Clinically relevant patterns Flashcards
1
Q
Palpitations Shortness of Breath on exertion pale face spontaneous sweating tiredness slight depression pale tongue, empty pulse
A
Heart qi deficiency
2
Q
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
A
Heart Yang deficiency
3
Q
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
A
Heart Yang collapse
4
Q
palpitations dizziness insomnia poor memory anxiety dull pale complexion pale lips pale tongue pulse: choppy or fine
A
Heart blood deficiency
5
Q
palpitations insomnia frequent waking anxiety restlessness dry mouth and throat night sweats 5 palm heat tongue: peeled, midline crack, red pulse: fine
A
Heart yin deficiency
6
Q
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
A
Heart qi stagnation
7
Q
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
A
Heart Vessel Obstructed (red flag)
8
Q
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
A
Heart blood stasis
9
Q
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
A
Heart Fire
10
Q
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
A
Phlegm misting the mind
11
Q
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
A
Phlegm fire harassing the heart
12
Q
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
A
Heat in the Pericardium
Ying qi level of the 4 levels or upper burner stage
13
Q
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
A
Pericardium Fire
14
Q
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
A
Pericardium blood stagnation
15
Q
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
A
PC qi stagnation
16
Q
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
A
LR blood deficiency
17
Q
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
A
LR yin deficiency
18
Q
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
A
LR qi stagnation
19
Q
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
A
LR blood stagnation
20
Q
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
A
Liver Fire
21
Q
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
A
Damp heat in the Liver
22
Q
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
A
Liver yang rising
23
Q
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
A
Liver fire generating wind
24
Q
fine tremor facial tic dizziness blurred vision numbness or tingling of limbs poor memory insomnia scanty periods tongue: pale and thin pulse: wiry fine
A
liver blood def generating wind
25
what created liver wind?
extreme heat generating wind
liver yang rising generating wind
liver fire generating wind
liver blood deficiency generating wind
26
```
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
27
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!
28
```
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
29
```
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
30
```
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
31
```
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
32
```
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
33
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
34
```
cough
slightly breathlessness
feeling of heat
chest ache
flaring of nostrils
thirst
red face
red tongue with yellow coating
overflowing rapid pulse
```
lung heat
35
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
36
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
37
```
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
38
```
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
39
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
40
```
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
41
```
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
42
```
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
43
```
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
44
```
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
45
```
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
46
```
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
47
```
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
48
```
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
49
```
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
50
tiredness in the morning and a weak Stomach pulse
Stomach qi deficiency
51
```
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
52
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
53
absence of coating in the center of the tongue
Stomach yin deficiency
54
dry mouth with desire to drink in small sips
Stomach yin deficiency
55
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
56
epigastric distension, belching and irritability
Stomach qi stagnation
57
```
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
58
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
59
```
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
60
epigastric fullness
nausea
sticky yellow coating
damp heat in stomach
61
```
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
62
sudden pain in the epigastrium and a tight pulse
Cold invading the Stomach
63
```
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
64
epigastric fullness
sour regurgitation
thick tongue coating
food stagnation in the stomach
65
```
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
66
```
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
67
a stabbing pain in the epigastrium
| tongue that is purple in the center
blood stagnation in the stomach
68
abdominal twisting pain
Small Intestine Qi Stagnation
| small intestine qi pain
69
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
70
damp heat in UB versus excess heat in SI
excess heat in
| SI has an HT component (insomnia, irritability, tongue ulcers)
71
```
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
72
abdominal pain
tongue ulcers
scanty dark painful urination
full heat of small intestine
| Heart Fire entering Small Intestine
73
abdominal distension and pain
| bitty stools
qi stagnation in the large intestine
74
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
75
food poisoning diarrhea or traveler's diarrhea is...
damp heat in the large intestine
76
```
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
77
abdominal pain and diarrhea with mucus and blood in the stools
damp heat in the large intestine
78
sudden abdominal pain,
diarrhea
and a feeling of cold
cold invading the large intestine
79
```
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
80
chronic diarrhea
| prolapse anus
collapse of large intestine
81
```
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
82
hypochondrial fullness
feeling of heaviness
unilateral sticky coating on tongue
dampness in the gall bladder
83
```
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
84
hypochondrial fullness
bitter taste
thick yellow coating on right side
damp heat in gall bladder
85
```
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
86
```
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
87
timidity
lack of initiative
indecision
gall bladder qi deficiency
| more of an emotional pattern
88
burning on urination
dark urine
difficult urination
damp heat in the bladder
89
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
90
difficult urination
a feeling of heaviness of the hypogastrium
pale urine
damp cold in the bladder
91
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
92
```
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..
