↑ reinforcing ↓ reducing ⊥ even method.
1. Lesser Yang Stage
Clinical manifestations: Alternating chills and fever, bitter taste in the mouth, fullness or discomfort along the ribs, nausea or tendency to vomit, irritability and restlessness.
Tongue: H Pulse: a
Treatment principle: normal pink-red body with possibly reddened sides, thin white or thin yellow coating,wiry and fine, like a taut guitar string
2. Heat in Lesser Yang
Clinical manifestations: Fever dominates with chills milder or brief, intense thirst and dry throat, bitter taste in the mouth, irritability and restlessness, fullness or discomfort below the ribs.
Tongue: H Pulse: a
Treatment principle: red body with redder sides, thin white or slightly yellow coating,wiry and rapid
Clinical manifestations: Pain or distension below the ribs (especially right side), bitter taste in the mouth, nausea or vomiting, yellowing of the eyes or skin, heavy sensation in the body and limbs.
Tongue: C Pulse: l
Treatment principle: red body with red sides, thick yellow greasy coating,wiry, slippery, and rapid, especially at the left middle position
4. Summer Heat with Heat Stagnation in Liver and Gallbladder
Clinical manifestations: Alternating fever and chills with fever predominating, bitter taste in the mouth, distending pain along the ribs and flanks, profuse sweating that does not relieve fever, heavy sensation in the head.
Tongue: C Pulse: l
Treatment principle: red body with redder sides, yellow greasy coating, may show prickles,wiry and rapid, forceful, especially at the left middle position
5. Toxic-Heat
Clinical manifestations: High fever (often 104°F/40°C or higher), delirium, confusion or coma, convulsions or seizures, intense thirst with desire for cold drinks, dark scanty urine.
Tongue: C Pulse: o
Treatment principle: red or deep red body with prickly raised papillae, dry yellow coating, in severe cases may become crimson,rapid and forceful, often full or overflowing