Exam Prep - Final Flashcards
(241 cards)
1
Q
INQUIRY - EATING/DRINKING
Thirst with NO desire to Drink
A
Damp-Heat
Adequate BF not circulating
2
Q
INQUIRY - EATING/DRINKING
Excessive thirst and or craves cold drinks
A
Excess Heat
3
Q
INQUIRY - EATING/DRINKING
Slight or some thirst with sipping
A
Yin Deficiency
4
Q
INQUIRY - EATING/DRINKING
Unquenchable thirst, excessive urination, big eating with weight loss
A
Wasting & Thirsting syndrome “xiao ke”– Severe Yin Deficiency- Diabetes
5
Q
INQUIRY - EATING/DRINKING
Five of the main 6 Zang organs are involved, but mainly _______& _________
A
Spleen & Stomach
6
Q
INQUIRY - EATING/DRINKING
Excess or Deficient
A
If eating improves a condition = deficiency
If eating worsens a condition = excess
7
Q
INQUIRY - EATING/DRINKING
Eating/Appetite - Scope of Inquiry
A
Nature - loss of appetite, overeating, hunger w/No desire to eat or abnormal taste
Degree or severity
Amount of food intake
Preferences for warm, cold, a particular flavor Accompanying symptoms
8
Q
INQUIRY - EATING/DRINKING
Poor Appetite
A
SP Qi deficiency = failure of T&T, no fire needing to be fed
Acute external pathogen = wind-cold, etc.
Food Stagnation = (poor app, belching, bloating, dislikes pressure)
9
Q
INQUIRY - EATING/DRINKING
Excessive Appetite
A
ST Heat/Fire = eat and be hungry again soon after
Hunger w/no desire to eat or snacking (constant) = ST yin deficiency
Sweet Craving = Love deficiency
10
Q
INQUIRY - EATING/DRINKING
Abnormal tastes are present in the absence of
A
food and drink
11
Q
INQUIRY - EATING/DRINKING
By way of the meridian pathways the tongue can reflect zang-fu pathology - T or F?
A
True
12
Q
INQUIRY - DEFECATION/URINATION
Metabolic Wastes involve
A
T&T of SP/ST Free flow of LV Qi Dispersing and Descending of LU Warming of KD UB and SJ also involved
13
Q
INQUIRY - DEFECATION
Constipation - Excess Heat
A
Red tongue
rapid pulse
yellow coat
14
Q
INQUIRY - DEFECATION
Constipation - Cold
A
Yang deficiency: No movement Kidneys control the two lower Yin Sluggish Limited peristalsis
15
Q
INQUIRY - DEFECATION
Normal Defecation
A
1x/day, smooth, no discomfort; the feces is brown, soft and formed; no pus, blood, mucus, or undigested food
16
Q
INQUIRY - DEFECATION
Tenesmus (definition)
A
Constant feeling of need to empty the bowel (or bladder), may be with pain or cramping.
17
Q
INQUIRY - DEFECATION
Questions to ask Patient
A
Time & frequency of bowel movement Form of stool Color of stool Quantity of stool Smell Sensations during defecation Accompanying symptoms
18
Q
INQUIRY - DEFECATION
Abnormal Defecation Symptoms
A
Change in frequency: diarrhea, constipation
Change in form: shapeless, undigested food
Change in color: dark brown, black tar-like, red & white, grayish white
Change in sensation: unsmooth, tenesmus, burning, sagging feeling, incontinence
19
Q
INQUIRY - DEFECATION
Excess Heat Symptoms
A
Severe constipation Dry stools Abdominal pain Dry mouth Red Tongue, Rapid Pulse
20
Q
INQUIRY - DEFECATION
LV Qi Stagnation/Attacking Spleen
A
Small pieces of stool, “Goat pellets”, not dry, may alternate diarrhea, sx aggravated by emotional stress or lack of activity
21
Q
INQUIRY - DEFECATION
SP & LU Qi Deficiency
A
Dry or soft stool, days between movements, has desire but not enough energy, fatigue after bowel movement
22
Q
INQUIRY - DEFECATION
Blood and Yin Deficiency
A
Round dry stools, normal frequency but difficult to pass, older persons, post- partum women, dizzyness, pale complexion
23
Q
INQUIRY - DEFECATION
Acute Exterior Invasion
A
Can be cold or heat, stagnates LU function and transmits to LI
24
Q
INQUIRY - DEFECATION
Damp-heat lower jiao
A
Foul smell w/blood, mucus, burning sensation, Tenesmus
25
INQUIRY - DEFECATION
| Cold-damp invasion
Watery stool, abd pain better with warmth, borborygmus, Tenesmus
26
INQUIRY - DEFECATION
| Food stagnation
After overeating, smelly stools w/undigested food and copious foul gas
27
INQUIRY - DEFECATION
| LV Fire >SP
Tenesmus, induced/aggravated by emotional stress, alternating w/constip.
28
INQUIRY - DEFECATION
Change in Stool Form:
Yangming fu pattern
Dark watery stool w/foul smell, abd pain resists pressure, not relieved by passage of stool
29
INQUIRY - DEFECATION
Change in Stool Form:
SP deficiency
Loose stools, occasional undigested food, diarrhea worse after eating raw, cold or greasy food
30
INQUIRY - DEFECATION
Change in Stool Form:
KD Yang deficiency
Early morning diarrhea w/undigested food, usually follows intestinal borborygmus and abd discomfort which improves after passing diarrhea
31
INQUIRY - DEFECATION
Change in Stool Form:
Intestine Heat
Dry stool, dark color
32
INQUIRY - DEFECATION
Change in Stool Form:
LV Qi Stagnation
Goat Pellets
33
INQUIRY - DEFECATION
Change in Stool Form:
Blood deficiency
Small round stools, dry
34
INQUIRY - DEFECATION
Change in Stool Form:
SP/ST deficiency
Loose shapeless stool
35
INQUIRY - DEFECATION
Change in Stool Form:
SP Deficiency w/Damp
Initial stool hard followed by loose
36
INQUIRY - DEFECATION
Change in Stool Form:
LV/SP disharmony
Alternating loose and dry stool
37
INQUIRY - DEFECATION
Change in Stool Form:
KD/SP Yang
Loose w/undigested food
38
INQUIRY - DEFECATION
Change in Stool Form:
Damp-Heat LI
Stool w/yellow mucus
39
INQUIRY - DEFECATION
Change in Stool Form:
Food stagnation
Yellow sticky foul odor
40
INQUIRY - DEFECATION
Changes in Sensation:
Un-smooth defecation
Abdominal pain or incomplete = LV >SP or D-H in LI
41
INQUIRY - DEFECATION
Changes in Sensation:
Burning sensation in anus
D-H in LI
42
INQUIRY - DEFECATION
Changes in Sensation:
Tenesmus
Dysentery d/t D-H or KD def
43
INQUIRY - DEFECATION
Changes in Sensation:
Incontinence
SP and or KD yang def
44
INQUIRY - DEFECATION
Changes in Sensation:
Sagging feeling in Anus
Possible prolapse, SP Qi sinking
45
INQUIRY - DEFECATION
Changes in the Color of Stool -
Heat stagnation in intestines
Dark, yellow
| Damp-Heat jaundice(LV/GB):
46
Food and drugs can change color which would not suggest a pathology...True or False?
True
47
INQUIRY - DEFECATION
Changes in the Color of Stool -
Blood stasis (upper GI bleeding)
Black, tar-like, coffee grounds
48
INQUIRY - DEFECATION
Changes in the Color of Stool -
Blood Stasis/Heat/SP sinking (lower GI bleeding)
Red blood
| sent email to Dr. H for more info
49
INQUIRY - DEFECATION
Changes in the Color of Stool -
Damp-Heat dysentery
Red (blood) and white (pus)
50
INQUIRY - DEFECATION
Changes in the Color of Stool -
Damp-Heat, Jaundice (LV/GB)
(sent email to Dr. H for more info)
51
INQUIRY - DEFECATION
Abnormal Sensations -
Unsmooth defecation symptoms
Abd pain or incomplete = LV >SP or D-H in LI
52
INQUIRY - DEFECATION
Abnormal Sensations -
Burning sensation in anus
D-H in LI
53
INQUIRY - DEFECATION
Abnormal Sensations -
Tenesmus
Dysentery d/t D-H or KD def
54
INQUIRY - DEFECATION
Abnormal Sensations -
Incontinence
SP and or KD yang def
55
INQUIRY - DEFECATION
Abnormal Sensations -
Sagging feeling in anus
Possible prolapse, SP Qi sinking
56
SCOPE OF PALPATION
| Palpation of the body includes
Skin
Hands & Feet
Acupuncture Points/Meridians
Chest & Abdomen
57
SCOPE OF PALPATION
| Determine
Hot or Cold
Moist or Dry
Swollen or Distended
58
SCOPE OF PALPATION
| Exterior Heat
Heat is intense upon initial pressure but becomes mild after prolonged pressure
59
SCOPE OF PALPATION
| Interior Heat
Heat is mild upon initial pressure and becomes intense after prolonged pressure
60
SCOPE OF PALPATION
| Damp Heat
Skin not hot but sticky and or more heat with prolonged pressure
61
SCOPE OF PALPATION
| Yang Deficiency
Icy cold hand and feet which can extend above the knees and elbows
62
SCOPE OF PALPATION
| Yang Collapse
Icy cold extremities with oily sweat, pale face, weak deep pulse
63
SCOPE OF PALPATION
| LV Qi Stagnation
Cold extremities, but abdominal/chest temperature is warm or hot; also true heat false cold
64
SCOPE OF PALPATION
| Yang Stagnation
Cold fingers and toes that warm easily
65
SCOPE OF PALPATION
| Exterior Cold
Skin is not cold but patient feels cold
66
SCOPE OF PALPATION
| KD Yang Deficiency
Cold felt in the loins, lower abd and lower back
67
SCOPE OF PALPATION
| Wind Heat
Warm moist skin
68
SCOPE OF PALPATION
| Interior Excess Heat
Hot moist skin
69
SCOPE OF PALPATION
| Yang Deficiency Collapse
Cool moist skin
70
SCOPE OF PALPATION
| Wind-Cold Excess
Dry skin
71
SCOPE OF PALPATION
| LU Yin Deficiency
Dry skin
72
SCOPE OF PALPATION
| Bi Syndrome
Dry, rough and thick skin
73
SCOPE OF PALPATION
| Blood stagnation/Exhaustion of fluid
Scaly, dry skin
74
SKIN TEXTURE
Condition of Qi & Blood -
Moist and smooth
Qi and blood sufficient
75
SKIN TEXTURE
Condition of Qi & Blood -
Rough & Dry
Qi and blood defic & stagnation
76
SKIN TEXTURE
Condition of Qi & Blood -
Very dry and scaly
Blood stagnation/defic.
77
EXAMINING SWELLING
| Qi Swelling
Pitting is formed when pressed but returns to normal soon after pressure is released; indicates local qi stagnation
78
EXAMINING SWELLING
| Edema (water-swelling)
Pitting is formed when pressed, but does not return to normal soon after release of pressure; indicates dampness or water retention
79
SCOPE OF PALPATION
| Cold hands and feet indicate either
yang deficiency or yin excess
80
SCOPE OF PALPATION
| Hot hands and feet indicate either
yang excess or yin deficiency
81
SCOPE OF PALPATION
Hands/Feet -
KD Yang Deficiency
hands and feet are cold; sensation of cold may extend above the elbows and knees
82
SCOPE OF PALPATION
Hands/Feet -
Excess cold or Qi stagnation
cold only on hands and feet or below elbows and knees
83
SCOPE OF PALPATION
Hands/Feet -
Excess heat
hands and feet are warmer on the dorsum
84
SCOPE OF PALPATION
Hands/Feet -
Deficiency heat
hands and feet are warmer on the palms
85
SCOPE OF PALPATION
Hands/Feet -
Exterior Heat
forehead and dorsum of hands and feet is hotter than palm
86
SCOPE OF PALPATION
Hands/Feet -
Interior Heat
palms of hands and feet are hotter than the dorsum and forehead
87
INQUIRY - URINATION
| Enuresis definition
spontaneous urination while sleeping but controlled when awake
88
INQUIRY - URINATION
| Dysuria definition
difficult urination, passing as drops, low volume (mild, chronic)
89
INQUIRY - URINATION
| Anuria definition
absence of discharged urine despite the urge (severe, acute)
90
INQUIRY - URINATION
| Formation of urine is controlled by
Bladder w/help from Stomach, Spleen, Lung, Small Intestine, Kidney, Liver, SJ
91
INQUIRY - URINATION
| Normal urination
average 4-6 times/day, not at all or once at night, amount 1500- 2000ml (total), clear yellow color
92
INQUIRY - URINATION
| Frequency, color, and quantity are influenced by
fluid intake, air temp/relative humidity, sweating and age
93
INQUIRY - URINATION
| Scope of Inquiry
Urine color
Odor
Time and frequency Quantity
Sensations during urination Accompanying Sx
94
INQUIRY - URINATION
| Abnormal/Pathological Urination
zangfu dysfunction, deficiency of body fluid, dysfunction of qi hua, water retention
95
INQUIRY - URINATION
Scanty Urination
Excess Heat & Yang Def
● Excess heat, fluid loss: scanty yellow urine
| ● Yang defic: scanty and clear urine w/edema
96
INQUIRY - URINATION
| Copious Urination
● Xiao ke/Kidney Yin defic: thirst w/ large liquid intake, may be more yellow
● KD Yang defic: clear & copious
97
INQUIRY - URINATION
| Damp Heat qualities
urgent, dark-yellow, scanty, painful (uti), acute
98
INQUIRY - URINATION
| KD Qi Def qualities
clear, chronic, more mild than Kd yang, more daytime
99
INQUIRY - URINATION
| LV Qi Stagnation qualities
small amounts of urine initiated/aggravated by stress
100
INQUIRY - URINATION
| KD Yang Def qualities
much more frequent at night, chronic, cold signs
101
INQUIRY - URINATION
| Abnormal color
```
Excessive heat: yellow urine
Deficient cold: clear urine
Damp-heat: turbid yellow urine
Heat causing bleeding: red urine
Xiao ke disease: profuse milky/cloudy urine
```
102
INQUIRY - URINATION
| Abnormal Sensations or Elimination -
Burning pain = Damp-heat: urgent, frequent (uti), acute
103
INQUIRY - URINATION
| Abnormal Sensations or Elimination -
Dribbling urine = KD qi defic: dribble, drips after urination, chronic
104
INQUIRY - URINATION
| Abnormal Sensations or Elimination -
Incontinence = KD qi defic: spontaneous discharge of urine while awake
105
INQUIRY - URINATION
| Abnormal Sensations or Elimination -
Enuresis = KD qi defic: spontaneous discharge while sleeping, normal daytime
106
INQUIRY - URINATION
Abnormal Sensations or Elimination -
Dysuria/Anuria (difficulty eliminating, only dripping or complete absence of urine flow)
● KD Yang defic
● KD Stone/Blood Stasis = obstruction of
urinary tract
● Damp-heat lower jiao = impaired function of Bladder qi
107
INQUIRY - SLEEP
| Yin
night, dark, quiet, Spirit/shen and Qi move inward to the interior
108
INQUIRY - SLEEP
| Yang
day, bright, loud, Spirit/shen and Qi move outward to the exterior
109
INQUIRY - SLEEP
| Shen/Spirit
Shen/Spirit is more Qi and Yang but is “rooted” in and nourished by Blood and Yin
110
INQUIRY - SLEEP
| Main organ systems involved
Heart, Liver, Kidney, Spleen, Stomach
111
INQUIRY - SLEEP
| Scope of Inquiry
Sleeping time and hours
State of sleeping- easy or difficult to fall asleep, easily wakened, amount and intensity of dreams
Accompanying Sx- irritability, palpitations, thirst etc.
112
INQUIRY - SLEEP
| Insomnia
difficulty falling asleep
early awakening
intermittent waking or inability to sleep thru night
restlessness during sleep dream-disturbed sleep
113
INQUIRY - SLEEP
| Excess type Insomnia caused by LV Qi Stag w/Heat
dream-disturbed or restless sleep, induced or aggravated by emotional stress; hypochondriac pain/fullness, headache
114
INQUIRY - SLEEP
| Excess type insomnia caused by Phlegm heat disturbing heart
restless in bed, easily awakened, irritability; full/stifling sensation in chest, phlegm, nausea, cloudy thinking
115
INQUIRY - SLEEP
| Excess type insomnia caused by Food Stag
more difficulty falling asleep, abd discomfort, aggravated by large meal or late eating; acid regurg, foul belching
116
INQUIRY - SLEEP
| Excess type insomnia caused by Blood Stag
inability to sleep, severe agitation, anxiety, maybe chest pain; night fever, moodiness, palpitations, mania
117
INQUIRY - SLEEP
| Deficient type insomnia caused by HT & KD disharmony
difficulty falling asleep, intermittent waking; dizzy, poor memory, tinnitus, weak back, night sweat, 5 palm heat
118
INQUIRY - SLEEP
| Deficient type insomnia caused by HT & SP Def
easily falls asleep but sleep is light and shallow/easily awakened; poor memory, palpitations, poor app, fatigue
119
INQUIRY - SLEEP
| Deficient type insomnia caused by LV & HT Blood Def
difficulty falling asleep, dream-disturbed sleep, restlessness, irritability; anxiety, palpitations, night sweat
120
INQUIRY - SLEEP
| Deficient type insomnia caused by HT & GB Qi Def
difficult to fall asleep, fearfulness before sleep, easily awakened, waking up frightened, easily startled, timidity
121
EMOTIONS - DEPRESSION
| Excess - LV Qi Stagnation
depressed, feelings, moodiness, irritability, can be w/heat and or w/phlegm (plum-pit)
122
EMOTIONS - DEPRESSION
| Excess - Phlegm Fire Harassing HT/Mind
depression-anxiety, agitation, restlessness
123
EMOTIONS - DEPRESSION
| Excess - HT Blood Stasis
long-term depression, agitation, inability to sleep
124
EMOTIONS - DEPRESSION
| Excess - GB Heat
depression, irritability, bitter taste
125
EMOTIONS - DEPRESSION
| Deficiency - SP & HT Def
depression, fatigue, insomnia, palpitations
126
EMOTIONS - DEPRESSION
| Deficiency - HT Yang Def
depression, cold hands, palpitations, sob
127
EMOTIONS - DEPRESSION
| Deficiency - LV Blood Def
same as stagnation + bld defic signs
128
EMOTIONS - DEPRESSION
| Deficiency - KD & HT Yin Def
depression, anxiety, palpitations, night sweat
129
EMOTIONS - DEPRESSION
| Deficiency - KD Yang Def
depression, lack of motivation, no will power, cold, frequent urination
130
EMOTIONS - FEAR/ANXIETY
| Deficiency
In deficiency of yin or blood the shen and hun lose their residence in the blood and the patient will feel anxious
131
EMOTIONS - FEAR/ANXIETY
| Excess
In excess the shen and hun may be agitated or forced out of the blood by qi stagnation, blood stasis, heat or phlegm-heat
132
EMOTIONS - FEAR/ANXIETY
| Excess - HT Fire
severe anxiety, palpitations, panic attacks HT
133
EMOTIONS - FEAR/ANXIETY
| Excess - Blood stasis
severe anxiety, palpitations
134
EMOTIONS - FEAR/ANXIETY
| Excess - Phlegm-Fire Harassing HT
severe anxiety, manic behavior
135
EMOTIONS - FEAR/ANXIETY
| Excess - LV Fire
severe anxiety, h/a, anger outbursts
136
EMOTIONS - FEAR/ANXIETY
| Deficient - HT Blood Def
mild anxiety, insomnia, palpitations, poor memory
137
EMOTIONS - FEAR/ANXIETY
| Deficient - HT Yin Def
anxiety worse at night, palpitations, night sweat
138
EMOTIONS - FEAR/ANXIETY
| Deficient - LV Blood Def
mild anxiety, depression, insomnia, dream disturbed sleep
139
EMOTIONS - FEAR/ANXIETY
| Deficient - LV Yin Def
mild anxiety w/ LV yin signs
140
EMOTIONS - FEAR/ANXIETY
| Deficient - KD Yin Def
anxiety worse at night, poor will-power, tinnitus
141
EMOTIONS - FEAR/ANXIETY
| Deficient - HT & GB Qi Def
mild anxiety, timidity, insomnia
142
EMOTIONS - FEAR/ANXIETY
| Deficient - KD & HT Yin Def
anxiety worse at night, dizziness, tinnitus, palpitations
143
EMOTIONS
| Anger/Irritability
Irritability is similar to anger but broader in context and less intense
Propensity to anger is a Liver pattern
General mild irritability may involve any of the organ systems
144
EMOTIONS - WORRY/OVER-THINKING
| HT & SP Qi Def
By far the most common pattern
| worry, obsessive thinking, palpitations, poor appetite, poor sleep, poor memory, fatigue
145
EMOTIONS - WORRY/OVER-THINKING
| LU Qi Def
worry, sob, depression, fatigue
146
EMOTIONS - WORRY/OVER-THINKING
| HT Yin Def
worry worse at night, anxiety, restlessness, uneasiness, palpitations, irritability
147
EMOTIONS - SADNESS
| LU & HT Qi Def
sadness, crying, depression, sob, palpitations
148
EMOTIONS - SADNESS
| LV Blood Def
post-partum sadness, worse after menses, crying, feeling lost
149
EMOTIONS - SADNESS
| HT Blood Def
sadness, crying, depression
150
EMOTIONS - SADNESS
| LU & LV Qi Stag
sadness, plum-pit, mild irritability, depression, chest tightness, anxiety
151
MEN - IMPOTENCE
| KD Yang Def
feeling cold, weak sore back and knees, dizziness, tinnitus, clear frequent profuse urine
152
MEN - IMPOTENCE
| Damp-Heat in LV Channel
urethral discharge, irritability, heavy sensation in the scrotum
153
MEN - LACK OF LIBIDO
KD qi or Yang deficiency
| Severe qi deficiency or SP, HT, LU LV Qi Stagnation
154
MEN - PREMATURE EJACULATION
KD Qi not firm/Yin/Yang deficiency
HT Qi deficiency
HT Blood deficiency
Excess or Deficient heat in the Heart
155
MEN
| Tiredness and dizziness after ejaculation
KD Deficiency
156
PULSE
| Principle Positions
Cun
Guan
Chi
157
PULSE
| Rates (ages 1-4, 4-10, 10-16)
Age 1-4 years = 90+ beats/minute
Age 4-10 years = 84 beats/minute
Age 10-16 years = 78/80 beats/minute
158
PULSE
| Clinical Conditions
Fast = greater than normal heat
Slow = greater than normal cold
Can indicate the state of Yin and Yang
Slow pulse can indicate Yang or Qi deficiency
Fast pulse can indicate a Yin or Blood deficiency
159
PULSE
| The 3 levels
```
Qi = near top (radial artery)
Blood = near middle of vessel
Organ = near the bottom of vessel
```
160
PULSE
| Skin surface or Superficial level
Usually indicates an exterior disease
Felt by just resting fingers on the skin above the artery
For Board Exam: Qi depth & Superficial levels are the same (Macioca)
161
PULSE
| Energy levels
```
Superficial/Qi = Exterior
Middle = Stomach and Spleen
Deep = Interior
```
162
PULSE
| Organs (levels)
```
Superficial/Qi = Heart-Lungs
Middle = Stomach-Spleen
Deep = Kidneys
```
163
PULSE
| Left arm
HT
LV
KD
"I left my heart in Liverpool"
164
PULSE
| Right arm
LU
SP
KD
165
PULSE
| Normal
Rate: 4-5 beats per breath
Moderate in depth, force, size
Smooth flow with regular rhythms
166
PULSE
| Rates (16-35, 35-50, 50+)
Age 16-35 years = 76 beats/minute
Age 35-50 years = 72/70 beats/minute
Age 50+ years = 68 beats/minute
167
PULSE
| Floating Tight
Floating Tight = Wind Cold
168
PULSE
| Floating Rapid
Floating Rapid = Wind Heat
169
PULSE
| Floating Empty
Floating Empty = Yin Deficiency
170
PULSE
| Floating Weak
Floating Weak = Prolonged illness
171
PULSE
| Floating Diffuse
Floating Diffuse = Exterior Deficiency
172
PULSE
| Deep Forceful
Deep Forceful:
Interior Excess (heat/cold)
Qi/Blood Stagnation
173
PULSE
| Deep Weak
```
Deep Weak:
Interior Deficiency (Qi or Yang)
```
174
PULSE
| Slow
Under 3 beats/breath (40-60 bpm)
Can be normal for athletes
Can be indicative of Blood Thick (sticky blood)
175
PULSE
| Slow Weak
Slow Weak = Cold Yang Deficiency
176
PULSE
| Slow Forceful
Slow Forceful = Excess Cold
177
PULSE
| Rapid
More than 5 beats/breath (90-120 bpm)
Heat patterns (blood accelerated)
Fever, Heart disease, anemia hyperthyroid, myocarditis
178
PULSE
| Rapid Forceful
Rapid Forceful = Full Heat
179
PULSE
| Rapid Weak
Rapid Weak = Yin Def Heat
180
PULSE
| Empty
Forceless in all 3 levels
Indicates deficiency across the board
- Qi, Blood, Zang-fu
- Weak Root/KD Deficiency
181
PULSE
| Full Rapid
Full Rapid = Excess Heat
182
PULSE
| Full Slow
Full Slow = Excess Cold
183
PULSE
| Two possible diagnosis for Full pulse
Food Stagnation
| Qi Stagnation
184
PULSE
| Slippery
Smooth, rounded and slides under the fingers
Phlegm/Damp
Food retention
Pregnancy
185
PULSE
| Choppy
```
Feels rough under the fingers
Jagged edge, like a sawtooth blade
Blood & BF Deficiency (excess vomiting of sweating)
Severe Blood Stasis
Generally indicates Blood Deficiency
```
186
PULSE
| Long
Waveform is overextended
Feels longer than normal
Gen. indicates Heat patterns, which can be associated w/stagnations
i.e. constipation
187
PULSE
| Short
Waveform of shortened
Feel shorter than normal
Indicates Severe Qi Deficiency, predominately ST Qi Deficiency
188
PULSE
| Overflowing
```
Feels big
Extends beyond the principal positions
Superficial
“Flooding River”
Indicates Extreme Heat
```
189
PULSE
| Overflowing Empty
Overflowing Empty = Yin Deficient Heat
190
PULSE
| Fine/Thin
Thinner than normal
Indicates:
- Blood Deficiency or
- Internal Damp w/Severe Qi Deficiency
191
PULSE
| Minute
```
More so than Thin/Fine
Difficult to feel
Indicates severe deficiencies
Qi, Blood, Yang and Yin
Critical
```
192
PULSE
| Tight
Feels like twisted thick rope
| Pain and or Cold
193
PULSE
| Tight Floating
Tight Floating = Exterior Cold
194
PULSE
| Tight Deep
Tight Deep = Interior Cold
195
PULSE
| Wiry
```
Feels like a Guitar string
Harder than a Tight pulse
‘Hits fingers’
Pain
LV disharmonies
Phlegm
GB Damp Heat
```
196
PULSE
| Tense
```
Like a stretched rope/string
In between Tight and Wiry
Cold
Pain
Food Retention
```
197
PULSE
| Hollow
Felt only at the Superficial and Deep levels, absent middle quality
Indicates post hemorrhage
Rapid and slightly hollow indicates forthcoming blood loss
198
PULSE
| Leather
Hard and Tight at the Superficial level
Drum skin like
Empty at Middle and Deep levels
Critical/severe Deficiency of KD Essence or Yin
199
PULSE
| Firm
Felt only at Deep level and feel Hard and Wiry
Similar to Wiry pulse buy only at the Deep level
Interior Stagnation pain
Interior Cold/Hernia
200
PULSE
| Soft/Soggy
Felt Superficially, lacks strength and will disappear with pressure
Yin & Essence Deficiency
Damp Syndromes
201
PULSE
| Weak
Only felt at the Deep level
Forceless, Thready/Thin
Extreme Yang Deficiency
202
PULSE
| Scattered
Superficial, feels broken into small dots or pieces
Critical, indicates severe Qi and Blood Deficiency
Organ failure, Extreme Deficiency
203
PULSE
| Hidden
```
Feels hidden beneath the bone
Extremely Deep, Forceless & Thready/Thin
Extreme Yang Deficiency
Profuse bleeding
Hypotension 60/30
Heart Shock
Severe pain
```
204
PULSE
| Moving
Feels like a vibration or electrical
‘Spinning Bean’
Indicates sudden shock, anxiety, fright or extreme pain
Typically found in the Guan position
205
PULSE
| Hasty
Rapid and stops at irregular intervals
Extreme Heat
Heart Qi Deficiency
Heart Fire
206
PULSE
| Knotted
Slow and stops irregularly
Indicates Cold and Deficiency of HT Qi
HT disease
Cold Phlegm
207
PULSE
| Intermittent
Stops at regular intervals
Always indicates a serious issue with Zang organs
Stops 4 beats or less
208
PULSE
| Hurried
Very rapid
Feels agitated and urgent
Excess Yang & Fire Exhausting Yin
209
PAIN - HEAD & BODY
| Distending Pain
```
Pain feels swollen or with pressure
Sudden onset
Comes and goes
Qi stagnation
Hyperactivity of Liver Yang/LV fire
```
210
PAIN - HEAD & BODY
| Stabbing Pain
```
Boring pain
Fixed location
Sharp, severe
Small area
Blood stasis
```
211
PAIN - HEAD & BODY
| Unfixed Pain
Migrating pain
Moves without a definite location
Wind Bi Syndrome
Qi stagnation
212
PAIN - HEAD & BODY
| Fixed Pain
Cold Bi Syndrome
| Blood Stasis
213
PAIN - HEAD & BODY
| Cold Pain
```
Usually localized
Can be cramping or spastic
Cold sensation
Yang Qi Deficiency
Exterior Cold Invasion
```
214
PAIN - HEAD & BODY
| Burning Pain
Burning sensation
Localized
Yang Excess (internal/external)
Yin Deficiency
215
PAIN - HEAD & BODY
| Colic Pain
Severe
Twisting knife
Larger area
Excess syndrome
216
PAIN - HEAD & BODY
| Dull Pain
Mild
Chronic
Deficiency of Yin or Blood
Deficiency of Yang or Qi
217
PAIN - HEAD & BODY
| Heavy Pain
Often in limbs
Achey
Dampness
218
PAIN - HEAD & BODY
| Aching Pain
Mild to more severe
Often with heavy or dull
Exterior Dampness
KD Deficiency
219
PAIN - HEAD & BODY
| Hollow Pain
Empty and light feeling
Preference for pressure and warmth
Qi & Blood Deficiency
Essence Deficiency
220
PAIN - HEAD
| YangMing channel
Yangming channel headache= LI/ST
221
PAIN - HEAD
| ShaoYang channel
Shaoyang channel headache = GB/SJ
222
PAIN - HEAD
| TaiYang channel
Taiyang channel headache = BL/SI
223
PAIN - HEAD
| JueYin channel
Jueyin channel headache = LV/PC
224
PAIN - HEAD
Exterior Types (Excess)
Diagnosis
Wind Cold
Wind Heat
Wind Damp
225
PAIN - HEAD
Internal headache (Deficiency)
Diagnosis
Qi Deficiency
Blood Deficiency
KD Deficiency
SP Deficiency
226
PAIN - HEAD
| Diagnosis
Phlegm
LV Fire flares upwards
Blood Stasis
227
PAIN - HYPOCHONDRIAC
| Diagnosis
```
LV Qi Stagnation
Shaoyang syndrome
Damp Heat in LV/GB
LV Blood Stagnation
LV Fire Stagnation
LV Yin Deficiency
```
228
PAIN - ABDOMINAL
| Diagnosis
```
Deficiency syndrome
Excess syndrome
Cold syndrome
Heat syndrome
Intestinal Parasites
Enuresis
```
229
PAIN - BACK
| Diagnosis
```
Wind-Cold in Taiyang
Damp-Heat
Wind-Damp-Cold
Blood Stasis
KD Deficiency
```
230
PAIN - LIMBS
| Diagnosis
```
Migratory Arthralgia (Wind)
Cold Arthralgia
Damp Arthralgia
Heat Arthralgia
Blood Stasis
Qi & Blood Deficiency
KD & LV Deficiency
```
231
PAIN
General Aches
Diagnosis
```
Wind Cold
Damp
Qi & Blood Deficiency
Blood Deficiency
Blood Stasis/Cold
```
232
INQUIRY - CHILLS
Cold sensation felt by patient
Aversion to Wind
Aversion to Cold
Intolerance to Cold
233
INQUIRY - FEVER
```
Sensation of heat felt by patient
Can be just a subjective feeling or an actual elevation of body temp
Low grade fever
- Tidal fever
- High fever
```
234
INQUIRY - LOW GRADE FEVER
| Qi/Yang Deficiency:
Intermittent
Occurs in morning or afternoon
Induced or worsened by activity
Middle burner Qi Deficiency leading to stagnation producing heat
235
INQUIRY - LOW GRADE FEVER
| Blood Stagnation:
PM or nighttime
Localized sensation of heat w/fixed and sharp pain
After a traumatic injury
Stagnation transforming into heat
236
INQUIRY - LOW GRADE FEVER
| Qi/Yin Deficiency:
Usually late afternoon or nighttime - especially in hands, feet, chest - Malar flush
Yin Deficiency leads to relative Yang Excess and endogenous heat
237
INQUIRY - TIDAL FEVER
| Yin Deficiency:
Usually late afternoon or nighttime - especially in hands, feet and chest - Malar flush
Yin Deficiency leading to relattive Yang Excess and endogenous heat
238
INQUIRY - TIDAL FEVER
| Damp Heat:
Initially skin feels normal
Prolonged touch feels hot, worse in PM
Sweat alleviates a little but heat quickly returns
Damp_heat in middle burner prevents heat from radiating outward
Dampness is sticky and hard to resolve, becomes prolonged and chronic
239
INQUIRY - TIDAL FEVER
| YangMing Fu Syndrome:
High grade tidal fever
Occurs and aggravated between 3-5pm
‘The 4 Bigs’: Big thirst, Big pulse, Big fever, Big sweat
Yangming peaks at 3-5pm (when pathogenic battle is strongest)
240
INQUIRY - SWEAT
| Exterior Wind-Cold Invasion
```
Acute onset
Severe chills
Mild fever
No sweat
HA and body aches
nasal obstruction
```
241
INQUIRY - SWEAT
| Nutritive/Defensive qi disharmony d/t exterior pathogen
```
Spontaneous seating
Aversion to Wind
Body aches
Fever
Chills
Sneezing
```
