Treatment Steps: Collect information > Differentiate disease and syndrome > Seek formula and modify > Feedback and repeat
1: Wang Shen (Observation of Spirit) = Eye appearance + Qi color + Spirit expression + Body posture
2: Good spirit + Bright eyes + Fluent responses = De Shen (Spirit obtained)
3: Fatigue + Dullness + Lethargy + Unwillingness to speak = Shao Shen (Less spirit)
4: Stupor + Slurred speech + Confused consciousness = Shi Shen (Lost spirit)
5: Frenzy + Fainting = Shi Shen (Lost spirit)
6: Long illness + Improvement phenomenon + Red complexion + Increased appetite = Jia Shen (False spirit at the end)
7: Middle-aged + Hypertension + Sudden fainting = Zhong Feng (Stroke with hemiplegia)
8: Past medical history + Sudden collapse + Convulsions + Eyes rolling upwards = Xian (Seizures)
Stroke is divided into Zhong Jing Luo (stroke affecting meridians) and Zhong Zang Fu (stroke affecting organs)
9: Gradual onset + Middle-aged + Numbness + Limbs weakness + Consciousness intact = Zhong Jing Luo
10: Sudden fainting + Middle-aged + Weakness of limbs after waking = Zhong Zang Fu
11: Chills + Fever + Flu-like symptoms = Biao Zheng (Exterior syndrome)
12: Thin white tongue coating + Floating pulse + Clear nasal discharge + White phlegm + Short illness + Chills = Feng Han (Wind-cold)
13: Thin yellow tongue coating + Rapid pulse + Yellow phlegm + Thick nasal discharge + Sore throat = Feng Re (Wind-heat)
14: Aversion to wind + Sweating + Headache = Shang Feng (Common cold)
15: Cold limbs + Cold sweat + Pale complexion + Weak Qi + Weak pulse = Wang Yang (Loss of Yang)
16: Body heat + Oily sweat + Rapid pulse + Irritability + Skin retraction = Wang Yin (Loss of Yin)
17: Aversion to cold + Cold limbs + Pale tongue + Fatigue + Long illness + Slow pulse = Yang Xu (Yang deficiency)
18: Tidal fever + Night sweats + Red tongue + Little coating + Long illness = Yin Xu (Yin deficiency)
19: Fatigue + Pale complexion + Weakness + Worsening after exertion + Weak pulse = Qi Xu (Qi deficiency)
20: Irregular breathing + Open mouth + Profuse sweating + Weakness + Weak pulse = Qi Tuo (Qi collapse)
21: Distension pain + Oppression + Belching + Great emotional influence + No visible shape upon palpation + Fluctuating severity = Qi Zhi (Qi stagnation)
22: Sudden fainting + Severe pain + Closed mouth + Sense of suffocation = Qi Bi (Qi obstruction)
23: Pale lips + Dizziness + Scant menstruation + Pale tongue + Thin pulse = Xue Xu (Blood deficiency)
24: Fixed pain or fever + Needle-like pain + Cyanosis + Abnormal lumps = Xue Yu (Blood stasis)
25: Bleeding + Crimson tongue + Rapid pulse + Purple rash = Xue Re (Blood heat)
26: Cold pain + Numbness + Relief after warmth + Local cyanosis + Pale purple lips = Xue Han (Blood cold)
27: Dry + Thirsty + Thin + Weak pulse = Jin Kui (Fluid deficiency)
28: Depressed water retention + Ascites + Difficult urination + Slippery and greasy tongue coating = Shui Ting (Water retention)
29: Clear phlegm + Excess phlegm + Vibrating water sound + Chest water sign + Strong bowel sounds + Barrel-shaped chest = Yin Zheng (Fluid syndrome)
30: Distension + Fullness + Poor appetite + White greasy tongue coating + Fatigue + Loose stools = Nei Shi (Internal dampness)
31: Qi Xu + Xue Xu = Qi Xue Liang Xu (Dual deficiency of Qi and Blood)
32: Qi Xu + Xue Yu = Qi Xu Xue Yu (Qi deficiency and Blood stasis)
33: Qi Xu + Bleeding = Qi Bu She Xue (Qi not holding Blood)
34: Acute massive bleeding + Qi Xu + Shock symptoms = Qi Sui Xue Tuo (Qi lost with Blood)
35: Qi Zhi + Xue Yu + Qi Zhi Xue Yu = Qi Zhi Xue Yu (Qi stagnation and Blood stasis)
36: Qi Xu + Fluid loss = Qi Bu Guo Jin (Qi not holding fluids)
37: Acute massive fluid loss + Qi Xu = Qi Sui Jin Tuo (Qi lost with fluids)
38: Internal dampness + Qi Xu = Qi Zhi Jin Ting (Qi stagnation and fluid retention)
39: Dryness + Xue Xu + Long illness = Jin Xue Liang Kui (Fluid and Blood deficiency)
40: Phlegm syndrome + Yu syndrome + Long illness = Tan Yu Hu Jie (Phlegm and Blood stasis)
41: Palpitations + Qi Xu = Xin Qi Xu (Heart Qi deficiency)
42: Palpitations + Yang Xu + Qi Xu = Xin Yang Xu (Heart Yang deficiency)
43: Loss of Yang + History of Heart Yang deficiency + Acute onset = Xin Yang Bao Tuo (Heart Yang collapse)
44: Xue Xu + Palpitations = Xin Xue Xu (Heart Blood deficiency)
45: Yin Xu + Palpitations = Xin Yin Xu (Heart Yin deficiency)
46: Palpitations + Chest tightness + Xue Yu + Acute heart pain history = Xin Mai Bi Zhu (Heart vessel obstruction)
47: Stupor + Dullness + Depression + Phlegm + Fainting = Tan Meng Xin Qiao (Phlegm obstructing the heart)
48: Excessive spirit + Mouth and tongue sores + Fire heat symptoms = Xin Huo Kang Sheng (Excessive heart fire)
49: Agitation + Precursor of excessive heart fire + Qi stagnation history = Tan Huo Rao Xin (Phlegm fire disturbing the heart)
50: History of excessive heart fire symptoms + Urinary tract irritation symptoms = Xiao Chang Shi Re (Small intestine heat)
51: Dysuria + Dribbling + Pain = Urinary Tract Irritation Symptoms
52: Low voice cough + Qi Xu + Prone to colds = Fei Qi Xu (Lung Qi deficiency)
53: Dry cough + Hemoptysis + Yin Xu + Long illness = Fei Yin Xu (Lung Yin deficiency)
54: Dry cough + Little phlegm + Phlegm difficult to expel + Short illness + Cold symptoms = Feng Zao Fan Fei (Wind dryness invading the lungs)
55: Chronic cough + Cold water symptoms + Wheezing = Han Yin Zhu Fei (Cold phlegm obstructing the lungs)
56: High fever + Wheezing cough + Yellow phlegm = Tan Re Yong Fei (Phlegm heat obstructing the lungs)
57: Abdominal pain + Pus and blood + Loose stools + Violent diarrhea + Burning sensation after defecation = Da Chang Shi Re (Large intestine damp-heat)
58: High fever + Thirst + Constipation + Acute exacerbation + Abdominal pain + Irritability = Chang Re Fu Shi (Intestinal heat excess)
59: Long illness + Constipation + History of fluid loss = Chang Zao Jin Kui (Intestinal dryness and fluid deficiency)
60: Chronic diarrhea + Yang Xu + Watery stools = Da Chang Xu Han (Large intestine deficiency-cold)
61: Reduced appetite + Abdominal distension + Unregulated stools + Qi Xu + Long illness = Pi (Wei) Qi Xu (Spleen (Stomach) Qi deficiency)
62: Spleen and stomach Qi deficiency + Long illness + Yang Xu symptoms = Pi (Wei) Yang Xu (Spleen (Stomach) Yang deficiency)
63: Feeling of heaviness + Organ prolapse + Qi Xu symptoms = Pi Xu Qi Xian (Spleen deficiency Qi sinking)
64: Bleeding + Qi Xu + Chronic exacerbation = Pi Bu Tong Xue (Spleen not holding blood)
65: Internal dampness + Reduced appetite + Slight Yang Xu symptoms = Han Shi Kun Pi (Cold damp obstructing the spleen)
66: Distension and fullness + Bitter mouth + Damp-heat symptoms = Shi Re Yun Pi (Damp-heat accumulating in the spleen)
67: Hidden stomach pain + Dry heaving + Discomfort in the stomach + Fluctuating severity + Little food intake + Relief after eating = Wei Yin Xu (Stomach Yin deficiency)
68: Severe stomach pain + Curling up + Relief after warmth + History of cold + Refusal to press = Han Ning Wei Wan (Cold congealing in the stomach)
69: Burning stomach pain + History of spicy food + Bad breath + History of gum pain = Wei Huo Zhi Sheng (Stomach fire blazing)
70: History of feasting + Acid belching + Distension pain + Nausea + Excessive gas + Relief after defecation = Shi Zhi Wei Wan (Food stagnation in the stomach)
71: Stomach distension pain + Wandering pain + Relief after passing gas + Emotional influence = Wei Wei Qi Zhi (Stomach Qi stagnation)
72: Muscle and tendon nourishment loss + Blood Xu + Scant menstruation = Gan Xue Xu (Liver blood deficiency)
73: Muscle and tendon nourishment loss + Yin Xu + Late stage of heat disease = Gan Yin Xu (Liver Yin deficiency)
74: Depression + Mood swings + Qi stagnation symptoms + Irregular menstruation = Gan Yu Qi Zhi (Liver Qi stagnation)
75: History of liver depression + Heat symptoms = Jiu Yu Hua Huo (Long-term depression transforming into fire)
76: Dizziness + Distension pain + Irritability + Rib pain + Heat symptoms = Gan Huo Zhi Sheng (Liver fire blazing)
77: Liver Yin Xu + Dizziness + Distension pain + Middle-aged + Mild liver fire symptoms = Gan Yang Shang Kang (Liver Yang rising)
78: History of liver Yang rising + Muscle and nerve symptoms = Gan Yang Hua Feng (Liver Yang transforming into wind)
79: High fever + Children + Seizure-like symptoms = Re Ji Sheng Feng (Heat extreme generating wind)
80: History of liver Yin deficiency + Tremors of hands and feet = Yin Xu Sheng Feng (Yin deficiency generating wind)
81: History of liver blood deficiency + Muscle tremors + Numbness = Xue Xu Sheng Feng (Blood deficiency generating wind)
82: Lower abdominal pain + Testicular pain + Relief from warmth + Tight pulse = Han Ning Gan Mai (Cold congealing in the liver meridian)
83: External genitalia damp-heat symptoms + Bitter mouth + Aversion to oil + Yellowing = Gan Dan Shi Re (Liver and gallbladder damp-heat)
84: Easily startled + Insomnia + Dizziness + Bitter mouth = Dan Yu Tan Rao (Gallbladder depression phlegm disturbing)
85: Cold pain in the waist and knees + Decreased sexual function + Yang Xu = Shen Yang Xu (Kidney Yang deficiency)
86: Soreness and weakness + Dizziness + Increased sexual function + Yin Xu + Scant menstruation = Shen Yin Xu (Kidney Yin deficiency)
87: Congenital developmental disorders + Decreased sexual function = Shen Jing Bu Zu (Kidney essence deficiency)
88: Kidney deficiency symptoms + Kidney system sliding (spermatorrhea, enuresis, slippery sperm, slippery fetus) = Shen Qi Bu Guo (Kidney Qi not solid)
89: Kidney Yang deficiency + Water retention + Lower body = Shen Xu Shui Fan (Kidney deficiency with water flooding)
90: Wheezing + Kidney deficiency + Long-term chronic illness = Shen Bu Na Qi (Kidney not receiving Qi)
91: Dysuria + Dribbling + Pain + Damp-heat = Bladder Damp-heat
92: Kidney Yin deficiency + Heart Yin deficiency – Palpitations = Xin Shen Bu Jiao (Heart and Kidney not communicating)
93: Spleen Qi deficiency + Heart Blood deficiency = Xin Pi Liang Xu (Heart and Spleen deficiency)
94: Heart Yang deficiency + Kidney Yang deficiency = Xin Shen Yang Xu (Heart and Kidney Yang deficiency)
95: Heart Qi deficiency + Lung Qi deficiency = Xin Fei Qi Xu (Heart and Lung Qi deficiency)
96: Heart Blood deficiency + Liver Blood deficiency = Xin Gan Xue Xu (Heart and Liver Blood deficiency)
97: Spleen Qi deficiency + Wheezing + Weakness + Long illness = Fei Pi Qi Xu (Lung and Spleen Qi deficiency)
98: Lung Yin deficiency + Kidney Yin deficiency = Fei Shen Yin Xu (Lung and Kidney Yin deficiency)
99: Liver Yin deficiency + Kidney Yin deficiency = Gan Shen Yin Xu (Liver and Kidney Yin deficiency)
100: History of Liver fire blazing + Lung heat cough and wheezing = Gan Huo Fan Fei (Liver fire invading the lungs)
101: Liver depression history + Spleen deficiency symptoms = Gan Yu Cheng Pi (Liver depression invading the Spleen)
102: Qi stagnation + Distension pain + Stomach discomfort + Emotional influence = Gan Wei Bu He (Liver and Stomach disharmony)
103: Spleen Yang deficiency + Kidney Yang deficiency = Pi Shen Yang Xu (Spleen and Kidney Yang deficiency)
Wang Shen = Eye appearance + Qi color + Spirit expression + Body posture De Shen = Good spirit + Bright eyes + Fluent responses Shao Shen = Fatigue + Dullness + Lethargy + Unwillingness to speak Shi Shen = Stupor + Slurred speech + Confused consciousness Jia Shen = Long illness + Improvement phenomenon + Red complexion + Increased appetite Zhong Feng = Middle-aged + Hypertension + Sudden fainting Xian = Past medical history + Sudden collapse + Convulsions + Eyes rolling upwards Stroke = Zhong Jing Luo (stroke affecting meridians) and Zhong Zang Fu (stroke affecting organs) Zhong Jing Luo = Gradual onset + Middle-aged + Numbness + Limbs weakness + Consciousness intact Zhong Zang Fu = Sudden fainting + Middle-aged + Weakness of limbs after waking Biao Zheng = Chills + Fever + Flu-like symptoms Feng Han = Thin white tongue coating + Floating pulse + Clear nasal discharge + White phlegm + Short illness + Chills Feng Re = Thin yellow tongue coating + Rapid pulse + Yellow phlegm + Thick nasal discharge + Sore throat Shang Feng = Aversion to wind + Sweating + Headache Wang Yang = Cold limbs + Cold sweat + Pale complexion + Weak Qi + Weak pulse Wang Yin = Body heat + Oily sweat + Rapid pulse + Irritability + Skin retraction Yang Xu = Aversion to cold + Cold limbs + Pale tongue + Fatigue + Long illness + Slow pulse Yin Xu = Tidal fever + Night sweats + Red tongue + Little coating + Long illness Qi Xu = Fatigue + Pale complexion + Weakness + Worsening after exertion + Weak pulse Qi Tuo = Irregular breathing + Open mouth + Profuse sweating + Weakness + Weak pulse Qi Zhi = Distension pain + Oppression + Belching + Great emotional influence + No visible shape upon palpation + Fluctuating severity Qi Bi = Sudden fainting + Severe pain + Closed mouth + Sense of suffocation Xue Xu = Pale lips + Dizziness + Scant menstruation + Pale tongue + Thin pulse Xue Yu = Fixed pain or fever + Needle-like pain + Cyanosis + Abnormal lumps Xue Re = Bleeding + Crimson tongue + Rapid pulse + Purple rash Xue Han = Cold pain + Numbness + Relief after warmth + Local cyanosis + Pale purple lips Jin Kui = Dry + Thirsty + Thin + Weak pulse Shui Ting = Depressed water retention + Ascites + Difficult urination + Slippery and greasy tongue coating Yin Zheng = Clear phlegm + Excess phlegm + Vibrating water sound + Chest water sign + Strong bowel sounds + Barrel-shaped chest Nei Shi = Distension + Fullness + Poor appetite + White greasy tongue coating + Fatigue + Loose stools Qi Xue Liang Xu = Qi Xu + Xue Xu Qi Xu Xue Yu = Qi Xu + Xue Yu Qi Bu She Xue = Qi Xu + Bleeding Qi Sui Xue Tuo = Acute massive bleeding + Qi Xu + Shock symptoms Qi Zhi Xue Yu = Qi Zhi + Xue Yu Qi Xu Bu Guo Jin = Qi Xu + Fluid loss Acute massive fluid loss + Qi Xu = Qi Sui Jin Tuo = Acute massive fluid loss + Qi Xu Qi Zhi Jin Ting = Internal dampness + Qi Xu Jin Xue Liang Kui = Dryness + Xue Xu + Long illness Tan Yu Hu Jie = Phlegm syndrome + Yu syndrome + Long illness Xin Qi Xu = Palpitations + Qi Xu Xin Yang Xu = Palpitations + Yang Xu + Qi Xu Xin Yang Bao Tuo = Loss of Yang + History of Heart Yang deficiency + Acute onset Xin Xue Xu = Xue Xu + Palpitations Xin Yin Xu = Yin Xu + Palpitations Xin Mai Bi Zhu = Palpitations + Chest tightness + Xue Yu + Acute heart pain history Tan Meng Xin Qiao = Stupor + Dullness + Depression + Phlegm + Fainting Xin Huo Kang Sheng = Excessive spirit + Mouth and tongue sores + Fire heat symptoms Tan Huo Rao Xin = Agitation + Precursor of excessive heart fire + Qi stagnation history Xiao Chang Shi Re = Small intestine heat Dysuria + Dribbling + Pain + Damp-heat = Bladder Damp-heat Kidney Yin deficiency + Heart Yin deficiency – Palpitations = Xin Shen Bu Jiao (Heart and Kidney not communicating) Spleen Qi deficiency + Heart Blood deficiency = Xin Pi Liang Xu (Heart and Spleen deficiency) Heart Yang deficiency + Kidney Yang deficiency = Xin Shen Yang Xu (Heart and Kidney Yang deficiency) Heart Qi deficiency + Lung Qi deficiency = Xin Fei Qi Xu (Heart and Lung Qi deficiency) Heart Blood deficiency + Liver Blood deficiency = Xin Gan Xue Xu (Heart and Liver Blood deficiency) Spleen Qi deficiency + Wheezing + Weakness + Long illness = Fei Pi Qi Xu (Lung and Spleen Qi deficiency) Lung Yin deficiency + Kidney Yin deficiency = Fei Shen Yin Xu (Lung and Kidney Yin deficiency) Liver Yin deficiency + Kidney Yin deficiency = Gan Shen Yin Xu (Liver and Kidney Yin deficiency) History of Liver fire blazing + Lung heat cough and wheezing = Gan Huo Fan Fei (Liver fire invading the lungs) Liver depression history + Spleen deficiency symptoms = Gan Yu Cheng Pi (Liver depression invading the Spleen) Qi stagnation + Distension pain + Stomach discomfort + Emotional influence = Gan Wei Bu He (Liver and Stomach disharmony) Spleen Yang deficiency + Kidney Yang deficiency = Pi Shen Yang Xu (Spleen and Kidney Yang deficiency)