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Pulse Diagnosis > Palpitation > Flashcards

Palpitation Flashcards

1
Q

What is palpitation

A

Diagnostic technique

Touch,feel,push,press parts of body

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2
Q

Palpitation, touching

A

To assess temperature and moisture

Gentle on body surface

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3
Q

Using fingers to palpate patients body with more strength then touching to detect tenderness and swelling.
Usually Chest and abdomen

A

Seeking or stroking

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4
Q

Pressing

A

Palpate body with heavy pressure deep in the body or abdomen to probe for masses or pain.

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5
Q

Heat is intense upon initial pressure but becomes mild after time.

A

Exterior heat

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6
Q

Heat is mild upon initial pressure but becomes intense after time and spreads outward.

A

Internal heat

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7
Q

Skin is not hot but patient feels hot, or skin feels hot when pushing down to the bone.

A

Deficiency heat

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8
Q

Skin does not feel hot, but sticky. Or skin feels warmer with prolonged pressure,

A

Damp heat

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9
Q

Cold skin

A

Yang deficiency or yin excess

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10
Q

Yang deficient

A

Cold hands and feet, extend above the knees and elbows.

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11
Q

Cold fingers and toes but warm up easily.

A

Yang stagnation

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12
Q

Moist skin

A

Sufficient body fluid

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13
Q

Body fluid insufficient

A

Dry skin

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14
Q

Hands and feet are warmer on the dorsam (top)

A

Exterior heat

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15
Q

Hands and feet are warmer on the palms (under)

A

Deficiency

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16
Q

Dorsal(top) of hands and feet is hotter than palm

A

Exterior heat

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17
Q

Palm of hands and feet is hotter than dorsal(top)

A

Interior heat

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18
Q

Forehead is hotter than palm

A

Exterior heat

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19
Q

Palm is hotter the forehead

A

Interior heat

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20
Q

Why palpate the right hypochondriam bilaterally

A

Liver/GB condition

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21
Q

Pain aggravated by pressure

A

Excess syndrome

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22
Q

Pain alleviated by pressure

A

Deficiency syndrome

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23
Q

Fixed and immovable mass associated by pain?

A

Blood stasis

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24
Q

Mass comes and goes, no fixed location

A

Qi stagnation

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25
Q

Heart

A

Governs blood

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26
Q

Lung

A

Governs qi

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27
Q

Spleen/Stomach

A

Transportation and transformation

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28
Q

Liver

A

Stores blood

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29
Q

Kidney

A

Essence transformed into Qi

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30
Q

Left side

A

Cun-heart
Guan-liver
Chi-kidney

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31
Q

Distal

A

Cun

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32
Q

Middle finger

A

Guan

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33
Q

Proximal

A

Chi

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34
Q

Right side

A

Cun-lung
Guan -spleen/ST
Chi -kidney/MM

35
Q

What side is lung pulse on ?

A

Right /Cun

36
Q

What side is liver pulse on ?

A

Left guan

37
Q

What side is heart on

A

Left/cun

38
Q

What side is kidney on?

A

Left /chi

39
Q

What side is Spleen/ST on

A

Right/guan

40
Q

What side is kidney/MM on ?

A

Right/chi

41
Q

Pulse rhythm is determined by which organ?

A

Heart qi

42
Q

The size of the pulse is determined by?

A

Qi and blood/ Zang fu organs

43
Q

The depth of the pulse is determined by?

A

Stomach Qi

44
Q

The strength of the pulse reflects the condition of ?

A

Qi and blood

45
Q

The length of the pulse is determined by?

A

Qi and blood, qi makes blood move

46
Q

The rate of the pulse is dominated by?

A

Lungs and heart , movement of blood

47
Q

What season is for string-taut/wiry pulse

A

Spring

48
Q

Autumn has which pulse?

A

Floating /superficial

49
Q

Summer pulse is ?

A

Surging/flooding

50
Q

Winter pulse is ?

A

Deep

51
Q

Anger

A

String-taut/wiry or rapid

52
Q

Melancholy pulse

A

Moderate

53
Q

Fear

A

Deep pulse

54
Q

Joy

A

Slow pulse

55
Q

Grief

A

Short pulse

56
Q

Fright pulse

A

Moving

57
Q

What is the definition of pathological pulse?

A

The pulse associated with disease

58
Q

Why does the blood vessel’s diameter change and how?

A

Not Filled or overfilled by blood and qi

59
Q

The depth of the pulse depends on?

A

Qi ( yang qi) will cause change in pulse

60
Q

Upon what does the strength of the pulse depend?

A

Qi

61
Q

Upon what does the RATE of the pulse depend?

A

Yang Qi is the force

62
Q

What affects the length of the pulse?

A

Qi mainly

63
Q

Upon what does the rhythm of the pulse depend on?

A

Heart Qi

64
Q

Upon what does the TENSION of the pulse depend on?

A

Qi and blood fail to fill vessel

65
Q

What pulse forceful strength, superficial location, rapid,long length ?

A

Yang pulse

66
Q

What pulse is weak, deep,slow and short in length?

A

Yin pulse

67
Q

What are the 6 categories of key pathological pulses?

A

Deep,superficial,slow,rapid deficient and excess

68
Q

What does the pulse of irregular menstruation feel like?

A

Frail in the Chi position, normal in cun and guan

69
Q

Amenorrhea pulse? ( absence of period in a women of reproductive age )

A

Chi pulse position is deficient it indicates deficiency

If chi pulse is wiry it indicates excess

70
Q

Pregnant pulse

A

Rolling and rapid in chi position

71
Q

Agreement of pulse

A

Pulse image and symptom agree

72
Q

Disagreement of pulse

A

Pulse symptom and image do not agree

73
Q

Retaining pulse and abandoning the pattern?

A

The pulse image REFELCTS THE TRUE illness and Pattern presents an false appearance.

74
Q

Retaining pattern and abandoning the pulse

A

The PATTERN is in accordance with pathological changes, not the pulse image.

75
Q

Case
Abdominal distinction and bloat, severe pain which is resistant to pressuring, constipation and dry stool. Dry yellow tongue
Pulse thin and slow

A

Symptoms true

Pulse is false

76
Q

Case
Cold hands and feet, worsen with emotional stress . Other symptoms include irritability, red tongue, constipation. Pulse is rolling/slippery and rapid.

A

Pulse is true
Symptom is false

Excess heat obstructed inside and not able to reach outward.

77
Q

Yuan qi is?

A

Ancestral qi

78
Q

Wei qi is?

A

Defense Qi

79
Q

Zong qi is?

A

Gathering Qi, big Qi

80
Q

Zheng Qi

A

Good Qi of entire body

81
Q

Ying Qi is ?

A

Nutritive

82
Q

Xie Qi

A

Makes you sick

83
Q

What are the four pillars of examination

A

Inspection
Inquiry’
Listening/smelling
Palpitation

84
Q

What are the 8 principles ?

A

Yin-yang
Exterior-interior
Heat-cold
Excess-deficient

Pulse Diagnosis (2 decks)

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