↑ reinforcing ↓ reducing ⊥ even method.
1. Qi Deficiency causing Blood Stagnation
Clinical manifestations: Heaviness and fatigue in the legs worsening by day's end; a dull aching or distending pain; visibly bluish or slightly purplish distended veins; a pale or sallow complexion; symptoms worsen with prolonged standing, cold exposure and stress.
Tongue: Pale with a purplish tinge, possible stasis spots, teeth marks. Pulse: Deep, Fine or weak, Choppy.
Treatment principle: Tonify Spleen-Qi and invigorate Blood to restore the upward propulsion of Blood against gravity.
Note: moxa applicable on the Tonify-Qi point. No deck on this site combines Qi deficiency with local venous Blood stagnation as its own picture, so no pattern link is given here.
2. Blood Stagnation
Clinical manifestations: Fixed, stabbing leg pain; dark purple or bluish tortuous veins; pain intensifies at night and with pressure; dark circles under the eyes.
Tongue: Purple or dusky with stasis spots, distended sublingual veins. Pulse: Choppy or Wiry.
Treatment principle: Invigorate Blood, dispel stasis, move Qi and alleviate the pain from blockage-like pooling.
Note: no moxa. This site's \"Liver-Blood stasis\" slide is gynecological/hepatic-framed with no leg-vein content, so no pattern link is given here.
3. Painful Obstruction due to Damp-Heat in the Channels
Clinical manifestations: Red, hot, swollen varicose veins; burning or throbbing pain along the vessels; a heavy leg sensation; pain worsens with warmth and improves with cold; thirst and irritability.
Tongue: Red, possibly swollen, yellow greasy coating. Pulse: Slippery, Rapid.
Treatment principle: Clear Heat and dry Dampness from the lower limbs to reduce inflammation and swelling.
Note: no moxa. No deck on this site has a joint/limb Painful Obstruction category, so no pattern link is given here.
4. Painful Obstruction with Qi and Blood Deficiency
Clinical manifestations: Dull, lingering leg pain worsening with activity; cold limbs, especially in cold weather; profound fatigue and weakness; a pale complexion with poor appetite; numbness or tingling in the legs.
Tongue: Pale, often thin, teeth marks, thin white coating. Pulse: Fine, weak, possibly Slow.
Treatment principle: Tonify Qi and nourish Blood to rebuild vessel strength and warmth.
Note: moxa applicable. No deck on this site combines a generic Qi and Blood deficiency pattern, so no pattern link is given here.