Clinically relevant patterns Flashcards
Palpitations Shortness of Breath on exertion pale face spontaneous sweating tiredness slight depression pale tongue, empty pulse
Heart qi deficiency
Palpitations Shortness of Breath on exertion pale face spontaneous sweating tiredness slight depression feeling cold cold hands bright white face dusky/cyanotic lips chest discomfort
Heart Yang deficiency
Palpitations weak and shallow breathing pale face profuse sweating (cold oily sweat) tiredness slight depression feeling cold cold hands bright white face greyish white lips chest discomfort tongue: very pale or bluish pulse: hidden, minute, knotted
Heart Yang collapse
palpitations dizziness insomnia poor memory anxiety dull pale complexion pale lips pale tongue pulse: choppy or fine
Heart blood deficiency
palpitations insomnia frequent waking anxiety restlessness dry mouth and throat night sweats 5 palm heat tongue: peeled, midline crack, red pulse: fine
Heart yin deficiency
palpitations a feeling of distension or oppression of the chest depression a slight feeling of lump in the throat slight SOB sighing poor appetite slight nausea cold limbs sl purple lips pale complexion tongue sl pale -purple on sides and chest area pulse empty but very slightly overflowing on the left front position or bowstring in HT position
Heart qi stagnation
palpitations
SOB with inability to lay down
depression
mental restlessness
a feeling of oppression of the chest
stabbing or pricking pain in the heart region which comes and goes and which may radiate to the upper back or shoulder
pain aggravated by exposure to cold and alleviated by heat
expectoration of phlegm
a feeling of heaviness
dislike to speak
cold hands
sighing
purple lips, face and nails
tongue: purple o the sides in the chest area, swollen with a sticky coating
pulse: wiry, choppy or knotted, slippery if phlegm is predominant
Heart Vessel Obstructed (red flag)
palpitations
stabbing or pricking pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder
a feeling of oppression or constriction of the chest
cyanosis of lips and nails
cold hands
tongue purple in its entirety or only the sides n the chest area
choppy, wiry or knotted pulse
Heart blood stasis
palpitations thirst mouth and tongue ulcers mental restlessness feeling agitated feeling of heat insomnia dream-disturbed sleep red face dark urine or blood in urine bitter taste red tongue, tip redder and swollen with red points yellow coating full-rapid-overflowing pulse
Heart Fire
mental confusion unconsciousness, lethargic stupor incoherent speech vomiting phlegm rattling sound in the throat mental depression emotional lability aphasia very dull eyes swollen tongue with thick sticky coating, heart crack, slippery pulse
Phlegm misting the mind
Palpitations thirst red face bitter taste feeling of oppression of the chest expectoration of phlegm rattling sounds in the throat mental restlessness insomnia dream disturbed sleep agitation incoherent speech mental confusion rash behavior tendency to hit or scold people uncontrolled laughter or crying shouting muttering to oneself mental depression and dullness manic behavior red tongue, redder & swollen tip with red points, yellow dry sticky coating, deep heart crack, full rapid, slippery pulse or rapid overflowing slippery, rapid full wiry pulse
Phlegm fire harassing the heart
fever at night mental confusion incoherent speech or aphasia delirium body hot hands and feet cold macules red and dry tongue without coating fine-rapid pulse
Heat in the Pericardium
Ying qi level of the 4 levels or upper burner stage
palpitations
feeling of tightness and heat of the chest
slight chest ache
rapid breathing
thirst
mouth and tongue sores
mental restlessness
feeling agitated
feeling of heat
insomnia
dream-disturbed sleep
red face
bitter taste in mouth (after a bad night sleep)
tongue red,tip redder and swollen with red points, yellow coating
pulse: full rapid overflowing esp front left position
Pericardium Fire
palpitations
stabbing pain or prickling pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder
a feeling of oppression or constriction of the chest
shortness of breath
cyanosis of lips and nails
cold hands
tongue purple in its entirety or only on the sides in the chest area
pulse choppy, wiry or knotted
Pericardium blood stagnation
a feeling of distension and slight pain of the chest feeling of tightness of the chest slight shortness of breath sighing a feeling of lump in the throat palpitations depression poor appetite weak and cold limbs slightly purple lips pale complexion tongue slightly pale purple on the sides in the chest area pulse empty but very slightly overflowing on the left front position
PC qi stagnation
dizziness numbness or tingling of limbs insomnia blurred vision floaters in eyes diminished night vision scanty periods or amenorrhea dull pale complexion without luster pale lips muscular weakness cramps withered and brittle nails dry hair and skin depression a feeling of aimlessness pale tongue, thin and slightly dry choppy or fine pulse
LR blood deficiency
dizziness numbness or tingling of limbs insomnia blurred vision floaters in eyes dry eyes diminished night vision scanty periods or amenorrhea dull pale complexion without luster but red cheekbones muscular weakness cramps withered and brittle nails very dry hair and skin depression a feeling of aimlessness normal colored tongue without coating or rootless coating floating empty pulse
LR yin deficiency
1) feeling of distension of hypochondrium, chest, epigastrium or abdomen and sighing
2) melancholy, depression, moodiness, fluctuations of mental state, feeling wound up, feeling of lump in the throat
3) irregular periods, distension of breasts before periods, premenstrual tension and irritability
tongue: body color may be normal. in severe cases it may be slightly red on the sides
pulse: wiry, especially on the left
LR qi stagnation
hypochondrial pain abdominal pain vomiting of blood epistaxis painful periods irregular periods dark and clotted menstrual blood infertility masses in abdomen purple nails purple lips purple or dark complexion dry skin (in severe cases) purple petechiae purple tongue wiry or firm pulse
LR blood stagnation
irritability propensity to outbursts of anger tinnitus deafness temporal headache dizziness red face and eyes thirst bitter taste dream disturbed sleep constipation with dry stools dark yellow urine epistaxis hematemesis hemoptysis red tongue, redder on the sides, dry yellow coating full wiry rapid pulse
Liver Fire
fullness of the hypochondrium, abdomen or hypogastrium bitter taste sticky taste poor appetite nausea feeling of heaviness in the body yellow vaginal discharge vaginal itching vulvar eczema or sores midcycle bleeding and/or pain pain redness and swelling of the scrotum genital papular or vesicular skin rashes and itching urinary difficulty burning on urination dark urine red tongue with redder sides sticky yellow coating slippery wiry rapid pulse
Damp heat in the Liver
headache which may be on the temples, eyes or lateral side of the head dizziness tinnitus deafness blurred vision dry mouth and throat insomnia irritability feeling worked up propensity to outbursts of anger stiff neck tongue pale if there is liver blood deficiency tongue without coating if there is yin deficiency wiry pulse
Liver yang rising
tremor irritability propensity to outbursts of anger tinnitus and/or deafness (sudden onset) temporal headache dizziness red face and eyes thirst bitter taste dream disturbed sleep constipation with dry stools dark yellow urine epistaxis hematemesis hemoptysis tongue: red body with redder sides and dry yellow coating pulse wiry rapid
Liver fire generating wind
fine tremor facial tic dizziness blurred vision numbness or tingling of limbs poor memory insomnia scanty periods tongue: pale and thin pulse: wiry fine
liver blood def generating wind
what created liver wind?
extreme heat generating wind
liver yang rising generating wind
liver fire generating wind
liver blood deficiency generating wind
hypochondrial or epigastric distension hiccups sighing nausea vomiting belching churning feeling in the stomach irritability in women breast distension tongue normal or sl red on the sides wiry pulse
rebellious liver qi
1) feeling of distension of hypochondrium, chest, epigastrium or abdomen and sighing
2) melancholy, depression, moodiness, fluctuations of mental state, feeling wound up, feeling of lump in the throat
3) irregular periods, distension of breasts before periods, premenstrual tension and irritability
4) + thirst, red face
tongue: body color may be normal. in severe cases it may be slightly red on the sides
pulse: wiry, especially on the left
Liver qi stagnation with heat!
slight shortness of breath slight cough weak voice spontaneous daytime sweating dislike of speaking bright pale complexion propensity to catch colds tiredness dislike of cold pale tongue empty pulse, especially on the right front portion
lung qi deficiency
cough which is dry or with scanty sticky sputum weak and/or hoarse voice dry mouth and throat tickly throat tiredness dislike of speaking thin body or thin chest night sweating normal colored tongue, dry without coating (or rootless coating) in the front part floating empty pulse
lung yin deficiency
aversion to cold fever cough itchy throat slight breathlessness stuffed or runny nose with clear, watery discharge sneezing occipital headache body aches thin white tongue coating floating tight pulse
Invasion of lungs by wind-cold
aversion to cold fever cough sore throat stuffed or runny nose with yellow discharge headache body aches slight sweating slight thirst swollen tonsils tongue slightly red on the sides in the chest area or the front part floating rapid pulse
invasion of lungs by wind-heat
sudden swelling of the eyes and face gradually spreading to the whole body bright shiny complexion scanty pale urination aversion to wind fever cough slight breathlessness sticky white tongue coating floating slippery pulse
invasion of lungs by wind-water
slight sweating plus floating, soggy pulse
or
Aversion to wind with sweating and a floating and deficient pulse
exterior invasion of lungs but lungs are deficient
ie exterior deficiency
cough slightly breathlessness feeling of heat chest ache flaring of nostrils thirst red face red tongue with yellow coating overflowing rapid pulse
lung heat
chronic cough coming in bouts with profuse sticky white sputum which is easy to expectorate
white pasty complexion
a feeling of oppression in the chest
phlegm in the throat
SOB
dislike of lying down
wheezing
nausea
a feeling of heaviness, muzziness and dizziness of the head
swollen tongue with a sticky white coating
slippery or soggy pulse
damp phlegm in lungs
cough with expectoration of white, watery sputum
cough aggravated by exposure to cold
feeling cold
cold hands
phlegm in the throat
dizziness
a feeling of oppression of the chest
a feeling of cold of the chest
a feeling of heaviness, muzziness and dizziness of the head
swollen and wet tongue with a sticky white coating
slippery slow pulse
cold phlegm in the lungs
barking cough with profuse sticky yellow or green sputum SOB wheezing a feeling of oppression of the chest phlegm in the throat a feeling of heat thirst insomnia agitation a feeling of heaviness and muzziness of the head dizziness red, swollen tongue with a sticky yellow coating slippery rapid pulse
phlegm heat in the lungs
dry cough but with occasional, difficult to expectorate sputum (scanty) shortness of breath a feeling of oppression of the chest scanty phlegm in the throat a feeling of heaviness and muzziness of the head dizziness dry throat wheezing pasty dry complexion swollen tongue with a dry sticky coat fine slippery pulse
dry phlegm in the lungs
cough with expectoration of white, watery, foamy sputum
breathlessness
splashing sound in the chest
vomiting of white, watery, frothy sputum
a feeling of oppression of the chest
a feeling of heaviness and muzziness of the head
dizziness
feeling cold
coughing which may be elicited by a scare
pale tongue with thick sticky white coating
fine slippery or soggy or wiry pulse
phlegm fluids in the lungs
poor appetite a feeling of fullness in the epigastrium and/or abdomen a feeling of cold in the epigastrium which improves with the application of heat a feeling of heaviness of the head and body a sweetish taste or absence of taste no thirst loose stools lassitude tiredness nausea edema dull white complexion excessive white vaginal discharge pale tongue with a sticky white coat slippery slow pulse
cold dampness invading the spleen
a feeling of fullness of the epigastrium and lower abdomen epigastric and/or abdominal pain poor appetite a feeling of heaviness thirst without desire to drink nausea vomiting loose stools with offensive odor burning sensation in the anus feeling of heat scanty, dark urine low grade fever dull headache with feeling of heaviness of the head dull yellow complexion like tangerine peel yellow sclera of eyes oily sweat bitter taste itchy skin or skin with eruptions sweating which does not relieve the fever and does not lead to clearing of heat red tongue with sticky yellow coating slippery rapid pulse
damp heat invading spleen
poor appetite slight abdominal distension after eating tiredness lassitude desire to lie down pale complexion weakness of the limbs loose stools pale tongue empty pulse
spleen qi deficiency
poor appetite slight abdominal distension after eating tiredness lassitude pale sallow complexion weakness of the limbs loose stools depression blood spots under the skin blood in the urine or stools excessive uterine bleeding pale tongue weak or fine pulse
spleen qi not controlling blood
poor appetite slight abdominal distension after eating tiredness lassitude pale complexion weakness of limbs loose stools depression tendency to obesity a 'bearing down' sensation in the abdomen prolapse of stomach, uterus, anus or bladder frequency and urgency of urination menorrhagia pale tongue weak pulse
spleen qi sinking
poor appetite slight abdominal distension after eating tiredness lassitude desire to lie down curled up pale complexion weakness of limbs loose stools feeling cold cold limbs edema pale and wet tongue, teethmarks white wet coating deep weak pulse, slow
spleen yang deficiency
lower backache feeling cold in lower back cold and weak knees bright white complexion tiredness lassitude abundant and clear urination urination at night apathy edema of the legs infertility in women loose stools depression impotence premature ejaculation low sperm count decreased libido pale and wet tongue deep weak pulse
kidney yang deficiency
dizziness tinnitus vertigo poor memory hardness of hearing night sweating dry mouth and throat at night lower backache ache in bones nocturnal emissions constipation dark scanty urine infertility premature ejaculation tiredness lassitude depression slight anxiety normal colored tongue without coating floating empty pulse
kidney yin deficiency
soreness and weakness of the lower back weak knees clear and frequent urination weak stream urination abundant urination dribbling after urination incontinence of urine, enuresis urination at night nocturnal emissions without dreams premature ejaculation spermatorrhea tiredness feeling cold cold limbs in women prolapse of uterus chronic white vaginal discharge a dragging down feeling in the lower abdomen recurrent miscarriage pale tongue deep weak pulse especially in the rear position
mild: kidney qi deficiency
severe: kidney qi not firm
softening of bones weakness of knees and legs poor memory loose teeth falling hair or premature greying of hair weakness of sexual activity lower backache infertility sterility primary amenorrhea dizziness tinnitus deafness blurred vision absent mindedness decreased mental sharpness tongue without coating if with yin def pale if there is yang def floating empty or leather pulse
kidney jing deficiency
tiredness in the morning and a weak Stomach pulse
Stomach qi deficiency
uncomfortable feeling in the epigastrium no appetite lack of taste sensation loose stools tiredness especially in the morning weak limbs pale tongue or unrooted coating empty pulse, esp on the right middle position
Stomach qi deficiency
(Stomach hours 7 to 9am)
looks a lot like SP-qi deficiency
usually diagnose SP-qi def
epigastric discomfort better with eating
difference between Spleen qi def & Stomach qi def
SP-qi def: slight abdominal distension and often loose stools
ST-qi def: slight discomfort in the epigastrium and generally more digestive symptoms, and also weak limbs
absence of coating in the center of the tongue
Stomach yin deficiency
dry mouth with desire to drink in small sips
Stomach yin deficiency
no appetite or slight hunger but no desire to eat
constipation (dry stools)
dull or slightly burning epigastric pain
dry mouth and throat especially in the afternoon, with desire to drink in small sips
slight feeling of fullness after eating
tongue: without coating in the center or with rootless coating, normal body color
pulse: floating empty on the right middle position
Stomach yin deficiency
epigastric distension, belching and irritability
Stomach qi stagnation
epigastric pain and distension belching nausea vomiting hiccups irritability no particular signs on the tongue except in severe cases it may be red on the sides in the central section pulse wiry on the right middle position
Stomach qi stagnation
pulse may be wiry in both Lf & Rt middle positions if Liver is involved
causes of Stomach qi stagnation
dietary irregularity and emotional strain causes Stomach qi stagnation; emotional strain by itself will tend to cause Liver qi stagnation
Liver attacking Stomach
burning epigastric pain intense thirst with desire to drink cold liquids mental restlessness bleeding gums dry stools dry mouth mouth ulcers sour regurgitation nausea vomiting soon after eating excessive hunger foul breath a feeling of heat tongue red in the center with a dry yellow or dark yellow or even black coat rapid and slightly overflowing pulse on the right middle position
Stomach Heat/Fire
epigastric fullness
nausea
sticky yellow coating
damp heat in stomach
a feeling of fullness and pain of the epigastrium a feeling of heaviness facial pain blocked nose or thick sticky nasal discharge thirst without desire to drink nausea a feeling of heat dull yellow complexion a sticky taste red tongue with sticky yellow coating slippery rapid pulse
damp heat in the stomach
sudden pain in the epigastrium and a tight pulse
Cold invading the Stomach
sudden pain in the epigastrium a feeling of cold cold limbs preference for warmth vomiting clear fluids (which may alleviate the pain) nausea feeling worse after swallowing cold fluids which are quickly vomited preference for warm liquids thick white tongue coating deep tight slow pulse
Cold invading the Stomach
epigastric fullness
sour regurgitation
thick tongue coating
food stagnation in the stomach
fullness pain and distension of the epigastrium which are relieved by vomiting nausea vomiting of sour fluids foul breath sour regurgitation belching insomnia loose stools or constipation poor appetite tongue: thick coating (white or yellow), curdy pulse: full slippery
food stagnation in the stomach
severe stabbing epigastric pain that may be worse at night dislike of pressure nausea vomiting possibly vomiting of blood vomiting of food looking like coffee grounds purple tongue (dusky) wiry pulse or choppy
blood stagnation in the stomach
a stabbing pain in the epigastrium
tongue that is purple in the center
blood stagnation in the stomach
abdominal twisting pain
Small Intestine Qi Stagnation
small intestine qi pain
lower abdominal twisting pain which may extend to back
abdominal distension
dislike of pressure on abdomen
borborygmi
flatulence
abdominal pain relieved by emission of wind
pain in the testis
white tongue coating
deep wiry pulse especially on the rear positions
Small Intestine Qi Stagnation
small intestine qi pain; think of a bad case of liver qi stagnation affecting the abdomen- abdominal distension and pain
damp heat in UB versus excess heat in SI
excess heat in
SI has an HT component (insomnia, irritability, tongue ulcers)
mental restlessness insomnia, irritability tongue and/or mouth ulcers pain in the throat deafness uncomfortable feeling and heat sensation in the chest abdominal pain thirst with desire to drink cold liquids scanty and dark urine burning pain on urination blood in urine red tongue with redder and swollen tip yellow coating overflowing rapid pulse especially in the front position
full heat in the small intestine
aka excess heat in the small intestine
aka Heart Fire entering Small Intestine
abdominal pain
tongue ulcers
scanty dark painful urination
full heat of small intestine
Heart Fire entering Small Intestine
abdominal distension and pain
bitty stools
qi stagnation in the large intestine
abdominal distension and pain
constipation with bitty stools
irritability
aggravation of condition according to mood
tongue either normal or slightly red on the sides
pulse wiry on both rear positions
qi stagnation in the large intestine
wiry pulse: lower jiao stagnation
food poisoning diarrhea or traveler’s diarrhea is…
damp heat in the large intestine
abdominal pain that is not relieved by a bowel movement abdominal fullness diarrhea mucus and blood in stools offensive odor of stools burning sensation in the anus scanty dark urine fever sweating which does not decrease the fever a feeling of heat thirst without desire to drink feeling of heaviness of the body and limbs red tongue with sticky yellow coating slippery rapid pulse
damp heat in the large intestine
abdominal pain and diarrhea with mucus and blood in the stools
damp heat in the large intestine
sudden abdominal pain,
diarrhea
and a feeling of cold
cold invading the large intestine
sudden cramping abdominal pain diarrhea with pain feeling of cold cold sensation n abdomen thick white tongue coating deep tight pulse
cold invading the large intestine
chronic diarrhea
prolapse anus
collapse of large intestine
chronic diarrhea prolapse ani hemorrhoids tiredness after bowel movements cold limbs no appetite mental exhaustion desire to drink warm liquids desire to have the abdomen massaged tongue: pale pulse: deep fine weak
collapse of large intestine
hypochondrial fullness
feeling of heaviness
unilateral sticky coating on tongue
dampness in the gall bladder
jaundice dull yellow eyes and skin hypochondrial pain fullness and distension nausea vomiting inability to digest fats, greasy stools dull yellow sclera turbid urine no thirst sticky taste dull headache feeling of heaviness of the body thick sticky/greasy white tongue coating, either bilateral in two strips or unilateral slippery wiry pulse
dampness in the gall bladder
hypochondrial fullness
bitter taste
thick yellow coating on right side
damp heat in gall bladder
hypochondrial pain fullness and distension nausea vomiting inability to digest fats yellow complexion- yang jaundice bright orange/yellow scanty and dark yellow urine fever thirst without desire to drink bitter taste dizziness tinnitus irritability feeling of heaviness of the body numbness of the limbs swelling of the feet loose stools or constipation alternation of hot and cold feeling yellow sclera feeling of heat thin, sticky yellow tongue coating either bilateral or in two strips or unilateral, red tongue body slippery wiry rapid pulse
damp heat in gall bladder
dizziness blurred vision floaters nervousness timidity propensity to being easily startled lack of courage and initiative INDECISIVENESS sighing waking up early in the morning restless dreams tongue pale or normal weak pulse
gall bladder qi deficiency
more of an emotional pattern
timidity
lack of initiative
indecision
gall bladder qi deficiency
more of an emotional pattern
burning on urination
dark urine
difficult urination
damp heat in the bladder
frequent and urgent urination
burning on urination
difficult urination (stopping in middle of flow)
dark yellow and/or turbid urine
blood in the urine
fever
thirst with no desire to drink
hypogastric fullness and pain
feeling of heat
thick sticky yellow tongue coating on the root with red spots
pulse slippery rapid and slightly wiry on the left rear position (??)
damp heat in the bladder
& prostate
difficult urination
a feeling of heaviness of the hypogastrium
pale urine
damp cold in the bladder
frequent and urgent urination
difficult urination (stopping in mid stream)
feeling of heaviness in hypogastrium and urethra
pale and turbid urine
white sticky tongue coating on root
pulse slippery slow and slightly wiry on left rear position
damp cold in the bladder
frequent pale and abundant urination incontinence enuresis lower backache dizziness nocturia white urethral discharge feeling cold pale wet tongue deep weak pulse
bladder deficient cold
see also KD qi deficiency & KD qi not firm
frequent urination incontinence etc..
