Pain

Question 1

range of diseases of headache

Answer 1

many reasons; no matter external invasion or internal damage, deficiency or excess syndromes

Question 2

clinical significance of headache w/ toothache

Answer 2

refers to KD channel of the foot shaoyin

Question 3

clinical significance of headache w/ neck pain

Answer 3

refers to taiyang channel

Question 4

clinical significance of headache w/ pain on both sides of head (temples)

Answer 4

can indicate shaoyang channel

Question 5

clinical significance of headache on forehead and supraorbital bone

Answer 5

issue w/ yangming channel

Question 6

clinical significance of headache on vertex of head

Answer 6

can indicate jueyin channel

Question 7

range of diseases of chest pain

Answer 7

mostly heart and lung diseases

Question 8

clinical significance of chest pain - precordial pain radiating to medial side of arm

Answer 8

heart problem, possibly blood stasis or blood-qi deficiency

Question 9

clinical significance of chest pain accompanied by cough, sputum

Answer 9

lung problem

Question 10

range of diseases of hypochondriac pain

Answer 10

usually liver and gall bladder diseases

Question 11

clinical significance of hypochondriac pain

Answer 11

1. stagnation of liver qi (w/ pronounced feeling of distention)
2. exuberance of heat in liver and gall bladder (fire)
3. damp heat in liver and gall bladder (w/ feeling of oppression and heaviness)
4. suspended fluid retention
5. blood stasis (severe, stabbing pain)

normally showing cough

Question 12

range of diseases of abdominal pain

Answer 12

belongs to different zang-fu organs according to the position of the pain

Question 13

clinical significance of abdominal pain above the navel (large abdomen)

Answer 13

spleen and stomach

upper abdomen dull pain, alleviated by warm and pressure - cold in spleen-stomach

Question 14

clinical significance of abdominal pain below the navel (small abdomen)

Answer 14

kidneys, bladder, large intestine, small intestine, uterus

distending pain in lower abdomen, difficulty and heat sensation of urination - damp-heat in bladder

Question 15

clinical significance of abdominal pain on two sides of small abdomen

Answer 15

liver

Question 16

range of diseases of backache

Answer 16

gall bladder channel of foot taiyang, and du channel

Question 17

clinical significance of backache w/ inability to stretch or bend the back

Answer 17

often caused by impairment of the du vessel

Question 18

clinical significance of backache involving the neck

Answer 18

retention of win cold in the taiyang channel

Question 19

range of diseases of lumbago

Answer 19

kidney diseases due to invasion of wind, cold, and damp

Question 20

clinical significance of lumbago which involves abdomen

Answer 20

damage of girdling vessel (dai mai)

Question 21

range of diseases of pain in the limbs

Answer 21

blockage of qi and blood, or deficiency and damage of the spleen and stomach

Question 22

clinical significance of pain in the limbs - joint pain inthe four limbs and pain of muscles

Answer 22

often seen in impediment disease, due to invasion of wind, cold, and dampness (Bi syndrome)

Question 23

clinical significance of pain in the limbs w/ debility of the limbs

Answer 23

mostly due to deficiency of the spleen and stomach

Question 24

clinical significance of pain in the limbs - pain of the heel, or aching of the legs and knees

Answer 24

usually indicates kidney deficiency

Question 25

range of diseases for general pain

Answer 25

pain of the whole body can be due to excess or deficiency syndromes

Question 26

clinical significance of general pain in new onset of disease

Answer 26

usually due to excess syndrome

Question 27

clinical significance of general pain in chronic disease, limited movement

Answer 27

deficiency of both qi and blood, or malnutrition of the channels

Question 28

clinical significance of distending pain (pain due to stagnation syndromes)

Answer 28

qi stagnation

Question 29

clinical significance of stabbing pain

Answer 29

blood stasis

Question 30

clinical significance of colicky pain (severe abdominal pain caused by spasms, obstruction, or distention)

Answer 30

1. excess syndrome 2. cold coagulating 3. blood stasis ex. kidney stones, gall stones

Question 31

clinical significance of dull pain

Answer 31

usually due to deficiency syndrome

Question 32

clinical significance of cold pain

Answer 32

1. congealed cold | 2. yang deficiency

Question 33

clinical significance of burning pain

Answer 33

usually due to heat syndrome

Question 34

clinical significance of heavy pain

Answer 34

mostly dampness/phlegm syndrome head heaviness pain: liver yang

Question 35

clinical significance of migratory pain

Answer 35

1. wandering pain in chest and abdomen - qi stagnation | 2. wandering pain in joints - wind-dampness (moving Bi syndrome)

Question 36

clinical significance of fixed pain

Answer 36

1. chest, abdomen fixed pain - blood stasis | 2. fixed painful joints - cold-dampness (fixed Bi syndrome)

Question 37

clinical significance of pulling pain

Answer 37

usually due to malnutrition or blockage of channels, mostly indicates liver or heart condition

Question 38

clinical significance of empty pain

Answer 38

usually due to deficiency of qi, blood, and essence 1. headache w/ emptiness: kidney deficiency 2. lower abdomen pain w/ emptiness: blood deficiency

Question 39

vertigo accompanied by distention, restlessness, and irritability, red tongue and wiry-rapid pulse

Answer 39

syndrome of liver-fire flaring up | liver stagnation leads to liver fire

Question 40

vertigo accompanied by distending pain, tinnitus, aching and weakness of the lumbar region and knees, red tongue w/ lack of coating, thready-wiry pulse, inclination to become angry

Answer 40

hyperactivity of liver yang LIV/KD yin deficiency ---> rising liver yang (worse than liver fire)

Question 41

vertigo accompanied by pale face, tired spirit and body, pale tongue, thready pulse, intensified by tiredness

Answer 41

deficiency of qi and blood

Question 42

vertigo accompanied by heavy sensation in the head like being wrapped up, chest oppression and vomiting, white and greasy tongue coating, foggy mind, slippery pulse

Answer 42

internal obstruction due to phlegm-dampness

Question 43

vertigo accompanied by stabbing pain

Answer 43

blockage due to blood stasis

Question 44

hypochondriac distention w/ propensity to anger

Answer 44

stagnation of liver qi, emotional upset

Question 45

hypochondriac distention w/ bitter taste in mouth, yellow-greasy tongue coating

Answer 45

damp heat in the liver and gall bladder

Question 46

gastric stuffiness w/ acid regurgiation

Answer 46

retention of heat in the stomach

Question 47

gastric stuffiness w/ diminished appetite and loose stool

Answer 47

spleen-stomach qi deficiency

Question 48

abdominal distention w/ no pain on pressure

Answer 48

deficiency syndrome, usually resulting from deficiency of the spleen and stomach unable to perform transporting and transforming function bloating

Question 49

abdominal distention w/ pain on pressure

Answer 49

excess syndrome, usually resulting from food retention in stomach or intestines; or internal retention of excessive heat which obstructs qi circulation heat in the middle jiao

Question 50

abdominal distention like a drum, accompanied by yellow skin colour, pale bulgy veins on abdominal wall

Answer 50

severe stage, cirrhosis of liver, or cancer

Question 51

heaviness of body w/ swelling

Answer 51

usually due to invasion of wind-evil, wind-water combat syndrome

Question 52

heaviness of body w/ spiritual lassitude, foggy mind, and shortness of breath

Answer 52

usually due to spleen qi deficiency w/ dampness obstruction

Question 53

numbness

Answer 53

1. deficiency of qi and blood 2. internal disturbance of liver-wind 3. damp-phlegm and obstruction of channels 4. blood stagnation obstructing the channels

Question 54

range of diseases of epigastric pain in the upper abdomen

Answer 54

most are related to stomach illness

Question 55

epigastric / abdominal pain which feels better after eating

Answer 55

deficiency syndrome

Question 56

epigastric / abdominal pain which worsens after eating

Answer 56

excess syndrome

Question 57

epigastric / abdominal pain - spastic pain alleviated by heat

Answer 57

cold in stomach

Question 58

epigastric / abdominal pain - burning, heaviness, greasy yellow tongue coating

Answer 58

damp-heat in stomach

Question 59

epigastric / abdominal pain - pain w/ feeling of fullness

Answer 59

food retention

Question 60

epigastric / abdominal pain - distending pain radiating to the left or right ribs

Answer 60

rebellious liver-qi invading stomach

Question 61

epigastric / abdominal pain - severe, stabbing pain

Answer 61

blood stasis in stomach

Question 62

epigastric / abdominal pain - chronic, intermittent burning pain, dry mouth, mirror tongue

Answer 62

stomach yin deficiency

Question 63

epigastric / abdominal pain - chronic, intermittent dull pain, alleviated by heat/warm drink, aggravated by cold

Answer 63

stomach yang deficiency