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ZANG-FU PATTERNS Source: Foundation of Chinese Medicine (Maciocia) WOOD FIRE EARTH METAL WATER LV GB HT SI SP ST LU LI KD UB *Patterns marked with an asterisk are not found in all texts and are not considered standard patterns. LIVER PATTERNS PATTERN SIGNS AND SYMPTOMS FORMULA POINTS FULL LV QI STAGNATION Mental depression, melancholy, moodiness, fluctuating mental state, unhappiness, feeling "wound up," irritability, sighing, chest stuffiness, distending or wandering pain in the costal and hypochondriac regions, stuffiness in the chest, epigastric and abdominal distension and pain, churning feeling in the stomach, belching, poor appetite, borborygmus, diarrhea, possibly a sensation of a foreign body in the throat, difficulty swallowing, breast distension, irregular menstruation and dysmenorrhea, premenstrual tension and irritability, T thin white coating, P wiry  Yue Ju Wan  Xiao Yao San  Chai Hu Shu Gan Tang GB34, LV3, LV13, LV14, SJ6, PC6 LV QI STAGNATION TURNING INTO HEAT* Hypochondrial or epigastric distension, a slight feeling of oppression of the chest, irritability, melancholy, depression, moodiness, a feeling of lump in the throat, a feeling of heat, red face, thirst, propensity to outbursts of anger, premenstrual tension, irregular periods, premenstrual breast distension, heavy periods, T red on the sides, P wiry, especially on the left side, and slightly rapid  Dan Zhi Xiao Yao San GB34, LV3, LV13, LV14, SJ6, PC6, LV2 REBELLIOUS LV QI* Hypochondrial or epigastric distension, hiccup, sighing, nausea, vomiting, belching, ‘churning feeling in the stomach’, irritability; in women, breast distension, T the tongue-body color may not change (in light cases); the sides will be red (in severe cases), P wiry, may be particularly wiry on the LV and ST positions  Chai Hu Shu Gan San  Yi Gan San  Si Ni San LV14, GB34, SJ6, PC6, LV3, LI4, ST21, ST19 LV BLOOD STASIS Prickling pain or palpable mass in the hypochondria, vomiting of blood, epistaxis, painful periods, irregular periods, dark and clotted menstrual blood, abdominal pain, masses in the abdomen, purple nails, purple lips, purple complexion, in severe cases dry skin, petechiae, T purple-dark in color especially on the sides, purplish spots on the tongue, P wiry  Ge Xia Zhu Yu Tang  Shi Xiao San  Yan Hu Suo Tang GB34, LV3, UB18, UB17, SP10, RN6, SP4, PC6, ST29, KD14, LV5, LV6 LV FIRE Distending pain in the head, temporal headache, dizziness and vertigo, red face and eyes, swelling or painful eyes, tinnitus like the sound of waves, irritability, propensity to outbursts of anger, dream-disturbed sleep, thirst, bitter taste or dryness in the mouth, intercostal or hypochondriac burning pain, dark yellow urine and constipation with dry stool, hematemesis, hemoptysis, epistaxis, T red with yellow coating, P wiry, rapid  Long Dan Xie Gan T.  Dang Gui Long Hui T. LV2, LV3, GB20, GB13, LI11, GB1, GB9, GB8, GB6, SP6, LV1 LV DAMP-HEAT* Fullness of the hypochondrium, abdomen or hypogastrium, bitter taste, sticky taste, poor appetite, nausea, feeling of heaviness of the body, yellow vaginal discharge, vaginal itching, vulvar eczema or sores, mid-cycle bleeding and/or pain, pain, redness and swelling of the scrotum, genital, papular or vesicular skin rashes and itching, urinary difficulty, burning on urination, dark urine, T red body with redder sides, sticky yellow coating, P slippery-wiry-rapid  Long Dan Xie Gan Tang LV14, GB34, UB18, RN12, SP9, SP6, LI11, LV2 COLD STAGNATION in LV CHANNEL Fullness and distension of the hypogastrium with pain which refers downwards to the scrotum and testis and upwards to the hypochondrium, the pain is alleviated by warmth, straining of the testis or contraction of the scrotum, vertical headache, feeling of cold, cold hands and feet, vomiting of clear watery fluid or dry vomiting. In women there can be shrinking of the vagina, T pale and wet with a white coating, P deep-wiry-slow  Nuan Gan Jian RN3, LV5, LV1, LV3. Moxa is applicable. ZANG-FU PATTERNS Page 1 © HB Kim, AcupunctureMedia.com
EMPTY LV BLOOD DEFICIENCY Pallor, dizziness and vertigo, insomnia, blurring of vision, floaters in the eyes, dryness of the eyes, night blindness, numbness of the limbs, spasm of the tendons, cramps, scanty menstrual flow or amenorrhea, withered and brittle nails, dry hair and skin, T pale, P thin  Bu Gan Tang LV8, SP6, ST36, RN4, UB18, UB20, UB23, UB17, Yu Yao LV YIN DEFICIENCY* Dizziness, numbness or tingling of the limbs, insomnia, blurred vision, floaters in the eyes, dry eyes, diminished night vision, scanty menstruation or amenorrhea, pale dull complexion without luster but with red cheekbones, muscular weakness, cramps, withered and brittle nails, very dry hair and skin, depression, a feeling of aimlessness, T normal color with no coat or rootless coat, P floating, empty  Yi Guan Jian LV8, SP6, ST36, RN4, KD3, KD6, LV2 FULL + EMPTY LV YANG RISING Headache in the temples, eyes or lateral side of the head, distending sensation in the head, dizziness and vertigo, tinnitus, flushed face and red eyes, dry mouth and throat, irritability, insomnia and dream disturbed sleep, palpitation, feeling "worked up," shouting in anger, poor memory, sore and weak low back and knees, T red, P wiry, thin and rapid  Tian Ma Gou Teng Yin  Ling Jiao Gou Teng T. LV3, SJ5, PC6, LI4, GB43, GB38, GB20, UB2, Tai Yang, GB9, GB8, GB6 (In case of LV Blood/Yin deficiency add: SP6, LV8, ST36, KD3, KD6) INTERNAL LV WIND Extreme Heat → Wind High temperature, convulsions, rigidity of the neck, tremor of limbs, opisthotonos, in severe cases coma, T deep-red, stiff, dry yellow coating, P wiry-rapid.  Ling Jiao Gou Teng T.  Da Ding Feng Zhu LV3, Shi Xuan, DU20, DU16, GB20, DU8, DU14 LV Yang rising → Wind From LV Yin def. Tremor, facial tic, severe dizziness, tinnitus, headache, hypertension, dry throat, dry eyes, blurred vision, numbness or tingling of limbs, poor memory, T normal-colored without coating, P wiry-fine  San Jia Fu Mai Tang LV3, GB20, LI4, SJ5, DU19, SP6, LV8, KD3 From LV/KD Yin def. Tremor, facial tic, severe dizziness, tinnitus, headache, dry throat, dry eyes, blurred vision, numbness or tingling of limbs, poor memory, backache, scanty urination, night sweating, possibly hypertension, T normal-colored without coating, P wiry-fine  Zhen Gan Xi Feng Tang  Jian Ling Tang LV3, GB20, LI4, SJ5, DU19, SP6, LV8, KD3, KD6, RN4 From LV Blood def. Tremor, dizziness, tinnitus, headache, hypertension, dry throat, blurred vision, numbness or tingling of limbs, poor memory, insomnia, T pale and thin, P wiry-fine  E Jiao Ji Zi Huang Tang LV3, GB20, LI4, SJ5, DU19, SP6, LV8, KD3, UB17, RN4 LV Fire → Wind Tremor, irritability, propensity to outbursts of anger, tinnitus and/or deafness (with sudden onset), temporal headache, dizziness, red face and eyes, thirst, bitter taste, dream-disturbed sleep, constipation with dry stools, dark-yellow urine, epistaxis, haematemesis, haemoptysis, T red with redder sides and dry yellow coating, P wiry-rapid.  Ling Jiao Gou Teng T. LV2, LV3, GB20, LI11, GB1, SP6, LV1, DU8 LV Blood def. → Wind Fine tremor, facial tic, dizziness, blurred vision, numbness or tingling of limbs, poor memory, insomnia, scanty periods, T pale and thin, P wiry-fine  E Jiao Ji Zi Huang Tang LV3, GB20, LI4, SJ5, DU19, SP6, LV8, KD3, UB17, RN4 ZANG-FU PATTERNS Page 2 © HB Kim, AcupunctureMedia.com
PATTERN SIGNS AND SYMPTOMS FORMULA POINTS COM- BINED LV QI INVADING SP Distension, fullness and pain in the costal and hypochondriac regions, mental depression or irritability, poor appetite, abdominal distension, loose stools, alternating constipation and diarrhea, stools sometimes dry and bitty and sometimes loose, flatulence, tiredness, T red on the sides or pale, thin coating, P wiry (left), weak (right)  Xiao Yao San LV13, LV14, LV3, GB34, RN6, SJ6, PC6, ST25, SP15, RN12, ST36, SP6, SP4, PC6 LV QI INVADING ST Distension and pain in the costal, hypochondriac and epigastric regions, belching, acid regurgitation, an empty and uncomfortable sensation in the stomach, mental depression or irritability, T thin coating, P wiry  Si Mo Tang  Xuan Fu Dai Zhe Tang  Ju Pi Zhu Ru Tang  Ding Xiang Shi Di Tang  Ban Xia Hou Po Tang LV14, GB34, RN13, RN10, ST21, ST19, ST36, ST34, UB21 LV FIRE INSULTING LU Burning pain in the costal and hypochondriac regions, paroxysmal cough or even hemoptysis in severe cases, quick temper, irritability, restlessness, heat sensation in the chest, bitter taste in the mouth, dizziness, red eyes, T red with thin yellow coating, P wiry, rapid  Long Dan Xie Gan T. LV2, LV3, LV14, RN17, RN22, PC6, LU7, LI11 LV & HT BLOOD DEFICIENCY Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, pale and dull complexion, pale lips, blurred vision, floaters in the eyes, diminished night vision, tingling or numbness of the limbs, scanty periods or amenorrhea, cramps, muscular weakness, dry hair and skin, depression, a feeling of aimlessness, withered and brittle nails, T pale and thin body, P choppy or thin  Gui Pi Tang  Sheng Yu Tang  Bu Gan Tang  Dang Gui Ji Xue Teng T. HT7, PC6, RN14, RN15, RN4, UB17, UB20, LV8, SP6, ST36, UB18, UB23 ZANG-FU PATTERNS Page 3 © HB Kim, AcupunctureMedia.com
GALL BLADDER PATTERNS PATTERN SIGNS AND SYMPTOMS FORMULA POINTS FULL GB DAMP* Jaundice, dull-yellow eyes and skin, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, dull-yellow sclera, turbid urine, no thirst, sticky taste, dull headache, feeling of heaviness of the body, T thick sticky white coating, either bilateral in two strips or unilateral, P slippery-wiry.  San Ren Tang GB24, LV14, RN12, GB34, Dannangxue, DU9, UB19, UB20, SJ6, ST19 GB DAMP-HEAT* Hypochondrial 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 of the body, numbness of the limbs, swelling of the feet, loose stools or constipation, alternation of hot and cold feeling, yellow sclera, feeling of heat, T thick sticky yellow coating, either bilateral in two strips or unilateral, P slippery-wiry-rapid  Yin Chen Hao Tang GB24, LV14, RN12, GB34, Dannangxue, DU9, UB19, UB20, LI11, SJ6, ST19 EMPTY GB DEFICIENCY* Dizziness, blurred vision, floaters, nervousness, timidity, propensity to being easily startled, lack of courage and initiative, indecision, sighing, waking up early in the morning, restless dreams, T pale or normal, P weak.  Wen Dan Tang  An Shen Ding Zhi Wan GB40, LV8, ST36, SP6, RN4, UB18, UB47 PATTERN SIGNS AND SYMPTOMS FORMULA POINTS COM- BINED GB/LV DAMP-HEAT Hypochondriac distension and pain, bitter taste in the mouth, poor appetite, nausea, vomiting, abdominal distension, scanty and dark yellow urine, there may be yellow sclera and skin of the entire body (jaundice) or fever, eczema of the scrotum, swelling and burning pain in the testes, yellow foul leukorrhea with pruritus vulva, T yellow, sticky coating, P wiry, rapid  Long Dan Xie Gan T. GB24, LV14, UB18, RN12, GB34, Dan Nang Xue, DU9, UB19, UB20, LI11, SJ6, ST19, LV3, LV5 ZANG-FU PATTERNS Page 4 © HB Kim, AcupunctureMedia.com