·         hypochondrial pain, fullness and distention

·         nausea, vomiting & inability to digest fats

·         scanty and dark yellow urine

·         thirst without desire to drink

·         bitter taste & irritability

·         dizziness & tinnitus

·         feeling of body heavyness

·         numbness of the limbs & swelling of the feet

·         loose stool / constipation

·         fever /alterations of hot and cold

·         yellow complexion & sclera  

GB Damp Heat

Tongue: thick sticky yellow coating,

either bilateral in two strips or unilateral   

Pulse: Rolling-StringTaut-Rapid 

·         Dizziness,

·         blurred vision & floaters,

·         nervousness & timidity,

·         propensity to being easily startled

·         lack of courage and indecision,

·         sighing

·         waking up early in the morning

·         restless dreams  

GB Deficient

Tongue: Pale or Normal

Pulse: Weak

·         dizziness of head and eyes   

·         fright palpitations    

·         difficulty in sleeping

·         bitter taste in mouth

·         desire to vomit

·         fullness and oppression of the chest and side rib 

·         vexing heat       

  Depressed GB with Phlegm Harassing

Tongue: Yellow & Slimy Coat

Pulse: Rolling & Sl. Rapid

• ·         hypertonicity and pain below the ribs
• ·         increasing retching 
• ·         yellow urine 
• ·         bitter taste in mouth      
• ·         bound stools 
• ·         fever or alternating cold and heat        

GB  Heat Congesting and Stagnating

Tongue:  Yellow Coat

Pulse: String-Taut & Rapid

·         Jaundice,

·         hypochondrial pain, fullness and distention

·         nausea, vomiting

·         inability to digest fats

·         turbid urine

·         lack of thirst & sticky taste

·         dull headache & feeling of body heaviness

dull yellow eyes/sclera & skin

GB Dampness

Tongue:  thick sticky white coat,

 either bilateral in two strips or unilateral   

Pulse:  Rolling & String-Taut

·         Depression, Moodiness, feeling "wound up," irritability

·         Distending/wandering pain in chest/epigastrium/abdomen/hypochondriac

·         pre menstrual distention of breasts 

·         chest stuffiness

·         sighing 

·         poor appetite & belching

·         feeling of foreign lump in throat

·         irregular/ painful (dys)menstruation

·         Prolonged case: prickling pin in hypochondriac region / palpable mass

·         premenstrual tension & irritability

Liver Qi Stag / Binding Depression of Lv Qi

Tongue: Thin white coat,

normal to sl. red on sides  

Pulse: String Taut, esp Left side

·         distending (temporal) headache

·         dizziness & vertigo

·         bittertaste & dry mouth

·         irritability/ agitation & Angered outbursts

·         burning pain in costal & hypochondriac region

·         tinnitus & deafness

·         dark yellow/ red urination & bound stools

·         hemetemesis/ hemoptysis/ epistaxis

·         thirst, dry throat

·         dream disturbed sleep       

·         red/ hot face & red swollen painful eyes   

LV Fire Flare up/ Blazing

Tongue: red, redder on sides

(dry) yellow coat  

Pulse: String taut - full - rapid

·         Tremor

·         Irritability & propensity to outbursts of anger

·         tinnitus / deafness (sudden onset)

·         temporal Headache & dizziness

·         thirst & bitter taste

·         dream disturbed sleep

·         constipation with dry stool & dark yellow urine

·         epistaxsis, hemetemisis, haemoptysis            

·         red face and eyes   

LV Fire Transforming to Wind

Tongue: red with redder sides

dry yellow coat  

Pulse: String Taut-rapid 

·         Distending Head ache of temples, eyes, or side of head 

·         dizziness & vertigo

·         tinnitus, deafness

·         irritability, angry outbursts

·         insomnia & dream disturbed sleep

·         palpitations

·         poor memory

·         sore & weak: low-back & knees

·         blurred vision

·         dry mouth & throat

·         stiff neck & tenseness

·         yellow urine &bound stools     

·         red face & red eyes   

Rising LV Yang

Tongue: Red yellow Coat  

Pulse: String -Taut & Rapid / thready 

• ·         Dizziness & Vertigo
• ·         Headache & Heavy Head
• ·         Numbness & limb tremor
• ·         dysphasia / inhibited speech
• ·         Severe: sudden collapse, coma, stiff tongue, aphasia, deviation of mouth & eye, gurgling phlegm in the throat & hemiplegia        
  
  Possible abnormal gait         

LV Yang transforming into Wind

Tongue: Red, Tremulous 

Pulse: String-Taut, Rapid 

·         severe dizziness & headache

·         tremor, numbness and tingling of limbs  

·         facial tic

·         hypertension

·         dry throat, and eyes

·         blurred vision

·         poor memory   

LV Yin Xu WIND

Tongue: normal color, no coat 

Pulse: String Taut-fine         

·         Fine Tremor & facial tic

·         Dizziness & headache

·         tremor, numbness and tingling of limbs   

·         hypertension

·         blurred vision

·         poor memory

·         tinnitus  
insomnia

·         scanty periods

LV Blood XU WIND

Tongue:  pale and thin 

Pulse: String-Taut-fine

·         Convulsions & Tremor (of hands & feet)

·         neck rigidity

·         Severe: opisthotonus, coma, lockjaw 

·         Stupor

·         Scurrying Movement

·         High Fever   

·         Upward Turning of Eyes

·         Dry lips  

Extreme Heat Stirring Wind

Tongue: Deep red/crimson,

 little fluid & Stiff

Yellow & Dry/ Black & Dry Coat  

Pulse: String-Taut & Rapid 

• ·         dizziness & Vertigo
• ·         Blurred Vision, Dry & Rough feeling Eyes, night blindness, eye floaters
• ·         numbness & tingling limbs, tendon spasm
• ·         Scanty menstruation & amenorrhea/ menstrual block
• ·         Insomnia
• ·         muscular weakness & cramps
• ·         withered & brittle nails  /   dry hair & skin
• ·         depression & feeling of aimlessness
• ·         rib-side pain     
• ·         pallor w/o luster &  pale lips & nails  

LV Blood Vacuity

Tongue: pale, especially sides

(Extreme: orangy color)

Thin & sl. Dry

Pulse:  Thready/ Choppy/ Stringtaut 

·         fullness and distention in the hypogastrium with pain which refers downward to the scrotum and testies and upwards to the hypochondrium
·         Straining/ bearing down of testes 
contracted scrotum
·         vertical headache
·         Vomiting clear watery fluid / dry vomit
·         shrinking of vagina        
·         Pain aggrivated by cold & alleviated by warmth
·         feeling of cold,      cold hands & feet     

Retention of Cold in the LV Meridian

Tongue: Pale & Wet,  

White Coat 

Pulse: Rolling, Deep, StringTaut, Slow

·         hypochondrial or epigastric distention

·         a slight feeling of opression in the chest

·         irritability

·         melencholy, deression, moodiness

·         feeling of lump in throat

·         thirst

·         propensity to outbursts of anger

·         premenstral tension & Breast Distention

·         irregular periods, heavy periods  

·         feeling of heat   &    red face

LV Qi Stag turning into Heat

Tongue:  red on sides   

Pulse:  String Taut, esp. on left

& sl. rapid

·         hypochondrial or epigastric distention

·         hiccup & belching

·         sighing

·         nausea & vomiting & churning feeling in the stomach

·         irritability

·         breast distention in women            

Rebellious LV Qi

Tongue: normal in light cases

severe = red sides  

Pulse: String-Taut, esp. LV and ST     

·         hypochondrial & abdominal pain

·         Hematemesis & epistaxis

·         painful & irregular periods

·         menstrual blood dark and clotted

·         infertility

·         masses in abdomen

·         dry skin

·         purple petechiae (from interdermal bleeding)       

·         purple nails, lips, complexion  

LV Blood Stagnation

Tongue:  purple esp. / only on sides

severe:
purple spots on sides  

Pulse: StringTaut or firm  

·         fullness in the hypochondrium, abdomen, or hypogastrium

·         bitter, 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, dark / burning in urination/ dysuria         

Damp Heat in the Liver

Tongue: red, wirth redder sides

sticky yellow coating  

Pulse: Rolling-StringTaut-Rapid  

·         Dizziness

·         Numb / tingling limbs

·         Insomnia

·         Blurred vision / diminished night vision / eye floaters / dry & rough feeling eyes

·         scanty menstruation & amenorrhea

·         muscular weakness & cramps

·         withered & brittle nails & very dry hair & skin, lips & throat

·         depression & feeling of aimlessness

·         Empty heat:   malar flush, anxiety, Tidal fever, night sweating, five-palm heat, thirst with desire to drink in small sips, heavy menstrual bleeding

·         rib-side pain

·         bitter taste in mouth 

·         yellow urine & bound stools     

·         Dull pale complexion w/o luster, but red cheek bones   

LV Yin Xu

Tongue: Normal/ red Color

no coat/ rootless coat / thin yellow coat

w/ little fluid  

Pulse: Superficial - Empty / Stringtaut, Fine & Rapid

EmptyHeat Tongue: Red w/o Coat

EmptyHeat Pulse: Superficial - Empty & Sl. Rapid

·         depression &  unhappiness

·         blurred vision

·         rib-side fullness or pain

·         possible hypertonicity below the ribs

·         tenseness or withering of sinews

·         weakness of the feet or an inability to stretch the feet 

·         fear of cold

·         cold limbs  

·         bright white Complexion  

LV Yang XU

Tongue: pale white Coat  

Pulse: Deep, Fine, StringTaut and slow / tight