Zang Fu 2: 8 Principle Pattern Id

Question 1

What does interior vs exterior help us to determine?

Answer 1

The depth of the disease and its location. Give us insight into the severity and potential development of disease.

Question 2

What is the key sx of exterior pattern?
Is it acute or chronic?
T/P

Answer 2

Simultaneous chills and fever
Acute onset (easily cured)
T: normal with white or sl yellow coating
P: **superficial **

Question 3

What is the key distinguishing symtoms for exterior heat vs exterior cold pattern? What is the difference in pulse?

Answer 3

Exterior heat has sore throat + superficial & rapid
Exterior cold does not + superficial & tight

Question 4

What are the two exterior cold patterns?

Answer 4

Exterior deficiency cold and exterior excess cold

Question 5

Does exterior heat pattern have sweating sx?

Answer 5

Yes

Question 6

Does exterior excess cold have sweating sx?

Answer 6

No
(think Ma Huang Tang- you’ll need something stronger to knock this out)

Question 7

Does exterior deficiency cold have sweating sx?

Answer 7

Yes!
(thing gui zhi tang– gui zhi is a weaker diaphoretic compared to ma huang)

Question 8

What is the difference between an exterior excess cold pulse and an exterior deficient pulse?

Answer 8

exterior excess cold–> superficial & tight
exterior deficient –> superficial & moderate

Question 9

Is there an exterior excess heat pattern?

Answer 9

NO

Question 10

Is there an exterior deficiency heat pattern?

Answer 10

NO

Question 11

Is the onset of interior patterns acute or chronic?

Answer 11

Chronic

Question 12

Where are interior patterns located?

Answer 12

In Zang Fu Organs

Question 14

Relative to the location of exterior patterns, are interior patterns more superficial or deep?

Answer 14

Deep

Question 15

What are some key sx of interior patterns?
T & P

Answer 15

Fever or chills
Thirst w/ desire to drink
nausea, vomiting, bitter tast in mouth
T: red or crimson, blue, purple body w/ yellow greasy or gray tongue coating
P: deep pulse

Question 16

What does cold and heat help us to differentiate?

Answer 16

The nature of a disease and **condition of the yin and yang **
(increase and decrease of yin and yang)

Question 17

For someone with interior excess cold pattern, does putting on a coat warm them up?

Answer 17

NO!
(aversion/dislike of cold)

Question 18

What is the key distinguishing sx for interior excess cold and interior deficiency cold?

Answer 18

Type of chills
Interior excess cold: dislike of cold/aversion (coat does not help)
Interior deficiency cold: afraid / intolerance of cold ( jacket warms them up ; can get over their ‘fear’)

average d – aversiondislike
afi – afraid intolerance

Question 19

For someone with interior deficiency cold pattern, does putting on a coat warm them up?

Answer 19

Yes!
(afraid of cold)

Question 20

What is the difference in pulse for interior excess cold vs interior deficiency cold?

Answer 20

Excess cold: slow and tight
Deficiency cold: slow and weak, deep

Question 21

chills in external cold vs internal cold

Answer 21

external: aversion to cold (not relieved)
internal: afraid of cold (relieved)

Question 22

What is the difference in pathogenesis of excess heat pattern and deficiency heat pattern?

Answer 22

Excess heat: yang qi excess
Deficiency heat: yin deficiency

Question 23

For excess and deficiency heat patttern what is the difference in the time of sweating?

Answer 23

excess heat : day time sweating
deficiency heat: night time sweating

Question 24

What does antipathogenic qi denote?

Answer 24

the body’s function activities, resistance and recovery capacity

Question 25

What are the pathogenic qi?

Answer 25

Also known as evil qi wind, heat, dryness, cold, dampness, phlegm, blood stasis, etc

Question 26

Given the concept of deficiency and excess, which is from the pathogenic factor's point of view?

Answer 26

Excess

Question 28

Given the concept of deficiency and excess, which indicates antipathogenic qi condition?

Answer 28

Deficiency

Question 29

Is the strength of the patient's consitution stronger in excess pattern or deficiency pattern?

Answer 29

Excess

Question 30

What type of chills appears in yang deficiency (deficiency cold) pattern?

Answer 30

Afraid/fear of cold (coat warms them up)

Question 31

What type of sweat do we see with yin collapse?

Answer 31

Profuse warm and sticky sweating and salty

Question 32

Which zangfu organs is yin collapse related to?

Answer 32

Heart Liver Kidney (hell's kitchen)

Question 33

Is yin collapse a critical condition?

Answer 33

Yes it is a critical pathological condition

Question 34

What zang fu organs is yang collapse related to?

Answer 34

Heart and Kidney

Question 35

What type of sweat do we see with yang collapse?

Answer 35

Oily cold sweating w/ no taste

Question 36

Yang Collapse T & P

Answer 36

T: moist pale P: thin and minute (feeble breath, listlessness, bluish complexion, stupor or coma)

Question 37

Yin Collapse T & P

Answer 37

T: Dry, red or crimson P: thin, rapid and weak (coma or fidget)

Question 38

Between True Cold, False Heat and False Cold, True Heat, which is a critical condition?

Answer 38

True Cold, False Heat

Question 39

False heat or cold mostly shows on the ____ while true heat or cold mostly shows on the _________

Answer 39

False on the extremities, true mostly on the torso near the zang fu organs

Question 40

For True excess with false xu what do we see?

Answer 40

Fatigue, dislikes to talk, abdominal distention, loose stool, deep pulse. Fatigue with desire for activity, and feels relief after activity. Feels more comfortable after passing stool. **Sonorous, loud voice**. Deep and forceful pulse. Thin, small, cracked, tough tongue. Acute condition.The but the **pulse excess** **(Appears deficient but pulse is excess; acute)**

Question 41

With True xu with false excess what do we see?

Answer 41

Abdominal fullness, distention and pain, wiry pulse. Intermittent, paroxysmal distention and fullness. Pain relieved by pressure. Wiry and** forceless pulse, **without root. Low fever, constipation with small amount soft stool and soft abdomen, clear scanty urine, asthma with shortness of breath. Tender tongue. Chronic condition. **(Appear excess but pulse is deficienct; chronic) **

Question 42

# True xu with false excess Sx What are the four major aspects to focus on when distinguishing between true and false phenomena in xu and excess?

Answer 42

- Strengthen of the pulse - Toughness of the tongue - Volume of the voice - Patient constitution, cause of the disease, and its treatment and development process