Diagnostic Method and Pattern Diagnosis

Question 1

What is Bian Zheng?

Answer 1

The diagnostic system involving identifying pertinent clinical signs

Question 2

What is Si-zhen?

Answer 2

The Four diagnostic methods

Question 3

What are the four diagnostic methods?

Answer 3

1. Inspection
2. Hearing/smelling
3. Inquiring
4. Palpation

Question 4

Inspecting includes what for diagnosis?

Answer 4

Examine the tongue characteristics and color patterns

Observe the Shen

Observe the general body condition

Evaluate the quality and luster of the hair and skin

Question 5

Hearing/smelling includes what for diagnosis?

Answer 5

Listen to the voice quality (muffled, weak, strong and/or robust)

Listen to breathing

Auscultate heart and lungs

Note odors from the body

Question 6

Inquiring includes what for diagnosis?

Answer 6

Question owner about medical history

Question owner about temperature-preferences, diet, personality, activity, clinical signs

Question 7

Palpation includes what for diagnosis?

Answer 7

Feel the pulses

Palpate the Meridians

Palpate the Back-Shu (association) points and Front-Mu (alarm) points for sensitivity

Palpate abdomen, lymph nodes, joints

Question 8

A wet pale tongue indicates what pattern?

Answer 8

Qi deficiency

Question 9

A dry pale tongue indicates what pattern?

Answer 9

Blood deficiency

Question 10

A red tongue indicates what pattern?

Answer 10

Heat: Yin deficiency or excess heat

Question 11

A red tongue tip indicates what pattern?

Answer 11

Heart fiire

Question 12

Red sides of the tongue indicates what pattern?

Answer 12

Liver Heat/Fire

Question 13

A deep red tongue indicates what pattern?

Answer 13

Heat with Yin deficiency

Severe heat, Yin deficiency

Question 14

A purple tongue indicates what pattern?

Answer 14

Qi or Blood stagnation

Cold pattern

Question 15

A lusterless yellow tongue indicates what pattern?

Answer 15

Damp

Spleen deficiency

Question 16

A bright yellow tongue indicates what pattern?

Answer 16

Liver Damp-Heat

Question 17

A thin white tongue coating indicates what pattern?

Answer 17

Exterior pattern

Wind-Cold

Question 18

A thick white tongue coating indicates what pattern?

Answer 18

Cold

Cold-Damp

Phlegm

Question 19

A dry grey-black tongue coating indicates what pattern?

Answer 19

Heat

Yin defiiciency

Question 20

A wet grey-black tongue coating indicates what pattern?

Answer 20

Yang deficiency

Cold

Question 21

A dry tongue coating indicates what pattern?

Answer 21

Yin or Blood deficiency

Question 22

A wet tongue coating indicates what pattern?

Answer 22

Yang or Qi deficiency

Damp-Cold

Water-Damp

Question 23

A sticky tongue coating indicates what pattern?

Answer 23

Phlegm

Damp

Food stasis

Question 24

A crusty tongue coating indicates what pattern?

Answer 24

Indigestion

Food retention

Phelgm

Question 25

A pale swollen tongue shape indicates what pattern?

Answer 25

Kidney Yang deficiency Spleen Qi deficiency

Question 26

A red swollen tongue shape indicates what pattern?

Answer 26

Extreme heat pattern

Question 27

A soft small tongue shape since birth indicates what pattern?

Answer 27

Kidney Jing deficiency

Question 28

A pale, soft, small tongue shape indicates what pattern?

Answer 28

Qi and/or Blood deficiency

Question 29

A quivering, soft, small tongue shape indicates what pattern?

Answer 29

Internal wind Severe deficiency of Qi/Yang/Blood

Question 30

A patient with extremely dry skin, dandruff and coarse hair indicates which pattern?

Answer 30

Blood deficiency

Question 31

Straining to urinate and frequent posturing to urinate indicates which pattern?

Answer 31

Bladder Damp Heat

Question 32

A lack of thirst typically accompanies which pattern?

Answer 32

Cold-damp pattern

Question 33

Eating only fresh grass or raw/wet foods indicates which (2) patterns?

Answer 33

Stomach Heat Stomach Yin deficiency

Question 34

A loss of appetite may indicate which (4) patterns?

Answer 34

Spleen Qi deficiency Stomach food stasis Excess heat (febrile disease) Disease of the oral cavity

Question 35

A ravenous appetite indicates which (2) patterns?

Answer 35

Stomach Heat Stomach Yin deficiency

Question 36

Preference for hay, grain or dry food indicates which (2) patterns?

Answer 36

Stomach Heat Stomach Yin deficiency

Question 37

Polydipsia with small amounts of drinking multiple times indicates which pattern?

Answer 37

Yin deficiency

Question 38

Polydipsia with a large amount drank at one time indicates which pattern?

Answer 38

Excess heat

Question 39

Dry feces and constipation indicates which (2) patterns?

Answer 39

Excess Heat Large Intestine Yin deficiency

Question 40

Water or soft feces indicates which (2) patterns?

Answer 40

Spleen Qi deficiiency Spleen Cold-Damp

Question 41

Bloody diarrhea with or without mucous indicates which pattern?

Answer 41

Damp-Heat

Question 42

Red and short urination indicates which pattern?

Answer 42

Heat

Question 43

Urinary incontinence indicates which pattern?

Answer 43

Kidney Qi deficiency

Question 44

Clear and long urination indicates which (3) patterns?

Answer 44

Kidney Qi deficiency Kidney Yang deficiency Cold patterns

Question 45

Hematuria indicates which pattern?

Answer 45

Bladder Damp-Heat

Question 46

Apparent painful urination (stranguria) with dribbling indicates which (2) patterns?

Answer 46

Bladder Damp-Heat Kidney/Bladder Stone

Question 47

Bladder atonia, upper motor neuron bladder, urine retention all indicates which pattern?

Answer 47

Bladder paralysis

Question 48

Dull or cloudy eyes indicates which (2) patterns?

Answer 48

Shen Loss Zheng Qi deficiency pattern

Question 49

Injected sclera +/- conjunctiva with deep red blood vessels indicates which pattern?

Answer 49

Heart heat

Question 50

Pale conjunctiva indicates which pattern?

Answer 50

Blood deficiency

Question 51

Blepharospasm, squinting, +/- drooping eyelids indicates which pattern?

Answer 51

Spleen Qi deficiency

Question 52

Inherited cataracts indicates which pattern?

Answer 52

Kidney Jing deficiency

Question 53

Blepharitis, injected sclera, and inflamed conjunctiva indicates which (2) patterns?

Answer 53

Liver Heat Liver Yang Rising

Question 54

KCS indicates which (3) patterns?

Answer 54

Liver Heat Liver Yin/Blood deficiency Kidney Yin and/or Jing deficiency

Question 55

Lack of ear movement may indicate which pattern?

Answer 55

Qi deficiency and fatigue

Question 56

Hot ears indicates which (2) patterns?

Answer 56

Heat pattern Yin deficiency

Question 57

Hot ears, appears nervous and frightens easily indicates which (2) patterns?

Answer 57

Heart Heat Hart Yin deficiency

Question 58

Distended auricular blood vessels indicates which pattern?

Answer 58

Exterior heat

Question 59

Cold ears indicates which patterns?

Answer 59

Cold patterns including Yang deficiency

Question 60

Inflamed ears or malodorous, yeasty, and wet or waxy discharge indicates which pattern?

Answer 60

Gallbladder Damp-Heat

Question 61

Sneezing, serous nasal discharge indicates which pattern?

Answer 61

Wind-Cold Pattern

Question 62

Thick, yellow mucoid nasal discharge indicates which pattern?

Answer 62

Lung-Heat

Question 63

Turbid, and serosanguineous nasal discharge indicates which pattern?

Answer 63

Sang-Huang (sinusitis)

Question 64

Depigmentation of nasal planum indicates which pattern?

Answer 64

Lung Qi deficiency

Question 65

Hyperkeratosis and cursing of the nasal planum indicates which pattern?

Answer 65

Lung Heat

Question 66

Dry or crusty nose indicates which (2) patterns?

Answer 66

Blood deficiency Lung Yin deficiency

Question 67

Acute or bright nosebleed indicates which (2) patterns?

Answer 67

Trauma Excess heat

Question 68

Chronic, or dark nosebleed indicates which (2) patterns?

Answer 68

Qi deficiency Local blood stagnation

Question 69

Flehmen Response (raising upper lip like a smile) indicates which pattern?

Answer 69

Stomach Qi stagnation (colic) (also can be normal for a horse)

Question 70

Drooping lower lip indicates which pattern?

Answer 70

Spleen Qi deficiency (or advanced age)

Question 71

Pale lips indicate which (2) patterns?

Answer 71

Qi deficiency Blood deficiency

Question 72

Hyperemic (red) and dry lips indicate which (2) patterns?

Answer 72

Yin deficiency Heat pattern

Question 73

Loud and coarse voice indicates which pattern?

Answer 73

Excess pattern

Question 74

Weak, quiet and hoarse voice indicates which pattern?

Answer 74

Qi deficiency pattern

Question 75

Forceful, long, and coarse wheezing indicates which pattern?

Answer 75

Excess pattern

Question 76

Shallow and weak breaths indicate which pattern?

Answer 76

Qi deficiency pattern

Question 77

Forceful, loud cough indicates which pattern?

Answer 77

Lung Excess Heat

Question 78

Weak cough indicates which pattern?

Answer 78

Qi deficiency pattern

Question 79

A productive cough indicates which (2) patterns?

Answer 79

Yin deficiency Lung Heat

Question 80

Non-productive, dry cough indicates which (2) patterns?

Answer 80

Yin deficiency Lung Heat

Question 81

An acute cough that occurs during the daytime indicates which pattern?

Answer 81

Lung Excess Heat

Question 82

Chronic cough that only occurs during the day indicates which pattern?

Answer 82

Lung Qi deficiency

Question 83

Chronic cough that only occurs during the night indicates which pattern?

Answer 83

Lung Yin deficiency

Question 84

Cough, dyspnea or asthma that is present during the day and at night indicates which (2) patterns?

Answer 84

Lung Yang/Qi deficiency Kidney Yang/Qi deficiency

Question 85

Careful and quiet chewing indicates which pattern?

Answer 85

Stomach Heat

Question 86

Chewing without food indicates which pattern?

Answer 86

Stomach Qi Stagnation

Question 87

Increased gut sounds indicates which pattern?

Answer 87

Cold

Question 88

Decreased gut sounds indicates which (2) patterns?

Answer 88

Spleen Qi deficiency Qi stagnation

Question 89

Sour-smelling mouth with a greasy, yellow coating indicates which pattern?

Answer 89

Stomach stasis

Question 90

Foul mouth odor indicates which pattern?

Answer 90

Stomach Heat

Question 91

Bad smell (rotten fish) indicates which (2) patterns?

Answer 91

Heart Fire Stomach Fire

Question 92

Grey-yellow, thick, and malodorous nasal discharge indicates which pattern?

Answer 92

Lung excess heat

Question 93

Thick, yellow nasal discharge with dead-body smell indicates which pattern?

Answer 93

Lung Heat with Phlegm

Question 94

Sticky, grey, and malodorous nasal discharge from only one nostril indicates which pattern?

Answer 94

Sang Huang (pus in paranasal sinuses)

Question 95

Yellow, thick, turbid pus with fetid smell indicates which (2) patterns?

Answer 95

Excess Heat/Fire pattern Yang pattern

Question 96

Grey-white, watery pus without foul odor indicates which pattern?

Answer 96

Combo of Qi-Blood deficiency and Heat-Toxin

Question 97

Watery stool without odor indicates which pattern?

Answer 97

Spleen Qi deficiency

Question 98

Sour and soft stool indicates which pattern?

Answer 98

Food stasis

Question 99

Malodorous, bloody and mucoid stool indicates which pattern?

Answer 99

Damp-Heat

Question 100

Small amount of malodorous urine with blood indicates which (2) patterns?

Answer 100

Excess Heat Pattern Bladder Damp Heat

Question 101

Large amounts of clear urine with no smell indicates which (2) patterns?

Answer 101

Deficient Cold Kidney Yang Deficiency