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DIAGNOSIS ACCORDING TO THE FIVE PHASES REVIEW

The diagnosis according to the Five Phases is not used much in modern Chinese medicine. It is, however, used more in countries such as Vietnam, Korea and Japan. In the West, this diagnosis model is used mainly by students of the JR Worsley Five Element tradition. In this diagnostic model, symptoms and signs are differentiated in relation to the sheng (creative) cycle and the ke (controlling) cycle. There are three main possibilities for imbalance within this model: a phase not nourishing and tonifying the subsequent phase in the sheng cycle, for example Water not nourishing Wood; a phase dominating another phase in the ke cycle, for example, Fire dominates Metal; a phase that instead of being controlled by another phase, becomes too strong and ‘insults’ the phase that should have controlled it, for example Metal ‘insulting’ Fire. The imbalances are treated by drawing qi via the phase points on the various channels so that the xu phase is tonified and the shi phase drained.