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ICTCM Year 3 > Advanced Diagnosis Quiz 2 > Flashcards

Advanced Diagnosis Quiz 2 Flashcards

1
Q

DIAGNOSIS: no sweating, aversion to cold, headache, body ache, stuffy nose, heavy voice, sneezing, runny nose, itchy throat, cough

A

Exterior wind cold (no sweat)

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2
Q

Exterior wind cold (no sweat) tongue

A

thin, white coating

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3
Q

Exterior wind cold (no sweat) pulse

A

floating, tight

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4
Q

Exterior wind cold (no sweat) technique

A

tonifying

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5
Q

Exterior wind cold (no sweat) pathogenesis

A

wind cold attacks exterior and is trapped in the superficies, cold is a yin evil. It’s property is coagulation so the yang is easily damaged. Yang is trapped by coagulation of yin and there is no sweating

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6
Q

DIAGNOSIS: no sweating, aversion to cold, fever, aching limbs, stuffy nose, heavy voice, irritability, sore throat, cough with yellow sputum, reddish urine, constipation

A

Interior heat and exterior cold (no sweat)

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7
Q

Interior heat and exterior cold (no sweat) tongue

A

white or thin yellow coating

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8
Q

Interior heat and exterior cold (no sweat) pulse

A

floating, rapid

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9
Q

Interior heat and exterior cold (no sweat) pathogenesis

A

interior heat is trapped by exterior cold AKA “cold wrapping fire”

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10
Q

DIAGNOSIS: no sweating, head distention as if wrapped, heavy limbs, aching joints, fear of cold, slight fever (due to damp, yin factor), worse in late afternoon

A

cold damp attack superficial (no sweat)

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11
Q

cold damp attack superficial (no sweat) tongue

A

white, greasy coating

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12
Q

cold damp attack superficial (no sweat) pulse

A

floating, tight, or slow

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13
Q

cold damp attack superficial (no sweat) pathogenesis

A

cold dampness is trapped in the superficies. cold is astringing and dampness is sticky. yang is being trapped and interstices are obstructed, so sweat cannot come out

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14
Q

DIAGNOSIS: spontaneous sweating, aversion to wind, aching body, sometimes cold, sometimes hot (gui zhi tang)

A

disharmony between wei and ying qi (spontaneous sweating)

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15
Q

disharmony between wei and ying qi (spontaneous sweating) tongue

A

thin white coating

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16
Q

disharmony between wei and ying qi (spontaneous sweating) pulse

A

moderate

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17
Q

disharmony between wei and ying qi (spontaneous sweating) pathogensis

A

deficient constitution and weak defensive qi, so interstices are insecure. Nutritive yin is deficient, so easily attacked by exterior wind causing Yin and Yang imbalance. In turn, skin pores cannot open and close properly, so there is obvious aversion to wind after sweating

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18
Q

DIAGNOSIS: spontaneous sweating, small amounts, aversion to wind, fear of cold, heaviness and numbness of limbs, short and little urination

A

Wind damp attack superficial (spontaneous sweating)

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19
Q

Wind damp attack superficial (spontaneous sweating) tongue

A

thin white coating

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20
Q

Wind damp attack superficial (spontaneous sweating) pulse

A

floating, moderate

soggy, slippery

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21
Q

Wind damp attack superficial (spontaneous sweating) pathogenesis

A

common cold combined with dampness and bi syndrome. wind dampness attacks the superficies damaging defensive yang or weak and deficient body constitution repeatedly being attacked by wind dampness and injures the superficies resulting in skin pores improperly opening and closing

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22
Q

what is in charge of the water metabolism

A

San Jiao

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23
Q

DIAGNOSIS: spontaneous sweating, large amounts, high fever, red facial complexion, irritability, thirst with desire to drink 4 bigs: sweat, fever, thirst, pulse

A

Yangming excess heat (spontaneous sweating)

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24
Q

Yangming excess heat (spontaneous sweating) tongue

A

dry, yellow coating

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25
Q

Yangming excess heat (spontaneous sweating) pulse

A

overflowing, forceful

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26
Q

Yangming excess heat (spontaneous sweating) pathogenesis

A

heat type spontanoues sweating. cold damage developing into yang ming syndrome (yang ming has the most abundant qi and blood so prone to excess heat)

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27
Q

DIAGNOSIS: spontaneous sweating, large amounts, irritability, thirst with desire to drink, chest and diaphragm oppression, related to seasons

A

Summer heat injures qi and yin (spontaneous sweating)

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28
Q

Summer heat injures qi and yin (spontaneous sweating) tongue

A

red, dry yellow coating

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29
Q

Summer heat injures qi and yin (spontaneous sweating) pulse

A

overflowing, rapid

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30
Q

Summer heat injures qi and yin (spontaneous sweating) pathogenesis

A

heat type spontaneous sweating, summer heat damages qi and yin, occurs in summer

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31
Q

DIAGNOSIS: spontaneous sweating, worse with activity, always fear of cold, shortness of breath, rapid breathing, fatigue, dislike to speak, bright white facial complexion, aversion to wind and cold, very easily to catch cold

A

HT/LU qi deficiency (spontaneous sweating)

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32
Q

HT/LU qi deficiency (spontaneous sweating) tongue

A

pale, thin white coating

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33
Q

HT/LU qi deficiency (spontaneous sweating) pulse

A

moderate, without strength

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34
Q

HT/LU qi deficiency (spontaneous sweating) pathogenesis

A

deficient type spontaneous sweating, sweat is fluid of the heart and lung governs the whole body’s qi and skin and hair. due to heart and lung qi deficiency, defensive exterior is insecure, skin pores are open, fluid leaks out and therefore spontaneous sweating

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35
Q

DIAGNOSIS: spontaneous sweating, worse with activity, cold body and limbs, decrease in appetite, abdominal distention, preference for hot drinks, loose stool, sallow yellow or pale facial complexion, lower back or knee soreness

A

SP/KD yang deficiency (spontaneous sweating)

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36
Q

SP/KD yang deficiency (spontaneous sweating) tongue

A

pale, white coating

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37
Q

SP/KD yang deficiency (spontaneous sweating) pulse

A

empty, weak

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38
Q

SP/KD yang deficiency (spontaneous sweating) pathogenesis

A

spleen generates qi and blood and kidney stores true yin and true yang, so should be secured, yang cannot control yin, so there is spontaneous sweating

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39
Q

DIAGNOSIS: night sweating, palpitation, insomnia, lusterless facial complexion, shortness of breath, fatigue

A

Heart blood deficiency (night sweating)

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40
Q

Heart blood deficiency (night sweating) tongue

A

pale, thin coating

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41
Q

Heart blood deficiency (night sweating) pulse

A

empt

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42
Q

Heart blood deficiency (night sweating) TP

A

tonify heart blood, astringe sweat

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43
Q

Heart blood deficiency (night sweating) pathogenesis

A

overworking depletes heart blood, sweat is fluid of heart so if there is blood deficiency and uprising floating of heart qi. heart fluid leaks and therefore night sweating

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44
Q

DIAGNOSIS: night sweating, late afternoon tidal fever, red cheeks, five center heat, slim body, irregular menstruation or seminal emission

A

yin deficiency with internal heat (night sweating)

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45
Q

yin deficiency with internal heat (night sweating) tongue

A

red, scanty coating

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46
Q

yin deficiency with internal heat (night sweating) pulse

A

thready, rapid

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47
Q

yin deficiency with internal heat (night sweating) pathogenesis

A

damage to yin and blood, yin deficiency generates interior heart. deficient fire is strong and yin fluid cannot be constrained, so there is night sweating

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48
Q

DIAGNOSIS; night sweating, headache as if wrapped, tiredness of limbs, poor appetite, slimy sensation in mouth

A

spleen qi deficiency with dampness obstruction (night sweating)

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49
Q

spleen qi deficiency with dampness obstruction (night sweating) tongue

A

pale, thin white greasy coating

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50
Q

spleen qi deficiency with dampness obstruction (night sweating) pulse

A

soggy, moderate

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51
Q

spleen qi deficiency with dampness obstruction (night sweating) pathogenesis

A

excessive consumption of cold food, alcohol or fatty food, eating at irregular times injures spleen and stomach. Spleen deficiency affects T&T function, so damp turbidity generates inside, obstructing the ascending and descending functions to cause night sweating

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52
Q

DIAGNOSIS: night sweating, shorter duration of disease, alternating chills and fever, hypochondriac fullness and oppression, bitter taste, nausea

A

Evil obstructing half exteriorly and half interiorly/shaoyang disorder (night sweating)

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53
Q

Evil obstructing half exteriorly and half interiorly/shaoyang disorder (night sweating) tongue

A

thin white or thin yellow coating

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54
Q

Evil obstructing half exteriorly and half interiorly/shaoyang disorder (night sweating) pulse

A

wiry, slippery

wiry, rapid

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55
Q

Evil obstructing half exteriorly and half interiorly/shaoyang disorder (night sweating) pathogenesis

A

evil obstructed half exteriosly and half interiorly, mostly seen during early to mid stage of febrile diseases. external pathogen attacks but cannot be dispelled. it enters shaoyang, struggle between right qi and evil forces fluids out, so there is night sweating

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56
Q

DIAGNOSIS: profuse sweating, cannot be stopped, hot and sticky sweat, oily sweat, fever, warm limbs, thirst, desire for cold drinks, rough breathing, fatigue, red and dry lips

A

Qi and yin collapse (profuse sweating)

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57
Q

Qi and yin collapse (profuse sweating) tongue

A

red, dry

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58
Q

Qi and yin collapse (profuse sweating) pulse

A

empty, rapid

thready rapid

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59
Q

Qi and yin collapse (profuse sweating) pathogenesis

A

emergency collapse syndrome
due to severe disease, high fever, profuse sweat, excess vomiting, excess diarrhea, excess loss of blood or chronic disease causing yin and fluid exhaustion, there is nothing to constrain the yang so yang disperses….without yang, yin fluid cannot be generated, so there is collapsing of yin and floating of yang

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60
Q

DIAGNOSIS: profuse sweating, clear and cool sweat, fear of cold, curled up when lying down, cold limbs, spiritual malaise, pale facial complexion, faint breath, thirst, desire for hot drinks

A

Yang collapse (profuse sweating)

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61
Q

Yang collapse (profuse sweating) pathogenesis

A

emergency collapse syndrome
due to severe disease, high fever, profuse sweat, excess vomiting, excess diarrhea, excess loss of blood or chronic disease causing yin and fluid exhaustion, there is nothing to constrain the yang so yang disperses….without yang, yin fluid cannot be generated, so there is collapsing of yin and floating of yang

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62
Q

Yang collapse (profuse sweating) tongue

A

moist

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63
Q

Yang collapse (profuse sweating) pulse

A

weak

floating, rapid

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64
Q

what type of sweat is yin collapse sweat

A

hot and sticky, oily

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65
Q

what type of sweat is yang collapse sweat

A

cold, bead-like, clear

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66
Q

DIAGNOSIS: sweating yellow color, fever, edema, heavy body, sensation of insects breepingin the skin, thirst, inhibited urination

A

Nutritive and defensive qi obstruction (yellow sweat) - external

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67
Q

Nutritive and defensive qi obstruction (yellow sweat) tongue

A

white coating

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68
Q

Nutritive and defensive qi obstruction (yellow sweat) pulse

A

deep

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69
Q

Nutritive and defensive qi obstruction (yellow sweat) pathogenesis

A

fever with sweat and weak defensive qi and suppressed nutritive qi, exterior dampness obstructs the qi transformation when there is already fever and sweating, causing the skin pores to close and nutritive and defensive qi to obstruct

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70
Q

DIAGNOSIS: yellow sweat, fever, slight edema, hypochondriac pain, poor appetite, bitter taste, reddish urine

A

Damp heat accumulation (yellow sweat) - internal

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71
Q

Damp heat accumulation (yellow sweat) tongue

A

yellow greasy coating

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72
Q

Damp heat accumulation (yellow sweat) pulse

A

wiry, slippery

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73
Q

Damp heat accumulation (yellow sweat) pathogenesis

A

exterior damp heat attack or chronic interior dampness from the spleen turns into heat, accumulates and causes yellow sweating

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74
Q

DIAGNOSIS: unilateral sweating, lack of qi, dislike to speak, fatigue and weakness, pale, lusterless complexion, dizziness, numbness in limbs

A

Qi and blood deficiency (unilateral sweating)

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75
Q

Qi and blood deficiency (unilateral sweating) tongue

A

pale, white coating

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76
Q

Qi and blood deficiency (unilateral sweating) pulse

A

thready, weak

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77
Q

Qi and blood deficiency (unilateral sweating) pathogenesis

A

overworking, chronic disease, or blood loss causes qi and blood deficiency, qi and blood cannot circulate well throughout the body therefore there is unilateral sweating

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78
Q

DIAGNOSIS; unilateral sweating, tension in the tendons, difficulty in limb flexion and extension, heavy limbs, difficulty in rotating if severe

A

cold damp obstruction (unilateral sweating)

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79
Q

cold damp obstruction (unilateral sweating) tongue

A

white, greasy coating

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80
Q

cold damp obstruction (unilateral sweating) pulse

A

soggy, slow

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81
Q

cold damp obstruction (unilateral sweating) pathogenesis

A

cold damp invades causing bi syndrome. the obstruction causes qi and blood stagnation. the pores cannot open and close properly so there is unilateral sweating

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82
Q

DIAGNOSIS: sweating in the head and face, inhibited urination, jaundice, aversion to cold, fever

A

damp heat steaming upwards (sweating on the head)

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83
Q

damp heat steaming upwards (sweating on the head) tongue

A

yellow, greasy coating

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84
Q

damp heat steaming upwards (sweating on the head) pulse

A

soggy, rapid

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85
Q

damp heat steaming upwards (sweating on the head) pathogensis

A

dampness attacks and stagnates turning into heat. the damp heat steams upward along the meridian because heat flares upwards, therefore sweating on the head

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86
Q

DIAGNOSIS: sweating in the head and face, bright white or pale facial complexion, cold limbs, shortness of breath, fear of cold, fatigue and weakness

A

yang qi deficiency (sweating on the head)

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87
Q

yang qi deficiency (sweating on the head) tongue

A

pale, tender

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88
Q

yang qi deficiency (sweating on the head) pulse

A

empty, weak

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89
Q

yang qi deficiency (sweating on the head) pathogensis

A

due to recovery from disease, after childbirth, or in the elderly with yang qi deficiency. interstices are insecure so the fluids leak, therefore sweating in the head (not enough yang qi in the upper jiao to regulate the pores)

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90
Q

DIAGNOSIS: sweating in the chest and heart area, pale facial complexion, shortness of breath, fatigue, palpitation, forgetfulness, poor appetite, loose stool

A

HT/SP qi deficiency (sweating in the chest and heart area)

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91
Q

HT/SP qi deficiency (sweating in the chest and heart area) tongue

A

pale, tender

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92
Q

HT/SP qi deficiency (sweating in the chest and heart area) pulse

A

empty, weak

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93
Q

HT/SP qi deficiency (sweating in the chest and heart area) pathogenesis

A

overthinking, overeating, or fatigue injures the heart and spleen qi causing the yang qi in the chest to hypofunction, so defensive qi is weak and body fluids leak out

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94
Q

DIAGNOSIS: sweating in the chest and heart area, irritability, insomnia, palpitation, forgetfulness, dizziness, tinnitus, dry throat and tongue, aches and soreness in the loins and knees, seminal emission, steaming bone, tidal fever, short and yellow urine

A

HT/KD yin deficiency (sweating in the chest and heart area)

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95
Q

HT/KD yin deficiency (sweating in the chest and heart area) tongue

A

red, scanty coating

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96
Q

HT/KD yin deficiency (sweating in the chest and heart area) pulse

A

thready, rapid

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97
Q

HT/KD yin deficiency (sweating in the chest and heart area) pathogenesis

A

yin and blood deficient constitution, chronic disease damages the yin, excess loss of blood or overthinking causes heart and kidney yin deficiency and inability to control the yang, simultaneously, deficient heat stirs inside and forces out the body fluids

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98
Q

DIAGNOSIS: sweating in hands and feet, oppression in the chest and epigastrium, no desire to eat, heavy body, scanty yellow urine

A

SP/ST damp heat (sweating in the hands and feet)

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99
Q

SP/ST damp heat (sweating in the hands and feet) tongue

A

yellow greasy coating

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100
Q

SP/ST damp heat (sweating in the hands and feet) pulse

A

soggy, rapid

soggy, slippery

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101
Q

SP/ST damp heat (sweating in the hands and feet) pathogenesis

A

overwork, T&T function is impaired, dampness attacks and stagnates turning into damp heat and steams. the body fluids travel to the limbs from the spleen in effort to leave the body, therefore sweating in the hands and feet

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102
Q

DIAGNOSIS: sweating in hands and feet, fatigue, weakness, shortness of breath, no desire to speak, cold limbs, poor appetite, loose stool

A

SP/ST deficiency (sweating in the hands and feet)

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103
Q

SP/ST deficiency (sweating in the hands and feet) tongue

A

pale, white coating

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104
Q

SP/ST deficiency (sweating in the hands and feet) pulse

A

empty, weak

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105
Q

SP/ST deficiency (sweating in the hands and feet) pathogenesis

A

overeating or fatigue damages the spleen and stomach, disrupting the T&T function causing body fluid to travel to the limbs, the qi is unable to control the sweat

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106
Q

DIAGNOSIS: sweating in hands and feet, dry mouth and throat, especially after waking up, poor appetite, hunger but no desire to eat or retching, irregular defecation, hot hands and feet

A

SP/ST yin deficiency (sweating in hands and feet)

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107
Q

SP/ST yin deficiency (sweating in hands and feet) tongue

A

red, scanty coating

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108
Q

SP/ST yin deficiency (sweating in hands and feet) pulse

A

thready, rapid

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109
Q

SP/ST yin deficiency (sweating in hands and feet) pathogenesis

A

febrile diseases damages the yin, or overconsumption of spicy food damages the yin so deficient heat generates inside, stirs up the yin fluids and forces them out of the body, therefore sweating in the hands and feet

110
Q

wy is heaviness related to dampness

A

it is a yin evil, stagnating, sticky, and heavy

111
Q

Interior dampness versus exterior dampness

A

interior: SP/KD yang deficiency, heavy body
exterior: aching body, usually with wind, attacks the body from outside (rainy and humid weather)

112
Q

Is there pain in the body when dampness attacks the superficial

A

yes

113
Q

what does the head feel like when dampness attacks the superficial

A

like a wet towel is wrapped around the head

114
Q

what does the chest feel like with dampness attacking the superficial

A

oppression

115
Q

SYNDROME 1: heaviness in the body, pain, inability to turn body, ehadache, chest oppression, poor appetite, mild fever, aversion to cold

A

dampness attacks the superficial

116
Q

dampness attacks the superficial tongue

A

white greasy coating, puffy

117
Q

dampness attacks the superficial pulse

A

soggy

118
Q

in yang deficiency with water retention is there pain

A

no

119
Q

in yang deficiency with water retention what kind of edema is it

A

yin - pitting edema in the lower limbs with a heavy and sore low back

120
Q

what is the facial complexion of yang deficiency with water retention

A

bright white

sallow yellow

121
Q

what is the bowel movements like for a person with yang deficiency with water retention

A

loose stools

122
Q

Yang deficiency with water retention tongue

A

pale, puffy
white watery coating
teethmarks

123
Q

Yang deficiency with water retention pulse

A

deep, soggy

thready

124
Q

Yang deficiency with water retention - urination

A

scanty, difficult

125
Q

External damp attack superficial pathogeensis

A

usually resulted from being exposed to wind or dampness (rain), external damp penetrates the superficial, dampness is stagnated causing heaviness of body

126
Q

DIAGNOSIS; heaviness of body, facial edema, aversion to wind, dislike cold, fever, headache, limbs and joints are sore, cough, sore throat, scanty urination

A

wind water combating (heavy body)

127
Q

wind water combating (heavy body) tongue

A

thin white

128
Q

wind water combating (heavy body) pulse

A

floating

129
Q

wind water combating (heavy body) pathogenesis

A

wind evil attacks the lung, lung’s function of governing the water passageways is affected, bladder function is also effected. evil is stagnated in the superficial, obstructing the meridian and causing heavy body with edema

130
Q

SP/KD yang deficiency with water retention pathogenesis

A

overstrain or chronic illness causing spleen and kidney yang deficiency, abundant yin cold accumulation. spleen relies on yang qi to circulate and warm the four limbs.spleen and kidney yang deficiency causes water accumulation and heaviness of four limbs and body

131
Q

wind water comabint treatment principle

A

expand lung

expel wind, benefit water

132
Q

DIAGNOSIS: whole body ache, aversion to cold, fever, no sweating, nasal congestion, runny nose, itchy throat, cough

A

wind cold bi (painful body)

133
Q

wind cold bi (painful body) tongue

A

thin white coating

134
Q

wind cold bi (painful body) pulse

A

floating, tight

135
Q

wind cold bi (painful body) pathogenesis

A

wind and cold constricts the superficial and obstructs wei qi circulation causing pain

136
Q

DIAGNOSIS: whole body ache, heaviness of limbs, head distention like a band wrapping around it, aversion to cold, fever, no sweating

A

damp bi (painful body)

137
Q

damp bi (painful body) tongue

A

white greasy coating

138
Q

damp bi (painful body) pulse

A

soggy

139
Q

damp bi (painful body) pathogenesis

A

exposure to rain or damp evil obstructing the qi and blood circulation in the meridians causing body pain

140
Q

DIAGNOSIS: whole body ache like needle pricks, inability to turn body

A

blood stasis (painful body)

141
Q

blood stasis (painful body) tongue

A

dark, purple spots

142
Q

blood stasis (painful body) pulse

A

deep, choppy

143
Q

blood stasis (painful body) pathogenesis

A

chronic bi syndrome will affect the channel and collaterals causing stasis, or blood stasis may be caused by qi disease entering the blood level. May also be the result of chronic illness causing qi and blood disharmony. chronic disease will affect the blood, blood stasis will cause stagnation in the channels and collaterals causing body pain

144
Q

Bone pain from kidney essence deficiency type of joints

A

swollen

145
Q

Bone pain from kidney essence deficiency lower back and knee

A

soreness

146
Q

Bone pain from kidney essence deficiency tendons

A

tight

147
Q

Bone pain from kidney essence deficiency tongue

A

red, slender, little coating

148
Q

Bone pain from kidney essence deficiency pulse

A

thready, weak

149
Q

Bone pain from kidney essence deficiency adult symptoms

A

greying hair, low sex drive, ear ringing

150
Q

Bone pain from kidney essence deficiency child symptoms

A 
5 delay (speech, walking/standing, hair, teeth, fontanel)
5 softness (mouth, feet, hands, neck, muscles)
delayed growth, late development, short stature
151
Q

Bone pain from SP/KD qi deficiency limbs

A

weak

152
Q

Bone pain from SP/KD qi deficiency joints

A

deformed

153
Q

Bone pain from SP/KD qi deficiency muslces

A

loose

154
Q

Bone pain from SP/KD qi deficiency urination

A

abundant

frequent night urination

155
Q

Bone pain from SP/KD qi deficiency bowel movements

A

loose stool

5AM diarrhea

156
Q

Bone pain from SP/KD qi deficiency tongue

A

pale, puffy, white watery coat

157
Q

Bone pain from SP/KD qi deficiency pulse

A

weak, slow, thready

158
Q

Shaking body internal liver wind type of tremors

A

severe whole body unable to stop

159
Q

Shaking body internal liver wind tongue

A

red, thin dry coating

160
Q

Shaking body internal liver wind pulse

A

wiry, rapid, forceful

161
Q

Why is shaking body related to the liver

A

the liver controls the whole body’s tendons

162
Q

Shaking body internal liver wind patient’s personality

A

angry

163
Q

Shaking body yang deficiency type of tremors

A

mild tremors of the body

164
Q

Shaking body yang deficiency tongue

A

pale, thin slippery coating

165
Q

Shaking body yang deficiency pulse

A

deep, tight, wiry, slippery

166
Q

why does yang deficiency cause shaking

A

yang unable to nourish the tendons, the tendons to not have any control therefore shaking

167
Q

edema is usually resulted from

A

poor water metabolism

168
Q

what organs control water metabolism

A 
lung - D&D
spleen - T&T
kidney yang - steaming
bladder - transforming
san jiao - providing water passageway
169
Q

edema from the waist up is due to which organ

A

lung

170
Q

edema below the waist is due to which orgams

A

SP/KD/San Jiao

171
Q

DIAGNOSIS: bone and joint pain, affected areas are cold, heavy and swollen, cold limbs

A

damp cold bi painful bone

172
Q

damp cold bi painful bone tongue

A

white slippery

173
Q

damp cold bi painful bone pulse

A

wiry, tight

174
Q

damp cold bi painful bone pathogenesis

A

externally contracted wind cold damp evil affecting the bones causing blockage, resulting in Bi syndrome

175
Q

DIAGNOSIS: bone and joint pain, local area swollen, heavy and burning sensation, hot sensation of body

A

damp heat bi painful bone

176
Q

damp heat bi painful bone tongue

A

yellow greasy

177
Q

damp heat bi painful bone pulse

A

slippery, rapid

178
Q

damp heat bi painful bone pathogenesis

A

externally contracted damp and heat attack, or dampness evil transforming into heat causing damp heat Bi obstruction syndrome. this will result in joint or bone pain

179
Q

DIAGNOSIS: whole body bone pain, deformity of the spine, accompanied with lower back and knee soreness and weakness, tight or cramping tendons, inability to walk normally, slow reaction
Adult: hair loss, loose teeth, seminal emission, tinnitus, deafness, poor memory
Child: stunted growth, low intelligence, night sweat, spasms

A

kidney essence deficiency (painful bone)

180
Q

kidney essence deficiency (painful bone) tongue

A

dull, thin, small, mirrored, red

181
Q

kidney essence deficiency (painful bone) pulse

A

thin, weak

182
Q

kidney essence deficiency (painful bone) pathogenesis

A

internal disease: either from prenatal essence deficiency or excessive post-natal essence depletion. Kidney governs the bones and marrow. when the kidney essence is deficient, the sea of marrow will be deficiency, leading to inability to nourish the bones, causing bone pain

183
Q

DIAGNOSIS: four limbs and lower back bone and joint pain, weakness of four limbs, muscle atrophy, better in the day time, worse in the night time, deformity of bones, limited movements, pale complexion, bland taste in mouth, spontaneous sweating, facial edema, swollen limbs, dislike talking, nocturnal enuresis, borborygmus and abdominal pain, loose stools or dawn diarrhea

A

SP/KD qi deficiency bi (painful bone)

184
Q

SP/KD qi deficiency bi (painful bone) tongue

A

pale, swollen, tender, white or watery coating

185
Q

SP/KD qi deficiency bi (painful bone) pulse

A

wiry, slow, weak

slow, thready

186
Q

SP/KD qi deficiency bi (painful bone) pathogenesis

A

spleen qi deficiency leads to inability to nourish the kidney causing SP/KD deficiency. the marrow is unable to be nourished, deformity and bone pain can be seen

187
Q

DIAGNOSIS: stabbing pain in fixed location, stiffness of bones and deformity, dark dull color around joints, inability to extend joints, stiffness and numbness of limbs

A

Qi/Blood stasis bi (painful bone)

188
Q

Qi/Blood stasis bi (painful bone) tongue

A

dull, dark purple

purple spots

189
Q

Qi/Blood stasis bi (painful bone) pulse

A

thin, choppy

190
Q

Qi/Blood stasis bi (painful bone) pathogenesis

A

chronic bi syndrome, the exogenous evil is stagnated in the meridians, qi and blood cannot circulate causing blood stagnation and phlegm accumulation. the stagnation is accumulated in the bones and joints, which is difficult to expel after a prolonged period of time

191
Q

DIAGNOSIS: whole body tremors that are unable to stop, accompanied with dizziness, irritability, prone to anger

A

internal liver wind - liver yang hyperactive (shaking body)

192
Q

liver yang hyperactive (shaking body) tongue

A

red, thin coating, slightly dry

193
Q

liver yang hyperactive (shaking body) pulse

A

wiry, rapid, forceful

194
Q

liver yang hyperactive (shaking body) pathogenesis

A

commonly seen in patients who are prone to anger, excessive anger will injure the liver, excessive liver fire will transform into wind, liver dominates the tendons, therefore liver wind will cause trembling of body

195
Q

liver yang hyperactive (shaking body) treatment principle

A

subdue liver, extinguish wind

196
Q

DIAGNOSIS: tremors of the body, cold limbs, vomiting with abdominal pain, loose stool, watery stool

A

yang deficiency (shaking body)

197
Q

yang deficiency (shaking body) tongue

A

pale, thin slippery coating

198
Q

yang deficiency (shaking body) pulse

A

deep, tight or wiry, slippery

199
Q

yang deficiency (shaking body) pathogenesis

A

commonly seen after excessive sweating, wei defensive yang is injured, misuse of sweating method or post partum qi and blood deficiency. yang deficiency causes inability to maintain proper meridian circulation

200
Q

DIAGNOSIS: hemiparasthenia, weakness of limbs, palpitation, shortness of breath, aversion to wind, spontaneous sweating

A

SP/ST qi deficiency (half body numbness)

201
Q

SP/ST qi deficiency (half body numbness) tongue

A

pale, thin white coating

202
Q

SP/ST qi deficiency (half body numbness) pulse

A

weak

203
Q

SP/ST qi deficiency (half body numbness) pathogenesis

A

overstrain, irregular diet, over use of medication, causing middle jiao qi damage, spleen stomach qi deficiency usually causes right side hemiparasthenia, pulse is weak and slow

204
Q

DIAGNOSIS: hemiparasthenia, accompanied with lusterless complexion, spontaneous sweating, thin body

A

ying qi malnutrition (half body numbness)

205
Q

ying qi malnutrition (half body numbness) tongue

A

pale, tender

thin dry coating

206
Q

ying qi malnutrition (half body numbness) pulse

A

thin, weak

207
Q

ying qi malnutrition (half body numbness) pathogenesis

A

often from excessive blood loss, overstrain from sexual activities, multiple labors consuming the blood, or febrile disease injuring body fluids. malnutrition of sinew and tendon. malnutrition body numbness is due to blood and body fluid deficiency. malnutrition usually causes left side hemiparasthenia.

208
Q

DIAGNOSIS: hemiparsthenia, accompanied with headache, body ache, pathogenic wind cold symptoms, no sweating, acute

A

Wind cold attack obstructing the collaterals (half body numbness)

209
Q

Wind cold attack obstructing the collaterals (half body numbness) tongue

A

thin white moist coating

210
Q

Wind cold attack obstructing the collaterals (half body numbness) pulse

A

wiry, tight

211
Q

Wind cold attack obstructing the collaterals (half body numbness) pathogenesis

A

acute, excess: wind cold pathogen invading the skin then into the channels, causing obstruction in the channels

212
Q

DIAGNOSIS; hemiparasthenia, accompanied with different degrees of tremors, dizziness, headache, irritability, prone to anger, insomnia with many dreams, pre sign o fstroke

A

liver yang hyperactive stirring liver wind (half body numbness)

213
Q

liver yang hyperactive stirring liver wind (half body numbness) tongue

A

dark red, scanty or thin yellow dry coating

214
Q

liver yang hyperactive stirring liver wind (half body numbness) pulse

A

wiry, forceful

215
Q

liver yang hyperactive stirring liver wind (half body numbness) pathogenesis

A

excess: liver yang hyperactivity leading to wind, wind invades the channels causing numbness

216
Q

DIAGNOSIS: hemiparasthenia, accompanied with heaviness sensation, drowsiness, vomiting, chest oppression and discomfort, accumulated for a long time

A

damp-phlegm obstructing meridian (half body numbness)

217
Q

damp-phlegm obstructing meridian (half body numbness) tongue

A

pale, dark, slippery moist or white greasy coating

218
Q

damp-phlegm obstructing meridian (half body numbness) pulse

A

slippery

219
Q

damp-phlegm obstructing meridian (half body numbness) pathogenesis

A

spleen cannot transform water, leading to dampness, eventually to phlegm accumulation. phlegm obstructs meridians, causing inability to nourish qi and blood.

220
Q

lung’s role function of water

A

descending and dispersing

221
Q

spleen qi’s function of water

A

transporting and transforming

222
Q

kidney yang’s function of water

A

steaming

223
Q

bladder qi’s function of water

A

transforming

224
Q

san jiao’s function of water

A

providing a passageway that relies on qi transformation

225
Q

DIAGNOSIS: starts from edema of eyelid, acute onset, followed by four limbs or whole body edema, aversion to wind and cold, accompanied by fever, joint soreness and pain, scanty urination

A

wind cold attacking lung (wind water combating) (puffiness and edema)

226
Q

wind cold attacking lung (puffiness and edema) tongue

A

thin white coating

227
Q

wind cold attacking lung (puffiness and edema) pulse

A

floating, tight

228
Q

wind cold attacking lung (puffiness and edema) location

A

lung, upper jiao water passageway

229
Q

wind cold attacking lung (puffiness and edema) pathogenesis

A

wind cold attack from the exterior, lung’s function of dispersing water is impaired. This affects the bladder, causing urinary dysfunction, water metabolism disorders, edema (yang water edema).

230
Q

DIAGNOSIS: acute eyelid or facial edema, fever, aversion to wind, cough, inflammation of throat, sore throat, scanty short urination, yellow urine

A

wind heat attacking lung (puffiness, edema)

231
Q

wind heat attacking lung (puffiness, edema) tongue

A

slightly red tip, thin yellow coating

232
Q

wind heat attacking lung (puffiness, edema) pulse

A

floating rapid

233
Q

wind heat attacking lung (puffiness, edema) location

A

lung, upper jiao water passageway obstruction

234
Q

wind heat attacking lung (puffiness, edema) pathogenesis

A

wind heat attack lung, lung’s clearing function is impaired. lung is the upper source of water, lung qi stagnation causes impaired clearing function, then causes blockage in water passageways, showing signs of edema

235
Q

DIAGNOSIS: edema of the limbs, chronic progression of disease “usually starts from the four limbs, abdomen, but most obvious in the legs, heaviness of body, fatigue, chest oppression, bland taste in mouth, clear and short urination

A

Dampness obstructing the spleen - due to spleen qi deficiency (puffiness and edema)

236
Q

Dampness obstructing the spleen - due to spleen qi deficiency (puffiness and edema) tognue

A

white greasy coating

237
Q

Dampness obstructing the spleen - due to spleen qi deficiency (puffiness and edema) pulse

A

deep and slow

238
Q

Dampness obstructing the spleen - due to spleen qi deficiency (puffiness and edema) pathogenesis

A

spleen qi deficiency unable to transform and transport water. May be due to dampness obstructing spleen, walking in the rain, living in a damp environment for a long time, wind cold invasion, all these leading to dampness accumulating in the middle jiao. Water cannot descend, which will cause edema, spleen governs the four limbs. this type of edema will start from the four limbs. - yin water edema

239
Q

DIAGNOSIS: edema mostly below the waist, frequent recurrence, pitting edema, fatigue, cold limbs, poor appetite, loose stool, scanty clear urination

A

Spleen yang deficiency (puffiness and edema)

240
Q

Spleen yang deficiency (puffiness and edema) tongue

A

pale, thin white moist coating

241
Q

Spleen yang deficiency (puffiness and edema) pulse

A

deep, slow

242
Q

Spleen yang deficiency (puffiness and edema) pathogenesis

A

resulted from untreated chronic illness of excessive type, over strain, or spleen deficiency affecting the transforming and transporting function. Yang deficiency cannot regulate water leading to pitting edema of lower body from the waist down, often recurring. - yin water edema

243
Q

DIAGNOSIS: whole body edema, usually starts from the waist and legs, worse around the ankles, lower back and knee sore weak and heavy, damp cold in the scrotum and genitals, cold limbs, scanty clear urination, worse symptoms than spleen yang deficiency, with lower back and ankle edema

A

Kidney yang deficiency (puffiness and edema)

244
Q

Kidney yang deficiency (puffiness and edema) tongue

A

pale, puffy, thin white coating

245
Q

Kidney yang deficiency (puffiness and edema) pulse

A

deep, thin, weak

246
Q

Kidney yang deficiency (puffiness and edema) pathogenesis

A

kidney yang edema is worse than spleen yang edema, usually manifests as whole body edema. Kidney resides in the lower back and waist and belongs to the lower jiao, when lower jiao water passage is obstructed, edema will begin at the waist and legs - yin water edema

247
Q

DIAGNOSIS: gradual facial and four limb edema, pale lusterless or sallow complexion, pale lips, dizziness, palpitations, shortness of breath, poor appetite, fatigue, lack of energy, pale signs, less serious edema

A

qi and blood deficiency (puffiness and edema)

248
Q

qi and blood deficiency (puffiness and edema) tongue

A

thin, scanty coating

249
Q

qi and blood deficiency (puffiness and edema) pulse

A

deficient thin weak

250
Q

qi and blood deficiency (puffiness and edema) pathogenesis

A

usually from spleen/stomach qi deficiency, leading to poor transporting and transforming function or chronic illness depleting both qi and blood, or zang fu deficiency causing poor water metabolism function - yin water edema

251
Q

what organs are easily frightened

A

HT and GB

252
Q

DIAGNOSIS: easily frightened, white facial complexion, breathlessness, tiredness, weak voices, timidity, lack of courage, indecision, easily frightened, waking up early in the morning, copious dreams

A

HT and GB qi deficiency (easily frightened)

253
Q

HT and GB qi deficiency (easily frightened) tongue

A

pale with thin white tongue

254
Q

HT and GB qi deficiency (easily frightened) pulse

A

weak

255
Q

HT and GB qi deficiency (easily frightened) pathogenesis

A

the heart is the emperor and it governs the mind. gall bladder is the upright official that takes decisions. if the heart qi is calm, the gall bladder qi will not be inhibited

256
Q

DIAGNOSIS; easily frightened, mental restlessness, insomnia, tidal fever, night sweating, thirst at night, five center heat, easily frightened, lusterless facial complexion, pale nails, anxiety

A

heart yin and blood deficiency (easily frightened)

257
Q

heart yin and blood deficiency (easily frightened) tongue

A

pale or red with thin or little coating

258
Q

heart yin and blood deficiency (easily frightened) pulse

A

thready rapid

259
Q

heart yin and blood deficiency (easily frightened) pathogenesis

A

heart blood deficiency causes insecure heart and mind which leads to easily being frightened

260
Q

DIAGNOSIS; easily frightened, fullness and distention in the chest and hypochondrium, depressed mood and irritability, easily frightened, pale facial complexion, pale nails, irregular menstruation

A

Liver qi stagnation with blood deficiency (easily frightened)

261
Q

Liver qi stagnation with blood deficiency (easily frightened) tongue

A

dull or pale with thin white coating

262
Q

Liver qi stagnation with blood deficiency (easily frightened) pulse

A

thready wiry

263
Q

Liver qi stagnation with blood deficiency (easily frightened) pathogenesis

A

liver qi stagnation consumes blood. liver blood is injured, hun is not secure and heart cannot control mind. scattered and disoriented hun and mind leads to easily being frightened

264
Q

DIAGNOSIS: easily frightened, irritability, agitation, manic behavior, headache, dizziness, insomnia, dry mouth, bitter taste

A

phlegm fire harassing the heart (easily frightened)

265
Q

phlegm fire harassing the heart (easily frightened) tongue

A

red with thick yellow greasy coating

266
Q

phlegm fire harassing the heart (easily frightened) pulse

A

slippery rapid

267
Q

phlegm fire harassing the heart (easily frightened) pathogenesis

A

phlegm fire harassing upward causes restless heart and mind, phlegm comes from lifestyle

268
Q

DIAGNOSIS: easily frightened, red face, red eyes, irritability, easily frightened, mouth and tongue ulcers, preference for cold drinks, laughing and muttering to oneself

A

Heart fire blazing up (easily frightened)

269
Q

Heart fire blazing up (easily frightened) tongue

A

red tip with thin yellow coating

270
Q

Heart fire blazing up (easily frightened) pulse

A

rapid

271
Q

Heart fire blazing up (easily frightened) pathogenesis

A

blood is where the mind resides. excess fire in the heart disturbs the blood so it effects the mind

ICTCM Year 3 (5 decks)

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