↑ reinforcing ↓ reducing ⊥ even method.
Clinical manifestations: Nodules that change size with stress; rib-side distension; chest tightness; frequent sighing; irritability; breast tenderness; a lump-in-the-throat sensation.
Tongue: Normal or slightly dark with red sides, thin white coat. Pulse: Wiry, like a guitar string.
Treatment principle: Soothes the Liver and relieves Qi stagnation.
Note: no moxa.
2. Qi and Blood Stagnation
Clinical manifestations: Fixed, stabbing pain in the nodule area; distending chest or rib sensation; hard nodules painful to touch; dark or purplish lips and complexion.
Tongue: Purple or dark, stasis spots, distended sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorates Blood, dispels stasis, moves Qi and opens the chest.
Note: no moxa. No combined Qi-and-Blood-stagnation slide exists on this site's decks — no pattern link is given here.
3. Phlegm in the Channels, Joints and Muscles
Clinical manifestations: Subcutaneous nodules or hard lumps near the joints; heavy or numb limbs; joint stiffness; purplish discoloration around the affected areas.
Tongue: Purple, stasis spots, white greasy coat, distended sublingual veins. Pulse: Wiry and choppy, or wiry and slippery.
Treatment principle: Transforms Phlegm and dissipates nodules; moves Qi and resolves stagnation.
Note: Mixed Deficiency/Excess. This site's decks have no Phlegm-in-the-channels slide, confirmed absent many times — no pattern link is given here.
Clinical manifestations: Stabbing, fixed pain worse at night; hard, immobile nodule; dark lips, nails and complexion.
Tongue: Purple or dusky, stasis spots, distended dark sublingual veins. Pulse: Choppy, or wiry and choppy.
Treatment principle: Invigorates Blood, removes stasis, moves Qi and relieves pain.
Note: no moxa. Linked to this site's own Liver-Blood-stasis slide per the discoloration-marker rule.
Clinical manifestations: Cold hands and feet, especially below the knees; early-morning diarrhea with undigested food; profound fatigue; nodules that feel cool and grow slowly.
Tongue: Pale, swollen, puffy, tooth-marked, white slippery coat. Pulse: Deep, weak, slow.
Treatment principle: Warms Yang, tonifies Blood and disperses Cold.
Note: moxa is strongly indicated. Linked to this site's own Kidney-and-Spleen-Yang-deficiency slide.