↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Widespread or migrating pain, dull or sharp, linked to stress; distending pain in the chest or rib area; irritability or emotional tension; dark menstrual blood with clots.
Tongue: Dark purple with possible stasis spots, distended sublingual veins, thin white coat. Pulse: Wiry and choppy, like a guitar string scraping bamboo.
Treatment principle: Invigorate Blood and dispel stasis, move Qi and alleviate pain, open the chest.
Clinical manifestations: Pain or distension under the ribs especially on the right, a tendency to sigh, irritability, menstrual cramps with dark clots, palpable lumps or masses in the abdomen.
Tongue: Dark purple with stasis spots on the sides, distended sublingual veins, thin white coat. Pulse: Wiry and choppy, especially at the left Guan.
Treatment principle: Invigorate Blood, move Qi, and relieve stasis in the Liver channel.
Clinical manifestations: Fixed, gnawing pain in the upper abdomen that worsens with pressure or after eating; belching; acid reflux; a sense of fullness; vomiting of dark or coffee-ground material; black tarry stools.
Tongue: Dark, dusky, or purple with possible stasis spots and distended sublingual veins, thin white coat. Pulse: Choppy, rough and uneven, often also wiry, especially tight at the right middle position.
Treatment principle: Move Blood and Qi in the middle burner to dissolve the stasis in the Stomach.