Spirit-Mind Abnormalities

Question 1

four primary categories of spirit-mind abnormalities:

Answer 1

vexation & agitation
depression
delirious raving
clouding stupor

Question 2

images of depressed heat within the heart or confinement of the emotional state of the heart

Answer 2

vexation

Question 3

image of disquietude and harassed movement of the hands and feet

Answer 3

agitation

Question 4

you ‘feel’ vexation

I ‘see’ agitation

Answer 4

• vexation is subjective

- agitation may be perceived by others

Question 5

vexation and agitation
vexation&raquo_space;> agitation
vigorous fever
thirst with desire for colds fluids etc.

Answer 5

Heat entering the qi level (4 levels) excess pattern

vexation & agitation with signs of heat exuberance

Question 6

vexation and agitation
vexation is primary, sometimes agitation
w/ heat signs worse at night
sometimes delirium

Answer 6

Heat entering ying level
signs of ying level heat harassing spirit mind
vexation and agitation

Question 7

vexation and agitation
agitation >>> vexation
may seem like mania in severe cases
body heat
macules and papules
spitting of blood or bloody stool

Answer 7

Heat entering blood/xue level
heat exuberance stirring blood
vexation and agitation

Question 8

vexation and agitation
heart vexation is primary
sever cases manic agitation and delirium
red face, red tip of tongue, mouth sores
insomnia

Answer 8

Heart Fire flaming upward
(excess pttn)
vexation and agitation

Question 9

vexation and agitation
heart vexation
rashness and tendency to be easily angered
maybe vertex headache, red eyes etc.

Answer 9

Liver fire flaming upward
(excess pttn)
vexation and agitation

Question 10

note on Heart Vexation:

any pattern that is ascribed to internal heat excess may manifest as heart vexation

Answer 10

However, the most common excess patterns are

• Heat in qi, ying xue
• HT or LR fire flaming upward

Question 11

vexation and agitation
heart vexation
white face without luster,
pale lips nails
dizziness, heart palps, insomnia etc

Answer 11

Blood deficiency
deficiency pattern
vexation and agitation

Question 12

vexation and agitation
vexing heat in the heart
rashness, impatience, irascibility
dry mouth and throat
tidal heat
night sweats etc

Answer 12

yin deficiency

vexation and agitation

Question 13

vexation and agitation
inability to control movement as primary
fear of cold
reverting cold of the four limbs
withered essence spirit
vomiting and diarrhea
red cheekbones as if they have been made up
spontaneous sweating
pulse: large empty

Answer 13

Shaoyin (HT-KD) with imminent desertion of yang

vexation and agitation

Question 14

deepness and heaviness of the spirit/mind/shen/heart affect, uncommunicativeness and low spirits

Answer 14

Depression

Question 15

cause of depression

Answer 15

damage to the seven affects, binding depression of liver qi and qi failing to course and discharge; Qi dynamic not flowing smoothly

Question 16

emotional depression
chest and rib side pain
in women distention and pain of lower abdomen and breasts, menstrual pain or irregular menstruation
pulse: string like

Answer 16

Binding depression of LR qi

aka Liver qi stagnation and PMS

Question 17

emotional depression
dizziness
heart palpitations
glomus oppression of chest and stomach duct
sensation of obstruction in the throat (with nothing present) aka plumb pit qi
tongue: slimy fur
pulse: string like and slippery

Answer 17

phlegm depression and qi stagnation

Question 18

emotional depression
grief and sadness with a desire to cry
flustered heart spirit
fidgetiness
delusions such as seeing ghosts or spirits or the future
spirit fatigue
constant yawning
tongue: pale
pulse: string like and thin

Answer 18

visceral agitation
aka restless organs

this is caused by unresolved worry which damages the qi and blood and causes the heart spirit to lack nourishment.

heaviness of shen with sticky unresolved emotions
more commonly seen in women

Question 19

emotional depression
suspicion and worry
heart palpitations
lack of courage and tendency to be easily frightened
frequent dreaming and easy waking
little thought of food or drink
tongue: pale
more commonly seen in women and children

Answer 19

depression
Heart and Gallbladder deficiency timidity pattern

note: gall bladder not making decisions and hyperawareness

Question 20

lack of clarity of the spirit-mind

with clouded reflection and nonsensical speech

Answer 20

Delirium

excess patterns

Question 21

repetition of speech, low and timid voice, discontinuous speech, broken sentences etc.

Answer 21

Mussitation

deficiency patterns

Question 22

Delirium is due to excess
Mussitation is due to deficiency.
Mussitation is more serious

Answer 22

–

Question 23

delirium
abdominal distention
fullness and pain that refuses pressure
fever etc

Answer 23

Delirium

Yang Ming bowel pattern

Question 24

delirium
body heat worse at night
heart vexation
insomnia etc.

Answer 24

Delirium

Heat in the ying level

Question 25

delirium body heat macules spitting blood etc

Answer 25

Delirium | Heat in Blood level

Question 26

delirium at night history of contraction of wind cold during menses fever alternating heat and cold or cool body after heat recedes fullness of chest and lower ribs

Answer 26

Delirium Heat in the PC heat entering the "blood chamber"

Question 27

lack of clarity of the spirit mind

Answer 27

``` Clouding Stupor aka loss of consciousness clouding veiling clouded veiling clouded spirit ```

Question 28

"veiling is clouded veiling and the spirit is not clear"

Answer 28

clouding stupor

Question 29

clouded stupor has a relationship to the heart and brain and is generally due to the clear orifices (sense organs) lacking spirit or lack of use of the spirit brightness

Answer 29

--

Question 30

``` clouding stupor manifest as clouding stupor with tightly closed jaws both hands made into fists red face hasty breathing ```

Answer 30

cause of clouding stupor- block pattern

Question 31

``` clouding stupor sweating cold limbs open eyes open mouth relaxed hands urinary emission ```

Answer 31

clouding stupor- desertion pattern

Question 32

cause of clouding stupor- desertion pattern

Answer 32

spirit lacking a place to reside

Question 33

cause of clouding stupor- block pattern

Answer 33

pathogens blocking the clear orifices (sense organs) and are ascribed to excess patterns

Question 34

``` sudden clouding stupor vigorous fever reverting limbs body heat worse at night agitated movement delirium sluggish tongue red face hasty breathing reddish urine tongue: crimson with yellow coat pulse: fine rapid ```

Answer 34

Heat in the PC | Clouding stupor- block pattern

Question 35

``` clouding stupor fever at night vexation and sleeplessness delirious speech maculopapular eruptions no thirst tongue: crimson and dry pulse: fine and rapid ```

Answer 35

Heat in the Ying | Clouding stupor- block pattern

Question 36

clouding stupor body heat macules spitting blood etc.

Answer 36

Heat in the xue | Clouding stupor- block pattern

Question 37

clouding stupor abdominal distention fullness and pain that refuses pressure fever etc

Answer 37

Yang Ming Bowel pattern | Clouding stupor- block pattern

Question 38

``` sudden clouding stupor vigorous fever dizziness distention and pain of the head agitation of the hands and feet tongue: crimson and dry pulse: string like, fine, rapid ```

Answer 38

heat exuberance stirring wind | Clouding stupor- block pattern

Question 39

``` gradual clouding stupor yellowing of the eyes and body heavy encumbering of the body and limbs distention and pain of rib side short yellow urination tongue: red with slimy yellow fur ```

Answer 39

Damp heat brewing internally (long term) Clouding stupor- block pattern

Question 40

``` gradual clouding stupor onset: sleepiness and laziness to talk gradually unclear speech eventually clouding stupor and unconsciousness no fever, no vexation phlegm rales in the throat or pitting of frothy rheum complexion dusky chest oppression and abdominal fullness torpid intake spirit fatigue tongue: slimy, white or greasy ```

Answer 40

phlegm damp obstructing Clouding stupor- block pattern note signs of Spleen lacking fortification and transportation

Question 41

``` gradual clouding stupor vexation and agitation and insomnia agitation becomes frenetic and manic then there is 'clouding from which one does not awake' body and legs are agitated fever hasty breathing phlegm rales in the throat yellow, sticky and thick phlegm constipation reddish urine tongue: red with yellow slimy fur pulse: slippery rapid forceful ```

Answer 41

phlegm fire clouding Clouding stupor- block pattern commonly seen in the elderly

Question 42

``` sudden clouding stupor falling to the ground deviation of mouth and eyes hemiplegia stiff tongue and sluggish speech ``` history of : dizziness, ringing in the ears, distention and pain of the head, rashness, impatience and irascibility insomnia with profuse dreaming & yin def signs in some cases prior to the clouding the patient may experience ominous signs such as dizziness and vertigo, grasping pain of the head, numbness and trembling limbs, unstable walking

Answer 42

yin deficiency with yang wind rising and harassing *stroke* Clouding stupor- block pattern commonly occurs in elderly and middle aged especially those who work too much or whose work makes them very nervous

Question 43

``` gradual clouding stupor foul odor of breath agitation of the limbs and body picking at the clothes taking off bedcovers hard full enlarges abdomen with green blue veins protruding dark complexion red threads on neck, head, chest, arms (spider veins) tongue: dark purple with stasis macules ```

Answer 43

stasis heat obstruction block Clouding stupor- block pattern note: blood stasis signs accumulating and stagnating often manifests when there is fever or loss of blood

Question 44

gradual clouding stupor scanty urination or urinary block for a relatively long time swelling of body bright white or dark complexion fear of cold cold limbs etc dizziness nausea rough panting hart vexation agitation nonsensical speech

Answer 44

water damp rising counterflow (urinary toxins invading the heart) Clouding stupor- block pattern water damp rising and intimidating heart and lungs: dizziness nausea rough panting hart vexation agitation nonsensical speech

Question 45

``` sudden clouding loss of consciousness lockjaw or delirium abdominal distention and oppression green blue face cold limbs pulse: fine or faint ```

Answer 45

sudden veiling due to foul turbidity Clouding stupor- block pattern poisoning or pollutants!!! seen with sudden foul turbidity of the air infectious blockage of clear yang: abdominal distention and oppression, green blue face, cold limbs

Question 46

``` gradual clouding occurring after a great loss of blood green blue white facial complexion reverting cold of the four limbs profuse dripping of sweat faint and weak breathing spirit vexation and agitation pulse: fain on verge of expiry ```

Answer 46

qi deserting with blood | clouding stupor - desertion pattern

Question 47

``` gradual clouding profuse dripping of sweat that is hot and sticky hand and feet are warm white complexion with red cheeks shortness of breath and panting agitation dry and red lips tongue: red and dry pulse: fine and rapid or racing and forceless ```

Answer 47

yin collapse | clouding stupor - desertion pattern

Question 48

``` gradual clouding stupor profuse dripping sweat that is clear thin and cool reverting cold of the hands and feet clear gray or dusky complexion lying down and curling up faint breathing pale and moist green blue purple lips tongue: pale moist purple pulse: faint ```

Answer 48

yang collapse | clouding stupor - desertion pattern

Question 49

other patterns with loss of consciousness or clouding stupor

Answer 49

``` epilepsy wind stoke wasting and thirsting malaria epidemic scourge animal bites etc. ```