class 8 Flashcards
in Smelling, you are smelling for?
odor of the patient
odor of excreta
odor of ward
In Auscultation, you are listening for?
voice speech respiratory sound cough vomiting sound
what does the variation of voice reflect?
the nature of illness and the vicissitude of Healthy Energy
what is Abnormal voice?
- loudness of voice (ex. EPF excessive can create loud voice, vs small voice which can signify deficiency)
- change of intonation
- groaning - pain
- husky voice or aphonia
taciturnity of Speech generally signifies
a deficiency, cold syndrome
fretfulness and talkativeness generally signify
an excess, heat syndrome
fading murmuring signifies
a deficient syndrome
delirium signfies
an excess syndrome
soliloquy is a sign of _________, which signify ________________?
paraphasia
Yin syndrome, or an obstruction of Heart Aperture by Phlegm condensation
raving signify
a Yang syndrome
Dysphasia signifies
covering up of Lucid Aperture by Wind-Phlegm, or the obstruction of vessel collaterals by Wind-Phlegm
Lung is in charge of (1) ________ ____________;
(2) ___________ governs the reception of air
vital energy
Kidney
according to TCM, abnormalities of respiration reflect the pathologic changes of what two organs primarily?
Lung and Kidney
what are the 4 types of breath?
- feeble breath
- gruff breath
- shortness of breath
- deficiency of breath
excess gasping can be due to
excess Lung Heat, or the retention of Phlegm-Fluid in chest
deficiency gasping can be caused by
the debility of Lung-Kidney Energy
what do you consider with Respiratory sound?
- Breath
- Gasping
- Bronchial wheezing
- Heaving sighs
- vomiting sound
- hiccup
- eructation
what are the two types of cough?
- External Pathogen: wind, cold, heat, dryness, dampness, fire
- Internal disorders: Deficiency or Excess
Hiccup indicates?
an involuntary, loud, high-pitched sound with short duration through the throat caused by an adverse upward rushing of Stomach Energy
successive, loud, energetic hiccup which beaks out again and again generally signifies
an excess heat syndrome
low feeble hiccup which breaks out intermittently and infrequently generally signifies an
deficient, or cold syndrome
sudden onset of hiccup in protracted illness or in critical condition generally signifies
the collapse of Stomach Qi
eructation is also caused by…
the adverse uprising of Stomach Energy
the sound is low, long, and gruff, but does not occur repeatedly
Eructation with sour and fetid odor generally signifies
asthentic, heat syndrome, and is often caused by the retention of food or dyspepsia
Eructation with sonorous sound but no putrid odor is usually due to …
the hyperactivity of Liver Energy which invades Stomach
Frequently, odorless eructation with low sound is usually caused by…
the debility of Spleen-Stomach
what order of the patient are you examining?
- odor from mouth
- odor of respiration
- odor from the nose
- odor of the body
yang wood (GB) qi helps the descending of…
ST Qi
LI Qi
Yin Wood (Liver) Qi helps Ascend…
SP Qi
KD Qi
Eructation (belching) can be caused by ST Qi accompanied with
yang wood (GB) qi stagnation
