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ICTCM Year 2 > Advanced Diagnosis Final > Flashcards

Advanced Diagnosis Final Flashcards

1
Q

What are the causes of facial pain

A
  1. Meridian obstruction due to phlegm carried by wind heat
  2. Meridian obstruction due to phlegm carried by wind cold
  3. Liver stagnation with fire transformation
  4. Qi/blood deficiency with blood stasis
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2
Q

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.

A

Meridian obstruction due to phlegm carried by wind heat

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3
Q

What if there is meridian obstruction due to phlegm carried by wind heat along with dizziness, chest oppression, and numbness and tingling of limbs

A

there is additional phlegm fire obstruction

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4
Q

meridian obstruction due to phlegm carried by wind heat: tongue

A

Red, yellow dry coating

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5
Q

meridian obstruction due to phlegm carried by wind heat: pulse

A

wiry rapid

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6
Q

meridian obstruction due to phlegm carried by wind heat: pathogenesis

A

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

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7
Q

meridian obstruction due to phlegm carried by wind heat: western diagnosis

A

nerve pain, nerve injury

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8
Q

phlegm fire obstruction causing facial pain: tongue

A

red with yellow greasy coating

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9
Q

phlegm fire obstruction causing facial pain pulse

A

slippery and rapid

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10
Q

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.

A

Meridian obstruction due to phlegm carried by wind cold

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11
Q

Meridian obstruction due to phlegm carried by wind cold: tongue

A

pale, thin white coat

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12
Q

Meridian obstruction due to phlegm carried by wind cold: pulse

A

tight

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13
Q

Meridian obstruction due to phlegm carried by wind cold: pathogenesis

A

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.

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14
Q

Meridian obstruction due to phlegm carried by wind cold: western diagnosis

A

nerve pain or injury

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15
Q

Meridian obstruction due to phlegm carried by wind cold along with puffy face and head heaviness like being wrapped by a cloth

A

Cold phlegm obstruction

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16
Q

Meridian obstruction due to phlegm carried by wind cold with cold phlegm obstruction tongue

A

pale puffy, thick white greasy coating

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17
Q

Meridian obstruction due to phlegm carried by wind cold with cold phlegm obstruction pulse

A

soggy, slippery

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18
Q

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

A

Liver qi stagnation with fire

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19
Q

Liver qi stagnation with fire: tongue

A

Red, dry yellow coat

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20
Q

Liver qi stagnation with fire: pulse

A

rapid, wiry

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21
Q

Liver qi stagnation with fire: pathogenesis

A

liver fire blazing upward

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22
Q

Liver qi stagnation with fire: TP

A

purge liver fire
open meridians
activate collaterals and alleviate pain
invigorate qi and blood

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23
Q

Meridian obstruction due to phlegm carried by wind heat: TP

A

dispel wind
dissipate phlegm
invigorate qi and blood to stop pain

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24
Q

Meridian obstruction due to phlegm carried by wind cold: TP

A

dispel wind
dissipate phlegm
invigorate qi and blood to stop pain

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25
Q

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

A

qi and blood deficiency with blood stasis

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26
Q

qi and blood deficiency with blood stasis: tongue

A

dull pale, purple spots

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27
Q

qi and blood deficiency with blood stasis: pulse

A

deep thready and weak

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28
Q

qi and blood deficiency with blood stasis: TP

A

tonify qi
invigorate blood to remove stagnation
activate collaterals to stop pain

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29
Q

Liver stagnation with fire transformation pathogenesis

A

liver fire blazing upward

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30
Q

heat is what channel system

A

yang mign

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31
Q

fire is what channel system

A

shao yang

tai yang

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32
Q

how does phlegm reach the face

A

wind

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33
Q

what are the symptoms of wind phlegm obstructing the meridian

A

pain, numbness, limited motion

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34
Q

which facial pain syndrome is burning and sharp

A

liver stagnation with fire transformation

meridian obstruction due to phlegm carried by wind heat

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35
Q

which facial pain syndrome is sudden

A

liver stagnation with fire transformation
meridian obstruction due to phlegm carried by wind heat
meridian obstruction due to phlegm carried by wind cold

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36
Q

which facial pain syndrome has a longer duration, on and off

A

qi and blood deficiency with blood stasis

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37
Q

Facial puffiness syndromes

A

Lung qi deficiency

Spleen yang deficiency

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38
Q

SYNDROME: puffy face with pale white complexion, breathlessness, dyspnea on exertion, weak voice, cold feeling, aversion to wind spontaneous sweating, unstoppable chronic cough

A

Lung qi deficiency

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39
Q

Lung qi deficiency: tongue

A

pale with thin white coating

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40
Q

Lung qi deficiency: pulse

A

weak, forceless

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41
Q

Lung qi deficiency: pathogenesis

A

lung dispersing and descending function is impaired
lung qi xu is always cold
qi deficiency causes phlegm

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42
Q

Lung qi deficiency complexion

A

puffy with pale white

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43
Q

Lung qi deficiency breathing

A

breathlessness, dyspnea on exertion

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44
Q

Lung qi deficiency voice

A

weak

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45
Q

Lung qi deficiency temperature

A

cold, aversion to wind

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46
Q

Lung qi deficiency sweating

A

spontaneous

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47
Q

Lung qi deficiency cough

A

unstoppable chronic cough

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48
Q

Lung qi deficiency phlegm

A

small amount that is white or clear

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49
Q

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

A

Spleen yang deficiency

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50
Q

Spleen yang deficiency: tongue

A

pale with teeth marks

thin white coat

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51
Q

Spleen yang deficiency: pulse

A

weak

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52
Q

when is Spleen yang deficiency worse

A

when you have puffy limbs, especially in the lower body

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53
Q

Spleen yang deficiency: TP

A

tonify spleen qi

tonify yang

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54
Q

Spleen yang deficiency pathogenesis

A

T&T function has declined
yang qi unable to ascend
turbid yin qi unable to descend
causes facial puffiness

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55
Q

Spleen yang deficiency complexion

A

puffy with sallow yellow

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56
Q

Spleen yang deficiency energy

A

lassitude, fatigue

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57
Q

Spleen yang deficiency temperature

A

cold limbs

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58
Q

Spleen yang deficiency digestion

A

poor appetite

loose stools

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59
Q

Spleen yang deficiency muscle mass

A

wasting

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60
Q

where is the facial pain for meridian obstruction due to phlegm carried by wind heat

A

side of nose/lips
lower face
unilateral

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61
Q

meridian obstruction due to phlegm carried by wind heat aggravated by

A

heat

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62
Q

meridian obstruction due to phlegm carried by wind heat alleviated by

A

cold

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63
Q

meridian obstruction due to phlegm carried by wind heat facial complexion when in pain

A

red

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64
Q

meridian obstruction due to phlegm carried by wind heat other symptoms

A

sweating, fever, dry mouth, dark urine

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65
Q

meridian obstruction due to phlegm carried by wind heat with phlegm fire obstruction symptoms

A

dizziness, chest oppression, numbness and tingling of limbs

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66
Q

meridian obstruction due to phlegm carried by wind cold type of facial pain

A

spasmodic
sudden onset
severe and intolerable

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67
Q

meridian obstruction due to phlegm carried by wind cold aggravated by

A

cold

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68
Q

meridian obstruction due to phlegm carried by wind cold facial complexion when in pain

A

pale

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69
Q

meridian obstruction due to phlegm carried by wind cold with cold phlegm obstruction symptoms

A

puffy face

head heaviness like being wrapped in wet cloth

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70
Q

Liver stagnation with fire transforming type of facial pain

A

burning
sharp
fixed

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71
Q

meridian obstruction due to phlegm carried by wind heat facial complexion

A

red

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72
Q

meridian obstruction due to phlegm carried by wind heat emotions

A

angry
stressed
anxiety
irritable

73
Q

meridian obstruction due to phlegm carried by wind heat other pain symptoms

A

chest oppression and hypochondriac pain

74
Q

Qi and blood deficiency with blood stasis facial pain type

A

longer duration
stabbing
fixed
cramping

75
Q

Qi and blood deficiency with blood stasis facial pain complexion

A

dull

dry scaly skin

76
Q

Qi and blood deficiency with blood stasis facial pain voice

A

weak, unwilling to talk

77
Q

what channels are are dull gray dirty complexion

A

GB, KD - meridians are sick

78
Q

for facial beauty - what channel system

A

yang ming governs face

79
Q

what does a grimy face mean in general

A

invaded by dryness evil

80
Q

what does a grimy face look like

A

covered in dust

lacks luster

81
Q

what are the syndromes for grimy face

A
  1. Dryness disrupting clear orifices
  2. Stomach heat blazign upward
  3. LV/KD yin deficiency (essence xu)
82
Q

SYNDROME: dirty complexion, dry mouth, dry painful throat, dry red eyes, red and swollen gums

A

Dryness disrupting clear orifices

83
Q

Dryness disrupting clear orifices causing grimy face: tongue

A

red with yellow cating

84
Q

Dryness disrupting clear orifices causing grimy face: pulse

A

thready rapid

85
Q

Dryness disrupting clear orifices causing grimy face: pathogenesis

A

injured body fluids causes dryness

heat and dry flames upward attacking upper jiao and disrupting the orifices

86
Q

Dryness disrupting clear orifices causing grimy face: dry symptoms

A

dry mouth, dry eyes, dry throat

87
Q

Dryness disrupting clear orifices causing grimy face: gums

A

red and swollen

88
Q

SYNDROME: dirty complexion, painful swollen gums, cheek ulcers, bad breath, dry mouth, thirsty, prefer cold drinks, hungry, epigastric distention, burning pain, acid regurgitation

A

Stomach heat blazing upward causing grimy face

89
Q

Stomach heat blazing upward causing grimy face: tongue

A

red with yellow coating

90
Q

Stomach heat blazing upward causing grimy face: pulse

A

slippery, rapid

91
Q

Stomach heat blazing upward causing grimy face: pathogenesis

A

heat follows yang ming meridian

steams upward and disturbs the face

92
Q

Stomach heat blazing upward causing grimy face: TP

A

clear stomach fire

93
Q

Stomach heat blazing upward causing grimy face gums

A

painful and swollen

94
Q

Stomach heat blazing upward causing grimy face ulcers

95
Q

Stomach heat blazing upward causing grimy face mouth symptoms

A

bad breath, dry mouth, thirsty, hungry

96
Q

Stomach heat blazing upward causing grimy face body pain

A

epigastric distention, acid regurgitation

97
Q

SYNDROME: dirty complexion, dizziness, tinnitus, dry mouth, dry throat, five center heat, soreness of knees and lower back, emaciation

A

LV/KD yin/essence deficiency causing grimy face

98
Q

LV/KD yin/essence deficiency causing grimy face tongue

A

red with little coating

99
Q

LV/KD yin/essence deficiency causing grimy face pulse

A

thready, wiry, rapid

100
Q

LV/KD yin/essence deficiency causing grimy face pathogenesis

A

not enough nourishment of the face

liver blood and kidney essence deficiency

101
Q

LV/KD yin/essence deficiency causing grimy face dryness symptoms

A

dry mouth, dry throat

102
Q

LV/KD yin/essence deficiency causing grimy face temperature

A

five center heat

103
Q

LV/KD yin/essence deficiency causing grimy face body pain

A

lower back and knee soreness

104
Q

LV/KD yin/essence deficiency causing grimy face ears

A

tinnitus, dizziness

105
Q

facial twitching syndromes:

A
  1. Liver qi stagnation
  2. Liver blood deficiency
  3. Exterior wind attacking collaterals
  4. Liver yang rising generating wind
  5. Wind phlegm
106
Q

SYNDROME: eyelid and facial twitching, dizziness, tinnitus, agitation, impatience, crying and screaming, twitching is worse with emotional fluctuation

A

liver qi stagnation

107
Q

liver qi stagnation causing facial twitching tongue

A

red

thin white coating

108
Q

liver qi stagnation causing facial twitching pulse

109
Q

SYNDROME: chronic on and off facial twitching, blurry vision, floaters, dizziness, menstruation delayed/scanty, pale lips, nails ridges

A

Liver blood deficiency causing facial twitching

110
Q

Liver blood deficiency causing facial twitching tongue

A

pale

scanty coating

111
Q

Liver blood deficiency causing facial twitching pulse

A

wiry, thready, forceless

112
Q

Liver blood deficiency causing facial twitching type

A

chronic on and off

113
Q

Liver blood deficiency causing facial twitching vision

A

blurry with floaters

114
Q

Liver blood deficiency causing facial twitching gyno

A

delayed or scanty menstruation

115
Q

Liver blood deficiency causing facial twitching lips

116
Q

Liver blood deficiency causing facial twitching nails

A

nails have ridges

117
Q

Liver blood deficiency causing facial twitching pathogenesis

A

blood deficiency unable to nourish the tendons

liver qi stagnation causing SP/ST qi deficiency causing liver blood deficiency

118
Q

Liver qi stagnation causing facial twitching pathogenesis

A

qi stagnation causing wind

119
Q

SYNDROME: sudden onset of facial twitching, numbness, headache, stuffy nose, aversion to cold, tearing

A

exterior wind attacking collaterals causing facial twitching

120
Q

exterior wind attacking collaterals causing facial twitching tongue

A

pale red

thin white coat

121
Q

exterior wind attacking collaterals causing facial twitching pulse

122
Q

exterior wind attacking collaterals causing facial twitching pathogenesis

A

wind attacking yang ming
yang ming governs the face
face has facial twitching
the exterior wind is not attacking the meridians because the meridians are deeper and would have more serious organ related symptoms

123
Q

exterior wind attacking collaterals causing facial twitching type

A

sudden onset accompanied with numbness

124
Q

exterior wind attacking collaterals causing facial twitching head symptoms

A

headache
stuffy nose
tearing

125
Q

exterior wind attacking collaterals causing facial twitching aversion to

126
Q

exterior wind attacking collaterals causing facial twitching treatment principle

A

expel wind

127
Q

SYNDROME: facial twitching with occasional dizziness, twitching aggravated by anger, headache

A

liver yang rising generating wind causing facial twitching

128
Q

liver yang rising generating wind causing facial twitching tongue

A

dark red
thin yellow dry coating
(dull if there is long term stagnancy)

129
Q

liver yang rising generating wind causing facial twitching pulse

A

wiry, thready, forceful (but weaker when you press down showing no root)

130
Q

liver yang rising generating wind causing facial twitching aggravated by

131
Q

liver yang rising generating wind causing facial twitching treatment principle

A

subdue the liver

dispel the wind

132
Q

liver yang rising generating wind causing facial twitching pathogenesis

A

liver qi stagnation turning into fire and then attacking SP/ST causing damp
LV/GB/SP/ST damp heat causes yin deficiency which causes liver yang hyperactive

133
Q

SYNDROME: facial twitching with numbness, facial puffiness, dizziness, drooling at the angle of mouth, dry mouth, no desire to drink

A

wind phlegm causing facial twitching

134
Q

wind phlegm causing facial twitching tongue

A

puffy

thin white greasy coat

135
Q

wind phlegm causing facial twitching pulse

A

wiry, slippery

136
Q

wind phlegm causing facial twitching TP

A

tonify qi

dispel phlegm

137
Q

wind phlegm causing facial twitching type

A

facial twitching with numbness

138
Q

wind phlegm causing facial twitching complexion

139
Q

wind phlegm causing facial twitching mouth symptoms

A

dry mouth
no desire to drink
drooling at the angles of the mouth

140
Q

what is facial deviation

A

downward slanting of the eyes and mouth, the mouth cannot close completely
related to wind stroke

141
Q

facial deviation western diagnoses

A

Bell’s palsy

stroke

142
Q

Facial deviation syndromes

A
  1. Liver qi stagnation
  2. Blood and qi deficiency generating wind
  3. Exterior wind attacking the collaterals
  4. Liver yang hyperative stirring wind
  5. Wind phlegm entering the collaterlas
143
Q

SYNDROME: facial deviation usually triggered by emotional disturbance, accompanied with sighing, hypochondriac distention, no desire to drink and eat, depression, melancholy, propensity to cry

A

liver qi stagnation causing facial deviation

144
Q

liver qi stagnation causing facial deviation tongue

A

thin white coating

145
Q

liver qi stagnation causing facial deviation pulse

146
Q

liver qi stagnation causing facial deviation pathogenesis

A

stagnant evil qi obstructs yang ming collaterals

147
Q

liver qi stagnation causing facial deviation triggered by

A

emotional disturbance

148
Q

liver qi stagnation causing facial deviation no desire to

A

eat or drink

149
Q

liver qi stagnation causing facial deviation emotions

A

depression
melancholy
propensity to cry

150
Q

SYNDROME: facial deviation, slack facial muscles, drooping eyelid, breathlessness, unwilling to talk, hands and legs stiffness, history of child labor, late stage of chronic disease, or wind stroke rehab phase

A

Qi/Blood deficiency generating wind causing facial deviation

151
Q

Qi/Blood deficiency generating wind causing facial deviation tongue

A

pale

thin white coating

152
Q

Qi/Blood deficiency generating wind causing facial deviation pulse

A

thready forceless

153
Q

Qi/Blood deficiency generating wind causing facial deviation pathogenesis

A

qi and blood unable to nourish the yang ming collaterals

154
Q

Qi/Blood deficiency generating wind causing facial deviation type

A

slack facial muscles

drooping eyelid

155
Q

Qi/Blood deficiency generating wind causing facial deviation what is stiff

A

legs and hands

156
Q

Qi/Blood deficiency generating wind causing facial deviation history

A

child birth
late stage chronic diseases
wind stroke rehab phase

157
Q

SYNDROME: sudden onset of facial deviation with weird feeling over face, accompanied with aversion to wind, fever, headache, stuffy nose, neck tightness and stiffness

A

Exterior wind attacking the collaterals causing facial deviation
(could be heat, cold or damp)

158
Q

Exterior wind attacking the collaterals causing facial deviation tongue

A

thin white coating

159
Q

Exterior wind attacking the collaterals causing facial deviation pulse

160
Q

Exterior wind attacking the collaterals causing facial deviation pathogenesis

A

exterior wind evil attacking yang ming collaterals of the face

161
Q

Exterior wind attacking the collaterals causing facial deviation type

A

sudden onset with weird feeling over the face

162
Q

Exterior wind attacking the collaterals causing facial deviation exterior symptoms

A

wind, fever, headache, stuffy nose, neck tightness adnd stiffness

163
Q

SYDNROME: sudden onset of facial deviation, accompanied with red face, numbness or tingling of limbs, distending pain around ears, severe dizziness, heavy-headedness with unstable light sensation at legs

A

Liver yang hyperactive stirring wind causing facial deviation

164
Q

Liver yang hyperactive stirring wind causing facial deviation tongue

A

dull red

yellow or little coating

165
Q

Liver yang hyperactive stirring wind causing facial deviation pulse

A

wiry, rapid forceful

166
Q

Liver yang hyperactive stirring wind causing facial deviation pathogenesis

A

liver qi stagnation turning into fire depleting the yin and causing yang hyperactive

167
Q

Liver yang hyperactive stirring wind causing facial deviation type

A

sudden onset

168
Q

Liver yang hyperactive stirring wind causing facial deviation facial complexion

169
Q

Liver yang hyperactive stirring wind causing facial deviation limbs sensation

A

numbness or tingling

170
Q

Liver yang hyperactive stirring wind causing facial deviation ears

A

distending pain around them

171
Q

Liver yang hyperactive stirring wind causing facial deviation head symptoms

A

heavy headedness
severe dizziness
lightness of the feet

172
Q

SYNDROME: facial deviation, numbness and tingling over face, muscle, slurred speech, phlegm sound at throat, stiff sensation of the tongue

A

wind phlegm entering collaterals causing facial deviation

173
Q

wind phlegm entering collaterals causing facial deviation tongue

A

white greasy coating

174
Q

wind phlegm entering collaterals causing facial deviation pulse

A

wiry, slippery

175
Q

wind phlegm entering collaterals causing facial deviation type

A

numbness and tingling over face muslce

176
Q

wind phlegm entering collaterals causing facial deviation speech

177
Q

wind phlegm entering collaterals causing facial deviation throat

A

phlegm sound at throat

178
Q

wind phlegm entering collaterals causing facial deviation tongue

A

stiff sensation

ICTCM Year 2 (24 decks)

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