Traditional Chinese Medicine (TCM) Diagnostics
Translated and edited by: Joe Hing Kwok Chu
(in English and Chinese 中英文）
The Eight Outlines 八綱辨證：
yin and yang, external and internal, hot and cold, weak and strong.
Four clinical diagnostics
Pale or dark complexion, tiredness and likes to lie down, lack of strength, does not like physical activities, fat slippery tongue with oily look.
Red face, hot body, prefers cool, uneasiness, dry and cracked lips, dark red tongue with yellow fur, or even with cracks, or black and with spurs.
Listening and Smelling
Voice is weak, quiet and dislikes talking, weak breathing, short of breath.
Voice is strong and menacing, impatient, talkative, breathing is rough and fast with sound of phlegm, shouting and/or cursing.
Foul smelling feces, lack of appetite, uneasiness and not thirsty, or prefers warm beverages, urination is long and clear or short of urine.
Stool is hard or constipated, or with foul smell, does not like to eat, dry mouth, thirsty and wants to drink, urine is short and dark.
Stomach is painful and likes to be pressed, body and feet are cold, pulse is deep, thin, slow and weak.
Stomach is painful and dislikes being pressed, body and feet are warm, pulse is large, floating, fast, and slippery and strong.
Location of Illness
skin and hair, muscle and meridians
zang fu, blood vessels, and bone marrow
Cold Syndromes 寒證
Hot Syndromes 熱證
Warm and Cold Preferences
Prefers warm and dislikes cold
Prefers cold and dislikes warm
thirsty and likes cold drink
color of face
red or pink
light color and long duration
dark and short duration
pale and with white coating
red and with yellow coating
Weak (deficient) Syndromes (xu zheng)
Strong Syndromes (shi zheng)
length of illness
illness has been lasting for long duration
illness has been lasting for short duration
low and depressed
voice and breath
low voice and weak breath 聲低 息微
strong voice and strong breath 聲高息粗
likes being pressed
does not like being pressed
fullness in chest and abdomen
not painful when pressed. Fullness comes and goes.
painful when pressed. Fullness does not subside.
chest, palms and soles are uncomfortably warm. Feverish in the afternoon.
chill sensation subsides when the body is covered or in a warm environment
chill sensation does not subside when the body
is covered or in a warm environment
tongue has tender look. No fur or little fur.
tongue has aged look and fur is thick and has an
Heart and Small Intestine Channels Diagnostics 心與小腸病辨證
heart qi deficient
palpitation, heaviness in chest area and short of breath, especially after physical activities, and instant sweating.
pale complexion, pale tongue with white fur, weak pulse
heart yang deficient
cold limbs and dislikes coldness, angina pectoris, pale and dark complexion, fat and pale tongue with white and slippery fur, small and thin pulse.
heart yang (cardiac function) abruptly dropping
sudden cold sweat, cold limbs, weak breathing, pale and green complexion, blue lips, dizzy or faint, bluish tongue, small and thin pulse as if expiring.
Next page: Zang Fu Diagnostics 臟腑辨證
See Common Terms of Traditional Chinese Medicine
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