Flashcards in Week 9 - HT Diagnoses Deck (26):
In the TCM the functions of the HT are _______
moves blood to extremities (HT yang)
regulate pulse (HT qi)
nourish and house shen at night (HT yin, blood)
In the waking state, the Shen is located _______
in the sense organs
HT blood is related to what aspects of mental acuity?
ability to focus
Any HT deficiency can exhibit the symptom of ______, which can be categorized as ______ or ________
What are the HT deficiency patterns?
HT yin deficiency
HT blood deficiency
HT yang deficiency
HT qi deficiency
What are the HT excess patterns?
HT blood stasis
Phlegm heat misting orifices
Phlegm cold misting orifices
List signs and symptoms of HT yin deficiency pattern
subjective palpitations, anxiety fairly pronounced - panic attacks, phobias, sleep walking, sleep talking, nightmares, insomnia - trouble falling asleep, restless sleep, vivid dreams, night sweats, sweat from chest/palms, thirst w/ desire for cold fluids,
pulse - thin, rapid
tongue - red w/ bright red tip, thin dry yellow fur/patchy or no fur
What is the treatment principle for HT yin deficiency?
Nourish HT yin, calm shen
List signs and symptoms of HT blood deficiency pattern
subjective palpitations, anxiety, poor short term memory, touble focusing, insomnia - trouble falling asleep, restless sleep, vivid dreams, dry skin, dry hair, blurry vision, floaters, tight muscles, long menstrual cycle, short scanty menses, pale complexion
pulse - thin
tongue - pale dry tongue, thin dry white fur
How do HT blood deficiency and HT yin deficiency differ
signs and symptoms are similar but HT yin deficiency will exhibit heat signs - night sweats, thin/rapid pulse, red tongue tip, yellow tongue fur
What is the treatment principle for HT blood deficiency?
nourish blood, calm shen
List signs and symptoms of HT yang deficiency?
objective palpitations, cold in upper body - edema in face, fingers, chest pain - angina w/ dull non-fixed pain worse w/ exertion or exposure to cold, cold sweat from upper body
pulse - weak, deep slow or irregular
tongue - pale, swollen, wet, thin white coat
HT yang deficiency can present w/:
- chest pain because _______
- cold sweat from upper body because ________
insufficient yang to move blood & fluids
yang fails to close the pores
What is the treatment principle for HT yang deficiency?
warm and tonify HT yang
List signs and symptoms of HT qi deficiency
palpitations, fatigue, shortness of breath, spontaneous sweat, anxiety, tendency to be easily startled or frightened, some trouble falling asleep, withdrawn personality, lack of physical strength
pulse - weak, regularly intermittent
tongue - pale, swollen, thin white fur
What is the treatment principle for HT qi deficiency?
strengthen HT, tonify qi
List signs and symptoms of HT fire pattern
overexcited/hypomanic/manic state, bright red face, upper body sweat - axillary, palms, extreme thirst w/ desire for cold fluids, canker sores on the tongue, burning sensation on tip of the tongue, racing thoughts, rapid/pressured speech, severe insomnia
pulse - rapid, excess
tongue - bright red, bright red tip, thin dry yellow fur, possible sores
What is the treatment principle for HT fire?
clear heat, drain fire from HT, calm shen
HT fire can manifest w/:
racing thoughts because ________
rapid/pressured speech because _______
heat overstimulates shen
heat agitating the tongue
HT blood stasis is typically an exacerbation of ______ List signs and symptoms for HT blood stasis
HT yang deficiency
severe throbbing chest pain, fixed in location, can be worse at any time, spider angiomas, purple lips, purple spots on tongue, dark distended SLV
pulse - choppy/rough
What is the treatment principle for HT blood stasis
invigorate HT blood, dispel stasis
Phlegm blocking the HT orifices typically manifests as _______
delusions, hallucinations, psychosis
List signs and symptoms of phlegm heat misting orifices
delusions, hallucinations, hyperintense ranting & raving, extreme emotional agitation, angry outbursts for no apparent reason, confused incoherent thought/speech, irritability, illogical emotional swings, nasal congestion, phlegm in chest, plum pit qi, red face, excessive sweat, dark scanty urine, tendency towards constipation
tongue - bright red, thicky greasy yellow coat
pulse - slippery, rapid
What is the treatment principle for phlegm heat misting orifices?
clear heat, drain fire, transform phlegm, open orifices, calm shen
List signs and symptoms of phlegm cold misting orifices
chaotic, incoherent speech, delusions, hallucinations, withdrawn presentation, no emotional response, flat affect, extreme fatigue, very little talking, chronic congestion, plum pit qi, coughing up clear white phlegm, catatonia, posturing, slow response time, sensation of heaviness distending heavy headaches
tongue - pale, swollen, thick greasy white fur
pulse - slippery