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Z:A+ Nationals > Sx > Flashcards

Sx Flashcards

1
Q

Sx:
Sore throat, sneezing, aversion to cold, fever, slight sweating, tonsillitis, thirst, floating-rapid pulse

Dx:?

A

Dx: Wind-Heat

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2
Q

What are the four levels?

A

Wei (defensive Qi)
Qi
Ying (nutritive Qi)
Xue (Blood)

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3
Q

How is an interior-Dz Dx’d?

Sx/ ?s/ etc

A

Interrogation

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4
Q

How is an exterior Dz determined?

Sx vs Interrogation

A

Sx

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5
Q

How do EPF enter the body?

A

Skin, nose, or mouth (lungs)

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6
Q

Is skin more prone to W-C or to W-H?

A

Skin is more prone to W-C

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7
Q

Are nose and mouth more prone to W-C or to W-H?

A

W-H is more likely to invade nose and mouth

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8
Q

Sx arise suddenly and change rapidly…. What is it?

A

Exterior Wind

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9
Q

Contraction, pain, watery discharge… What is it?

A

Exterior Cold

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10
Q

Turbid, sticky discharges, gradually made worse….what is it?

A

Exterior Damp Invasion

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11
Q

Mental restlessness…. What could it be if combined with thirst, feeling of being hot?

A

EPF Heat/ Fire

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12
Q

What are the defining characteristics of exterior wind cold as opposed to other cold Sx?

A

Arrises suddenly
Not relieved by covering oneself (Aversion to Cold)
Fever

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13
Q

What kind of cold is chronic, and is relieved by covering oneself?

A

Yang Deficiency

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14
Q

Aversion to cold (subjective) combined SIMULTANEOUSLY with an objective fever is a general Sx of what?

A

EPF

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15
Q

What causes aversion to cold?

A

Obstruction of the cou lis by external wind

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16
Q

What is the difference betweenAversion to Wind, Fear of Cold, Shivers, and Aversion to Cold?

A

Fear of cold: patient can relieve the sensation of cold by staying indoors and warm

Aversion to Wind: goose pimples, hates wind, stays indoors

Aversion to cold: very hard for patient to relieve the feeling of cold.

Shivers: same as aversion plus shivering

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17
Q

TCM fever vs Western Fever

A

TCM: heat emitting from patient’s skin
Western: body temperature increased significantly

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18
Q

Is palm heat considered full heat or empty heat?

A

Empty

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19
Q

Aversion to cold shows that EPF is where?

A

Still on exterior

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20
Q

Is Aversion to Cold always a Sx of EPF?

A

Yes

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21
Q

What is fever a struggle between?

A

Upright Qi
Vs
EPF
(If either weakens, fever will reduce therefore could be good or bad)

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22
Q

Does Fever indicate W-C or W-H?

A

Neither- it is simply a Sx of struggle b/w upright Qi and EPF

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23
Q

What is the order of invasion of EPF?

A

Order:

Skin, superficial connecting channels, connecting channels, main channels, organs

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24
Q

Sx of EPF Cold Invading Stomach?

A

Acute epigastric pain, vomitting, no other exterior signs, some other cold signs.

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25
Q

Sx of EPF Cold invading SI/ LI?

A

No external Sx.

Acute diarrhoea, abdominal pain, cold Sx

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26
Q

Sx of EPF Cold invading Uterus?

A

No exterior Sx. Acute dysmenorrhoea.

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27
Q

Where does EPF wind invade?

A

1: Cou-lis, Defensive Qi of Lungs
2: Muscles and Channels
3: Joints

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28
Q

Sx:
Aversion to cold, sore throat, sneezing, fever, runny nose, occipital stiffness, floating pulse.

Cause?
Location?

A

EPF Wind

Lung’s Wei Qi and/ or Cous-Lis

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29
Q

Sx: Stiffness in the limbs, rigidity and contraction of the muscles with sudden onset.

Cause?
Location?

A

EPF Wind

Has invaded Muscles and Channels

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30
Q

Sx: pain that moves from joint to joint, esp. in upper part of body.

Cause?
Location of Dz?

A

EPF wind in Joints.

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31
Q

Where can EPF cold invade?

A
  1. Muscles and Sinews
  2. Joints
  3. Stomach
  4. SI/ LI
  5. Uterus
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32
Q

Sx:
Stiffness, contraction on muscles, pain, chilliness, aversion to cold, sudden onset

Cause?
Location?

A

EPF Cold

In the Muscles and Sinews

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33
Q

Sx:
Severe pain in a joint as in Cold Painful Obstruction Syndrome

Cause?
Location?

A

EPF Cold in the Joints

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34
Q

Sx:
Sudden Epigastric pain with vomiting

Cause?
Location?

A

EPF Cold in Stomach

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35
Q

Sx:
Sudden abdominal pain with diarrhoea

Cause?
Location?

A

EPF Cold in SI/ LI

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36
Q

Sx:
Sudden acute dysmenorrhoea.

Cause?
Location?

A

EPF Cold in Uterus

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37
Q

Sx:
Aversion to cold, fever, sweating, headache, dark urine, floating-rapid pulse.

Cause?

A

EPF Summer-Heat

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38
Q

Where can EPF Damp invade?

A
  1. Muscles and Sinews
  2. Joints
  3. Lower Jiao
  4. Skin
  5. Sp/ St
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39
Q

Sx:
Sudden feeling of heaviness of the limbs, dull ache of muscles

Cause?
Location?

A

EPF Damp in muscles and sinews.

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40
Q

Sx:
Pain, heaviness, swelling of joints as in Damp Painful Obstruction Syndrome, starts suddenly.

Cause?
Location?

A

EPF Damp in joints

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41
Q

Sx:
Acute urinary discomfort and/ or acute vaginal discharge

Cause?

A

EPF Damp in Lower Jiao

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42
Q

Sx:
Acute skin Dz with vesicles or papules

Cause?

A

EPF Damp in skin

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43
Q

Sx:
Tongue shows rootless coating, or no coating in the centre, epigastric pain, thirst, dry stools.

Dx?

A

St Yin Xu

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44
Q

How do Beta-Blockers affect the pulse?

A

Make it slower and deeper

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45
Q

How do tranquilizers affect the pulse?

A

Make it sluggish and reluctant

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46
Q

What do antibiotics do to the tongue?

A

Make it patchy/ peeled in spots.

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47
Q

What do oral steroids do to the tongue?

A

Make it swollen and red

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48
Q

What Dx can be attributed to chronic canabis use?

A

Kidney Xu
Zhi (willpower of the kidneys) Xu
Heart Blood issues
Yi (intellect of Spleen) issues

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49
Q

What TCM Dx could be attributed to chronic cocaine abuse?

A

Phlegm-Fire in the Heart

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50
Q

What TCM DX could be caused by LSD use?

A

Heart Fire

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51
Q

What TCM Dx can use of Ecstasy lead to?

A

Weak Kidneys

Obstruction of Heart Orifices

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52
Q

What change can a barrel chest and epigastrium indicate?

A

Excess of the Stomach

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53
Q

Very large upper thighs that are out of proportion with the rest of the body could indicate which TCM condition?

A

Spleen Deficiency

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54
Q

A thin and emaciated body can indicate which longstanding conditions?

A

Blood or Yin deficiency

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55
Q

An overweight body can indicate which TCM condition?

A

Sp Yang Xu with Damp/ Phlegm retention

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56
Q

What could weak or stiff sinews indicate?

A

Liver disharmony

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57
Q

What can hardening of the blood vessels indicate?

A

Heart disharmony

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58
Q

What could weak or flaccid muscles indicate?

A

Spleen Xu

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59
Q

What could flaccid skin indicate?

A

Lung Qi Xu

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60
Q

What could brittle bones indicate?

A

Kidney Xu

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61
Q

Pronounced tremors and convulsions…. Dx?

A

Full Wind (often from Heat)

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62
Q

Small tremors and tics… Dx?

A

Empty Wind (Blood and/or Yin Xu)

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63
Q

Paralysis of a limb…. Dx?

A

Internal wind, related to Liver

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64
Q

Stiffness and rigidity… Empty or full pattern?

A

Full pattern, possibly Qi Stasis, Blood Stasis, or in extreme cases, external wind.

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65
Q

Hair falling out…Dx?

A

Blood or Kidney Essence issue

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66
Q

Prematurely grey hair… Indicates decline of?

A

Kidney essence

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67
Q

Thickness and lustre of hair are related to which organ?

A

Liver, esp Liver Blood

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68
Q

A complexion with good moisture is said to have what?

A

Stomach Qi

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69
Q

If the complexion is glowing, bright, lively, it is said to have what?

A

Spirit

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70
Q

What are the four attributes of a normal complexion?

A

Lustre
Subtle slightly reddish hue
‘Contained’ or ‘veiled’ colour
Moisture

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71
Q

What are the 6 pathological face colours?

A 
Black
Blue
Green
Red
Yellow
White
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72
Q

What does a white complexion indicate?

A

Blood xu- dull white
Yang Xu - bright white
Yang Xu with Cold- bluish white

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73
Q

What complexion colour would indicate St / Sp Xu?

A

Sallow yellow

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74
Q

Sx: D-H, w/ H++

Complexion?

A

Bright orange-yellow

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75
Q

Smoky, dull yellow complexion…

Dx?

A

Damp Heat with prevalence of Dampness

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76
Q

Withered, dry, yellow complexion

Dx?

A

St/ Sp Heat

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77
Q

Complexion for Cold-Damp in St and Sp?

A

Dull, pale yellow

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78
Q

Ash-like yellow complexion…Dx?

A

Longstanding dampness

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79
Q

Pale yellow complexion surrounded by red spots…

Dx?

A

Spleen Xu and stasis of Liver Blood

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80
Q

Clear complexion but with moist yellow between eyebrows…Dx?

A

Stomach Qi recovering after an illness

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81
Q

Dried up, withered looking yellow colour between the eyes

Dx?

A

Poor prognosis

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82
Q

Entirely red face

Dx?

A

Full heat

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83
Q

Red cheekbones

Dx?

A

Empty heat

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84
Q

Green face

Dx?

A

Liver patterns
Interior cold
Pain
Interior wind

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85
Q

Pale greenish under eyes

Dx?

A

Liver Qi stasis

Liver Blood Xu

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86
Q

Greenish cheeks

Dx?

A

Liver Qi Stasis
Liver Blood stasis
Cold in Liver Channel
Liver Wind

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87
Q

Green complexion with a red tinge

Dx?

A

Lesser-Yang pattern

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88
Q

Green complexion with red eyes

Dx?

A

Liver Fire

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89
Q

Yellow-green cheeks

Dx?

A

Phlegm with Liver-Yang Rising

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90
Q

Green nose

Dx?

A

Qi Stagnation with abdominal pain

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91
Q

Dark reddish-green complexion

Dx?

A

Stagnant liver Qi turning into heat

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92
Q

Grass-green complexion

Dx?

A

Collapse of Liver Qi

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93
Q

What does a dark blue colour under the eyes indicate?

A

Cold in the liver chanel

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94
Q

What does a white-blue complexion indicate?

A

Cold or chronic pain

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95
Q

What does a dull bluish complexion indicate?

A

Severe heart-yang xu with blood stasis

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96
Q

What does a bluish complexion indicate in children?

A

Liver Wind

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97
Q

What does a black and moist complexion indicate?

A

Cold, pain, or kidney Dz

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98
Q

What does a black, dried up, burnt looking complexion indicate?

A

Heat, pain, Kidney Dz, esp. Kidney Yin Xu

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99
Q

What does a floating colour in the complexion indicate?

A

Exterior
Mild
Yang

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100
Q

If a colour is deep in the complexion what do we know about the condition?

A

Interior
Severe
Yin

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101
Q

If a colour is distinct in the complexion what do we know about the condition?

A

Yang condition

Upright Qi still intact

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102
Q

If a colour is obscure in the complexion what do we know about the condition?

A

Yin condition

Upright Qi exhausted

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103
Q

If a colour is thin in the complexion what do we know about the condition?

A

Xu

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104
Q

If a colour is thick in the complexion what do we know about the condition?

A

Fullness/ excess

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105
Q

If a colour is scattered in the complexion what do we know about the condition?

A

New Dz

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106
Q

If a colour is concentrated in the complexion what do we know about the condition?

A

Old Dz

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107
Q

If a colour is moist in the complexion what do we know about the condition?

A

Good prognosis

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108
Q

If a colour is dry in the complexion what do we know about the condition?

A

Poor prognosis

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109
Q

Which three types of conditions can we gather information about from a patient’s complexion?

A
  1. Actual disharmonies
  2. Constitutional traits
  3. Aetiological factors (ie: prenatal shock, etc)
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110
Q

What could a greenish colour on the tip of the nose tell us?

A

Liver (green colour) invading spleen (tip of nose is spleen area), therefore the spleen issues are caused by and therefore secondary to the liver issues.

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111
Q

If the eyes are dull or clouded, what might be wrong?

A 
Disturbed mind (possibly a long time suffering)
Essences of the five yin organs have been weakened
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112
Q

Which organ are the corners of the eyes related to?

A

The heart

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113
Q

Which part of the eye represents the health of the kidney?

A

The pupil

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114
Q

Which part of the body is the upper eyelid related to?

A

Spleen

Greater Yang Channels

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115
Q

Which part of the eye relates to the stomach?

A

Lower eyelid

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116
Q

The sclera relates to which organ, and can show which things?

A

The lungs
Lesions of the back or chest esp. haematomas, the upper part reflecting the back, the lower reflecting the chest.
Red veins in the sclera with purple spots on them, and green/ blue/ purple/ red spots on the end are classic for this

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117
Q

Which part of the eye relates to the liver?

A

The iris

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118
Q

What does a yellow colour in the sclera indicate?

A

Damp heat in the lungs (earth overtaking metal)

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119
Q

What would be indicated by redness, pain and swelling of the entire eye?

A

EPF Wind-Heat
Or
Liver-Fire Rising

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120
Q

What would a swelling under the eyes indicate?

A

Kidney defficiency

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121
Q

What would a dull white colour in the corner of the eyes indicate?

A

Heat

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122
Q

What would a pale-white colour in the corners of the eyes indicate?

A

Blood defficiency

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123
Q

What would be indicated by eyes with grey or scattered spots like clouds indicate?

A

Qi is injured,and therefore stagnant.

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124
Q

What is indicated by deep black spots in the eyes?

A

Injury of blood creating stasis

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125
Q

What is indicated by clearly visible, spiral shaped red veins in the eyes?

A

Pain

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126
Q

What organ does the bridge of the nose correlate to?

A

The liver

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127
Q

What organ does the tip of the nose correlate to?

A

The spleen

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128
Q

If the tip of the nose is green or blue, what is indicated?

A

Cold in Spleen, with abdominal pain

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129
Q

What does a yellow nose-tip indicate?

A

Damp heat in Spleen

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130
Q

What does a white nose-tip indicate?

A

Blood Defficiency

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131
Q

What does a red nose-tip indicate?

A

Heat in lungs and spleen

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132
Q

What does a grey nose-tip indicate?

A

Impairment of water movement

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133
Q

What does a greenish tone on the bridge of the nose indicate?

A

Liver Qi Stagnation

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134
Q

Sx: greyish or dark at bridge of nose.

Dx?

A

Liver Blood Stasis

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135
Q

Sx:
Red at bridge of nose

Dx?

A

Liver Fire

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136
Q

Sx: nose slightly moist and shiny

Dx?

A

Good prognosis

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137
Q

Sx: dry nose

Dx?

A

Stomach or Large Intestine Heat

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138
Q

Sx:
Dry and Black nose
Dx?

A

Toxic heat

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139
Q

Sx: clear watery discharge from nose

Dx?

A

Cold pattern

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140
Q

Sx: thick yellow discharge from nose

Dx?

A

Heat Pattern

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141
Q

Sx:Flaring of the nostrils with high fever

Dx?

A

extreme heat in lungs

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142
Q

Deep red pharynx

Dx?

A

Interior OR exterior heat

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143
Q

Pale red pharynx

Dx?

A

Empty heat

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144
Q

Acute pain, redness and swelling of the throat

Dx?

A

Wind-Heat Invasion

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145
Q

Chronic pain, redness, and swelling of the throat.

Dx?

A

Stomach heat

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146
Q

Chronically sore and dry throat that is not swollen or red.

Dx?

A

Lung/ Kidney-Yin deficiency with empty heat

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147
Q

Pale-red throat

Dx?

A

Empty heat affecting the lung/ Kidney channel

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148
Q

Erosion, redness and swelling of the throat

Dx?

A

Toxic heat

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149
Q

Erosion, swelling, yellowish red throat.

Dx?

A

Excess heat in Stomach and Intestines

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150
Q

Chronic erosion of throat that comes and goes:

Dx?

A

Empty heat

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151
Q

Chronic dryness of throat with erosion and greyish ulcers

Dx?

A

Severe yin deficiency

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152
Q

Chronic erosion of the throat with ulcers that have raised, hard edges:
Dx?

A

Blood stasis with Phlegm Heat

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153
Q

Swollen tonsils of normal colour

Dx?

A

Retention of damp or phlegm on a background of Qi Deficiency

154
Q

Chronically red and swollen tonsils

Dx?

A

Heat or toxic heat often in the stomach / Large Intestine (Yang Ming) channel.

155
Q

Acutely red and swollen tonsils

Dx?

A

Invasion of Wind-Heat with accompanying Toxic Heat

156
Q

Chronic redness and swelling of the tonsils that comes and goes
Dx?

A 
chronic Stomach Heat 
Or
Chronic Large Intestine heat 
(Both yang ming)
OR 
Empty-Heat in Lung channel
157
Q

Acutely red and swollen tonsils with exudate

Dx?

A

Invasion of Wind-Heat, complicated by Toxic Heat in Yangming (St & LI)

158
Q

Greyish tonsils

Dx?

A

Acute stage of glandular fever (Mononucleosis)

159
Q

Pitting oedema of the hands

Dx?

A

Lung-yang defficiency

160
Q

Pitting oedema of the feet

Dx?

A

Kidney Yang deficiency

161
Q

Pitting oedema of the four limbs

Dx?

A

Spleen Yang dificiency

162
Q

Oedema of the four limbs that doesn’t pit

Dx?

A

Dampness
OR
Qi Stagnation

163
Q

Acute oedema of the hands and face

A

Wind Water invading the Lungs

164
Q

What can cause flaccidity of the four limbs?

A

Acute:
Lung Heat injuring body fluids

Chronic:
Damp Heat in Spleen and Stomach
Spleen and Stomach Deficiency
Kidney-Yin Deficiency

165
Q

What can a severe case of flaccidity of the four limbs turn into?

A

Atrophy of the four limbs

166
Q

Rigidity of the four limbs in the elderly

Dx?

A

Liver Wind

167
Q

Rigidity of the four limbs from internal causes

Dx?

A
  • Liver Yang Rising
  • Liver Damp; Kidney Yin Deficiency
  • Spleen Damp; Kidney Yang Deficiency
168
Q

Acute rigidity of the four limbs

A

Invasion of EPF Wind

169
Q

Rigidity of the four limbs accompanied by swelling and painful joints
Dx?

A

Painful Obstruction Syndrome with dampness and Phlegm

170
Q

Inability to flex the joints

Dx?

A

Phlegm with internal wind in the channels

171
Q

Rigidity accompanied by pain in the joints or muscles, which is worse at night
Dx?

A

Blood stasis

172
Q

Sx: White ears

Dx?

A

Cold Pattern

173
Q

Sx: Bluish or dark ears:

Dx?

A

Pain

174
Q

Sx: Dry, withered, dark ear lobes

Dx?

A

Exhaustion of Kidney Qi, usually the Kidney Yin

175
Q

Sx: Shiny and moist ear lobes

Dx?

A

Good Prognosis

176
Q

Sx: Swelling and pain of middle ear

Dx?

A

Heat in Lesser Yang Channels

GB, TH

177
Q

Sx: Swollen Ear

Dx?

A

EPF

178
Q

Sx: Thin Ear

Dx?

A

Qi or Blood Deficiency

179
Q

Sx: Long and full lobe of ear

Dx?

A

Strong constitution

180
Q

Sx: Small ear lobes

Dx?

A

Poor constitution

181
Q

Sx: Pale, red, moist and shiny lips

Dx?

A

normal, good state of spleen

182
Q

Sx: Pale lips

Dx?

A

Yang or Blood Deficiency

183
Q

Sx: Red and dry lips
Dx:

A

heat in the Stomach and Spleen

184
Q

Sx: Purple or bluish lips

Dx?

A

Blood Stasis

185
Q

Sx: Mouth slightly open

Dx?

A

Empty pattern

186
Q

Sx: Breathing through mouth

Dx?

A

Lung-Qi Deficiency

187
Q

Sx: greenish around the mouth

Dx?

A

Liver-Blood Stasis, or Liver-Qi Stagnation

188
Q

Sx: Swollen and painful gums

Dx?

A

Stomach Heat

189
Q

Sx: Swollen gums without pain

Dx?

A

Empty heat of the stomach

190
Q

Sx: Pale gums

Dx?

A

Blood Deficiency

191
Q

Sx: Moist teeth

Dx?

A

good state of the kidneys

192
Q

Sx: Dry teeth

Dx?

A

Kidney Yin Deficiency

193
Q

Sx: Bright and very dry teeth

Dx?

A

heat in the Yang-Ming (Bright Yang) (Large Intestine and Stomach), esp febrile disease (fiery, inflamed, possibly seizures)

194
Q

Sx: Dry and greyish teeth

Dx?

A

empty heat from Kidney Yin Deficiency

195
Q

Deep red pharynx

Dx?

A

Interior or exterior heat

196
Q

Pale red pharynx

Dx?

A

Empty heat

197
Q

Acute pain, swelling, redness of throat

Dx?

A

Wind-Heat invasion

198
Q

Chronic pain, swelling, redness of the throat

Dx?

A

Stomach heat

199
Q

Chronically sore or dry throat that is not swollen or red

Dx?

A

Lung/ kidney yin deficiency with empty heat

200
Q

Pale red throat (as opposed to pharynx)

Dx?

A

Empty heat affecting the lung/ kidney channels

201
Q

Erosion, redness, swelling of the pharynx?

A

Toxic heat

202
Q

Erosion, swelling, yellow-red colour of pharynx

Dx?

A

Full heat in Stomach and Intestines

203
Q

Chronic erosion of pharynx that comes and goes

Dx?

A

Empty heat

204
Q

Chronic dryness and erosion of pharynx with greyish ulcers

A

Severe yin xu

205
Q

Chronic erosion of the pharynx with ulcers that have raised, hard edges
Dx?

A

Blood stasis with Phlegm-Heat

206
Q

When are greyish tonsils most often seen?

A

In the acute stages of mono (glandular fever)

207
Q

Swollen tonsils of normal colour

Dx?

A

Retention of Damp or Phlegm with Qi Deficiency

208
Q

Chronically red and swollen tonsils

Dx?

A

Heat or Toxic Heat, generally in the Stomach and/or Large Intestine channel

209
Q

Acutely red and swollen tonsils

Dx?

A

Invasion of Wind-Heat with accompanying Toxic Heat

210
Q

Chronic redness and swelling of the tonsils that comes and goes
Dx?

A

Either chronic heat in the Stomach and /or Large Intestine channel or Empty-Heat in the Lung channel

211
Q

Acutely red and swollen tonsils with exudate

Dx?

A

Invasion of Wind-HEAT, complicated by Toxic Heat in the Stomach and/or Large Intestine channel

212
Q

Greyish tonsils:

Dx?

A

Acute stage of glandular fever (mononucleosis)

213
Q

Why do the limbs indicate the state of the Spleen and Stomach?

A

Spleen - b/c it influences the muscles

Stomach - b/c it transports food and essences to the limbs

214
Q

what do flabby muscles indicate?

A

Deficiency of the Stomach and Spleen

215
Q

What is swelling of the joints of the four limbs generally due to?

A

Painful Obstruction (Bi) Syndrome, especially from Damp, possibly with phlegm, often from liver-blood deficiency.

216
Q

Swelling joints that are red and hot to the touch

Dx?

A

Retention of damp heat in the joints

217
Q

What are the two types of Odema?

A

Water Odema

Qi Odema

218
Q

What is water Oedema due to?

A

Yang Deficiency

219
Q

Is pitting oedema water oedema or qi oedema?

A

Pitting oedema is always Water Oedema

220
Q

Skin pits and changes colour upon pressure with finger tips

Dx?

A

Water oedema, which is always due to Yang Deficiency

221
Q

Pitting oedema in the hands

Dx? (With location)

A

Lung-Yang Deficiency

222
Q

Pitting oedema in the feet

Dx?

A

Kidney Yang Deficiency and/or Spleen Yang Deficiency

223
Q

What generally causes acute flaccidity of the four limbs?

A

Invasion of Wind-Heat in the lungs

224
Q

Non-pitting oedema of the four limbs

Dx?

A

Qi Stagnation affecting the muscles
or
dampness of the muscles

225
Q

Acute oedema of the hands and face

Dx?

A

Invasion of the lungs by wind-water, which is a type of wind-cold.

226
Q

What are three potential causes of flaccidity of the limbs that is not acute?

A 
Damp-Heat injuring the body fluids
Or
Stomach and Spleen Deficiency
Or
Kidney-Yin Deficiency
227
Q

Rigidity of the limbs accompanied by swelling and pain of the joints
Dx?

A

Painful Obstruction syndrome with Dampness and Phlegm.

228
Q

Inability to flex the joints in the elderly
Dx?
(3 causes)

A 
Phlegm with internal wind in the channels
OR
Liver Wind
OR
If acute, invasion of external wind
229
Q

Rigidity accompanied by pain in the joints or muscles, worse at night
Dx?

A

Blood Stasis

230
Q

Acute rigidity of the limbs

Dx?

A

Invasion of external wind

231
Q

Causes of Rigidity of the Limbs?

A 
Invasion of external wind
Liver Yang Rising
Liver Wind (elderly)
Phlegm with internal wind in channels (elderly)
Painful Obstruction Syndrome with Ph-D
Blood Stasis
Liver and Kidney Yin Deficiency
Spleen and Kidney Yang Deficiency
232
Q

What is the difference between paralysis of a limb and rigidity?

A

Inability to use muscles or joint (paralysis)
Vs
Inability to flex the joint (rigidity)

233
Q

What are some of the underlying complexities leading to a stroke?

A

Phlegm
Internal Wind
Internal Heat
Qi and Blood or Yin Deficiency

234
Q

What are the main deficiency type causes of paralysis of the limbs?

A

Stomach and Spleen deficiency
Qi and Blood Deficiency
Kidney and Liver Yin Deficiency

235
Q

What are the main excess causes of paralysis of the limbs?

A

Retention of damp in the muscles
Blood stasis
Phlegm and internal wind in the channels

236
Q

Acute, self-resolving contraction of the four limbs

Dx?

A

Invasion of Wind

237
Q

Non-acute contraction of the four limbs

A 
Dampness in the muscles
Or
Heat injuring fluids in the muscles
Or
Liver Blood Deficiency
Or
Liver Yin Deficiency
238
Q

Tremor of the hands

Dx?

A

Liver Wind

239
Q

Tremor of the four limbs in the elderly

Dx?

A

Liver Wind and Phlegm affecting the channels and sinews

240
Q

Fine tremor in women

A

Liver-Wind deriving from Liver-Blood Deficiency
Or
Liver and Kidney Yin Deficiency, esp in Elderly

241
Q

Mild, fine tremor of the limbs

Dx?

A

General Qi and Blood Deficiency

242
Q

Spasticity and tremor in febrile disease

Dx?

A

Liver Wind or Empty wind from Yin Depletion

243
Q

General Tremor or Spasticity with no other specifics, but some yang or liver Sx
Dx?

A

Liver - Yang Rising

244
Q

Pale nails

Dx?

A

Blood Xu

245
Q

Bluish nails

Dx?

A

Blood Stasis of Liver

246
Q

Ridged Nails

Dx?

A

Liver-Blood Xu

247
Q

Bluish venules on the Thenar Eminance

Dx?

A

Cold in the Stomach

248
Q

Bluish and short venules on the Thenar Eminance

Dx?

A

Empty pattern of cold in the stomach

249
Q

Red venules on the thenar eminance

Dx?

A

heat in the stomach

250
Q

Purple venules on the thenar eminance

Dx?

A

Blood stasis in the stomach

251
Q

Is the left or right index finger examined in baby boys/girls?

A

Girls are Right

Boys are Left

252
Q

What are the three gates in a child’s index finger, and where are they located?

A

Gate of Wind (crease between palm and finger)
Gate of Qi (crease just distal to the palm/finger crease)
Gate of Life (crease just proximal to tip of finger)

253
Q

Which direction do we rub a child’s finger in order to Dx?

A

Towards the body, looking for venules.

254
Q

What do we look for in the venules on a child’s finger besides how far they extend?

A

Colour:
Blue - cold pattern
Red - heat pattern

255
Q

Dry Skin

Dx?

A

Liver blood deficiency

256
Q

Itchy Skin

Dx?

A

Wind

257
Q

Bright yellow skin

Dx?

A

Yang Jaundice from Damp-heat

258
Q

Dull yellow skin

A

Yin jaundice from Damp-Cold

259
Q

Red venules on skin

A

Heat in blood

260
Q

Purple venules on skin

Dx?

A

Stasis of Blood

261
Q

Green venules of skin

Dx?

A

Pain

262
Q

Blue venules of skin

Dx?

A

Cold

263
Q

Papules on skin

Dx?

A

Heat in lungs or stomach or both

264
Q

Vesicles on skin

Dx?

A

Dampness

265
Q

Macules on skin

Dx?

A

Blood level disharmony
Red- heat in blood
Purple- blood stasis
Bluish - cold in blood

266
Q

What are the four main items we observe in a tongue?

A

Colour
Shape
Coating
Moisture

267
Q

What does the body colour of the tongue reflect the condition of overall?

A

Blood
Nutritive Qi / Yin organs
Heat vs Cold
Yin vs Yang

268
Q

What does the body shape of the tongue reflect overall?

A

The state of blood and nutritive qi as well as fullness or deficiency

269
Q

what does the coating of the tongue reflect overall?

A

yang organs
Heat vs Cold
Fullness vs Deficiency

270
Q

What does the moisture of the tongue reflect?

A

Body Fluids

271
Q

Which organ does the (practitioner) left side of the tongue reflect?

A

Gallbladder

272
Q

Which organ does the practitioner’s right (patient’s left) side of the tongue reflect?

A

Liver

273
Q

Which organ does the very front of the tongue reflect?

A

Heart

274
Q

Which organ does the area just behind the very front of the tongue reflect?

A

lungs

275
Q

Which organs does the middle of the tongue reflect?

A

Stomach and Spleen

276
Q

Which organs are reflected on the rear of the tongue?

A

Kidneys
Bladder
Small and Large Intestines

277
Q

What does a pale tongue indicate?

A

Yang or Blood Deficiency

278
Q

What does a pale, very wet tongue indicate?

A

Yang Deficiency

279
Q

What does a pale and dry tongue indicate?

A

Blood Deficiency

280
Q

What does a tongue with pale sides only indicate?

A

Liver Blood deficiency

281
Q

What does a tongue with orange tinted sides indicate?

A

Severe liver-blood deficiency

282
Q

What does a red tongue indicate?

A

Heat

283
Q

What does a red tongue with coating indicate?

A

Full Heat

284
Q

What does a red tongue with no coating indicate?

A

Empty heat

285
Q

What does a tongue with a red tip indicate?

A

Heat in heart, either empty or full

286
Q

What do red sides on a tongue indicate if there is some coating on the tongue?

A

Liver fire or GB heat

287
Q

What does a tongue that has red sides with no coating indicate?

A

Liver Yin Deficiency with empty heat

288
Q

What is indicated by a tongue with a red centre?

A

With Coating: Full Heat of the Stomach

Without Coating: Empty Heat of Stomach

289
Q

What is indicated by red points/ spots on the tip of a tongue?

A

Heart-Fire

290
Q

What do red points or spots indicate if they are on the sides of the tongue?

A

Liver Fire

291
Q

What do red points or spots on the root of the tongue indicate?

A

Heat in the lower burner

292
Q

What do red points or spots indicate if they are in or around the centre of the tongue?

A

Stomach heat

293
Q

What does a purple tongue indicate?

A

Blood stasis

294
Q

What does a reddish purple tongue indicate?

A

Blood stasis from heat

295
Q

What does a bluish-purple tongue indicate?

A

Blood stasis from cold

296
Q

What does a tongue with reddish-purple sides indicate?

A

Liver-Blood stasis

297
Q

What does a tongue with bluish purple sides indicate in a female?

A

Blood stasis in the uterus

298
Q

What does a tongue that is purple in the centre indicate?

A

Blood stasis in the stomach

299
Q

What does a thin, pale tongue indicate?

A

Blood deficiency

300
Q

What does a thin, red tongue indicate?

A

Yin deficiency

301
Q

What does a swollen tongue indicate?

A

Dampness or Phlegm

302
Q

What does a partially swollen tongue indicate?

A

Heat

303
Q

What does a tongue that is swollen with a red tip indicate?

A

Severe heart fire

304
Q

What does a tongue that is swollen with red sides indicate?

A

Liver Fire

305
Q

What does a tongue that is swollen on the sides and pale indicate?

A

Spleen deficiency

306
Q

What does a tongue that has swelling in the front third of the tongue only indicate?

A

Phlegm in the lungs

307
Q

What does a tongue that is stiff indicate?

A

interior wind

308
Q

What does a flaccid tongue indicate?

A

Deficiency of the Body Fluids

309
Q

What does a tongue that is long indicate?

A

Heat

310
Q

What does a tongue that is short and pale indicate?

A

Severe yang deficiency

311
Q

What does a tongue that is short and red without coating indicate?

A

Severe Yin Deficiency

312
Q

What does a tongue that is cracked indicate?

A

Full heat or yin deficiency

313
Q

What does a quivering tongue indicate?

A

Spleen-Qi deficiency

314
Q

What does a deviated tongue indicate?

A

Interior wind

315
Q

What does a tooth-marked tongue indicate?

A

Spleen-Qi Deficiency

316
Q

Does the tongue coating reflect the yin or the yang organs?

A

Yang, especially the stomach

317
Q

What does a normal tongue coating look like

A

Thin and white

318
Q

What does a thick coating indicate?

A

EPF

319
Q

Does a thicker or thinner coating indicate a stronger EPF?

A

Thicker

320
Q

What is indicated when a tongue coating is without root?

A

Stomach Qi Deficiency

321
Q

What condition is indicated by the partial absence of coating on a tongue?

A

Patchy - often from steroid use

Otherwise it’s Stomach Yin Deficiency

322
Q

What does a total absence of coating on a red tongue indicate?

A

Stomach and /or Kidney Yin deficiency with empty heat.

323
Q

What does a thick white tongue coating indicate?

A

Cold EPF

324
Q

What does a yellow tongue coating indicate?

A

Full-Heat Pattern

325
Q

What does a grey and black tongue coating on a wet tongue indicate?

A

Extreme cold

326
Q

What does a grey and black coating on a dry tongue indicate?

A

Extreme heat

327
Q

What does the moisture of the tongue reflect?

A

The state of the body fluids

328
Q

Is a normal tongue slightly moist?

A

Yes

329
Q

What does it mean if a tongue is too wet?

A

Yang deficiency, dampness

330
Q

What does it mean if a tongue is too dry?

A

Heat or yin deficiency

331
Q

What does it mean if a tongue is sticky or slippery?

A

Dampness or phlegm

332
Q

What are the four secondary channels?

A

Connecting (Luo Mai)
Muscle (Jing Jin)
Divergent (Jing Bie)
Cutaneous Regions

333
Q

What are the three types of connecting channels?

A

Minute Connecting Channels
Superficial Connecting Channels
Blood or Deep Connecting Channels

334
Q

If the connecting channels are greenish, what can we gather?

A

Qi Stagnation or Pain along the channel

335
Q

If the connecting channels are reddish, what can we gather?

A

Heat in the channel

336
Q

If the connecting channel is bluish, what can we gather?

A

Cold in the channel

337
Q

If the connecting channel has a feeling of heat what can we gather?

A

Retention of heat in the channel

338
Q

If the connecting channel has a feeling of cold what can we gather?

A

Retention of cold in the channel

339
Q

If there is muscle atrophy or flaccidity along a channel what can we gather?

A

A deficient condition, often seen in Atrophy syndrome.

340
Q

Muscle rigidity or hardness along the channel - what can we gather?

A

Excess condition due to retention of cold in the channel or too Qi Stasis.

341
Q

What are the 10+2 Questions?

A
  1. Aversion to cold and fever
  2. Sweating
  3. Head and body Sx
  4. Chest and abdomen Sx
  5. Food and taste
  6. Stools and Urine
  7. Sleep
  8. Hearing and Tinnitus
  9. Thirst and Drink
  10. Pain
    - —–
  11. Gyno for women
  12. Child stuff for kids
342
Q

Which two empty conditions may cause pain?

A

Qi and Blood Deficiency

Consumption of Body Fluids from yin deficiency

343
Q

Which 5 Full conditions can cause pain?

A
  1. EPF
  2. Interior Cold or Interior Heat
  3. Qi Stagnation or Blood Stagnation
  4. Retention of Food
  5. Obstruction by Phlegm
344
Q

What quality does pain have in an empty condition?

A

Dull and lingering

345
Q

What quality does pain tend to have in a full condition?

A

Sharp

346
Q

What quality does pain from cold tend to have?

A

Cramping

347
Q

What quality does pain from heat tend to have?

A

Burning

348
Q

What kind of onset does pain in an empty condition entail?

A

Slow, gradual

349
Q

If pain is aggravated by vomiting is it an empty, full, heat, or cold type condition?

A

Empty or Cold

350
Q

Is a hot condition better or worse with movement?

A

Worse

351
Q

Is a full condition better with movement or rest?

A

Full conditions are better with movement

352
Q

Is an empty condition better or worse with food?

A

Empty conditions are better with food.

353
Q

What quality does the pain of Qi Stagnation have?

A

Distending or bloating
Wandering
Recurring

354
Q

What quality does pain from blood stasis have?

A

Severe, boring, stabbing pain in a fixed location.

355
Q

What would be the symptomatic difference between cough from Liver Fire vs cough from Lung Heat?

A

Liver fire:
cough arrives suddenly, no Hx /evidence of EPF but frequently Hx of emotional change or insufficient rest. Clear bouts of incessant or episodic coughing with choking quality which redden eyes and face. Pain extends to hypochondriac region.

Lung Heat:
Slower onset, Hx of exposure to EPF one to several days earlier. Pain is generally isolated to chest.

356
Q

What type of pain does Liver Yang Rising cause?

A

Rebellious Qi Sx
Chronic headaches
Distending and Throbbing pain

357
Q

What kind of pain does Cold cause?

A

Both full and empty cold cause a cramping, spastic pain that is usually alleviated by warmth and worsened with more cold.

358
Q

What kind of pain does heat cause?

A

None unless accompanied by damp

359
Q

What kind of pain does Damp-Heat cause?

A

Burning pain with feeling of heaviness or fullness in the Forehead, epigastrium, abdomen, hypochondrium, hypogastrium, Uterus, Bladder, or Joints.

360
Q

What kind of pain is caused by retention of food?

A

Epigastric or abdominal pain that is intense with a feeling of fullness.
More Children than adults

361
Q

When does phlegm cause pain?

A

When its in the joints, head, epigastrium or abdomen.

362
Q

What kind of pain does EPF wind cause?

A

Occipital Headache
Stiffness
Wandering Pain
Pain that ebbs and flows

363
Q

What types of conditions are relieved by eating?

A

Empty

364
Q

What kinds of condition would be aggravated by eating?

A

Full

365
Q

What does a lack of appetite indicate?

A

Spleen Qi Deficiency

366
Q

Excessive Hunger

Dx?

A

Stomach Heat

367
Q

Feeling of fullness

Dx?

A

Dampness or retention of food

368
Q

Sharp pain

Dx?

A

Blood stasis

369
Q

Feeling of heaviness

Dx?

A

Damp

370
Q

Preference for hot food and drink?

A

Cold pattern

371
Q

Preference for Cold food and drink?

A

Heat pattern

372
Q

Constant bitter taste

Dx?

A

Full heat in liver

373
Q

Bitter taste in morning, insomnia

Dx?

A

Full heat in heart

374
Q

Sweet taste

Dx?

A

Spleen

375
Q

H/A
Occipital, neck, upper back

Which of the 6 levels/ channel pairs is affected?

A

Great (Tai) Yang

SI/ UB

376
Q

Headache
Forehead

Which of the 6 levels/ channel pairs is affected?

A 
Yang Brightness (Yangming)
LI/ St
377
Q

Headache
One or both sides of head, temples, ears

Which of the 6 levels/ channel pairs is affected?

A

Lesser (Shao) Yang

GB/ SJ

378
Q

Headache
Heavy or Distending sensation around upper part of head

Which of the 6 levels/ channel pairs is affected?

A

Greater (Tai) Yin

Lu/ Sp

379
Q

Headache that affects the inside of the head even the teeth

Which of the 6 levels/ channel pairs is affected?

A

Lesser (Shao) Yin

Ht/ K

380
Q

Headache that affects the vertex of the head

Which of the 6 levels/ channel pairs is affected?

A

Terminal (Jue) Yin

Liv/ Pc

381
Q

What are the pulse points on the right wrist, distal to proximal?

A

Cun: Lu/ LI
Guan: Sp/ St
Qi: Pc/ SJ / LJ / K yang

382
Q

What are the pulse points on the left wrist, distal to proximal?

A

Cun: H / SI
Guan: Liv/ GB
Qi: K/ Bl / K Yin

Z:A+ Nationals (24 decks)

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