Table 1.
Diagnostic criteria for ‘Oketsu’ syndrome
| Symptom | Score |
|
|---|---|---|
| Male | Female | |
| Dark-rimmed eyes | 10 | 10 |
| Areas of dark pigmentation of facial skin | 2 | 2 |
| Rough skin | 2 | 5 |
| Livid lips | 2 | 2 |
| Livid gingiva | 10 | 5 |
| Livid tongue | 10 | 10 |
| Telangiectasis/vascular spiders | 5 | 5 |
| Subcutaneous hemorrhage | 2 | 10 |
| Palmar erythema | 2 | 5 |
| Resistance and tenderness on pressure of the left para-umbilical region | 5 | 5 |
| Resistance and tenderness on pressure of the right para-umbilical region | 10 | 10 |
| Resistance and tenderness on pressure of the umbilical region | 5 | 5 |
| Resistance and/or tenderness on pressure of the ileo-cecal region | 5 | 2 |
| Resistance and/or tenderness on pressure of the sigmoidal region | 5 | 5 |
| Resistance and/or tenderness on pressure of the subcostal region | 5 | 5 |
| Hemorrhoids | 10 | 5 |
| Dysmenorrhea | – | 10 |
A total score larger than 20 is diagnosed as an ‘Oketsu’ state and that not exceeding 20 is diagnosed as a ‘non-Oketsu’ state. Mild symptoms are designated by half points.