diagnosis by interrogation Flashcards
- invasion of exterior pathogenic factors
- interior cold or heat
- stagnation of qi or blood
- retention of food
- obstruction by phlegm
- deficiency of qi or blood
- consumption of body fluids from yin deficiency
etiology of pain
pressure alleviates/aggravates pain if…? (empty/full)
pressure alleviates pain in empty conditions
pressure aggravates pain in excess conditions
food alleviates/aggravates pain if…?
food alleviates pain in empty conditions
food aggravates pain in excess conditions
bowel movements alleviates/aggravates pain if…? (empty/full) (heat/cold)
bowel movement aggravates pain in deficient and cold conditions
bowel movement alleviates pain in excess and heat conditions
vomiting alleviates/aggravates pain if…? (empty/full) (hot/cold)
vomiting aggravates pain in deficient and cold conditions
vomiting alleviates pain in excess and heat conditions
Pain and rest or movement… (empty/full) (hot/cold)
empty - better with rest
full or cold- better with movement
heat- worse with movement
onset of pain and empty/full
empty- slow, gradual onset
excess- sudden onset
pain and laying down or sitting up
empty- better lying down
excess- better sitting up
pain and temperature
pain due to cold- better with heat
pain due to heat- better with cold
quality of pain due to: dull, lingering sharp cramping burning
dull- deficiency
sharp- excess
cramping- cold
burning- heat
cause of pain that is: distention more than pain distending pain no fixed location coming and going
qi stagnation
cause of pain that is:
chronic headaches with a distending throbbing pain
Liver-Yang rising
cause of pain that is:
severe, boring or stabbing pain with a fixed location
blood stasis
cause of pain that is:
cramping, spastic pain aggravated by cold weather and cold foods/liquids and alleviated by the application of heat
cold (full or empty)
cause of pain that is:
burning pain with a feeling of fullness and heaviness
damp heat
cause of pain that is:
occipital headache and stiffness
external wind
cause of pain that is:
pain in the joints or epigastrium
external dampness
cause of pain that is:
intense pain with feeling of fullness
retention of food
more often experienced in children
cause of pain that is:
does not usually cause pain but may do so especially in the joints (rheumatoid arthritis)
phlegm
pain due to qi stagnation is usually experienced
in epigastrium or abdomen usually due to
esp Liver, stomach, intestines
pain due to blood stasis is usually experienced
in head, chest, epigastrium, abdomen, uterus usual
esp liver, uterus, heart, stomach, intestines
pain due to liver yang rising is usually experienced as
pain in the head/ headache
pain due to cold is usually experienced :
in epigastrium, uterus, abdomen, joints
stomach, intestines, uterus
pain due to damp heat usually experienced
hypochondrium, epigastrium, abdomen, hypogastrium, uterus, forehead, joints
ST, uterus,, intestines, UB, GB
pain due to external wind usually experienced
occiput headache/stiffness
pain due to external dampness usually experienced
head, epigastrium, abdomen, uterus, bladder, joints
ST, intestines, uterus
pain due to retention of food usually experienced
epigastrium, abdomen
stomach, intestines
pain due to phlegm usually experienced
head, epigastrium, abdomen, joints
stomach, intestines, uterus
condition alleviated by eating = empty or full?
empty
condition aggravated by eating= empty or full?
full
lack of appetite sign of?
spleen qi deficiency
excessive hunger
stomach heat
felling of fullness
dampness or retention of food
feeling of distention
qi stagnation
feeling of heaviness
dampness
sharp pain
blood stasis
preference for hot foods/ drinks
cold pattern
preference for cold foods/drinks
heat pattern
lack of taste sensation
ST/SP deficiency
bitter taste
or metallic
heat in liver or heart
sweet taste
spleen deficiency or damp heat
sour taste
retention of food or liver invading stomach
salty taste
kidney yin deficiency
pungent taste
lung heat
sour vomiting
invasion of stomach by liver
bitter vomiting
liver and/or gall bladder heat
clear watery vomiting
cold in the stomach with retention of fluids
vomiting soon after eating
heat pattern in stomach
vomiting with sudden loud noise
full condition
vomiting that is slow in coming, with weak noise
empty condition
aggravation of a condition after a bowel movement
empty pattern
amelioration of a condition after a bowel movement
full pattern
acute constipation with thirst and dry yellow coating on tongue
heat in the stomach and intestines
constipation in old people or women after childbirth
deficiency of blood
constipation with small, dry, bitty stools like goat’s stools
stagnation of liver qi and heat in the intestines
difficulty in performing a bowel movement (stools not dry)
stagnation of liver qi
constipation with abdominal pain
internal cold which may be full or empty
constipation with dry stools, dry mouth, desire to drink in small sips
yin deficiency usually kidneys and/or stomach
alternation of constipation and diarrhea
stagnant liver qi invading the spleen
chronic loose stools/diarrhea
spleen and or kidney-yang def
chronic diarrhea every day in the very early morning
kidney yang deficiency
diarrhea with abdominal pain
interior cold in the intestines
diarrhea with mucus in the stool
dampness in the intestines
diarrhea with mucus and blood in the stools
damp heat in the intestines
loose stools with undigested food
spleen qi deficiency
stools not loose or only slightly loose but very frequent patient cannot hold them easily
deficiency of central qi ie the qi of the stomach/spleen with sinking spleen qi
black or very dark stools
stasis of blood
blood comes first bright red, splashing in all directions
damp heat in the intestines
blood comes first and is turbid and the anus feels heavy and painful
heat in the blood
stools come first and then blood which is watery
spleen qi is deficient and unable to hold blood
pain accompanying diarrhea
liver involvement or heat
foul odor stool
heat
absence of odor in stool
cold
borborygmi with loose stool
spleen deficiency
borborygmi with abdominal distention and without loose stool
stagnation of liver qi
flatulence
liver qi stagnation
flatulence with foul odor
damp heat in spleen or heat in intestines
flatulence without odor
interior cold from spleen yang def.
burning sensation in the anus while passing stool
heat
enuresis or incontinence
kidney deficiency
retention of urine
dampness in the bladder or occasionally lung qi deficiency
difficulty in urination
either dampness in the bladder or deficiency of kidney (more common in elderly)
pain before urination
stagnation of qi in the lower jiao
pain during urination
damp heat in bladder
pain after urination
deficiency of qi
pale urine
cold pattern, usually of the bladder and kidneys
dark urine
heat pattern
turbid or cloudy urine
dampness in the bladder
copious, clear and pale urination during an exterior invasion of wind cold or wind heat
pathogenic factor has not penetrated into the interior - if it had the urine would be dark
very frequent and copious urination
kidney yang deficiency
frequent but scanty urination
qi deficiency
scanty and dark urination
kidney-yin deficiency
thirst with desire to drink large amounts of cold water
full heat pattern
thirst with desire to drink in small sips
yin deficiency heat (usu stomach or kidneys)
absence of thirst
cold pattern usu of stomach or spleen
thirst with no desire to drink
damp heat
desire to drink cold liquids
heat pattern
desire to drink warm liquids
cold pattern
