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TCM Diagnosis Maciocia Textbook > diagnosis by interrogation > Flashcards

diagnosis by interrogation Flashcards

1
Q
  • 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
A

etiology of pain

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2
Q

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

A

pressure alleviates pain in empty conditions

pressure aggravates pain in excess conditions

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3
Q

food alleviates/aggravates pain if…?

A

food alleviates pain in empty conditions

food aggravates pain in excess conditions

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4
Q

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

A

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

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5
Q

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

A

vomiting aggravates pain in deficient and cold conditions

vomiting alleviates pain in excess and heat conditions

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6
Q

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

A

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

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7
Q

onset of pain and empty/full

A

empty- slow, gradual onset

excess- sudden onset

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8
Q

pain and laying down or sitting up

A

empty- better lying down

excess- better sitting up

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9
Q

pain and temperature

A

pain due to cold- better with heat

pain due to heat- better with cold

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10
Q 
quality of pain due to:
dull, lingering
sharp
cramping
burning
A

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

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11
Q 
cause of pain that is:
distention more than pain
distending pain
no fixed location
coming and going
A

qi stagnation

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12
Q

cause of pain that is:

chronic headaches with a distending throbbing pain

A

Liver-Yang rising

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13
Q

cause of pain that is:

severe, boring or stabbing pain with a fixed location

A

blood stasis

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14
Q

cause of pain that is:

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

A

cold (full or empty)

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15
Q

cause of pain that is:

burning pain with a feeling of fullness and heaviness

A

damp heat

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16
Q

cause of pain that is:

occipital headache and stiffness

A

external wind

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17
Q

cause of pain that is:

pain in the joints or epigastrium

A

external dampness

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18
Q

cause of pain that is:

intense pain with feeling of fullness

A

retention of food

more often experienced in children

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19
Q

cause of pain that is:

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

A

phlegm

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20
Q

pain due to qi stagnation is usually experienced

A

in epigastrium or abdomen usually due to

esp Liver, stomach, intestines

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21
Q

pain due to blood stasis is usually experienced

A

in head, chest, epigastrium, abdomen, uterus usual

esp liver, uterus, heart, stomach, intestines

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22
Q

pain due to liver yang rising is usually experienced as

A

pain in the head/ headache

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23
Q

pain due to cold is usually experienced :

A

in epigastrium, uterus, abdomen, joints

stomach, intestines, uterus

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24
Q

pain due to damp heat usually experienced

A

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

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25
Q

pain due to external wind usually experienced

A

occiput headache/stiffness

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26
Q

pain due to external dampness usually experienced

A

head, epigastrium, abdomen, uterus, bladder, joints

ST, intestines, uterus

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27
Q

pain due to retention of food usually experienced

A

epigastrium, abdomen

stomach, intestines

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28
Q

pain due to phlegm usually experienced

A

head, epigastrium, abdomen, joints

stomach, intestines, uterus

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29
Q

condition alleviated by eating = empty or full?

A

empty

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30
Q

condition aggravated by eating= empty or full?

A

full

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31
Q

lack of appetite sign of?

A

spleen qi deficiency

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32
Q

excessive hunger

A

stomach heat

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33
Q

felling of fullness

A

dampness or retention of food

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34
Q

feeling of distention

A

qi stagnation

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35
Q

feeling of heaviness

A

dampness

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36
Q

sharp pain

A

blood stasis

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37
Q

preference for hot foods/ drinks

A

cold pattern

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38
Q

preference for cold foods/drinks

A

heat pattern

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39
Q

lack of taste sensation

A

ST/SP deficiency

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40
Q

bitter taste

or metallic

A

heat in liver or heart

41
Q

sweet taste

A

spleen deficiency or damp heat

42
Q

sour taste

A

retention of food or liver invading stomach

43
Q

salty taste

A

kidney yin deficiency

44
Q

pungent taste

A

lung heat

45
Q

sour vomiting

A

invasion of stomach by liver

46
Q

bitter vomiting

A

liver and/or gall bladder heat

47
Q

clear watery vomiting

A

cold in the stomach with retention of fluids

48
Q

vomiting soon after eating

A

heat pattern in stomach

49
Q

vomiting with sudden loud noise

A

full condition

50
Q

vomiting that is slow in coming, with weak noise

A

empty condition

51
Q

aggravation of a condition after a bowel movement

A

empty pattern

52
Q

amelioration of a condition after a bowel movement

A

full pattern

53
Q

acute constipation with thirst and dry yellow coating on tongue

A

heat in the stomach and intestines

54
Q

constipation in old people or women after childbirth

A

deficiency of blood

55
Q

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

A

stagnation of liver qi and heat in the intestines

56
Q

difficulty in performing a bowel movement (stools not dry)

A

stagnation of liver qi

57
Q

constipation with abdominal pain

A

internal cold which may be full or empty

58
Q

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

A

yin deficiency usually kidneys and/or stomach

59
Q

alternation of constipation and diarrhea

A

stagnant liver qi invading the spleen

60
Q

chronic loose stools/diarrhea

A

spleen and or kidney-yang def

61
Q

chronic diarrhea every day in the very early morning

A

kidney yang deficiency

62
Q

diarrhea with abdominal pain

A

interior cold in the intestines

63
Q

diarrhea with mucus in the stool

A

dampness in the intestines

64
Q

diarrhea with mucus and blood in the stools

A

damp heat in the intestines

65
Q

loose stools with undigested food

A

spleen qi deficiency

66
Q

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

A

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

67
Q

black or very dark stools

A

stasis of blood

68
Q

blood comes first bright red, splashing in all directions

A

damp heat in the intestines

69
Q

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

A

heat in the blood

70
Q

stools come first and then blood which is watery

A

spleen qi is deficient and unable to hold blood

71
Q

pain accompanying diarrhea

A

liver involvement or heat

72
Q

foul odor stool

A

heat

73
Q

absence of odor in stool

A

cold

74
Q

borborygmi with loose stool

A

spleen deficiency

75
Q

borborygmi with abdominal distention and without loose stool

A

stagnation of liver qi

76
Q

flatulence

A

liver qi stagnation

77
Q

flatulence with foul odor

A

damp heat in spleen or heat in intestines

78
Q

flatulence without odor

A

interior cold from spleen yang def.

79
Q

burning sensation in the anus while passing stool

A

heat

80
Q

enuresis or incontinence

A

kidney deficiency

81
Q

retention of urine

A

dampness in the bladder or occasionally lung qi deficiency

82
Q

difficulty in urination

A

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

83
Q

pain before urination

A

stagnation of qi in the lower jiao

84
Q

pain during urination

A

damp heat in bladder

85
Q

pain after urination

A

deficiency of qi

86
Q

pale urine

A

cold pattern, usually of the bladder and kidneys

87
Q

dark urine

A

heat pattern

88
Q

turbid or cloudy urine

A

dampness in the bladder

89
Q

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

A

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

90
Q

very frequent and copious urination

A

kidney yang deficiency

91
Q

frequent but scanty urination

A

qi deficiency

92
Q

scanty and dark urination

A

kidney-yin deficiency

93
Q

thirst with desire to drink large amounts of cold water

A

full heat pattern

94
Q

thirst with desire to drink in small sips

A

yin deficiency heat (usu stomach or kidneys)

95
Q

absence of thirst

A

cold pattern usu of stomach or spleen

96
Q

thirst with no desire to drink

A

damp heat

97
Q

desire to drink cold liquids

A

heat pattern

98
Q

desire to drink warm liquids

A

cold pattern

TCM Diagnosis Maciocia Textbook (19 decks)

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