1.阴虚热盛型Yin Deficiency with Excess Heat Pattern
症状:口干口渴,五心烦热,多食易饥,盗汗,舌质较红,舌苔薄白
Symptoms: Dry mouth and thirst, heat sensation in the palms, soles, and chest, excessive eating with easy hunger, night sweats, red tongue, and thin white tongue coating.
治疗:以滋阴清热为主
Treatment: Primarily nourish Yin and clear heat.
用药:常用生石膏、知母、黄连、元参、沙参、山药等
Common herbs: Gypsum Fibrosum, Anemarrhena, Coptis, Scrophularia, Glehnia root, Chinese yam, etc.
2.瘀血阻络者
2. Blood Stasis Obstructing the Collaterals Pattern
症状:舌质暗淡,瘀点,瘀斑
Symptoms: Dark or dull tongue with petechiae or ecchymosis.
治疗:以活血化瘀为主
Treatment: Primarily invigorate blood and resolve blood stasis.
用药:常用血府逐瘀汤加减、补阳还五汤加减、玉女煎加减等
Common formulas: Modified Xuefu Zhuyu Decoction, Modified Buyang Huanwu Decoction, Modified Yunu Decoction, etc.
3.气阴两虚型
3. Dual Deficiency of Qi and Yin Pattern
症状:口干舌燥,多饮多尿,疲劳乏力,舌质红,舌苔白
Symptoms: Dry mouth and tongue, excessive drinking and urination, fatigue and weakness, red tongue, and white tongue coating.
治疗:以益气生津为主
Treatment: Primarily tonify Qi and generate body fluids.
用药:常用黄芪、人参、山药、麦冬、沙参等
Common herbs: Astragalus, Ginseng, Chinese yam, Ophiopogon root, Glehnia root, etc.
4.肝气郁结或肝气横逆型
4. Liver Qi Stagnation or Rebellious Liver Qi Pattern
症状:情绪抑郁,纳呆少食,胸胁胀闷,急躁易怒,舌质红,舌苔较黄
Symptoms: Depression, poor appetite, chest and rib-side fullness, irritability, red tongue, and yellow tongue coating.
治疗:以疏肝调气解郁为主
Treatment: Primarily soothe the Liver, regulate Qi, and relieve stagnation.
用药:常用柴胡、白芍、荔枝核、佛手等
Common herbs: Bupleurum, White Peony root, Litchi seed, Finger Citron, etc.
5.热毒炽盛者
5. Excessive Heat-Toxin Pattern
症状:口舌生疮,口苦目赤,便秘溲黄,舌质红,舌苔较黄
Symptoms: Mouth and tongue ulcers, bitter taste, red eyes, constipation, dark yellow urine, red tongue, and yellow tongue coating.
治疗:以清热解毒为主
Treatment: Primarily clear heat and detoxify.
用药:常用白茅根、马齿苋、蒲公英、金银花等
Common herbs: Imperata root, Purslane, Dandelion, Honeysuckle flower, etc.
