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TCM > diagnostics > Flashcards

diagnostics Flashcards

1
Q

diagnostic methods

A

looking
hearing
asking
pulse/palp
tongue

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2
Q

what to observe when looking?

A

body condition
complexion
mobility
shen
tongue

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3
Q

what to observe when hearing/smelling

A

tone of voice
communication
breathing
odour

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4
Q

asking

A

ask how you can help them
focus on their main symptoms
history of their complaint
ask about general health
medical history
medications

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5
Q

treating critical patient

A

complaint
symptoms
tongue and pulse

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6
Q

if an area is hot

A

inflammation

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7
Q

if an area is cold

A

qi xu or internal cold

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8
Q

if an area is swollen

A

dampness

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9
Q

if area is tender

A

qi/xue stagnation

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10
Q

when to take tongue and pulse

A

after consultation, when patient is settled

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11
Q

what does the pulse tell

A

condition of zang, fu, qi and xue

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12
Q

six pulse positions reflect

A

the 12 meridians (zangfu pair)

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13
Q

tendons, blood, eyes pathology

A

liver imbalance

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14
Q

muscle, mouth

A

spleen imbalance

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15
Q

sinus, skin

A

lung imbalance

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16
Q

ear, bones

A

kidney imbalance

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17
Q

tongue, blood vessel

A

heart

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18
Q

dry eyes

A

liver blood / yin syndrome. always consider the root of the issue

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19
Q

in order to make a diagnosis

A

ask your patient what is normal for them
consider the person as a whole
avoid assumptions

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20
Q

when in doubt

A

trust the tongue and pulse

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21
Q

which channel spreads over the surface of the tongue

A

spleen primary channel

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22
Q

eyes are dull
complexion is grey
body is soft
slow responses

A

lack of vitality

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23
Q

severe mental health illness
severe loss of essence and qi

A

loss of vitality
more severe than lack of vitality

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24
Q

reasons for loss of vitality

A

decline in essence
excessive pathogens

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25
Q

complexion colour-red

A

heart fire excess
seen at cheeks and nose
heat syndrome

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26
Q

complexion colour - blue

A

heart fire imbalance
sudden shock/trauma
cold syndrome or pain
seen around the mouth

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27
Q

complexion colour - green

A

liver wood imbalance
migraines
seen on the temples

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28
Q

complexion colour - white

A

lung metal imbalance
cold or xu syndrome
seen on whole face

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29
Q

complexion colour - yellow

A

spleen earth imbalance
suggests spleen (qi) xu
bright-yang
dull-yin

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30
Q

complexion colour - black

A

indicates kidney syndrome
blood stagnation/xu
dark circles - kidney or liver xu

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31
Q

if a person always leans forward while sitting

A

lung syndrome

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32
Q

texture of sputum shows

A

if still at a damp stage, or if thicker at phlegm stage

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33
Q

excessive saliva

A

due to spleen xu and cold in spleen and stomach

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34
Q

looking at vomit tells us

A

how well stomach qi is breaking down food
how well liver qi is controlling flow of qi

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35
Q

normal stool

A

is yellow, cylindrical and well formed
variation indicates imbalance internal temp and ZF

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36
Q

watery stool

A

spleen dysfunction
usually due to excessive cold/raw foods

37
Q

foul smelling stool

A

indicates damp heat in stomach/large intestine

38
Q

normal urine

A

light yellow and clear
naturally lightens in winter and darker in summer

39
Q

tongue regions - root of tongue

A

kidney at the sides root, bladder and intestines in the center root

40
Q

tongue regions-sidewalls of tongue

A

liver and gallbladder

41
Q

tongue regions - direct middle of tongue

A

spleen on top, stomach bottom

42
Q

tongue regions - tip of tongue

A

very tip is heart, just above is lungs

43
Q

the existence and disappearance of tongue coating shows

A

the condition of stomach qi

44
Q

if tongue coating suddenly thickens

A

suggests pathogenic factor moving into the interior body

45
Q

if tongue coating suddenly peels

A

indicates abundance of pathogenic factor and decline of healthy qi

46
Q

things that can change tongue coating

A

lighting, food, drink, meds, lifestyle

47
Q

long term meds (especially antibiotics) make tongue coating look

A

black and greasy

48
Q

healthy tongue coating should be

A

white, thin and dry but with lustre

49
Q

if you can see the tongue body, coating is

A

thin

50
Q

if you cant see tongue body, coating is

A

thick

51
Q

thick coating indicates

A

pathogenic factors, prolonged disease, retention of phlegm

52
Q

if thin coating becomes thick

A

suggests disease is worsening

53
Q

if thick coating becomes thin

A

suggests vital qi is strengtheing against pathogen

54
Q

peeled coating indicates

A

xu of yin (area of organ)
peeled all over-severe exhaustion of yin

55
Q

slippery (moist) coating indicates

A

cold or damp syndrome

56
Q

dry coating with no fluid indicates

A

heat pathogen consuming body fluid OR false heat

57
Q

curdy coating indicates

A

excess heat rising, steams up turbid stomach qi

58
Q

swollen tongue indicates

A

retention of fluid or phlegm, usually pale due to yang xu

59
Q

teethmarks tongue indicates

A

spleen qi xu, just like swollen tongue

60
Q

thin/small tongue indicates

A

qi and blood xu of heart and spleen

61
Q

cracked tongue indicates

A

essence and blood xu
all cracks mean the same thing

62
Q

trembling tongue indicates

A

qi and blood xu
consumption of body fluid

63
Q

moving tongue indicates

A

heat in the heart and spleen

64
Q

short tongue indicates

A

internal cold, qi and blood xu

65
Q

prickled tongue indicates

A

excess toxic heat

66
Q

sublingual veins indicate

A

circulation of qi and blood

67
Q

where is CunKou pulse taken

A

radial side of each wrist

68
Q

what does CunKou pulse reflect

A

actions of ZangFu organs
balance between 3 jiao

69
Q

take the pulse of your patient

A

with your opposite hand

70
Q

pulse is measured in

A

beats per patient breath

71
Q

regular paced pulse is measured at

A

4 beats per patient breath

72
Q

four elements of pulse taking

A

location
speed
consistency
power

73
Q

pediatric pulse is taken

A

at the same location but with one finger instead of three - hold the childs hand

74
Q

children under 3 pulse

A

use index finger and look at veins

75
Q

children 6-8 yrs pulse

A

take pulse using your thumb

76
Q

children 10+ yrs pulse

A

take pulse as adult

77
Q

pulse can be affected by

A

menstruation
pregnancy
season
geography
age
body build

78
Q

pale tongue indicates

A

qi and blood xu

79
Q

red tongue indicates

A

excess heat syndrome

80
Q

crimson tongue indicates

A

intense heat pathogen
heat in blood, heart and stomach

81
Q

purple tongue indicates

A

stagnation of qi and blood
may be due to cold or heat

82
Q

blue tongue indicates

A

reduced blood circulation

83
Q

orange tongue indicates

A

liver blood xu

84
Q

white tongue coating

A

normal unless thick

84
Q

yellow tongue coating

A

indicates heat

85
Q

grey tongue coating

A

indicates serious disease, chronic illness of digestive tract, dehydration

86
Q

black tongue coating

A

indicates critical stage of disease
indicates extreme internal hot or cold

87
Q

root of illness

A

primary aspect - syndrome which came first

88
Q

branch of illness

A

secondary aspect(s) - syndromes occur because of initial imbalance

TCM (10 decks)

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