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Flashcards in Zang Fu Diagnosis Deck (53):
1

Bing Ji

It is the pathogenesis:

3 parts:
-Bing yin
-Bing Wei
-Bing Xing

2

Bing Yin

Causitive Factor:

-exogenous or endogenous pathogen

3

Bing Wei

Location of disease

4

Bing Xing

Nature of disease

5

Normal Function of the lung

Dominates qi, descends and disperses qi, upper source of water, manifests at the skin, opens in the nose

6

Averse cold , fever, no sweat, headache and body discomfort, stuffy nose, watery nasal discharge, cough with sputum

T: thin white coat
P: slippery floating

Lung wind cold invasion

Tx:
Li4
Lu7
Ub12
Ub13
Gb20

7

Cough with yellow sputum, thick nasal d/c, averse wind and heat, fever, sore throat

P: Floating and rapid
T: thin yellow coat

Lung Wind Heat

Li4
Li11
Sj5
Du 14
Gb20

8

Cough with large quantity of thick and yellow sputum, difficult breathing with wheezing, cough with pain in the chest, extreme thirst and desire for cold drinks, dark urine and constipation

T: red tongue dry and yellowish coat
P: Slippery and rapid

lung phlegm heat

9

Cough with thick sticky sputum, shortness of breast

T: tongue with thick and whitish greasy coat
P: floating and slippery

Lu-1
UB-13
St-40

10

difficulty breathing with wheezing, pain and fullness sensation in the chest and hypochondriac

T: thick white-yellow greasy coat
P: slippery rapi

Stagnation of excessive fluids in the lung

11

Cough with dyspnea, little but sticky phlegm, sometimes with blood streak, dry mouth and sore throat, sensation of cold and fever

T: thin and dry coat, red tip
P: Thready and rapid

Lung dryness due to yin deficiency

Lu7
Kd6
Li4

12

Cough with shortness of breath, fatigue, dislike speaking, weak and low voice, intolerance of wind, spontaneous perspiration

T: pale and thin white coat
P: weak

Lung qi Xu

Lu9
St 36
Ub-13
Ren-17

13

Palpitations, shortness of breath, oppressed feeling in the chest, chest pain, pale complexion, dullness in the body, spontaneous perspiration. cold signs, severe anxiety/panic, exhaustion

P: weak, knotted, intermittent
T: Pale, flabby, dusky, wet, swollen

Heart Yang Qi XU

Ht7
Ub15
Ren 14
PC6

14

Palpitations, vexation, fear, restlessness, dreamy sleep, 5 center heat, heat sx at night, insomnia low grade fever, uneasy, dry motuh throat and lips
T: red tongue with cracks
P: thready and rapid

Heart Yin Xu

Ht7
Ht9
Ub15
Kd6

15

Palpitations, vexation, fear, restlessness, dreamy sleep, pale complexion, insomnia, poor memory, dizziness, anxious, easily startled,
T: pale tongue with little coat
P: thready, rough

Heart Blood Xu

Ht7
UB15
Kd6
Sp6
Ub17

16

Palpitations, manic-depression, insomnia, anxiety

T: red with thick yellow coat
P: Slippery and rapid

Heart Phlegm Fire

Bleed Jing Wells
Ht 3
Li4
PC8
St 40

17

Severe Palpitations, oppressed feeling in the chest with stabbing pain, sharp pain in the chest, bluish purple lips
coma and coldness of limbs
T: dark tongue with purple dots
P: thready, uneven, knotted, intermittent

Heart blood stagnation

Ub 17
Sp10
Ht6

18

Sallow Complexion, dislikes cold vomitting with watery fluid, anorexia, loose stool with undigested food not foul smelling, coldness of the limbs, more edema
T: pale, swollen, wet tongue
P: deep and slow

Spleen yang xu

Ub20
Lv13
Sp4
ST36
Ren 8

19

Poor Appetite, abdominal distention, fatigue and dislike of speaking, diarrhea, prolapse, bloating and distension in the abdomen, tired after eating, belching or flatulence, gravitate to sweets, excess salivaion
T: pale with thin white coat
P: weak andempty

Spleen qi xu

Ub20
Sp3
St 36
Ren 6

20

, lethargy, heavy head, dizziness, nausea, loss of appetite, no thirst, pale urine, vaginal discharge, foggy unclear thinking anorexia, fatigue, heaviness sensation of head and body. Stickiness of the mouth, loose stool or diarrhea (stricky) , nausea
T: greasy adn white coat
P: soft, floating, slippery

Spleen Cold Damp

Ren 12
Sp5
Lv13
Sp 9

21

stuffiness in the chest/Distention of the hypochondriac and abdomen, poor appetite and bitter taste, patient feels hot and heaviness sensation in the body, dark urine and loose stool with a sticky strong smell, may have burning , leatharggy, maybe vomitting, not thirsty, scant dark urine, yellow vaginal discharge,sensation, sallow complexion
T: greasy with yellow coat
P: soft, floating, rapid, slippery

Spleen Damp heat
sp2
Lv13
sp9
li11

22

Main function of the liver

controls emotions, stores blood, smooth flow of qi

23

Fullness and distending pain in the hypochondriac region, restricted breathing, frequent sighing or clearing of throat, indigestion, , tendency toward headaches, irregular menses, cramping before periods, irregular bowelsnausea, regurgitation, abdominal pain that moves around and is relieved by bowel movement, diarrhea worse emotions, abdominal mass, menstrual irregularities
T: thin coat
P: wiry

Liver qi stagnation

Lv3
LV14
Li4: moves qi

24

Burning pain in the hypochondriac, vomitting of bitter saliva, intensedistending pain in the head, dizziness, vertigo,tinnitus, red eyes, irritability, hematemesis, dark urine, insomnia constipation, chest pain,

T: Red yellow coat
P: Wiry and rapid full

flamming of liver fire

Lv2
Gb 34
SJ5
Li11

25

Coma, Convulsions, vertigo, numbness, headache, deviated mouth and eyes (stroke), tongue rigidity, hemiplegia, restless legs, tics, tremors shaking, stroke paralysis, numbness and tingling, hypertension, stroke sequela,


Internal Liver wind
Lv3
Lr8
Gb20
Du 20
NOT UB 12 since its internal wind

26

Lower abdominal distention, aches and strange sensation in teh abdomen, long clear urination dragging sensation and pain in the testes, contracture of the scrotum, hernias, emaciation, pt aggravated by cold and alleviated by warmth

T: Moist, white coat
P: deep and wiry slow

Liver Cold Accumulation

Ren 4 (warm lower jail)
Lv 1
Sp 6 (create movement in the yin)

27

Dizziness, headache, tinnitus, deafness, numbness of the limbs mild trembling of muscles, dryness and uneasy feeling of the eyes, less seep, dry throat

T: reddened with scanty saliva
P: thready and rapid

Liver yin Xu

Lv 8
Sp6
Ub18
Lv 14

28

pallor, Dizziness, vertex headache, mild trembling of muscles, blurred vision, fatigue, scanty menses, fainting, elongated cycles with decreased menstural flow or amenorrhea, numbness and tingling of the extremities, limbs easily fall asleep
T: pale tongue, thin pulse, can be wiry, fine, rough, choppy

Liver blood xu
Lv 8
Sp6
Ub18
Lv 14

29

weakness and soreness of the loins and back, nocturnal emission, premature ejaculation, nocturne, frequent clear and dribbling urination, even incontinence of urine

T: pale with thin white coat
P: weak, deep

Kd qi not consolidated

Kd3
Ren4
Ub23
Ub52

30

Blurred vision, deafness, fullness in the chest and hypochondriac pain, irritability, insomnia, vomitting of bitter saliva, palpitation and restlessness

T: yellow greasy coat
P: wiry, slippery

Excess of the gallbladder

GB41
SJ5
Gv20
Lv14
Lv3
St40

31

SOB, Severe panting, aggravated on slight exertion, cough with sweating, incontinence of urine with cough, pale complexion

T: pale tongue with thin coat weak chi pulse

Kd qi fails to receive inspiration

Ren 17
UB23
Kd3
can add lung points

32

pitting edema due to overflow of fluid in the skin, especially over the lower libs, scanty urination
T: pale and whitish
P: deep and slippery

Edema due to kidney insufficiency\

Kd7
Ub23
Ren 4
Ren 3

33

Lassitude in the loins and knees, dizziness, tinnitus, insomnia, seminal emission, premature ejaculation, emaciation, reddened, dry stools, poor memory, afternoon overeating, night sweats

tongue with little coat
P: Thready

Kd Yin Xu

Kd 6
Sp6
Ub23

34

stuffiness in the chest, dull heavy pain, SOB, tongue has white greasy tongue
coating, slippery pulse. Patient may also have some nausea, phlegm in throat,
vertigo. May be an overweight patient. Patient may have overall feeling of body
heaviness.

Hyperactivity of fire due to kidney yin xu

Kd 3
Lv3
Sp6
Ub23

35

Edema of the face, heaviness sensation of the limbs, fullness in the epigastrum and abdomen, reverse flow of qi and cold abdomen, urinary incontinence, swelling of muscle and skin (all over body), pale tongue with whitish and moist coating. Pulse deep and thready (yuan qi not support TB).

Deficiency syndrome of SJ

St 28(water passage)
Sj3
Ub22
Sp9
Ub39(lower he sea of sj)
Ren 4

36

fever, fullness in the epigastrum and abdomen, enuresis or dribbling urine,
swelling of muscle and skin, red tongue with yellow greasy coat. Pulse slippery and rapid

Excess of sj

Sj3
Sj10
Ub39
Ren 5

37

Coma and depressive psychosis, choking sensation in the chest and precordial pain, fainting and unconsciousness; Tongue: whitish and greasy fur, Pulse: slippery pulse.
-Tx: Eliminating phlegm for resuscitation. (open heart orifice)

Mental confusion due to phlegm

gv 20
st 40
cv17
pc6

38

Cough and dyspnea, whitish abundant expectoration which is easily coughed up, or other cold and heat exterior syndromes seen at the same time. Tongue: thin, whitish and greasy fur ,
Pulse: floating or slippery pulse.

Phlegm in the lung

Lu 7
Li 4
St 40

39

Sensation of something stuck in the throat when swallowing, dull in in the chest and
hypochondrium, eructation, susceptibility to anger and depres­sion; Tongue: thin, whitish and
greasy fur, Pulse: wiry and slippery pulse.

Stagnancy of phlegm in the liver

Cv 17
St 40
Lv 14
Cv 22

40

Dyspnea and shortness of breath, Tongue: pale tongue, Pulse: deep and thready
pulse; or dizziness and tinnitus, lassitude in the loins and knees, Tongue: red tongue with little fur, Pulse: thready and rapid pulse.

Phlegm in the kidney
Kd 7
Ki 27
Bl23
Cv 17
St 40

41

palpitations, SOB, easily frightened, restlessness, sweating of the palms. Pale
tongue with thin white coat. Weak or intermittent pulse.

Qi Deficiency

PC 5
Ht7
Ub 15
Ren 14

42

palpitations, vertigo, dizziness, lustreless complexion, restlessness, and heat in
the heart, insomnia, and excessive dreams. Pale or red tip of the tongue. Pulse thready and rapid.

Blood deficiency
Ub 17
Ht 5
Ub 20
St 36

43

Alternate palpitations, fullness in the chest, bitter taste in the mouth, yellowish profuse sputum with cough, darkish urine, difficulty defecating. A yellow, greasy tongue coating. Slippery & rapid pulse.

Phlegm Fire

Lu 5
Lu10
St 40
Ht4
Pc4

44

palpitations and restlessness, alternate heart pain in some severe cases, fullness
and uneasy sensation in the chest, purple lips and nails. A dark and purple tongue, with petechiae. Choppy or intermittent pulse

Pc 3
Ht 3
Ren 6
Sp 10

45

difficulty in going to sleep, wake up easily, palpitation, shortness of breath, tired, sallow or pale complexion, loose stool, poor appetite

Heart and spleen xu

Ub 20
Ub15
Ht 7
Sp6

46

Insomnia, restlessness, or easy to wake after a short sleep. Hot sensation in
palms & soles, severe palpitations, night sweating, a dry mouth & throat, tinnitus,
amnesia, seminal emission, soreness and weakness of the lumbar region & knees. Red tongue. Thready, rapid pulse.

Hyperactivity of fire due to yin deficiency, disharmony of heart and kidney

Ub 23
Ub15
Kd 3
Pc7 (decrease heart fire)
Lv 3
Ht 7

47

Vexation with a full sensation in the heart, gastric distension, belching, dizziness,
even vomiting with phlegm. Tongue has a yellow, greasy coat. Pulse is slippery or wiry

Disorder of stomach qi
Ren12
St 40
St 25
Pc 6

48

sleeplessness with dizziness and headache, irritability, easily frightened, redness
of the eyes, tinnitus, bitter taste in the mouth, hypochondriac pain. Red tongue with thin yellowish coat. Pulse is wirey and rapid.

Hyperactivity of liver yang disturbing the heart

Ub 18
Ub 19
Lv 2
Gb 44

49

Hematemesis, epitaxis, delayed/irregular menses, dysmenorrhea, mood swings that are erractic and extreme

T: purple, veinsdark
P: wiry, rough choppy

Liver blood stasis

50

unilateral headache, tinnitus, irritability, dry eyes, heat sensation in the upper body, bitter taste, dry mouth and throat, sudden deafness, insomnia, sore lower back , stumbe easily, prone to anger
T: red especially sides
P: wiry thready

Liver yang rising

51

exhaustion, chronic fatigue, tinnitus, low back pain sore or weak kness, decline i body functions

Kidney qi xu

52

Respiratory problems, difficult inhalation, rapid shallow breathing, chronic asthma, weak cough, SOB, spontaneous swating upon mild exertion, cold limbs clear urine

T: Pale
P: deepthin tight

Kidney not grasping the qi

53

severe fatigue, sleeps more hours, hard to keep warm, overdressed ompared to others, cold sweats, urine is frequent long and clear, nocturia, incontinence, edema in leg, early morning watery stool and diarrhea with undigested fod, dyspnea, breathing shallow, dificut and labored
t: pale swollen wet
P: deep weak thin fine thready

Kidney yang xu
t: pale swollen wet
P: deep weak thin fine thready