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Oriental Diagnosis > Palpation > Flashcards

Palpation Flashcards

1
Q

warm skin indicates

A

yang excess or yin deficiency

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2
Q

exterior heat skin characteristics

A

heat is intense upon* initial pressure,* but becomes mild after prolonged pressure

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3
Q

internal heat skin characteristics

A

heat is mild upon initial pressure, but becomes intense after prolonged pressure and spreads outward

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4
Q

deficiency heat skin characteristics

A

**skin **is not hot, but patient feels hot OR skin feels hot on heavy pressure when pushing down to bone

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5
Q

damp heat skin characteristics

A

skin does not feel hot but is sticky; or skin feels warmer with prolonged pressure

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6
Q

interior heat in middle burner or heart skin characteristics

A

skin over a blood vessel feels hot with medium pressure, but **not **with heavy pressure

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7
Q

cold skin indicates

A

yang deficiency or yin excess

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8
Q

yang deficiency skin characteristics

A

icy cold hands/feet
- extends above knees and elbows

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9
Q

yang collapse skin characteristics

A

icy cold extremities with oily sweating, pale face; **feeble **pulse

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10
Q

true heat, false cold skin characteristics

A

cold extremities, but abdominal temperature is warm or hot

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11
Q

yang stagnation skin characteristics

A

cold fingers/toes that easy to warm up

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12
Q

exterior cold skin characteristics

A

skin is** not **cold, but patient feels cold

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13
Q

kidney yang deficiency

A

cold felt in loins, lower abdomen and lower back

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14
Q

warm skin indication

A

body fluid sufficiency/ exterior wind heat attack

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15
Q

hot skin indication

A

interior excess heat

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16
Q

cool skin indications

A

yang deficiency or yang collapse

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17
Q

strong constitution skin indications

A

exterior excess type wind cold attack

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18
Q

dry skin indications

A

lung yin deficiency

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19
Q

rough and squamous skin indications

A

painful obstruction syndrome due to wind

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20
Q

scaly and dry skin indications

A

exhaustion of body fluids or blood stagnation

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21
Q

moist and smooth indication

A

qi and blood sufficient

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22
Q

rough and dry indication

A

qi and blood insufficient

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23
Q

very dry and scaly indication

A

blood deficiency or blood stagnation

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24
Q

qi-swelling

A

pitting formed when pressing, returns to flat after release and is due to qi stagnancy in area

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25
Q

edema

A

deep finger shape pitting from when pressed, does NOT return flat after release and is due to excessive water in body

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26
Q

cold syndrome signs

A

swollen
hard
neither hot nor painful

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27
Q

heat syndrome signs

A

swollen
painful
hot

28
Q

deficiency syndrome signs

A

sores or boils are flat

29
Q

excess syndrome signs

A

swollen with root

30
Q

no pus signs

A

boils/sores are hard upon palpation

31
Q

pus formed signs

A

boils/sores are hard on edges but soft on top

32
Q

if limbs are still warm in yang exhaustion pattern can patient survive?

A

YES, otherwise prognosis is bad

33
Q

generally, cold hands/feet mean what

A

yang deficiency or yin predominance

34
Q

generally, warm or hot hands/feet mean what

A

yin deficiency or yang predominance

35
Q

excess cold or qi stagnation signs

A

cold only on hands and feet
or to below elbow and knees

36
Q

excess heat signs

A

hands/feet warmer on dorsum (outside hands)

37
Q

deficiency heat signs

A

hands/feet warmer on palms (inside hands)

38
Q

exterior heat signs

A
  • dorsal aspect of hands/feet hotter than palmar aspect
  • forehead is hotter than palm
39
Q

interior heat signs

A
  • palmar aspect of hands/feet hotter than dorsal aspect
  • palm is hotter than forehead
40
Q

wind cold attack signs

A

middle finger is hot, but others are normal

41
Q

what organs does palpating the chest represent?

A

heart and lung

42
Q

lung distention signs

A

lifted anterior chest, if accompanied by SOB aggravated by pressure

43
Q

water or qi accumulation in chest signs

A

pain occurs when pressing

44
Q

chest bi signs

A

-chest pain radiates to back, shoulders and medial aspect of arm
-pain worse with pressure

45
Q

xuli position

A
  • beneath left breast, between 4th and 5th ribs
  • left ventricle apex of heart
46
Q

xuli general significance

A

region where all channels meet
and where the gathering qi gathers

47
Q

xuli clinical significance

A
  • condition of the gathering qi
  • deficiency or excess of disease
  • if pulse cannot be found at radial artery (serious conditions)
48
Q

xuli normal condition

A

pulse: rhythmic (neither rapid or slow), moderate force
this means abundance heart qi and gathering qi in chest

49
Q

xuli physiological variation

A

this pulse may react to certain conditions in ext & int environment like shock, fright, panic, anger, exercise, or obesity

50
Q

what does the Right Hypochondrium house

A

Liver and gallbladder

51
Q

liver qi stagnation signs

A

distending pain in hypochondrium radiates bilaterally to lower abdomen

52
Q

liver fire signs

A

pain is aggravated by pressure; hot to touch

53
Q

liver abscess signs

A

swollen red skin is tender; resistant to touch or pressure

54
Q

shao yang pattern signs

A

sensation of fullness; distention below costal margin

55
Q

blood stasis signs

A

lump below costal margin + stabbing pain

56
Q

fluid retention signs

A

fluid may be audible when pressed

57
Q

cold syndrome signs

A

cold with desire for warmth

58
Q

heat syndrome signs

A

hot with desire for cold

59
Q

soft and flaccid

A

deficiency

60
Q

hard and tight

A

excess

61
Q

excess syndrome

A

pain worse with pressure

62
Q

deficiency syndrome

A

pain better with pressure

63
Q

blood stasis signs

A

fixed and immovable; associated with pain

64
Q

qi stagnation signs

A

comes and goes, no fixed location, movable

65
Q

why are acupoint palpation significant?

A

it’s where qi passes, so specific points might be hypersensitive or have nodules under them

Oriental Diagnosis (4 decks)

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