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
