Syndrome Differentiation and Supplementation Methods for Deficiency of Qi, Blood, Yin, and Yang

January 8, 2024


  When supplementing, it is necessary to carefully observe and comprehensively analyze the symptoms of weakness, identify the nature of the deficiency (qi, blood, yin, yang) and the affected organs (heart, lungs, spleen, liver, kidneys, etc.), and determine the trend of the disease. Finally, develop appropriate supplementation methods. This is called syndrome differentiation and supplementation. For some obvious symptoms and severe deficiency, the use of medicinal supplementation should be the main method, supplemented by dietary supplementation, and other treatment methods may be used if necessary.

  [Deficiency of Qi, Blood, Yin, and Yang Syndrome]

  1. Yin deficiency syndrome: It refers to the deficiency of yin fluid in the body.

  Main manifestations: emaciation, sallow complexion, dizziness, tinnitus, dry mouth and throat, pale red or less coating on the tongue, thin pulse. Accompanied by restlessness, hot flashes, night sweats, flushing, red lines on the tongue, and thin and rapid pulse, it is called "deficiency heat syndrome". In the late stage of warm diseases, when yin fluid is depleted, symptoms such as restlessness, insomnia, drowsiness, limb twitching, and occasional convulsions may also occur.

  Supplementation method: mainly adopt nourishing yin methods, such as Liu Wei Di Huang Wan, Zuo Gui Wan, Da Bu Yin Wan, Er Zhi Wan, etc. At the same time, eat some yin-nourishing foods, such as honey, malt sugar, lily, wolfberry, tremella, etc.

  2. Yang deficiency syndrome: It refers to the deficiency of yang qi in the body.

  Main manifestations: pale complexion, fatigue, shortness of breath, aversion to cold and cold limbs, spontaneous sweating, dull taste in the mouth, clear and long urine, loose stools, pale and plump tongue, white and moist coating, and weak and slow pulse.

  Supplementation method: focus on warming yang, such as Jin Kui Shen Qi Wan, Quan Lu Wan, You Gui Wan, Gui Ling Ji, etc. At the same time, eat yang-warming foods, such as shrimp, walnut kernel, sparrow, dog meat, venison, mutton, etc.

  3. Qi deficiency syndrome: It refers to the deficiency of righteous qi and the low function of the organs.

  Main manifestations: fatigue, low voice, shortness of breath, dizziness, tears, poor appetite, pale and plump tongue, weak pulse. In severe cases, symptoms such as confusion, sweating, cold limbs, and weak pulse may occur. In severe cases of qi deficiency, symptoms such as sinking of qi, abdominal distension, or lumbosacral pain may appear, accompanied by symptoms such as prolapse of anus, uterine prolapse, or other visceral prolapse.

  Supplementation method: focus on tonifying qi, such as Si Jun Zi Tang, Shen Ling Bai Zhu San, Bu Zhong Yi Qi Wan, Yu Ping Feng San, etc. At the same time, eat foods that can tonify qi, such as chicken, water chestnut, chestnut, glutinous rice, loach, etc.

  4. Blood deficiency syndrome: Main manifestations include pale or withered complexion, pale lips and nails, dizziness, palpitations, insomnia, numbness in hands and feet. Women may have irregular menstruation (scanty, amenorrhea, or delayed cycle), pale tongue, and weak pulse.

  Supplementation method: focus on nourishing blood, such as Si Wu Tang, Ba Zhen Ji, Shi Quan Da Bu Gao, He Che Da Zao Wan, etc. At the same time, eat blood-nourishing foods, such as pig heart, pig liver, longan meat, peanuts, spinach, etc.

  [Deficiency of Heart Syndrome]

  1. Weakness of heart qi: Main manifestations include palpitations, shortness of breath, spontaneous sweating, easy startle, forgetfulness, pale complexion, lack of energy, difficulty falling asleep, pale tongue, weak and thin pulse, etc.

  Supplementation method: tonify and nourish heart qi, such as Yang Xin Tang, etc. You can also use ginseng, Poria cocos, sour jujube kernel, schisandra, etc., and eat foods such as pig heart, sheep heart, lotus seeds, etc.

  2. Weakness of heart yang: Main manifestations include palpitations or arrhythmia, easy startle, forgetfulness, difficult sleep or excessive sleepiness, pale complexion, spontaneous sweating, lack of energy, weak speech, aversion to cold and cold limbs, white and moist coating on the tongue, fat tongue body, weak and thin pulse. If heart yang is severely weakened, profuse sweating, limb coldness, and even coma may occur, and the pulse may be weak and about to disappear or have a knotted pulse.

  Supplementation method: warm and tonify heart yang, such as Bao Yuan Tang, etc. You can also use ginseng, astragalus, Wu Ji Zi, etc.

  3. Weakness of heart blood: Main manifestations include palpitations or arrhythmia, restlessness, insomnia, forgetfulness, dizziness, pale complexion, pale tongue, weak and thin pulse, etc.

  Supplementation method: tonify blood and calm the mind, such as Si Wu Tang, etc. You can also eat blood-nourishing foods, such as pig heart, eggs, quail, jujube, mulberry, grapes, longan meat, etc.

  4. Weakness of heart yin: Main manifestations include palpitations or arrhythmia, restlessness, insomnia, hot flashes or low fever, restlessness and heat in the chest, spontaneous sweating, dryness in the lips and throat, yellow urine and constipation, red tongue with little saliva or thin yellow coating, thin and rapid pulse, etc.

  Supplementation method: nourish yin and calm the mind, such as Bu Xin Dan, etc. You can also use Chinese Arborvitae seed, Polygonatum, Ophiopogon, pig skin, eggs, etc.

  [Deficiency of Kidney Syndrome]

  1. Deficiency of kidney yin: Main manifestations include sore and weak waist and knees, dizziness and tinnitus, or deafness; spermatorrhea, emaciation, restlessness, hot flashes or low fever, night sweats, flushing, dryness in the lips and throat, yellow urine and constipation, red tongue with little saliva, thin and rapid pulse, etc.

  Supplementation method: nourish kidney yin, such as Liu Wei Di Huang Wan, etc. In addition, you can use Polygonum multiflorum, wolfberry, ligustrum, cooked Rehmannia, mulberry fruit, black bean, black sesame, black-bone chicken, pig skin, pig brain, etc.

  2. Deficiency of kidney essence: Main manifestations include dizziness and forgetfulness, tinnitus or deafness, hair loss and teeth shaking, sore and weak waist and knees, pale tongue, and sinking and weak pulse.

  Supplementation method: nourish kidney essence, such as He Che Da Zao Wan, etc. In addition, you can use cooked Rehmannia, dodder seed, Eucommia, Cistanche, cooked Rehmannia, black bean, black sesame, black-bone chicken, sea cucumber, beef, royal jelly, etc.

  3. Weakness of kidney qi: Main manifestations include sore and weak waist and knees, fatigue and weakness, frequent urination, and even enuresis. Men may experience premature ejaculation and women may have thin leukorrhea. The tongue coating is pale and the pulse is weak and weak.

  Supplementation method: tonify kidney qi and consolidate the kidney essence, such as Sang Piao Xiao San, etc. You can also use Eucommia, clam, Xianmao, sea horse, Morinda officinalis, walnut kernel, chestnut, cowpea, pig kidney, chicken liver, pigeon egg, etc.

  4. Weakness of kidney yang: Main manifestations include sore and weak waist, dizziness and tinnitus, pale complexion, fatigue and weakness, preference for lying down and drowsiness, cold limbs, or impotence, clear urine, pale and fat tongue, white and moist coating, deep and weak pulse, etc.

  Supplementation method: warm and tonify kidney yang, such as Fu Gui Ba Wei Wan, etc. You can also use Xianmao, Cuscuta, Cistanche, sea horse, leek, Cynomorium, deer antler, Cordyceps, shrimp, sparrows, etc.

  [Deficiency of Spleen and Stomach Syndrome]

  1. Weakness of spleen qi: Main manifestations include poor appetite, abdominal distension after eating, pale complexion, shortness of breath and fatigue, pale and fat tongue, weak and weak pulse, etc.

  Supplementation method: tonify spleen qi, such as Si Jun Zi Tang, Shen Ling Bai Zhu San, etc. At the same time, you can use Codonopsis, Atractylodes, Astragalus, Coix seed, Chinese yam, pork, rabbit meat, pigeon meat, green fish, crucian carp, glutinous rice, soybean, lentils, etc.

  2. Deficiency of spleen yin: Main manifestations include emaciation and fatigue, loss of appetite, abdominal distension after eating, dryness in the lips and throat, restlessness, hot flashes or low fever, night sweats, yellow urine and constipation, red tongue with little coating, thin and rapid pulse, etc.

  Supplementation method: nourish spleen yin, such as Zhong He Li Ming Tang, etc. In addition, you can use Chinese Angelica, Arborvitae seed, Polygonum multiflorum, mulberry fruit, milk, etc.

  3. Weakness of spleen yang: Main manifestations include pale complexion, cold limbs, tastelessness in the mouth, loss of appetite, abdominal distension after eating, clear urine and loose stools, or edema, scanty urine, or thin leukorrhea, pale and moist coating on the tongue, deep and weak pulse, etc.

  Supplementation method: warm and tonify spleen yang, such as Li Zhong Wan, Wu Bu San, etc. In addition, you can use Eucommia, Epimedium, sea horse, clam, leek, Cuscuta, deer tendon, dog meat, mutton, chicken, crucian carp, knife beans, glutinous rice, malt sugar, etc.

  4. Weakness of stomach qi: Main manifestations include poor appetite, tastelessness in the mouth, poor desire for food and drink, slight discomfort in the stomach, pale tongue, weak and weak pulse, etc.

  Supplementation method: tonify stomach qi, such as Bu Zhong Yi Qi Tang, etc. At the same time, you can use ginseng, Prince ginseng, Astragalus, Atractylodes, Poria cocos, Chinese yam, black-bone chicken, chicken, rabbit meat, milk, etc.

  5. Weakness of stomach yin: Main manifestations include thirst and dryness in the mouth, loss of appetite, dry stools, dry retching or vomiting, pale and shiny tongue, thin and weak pulse, etc.

  Supplementation method: nourish stomach yin, such as Yi Wei Tang, etc. At the same time, you can use Polygonatum, Ophiopogon, Codonopsis, Adenophora, Asparagus, pig skin, pig brain, tofu, pork, glutinous rice, etc.

  6. Weakness of stomach yang: Main manifestations include stomach pain, bloating, acid regurgitation, vomiting, coldness of the limbs, preference for hot drinks, white and slippery tongue coating, slow and weak pulse, etc.

  Supplementation method: warm and tonify stomach yang, such as lamb, beef, chicken, whale, knife beans, glutinous rice, malt sugar, etc.

  [Deficiency of Liver Syndrome]

  1. Deficiency of liver blood: Main manifestations include dry eyes, blurred vision, or floaters, dizziness, pale complexion, pale lips and nails, flank pain, scanty or absent menstruation, pale tongue, thin and weak pulse, etc.

  Supplementation method: nourish liver blood, such as Bu Gan Tang, etc. At the same time, you can use Chinese Angelica, cooked Rehmannia, white peony, wolfberry, pig liver, chicken liver, beef liver, beef tendon, spinach, carrot, etc.

  2. Deficiency of liver yin: Main manifestations include dry eyes, blurred vision, flank pain, hot flashes or low fever, restlessness and heat, dryness in the lips and throat, bitterness in the mouth, yellow urine and constipation, red tongue with little coating or thin yellow coating, thin and weak pulse, etc.

  Supplementation method: nourish liver yin, such as Yi Guan Jian, etc. In addition, you can use Ligustrum lucidum, tortoise shell, dendrobium, Cistanche, cooked Rehmannia, black bean, etc.

  [Deficiency of Lung Syndrome]

  1. Deficiency of lung yin: Main manifestations include flushing, hot flashes, night sweats, restlessness, dryness in the mouth, hoarseness, dry cough without phlegm or with little phlegm, or phlegm with blood, yellow urine and constipation, red tongue with little coating, thin and rapid pulse, etc.

  Supplementation method: nourish yin and moisten the lungs, such as Bai He Gu Jin Tang, etc. At the same time, you can use sand ginseng, Ophiopogon, lily, American ginseng, Chinese yam, pork lung, tremella, soy milk, pear, sugarcane, etc.

  2. Weakness of lung qi: Main manifestations include shortness of breath, fatigue and weakness, frequent sweating, low voice, weak and rapid pulse, weak cough, phlegm with thin consistency, easy susceptibility to external pathogens, pale tongue, thin white coating, weak pulse, etc.

  Supplementation method: tonify lung qi, such as Bu Fei Tang, etc. At the same time, you can use Codonopsis, astragalus, Cynomorium, ginseng, bone supplement, pig lung, walnut kernel, chestnut, glutinous rice, etc.

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