Middle Jiao Damp Heat Lower Jiao Damp Heat Upper Jiao Damp Heat Upper Jiao Damp Heat is the early stage of a Damp Evil invasion. In this stage the Damp Evil attacks both the Lungs and the Skin. Dampness can also affect the Stomach and Spleen at this stage. At this stage there is not much heat, mostly damp. However, if allowed to progress, heat symptoms will appear. Symptoms of Upper Jiao Stage Mucus discharge, inflammation. Yellow nasal discharge. Discharge and inflammation of the eyes. Discharge and inflammation of the ears . Lungs. Cough with thick yellow mucus. Swollen lymph glands on the neck. Fever. Slight fever, no fever, or afternoon fever. There may be chills and/or sensitivity to Cold. Headache accompanied with a sensation of heaviness. Nasal and sinus congestion. Tongue: White coat. Pulse: Fast Treatment of Upper Jiao San Jiao Formula: Huo Xiang Zheng Qi San Function: Releases the exterior, transforms Dampness, regulates Qi and harmonizes the Middle Jiao. Contents: Huo Xiang Hou Po Chen Pi Zi Su Ye Bai Zhi Ban Xia Da Fu Pi Bai Zhu Fu Ling Jie Geng Sheng Jiang [ Top of Page ] Middle Jiao Damp Heat At this stage of San Jiao Damp Heat invasion, the Middle Jiao is attacked. The Spleen is easily weakened by Dampness and so at this stage the Spleen's function of Transformation and Transportation is injured. Because of the relationship between the Spleen and the Stomach, the Stomach's function of receiving food and water is is also impaired. The Spleen is also responsible for keeping the muscles and limbs nourished, so there may be muscle tenderness and/or heaviness of the limbs at this stage. Symptoms of Middle Jiao San Jiao Stage Abdominal discomfort. Bloating, gas, indigestion, Loss of appetite. Vomiting and nausea. Diarrhea. With possible white mucus. Jaundice. On skin and eyes, especially if Damp-Heat is strong. The facial complexion may be a "dirty" dark yellow. Fever. May be slight, afternoon fever, or may be reduced after diaphoresis (sweating) but then increases again. Heaviness of the limbs. Dry mouth. With no desire drink. Decreased Shen. Fatigue or no energy. Urination. Frequent with burning sensation Tongue: gray,white and/or yellow coating. Pulse: soft, slow and maybe slippery. Treatment of Middle Jiao San Jiao Stage Formula: San Ren Tang Function: Remove Heat Evil and Resolve Dampness. Contents: Xing Ren Bai Dou Kou Yi Yi Ren Hou Po Tong Cao Hua Shi Zhu Ye Zi Ban Xia If this stage of Damp-Heat is allowed to progress, the following may occur: 1. The Dampness may dry out and the disease becomes Warm Heat Qi Fen Stage (which is the same as the Four Stages Qi Fen Stage). 2. The Dampness may cool off and the disease becomes a Cold-Damp disease. 3. The disease may progress into Lower Jiao Damp Heat Disease. [ Top of Page ] Lower Jiao Damp Heat This is the last stage of the San Jiao Differential Diagnosis. Chiefly, the Large Intestines and Urinary Bladder are affected so there will be problems with elimination. Symptoms of Lower Jiao San Jiao Stage Diarrhea with foul odor, possibly with a burning sensation, due to Large Intestine Damp Heat. Urinary dysfunction. Similar to urinary tract infection. Burning sensation, scant dark-yellow urine. Yellow vaginal discharge with a bad odor. Addition symptoms may include genital herpes, or pelvic inflammatory disease. Lower abdominal distention. Dizziness. The dampness may affect the clear Qi from ascending. Tongue: Gray white and yellow greasy coating. Pulse: Soft, rapid, slightly slippery Treatment of Lower Jiao San Jiao Stage Formula: Fu Ling Pi Tang Function: Dispels dampness through diuresis. Contents: Fu Ling Pi Yi Yi Ren Zhu Ling Da Fu Pi Bai Tong Cao Dan Zhu Ye