HT SI LU LI patterns - exam prep Flashcards

Question

Heart Qi Deficiency vs Heart Blood Deficiency

Answer 1

**Heart qi xu** Fright or continuous palpitations, chest tightness, shortness of breath that worsens on exertion, fatigue, pale face, spontaneous sweating Tongue: Pale tongue with white coating Pulse: Weak pulse, rapid pulse without strength, **knotted pulse, or abrupt pulse** **Key Symptoms: Fright or continuous palpitations, chest distress, plus qi deficiency** **Heart Blood xu** Fright or continuous palpitations, insomnia, **dream-disturbed sleep, dizziness, poor memory and concentration**, pale or sallow complexion, pale lips, pale nails Tongue: Pale Pulse: **Thin and weak** **Key Symptoms: Palpitations, insomnia, poor memory, plus blood deficiency**

Answer 2

**Heat Phlegm Obstructing the Lung** Agitation, insomnia Red tongue, Thick or greasy yellow tc Rapid slippery pulse **Heat Congesting the Lungs** High fever, flaring nostrils, rapid breathing Chest pain Dry stool, dark urine Red tongue, yellow tc Rapid pulse **Wind-Heat Invading the Lungs** Sl. aversion to wind / cold red tongue tip, thin yellow tc Superficial and rapid pulse **Warm Dryness Invading the Lung** Dry mouth Sl. red tongue w thin white coat Superficial and rapid pulse

Answer 3

Overall, warm dryness presents with obvious dry signs, in addition to heat. Dryness predominates over heat **Warm dryness** Heat damages body fluid Late summer, early autumn Yellow or blood streaked sputum Pref cold drinks Sl. red tongue, thin white tc Rapid pulse **Cool dryness** Cold constricts and obstructs body surface/channels Late autumn, early winter Sl. aversion cold, No sweat, white sputum, HA Normal tongue, thin dry tc Sl. tight pulse

Answer 4

Key Points: 1. Course of illness: chronic and long vs. acute and short 2. Exterior signs, i.e., chills and fever 3. Tongue and pulse **Common:** Cough, panting, thin clear sputum **Wind-Cold Invading the Lung** acute, chills and fever Thin white tc Superficial, tight pulse **Cold Invading the Lung** subacute Thin white tc Deep, tight, slow pulse **Cold-Phlegm Obstructing the Lungs** chronic Greasy white tc Slippery pulse

Answer 5

**exterior** pathogenic dryness attacking the Lung and damaging Lung yin. Also called ‘lung dryness’ or ‘exterior dryness’. Depending on accompanying pathogens, it may manifest as warm-dryness 溫燥 wēn zào, or cool-dryness 涼燥 liáng zào Clinical Manifestations: Dry cough, scanty sticky sputum or blood-stained sputum, difficult expectoration, Dry mouth, dry throat and dry nose, or nosebleeds, cough with blood, dry stool, scanty urine. accompanied by **fever, slight chills**, and absent or slight sweating. Tongue: Thin and dry tongue coating **Pulse: Superficial AND rapid, or superficial AND tight** **Key Points: dry cough with scanty sticky sputum, dry mouth, throat and nose, plus mild exterior sx.**

Answer 6

Causes Aging, weak constitution Overconsume cold foods Sx **Loose stools, diarrhea, AND constipation** Abdominal pain, likes warmth and pressure Cold intolerance, cold limbs, low energy **Flabby, pale tongue, white glossy tc** **Deep, feeble pulse**

Answer 7

**Large Intestine Deficiency cold** Causes: Aging, weak constitution, Overconsume cold foods Sx Loose stools, diarrhea AND Constipation Abdominal pain, likes warmth and pressure Cold intolerance, cold limbs, low energy Flabby, pale tongue, white glossy tc Deep, feeble pulse **LI damp heat** Loose stools and diarrhea, possible fever No constipation T: Red tongue, yellow greasy tc P: Rapid pulse **Large Intestine Heat Accumulation** Interior heat condition. Excess heat + accumulation in intestines Tidal fever: A high-grade fever aggravated between 3-5 pm (Yang Ming Fu). Abd pain resistant to pressure Severe constipation diarrhea dark green + foul odor Coma, delirium, manic, irritable, insomnia Thirst, desire drink Tongue thick dry yellow tc, or dark brown tc with thorns Pulse deep, forceful **LI dryness** constipation dy mouth, thirst dry skin, dry tongue coat **thin** pulse

Answer 8

thin pulse

Answer 9

Chronic depression, aversion to speaking or mumbling to oneself, laughing or crying inappropriately

Answer 10

Schizophrenia, neurosis, psychosis, OCD, anxiety, ADD/ADHD Irritability, flushed face, restlessness, agitations, fidgeting, vexation, **shouting**, manic behavior, bitter taste, fever, insomnia, yellow urine, constipation, thirst, red tongue with yellow coating, rapid pulse

Answer 11

HEART VESSELS OBSTRUCTED BY BLOOD STASIS Clinical Manifestations: Continuous palpitations, tight sensation or distress in the chest, intermittent chest pain attacks, and pain radiating to the shoulders and arms. Tongue and pulse: n.a. Key Symptoms: **Palpitations, chest tightness and distress with pain** **Yin Deficiency signs and symptoms will not be present in Heart vessel obstr**

Answer 12

**Small Intestine Deficiency Cold** Copious, frequent urination **Large Intestine Deficiency Cold** Dull abdominal pain, prefer warmth relieved by pressure, intolerance of cold, cold limbs, a flabby tongue, a slow feeble pulse; fecal incontinence, rectal prolapse Duck drops **Large Intestine Cold-Dampness** Acute Severe watery stool with borborygmus, cold pain of the umbilicus and abdomen, Pulse may be wiry or tight Watery stools, diarrhea **Small Intestine Qi Stagnation** Acute caused by improper diet, Excessive emotions, especially anger, wailing Lower abdominal twisting colicky pain, which may extend to the stomach area, abdominal distention, dislike of pressure on the abdomen, borborygmus, flatulence and abdominal pain relieved by passing gas. More gas than bowel

Answer 13

blood stasis: **Sharp pain needle prick** purple tongue or purple spots on the tongue, a thready and choppy pulse Phlegm **Heavy and tight pain**, heavy sensation in the body, tiredness, white greasy tongue coating, deep and slippery pulse

Answer 14

LUNG YIN DEFICIENCY Dry cough Low-grade fever in the afternoon and evening Thirst, small sips Dry cough without sputum, or with sticky scanty sputum, or blood-tinged sputum, Difficult expectoration, dry mouth, emaciation, hoarse voice, low-grade fever in the afternoon and evening, malar flush, night sweats, five-center heat Tongue: Red tongue with scanty coating Pulse: Thin rapid **LUNG QI DEFICIENCY with PHLEGM HEAT** + Feeble cough and panting that is worse with exertion, copious thin, clear sputum; shortage of Qi, shortness of breath, aversion to speaking, weak voice, fatigue, low energy, spontaneous sweating, Sensitivity to wind, easily catches cold, pale complexion + Barking cough with profuse sticky yellow or green phlegm, difficult to expectorate. Thirst, agitation, insomnia Tongue: Pale tongue with thin white coating Pulse: Weak or Tongue: Red Pulse: Rapid pulse

Answer 15

WIND COLD ATTACKING THE LUNG Clinical Manifestations: Cough with thin clear sputum, aversion to cold, fever, headache, body ache, and nasal congestion and discharge with snivel, hoarseness or loss of voice Tongue: Thin white coating Pulse: Superficial and tight COLD DAMPNESS IN THE LARGE INTESTINE Symptoms and signs: acute onset, rumbling intestines, cold pain of the umbilicus and abdomen, clear and watery diarrhea Tongue: white and glossy tongue coating Pulse: Moderate

Answer 16

lung qi xu yin deficiency sx HT fire Red face and lips, irritability, anxiety, vexation, insomnia, bitter taste, thirst, canker sores on lips or tongue. Tongue: Red tongue tip, or deep red tongue with yellow coating Pulse: Rapid In some cases, there are manic behaviors, delirium, nosebleed, vomiting blood, or skin sores or boils. There may also be painful and burning urination.

Answer 17

Lung Qi and Yin Deficiency with Heat Phlegm Obstructing the Lung Qi xu yin xu signs Heat phlegm: thirst, agitation, insomnia Productive cough, wheezing, shortness of breath, distress and tightness in the chest, phlegm in the throat, feeling of heaviness, thick tongue coating, slippery pulse. Barking cough with profuse sticky yellow or green phlegm, difficult to expectorate.

Answer 18

Lung Qi Deficiency and Cough with expectoration of thin **white** sputum, worse with **exposure to cold or at night**. Other: **Cold hands and feet**, pale tongue, slow pulse

Answer 19

**Phlegm fire harassing the Heart** Fever, irritability, red face and eyes, thirst, heavy breathing, bitter taste in the mouth, manic agitation, incoherent speech, mental confusion, **rash and violent behavior**, uncontrolled laughter or crying, shouting, muttering to oneself, or even **coma** and delirium Tongue: Red tongue with yellow greasy coating Pulse: Slippery and rapid **Large Intestine heat accumulation** Interior heat condition. Excess heat + accumulation in intestines **Tidal fever**: A high-grade fever aggravated between 3-5 pm indicates Yang Ming Fu syndrome. Abdominal pain resistant to pressure Severe constipation, diarrhea dark green + foul odor Coma, delirium, manic, irritable, insomnia Thirst, desire drink Tongue thick dry yellow tc, or dark brown tc with thorns Pulse deep, forceful **Small Intestine excess fire** Frequent urination with **painful, urgent, and burning sensation**, scanty dark yellow urine or bloody urine, irritability, thirst with desire to drink cold water, sore throat canker sores, tongue ulcers. Tongue: A red tongue with yellow coating Pulse: Rapid There may also be early stage exterior symptoms; e.g., fever and chills and a superficial pulse Key Symptoms: Frequent urination with painful, urgent, and burning sensation, bloody urine, plus interior excess heat signs and symptoms **Large Intestine damp-heat** **Diarrhea, loose stool** Sticky stools, foul odor Blood and pus Tenesmus Fever mild chills, superficial pulse Scanty yellow urine Thirst T: Red tongue, yellow greasy tc P: Rapid pulse

Answer 20

Lung Qi Deficiency qi xu + cough Heart Qi Deficiency qi xu + palpitations Heart Blood Deficiency blood xu + palpitations Cold Phlegm Obstructing the Lungs shi cold + phlegm + cough thin white sputum, worse with exposure to cold or at night **Cold hands and feet**, pale tongue, slow pulse Cold Water Shooting into the Lungs shi cold + cough **Soft** **slow** and slippery OR wiry pulse Possibly Interior + exterior If exterior, superficial pulse Profuse white foamy sputum

HT SI LU LI patterns - exam prep Flashcards

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