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Pattern 3. Deficiency of Qi and Blood

Pathogenic Mechanism: Insufficiency of the Qi and Blood; Qi Deficiency and Blood Stasis.

Major Symptoms: Long history of disease, weakness of the body, being fatigued easily, palpitations, insomnia, dizziness, colorless complexion, pale eyelids, poor appetite, skinny and weak four limbs, even inability to walk, muscle jumpings, pains of the muscles and joints in many parts (or with needling pains), exposure of bluish vessels on the four limbs, shortened and weak tongue body with slight shakings, pale or dark tongue body, purplish blood vessels under the tongue, thin and white tongue coating, or with blood macules or spots on the tongue, thready and uneven pulse or weak pulse.

Pattern 4. Embarrassment and Heaviness of Dampness and Heat

Pathogenic Mechanism: Soaking of Dampness and Heat; Blockage of Tendons and Vessels.

Major Symptoms: Weak two legs or with slight swelling and hot sense, pains of the muscles and joints in many parts (or with burning sense), aversion to heat and preference for coolness, heavy body, numbness of the hands and legs, muscle jumpings, depression and fullness of the chest and abdomen, or thirst but no desire for drinks, scanty and yellowish urine with burning pains, constipation or sloppy stool with burning anus, or reddish white part of the eyes, red tongue body, yellowish and greasy tongue coating, soggy and rapid pulse or slippery and rapid pulse.

Pattern 5. Embarrassment and Heaviness of Cold and Dampness

Pathogenic Mechanism: Blockage of Channels by Cold and Dampness; Qi Stagnation and Blood Stasis.

Major Symptoms: Relatively low body temperature or aversion to cold, or numbness of the four limbs, stiff four limbs, edematous or purplish legs, pains and cramps of the four limbs which could be worsened by cold and be relieved by warmth, impotence, premature ejaculation, painful menstruation, liking warmth and aversion to cold, no thirst but liking warm drinks, whitish urine, sloppy stool, white and slippery or white and greasy tongue coating, pale tongue body, deep and thready pulse or deep and tardy pulse.

Pattern 6. Sinking of Middle Qi

Pathogenic Mechanism: Sinking of the Spleen Qi (Middle-Warmer Qi), Weakness in Lifting.

Major Symptoms: Dizziness, fatigue, colorless complexion, dropping head with painful and weak neck, unclear speech, gradual un-smoothness of breath, shortness of breath, skinny body shape, muscle jumpings, weakness of the chewing muscles, necessity to support the lower jaw with hand, reduced power of the upper limbs, distention and dropping sense of the abdomen, sloppy stool sometimes, reduced appetite, pale tongue body with white coating, tardy or weak pulse.