TCM Diagnosis based on syndrome differentiation:
1. Accumulation of Heat And Stagnation of Liver Qi
Clinical manifestations: excessive bleeding, irritability, anciety, dark urine, dry stool, red tongue, thin and yellow coating, rapid pulse.

2. Internal Heat due to Yin Deficiency
Clinical manifestations: severe bleeding, hot flash, agitation, thirst, hot sensation of hands and feet, sore limbs, red tongue, thin pulse.

3. Deficiency of Vital Energy
Clinical manifestations: repeated bleeding, dizziness, vertigo, pale complexion, fatigue, loss of appetite, shortness of breath, hidrosis, thin pulse.

4. Blocked Veins due to Blood Stasis
Clinical manifestations: dark and purple blood, pains in joints, wandering pains, dark tongue, whitish and greasy coating, thin pulse.

Diagnosis in western medicine
All three of the coagulation disorders described here involve problems with proteins (clotting factors) in the blood. If your child displays symptoms of one of these disorders, his or her doctor will probably order blood tests. These blood tests show the amounts and behaviors of various clotting factors in the blood and can help the doctor make a confident diagnosis.

Another factor that can confirm the diagnosis of one of these disorders is a genetic test. All three coagulation disorders described here are genetically inherited. A genetic test can reveal the mutation that causes a particular disorder. Proof of this mutation, combined with blood tests that indicate problems with clotting factors, enable your child’s doctor to make a sound diagnosis.