↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Delayed motor milestones (late sitting, crawling, walking), weak floppy muscles or stiff joints from poor nourishment, dry eyes with night sweats and flushed cheeks, irritability with poor concentration and restless sleep, soreness and weakness of the lower back and knees.
Tongue: N Pulse: o
Treatment principle: red, thin body with cracks, scanty or absent coating, dry surface,fine, rapid, and wiry, weak at the Kidney position
2. Heart and Spleen Deficiency
Clinical manifestations: Flaccid weak muscles (hypotonia), delayed speech and mental development, pale sallow complexion, poor appetite with bloating and loose stools, restless sleep with frequent waking and anxiety.
Tongue: T Pulse: o
Treatment principle: pale, tender body with teeth marks, thin white coating,fine and weak, especially at the left forward and right middle positions
3. Spleen and Kidney Qi Deficiency
Clinical manifestations: Poor muscle tone (flaccidity), poor appetite with bloating and loose stools, frequent urination especially at night, pale sallow complexion, cold hands and feet.
Tongue: F Pulse: o
Treatment principle: pale, swollen with teeth marks, white moist coating,deep, weak, and fine, right middle and both rear positions especially weak
4. Phlegm in the Channels, Joints and Muscles
Clinical manifestations: Fixed stabbing pain in the joints or muscles, joint swelling that feels firm or hard, purple or dark discoloration of skin around the joints, heavy numb sensation in the limbs, excessive phlegm or drooling.
Tongue: T Pulse: r
Treatment principle: purple body with stasis spots, white greasy coating, distended sublingual veins,wiry and choppy, or wiry and slippery
Clinical manifestations: Increased muscle tone (hypertonia), involuntary movements or spasms, irritability and restlessness, flushed face and red eyes, difficulty sleeping, clenched fists or opisthotonus, tics or twitches.
Tongue: S Pulse: u
Treatment principle: red body with redder sides, thin dry yellow or scanty coat, possibly trembling,wiry, forceful at the left middle position
6. Blood Deficiency with External Wind
Clinical manifestations: Tics, twitches, or involuntary tremors, muscle tone fluctuating between stiff and weak, dry flaky skin or eczema, pale or sallow complexion, aversion to drafts or wind, restless sleep with frequent night waking.
Tongue: N Pulse: o
Treatment principle: pale, thin body with thin white and slightly dry coat,fine, may be wiry at the left middle position and floating at the right forward position