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Eight Principle Diagnosis Interior vs. Exterior depth of disease not it's cause direction of development depth increases as a result of  defeat of Wei Qi hyperactivity of pathogen delayed / incorrect treatment decrease of depth patient is recovering as depth increasing possible to see both interior and external symptoms possible to be suffering from an internal disease and an external attack interior zang fu exterior skin, hair, muscles, superficial meridians syndromes interior attack at level of zang fu some direct attack of organ by pathogen direct affect of varying causes (emotions) further differentiation deficiency vs. excess internal organ differentiation usually fever with no aversion to cold or aversion to cold with no fever pulse not superficial changes on tongue indicate depth exterior sudden onset short duration intolerance to cold / wind fever / chills at same time thin tongue coat superficial pulse headache cough general ache nasal obstruction further differentiation cold severe chills fever is mild no sweating no thirst thin, moist, white tongue superficial and tense pulse body aches heat mild chills severe fever thirst thin, yellow tongue thin white with red tip and sides at first superficial and rapid pulse some sweating sore throat mild body aches deficiency sweating excess no sweating intermediate / shao yang alternating chills and fever discomfort/fullness of chest and/or hypochondrium vomiting anorexia = not eating bitter taste in mouth and dry throat blurred vision string-taut / wiry pulse bi syndrom (painful obstruction syndrome) painful invasion of channels cold painful relief with heat wind moving pain damp swelling heaviness heat inflammation relief with cold Yin vs Yang collapse most extreme case complete separation of yin and yang cad cause death yin excessive exhaustion of fluids severe vomiting severe diaghrea aggravation of deficient yin symptoms sticky sweat feverish warm limbs shortness of breath irritable and restless thirst red dry coat / peeled short dry thready rapid weak yang extreme exhaustion of yang Qi in body profuse sweating aggravation of deficient yang symptoms profuse cold sweat cool cold limbs feeble breathing listlessness desire for warm intake swollen pale moist tongue fading pulse Deficiency/Empty/Vacuous vs. Excess/Full/Replete strength of pathogenic factors vs anti-pathogenic Qi Excess Pain worse with pressure tenesmus  pathogenic factor sufficient anti-pathogenic qi exterior cold wind damp heat all internal if there is any anti-pathogenic Qi cold heat damp wind fire phlegm stagnation of Qi stagnation of Blood Defiency Pain relieved by pressure lack of anti-pathogenic Qi deficient Qi Blood Yin afternoon fever malar flush five palm heat night sweats dryness (throat and mouth) yellow urine dry stools red with little or no coat on tongue rapid or thready pulse Yang chills cold limbs listlessness / lassitude spontaneous sweating no thirst clear copious urine loose stool pale delicate tongue with white coat weak (and deep) pulse True Excess with False Deficiency Excess with some signs similar to deficiency dryness and heat in intestines and stomach hindering circulation like deficiency cold limbs deep slow pulse excess forceful pulse distention and fullness in abdomen red tongue with burnt yellow coating throaty voice True Deficiency and False Excesx Deficency with some signs similar to excess deficiency of intestines and stomach like excess distention fullness pain Wiry deficiency weak pulse pressure on stomach reduces pain Cold vs Hot cold aversion to cold preference for warmth tastelessness in the mouth absence of thirst pail complexion or even blue tinge cold limbs lying with body curled up loose stools voluminous clear urine pale (or bluish) moist tongue slow or tense pulse exposure to cold = excess yin, deficient yang hot red complexion irritable and restless fever thirst preference for cold constipation deep yellow scanty urine red tongue, yellow and dry coating rapid pulse invasion of heat = excess yang, deficient yin heat above cold below suffocation and heat in chest desire to vomit thirst and mouth ulcers abdominal pain that is better with heat loose stools exterior cold and interior heat invasion of cold with yin deficiency exterior heat and interior cold invasion of heat with yang deficiency cold can transform in to heat and heat to cold true heat, false cold heat on the interior and signs of cold on the exterior feverish, flushed face and thirst with superficial pulse wants to cover body, drink warm drinks and pulse also weak clear urine pale tongue white coating true cold, false heat cold on the interior and signs of heat on the exterior cold limbs burning sensation in chest and abdomen, aversion to heat, deep forceful pulse, cold drinks irritability dry throat scanty urine constipation deep red tongue with yellow dry coat

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