Advanced Diagnosis Final Flashcards
(178 cards)
1
Q
What are the causes of facial pain
A
- Meridian obstruction due to phlegm carried by wind heat
- Meridian obstruction due to phlegm carried by wind cold
- Liver stagnation with fire transformation
- Qi/blood deficiency with blood stasis
2
Q
SYNDROME: Sudden attack of burning or sharp facial pain around the side of the nose, lips, or lower part of the face, touching it causes intense pain. It is unilateral and aggravated by heat and alleviated by cold. Face turns red when in pain. Other symptoms include sweating, fever, dry mouth, dark urine.
A
Meridian obstruction due to phlegm carried by wind heat
3
Q
What if there is meridian obstruction due to phlegm carried by wind heat along with dizziness, chest oppression, and numbness and tingling of limbs
A
there is additional phlegm fire obstruction
4
Q
meridian obstruction due to phlegm carried by wind heat: tongue
A
Red, yellow dry coating
5
Q
meridian obstruction due to phlegm carried by wind heat: pulse
A
wiry rapid
6
Q
meridian obstruction due to phlegm carried by wind heat: pathogenesis
A
spleen deficient constitution with phlegm dampness accumulation. Then attacked by wind heat evils. The phlegm is carried by the wind evil and disrupts the meridians. Blockage of meridians causes pain
7
Q
meridian obstruction due to phlegm carried by wind heat: western diagnosis
A
nerve pain, nerve injury
8
Q
phlegm fire obstruction causing facial pain: tongue
A
red with yellow greasy coating
9
Q
phlegm fire obstruction causing facial pain pulse
A
slippery and rapid
10
Q
SYNDROME: mostly sudden onset of spasmodic facial pain which is severe, pain aggravated by cold and alleviated by warmth. Face turns pale when in pain.
A
Meridian obstruction due to phlegm carried by wind cold
11
Q
Meridian obstruction due to phlegm carried by wind cold: tongue
A
pale, thin white coat
12
Q
Meridian obstruction due to phlegm carried by wind cold: pulse
A
tight
13
Q
Meridian obstruction due to phlegm carried by wind cold: pathogenesis
A
Spleen deficient constitution with phlegm damp accumulation. Body attacked by wind cold evil. Phlegm carried by the wind evil and disrupts the meridians. Blockage of meridian causes pain.
14
Q
Meridian obstruction due to phlegm carried by wind cold: western diagnosis
A
nerve pain or injury
15
Q
Meridian obstruction due to phlegm carried by wind cold along with puffy face and head heaviness like being wrapped by a cloth
A
Cold phlegm obstruction
16
Q
Meridian obstruction due to phlegm carried by wind cold with cold phlegm obstruction tongue
A
pale puffy, thick white greasy coating
17
Q
Meridian obstruction due to phlegm carried by wind cold with cold phlegm obstruction pulse
A
soggy, slippery
18
Q
SYNDROME: burning sharp facial pain, pain not moving, red face and red eyes, angry, stressed, anxiety, bitter taste in mouth dry mouth, irritable, sighing, hypochondriac pain, chest oppression
A
Liver qi stagnation with fire
19
Q
Liver qi stagnation with fire: tongue
A
Red, dry yellow coat
20
Q
Liver qi stagnation with fire: pulse
A
rapid, wiry
21
Q
Liver qi stagnation with fire: pathogenesis
A
liver fire blazing upward
22
Q
Liver qi stagnation with fire: TP
A
purge liver fire
open meridians
activate collaterals and alleviate pain
invigorate qi and blood
23
Q
Meridian obstruction due to phlegm carried by wind heat: TP
A
dispel wind
dissipate phlegm
invigorate qi and blood to stop pain
24
Q
Meridian obstruction due to phlegm carried by wind cold: TP
A
dispel wind
dissipate phlegm
invigorate qi and blood to stop pain
25
SYNDROME: not sudden and longer duration (on and off) facial pain, pain is stabbing and fixed, dull complexion, dry scaly skin, facial cramping, aversion to wind, spontaneous sweating, weak voice, unwilling to talk
qi and blood deficiency with blood stasis
26
qi and blood deficiency with blood stasis: tongue
dull pale, purple spots
27
qi and blood deficiency with blood stasis: pulse
deep thready and weak
28
qi and blood deficiency with blood stasis: TP
tonify qi
invigorate blood to remove stagnation
activate collaterals to stop pain
29
Liver stagnation with fire transformation pathogenesis
liver fire blazing upward
30
heat is what channel system
yang mign
31
fire is what channel system
shao yang
| tai yang
32
how does phlegm reach the face
wind
33
what are the symptoms of wind phlegm obstructing the meridian
pain, numbness, limited motion
34
which facial pain syndrome is burning and sharp
liver stagnation with fire transformation
| meridian obstruction due to phlegm carried by wind heat
35
which facial pain syndrome is sudden
liver stagnation with fire transformation
meridian obstruction due to phlegm carried by wind heat
meridian obstruction due to phlegm carried by wind cold
36
which facial pain syndrome has a longer duration, on and off
qi and blood deficiency with blood stasis
37
Facial puffiness syndromes
Lung qi deficiency
| Spleen yang deficiency
38
SYNDROME: puffy face with pale white complexion, breathlessness, dyspnea on exertion, weak voice, cold feeling, aversion to wind spontaneous sweating, unstoppable chronic cough
Lung qi deficiency
39
Lung qi deficiency: tongue
pale with thin white coating
40
Lung qi deficiency: pulse
weak, forceless
41
Lung qi deficiency: pathogenesis
lung dispersing and descending function is impaired
lung qi xu is always cold
qi deficiency causes phlegm
42
Lung qi deficiency complexion
puffy with pale white
43
Lung qi deficiency breathing
breathlessness, dyspnea on exertion
44
Lung qi deficiency voice
weak
45
Lung qi deficiency temperature
cold, aversion to wind
46
Lung qi deficiency sweating
spontaneous
47
Lung qi deficiency cough
unstoppable chronic cough
48
Lung qi deficiency phlegm
small amount that is white or clear
49
SYNDROME: puffy face with sallow yellow complexion, subjective feeling of a swollen face, lassitude, fatigue, cold limbs, poor appetite, abdominal distention, loose stool, wasting muscle mass
Spleen yang deficiency
50
Spleen yang deficiency: tongue
pale with teeth marks
| thin white coat
51
Spleen yang deficiency: pulse
weak
52
when is Spleen yang deficiency worse
when you have puffy limbs, especially in the lower body
53
Spleen yang deficiency: TP
tonify spleen qi
| tonify yang
54
Spleen yang deficiency pathogenesis
T&T function has declined
yang qi unable to ascend
turbid yin qi unable to descend
causes facial puffiness
55
Spleen yang deficiency complexion
puffy with sallow yellow
56
Spleen yang deficiency energy
lassitude, fatigue
57
Spleen yang deficiency temperature
cold limbs
58
Spleen yang deficiency digestion
poor appetite
| loose stools
59
Spleen yang deficiency muscle mass
wasting
60
where is the facial pain for meridian obstruction due to phlegm carried by wind heat
side of nose/lips
lower face
unilateral
61
meridian obstruction due to phlegm carried by wind heat aggravated by
heat
62
meridian obstruction due to phlegm carried by wind heat alleviated by
cold
63
meridian obstruction due to phlegm carried by wind heat facial complexion when in pain
red
64
meridian obstruction due to phlegm carried by wind heat other symptoms
sweating, fever, dry mouth, dark urine
65
meridian obstruction due to phlegm carried by wind heat with phlegm fire obstruction symptoms
dizziness, chest oppression, numbness and tingling of limbs
66
meridian obstruction due to phlegm carried by wind cold type of facial pain
spasmodic
sudden onset
severe and intolerable
67
meridian obstruction due to phlegm carried by wind cold aggravated by
cold
68
meridian obstruction due to phlegm carried by wind cold facial complexion when in pain
pale
69
meridian obstruction due to phlegm carried by wind cold with cold phlegm obstruction symptoms
puffy face
| head heaviness like being wrapped in wet cloth
70
Liver stagnation with fire transforming type of facial pain
burning
sharp
fixed
71
meridian obstruction due to phlegm carried by wind heat facial complexion
red
72
meridian obstruction due to phlegm carried by wind heat emotions
angry
stressed
anxiety
irritable
73
meridian obstruction due to phlegm carried by wind heat other pain symptoms
chest oppression and hypochondriac pain
74
Qi and blood deficiency with blood stasis facial pain type
longer duration
stabbing
fixed
cramping
75
Qi and blood deficiency with blood stasis facial pain complexion
dull
| dry scaly skin
76
Qi and blood deficiency with blood stasis facial pain voice
weak, unwilling to talk
77
what channels are are dull gray dirty complexion
GB, KD - meridians are sick
78
for facial beauty - what channel system
yang ming governs face
79
what does a grimy face mean in general
invaded by dryness evil
80
what does a grimy face look like
covered in dust
| lacks luster
81
what are the syndromes for grimy face
1. Dryness disrupting clear orifices
2. Stomach heat blazign upward
3. LV/KD yin deficiency (essence xu)
82
SYNDROME: dirty complexion, dry mouth, dry painful throat, dry red eyes, red and swollen gums
Dryness disrupting clear orifices
83
Dryness disrupting clear orifices causing grimy face: tongue
red with yellow cating
84
Dryness disrupting clear orifices causing grimy face: pulse
thready rapid
85
Dryness disrupting clear orifices causing grimy face: pathogenesis
injured body fluids causes dryness
| heat and dry flames upward attacking upper jiao and disrupting the orifices
86
Dryness disrupting clear orifices causing grimy face: dry symptoms
dry mouth, dry eyes, dry throat
87
Dryness disrupting clear orifices causing grimy face: gums
red and swollen
88
SYNDROME: dirty complexion, painful swollen gums, cheek ulcers, bad breath, dry mouth, thirsty, prefer cold drinks, hungry, epigastric distention, burning pain, acid regurgitation
Stomach heat blazing upward causing grimy face
89
Stomach heat blazing upward causing grimy face: tongue
red with yellow coating
90
Stomach heat blazing upward causing grimy face: pulse
slippery, rapid
91
Stomach heat blazing upward causing grimy face: pathogenesis
heat follows yang ming meridian
| steams upward and disturbs the face
92
Stomach heat blazing upward causing grimy face: TP
clear stomach fire
93
Stomach heat blazing upward causing grimy face gums
painful and swollen
94
Stomach heat blazing upward causing grimy face ulcers
cheek
95
Stomach heat blazing upward causing grimy face mouth symptoms
bad breath, dry mouth, thirsty, hungry
96
Stomach heat blazing upward causing grimy face body pain
epigastric distention, acid regurgitation
97
SYNDROME: dirty complexion, dizziness, tinnitus, dry mouth, dry throat, five center heat, soreness of knees and lower back, emaciation
LV/KD yin/essence deficiency causing grimy face
98
LV/KD yin/essence deficiency causing grimy face tongue
red with little coating
99
LV/KD yin/essence deficiency causing grimy face pulse
thready, wiry, rapid
100
LV/KD yin/essence deficiency causing grimy face pathogenesis
not enough nourishment of the face
| liver blood and kidney essence deficiency
101
LV/KD yin/essence deficiency causing grimy face dryness symptoms
dry mouth, dry throat
102
LV/KD yin/essence deficiency causing grimy face temperature
five center heat
103
LV/KD yin/essence deficiency causing grimy face body pain
lower back and knee soreness
104
LV/KD yin/essence deficiency causing grimy face ears
tinnitus, dizziness
105
facial twitching syndromes:
1. Liver qi stagnation
2. Liver blood deficiency
3. Exterior wind attacking collaterals
4. Liver yang rising generating wind
5. Wind phlegm
106
SYNDROME: eyelid and facial twitching, dizziness, tinnitus, agitation, impatience, crying and screaming, twitching is worse with emotional fluctuation
liver qi stagnation
107
liver qi stagnation causing facial twitching tongue
red
| thin white coating
108
liver qi stagnation causing facial twitching pulse
wiry
109
SYNDROME: chronic on and off facial twitching, blurry vision, floaters, dizziness, menstruation delayed/scanty, pale lips, nails ridges
Liver blood deficiency causing facial twitching
110
Liver blood deficiency causing facial twitching tongue
pale
| scanty coating
111
Liver blood deficiency causing facial twitching pulse
wiry, thready, forceless
112
Liver blood deficiency causing facial twitching type
chronic on and off
113
Liver blood deficiency causing facial twitching vision
blurry with floaters
114
Liver blood deficiency causing facial twitching gyno
delayed or scanty menstruation
115
Liver blood deficiency causing facial twitching lips
pale
116
Liver blood deficiency causing facial twitching nails
nails have ridges
117
Liver blood deficiency causing facial twitching pathogenesis
blood deficiency unable to nourish the tendons
| liver qi stagnation causing SP/ST qi deficiency causing liver blood deficiency
118
Liver qi stagnation causing facial twitching pathogenesis
qi stagnation causing wind
119
SYNDROME: sudden onset of facial twitching, numbness, headache, stuffy nose, aversion to cold, tearing
exterior wind attacking collaterals causing facial twitching
120
exterior wind attacking collaterals causing facial twitching tongue
pale red
| thin white coat
121
exterior wind attacking collaterals causing facial twitching pulse
floating
122
exterior wind attacking collaterals causing facial twitching pathogenesis
wind attacking yang ming
yang ming governs the face
face has facial twitching
the exterior wind is not attacking the meridians because the meridians are deeper and would have more serious organ related symptoms
123
exterior wind attacking collaterals causing facial twitching type
sudden onset accompanied with numbness
124
exterior wind attacking collaterals causing facial twitching head symptoms
headache
stuffy nose
tearing
125
exterior wind attacking collaterals causing facial twitching aversion to
cold/wind
126
exterior wind attacking collaterals causing facial twitching treatment principle
expel wind
127
SYNDROME: facial twitching with occasional dizziness, twitching aggravated by anger, headache
liver yang rising generating wind causing facial twitching
128
liver yang rising generating wind causing facial twitching tongue
dark red
thin yellow dry coating
(dull if there is long term stagnancy)
129
liver yang rising generating wind causing facial twitching pulse
wiry, thready, forceful (but weaker when you press down showing no root)
130
liver yang rising generating wind causing facial twitching aggravated by
anger
131
liver yang rising generating wind causing facial twitching treatment principle
subdue the liver
| dispel the wind
132
liver yang rising generating wind causing facial twitching pathogenesis
liver qi stagnation turning into fire and then attacking SP/ST causing damp
LV/GB/SP/ST damp heat causes yin deficiency which causes liver yang hyperactive
133
SYNDROME: facial twitching with numbness, facial puffiness, dizziness, drooling at the angle of mouth, dry mouth, no desire to drink
wind phlegm causing facial twitching
134
wind phlegm causing facial twitching tongue
puffy
| thin white greasy coat
135
wind phlegm causing facial twitching pulse
wiry, slippery
136
wind phlegm causing facial twitching TP
tonify qi
| dispel phlegm
137
wind phlegm causing facial twitching type
facial twitching with numbness
138
wind phlegm causing facial twitching complexion
puffy
139
wind phlegm causing facial twitching mouth symptoms
dry mouth
no desire to drink
drooling at the angles of the mouth
140
what is facial deviation
downward slanting of the eyes and mouth, the mouth cannot close completely
related to wind stroke
141
facial deviation western diagnoses
Bell's palsy
| stroke
142
Facial deviation syndromes
1. Liver qi stagnation
2. Blood and qi deficiency generating wind
3. Exterior wind attacking the collaterals
4. Liver yang hyperative stirring wind
5. Wind phlegm entering the collaterlas
143
SYNDROME: facial deviation usually triggered by emotional disturbance, accompanied with sighing, hypochondriac distention, no desire to drink and eat, depression, melancholy, propensity to cry
liver qi stagnation causing facial deviation
144
liver qi stagnation causing facial deviation tongue
thin white coating
145
liver qi stagnation causing facial deviation pulse
wiry
146
liver qi stagnation causing facial deviation pathogenesis
stagnant evil qi obstructs yang ming collaterals
147
liver qi stagnation causing facial deviation triggered by
emotional disturbance
148
liver qi stagnation causing facial deviation no desire to
eat or drink
149
liver qi stagnation causing facial deviation emotions
depression
melancholy
propensity to cry
150
SYNDROME: facial deviation, slack facial muscles, drooping eyelid, breathlessness, unwilling to talk, hands and legs stiffness, history of child labor, late stage of chronic disease, or wind stroke rehab phase
Qi/Blood deficiency generating wind causing facial deviation
151
Qi/Blood deficiency generating wind causing facial deviation tongue
pale
| thin white coating
152
Qi/Blood deficiency generating wind causing facial deviation pulse
thready forceless
153
Qi/Blood deficiency generating wind causing facial deviation pathogenesis
qi and blood unable to nourish the yang ming collaterals
154
Qi/Blood deficiency generating wind causing facial deviation type
slack facial muscles
| drooping eyelid
155
Qi/Blood deficiency generating wind causing facial deviation what is stiff
legs and hands
156
Qi/Blood deficiency generating wind causing facial deviation history
child birth
late stage chronic diseases
wind stroke rehab phase
157
SYNDROME: sudden onset of facial deviation with weird feeling over face, accompanied with aversion to wind, fever, headache, stuffy nose, neck tightness and stiffness
Exterior wind attacking the collaterals causing facial deviation
(could be heat, cold or damp)
158
Exterior wind attacking the collaterals causing facial deviation tongue
thin white coating
159
Exterior wind attacking the collaterals causing facial deviation pulse
floating
160
Exterior wind attacking the collaterals causing facial deviation pathogenesis
exterior wind evil attacking yang ming collaterals of the face
161
Exterior wind attacking the collaterals causing facial deviation type
sudden onset with weird feeling over the face
162
Exterior wind attacking the collaterals causing facial deviation exterior symptoms
wind, fever, headache, stuffy nose, neck tightness adnd stiffness
163
SYDNROME: sudden onset of facial deviation, accompanied with red face, numbness or tingling of limbs, distending pain around ears, severe dizziness, heavy-headedness with unstable light sensation at legs
Liver yang hyperactive stirring wind causing facial deviation
164
Liver yang hyperactive stirring wind causing facial deviation tongue
dull red
| yellow or little coating
165
Liver yang hyperactive stirring wind causing facial deviation pulse
wiry, rapid forceful
166
Liver yang hyperactive stirring wind causing facial deviation pathogenesis
liver qi stagnation turning into fire depleting the yin and causing yang hyperactive
167
Liver yang hyperactive stirring wind causing facial deviation type
sudden onset
168
Liver yang hyperactive stirring wind causing facial deviation facial complexion
red
169
Liver yang hyperactive stirring wind causing facial deviation limbs sensation
numbness or tingling
170
Liver yang hyperactive stirring wind causing facial deviation ears
distending pain around them
171
Liver yang hyperactive stirring wind causing facial deviation head symptoms
heavy headedness
severe dizziness
lightness of the feet
172
SYNDROME: facial deviation, numbness and tingling over face, muscle, slurred speech, phlegm sound at throat, stiff sensation of the tongue
wind phlegm entering collaterals causing facial deviation
173
wind phlegm entering collaterals causing facial deviation tongue
white greasy coating
174
wind phlegm entering collaterals causing facial deviation pulse
wiry, slippery
175
wind phlegm entering collaterals causing facial deviation type
numbness and tingling over face muslce
176
wind phlegm entering collaterals causing facial deviation speech
slurred
177
wind phlegm entering collaterals causing facial deviation throat
phlegm sound at throat
178
wind phlegm entering collaterals causing facial deviation tongue
stiff sensation
