Advanced Diagnosis Final Flashcards
What are the causes of facial pain
- Meridian obstruction due to phlegm carried by wind heat
- Meridian obstruction due to phlegm carried by wind cold
- Liver stagnation with fire transformation
- Qi/blood deficiency with blood stasis
SYNDROME: Sudden attack of burning or sharp facial pain around the side of the nose, lips, or lower part of the face, touching it causes intense pain. It is unilateral and aggravated by heat and alleviated by cold. Face turns red when in pain. Other symptoms include sweating, fever, dry mouth, dark urine.
Meridian obstruction due to phlegm carried by wind heat
What if there is meridian obstruction due to phlegm carried by wind heat along with dizziness, chest oppression, and numbness and tingling of limbs
there is additional phlegm fire obstruction
meridian obstruction due to phlegm carried by wind heat: tongue
Red, yellow dry coating
meridian obstruction due to phlegm carried by wind heat: pulse
wiry rapid
meridian obstruction due to phlegm carried by wind heat: pathogenesis
spleen deficient constitution with phlegm dampness accumulation. Then attacked by wind heat evils. The phlegm is carried by the wind evil and disrupts the meridians. Blockage of meridians causes pain
meridian obstruction due to phlegm carried by wind heat: western diagnosis
nerve pain, nerve injury
phlegm fire obstruction causing facial pain: tongue
red with yellow greasy coating
phlegm fire obstruction causing facial pain pulse
slippery and rapid
SYNDROME: mostly sudden onset of spasmodic facial pain which is severe, pain aggravated by cold and alleviated by warmth. Face turns pale when in pain.
Meridian obstruction due to phlegm carried by wind cold
Meridian obstruction due to phlegm carried by wind cold: tongue
pale, thin white coat
Meridian obstruction due to phlegm carried by wind cold: pulse
tight
Meridian obstruction due to phlegm carried by wind cold: pathogenesis
Spleen deficient constitution with phlegm damp accumulation. Body attacked by wind cold evil. Phlegm carried by the wind evil and disrupts the meridians. Blockage of meridian causes pain.
Meridian obstruction due to phlegm carried by wind cold: western diagnosis
nerve pain or injury
Meridian obstruction due to phlegm carried by wind cold along with puffy face and head heaviness like being wrapped by a cloth
Cold phlegm obstruction
Meridian obstruction due to phlegm carried by wind cold with cold phlegm obstruction tongue
pale puffy, thick white greasy coating
Meridian obstruction due to phlegm carried by wind cold with cold phlegm obstruction pulse
soggy, slippery
SYNDROME: burning sharp facial pain, pain not moving, red face and red eyes, angry, stressed, anxiety, bitter taste in mouth dry mouth, irritable, sighing, hypochondriac pain, chest oppression
Liver qi stagnation with fire
Liver qi stagnation with fire: tongue
Red, dry yellow coat
Liver qi stagnation with fire: pulse
rapid, wiry
Liver qi stagnation with fire: pathogenesis
liver fire blazing upward
Liver qi stagnation with fire: TP
purge liver fire
open meridians
activate collaterals and alleviate pain
invigorate qi and blood
Meridian obstruction due to phlegm carried by wind heat: TP
dispel wind
dissipate phlegm
invigorate qi and blood to stop pain
Meridian obstruction due to phlegm carried by wind cold: TP
dispel wind
dissipate phlegm
invigorate qi and blood to stop pain
SYNDROME: not sudden and longer duration (on and off) facial pain, pain is stabbing and fixed, dull complexion, dry scaly skin, facial cramping, aversion to wind, spontaneous sweating, weak voice, unwilling to talk
qi and blood deficiency with blood stasis
qi and blood deficiency with blood stasis: tongue
dull pale, purple spots
qi and blood deficiency with blood stasis: pulse
deep thready and weak
qi and blood deficiency with blood stasis: TP
tonify qi
invigorate blood to remove stagnation
activate collaterals to stop pain
Liver stagnation with fire transformation pathogenesis
liver fire blazing upward
heat is what channel system
yang mign
fire is what channel system
shao yang
tai yang
how does phlegm reach the face
wind
what are the symptoms of wind phlegm obstructing the meridian
pain, numbness, limited motion
which facial pain syndrome is burning and sharp
liver stagnation with fire transformation
meridian obstruction due to phlegm carried by wind heat
which facial pain syndrome is sudden
liver stagnation with fire transformation
meridian obstruction due to phlegm carried by wind heat
meridian obstruction due to phlegm carried by wind cold
which facial pain syndrome has a longer duration, on and off
qi and blood deficiency with blood stasis
Facial puffiness syndromes
Lung qi deficiency
Spleen yang deficiency
SYNDROME: puffy face with pale white complexion, breathlessness, dyspnea on exertion, weak voice, cold feeling, aversion to wind spontaneous sweating, unstoppable chronic cough
Lung qi deficiency
Lung qi deficiency: tongue
pale with thin white coating
Lung qi deficiency: pulse
weak, forceless
Lung qi deficiency: pathogenesis
lung dispersing and descending function is impaired
lung qi xu is always cold
qi deficiency causes phlegm
Lung qi deficiency complexion
puffy with pale white
Lung qi deficiency breathing
breathlessness, dyspnea on exertion
Lung qi deficiency voice
weak
Lung qi deficiency temperature
cold, aversion to wind
Lung qi deficiency sweating
spontaneous
Lung qi deficiency cough
unstoppable chronic cough
Lung qi deficiency phlegm
small amount that is white or clear
SYNDROME: puffy face with sallow yellow complexion, subjective feeling of a swollen face, lassitude, fatigue, cold limbs, poor appetite, abdominal distention, loose stool, wasting muscle mass
Spleen yang deficiency
Spleen yang deficiency: tongue
pale with teeth marks
thin white coat
Spleen yang deficiency: pulse
weak
when is Spleen yang deficiency worse
when you have puffy limbs, especially in the lower body
Spleen yang deficiency: TP
tonify spleen qi
tonify yang
Spleen yang deficiency pathogenesis
T&T function has declined
yang qi unable to ascend
turbid yin qi unable to descend
causes facial puffiness
Spleen yang deficiency complexion
puffy with sallow yellow
Spleen yang deficiency energy
lassitude, fatigue
Spleen yang deficiency temperature
cold limbs
Spleen yang deficiency digestion
poor appetite
loose stools
Spleen yang deficiency muscle mass
wasting
where is the facial pain for meridian obstruction due to phlegm carried by wind heat
side of nose/lips
lower face
unilateral
meridian obstruction due to phlegm carried by wind heat aggravated by
heat
meridian obstruction due to phlegm carried by wind heat alleviated by
cold
meridian obstruction due to phlegm carried by wind heat facial complexion when in pain
red
meridian obstruction due to phlegm carried by wind heat other symptoms
sweating, fever, dry mouth, dark urine
meridian obstruction due to phlegm carried by wind heat with phlegm fire obstruction symptoms
dizziness, chest oppression, numbness and tingling of limbs
meridian obstruction due to phlegm carried by wind cold type of facial pain
spasmodic
sudden onset
severe and intolerable
meridian obstruction due to phlegm carried by wind cold aggravated by
cold
meridian obstruction due to phlegm carried by wind cold facial complexion when in pain
pale
meridian obstruction due to phlegm carried by wind cold with cold phlegm obstruction symptoms
puffy face
head heaviness like being wrapped in wet cloth
Liver stagnation with fire transforming type of facial pain
burning
sharp
fixed
meridian obstruction due to phlegm carried by wind heat facial complexion
red