DDX Flashcards
What does Shao Yang heat look like?
alternating chills/fever
What are W-C signs/symptoms?
more HA, more nasal congestion
What are W-H signs/symptoms?
more sore throat, more red eyes
measles
How does Wind cause Yang edema?
Lungs regulate water passages, so Wind pathogen in water leads to Yang edema (LU7+LI4)
What are the two types of tinnitus?
XU and XS
What causes sudden onset, high pitched, chronic tinnitus which is helped by pressure on ears?
(XS): LV and GB Fire, D-H in LV/GB, W-H
What causes gradual onset, low pitched tinnitus that is not relieved with pressure?
LV and KD Yin Xu, LV Yang Rising, Jing Xu, SP Qi Xu
What causes earache?
Heat
What are the two types of itchy eyes?
XU and XS
What causes slightly itchy eyes?
Xue Xu
What causes severe itching/burning/pain/swelling of eyes?
Fire Heat (XS)
What causes eye itching with sensitivity to light?
Ext W-H (XS)
What causes dry eyes?
XU: LV Xue Xu, LV Yin Xu, KD Yin Xu
What causes night blindness?
LV Xue Xu, LV and KD Yin Xu
What are the two types of blurred vision? What are examples of each?
XU and XS
XU: Xue and Jing Xu, LV and KD Yin Xu, SP Qi sinking
XS: D-P, W-F
What are the two types of eye pain?
XS (severe pain): LV Fire (unbearable), W-H (pain with light sensitivity and itchy eyes)
XU (mild pain): Yin Xu with Xu Heat (dry eyes)
What can cause a stuffy nose?
W-C (watery discharge), W-H (turbid nasal discharge)
What are the causes of nose pain?
LU Heat, ST Head invading LU
What causes anal burning?
D-H in LI
What causes sticky stool?
D-H in LI, LV invading SP, Food Retention
What causes scanty dark urine?
XS Heat or (Yang) XU Heat
Heat in ST and intestine (yellow-red urine, abdominal fullness, constipation)
HT Fire (irritability, insomnia)
LV and GB D-H (hypochondriac pain, *jaundice)
UB D-H (urgent, frequent and painful urination)
Yang Xu / Dysf(x) of LU, SP, KD (water retention, edema)
What causes clear and profuse urine?
XS or XU Cold
XS: Int Cold (cold pain in abdomen)
XU: KD Yang Xu (pale complexion, intolerance to cold, swollen tongue, nocturia),
KD Yin Xu (incontinence, night sweats, 5 center heat)
Xiao Ke ???
What are the causes of XS type Dysuria
UB D-H (dribbling or small volume, burning urination)
Xue Stasis Obstruction (retention after drama or SX; purple tongue, choppy)
W-H –> LU Qi Dysfunction (puffy eyelids* & face, aversion to Wind, chill/fever)
What are the causes of XU type Dysuria?
SP Yang Xu (poor appetite, tired)
KD Yang Xu (cold intolerance, sore back)
What causes Anuria?
LU Bi
What causes XS type Turbid Urine?
UB D-H (cloudy, urgency, frequent)
What causes XU type Turbid Urine?
KD Xu (prolonged repeated dribbling of milky urine*, LBP & knee ache)
What causes pain with urination?
XS:
D-H (Heat straguria) (urgency, burning, scanty)
Xue Stasis (urintation w/prickling pain)
Stone stranguria (cramping or colic pain w/urination)
What causes dripping after urination?
KD Qi Xu (failing to consolidate urine)
What causes incontinence?
KD Qi Xu (failing to consolidate urine?
What causes enuresis?
KD Qi Xu (failure to consolidate)
UB dysfunction
What causes scanty, yellow-red urine, abdominal fullness and constipation?
Heat in ST and intestine
What causes scanty urination, jaundice and hypochondriac pain?
D-H in LV and GB
What causes urgent, frequent and painful, scanty urination?
UB D-H
What causes both scanty urination and edema?
Yang Xu/ dysfunction of LU, SP and KD
What causes nocturia?
also pale complexion, intolerance to cold, swollen tongue
KD Yang Xu
What causes clear, profuse urination with incontinence, night sweats and five center heat?
KD Yin Xu
What causes dribbling or small volume of urination with burning sensation?
UB D-H
What causes dysuria with urine retention after trauma, purple tongue, choppy pulse?
Xue Stasis obstruction
What causes dysuria with puffy eyelids, aversion to Wind and chills/fever?
W-H
What causes cloudy urination with urgency and frequency?
UB D-H (Lin syndrome)
What causes prolonged repeated dribbling of milky urine?
also LBP and knee ache
KD Xu
What causes urination with prickling pain?
Xue stasis
What causes dripping after urination?
KD Qi Xu
What causes urinary incontinence?
KD Qi Xu
What causes cramping or colic pain with urination?
Stone stranguria
What are the two causes of Preceded menstruation? (21 days or less)
XS: Xue Heat (red or dark red, thick discharge, rapid)
XU: (SP) Qi Xu (large volume, thin light color, loss of appetite, pale, weak)
What causes Delayed menstruation? (35 days or longer)
XU: Xue Xu (small volume, light color, dizzy, weak, pale…)
XS: LV Qi Stag (Xue Stasis) (small volume, dark red, clots, lower abd distension…)
XS or XU Cold:
Xue Cold (small volume, dark color, clots, cold limbs, deep/tight pulse)
Yang Xu (watery, light pink, small volume, dull abd pain, clear urine, loose stools)
What causes Unpredictable menstruation? (irregular)
XS:
Xue Stasis, LV Qi Stag (thick purple-red, clots, hypochondriac/breat/abd distension/pain)
XU: SP and KD Xu (pale color, thin, low back sore, loose stool, poor appetite)
What causes excessive blood loss during menstruation?
Heat (in Xue), SP Qi Xu and KD Qi Xu, Xue Stasis (leading to Heat), D-P
What are the symptoms of XS type dysmenorrhea? What are its causes?
S/S: severe abdominal pain before AND during menses, worse with pressure
Cold and Damp in Chong Mai and Ren Mai
LV Qi Stag and Xue Stasis (distending pain in lower abd, better AFTER* menses),
Ext D-H in Chong Mai and Ren Mai –> Qi and Xue Stagnation –> dysmenorrhea (burning)
What are the symptoms of XU type dysmenorrhea? What its causes?
Dull abdominal pain AFTER menstruation
KD Yang Xu (cold)
Qi and Xue Xu
LV Xue and KD Jing Xu
What are the XU causes of Amenorrhea?
no menses by 18 yo or no menses for 3 or more months
Qi and Xue Xu
Yin Xu
LV and KD Xu
What are the XS causes of Amenorrhea?
no menses by 18 yo or no menses for 3 or more months
LV Qi Stag
Xue Stasis
Damp and Phlegm Obstruction
What causes thick discharge with dark red blood during menses?
Xue Heat
What causes large volume of menstruation with thin light color, loss of appetite, pale complexion and weakness?
(SP) Qi Xu
What causes menstrual clotting?
LV Qi Stagnation, Xue Stasis or Xue Cold
What does severe abdominal pain before and during menses indicate? (better after menses)
XS: Cold and Damp, LV Qi Stag and Xue Stasis, Ext D-H
What does dull abdominal pain after menses indicate?
XU: KD Yang Xu, Qi and Xue Xu, LV Xue and KD Jing Xu
What does loose stool during menstruation indicate?
SP and KD Xu (?)
What does a tight pulse indicate?
XS Cold
What does a slow and weak pulse indicate?
XU Cold
What does a slow and full pulse indicate?
XS Cold
What does an empty pulse indicate?
Qi/Xue Xu, Organ deficiency
What does a slow pulse indicate?
Cold (XS or XU)
What does a rapid pulse indicate/
Heat (XS or XU)
What does a weak pulse indicate?
XU
What does a full pulse indicate?
XS
What does a hollow pulse indicate?
Xue Xu / great blood loss
What does a minute pulse indicate?
extreme Xu of Qi/Xue
What does a hidden pulse indicate?
XS Cold if full, Severe yang Xu if weak
What causes pebble-like dry hard stools?
Xue Xu
What causes fatigue after bowel movements?
SP and LU Qi Xu
What causes prolapsed rectum?
SP (and LU) Qi Xu
What causes stool that smells like rotten eggs?
Food retention
feel better after BM
What causes Cock’s crow diarrhea?
KD and SP Yang Xu
What does red blood and pus in stool mean?
Dysentery from Damp-Heat
What does grey-white stool mean?
Jaundice of D-H (GB)
What causes loose stools with undigested food?
KD Yang Xu
What causes alternating dry and loose stools?
LV and SP disharmony
What causes unformed stools and frequent BMs?
SP and ST Xu (worse w/greasy foods)
What are the two possible causes of no thirst?
Cold or Damp
What causes thirst with profuse drinking?
Internal Heat
What causes thirst withOUT profuse drinking?
D-H, Xue stasis, Phlegm (and fluid retention), Febrile DZ
What causes vomiting after drinking?
Phlegm
What causes someone to only want to rinse their mouth?
Xue stasis
What causes poor appetite?
SP and ST Qi Xu, Damp, LV and GB D-H, Food retention
What causes jaundice?
LV/GB D-H
What causes aversion to greasy foods?
LV/GB D-H
What causes hunger withOUT an appetite?
ST Yin Xu or KD Yin Xu
What causes overeating but still hungry?
ST Fire, Strong ST/weak SP, Xiao Ke (diabetes)
What causes a bitter taste?
Heat: LV/GB D-H, LV Fire or ST Heat
What causes a salty taste?
Cold syndrome, KD disease
What causes a sweet taste?
SP Xu, D-H in SP and ST
What causes a sour taste?
LV and ST Heat, Food accumulation
What causes tastelessness?
SP and ST Xu
What causes mouth ulcers?
XS: Fire Heat
XU: Yin Xu with Xu heat
What are the causes of XS type insomnia?
Int Phlegm-Fire,
Food retention
What are at the causes of XU type insomnia?
HT Xue Xu and SP Qi Xu,
KD-HT disharmony
What causes hypersomnia?
HT and KD Yang Xu
What causes somnolence after meals?
SP Qi Xu
