American Style Chinese Herbal Remedies Series

Basic Theory of Internal Diseases

Chapter One

Diseases

Section One: Basic Information

1. Definition of internal diseases

The definition of internal disease is the disorder or incorrectly functioning of organs, parts, structures, systems; which is resulting from the effect of external and internal genetic, pathogenic microorganism contagious infection, chemical acting poisons or toxicity, physical unfavorable and abnormal environmental factors, injury from physical and psychological damage; life energy property mutation and release of negative gene information heat, and chronic accumulating inflammation heat to cause body circulation and lubrication liquid deficiency, dehydration and blood heat conditions.

The weak immune function and material is a reason to cause body easy get attack by pathogens; the aging is one of main reason to cause weak immune function and deficiency of immune material; the external and internal of pathogens are important reasons to directly cause diseases; The pathogenesis is a main key to control the develops of diseases; the pathogen and pathogenesis phenomenon’s of diseases usually is showing on the location, direction, property, degree, stages, conditions, and situations.

The mainly indication of diseases are negative objective signs and subjective symptoms. The mainly indication and manifestation of disease are multiple negative signs, symptoms and patterns in one disease.

The internal disease is part of aging process; the main pathogens and pathogenesis of internal disease are dry heat and yin liquid deficiency. The many pathogenesis can cause one disease; the one of main pathogenesis can cause many diseases.

The purpose of internal diseases is to make the body ill and take away life. We cannot keep life going on forever, but we can try to keep diseases away from the physical body and mental mind.

2. The location of pathogen and pathogenesis of phenomenon of disease

The pathogens and pathogenesis can be located at upper or lower area of body The pathogens and pathogenesis can be located at front or back area of body The pathogens and pathogenesis can be located at internal or external area of body The pathogens and pathogenesis can be located at left or right area of body The pathogens and pathogenesis can be located at left upper or right lower area of body

The pathogens and pathogenesis can be located at right upper and left lower area of body

3. The direction of pathogen and pathogenesis of phenomenon of disease

The direction of pathogens and pathogenesis can be spreading or astringent The direction of pathogens and pathogenesis can be rising or seeking down The direction of pathogens and pathogenesis can be toward to external or internal The direction of pathogens and pathogenesis can be toward to left or right The direction of pathogens and pathogenesis can be toward to front or back The direction of pathogens and pathogenesis can be toward to left upper or right lower The direction of pathogens and pathogenesis can be toward to right upper or left lower The direction of pathogens and pathogenesis can be opening or closing The direction of pathogens and pathogenesis can be transfer or block

4. The property of pathogen and pathogenesis of phenomenon of disease

The property of pathogens and pathogenesis can be dry or dry with cold, heat, damp. The property of pathogens and pathogenesis can be cold or cold with heat, dry, damp. The property of pathogens and pathogenesis can be heat, or heat with cold, dry, damp. The property of pathogens and pathogenesis can be damp, or damp with cold, heat, dry. The property of pathogens and pathogenesis can be damp heat with damp cold The property of pathogens and pathogenesis can be dry heat with dry cold The property of pathogens and pathogenesis can be dry heat with damp heat The property of pathogens and pathogenesis can be dry heat with damp cold The property of pathogens and pathogenesis can be dry cold with damp cold The property of pathogens and pathogenesis can be dry cold with damp heat

5. The degree of pathogen and pathogenesis of phenomenon of disease

The degree of pathogens and pathogenesis can be hyper or hypo condition The degree of pathogens and pathogenesis can be hyper with hypo condition The degree of pathogens and pathogenesis can be hyper reaction or hypo none reaction The degree of pathogens and pathogenesis can be hyper glycaemia or hypo glycaemia The degree of pathogens and pathogenesis can be excess or deficiency condition The degree of pathogens and pathogenesis can be excess with deficiency condition The degree of pathogens and pathogenesis can be high temperature or low temperature The degree of pathogens and pathogenesis can be high temperature with low temperature The degree of pathogens and pathogenesis can be high temperature with cold sensation The degree of pathogens and pathogenesis can be low temperature with hot flush The degree of pathogens and pathogenesis can be dehydration or edema condition The degree of pathogens and pathogenesis can be dehydration with edema condition The degree of pathogens and pathogenesis can be forceful pulse with slow pulse The degree of pathogens and pathogenesis can be fast pulse with weak pulse The degree of pathogens and pathogenesis can be insomnia or tiredness condition The degree of pathogens and pathogenesis can be insomnia with tiredness condition

Section Two: Classification of Diseases

1. Common classification of diseases

1.1 Contagious Diseases

Bacteria, virus, rckettsiosis, chlamydial, mycoplasma, fungi, syphilis, parasite.

1.2 Chemical Factors Diseases

Medication poisoning, any kinds chemical poisoning, smoking poisoning, alcohol poisoning, drug poisoning, animal bite poisoning, plant poisoning, occupational sickness.

1.3 Physics Factors Diseases

High altitude sickness, decompression disease, radiation diseases, heat stroke, accidental hypothermia, drowning, electrical injury, noise injury, motion sickness, occupational sickness, catch abnormal six weather factors (wind, cold, damp heat, damp, dryness, heat).

1.4 Injury (physical and psychology)

Sport (over and lack), wound, over sex activity, over nutrition, deficiency nutrition, emotion factors, psyche factors.

1.5 Genetic Diseases

Diseases directly cause from heredity before born Genomics.energy.gov website point out “A genetic disorder is a disease caused by abnormalities in an individual’s genetic material (genome). The four different types of genetic disorders are (1) single-gene, (2) multifactorial, (3) chromosomal, and (4) mitochondrial”.

Diseases indirectly cause from heredity after bornCancer, heart diseases, diabetes, asthma, over weight

1.6 Internal Diseases

Include all systems diseases Include metabolisms diseases Include all mental diseases

2. Classification of diseases base on pathogens

2.1 Cold pathogens and pathogenesis (warm yang energy deficiency)

Common cold, accidental hypothermia, frosty bite, motion sickness.

2.2 Excess heat pathogens and pathogenesis (cold yin energy deficiency) (heat stroke)

2.3 Dampness pathogens and pathogenesis (dry energy deficiency)

2.3.1 Excess Water

2.3.2 Damp cold pathogens and pathogenesis (warm and dry energy deficiency)2.3.2.1 Bacteria’s diseases (candidiasis)2.3.2.2 Virus’s diseases (stomach flu)

2.3.3 Damp heat pathogens and pathogenesis (cold and dry energy deficiency)2.3.3.1 Virus’s diseases (hepatitis A, shingle, herpes simplex)2.3.3.2 Bacteria’s Diseases

Tonsillitis, bronchitis, pneumonia, enterogastritis, food poisoning, dysentery, mastadenitis, boil, septicemia, candidiasis.

3. Dry pathogens and pathogenesis

3.1 Excess mineral

3.2 Excess air

3.3 Dry heat pathogens and pathogenesis (cold and moisture energy deficiency)

3.3.1 Virus’s Diseases

Virus flu, hepatitis B, C; shingle, herpes simplex, infectious mononucleosis, AIDS (Acquired Immune Deficiency Syndrome).

3.3.2 Borrelia burgforferi (lyme disease)3.3.3 Poisoning (drug addiction, chemical poisoning, alcoholic intoxication, smoking) 3.3.4 Physics factors (radiation sickness, noise sickness)

4. Energy deficiency (protein, fatty, sugar, vitamin and other mineral nutrition)

5. Energy excess (protein, fatty, sugar, vitamin and other mineral nutrition)

6. Energy carrier deficiency (oxygen, body water, minerals)

7. Excess energy carrier (oxygen, carbon dioxide, body water, minerals)

Section Three: Study Items of Internal Diseases

1. Definition (use colitis as an example)

2. Symptoms of disease

2.1 Main symptoms2.1.1 Bloody diarrhea is one of main symptom.2.1.2 Abdominal pain is one of main symptom.2.2 Digestion symptoms2.3 Other symptoms2.4 Symptoms characters

Family Age Sex Nationality Emotion and spirit Geography Season Weather Diet Life habit Stadium characters Western Medical Examination Inducement (the factors cause flare up) Complication Transfer direction Progression

3. Symptoms Analysis

3.1 Main symptoms3.1.1 Bloody diarrhea is one of main symptom.3.1.2 Abdominal pain is one of main symptom.

3.2 Digestion symptoms3.3 Other symptoms

3.4 Symptoms characters

Family...... this is reflecting gene heat condition Age……this is reflecting life energy timing and degree condition Sex……this is reflect energy yin and yang property Emotion and spirit……this is reflecting brain energy condition Geography…… this is reflecting earth seven elements energy material condition

Season……this is reflecting universal energy time table condition Weather……this is reflecting sky energy condition Diet……this is reflecting postnatal energy property condition Life habit…… this is reflecting postnatal energy activity condition Stadium characters …… this is reflecting a stage of a disease condition

Western Medical Examination Inducement (the factors cause flare up) Complication Prognosis

4. Evaluation information and explanation

Pulse……this is mainly reflecting external area energy condition Tongue……this is reflecting blood liquid condition Coating……this is mainly reflecting digestion system condition Hand nail……this is mainly reflecting upper body internal condition Toe nail…… this is mainly reflecting lower body internal condition Iridology……this is mainly reflect internal and deep body area condition

5. Disease Location 6. Disease Property7. Disease Condition8. Pathogens9. Pathogenesis 10. Discuss & Analysis Disease 11. Main patterns12. Principle of Remedy13. Formulas 14. Combination

15. Diet Suggestion15.1 Diet: try not to over eat, drink, or take…15.2 Activities client doing: 15.3 Suggestions doing:

16. Other Source16.1 Common symptoms in Traditional Chinese Medicine16.2 Other Pathogens16.3 Other Pathogenesis16.4 Other Patterns16.5 Other Remedy Principle16.6 Other Formulas 16.7 Other solutions relate use herbal formulas

17. Precaution

18. Prevention

18.1 Prevention for do not catch ulceration colitis18.1.1 Early symptoms18.1.2 Early signs18.1.3 Early prevention principle18.1.4 Early prevention remedies

18.2 Prevention for already catch ulceration colitis18.2.1 Early symptoms18.2.2 Early signs18.2.3 Early prevention principle18.2.4 Early prevention remedies

Section Four: Pathogenesis Stages of Internal Diseases

1. Generation & Creation

The generation of pathogenesis is phase or form in the pathogens life cycle of a characterized by a type of dry and heat. Upper generation life catches and carry pathogen heat can minimize into microcosmic size, and transfer to next generation by giving a birth. Only dry and heat can be minimized, the damp heat and cold pathogens cannot go through the minimize procedural.

So the generation of pathogenesis is point to gene dry heat, or heredity dryness and heat. When upper generation has any kind’s severe diseases, these severe diseases will leave pathogen in the body; and body will record and store the pathogen’s property and characters; also transfer to next generation. This is a first step of disease for next generation. The body immune function is above 95% amount.

2. Accumulation and Incubation

Accumulation is an act or process of collecting together or becoming collected. Incubation is an act of warming eggs in order to hatch them, as by a bird sitting upon a clutch of eggs in a nest. This procedural have two kind’s activity, one is dryness, heat, or other kind’s property pathogens. Continue accumulate heredity dry heat; two is accumulate after born pathogen. The body immune function is above 90% amount.

3. Stagnation

Stagnation is a state of inactivity situation. It is a procedural of continue accumulation; it is a procedural of gain the power for pathogens; It is a way to avoid immune qi and yin liquid to clear out of body; it is a way to disturb and reduce body normal physiology activity and good warm energy, nutrition yin liquid, and to created more abnormal heat. The body immune function is above 85% amount.

4. Dissemination and Variation

Dissemination is spread widely, as in sowing seed. It is indicating pathogen dryness and heat amount increase to high level; it is indicating pathogen dry and heat start moving to external area from internal area.

Variation is something slightly different from another of the same type. It is indicating pathogen dry and heat release to different system and area then become to different type of heat; such as the dry heat go into blood, then become to blood heat; the dry heat go into body liquid, then become to damp heat; the dry heat go into different organs, then become to different organs heat. The body immune function is above 80% amount.

5. Radiation

Radiation is emission of pathogen dry heat in the form of rays or waves showing on the body surface; such as dry skin, rash, red or dark spot. This is indicating pathogen dry heat going into shining stage from dark stage; this is indicating pathogen dry heat going into high level consuming body liquid from low level consuming body liquid stage. The body immune function is above 75% amount.

6. Stimulation

Stimulation is to increase the activity of pathogens, and cause excite, invigorate situation and condition; such as over drinking alcohol, sweet, carbon dioxide and energy drinking; too sweet, too salty, too spicy food; too much fruit; too much exercise. All this stimulation will deplete body cold energy and yin liquid, and increase up pathogen dry heat amount and property.

This stimulation usually is coming from outside of body; this is foreign risk factors. This stimulation will boost pathogen property and power amount and ability. This is indicating before turning into obviously attack’s body good energy from underline consume body good energy; this is a last chance to isolate, clear out pathogen dry heat; this is a last chance to prevent pathogen property change to the malignant condition. The body immune function is above 70% amount.

7. Mutation

Mutation is a negative change procedural; it is pathogen property change to malignant from benign; it is pathogen amount change to huge from small; it is pathogen direction change to ready opening from closing; it is pathogen situation change to ready attach from not ready attach; it is pathogen condition change to unsteady from steady; it is pathogen condition change to detect from not be able to detect; it is pathogen image change to showing from stealth; it is pathogen image change to clear and three dimensional shape from cloudy chaos. This condition and situation is only can reduced pathogen amount, not change the malignant property back to negative property. The body immune function is above 55% amount.

8. Initiation

Initiation is an action of none contagious disease which sets off a chain reaction in pathogen dries heat which has reached to the critical state. The initiation is an action of disease onset or flare up; the initiation is a sign of pathogen dry heat finished procedural of build up a disease or diseases; risk factors of initiation are bone fracture; catch severe cold or wind heat with high fever; lost blood liquid; lost body liquid. The body immune function is below 50% amount.

9. Manifestation

Manifestation is an act of demonstrating; it is a clear visible appearance abnormal indications. Usually is indicated by symptoms, abnormal signs. The manifestation has two kinds action, one is acute, and another is chronic.

The common acute manifestations are severe pain, high degree fever, lost consciousness, severe spasm, large amount bleeding, difficulty breath, severe dizzy, palpitation, severe diarrhea, sudden severe lose weight, severe tiredness.

The common chronic manifestations are mild pain, spasm, diarrhea, lose weight, tiredness, low degree fever, low amount bleeding. The body immune function is below 50% amount.

10. Promotion

Promotion is an action of encouragement, development, and increase up pathogen dry heat property, amount, and attack’s ability to cause body resistant ability and immune function drop down. Because all the manifestation will reduced the good energy qi and yin liquid; the pathogen dry heat will naturally stronger, to generate more pathogen dry heat, the attacking ability will increase up quickly to take second time attacking action. Promotion is second time attacking action from pathogen dry heat. The body immune function is below 40% amount.

11. Excitation

Excitation is a state of extreme hyper condition, which is result from hyper emotionally pathogen dries heat after attacking body. The symptoms and signs are intense; for example, high degree of pain degree, chronic pain; but the symptoms and signs are still stay same system; this is third wave of attacking action from pathogen dry heat. The body immune function is below 35% amount.

12. Complication

It is a secondary disease; it is a disease or disorder arising as a complex consequence of another disease; it is a negative reaction occurring during the course of an illness, and usually aggravating the original illness. Such as diabetes lead to have infection, heart disease, poor blood circulation. The body immune function is below 30% amount.

13. Malignantion (Depravation)

Malignantion is a later stage of disease, which has threatening to life; it is indicating disease turning to difficulty condition; it is indicating good energy and good yin liquid difficulty return back to normal level; it is indicating the life in the dying situation; it is indicating any remedies solution difficulty to make condition better, but does not means no any hope. The body immune function is below 20% amount.

14. Destination

Destination is later stage dying of life; it is a moment of lost life; it is severe deficiency of physical and spirit life; the body immune function is below 5% amount. There is two type of destination, one is suddenly destination; another is chronic destination.

Suddenly destination is suddenly lost life sign, such as lost heartbeat, lost breath, lost blood pressure, lost conscious in short time; the situation like heart attack, severe stroke, severe bleeding, air way obstructing.

Chronic destination is slowly lost heartbeat, weaker talking ability, weaker breath, lower blood pressure, lower body temperature; body slowly lost good energy and yin liquid, and slowly lost physical and mental function; the situation like cancer, multiple sclerosis, chronic obstructive pulmonary disease, chronic heart failure, chronic kidney failure, liver cirrhosis and diabetes.

Chapter Two

Symptoms

Section One: Basic Information

1. Definition of symptoms

The symptom is a client’s subjective unhealthy evidence; the symptom is a client’s abnormal health feeling and sensation; the symptom is one of negative, abnormal health indication; the symptom is indicated and reflex abnormal metabolism, abnormal physical function and abnormal body tissue structure condition and situation.

The symptom has subjective, sensation, negative, invisible, client’s touch, hearing, smelling and taste sensation, not be able to repeat, not be able to measure and not be easy to keep record characters; the symptom can be early stage indication or later stage indication; the symptoms can be indicated mild condition or severe condition.

The symptom is include invisible emotion and spirit (shen) indication, and invisible zang and fu organs activity and condition. Symptom usually is depend on client’s talking; that information will indicates the body presence or history of abnormality, invisible, activity or inactivity, motion or motionless, malfunction, warm property or cold property, dry property or moisture property, external or internal, negative, tempestuous or everlasting, acute or chronic condition and situation.

2 Common symptoms

2.1 Nerve meridian system

Pain, numbness, burning, shooting, tingling, vibration, distention, hot or cold feeling, dizzy, heavy, brain and ear tinnitus, abnormal taste sensation, depression, anxious, stressed, sleepy.

2.2 Invisible seven emotions and shen (brain)

Sad, worry, over thinking, depression, anxious, dreaming, urgency, desire, forgetful.

2.3 Muscle system

Tiredness, body weak, ache, numbness, ant climb sensation, heavy, restrained sensation.

2.4 Skin system

Hot or cold feeling, itching, burning, swelling, distension and dry sensation.

3. Common seven Zang and Fu organs symptoms

3.1 Heart: Chest pain, chest distention, chest pressure, anxiety, and depression.

3.2 Lung

Nose congestion, dry nose, sore throat, dry throat, chest pain, chest distention, chest pressure, difficulty breath, shortness breath, aversion heat and cold.

3.3 Pancreas: Left side costal region pain, thirsty, dry mouth.

3.4 Liver

Headache, dizzy, tiredness, right side costal region pain, or burning pain and distention, brain tinnitus, nerve meridian tingling, burning and ant climbing.

3.5 Kidney yin: Low back pain, weak leg, hot flush.

3.6 Kidney yang: Bone steam sensation, hand and feet feel hot.

3.7 Spleen: Ear tinnitus, dry, burning and itching skin.

3.8 Stomach

Heart burn, acid reflux, difficulty swallow food, nausea, poor appetite, craving and upper abdominal pain, reverse qi rising up from lower abdominal to throat, blood vessel bounding under umbilicus area; stomach uncomfortable sensation.

3.9 Small intestine: Middle abdominal bloating and pain.

3.10 Large intestine: Lower abdominal bloating and pain, cramping sensation.

3.11 Gallbladder: Bitter mouth taste, right side costal region pain and distention.

3.12 Bladder: Urination urgency, burning and painful urination, and lower abdominal distention.

3.13 Diaphragm: Shortness breath, tiredness.

3.14 San Jiao: Thirsty, dry mouth and lips, dry skin and nail.

4. Parameters of symptom (Use sweating parameter as an example)

4.1 Sweat definition

The sweat is a thin liquid of body, that is excreted and discharge by the sweat gland, the sweat gland is locate under skin surface; the sweat liquid is possible come from blood liquid and lymph liquid; the main and primary ingredient of sweat liquid is water. The

solid material usually is salt. It has thin texture, easy running, and clear characters. Sweat liquid carries waste heat out of body; the waste heat contained smelling material to cause body odor. Sweat liquid carries dry energy material out of body, usually is carries salt out of body that is why sweat have salty taste.

4.2 Sweating definition

Sweating, another word is perspiration. Sweating is a procedural, which is expelling inside of body liquid to the outside of body by go through skin. Sweating can be constantly or inconstantly; but it is never sweating forever; usually a few minute, or a few hours.

The purpose of sweating is carry heat from inside to outside body, and cool down the body high temperature, or high level property heat. Sweating has cooling effect due to evaporate body liquid to outside of body.

Sweating can be locally or whole body; usually when body feel warm and hot, the first area sweat is head (top, front or back) and face. Sweating is increased by nervousness, and decreased by cold. The male start sweating may much more quickly than women due to male’s body water ratio high than female.

The most way to sweating is slowly become to liquid drop, the sweat drop have small, big or running out without form to drop three ways. The mild sweating with small portion body liquid leaking out is physiology situation; the severe sweating with large amount body liquid leaking out is pathogenesis condition

4.3 Sweating timing

The morning sweating without other reason usually is energy qi deficiency indication The afternoon sweating without other reason usually is excess heat indication The night time sweating after go to sleep usually is yin liquid deficiency with excess dry

heat indication The sweating with fever during the spring season usually is catching wind heat indication The sweating during the summer season usually is catching excess damp heat indication The sweating with dry cough, dry mouth usually is catching wind with dryness pathogen

indication.

4.4 Sweating smelling

Usually sweating do not with smelling odor When sweating without odor usually is deficiency indication When sweating with odor is excess heat indication

4.5 Sweating color

The most sweat do not have color or pigment attach with body liquid The sweat liquid colored cloth with yellow pigment, that is damp heat or jaundice

indication

The sweat liquid colored with pink pigment, that is may relate to blood leaking out with sweating.

4.6 Sweat amount

4.6.1 Small portion sweating

The small portion sweating is part of body sweating The small portion sweating is wet part of cloth indication The small portion sweating is healthy condition indication The small portion sweating is mild unhealthy condition indication

4.6.2 Large portion sweating

The large portion sweating is whole of body sweating The large portion sweating is wet upper and lower cloth indication The large portion sweating is unhealthy condition indication The large portion sweating is severe unhealthy condition indication

4.7 Sweat texture

The thin texture sweat is deficiency and excess condition indication The thin, cold, a large amount sweat with critical condition is extremely good yang qi

deficiency with escape and life ending situation The sticky and thicker texture is deficiency with critical condition indication The sticky and thick oily texture is deficiency with critical condition indication

4.8 Sweat sensation

4.8.1 Sweat liquid feel warm

The warm sweat usually is excess and heat indication

4.8.2 Sweat liquid feel not warm and not cool

The not warm and not cool sweat usually is energy qi deficiency excess heat indication

4.8.3 Sweat liquid feel cold

The cold sweat usually is general yang qi deficiency with excess heat indication

4.8.4 Sweat liquid feel thin

The thin sweat liquid usually is defense qi deficiency indication The thin sweat liquid usually is general yang qi deficiency indication The thin sweat liquid usually is excess heat indication

4.8.5 Sweat liquid feel sticky

The sticky sweat liquid with oily sensation usually is heart yang qi deficiency indication The sticky sweat liquid with bad smelling usually is excess heat indication The sticky sweat liquid with yellow color usually is excess damp heat indication

4.9 Sweat location

Sweat on head-brain, neck, face-stomach and heart; hands-stomach and spleen; underarm-liver, heart, lung; chest-heart and lung; private area-kidney and liver; low back-kidney; feet-stomach and spleen; whole body; one side of body.

4.10 Sweating situation

4.10.1 Sweating due to eating

The eating is a procedural of body intake good nutrition; the life activity is yang energy running and consuming activity; the life engine is heart, the heart has to keep the life engine running without stop or take break; this is require intake a lot yang property food material to break down to the small partial and burning, also release the warm and dry energy material to the life engine and keep life engine running; this is require intake a lot yin property food material to maintains life engine keep cool and moisture in the same time.

The eating procedural is yang property procedural, it will create a lot heat to force body liquid leaking out. The eating procedural is happening in the spirit heart area, which is in the head; that is why the eating sweating location is on the head and face with warm sensation of sweat liquid.

4.10.2 Sweating due to eat chili and spicy

The chili and spice food have hot in property characters; it has pungent function; it will stimulate body store yang qi area, to let cooling and moisture yin material lost bonding yang qi and protect yang qi function; so the stored yang qi will nature come out with body liquid carrier. This is the reason when eating chili and spice cause sweating.

4.10.3 Sweating due to drinking hot temperature liquid

The hot temperature liquid is containing the temperature yang property material; it will stimulate and assistant storage yang qi wake up to activate state in the body; the activity yang qi will push the body liquid toward to the outside of body to cause sweating. The sweating will carry out extra temperature heat material to balance the internal body.

4.10.4 Sweating due to drinking alcohol

The alcohol is concentrate sugar; the sugar is dry heat material. When the concentrate dry heat get into body, the body will lose the yin and yang balance, the sugar dry heat will force cooling and moisture yin liquid out of body; the one of body reaction is sweating from head; because the alcohol dry heat will first rising to brain area to damage brain yin

liquid and tissue to cause sweating on the head and face.

4.10.5 Sweating due to cover too much blinker, or dress too warm.

The skin has vent heat out of body function; when the body cover too much blinker, it will obstructed and blocked body heat vent out procedural; the waste heat will accumulate in the body, which is increase up heat level and amount; and lead to waste heat to push body liquid expel out of body to cause sweating.

4.10.6 Sweating due to emotion disturbing

Bad news Excite situation (speech, augment, angry, nervousness, anxiety) Night time walking in the dark Life threaten condition (such as in the war zone)

4.10.7 Sweating due to warm weather or high room temperature

Summer season, or the temperature is high more than 80 ̊ F The different body constitution may sensitive to different level of temperature degree Who are long term living in the warm and hot region may have high level tolerance for

high temperature without sweating Who are long term living in the cool and cold region may have low level tolerance for

high temperature without sweating

4.10.8 Sweating due to lower level blood sugar

The low level of blood sugar is energy qi deficiency condition; the one of main function for energy qi is holding good body liquid without escape out. When the blood sugar is in the low level (under 72 mg/dl-Wikipedia), and the body will develops palpitation with weak and fast pulse, pale face, hand shaking, faint, sweating with cool liquid symptoms.

Another explanation is the good yang qi have one function is restrain the internal dry heat stay inside of body; when the blood sugar is in the low level, the deficiency energy qi cannot keep internal dry heat stay in the deep body, the flare up dry heat will force body liquid to the surface of body, and cause sweating.

4.10.9 Sweating due to defense yang qi recovery

This is body catch a lot wind cold pathogens to damage defense yang qi too much; the wind cold is in the dominate position; when the body’s defense yang qi gradually recovery, and the increase up warm property level; the defense yang qi will start to fight with wind cold to cause trembling and shivering; when the defense yang qi reduced wind cold pathogen level, the defense yang qi go back in charge position; the defense yang qi will start push body liquid out of body to cause sweating procedural; this sweating is carried the wind cold pathogens, and the sweating purpose is expel out wind cold pathogens.

4.10.10 Sweating due to menopause

The menopause is good kidney yang qi deficiency condition; when the weak good kidney yang qi cannot restrain internal dry heat stay in the deep body area; the dry heat will flare up to attack body liquid to cause sweating; the sweat liquid could be warm or cold sensation; special during the night time; the night time is dry heat flare up time, even during the healthy condition.

4.10.11 Sweating due to deficiency condition

4.10.11.1 Sweating due to defense qi deficiency

This situation usually call spontaneous sweating; the spontaneous sweating is a nature sweating condition, it is not relate to exercises, labor, too hot weather, over dress cloth, or take spice, hot chili and medicine. The character of defense qi deficiency of sweating is sweating with feel tire, shortness breath; when have physical activity then cause more sweating.

When the body caught wind cold pathogen; the wind cold will damaged defense qi warm property, protect defense yin liquid function, and lost closing skin poles function. The defense yin liquid-sweat liquid will be escape out of body to cause sweating; the character of this type sweating is sweating with dislike wind blow to the body.

4.10.11.2 Sweating due to general yang qi deficiency

The yang qi deficiency type of sweating is one of the spontaneous sweating; the character of general yang qi deficiency of sweating is sweating with normally afraid wind cold, and plus feel tire, when have physical activity then cause more worse of sweating.

4.10.11.3 Sweating due to after surgery

There is easy sweating condition due to after surgery; the character of sweating is sweating with feel tire, shortness breath, palpitation with weak pulse. The reason to cause sweating is damaged qi and blood, even general yang qi due to surgery.

4.10.11.4 Sweating due to hungry

The sweating due to hungry is sweating with hungry sensation, pale face, hands shacking, palpitation with weak pulse. It is a stomach yang qi deficiency indication.

4.10.12 Sweating due to urination

The sweating due to urination is defense yang qi deficiency indication; when the bladder is focus to force urine liquid to out of body, this procedural is require defense yang qi to push turbid liquid out of bladder.

When the defense yang qi is in the normal level, the skin poles will be closing, the defense yang qi be able to focus to push urine liquid out of body. When the defense yang

qi is in the deficiency condition, the skin poles will lose the defense yang qi protection, and lost closing function due to transfer more defense yang qi back to the base-bladder.

4.10.13 Sweating due to suffer pain

The indication of cold type of pain is muscle spasm; the muscle spasm will generate a lot heat; the pathogen heat will force body liquid going out of skin to cause sweating.

The indication of heat type of pain is muscle and blood vessel spasm; it will cause sweating.

The pathogen heat can directly force body liquid out of skin to cause sweating The pain can cause anxious and nervous, which is generate internal heat and cause

sweating.

4.10.14 Sweating due to too heavy labor or exercises

The heavy labor and exercises will generate a lot heat in the body; the excess heat will force body liquid out of skin to cause sweating.

4.10.15 Sweating due to excess condition

4.10.15.1 Summer heat excess condition

During the summer season, the high level of heat and humidity will force deep body yang energy qi rise to the body surface, and cause too much heat accumulation condition; the excess heat will force body liquid to carry heat out of body and cause sweating. This type of sweating will have warm sensation, a large amount body liquid sweating out of skin with frequent, even none stop characters.

4.10.15.2 Yang Ming Jing Pattern or Qi Stage of Warm Disease

The heat property of pathogens created a lot heat in the qi level and stomach area; the main indication is sweating with a lot body liquid, high fever, thirsty and forceful pulse.

4.10.15.3 Rheumatic Arthritis

The pathogen of Rheumatic Arthritis has excess heat property and characters; the excess heat will force body liquid out of skin to keep the pathogen heat stay strong condition; because usually the body liquid carry good cold and moisture energy material.

4.10.16 Sweating due to critical condition

Lower level of blood sugar Acute chest pain Severe vomit Severe diarrhea Trauma Life ending situation

4.11 Sweat property

The warm sweat is heat condition indication The neutral sweat is energy qi deficiency indication The cold sweat is general yang qi deficiency indication The thin sweat with salty taste is dry heat indication The sticky sweat is dehydration indication The sticky sweat with oily is deep heart yin leak without yang qi protection indication

4.12 Sweat shape

4.12.1 Small drop sweat liquid

Small drop sweat is slow speed sweating indication Small drop sweat is low level heat indication Small drop sweat is slightly energy qi deficiency indication Small drop sweat is mild condition indication

4.12.2 Big drop sweat liquid

Big drop sweat is medium speed sweating indication Big drop sweat is medium or severe level heat indication Big drop sweat is obviously energy qi or yang qi deficiency indication Big drop sweat is severe condition indication

4.12.3 Running sweat liquid

Running sweat is high speed sweating indication Running sweat is severe level heat indication Running sweat is general and heart yang qi deficiency indication Running sweat is very severe condition indication

4.13 Accompany symptoms

Sweating with fever, pain, hot flush, itching, trembling, impatient, panic attack, nightmare, asthma, difficulty breath, delivery or after delivery baby, seizure, night time emission during the sleep.

Section Two: Study Items of Symptom

1. Definition of symptom

2. Symptom describes

Such as: headache indication, pain face expression with uncomfortable activity, anxious, cannot focus, use comb often stimulated head and combed head.

3. Symptom location: Such as head, zang of fu organ, upper, lower, left, right, front, back……

4. Symptom belongs to which system: Digestion system.

5. Symptom pathogens: Wind, cold, damp heat, dampness, dry, excess heat.

6. Symptom pathogenesis

Qi amount deficiency condition to cause tiredness, Qi warm property deficiency condition to cause feel cold, Qi poor quality condition to cause good deficiency sign or other qi deficiency symptoms ……

7. Symptom related to how many patterns: Qi deficiency with blood stagnation……

8. Symptom property

Excess or deficiency cold, excess or deficiency heat, dry, excess dampness or liquid /moisture yin deficiency, dehydration or hydration.

9. Symptom condition

Excess or deficiency, external or internal, stagnation or diffusion, infectious or inflammation, malignant or benign, Acute or chronic, temporary or everlasting.

10. Symptom position: Main symptom or side symptom, early symptoms or later symptom.

11. Symptom situation

Simplicity or complicated, hyper or hypo, suddenly flare up or slowly coming out, emergency or none emergency, life threaten or life safe, dying or none dying.

12. Symptom direction

13. Symptom characters

14. What kind’s diseases is include cough symptom?

15. What kind’s principle will choose for?

16. What kind’s remedies will apply for?

17. What kind’s formulas will use for?

18. What kind’s symptom is more common or not common to see in the practice?

19. What kind’s symptom is more difficulty or easy to take care?

20. History information of symptom

Chapter Three

Signs

Section One: Basic Information

1. Definition of signs

The sign is a client’s objective healthy and unhealthy evidence, the sign is a client’s health phenomena and manifestation; the sign is one of positive or negative, normal or abnormal health indication; the sign is indicated and reflex normal or abnormal metabolism, physical function and body tissue structure condition and situation.

The sign has objective, phenomena, positive or negative, visible, touchable, hearing, smelling, be able to repeat, be able to measure and easy to keep record characters; the sign can be early stage indication or later stage indication; the sign can be indicated mild condition or severe condition.

The sign is include visible emotion and spirit (shen) indication, energy qi or sound indication, body liquid or secretion indication, body solid shape material indication, body activity indication, body inactivity indication, skin indication.

Sign usually is detected by Chinese herbal medicine evaluation check out, or western medicine physical check out; or go through western medicine laboratory different tests or x-rays, image and other high technology report, that indicates the body presence or history of normal or abnormality, visible and invisible, quantity and quality, activity or inactivity, motion or motionless, physical function or malfunction, warm property or cold property, dry property or moisture property, external or internal, positive or negative, peaceful or harmful, tempestuous or everlasting, acute or chronic condition and situation.

2. Common signs

2.1 Sign of emotion and shen

The common sign of abnormal seven emotions and shen system are abnormal laugh, cry, angry, fear, impatient, insomnia, and too much sleep, dementia, delirious speech, self-talking, loses speech ability, and maniac behavior, unconsciousness, coma.

2.2 Sign of energy Qi and sound

The common sign of abnormal energy qi or sound are sigh, yawn, sneezing, hoarse voice, lose voice, cough, wheezing, spit phlegm sound; hiccup, burping, belching, choking, gassy, borborygmus, visible bloating, distention.

2.3 Sign of body liquid

The common sign of abnormal body liquid is abnormal sweating, skin secretion, orifices secretion (tear, saliva, foam phlegm, nose discharge, ear pus), bleeding, irregular menstruation, discharge, abnormal nursing, abnormal ejaculation, diarrhea, frequent urination, bed wetting, dehydration, leakage, and edema, incontinence, retention, vomit, constipation, phlegm, blood clots, retention of the lochia.

2.4 Sign of solid shape material

The common sign of abnormal body solid shape is vomit, constipation, phlegm, blood clots, retention of the lochia, boil, node, tumor, mass, malignant mass.

2.5 Sign of body activity

The common sign of abnormal body activity is cramping, twitching, shaking, jumping, tremor, spasm, shivering, and seizure.

2.6 Sign of body inactivity

The common sign of body abnormal inactivity is tilting, bend, devious, roll up, range motion restrained, constrained, rigidity, atrophy, palsy, paralysis; fetal position.

2.7 Sign of skin condition

The common sign of abnormal skin condition are included body surface, shape, texture, complexion and color.

2.7.1 The common sign of abnormal body surface are bumping, node, mass, fatty tumor, ulceration, blister, acne, boils.

2.7.2 The common sign of abnormal body shape are skinny, over size, swollen.

2.7.3 The common sign of abnormal skin texture are tightness, soft, loose, cracking, peeling, shrinking, tightness, soft,

2.7.4 The common sign of abnormal body surface complexion are bright or dark; shining or dull; red or pale; slightly yellow or jaundice (face, eye, hand, feet)

2.7.5 The common sign of abnormal skin color are purple red or dark red, white pale or dull pale; slightly yellow or jaundice; slightly brown or iron brown; slightly gray or real dark;

2.7.6 Common sign of mild condition

Low grade fever, temporary fever, hot flush, day time sweat, slightly sweat, small amount bleeding. temporary over sleep, numbness, tingling, tremor, depression, temporary faint,

temporary.

cough with phlegm, temporary spit phlegm, temporary wheezing. temporary edema, leg edema, a few times vomit, a few times diarrhea, temporary lose weight. Sprain, Benign tumor, Cyst, Small joints deformation, Small size and amount vein

float up.

2.7.7 Common sign of severe condition

High grade fever, constantly fever, night time sweat, large amount sweat. large amount bleeding constantly over sleep, paralysis, shaking, spasm, seizure, maniac, unconsciousness. cough with blood, constantly spit phlegm, constantly wheezing. chronic edema, abdominal edema. Multiple times vomit, multiple times diarrhea, constantly loses weight. Fracture, Malignant mass, Fibrosis tumor, Large joints deformation, Large size and

amount vein float up.

2.7.8 Common peaceful signs

Sclera bleeding, External ear redness, Running nose, Canker core, Acne, Freckles, Skin red dot.

2.7.9 Common harmful signs

Internal eye bleeding, Internal ear pus secretion, Nose bleeding, Mouth lichen, Internal tissue abscess, Skin boil, Dark mole (melanoma), Skin Bruise and abscess.

3. Common seven Zang organs and Fu organs signs

3.1 Common activity sign of zang organs

3.1.1 The common action signs of heart are palpitation, heart beat pounding, maniac, abnormal speaking and laugh.

3.1.2 The common action signs of lung are sneezing, running nose, nose congestion, cough, wheezing, weak and shortness breath, abnormal cry.

3.1.3 The common action signs of liver are seizure, spasm, twitching, shaking, paralysis, restrained ranger motion, abnormal angry.

3.1.4 The common action signs of kidney yang are abnormal fear, weak voice.

3.2 Common activity symptoms of fu organs

3.2.1 The common action signs of stomach are loose teeth, vomit, burping;

3.2.2 The common action signs of diaphragm are hiccup, paralysis, weakness.

3.2.3 The common action signs of large intestine are diarrhea, bloody stool, constipation.3.2.4 The common action signs of bladder are frequent urination, wet bedding, urine dripping,

bleeding urine, and retention of urine.

4. Parameters of signs (Use bowel movement as an example)

4.1 Feces definition

Feces is a solid shape waste material of animal and human life; feces is food, water liquid and air go through the stomach, small intestine and large intestine become to solid shape waste material; feces is containing waste material, property, gas, liquid mineral, fiber and microorganism, special abnormal heat and dryness; feces has various shape, amount, texture property, color, smell, turbid degree, containment, accompany symptoms, ratio of liquid, solid and gas characters.

In normal condition and circumstances, the purpose of feces is to carry waste heat and dryness out of body on time, keep body warm and cool energy in healthy balance condition, and keep body dry and moisture energy in healthy balance condition, which is refer to as keeping body’s purity with turbidity ratio in healthy balance situation; feces is a solution to keep purify body liquid amount greater more than turbid body liquid amount.

In abnormal condition and circumstances, the purpose of feces is to carry good yang warm energy qi and yin cold energy qi out of the body, and urine is to carry good yang dry energy material and yin moisture energy liquid out of body. And it keeps body stay in the pathogen heat and cold in charge condition and situation; keep body stay pathogen dryness and turbid dampness in charge condition and situation; until life lost living material supply and functional ability.

4.2 Bowel movement definition

The bowel movement is a process of body cleansing waste heat, waste abnormal dryness material. The bowel movement is start at food, water liquid and air goes through stomach, small intestine and large intestine digestion procedurals, then become to feces, the feces is stored in the large intestine and discharge and elimination through the rectum and anus to outside of body. The bowel movement has when, how many times, alternation, sound, shape and sensation characters.

4.3 Timing

It is related when have bowel movement, how many times bowel movement in a day, how long the alternation of bowel movement is; this is describing when the body has bowel movement.

When will have bowel movement? Best time have bowel movement is day time and morning between 7:00 to 8:00 am.

How many times of bowel movement in a day? A best time is one to two times a day. (The urinary bladder usually holds 300-350 ml of urine; a full adult bladder holds about 500-700 ml of urine; Healthy adult of urine amount is 1000-1500 ml / day. Average urination times are five times a day.

How long the alternation of bowel movement is?The best alternation of bowel movement is each 24 hours.

4.4 Shape

The shape is a character of material or thing; which is tries to describing outline or contour, surface, size of a material of thing.

4.5 Sound

The sound is vibrations transmitted through an elastic solid or a liquid or gas, with frequencies in the approximate range of 20 to 20,000 hertz, capable of being listening by human ear. This is describing the amount of body moving down power.

Bowel movement sound is describing the amount of body pushing feces down power; it is related to how loud, take how much time to finished bowel movement action. Also it has three kinds sounds during the bowel movement; the throat and mouth will be make sound, the low abdominal area will be make sound, when the feces drop down to ground or into toilet will be make sound.

4.6 Sensation

Sensation is a physical condition or experience resulting from the stimulation of one of the sense organs or body tissue. Bowel movement sensation is point to bowel movement desire situation, feces material pass through large intestine, anus feeling, and other body area feeling. This is describing the feeling about body during the bowel movement.

4.7 Amount

The amount of feces first is point to the daily total quantity of feces material expel out of body from large intestine; second is point to the quantity of each time feces expel out of body from large intestine. This is describing the weight of bowel movement.

Healthy adult of urine amount is 1000-1500 ml / day. Above 2000 ml / day is too much. Healthy adult of each urination amount is 300 - 350 ml/each time.

4.8 Texture property

Texture property is refer to a property perceived by touch, or by looking; usually uses thick, thin, sticky, soupy, mucus, soft, hard, banana or around shape, acid and alkaline kind’s words to describe. This is describing the touch feeling material of feces. Healthy adult’s feces texture should be soft, banana shape characters.

4.9 Color

Color is the appearance material in the objects, involving hue, brightness. The urine color is point to urine liquid contains pigment material (dye, what kind color), luminosity of hue (brightness), consistency (saturation) of hue three characters. This is describing the pigment condition of the feces.

The healthy adult’s feces color is yellow, brown color. The healthy adult’s feces luminosity of hue condition is dull The healthy adult’s feces consistency of hue is slightly condensed

4.10 Smell

Smelling perceives the scent or odor of a substance by nose and nerves meridians. The normal urine smelling is none smells or slightly foul odor. More strong foul odor is indicated more abnormal heat. This is describing the volatilization condition of the feces.

4.11 Turbid degree

Turbid is describes a chaos kind condition of liquid state, which has suspension of particles stirred up; It has muddy, heavy, dark, dense, thick, smoke and cloudy characters. This is using for describes abnormal bowel movement condition.

4.12 Containment

Containment means to hold or be capable of holding; Feces contained abnormal waste material such as pigment, blood, mucus, pus, parasite, sand, even small stone.

4.13 Ratio of liquid, solid and gas.

Ratio is point to a measure of the relative size and amount of two classes expressible as a proportion. The main of feces material is solid material, but it is contain some liquid and gas in the feces; it will have ratio relative relationship of these three state materials. This is describing the percentage of feces material.

4.14 Quality

This is describing the structure condition of feces; if it is condense condition, that means feces less contain liquid and air; if it is loose condition, that means feces contain more air and liquid; if it is light condition, that means feces contain more air; if it is heavy condition, that means feces contain more heavy material; if it is floating condition, that means feces contain more air; if it is sinking condition, that means feces contain more heavy material.

4.15 Accompany symptoms

Accompany symptoms mean to be with or to go with another or others symptoms beside abnormal bowel movement. This is describing the foreign material condition of feces (for example: contains blood/mucus/pus/parasites).

4.16 Amount feces left on the toilet paper

This is describing the sticky condition of the feces; if it has more feces material left on the toilet paper that means the feces texture has more sticky character; if it is less feces material on the toilet paper that means the feces texture less sticky character. More sticky character is more heat indication.

5. Common cross both of symptom and sign

The symptoms or signs are cross both objectively and subjectively, because the client can feel all symptoms; other people can see, or hear.

Lung: Cough, wheezing, shortness breath, nose congestion and running, sore throat. Heart: Chest pain, heartbeat bounding and pounding, palpitation. Liver: Dizzy, blurry vision, high blood pressure, spasm, trembling. Kidney yin: Edema, abnormal urination, low back pain. Kidney yang: Tiredness, insomnia, easy feels cold. Pancreas: Thirsty. Spleen: Dry skin, poor memory.

Stomach: Vomit, hiccup, stomach pain. Small intestine: abdominal pain, bloating. Large intestine: Constipation, diarrhea. Bladder: Frequency urination. Gallbladder: Right hypochondria area pain. Diaphragm: Hiccup, difficulty swallows.

Section Two: Study Items of Signs

1. Definition

2. Classification of signs2.1 Expression: Face, eye, nose, lips, ear, tongue, pulse, hand, feet, joints, nail, skin.2.2 Emotions2.3 Physical activity2.4 Body secretion material: Blood, saliva, phlegm, nose mucus, tear, ear wax, sweat, urine, feces, discharge, menstruation, pus.

3. Sign location: Head, Zang of Fu organ, upper, lower, left, right, front, back.4. Signs belong to which system: Digestion system5. Sign’s pathogens: Wind, cold, damp heat, dampness, dry, excess heat.6. Sign’s pathogenesis

Qi amount deficiency condition to cause tiredness, Qi warm property deficiency condition to cause feel cold, Qi poor quality condition to cause good deficiency sign or other qi deficiency symptoms.

7. Sign related to how many patterns: Qi deficiency with blood stagnation.

8. Sign’s property

Excess or deficiency cold, excess or deficiency heat, dry, excess dampness or liquid /moisture yin deficiency, dehydration or hydration, good or bad property or signs.

9. Sign’s condition

Excess or deficiency, external or internal, stagnation or diffusion, fire or heat (infectious or inflammation), malignant or benign, acute or chronic, temporary or everlasting.

10. Sign’s position: Main issue or side issue, early sign or later sign.

11. Symptom situation

Simplicity or complicated, hyper or hypo, suddenly flare up or slowly coming out, emergency or none emergency, life threaten or life safe, dying or none dying.

12. Sign’s patterns characters (list as many as you can)

Such as: rash, how many, location, color, size, secretion, itching, burning.

13. Sign related how many patterns14. What kind’s diseases can lead to?15. What else you see of this sign indication?

Chapter Four

Patterns

Section One: Basic Information

1. Definition of pattern

The definition of pattern is a human being ideal of summary Mother Nature phenomena, human being events, and business things; which has order, plan, modal, design, style, an arrangement of repeated, standard, a representative sample, structure, image, picture, operation, symbolism, mark, degree, location, property, direction, identify, systematic, sequence, instructions, and copy characters.

The Chinese Herbal Remedies pattern is practitioner ideal of summary client’s unhealthy condition; the pattern is try to point out what kind pathogen is, and what kind pathogenesis is, and the condition is how serious.

The Chinese Herbal Remedies pattern is depend on pathogenesis characters, such as pathogen’s power degree, location, property, direction, amount, ability, season and timing.

The Chinese Herbal Remedies pattern is mainly focus on the symptoms and sings indication, the symptoms is client’s mainly unpleasant feeling; the sign is client’s mainly unhealthy condition; the mainly signs are pulse, tongue, nail, eye, skin, an hair.

2. Characters of pattern

The property of pattern is cold, hot, dry and damp. The location of pattern is organs, three jiaos, materials, tissues, systems. The degree of pattern is excess, deficiency, strong and weak. The direction of pattern is rising, seeking down, leaking, expending, astringent, get into

deep, or exit out of body, external and internal. The amount of pattern is large or small portion; a few or many. During the hot weather, the stomach may has more deficiency cold pattern During the cold weather, the body may have more internal excess heat pattern There is more change to have dryness pattern in the dry land area There is more change to have dampness pattern in the dampness land The same pattern can be flare up again The same life style can be flare up same pattern The same nationality can be flare up same pattern The same geography area can be flare up same pattern The same diet can be flare up same pattern The same occupation can be flare up same pattern The same gender can be flare up same pattern

3. Purpose of pattern

The pattern has reflect true body condition The pattern has reflect fake body condition The pattern has reflect primary body condition The pattern has reflect none primary body condition The pattern has reflect singular body condition The pattern has reflect multiple body condition The pattern has single message indication The pattern has multiple message indication The pattern has shining condition indication The pattern has stealth condition indication The single pattern can reflect multiple pathogenesis condition The multiple pattern can reflect single pathogenesis condition

The condition has single pattern The condition has multiple patterns The condition has symptoms as main indication pattern The condition has signs as main indication pattern

Section Two: Study Items of Patterns

1. Pathogenesis property of pattern

The pathogenesis property of pattern is related to symptoms and signs indication of cold, heat, dry and moisture property; use pathogenesis property character as main character of pattern.

The cold property has external and internal cold, wind cold and damp cold, stomach, large intestine and lung cold, meridians, muscle, joints cold different types.

The heat property has excess heat, damp heat and dry heat; blood heat, phlegm heat, stagnation heat; deficiency heat and excess heat; external and internal heat; foreign heat and body inside heat different types.

The dry property has heat and cold dry; wind and damp dry; external and internal dry, upper and lower dry; tissue and organ dry different types.

The moisture property has damp cold, damp heat, and wind damp different types.

2. Pathogenesis direction of pattern

The pathogenesis direction of pattern is related to symptoms and signs indication of rising, seeking down, going out, going inside, opening, closing, transferring; use direction character as main character of pattern.

The pathogenesis rising has heat or fire rising, hyper yang rising, blood heat rising, wind rising, phlegm heat rising, blood clots rising different types.

The pathogenesis seeking down has heat, dry heat, damp heat, dampness, good qi, gas, blood liquid, organs seeking down different types.

The pathogenesis going out has sweating, rash heat, dampness liquid, itching day heat, pain heat, emotion heat going out different types.

The pathogenesis going inside has dry heat, emotion, dryness different types. The pathogenesis opening has maniac emotion and behalf, rash; itching, chronic open

wound ulceration, pain, twitching, tingling, and spasm different indication. The pathogenesis closing has emotion, qi, blood, phlegm, food, feces, and urine

stagnations different types. The pathogenesis transferring has hyper emotion, activity, circulation, energy level,

hypertension, palpitation, fast shortness breath different types.

3. Pathogenesis material of pattern

The pathogenesis material of pattern is related to symptoms and signs indication of food, qi, blood, phlegm, heat, cold, dry, dampness, feces, urine stagnations; use pathogenesis material characters as main characters of patterns.

4. Pathogenesis location of pattern

The pathogenesis location of pattern is related to symptoms and signs indication of upper jiao, middle jiao, lower jiao, front, back, left, right, external, internal, Zang organs, Fu organs, Qi, blood, bod liquid, blood vessel, meridians, muscle, joints; use pathogenesis location characters as main characters of patterns.

5. Pathogenesis degree of pattern

The pathogenesis degree of pattern is related to symptoms and signs indication of deficiency, excess, weak, mild, strong, very, hyper, hypo, small portion, large portion, small amount, large amount; use pathogenesis degree characters as main characters of patterns; usually degree of pathogenesis is additional attachment with other main pattern’s characters; the degree of pathogenesis is not main characters of patterns.

Section Three: Common Patterns of Good Energy

1. Good warm energy

1.1 Yang Qi and Qi

1.1.1 Yang Qi and qi deficiency

Heart yang qi and qi deficiency Kidney yang qi and qi deficiency Liver yang qi and qi deficiency Lung yang qi and qi deficiency Stomach yang qi and qi deficiency Large intestine yang qi and qi deficiency Defense yang qi and qi deficiency

1.1.2 Yang Qi and qi seeking down

Heart yang qi and qi seeking down Kidney yang qi and qi seeking down Liver yang qi and qi seeking down Lung yang qi and qi seeking down Stomach yang qi and qi seeking down Large intestine yang qi and qi seeking down

1.2 Blood liquid

1.2.1 Blood deficiency

Blood solid material deficiency Blood yin liquid deficiency

1.2.2 Blood excess

Blood excess external heat (temperature heat) Blood excess internal heat (property heat) Blood heat over rising Blood heat seeking down Blood heat stagnation and astringent Blood heat spreading

1.2.3 Blood bleeding

Excess bleeding Deficiency bleeding Excess and deficiency bleeding

2. Good dry energy

2.1 Excess dry energy

Heart excess dryness Kidney yang excess dryness Liver yang excess dryness Lung yang excess dryness Stomach yang excess dryness Large intestine excess dryness

2.2 Deficiency dry energy

Heart deficiency dryness (potassium and sodium deficiency) Kidney yang deficiency dryness (calcium deficiency) Liver deficiency dryness (cartilage and gelatin deficiency) Lung deficiency dryness (dry property deficiency) Stomach deficiency dryness (dry property deficiency) Large deficiency dryness (dry property deficiency)

3. Good cold energy

3.1 Cold energy excess (see 1.1.1 and 1.2.1)

3.2 Cold energy deficiency (see 1.2.2, 1.2.3, pathogen heat)

4. Good moisture energy

4.1 Moisture energy deficiency

Pancreas yin liquid deficiency Spleen yin liquid deficiency Liver yin liquid deficiency Kidney yin liquid deficiency Lung yin liquid deficiency Brain yin liquid deficiency Small intestine yin liquid deficiency Blood yin liquid deficiency

4.2 Moisture energy excess (body does not have good moisture energy excess condition)

Section Four: Common Patterns of External Pathogens and Pathogenesis

1. Wind and cold pathogens and pathogenesis patterns

Wind cold invasion bladder Wind cold invasion lung Wind cold invasion muscle and joints Wind cold invasion stomach Wind cold invasion large intestine Wind cold invasion gallbladder

Wind dry heat invasion lung Wind dry heat invasion skin Wind dry heat invasion upper jiao Wind damp cold invasion muscle and joints Wind damp heat invasion muscle and joints

2. Excess heat pathogens and pathogenesis patterns

Lung excess external heat (wind heat) Heart excess external heat Kidney yang excess external heat Liver excess external heat Stomach excess external heat Large intestine excess external heat Gallbladder excess external heat

3. Excess damp heat pathogens and pathogenesis patterns (summer heat)

Lung excess external damp heat Heart excess external damp heat Kidney yang excess external damp heat Liver excess external damp heat Stomach excess external damp heat Large intestine excess external damp heat Gallbladder excess external damp heat

4. Excess dry heat pathogens and pathogenesis patterns

Lung excess external dry heat Kidney yang excess external dry heat Liver excess external dry heat Stomach excess external dry heat Large intestine excess external dry heat

5. Excess dry pathogens and pathogenesis patterns

Wind dry heat invasion lung Wind dry heat invasion skin Wind dry heat invasion upper jiao Lung excess external dry heat Kidney yang excess external dry heat Liver excess external dry heat Stomach excess external dry heat Large intestine excess external dry heat

6. Excess dampness pathogens and pathogenesis patterns

Wind damp cold invasion muscle and joints Wind damp heat invasion muscle and joints

Section Five: Common Patterns of Internal Pathogens and Pathogenesis

1. Internal wind pathogens and pathogenesis patterns

Internal wind invasion nerve meridians (trembling, tingling) Internal wind invasion skin (itching, numbness) Internal wind invasion head (dizzy, headache) Internal wind invasion large intestine (urgency) Internal wind invasion eye (blurry vision) Internal wind invasion low body (feet itching)

2. Internal dry heat pathogens and pathogenesis patterns

Internal dry heat invasion lubrication yin liquid Internal dry heat invasion circulation yin liquid Internal dry heat invasion blood liquid Internal dry heat invasion all good yang qi Internal dry heat invasion all organs Internal dry heat invasion all orifices organs Internal dry heat invasion all joints Internal dry heat invasion all internal and external muscles Internal dry heat invasion all nails Internal dry heat invasion all hairs Internal dry heat invasion all skins

3. Internal damp heat pathogens and pathogenesis patterns

The internal damp heat is good yin liquid absorbed multiple heat result It is dry heat store in the good yin liquid condition

3.1 Internal damp heat invasion organs and tissues

Brain edema Pericardium edema Lung edema Cysts

3.2 Internal damp heat invasion external area

Abdominal edema Joints edema Facial edema Eye edema Lower leg skin edema

4. Common yin deficiency with yang hyper pathogens and pathogenesis patterns

Liver yin deficiency with yang hyper (upper and down both direction) Kidney yin deficiency with yang hyper (upper and down both direction) Heart yin deficiency with yang hyper (upper and down both direction) Pancreas yin deficiency with stomach yang hyper (upper direction) Small intestine yin deficiency with large intestine yang hyper (down direction)

Chapter Five

Condition

Section One: Basic Information

1. Definition of condition

The definition of condition is a particular clear, steady state of health, an existing circumstance of health; the condition also is described A state of health develop to B state of health; the condition is described already happening circumstance; the condition is included healthy and unhealthy circumstance both; the most case is described unhealthy circumstance; the unhealthy condition is include many symptoms and signs items, such as property, location, time and degree.

Section Two: Property of Condition

1. Cold and heat condition

1.1 Cold condition

The cold energy property and function can lead temperature to low level, it can cause people feel cold and not warm, it can cause water freeze, it can cause snow, ice, hail, rain, foggy weather condition, it can let food, fruit and vegetable keep fresh longer, it can cause plant have seasoning life change, it has restrain warm energy function and property ability, it is one of important energy to created life.

It is one of important energy to balance life warm energy, it is one of important energy to maintain life warm energy stay as long as they could be, and the cold energy is one of important energy to keep life in healthy condition. The cold have temperature cold and property cold; the cold temperature is keep 98.6 F, or lower more than 98.6 F; the property cold is more like color temperature to reflect cold degree.

In the Mother Nature, the cold energy is store in the space and water; the cold energy is store in the body circulation liquid and lubrication liquid area in the life.

A low temperature A body temperature is 98.6 F, or lower more than 98.6 F. Body self-sensation and feeling no warmth, such as hands are not warm. Body self-sensation and feeling cold, such as abdominal feeling cold. Other person touches feel cold, such as cold hands; or weak, floating tight pulse. Material texture designating, such as watery feces. Sound designating, such as weak and low level breath sound. Voice tone designating, such as weak and slow voice tone. Body color designating, such as pale and gray skin and tongue color; clear urine; thin and

white phlegm.

Smelling designating, such as less smelling of feces. Taste designating, such as tasteless. Body position designating, such as hand cross holding each other; body shivering; lie

with knees drawn up. Body shape designating, such as skinny body shape. Emotion designating, such as lacking emotion. Desire designating, such as exhibiting no or less enthusiasm.

1.2 Heat condition

The warm and heat energy property and function can lead temperature to high or normal level, it can cause people feel warm and not cold, it can cause water volatile to moisture, it can cause hurricane, tornado, high temperature weather condition, it can let food, fruit and vegetable keep fresh short, it can cause plant have seasoning life change and promote life generate.

It has restrain cold energy function and property ability, it is one of important energy to created life, it is one of important energy to keep life going and stay as long as they could be, the warm energy is one of important energy to keep life in healthy condition. The heat has temperature heat and property heat; the temperature heat is high as 98.6 F, or high more than 98.6 F; the property heat is more like color temperature to reflect heat degree.

In the Mother Nature, the warm energy source is sun light, earth lava and forest fire; the warm energy is store in the heart (sun light), kidney yang (lava) and liver (forest fire) in the life.

A high temperature A body temperature is high as 98.6 F, or high more than 98.6 F. Body self-sensation and feeling no cool, such as hands are too warm. Body self-sensation and feeling hot, such as abdominal feeling hot and burning. Other person touches feel hot, such as hot hands; or strong, floating forceful pulse. Material texture designating, such as dry and hard feces. Sound designating, such as strong and high level breath sound. Voice tone designating, such as strong and fast voice tone. Body color designating, such as dark red and purple skin and tongue color; dark yellow

urine; thick and yellow phlegm. Smelling designating, such as strong and foul smelling of feces. Taste designating, such as spicy, salty, sweet, sour and astringent taste. Body position designating, such as hand open, or over moving; body are not shivering; lie

without knees drawn up. Body shape designating, such as over size body shape. Emotion designating, such as hyper emotion. Desire designating, such as exhibiting enthusiasm, or too much enthusiasm.

1.3 Cold with heat mixed condition

White coating with dark red tongue Pale tongue with dark green sublingual vein

Cold finger with dark red finger tip Cold feet with dark red toes Feel cold with red face Loose stool with bloating Stomach ache with constipation Stomach ache with thirsty Knee cold sensation with knee joints deformation

2. Dry and moisture condition

2.1 Dry condition

The good dry energy property and function can keep body have high or normal level moisture and liquid energy, it can cause people feel dry and thirsty, it can cause sand storm and other dry weather condition, it can cause low humidity condition, it can cause plant and life dehydration condition, it is one of important energy to created different life,

It has restrained water and moisture energy function and ability, it is one of important energy to keep life going and stay as long as they could be, the dry energy is one of important energy to keep life in healthy condition, it can carry the warm energy particle in the body liquid (blood, lymph liquid), it is main material to build up body structure.

In the Mother Nature, the dry energy source is mineral and rock, and also the dry energy is come from space too. The dry energy is store in the spirit heart (sun light), kidney yang (lava), liver (forest fire), lung, stomach, and large intestine, and blood, bone, body liquid area in the life.

A low humidity indication A body moisture level lower more than 40% Body self-sensation and feeling no moisture, such as hands are dry. Body self-sensation and feeling dry, such as eye, nose feeling dry. Other person touches feel dry, less tenderness, dry hands, or weak, hyper floating pulse. Material texture designating, such as dry and hard feces. Sound designating, such as fast and high level breath sound. Voice tone designating, such as cracking and hoarse voice tone. Body color designating, such as brown, dark red skin and white powder on skin; dark red

and brown, purple color on tongue; dark yellow urine; thick, sticky and white phlegm. Smelling designating, such as strong foul smelling of feces. Taste designating, such as salty and sweet. Lubrication designating, such as dry mouth, lips, eye, nose; female less discharge, dry

virginal; male less amount of semen. Body position designating, such as stiff hand and feet joints. Body shape designating, such as skinny body shape. Emotion designating, such as irritable emotion. Desire designating, such as exhibiting high level enthusiasm; and want drinking water; or

more dry food.

2.2 Moisture condition

The good moisture energy property and function can keep body have high or normal level moisture and liquid energy, it can cause snow, ice, hail, rain, foggy weather condition, it can cause high humidity condition, it can cause plant and life hydration condition, it is one of important energy to created different life.

It has restrained warm and dry energy function and ability, it is one of important energy to balance life warm and dry energy, it is one of important energy to maintain life warm and dry energy stay as long as they could be, the moisture energy is one of important energy to keep life in healthy condition, it can carry the warm, dry and cold energy particle in the body liquid (blood, digestion liquid, lymph liquid, spinal fluid), it is main material to keep body structure healthy.In the Mother Nature, the moisture energy source is water, moisture air and ice, and also the moisture energy is come from space too.

In the life, the moisture energy is store in the brain, pancreas, small intestine, liver, spleen, muscle, skin, lymph system, blood liquid, spinal fluid, joints lubrication liquid area.

A high humidity indication A body moisture ratio is high between 45% - 70% during the life time Body self-sensation and feeling no dry, such as hands are moisture. Body self-sensation and feeling moisture, such as eye, nose feeling are not dry. Other person touches feel slimy, mucus, no less tenderness; such as moisture hands; or

smooth flow pulse. Material texture designating, such as watery feces. Sound designating, such as turbid and deep level breath sound. Voice tone designating, such as turbid and smooth voice tone. Body color designating, such as white and greasy costing; thin, loose and white phlegm. Smelling designating, such as mild foul smelling of urine. Taste designating, such as bland. Lubrication designating, such as female virginal discharge; skin rash secretion. Body position designating, such as heavy hand and feet. Body shape designating, such as over size. Emotion designating, such as sluggish emotion. Desire designating, such as exhibiting lower level enthusiasm; and do not want drinking

water; and want to more dry food.

2.3 Dry with moisture mixed condition

Dry mouth with moisture tongue Dry lips with greasy coating Dry throat with more phlegm Dry cough with chest cavity edema Dry leg skin with leg edema

3. Infection heat (temperature heat) and inflammation heat (property heat) condition

3.1 Infection heat condition

The infection heat definition is point to a localized area or multiple system body reaction to stimulation, irritation, and injury; the infection heat is temperature pathogen heat, the infection heat has two kind sources, one is external, another is internal. The common external source is bio pathogens heat material; the source of infection heat is bacterial and virus; the common internal source is malignant pathogen heat material. The infection heat is shining pathogen heat, it is temperature heat indication, the infection heat is characterized by severe redness, swelling, fever, pain, malfunction and malformation; it has feeling hot, looking hot (bright red color) and measure temperature above 98.6 F ̊ characters.

The high body temperature usually is one of main indication of infection heat. The infection heat is internal pathogens heat transfer to body surface area; the infection heat is not just holding external pathogens heat in the body surface area; the infection is invasion into deep body area, the infection heat is severe condition indication; the infection heat is an acute condition; the infection heat is a high level of pathogens heat indication.

3.2 Inflammation heat condition

The inflammation heat definition is point to a localized body reaction to stimulation, irritation, injury; the common reason to cause inflammation heat is internal mutation dry heat; usually is not bio reasons; the inflammation heat is property pathogen heat, the inflammation heat is characterized by mild redness, swelling, heat, pain, malfunction and malformation. It has feeling hot, looking hot (dark red color) and measure temperature under 98.6 F ̊ characters.

The inflammation heat is internal pathogens heat transfer to body surface area; the inflammation heat is holding external pathogens heat in the body surface area; the inflammation heat is mild chronic condition; the inflammation heat is an early sign of severe condition flare up in the future; the inflammation heat is a low level of pathogens heat indication.

3.3 Infection heat with inflammation heat mixed condition

Acute severe cough with chronic cough Acute severe wheezing with chronic wheezing High temperature fever with hot flesh sensation Acute, very red, swelling skin with chronic, purple skin. Acute, red and painful joint with chronic, none red and ache joint.

4. Normal and abnormal condition

4.1 Normal condition

Normal word structure is nor + mal. Nor means not; mal means badly; so normal definition is not badly. The normal has right, standard, average, usual, state, form, amount, or degree, common characters; the normal means in the health field is free from any diseases, symptoms and negative signs.

The normal is a relatively word and idea; for someone is normal, but someone else is abnormal; such as who do not has high blood sugar condition, thirsty is normal; who has high blood sugar condition, thirsty is abnormal.

4.2 Abnormal condition

Abnormal word structure is Ab + normal. Ab means away from, or opposite to; so abnormal definition is not right. The abnormal has no standard, not average, unusual, not common characters; the abnormal means not free from any diseases, symptoms and negative signs in the health field.

The abnormal is a relatively word and idea; for someone is normal, but someone else is abnormal; such as who do not has high blood sugar condition, thirsty is normal; who has high blood sugar condition, thirsty is abnormal.

4.3 Normal with abnormal mixed condition

Red tongue with thick coating Thin coating with crimson tongue Red color tongue with severe cracking tongue body Pink red nail color with multiple ridge of nail

5. Good and bad condition

5.1 Good condition

The definition of good is point to positive, in excellent condition, high quality, beneficial to health, pleasant, enjoyable, kind, correct and proper characters. Usually using good as a word to describe property of energy qi, it is calling Zheng Qi in Chinese herbal remedies field; the good energy qi can be described good warm energy qi, good dry energy qi, good cold energy qi, good moisture yin liquid.

The good warm energy qi has warm the body, keep body temperature in right range, warm the organs, such as warm stomach and large intestine; so the stomach be able break down food and release warm property particle to support body warm energy source and functions; and keep life activity going. The good warm energy qi has momentum power; it will support heartbeat power and other frequency energy, such as breath, digestion wave and nerve meridians power.

The good dry energy qi and material is point to mineral material; the good dry energy qi has dry function and property, the good dry property and function has keep water fresh

and healthy purpose; it is be able to balance the moisture and damp condition; the good dry property and function has built up body structure – bone system to keep life standing up; this function is directly related to keep good energy qi rising up, so the body do not feel tired and heavy; the good dry property and function has joint heart organ function, the good dry property and function be able assistant heartbeat function to keep heart muscle in good contract condition, then keep blood circulation in right condition and situation.

The good cold energy qi is include temperature cold energy qi and property cold energy qi; it has keep body temperature balance function; it has protect organs function; it has cool down organs function; it has balance waste heat and clear waste heat function, it has maintain life warm energy and storage life warm energy function; it has slow down body aging dry heat speed and power.

The good moisture yin liquid energy is include liquid material and moisture property material; the good moisture yin liquid energy has keep circulation function, it has keep lubrication function, it has contain good dry energy material function, it has contain good warm energy material function, it has nourish body tissue function, it has carry waste heat out of body function, it has absorb heat function, it has contain warm property of life core energy function, it has slow down aging dry heat speed and degree function.

5.2 Bad condition

The definition of bad is point to unpleasant, unfavorable, not fresh, rotten, spoiled, not working properly, error, being in poor health, being in poor condition characters. The bad energy qi can be described bad warm energy qi, bad dry energy qi, bad cold energy qi, bad moisture yin liquid. The bad warm energy qi usually is calling pathogen heat; the bad dry energy qi usually is calling excess dryness; the bad cold energy qi usually is calling pathogen cold; the bad moisture yin liquid usually is calling turbid yin liquid, or dampness.

The pathogen heat is include excess heat, dampness heat, dry heat, blood heat, phlegm heat, heart heat, liver heat, kidney heat, stomach heat, large intestine heat, gallbladder heat.

The excess dryness is include excess heart dryness (sodium), excess lung dryness (carbine dioxide), excess liver dryness (iron), excess kidney dryness (calcium, stone), excess stomach dryness (sugar), excess large intestine dryness (dry stool), excess gallbladder dryness (stone).

The pathogen cold is including excess condition of weather cold; refrigerate cold; cold property material (food, water). The pathogen cold is including deficiency cold, that means warm yang qi deficiency to created cold condition; such as heart yang qi deficiency cold; lung yang qi deficiency cold; liver yang qi deficiency cold; kidney yang qi deficiency cold; stomach yang qi deficiency cold; large intestine yang qi deficiency cold; bladder yang qi deficiency cold, gallbladder yang qi deficiency cold.

The turbid yin liquid or dampness is including two kinds turbid texture liquid material; one is having thin, easy running and flow characters edema turbid liquid; such as leg pitted edema, or brain edema. Another is having thick, difficulty running and flow characters edema turbid liquid; such as mucus edema, chest and abdominal edema, lung edema. The reasons to cause turbid liquid and dampness are external excess dampness invasion, and internal good dry energy material deficiency condition; such as good heart dry material deficiency; good kidney dry material deficiency; good liver dry material deficiency; good lung dry material; good stomach and large intestine dry material deficiency.

5.3 Good with bad mixed condition

Good appetite with under weight Healthy weight with chronic diarrhea Normal urination with chronic low back pain Good walking ability with deformation knee joints

6. Benign and malignant condition

6.1 Benign condition

The benign word structure is bend + in + giant; that means there is restrain power to let giant bend down; the benign do not has highly ability to invasion and threatens life; the benign do not has highly desire tending to cause great harm and injury to the health body; the benign do not has uncontrollable growth, harmful, toxicity, injury, dangerous, metastatic, resistant to remedies; rapidly spreading, spiteful, irremediable characters; the benign has mildness, gentleness, harmless, not recurrent and remediable characters; such as small size and located in none important area tumor.

6.2 Malignant condition

The malignant word structure is mal + in + giant; that means badly giant; or very bad in the huge thing; or very bad thing ignite. The malignant has highly ability to invasion and threatens life; the malignant has highly desire tending to cause great harm and injury to the health body; the malignant has uncontrollable growth, harmful, toxicity, injury, dangerous, metastatic, resistant to remedies; rapidly spreading, spiteful, irremediable characters; such as cancer.

6.3 Benign with malignant mixed condition

Fatty tumor with uterine cancer Fatty tumor with diabetes Acute excess heat cough with chronic malignant dry heat cough Wind cold joints pain with chronic arthritis joints pain Temporary wind cold muscle spasm with chronic muscle trembling and twitching

7. Temperature heat with property heat condition

7.1 Temperature heat condition

The temperature heat is pathogen heat in the circulation area The temperature heat is pathogen heat in the external area The temperature heat is early stage of pathogen heat The temperature heat is later stage of pathogen heat This external pathogen heat could be come from outside This external pathogen heat could be come from inside The main symptom indication of temperature heat is fever The main sign indication of temperature heat is temperature degree above 98.6F° The other signs indication of temperature heat is feeling hot, other person touch feel hot;

redness indication, such as surface skin very red with swelling; dryness indication, severe thirsty, dry mouth and lips; joints indication, such as quickly deformation; pain indication, such as very painful, long time pain, and constantly painful sensation. It is an acute condition.

7.2 Property heat condition

The property heat is pathogen heat in the lubrication area The property heat is pathogen heat in the internal area The property heat is a source to cause early stage of pathogen heat The property heat is a source to cause later stage of pathogen heat This internal pathogen heat could be come from diet This internal pathogen heat could be come from inside gene heat The main symptom indication of property heat is feel hot, burning hot pain The main sign indication of property heat is temperature degree under 98.6F°, even more

lowly. The other signs indication of property heat is feeling hot, other person touch feel not hot,

even colder; redness indication, such as surface skin purple red, brown or dark; dryness indication, such as dry hair, skin, lips, nails; joints indication, such as slowly deformation, enlargement; pain indication, such as ache, mild pain, short time pain. It is a chronic condition.

7.3 Temperature heat with property heat mixed condition

Fever, very red skin with high sugar mixed together. Fever, painful condition with multiple brown spots on the skin mixed together. Very fresh red skin with chronic, old purple skin mixed together. Very fresh red skin with chronic constipation mixed together. Cancer with diabetes mixed together

Section Three: Location of Condition

1. External and internal condition

1.1 External condition

The external meaning is directly related with, connected to Mother Nature environment or Mother Nature material; but relatively body has different external layers. Cold and moisture energy stay external area; the external area will be cool more than internal area of body. The external area indication is not just reflecting external condition and situation also reflect internal condition and situation too.

1.1.1 Body parts are directly related with Mother Nature environment

Outside tissues: skin, hair, nail, orifices (eye, ear, nose, tongue, mouth, anus, sex organs) All outside tissue’s symptoms and signs are external condition indication

1.1.2 Body parts are directly connected to Mother Nature material

Outside organs such as esophagus, stomach, small intestine, large intestine, lung, bladder. All outside organ’s symptoms and signs are external condition indication

1.2 Internal condition

The internal meaning is not directly related with, connected to Mother Nature environment or nature material; but relatively body has different internal layers.

Warm and dry energy stay internal area; the internal area will be more warm than external area of body.

1.2.1 Internal yang organs list

Spirit heart (heart beat center), liver, kidney yang (adrenal gland), heart. All inside yang organ’s symptoms and signs are internal condition indication

1.2.2 Internal yin organs list

Brain, spleen, pancreas, kidney. All inside yin organ’s symptoms and signs are internal condition indication

1.2.3 Internal tissue list

Bone, tendon, nerve and frequency meridians, lymph system, blood vessel, muscle, fatty. All inside tissue’s symptoms and signs are internal condition indication

1.3 External with internal mixed condition

Stomach with physical heart symptoms and signs mixed condition Bladder with kidney symptoms and signs mixed condition Gallbladder with liver symptoms and signs mixed condition Large intestine with kidney yang symptoms and signs mixed condition Diaphragm with lung symptoms and signs mixed condition San Jiao with spleen and signs mixed condition Small intestine with pancreas symptoms and signs mixed condition

Blood with bone symptoms and signs mixed condition Skin with muscle and signs mixed condition Circulation (Jin) with lubrication liquid (Ye) symptoms and signs mixed condition Frequency meridians with nerve meridians symptoms and signs mixed condition

2. Upper and lower condition

2.1 Upper condition

Upper means higher in relation to place, regions, physical position, and northern area; the navel area and line around navel is divided point for upper and lower of body.

Head, neck, should, arm, heart, lung, stomach, small intestine, gallbladder, pancreas.

2.2 Lower definition

Lower means in relation to place, regions, physical position, and southern area; the navel area and line around navel is divided point for upper and lower of body.

Feet, knee, hip, waist, sex organs, large intestine, bladder, uterine, ovary, kidney yang (adrenal gland), kidney (yin), liver, spleen, small intestine.

2.3 Upper with lower location mixed condition

Shoulder with knee pain together Neck with low back pain together Wrist with ankle pain together Headache with feet pain together Heart with kidney condition together Lung with bladder condition together Lung with large intestine condition together Heart with uterine condition together Brain with kidney condition together Brain with spleen condition together Brain with liver condition together Stomach with large intestine condition together

3. Left and right condition

3.1 Left condition

Left side means to human is heart beat side is left side. Or when human’s eye see south (equator) at the northern hemisphere region, the facing east arm is call left side arm. When the human see south (equator) at southern hemisphere region, the facing west arm is call left side arm.

The common left side of body is left heart, lung, pancreas, spleen, kidney yang (adrenal gland), kidney, ovary, ear, arm, hand, leg, feet and surface area of the body. Left side has more yang property.

3.1.1 Northern hemisphere

Left side body is belonging to yang, because physical heart is located in the left, that is life main warm energy source come from.

Left side body has heartbeat, kidney yang (adrenal gland) warm energy source. Left side body is belonging to yang, but it has two important cold and moisture organs

(pancreas and spleen) located on the left side of body to balance warm and dry energy. Left side body is effect by Mother Nature warm and moisture energy. Left side upper body is belonging to yang, but it has more liver warm and dry yang

energy qi to support left side. Left arm is belonging to yang, but it has more liver warm and dry yang energy qi to

support left side arm. Left leg is belonging to yang, but it has more cold and more yin energy running into left

leg from upper right side of body.

3.1.2 Southern hemisphere

Left side body is belonging to yang, because physical heart is located in the left, that is life main warm energy source come from.

Left side body has heart beat warm energy and kidney yang (adrenal gland) warm energy source.

Left side body is belonging to yang, but it has three important cold and moisture organs (pancreas, spleen and kidney) located on the left side of body to balance left side warm and dry energy. But the pancreas, spleen and kidney organs will be effect by Mother Nature west hot, hot dry and cold dry energy more than northern hemisphere region; that means who living in the southern hemisphere region, it will be easy have cold and moisture energy deficiency condition.

Left side body is effect by Mother Nature dry and hot energy in the summer and fall Left side body is effect by Mother Nature dry and cold energy in the fall and winter Left side upper body is belonging to yang, but it has more liver warm and dry yang

energy qi to support left side. Left arm is belonging to yang, but it has more liver warm and dry yang energy qi to

support left side arm. Left leg is belonging to yang, but it has more cold and more yin energy running into left

leg from upper right side of body.

3.2 Right condition

Right side means to human heart beat reverse side is right side. Or when human’s eye see south (equator) at the northern hemisphere region, the facing west arm is call right side arm. When the human see south (equator) at southern hemisphere region, the facing east arm is call right side arm.

The common right side of body is lung, liver, kidney yang (adrenal gland), kidney, gallbladder, ovary, ear, arm, hand, leg feet and surface area of the body. Right side has more yin property.

3.2.1 Southern hemisphere

Right side body is belonging to yin, because physical heart is located in the left, that is life main warm energy source come from.

Right side body has kidney yang (adrenal gland) lava warm energy, liver forest warm energy and shao yang gallbladder warm energy.

Right side body is belonging to yin, it has three important cold and moisture organs (liver yin, kidney and gallbladder) located on the right side of body to balance right side warm and dry energy.

Right side body is effect by warm and moisture energy during the summer and fall Right side upper body is belonging to yin, but it has more spleen cold and moisture yin

energy to support right side lung yin. Right arm is belonging to yin, but it has more spleen cold and moisture yin energy to

support right side arm. Right leg is belonging to yin, but it has more warm and dry energy running into right leg

from upper left side of body.

3.2.2 Left with right side mixed condition

Both arm pain together Bother lag pain together Left arm with right leg pain together Right arm with left leg pain together Gallbladder with pancreas condition together Liver with spleen condition together

4. Front and back condition

4.1 Front condition

Front means forward part, forehead or face; the common front of human body are face, chest, abdominal, sex organs, inside arm and palm, front leg, top of feet, sole, almost all organs except kidney yang (adrenal gland) and kidney.

4.1.1 Characters of front

Most life activity is located front. Most organs are located on front of inside body. Most energy material is taken in from front body. Most positive energy releasing is taken front body (heartbeat, breath, vision, secretion

breast milk, ejaculation, hand qi gong) Most turbid waste material is eliminating from front body (negative eye complexion,

negative spirit emotion message, sweat, turbid air, urine and menstruation, discharge) Front of body has more yang property

4.2 Back condition

Back means posterior portion, opposite forehead or face; the common back of human body are back head, brain, neck, shoulder, shoulder blade, spine, spine fluid, kidney yang (adrenal gland, kidney), back of arm, top of hand, buttocks, back of leg, feet and sole.

3.4.2.1 Characters of back

Most life activity is not located back. Most organs are not located on back of inside body. Most energy material is not taken in from back body. Most positive energy releasing is not taken from back body (heartbeat, breath, vision,

secretion breast milk, ejaculation, hand qi gong) Most turbid waste material is not eliminating from back body (negative eye complexion,

negative spirit emotion message, sweat, turbid air, urine and menstruation, discharge) Most turbid waste material expel out from back body is feces and sweating. Most nature against wind cold is use back of body to face the wind cold. Back of body has more yin property.

(Same property against each other, same material binding each other; opposite property attracting each other, opposite material reject each other.)

4.3 Front with back mixed condition

Abdominal pain with low back pain condition together Big abdominal with low back pain condition together Thyroid’s symptoms with back neck condition together Front chest pain with upper back pain condition together

5. Local symptom and whole body symptom condition

5.1 Local symptom

The local definition is point to a particular place, a specific part of the body; the local symptom is an abnormal sign or symptom located at a specific part of the body; it could be only indicated local condition, it could be indicated whole body condition; the whole body symptom could be made by a group local symptoms. The example of local symptom is hand pain or feet pain.

5.2 Whole body symptom

The whole definition is point to a completely place, a completely of the body, the whole body symptom can be a system of the symptoms, or a few systems of the symptoms; the whole symptom could be a group abnormal sign or symptom located in multiple parts of the body.

The whole symptom could be an abnormal sign or symptom located in multiple parts of the body; it could be only indicated a system condition, it could be indicated whole body condition; the whole body symptom could be made by a group local symptoms.

The example of whole symptom is headache, fever, jaundice, tiredness, muscle spasm, itching and coma, overweight and loses weight.

5.3 Local with whole body symptoms mixed condition

Hand pain with whole body muscle ache Diarrhea with loses weight Poor appetite with tiredness Foot rash with whole body itching

Section Four: Time of Condition

1. Time of condition

The time definition is point to a procedural, the time procedural is related to a space, a place, or a life and living thing continually keep going, which result is occur irreversible character in apparently and inherently from the past through the present to the future.

The time has different measurement, the basic time measurement is second, minute, hour, day, week, month, season and year. The time has history, current, future, temporary, everlasting, acute and chronic characters.

2. Current, history and future condition

2.1 Current condition

The current definition is point to present and immediate present time, or being in progress now, or described a moment of steady, smooth onward movement, or most recent. The current condition is point to right here and right now body external and internal condition and situation.

The definition of current is point to a time state, the time state is belonging to the present time; a movement state, the movement state is a steady, smooth onward movement, but it has not future direction indication; such as running nose due to catch wind cold; the running nose is only wind cold and deficiency defense qi indication; It is a current wind cold indication; do not have any future direction and indication.

2.2 History condition

The history condition of definition is point to a record, or past events, or the past, background, previous experiences of body health condition.

2.3 Future condition

The future condition of definition is point to something abnormal condition that will happen in time to come, undetermined events that will occur in that time, and a prospective or expected flare up a bad condition, especially one considered with regard to abnormal growth, advancement, or development; such as new diseases, new symptoms and complication.

3. Temporary (tendency) with everlasting condition

3.1 Temporary (tendency) condition

The definition of temporary is point to lasting only a short time, and not permanent, only moment. The temporary condition is not permanent of abnormal symptom and sign; such as catch wind cold.

The definition of tendency is point to a future direction state; it is related to a movement in a given direction; such as a group body liquid deficiency symptoms and signs will indicated a tendency; the tendency indication is high blood sugar condition in the future.

3.2 Everlasting condition

The definition of everlasting is point to the symptom, sign and disease is continuing indefinitely, or for a long period of time, or never coming to an end, or occurring so often as to become chronic; such as malignant mass and high blood sugar condition.

3.3 Temporary (tendency) with everlasting mixed condition

Temporary low blood sugar with diabetes mixed condition Temporary low blood pressure with hypertension mixed condition Temporary low calcium with gallbladder stone mixed condition Temporary low cholesterol with overweight mixed condition Temporary none joints pain with arthritis mixed condition

4. Acute and chronic condition

4.1 Acute condition

The definition of acute is point to the symptom is having a rapid onset and following a short but severe course; the condition and situation of symptom have extremely sharp, severe and intense severity degree characters; the time of symptom has arising suddenly and relatively short duration characters (large amount menstruation bleeding, vomiting).

4.2 Chronic condition

The definition of chronic is point to the symptom is having a developing slowly onset and following a long period of time course; the condition and situation of symptom have extremely sharp, severe and intense severity degree; or very bad, very serious; or mild, gentle and less intense severity degree characters; the time of symptom has arising gradually and relatively long duration, marked by constantly frequently recurrence, and continuing, inveterate, habitual characters (over one month cough, diarrhea or pain).

4.3 Acute and chronic mixed condition

Acute cough with chronic wheezing mixed condition Acute chest pain with chronic angina pectoris mixed condition Acute skin bruise with aging mixed condition Acute headache with hypertension mixed condition

Section Five: Degree of Condition

1. Excess and deficiency condition

1.1 Excess condition

The excess meaning is too much, the amount, property and degree are more than body normally condition needed, physically required, and pathogenesis permitted.

A high temperature, lower temperature; lower humidity and high humidity indication A body temperature is high or low more than 98.6°F; body moisture is lower more than

45%; the abnormal high degree damp condition cannot use moisture index as indication, usually use edema, abnormal secretion liquid as indication.

Body self-sensation and feeling no warm, no cold, no moisture no dries. Body self-sensation and feeling hot, cold, dry and moisture. Other person touches feel hot, cold, dries, slimy. Material texture designating, such as water, thick, dry and mucus. Sound designating, such as turbid, loud, cracking, heavy sound. Voice tone designating, such as turbid, loud, cracking, heavy voice tone. Body color designating, such as white, dark red, brown or yellow, dull color. Smelling designating, such as smelliness, strong smelling, metal smelling and foul

smelling. Taste designating, such as bitter, spicy, sweet and salty, bland. Lubrication designating, such as thin, soupy, thick, running. Body position designating, such as hand cross holding each other, hand open, stiff hand

and feet joints, heavy hand and feet. Body shape designating, such as over size or skinny. Emotion designating, such as less or high enthusiasm emotion. Desire designating, such as exhibiting less or high level enthusiasm; craving meat,

craving salt, sweet, and thirsty, or do not want to drink water.

1.2 Deficiency Condition

The deficiency meaning is less and shortage, the amount, property and degree are less than body normally condition needed, physically required.

A high temperature, lower temperature; high humidity and lower humidity indication A body temperature is high or low more than 98.6°F; body moisture is lower more than

45%; the abnormal high degree damp condition cannot use moisture index as indication, usually use edema, abnormal secretion liquid as indication.

Body self-sensation and feeling no cold, no warm, no dries, no moisture. Body self-sensation and feeling hot, cold, moisture and dries. Other person touches feel hot, cold, slimy, dries. Material texture designating, such as thick, watery, mucus and dries. Sound designating, such as turbid, weak, heavy, cracking and hoarse sound. Voice tone designating, such as turbid, weak, heavy, cracking and hoarse voice tone. Body color designating, such as dark red, pink, light red, dull, brown or yellow color. Smelling designating, such as strong smelling, smelliness, foul smelling, metal smelling.

Taste designating, such as spicy, bland, bland, sweet and salty. Lubrication designating, such as soupy, thin, running, thick. Body position designating, such as hand open, hand cross holding each other, heavy hand

and feet, stiff hand and feet. Body shape designating, such as over size or skinny. Emotion designating, such as high or less enthusiasm emotion. Desire designating, such as exhibiting high level enthusiasm; poor appetite, do not want

to drink water, craving salt, sweet, and thirsty.

1.3 Excess and deficiency mixed condition

High level low back muscle spasm with stomach ache mixed condition Dark red, swollen and dark green sublingual tongue with very fine and weak pulse. Very red face with pale tongue and pale nail mixed condition Very red and swollen tongue with chronic diarrhea mixed condition Cancer with sudden lose weight mixed condition

2. Suddenly danger and suddenly hidden danger condition

2.1 Suddenly danger

The suddenly definition is happening without warning or; the suddenly danger is external and internal pathogens invasion body without warning. Generally, the external pathogens invasion situation is without warning and alert; such as contagious diseases; but internal pathogens invasion should be have early sign or indication, but usually we do not know how to read and understand, or we just try to not to see and block outside of mind; such as stroke (developed from high blood pressure), kidney failure (developed from high blood sugar). So hidden danger situation is a main reason to cause suddenly danger.

2.2 Hidden danger

The definition of hidden is not accessible to view or showing; the definition of danger is a state of being vulnerable to injury or harm; so hidden danger has danger already exist, but slowly, none immediately, gradually, accumulation pathogens power, shining out characters; the pathogen is located in none important area; the pathogens heat power is weak, and in the accumulation state, the pathogenesis is in the astringent situation. Such as stroke is a hidden danger situation for high blood pressure condition.

2.3 Hidden danger and suddenly danger mixed condition

Acute severe headache with chronic very high level of blood pressure mixed Acute low blood sugar with chronic diabetes mixed condition Acute bleeding with chronic blood vessel tumor mixed condition Baby acute diarrhea with chronic malnutrition mixed condition Acute severe vomiting with chronic heart disease mixed condition Acute shortness breath with chronic muscle trembling and twitching

Acute shortness breath with chronic asthma mixed condition

3. Emergency and none emergency condition

3.1 Emergency

The emergency definition is point to a serious condition and situation happens urgently and unexpectedly; this crisis usually is involving danger and requires immediate medical support action; the solution usually is referral to hospital emergency room. The common emergency condition is severe wheezing, bleeding, pain, vomit, diarrhea, high fever, extremity paralysis, unconsciousness.

3.2 None Emergency

None emergency definition is point to a mild condition and situation happens gradually, and expectedly; this chronic condition usually is not involving danger and do not requires immediate medical support action; the solution usually does not referral to hospital emergency room. The common none emergency condition is mild low grade fever, cough, bloating, constipation, muscle ache, tingling, numbness.

3.3 Emergency and none emergency mixed condition

Acute faint with chronic high blood sugar mixed condition Sudden choking with chronic esophagus narrow mixed condition Sudden chest pain with chronic high cholesterol mixed condition Sudden fracture of bone with chronic osteoporosis mixed condition Abdominal cyst burst with chronic constipation mixed condition

4. Life threaten and life safe condition

4.1 Life threaten

The threaten means the condition indicated danger or harm; the life threaten means life face to the danger and harmful situation. The common life threaten situation is emergency condition. The solution for release life threatens beside emergency room is prevention; the prevention life condition is away from danger and potential danger.

4.2 Life saves

The save means the condition indicated no danger and harm; the life save means life face to the no danger and harmful situation; the life health condition and environment is in the peaceful, nice and kindness good condition; there is no hidden danger and sudden danger to body.

4.3 Life threaten and life safe mixed condition (see 5.3.3, 5.2.3)

5. Dying and none dying condition

5.1 Dying

The dying definition is life energy declining to an end. The dying is a slow and chronic process; the dying is gradually losing energy and deficiency amount and property of energy. The common dying indication is severe underweight, pale and dull face color, poor appetite, weak speaking ability, lower level extremity ability, weak heartbeat, weak pulse, weak and shortness breath, low body temperature, lower blood pressure, severe dehydration condition.

5.2 None dying

None dying definition is point to life energy not declining to an end. The common none dying indication is normal weight, health pink face color, normal appetite, normal speaking, normal level extremity ability, normal heartbeat and pulse, normal breath, normal body temperature and blood pressure, no obviously dehydration condition.

5.3 Dying and none dying mixed condition

Very weak with be able running Very pale with red face Very underweight with normal weight Very poor appetite with normal appetite

Chapter Six

Situation

Section One: Basic Information

1. Definition of situation

The definition of situation is point to a particular imprecise, unsteady state of health, an existing complicated circumstance of health; the situation also is described A state of health develop to unknown state of health; the situation is more described would happening circumstance; the situation is more described future circumstance; the health situation is included already happening and would happening circumstance; most case is described opposite circumstance and state.

Section Two: Pathogenesis activity of situation

1. Incubation with initiation situation

1.1 Incubation

Incubation is an act of warming eggs in order to hatch them, as by a bird sitting upon a clutch of eggs in a nest. It is contain accumulation meaning; accumulation is an act or process of collecting together or becoming collected. This procedural have two kind’s activity, one is dryness, heat, or other kind’s property pathogens; continue accumulate heredity dry heat; two is accumulate after born pathogen.

1.2 Initiation

The initiation is an action of disease onset or flare up; the initiation is a sign of pathogen dry heat finished procedural of build up a disease or diseases; risk factors of initiation are bone fracture; catch severe cold or wind heat with high fever; lost blood liquid; lost body liquid.

2. Suddenly flare up with slowing coming out situation

2.1 Suddenly flare up situation

The definition of suddenly is point to something happening without warning, rapidity, quickly and unexpectedly. The definition of flare up is point to something that can be ignited quickly and intensify. The definition of suddenly flare up is a negative symptom, sign or disease that can be ignited quickly and unexpectedly; such as acute hepatitis A.

2.2 Slowly coming out

The definition of slowly is point to a movement action at a low speed situation. The definition of coming out is point to a negative symptom, sign and disease arrived and appear; it is the pathogens moving into visible view; such as gray hair.

2.3 Suddenly flare up with slowing coming out mixed situation

3. Activity with inactivity situation

3.1 Activity

The definition of activity is point to a lively action state, an energetic action or movement; the activity is point to pathogens lively movement in Chinese herbal remedies field.

3.2 Inactivity

The definition of inactivity is point to none action state, not functioning or operating situation; the inactivity is point to pathogens in none movement condition in Chinese herbal remedies field.

4. Block out and re-flares up situation

4.1 Block out

The definition of block out is point to a real material, or a solution, or a procedural that can be cover over original condition to reach certain purpose, such as retain something in place, or stop movement through, or obstruct view, or shut out from view.

And interrupt or obstruct the improper pathogenesis condition; such as circulate blood to removed blood stagnation, which is not release and clear out the reasons to cause blood stagnation; only cover surface symptoms.

Another example is use cinnamon powder to reduce high blood sugar, the hot property cinnamon powder will break down sugar particle to small size material, which cannot be trace by blood test, but it is not clear heat, the heat is reason to cause high blood sugar; so the cinnamon powder’s function is block out sugar numb.

4.2 Re-flare up

The definition of re- is return, again, one more time and repeat. The re-flare up is original negative condition appear again or return to attack body healthy condition; such as cancer, colitis. The original negative condition will be re-flare up, if the remedies is only focus on the symptoms; when the remedies is focus on the reason to cause negative condition, the original negative condition will be not easy to re-flare up.

5. Breaking down and rebuild situation

5.1 Break down The definition of break down is a negative state, a negative consequence with lost

function or ability, even shape; such as a smash cause to separate, divide into pieces,

parts; a fracture bone. More important situation in the practice is after a disease attack body, one or more system function get damaged.

Another example is a remedies solution for an abnormal pattern, the remedies solution is making pathogens attacking ability reducing, the symptoms is reducing, the abnormal pattern is break down but not completely.

5.2 Rebuild

The definition of re- is return, again, one more time and repeat. The definition of build is an action, which is making something by combining materials or parts; to develop something according to a plan. More important situation in the practice is after a disease done attack body, the body start recovery healthy function to repair damage.

Another example is after a remedies solution for take care an abnormal pattern, the remedies solution is making pathogens attacking ability reducing, the symptoms is reducing, the abnormal pattern is break down but not completely; the pathogens is try to recovery negative attacking ability function; this negative recovery procedural is call rebuild.

6. Invisible (stealth) with visible (display) situation

6.1 Invisible

The definition of invisible is point to a visual ability situation, which is impossible to see; the thing or condition is hidden, it is not accessible to view; it is not easily noticed or detected; it is not able to be perceived by the eye; it is concealed from sight.

The definition of stealth pathogens property is an ability of pathogen; it is ability of pathogen try to cover what happening in the deep body; it is pathogen try to closing and not let someone be able to view what is going on of body.

The pathogen is try to giving opposite direction; and manifestation to outside and reflex internal condition in opposite and indirectly way; such as moisture tongue and good condition of skin are indicated good condition of body yin liquid; but painful and weak knee cannot stand long are showing internal excess dry heat and yin deficiency condition; because the dry heat pathogen is try to pushing more liquid to outside of body, then internally less liquid, which is dry heat have more power to damaged internal tissue.

6.2 Visible

The definition of visible is a visual ability situation, which is possible to see; the thing or condition is not hidden, it is accessible to view; it is easily noticed or detected; it is able to be perceived by the eye; it is not concealed from sight.

The definition of display pathogens property is an ability of body; it is ability of body try to describe what happening in the deep body; it is body try to present and let someone be

able to view what is going on of body. The body is giving evidence and manifestation to outside and reflex internally condition; such as red face is reflex body have internal heat.

7. Chaos and order situation

7.1 Chaos

The definition of chaos is a situation or place of very disorder or confusion; such as pre-malignant mass condition has too many symptoms and signs, it is difficulty to detective; the common chaos of pre-malignant mass symptoms are depression, abnormal emotion, pain, tremor, tiredness, bleeding, constipation, redness, dryness.

All indication is not obviously leading to malignant mass condition in the future. The chaos usually is hiding certain order pattern; it is in the control chaos situation; this chaos is leading current condition to certain order direction.

7.2 Order

The definition of order is a situation of logical or understandable arrangement of the separate parts; such as pre-high blood sugar condition has many symptoms and signs.But it is not difficulty to detective; the common order pre-diabetes symptoms and signs are dry mouth, dry lips, dry throat, constipation, dry hands, dry feet, and dry skin.

All indication is obviously leading to high blood sugar condition in the future. The order usually is hiding certain chaos pattern; it is in the control order situation; this order is leading current condition to certain chaos direction.

8. Involuntary with voluntary situation

8.1 Involuntary

The definition of involuntary is a performance or acting without conscious control, or not under conscious control. The involuntary is a character of life frequency energy indication. The involuntary is life activity and function of vital indication; such as contraction of the heart, blood flow, breathing, digestion, and autonomic nervous system.

8.2 Voluntary

The definition of voluntary is point to a performance or acting with conscious control, or under conscious control. The voluntary is a character of life yang in the yin energy; the voluntary is a character of life energy depend body liquid circulation and carrier. The voluntary is life activity and function of vital indication; such as hands and feet movement, face expression, eating and drink activity, bowel, urination movement.

9. Depression and maniac (Bipolar) situation

9.1 Depression condition

The definition of depression is point to a lowering in amount, degree, activity, condition of the body. The common indication is weakness; such as physically tiredness and less activity, emotionally low grade level and less responds, poor energy level indication and weak complexion; generally is energy qi deficiency condition.

9.2 Maniac condition

The definition of maniac is point to a high level in amount, degree, activity, condition of the body. The common indication is over acting; such as physically over acting and too much activity, emotionally high grade level and too much responds, hyper energy level indication and too hot complexion; generally is energy qi too much condition.

10. Astringent with expelling situation

10.1 Astringent

The definition of astringent is point to a substance or preparation, which put together, constricts, restricting, hold back body tissues function and secretion material; such as there is no cracking on the tongue, but there is too much dryness indication in other body area, that means the dry heat is astringent in the deep body area.

10.2 Expelling

The definition of expelling is point to a substance or preparation, which forces to leave, force to out or drive out of the body; such as hive, skin blister, spots, bleeding.

11. Inhibiting with stimulating condition

11.1 Inhibiting

The definition of inhibiting is a situation of hold back, or restrict; special describe pathogen want to save more power and hiding in the deep body area condition; such as dull pale nail color with dark red finger tips, the body do not have other heat symptoms; the dark red is excess heat sign; the dull pale nail color is blood deficiency.

It is blood circulation area deficiency condition, but it is not mean blood storage area deficiency; it could be have excess blood condition in the liver or capillary area, the condition is not have bleeding history.

When excess blood heat is try to storage more power, which is leading more red blood cell storage in the liver and capillary area to cause red blood cell deficiency in the circulation region. This is pathogen heat inhibiting situation; the purpose is pathogen prepare heavy strike or final strike later.

The definition of inhibiting also is a remedies solution of hold back, or restrict over excitation condition; such as astringent, calm down shen, holding and clear excess heat at same time.

11.2 Stimulating

The definition of stimulating is a situation of negative thing to increase current unhealthy condition to have more negative excite and invigorate activity, which means more symptoms coming up, or old symptoms getting worse; such as catch wind heat to cause high blood sugar more worse.

The definition of stimulating also is a remedies solution to improve deficiency and hypo condition; such as aromatic, open orifices, nourish qi, regulate qi, circulate blood.

11.3 Inhibiting with stimulating mixed situation

Nose congestion with cough due to catch wind cold Nose congestion with sneezing due to allergy Poor appetite with hungry sensation Urgency bowel movement sensation without feces coming out Urgency urination with difficulty urinating

12. Stagnated with diffusion situation

12.1 Stagnation

The definition of stagnation is a state of inactivity of solid, liquid and air material movement; it could be a state of inactivity of emotion, thinking, spirit movement; the general life activity is in the full or part standing still without fully circulation. The common stagnation is food, Qi, blood, phlegm, feces, heat, cold, dryness, dampness (turbid liquid), emotion thinking and spirit stagnations.

The stagnation material will be blocked energy material circulation condition, the energy particle will lose coating and release warm property and material to created abnormal stagnation heat when the energy material cannot be circulated; the stagnation heat will be damaged body good yin liquid to created body yin liquid deficiency condition; the body yin liquid deficiency condition will cause more poor circulation condition, and lead body to have more stagnation.

12.2 Diffusion

The definition of diffusion is an acting state, this acting state have dispersion, scattering, spread, radiation, reflection, refraction, reflection or refraction of radiation in many directions characters; such as the excess heat can be diffusion to the face, tongue, hand and feet area, which is cause redness color.

The excess dryness can be diffusion to the skin, hair, nail area, which us cause dryness indication. Bleeding is one of important indication of diffusion. The stagnation and diffusion is two face of the pathogen dry heat; the stagnation and diffusion situation is coming from one source, the one source is pathogen dry heat; when the pathogens dry heat direction is in the astringent direction, the stagnation is astringent indication. When the pathogens dry heat direction is in the spreading direction, the diffusion is spreading direction indication.

12.3 Stagnated with diffusion mixed situation

Menopause emotion depression with hot flesh mixed situation Pre-menstruation with menstruation mixed situation Leg edema with frequency urination mixed situation Malignant mass with lose weight mixed situation Brian yin deficiency (poor memory) with numbness and tingling mixed situation Chest pain with palpitation mixed situation Depression with angry mixed situation Fixed pain with distension mixed situation Abdominal bloating with diarrhea mixed situation Food stagnation with chronic diarrhea mixed situation Nose congestion with sneezing mixed situation

Section Three: Pathogen material situation

1. Blood stagnation and bleeding condition

1.1 Blood stagnation

1.1.1 Blood definition

The definition of blood is point to red and dark green color fluids, which is running in the artery and vein vessels. It is contain solid, liquid and air material; the solid material is mineral particle, such as iron, calcium and sodium; the liquid material is water and body liquid; such as plasma; the air material is oxygen and carbine dioxide. It is contain nutrition supply and waste material; the nutrition material is protein, fatty, sugar and vitamin; the waste material is negative heat, body turbid liquid, carbine dioxide, toxicity material.

The blood solid material is coming from bone marrow and intestine; the blood liquid is coming from drinking water; the blood air material is coming from breathing; the blood circulation power is coming from heartbeat; the cooling down and filtering blood liquid ability is depended on kidney; the blood has circulation and storage two major area in the life body; the artery and vein are main circulation area, the liver and blood capillary area is main storage area.

The blood has ratio percentage of the solid, liquid and air; the majority percentage of blood is liquid material, the secondary percentage of blood is solid material, the third percentage of blood is air material.

The number one blood function is received warm property kinetic energy power from heartbeat, the number two blood function is transfer warm property kinetic energy power to all body tissues, the number three blood function is carrying oxygen and nutrients to all body tissues; the number four blood function is carrying waste materials away from all body tissues and filtering out of the body.

1.1.2 Stagnation definition

The definition of stagnation is point to the a state of inactivity of solid, liquid and air material movement; it could be point to a state of inactivity of emotion, thinking, spirit movement; the general life activity is in the full or part standing still without fully circulation. The common stagnation is food, Qi, blood, phlegm, feces, heat, cold, dryness, dampness (turbid liquid), emotion thinking and spirit stagnations.

The stagnation material will be blocked energy material circulation condition, the energy particle will lose coating and release warm property and material to created abnormal stagnation heat when the energy material cannot be circulated; the stagnation heat will be damaged body good yin liquid to created body yin liquid deficiency condition; the body yin liquid deficiency condition will cause more poor circulation condition, and lead body to have more stagnation.

1.1.3 Blood stagnation

The definition of blood stagnation is point to a state of inactivity of solid, liquid and air material movement of blood; there are a few types of blood stagnation.

The number one is too much air material in the blood liquid, which means it has high ratio of air in the blood liquid, which is causing abnormal blood liquid flow condition.

The common abnormal high level blood air material indication is high level of CO2, high blood pressure, too much air bubble in the blood liquid,

The number two is blood liquid material deficiency, which means blood liquid texture is too thick; the blood liquid has low level amount deficiency of plasma. The common abnormal high level blood liquid material deficiency indication is high platelet count, short blood coagulation time, dark blood color, thick blood texture.

The number three is too much blood solid material in the blood liquid, which means blood liquid contain too many and too much solid material particle, it will disturbed blood liquid flow. The common abnormal high level blood solid material indication is high amount of red blood cells, hemoglobin, platelet, protein, sugar, cholesterol, calcium, sodium, potassium, iron, high erythrocyte sedimentation rate.

The first common result is causing blockage from blood stagnation, the blockage condition will be blocked blood, oxygen, energy qi, nutrition material, body liquid supply; when body tissue is without blood and nutrition material supply, the body tissue will be partly or fully degeneration, lost function, and lost life ability.

The second common result is causing sclerosis and hard texture from blood stagnation, the blood vessel and organs will loosed elasticity property and turning to hard texture. The hardness is one of common aging sign.

The third common result is causing waste heat from blood stagnation, the waste heat created by blockage of energy material; when the good energy material is stocked, the warm property of the energy particle will burned surface coating, which is cold and moisture property, and release heat to the outside of energy particle.

The fourth common result is shrinking blood circulation range, the accumulation of waste heat can located at far away of body, such as hand finger and toe area, also the waste heat can accumulated toward to the trunk area, which result is shrinking blood circulation range. Once the blood circulation range is smaller, the faraway of body tissue will start degeneration and created more abnormal heat to bring down the good tissue.

This four type’s blood stagnation condition is usually combination together; this four type’s blood stagnation condition is usually affecting each other. The numb one reason to cause blood stagnation is dry heat, the dry heat can damaged blood liquid to cause more abnormal air in the blood stream; the dry heat can damaged blood liquid to cause blood liquid texture to thick; the dry heat can damaged blood solid material to cause coagulation and congeal condition to created clots. The other common reason to cause blood stagnation is cold and abnormal emotion condition.

The common symptoms of blood stagnation are pain, numbness, severe cough. The common signs of blood stagnations are tumor, mass, cysts, fibroids, clots, swelling, bleeding, dark red, purple, and pale skin color.

1.2 Bleeding condition

The definition of bleeding is point to a flow state of blood from a ruptured blood vessel. The common reason to cause bleeding is dry heat; the dryness is easy making blood vessel old and cracking to open; the abnormal heat is easy making blood liquid has too much and too strong power to running, which is having high level pressure to the blood vessel, and easy cause blood vessel ruptured. The bleeding is one of result from blood stagnation. Bleeding is one of important indication of diffusion.

Another reason is good yang qi deficiency, the dry heat is in the excess condition; the excess dry heat can pushed good yang qi into internal body area, so the excess dry heat is in charge external area of body to cause bleeding. When using nourish good qi and good yang qi solution, the good qi and good yang qi can push abnormal dry heat back into internal body area, the blood liquid will be without dry heat pushing, so the blood liquid will less pressure power to push blood vessel wall, the bleeding will be stopped without dry heat power support.

The blood stagnation and bleeding is two faces of the pathogen dry heat; the blood stagnation and bleeding condition is coming from one source, the one source is pathogen dry heat; when the pathogens dry heat direction is in the astringent direction, the blood stagnation is astringent indication. When the pathogens dry heat direction is in the spreading direction, the bleeding is spreading direction indication.

1.3 Blood stagnation and bleeding mixed situation

Large amount menstruation with clots mixed situation Ulceration with dark red and purple of skin color mixed situation Purple tongue, lips and nail with easy bruise of skin mixed situation Malignant mass with easy bleeding mixed situation Aging and dark blood vessel with easy bruise of skin mixed situation

2. Dehydration with negative hydration situation

2.1 Dehydration

The definition of hydration is a body liquid deficiency state; this is excessive loss body circulation liquid and lubrication liquid situation and condition; which causes a rise in blood sodium and calcium levels. There are two type dehydration situations, one is acute, and another is chronic.

The most reasons to cause acute dehydration are excessive sweating, vomiting, and diarrhea. The most reasons to cause chronic dehydration is lack daily intake water and aging dry heat. The most acute dehydration is circulation liquid area that means the dehydration condition is located in the blood vessel. The most chronic dehydration is lubrication liquid area that means the dehydration condition is located in the lymph vessel, organs, brain, and joints area.

2.1.1 The common acute dehydration symptoms indication

Sweat, or less sweat; hot flushing, fatigue, lethargy, low endurance, dry mouth, thirsty,

nausea, loss of appetite, dim vision, sunken eyes, dry eye, visual snow, constipation, diarrhea, lack of amount urine, dark yellow urine, painful urination, dizzy, headache, irritability, negative mood, confusion, delirium, groggy, extreme sleepiness, leg muscle cramps, feel tingling in limbs, seizures.

2.1.2 The common acute dehydration signs indication

Dry skin, skin may shrivel and wrinkle, swelling of tongue, weak, fine and fast pulse; rapid heartbeat rate, weight loss, high body temperature, deficiency of electrolytes, low blood pressure, fainting, shock, unconsciousness, death.

2.1.3 The common chronic dehydration symptoms indication

Night time sweat, or less sweat; hot flushing, fatigue, lethargy, low endurance, dry mouth, dry lips, canker sore, thirsty, nausea, loss of appetite, dim vision, lose vision during night time, blurry vision, dry eye, visual snow, constipation, diarrhea, bleeding stool, mucus stool, hemorrhoid, lack of amount urine, dark yellow urine, painful urination, frequent urination, dizzy, headache, poor memory, forgetful, difficulty focus irritability, negative mood, confusion, delirium, attention deficit hyperactivity disorder (ADHD), autism, groggy, extreme sleepiness, insomnia, leg muscle cramps, feel burning, tingling and numbness in limbs, tremor, shaking, seizures, bulging disk, joints pain, joints deformation, different type sclerosis, low body temperature.

2.1.4 The common chronic dehydration signs indication

Dry skin, skin wrinkle, white powder on the skin, sunken eyes, bulging eye, eye bag, swelling of tongue, dry tongue, cracking tongue, none cracking tongue, dry hair, loose hair, dry nail, callus on hand and feet, nail fungus, varicose vein, or vein showing on hand and feet, sublingual vein, swelling of tongue, dry tongue, cracking tongue, none cracking tongue, weak, fine and fast pulse; rapid heartbeat rate, aging indication, weight loss, high and low body temperature, deficiency of electrolytes, high blood pressure, low blood pressure, high blood sugar, high blood cholesterol, high blood sodium, calcium, blood clots, tumor, malignant mass, cysts, fibroid, fainting, shock, unconsciousness, dying.

2.2 Negative hydration

The definition of hydration is point to a state of body over contain liquid; the first common reason to cause hydration is over drinking and intake water; the second common reason is malfunction of organs; such as kidney, liver, heart, brain and thyroid. The common and main indication of hydration is edema.

2.2.1 Glomerulonephritis (liquid great than air in ratio)

http://www.nlm.nih.gov/medlineplus/ency/article/000484.htm point out: “Glomerulonephritis is a type of kidney disease in which the part of your kidneys that helps filter waste and fluids from the blood is damaged…… Damage to the glomeruli causes blood and protein to be lost in the urine (the kidney glomeruli partially lost filter and expel turbid liquid out of blood vessel function, and lead body to have over contain too liquid condition) ……Common symptoms of glomerulonephritis are: blood in the urine (dark, rust-colored, or brown urine), foamy urine, swelling (edema) of the face, eyes, ankles, feet, legs, or abdomen”.

According to the personal study and working expertise, it is excess blood dry heat partially damaged kidney tissue and partially lost filter and expels turbid liquid out of blood vessel function, and lead body to have over contained too liquid condition, which is lead body to have edema.

2.2.2 Cirrhosis

http://www.nlm.nih.gov/medlineplus/cirrhosis.html point out: “Cirrhosis is scarring of the liver……Cirrhosis can lead to easy bruising or bleeding, or nosebleeds; swelling of the abdomen or legs”.

According to the personal study and working experience, it is excess blood dry heat partially damaged liver tissue to cause scarring condition, the liver scar tissue will cause tightness for liver vein, even cause liver vein closed. The low body liquid is need rising up and back to upper body, rejoins the blood circulation; the low body liquid must go through liver vein, and then can go back to heart. When liver vein is damaged and closed, the low body liquid will be either stay low body to cause leg edema, or spreading to abdominal area vein system to cause abdominal edema, which is call ascites, that means an abnormal accumulation of serous fluid in the abdominal cavity area to cause edema condition.

2.2.3 Chronic heart failure

http://www.nlm.nih.gov/medlineplus/heartfailure.html point out: “Heart failure is a condition in which the heart can't pump enough blood throughout the body. Heart failure does not mean that your heart has stopped or is about to stop working. It means that your heart is not able to pump blood the way it should. The weakening of the heart's pumping ability causes blood and fluid to back up into the lungs, the buildup of fluid in the feet, ankles and legs - called edema”.

Chen, H. Z. (1997). “The main symptoms and signs of left heart failure are difficulty breath (difficulty breath after physical labor, difficulty breath prefer sit position, night time difficulty breath with cough and pink color phlegm), tiredness, wheezing and rale sound in the lung, chest edema, alternate strong and weak pulse……The main symptoms and signs of right heart failure are enlargement of heart and liver; chest, pericardium, abdominal and lower legs edema” (p.1097, 1098).

According to the personal study and working expertise, it is excess blood dry heat partially damaged heart muscle tissue to cause heart muscle lost liquid, lost elasticity property and contract ability condition, and lead to heart failure condition.

2.2.4 Hydrocephalus (too much water in the brain)

http://www.nlm.nih.gov/medlineplus/hydrocephalus.html point out “Hydrocephalus is the buildup of too much cerebrospinal fluid in the brain. Normally, this fluid cushions your brain. When you have too much, though, it puts harmful pressure on your brain...Symptoms of acquired hydrocephalus can include: headache, vomiting and nausea, blurry vision, balance problems, bladder control problems, thinking and memory problems”.

According to the personal study and working expertise, it is a large amount excess dry heat accumulation in the brain area to attract extra body liquid around dry heat condition.

2.2.5 Hypothyroidism (Myxedema, lymphedema)

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001393/ point out: “Hypothyroidism is a condition in which the thyroid gland does not make enough thyroid hormone…Early symptoms: being more sensitive to cold, constipation, depression, fatigue or feeling slowed down, heavier menstrual periods, joint or muscle pain, paleness or dry skin, thin, brittle hair or fingernails, weakness, weight gain…Late symptoms: ...Decreased taste and smell, hoarseness, puffy face, hands, and feet, slow speech, thickening of the skin, thinning of eyebrows…Brittle nails, coarse facial features, pale or dry skin, which may be cool to the touch, swelling of the arms and legs, thin and brittle hair”.

According to the personal study and working expertise, the thyroid is related to mental lung, which is both have dry and heat property; both require large amount cooling and moisture liquid to keep dry heat in the under cooling and moisture liquid contain condition.

It is a large amount excess dry heat accumulation in the thyroid area to attract extra lubrication liquid to absorb excess dry heat into lubrication liquid; and spreading contaminated lubrication liquid into the healthy lubrication liquid system and cause lubrication liquid contain more abnormal heat and dryness, which is lead to lubrication liquid texture turning to more thick and lost nourishment functions, the indication is puffy face, hand and feet; swelling of the arm and legs.

2.2.6 Edema (air great than liquid in ratio)

According to the personal study and working expertise, it has air great than water in ration type edema in the practice; the edema has locally tissue rising up above other area of skin as bubble up, there is less resistance when touch the edema area, it will not have pit seeking hole when touch the edema area, it is air material great more than liquid material ration; this is pathogen dry heat damaged and burned good yin liquid, and the

good yin liquid change to air moisture material, which is stagnated under skin tissue become to edema; such as eye bag, ankle edema, inside of feet edema.

3. Immune pollution with blood heat situation

3.1 Immune pollution

3.1.1 Definition of immune system

The definition immune of western medicine is www.wikipidia.com point out “The immune system is a system of biological structures and processes within an organism that protects against disease. To function properly, an immune system must detect a wide variety of agents, from viruses to parasitic worms, and distinguish them from the organism's own healthy tissue”. The immune system is directly related to lymph system.

The definition immune system of Chinese Herbal Remedies is related to spleen, liver yin, pancreas, and lubrication liquid (Ye, or thick texture liquid). This combination system has contain cooling, moisture and nourish property lubrication liquid; which has cool down waste heat, blood heat; carry all kind waste heat material out of body.

When the body do not have too much waste heat, the body will be have extra cooling property and material to deal with external and internal invasion pathogen heat, because the waste heat or pathogen heat will cause abnormal heat symptoms and signs; in the western medicine call inflammation and infection. The cooling and moisture immune liquid is keeping body stay as cool as possible condition; the cooling and moisture immune liquid is keeping body stay as pure as possible condition; this is main function of immune system.

3.1.2 Definition of immune pollution

When the body have too much waste heat, the body will not be able to have extra cooling property and material to deal with external and internal invasion pathogen heat, because the waste heat or pathogen heat will be stay in the lubrication liquid area, the lubrication liquid will be lost cooling, moisture and nourish property and function; the lubrication liquid will be turning into turbidity texture from pure texture.

The turbidity liquid will cause circulation and lubrication liquid in dehydration condition; the turbidity liquid will cause abnormal heat symptoms and signs; in the western medicine call inflammation and infection. The cooling and moisture immune liquid will not be able to keeping body stay as cool as possible condition; the cooling and moisture immune liquid will not be able to keeping body stay as pure as possible condition; this is pollution condition by waste heat and pathogen heat; this is call immune pollution.

The immune pollution is not just pathogen heat polluted body liquid, the immune pollution is include polluted blood circulation area, so both lubrication and circulation body liquid get polluted. The lubrication liquid pollution is losing moisture function,

which is lead to very dry condition. The circulation liquid pollution is losing cooling function, which is lead to very hot condition.

3.1.3 Indication of immune pollution

3.1.3.1 Yin liquid deficiency indication

Thirsty Dry indication: eye, lips, mouth, tongue, nail, hand and feet, skin, joints. Constipation Iris: cracking line, color radiation line, shining ring or line. Crystalline lens: turbidity and cloudy Sclera: dull, cloudy, less shining.

3.1.3.2 Excess turbidity liquid indication

Yellow sticky ear wax Dark yellow urine Low leg edema Lymph edema

3.1.3.3 Phlegm heat indication

Yellow sticky nose mucus Yellow sticky sputum Yellow sticky pus Yellow sticky and mucus feces Yellow sticky virginal discharge

3.1.3.4 Blood heat indication (see blood heat)

3.2 Blood heat

3.2.1 Definition of blood heat

The blood liquid is circulation liquid (thin texture liquid, jin liquid). The blood liquid is carrier for good warm energy and waste heat material, the normal property of blood liquid is temperature warm but not burn, property cool but not stagnant; the plasma has cooling property, the solid material of blood has warm property.

When the plasma amount is in the low amount or the waste material is in the high amount condition; that will changed blood property to over heat condition from balance condition. The common indication is blood color will be more red, even dark; the texture will be more concentrate and thicker; the flow will be more slow; the liquid state will be contain clots; it will be more less nutrition function; it will be increase up damage ability.

3.2.2 Indication of blood heat

Very red blood color Dark red blood color Crimson blood color Dark blood color Thick texture of blood with clots Very red, dark red, crimson tongue color Purple color nail Dark red finger tips Dark red toes Dark red bottom of feet Brown or dark spots on the skin

3.3 Immune pollution with blood heat mixed situation (see both indication)

4. Over dosage with withdraw situation

4.1 Over dosage

The definition of over is point to excessive, extreme, extra, surplus; which is related amount usage. The definition of dosage is point to a measurement of amount intake of herbs or western medicine; the dosage is help to determination of the amount to be used; usually the dosage is mean to be each time amount, daily amount, or total amount. The definition of over dosage is point to an excessive amount of herbs or western medicine be used.

Usually the body will have reaction symptoms when over use dosage; the common reactions of over dosage of Chinese herbs are listing under this line. Over dosage of herbal and formulas that warm to release the wind cold exterior common reaction are too much sweat, thirsty and sore throat.

Over dosage of herbal and formulas that cool to release the wind heat exterior common reaction are lack appetite, nausea, vomit, diarrhea, and headache.

Over dosage of herbal and formulas that clear heat common reaction are uncomfortable stomach, poor appetite, cold stomach pain, loose stool, abdominal cramping, and diarrhea.

Over dosage of herbal and formulas that drain downward (purge down) common reactions are abdominal cramping, pain, and diarrhea.

Over dosage of herbal and formulas that clearing dryness common reactions are uncomfortable stomach, loose stool.

Over dosage of herbal and formulas that clear the dampness common reactions is dry mouth, thirsty, constipation.

Over dosage of herbal and formulas that warm interior cold and nourishing yang common reactions are feel hot, sweat, palpitation, dry mouth, skin rash, constipation, bleeding.

Over dosage of herbal and formulas that nourishing Qi common reactions are feel warm, dry mouth, thirsty, skin rash, and constipation.

Over dosage of herbal and formulas that nourishing blood are feel warm, fatigue, itch, stomach discomfort, abdominal pain.

Over dosage of herbal and formulas that nourishing yin common reaction are feel warm, hot flush, tiredness, insomnia, palpitation, loose stool, stomach discomfort.

4.2 Withdraw

The definition of withdraw is point to first meaning is an action state of use herbs or western medicine; that means stop take, discontinue use. Second meaning is discontinuing use addictive substance. Third meaning is body reactions symptoms from discontinuing use addictive substance.

There is some gentle withdraw reaction symptoms when stop use Chinese herbal remedies; such as: using Da Huang purging bowel movement, there is constipation reaction when stop continue use. Using Ren Shen nourish Qi, there is tiredness reaction when stop continue use. Using Mai Men Dong nourish yin liquid, there is dry mouth, dry eye, dry skin, dry joints, dry nail reaction when stop continue use. Using Sheng Di Huang cool down blood heat, there is red dots, rash reaction when stop continue use.

5. Thick texture liquid and thin texture liquid situation

This is talking about edema condition. Edema is an abnormal accumulation of useless, clear or turbid fluid under the skin or in one or more cavities of the body. The common classification is pitting edema, non-pitting edema. The thick texture liquid and thin texture liquid have abnormal, useless, accumulation, obstruction circulation, store waste heat and toxicity material, penetrate into normal tissue, disturbed physiology functions.

5.1 Thick texture

The non-pitting edema is using finger to give a pressure to edema area, when after the release of the pressure, there is no an indication of sink down tissue as shallow hole; this phenomena is indication of thick texture body liquid (mucus) retention in the body.

Usually the thick texture liquid is store in the interstitial of tissue and cavity. The thick texture edema pathogenesis is obstructing located in lymph system. The liquid texture is sticky; the transparency is cloudy; the amount of liquid is large portion; the liquid location is located in the extremity, surface of body and internal deep body area; the liquid state is like mucus; the liquid property is very hot (infection), pus, bloody, milky and septic; the liquid weight is heavy; the liquid material is containing sugar, protein and

more fiber protein. The common thick texture liquid condition is Heart Failure, Cirrhosis and Hypothyroidism (Lymph edema).

5.2 Thin texture

The pitting edema is using finger to give a pressure to edema area, when after the release of the pressure, there is an indication of sink down tissue as shallow hole; this phenomena is indication of thin texture body liquid retention in the body.

Usually the thin texture liquid is only store in the interstitial area of tissue. The thin texture edema pathogenesis is obstructing located in the blood vessel system. The liquid texture is non-sticky; the liquid color is white; the transparency is clearer; the amount of liquid is small portion; the liquid location is located in the extremity, surface of body and brain area; the liquid state is like serous; the liquid property is non-infection, non-pus, non-bloody, non-milky, non-septic; the liquid weight is light; the liquid material is non-sugar, non-protein and less fiber protein. The common thin texture liquid condition is Glomerulonephritis and Hydrocephalus (too much water in the brain).

Section Four: Diseases indication situation

1. Multiple and singularity situation

1.1 Multiple situations

The definition of multiple is point to condition is involving more than one part, or systems; such as who has high blood pressure condition; at same time, whom has high blood sugar, high cholesterol, and high blood calcium condition. The multiple conditions may indicate single pathogen, or may indicate multiple pathogens; but multiple conditions are indicating complication condition.

1.2 Singularity situation

The definition of singularity is point to a state, a fact, or quality and condition of being one thing; such as high blood pressure without attached another abnormal symptom and sign. The singularity condition may indicate single pathogen, or may indicate multiple pathogens; the singularity may indicate simple condition, also it may indicate complication condition. The singularity condition may indicate gentle condition, also it may indicate severe condition; such as cough, the simple cough could be easy to recovery; the complication cough could be a malignant condition indication.

1.4 Multiple symptoms and single symptom situation

1.4.1 Multiple symptoms

The definition of multiple symptoms are point to condition is involving more than one part, or systems symptoms; such as who has high blood pressure condition; at same time, whom has high blood sugar, high cholesterol, high blood calcium condition. The multiple symptoms conditions may indicate single pathogen, or may indicate multiple pathogens; but multiple symptoms conditions are indicating complication condition.

1.4.2 Single symptom

The definition of single symptom is point to a state, a fact, or quality and condition of being one indication; such as high blood pressure without attached another abnormal symptom and sign. The single symptom condition may indicate single pathogen, or may indicate multiple pathogens; the single symptom may indicate simple condition, also it may indicate complication condition. The single symptom condition may indicate gentle condition, also it may indicate severe condition; such as cough, the simple cough could be easy to recovery; the complication cough could be a malignant condition indication.

1.5 Multiple systems symptoms and single system symptoms situation

1.5.1 Multiple systems situation The definition of system is point to a body network of structures, a functional

physiological unit of body. The common human body systems are lymph system, bone system, meridian system (nerve meridian, frequency meridian), muscle system, blood vessel system, skin system and body liquid system. Also the zang organs and fu organs can be systems too.

The multiple systems condition is point to multiple symptoms coming from multiple systems; such as someone have lymph node, bone and joints pain, tingling, numbness, tiredness, easy bruise, skin spots or rash and dry mouth, thirsty together.

The multiple systems condition also is point to one symptom coming from multiple systems unbalance condition; such as chronic tiredness.

It may relate lymph system, because the pathogen dry heat could damage body cooling system and moisture function, which is lead body to has too much dry heat; the dry heat

will damaged body yang qi and yin liquid to cause chronic tiredness.

It may relate bone system, because the pathogen dry heat could damage body structure and yang qi storage system and function, which is lead body to has too much dry heat; the dry heat will damaged body yang qi, the body structure support function will be weak and to cause chronic tiredness.

It may relate meridians system, because the pathogen dry heat could damage body meridians and yang qi source system and function, which is lead body to has too much dry heat; the dry heat will damaged meridians yin liquid fluid and yang qi, the body energy source and energy transfer function will be weak and to cause chronic tiredness.

It may relate muscle system, because the muscle contain 45% body liquid, if the pathogen dry heat could damage body muscle yin liquid material and function, which is lead body muscle amount deficiency and function ability weak; which is lead to cause chronic tiredness.

It may relate blood vessel system, because the pathogen dry heat could damage blood solid material, such as red blood cell to cause lost ability to carry oxygen, the blood dry heat will be damaged blood yin liquid; the blood yin liquid deficiency condition will be lead to thick texture blood liquid condition, which is lead to poor blood circulation condition. The low amount oxygen plus poor circulation condition will lead body to have chronic tiredness symptom.

It may relate skin system, because the pathogen dry heat could damage skin yin liquid material, and cause dry skin condition; the dry skin condition will lead to more skin pores in closed condition. The body vents waste heat function and ability will be deficiency when a lot skin pores closed; there is more abnormal heat accumulated in the body, the accumulation waste heat will be damaged better yin liquid and yang qi to cause chronic tiredness.

It may relate body liquid system, because the pathogen dry heat could damage body yin liquid material, and cause circulation liquid and lubrication liquid deficiency condition. Because body yin liquid is containing and coating warm yang energy material and body yin liquid is carrying warm energy material to every area of body; without body yin liquid carrying function, the yang qi cannot be delivery to the work place; and yang qi will not be used on time and mutation to the abnormal dry heat to damaged body yin liquid. It will cause chronic tiredness symptom.

1.5.2 Single system situation

The single system is point to one body network of structures, one functional physiological unit of body. The single system condition is point to multiple symptoms or signs are only relate to one system abnormal condition; such as dry eye, nose, lip, mouth, nail, skin, thirsty; this multiple abnormal signs and symptom are directly relate to body liquid system; the body liquid system has yin liquid deficiency condition.

2. Symptoms and signs indication situation

2.1 Symptom indication

The symptom is a client’s subjective unhealthy evidence; the symptom is a client’s abnormal health feeling and sensation, that means it can be knowledge by client; the symptom is one of negative, abnormal health indication; the symptom is indicated and reflex abnormal metabolism, abnormal physical function and abnormal body tissue structure condition and situation.

2.2 Sign indication

The sign is a client’s objective healthy and unhealthy evidence, the sign is a client’s health phenomena and manifestation, that means it cannot be knowledge by client; the sign is one of positive or negative, normal or abnormal health indication; the sign is indicated and reflex normal or abnormal metabolism, physical function and body tissue structure condition and situation.

2.3 Symptoms and signs indication mixed situation

Signs get better, but symptoms feel worse.The diabetes client has both low leg swelling with purple red color, his leg purple red color reduce 50% after take Chinese herbal formulas; but he feel more hot, more joints pain and muscle ache.

Symptoms feel better, but signs show worse.The diabetes client has high level blood sugar condition, his blood sugar get better after take cinnamon powder capsule; but he hand finger and toe skin color get more dark red color.

3. Simplicity and complication situation

3.1 Simplicity situation

The definition of simplicity is an easy understands or explains condition; it is not composed of two or more units; such as common catch cold condition.

3.2 Complication situation

The definition of complexity is a condition which is composed of two or more units; a condition which is combination of multiple factors, symptoms, or signs of a disease; such as cancer.

3.3 Simplicity and complication mixed situation

Simple wind cold with cancer mixed situation

Simple cough with potential cancer flare up mixed situation Simple diarrhea with diabetes mixed situation Simple temporary tiredness with chronic heart diseases mixed situation Simple knee pain with potential severe liver issue mixed situation Simple low back pain with chronic kidney diseases mixed situation

4. Complication situation

4.1 Definition of complication

The definition of complication is a secondary disease or a negative reaction occurring during the course of a disease; and usually it is an aggravating, negative condition with difficulty situation.

4.2 Common complication (according to Practical Internal Medicine, personal experience)

Brain yin liquid deficiency condition easy to has skin red and painful blister (shingle) The red and painful blister (shingle) easy to have difficulty recovery type facial paralysis

(Hunter’s syndrome - second type Bell’s palsy). Liver excess dry heat condition (Hepatitis) easy to have joints pain (arthritis), kidney

excess heat condition (infection), artery excess dry heat condition (infection), high level of blood sugar condition (diabetes), excess oily and greasy stagnation (fatty) liver, red blood cells deficiency condition (anemia), nerve meridian yin liquid deficiency condition (neuropathy), heart muscle store excess heat condition (infection), pericardium store excess heat condition (infection).

Acute excess dry heat in the lymph area condition (Infectious mononucleosis) easy to have excess heat attack kidney and heart muscle condition (infection), spleen burst.

Chronic heart function deficiency condition (failure) easy to have blood clots (thrombosis) of low leg and lung, excess heat (infection) of lung, and lung edema.

Liver yin deficiency with yang hyper condition (Hypertension) easy to have side of extremity paralysis condition (stroke), chronic heart and kidney functions deficiency (failure), and low leg pain with difficulty walking condition.

Chronic excess heat of precordium condition (pericarditis )easy to have atrophy of heart muscle and liver hard mass condition (cirrhosis)

Chronic cardiac muscle store excess heat conditions (infection myocarditis) easy to have enlarged of heart, heart function reduce irregular heartbeat.

Chronic cough (bronchitis) easy to have lung excess heat condition (pneumonia), bronchi enlargement (dilation), lung tissue enlargement (emphysema); or easy sign of malignant mass (cancer).

Chronic stomach excess heat (gastritis) easy to have stomach ulcer or stomach malignant mass (cancer)

Chronic stomach ulcer easy to have sudden large amount bleeding, stomach wall break through, malignant mass (cancer), narrow tissue between stomach with small intestine area (blockage by spasm or scar tissue - pylorochesis).

Chronic stomach malignant mass (cancer) easy to have sudden large amount bleeding, stomach wall break through, obstruction, tissue bind each other, mass of pus.

Chronic Irritable Bowel Pattern (Syndrome) easy to have large intestine bleeding and malignant mass condition

Chronic abdominal pain with diarrhea condition (Crohn) easy to have break through tissue wall, and malignant mass condition (cancer); also easy to combination with vein, bone, joints, skin, stone, liver kidney ulceration condition.

Chronic large intestine bleeding (Colitis) easy to have skin rash, eye and liver issue, joints pain, kidney issue.

Chronic left side abdominal pain (pancreatitis) easy to have high blood sugar (diabetes), chronic fatty diarrhea, digestion system ulceration and bleeding, malignant mass (cancer).

Atrophy liver (Cirrhosis) easy to have vomiting and stool bleeding, circulation area excess heat, liver malignant mass, liver and kidney function decline, blood clots in the liver vein system.

Liver malignant mass (cancer) easy to have brain damage, digestion system bleeding, liver bleeding, chest and abdominal bloody edema, circulation area excess heat (infections) condition.

4.3 Characters of complication

The complication is uncontrollable pathogen heat continue to damage body cold and moisture energy of different system or organ

The complication is uncontrollable pathogen heat directly invasion neighbor organ or tissues to cause damage

The complication is uncontrollable pathogen heat directly invasion blood vessel to cause bleeding

The complication is uncontrollable pathogen heat directly invasion blood liquid to cause clots

The complication is uncontrollable pathogen heat directly invasion lymph vessel and lymph liquid to cause edema

The complication is uncontrollable pathogen heat continually stored more power and amount of heat to cause secondary excess heat or malignant heat condition (infection, malignant infection)

5. Transfer situation

5.1 Definition of transfer

The definition of transfer is pathogen and pathogenesis move to A area from B area; A system from B system; A direction from B direction; A degree from B degree; A property from B property.

5.2 Common transfer

5.2.1 Wind transfer

5.2.1.1 External wind transfer

The external wind cold of bladder meridian transfer into lung system The external wind cold of bladder meridian transfer into gallbladder organ and meridian The external wind cold of bladder meridian transfer into joints and muscle system The external wind cold of bladder meridian transfer into digestion system The external wind cold of bladder meridian transfer into uterine organ The external wind cold of bladder meridian transfer into kidney meridian area (low back) The external wind cold of bladder meridian transfer into liver meridian (hypochondria)

5.2.1.2 Internal wind transfer

The internal wind transfer to upper body to cause dizzy, itching, sneezing, plum pit qi, ear and brain tinnitus, blurry vision, multiple area pain, trembling, and twitching.

The internal wind transfer to middle jiao to cause hiccup, spasm of esophagus, burping. The internal wind transfer to low jiao to cause rectum spasm, large intestine spasm with

pain and diarrhea, liver and spleen area burning pain and bloating, itching, multiple area pain, trembling, and twitching.

The internal wind transfer to outside to cause itching, trembling, tingling, burning, pain. The internal wind transfer to inside to cause too much dream, head distension, inside

trembling sensation with showing outside.

5.2.2 Heat transfer

5.2.2.1 Excess heat transfer

The excess heat transfer to outside to cause red skin, swelling, rash and pain condition. The excess heat transfer to inside to cause dark red tongue, finger tips, and joints.

5.2.2.2 Damp heat transfer

The damp heat transfer to outside to cause skin excretion, turbid discharge, pus, dark yellow urine, loose stool condition.

The damp heat transfer to inside to cause internal organ or cavity edema, low leg edema.

5.2.2.3 Dry heat transfer

Dry heat is located in the lubrication yin liquidThe lymph liquid amount and level low (dry skin, nail, hair, bone, organs)

Dry heat is located in the circulation blood liquid The blood liquid amount and level low (dry orifices, thirsty, constipation)

5.2.2.4 Gene heat transfer

The gene heat is parents give child heredity pathogen heat, when the gene heat transfer to outside that is cause severe diagnosis condition.

5.2.3 Cold transfer

5.2.3.1 External cold transfer (see 5.2.1.1)

5.2.3.2 Internal cold transfer (good yang qi deficiency)

The heart good yang qi deficiency condition will less support stomach yang qi to cause internal cold transfer into stomach area with pain, ache poor appetite condition.

The kidney good yang qi deficiency condition will less support large intestine yang qi to cause internal cold transfer into large intestine area with watery diarrhea and low back cold sensation pain condition

The liver good yang qi deficiency condition will less support nerve meridians and tendon system area with tiredness and muscle weak condition

5.2.4 Dampness transfer (see 5.2.2.2)

5.2.5 Dryness transfer (see 5.2.3.3)

5.3 Characters of transfer

The transfer is following pathogen activity characters

The transfer is following Zang and Fu organ’s relationship

Heart with stomach, lung with diaphragm, pancreas with small intestine, liver with gallbladder, kidney yin with bladder, kidney yang with large intestine, spleen with san jiao.

The transfer is follow organ with orifice relationship

Heart with tongue, lung with nose, pancreas with mouth, liver with eyes, kidney yin with urethra and reproduction, kidney yang with anus, spleen with ears.

The transfer is following organ with body Su Qi relationship

Heart with chest; lung with shoulder; pancreas with low leg calf ; liver with front and back neck; kidney yin with low back; kidney yang with spinal column; spleen with thigh.

The transfer is following organ with body parts relationship

Heart with hand; lung with hair; pancreas with lips; liver with joints and tendon; kidney yin with nail; kidney yang with foot; spleen with tonsil.

The transfer is following organ with systems relationship

Heart with blood circulation system; lung with skin system; pancreas with muscle system; liver with nerve system; kidney yin with body liquid system; kidney yang with bone structure system; spleen with lymph system.

The transfer is following organ with glands relationship

Heart with uterine; lung with thyroid; pancreas with saliva gland; liver with brain; kidney yin with breast and testicles; kidney yang with ovary and prostate; spleen with thymus.

6. Metastasis situation

6.1 Definition of metastasis

The definition of metastasis is malignant pathogen and pathogenesis move to A area from B area; A system from B system; A direction from B direction; A degree from B degree; A organ from B organ.

6.2 Common malignant mass (cancer) metastasized from other organs or tissues

6.2.1 Lung malignant mass (cancer) metastasized from other organs or tissues

Lung malignant mass (cancer) can be metastasis from breast, bone, urinary and reproductive system, and digestion system cancer; this is very common way to invasion lung, the rate is 80% according to Practical Internal Medicine (Practical Internal Medicine, Upper volume, Page - 919).

Lung malignant mass (cancer) can be metastasis from blood stream; such as: kidney, adrenal gland, and thyroid malignant mass (cancer).

Lung malignant mass (cancer) can be metastasis from lymph duct; such as: breast, stomach, and pancreas malignant mass (cancer).

Lung malignant mass (cancer) can be metastasis from neighbor malignant mass (cancer) tissue directly invasion into lung; such as: esophagus malignant (cancer).

6.3 Common malignant mass (cancer) metastasis to other organs or tissues

6.3.1 Esophagus malignant mass (cancer) metastasized to other organs or tissues

Esophagus malignant mass (cancer) can be metastasis to neighbor organs or tissue from wall of esophagus tissue spreading

Esophagus malignant mass (cancer) can be metastasis to neighbor organs or tissue (thyroid, lung, heart, pericardium, throat, spinal column, chest) from directly invasion

Esophagus malignant mass (cancer) can be metastasis to neighbor organs or tissue (lung, stomach) from lymph duct, this is common way to spreading malignant mass (cancer), and it is almost 2/3 of cases (Practical Internal Medicine, Lower volume, Page - 1292).

Esophagus malignant mass (cancer) can be metastasis to neighbor organs or tissue (liver, bone, kidney, adrenal gland, chest, pancreas, heart, lung, thyroid, and brain) from blood vessel; this is common to see in the later stage.

6.4 Characters of metastasis

The most malignant mass (cancer) can be metastasis to neighbor organs or tissue from wall of mass tissue spreading

The most malignant mass (cancer) can be metastasis to neighbor organs or tissue from directly invasion

The most malignant mass (cancer) can be metastasis to neighbor organs or tissue from lymph duct; this is common way to spreading malignant mass (cancer).

The most malignant mass (cancer) can be metastasis to neighbor organs or tissue from blood vessel; this is common to see in the later stage condition.

The metastasis is following Zang and Fu organ’s relationship

Heart with stomach, lung with diaphragm, pancreas with small intestine, liver with gallbladder, kidney yin with bladder, kidney yang with large intestine, spleen with san jiao.

The metastasis is follow organ with orifice relationship

Heart with tongue, lung with nose, pancreas with mouth, liver with eyes, kidney yin with urethra and reproduction, kidney yang with anus, spleen with ears.

The metastasis is following organ with body Su Qi relationship

Heart with chest; lung with shoulder; pancreas with low leg calf ; liver with front and back neck; kidney yin with low back; kidney yang with spinal column; spleen with thigh.

The metastasis is following organ with body parts relationship

Heart with hand; lung with hair; pancreas with lips; liver with joints and tendon; kidney yin with nail; kidney yang with foot; spleen with tonsil.

The metastasis is following organ with systems relationship

Heart with blood circulation system; lung with skin system; pancreas with muscle system; liver with nerve system; kidney yin with body liquid system; kidney yang with bone structure system; spleen with lymph system. Such as the large intestine malignant mass be able metastasis to kidney.

The metastasis is following organ with glands relationship

Heart with uterine; lung with thyroid; pancreas with saliva gland; liver with brain; kidney yin with breast and testicles; kidney yang with ovary and prostate; spleen with thymus.

Such as the prostate malignant mass has a chance metastasis to the bone, because the kidney yang connect to prostate and bone both.

7. Prognosis situation

7.1 Definition of prognosis

The definition of prognosis is a prediction or forecast of the pathogenesis movement in a particular direction, progress, or an end result, a consequence of a disease; and the chances of recovery from disease damage.

7.2 Common positive indication of prognosis

7.2.1 Acute condition

The fever is stop; the temperature is back to normal level. The acute cough is stopped The acute pain is stopped The acute diarrhea is stopped The acute high blood pressure is back to normal level

7.2.2 Chronic condition

The chronic fever is stop; the temperature is back to normal level. The chronic cough is stopped The chronic pain is stopped The chronic diarrhea is stopped The chronic high blood pressure is back to normal level

7.3 Common negative indication of prognosis

Malignant mass (Cancer) has more pain, cough, thirsty; lose weight, bruise, bleeding, edema, no appetite, Symptoms and signs of candida, red and painful blister (shingle).

High blood pressure has more headache, dizzy, blurry vision, tinnitus, neck pain, tingling. Heart disease has more chest pain, varicose vein, purple tongue, irregular pulse, tiredness. High blood sugar (Diabetes) has more itching and dry skin, thirsty, diarrhea, dark red

purple big toe. Liver disease has more headache, dry eye, joints pain, low leg calf area pain, poor nail. Kidney disease has more edema, low back pain, dark yellow smelling urine, dull face. Lung disease has more cough, wheezing, chest pressure, constipation, difficulty swallow. Brain disease has more spasm, twitching, tingling, muscle atrophy and power weak.

Chronic stomach ulcer is a chronic (10-20 years) and re-flare up multiple times condition

The elder client who has chronic stomach ulcer with bleeding is a high risk and life threaten condition

Chronic Irritable Bowel Pattern (Syndrome) is easy turn to large intestine bleeding and malignant mass condition

Large intestine malignant mass (cancer) has 9.5 month survive time if without effective treatment; there is five years survive time with surgery.

Chronic left side abdominal pain (pancreatitis) is a very poor prognosis condition

Atrophy liver (Cirrhosis) is a very poor prognosis condition Liver malignant mass (cancer) is a very poor prognosis condition

8. Sudden die with dying situation

8.1 Sudden die

The definition of sudden die is life energy get obstruction, blocked, or destroyed in very short time. The sudden die is a very quick and fast process; the sudden die is not gradually losing energy and deficiency amount and property of energy; the sudden die is life energy cannot properly use. The common sudden die is stroke, heart attack, injury, food choking, drowning, poisoning, catch contagious diseases.

8.2 Dying

The definition of dying is life energy declining to an end. The dying is a slow and chronic process; the dying is gradually losing energy and deficiency amount and property of energy. The common dying indication is severe underweight, pale and dull face color, poor appetite, weak speaking ability, lower level extremity ability, weak heartbeat, weak pulse, weak and shortness breath, low body temperature, lower blood pressure, severe dehydration condition.

8.3 Sudden die with dying mixed situation

Heart attack with chronic deficiency of kidney function (failure) Heart attack with chronic deficiency of liver function (failure) Heart attack with chronic wheezing (asthma) Heart attack with chronic Zhong Feng (stroke) Heart attack with chronic malignant mass (cancer)

Chapter Seven

Abnormality and Degeneration of Organs and Tissues

Section One: Basic Information

1. Definition of degeneration

2. Common indication of degeneration

2.1 Common indication of solid organs or tissue’s degeneration

Atrophy with Swollen Spasm with Relaxation Ulceration with Scar Sclerosis with Paralysis Stenosis with expansion

Softening with Hardening Shrinking with Enlargement Discoloration with Pigmentation Clear with cloudy Odorless with foul smelling Mass with Cyst Rough with smooth Peeling with accumulation Thickening with thin

2.2 Common indication of body liquid material degeneration

Fragmentary with Condensation Liquefaction with Solidification Concentration with Dilution Discoloration with Pigmentation Clear with cloudy Odorless with foul smelling Congeal with watery Sticky with none sticky Thickening with thin

Section Two: Common of Degenerations and Irregularity

1. Common indication of solid organs or tissue’s degeneration

1.1 Atrophy

1.1.1 Definition of atrophy

According to the www.wikipedia.com, the definition of atrophy is a wasting, decrease shrinking in size of tissue, organs or a part of the body condition, it is a failure to grow to normal size condition, and also it is a result of diseases.

1.1.2 Indication of atrophy

The indication of atrophy is weak muscle tone, soft and flabby, and amount of tissue. It is weak muscle strength and contraction that is cause by lack muscle power force The lose weight is a sign of atrophy indication

The thinner mucus membrane and dry skin tissue is another signs of atrophy The tiredness is a main symptom of atrophy

1.1.3 Common atrophy of organs and tissues

Muscle, skin, mucus membrane, adrenal gland, brain, vaginal, female breast. All hollow and solid organs

1.1.4 Common reasons to cause atrophy

Aging……that is related to over use and aging dry heat damaged muscle liquid to cause muscle dehydration, and reduced muscle size and amount.

Diseases, cancer, diabetes……that is pathogen dry heat directly damaged muscle, and take away nutrition material to cause muscle lack nutrition material.

Restrain muscle activity range motion…… that is due to bone fracture or tendon injury; that is lack good yang qi stimulation to keep basic muscle activity to cause muscle lack blood circulation supply, and lead to atrophy condition.

Body circulation liquid deficiency (Jin)…… that will lead to muscle lack contain liquid ratio to cause muscle deficiency condition

Body lubrication liquid deficiency (Ye)…… that will lead to mucus membrane lack thick liquid lubrication and support to cause mucus membrane turning to thinner

Brain damage……that will lead to nerve meridians lack provide frequency good yang qi to keep muscle activity, also that will lead to nerve meridians less contain liquid in the nerve meridians, the nerve frequency good yang qi will jump out liquid, and become to irritate muscle tissue to have hyper activity as trembling condition, the muscle will be get over stimulate and over use become to very tired, which the result is atrophy condition.

1.2 Swelling

1.2.1 Definition of swelling

According to the www.wikipedia.com, the definition of swelling is abnormal enlargement of a body part, which is cause by internal heat and internal pressure with accumulation of fluid.

It has two kind type swelling conditions, one is swelling with redness, painful, feels warm and hot at local swelling tissue, abnormal function or loss of function; this is acute condition, this is temperature heat condition, this is excess heat condition, this is external heat condition. If the swelling is only with redness without fever, that is abnormal heat condition (inflammation); if the swelling is with fever, that is abnormal excess heat condition (infection). This is western medicine call inflammatory swelling.

Another one is swelling with no surface tissue color; it is without redness, painful or feels warm and hot at local tissue signs; this is chronic condition, this is property heat condition, this is excess heat condition too, this is internal heat condition.

1.2.2 Indication of swelling

Enlargement tissues, redness, painful, feel warm or hot, loss of function.

1.2.3 Common swelling of organs and tissues

Joints, skin, muscle, orifices, prostate, testicles, lymph tissue. Organs, liver, spleen, kidney, heart, Stomach, intestines.

1.2.4 Common reasons to cause swelling

Injury, diseases, lack circulation, lymph vessel obstruction with edema, blood stagnation (thrombosis), allergic reaction, insect bite or sting, sunburn.

1.3 Spasm

1.3.1 Definition of spams

According to the www.wikipedia.com, the definition of spasm is a sudden or chronic involuntary and uncontrollable painful or not painful contraction of a muscle, or group of muscles, or hollow organs resulting in tingling, twitching, trembling, cramp or convulsion different degree. The most common spasm condition is muscle spasm; it is usually harmless and stops after a few minutes; a spasm may lead to muscle strains or tears of tendons and ligaments.

1.3.2 Indication of spasm

Painful or not painful Range motion restrain Tissue loss of function Muscle contraction, twitching, trembling. Muscle twitching with unconsciousness (seizure) Rectum spasm……tenesmus Kidney (stone) spasm……severe low back pain Lung spasm……wheezing Heart spasm……severe chest pain Stomach spasm……abdominal pain Large intestine spasm……diarrhea Gallbladder (stone) spasm……severe right side abdominal pain with vomit Uterine spasm……low abdominal pain Bladder (stone) spasm……frequency urination, or pain. Diaphragm spasm……hiccup Esophagus spasm……difficulty swallow, center of chest and above stomach pain. Throat spasm……difficulty breath with high sharp wheezing sound

1.3.3 Common spasm of organs and tissues

Fingers, muscle, skin, blood vessel, eyelids, jaw, extremity. Heart, kidney, lung. Stomach, esophagus, large intestine, rectum, gallbladder, diaphragm, bladder, uterine.

1.3.4 Common reasons to cause spasm

Insufficient hydration Muscle overload Absence of electrolytes (calcium, magnesium) Stone blockage Excess wind cold Internal excess dry heat with Yin liquid deficiency

1.4 Blockage

1.4.1 Definition of blockage

According to the www.wikipedia.com, the definition of blockage is the abnormal physical condition or state of obstruction; it is filling a negative and abnormal material of waste material with stagnation situation and condition in the different systems or organs; the blockage will cause poor nutrition material delivery condition, the blockage will cause waste material difficulty transfer out of local area condition; the blockage will cause pathogen heat accumulation condition; the blockage will cause good yang qi turning to pathogen heat; the blockage can damaged local tissue; the blockage can damaged and affect to far away tissue and organs.

1.4.2 Indication of blockage

Stroke……extremity paralysis. Glaucoma……eye pain, increased eye pressure. Tear ducts blockage……tearing The Bell’s palsy……face paralysis (blockage of facial canal) Nasal congestion…… nose congestion Lung blockage (Pulmonary embolism.PE)……chest pain, severe cough. Heart blockage (Coronary heart disease. CHD)……chest pain Spinal blood supply blockage…… extremity paralysis. Biliary colic (blockage by a gallstone)……pain Bowel obstruction ……abdominal pain Kidney stone blockage……low back pain Urinary tract blockage ……pain with difficulty urination Swelling……leg swelling, liver and spleen swelling.

1.4.3 Common blockage of organs and tissues

Blood vessel, eye, canal, nose, lung, heart, gallbladder, kidney, intestine, bladder.

1.4.4 Common reasons to cause blockage

External wind cold and heat, internal multiple heat Blood clots, stone, feces Body yin liquid deficiency condition

1.5 Ulceration

1.5.1 Definition of ulceration

According to the www.wikipedia.com, the definition of ulceration is an opening wound and lesion on the skin or an internal mucous membrane surface tissue; it is a localized abnormal structural change in a body parts. The indication is explored tissue to the air without skin cover, such as muscle; additional with pus, excrete body liquid, even blood when the blood vessel is damaged; there is three kinds property of ulceration.

One is common ulceration, usually happen on the lips, mouth mucus membrane, digestion tract mucus membrane, genitals, and skin area; the size could be small or big, but it is without high temperature, the common reason to cause is property heat.

Second is high degree level temperature heat ulceration, the size is small or big, usually with high temperature, local tissue very red, pus, swelling, feel hot and pain.

Third is cancerous ulceration, usually happen on the soft tissue, it can be anywhere except hair, tendon and heart; the indication is open lesion with bloody pus, foul smelling, bad looking, difficulty healing, painful sensation or no pain at all; it is cause by malignant excess dry heat condition.

1.5.2 Indication of ulceration

Open wound or lesion without skin cover with small or big in size Dark red color or very red color, swelling Excretion with clear, dull, turbidity liquid, or pus, bloody pus. Painful or without pain sensation

Skin, corneal, mouth, canker sore, peptic ulcer, venous (vein) ulcer. Ulcerative sarcoidosis , lichen planus, and colitis.

1.5.3 Common ulceration of organs and tissues

Lips, mouth, tongue, skin, stomach, intestines. Soft tissues, blood vessel.

1.5.4 Common reasons to cause ulceration

Property heat, temperature heat, excess heat and multiple heat, and malignant dry heat.

1.6 Scar

1.6.1 Definition of scar

According to the www.wikipedia.com, the definition of scar is a mark left on the surface skin or internal tissue after an injury has healed; scars are areas of fibrous tissue that replace normal skin and internal tissue after injury; the skin’s sweat gland and hair follicles do not grow back within scar tissue; it is an indication of physical damage, it is a natural part of healing procedural.

Two of the most common type’s scars are over extending the tissue (hyper), and do not over extending the tissue (hypo); they both are blocking regeneration of good soft tissue; the indication of over extending type scar is protruding, above surface; the indication of do not over extending type scar is sunken, atrophy. The common over extending type’s scar is skin injury, benign tumorous. The common do not over extending type’s scar is acne, surgery and accidents. The stretch mark is considering a scar condition.

1.6.2 Indication of scar

It is a natural part of healing procedural It has pit, dot, protruding, seeking down, above surface, small or large lump, or irregular

shape. It has dry, rough, hard, red or brown color, discoloration, atrophy, less flexibility signs

indication; it has itching, burning, pain symptoms indication. It has lack range motion, and muscle power malfunction indication It has chronic urine bleeding

1.6.3 Common scar of organs and tissues

The common tissue to have scar is skin, muscle, tendon, bone. The common organs to have scar is heart, lung, kidney and intestines.

1.6.4 Common reasons to cause scar

Excess heat and multiple heat Excess dry heat

Cause from surface diseases: acne, smallpox, boils, other eruptive, excess heat disease. Cause from internal diseases:

- Excess dry heat invasion (virus invasion to heart, lung, liver, and kidney)- Excess dry heat invasion (inflammation of artery and vein blood vessel)- Excess dry heat cause dehydration (brain, esophagus, large intestine, bone, joints, tendon, muscle and skin)

Cause from injury: burning, cutting, scratching, scraping, traumas, injection.

1.7 Sclerosis

1.7.1 Definition of sclerosis

According to www.wikipedia.com, the definition of sclerosis is a local tissue stiffening of a structure and dehydration condition that body parts are turning to thickening, hardening, stiffening, and lack range motion, loose flexibility and elasticity ability by tissue degeneration change, or deposition of dry, hard, sticky waste material (deposition of fatty plaques), or an excessive growth of fibrous connective tissue. The sclerosis may attach tissue cracking (bleeding, bruise), peeling (myelin sheath) and falling parts other additional condition.

1.7.2 Indication of sclerosis

1.7.2.1 Nerve meridian system

ALS, amyotrophic lateral sclerosis (Lou Gehrig's disease)Thickening of tissue in the motor tracts of the lateral columns and anterior horns of the spinal cord; the results is muscle atrophy with trembling that starts in the limbs.

MS, Multiple sclerosisIt is a central nervous system disease which affects coordination; the indication is stiffness of extremity with lack range motion.

Hippocampal sclerosis It is a brain damage condition.

Primary lateral muscle sclerosis It is a progressive muscle weakness in the voluntary muscles area.

1.7.2.2 Blood vessel system

Atherosclerosis It is a deposit of fat in the arteries which causes hardening.

Focal Segmental Glomerulo sclerosis It is a disease that attacks the kidney's filtering system (glomeruli) causing serious scarring; also lead to kidney failure.

1.7.2.3 Skin system

Lichen sclerosus It is a disease hardening and connecting flesh of the vagina and penis.

Otosclerosis It is a disease of the ears.

1.7.2.4 Bone system

Osteosclerosis

It is a condition where the bone density is significantly increased.

1.7.2.5 Liver

Liver sclerosis (cirrhosis)It is a common dry heat condition of the liver.

Primary bile duct sclerosis (cholangitis )It is a hardening of the bile duct by scarring and repeated invasion by dry heat (inflammation).

1.7.3 Common sclerosis of organs and tissues

Blood vessel, nerve meridians, brain, skin, disk, joints, tendon, bone, liver, lung, gallbladder.

1.7.4 Common reasons to cause sclerosis

Multiple excess heat Excess dry heat Dehydration and lack drink good water Over using body parts, drink alcohol, eat dry food Less eat vegetable

1.8 Paralysis

1.8.1 Definition of paralysis

According to www.wikipedia.com, the definition of paralysis is an inability to move a body part or function condition, this inability situation and condition is often happen to the muscle system; this inability condition usually is additionally with lost strength, lost tissue value, lost tissue quality and quantity.

This inability condition is commonly happening to eyelid, facial muscle, extremity (arm, hand, leg and feet). The indication eye cannot close; the face cannot move; the mouth cannot normally open; the arm and leg cannot lift and walking; the trunk of body cannot move too.

This is a result of damage to its nerve meridians energy and lubrication liquid supply. Usually is combination with sensation lost condition. The reason to cause paralysis is related to brain area lesion, or disorder condition.

1.8.2 Indication of paralysis

Face: Bell’s palsy, Henter’s syndrome – face muscle cannot move. Eye: Myasthenia gravis – upper eyelid drop Throat: Alalia - paralysis of the vocal cords, the resulting is in an inability to speak. Extremity: Stroke, injury, brain tumor – hand and leg cannot move.

Bladder: Cystoparalysis, cystoplegia - paralysis of the urinary bladder with difficulty urination, none urgency of urination and urine accumulation condition.

Diaphragm: Partial paralysis of diaphragm (ALS) – shortness breath, difficulty breath.

1.8.3 Common paralysis of organs and tissues

Eyelid, face, hand, arm, feet, leg, trunk of body, throat, diaphragm, bladder, muscle, tendon, nerve meridians, and heart (partial).

1.8.4 Common reasons to cause paralysis

Multiple excess heat (bacterial) Excess dry heat (virus) Dehydration and lack drink good water Over using or pressure on body parts Good yang Qi deficiency

1.9 Stenosis

1.9.1 Definition of stenosis

According to www.wikipedia.com, the definition of stenosis is an abnormal stricture, narrowing, constriction condition in a blood vessel, duct, passing space, or other tubular organs, or structure area. The narrow condition will reduce energy and nutrition solid and liquid material to pass through, the front tissue will have deficiency symptoms and signs; the common symptoms and sign area paralysis, numbness, pain, lost function, lack range motion, atrophy, discoloration. It is a chronic condition, and it is difficulty to change in short time condition.

1.9.2 Indication of stenosis

Narrowing heart blood vessel – chest pain Narrowing heart valve – irregular heart beat Narrowing lung blood vessel – difficulty breath Narrowing liver vein vessel – abdominal edema Narrowing blood vessel – poor circulation Narrowing nasal cavities – nose congestion Narrowing throat larynx – difficulty breath Narrowing esophagus – difficulty swallow food Narrowing intestines – difficulty pass bowel movement with abdominal pain Narrowing spinal column – lack range motion with pain condition Narrowing urinary duct – difficulty urination Narrowing kidney – low back pain with abnormal urination Narrowing joints space – lack range motion with pain condition Narrowing carpal tunnel – hand pain with numbness

1.9.3 Common stenosis of organs and tissues

All pipe system, such as blood vessel, vein vessel, food pipe (esophagus, intestines), lymph duct, urine duct, air pipe, heart valve, kidney vessel, bile duct.

Bone, joints, facial tunnel, spinal column, carpal tunnel.

1.9.4 Common reasons to cause stenosis

Excess multiple heat (infection) Excess dry heat (inflammation) Excess blood heat (high blood sugar, radiation) Dehydration Spasm Accumulation stagnation, blockage (stone, clots) Sclerosis Enlargement, over growth (malignant, benign) with degeneration condition.

1.10 Expansion (Enlargement)

1.10.1 Definition of expansion

The definition of enlargement and expansion is a state of being enlarged and an activity continues enlarging; the act of enlarging is filling air, liquid or solid material in the tissue, organs; or builds up a mass; the act of enlarging is increasing something in size, volume, shape, degree, power, quantity and quality. The enlargement and expansion is an indication of poor circulation and blockage condition.

The enlargement and expansion is a negative, pathogenesis activity in the body; the property of enlargement and expansion has two kinds’ types, the common one is malignant, another is benign. The most powerful damage is come from malignant enlargement; the benign enlargement is depend on location and size, the most dangerous benign mass is located in the brain, or close to blood vessel.

1.10.2 Indication of expansion

Liver enlargement – excess heat (infection) Spleen enlargement – excess heat (infection) Lung enlargement – emphysema Prostate enlargement – prostate hyperplasia Pineal body enlargement – irregular menstruation Joints deformation – the bone change to the soft from condense condition, the joints fill

turbid liquid and blood heat material into space to cause enlargement.

Edema – turbid liquid fill into tissue to cause visible and invisible enlargement Bloating – the air material fill into tissue causing visible and invisible enlargement Bone spur - bone change to the soft from condense condition to sharp shape Over weight – over size

Mass (malignant, benign)

1.10.3 Common expansion of organs and tissues

Organs: heart, lung, liver, kidney, prostate, pineal body. Material: air, liquid, solid material, fatty, bone, joints.

1.10.4 Common reasons to cause expansion Stagnation material Excess heat Excess dry heat Blockage state

1.11 Shrinking (Sunken)

1.11.1 Definition of shrinking

The definition of shrink is state or result of reduced body or body parts of amount, volume, size (shape, weight, and high), such as organs, materials. The directly result is smaller in size; the common state of shrink is dehydration and lost solid material. The shrink is a common indication of chronic consumptive condition; the shrink is an excess dry heat sign and symptom. Usually is complication condition indication. The shrink condition is not one day cause by pathogen heat, it is a result from chronic damaged; the shrink condition cannot recovery in the short time.

1.11.2 Indication of shrinking

Brain tissue Weight Body height Body parts: esophagus, cheek, gum, wrist and ankle, nail, tendon, nerve meridian,

muscle, blood vessel, bone.

Organs: liver, kidney.

1.11.3 Common shrinking of organs and tissues (see 1.11.2)

1.11.4 Common reasons to cause shrinking

Injury damage Excess heat Excess dry heat Aging Dehydration Malnutrition (hungry) Virus

Chronic consumptive condition

1.12 Softening

1.12.1 Definition of softening

The definition of soften is state or condition with gentle, weakness, no hard sensation, muscle tone down, less muscle power, floppy, loose, flexible and wide range motion characters. The soften condition is a good yang qi and yin material deficiency condition, the common reason to cause softening condition is excess dry heat and aging heat.

1.12.2 Indication of softening

Softening muscle (aging, paralysis condition) Softening bone (baby scalp, elder joint and bone) Softening hair Softening nail Softening disk Softening cartilage Softening brain

1.12.3 Common softening of organs and tissues (see 1.12.2)

Nerve meridians, bone, tendon, muscle, nail, and disk.

1.12.4 Common reasons to cause softening

Excess dry heat Virus Aging heat Malnutrition (hungry)

1.13 Hard (Fragile, stone)

1.13.1 Definition of hard

The definition of hard is a condition of quality of organs and tissue; it is a sensation of a touch feeling; it is a state of material ratio indication, which is solid material in dominate portion; it is contain more mineral material, the liquid material is in the low ration portion.

The hard quality have resistant to pressure, difficulty penetrate by liquid, difficulty to melt, difficulty to break down, intense in force, difficulty change in nature, closing and firm nature, hard core, resistant to blast, heat, or radiation; not easy crushed characters.

The hard quality have tough, strong, firm, solid, stiff, compact, rigid, resistant, dense, compressed, stony, impenetrable, inflexible, heavy and stable characters.

The hard quality is a poor circulation condition indication; it is an indication of hot and dry energy property in dominate portion; it is containing negative and powerful energy sign, it is a chronic unhealthy condition indication; it is a malignant condition indication.

The hard quality is come from hardening procedural; the common hardening procedural is related to high temperature heat environment, such as fire, boiling, and oven.

The common hardening procedural is related to high property heat environment, such as color heat, radiation heat, bio heat as virus be able to cause high fever; pathogen dry heat and excess heat.

The common hardening procedural is related to poor circulation, chronic mineral, mucus, fatty accumulation environment, such as high level of concentration of blood, bile, spinal liquid, urine; chronic accumulation.

The common hardening procedural is related to dehydration condition environment, the dehydration condition will continually lead to tissue change to hard, and mutation to malignant condition.

1.13.2 Indication of hard condition

Gallbladder, bladder, and kidney stone. Cancer mass, liver cirrhosis, lung emphysema, kidney failure. Blood vessel sclerosis, bone, nail, skin, tendon, muscle, mucus membrane, aging.

1.13.3 Common hard condition of organs and tissues (see 1.13.2)

1.13.4 Common reasons to cause tissue turning to hard

Excess dry heat, high level of mineral intake, less drinks water.

1.14 Rough

1.14.1 Definition of rough

The definition of rough is a surface marked by uneven, bumpy, not smooth, ridges, irregularities, lack of order characters; when touch the surface, it has inequalities, unpleasantly, granular, scaly, some parts are not level with others, dry, and hard feeling.

The rough surface is excess heat and dry heat sign and indication The rough surface is chronic condition indication The rough surface is a sign for high possibility of malignant condition

1.14.2 Indication of rough

Surface of organs, such as liver and lung surface. Surface of inside wall of tube, such as blood vessel, mouth mucus membrane, bronchi,

esophagus. Surface of skin, muscle, joint, nail, scalp.

1.14.3 Common rough of organs and tissues

Liver, lung, stomach, large intestine, prostate. Muscle, skin, joints, nail, scalp. Inside wall of blood vessel, mouth mucus membrane, bronchi, esophagus.

1.14.4 Common reasons to cause rough

Excess heat Excess dry heat Multiple stagnations, such as qi, blood, food, phlegm, feces, heat, dampness stagnation, Tumor, mass, blockage.

1.15 Smooth

1.15.1 Definition of smooth

The definition of smooth is a surface marked by even, order, unwrinkled, roughness, not ridges, regularities, without bends and bumpy characters; when touch the surface, it has equalities, pleasantly, no obstructions, no difficulty, some parts are level with others, no granular, no scaly feeling.

The smooth surface with moisture is healthy condition indication The smooth surface with other symptoms is acute condition indication The smooth surface with dry is chronic condition indication The smooth surface skin with dry an thin is chronic and aging condition indication

1.15.2 Indication of smooth

The most case of smooth surface is healthy condition indication

1.15.3 Common smooth of organs and tissues

Liver, lung, stomach, large intestine, prostate. Muscle, skin, joints, nail, scalp. Inside wall of blood vessel, mouth mucus membrane, bronchi, esophagus.

1.15.4 Common reasons to cause smooth

Healthy level good yang qi

Healthy level good yin liquid Healthy level good cold energy External high level percentage of moisture Internal low level percentage of pathogen heat Good circulation of blood Good circulation of yin liquid

1.16 Peeling

1.16.1 Definition of peeling

The definition of peeling is a piece of skin, or mucus membrane coming off, the under protection tissue will explored to the outside or inside of tube, such as blood vessel, mouth, esophagus, stomach, intestines. It is easy to cause excretion body liquid and bleeding; it is easy let bio pathogens get into inside body, such as bacterial, virus.

The peeling is a sign or early sign of dry heat indication The peeling is a sign of body dehydration and yin liquid deficiency condition indication The peeling is an external dry condition indication, but it is be able to reflect internal

severe dry heat condition.

1.16.2 Indication of peeling

The inside mucus membrane wall of blood vessel have pieces coming off or ulceration The intestine mucus membrane wall have pieces coming off or ulceration The surface skin have pieces coming off or ulceration The skin has flake falling off The skin has scar falling off The uterine surface tissue has falling off due to the menstruation The bronchi surface mucus membrane has falling off due to excess heat invasion

1.16.3 Common peeling of organs and tissues

Skin, digestion system surface, bronchi surface mucus membrane, uterine, blood vessel.

1.16.4 Common reasons to cause peeling

Excess heat, dry heat, dryness. Internal excess heat eruption to the external surface Dehydration and yin liquid deficiency condition Irritation by strong hot and dry property material, such as spice food, alcohol, chemical

material.

1.17 Buildup

1.17.1 Definition of buildup

The definition of buildup is a process and procedural of increase up tissue amount or layer level in negative way; it is a procedural of accumulation multiple stagnation material amount or layer in negative way. It has meaning of to form by combining materials or parts; it has meaning of developed and increase material or parts by adding gradually; it has meaning enlarge in the one area or developed in multiple area.

1.17.2 Indication of build up

The cholesterol build up in the blood vessel The calcium build up inside of the spinal column The phlegm build up in the lung The uric acid crystals build up in the joints, bladder and kidney. The stone build up in the gallbladder and kidney The fatty build up in the liver and intestine The feces build up in the large intestine The dandruff build up at scalp The warts build up at skin, or bottom of feet. The aging protein build up in the heart The dark pigmentation material build up on the skin The fungal build up on the toe nail The tissue of pterygium build up on the scleral

1.17.3 Common buildup of organs and tissues

Heart, kidney, liver, lung. Gallbladder, large intestine. Blood vessel, spinal column, joints, skin, feet, eye.

1.17.4 Common reasons to cause buildup

Excess heat, dry heat. Excess phlegm, blood stagnation, feces.

1.18 Thickening

1.18.1 Definition of thickening

The definition of thick is relatively extent surface layer in great than original; it has a relatively large distance between opposite sides; it has containing solid matter; it is difficult to see through; it has deeply, heavily, densely characters; it is excess, chronic, accumulation condition indication.

The definition of thick is relatively increased up amount of solid material, such as hair. The definition of thick is relatively increased up texture of liquid material, such as blood

liquid, mucus, and excretion liquid.

1.18.2 Indication of thickening

The heart muscle is turning to thicker The bronchi airway is turning to thicker The blood vessel is turning to thicker The uterine lining is turning to thicker The intestine is turning to thicker The muscle is turning to thicker The skin is turning to thicker The nail is turning to thicker The finger is turning to thicker The toe is turning to thicker The blood liquid is too thicker The mucus is too thicker

1.18.3 Common thickening of organs and tissues

Heart muscle, bronchi airway, blood vessel, uterine lining, intestine, muscle. Skin, nail, finger, toe.

1.18.4 Common reasons to cause thickening

Excess heat, dry heat.

1.19 Thin

1.19.1 Definition of thin

The definition of thin is relatively reduce surface layer in less than original; it has a relatively smaller distance between opposite sides; it has less containing solid matter; it is easy to see through; it has shallow, less heavy, less dense characters; it is excess with deficiency , chronic, decline condition indication.

The definition of thin is relatively reducing amount of solid material, such as hair. The definition of thin is relatively reducing texture of liquid material, such as blood

liquid, mucus, and excretion liquid.

1.19.2 Indication of thin

The blood vessel is turning to thinner The uterine lining is turning to thinner The intestine is turning to thinner The brain tissue is turning to thinner The muscle is turning to thinner The skin is turning to thinner

The nail is turning to thinner The finger is turning to thinner The toe is turning to thinner The cartilage is turning to thinner The hair is turning to thinner The blood liquid is too thin The mucus is too thin

1.19.3 Common thin of organs and tissues

Blood vessel, uterine lining, intestine, brain, muscle, cartilage. Skin, nail, finger, toe, hair.

1.19.4 Common reasons to cause thin

Excess heat, dry heat. Yin liquid deficiency, dehydration, malnutrition.

1.20 Erosion

1.20.1 Definition of erosion

According to www.wikipedia.com, the definition of erosion is material worn away from the surface of the body natural outer covering or coat system, that is includes skin, hair, nails, and related muscle and glands; it is an act or process of eroding or the state of being eroded of body surface tissue (to cause to diminish or degenerate, deteriorate as if by gradually eating into, or break down, or wash away).

It is commonly happen to skin abnormal condition. Erosion is a discontinuity of the skin exhibiting incomplete loss of the composed of the outer most layers of cells in the skin, erosion that is moist, circumscribed, and usually depressed. Much medical diagnosis term is instead of erosion, such as macule, plaque, nodule, vesicle, bulla, ulcer and dental acid, erosion.

Another common erosion condition is dental condition. One of the physical changes can be the color of teeth, second the tooth has a yellowish tint. A change in shape of the teeth is also a sign of dental erosion. Teeth will begin to appear with a broad rounded concavity, and the gaps between teeth will become larger. One of the most severe signs of dental erosion is cracking, where teeth begin to crack off and become coarse. Other signs include pain when eating hot, cold, or sweet foods. This pain is due to the enamel having been eroded away, exposing the sensitive dentin.

1.20.2 Indication of erosion

Chronic open wound Chronic ulceration Chronic eczema

Chronic redness skin with accumulation abnormal skin tissue Chronic teeth crack and a broad rounded concavity

1.20.3 Common erosion of organs and tissues

Skin, teeth.

1.20.4 Common reasons to cause erosion

Excess heat, dry heat.

1.21 Lesion

1.21.1 Definition of lesion

According to www.wikipedia.com, the definition of lesion is a wound or injury to cause original tissue lost surface protect layer, expose good tissue to the outside or inside environment of body, usually it has redness, swelling, excretion, bleeding, ulceration condition, which is localized pathological change in a bodily organ or tissue. A lesion is any abnormality in the tissue of an organism, usually caused by diseases and trauma.

Lesions can occur anywhere in the body that consists of soft tissue or osseous matter, though most frequently found in the mouth, skin, and the brain, or anywhere where a tumor may occur. The lesion has malignant and benign two kind types; lesions are often classified by their location. Lesion size is correlated with severity, recovery, and comprehension.

The lesion layer is surface lesion, lesion external layer, active layer, recently demyelinated tissue, and inactive layer.

1.21.2 Indication of lesion

1.21.2.1 Indication of nerve meridians lesion (brain lesion)

Lesions clustered around the ventricles of the brain, usually call white matter demyelination, a clear discoloration in the area of the lesion, the nerve meridian surface protect layer is myelin sheath, there is staining and discoloration in the area of lesion on the myelin sheath.

It can be destroyed by pathogen dry heat; it can be start peeling, cracking, erosion, reducing, total explored nerve tissue, and scar around myelin sheath. The frequency information energy without protection from myelin sheath, it will early release energy power to the muscle to cause spasm.

The brain lesion is similar as skin lesion, it has opened wound with different color, shape, size characters; the injury can be come from external and internal both ways; usually it has redness, swelling, excretion, burst blood vessel to cause bleeding, and ulceration

condition; later it may have atrophy, shrinking, reduce, scarring, necrosis and none refundable tissue dying condition.

1.21.2.2 Indication of coronary artery calcification lesion from CT (lesion-specific calcium score)

According to wwwwikipedia.com, the most commonly used screening method for coronary disease is CT based coronary artery calcium quantification based on Agatston method, which was developed by Arthur Agatston. The Afatston score development was based upon the quantification of total coronary artery calcium in the entire heart for purposes of early detection and risk assessment.

The score is calculated using a weighted value assigned to the highest density of calcification in a given coronary artery. The density is measured in Hounsfield units, and score of 1 for 130–199 HU, 2 for 200–299 HU, 3 for 300–399 HU, and 4 for 400 HU and greater. This weighted score is then multiplied by the area (in square millimeters) of the coronary calcification.

The heart lesion indication by calcium accumulation on the coronary artery of heart

1.21.2.3 Indication lesion of sciatic nerve meridian (no information, possible swelling)

1.21.2.4 Indication skin lesion

The skin has opened wound with different color, shape, size characters; the injury can be come from external and internal both ways; usually it has redness, swelling, excretion, bleeding, and ulceration condition.

1.21.3 Common lesion of organs and tissues

Seven Zang organs Seven Fu organs Transfer and carrier systems, such as blood vessel, lymph duct, nerve meridians, tendon,

skin, muscle, bone, and nail.

1.21.4 Common reasons to cause lesion

Excess heat, dry heat Injury, blood clots blockage.

1.22 Effusion

1.22.1 Definition of effusion

The definition of effusion is a pathogen property fluid into cavity or tissue of body; it is an unrestrained outpouring and escaping of acting with abnormal liquid; the common pathogen fluid is blood serum, purulent (pus), body fluid (lymph liquid), mucus, and

blood liquid. The effused fluid is abnormal fluid; it is containing pathogen property liquid.

According the www.wikipedia.com, the serous fluid is typically pale yellow and transparent, and of a benign nature, that fill the inside of body cavities; serous fluid is originates from serous glands, with secretions enriched with proteins yang qi particle and thin body liquid as Jin; serous fluid may also originate from mixed glands, which contain both mucous and serous cells.

The saliva gland has ability to secretion serous fluid; the saliva is containing serous fluid.

The serous membrane has ability to secretion serous fluid; the serous fluid is stay between the two layers acts as a lubricant and reduces friction from muscle movement.

The blood plasma is containing serous fluid with dilute blood thickness function.

The main function of serous fluid is lubrication and assisting digestion, respiration, blood circulation, and excretion. The serous fluid is commonly as effusion fluid pouring into various body cavities; the main reason to cause effusion is multiple pathogen heats (inflammation and infection).

The effusion fluid is pathogen property of dampness heat turbid liquid, which is good body liquid absorbed pathogen dry heat property become to turbid dampness heat liquid.

1.22.2 Indication of effusion

Pericardial effusion It is an abnormal liquid pouring into pericardium tissue become to edema)

Pneumonia effusion Pneumonia effusion is pathogen property of the excretion liquid or mucus accumulation in the microscopic air sacs – alveoli to cause cough, chest pain and fever.

Pleural (chest-lung) effusion It is excess (a lot) fluid that accumulates between the two pleural layers; the pleural is a thin serous membrane in human that envelops each lung and folds back to make a lining for the chest cavity; the fluid-filled space that surrounds the lungs; excessive amounts of abnormal fluid can impair breathing by limiting the expansion of the lungs during ventilation.

Thoracic effusion It is usually lymphatic fluid leak into pleural cavity; the pleural cavity is the potential space between the two pleura (visceral and parietal) of the lungs; the leak fluid is come from the thoracic duct, or one of the main lymphatic vessels. The most common causes are lymphoma and trauma.

Pancreatic pleural effusion

It is the appearance of excess fluid that accumulates between the two pleural layers of the pancreas; mostly on the left side. It is related to pancreatitis condition.

Ascites (abdominal) effusion Ascites is an accumulation of fluid in the peritoneal cavity; although most commonly due to cirrhosis, severe liver disease or metastatic cancer; the low body liquid rising up from vein and try to go through liver vein then go back to heart and main circulation. The liver vein is closed due to liver tissue atrophy and stenosis condition, the rising up liquid cannot go through the liver, then back to abdominal vein with high level of pressure; the high level of vein pressure push liquid into peritoneal (The serous-producing membrane that lines the walls of the abdominal cavity and folds inward to enclose the viscera) cavity to cause abdominal edema.

Joint effusion It is the presence of increased abnormal fluid in the any joint, special the knee.

Otitis media with effusion The abnormal fluid is pouring into tympanic membrane to cause local edema, this is acute excess heat condition (inflammation); it occurs in the area between the tympanic membrane (eardrum) and inner ear; the main symptom is ear pain.

Rheumatoid effusion It is pathogen property and excessive lubrication synovial fluid gets into flexible (synovial) joints due to excess dry heat (inflammation) condition.

1.22.3 Common effusion of organs and tissues

Heart, lung, pancreas, liver. Joints, ear.

1.22.4 Common reasons to cause effusion

Excess multiple heats, dry heat.

1.23 Mass

1.23.1 Definition of mass

The definition of mass is a pathogen and negative property collection of a common substance or similar particle material to stick together with malignant or benign characters; it is a unified body of matter with no specific shape, unspecified size or quantity, weight and location; it is a solid, condensed, relatively hard and dry or soft and wet property abnormal material in the life body.

Mass is often used when the lesion has a maximal diameter of at least 20 millimeters (mm) in greatest dimension, the nodule is usually used when the size of the lesion is less than 20 mm in its greatest dimension.

1.23.2 Indication of mass

1.23.2.1 Tumor mass

According to the www.wikipedia.com, the tumor mass is a solid, same property and tissue of neoplasm, or fluid-filled lesion as cyst; that is pathogen property and formed by an abnormal growth tissue condition, it is appears enlarged in size; it has three possibility of pathogen property as benign, pre-malignant, and malignant; it can be represent a lesion without any cancerous potential affects.

1.23.2.2 Malignant mass

According to the www.wikipedia.com, the malignant mass is a solid, same property and tissue of neoplasm; that is pathogen property and formed by an abnormal unregularly growth tissue condition, it has only one possibility of pathogen property is malignant.

It is a pathogen and negative property collection of a common substance or similar particle material to stick together with malignant characters; it is a unified body of matter with no specific shape, unspecified size or quantity, weight and location; it is a solid, condensed, relatively hard and dry property abnormal material in the life body.

The malignant meaning is tending to become to worse condition, it has ability to cause threatening to life and cause or lead life to death direction; that means malignant property has very hot and very dry pathogen property; it has very stronger negative power to attach body good energy and damage body tissues; it has high tendency to over growth in size to take away space of body, and cause high pressure, take away good nutrition material and liquid; which is lead body to very consume and deficiency condition.

The malignant mass has ability to spread to more distant parts of the body through the lymphatic system and blood liquid. It has ability to invade nearby parts of the body by invasion, biting, erosion, and intrusion.

The early find out malignant mass is depending on western medical image technology

The early find out malignant pathogen heat level and amount is depend on Chinese Herbal Remedies evaluation skill, such as pulse, nail, tongue, iridology, healthy history and current condition information; study and analysis all above information will get roughly idea of malignant mass tendency ratio in unclear vision.

1.23.3 Common mass of organs and tissues

Almost every system is be able affect by malignant pathogen heat

Only hair, nail, heart has no chance affect by malignant heat.

1.23.4 Common reasons to cause mass

Excess dry heat, malignant dry heat.

1.24 Cyst

1.24.1 Definition of cyst

The definition of cyst is a normal or abnormal membranous closed sac, or capsule-like containing a pathogenesis fluid, air or gas, or semisolid substance; or a kind of liquid-filled blister on an internal part of the organs and tissues, or just under the skin.

1.24.2 Indication of cyst (according to www.wikipedia.com)

Ranula : it is a cyst on the underside of the tongue Eye cyst (iris cyst, sclera cyst)

Pilar cyst It is a common cyst that forms from a hair follicle, they are most often found on the scalp. The cysts are smooth, mobile and filled with keratin (it is a protein component found in hair, nails, and skin).

Dacryo cystitis It is an inflammation of the nasolacrimal sac, frequently caused by nasolacrimal duct obstruction or infection. It causes pain, redness, and swelling over the inner aspect of the lower eyelid.

Galactocele It is a cystic tumor containing milk or a milky substance (mammary glands).

Blood cyst: it is a cyst containing blood liquid. Nabothian (Cervix) cyst : it is a mucus-filled cyst on the surface of the cervix. Ovarian cyst : it is a benign cystic tumor of the ovary Follicular cyst: the cysts are happening in the tooth and ovary.

Sebaceous (epidermoid) cystIt is an epidermoid cyst, it is a bump and appearance of a cystic benign property lesion; usually found on the skin, it may hurt when touched, it can release pus, it is very common for women; the epidermoid cysts are usually present on parts of the body with relatively little hair.

Mucous retention cystIt is a cyst caused by an obstruction of a duct, usually belonging to the parotid gland or a minor salivary gland.

Pilonidal cyst

A pilonidal cyst also referred to as a pilonidal abscess, it is a cyst or abscess near or on the navel, armpit, and genital region that usually contains hair. Pilonidal cysts are often very painful, affect men more frequently than women, and typically occur between the ages of 15 and 35.

Droid cyst It is a cystic benign tumor with a wall lined with epithelium (forming the covering of most internal and external surfaces of the body and its organs) and a cavity containing other material.

Mucous cystIt is a myxoid cyst (mucous cyst) is a affecting to the skin condition often characterized by nail plate depression and grooves.

Acne cyst (Acne)Cystic acne (acne) is a common human skin disease, characterized by red skin with swelling, nodules with blackheads, whiteheads or pinheads; easy secretion pus or blood liquid; the pus will be easy come out when the age under forty; the pus is difficulty come out when the age after forty. It has a dry thin flake of epidermis on the surface which is fall off from the skin; it is possible scarring. It is often happen on the face, the upper part of the chest, and the back. Acne occurs most commonly during age young, and often continues into adulthood. In young age, acne is usually caused by an increase in testosterone. For most case, the acne diminishes or decreased after age 25.

Aneurysmal Bone Aneurysmal bone cyst, abbreviated ABC, is a thin partition of benign osteocytes bone neoplasm condition, it is characterized by blood filled spaces separated by fibrous, and divides two cavities or soft masses of tissue. If it is happen at foot, it may have relatively small amounts of pain; that will quickly increase in severity over a time period of 6–12 weeks. The skin temperature around the bone may increase, a bony swelling may be showing, and movement may be restricted. If it is happen at skull area, the skull lesions may lead to headaches.

Baker’s cystIt is a benign swelling of the semi membranous, and it located behind the knee joint.

Ganglion cyst: it is a swelling, appears on or around joints, tendons in the hand and foot.

1.24.3 Common cyst of organs and tissues

Skin (Epidermal), eyelid, ear, nose, bone, tendon, nail, eye, hand, toe, joints, lips, mouth. Liver, kidney, ovary.

1.24.4 Common reasons to cause cyst

Excess heat, dry heat. Blockage, Yin liquid deficiency.

1.25 Discoloration

1.25.1 Definition of discoloration

The definition of discoloration is the act of changing the natural color or original color by making it duller or dingier or lost original color characters. The main reason to cause discoloration is multiple pathogen heat, the multiple pathogen heat created a lot waste heat material, the waste heat material are accumulated on the skin surface; the multiple pathogen heat damage the good yang qi material property and structure, the result is discoloration on the skin surface, or liquid material (blood, lymph liquid, spinal fluid, bile, digestion liquid, sweat, mucus, urine, discharge) other material.

1.25.2 Indication of discoloration

Teeth discoloration to dull yellow, dark, too white bright. Skin discoloration to brown, dark, yellow, white bright, red. Nail discoloration to white, dull yellow, green, dark. Bone discoloration to red, purple red, dark. Hair discoloration to white, gray. Sclera discoloration to red, yellow, brown, dark.

Artery blood (original is red) discoloration to pink, dark red. Sweat (original is clear) discoloration to yellow, pink. Virginal (original is clear) discharge discoloration to yellow, white, red, brown. Spinal fluid (original is clear) discoloration to pink due to bleeding

Lung discoloration to (original is dull red or dull gray) dark due to smoking Liver discoloration to (original is red brown) dull white due to cancer Kidney discoloration to (original is red brown) dull yellow, dark, white due to cancer.

1.25.3 Common discoloration of organs and tissues

Teeth, skin, sclera, hair, nail, bone. Blood, sweat, virginal discharge, spinal fluid. Liver, lung, kidney.

1.25.4 Common reasons to cause discoloration

Excess heat, dry heat. Blockage and stagnation, Yin liquid deficiency.

1.26 Pigmentation

1.26.1 Definition of pigmentation

The definition of pigmentation is coloration of tissue by pigment or color material; or the deposition of pigment; or pathogen and pathogenesis caused the presence of pigments condition in human or animal life; the pigmentation is one of important sign of aging and unhealthy condition indication; the main location of pigmentation is skin, eye, teeth, and nail; the pigmentation is multiple pathogens waste heat material deposited and storage in the body result; this is an early sign of before severe diseases flare up indication.

1.26.2 Indication of pigmentation

Red pigmentationSkin red spots, red mole, multiple chronic rashes, blood stagnation, purpura, sun burn, Raynaud’s disease, and rosacea.

Brown pigmentation Aging spots, sun spots, female hormone unbalance melanoma, freckle, and tongue.

Dark pigmentation Skin mold, melanoma, dark teeth, dark spot of eye, dark skin, lung, gingering, and cancer tissue.

1.26.3 Common pigmentation of organs and tissues

Skin, eye, tongue, teeth, joint, nail, lung, and cancer tissue.

1.26.4 Common reasons to cause pigmentation

Aging heat, excess dry heat, and malignant dry heat.1.27 Clear

1.27.1 Definition of clear

The definition of clear is a state condition of air, liquid material, and hearing, vision, even mind; it has easily seen through, transparent, free from clouds, mist, haze, steam, smoking, dark, bright characters; it do not has obstruction, obscured, impurity characters too for air and liquid material.

It has easily perceptible, good judgment, free confusion characters for the hearing, vision and mind.

1.27.2 Indication of clear

Clear running nose Clear skin secretion Clear sweat Clear urine Clear vaginal discharge

Clear hearing Clear vision

Clear mind

1.27.3 Common clear of organs and tissues

Nose discharge, urine, skin secretion, sweat, vaginal discharge. Brain, eye, ear.

1.27.4 Common reasons to cause clear

Excess heat, dry heat, and damp heat. Stagnation

1.28 Cloudy

1.28.1 Definition of cloudy

The definition of cloudy is a state condition of air, liquid material, and hearing, vision, even mind; it has not easily seen through, transparent, free from mist, haze, steam, smoking, dark, bright characters; it has obstruction, obscured, impurity characters too for air and liquid material.

It has not easily perceptible, good judgment, free confusion characters for the hearing, vision and mind.

1.28.2 Indication of cloudy

Cloudy turbid nose discharge Cloudy turbid skin secretion Cloudy turbid urine Cloudy turbid vaginal discharge

Not clear hearing Not clear vision Cloudy mind

1.28.3 Common cloudy of organs and tissues

Nose discharge, urine, skin secretion, vaginal discharge. Brain, eye, ear.

1.28.4 Common reasons to cause cloudy

Excess heat, dry heat, and damp heat Stagnation, Yin liquid deficiency.

1.29 Odorless

1.29.1 Definition of odorless

The definition of odorless is a state condition of body and excretion material; usually the odorless is describing healthy condition. The odorless semen is unhealthy condition indication.

1.29.2 Indication of odorless

Body smelling is odorless Feces smelling is odorless Urine smelling is odorless Sweating smelling is odorless Phlegm smelling is odorless Nose discharge is odorless Ear discharge is odorless Blood smelling is odorless Pus smelling is odorless Skin secretion is odorless Menstruation blood smelling is odorless Vaginal discharge is odorless Semen smelling is odorless (it is unhealthy condition)

1.29.3 Common odorless of organs and tissues

Ear, nose, body, skin. Feces, urine, sweating, phlegm, blood, pus, menstruation blood, discharge, semen.

1.29.4 Common reasons to cause odorless

Odorless semen is yang qi deficiency indication General odorless is less pathogen heat condition indication

1.30 Foul smelling

1.30.1 Definition of foul smelling

The definition of foul is an unpleasant state condition of body, air, liquid or solid material; it has offensive in odor, stinking, rotten, impurities, and bad smelling characters.

1.30.2 Indication of foul smelling

The body of diabetes condition The body of cancer condition The body of open wound with infection condition

Foul smelling of urine Foul smelling of feces Foul smelling of menstruation blood Foul smelling of vaginal discharge Foul smelling of semen Foul smelling of pus Foul smelling of phlegm Foul smelling of sweating Foul smelling of skin excretion Foul smelling of nose discharge Foul smelling of ear discharge

1.30.3 Common foul smelling of organs and tissues

Ear, nose, body, skin. Feces, urine, sweating, phlegm, blood, pus, menstruation blood, discharge, semen.

1.30.4 Common reasons to cause foul smelling

Excess heat, dry heat, and damp heat. Stagnation, Yin liquid deficiency.

1.31 Gasification (vaporization)

1.31.1 Definition of gasification (vaporization)

The definition of gasification is a process of liquid or solid material changing into gas; it is a process that converts (change something into other material or form, state) organic based on carbonaceous material into carbon monoxide, hydrogen and carbon dioxide material. There are two types of gasification, one is evaporation, and another is boiling. The opposite process of gasification is liquefy and solidify.

The water liquid transfer into steam is a kind gasification; the steam will be absorbing warm energy into steam air material. It is a process of absorb warm energy. It is call heat of evaporation, the definition of heat evaporation is the warm energy required to transform a given quantity of a substance a liquid into a gas at a nature given atmospheric pressure.

The molecules in liquid water are held together by relatively strong hydrogen bonds, and the water heat of vaporization is warm energy of 40.65 kJ/mole; the water heat of vaporization is more than five times the energy required to heat the same quantity of liquid water from 0 °C to 100 °C. The same amount of steam is hold large amount of warm energy more than same amount of liquid water in the same condition.

The boiling water temperature is 100℃, the highest temperature of steam is 374℃, and it is high more than boiling water 274.5℃. When the steam transfer into liquid state from gas state, it will lost warm energy material.

1.31.2 Indication of gasification

1.31.2.1 Mother Nature indication

The water transfer into steam The rock transfer into gas; or the rock release out gas due to heat process.

1.31.2.2 Life indication

The body liquid transfer into positive or negative gas, such as the body release out more oxygen into blood stream (positive); the food in the stomach create gas and release out from burping; the waste material create a fart gas in the large intestine area and release out from rectum to break wind. This is a way carry pathogen heat out of body.

When the body release out air gas from liquid, if the gas material stay in the intestine area, it will be release out by farting procedural; if the gas is stay behind intestine mucus membrane wall that will be cause bloating.

The blood liquid carry the carbon dioxide, release out into lung area from blood stream. This is a way carry pathogen heat out of body.

The urine liquid carry the air material, release out of body during the urination to make a lot bubble. This is a way carry pathogen heat out of body.

The sweat liquid carry the body air material, the body air material can release out body from skin poles area. When someone put leg into water, there is some air bubble on the skin area that is air material release out from skin poles, which is carry by the sweat liquid. This is a way carry pathogen heat out of body.

The phlegm can contain air material, when the phlegm spit out of body, it can see some air bubble in the phlegm material. This is a way carry pathogen heat out of body.

1.31.3 Common gasification of organs and tissues

Lung, stomach, intestine, and bladder, blood, body liquid, urine, sweat, skin, and uterine.

1.31.4 Common reasons to cause gasification

Excess heat, dry heat. Excess pathogen cold Excess blockage, stagnation. Good body yin liquid, nourish yin liquid herbs and formulas.

1.32 Liquefy

1.32.1 Definition of liquefy

The definition of liquefy is a process of gas or solid material changing or turn into liquid state; there are two way to have liquefy from gas, one is reduce temperature of gas; another is reduce and pressure the volume of gas. The reduce temperature method is good for any kind gas to transfer into liquid; the method of reduce or pressure the volume of gas is need combination with reduce temperature method.

The steam transfer into water liquid is a kind liquefies; the steam will be release out and lose warm energy before transfer into water liquid. It is a process of release warm energy. The opposite process of liquefy is gasification and solidify.

1.32.2 Indication of liquefy

1.32.2.1 Mother Nature indication

Morning dew, rain Food in the bag and store in the refrigerate

1.32.2.2 Life indication

Chronic bloating related to yin liquid deficiency condition, this is too air material in the body condition; use nourishes yin liquid solution get improvement

Chronic headache with distension symptom, which is cause by yin liquid deficiency with yang hyper and rising up condition; this is too much air material in the upper body condition; use nourishes yin liquid and clear heat solution get improvement.

Chronic chest distension with wheezing, this is too air material in the lung area; use nourishes yin liquid and clear heat solution get improvement.

Chronic hypochondria area distension, this is too much air material in the liver, heart meridians area; use nourishes yin liquid and clear heat solution get improvement.

1.32.3 Common liquefy of organs and tissues

Heart, liver, lung, intestine, and head.

1.32.4 Common reasons to cause liquefy

Excess dry heat, lack drinking water

1.33 Solidify

1.33.1 Definition of solidify

The definition of solidify is a process of make something material more solid, condensed, united, compact, firm in the structure characters. The solidify process is make something material more abnormal temperature and property of heat, dry in property characters. The solidify process is make something material more hard, crystallization in quality and texture characters. The solidify process is make something material more visible, touchable in shape characters.

The solidify process is require involved a lot warm energy, the positive warm energy build up good solid material; the negative pathogen heat will build up negative pathogen solid shape material. The opposite process of solidify is melt down.

1.33.2 Indication of solidify

1.33.2.1 Mother Nature

The lava turn to the rock The calcification in the water container

1.33.2.2 Life indication

The large size stone located in the kidney, gallbladder, stomach, and bladder. The small size stone located in the eyelid, saliva gland, uterine (flow out during the

menstruation), and under skin. Cholesterol accumulation material, deposit plaque. Blood clots, urine acid crystal. Spinal column calcification (narrow spinal column) Nail growth Callus, warts, horny, sclerosis, cirrhosis, scars. Degeneration with enlargement, shrinking, less flexibility, and hard condition; such as

brain, blood vessel, tendon, joints, muscle, skin, crystalline lens.

1.33.3 Common solidify organs and tissues

Heart, lung, liver, kidney, pancreas, stomach, gallbladder, bladder and brain. Blood vessel, tendon, joints, muscle, skin, crystalline lens.

1.33.4 Common reasons to cause solidify

Excess dry heat, aging heat. Yin liquid deficiency High amount mineral intake, such as sugar, salt, dairy products.

1.34 Melt down

1.34.1 Definition of melt down

The definition of melt down is a process of reduced from a solid to a liquid state; it is a process of making something material more fragile, loose, not united, not compact, not firm in the structure characters. The melt down process is making something material more normal temperature and property of heat and dry in property characters. The melt down process is making something material more soft in quality and texture characters. The melt down process is making something material more invisible, not touchable in stand shape characters.

1.34.2 Indication of melt down

1.34.2.1 Mother Nature

Iron rock melt down to iron liquid Rock melt down when in the lava Metal melt down in the water

1.34.2.2 Life indication

Bone osteoporosis Brain atrophy Cartilage degeneration Spinal disk degeneration

1.34.3 Common melts down organs and tissues

Brain, bone, cartilage, and spinal disk.1.34.4 Common reasons to cause melt down

Excess dry heat, aging heat Yin liquid deficiency

1.35 Fracture (according to http://www.thefreedictionary.com)

1.35.1 Definition of fracture

The definition of fracture is a process or state of breaking, or a condition of tissue having been broken, rupture, and crack. It is a division, split, or breach condition and situation. It can be cause by injury, trauma; it can be cause by chronic poor nutrition, aging, and dehydration condition. It is life structure damaged, it is chronic recovery procedural, it is deficiency condition, it is internal condition.

1.35.2 Indication of fracture

Comminuted fracture : the bone is splintered or crushed Complete fracture : the breaking is involving the entire width of the bone Open fracture : the bone fracture associated with an open wound

Compression fracture : the bone collapses (especially in short bones such as vertebrae) Depressed fracture : the skull where the bone is pushed in Displaced fracture : the two ends of the broken bone are separated from one another Stress fracture : fracture resulting from excessive activity rather than a specific injury Capillary fracture: it is a fracture without separation of the fragments and the line of the

break being very thin Impacted fracture : one broken end is wedged into the other broken end Closed fracture : the broken bones is not make a way through or cut open the skin

Local pain is a common indication Lose function is a common indication Swelling is a common indication Unable to bear weight is a common indication Injury with undamaged skin is a sign of fracture condition

1.35.3 Common fracture of organs and tissues

Bone, cartilage, spinal disk, crystalline lens and teeth.

1.35.4 Common reasons to cause fracture

Trauma, injury, aging, too hard tissue condition Too weak tissue condition, too hot and dry tissue condition.

1.36 Stretch out

1.36.1 Definition of stretch out

The definition of stretch is a state of extend from one place to another or across a given space; it is a state of extend or enlarge beyond the usual or proper limits; it has lengthen, widen, or distend characters, it is lost or reduced elasticity ability; it is a chronic condition, it is a deficiency condition, the stretch out direction is always toward to the outside and lower direction.

1.36.2 Indication of stretch out

Tendon, muscle, joints, skin; stomach, intestine.

1.36.3 Common stretch out of organs and tissues

Organ’s collapse: stomach, kidney, bladder, rectum, anus, and uterine.

1.36.4 Common reasons to cause stretch out

Injury, over use, lack lubrication, yin liquid deficiency, and excess dry heat.

1.37 Tearing

1.37.1 Definition of tearing

The definition of tearing is an act or procedural of pull apart of tissue into pieces by force; the tissue could be dividing, ripping, disrupt, and separate by force. The common condition is tendon, muscle tearing condition; the external reason is injury; the internal reason is tendon and muscle in the lack lubrication condition; the tendon and muscle is in the poor elasticity condition.

1.37.2 Indication of tearing

Lost function, local tissue pain. Local tissue atrophy or weak, range motion restrained.

1.37.3 Common tearing of organs and tissues

Tendon, muscle, joints.

1.37.4 Common reasons to cause tearing

Injury, over use. Lack lubrication, yin liquid deficiency, and excess dry heat.

2. Common indication of abnormality and degeneration of body liquid material

2.1 Concentration (sticky)

2.1.1 Definition of concentration

The definition of concentration is an acting or procedural of put or add amount of a particular substance into another same property and material substance to make texture stickier, and less watery; or an acting of reduce amount of liquid in a particular substance; which is making the texture stickier.

This is liquid material lost space and crowed together, this is a result of body lose liquid or less add liquid, this is a result body increase up good dry energy material or pathogen dry heat, this is a result of body to have more dry property material, this can be a healthy or pathogenesis condition.

2.1.2 Indication of concentration

Sticky sweat liquid Sticky blood liquid Sticky mucus Sticky feces liquid

Sticky urine liquid Sticky pus Sticky secretion liquid Sticky joints fluid

2.1.3 Common concentration of organs and tissues

Blood, mucus, sweat, urine, joints lubrication fluid, liquid feces, secretion, and pus.

2.1.4 Common reasons to cause concentration

Excess heat, dry heat. Yin liquid deficiency, lack drink water.

2.2 Dilution (watery)

2.2.1 Definition of dilution

The definition of dilution is a process, acting, or state of making weaker, thinner and less strong and concentrated.

2.2.2 Indication of dilution

Watery blood liquid, menstruation, mucus, bile, diarrhea and pus. Joints edema

2.2.3 Common dilution of organs and tissues

Blood, menstruation, mucus, bile, joint fluid, feces, and pus.

2.2.4 Common reasons to cause dilution

External and internal cold pathogen Good yang property energy and qi deficiency, malnutrition condition

2.3 Congeal

2.3.1 Definition of congeal

The definition of congeal is a process, or state of change a soft or liquid state to a firm or solid shape state.

2.3.2 Indication of congeal

Blood clots, thickness blood liquid, thickness menstruation, Thickness bile, urine, joints lubrication fluid.

2.3.3 Common congeal of organs and tissues

Blood, menstruation, mucus, bile, joint fluid, feces, and pus.

2.3.4 Common reasons to cause congeal

External and internal excess heat and dry heat, Yin liquid deficiency

2.4 Bleeding

2.4.1 Definition of bleeding

The definition of bleeding is a process or acting of the flow of blood liquid out of from a ruptured blood vessel internally or externally.

2.4.2 Indication of bleeding

Visible bleedingNose, eye, ear, mouth, vomiting blood, coughing blood, stool bleeding, urine bleeding, menstruation bleeding, skin bruise, skin bleeding.

Invisible bleedingBrain, spinal column, heart, spleen, liver, stomach and intestine (small portion), bone bruise, muscle bruise.

2.4.3 Common bleeding of organs and tissues

Heart, spleen, liver, brain, stomach, intestine, uterine. Spinal column, bone, skin, eye, ear, nose, mouth.

2.4.4 Common reasons to cause bleeding

Excess heat, dry heat and aging heat; good yang and qi deficiency.

2.5 Bruise

2.5.1 Definition of bruise

The definition of bruise is an injury result or damaged state of underlying soft tissue and bone without breaking the skin; often characterized by ruptured blood vessels and discolorations of tissues. The discoloration usually is dull yellow, brown, and dark. The common pathogenesis is small blood vessel broke and blood liquid leak out to cause tissue discoloration. The common injury activity is pressure, crush, pounding.

2.5.2 Indication of bruise

Bruise on the skin, nail, muscle and bone with discoloration.

2.5.3 Common bruise of organs and tissues

Bruise on the skin, nail, muscle and bone

2.5.4 Common reasons to cause bruise

External injury by pressure, and pounding. Internal injury by excess heat, dry heat and blood heat.

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