Mid-term 1

Question 1

What are 4 methods of diagnosis

Answer 1

1) hearing/smelling
2) observing
3) feeling
4) asking

Question 2

ASKING / 10 Q?’s

Answer 2

1) aversion to cold and fever
2) sweating
3) head and body
4) excretions
5) food and taste (drink separate)
6) stools and urine (excretions)
7) sleep ***
8) hearing and tinnitus (was deafness)
9) thirst and drink (was with food)
10) pain
missing: cause of Dz

Question 3

INQUIRY

Answer 3

Urination
Stool
Digestion/Diet
Sleep
Energy level
Thirst
Sex
Hot or Cold
Sweat
Pain (level, freq, duration, aggravation)
Menstruation/repro health
Med history (Rx)
Emotions
Fengshui
Astrology
Movement

Question 4

Subjective + Objective = Assessment

Answer 4

S symptoms = Subjective Information
O observation / listening / Palpation = Objective Information
S plus O leads to Assessment of Dx

Question 5

Symptoms to explore

Answer 5

Fever “Fa Re”
Aversion to cold and wind
Abnormal sweating
Headache
Cough, panting, chest pain
Palpitations
Insomnia
Shen
Bleeding
Thirst
Appetite
Abdominal pain, distention, duct pain
Vomit, retching & constipation
Diarrhea, dysentary and dizziness

Question 6

8 Principles

Answer 6

hot/cold
interior/exterior
Excess/def
Yin/Yang

Question 7

Exterior differential

Answer 7

there is a difference between exterior pathogen and exterior pattern

Question 8

Exterior Pathogens

Six Excesses
Six Climatic Factors
Six Evils

Answer 8

cold
heat (fire)
summer heat
wind
damp
dryness

Question 9

Exterior Patterns

Answer 9

1) Something from the outside comes in
2) Affects the exterior layers first

Question 10

What is the exterior?

Answer 10

1) Taiyang, Wei Qi (upper burner, LU orifice)
2) Skin, hair, muscles and interspaces, superficial channels and collaterals

Question 11

Interior Pathogens

7 emotions or “affects” that directly affect the Qi Ji of the organs

Answer 11

anger affecting LV // makes Qi rise
joy affecting the HT // slows down Qi
pensiveness affecting the SP // knots Qi
worry affecting the LU // knots Qi
feat affecting KI // Qi descends
sadness dissolves Qi
shock scatters Qi

Question 12

Relations of emotions

Answer 12

-Anger injures Liver, sadness counteracts anger
-Joy injures Ht, fear counteracts Joy
-Pensiveness (thought) injures Spleen, Anger counteracts Pensiveness
-Worry* (metal, here) injures Lungs, Joy counteracts worry
Fear injures Kidneys, Pensiveness counteracts fear

*usually grief / sorrow

Question 13

excessive emotions stagnate the Qi

Answer 13

emotions affect the HT, emotions involve the LV, Sadness depletes the Qi most directly

“the five emotions turn to Fire”
stagnant Qi turns to heat/depressive heat

Question 14

4 interior patterns

Answer 14

1) Qi, Ying, Blood
2) Middle Jiao, Lower Jiao, (Upper Jiao)
3) Zang-fu patterns (Lung)
4) all 6 conformations but Taiyang (exterior) and Shaoyang (half/half)

Question 15

Exterior Fever patterns (5)

Answer 15

* wind-cold exterior excess
* wind-cold exterior vacuity
* wind-warm exterior pattern (wei qi pattern)
* damp-warm excess (wei qi pattern)
* autumn-dryness exterior pattern (wei qi pattern)

Question 16

wind cold exterior excess AKA

Answer 16

Taiyang Cold damage

Question 17

wind cold exterior vacuity AKA

Answer 17

Taiyang Wind Strike

Question 18

wind warm exterior pattern AKA

Answer 18

Wind heat exterior invasion

Question 19

Half Interior OR Half Exterior

Answer 19

• Shaoyang
• Malaria // hot malaria (more severe) // Vacuity malaria (xu signs)

Question 20

Interior Fever patterns (5)

Answer 20

*yangming channel pattern
*yangming bowel pattern
*heat evil congesting LU (Qi level)
*Summer-heat warm (Qi level)
*Heat entering deeper levels
-PC (ying)
-Ying qi
-Blood level

Question 21

4 LEVELS

Answer 21

DEFENSIVE QI // aversion to cold and fever
QI LEVEL // no aversion to cold, feeling of heat
NUTRITIVE QI // mental changes, fever at night
BLOOD LEVEL // fever at night, bleeding, macule, internal wind

Question 22

Zang-Fu Fever patterns

Answer 22

• Spleen and Stomach damp heat
• Liver/GB damp heat
• LI damp heat
• SI damp heat
• UB damp heat

Question 23

other patterns (not zang-fu)

Answer 23

*wind damp heat obstructing - wind damp bi pain (channels and joints)
*exuberant heat stirring (LV) wind (Heat victorious stirring wind) -4 lvl
*epidemic disease

Question 24

Vacuity fever (5)

Answer 24

• Yin (organ Yin Xu Re)
• Blood
• Qi
• Yang
• Infantile summer heat infixation - long residing pathogen

Question 25

Wu Han

Answer 25

\* External Contraction: Hx of FEVER and other ext Sx \* Half interior, Half exterior (i.e Shaoyang Syndrome)

Question 26

external Sx of Wu Han

Answer 26

- Nasal obstruction - Sniffling - Clear nasal discharge - achy/painful joints (esp neck and shoulders)

Question 27

Interior Excess Cold Patterns (4)

Answer 27

\* Cold Evil Settling in LU \* Cold Damp encumbering SP (Taiyin pattern) \*Cold in LI channel \*Shaoyin Cold Transformationi

Question 28

Shaoyin cold transformation

Answer 28

Shoayin pattern: yang vacuity with yin exuberance; Xu and Shi

Question 29

Vacuity Cold Patterns (4)

Answer 29

1) heart yang vacuity 2) spleen yang vacuity 3) kidney yang vacuity 4) true heat false cold

Question 30

Other manifestations of cold (3)

Answer 30

\*Local cold (corresp organ) \*Cold Bi painful obstruction syndrome (better w heat) \*Cold invades muscles and sinews

Question 31

3 things about ABNORMAL SWEATING

Answer 31

1) Yang (transforms and evaporates) and Wei Qi (opens and closes pores) involved 2) NL sweat balances int and ext 3) Wei qi lets out excess heat and fluids

Question 32

abnormal sweat as patho (5)

Answer 32

-Qi and yang fail to manage fluids -Wei Qi fails to regulate Cou li (ext heat enters) -Zang-fu hyperactivity \> int heat -Yin xu re -Blood vacuity

Question 33

Excess Sweating Patterns (5)

Answer 33

- wind cold ext invasion - wind warm exterior pattern - internal replete heat - damp heat Qi level pattern - lower jiao damp heat

Question 34

Vacuity Sweat Patterns (6)

Answer 34

- qi vacuity - yang vacuity - yin vacuity - yang collapse - yin collapse - dual vacuity of HT and SP

Question 35

Sweat Block

Answer 35

- lack of nutritive layer sweating - disorder of yang qi and/or wei qi

Question 36

Sweat Block patterns (2)

Answer 36

1) Wind-cold ext repletion (tai yang cold damage) 2) True heat false cold

Question 37

Headache: Etiology

Answer 37

external: more severe temp internal: intermittent, mild or severe

Question 38

Headache // Internal excess

Answer 38

\*binding depression of LV Qi \*liver fire flaming upwards \*hyperactive ascension of LV yang \*phlegm \*blood stasis \*head wind \*food/alcohol damage

Question 39

Vacuity headache (5)

Answer 39

\*KI Jing Xu \*Blood Xu \*Yin Xu \*Qi Xu \*Yang Xu

Question 40

Phlegm headache (3)

Answer 40

\*wind phelgm \*phlegm fire \*phlegm reversal (counterflow) / phlegm blocking the orifices