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Veterinary TCVM Acupuncture > Diagnostic Method and Pattern Diagnosis > Flashcards

Diagnostic Method and Pattern Diagnosis Flashcards

1
Q

What is Bian Zheng?

A

The diagnostic system involving identifying pertinent clinical signs

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2
Q

What is Si-zhen?

A

The Four diagnostic methods

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3
Q

What are the four diagnostic methods?

A
  1. Inspection
  2. Hearing/smelling
  3. Inquiring
  4. Palpation
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4
Q

Inspecting includes what for diagnosis?

A

Examine the tongue characteristics and color patterns

Observe the Shen

Observe the general body condition

Evaluate the quality and luster of the hair and skin

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5
Q

Hearing/smelling includes what for diagnosis?

A

Listen to the voice quality (muffled, weak, strong and/or robust)

Listen to breathing

Auscultate heart and lungs

Note odors from the body

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6
Q

Inquiring includes what for diagnosis?

A

Question owner about medical history

Question owner about temperature-preferences, diet, personality, activity, clinical signs

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7
Q

Palpation includes what for diagnosis?

A

Feel the pulses

Palpate the Meridians

Palpate the Back-Shu (association) points and Front-Mu (alarm) points for sensitivity

Palpate abdomen, lymph nodes, joints

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8
Q

A wet pale tongue indicates what pattern?

A

Qi deficiency

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9
Q

A dry pale tongue indicates what pattern?

A

Blood deficiency

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10
Q

A red tongue indicates what pattern?

A

Heat: Yin deficiency or excess heat

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11
Q

A red tongue tip indicates what pattern?

A

Heart fiire

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12
Q

Red sides of the tongue indicates what pattern?

A

Liver Heat/Fire

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13
Q

A deep red tongue indicates what pattern?

A

Heat with Yin deficiency

Severe heat, Yin deficiency

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14
Q

A purple tongue indicates what pattern?

A

Qi or Blood stagnation

Cold pattern

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15
Q

A lusterless yellow tongue indicates what pattern?

A

Damp

Spleen deficiency

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16
Q

A bright yellow tongue indicates what pattern?

A

Liver Damp-Heat

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17
Q

A thin white tongue coating indicates what pattern?

A

Exterior pattern

Wind-Cold

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18
Q

A thick white tongue coating indicates what pattern?

A

Cold

Cold-Damp

Phlegm

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19
Q

A dry grey-black tongue coating indicates what pattern?

A

Heat

Yin defiiciency

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20
Q

A wet grey-black tongue coating indicates what pattern?

A

Yang deficiency

Cold

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21
Q

A dry tongue coating indicates what pattern?

A

Yin or Blood deficiency

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22
Q

A wet tongue coating indicates what pattern?

A

Yang or Qi deficiency

Damp-Cold

Water-Damp

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23
Q

A sticky tongue coating indicates what pattern?

A

Phlegm

Damp

Food stasis

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24
Q

A crusty tongue coating indicates what pattern?

A

Indigestion

Food retention

Phelgm

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25
Q

A pale swollen tongue shape indicates what pattern?

A

Kidney Yang deficiency

Spleen Qi deficiency

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26
Q

A red swollen tongue shape indicates what pattern?

A

Extreme heat pattern

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27
Q

A soft small tongue shape since birth indicates what pattern?

A

Kidney Jing deficiency

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28
Q

A pale, soft, small tongue shape indicates what pattern?

A

Qi and/or Blood deficiency

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29
Q

A quivering, soft, small tongue shape indicates what pattern?

A

Internal wind

Severe deficiency of Qi/Yang/Blood

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30
Q

A patient with extremely dry skin, dandruff and coarse hair indicates which pattern?

A

Blood deficiency

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31
Q

Straining to urinate and frequent posturing to urinate indicates which pattern?

A

Bladder Damp Heat

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32
Q

A lack of thirst typically accompanies which pattern?

A

Cold-damp pattern

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33
Q

Eating only fresh grass or raw/wet foods indicates which (2) patterns?

A

Stomach Heat

Stomach Yin deficiency

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34
Q

A loss of appetite may indicate which (4) patterns?

A

Spleen Qi deficiency

Stomach food stasis

Excess heat (febrile disease)

Disease of the oral cavity

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35
Q

A ravenous appetite indicates which (2) patterns?

A

Stomach Heat

Stomach Yin deficiency

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36
Q

Preference for hay, grain or dry food indicates which (2) patterns?

A

Stomach Heat

Stomach Yin deficiency

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37
Q

Polydipsia with small amounts of drinking multiple times indicates which pattern?

A

Yin deficiency

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38
Q

Polydipsia with a large amount drank at one time indicates which pattern?

A

Excess heat

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39
Q

Dry feces and constipation indicates which (2) patterns?

A

Excess Heat

Large Intestine Yin deficiency

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40
Q

Water or soft feces indicates which (2) patterns?

A

Spleen Qi deficiiency

Spleen Cold-Damp

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41
Q

Bloody diarrhea with or without mucous indicates which pattern?

42
Q

Red and short urination indicates which pattern?

43
Q

Urinary incontinence indicates which pattern?

A

Kidney Qi deficiency

44
Q

Clear and long urination indicates which (3) patterns?

A

Kidney Qi deficiency

Kidney Yang deficiency

Cold patterns

45
Q

Hematuria indicates which pattern?

A

Bladder Damp-Heat

46
Q

Apparent painful urination (stranguria) with dribbling indicates which (2) patterns?

A

Bladder Damp-Heat

Kidney/Bladder Stone

47
Q

Bladder atonia, upper motor neuron bladder, urine retention all indicates which pattern?

A

Bladder paralysis

48
Q

Dull or cloudy eyes indicates which (2) patterns?

A

Shen Loss

Zheng Qi deficiency pattern

49
Q

Injected sclera +/- conjunctiva with deep red blood vessels indicates which pattern?

A

Heart heat

50
Q

Pale conjunctiva indicates which pattern?

A

Blood deficiency

51
Q

Blepharospasm, squinting, +/- drooping eyelids indicates which pattern?

A

Spleen Qi deficiency

52
Q

Inherited cataracts indicates which pattern?

A

Kidney Jing deficiency

53
Q

Blepharitis, injected sclera, and inflamed conjunctiva indicates which (2) patterns?

A

Liver Heat

Liver Yang Rising

54
Q

KCS indicates which (3) patterns?

A

Liver Heat

Liver Yin/Blood deficiency

Kidney Yin and/or Jing deficiency

55
Q

Lack of ear movement may indicate which pattern?

A

Qi deficiency and fatigue

56
Q

Hot ears indicates which (2) patterns?

A

Heat pattern

Yin deficiency

57
Q

Hot ears, appears nervous and frightens easily indicates which (2) patterns?

A

Heart Heat
Hart Yin deficiency

58
Q

Distended auricular blood vessels indicates which pattern?

A

Exterior heat

59
Q

Cold ears indicates which patterns?

A

Cold patterns including Yang deficiency

60
Q

Inflamed ears or malodorous, yeasty, and wet or waxy discharge indicates which pattern?

A

Gallbladder Damp-Heat

61
Q

Sneezing, serous nasal discharge indicates which pattern?

A

Wind-Cold Pattern

62
Q

Thick, yellow mucoid nasal discharge indicates which pattern?

63
Q

Turbid, and serosanguineous nasal discharge indicates which pattern?

A

Sang-Huang (sinusitis)

64
Q

Depigmentation of nasal planum indicates which pattern?

A

Lung Qi deficiency

65
Q

Hyperkeratosis and cursing of the nasal planum indicates which pattern?

66
Q

Dry or crusty nose indicates which (2) patterns?

A

Blood deficiency

Lung Yin deficiency

67
Q

Acute or bright nosebleed indicates which (2) patterns?

A

Trauma

Excess heat

68
Q

Chronic, or dark nosebleed indicates which (2) patterns?

A

Qi deficiency

Local blood stagnation

69
Q

Flehmen Response (raising upper lip like a smile) indicates which pattern?

A

Stomach Qi stagnation (colic)

(also can be normal for a horse)

70
Q

Drooping lower lip indicates which pattern?

A

Spleen Qi deficiency (or advanced age)

71
Q

Pale lips indicate which (2) patterns?

A

Qi deficiency

Blood deficiency

72
Q

Hyperemic (red) and dry lips indicate which (2) patterns?

A

Yin deficiency

Heat pattern

73
Q

Loud and coarse voice indicates which pattern?

A

Excess pattern

74
Q

Weak, quiet and hoarse voice indicates which pattern?

A

Qi deficiency pattern

75
Q

Forceful, long, and coarse wheezing indicates which pattern?

A

Excess pattern

76
Q

Shallow and weak breaths indicate which pattern?

A

Qi deficiency pattern

77
Q

Forceful, loud cough indicates which pattern?

A

Lung Excess Heat

78
Q

Weak cough indicates which pattern?

A

Qi deficiency pattern

79
Q

A productive cough indicates which (2) patterns?

A

Yin deficiency

Lung Heat

80
Q

Non-productive, dry cough indicates which (2) patterns?

A

Yin deficiency

Lung Heat

81
Q

An acute cough that occurs during the daytime indicates which pattern?

A

Lung Excess Heat

82
Q

Chronic cough that only occurs during the day indicates which pattern?

A

Lung Qi deficiency

83
Q

Chronic cough that only occurs during the night indicates which pattern?

A

Lung Yin deficiency

84
Q

Cough, dyspnea or asthma that is present during the day and at night indicates which (2) patterns?

A

Lung Yang/Qi deficiency

Kidney Yang/Qi deficiency

85
Q

Careful and quiet chewing indicates which pattern?

A

Stomach Heat

86
Q

Chewing without food indicates which pattern?

A

Stomach Qi Stagnation

87
Q

Increased gut sounds indicates which pattern?

88
Q

Decreased gut sounds indicates which (2) patterns?

A

Spleen Qi deficiency

Qi stagnation

89
Q

Sour-smelling mouth with a greasy, yellow coating indicates which pattern?

A

Stomach stasis

90
Q

Foul mouth odor indicates which pattern?

A

Stomach Heat

91
Q

Bad smell (rotten fish) indicates which (2) patterns?

A

Heart Fire

Stomach Fire

92
Q

Grey-yellow, thick, and malodorous nasal discharge indicates which pattern?

A

Lung excess heat

93
Q

Thick, yellow nasal discharge with dead-body smell indicates which pattern?

A

Lung Heat with Phlegm

94
Q

Sticky, grey, and malodorous nasal discharge from only one nostril indicates which pattern?

A

Sang Huang (pus in paranasal sinuses)

95
Q

Yellow, thick, turbid pus with fetid smell indicates which (2) patterns?

A

Excess Heat/Fire pattern

Yang pattern

96
Q

Grey-white, watery pus without foul odor indicates which pattern?

A

Combo of Qi-Blood deficiency and Heat-Toxin

97
Q

Watery stool without odor indicates which pattern?

A

Spleen Qi deficiency

98
Q

Sour and soft stool indicates which pattern?

A

Food stasis

99
Q

Malodorous, bloody and mucoid stool indicates which pattern?

100
Q

Small amount of malodorous urine with blood indicates which (2) patterns?

A

Excess Heat Pattern

Bladder Damp Heat

101
Q

Large amounts of clear urine with no smell indicates which (2) patterns?

A

Deficient Cold

Kidney Yang Deficiency

Veterinary TCVM Acupuncture (21 decks)

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