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Chinese medicine training: methods of syndrome differentiation of exogenous diseases 3, triple energizer syndrome differentiation

The triple energizer is the general term for the upper, middle and lower energizers. There are 2 aspects to its meaning; one refers to its place as one of the six-fu organs where it function as a passage connecting the internal organs. Original qi and body fluids are transported in this channel. The other is triple energizer is a purely anatomical one. The area above the diaphragm is called the upper energizer, the area from the diaphragm to the umbilicus is the middle energizer, the area below the umbilicus is the lower energizer. Here the anatomical concept of the triple energizer is used.
Triple energizer syndrome differentiation: warm disease syndromes are classified into syndromes of the upper, middle and lower energizer, which illustrates the pathology, manifestations and transmission of warm diseases within the zang-fu organs and guide treatment.

Syndrome	Pathology	Clinical manifestations	Key points for syndrome differentiation
Upper energizer	Pathogens attack the lung and defense system, lung qi failure	Fever, a slight aversion to wind and cold, headache, slight thirst, cough, thin white tongue coating, floating rapid pulse	Fever, a slight aversion to wind and cold, cough, floating rapid pulse
	Accumulation of pathogenic heat, lung-qi blockage	General fever, sweating, thirst, cough, shortness of breath, feeling of oppression in chest and pain, red tongue, with yellow tongue coating, rapid pulse.	General fever, thirst, cough and shortness of breath, yellow coating, rapid pulse.
	Pathogenic factors invade the pericardium, mind becomes obstructed.	General fever, syncope with cold limbs, delirium or silent befuddlement, sluggish tongue, deep-red tongue	Delirium, general fever, syncope with cold limbs, sluggish tongue, deep-red tongue.
Middle energizer	Intense stomach heat rises to the exterior	Fever, no aversion to cold but aversion to heat, flushed face, sweating, thirst, rough breathing, red tongue with dry yellow tongue coating, surging rapid pulse.	Fever, sweating, thirst with desire to drink, dry yellow tongue coating, surging rapid pulse.
	Heat accumulation in the intestine, obstruction of fu-organ qi.	Late afternoon tidal fever, deep harsh voice, abdominal distress or pain, constipation, difficulty urinating, yellow scorched dry coating, sunken full pulse.	Tidal fever, constipation, dry yellow coating, sunken full pulse.
	Damp-heat accumulation in the spleen, obstruction of qi movement	Unsurfaced fever, sweating without defervescence, heavy body and lassitude, stuffiness and oppression in the epigastrium, nausea and vomiting, greasy tongue coating, soggy moderate pulse.	Unsurfaced fever, lassitude, stuffiness in the epigastrium, greasy tongue coating, soggy moderate pulse.
Lower energizer	Long retention of pathogenic heat consumes kidney-yin	General fever, malar flush, feverish sensation in palms and soles and dorsum of hands and feet, dry mouth and sore throat, listlessness, empty pulse.	feverish sensation in palms and soles and dorsum of hands and feet, dry mouth and sore throat, listlessness, empty pulse.
	Water fails to nourish wood, endogenous deficient wind	Low-grade fever, clonic movement of hands and feet, and perhaps even clonic convulsions, rapid throbbing of the heart, dry deep red tongue with little coating, empty weak pulse.	Clonic movement of hands and feet, and perhaps even clonic convulsions, dry deep red tongue with little coating, empty weak pulse.

Chinese medicine training
To be continued.