Physical and mental fatigue | □ 0: None □ 2: Easy fatigability □ 4: Reluctance to perform the activities of daily living □ 6: Weakness of limbs |
Dry mouth and throat | □ 0: None □ 2: Mild □ 4: Decreased saliva production □ 6: Severe thirst with constant need to drink fluids |
Weakness and soreness of the lower back and knees | □ 0: None □ 2: Occasional □ 4: Need to alter body position for relief □ 6: Persistent pain, need to take pain medication |
Qi deficiency and listlessness | □ 0: None □ 2: Shortness of breath after mild activity □ 4: Shortness of breath after moderate activity □ 6: Inability to speak or catch breath even when still |
Spontaneous perspiration | □ 0: None □ 2: Skin slightly wet when not moving □ 4: Skin wet when not moving □ 6: Profuse perspiration when moving |
Night sweat | □ 0: None □ 2: Occasional, head only □ 4: Often on the, chest and back □ 6: Always, all over the body |
Dysphoria in chest, palms, and soles | □ 0: None □ 2: Occasionally be perturbed □ 4: Often, dryness heat within the body □ 6: Always, need to grasp something cold |
Dark purplish lips | □ 0: None □ 2: Pale and dark lips □ 4: Dark lips □ 6: Dark purple lips |
Edema | □ 0: None □ 2: Palpebral edema □ 4: Palpebral or edema of the legs □ 6: Hyposarca |