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Key Notes

One-line diagnostic cues per pattern — the minimum symptom set enough to call it. Tap an organ to see its patterns.

🫁Lung-Qi deficiency

Breathless · Weak Voice · Frequent Colds

Slight shortness of breath, a weak voice and an Empty Lung pulse.

"I get out of breath easily, my voice is weak, and I catch colds often."

🫁Lung-Yin deficiency

Dry Cough · Night Sweats

A dry cough, night sweating and a rootless tongue coating in the front area of the tongue.

"I have a dry cough and I sweat at night."

🫁Lung Dryness

Dry Cough · Dry Throat · Hoarse Voice

Dry cough, dry throat, a hoarse voice and a dry tongue.

"My cough is dry, and my throat and skin feel dry too."

🫁Invasion of Lungs by Wind-Cold

Chills · Sneezing · Fever

Aversion to cold, sneezing, fever and a Floating pulse.

"I suddenly caught a chill — sneezing, runny nose with clear mucus, body aches."

🫁Invasion of Lungs by Wind-Heat

Fever · Sore Throat · Thick Yellow Mucus

Aversion to cold, fever and a Floating-Rapid pulse.

"I have a fever, sore throat, and thick yellow mucus."

🫁Invasion of Lungs by Wind-Water

Facial Swelling · Breathlessness

Aversion to Wind, sudden swelling of the face and a Floating-Slippery pulse.

"My face suddenly swelled up and I feel a bit breathless."

🫁Lung-Heat

Cough · Fever · Red Face

Cough, feeling of heat and a Red tongue with a yellow coating.

"I have a cough, feel hot, and my face is red."

🫁Damp-Phlegm in the Lungs

Chronic Cough · Profuse White Sputum

Chronic cough with profuse white sputum and a sticky white tongue coating.

"I've had a long-standing cough with lots of white phlegm."

🫁Cold-Phlegm in the Lungs

Watery White Sputum · Worse in Cold

Cough with white, watery sputum, phlegm in the throat and a Swollen tongue with a sticky white coating.

"My cough brings up watery white phlegm and it's worse in the cold."

🫁Phlegm-Heat in the Lungs

Barking Cough · Yellow-Green Sputum

Barking cough with sticky yellow or green sputum.

"I have a barking cough with thick yellow or green phlegm."

🫁Dry-Phlegm in the Lungs

Dry Cough · Scanty Sticky Phlegm

Dry cough with difficult expectoration of scanty phlegm.

"My cough is dry but hard to bring anything up, and my chest feels tight."

🫁Phlegm-Fluids obstructing the Lungs

Watery Frothy Sputum · Chest Splashing

Cough with expectoration of white, watery, foamy sputum.

"I cough up watery, frothy phlegm and can hear a splashing sound in my chest."

🫁Lung- and Heart-Qi deficiency

Breathless · Weak Voice · Palpitations

Shortness of breath, weak voice, palpitations and an Empty pulse.

"I get breathless, my voice is weak, and my heart flutters."

🌀Damp-Heat in the Large Intestine

Bloody Mucus · Diarrhoea

Abdominal pain and diarrhoea with mucus and blood in the stools.

"I have diarrhoea with mucus and blood, and it burns."

🌀Heat in the Large Intestine

Dry Stools · Burning Anus

Dry stools, a burning sensation in the anus and a thick, yellow, dry tongue coating.

"My stools are dry and hard, and my anus feels like it's burning."

🌀Heat obstructing the Large Intestine

Constipation · Abdominal Pain · Fever

Constipation, abdominal pain, fever and a thick, dry, yellow tongue coating.

"I'm constipated, my belly hurts, and I have a fever."

🌀Cold invading the Large Intestine

Sudden Cramping · Diarrhoea · Cold

Sudden abdominal pain, diarrhoea and a feeling of cold.

"I suddenly got cramping and diarrhoea, and I feel cold."

🌀Qi Stagnation in the Large Intestine

Distension · Bitty Stools

Abdominal distension and pain, bitty stools.

"My belly feels bloated and my stools come out in little pieces."

🌀Large Intestine Dry

Dry, Hard Stools

Dry stools which are difficult to discharge, thin body.

"My stools are dry and hard to pass."

🌀Large Intestine Cold

Loose Stools · Cold Limbs

Loose stools, dull abdominal pain, cold limbs.

"My stools are loose, my belly aches dully, and my limbs feel cold."

🌀Collapse of Large Intestine

Chronic Diarrhoea · Prolapse

Chronic diarrhoea and prolapse ani.

"I've had diarrhoea for a long time and my rectum feels like it's falling out."

🍽️Stomach-Qi deficiency

Morning Tiredness · Epigastric Discomfort

Tiredness in the morning, an uncomfortable feeling in the epigastrium and a Weak Stomach pulse.

"I have no appetite and feel tired, especially in the morning."

🍽️Stomach Deficient and Cold

Better After Eating · Cold Limbs

Discomfort in the epigastrium which is better after eating, tiredness and cold limbs.

"My stomach feels better after eating, and I like warm food and drinks."

🍽️Stomach-Yin deficiency

Dull Epigastric Pain · Dry Mouth

Dull epigastric pain, dry mouth, and a tongue without coating or with rootless coating in the centre.

"My mouth is dry and I have a dull ache in my stomach."

🍽️Stomach-Qi stagnation

Distension · Belching · Irritability

Epigastric distension, belching and irritability.

"My stomach feels bloated, I belch a lot, and I'm irritable."

🍽️Stomach-Heat (or Phlegm-Heat)

Burning Epigastrium · Thirst for Cold

Burning sensation in the epigastrium, thirst with desire to drink cold liquids and a Red tongue with a thick yellow coating (Phlegm-Heat also adds mental derangement, mucus in stools and expectoration of phlegm with a sticky yellow tongue coating).

"I have a burning pain in my stomach and I'm always thirsty for cold drinks."

🍽️Cold invading the Stomach

Sudden Pain · Vomiting

Sudden pain in the epigastrium, vomiting and a Deep-Tight pulse.

"I suddenly got a bad stomach ache and threw up, and I feel cold."

🍽️Stomach-Qi rebelling upwards

Nausea · Belching · Hiccup

Nausea, belching and hiccup.

"I feel nauseous, belch a lot, and get hiccups."

🍽️Damp-Heat in the Stomach

Epigastric Fullness · Nausea

Epigastric fullness, nausea and a sticky yellow tongue coating.

"My stomach feels heavy and full, and I feel nauseous."

🍽️Retention of Food in the Stomach

Fullness · Sour Regurgitation

Epigastric fullness, sour regurgitation and a thick tongue coating.

"My stomach feels full and I burp up sour-tasting food."

🍽️Stasis of Blood in the Stomach

Stabbing Epigastric Pain

Stabbing pain in the epigastrium and a tongue with a purple centre.

"I have a stabbing pain in my stomach, worse at night."

🍽️Stomach- and Spleen-Qi deficiency

Poor Appetite · Tiredness

Poor appetite, epigastric discomfort and tiredness.

"I have no appetite, my stomach feels uncomfortable, and I'm tired."

🍽️Stomach- and Spleen-Yin deficiency

Dry Mouth · Dry Lips

Dry mouth, dry lips, epigastric discomfort, tiredness.

"My mouth and lips are dry, and my stomach feels uncomfortable."

🌾Spleen-Qi deficiency

Tiredness · Loose Stools

Tiredness and loose stools, with a Pale tongue and an Empty pulse.

"I'm tired all the time, have no appetite, and my stools are loose."

🌾Spleen-Yang deficiency

Cold · Loose Stools · Tiredness

Loose stools, tiredness and feeling cold, with a Pale, wet tongue.

"I feel cold, my stools are loose, and I'm tired."

🌾Spleen-Qi sinking

Bearing-Down Sensation

Bearing-down sensation, Weak pulse and other symptoms of Spleen-Qi deficiency.

"I feel a heavy, dragging sensation low in my belly."

🌾Spleen not controlling Blood

Easy Bruising · Bleeding

Fine pulse, Pale tongue and bleeding.

"I bruise easily and notice blood in my stools or urine."

🌾Spleen-Blood deficiency

Tiredness · Scanty Periods

Tiredness, slight abdominal distension and scanty periods.

"I'm tired, my periods are light, and my belly feels slightly bloated."

🌾Cold-Dampness invading the Spleen

Abdominal Fullness · Heavy Head

Abdominal fullness and a sticky white tongue coating.

"My belly feels cold and full, and my head feels heavy."

🌾Damp-Heat invading the Spleen

Fullness · Heaviness · Heat

Abdominal fullness and a sticky yellow tongue coating.

"My belly feels full and heavy, and I feel hot."

🌾Spleen- and Heart-Blood deficiency

Palpitations · Insomnia · Loose Stools

Palpitations, insomnia, loose stools and scanty periods.

"My heart flutters, I can't sleep, and I'm tired with loose stools."

🌾Spleen- and Lung-Qi deficiency

Poor Appetite · Breathless

Poor appetite, tiredness and shortness of breath.

"I have no appetite, feel tired, and get breathless easily."

🌾Spleen- and Liver-Blood deficiency

Loose Stools · Blurred Vision

Loose stools, scanty periods and blurred vision.

"My stools are loose, my periods are light, and my vision is blurry."

🌾Obstruction of Spleen by Dampness with stagnation of Liver-Qi

Epigastric Fullness · Hypochondrial Distension

Fullness of the epigastrium, hypochondrial distension and a thick sticky yellow tongue coating.

"My belly feels full, my sides ache, and I feel irritable."

❤️Heart-Qi deficiency

Light Palpitations

Light palpitations and other Qi-deficiency symptoms.

"My heart flutters and I get breathless when I exert myself."

❤️Heart-Yang deficiency

Cold Hands · Stuffy Chest

Similar to Heart-Qi deficiency, with cold hands and a stuffy chest.

"My heart flutters, my hands are cold, and my chest feels stuffy."

❤️Heart-Yang Collapse

Extreme Weakness · Blue Lips

Extreme Heart-Yang deficiency with cyanosis of the lips.

"I feel extremely weak and breathless, my lips look blue, and my limbs are cold."

❤️Heart-Blood deficiency

Insomnia · Poor Memory

Insomnia, anxiety and poor memory from the Mind being deprived of its residence, with palpitations from Heart-Qi deficiency.

"I can't sleep well, my memory is poor, and my heart flutters."

❤️Heart-Yin deficiency

Restlessness · Night Sweats

Similar to Heart-Blood deficiency, with mental restlessness, night sweating and other symptoms of Empty-Heat.

"I can't sleep, feel restless, and sweat at night."

❤️Heart-Fire blazing

Tongue Ulcers · Palpitations

Tongue ulcers, palpitations and heat symptoms.

"I have mouth ulcers, my heart flutters, and I feel agitated."

❤️Phlegm-Fire harassing the Heart

Agitation · Confusion · Mania

Mental symptoms from Phlegm (loss of insight) and Fire (agitation) obstructing the Heart orifices and disturbing the Mind.

"I feel very agitated and confused, almost manic at times."

❤️Phlegm misting the Mind

Mental Confusion · Throat Rattling

Mental confusion and rattling in the throat from obstruction by Phlegm.

"I feel mentally foggy or confused, and there's a rattling in my throat."

❤️Heart-Qi stagnation

Chest Distension · Lump in Throat

Distension in the chest, a lump in the throat, depression and sighing from emotions causing stagnation in the chest.

"My chest feels tight, I sigh a lot, and I feel low."

❤️Heart vessel obstructed

Stabbing Chest Pain · Can't Lie Down

Chest oppression with stabbing pain, shortness of breath and inability to lie down.

"I have stabbing chest pain and can't lie flat."

❤️Heart-Blood stasis

Stabbing Chest Pain · Purple Lips

Stabbing pain in the chest and cyanosis of the lips, usually deriving from Heart-Yang deficiency.

"I have stabbing chest pain and my lips look purple."

🥣Full-Heat in the Small Intestine

Tongue Ulcers · Painful Urine

Abdominal pain, tongue ulcers and scanty, dark and painful urine.

"I have mouth ulcers and burning, painful urination."

🥣Small Intestine-Qi pain

Twisting Pain · Borborygmi

Lower abdominal twisting pain, borborygmi and a Deep-Wiry pulse.

"I have a twisting pain low in my belly with rumbling sounds."

🥣Small Intestine-Qi Tied

Severe Pain · Constipation · Vomiting

Sudden severe abdominal pain, constipation, vomiting and a Deep-Wiry pulse.

"I have sudden, severe belly pain and I'm constipated."

🥣Infestation of worms in the Small Intestine

Abdominal Pain · Bad Taste

Abdominal pain and distension, bad taste in the mouth, sallow complexion, plus symptoms specific to the type of worm.

"My belly aches and I have a bad taste in my mouth."

🥣Small Intestine Deficient and Cold

Dull Pain · Borborygmi · Diarrhoea

Dull abdominal pain, borborygmi and diarrhoea.

"I have a dull, rumbling belly ache and diarrhoea."

💧Damp-Heat in the Bladder

Burning · Dark Urine

Burning on urination, dark urine and difficult urination.

"It burns when I urinate and my urine is dark."

💧Damp-Cold in the Bladder

Difficult · Pale, Turbid Urine

Difficult urination, a feeling of heaviness, and pale, turbid urine.

"Urinating is difficult and my urine looks pale and cloudy."

💧Bladder Deficient and Cold

Frequent, Pale Urination

Frequent, pale, abundant urination and a Deep-Weak pulse.

"I urinate often, a lot each time, and it's pale."

🫘Kidney-Yang deficiency

Backache · Feeling Cold

Backache, a feeling of cold and a Weak Kidney pulse.

"My lower back aches, I feel cold, and I pass a lot of clear urine."

🫘Kidney-Yin deficiency

Backache · Night Sweats

Backache and night sweating.

"My lower back aches and I sweat at night."

🫘Kidney-Qi not Firm

Dribbling · Backache

Dribbling after urination, chronic vaginal discharge and backache.

"I dribble after urinating and my lower back aches."

🫘Kidneys failing to receive Qi

Breathless on Exertion · Backache

Shortness of breath on exertion, lower backache, pale urination.

"I get breathless just walking, and my lower back aches."

🫘Kidney-Essence deficiency

Weak Knees · Hair Loss

Poor bone development in children; weak knees, falling hair and weak sexual activity in adults.

"My knees feel weak, my hair is thinning, and my sex drive is low."

🫘Kidney-Yang deficiency, Water overflowing

Ankle Oedema · Breathlessness

Oedema of the ankles, breathlessness, a Deep-Weak-Slow pulse and a Pale-Swollen tongue.

"My ankles are swollen and I feel breathless."

🫘Kidney-Yin deficiency, Empty-Heat blazing

Malar Flush · Afternoon Heat

Malar flush, dizziness, tinnitus, a feeling of heat in the afternoon and a Red-Peeled tongue.

"My cheeks flush, I feel hot in the afternoon, and my ears ring."

🫘Kidney- and Liver-Yin deficiency

Dry Eyes · Dry Throat

Dry eyes, dry throat, night sweating, backache and a tongue without coating.

"My eyes and throat feel dry, and I sweat at night."

🫘Kidneys and Heart not harmonized

Palpitations · Tinnitus · Night Sweats

Palpitations, tinnitus, night sweating and a Red tongue without coating, with a redder tip and a midline crack.

"My heart flutters, my ears ring, and I sweat at night."

🫘Kidney- and Lung-Yin deficiency

Dry Cough · Tinnitus

Dry cough, tinnitus and a tongue without coating.

"I have a dry cough, ringing ears, and night sweats."

🫘Kidney- and Spleen-Yang deficiency

Backache · Cold · Loose Stools

Lower backache, feeling of cold, loose stools and a Deep-Weak pulse.

"My lower back aches, I feel cold, and my stools are loose."

💗Heat in the Pericardium

Night Fever · Delirium

Fever at night, delirium and a Red tongue without coating.

"I have a fever at night and feel confused."

💗Blood deficiency of the Pericardium

Chest Discomfort · Insomnia

Discomfort of the chest, palpitations and insomnia.

"My chest feels uncomfortable, my heart flutters, and I can't sleep."

💗Pericardium-Fire

Palpitations · Chest Tightness · Thirst

Palpitations, tightness of the chest, thirst, bitter taste and insomnia.

"My heart flutters, my chest feels tight and hot, and I'm thirsty."

💗Phlegm-Fire harassing the Pericardium

Chest Oppression · Mental Symptoms

Oppression and pain of the chest, mental symptoms, and a Red and Swollen tongue with a sticky yellow coating.

"I feel very agitated and confused, with a heavy feeling in my chest."

💗Qi stagnation in the Pericardium

Palpitations · Chest Distension

Palpitations and a feeling of distension of the chest.

"My chest feels tight and my heart flutters."

💗Blood stasis of the Pericardium

Stabbing Chest Pain · Purple Lips

Stabbing chest pain and purple lips.

"I have stabbing chest pain and my lips look purple."

🍃Dampness in the Gall Bladder

Hypochondrial Fullness · Heaviness

Hypochondrial fullness, a feeling of heaviness and a unilateral sticky tongue coating.

"My skin and eyes look yellowish, and my sides feel full."

🍃Damp-Heat in the Gall Bladder

Fullness · Bitter Taste

Hypochondrial fullness, bitter taste and a thick sticky yellow coating on the right side.

"My sides feel full, I have a bitter taste, and I look jaundiced."

🍃Gall Bladder deficient

Timidity · Indecision

Timidity, lack of initiative and indecision.

"I feel timid, indecisive, and easily startled."

🍃Damp-Heat in the Gall Bladder and Liver

Bitter Taste · Genital Itching

Hypochondrial fullness, bitter taste, sticky yellow coating on the right side, and genital skin rashes and itching.

"My sides feel full, I have a bitter taste, and my genitals itch."

🌳Liver-Qi stagnation

Distension · Moodiness

Distension, depression/moodiness, menstrual problems and a Wiry pulse.

"I feel bloated in my sides and chest, and I'm moody or low."

🌳Stagnant Liver-Qi turning into Heat

Distension · Irritability · Heat

Distension, more pronounced irritability, a feeling of heat and Red sides to the tongue.

"I feel bloated, irritable, and hot, with outbursts of anger."

🌳Rebellious Liver-Qi

Distension · Hiccup · Belching

Liver-Qi rebels horizontally, causing distension, hiccup and belching.

"I burp and feel nauseous, with bloating in my sides."

🌳Liver-Blood stasis

Dark Clotted Blood · Stabbing Pain

Dark, clotted menstrual blood, stabbing menstrual pain and a Purple tongue.

"My periods are painful with dark clots."

🌳Liver-Fire blazing

Headache · Red Face and Eyes

Headache, irritability, red face and eyes and other Heat signs.

"I get angry easily, my face and eyes are red, and I have a headache."

🌳Damp-Heat in the Liver

Fullness · Heaviness · Nausea

A feeling of fullness and heaviness, nausea and a sticky yellow tongue coat.

"My sides feel full, I have a bitter taste, and I feel nauseous."

🌳Stagnation of Cold in the Liver channel

Hypogastric Pain to Scrotum

Hypogastric pain referring to the scrotum and a Wiry-Deep-Slow pulse.

"I have pain low in my belly that goes down to my groin, and I feel cold."

🌳Liver-Blood deficiency

Blurred Vision · Scanty Periods

Blurred vision, scanty periods, a dull-pale face and a Pale tongue, more common in women.

"My vision is blurry, my periods are light, and I look pale."

🌳Liver-Yin deficiency

Blurred Vision · Dry Eyes

Blurred vision, dry eyes and a tongue without coating.

"My vision is blurry and my eyes feel dry."

🌳Liver-Yang rising

Headache · Irritability

Headache, irritability and a Wiry pulse, deriving from deficiency of Liver- or Kidney-Yin or Liver-Blood.

"I get headaches, feel irritable, and lose my temper easily."

🌳Extreme Heat generating Wind

Convulsions · High Fever

Convulsions and high temperature.

"I have a high fever and I'm convulsing."

🌳Liver-Yang rising deriving from Liver-Yin deficiency

Tremor · Dizziness · Dry Eyes

Tremor, dizziness and headache with dry eyes.

"I have tremors, dizziness, and a headache with dry eyes."

🌳Liver-Yang rising deriving from Liver- and Kidney-Yin deficiency

Tremor · Backache · Night Sweats

Tremor, backache and night sweating.

"I have tremors, my back aches, and I sweat at night."

🌳Liver-Yang rising deriving from Liver-Blood deficiency

Tremor · Dizziness · Insomnia

Tremor, dizziness and insomnia with a Pale tongue.

"I have tremors, dizziness, and trouble sleeping."

🌳Liver-Fire generating Wind

Tremor · Irritability · Red Face

Tremor, irritability, red face and eyes; more common in the elderly.

"I have tremors and get angry easily — this is more common as I've gotten older."

🌳Liver-Blood deficiency generating Wind

Fine Tremor · Numbness

Fine tremor, tic, numbness and scanty periods.

"I have a fine tremor or twitch, some numbness, and light periods."

🌳Rebellious Liver-Qi invading the Spleen

Distension · Alternating Bowel Habits

Abdominal distension, alternating constipation and diarrhoea, due to Wood overacting on Earth.

"I go back and forth between constipation and diarrhoea, with belly pain."

🌳Rebellious Liver-Qi invading the Stomach

Epigastric Pain · Hiccups

Epigastric pain and oppression, hiccups and belching, due to Liver-Qi interfering with the descending of Stomach-Qi.

"I get stomach pain, burp, and feel nauseous."

🌳Liver-Fire insulting the Lungs

Asthma · Headache · Hypochondrial Fullness

Asthma, fullness of the hypochondrium, headache and a Wiry pulse.

"I feel breathless or wheeze, with a headache and full feeling in my sides."

🌳Liver- and Heart-Blood deficiency

Palpitations · Blurred Vision · Insomnia

Palpitations, blurred vision, insomnia and a Pale tongue.

"My heart flutters, my vision is blurry, and I can't sleep well."