PRACTICAL DIAGNOSIS IN TRADITIONAL CHINESE MEDICINE PDF

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Practical Diagnosis in Traditional Chinese Medicine - T. Deng (Churchill Livingstone, ) WW - Ebook download as PDF File .pdf), Text File .txt) or read book. Request PDF on ResearchGate | On Jun 1, , K Kraft and others published Practical Diagnosis in Traditional Chinese Medicine. Chinese Medicine: Modern Practice (Annals of Traditional Chinese Medicine) · Read more Practical diagnosis in traditional Chinese medicine · Read more.


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The meridian cannot beat, so it should not be able to be palpated. The pulse is only one kind of syndrome. Not all diseases can be presented by the pulse. Therefore, palpation is part of signs, but one should be careful when palpation is the only examination method. About Formula Prescription Although formulary prescriptions are beneficial in medicine, they still have some demerits.

If a sterile female drank a cup of rain water in the spring, she would become fertile. About Chinese Medicine Si-miao Sun a well-known doctor in Chinese history recorded saltpeter as bitter and hot in taste, extremely cold, and nontoxic. Modern researchers find saltpeter contains nitrocompound which may cause liver cancer. Also Pollia was recorded as bitter and hot in taste, warm and nontoxic, although it contains aristolochic acid which may cause kidney failure, lymphoma, kidney cancer, and liver cancer.

Conclusion China is a nation composed of many ethnic groups, many with their own subcultures, beliefs, and history. Because of this, it is important to note that traditional Chinese medicine should have two concepts: firstly, it only refers to traditional medicine in the Han nationality; secondly, it is the sum of traditional medicines of all nationalities in the Chinese mainland.

With respect to the structure and characteristic of traditional medicines, they can be divided into three parts: the knowledge and facts in agreement with modern medicine, the knowledge and practices not recognized in modern medicine that may be valuable in the future practice of modern medicine, and finally, the component of traditional medicine that has been adequately disproven and should be abandoned from future medical practice. References Z. View at Google Scholar Z. Shen, Z. Zheng, and W.

View at Google Scholar K. Chen and J. Dai, S. Sun, H. Cao et al. Jiang, C. Lu, C. Zhang et al. View at Google Scholar L. Wang, G. Zhou, P. Liu et al. Hu, F. Liu, and R.

Li, L. Xu, Z. Hou and Z. View at Google Scholar G. Tan, W. Liao, X. Dong et al. Gao, J. Li, X. Shao et al. Blanke, G.

Naisabha, M. Balema, G. Mbaruku, L.

Heide, and M. Ulett, J. Han, and S. Han and L. Kalauokalani, D. Cherkin, K. Sherman, T. Koepsell, and R. Field, M.

Book of Changes and Traditional Chinese Medicine

Hernandez-Reif, M. Diego, S. Schanberg, and C. Diego, T. Field, and M. Rees and A. View at Google Scholar J. Chen, B.

Tan, K. Wu, M. Zhang, L. Outline of Diagnosis in Traumatology. Outline of Diagnosis in Ophthalmology. Outline of Diagnosis in Ears, Nose and Throat. Fear of Cold. Abnormal Sweating. Chest Pain. Heart Palpations. Spirit-Mind Abnormalities. Torpid Intake. Stomach Duct Pain. Abdominal Pain. Where there is fat. Retarded development in children. Convulsive spasms. Cough and panting. A swollen body. In heat diseases.

Chest and abdominal pain pattern. That which is in of the hand and foot. Movement and tranquility. If there is sudden clouding and collapse with loss of consciousness. Wilting and impediment. When stretching the hands or moving the hands. Distressed rapid panting. Rough breathing. Or there are signs such as neither sitting nor lying down being suitable.

Bending or curving of the waist. If a newborn child. The Wang Zhen Zun Jing points out eight methods for four limbs. Eight principle pattern differentiation generally is as follows: Or there is a preference for lying down. The patient's hands groping in the air and pulling invisible strings.

Delirious frenzy. In yin patterns. That is to say. The head is the dwelling place of bright essence.

HEAD If the form of the head and the development of children is not appropriate. The head is the meeting place of yang. A tall and pointed front fontanel is evil exuberance repletion heat pattern.

This often is seen with violent vomiting and diarrhea where the body fluids have been consumed and damaged and the qi and blood are insufficient. Bone is the dwelling place of marrow. Debilitation of the viscera and bowels manifesting as failure to move properly.

The back is the dwelling place [of that] within the chest. A child's head that is large. The waist lumbus is the dwelling place of the kidneys. This can be seen with warm and hot evil exuberance. The knee is the dwelling place of the sinews.

When a child's head is small and pointed. It can also be seen after giving birth or in any kind the clear orifices. The hair of Chinese people is normally black. Twelve channels. In children.

Practical Diagnosis in Traditional Chinese Medicine - T. Deng (Churchill Livingstone, ) WW

If individual development is normal. Courtyard ting Mi region anterior to the ear and inferiolateral to the cheekbone. Occasionally hair loss can be due to fire heat blood dryness or to necessary use of medicines causing the desertion of hair.

If hair loss does not follow any pattern. Little hair. The five sense organs and seven orifices are the upper orifices also called the clear orifices.

This is often seen in enduring illnesses or after serious illnesses. White hair is usually due to liver and kidney depletion detriment. Inspection of the hair should include attention to the color and sheen.

If the hair is sparse and dry. Cloud or Shelter bi Mi mandible region. But because natural endowments and constitutions are different the black color could have slight variations in darkness or lightness. Wu Se Pian takes the entire face and divides it into the following sections.

By observing the hair one can know the surplus and depletion of qi The face and the orifices The orifices normally refer to the five sense organs of the seven orifices.

Hair that is thick. Borderland fan Wf spikes. Relationship with viscera and bowels: These are the sections of the face and their relationship to the viscera and bowels as seen in the Ling Shu: Wu Se Pian. Borderland and Shelter. Mountain Root. Ci Re Pian takes the congruence between the sections Refer to the diseases governed by the five colors of color diagnosis p. Facial puffy swelling. Cheek swelling. The eyes are the nest of essence.

Swelling with hot pain. Deviation of the face. There are the distinctions of yang water and yin water. Sudden swelling up of the face and cheeks. Da Huo Lun states: If the face is full and round. Diseases of yang water arise relati vely rapidly. If the face is thin and sharp. Sudden facial swelling in enduring or serious The face and the eyes are both important areas of observation diagnosis. This is often seen in water-swelling illnesses and in patterns where water-damp floods upward.

Facial swelling and white coloration is spleen and kidney yang vacuity. Black eye sockets is spleen and kidney vacuity and water-damp. White governs vacuity. Spiritedness means lack of disease or. Dull and turbid whites of the eyes. Yellow governs damp. Observation of the spirit of the eyes is an important point in determining spiritedness and spiritlessness.

The dark of the eyes cornea is ascribed to the liver. Black governs water.

Kidney 4. Green-blue governs wind. Red governs heat. Spiritlessness means The blood network vessels conjunctiva of the corners of the eyes inner and outer canthus are ascribed to the heart. Therefore by inspecting the eyes one can know changes in the viscera and bowels see Fig 1.

Pale white blood network vessels in the eye canthus govern qi and blood vacuity. The eyelids both upper and lower are ascribed to the spleen. The pupil is ascribed to the kidney.

Redness in the canthus of the eye is heart fire. Yellow in the white Green-blue in the wind or turbid of the eye is damp-heat or cold-damp. The eye and its relationship to the viscera and rough eyes are usually due to warm disease heat burning and damaging the fluids.

The white of the eye sclera is ascribed to the lung. When inspecting the eyes. If both eyes sink inward relatively deeply. They also may develop from external damage. A pale white auricle is ascribed to cold. Heavy eyes with a liking of sleep is The kidney opens into the ears. When red vessels and canthus outcrop creep A swollen and painful ear indicates evil qi repletion. Sudden bulging of the eyes accompanied by panting breath is usually lung distention.

An auricle that is Styes and cinnabar eye. A spotted screen generated in the pupil and obstructed vision usually are due to heat toxin. Scattering of the pupil and unclear visual acuity are usually insufficient kidney essence and an inauspicious omen of kidney water withering exhaustion. It is commonly seen in gan accumulation. Sudden sinking is usually consumption damage of the fluids. Eyes that are slightly fixed and do not turn often are due to phlegm-heat internal block or desertion of original spirit.

Puffy swelling in the eye and eyelid and bright eyelids are due to damp governing water qi water swelling. When sick. Angry staring of the eyes and difficulty in falling asleep are ascribed to yang patterns.

Drooping eyelids are also usually due to spleen vacuity. Swelling and pain within the ear. A greenblue-black auricle is ascribed to pain. Stye refers to the generation of a small boil at the side of the eye.

If there is acute swelling of the eyelid and the color is red. From the aspect of inspection examin ation. Occasion ally they are due to congenital insufficiency of the liver and kidney and poor feeding. This is called a 'stye' or 'wheat kernel swelling. Falling inward of the eye horizontally from the white of the eye toward the pupil. Membraneous screen of the eye nebula. Strabismus and deviated movement of the mouth and eyes are usually liver wind stirring internally.

Badly collapsed stem of the nose and dropping off of the eyebrow hairs are seen in 'numbness wind disease' leprosy. Slow arisal of the disease. A white color is qi vacuity or blood collapse.

During a long mucus that is thick. Red-purple lips indicate heat. The generation of dots in the form of acne is drinker's nose. A dry nose that is black like ash is intense exuberance of heat toxins.

Nasal congestion with frequent sneezing and flowing nasal mucus is often due to external contraction. A bright and moist color of the nose is ascribed to a normal condition. A sunken nose is vacuity of right qi. A glossy cold nose that is black colored is intense internal yin cold. Black lips indicate impending expiry of the spleen and stomach. A yellow color is internal damp-heat.

Deep red lips accompanied by vomiting usually show repletion heat in the stomach. A black color indicates the presence of water qi. Pale red lips indicate vacuity and cold. Fresh red lips indicate yin vacuity fire effulgence. Inspection includes investigation of their color.

Flaring movement illness. If there is flowing of clear nasal mucus. FORM A swollen nose is evil qi exuberance. Enduring flowing of turbid nasal Deep green-blue lips indicate pain. Red lips that are dry are due to extreme heat damaging the fluids. A poor sign is withered. White lips like withered bones are a critical sign. At the beginning of child hood measles. Pale white lips are spleen vacuity with diminished blood. An auspicious sign is brightness.

A red color is heat in both the spleen and the lung channel. This governs repletion. Shaking zhen. Pursed lips with green-blue color and convulsive spasms indicate liver wind overwhelming the spleen. Damp shi. Deviated mouth and eyes and 5. Grimy yellow teeth are from evaporated stomach.

Here the saliva is slippery. This is an awry. Pursed cuo. The channel sinews are stretched. Mouth biting kou chi. Clenched jaw and inability to speak are tetany.

The tense side shows the right qi and the relaxed side shows the evil qi. Clenched jaw jin. Here the fluids are dry. Here the mouth opens but does not close. Here there are cold shudders and chattering jaws.

Dragging chin ke la. Fullness of the philtrum and upturned lips are spleen yang expiry. Here the upper and lower lips have a pursed-together form. Here the mouth closes but there is difficulty in opening. These are open zhang. Also dryness and dampness and cold and heat can be seen with these diseases.

White spots or patches like snowflakes in the mouth of infants are goose-mouth sores Dry zao. The teeth are the surplus of bone. This governs vacuity. Here there is opening and closing of the mouth. Open zhang. This indicates that. Stirring dong. Here the mouth appears open and the chin is unable to close.

Swollen lips and 8. Deviated pi. Normal teeth have a moist sheen. There are ten methods of inspecting the mouth. If in disease there is darkness around the lips.

Sound exits out One can. Here there is a slight movement. Children grinding their teeth at night while asleep is usually due to accumulation stagnation in the stomach or worm accumulation. If the grinding of teeth is accompanied by signs of a vacuity pattern. If the color is pale white this is blood vacuity. If both sides of the throat are red. Teeth like withered bone are kidney yin dessication and exhaustion.

Investigation of the network vessels on the index finger In children it is necessary to investigate the network vessels of the forefinger. Swelling and pain in the gums indicate upward flaring of stomach fire. Teeth that are burnt dry and grimy are from stomach and kidney heat. If it is accompanied by yellow On the palmar aspect of the index finger.

A dry. Teeth that are bright and dry like stone are intense exuberance of stomach heat.

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Grinding of the teeth is due to liver wind stirring internally. The finger should be pushed several The throat is the open passage to the lung and stomach. Spontaneous external bleeding of the teeth accompanied by pain is stomach fire. If there are gray white dots in the throat area yin exhaustion. If the throat is a tender red and the pain is not very intense. The network vessels on the internal aspect of the index finger come from the protrusion of the hand greater yin lung channel.

Gums that are rotten and ulcerated. The first joint is the wind bar. A red. Numbness on one side of the body in which the movement of the limbs is not agile is a hemiplegia pattern. Paleness and stagnation determine vacuity and repletion. If the network vessels are deep and have a deep color. A shallow. Fresh red color of the veins is external contraction of wind-cold. Network vessels whose form is float ing and whose color is shallow in general indi cate disease that is relatively shallow and is ascribed to an exterior pattern.

Hands and feet that bend and are not able to straighten show that the disease is in the sinews.

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Green-blue governs generally due to spleen vacuity. A dense. Green-blue accompanied by purple-black is serious disease. A dusky purple color of the skin and muscles of the hands and feet. The three bars of the network vessel of a child's yellow. Withering and thinness are usually ascribed to vacuity patterns. If the form and color change. Floating and deep distinguish exterior and interior.

When the entire body is weak and the hands and feet lack strength this is network vessels within the wind bar mean that the disease is mild. Swelling of the shins and swelling of the feet.

Purple-red network vessels is heat pattern. Distinct Obstruction swelling of the hands and feet is usually ascribed to repletion patterns. Flailing of the limbs is internal heat vexation and agitation. Network vessels that stretch to the edge of the nail. The color of the veins differentiates cold and heat. Cramping of the hands and feet is due to cold congealing in the channels. Large swelling of a single knee is 'crane's knee wind. The three bars indicate severity.

Hands and feet that tremble without settling usually indicate dual vacuity of qi and blood. Convulsive spasms of the hands and feet and arched-back rigidity opisthotonous is tetany or fright wind. The skin When inspecting the skin. Needletip-sized or rice blue and purple skin is often seen in toxin stroke see section on Inspection of color.

When there is a sudden and large amount of bleeding. Besides this. In children thin bones and weak muscles. If when the doctor presses yellow. It may be accompanied by blood moles.

If the palms and thenar eminence are light green and red this is cinnabar palm.

Jaundice can sumption damage to the fluids. The normal nail color is red and moist and the nails should be appropriately thick. If on release the fingertip does not become red. Green- the patient's fingertip and the nail. In yin jaundice. In yang jaundice. If there is a high fever the skin can become burning and red. Yellowing of the nails is jaundice pattern.

This is called 'red thread marks' spider drum moles. If there is no puffy swelling on the head. Green-blue and purple or even black color of the finger and toe nails is a critical sign. Fresh red and deep red are ascribed to heat. Here the skin is withered yellow and white. With qi and blood vacuity the facial color is pale white without luster.

If there is evenness of the supraclavicular fossa. Skin that is like a carapace rough. If the color of the nails is pale white. In unfavorable patterns.

Their form is like bright brocade: Or they may be due to the extreme depletion of qi and blood. If the color is black. Yin macules generally develop owing to internal injury combined with external contraction. In general it can be said that macules are relatively more serious than papules because the evil is relatively deeper.

At arst there is only heat. Pale red or pale purple is qi and blood vacuity. If the color is while the small ones are like mosquito bites or almost indistinct. Papules erupt when windheat depressed in the lung harasses the construction in the interior. Dark purple be understood by investigating the color. After reaching the palms.

The macule dots of yin macules are both large and small. Dark black. Macules generally develop as a result of depressed yang brightness heat and exuberant blazing stomach heat distressing construction and blood in the interior. In favorable patterns.

The color is pale or dusky purple. Macules and papules are slightly different. If there is yang vacuity and yin exuberance. Their color is red. In unfavorable conditions. Hence it is said that macules are yang brightness heat toxins. The form of the papules is like hemp kernels and the color is red.

The spirit-orientation of the patient is generally clear and awake. Tf the liquid in the miliaria kernels is turbid like syrup. If the color is withered white. This is due to contraction of warm heat and damp depressed at the defensive aspect causing incomplete sweating. This comprises small blister papules about the size of millet with a round form and a white color that are raised high above the skin. Papules emerge owing to the mutual struggle between seasonal wind-heat evil and qi and blood becoming depressed in the muscles and exterior.

Deep red is strong. The skin of the root does not change. The tongue is crimson with small red prickles fluids are already dessicated and exhausted. The form of the papules may be either large or small. Miliaria alba often manifests on the chest. If there is profuse sweat and the miliaria are profuse to the extent that they cover the arm.

When the papules emerge. If the papular dots are suddenly con cealed. If the kernels are not filled with fluid. They are raised above the skin and their color is pale red and white. If the sections are thin.

The emergence and concealment of the papules are not rapid. The blister papules are transparent. There is itching and when scratched large strips of papules like rashes or cloud strips are created.

Often there is itching. When the area that has papules is exposed to wind or warm heat. If concealed. This is a favorable sign. This is an unfavorable sign of critically serious disease circumstances. The form and color of miliaria alba can deter mine the auspiciousness and inauspiciousness of the disease. There are red brocade-like patches called cinnabar on the skin. The papules are sometimes concealed and sometimes visible. Dripping of yellow fluid where the papules emerge is due to stronger damp.

If within the red strips there appear to be small yellow and white kernels of varying size. Chicken pox whose distri 9.

Next it becomes thick like syrup and the root is red and constrained. The scrotum is ascribed to the kidney and is networked by the liver channel. This is called 'damp toxin. Over the course of expressing the pox. The anterior yin is the yin organ or the genitals. Welling abscesses and flat abscesses are engendered by the obstruction and stagnation of qi and blood causing redness.

Chicken pox is a common disease. If the cinnabar toxin emerges on the waist and ribs. Tight and replete scrotum indicates that the qi is sufficient. There is an essence orifice and a urinary orifice. Itching combined with pain is fire. If there is diffuse. In a favorable pattern. If the red swelling protrudes and is hot and painful with a restrained purple root.Kosuge and M. Andrew Whitelaw rated it it was amazing Feb 16, The pupil is ascribed to the kidney.

Kasahara, H. Han, and S. Macules and papules are slightly different.

In childhood fright wind or on the verge of fright wind convulsions. While I believe that this has been done, inconsistencies may still exist, and for this I ask my reader's forbearance. Inspection examination should occur in a Inspection of the circumstances of the entire body Spirit and color Spirit and color.