↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: High fever worsening at night; cold hands and feet despite the fever; delirium; a flushed face; thirst.
Tongue: Deep red or crimson, stiff, possible prickles, dry yellow or scanty coating. Pulse: Fine and rapid, possibly wiry at the left front position.
Treatment principle: Clears Heat, resolves toxicity, opens the orifices and revives consciousness.
Note: no moxa.
Clinical manifestations: Rattling throat sounds; chest stuffiness; nausea; dull, clouded consciousness; a thick, greasy tongue coating.
Tongue: Pale, swollen, thick white greasy coating, may appear stiff. Pulse: Slippery, especially at the middle positions.
Treatment principle: Transforms Phlegm, warms the middle, opens the orifices and restores consciousness.
Note: no moxa.
3. Wind-Phlegm
Clinical manifestations: Hemiplegia; white frothy sputum; numbness or tingling; dizziness before collapse; chest stuffiness.
Tongue: Normal or pale, swollen, teeth-marked, white greasy coating. Pulse: Wiry and slippery.
Treatment principle: Transforms Wind-Phlegm, stops spasms, strengthens the Spleen and resolves Dampness.
Note: no moxa. This site's decks have no Wind-Phlegm slide, confirmed absent — no pattern link is given here.
4. Liver Yang Rising with Internal Wind
Clinical manifestations: Severe dizziness with a falling sensation; a pounding temple headache; a stiff neck; tremors; a flushed face and red eyes; irritability before the episode.
Tongue: Red, stiff or trembling, possibly deviated, thin yellow or scanty coating. Pulse: Wiry, fine, rapid.
Treatment principle: Calms the Liver, extinguishes Wind, subdues Yang, clears Heat and restores consciousness.
Note: no moxa. This site's decks have no Liver-Yang-Rising-with-Internal-Wind slide distinct from its Fire-generating-Wind slides — no pattern link is given here.
Clinical manifestations: Profuse cold sweating; ice-cold limbs extending past the elbows and knees; an ashen-white pallor; mental apathy; no thirst, or only a desire for warm drinks.
Tongue: Pale, moist, flaccid, thin white slippery coating. Pulse: Minute and nearly imperceptible.
Treatment principle: Rescues devastated Yang, tonifies Original Qi, warms the interior and restores the fire.
Note: MEDICAL EMERGENCY — strong moxa is traditionally indicated alongside emergency care, never in place of it.
Clinical manifestations: Profound fatigue before the coma; a weak, whispery voice; a bearing-down abdominal sensation; a pale complexion; no fever.
Tongue: Pale, puffy, teeth-marked, thin white coating. Pulse: Empty and weak, sinking, especially at the right middle position.
Treatment principle: Tonifies the middle, augments Qi, lifts sinking Yang and anchors the mind.
Note: moxa is strongly indicated alongside emergency care.