Pain Flashcards
heaviness and pain of body, inability to turn body, fever and aversion to cold, headache and heaviness like a band wrapping around the head, chest oppression and irritability
t: thin white greasy coating
p: soggy-slow
dampness attacking superficials
pathogenesis: external; usually from being exposed to wind or dampness (rain); external dampness penetrates superficials, dampness stagnated causing heaviness of body
heaviness of body, facial edema, aversion to wind, dislike of cold, fever, headache, limb and joint soreness, cough, sore throat, scanty urine
t: thin white coating
p: floating
wind-water combating
pathogenesis: external; resulted from wind evil attacking LU, obstructing LU function of governing water passageway, which also affects BL function; evil stagnated in superficials, obstructing meridian passageway
heaviness of body w/o pain, lower limb pitting edema, sallow or pale complexion, loose stool, lethargy, cold limbs, lower back soreness and heaviness, scanty and short urination
t: pale and puffy w/ white slippery coating
p: deep-thin-slow
SP-KD yang deficiency w/ water retention
pathogenesis: internal; overstrain or chronic illness, causing SP and KD yang deficiency + abundant yin cold accumulation; SP relies on yang qi to circulate and warm the four limbs; SP and KD yang deficiency causes water accumulation, so heaviness of limbs can be seen
whole body ache, aversion to cold, fever, no sweating, nasal congestion, runny nose, itchy throat, cough
t: thin white coating
p: floating-tight
wind-cold bi
pathogenesis: wind wanders around, cold constricts superficials; externally contracted wind-cold obstructs wei-qi circulation, causing body pain
whole body ache, heaviness of limbs, head distention like a band wrapping around the head
or aversion to cold, fever, no sweating
t: white greasy coating
p: soggy
damp bi
pathogenesis: resulted from exposure to rain or damp evil; dampness will obstruct qi and blood circulation in the meridians causing body pain
whole body ache like needle pricks, inability to turn body
t: dark w/ purple spots
p: deep, choppy
blood stasis
pathogenesis: chronic bi syndrome will affect channels and collaterals causing stasis, or blood stasis may be caused by qi disease entering blood level; may also be result of other chronic illnesses causing qi and blood disharmony; chronic disease will affect blood, blood stagnation in channels and collaterals causing body pain
bone and joint pain, affected areas are cold, heavy and swollen, cold limbs
t: white slippery coating
p: wiry-tight
cold-dampness obstructing collaterals (cold-damp bi)
pathogenesis: externally contracted wind-cold-damp evil affecting bones causing blockage, resulting in bi syndrome
bone and joint pain, local areas swollen, heavy, burning, hot sensation of body
t: yellow greasy coating
p: slippery-rapid
damp-heat bi
pathogenesis: externally contracted damp and heat attack, or damp evil transforming into heat causing damp-heat bi obstruction syndrome; this syndrome will result in joint and bone pain
whole body bone pain, deformity of spine, accompanied by lower back and knee soreness and weakness, tight or cramping tendons, inability to walk normally, slow reaction
adults: hair loss, loose teeth, seminal emission, tinnitus, deafness, poor memory
children: stunted growth, low intelligence, night sweat, spasms
t: dull, thin, small, mirrored, red
p: thin-weak
KD essence deficiency
pathogenesis: internal disease: either from prenatal essence deficiency or excessive post-natal essence depletion; KD governs bones and marrow; when KD essence is deficient, sea of marrow will be deficient, leading to inability to nourish bones, causing bone pain
four limbs and lower back bone and joint pain, weakness of four limbs, muscle atrophy, better in the day time, worse in the night time, deformity of bones, limited movement, pale complexion, bland taste in mouth, spontaneous sweating, facial edema, swollen limbs, dislike of speaking, nocturnal enuresis, borborygmus, abdominal pain, loose stool or early morning diarrhea
t: pale, swollen, tender w/ white or watery coating
p: wiry-slow w/o strength or slow-thready
SP-KD qi deficiency
pathogenesis: SP qi deficiency leads to inability to nourish KD, causing SP-KD qi deficiency; marrow unable to be nourished, so deformity and bone pain can be seen
stabbing pain in fixed location, stiffness of bones, bone deformity, dark-dull colour around joints, inability to extend joints, stiffness and numbness of limbs
t: dull dark purple or w/ purple spots
p: thin-choppy
qi and blood stagnation
pathogenesis: chronic bi syndrome; the exogenous evil is stagnated in meridians, so qi and blood cannot circulate, causing blood stasis and phlegm accumulation; stagnation is accumulated in bones and joints, which is difficult to expel after prolonged period of time
whole body tremors w/ inability to stop, accompanied by dizziness, irritability, prone to anger
t: red w/ thin coating, slightly dry
p: wiry-rapid-forceful
LV yang hyperactivity stirring wind (internally)
pathogenesis: commonly seen in patients who are prone to anger; excessive anger will injure the LV, hyperactive LV will transform into wind; LV dominates tendons, therefore LV wind will cause trembling of whole body
tremors of the body, cold limbs
or vomiting w/ abdominal pain
or loose stool, watery stool
t: pale w/ thin slippery coating
p: deep-tight or wiry-slippery
yang deficiency
pathogenesis: commonly seen after excessive sweating; wei defensive yang is injured, misuse of sweating method or post-partum qi and blood deficiency; yang deficiency causes inability to maintain proper meridian circulation
hemiparesthesia, accompanied by weakness of limbs, palpitations, sob, aversion to wind, spontaneous sweating
t: pale w/ thin white coating
p: weak
SP-ST qi deficiency
pathogenesis: over-strain, irregular diet, or over-use of medication will cause middle jiao qi damage; SP-ST qi deficiency usually causes right side hemiparesthesia
hemiparesthesia, accompanied by lustreless complexion, spontaneous sweating, thin body
t: pale, tender w/ thin coating, slightly dry
p: thin-weak
ying qi malnutrition (blood and body fluid deficiency)
pathogenesis: often from excessive blood loss, overstraing from sexual activity, multiple labours consuming blood, or febrile disease injuring body fluids; malnutrition of sinews and tendons; malnutrition body numbness due to blood and body fluid deficiency; usually causes left side hemiparesthesia
hemiparesthesia, accompanied by headache, body ache, pathogenic wind cold symptoms, no sweating
t: thin white moist coating
p: wiry-tight
wind-cold attacking collaterals
pathogenesis: acute, excess: wind cold pathogen invading skin then into the channels, causing obstruction in channels
hemiparesthesia, accompanied by different degrees of tremors, dizziness, headache, irritability, prone to anger, insomnia w/ many dreams
t: dark red, scanty or thin yellow dry coating
p: wiry-forceful
LV yang hyperactivity stirring wind
pathogenesis: excess: LV yang hyperactivity leading to wind, wind invades channels, causing numbness
hemiparesthesia, accompanied by heavy sensation, drowsiness, vomiting, chest oppression and discomfort
t: pale, dark w/ slippery moist or greasy white coating
p: slippery
damp-phlegm obstructing collaterals
pathogenesis: SP cannot transform water, leading to dampness and eventually phlegm accumulation; phlegm obstructs meridians, causing inability to nourish qi and blood
edema starting from eyelids, acute onset, followed by four limbs or whole body edema, aversion to wind and cold, or accompanied by fever, joint soreness and pain, scanty urination
t: thin white coating
p: floating-tight
wind-cold attacking LU
pathogenesis: wind-cold attack from exterior, LU fx of dispersing water is impaired; this affects BL, causing urinary dysfunction, water metabolism disorders, edema
acute eyelid or facial edema, fever, aversion to wind, cough, inflammation of throat, sore throat, scanty short urination, yellow urine
t: slightly red tip, thin yellow coating
p: floating-rapid
wind-heat attacking LU
pathogenesis: wind-heat attack impairs LU clearing fx; LU is upper source of water, LU qi stagnation causes impaired clearing fx, then causes blockage in water passageways, showing signs of edema
edema of limbs, chronic progression of disease, usually starting from four limbs, abdomen, but most obvious in legs, heaviness of body, fatigue, chest oppression, bland taste in mouth, clear and short urination
t: white greasy coating
p: deep-slow
dampness obstructing SP
pathogenesis: SP qi deficiency unable to transform and transport water; may be due to dampness obstructing SP, walking in rain, living in damp environment for a long time, wind-cold invasion; water cannot descend, causing edema; edema starts from four limbs b/c SP governs four limbs
edema mostly below the waist, frequent recurrence, pitting edema, fatigue, cold limbs, poor appetite, loose stool, scanty clear urination
t: pale w/ thin white moist coating
p: deep-slow
SP yang deficiency
pathogenesis: untreated chronic illness of excessive type, over-strain, or SP deficiency will affect T&T fx; yang deficiency cannot regulate water leading to pitting edema of lower body from waist down, often recurring
whole body edema, usually starting from waist and legs, worse around ankles, lower back and knee soreness/weakness/heaviness, damp cold in scrotum, cold limbs, scanty clear urination
t: pale and puffy w/ thin white coating
p: deep-thin-weak
KD yang deficiency
pathogenesis: KD yang edema worse than SP yang edema, usually manifests as whole body edema; when lower jiao water passage obstructed, edema will begin at waist and legs
gradual facial and four limb edema, pale lustreless or sallow complexion, pale lips, dizziness, palpitations, sob, poor appetite, fatigue, lack of energy
t: thin scanty coating
p: deficient-thin-weak
qi-blood deficiency
pathogenesis: usually from SP-ST qi deficiency, leading to poor T&T fx; or chronic illness depleting both qi and blood; or zang fu deficiency causing poor water metabolism fx
