↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Distending, fluctuating lumps; pain worse before the period or with emotional upset; irritability; sighing; rib-side tightness.
Tongue: Normal to slightly dark, red sides, thin white coat. Pulse: Wiry, especially at the left middle position.
Treatment principle: Smooths Liver Qi, moves stagnation, relieves chest constraint and invigorates Blood.
Note: no moxa.
2. Directing and Penetrating Vessels Deficiency with Empty Cold
Clinical manifestations: Lumps feel cool or improve with warmth; fatigue; cold hands and feet; pale complexion; delayed or scanty periods; dull pain.
Tongue: Pale, puffy, moist, white slippery coat with tooth marks. Pulse: Deep, fine and slow.
Treatment principle: Warms the channels, disperses Cold, nourishes Blood and strengthens Kidney Yang.
Note: moxa is strongly indicated. This site's decks have no Directing-and-Penetrating-Vessel slides — no pattern link is given here.
3. Spleen Deficiency with Dampness
Clinical manifestations: Heavy, doughy lumps with minimal pain; loose stools; bloating after eating; fatigue; poor appetite; sticky mouth.
Tongue: Pale, swollen, tooth-marked, white greasy coat. Pulse: Soggy and slow, possibly slippery.
Treatment principle: Strengthens the Spleen, dries Dampness, transforms Phlegm and resolves lumps.
Note: Mixed Deficiency/Excess. No deck slide combines Spleen deficiency with Dampness — no pattern link is given here.
4. Yang Deficiency
Clinical manifestations: Hard, immobile lumps that worsen in the cold; cold extremities; pale complexion; fatigue; loose stools; clear, frequent urination.
Tongue: Pale, swollen, moist, tooth-marked, white slippery coat. Pulse: Deep, slow and weak.
Treatment principle: Warms Yang, tonifies Blood, disperses Cold and dissolves congealed masses.
Note: moxa is strongly indicated. This page's source does not specify which organ's Yang — no single deck slide is a clean match, so no pattern link is given here.
Clinical manifestations: Fixed, stabbing breast pain; hard, immobile lumps; dark menstrual blood with clots; pain worse before the period or at night.
Tongue: Dark purple with stasis spots at the sides, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi, relieves pain and opens the chest.
Note: no moxa.
6. Phlegm in the Channels, Joints and Muscles
Clinical manifestations: Soft to firm lumps; heaviness or numbness rather than sharp pain; chest tightness; excessive mucus.
Tongue: Purple with stasis spots, white greasy coat, distended sublingual veins. Pulse: Wiry and choppy, or wiry and slippery.
Treatment principle: Transforms Phlegm, clears Heat, softens nodules and restores channel flow.
Note: Mixed Deficiency/Excess. This site's decks have no Phlegm-in-the-channels slide, confirmed absent many times — no pattern link is given here.