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TCM > diagnostics B > Flashcards

diagnostics B Flashcards

1
Q

what does the pulse reflect

A

condition of zang, fu, qi and blood

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2
Q

normal pulse condition

A

even and gentle
felt at all 3 positions and depths
naturaly varying

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3
Q

pathological pulse

A

change location, frequency, rhythm, shape, strength

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4
Q

floating pulse

A

external path factors

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5
Q

soft pulse

A

xu or dampness

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6
Q

hollow pulse

A

significant blood loss

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7
Q

deep pulse

A

interior syndrome

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8
Q

taut pulse

A

blood and BF xu

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9
Q

firm pulse

A

yin cold

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10
Q

short pulse

A

yang xu and qu xu

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11
Q

long pulse

A

excess syndrome

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12
Q

rapid pulse

A

heat syndrome

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13
Q

slow pulse

A

cold syndrome

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14
Q

knotted pulse

A

stagnant qi due to excess yin

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14
Q

abrupt pulse

A

excessive yang

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15
Q

intermittent pulse

A

weakness of viscera

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16
Q

full pulse

A

indicates yang heat

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17
Q

thready pulse

A

yin fluid xu or damp

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18
Q

slippery pulse

A

retention of phlegm, food or heat syndrome

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19
Q

hesitant / uneven pulse

A

forceful is excess
feeble xu

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20
Q

wiry pulse

A

liver fire, liver qi stag, LYR

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21
Q

tense pulse

A

exterior cold syndrome

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22
Q

weak pulse

A

xu syndrome qi, blood, yin, yang, ZF

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23
Q

indistinctive pulse

A

extreme decline of vital qi, qi and blood exhaustion

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24
Q

scattered pulse

A

exhaustion of qi, failure of ZF, blood xu

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25
Q

feel cold even with more layers/cant get warm

A

aversion to cold

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26
Q

feels cold but warms up with heat

A

fear of cold

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27
Q

feels cold only when exposed to wind

A

aversion to wind

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28
Q

chills are

A

initial stage of external disease
turns to fever if untreated

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29
Q

fever without chills

A

interior heat syndrome

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30
Q

absence of sweating

A

whole body - exterior cold/wind syndrome

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31
Q

sweating

A

exterior excess heat syndrome due to wind heat

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32
Q

night sweating

A

internal heat due to yin and qi xu

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33
Q

headache locations

A

top of head - pericardium and liver
occiput/nape - bladder and small intestine
temporal - san jiao and gallbladder
forehead - stomach and large intestine

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34
Q

epigastric pain better for eating

A

stomach/spleen qi xu

35
Q

epigastric pain worse for eating

A

qi stagnation/retention of phlegm damp

36
Q

abdominal pain locations

A

upper - spleen and stomach
lower - gallbladder, uterus, small intestine
lateral lower - large intestine and liver

37
Q

lower back pain

A

ache and weakness all across lumbar - kidney xu
prone to cold and worse on cold - cold dampness
radiating to lower abdomen - damp heat

38
Q

leg, heel or knee pain =

A

kidney xu

39
Q

dizziness better for laying down

A

qi/yang xu not rising to nourish head

40
Q

chronic dizziness or dizziness in elderly

A

kidney essence xu or marrow xu

41
Q

dizziness worse for laying down

A

liver yang rising, liver fire rising

42
Q

high pitched tinnitus

A

liver and gallbladder excess fire

43
Q

low pitched tinnitus

A

liver and kidney yun xu, kidney essence xu, spleen qi xu

44
Q

palpitations causes

A

heart blood stagnation, heart blood xu, heart yin xu

45
Q

numbness in head, face and limbs

A

xu - q and blood
excess - liver wind / phlegm blocking channels

46
Q

frequent or persistant fatigue

A

qi, yang, jing or body fluid xu

47
Q

undigested food in stool

A

xu cold in spleen

48
Q

loose/watery stool

A

spleen qi xu

49
Q

diarrhea before dawn

A

internal cold damp due to spleen qi and kidney yang xu

50
Q

clear and profuse urine

A

yang qi xu

50
Q

frequent urge, scanty and yellow

A

damp heat in bladder

51
Q

scanty and yellow urine

A

excess heat, consumption of body fluids

52
Q

dribble or intermittent flow, incontinence

A

kidney qi xu

53
Q

what to consider when looking at sleep

A

ease of waking
difficulty falling asleep
depth and quality of sleep
any time patterns?

54
Q

what qualifies as insomnia

A

difficulty falling asleep
difficulty staying asleep
difficulty getting back to sleep upon waking
waking suddenly with alarm
dreamful and shallow sleep

55
Q

common causes of insomnia

A

yin and yang imbalance
heart blood xu
kidney yin xu and heart fire raging
heart/kidney xu

56
Q

normal menstruation

A

28 day cycle
blood for 3-5 days
50-100 mls
red, neither thin or thick, no clots

57
Q

what does condition of menstruation show

A

condition of zang fu, qi and blood

58
Q

early menstrual cycle

A

qi xu unable to control blood, excess yang and heat in blood, blood stasis in uterus

59
Q

delayed menstrual cycle

A

blood and yang xu, qi stagnation, blood stasis, liver qi stagnation

60
Q

increased volume menstruation

A

qi xu, blood stasis in uterus, damage to vessels

61
Q

colour of menses

A

light red, pale and watery - qi and blood xu
bright red, viscous, excess heat in the blood
dark red, clotted - blood stasis
dark brown, dry and stringy - blood dryness, old stasis

62
Q

evaluating emotions

A

ask how they are
look at their facial expression/eyes
listen to tone of voice and volume

62
Q

spleen and stomach functions are not fully developed until ___ years old

A

3

63
Q

vaccinations in children may cause internal _____ _____ to be trapped

A

wind heat

64
Q

match the emotion
excessive excitement/craving
makes the heart larger
insomnia/restlessness/overtalking/palpations
scatters heart/tongue red tip

A

joy

65
Q

match the emotion
irritability, frustration, resentment, bitterness, causes qi to rise, tongue red and red sides, also affects hear, stomach and intestines

A

anger

66
Q

match the emotion
common emotional cause of disease
knots qi causing stagnation
may affect lung, spleen, liver and heart
pale complexion

A

worry

67
Q

match the emotion
nostalgic hankering, reliving past events, excessive mental work in studying
in extreme - obsessive thoughts
tiredness
affects lungs, spleen, heart

A

pensiveness

68
Q

match the emotion
from bereavement, broken relationship or sense of self
affects lungs, heart, liver
depletes qi
shortterm will stagnate qi
unexpressed with tears injures kidney

A

sadness and grief

69
Q

match the emotion
clinically irrational reaction to objective stimulation
anxious, afraid and overcautious
unable to rationalize self
will actively avoid situations

A

fear

70
Q

match the emotion
scatters qi, affects heart and kidney relationship
sudden xu of heart qi
palpations, breathless and insomnia
uses kidney jing to supplement sudden loss of qi

A

shock/fright

71
Q

differentiation methods

A

8 principles
qi and blood theory
zang fu
meridians and collaterals

72
Q

what are the 8 principles

A

interior/exterior
cold/heat
yin/yang
xu/excess

73
Q

if external pathogens are not expelled they will transmit to interior

A

transmission from exterior to interior

74
Q

interior syndrome pathogens may move to superficial portion of body

A

transmission of interior to exterior

75
Q

what happens to cold syndrome if left untreated

A

may turn to heat and penetrate deeper - exterior cold transforming to interior heat

76
Q

true heat with cold

A

interior heat but exterior feeling cold

77
Q

true cold with false heat

A

cold held in interior body but exterior feeling of heat

78
Q

symptoms -
palpitations
cardiac pain
cyanosis of lips, face and nails
dark purple tongue
thready missed beat pulse

A

heart blood stagnation

79
Q

symptoms
mental depression
dullness
incoherent speech
weeping and laughing for no reason
sudden collapse
coma
gurgling sputum in the throat
coating white and sticky, pulse taut and rolling

A

phlegm misting the mind

80
Q

symptoms
sallow complexion
emaciation
lethargy
dislike of speaking
reduced appetite
abdominal distension or sinking, pressure sensation
loose stool
tongue pale, coating white and thin
pulse weak, slow, or soft and thready

A

spleen qi xu

80
Q

symptoms
feeble cough
short of breath worse on exertion
clear watery sputum
weak and no desire to talk
aversion to wind
spontaneous sweating
frigid appearance
tongue pale coating thin, white
pulse weak

A

lung qi xu

81
Q

symptoms
distension
fullness and pain in middle jiao
foul smelling burps
sour regurge
loss of appetite
vomiting
difficult bowel movements
coating thick and sticky pulse rolling

A

retention of food in stomach

81
Q

symptoms
pallor
dizziness
blurred vision
dry eyes
night blindness
limb numbness
tendon spasms
scanty menses
tongue pale, pulse thready

A

liver blood xu

82
Q

symptoms
sore, weak lumbar and knees
frequent urination
clear urine
dribbling after urination (incontinence when severe)
premature ejaculation
tongue pale, coating white
pulse thready and weak

A

kidney qi xu

TCM (10 decks)

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