TCM Pattern Differentiation Library
This library contains 326 condition-pattern combinations covering 81 diseases with detailed TCM differentiation, acupuncture prescriptions, and herbal formulas.
Each pattern page includes:
- Key symptoms and differentiation points
- Acupuncture point prescription with locations and functions
- Herbal formula with modifications
- Western mechanism reference
- Clinical recommendations
Browse by Disease Category
Use the search or browse the complete list below to find your specific pattern.
Trigeminal Neuralgia - Liver-Fire Blazing Pattern
Trigeminal Neuralgia · Liver-Fire Blazing Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Head
Pattern Overview
Liver-Fire Blazing is a common pattern in trigeminal neuralgia, characterized by sympathetic excitation decreasing pain threshold, severe facial pain triggered by stress, irritability, red eyes, and bitter taste. The core pathogenesis is emotional stress causing Liver depression transforming into Fire, leading to sympathetic excitation, lowered pain threshold, and severe pain.
Trigeminal Neuralgia - Wind-Cold Pattern
Trigeminal Neuralgia · Wind-Cold Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Head
Pattern Overview
Wind-Cold is a common pattern in trigeminal neuralgia, characterized by nerve demyelination causing ectopic discharge, sudden paroxysmal facial pain, spasms, stiffness, and aggravation by cold. The core pathogenesis is invasion of Wind-Cold pathogens into the facial meridians, causing cold contraction, Qi stagnation, and nerve hyperexcitability.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
Trigeminal Neuralgia - Wind-Heat Pattern
Trigeminal Neuralgia · Wind-Heat Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Head
Pattern Overview
Wind-Heat is a pattern in trigeminal neuralgia, characterized by neurovascular compression causing inflammation, burning facial pain, redness, fever, and thirst. The core pathogenesis is invasion of Wind-Heat pathogens into the facial meridians, causing heat disturbing the collaterals, inflammation, and nerve hyperexcitability.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
Trigeminal Neuralgia - Yin Deficiency with Yang Hyperactivity Pattern
Trigeminal Neuralgia · Yin Deficiency with Yang Hyperactivity Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Head
Pattern Overview
Yin Deficiency with Yang Hyperactivity is a chronic pattern in trigeminal neuralgia, characterized by increased nerve excitability, burning pain, worse at night, dry mouth, and irritability. The core pathogenesis is Yin deficiency failing to control Yang, leading to Yang hyperactivity, nerve hyperexcitability, and central sensitization.
Type 2 Diabetes - Blood Stasis Pattern
Type 2 Diabetes · Blood Stasis Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Whole Body
Pattern Overview
Blood Stasis is a common pattern in type 2 diabetes, characterized by hyperglycemia-induced AGEs formation causing vascular damage, diabetic microvascular complications, numbness, and poor wound healing. The core pathogenesis is prolonged hyperglycemia causing blood stasis in the collaterals, leading to microvascular damage and diabetic complications.
Type 2 Diabetes - Damp-Heat Trapping the Spleen Pattern
Type 2 Diabetes · Damp-Heat Trapping the Spleen Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Whole Body
Pattern Overview
Damp-Heat Trapping the Spleen is a common pattern in type 2 diabetes, characterized by insulin resistance, fatigue, heavy sensation, sticky mouth, and poor appetite. The core pathogenesis is accumulation of Damp-Heat in the Spleen, causing impaired transformation and transport, insulin resistance, and metabolic dysfunction.
Type 2 Diabetes - Qi-Yin Deficiency Pattern
Type 2 Diabetes · Qi-Yin Deficiency Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Whole Body
Pattern Overview
Qi-Yin Deficiency is a common pattern in type 2 diabetes, characterized by progressive β-cell dysfunction, fatigue, thirst, dry mouth, weight loss, and shortness of breath. The core pathogenesis is Qi and Yin deficiency failing to generate fluids and nourish the body, leading to hyperglycemia, fatigue, and metabolic dysfunction.
Type 2 Diabetes - Yin Deficiency with Dryness-Heat Pattern
Type 2 Diabetes · Yin Deficiency with Dryness-Heat Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Whole Body
Pattern Overview
Yin Deficiency with Dryness-Heat is an early pattern in type 2 diabetes, characterized by early-stage β-cell dysfunction, polydipsia, polyuria, dry mouth, and polyphagia. The core pathogenesis is Yin deficiency failing to control Yang, generating dryness-heat, leading to excessive fluid consumption, frequent urination, and hyperglycemia.
Type 2 Diabetes - Yin-Yang Deficiency Pattern
Type 2 Diabetes · Yin-Yang Deficiency Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Whole Body
Pattern Overview
Yin-Yang Deficiency is an end-stage pattern in type 2 diabetes, characterized by severe β-cell failure, multi-organ dysfunction, diabetic nephropathy, neuropathy, cold intolerance, and fatigue. The core pathogenesis is prolonged illness consuming both Yin and Yang, leading to severe metabolic dysfunction, organ damage, and systemic decline.
Urinary Tract Infections - Bladder Damp-Heat Pattern
Urinary Tract Infections · Bladder Damp-Heat Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Pelvis
Pattern Overview
Bladder Damp-Heat is the most common pattern in acute urinary tract infections, characterized by acute bacterial cystitis, burning urination, frequent urination, urgency, yellow or turbid urine, and lower abdominal pain. The core pathogenesis is accumulation of Damp-Heat in the Bladder, causing bacterial colonization, mucosal inflammation, and urinary irritation.
Urinary Tract Infections - Liver Channel Damp-Heat Pattern
Urinary Tract Infections · Liver Channel Damp-Heat Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Pelvis
Pattern Overview
Liver Channel Damp-Heat is a pattern in urinary tract infections, characterized by inflammation extending to the upper urinary tract, burning urination, flank pain, irritability, and bitter taste. The core pathogenesis is Liver Channel Damp-Heat descending to the lower Jiao, causing urinary tract inflammation, bacterial ascent, and systemic symptoms.
Urinary Tract Infections - Spleen-Kidney Qi Deficiency Pattern
Urinary Tract Infections · Spleen-Kidney Qi Deficiency Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Pelvis
Pattern Overview
Spleen-Kidney Qi Deficiency is a chronic pattern in recurrent urinary tract infections, characterized by recurrent UTI with weakened immune response, fatigue, frequent urination, low back soreness, and cold intolerance. The core pathogenesis is Spleen-Kidney Qi deficiency failing to support bladder function and immune defense, leading to recurrent infections and impaired bacterial clearance.
Urinary Tract Infections - Yin Deficiency with Damp-Heat Pattern
Urinary Tract Infections · Yin Deficiency with Damp-Heat Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Pelvis
Pattern Overview
Yin Deficiency with Damp-Heat is a chronic pattern in urinary tract infections, characterized by chronic infection with mucosal atrophy, burning urination, dry mouth, night sweats, and heat in palms and soles. The core pathogenesis is Yin deficiency with Damp-Heat, causing mucosal atrophy, reduced mucosal protective factors, and chronic inflammation.
Urticaria - Qi-Blood Deficiency Pattern
Urticaria · Qi-Blood Deficiency Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Qi-Blood Deficiency is a chronic pattern in urticaria, characterized by chronic spontaneous urticaria, immune dysregulation, Treg cell dysfunction, IgG subclass deficiency, and recurrent wheals. The core pathogenesis is insufficient Qi and Blood failing to nourish the skin, leading to immune dysregulation and chronic urticaria.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
Urticaria - Stomach-Intestine Damp-Heat Pattern
Urticaria · Stomach-Intestine Damp-Heat Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Stomach-Intestine Damp-Heat is a pattern in urticaria, characterized by food allergy or gut dysbiosis-induced wheals, abdominal pain, diarrhea, sticky mouth, and nausea. The core pathogenesis is accumulation of Damp-Heat in the Stomach and Intestines, causing gut dysbiosis, increased intestinal permeability, and immune-mediated wheal formation.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
Urticaria - Wind-Cold Pattern
Urticaria · Wind-Cold Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Wind-Cold is a common pattern in urticaria, characterized by cold-induced mast cell degranulation, wheals triggered by cold exposure, intense itching, and winter exacerbation. The core pathogenesis is invasion of Wind-Cold pathogens into the exterior, causing cold-induced mast cell degranulation, histamine release, and wheal formation.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
Urticaria - Wind-Heat Pattern
Urticaria · Wind-Heat Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Wind-Heat is a common pattern in urticaria, characterized by heat-induced vasodilation, red wheals, intense itching, triggered by heat, exercise, or emotional stress. The core pathogenesis is invasion of Wind-Heat pathogens into the exterior, causing mast cell activation, histamine release, and vasodilation.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
Vitiligo - Blood Stasis Pattern
Vitiligo · Blood Stasis Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Blood Stasis is a pattern in vitiligo, characterized by microcirculatory disturbance, reduced melanocyte nutrient supply, depigmentation with dark borders, and fixed lesions. The core pathogenesis is Blood stasis in the skin collaterals, causing reduced nutrient supply to melanocytes and impaired melanin synthesis.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
Vitiligo - Liver-Kidney Deficiency Pattern
Vitiligo · Liver-Kidney Deficiency Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Liver-Kidney Deficiency is a chronic pattern in vitiligo, characterized by melanocyte dysfunction, reduced tyrosinase activity, oxidative stress damage, and chronic depigmentation. The core pathogenesis is Liver-Kidney deficiency failing to nourish the melanocytes, leading to reduced tyrosinase activity, oxidative stress, and impaired melanin synthesis.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |
Vitiligo - Qi-Blood Disharmony Pattern
Vitiligo · Qi-Blood Disharmony Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Skin
Pattern Overview
Qi-Blood Disharmony is a common pattern in vitiligo, characterized by autoimmune attack on melanocytes, CD8+ T-cell activation, anti-melanocyte antibodies, and progressive depigmentation. The core pathogenesis is disharmony of Qi and Blood failing to nourish the skin, leading to autoimmune-mediated melanocyte destruction and depigmentation.
Key Symptoms and Differentiation Points
| Differentiation Dimension | Manifestations |