Table 2 Herb addition based on traditional Chinese medicine syndrome differentiation
Yin deficiency complicated with blood stasis Add Chinese herbs as Qingrezhixue granules: Rhizoma anemarrhenae, Cortex phellodendri, Rhizoma polygonati | |
Main symptoms of yin deficiency | Red tongue with less or no moss and a dark red throat, a low-grade fever with night sweat, sparse purpura |
Secondary symptoms of yin deficiency | Feverishness in the palms and soles, dry mouth with thirst, a weak and rapid pulse |
Symptoms of blood stasis | Dark purple tongue or bruises on tongue body; varicose veins or blood stasis in sublingual veins; fixed pain or intense pain causing an aversion to touch; thrombogenesis; dark or blue color (cyanosis) in the face, mouth, or gums, around the eyes, or in the lips and extremities; sluggish or intermittent pulse; hematuresis, epistaxis, ecchymosis, or tarry stool; dark and dull complexion; laboratory examination indicating blood circulation stasis |
Diagnostic criteria | 2 main symptoms of yin deficiency (or 1 main + 2 secondary symptoms) + 1 main symptom of blood stasis |
Blood heat complicated with blood stasis Add Chinese herbs as Qingrezhixue granules: ComuBuball, Radix arnebiae seu lithospermi | |
Main symptoms of blood heat | Excessive skin petechiae or bright red bruises located close to each other, anxiety, dry mouth, and thirst |
Secondary symptoms of blood heat | Red tongue with yellow moss, strong and rapid pulse, constipation |
Symptoms of blood stasis | Red tongue with yellow moss, strong and rapid pulse, constipation |
Diagnostic criteria | 2 main symptoms of blood heat (or 1 main symptom + 2 secondary symptoms) + 1 main symptom of blood stasis |
Wind heat complicated with blood stasis Add Chinese herbs as Qingrezhixue granules: Lonicera japonica, Fructus Forsythiae, radix platycodonis, mint, bamboo leaf, Schizonepetae, Burdocks | |
Main symptoms of wind heat | Bright red throat, fever, yellow mucus, small or itchy rash |
Secondary symptoms of wind heat | Red tongue with thin yellow or white moss, light and rapid pulse, aversion to wind, cough |
Symptoms of blood stasis | Red tongue with thin yellow or white moss, light and rapid pulse, aversion to wind, cough |
Diagnostic criteria | 2 main symptoms of wind heat (or 1 main symptom + 2 secondary symptoms) + 1 main symptom of blood stasis |
Both qi and yin deficiency complicated with blood stasis Add Chinese herbs as Qingrezhixue granules: Astragalus, Radix pseudostellariae, Glossy Privet Fruit, Eclipta alba, Rhizoma polygonati | |
Main symptoms of qi deficiency | Weak and easily tired, bad appetite or thin stool, susceptible to cold or diarrhea |
Secondary symptoms of qi deficiency | Pale complexion, pale tongue with thin moss or thin and fat tongue with teeth marks, thin and weak pulse |
Symptoms of yin deficiency/blood stasis | Pale complexion, pale tongue with thin moss or thin and fat tongue with teeth marks, thin and weak pulse |
Diagnostic criteria | 2 main symptoms of qi deficiency (or 1 main symptom + 2 secondary symptoms) + 2 main symptoms of yin deficiency (or 1 main symptom + 2 secondary symptoms) + 1 main symptom of blood stasis |
Dampness heat complicated with blood stasis Add Chinese herbs as Qingrezhixue granules: Scutellaria baicalensis, Cogongrass rhizome, Herba pyrrosiae | |
Main symptoms of dampness heat | Yellow complexion, dark urine or sticky stool, yellow greasy coating on the tongue |
Secondary symptoms of dampness heat | Skin sores (e.g., furuncles), bitter taste and bad smell in the mouth, rapid and weak pulse |
Symptoms of blood stasis | Skin sores (e.g., furuncles), bitter taste and bad smell in the mouth, rapid and weak pulse |
Diagnostic criteria | 2 main symptoms of blood heat (or 1 main symptom + 2 secondary symptoms) + 1 main symptom of blood stasis |