↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Burning pain during and after bowel movements; urgent straining; mucus or bloody stools with a foul smell; heaviness; scanty dark urine.
Tongue: Red, thick yellow greasy coat. Pulse: Slippery and rapid.
Treatment principle: Clears Heat, dries Dampness, invigorates Blood, moves Qi and resolves toxin.
Note: no moxa.
Clinical manifestations: Sharp burning at the anus during and after bowel movements; dry, hard, pellet-like stools; intense thirst for cold drinks; scanty dark urine; afternoon fever; restlessness.
Tongue: Red with prickly papillae, thick dry yellow coat. Pulse: Deep, full and rapid.
Treatment principle: Moistens the intestines, unblocks the bowels, drains Heat and descends Qi.
Note: no moxa.
3. Qi and Blood Stagnation
Clinical manifestations: Fixed stabbing pain worse with sitting and pressure; a palpable hard lump or dark purple swelling; irritability; chest tightness.
Tongue: Dark purple, stasis spots, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi and relieves pain.
Note: no moxa. No combined Qi-and-Blood-stagnation slide exists on this site's decks — no pattern link is given here.
Clinical manifestations: Dull bearing-down, dragging pain worse with standing and fatigue; a sensation of heaviness or prolapse; chronic fatigue; poor appetite; loose stools.
Tongue: Pale, puffy, tender, tooth-marked, thin white coat. Pulse: Weak, especially at the right middle position; deep and forceless.
Treatment principle: Tonifies the Middle, augments Qi and lifts sunken Yang.
Note: moxa is strongly indicated.
Clinical manifestations: Dry, burning pain worse at night; night sweats; dry mouth and throat; heat in the palms, soles and chest; dry or constipated stools; flushed cheekbones.
Tongue: Red, thin, dry, cracked, little or no coat. Pulse: Fine and rapid, weak on deep pressure.
Treatment principle: Nourishes Yin and generates fluids; clears deficiency Heat.
Note: no moxa (Yin deficiency with heat signs).
6. Toxic-Heat Stagnation
Clinical manifestations: Throbbing severe pain; a red, hot, swollen abscess; pus or foul discharge; high fever; intense thirst for cold; restlessness.
Tongue: Deep red or crimson with prickly papillae, thick dry yellow coat. Pulse: Rapid and forceful.
Treatment principle: Drains Fire, resolves toxin, disperses swelling and dissipates nodules.
Note: Urgent — an anal abscess needs medical or surgical care. no moxa. This site's decks have no standalone Toxic-Heat slide, confirmed absent many times — no pattern link is given here.