Chapter49identificationofpatternsaccordingtothefiveelements
Generatingsequencepatterns manifestations Woodnotgeneratingfire ThispatternissometimesalsodescribedasapatternofdeficientGallbladder.
Timidity,alackofcourage,indecision,palpitationsandinsomnia(inparticular,wakingupintheearlyhoursofthemorning) Firenotgeneratingearth ThispatternbasicallydescribesaconditionofSpleen-Yangdeficiencyduetofailureofthephysiologicalfireofthebodyinprovidingheattothespleentotransformandtransport.
Loosestools,chilliness,weaknessofthelimbs Earthnotgeneratingmetal Thispatterndescribesthesituationwhenaspleendeficiency(causingthetiredness)leadstotheformationofPhlegm,whichobstructsthelungs
Phlegminthechest,cough,tiredness. Mentalnotgeneratingwater ThispatterncorrespondstotheinternalorganpatternofkidneysnotreceivingQi
Cough,breathlessness,lossofvoiceandasthma. Waternotgeneratingwood ThispatternisthesameastheinternalorganpatternofKidney-YinandLiver-Yindeficiency,
Dizzinessblurredvisionheadachesandvertigo.
Over-actingsequencepatterns manifestations Woodover-actingonearth Whentheclinicalmanifestationspertaintooneelementandthefacecolourpertainstotheelementthatover-actsonit,thefacecolourusuallyshowstheoriginofthedisharmony,inthiscase,loosestoolsandpoorappetitearesymptomsofdeficiencyofearth(spleen)butthefaceisgreenish,thisindicatesthattherootoftheproblemisinwood(i.e.woodover-actingonearth).Thissameprincipleappliestoallthefollowingcasesofdisharmonyoftheover-actingsequence.
Thepatternofwoodover-actingonearthisverycommonanditisexactlythesameasthepatternof‘liverinvadingthespleen’,‘liverinvadingthestomach’
Hypochondriacandepigastricpain,afeelingofdistensionirritability,loosestools,poorappetiteandgreenishface. earthover-actingonwater Thispatternoccurswhenadeficientspleenfailstotransformandtransportfluids,whichaccumulateanobstructthekidney’sfunctionoftransformationandexcretionoffluids
Oedema,difficulturinationandayellowface. Waterover-actingonfire Thispatterncorrespondstothepatternofkidney-Yangdeficient,wateroverflowingtotheheart
Oedemaoftheankles,backache,feelingcold,dizziness,expectorationofthin-waterysputum,palpitations. Fireover-actingonmetal Thispatterncorrespondstofull-heatinthelungs
Coughwithprofuseyellowsputum,afeelingofheatandaredface. Metalover-actingonwood ThispatterncorrespondstoasituationwhenthelackofdescendingofLung-Qiimpairsthefree-flowofLiver-Qi
Tiredness,irritability,afeelingofdistension,coughandawhiteface.
insultingsequencepatterns manifestations Woodinsultingmetal TheliverchannelinfluencesthechestandstagnantLiver-QiorLiver-FirecanobstructthechestandpreventLung-qifromdescending.
Cough,asthmaandafeelingofdistensionofchestandhypochondrium Metalinsultingfire ThispatternbasicallydescribesaconditionofbothLung-qiandHeart-Qideficiency.
Palpitations,insomniaandbreathlessness. Fireinsultingwater Thispatternisidenticaltotheinternalorganpatternof‘kidneysandheartnotharmonized‘,thatis,Kidney-Yindeficiencygivingrisetoheartempty-heat.
Malarflush,drymouthatnight,insomnia,dizziness,lowerbackacheandnightsweating. Waterinsultingearth ThispatterncorrespondstospleenandkidneyYangdeficiency.
Loosestools,oedema,tirednessandweaknessofthelimbs. Earthinsultingwood Thispatterniscausedbyafailureofthespleenintransformingfluidsleadingtodampness,dampnessaccumulatesandobstructsthesmoothflowofLiver-Qi,impedingthefreeflowofbile.
Jaundiceandhypochondriacpainanddistension
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