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Fixed, intense cold pain
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Worse with cold, better with warmth
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Pale tongue, tight pulse
Cold in the Channel


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Swelling, redness, warmth
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Limited movement
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Slippery pulse, greasy yellow tongue coat
Damp-Heat in the Channel
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Dull, distending pain
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Emotional involvement (esp. LR channel)
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Irregular location
Qi Stagnation in Meridians


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Sharp, fixed pain
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Bruising, masses
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Choppy or wiry pulse
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Blood Stasis in Meridians

Zang-Fu Disease Reflected in Meridians
Every primary meridian connects to its respective Zang or Fu organ. Therefore, internal disharmonies can manifest as channel symptoms.
Lung (LU)
LU Qi Deficiency, LU Heat
Cough, sore throat, pain along anterior arm
Large Intestine (LI)
Damp-Heat in LI
Toothache, facial pain, shoulder pain
Stomach (ST)
ST Heat or Damp-Heat
Facial swelling, epigastric pain, leg pain
Spleen (SP)
SP Qi Xu or Dampness
Heaviness in limbs, medial leg pain, cold feet
Heart (HT)
HT Fire, Blood Deficiency
Palpitations, insomnia, arm numbness
Small Intestine (SI)
Heat in SI
Elbow pain, ear problems, lateral shoulder pain
Bladder (BL)
Cold-Damp, BL Qi Xu
Low back pain, leg pain, occipital headache
Kidney (KI)
KI Yin or Yang Xu
Heel pain, low back weakness, dry throat
Pericardium (PC)
PC Heat, Blood Stasis
Chest tightness, forearm pain
Triple Burner (TB)
Heat or Damp in TB
Lateral arm pain, tinnitus, cheek swelling
Gallbladder (GB)
LR Qi Stagnation, Damp-Heat
Migraine, hip pain, sciatica along GB channel
Liver (LR)
LR Qi Stagnation, Wind
Genital pain, medial leg tightness, tremors

Channel-Level Disorders (Meridian Obstruction)
Local or systemic blockage or dysfunction in the flow of Qi/Blood along the meridian
Organ-Level Disorders Manifesting in Meridians
→ Internal organ imbalances reflected along the external channel

Meridian pathology refers to disorders involving the channels (经脉 jīng mài) that carry Qi and Blood throughout the body. The 12 primary meridians, the 8 extraordinary vessels, and the collaterals (luo mai 络脉) form an interconnected system that reflects both internal organ health and external physiological balance. Pathologies in the meridians can occur locally, distally, or as reflections of internal organ disharmony. They often manifest as pain, sensory disturbances, swelling, or restricted movement along the meridian pathway.
