↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Sore, weak lower back and knees; frequent clear urination; threatened or recurrent miscarriage; fatigue; a pale, puffy face.
Tongue: Pale, puffy, moist, thin white coat, tooth marks. Pulse: Deep, weak, fine; especially feeble at the rear positions.
Treatment principle: Tonifies the Kidneys, consolidates Essence and secures the Directing and Penetrating Vessels.
Note: moxa is strongly indicated.
2. Qi and Blood Deficiency
Clinical manifestations: Persistent fatigue and weakness; pale or sallow complexion; dizziness and palpitations; scanty, light vaginal bleeding; poor appetite; history of scanty periods.
Tongue: Pale, possibly thin with tooth marks, thin white coat. Pulse: Fine, weak, especially at the right middle position.
Treatment principle: Tonifies Qi and Blood, strengthens the Spleen and builds foundational resources.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.
3. Blood Stagnation in the Directing and Penetrating Vessels
Clinical manifestations: Stabbing, fixed lower-abdominal pain; dark purple blood with clots; pain worse with pressure; history of abdominal trauma or endometriosis; irregular periods with heavy clots before pregnancy.
Tongue: Dark purple or dusky, stasis spots, engorged sublingual veins, thin white coat. Pulse: Choppy, wiry or deep.
Treatment principle: Invigorates Blood, resolves stasis and clears the obstruction from the Directing and Penetrating Vessels.
Note: no moxa. This site's decks have no Directing-and-Penetrating-Vessel slides — no pattern link is given here.
4. Heat in Uterus Blood
Clinical manifestations: Bright red vaginal bleeding; a heat sensation in the lower abdomen; restlessness and irritability; thirst craving cold drinks; dark urine and constipation.
Tongue: Red, especially the tip, possible prickles, thin yellow dry coat. Pulse: Rapid, often wiry or slippery.
Treatment principle: Clears Heat, cools the Blood and nourishes Yin.
Note: no moxa.
5. Qi Collapsing or Qi Sinking
Clinical manifestations: MEDICAL EMERGENCY. Sudden profuse vaginal bleeding; pale face and cold limbs; fainting or extreme dizziness; a bearing-down sensation; shallow, weak breathing.
Tongue: Pale, puffy, thin white coat. Pulse: Empty, weak, nearly imperceptible.
Treatment principle: Rescues devastated Qi and Yang, stops massive bleeding and prevents collapse and shock.
Note: Call emergency services immediately; moxa on ST-36/REN-4 is a supportive measure only en route to care.