Advanced Diagnosis Quiz 1 Flashcards
1
Q
DIAGNOSIS: fever, aversion to wind, headache, spontaneous sweating, facial edema, stuffy nose, dry retching, itchy skin, edema
A
External wind attack superficies
2
Q
External wind attack superficies tongue
A
pale, thin white coating
3
Q
External wind attack superficies pulse
A
floating, moderate
4
Q
DIAGNOSIS: fever, aversion to wind, thirst, itchy or sore throat, itchy skin
A
External wind heat attack
5
Q
External wind heat attack tongue
A
red tip, thin yellow coating
6
Q
External wind heat attack pulse
A
floating, rapid
7
Q
DIAGNOSIS: aversion to wind, but doesn’t want to take off clothes, soreness of joints, sweating, shortness of breath, unsmooth urination, poor qi transformation
A
External wind damp attack
8
Q
External wind damp attack tongue
A
pale, white greasy coating
9
Q
External wind damp attack pulse
A
soggy, moderate
10
Q
External wind damp attack treatment principle
A
dispel wind, drain damp, activate channel and open collaterals to relieve pain
11
Q
DIAGNOSIS: aversion to wind, spontanou sweating, easy to catch cold
A
wei qi deficiency
12
Q
wei qi deficiency tongue
A
plae
13
Q
wei qi deficiency pulse
A
floating, weak
14
Q
DIAGNOSIS: severe aversion to cold, fever, no sweating, body ache, headache, stuffy nose, runny nose, shortness of breath
A
wind-cold
15
Q
wind-cold tongue
A
thin white coating
16
Q
wind-cold pulse
A
floating, tight
17
Q
wind-cold pathogensis
A
cold attacking superficies causing wei yang to be depressed
18
Q
DIAGNOSIS: severe aversion to cold, mild fever, headache, no sweating, dry mouth, nose, and throat, cough with little sputum
A
cool dryness attacking the lung
19
Q
cool dryness attacking the lung tongue
A
thin white dry coating
20
Q
cool dryness attacking the lung pulse
A
floating, tight
21
Q
cool dryness attacking the lung pathogenesis
A
cold attacking superficies, causing wei yang to be depressed
22
Q
DIAGNOSIS: alternating chills and fever, bitter mouth, dry throat, dizziness, chest and hypochondriac fullness, irritability, nausea
A
shaoyang syndrome
23
Q
shaoyang syndrome tongue
A
thin white coating
24
Q
shaoyang syndrome pulse
A
wiry
25
shaoyang syndrome pathogenesis
pathogen located half exteriorly and half interioly so qi cannot flow smoothly and stagnation turns into heat
26
DIAGNOSIS: aversion to cold, shiver if severe, unconsciousness, desire to remove clothes or covering, burning sensation in chest and epigastrium, thirst and preference for cold drinks, rough breathing, loud voice, constipation, reddish urine
true heat false cold
27
true heat false cold tongue
crimson, brown-yellow dry coating
28
true heat false cold pulse
deep, slippery, forceful
29
true heat false cold pathogenesis
heat, hidden deep within, yang qi is stagnated inside and cannot go to exterior, the internal heat blocks the yang qi
30
DIAGNOSIS: vertigo, cold limbs, chest and epigastrium, oppression, vomiting of clear liquid and saliva edema
cold fluid retention
31
cold fluid retention tongue
white, slippery, coating
32
cold fluid retention pulse
wiry, tight or wiry, slippery
33
cold fluid retention pathogenesis
phlegm and fluid is stagnated in the hypochondrium or in stomach and intestines or in limbs. phlegm and rheum are yin evil, so when cold fluid is stagnated inside, yang qi cannot flow smoothly, therefore aversion to cold
34
DIAGNOSIS: fear of cold, cough, shortness of breath, chest oppression, large amounts of white sputum
cold phlegm obstructs lung
35
cold phlegm obstructs lung tongue
white slippery coating
36
cold phlegm obstructs lung pulse
wiry, tight
37
DIAGNOSIS: fear of cold, cold limbs, epigastric distention and oppression, slimy sensation in mouth, poor appetite, nausea, bland taste in mouth, no thirst, abdominal pain, loose stool, feeling of heaviness in head and body
cold dampness obstructs middle jiao
38
cold dampness obstructs middle jiao tongue
pale, puffy, greasy, white coating
39
cold dampness obstructs middle jiao pulse
soggy, moderate
40
DIAGNOSIS; fear of cold, cold limbs, aversion to cold, lower abdomen cramping and cold pain, sagging distention in testicles, retracted scrotum due to coldness, irregular menstruation, dysmenorrhea, vertex headache, worse with cold, better with warmth, vomiting of saliva
cold coagulate in the liver meridian
41
cold coagulate in the liver meridian tongue
white coating
42
cold coagulate in the liver meridian pulse
tight
43
DIAGNOSIS: fear of cold, cold limbs, dull facial complexion, lack of energy, palpitation, shortness of breath, chest oppression or pain
heart yang deficiency
44
heart yang deficiency tongue
dull purple, puffy and tender
45
heart yang deficiency pulse
thready, weak, or knotted, intermittent
46
DIAGNOSIS: fear of cold, cold limbs, pale facial complexion, lack of energy, declined in appetite, abdominal distention, bland taste in the mouth, no thirst, epigastric cold pain relieved by warmth and pressure, loose stool or undigested food in stool
spleen yang deficiency
47
spleen yang deficiency tongue
pale, white coating
48
spleen yang deficiency pulse
deep, thready
49
DIAGNOSIS: fear of cold, cold limbs, pale bright white face or dull dark facial complexion, spiritual malaise, cold aches in loins and knees, clear, profuse and frequent urination, vision and hearing loss, impotence, spontaneous emission, premature ejaculation, clear thin white vaginal discharge, threatened miscarriage, coldness of uterus causing infertility
kidney yang deficiency
50
kidney yang deficiency pulse
deep, thready, weak
51
kidney yang deficiency tongue
pale, white coating
52
DIAGNOSIS: high fever, reversal cold of limbs, headache, chest oppression, red facial complexion, rough breathing, irritability, delirium, unconsciousness if severe, yellow and reddish urine
severe heat and severe reversal
53
severe heat and severe reversal tongue
crimson, dry
54
severe heat and severe reversal pulse
slippery, rapid or overflowing, rapid
55
severe heat and severe reversal pathogenesis
mostly due to exterior heat that goes deeper into interior excess heat in interior or heat attacks pericardium (nutritive level) or summer heat stagnated inside
56
DIAGNOSIS: fever, red cheeks on pale face, dry and painful throat, reversal cold of limbs, diarrhea with undigested food in stool
true cold, false heat
57
true cold, false heat tongue
pale white coating
58
true cold, false heat pulse
deep, thready, almost cannot be felt
59
true cold, false heat pathogenesis
weak yang qi and excess yin cold in interior repels yang (severe yang deficiency causing yin and yang separating and floating yang)
60
DIAGNOSIS: continuous low grade fever, often accompanied by dry cough or cough with little phlegm, blood in phlegm, dry throat or hoarseness, dry mouth and tongue, thirsty, slim body, poor appetite, dry stool
LU/ST yin deficiency
61
LU/ST yin deficiency tongue
red, little or no coating
62
LU/ST yin deficiency pulse
thready, rapid, or empty
63
DIAGNOSIS: continuous low grade fever or five center heat, often accompanied by red cheeks, dry mouth and throat, dizziness, lassitude, lack of strength, or insomnia, dreams, tinnitus
LV/KD yin deficiency
64
LV/KD yin deficiency tongue
red, little or no coating
65
LV/KD yin deficiency pulse
wiry, thready, or thready rapid pulse
66
DIAGNOSIS: continuous low grade fever, often accompanied by bright white facial complexion, shortness of breath, lack of strength, lassitude, no desire to speak, spontaneous sweating when active
qi deficiency low grade fever
67
qi deficiency low grade fever tongue
pale, tender
68
qi deficiency low grade fever pulse
empty, big
69
qi deficiency low grade fever pathogenesis
qi deficiency causes floating of yang or uprising of deficiency heat
70
DIAGNOSIS: low grade fever but want to put on clothes, physically cold, fear of cold, no warmth in limbs, dizziness, like to lie down, aching pain in loin and knees
yang deficiency low grade fever
71
yang deficiency low grade fever tongue
pale, enlarged tongue or with teeth marks, moist, white coating
72
yang deficiency low grade fever pulse
deep, thready or, floating, big, weak
73
DIAGNOSIS: low grade fever, temperature fluctuates with emotion, depression, irritability, fullness and oppression in chest and hypochondrium, dry mouth, bitter taste in mouth, poor appetite, dry stool with constipation
liver qi stagnation low grade fever
74
liver qi stagnation low grade fever tongue
red, thin yellow coating
75
liver qi stagnation low grade fever pulse
wiry, rapid
76
DIAGNOSIS: low grade fever in late afternoon or evening, dry mouth and throat, want to rinse mouth with water without swallowing, fixed pain or bump in trunk or limbs, sallow yellow or dull facial complexion, rough skin or incrusted skin if severe
blood stasis low grade fever
77
blood stasis low grade fever tongue
red/purple with stasis speckles
78
blood stasis low grade fever pulse
wiry or choppy
79
blood stasis low grade fever pathogensis
blood stasis affects blood to flow smoothly causing heat, blood level begins to yin, so low grade fever mostly occurs in late afternoon or evening
80
qi stagnation low grade fever
in qi level, mainly caused by depressed emotions that turns into fire or excessive anger and liver fire generating low grade fever. since it is due to emotions, temperature changes depending on emotional state
81
DIAGNOSIS: low grade fever, worse in the afternoon, chest oppression, reduced food intake, heavy body, nausea, no thirst, vomit soon after drinking, thin stool or difficulty in defecation with sticky stool
damp stagnation low grade fever
82
damp stagnation low grade fever tongue
white or yellow greasy coating
83
damp stagnation low grade fever pulse
soggy, rapid
84
damp stagnation low grade fever pathogenesis
damp stagnation turns into heat which can be caused by external dampness or spleen deficiency with dampness obstruction. dampness belongs to yin so low grade fever is worse in the afternoon
85
DIAGNOSIS: five center heat, worse in the afternoon, often want to hold onto something cold in the hands, like to have limbs outside of blanket when lying down, night sweating, seminal emission, red cheeks, weakness in loin and knees, dry mouth and throat
Yin deficiency five center heat
86
Yin deficiency five center heat tongue
bright red, peeled, little coating
87
Yin deficiency five center heat pulse
deep, thready, rapid
88
Yin deficiency five center heat pathogenesis
yin deficiency of any of the 5 zang organs can be manifested as five center heat
89
DIAGNOSIS: five center heat in the afternoon, worse with stress, lassitude, poor appetite, no desire to speak, palpitation, dizziness and vertigo
blood deficiency five center heat
90
blood deficiency five center heat tongue
pale
91
blood deficiency five center heat pulse
thready weak or thready choppy
92
blood deficiency five center heat pathogenesis
most often due to deficiency of both spleen and liver. spleen is post natal organ that transforms food into qi and generates blood. the liver stores blood. if spleen and liver are injured, blood cannot be generated or stored, causing blood deficiency. skin cannot be nourished, so there is pale skin, blood deficiency generates heat, causing five center heat
93
DIAGNOSIS: five center heat, chest oppression, emotional discomfort, irritability, distention in head, bitter taste in mouth, reddish urine, inhibited menstruation
fire stagnation five center heat
94
fire stagnation five center heat tongue
red, yellow coating
95
fire stagnation five center heat pulse
deep, rapid
96
fire stagnation five center heat pathogenesis
yang qi cannot be spread, stagnation generates heat
