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Inspection Posture / Movement Wind twitching, shaking muscle atrophy / weekness, no pain per se wei (flacid) syndrome more muscle oriented Pain, soreness, numbness in bones and muscles, restricted movements bi (obstruction) syndrome paralysis of one side Hemiplegia Body Fat/Spongy/Loose Qi deficiency Emaciation/Dry yin deficiency Thin/Big eaters stomach fire / parasites Great loss of weight Exhaustion of Qi Vitality General State Prognosis Hair Male Pattern Baldness / premature grey Kidney essence deficiency Lousing hair blood deficiency heat Eyes Mind and Essence Vitality Cloudy mind disturbed, essence week Zang Fu Pathology changes Redness and swelling wind heat or liver fire Yellow in the whites Jaundice Ulceration on canthus damp heat Roll back or eratic wind Nose Observation of nasal discharge flapping of ala nasi asthmatic breathing Clear nasal discharge Cold Turbid discharge Heat Prolonged turbind chronic rhinitis or sinusitis Ear Dry and withered, burnt black chronic illness, kidney essence consumption Infections Liver and Gall Bladder damp heat Skin related to lung and blood conditions (and so liver) dry skin liver blood deficiency spider vains red - heat blue - cold green - pain Nails pale nails blood deficiency blue cold / blood stasis Throat redness and swelling wind heat heat in stomach and lung with yellow or white ulcers toxic heat bright red with mild sore Yin deficiency false grey membrane over throat diphtheria Mouth Teeth Kidney issues Gums Upper Stomach Lower Large Intestine Pale blood deficiency Red Stomach Fire (if bleeding vessels damaged from this) Lips Moist and shiny normal Red and dry Heat in Sp/St Pale blood deficiency Purple spots / Blue blood stagnation or cold Complexion Color State of Qi, Blood and Zang Fu Complexion, Luster - From Qi Colors - From Blood Red Hyper Activity of Yang Qi, Heat Flare Up subtypes Flushed face - Excess heat Malar flush -Yin deficiency  White Deficiency (in particular Blood) and Cold subtypes pale white - blood / qi deficiency pale white with underlying blue - excess cold pale and puffy - yang deficiency Yellow Spleen and Damp Problems subtypes orange tinge - Yang Jaundice from damp heat smoky dark yellow - Yin Jaundice from cold damp or long term blood stagnation sallow/pale with out luster - Spleen Qi / blood deficiency sallow and puffy - Damp accumulation Blue / Green Liver wind, blood stasis, excess cold, bi syndrome subtypes pale to moderate - Cold blue to gray or purple - bi / blockage in heart vessels blue or purple - blood stagnation blue around lips and bridge of nose - infantile convulsion from extreme heat affective liver Black Chronic kidney deficienecy, Qi and Blood stagnatation, Phlegm subtypes with moistness, lumbar pain - kidney yang deficiency with scaling - prolonged blood stagnation Secretions clear/white deficiency and cold thick, turbid, yellow excess and heat

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