Transcript Six Stages Four Levels San Jiao

Six Stages
Four Levels
San Jiao
ACR class 5
Identification of
Patterns
According to the Six
Stages
• (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
Deep‐Weak-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 Deep‐Weak-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, Overflowing‐Rapid 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, Dark‐Red 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, Dark‐Red 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, Dark‐Red 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, Dark‐Red 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, PaleSwollen‐Short 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
• WIND-HEAT INVADING THE LUNGS (Wei
Level): same as Wind Heat at the
Defensive Qi Level of the 4 Level patterns.
• HEAT IN THE LUNGS (Qi Level):
corresponds to the Qi-Level Lung Heat
pattern from the 4-Levels.
• HEAT IN THE PERICARDIUM (Ying Level):
corresponds to the Ying-Level Heat in the
Pericardium pattern from the 4-Levels.
MIDDLE BURNER
• HEAT IN THE BRIGHT YANG:
Corresponds to Qi-Level Stomach Heat /
Yangming Channel pattern
• 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: corresponds to
Xue Level Collapse of Yin in 4 Levels or
Shao Yin Heat Pattern in 6 Stages
• LIVER-HEAT STIRS WIND: corresponds
to Xue Level Heat Victorious Stirring
Wind in 4 Levels
• LIVER EMPTY-WIND: corresponds to
Xue Level Empty Wind Agitating Interior
in 4 Levels