Pattern Differentiation

TCM Patterns

Diagnostic patterns (辨证 biànzhèng) for syndrome differentiation.

Classical calendar method · 五運六氣

Qi year 丙午 (bǐng wǔ) · 大寒 (Major Cold) to 大寒

Step 5 of 6: 少陽相火 (Shaoyang ministerial fire)

23 Sep – 22 Nov — 秋分 (Autumn Equinox) to 小雪 (Minor Snow).

The qi year is divided into six steps (六氣) of about 61 days each. Every step carries a fixed host qi (主氣) — the weather that season always has — under a guest qi (客氣) that moves round with the year. This one pairs guest 少陽相火 (Shaoyang ministerial fire) over host 陽明燥金 (Yangming dry-metal).

Year movement (中運) — the year's governing phase
太羽 · water, in excess (太過)
Celestial controller (司天) — the qi over the whole year
少陰君火 Shaoyin sovereign fire
Earthly spring (在泉) — its partner, over the second half
陽明燥金 Yangming dry-metal

The Suwen (ch. 66) gives this qi's nature as dryness (燥). Pattern pages that name dryness:

A classical calendar reference, not a forecast. It does not say anyone will fall ill. Sources: Suwen ch. 66, 68 and 71; Zhang Jiebin, Leijing Tuyi (1624). Open points by the hour →

Showing 25–48 of 101 patterns

Heart Qi Deficiency

Zang-Fu

心气虚 (Xīn Qì Xū)

PalpitationsShortness of breath on exertionFatigue; pale faceSpontaneous sweating

Heart Qi Stagnation

Zang-Fu

心气滞 (Xīn Qì Zhì)

Distending chest oppressionPalpitations triggered by emotionSighing; plum-pit QiWorse with stress, better with movement or expression

Heart Yang Collapse

Zang-Fu

心阳虚脱 (Xīn Yáng Xū Tuō)

Profuse cold sweatIcy limbsCyanosisLoss of consciousness possible

Heart Yang Deficiency

Zang-Fu

心阳虚 (Xīn Yáng Xū)

Palpitations with cold limbsBright-pale faceSlight chest stuffinessFatigue; dislike of cold

Heart Yin Deficiency

Zang-Fu

心阴虚 (Xīn Yīn Xū)

PalpitationsInsomniaNight sweatsFive-center heat

Heat Bi

Channel / Bi / Wei

热痹 (Rè Bì)

Hot, red, swollen jointsWorse with heatThirst; restlessness

Heat in the Large Intestine

Zang-Fu

大肠热结 (Dà Cháng Rè Jié)

Constipation with dry stoolsAbdominal fullness worse with pressureThirst; fever possible

Jue Yin

Six Stages / Interior

厥阴证 (Jué Yīn)

Heat above, Cold belowHunger with no desire to eatThirst; cold limbsVomiting of roundworms in the classical picture

Kidney Essence Deficiency

Zang-Fu

肾精不足 (Shèn Jīng Bù Zú)

Delayed development in childrenPremature aging; weak bones and teethInfertility; poor memoryPremature greying

Kidney Qi not Firm

Zang-Fu

肾气不固 (Shèn Qì Bù Gù)

Frequent clear urination; dribbling; incontinenceNocturnal emissions; chronic vaginal dischargeTendency to miscarriageLow back ache; fatigue

Kidneys Failing to Receive Qi

Zang-Fu

肾不纳气 (Shèn Bù Nà Qì)

Dyspnea worse on inhalationShortness of breath on slight exertionSweatingLow back and knee weakness

Kidney Yang Deficiency

Zang-Fu

肾阳虚 (Shèn Yáng Xū)

Cold limbs and low backSore, weak low back and kneesFrequent clear urinationImpotence or low libido

Kidney Yang Deficiency, Water Overflowing

Zang-Fu

肾阳虚水泛 (Shèn Yáng Xū Shuǐ Fàn)

Severe pitting edema of legs and abdomenScanty urineColdPalpitations if water insults the Heart

Kidney Yin Deficiency

Zang-Fu

肾阴虚 (Shèn Yīn Xū)

Sore, weak low back and kneesTinnitus; dizzinessNight sweatsDry mouth at night; malar flush

Large Intestine Dryness

Zang-Fu

大肠液亏 (Dà Cháng Yè Kuī)

Dry hard stoolsDry mouthNo strong fever

Liver and Kidney Yin Deficiency

Combined

肝肾阴虚 (Gān Shèn Yīn Xū)

Dry eyes; tinnitus; dizzinessLow-back and knee weaknessNight sweats; malar flushScanty menses

Liver Blood Deficiency

Zang-Fu

肝血虚 (Gān Xuè Xū)

Blurred vision; floaters; dry eyesScanty or absent mensesPallor; numbness; brittle nailsMuscle cramps; insomnia

Liver Blood Stasis

Zang-Fu

肝血瘀 (Gān Xuè Yū)

Fixed hypochondriac or menstrual painDark clotted menstrual bloodMasses; dark complexionPurple lips or nails

Liver Fire Blazing

Zang-Fu

肝火上炎 (Gān Huǒ Shàng Yán)

Severe headacheRed face and eyesBitter tasteIrritability and outbursts

Liver Fire Invading the Lung

Combined

肝火犯肺 (Gān Huǒ Fàn Fèi)

Cough with scanty sticky or blood-streaked sputumChest and hypochondriac painBitter taste; red faceIrritability; dry throat

Liver Qi Invading the Stomach

Combined

肝气犯胃 (Gān Qì Fàn Wèi)

Hypochondriac and epigastric distensionBelching; acid reflux; nauseaIrritabilitySymptoms worse with stress

Liver Qi Stagnation

Zang-Fu

肝气郁结 (Gān Qì Yù Jié)

IrritabilityHypochondriac distensionSighingPremenstrual tension

Liver-Spleen Disharmony

Combined

肝脾不和 (Gān Pí Bù Hé)

Alternating loose stools and constipationAbdominal pain relieved by a bowel movementBloatingIrritability

Liver Wind from Blood Deficiency

Zang-Fu

血虚生风 (Xuè Xū Shēng Fēng)

Fine tremor; ticsNumbnessDull-pale faceDry eyes; scanty menses