH VOMITING
CONSTIPATION
ALTERNATION OF CONSTIPATION AND LOOSE STOOLS
INCONTINENCE OF FAECES
BLOOD AND MUCUS IN THE STOOLS
MUCUS IN THE STOOLS
BLOOD IN THE STOOLS
DIFFICULTY IN DEFECATION
STRAINING IN DEFECATION
Chapter 73: URINATION
DARK URINE
PALE AND ABUNDANT URINE
TURBID URINE
PAINFUL URINATION
SCANTY AND DIFFICULT URINATION
DIFFICULT URINATION
FREQUENT URINATION
DRIBBLING OF URINE
INCONTINENCE OF URINE
NOCTURNAL ENURESIS
URINATION AT NIGHT
BLOOD IN THE URINE
SPERM IN THE URINE
Chapter 74: ANUS
ITCHING OF THE ANUS
HAEMORRHOIDS
ANAL PROLAPSE
ANAL FISSURE
ANAL FISTULA
ANAL ULCERS
Chapter 75: MEN’S SEXUAL AND GENITAL SYMPTOMS
IMPOTENCE
LACK OF LIBIDO
EJACULATION
PRIAPISM
COLD GENITALS
SCROTUM
PENIS
SWELLING AND PAIN OF THE TESTICLES
PUBIC HAIR
Chapter 76: SWEATING
SPONTANEOUS SWEATING
NIGHT SWEATING
SWEATING FROM COLLAPSE
YELLOW SWEAT
LOCALIZED SWEATING
ABSENCE OF SWEATING
Chapter 77: SKIN SIGNS
GREASY SKIN
DRY SKIN
ERUPTIONS
INFECTIONS
GROWTHS AND MASSES
NECK ULCERS
Chapter 78: EMOTIONAL SYMPTOMS
PROPENSITY TO ANGER
PROPENSITY TO WORRY
SADNESS
FEAR/ANXIETY
TENDENCY TO BE EASILY STARTLED
EXCESS JOY
MENTAL RESTLESSNESS
SEVERE TIMIDITY
INAPPROPRIATE LAUGHTER
Chapter 79: MENTAL AND EMOTIONAL SYMPTOMS
DEPRESSION
DEPRESSION AND MANIC BEHAVIOUR
ANXIETY
IRRITABILITY
SCHIZOPHRENIA
Chapter 80: MENTAL DIFFICULTIES
POOR MEMORY
DIFFICULTY IN CONCENTRATION
LEARNING DIFFICULTY IN CHILDREN
HYPERACTIVITY
Chapter 81: SLEEP PROBLEMS
INSOMNIA
EXCESSIVE DREAMING
SOMNOLENCE
SLEEP TALKING
SLEEP WALKING
SNORING
Chapter 82: FEELING OF COLD, FEELING OF HEAT, FEVER
FEELING OF COLD, SHIVERING
FEVER
FIVE-PALM HEAT
CONTRADICTORY FEELINGS OF COLD AND HEAT
Chapter 83: VOICE, SPEECH AND SOUNDS
LOUD VOICE
WEAK VOICE
MUFFLED VOICE
HOARSE VOICE
NASAL VOICE
SNORING
SLURRED SPEECH
INCOHERENT, INCESSANT SPEECH
MUTTERING TO ONESELF
DELIRIOUS SPEECH
DIFFICULTY IN FINDING WORDS
STUTTERING
GROANING
CRYING OUT
SECTION 2: GYNAECOLOGICAL SYMPTOMS AND SIGNS
GYNAECOLOGICAL SYMPTOMS AND SIGNS
INTRODUCTION
Chapter 84: MENSTRUAL SYMPTOMS
MENSTRUAL BLOOD
PERIODS
Chapter 85: PROBLEMS AT PERIOD TIME
PREMENSTRUAL TENSION
HEADACHE
BREAST DISTENSION
FEVER
BODY ACHES
OEDEMA
DIARRHOEA
CONSTIPATION
NOSEBLEED
MOUTH ULCERS
SKIN ERUPTIONS
DIZZINESS
VOMITING
INSOMNIA
EYE PAIN
Chapter 86: PROBLEMS DURING PREGNANCY
MORNING SICKNESS
VAGINAL BLEEDING
ABDOMINAL PAIN
OEDEMA
URINATION PROBLEMS
CONSTIPATION
ANXIETY
DIZZINESS
COUGH
LOSS OF VOICE
FEELING OF SUFFOCATION
CONVULSIONS (ECLAMPSIA)
PROBLEMS WITH THE FETUS
Chapter 87: PROBLEMS AFTER CHILDBIRTH
RETENTION OF PLACENTA
LOCHIA
PAIN
VAGINAL BLEEDING
URINARY DIFFICULTY
CONSTIPATION
SWEATING
DIZZINESS
OEDEMA
FEVER
BREAST MILK
POSTNATAL DEPRESSION/PSYCHOSIS
COLLAPSE
CONVULSIONS
Chapter 88: BREAST SIGNS
BREAST DISTENSION AND SWELLING
BREAST PAIN
BREAST LUMPS
NIPPLES
PEAU D’ ORANGE SKIN
SMALL BREASTS
Chapter 89: MISCELLANEOUS GYNAECOLOGICAL SYMPTOMS
INFERTILITY
MENOPAUSAL SYNDROME
ABDOMINAL MASSES
VAGINAL DISCHARGE
INFLAMMATION AND SWELLING
PROLAPSE
LEUKOPLAKIA
DYSPAREUNIA
BLEEDING ON INTERCOURSE
LACK OF LIBIDO
PUBIC HAIR
SECTION 3: PAEDIATRIC SYMPTOMS AND SIGNS
PAEDIATRIC SYMPTOMS AND SIGNS
INTRODUCTION
Chapter 90: CHILDREN’S PROBLEMS
FEVER
VOMITING
DIARRHOEA
RESPIRATORY PROBLEMS
EAR PROBLEMS
HOT PALMS AND SOLES
CONSTITUTIONAL WEAKNESS
CONSTIPATION IN INFANCY
URINATION PROBLEMS
CRYING
DISTURBED SLEEP
ACCUMULATION DISORDER
WORMS
FIVE FLACCIDITIES
FIVE RETARDATIONS
INFLAMMATIONS
JAUNDICE
INFECTIONS
FLAPPING OF NOSTRILS
CONVULSIONS
FETUS TOXIN
FONTANELLES
WHITE SPOTS ON THE PALATE AND TONGUE
LONG PENIS
PART 6: IDENTIFICATION OF PATTERNS
IDENTIFICATION OF PATTERNS
INTRODUCTION
SECTION 1: IDENTIFICATION OF PATTERNS ACCORDING TO THE INTERNAL ORGANS
IDENTIFICATION OF PATTERNS ACCORDING TO THE INTERNAL ORGANS
INTRODUCTION
Chapter 91: HEART
HEART-QI DEFICIENCY
HEART-YANG DEFICIENCY PATTERNS
HEART-YANG COLLAPSE
HEART-BLOOD DEFICIENCY
HEART-QI AND HEART-BLOOD DEFICIENCY
HEART-YIN DEFICIENCY PATTERNS
HEART-QI AND HEART-YIN DEFICIENCY
DEFICIENCY OF BOTH HEART-YANG AND HEART-YIN
HEART-QI STAGNATION
HEART-FIRE BLAZING
PHLEGM PATTERNS
HEART-BLOOD STASIS
HEART VESSEL OBSTRUCTION
WATER OVERFLOWING TO THE HEART
TURBID DAMPNESS SURROUNDING THE HEART
COMBINED PATTERNS
Chapter 92: SPLEEN
SPLEEN-QI DEFICIENCY PATTERNS
SPLEEN-YANG DEFICIENCY
SPLEEN-BLOOD DEFICIENCY
SPLEEN-QI SINKING
SPLEEN NOT CONTROLLING BLOOD
SPLEEN-YIN DEFICIENCY PATTERNS
COLD-DAMPNESS IN THE SPLEEN
DAMP-HEAT IN THE SPLEEN
SPLEEN-HEAT
PHLEGM OBSTRUCTING THE MIDDLE BURNER
YIN FIRE FROM DEFICIENCY OF THE STOMACH AND SPLEEN AND ORIGINAL QI
COMBINED PATTERNS
Chapter 93: LIVER
LIVER-QI STAGNATION PATTERNS
REBELLIOUS LIVER-QI
LIVER-YANG RISING
LIVER-BLOOD STASIS
LIVER-FIRE BLAZING UPWARDS
DAMP-HEAT
LIVER-WIND
LIVER-BLOOD DEFICIENCY PATTERNS
STAGNATION OF COLD IN THE LIVER CHANNEL
LIVER-YIN DEFICIENCY PATTERNS
LIVER-QI DEFICIENCY
LIVER PHLEGM-FIRE
LIVER-YANG DEFICIENCY
COMBINED PATTERNS
Chapter 94: LUNGS
LUNG-QI DEFICIENCY PATTERNS
LUNG-YANG DEFICIENCY
LUNG-YIN DEFICIENCY PATTERNS
LUNG-QI AND LUNG-YIN DEFICIENCY
LUNG-DRYNESS
INVASION OF LUNGS BY WIND
LUNG-HEAT
PHLEGM PATTERNS
LUNG-QI STAGNATION
LUNG-QI COLLAPSE
COMBINED PATTERNS
Chapter 95: KIDNEYS
KIDNEY-QI DEFICIENCY
KIDNEY-YANG DEFICIENCY PATTERNS
KIDNEY-YIN DEFICIENCY PATTERNS
KIDNEY-YANG AND KIDNEY-YIN DEFICIENCY PATTERNS
KIDNEY-QI NOT FIRM
KIDNEYS FAILING TO RECEIVE QI
KIDNEY-ESSENCE DEFICIENCY
COMBINED PATTERNS
Chapter 96: SMALL INTESTINE
FULL-HEAT IN THE SMALL INTESTINE
SMALL INTESTINE QI PAIN
SMALL INTESTINE QI TIED
SMALL INTESTINE DEFICIENT AND COLD
INFESTATION OF WORMS IN THE SMALL INTESTINE
Chapter 97: STOMACH
STOMACH-QI DEFICIENCY
STOMACH DEFICIENT AND COLD (STOMACH-YANG DEFICIENCY)
STOMACH-YIN DEFICIENCY PATTERNS
DEFICIENCY OF STOMACH-YIN AND STOMACH-YANG
STOMACH-QI STAGNATION
BLOOD STASIS IN THE STOMACH
STOMACH-HEAT
STOMACH-FIRE
STOMACH PHLEGM-FIRE
STOMACH DAMP-HEAT
COLD INVADING THE STOMACH
STOMACH-QI REBELLING UPWARDS
RETENTION OF FOOD IN THE STOMACH
Chapter 98: GALL-BLADDER
DAMP-HEAT PATTERNS
DAMP-COLD IN THE GALL-BLADDER
GALL-BLADDER HEAT
GALL-BLADDER DEFICIENT
STAGNATION OF THE GALL-BLADDER WITH PHLEGM-HEAT
COMBINED PATTERNS
Chapter 99: LARGE INTESTINE
DAMP-HEAT IN THE LARGE INTESTINE
HEAT PATTERNS
COLD PATTERNS
LARGE INTESTINE DRYNESS
DAMPNESS IN THE LARGE INTESTINE
LARGE INTESTINE DEFICIENT AND COLD
LARGE INTESTINE DEFICIENT AND DAMP
COLLAPSE OF LARGE INTESTINE
Chapter 100: BLADDER
DAMP-HEAT IN THE BLADDER
DAMP-COLD IN THE BLADDER
BLADDER DEFICIENT AND COLD
SECTION 2: IDENTIFICATION OF PATTERNS ACCORDING TO QI, BLOOD AND BODY FLUIDS
IDENTIFICATION OF PATTERNS ACCORDING TO QI, BLOOD AND BODY FLUIDS
INTRODUCTION
Chapter 101: IDENTIFICATION OF PATTERNS ACCORDING TO QI, BLOOD, YANG AND YIN
QI
BLOOD
YANG
YIN
COMBINED QI, BLOOD, YIN AND YANG
Chapter 102: IDENTIFICATION OF PATTERNS ACCORDING TO BODY FLUIDS
DEFICIENCY OF BODY FLUIDS
OEDEMA
PHLEGM
SECTION 3: IDENTIFICATION OF PATTERNS ACCORDING TO PATHOGENIC FACTORS, FOUR LEVELS, SIX STAGES AND THREE BURNERS
IDENTIFICATION OF PATTERNS ACCORDING TO PATHOGENIC FACTORS, FOUR LEVELS, SIX STAGES AND THREE BURNERS
INTRODUCTION
Chapter 103: IDENTIFICATION OF PATTERNS ACCORDING TO PATHOGENIC FACTORS
INTRODUCTION
WIND
COLD
SUMMER-HEAT
DAMPNESS
DRYNESS
FIRE
Chapter 104: IDENTIFICATION OF PATTERNS ACCORDING TO THE FOUR LEVELS
INTRODUCTION
DEFENSIVE-QI LEVEL
QI LEVEL
NUTRITIVE-QI LEVEL
BLOOD LEVEL
THE FOUR LEVELS IN A NUTSHELL
LATENT HEAT
RELATIONS BETWEEN THE FOUR LEVELS, SIX STAGES AND THREE BURNERS
Chapter 105: IDENTIFICATION OF PATTERNS ACCORDING TO THE SIX STAGES
GREATER-YANG STAGE
BRIGHT-YANG STAGE
LESSER-YANG STAGE
GREATER-YIN STAGE
LESSER-YIN STAGE
TERMINAL-YIN STAGE
Chapter 106: IDENTIFICATION OF PATTERNS ACCORDING TO THE THREE BURNERS
UPPER BURNER
MIDDLE BURNER
LOWER BURNER
Chapter 107: RESIDUAL PATHOGENIC FACTOR
INTRODUCTION
FORMATION OF RESIDUAL PATHOGENIC FACTOR
DIAGNOSIS AND TREATMENT OF RESIDUAL PATHOGENIC FACTOR
PHLEGM
DAMPNESS
HEAT
LESSER-YANG PATTERN
SECTION 4: IDENTIFICATION OF PATTERNS ACCORDING TO THE EIGHT PRINCIPLES, 12 CHANNELS, EIGHT EXTRAORDINARY VESSELS AND FIVE ELEMENT
IDENTIFICATION OF PATTERNS ACCORDING TO THE EIGHT PRINCIPLES, 12 CHANNELS, EIGHT EXTRAORDINARY VESSELS AND FIVE ELEMENTS
INTRODUCTION
Chapter 108: IDENTIFICATION OF PATTERNS ACCORDING TO THE EIGHT PRINCIPLES
INTRODUCTION
INTERIOR–EXTERIOR
HOT–COLD
FULL–EMPTY
YIN–YANG
Chapter 109: IDENTIFICATION OF PATTERNS ACCORDING TO THE 12 CHANNELS
LUNGS
LARGE INTESTINE
STOMACH
SPLEEN
HEART
SMALL INTESTINE
BLADDER
KIDNEYS
PERICARDIUM
TRIPLE BURNER
GALL-BLADDER
LIVER
Chapter 110: IDENTIFICATION OF PATTERNS ACCORDING TO THE EIGHT EXTRAORDINARY VESSELS
INTRODUCTION
GOVERNING VESSEL (DU MAI)
DIRECTING VESSEL (REN MAI)
PENETRATING VESSEL (CHONG MAI)
COMBINED DIRECTING AND PENETRATING VESSEL PATTERNS
GIRDLE VESSEL (DAI MAI)
YIN HEEL VESSEL (YIN QIAO MAI)
YANG HEEL VESSEL (YANG QIAO MAI)
YIN LINKING VESSEL (YIN WEI MAI)
YANG LINKING VESSEL (YANG WEI MAI)
Chapter 111: IDENTIFICATION OF PATTERNS ACCORDING TO THE FIVE ELEMENTS
INTRODUCTION
GENERATING SEQUENCE PATTERNS
OVERACTING SEQUENCE PATTERNS
INSULTING SEQUENCE PATTERNS
APPENDICES
Appendix 1: CASE HISTORIES
Appendix 2: PRESCRIPTIONS
Appendix 3: HISTORY OF DIAGNOSIS IN CHINESE MEDICINE
Glossary of Chinese terms
Bibliography
Chinese chronology
INDEX
Notes
COLOUR PLATES
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