↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Dry, hard, pellet-like stools requiring straining; sharp cutting pain; dry mouth and throat; slow healing.
Tongue: Red, thin, dry with central cracks, thin dry slightly yellow coating. Pulse: Fine, choppy, slightly rapid.
Treatment principle: Generates fluids and moistens the intestines to soften stool and prevent re-tearing.
Note: no moxa. Linked to this site's own Large-Intestine-Dry slide.
Clinical manifestations: Sharp burning pain; bright red bleeding; a swollen, hot, damp anal area; loose, sticky, foul-smelling stools; an incomplete-evacuation sensation; body heaviness and a stuffy chest.
Tongue: Red with thick, yellow, greasy coating, especially at the centre and root. Pulse: Slippery and rapid.
Treatment principle: Clears Heat, dries Dampness and stops bleeding to eliminate the inflamed, moist environment.
Note: no moxa. Linked to this site's own Damp-Heat-in-the-Large-Intestine slide.
3. Qi and Blood Stagnation
Clinical manifestations: Fixed, stabbing pain worsening with pressure or straining; dark purple or bluish fissure edges; a chronic, slow-healing tear; irritability and emotional tension.
Tongue: Dark purple, possible stasis spots, distended dark sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorates Blood circulation and dispels stagnation to nourish the wound and relieve pain.
Note: no moxa. No combined Qi-and-Blood-stagnation slide exists on this site's decks — no pattern link is given here.
4. Heat in the Blood
Clinical manifestations: Bright red, copious bleeding; burning anal pain; an internal heat sensation worse at night; thirst desiring cold drinks; restlessness and irritability.
Tongue: Red with red spots or prickles, thin yellow dry coating. Pulse: Rapid, wiry, slippery.
Treatment principle: Cools the Blood and stops reckless bleeding to reduce inflammation and promote healing.
Note: no moxa. This site's decks have no standalone Heat-in-the-Blood slide — no pattern link is given here.
5. Qi and Blood Deficiency
Clinical manifestations: An extremely slow-healing fissure; fatigue and low energy; a pale complexion, lips and nails; dizziness; poor appetite; shortness of breath on exertion.
Tongue: Pale, possibly thin with teeth marks, thin white coating. Pulse: Fine, weak.
Treatment principle: Simultaneously tonifies Qi and nourishes Blood to provide resources for tissue repair.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.
Clinical manifestations: A dry, deep fissure; hard, pellet-like stools; a dry mouth and throat worse at night; night sweats; a sensation of heat in the palms, soles and chest; overwork worsens the condition.
Tongue: Red, thin with cracks, little to no coating, dry surface. Pulse: Fine, rapid.
Treatment principle: Nourishes Kidney Yin and generates fluids to moisten tissues and ease constipation-related tearing.
Note: no moxa (Yin deficiency with heat signs). Linked to this site's own Kidney-Yin-deficiency slide as the closest general match.