Emotions

Question 1

white facial complexion, breathlessness, fatigue, weak voice, timidity, lack of courage, indecision, easily frightened, waking up early in morning, copious dreams

t: pale w/ thin white coating
p: weak

Answer 1

HT qi deficiency w/ GB timidity (HT-GB qi deficiency)

pathogenesis: HT governs mind, GB is upright official that makes decisions; if HT qi is calm, GB qi will not be inhibited

Question 2

mental restlessness, insomnia, tidal fever, night sweating, thirst at night, five centre heat, easily frightened, lustreless facial complexion, pale nails

t: pale or red w/ thin or little coating
p: thready-rapid

Answer 2

yin and blood deficiency

pathogenesis: HT blood deficiency causes insecure HT and mind; this leads to being easily frightened

Question 3

fullness and distention in chest and hypochondrium, depressed mood, irritability, easily frightened, pale facial complexion and nails, irregular menstruation

t: dull or pale w/ thin white coating
p: thready-wiry

Answer 3

LV blood deficiency

pathogenesis: HT blood is also deficient if LV blood is injured; Hun is not secure and HT cannot control mind; scattered and disoriented HUN and mind lead to being easily frightened

Question 4

irritability, agitation, manic behaviour, headache, dizziness, insomnia, easily frightened, dry mouth, bitter taste

t: red w/ thick yellow greasy coating
p: slippery-rapid

Answer 4

phlegm-fire harassing HT

pathogenesis: phlegm fire harassing upward causes restless HT and mind (emphasis here is on phlegm)

Question 5

red face and eyes, irritability, easily frightened, mouth and tongue ulcers, preference for cold drinks, laughing and muttering to oneself

t: red tip w/ thin yellow coating
p: rapid

Answer 5

HT fire

pathogenesis: blood is where mind resides; excess fire in HT disturbs blood, affecting the mind (emphasis here is on fire)

Question 6

ceaseless laughter, excited and talkative, even speaking nonsense, irritable, restless, thirsty, likes to drink cold water, red face, tongue and mouth ulcers

t: red w/ thin yellow coating
p: rapid

Answer 6

HT fire blazing

pathogenesis: HT is related to joy and associated w/ laughter; mind cannot reside in HT b/c of blazing HT fire, resulting in abnormal joy and inappropriate laughter

Question 7

uncontrolled and ceaseless laughter, drooling saliva, irritability, bitter taste, strange behaviour, red face, mental dullness, insomnia, easily frightened and angry, dull eyes

t: red w/ yellow greasy coating
p: slippery-rapid

Answer 7

phlegm-fire harassing HT

pathogenesis: long standing depressed mood and emotions injure SP and ST; impaired T&T fx leads to accumulation of dampness from which phlegm is generated; stagnated phlegm turns into fire which ascends to harass orifice and mist the mind

Question 8

mood fluctuations, laughing w/o reason, anger, fullness and distention of hypochondrium and chest, frequent sighing, rash and explosive behaviour, sleep w/ copious bad dreams

t: red w/ thin yellow coating (dry, greasy)
p: wiry-rapid

Answer 8

LV fire blazing, affecting mind

pathogenesis: wishes cannot be fulfilled and extreme anger injures LV qi-regulating fx; LV qi mechanism becomes stagnated, and over time stagnated qi turns into fire; LV fire disturbs HT, causing mind and Hun insecurity

Question 9

uncontrolled laughter w/o reason, soreness of knees and lower back, dizziness, tinnitus, palpitations, insomnia, dream-disturbed sleep, five-centre heat, irritability, seminal emission, night sweating

t: red w/ little coating
p: thready-rapid or wiry-thready-rapid

Answer 9

HT-KD disharmony

pathogenesis: HT fire cannot be restrained by the deficient KD yin water and floats upward to disturb mind; mind is therefore insecure

Question 10

long-lasting symptoms, self-muttering and smiling, laughing w/o strength, dull spirit despite laughter, lassitude of mind, breathlessness, unwilling to talk and move

t: dull purplish w/ stasis dots and thin white coating
p: wiry-soggy

Answer 10

qi deficiency w/ blood stasis

pathogenesis: long-standing uncured disease leads to HT qi deficiency which in turn causes blood stasis obstruction inside

Question 11

propensity to sadness and weeping, depression w/ low spirit, palpitations, breathlessness, slow movement, insomnia, spontaneous sweating, night sweating

t: pale w/ white coating
p: weak

Answer 11

HT-LU qi deficiency

pathogenesis: LU is related to grief; depleted LU qi leads to depression and low spirit; deficient HT qi causes palpitations and breathlessness

Question 12

wandering and restless mind, propensity to sadness and weeping, restlessness, insane or psychotic behaviour, constipation, dyspnea, sob, aggression

t: red, slightly dry
p: thready-wiry

Answer 12

Zang Zao (hysteria)

pathogenesis: pensiveness or unresolved worries injure HT and SP; HT lacks nourishment from blood as the HT yin is deficient

Question 13

fear w/ palpitations, soreness and weakness of lower back and knees, absent-mindedness, forgetfulness, seminal emission, night sweating, insomnia, cold limbs, cold body, fatigue, weakness

t: pale w/ white coating or red w/ little coating
p: deep-thready-weak or thready-rapid

Answer 13

KD essence deficiency

pathogenesis: KD stores essence and houses willpower; in case of chronic illness or excessive sexual activities, essence becomes consumed and depleted, leading to feat w/o any cause

Question 14

easily frightened, pale facial complexion, fatigue, breathlessness, spontaneous sweating, palpitations

t: pale w/ white coating
p: weak

Answer 14

qi-blood deficiency

pathogenesis: HT governs blood and controls mind; if HT lacks nourishment because of qi-blood deficiency, leads to easy fright

Question 15

always fearful feeling, indecision, hypochondriac discomfort

t: pale red w/ thin white coating
p: empty-wiry or weak

Answer 15

LV-GB qi deficiency

pathogenesis: LV stores blood and is residence of Hun; LV cannot hold Hun and Gb lacks determination in case of LV-GB deficiency; easy fright from daily problems and has feeling of being caught by other people

Question 16

distending or scurrying pain of hypochondrium and chest, frequent sighing, depressed mood

t: pale red w/ white or yellow coating
p: wiry

Answer 16

LV qi stagnation

pathogenesis: emotional disturbances and suppressed resentment injure LV; LV qi circulation lacks fluency and qi mechanism is impaired, resulting in qi stagnation

Question 17

agitation, short temper, distending pain of head and eyes, bitter taste, dry throat, hypochondriac and chest fullness and oppression

t: red w/ yellow coating
p: wiry-rapid

Answer 17

LV-GB excess fire

pathogenesis: long-lasting LV qi stagnation turns into fire, leading to LV-GB fire rebelling upward

Question 18

agitation, short temper, hypochondriac and chest oppression, fatigue, weakness, poor appetite, abdominal bloating, abdominal pain, loose stool

t: pale red w/ thin white coating
p: wiry-forceless

Answer 18

LV-SP disharmony (LV qi attacking SP)

pathogenesis: in SP-deficient constitution, weakened SP is being taken advantage of by LV, leading to syndrome w/ SP deficiency and LV qi overacting manifestations

Question 19

agitation, dizziness, tinnitus, sore lower back and knees, tidal fever, five centre heat, hypochondriac and chest oppression

t: red w/ little coating
p: thready-rapid

Answer 19

LV-KD yin deficiency

pathogenesis: LV lacks nourishment from KD water which is deficient; eventually LV-KD yin deficiency is ensured w/ LV yang hyperactivity

Question 20

bad mood, chest oppression, thinking all day, epigastric distention, no desire to drink or eat, difficulty falling asleep, profuse dreams, easily startled

t: dull w/ thin white coating
p: wiry

Answer 20

HT-SP qi stagnation (milder version of HT-SP qi deficiency)

pathogenesis: bad and restricted mood due to mental strain or stress, or pensiveness due to unresolved worry leads to qi stagnation of HT and SP

Question 21

worrying and over-pensiveness, melancholy, prone to crying, unwilling to speak, fatigue, spontaneous sweating, low spirit and depressed will

t: pale w/ thin white coating
p: wiry

Answer 21

LU qi deficiency

pathogenesis: LU governs qi and sadness dissolves qi; weak constitution or over-sadness leads to LU qi deficiency; qi stagnation comes after when D&D fx of LU is impaired

Question 22

feeling of distention in hypochondrium and chest, sighing, silence, poor appetite, bitter taste, dizziness

t: white coating
p: wiry

Answer 22

LV qi stagnation

pathogenesis: emotional disturbances and over-stimulation of mind injure LV; LV qi circulation lacks fluency and qi mechanism is impaired, resulting in qi stagnation

Question 23

propensity to sighing, breathlessness, spontaneous sweating, fatigue, poor appetite

t: pale, puffy w/ white coating
p: thready

Answer 23

qi deficiency

pathogenesis: over-taxation or chronic illness leads to qi depletion; Zong qi (pectoral qi) is then stagnated due to qi lacking its propelling power

Question 24

impatience, irritability, impulsive behaviour, raving, talking nonsense, delusions of grandeur, climbing high to sing, undressing to run around, red face and eyes, dizziness, headache

t: red w/ yellow greasy coating
p: wiry-slippery-rapid

Answer 24

phlegm-fire harassing mind/spirit

pathogenesis: patient already has hyperactive yang qi; stagnated LV qi due to emotional upset further inflates the yang qi, stirring up phlegm and fire evils to harass the mind

Question 25

mental depression, apathy, indifference, dull facial expression, mute, slow movement, over-worrying, self-guilt, fatigue, weakness, poor appetite, loose stool t: puffy w/ teeth marks, white-greasy coating p: slippery or deep-moderate

Answer 25

phlegm-qi stagnation pathogenesis: patient has weak constitution; over-worrying causes stagnated qi in LV, injures HT and SP; HT lacks nourishment from resulting qi-blood deficiency

Question 26

unstable emotions, naive or silly behaviour, fullness and distention of hypochondrium and chest, generalized bodily discomfort, dull facial complexion, dysmenorrhea, dark scanty menstruation, or amenorrhea t: dark w/ little coating p: soggy or wiry

Answer 26

qi-blood stagnation pathogenesis: suppressed emotions and over-worrying lead to qi and blood stagnation; clear orifice thus lacks nourishment; one will feel like dreaming as the brain qi and organ qi are not connected; manifested as labile emotions and naive/silly behaviour

Question 27

plain emotion, anxiety, nervousness, agitated, insomnia, symptoms lingering, dry stool, scanty dark urine, red cheeks, dry mouth, tinnitus, five centre heat t: red w/o coating, or crimson w/ peeled coating p: thready-rapid

Answer 27

yin deficiency w/ deficient fire pathogenesis: yin not able to control HT fire; empty fire blazes up to disturb the mind, which already lacks nourishment, thus manifested as delusion

Question 28

indifferent emotion, absentmindedness, slow reaction, poverty of thought, pale and lustreless facial complexion, cold body, cold limbs, fatigue, weakness t: pale w/ thin white coating p: deep-thready

Answer 28

qi-blood deficiency pathogenesis: long-standing unresolved qi stagnation injures SP and KD, leading to qi and blood dual deficiency, thus manifested as slow reaction, poverty of thought, and delusion