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Giovanni's 4 Levels
Wei, Qi, Ying, Xue
Diagnosis | Symptoms | Tongue & Pulse |
---|---|---|
Summerheat (Wei Level) | **Fever ** Aversion to Cold **Headache **Sweating **Uncomfortable Sensation in the Epigastrium **Irritability **Thirst | T: Red in front or sides with a white sticky coating P: Soft & Rapid |
Damp Heat (Wei Level) | **Fever worse in PM **Aversion to cold **Headache **Feeling of Oppression in the Epigastrium **Swollen Glands **Thirst, but no desire to drink ** Feeling of heaviness **Sticky taste ** Body that is hot to the touch | T: Sticky white tongue coating P: Soft Pulse |
Dry Heat (Wei Level) | **Fever ** Sl. Aversion to Cold **Sl. Sweating **Dry Skin/Nose/Mouth/Throat/Cough | T: Dry tongue w/ thin white coating P: Superficial-rapid |
Lung Heat: Heat in the Chest & Diaphragm (Qi Level) | **High Fever **Feeling of heat **No aversion to cold **Thirst **Cough w/ thin yellow sputum ** Shortness of breath **Sweating | T: Red tongue with yellow coat P: Rolling and rapid |
Stomach Heat (Qi Level) | **High Fever: Worse in the PM **Feeling of heat **No aversion to cold **Intense thirst **Profuse sweating | T: Red tongue w/ yellow coating P: Surging Rapid |
Gallbladder heat (Qi Level) | **Alternating Hot & Cold Feeling w/ a Prevalence of Heat **Thirst **Bitter taste **Dry throat **Hypochondrial Pain **Nausea **Feeling of a fullness in the epigastrium ** | T: Red tongue w/ yellow unilateral sticky coating P:Stringtaut & Rapid |
Damp Heat in the Spleen & Stomach (Qi Level) | **Continuous fever that decreases after sweating but soon again increases **Feeling of heaviness of the body & head **Feeling of oppression of the chest & epigastrium **Nausea **Loose stools | T: Red with sticky yellow coating P: Soft & Rapid |
Heat in the Ying Level | **Fever at night **Incoherent speech or aphasia **Delirium **Macules **Mental Restlessness **Insomnia | T: Red without coat P: Thready-rapid |
Heat in the Pericardium | **Fever at night **Incoherent speech or aphasia **Delirium **Macules **Mental Confusion **Hot Body **Cold Hands and Feet | T: Red without coat P: Thready-rapid |
Heat Victorious Moving Blood (Xue Level) | **High Fever **Mental Restlessness **Manic Behavior **Dark Macules **Vomiting of Blood **Epistaxis **Blood in Stools **Blood in Urine | T: Dark-Red W/Out Coating P: String-Taut & Rapid |
Heat Victorious Stirring Wind (Xue Level) | **High Fever **Twitching of Limbs **Convulsions **Rigidity of Neck **Opisthotonos **Eyeballs turning up **Clenching of teeth | T: Dark Red W/out Coating P: String Taut |
Empty-Wind Agitating the Interior (Xue Level) | **Low-Grade Fever **Tremor of Limbs **Loss of Weight **Malar Flush **Listlessness | T: Dry, dark-red w/o coat P: Thready-rapid |
Collapse of Yin (Xue Level) | **Low-Grade Fever **Night Sweating **Mental Restlessness **Dry Mouth w/ Desire to Sip Liquids *Five Palm Heat **Malar Flush **Emaciation | T: Dark-Red, Dry Tongue w/out Coating P: Thready, Rapid |
Collapse of Yang (Xue Level) | **Feeling of cold **Cold Limbs **Bright, white complexion **Profuse sweating on the forehead **Listlessness | T: Pale, swollen & short P: Hidden, slow & scattered |
Wind Heat (Wei Level) | **Fever **Aversion to Cold **Headache **Sore Throat **Sl. Sweating **Runny Nose w/ Yellow Discharge **Swollen Tonsils **Body aches **Sl. Thirst | T: Red in the front or sides w/ a thin white coating P: Superficial & Rapid |