Greater Yin stage

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At a glance

Key attributes

Chinese name: 太阴      Pinyin name: Tài Yīn

Pattern nature: Empty

Causes

Precursor patterns: Lesser Yang stage

Common causes: External pathogenic factor

Diagnosis

Common symptoms: Vomiting Diarrhea No thirst Tiredness No appetite and two other symptoms

Pulse type(s): Deep (Chen), Slow (Chi), Weak (Ruo)

Tongue description: Pale tongue with sticky white coating

Treatment

Treatment principle: Tonify Spleen Yang, expel Cold.

Common formulas: Li Zhong Wan

Pathology

This is the pattern of the Greater Yin stage, the first Yin stage of the Six Stages theory

At this stage what's mainly affected is the Spleen Channel, often called "Lower Tai Yin".

In terms of symptoms patients typically experience classic signs of Spleen Yang Deficiency with Cold. Symptoms include a feeling cold, a lack of appetite, diarrhea and fatigue.

Causes

Precursor patterns: Greater Yin stage can derive from Lesser Yang stage

External pathogenic factor: The main cause of this pattern is when an external pathogen, typically Wind-Cold, has invaded the body and had progressed deep in the Interior. By this advanced stage of the six-stages theory, it's transformed into a Yin pattern.

Diagnosing Greater Yin stage

Pulse type(s): Deep (Chen), slow (Chi) or weak (Ruo)

Tongue description: Pale tongue with sticky white coating

Main symptoms: Vomiting Diarrhea No thirst Tiredness No appetite Feeling of cold Abdominal fullness

Treating Greater Yin stage

Treatment principle

Tonify Spleen Yang, expel Cold.

Herbal formulas used to treat Greater Yin stage

Li Zhong Wan

Source date: 220 AD

Number of ingredients: 4 herbs

Key actions: Warms the Middle Burner. Strengthens the Spleen and Stomach.

Formula summary

Li Zhong Wan is a 4-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that warm the middle and dispel Cold.

Besides Greater Yin stage, Li Zhong Wan is also used to treat Kidney and Spleen Yang Deficiency.

Read more about Li Zhong Wan

Consequence patterns

Lesser Yin Cold Transformation

If left untreated Greater Yin stage can lead to Lesser Yin Cold Transformation

Lesser Yin Heat Transformation

If left untreated Greater Yin stage can lead to Lesser Yin Heat Transformation