diagnosis by interrogation

Question 1

• 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

Answer 1

etiology of pain

Question 2

pressure alleviates/aggravates pain if…? (empty/full)

Answer 2

pressure alleviates pain in empty conditions

pressure aggravates pain in excess conditions

Question 3

food alleviates/aggravates pain if…?

Answer 3

food alleviates pain in empty conditions

food aggravates pain in excess conditions

Question 4

bowel movements alleviates/aggravates pain if…? (empty/full) (heat/cold)

Answer 4

bowel movement aggravates pain in deficient and cold conditions
bowel movement alleviates pain in excess and heat conditions

Question 5

vomiting alleviates/aggravates pain if…? (empty/full) (hot/cold)

Answer 5

vomiting aggravates pain in deficient and cold conditions

vomiting alleviates pain in excess and heat conditions

Question 6

Pain and rest or movement… (empty/full) (hot/cold)

Answer 6

empty - better with rest
full or cold- better with movement
heat- worse with movement

Question 7

onset of pain and empty/full

Answer 7

empty- slow, gradual onset

excess- sudden onset

Question 8

pain and laying down or sitting up

Answer 8

empty- better lying down

excess- better sitting up

Question 9

pain and temperature

Answer 9

pain due to cold- better with heat

pain due to heat- better with cold

Question 10

quality of pain due to:
dull, lingering
sharp
cramping
burning

Answer 10

dull- deficiency
sharp- excess
cramping- cold
burning- heat

Question 11

cause of pain that is:
distention more than pain
distending pain
no fixed location
coming and going

Answer 11

qi stagnation

Question 12

cause of pain that is:

chronic headaches with a distending throbbing pain

Answer 12

Liver-Yang rising

Question 13

cause of pain that is:

severe, boring or stabbing pain with a fixed location

Answer 13

blood stasis

Question 14

cause of pain that is:

cramping, spastic pain aggravated by cold weather and cold foods/liquids and alleviated by the application of heat

Answer 14

cold (full or empty)

Question 15

cause of pain that is:

burning pain with a feeling of fullness and heaviness

Answer 15

damp heat

Question 16

cause of pain that is:

occipital headache and stiffness

Answer 16

external wind

Question 17

cause of pain that is:

pain in the joints or epigastrium

Answer 17

external dampness

Question 18

cause of pain that is:

intense pain with feeling of fullness

Answer 18

retention of food

more often experienced in children

Question 19

cause of pain that is:

does not usually cause pain but may do so especially in the joints (rheumatoid arthritis)

Answer 19

phlegm

Question 20

pain due to qi stagnation is usually experienced

Answer 20

in epigastrium or abdomen usually due to

esp Liver, stomach, intestines

Question 21

pain due to blood stasis is usually experienced

Answer 21

in head, chest, epigastrium, abdomen, uterus usual

esp liver, uterus, heart, stomach, intestines

Question 22

pain due to liver yang rising is usually experienced as

Answer 22

pain in the head/ headache

Question 23

pain due to cold is usually experienced :

Answer 23

in epigastrium, uterus, abdomen, joints

stomach, intestines, uterus

Question 24

pain due to damp heat usually experienced

Answer 24

hypochondrium, epigastrium, abdomen, hypogastrium, uterus, forehead, joints
ST, uterus,, intestines, UB, GB

Question 25

pain due to external wind usually experienced

Answer 25

occiput headache/stiffness

Question 26

pain due to external dampness usually experienced

Answer 26

head, epigastrium, abdomen, uterus, bladder, joints | ST, intestines, uterus

Question 27

pain due to retention of food usually experienced

Answer 27

epigastrium, abdomen | stomach, intestines

Question 28

pain due to phlegm usually experienced

Answer 28

head, epigastrium, abdomen, joints | stomach, intestines, uterus

Question 29

condition alleviated by eating = empty or full?

Answer 29

empty

Question 30

condition aggravated by eating= empty or full?

Answer 30

full

Question 31

lack of appetite sign of?

Answer 31

spleen qi deficiency

Question 32

excessive hunger

Answer 32

stomach heat

Question 33

felling of fullness

Answer 33

dampness or retention of food

Question 34

feeling of distention

Answer 34

qi stagnation

Question 35

feeling of heaviness

Answer 35

dampness

Question 36

sharp pain

Answer 36

blood stasis

Question 37

preference for hot foods/ drinks

Answer 37

cold pattern

Question 38

preference for cold foods/drinks

Answer 38

heat pattern

Question 39

lack of taste sensation

Answer 39

ST/SP deficiency

Question 40

bitter taste | or metallic

Answer 40

heat in liver or heart

Question 41

sweet taste

Answer 41

spleen deficiency or damp heat

Question 42

sour taste

Answer 42

retention of food or liver invading stomach

Question 43

salty taste

Answer 43

kidney yin deficiency

Question 44

pungent taste

Answer 44

lung heat

Question 45

sour vomiting

Answer 45

invasion of stomach by liver

Question 46

bitter vomiting

Answer 46

liver and/or gall bladder heat

Question 47

clear watery vomiting

Answer 47

cold in the stomach with retention of fluids

Question 48

vomiting soon after eating

Answer 48

heat pattern in stomach

Question 49

vomiting with sudden loud noise

Answer 49

full condition

Question 50

vomiting that is slow in coming, with weak noise

Answer 50

empty condition

Question 51

aggravation of a condition after a bowel movement

Answer 51

empty pattern

Question 52

amelioration of a condition after a bowel movement

Answer 52

full pattern

Question 53

acute constipation with thirst and dry yellow coating on tongue

Answer 53

heat in the stomach and intestines

Question 54

constipation in old people or women after childbirth

Answer 54

deficiency of blood

Question 55

constipation with small, dry, bitty stools like goat's stools

Answer 55

stagnation of liver qi and heat in the intestines

Question 56

difficulty in performing a bowel movement (stools not dry)

Answer 56

stagnation of liver qi

Question 57

constipation with abdominal pain

Answer 57

internal cold which may be full or empty

Question 58

constipation with dry stools, dry mouth, desire to drink in small sips

Answer 58

yin deficiency usually kidneys and/or stomach

Question 59

alternation of constipation and diarrhea

Answer 59

stagnant liver qi invading the spleen

Question 60

chronic loose stools/diarrhea

Answer 60

spleen and or kidney-yang def

Question 61

chronic diarrhea every day in the very early morning

Answer 61

kidney yang deficiency

Question 62

diarrhea with abdominal pain

Answer 62

interior cold in the intestines

Question 63

diarrhea with mucus in the stool

Answer 63

dampness in the intestines

Question 64

diarrhea with mucus and blood in the stools

Answer 64

damp heat in the intestines

Question 65

loose stools with undigested food

Answer 65

spleen qi deficiency

Question 66

stools not loose or only slightly loose but very frequent patient cannot hold them easily

Answer 66

deficiency of central qi ie the qi of the stomach/spleen with sinking spleen qi

Question 67

black or very dark stools

Answer 67

stasis of blood

Question 68

blood comes first bright red, splashing in all directions

Answer 68

damp heat in the intestines

Question 69

blood comes first and is turbid and the anus feels heavy and painful

Answer 69

heat in the blood

Question 70

stools come first and then blood which is watery

Answer 70

spleen qi is deficient and unable to hold blood

Question 71

pain accompanying diarrhea

Answer 71

liver involvement or heat

Question 72

foul odor stool

Answer 72

heat

Question 73

absence of odor in stool

Answer 73

cold

Question 74

borborygmi with loose stool

Answer 74

spleen deficiency

Question 75

borborygmi with abdominal distention and without loose stool

Answer 75

stagnation of liver qi

Question 76

flatulence

Answer 76

liver qi stagnation

Question 77

flatulence with foul odor

Answer 77

damp heat in spleen or heat in intestines

Question 78

flatulence without odor

Answer 78

interior cold from spleen yang def.

Question 79

burning sensation in the anus while passing stool

Answer 79

heat

Question 80

enuresis or incontinence

Answer 80

kidney deficiency

Question 81

retention of urine

Answer 81

dampness in the bladder or occasionally lung qi deficiency

Question 82

difficulty in urination

Answer 82

either dampness in the bladder or deficiency of kidney (more common in elderly)

Question 83

pain before urination

Answer 83

stagnation of qi in the lower jiao

Question 84

pain during urination

Answer 84

damp heat in bladder

Question 85

pain after urination

Answer 85

deficiency of qi

Question 86

pale urine

Answer 86

cold pattern, usually of the bladder and kidneys

Question 87

dark urine

Answer 87

heat pattern

Question 88

turbid or cloudy urine

Answer 88

dampness in the bladder

Question 89

copious, clear and pale urination during an exterior invasion of wind cold or wind heat

Answer 89

pathogenic factor has not penetrated into the interior - if it had the urine would be dark

Question 90

very frequent and copious urination

Answer 90

kidney yang deficiency

Question 91

frequent but scanty urination

Answer 91

qi deficiency

Question 92

scanty and dark urination

Answer 92

kidney-yin deficiency

Question 93

thirst with desire to drink large amounts of cold water

Answer 93

full heat pattern

Question 94

thirst with desire to drink in small sips

Answer 94

yin deficiency heat (usu stomach or kidneys)

Question 95

absence of thirst

Answer 95

cold pattern usu of stomach or spleen

Question 96

thirst with no desire to drink

Answer 96

damp heat

Question 97

desire to drink cold liquids

Answer 97

heat pattern

Question 98

desire to drink warm liquids

Answer 98

cold pattern