internal med

Question 1

headache primary questions

Answer 1

nature of pain
location of pain
patterns of onset
potential trigger

Question 2

the head is the highest point of the body, therefore

Answer 2

all yang channels converge there, it is the area of max potential of qi
head is prone to rebellious qi conditions, LYR, HFR, LwindR and yang xu

Question 3

headaches in children

Answer 3

generally start 7-10 yrs
indicate jing xu
trauma at birth - forceps

Question 4

headache caused by anger

Answer 4

causes liver yang/fire to rise, affects GB channel on lateral head and temples

Question 5

headache caused by worry

Answer 5

causes lung and heart qi to be knotted and xu, allowing liver to rise, dull and affecting forehead

Question 6

headaches caused by fear

Answer 6

kidney xu headache affects whole head, may allow liver yang to rise

Question 7

headache caused by shock

Answer 7

scatters qi, affects heart, lung and spleen qi
affects whole head

Question 8

excessive sexual activity headache

Answer 8

common in men
no time for kidney essence to restore = kidney yin and yang xu
affects whole head or occiput, may be triggered after intercourse
childbirth in women

Question 8

headache due to overwork

Answer 8

depletes spleen qi, leading to kidney yin xu
affects whole head and is dull

Question 9

not eating enough headache

Answer 9

qi and blood xu, affects top of head

Question 10

eating too much headache

Answer 10

obstruct stomach qi causing spleen qi xu = sharp nature headache on forehead

Question 11

excessive consumption of hot energy foods

Answer 11

liver fire lateral headache
stomach heat forehead headaches
both sharp

Question 12

physical trauma headache

Answer 12

fixed location, small area, often comes long after the injury when liver yang rises due to emotional issues

Question 12

excessive damp foods headache

Answer 12

spleen qi xu and dampness
dull headache, feeling of heaviness, fuzziness and dull pain

Question 13

external wind headache

Answer 13

typically acute headache with no other symptoms or symptoms of wind cold
repeated wind invasions may cause chronic head and neck stiffness

Question 14

top of the head headache

Answer 14

liver and pericardium channels

Question 15

side of head and temples headache

Answer 15

gallbladder channel
typically due to liver yang, fire, or wind rising

Question 16

behind the eyes headache

Answer 16

dull pain = liver blood xu
sharp/severe pain = liver yang rising

Question 17

forehead headache

Answer 17

related to stomach channel
dull pain = stomach xu
sharp/burning pain = stomach heat

Question 18

occipital headaches

Answer 18

small intestine and bladder channel
chronic headaches here are kidney xu manifesting on bladder channel
acute headaches are wind invasion (wind cold)

Question 19

whole head headaches

Answer 19

kidney essence and marrow xu

Question 20

chronic headache worse in daytime

Answer 20

qi/yang xu or dampness

Question 21

chronic headache worse at night

Answer 21

blood and yin xu causing yang to rise

Question 22

headache worse with activity

Answer 22

qi or blood xu

Question 23

headache better for rest

Answer 23

qi or blood xu

Question 24

headache worse for laying down

Answer 24

damp/phlegm

Question 25

headaches and menstruation

Answer 25

prior to = liver yang rising
during = liver fire or blood stasis
at end = blood xu

Question 26

windstroke treatment timeline

Answer 26

ideal treatment = daily treatment administered within one month of stroke

Question 27

what are the three types of stroke

Answer 27

cerebral haemorrhage - artery bursts causing brain bleed
cerebral thrombosis - blood clot within artery restricting blood flow
cerebral embolism - when a piece of thrombus breaks off and causes a blockage elsewhere

Question 28

four pathogenic factors of stroke

Answer 28

wind
phlegm
fire
stasis
3 of 4 must be present

Question 29

what are the other signs of stroke

Answer 29

typically accompanied by qi, blood, yin xu
especially liver yin xu and/or kidney yin xu

Question 30

what can cause palpitations

Answer 30

disturbance of the mind
qi and blood xu
false fire due to yin xu
retention of harmful fluid

Question 31

palpations treatment

Answer 31

regardless of the cause, treatment is always to harmonize heart and kidney

Question 32

long term spleen yang xu leads to

Answer 32

heart yang xu - fail to circulate blood in chest - pain

Question 33

most frequent cause of epigastric pain

Answer 33

dampness, then cold

Question 34

causes of epigastric pain

Answer 34

diet (or change of diet)
food quantity
energetic temp of food
poor eating habits
not resting after eating
not eating breakfast
constant snacking
fasting
anger or worry

Question 35

nature of pain

Answer 35

dull - xu
severe - excess
stabbing - blood stasis
distending - qi stag
burning - heat
fullness - damp

Question 36

time of pain (epigastric)

Answer 36

morning - xu
afternoon - qi stag
night - blood stasis

Question 37

taste (epigastric)

Answer 37

sticky - damp
bitter - heat
sweet - damp heat
sour - food retention
no taste - spleen xu

Question 38

better after eating, better for pressure, better for rest (epigastric)

Answer 38

indicates xu

Question 39

worse for eating, worse for pressure (epigastric)

Answer 39

excess

Question 40

beter for rest (epigastric)

Answer 40

xu

Question 41

better with movement (epigastric)

Answer 41

qi or blood stasis

Question 42

slight nausea, vomiting quietly, vomiting a long time after eating, vomiting thing fluids

Answer 42

xu

Question 43

vomiting with loud sounds, vomiting soon after eating, vomiting of food

Answer 43

excess

Question 44

hypochondrial pain (under ribs)

Answer 44

always related to liver/gallbladder disharmony

Question 45

abdominal pain (lower belly)

Answer 45

intestinal origin, related to food intake or bowel movements