Maciocia Patterns - review 2

7/29/2019 Maciocia Patterns - review 2

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DSY Final Review 2DSY class14


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Small Intestine

PatternsDSY class 8


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Excess Patterns


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FULL-HEAT IN THE SMALL

INTESTINE Mental restlessness, insomnia, tongue/mouth ulcers,

pain in the throat, deafness, uncomfortable feeling andheat sensation in the chest, abdominal pain, thirst for cold liquids, scanty and dark urine, burning painfulurination, blood in urine.

Tongue: Red with redder and swollen tip, yellowcoating.

Pulse: Rapid, Overflowing, especially in the Frontposition. Urinary symptoms, will be wiry in rear.

Key symptoms: abdominal pain, tongue ulcers, scanty-dark-painful urination.


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SMALL INTESTINE

DEFICIENT AND COLD Dull abdominal pain relieved by pressure , desire for

hot drinks, borborygmi, diarrhea, pale and abundanturination, cold limbs.

Tongue: Pale, white coating. Pulse: Deep, Slow, Weak . Key symptoms: abdominal pain, borborygmi, diarrhea.


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Large IntestinePatterns


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Excess Patterns


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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-darkurine, fever, sweating (which does not decrease thefever), 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.


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DAMP-HEAT INVADING THESPLEEN

Fullness of epigastrium & lower abdomen, poor appetite, feeling of heaviness, thirst without desire to drink, nausea,vomiting, loose stools with offensive odor, burningsensation of the anus, scanty dark-yellow urination,

feeling of heat, low-grade fever, dull headache withheaviness of the head, yellow complexion, yellow sclera of eyes, oily sweat, bitter taste, itchy skin or skineruptions , sweating which does not reduce fever.

Tongue: Red, sticky-yellow coating. Pulse: Slippery-Rapid. Key symptoms: abdominal fullness, feeling of heaviness,

sticky-yellow coating.


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HEAT IN THE LARGE

INTESTINE

Constipation with dry stools, burning sensation in themouth , 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.


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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.


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DEFICIENCYPATTERNS


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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 todischarge, thin body.


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Gall Bladder PatternsDSY class 9


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Excess Patterns


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DAMP-HEAT IN THE GALL-BLADDER

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, footswelling, 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.


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Deficiency Pattern


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GALL-BLADDER DEFICIENT

Dizziness, blurred vision, floaters, nervousness,

timidity , propensity to being easily startled, lack of courage and initiative , sighing, waking up early in themorning , restless dreams.

Tongue: Pale or normal.

Pulse: Weak. Key symptoms: timidity, sighing, lack of initiative,

indecision.


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Bladder Patterns


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Excess patterns


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DAMP-HEAT IN THE

BLADDER Frequent and urgent urination, burning on urination,

difficult urination (stopping in the middle of flow), dark-yellow 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.


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FULL-HEAT IN THE SMALL

INTESTINE Mental restlessness, insomnia , tongue/mouth ulcers ,

pain in the throat, deafness , uncomfortable feeling andheat sensation in the chest , abdominal pain, thirst for cold liquids, scanty and dark urine, burning painfulurination, blood in urine.

Tongue: Red with redder and swollen tip, yellowcoating.

Pulse: Rapid, Overflowing, especially in the Frontposition. Urinary symptoms, will be wiry in rear.

Key symptoms: abdominal pain, tongue ulcers, scanty-dark-painful urination.


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Identification of Patterns

According to the SixStages

DSY class 11


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(TAI YANG STAGE) ATTACK OF WIND

Slight aversion to cold, aversion to wind,slight fever, stiff neck, headache, achesin the body, sweating , sneezing andFloating- Slow pulse.


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(TAI YANG STAGE) ATTACK OF COLD

Aversion to cold, slight fever, stiff neck,headache, no sweating , aches in thebody, shortness of breath, runny nosewith white discharge and Floating- Tight

pulse.


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(TAI YANG STAGE) ACCUMULATIONOF WATER

Aversion to cold, slight fever, retention of urine , slight thirst, vomiting of fluids soonafter drinking , Floating-Rapid pulse


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(TAIYANG STAGE) ACCUMULATIONOF BLOOD

Hypogastric distension, fullness andurgency, blood in urine, mentalrestlessness, Reddish- Purple tonguewithout coat, Deep-Fine-Rapid or Deep-Choppy pulse


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BRIGHT-YANG (YANG MING)CHANNEL PATTERN

High fever, profuse sweating , feeling of heat, intense thirst , red face, irritability,delirium, red tongue with yellow coatingand Overflowing-Rapid or Big-Rapidpulse .


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BRIGHT-YANG (YANG MING) ORGANPATTERN

High fever which is worse in theafternoon , profuse sweating, sweating onlimbs , constipation, dry stools , fullnessand pain in the abdomen which becomesworse on pressure, thirst, Red tongue

with a thick dry yellow ("old yellow")coating and Deep-Full-Slippery-Rapidpulse.


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LESSER YANG (SHAO YANG) STAGE

Alternation of chills and fever , fullnessand distension of the costal andhypochondriac regions, lack of appetite,irritability, dry throat, nausea, bitter taste,blurred vision, white tongue coating on

one side only and Wiry or Wiry-Finepulse.


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GREATER YIN (TAI YIN) STAGE

Abdominal fullness , feeling of cold,vomiting , no appetite , diarrhea, absenceof thirst, tiredness, Pale tongue andDeep Weak-Slow pulse.


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LESSER YIN (SHAO YIN) COLDPATTERN

Chills, feeling of cold, lying curled up ,listlessness, desire to sleep , cold limbs ,diarrhea, no thirst, frequent paleurination, Pale wet tongue with whitecoating and Deep Weak-Slow pulse.


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LESSER YIN (SHAO YIN) HEATPATTERN

Feeling of heat, irritability, insomnia, drymouth and throat at night , dark urine,night sweating, Red tongue without

coating and Fine-Rapid pulse.


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TERMINAL YIN (JUE YIN)

Persistent thirst, feeling of energy rising

to the chest , pain and feeling of heat inthe heart region, feeling of hunger withno desire to eat, cold limbs, diarrhea,vomiting, vomiting roundworms , Wirypulse.


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Identification of Patterns

According to theFour Levels


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DEFENSE (WEI)LEVEL


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(Wei Level) Wind Heat

Fever, aversion to cold, headache, slightsweating, runny nose with yellowdischarge , slight thirst, sore throat, redand swollen tonsils , Red sides or tip of

the tongue, Floating-Rapid pulse.


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(Wei Level) Summer Heat

Fever, aversion to cold, headache,

sweating, feeling of heaviness,uncomfortable sensation in epigastrium,thirst , irritability, Red sides or tip of thetongue with white sticky coating, Soggy-Rapid pulse.


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(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 stickytongue coating, Soggy pulse.


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(Wei Level) Dry Heat

Fever, slight aversion to cold, slightsweating, dry skin, nose mouth andthroat, dry cough , sore throat, dry tonguewith thin white coating, Floating-Rapid

pulse.


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QI LEVEL


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(Qi Level) Lung Heat

High fever, feeling of heat, no aversion tocold, cough with thin-yellow sputum ,shortness of breath, thirst, sweating, Redtongue with yellow coating, Rapid pulse.


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(Qi Level) Stomach Heat

High fever worse in the afternoon, noaversion to cold, feeling of heat, intensethirst, profuse sweating, Red tongue withyellow coating, Overflowing Rapid pulse.


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(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 dryyellow coating and Deep-Full-Rapidpulse.


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(Qi Level) Gallbladder Heat

Alternation of heat and cold with

prevalence of heat , bitter taste, thirst, drythroat, hypochondriac pain, nausea,fullness in epigastrium, red tongue withsticky unilateral coating and Wiry Rapidpulse.


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(Qi Level) Stomach-Spleen Damp Heat

Continuous fever that decreases after

sweating then increases again , feeling of heaviness of head and body, oppressionin epigastrium and chest, nausea, loosestools, Red tongue with sticky-yellowcoating, Soggy-Rapid pulse.


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NUTRITIVE (YING)LEVEL


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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 withoutcoating, Fine-Rapid pulse.


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(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, Fine-

Rapid pulse.


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BLOOD (XUE) LEVEL


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(Xue Level) Heat Victorious MovingBlood

High fever, mental restlessness, manicbehavior, dark macules, vomiting of blood, epistaxis, blood in stools, blood inurine, Dark Red tongue without coating,Wiry-Rapid pulse.


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(Xue Level) Heat Victorious Stirring Wind

High fever, fainting, twitching of limbs,convulsions, rigidity of neck,opisthotonos, eyeballs turning up,clenching of teeth , Dark Red tongue

without coating, Wiry-Rapid pulse.


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(Xue Level) Empty Wind AgitatingInterior

Low-grade fever , tremor of limbs,twitching , loss of weight, malar flush ,listlessness, Dark Red tongue without

coating, Fine-Rapid pulse.


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(Xue Level) Collapse of Yin

Low-grade fever, night sweating, mentalrestlessness, dry mouth with desire tosip liquids, 5 palm heat, malar flush,emaciation, Dark Red dry tongue without

coating, Fine-Rapid pulse.


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(Xue Level) Collapse of Yang

Feeling of cold, cold limbs, bright whitecomplexion, profuse sweating onforehead, listlessness, Pale-Swollen Short tongue, hidden slow

scattered pulse.


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Qi Level Latent Heat

Lesser-Yang Type: same as 6 stagespattern

Bright Yang Channel Type: "4 Bigs",same as 6 stages pattern

Bright Yang Organ Type: same as 6stages pattern


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Blood Level Latent Heat

Lesser-Yin Type: Weary limbs before onset of other

symptoms , insomnia, irritability, drymouth and throat, scanty dark urine,headache, backache, tiredness; Possiblyalso delirium, blood in urine, epistaxis,

macules. Deep-red tongue without coating and

Fine-Rapid pulse.


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Identification of

Patterns According to the

Three Burners


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UPPER BURNER

3 Patterns:

Wind-Heat Invading The Lungs (WeiLevel)

Heat In The Lungs (Qi Level)

Heat In The Pericardium (Ying Level)


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MIDDLE BURNER

2 Patterns:

Heat In The Bright Yang

Damp-Heat Invading The Spleen


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LOWER BURNER 3 Patterns:

Heat In The Kidneys

Liver-Heat Stirs Wind

Liver Empty-Wind


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UPPER BURNER


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WIND-HEAT INVADING THE LUNGS (WeiLevel)

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


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

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

(corresponds to the Qi-Level Lung Heatpattern from the 4-Levels).


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HEAT IN THE PERICARDIUM (Ying

Level) Fever at night, burning sensation in the

epigastrium, cold limbs, delirium,aphasia, Deep Red stiff tongue withoutcoating, Fine-Rapid pulse

(corresponds to the Ying-Level Heat inthe Pericardium pattern from the 4-Levels).


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MIDDLE BURNER


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HEAT IN THE BRIGHT YANG

High fever worse in the afternoon, noaversion to cold, feeling of heat, intensethirst, profuse sweating, Red tongue withyellow coating, Overflowing Rapid pulse.


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DAMP-HEAT INVADING THE SPLEEN

Fever, feeling of heaviness of head or of the whole body, epigastric fullness,nausea, vomiting, red tongue withyellow-sticky tongue coating, Soggy and

rapid pulse.


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LOWER BURNER


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HEAT IN THE KIDNEYS

Fever in the afternoon and evening, hotpalms and soles, dry mouth and throat,night sweats, lassitude, deafness, Deep-Red tongue without coating, Fine-Rapidpulse.


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LIVER-HEAT STIRS WIND

High fever at night, coma, convulsions,clenching of teeth, Dark Red tonguewithout coating, Wiry-Fine-Rapid pulse.


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LIVER EMPTY-WIND

Low-grade fever, cold limbs, dry andblack teeth, dry cracked lips,convulsions, tremor of limbs, Dark Redtongue without coating, Fine-Rapidpulse.

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Maciocia Patterns - review 2

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