Diagnostics Final Flashcards
What are the basic principles of diagnosis?
- Understanding the inside from observing the outside
- Understanding the obvious from observing the subtle
- Using constant principles to deal w/ changing phenomena
What are the 4 diagnosis methods used by TCM doctors use to diagnose a patient?
- Inspection
- Listening/Olfactory
- Inquiry
- Palpating
First time patients, what are we looking for?
- Spirit
- Complexion (Luster)
- Body shape
- Movement/Posture
What are the 5 types of spirit?
- Normal
- Weak
- Depleted
- False
- Abnormal
> Autism, Schizophrenia, Depressive, Manic from drugs)
Strong spirit may be found in which patient?
ALL patients. As long as they have relatively strong Qi and blood
Which is NOT a manifestation of strong spirit?
Complexion without luster
> Qi & essence reflect in luster
Describe dominant vs. guest colour.
Dominant:
- unchanged and lifelong (determined by race and genetics)
Guest:
- environmental changes (diet, food, lifestyle) does NOT indicate illness, only change
Which aspect of complexion is more important in determining the spirit of a person?
Luster
Which facial complexion is related to ST & SP Qi Def?
Dull Yellow
Which is not a positive diagnosis if you observe greenish/blue colour in patients?
Excess Heat
Which is the most likely diagnosis of a patient with yellow complexion without luster and weak spirit?
SP Def with Blood Def
The aspect of the lustre of complexion indicates what?
Qi and essence of Zang Fu organ
Weak and flaccidity muscles in 4 limbs caused walking problems, but patient had no pain/hypertension history. What is the illness?
Wei Syndrome
5 Delays in child development?
- Delayed teeth growth
- Delayed hair growth
- Delayed standing
- Delayed walking
- Delayed speaking
5 Softness/Flaccidity in child development?
- Muscles
- Neck & Head
- Hands
- Feet
- Mouth
Which symptom is related to Kidney Qi Def?
Late closure of the frontanel
Hair exfoliates and exposed scalp (patches of hair) is due to?
Blood Def with internal wind
The inner canthus belongs to which wheel?
Wheel of Blood
What is the mechanism related to a red, swollen, and painful gum?
Yang Ming Stomach Fire goes upward
Liver-Spleen Qi stagnation and fluid retention may be combined with?
Bulged abdomen
Teeth dry like stone is due to?
Yang Ming Excess Fire burns the fluids
Squamous and dry skin is due to?
Chronic Blood Stagnation
Sound of GROANING belongs to which organ?
Kidney
Delirium speech with confused mind, irritability, incoherent speech, high pitch, powerful voice are indications of what?
Heat disturbs the mind
Type of speech that’s NOT seen in Excess Pattern is?
Fading murmur
Difficulty in breathing, shortness of breath WITH RISING shoulders, nasal flailing, unable to lie down are symptoms of what?
Dyspnea
Turbid sputum with fishy smell, dirty dark blood indicates what?
Lung abscess
Thunderous borborgymis with diarrhea indicates?
Cold Damp in Middle Jiao (Spleen)
(due to cold)
Which deficiency is spontaneous and night sweating?
Qi and Yin Deficiency
What question should a TCM doctor ask if they’re looking for the nature of a disease?
Whether aversion to heat or cold
> nature (type of pain)
What indicates a good prognosis?
Shivering followed by sweating. Fever abates after sweating = pulse is quiet and body cools down
Unilateral sweating in part of the body indicates what?
Obstruction of meridians caused by wind phlegm
Heat in the Upper Jiao may have what kind of symptoms?
Sweating on the head
Dribbling after urination is what syndrome?
Kidney Qi Def
(Kidney Qi not firm)
Pain due to blood stasis will be worse at which time of the day?
At nighttime
Fixed pain may occur when patients have?
Blood stasis + Damp cold
Floating-tight pulse indicate what?
Exterior Cold Pattern
Slippery-rapid pulse indicate which 3 syndromes?
Phlegm-Heat
Damp-Heat
Food Stagnation
Wiry-slippery-rapid pulse indicate what?
Liver-Fire w/ Phlegm Pattern
Liver Yang Hyperactivity w/ Wind Phlegm Pattern
Liver Gallbladder Damp-Heat Pattern
Phlegm-Fire Obstruct Pattern
Deep-thready-rapid pulse indicate what?
Interior Def Heat Pattern
Which pulse is RAPID and stops at IRREGULAR interval?
Skipping (Hasty) pulse
Vaginal discharge is clear water and no smell. Which syndrome?
SP Qi Def
(Dampness goes down)
Sour taste in the mouth is due to?
Disharmony between LR + ST
Which causes delayed period?
Blood Def
Women with early period, heavy, dark and thick blood indicates what?
Heat in the blood
No thirst or desire to drink water, just wants to rinse the mouth. Which syndrome?
Dampness Syndrome
Insomnia with epigastrium fullness and distention is caused by?
Food Stagnation
Dizziness is NOT caused by?
ST Qi Rebellious
Which infantile index finger indicates the Evil Qi ARRIVES at the MERIDIAN, and a serious condition with deep Evil Qi?
In the Qi Gate
Which is NOT the cause of talking one’s sleep?
KD Yin Def
Yang Ming Fu Organ Excessive Heat may be seen in what pulse?
Full (Overflowing)
Which is NOT the cause for delayed menses?
Qi Def
According to 8 Principles Syndrome Differentiation, which is NOT an exterior syndrome?
Wind-Damp-Cold Bi Syndrome
Patient has strong fit body constitution. 3 days ago, sweating and caught wind, aversion to cold, fever, headache, pain of whole body. Combine with nasal obstruction.
T: thin, white coat - P: floating, tight
Exterior Cold Syndrome
Which theory of syndrome differentiation is used to make a diagnosis for internal disorders?
Zang Fu Organ Syndrome Differentiation
Which symptoms does not indicate the Interior Syndrome?
Alternating heat and cold
What is the etiology of Yang Edema?
Exterior Wind Pathogen attack, impairs Lungs’ D&D function and water passage
What is the difference between Water Edema & Qi Edema?
Pitting vs. Non pitting edema
Which organ is NOT likely to have dryness syndrome?
Spleen
What is the etiology (root cause) of Yin Edema?
SP & KD Yang Def
Which syndrome will most likely have insomnia?
HT Yin Def
What is the etiology of Heart Yang Def?
Heart Qi Def
What symptom is important for differentiating HT Yang Def Syndrome?
Cold hands and feet
Which is not the etiology of Heat Blood Def?
Phlegm & Fire obstruct Heart
What is NOT a clinical manifestation of HT Yin Def?
Withered yellow facial complexion
Phlegm mist the mind is mostly seen in?
Depressive psychosis
Clinical manifestation of HT fire blazing upwards is?
Tongue & mouth ulcer
Which organ is the least likely to have fire?
Kidney
What isn’t a clinical manifestation of Yang Edema?
Loose stool
What is the best description for False Spirit?
Dangerous sign indicating the separation of Yin and Yang
TCMP emphasizes which diagnostic method to make a diagnosis?
Equally evaluating the 4 diagnostic methods
Severe pain may change patient’s complexion to?
Bluish/greenish colour
Yang jaundice disorder complexion is?
Bright, orange yellow colour
Vomiting and diarrhea may cause what kind of problem to an infant?
Sunken fontanel
Wei flaccidity syndrome is most commonly seen in?
Stroke rehabilitation stage
Lung Qi excess pattern may have what kind of posture?
Sitting, looking up
Which person has the tendency for Yin Def?
Yang Zang person
A child 5 years old, drooling profuse saliva with opened mouth during sleep. What does this mean?
SP Qi Def
Red, swollen, and painful canthus indicates?
HT Fire
Iris is related to which wheel?
Wheel of Wind
What does “O” in SOAP mean?
Doctor’s palpation
Which does NOT belong to tidal fever?
Tai Yang Meridian Heat
What type of sweat is from collapse of Yin?
Oily, sticky sweating
Headache with toothache indicate which type of headache (meridian)?
Shao Yin Meridian
Excessive eating, frequent hunger, loose stool. This indicates?
Strong ST, weak SP
Which pulse is SLOW and stops at IRREGULAR interval?
Knotted pulse
Pain in the epigastrium and abdomen due to SP-ST Def is?
Dull pain
Which location of Jue Yin pattern headache?
Vertex headache
Which pulse indicates dampness?
Soggy, thready
Which isn’t related to mild fever?
Yang Ming ST Heat
Pain in the ribs and chest due to LR Qi Stagnation is?
Distention pain - moving pain bc always moving
Fever due to exterior disorder will be shown as?
Aversion to cold and heat with fever
Diarrhea following abdominal pain before dawn, loose stool with indigested food indicate?
SP & KD Yang Def
Alternate heat and cold with regular interval indicate?
Malaria
Lower back ache due to KD Yang Def is what type of pain?
Dull pain
Hunger but no desire to eat is?
ST Yin Def
Which taste is seen in excessive heat syndrome?
Bitter taste
Which syndrome is likely to cause decreased appetite?
ST Fire
Sound of singing is related to which organ?
Spleen
RATTLING SOUND in the throat, shortness of breath with rising shoulders, nasal flaring, unable to lie down indicates?
Wheezing
Sputum with rotten smell, sticky yellow indicates?
Lung Heat
Prolapse of rectum indicates?
SP Qi sinking
The sides and edges of the tongue belongs to which organs?
Liver and Gallbladder
Pain with preference of heat and touch indicates?
Yang Def
The Left Guan position of pulse indicate which organ?
Liver
A crimson tongue with cracks indicate?
Depletion of Yin fluid due to Heta
A peeled coating indicate?
Consumption of Qi and Yin in the ST
Heavy, fixed pain may be caused by?
Phlegm-Dampness
Which organ is least associated with water retention?
Liver
Which symptoms are likely seen in Yang Syndrome?
Cold limbs, poor appetite
Which theory of syndrome differentiation is used to make a diagnosis for warm disease?
Four Level Syndrome Differentiation
(Defensive, Qi, Nutrient, Blood Levels)
What causes amennorrhea?
KD Def
Which symptom belong to excessive syndrome?
Aversion to cold
Which symptom would NOT be seen in excessive syndrome?
Pain that is alleviated with pressure
What is the main distinguish factor of excessive and deficient syndrome?
Wax and wane of healthy qi and pathogenic qi in the body
Which is NOT the cause of excessive syndrome?
Prenatal condition
Which is NOT the key manifestation of Qi Deficiency Syndrome?
Wiry pulse
Which is not the manifestation of Qi stagnation syndrome?
Nausea and vomiting
What is an example of combined excessive and deficient condition?
Qi Def & Qi Stag
Qi Def with blood stasis
What type of fever does not seem high, worse in the afternoon, and when the patient’s skin is felt, does not feel hot initially, but does so after felt for a longer time?
Tidal Fever of Damp Warm Syndrome
Which of the following would you expect to find in a patient suffering from deficient ST Yin?
Hungry anorexia
What do you find when epidemic febrile disease is invading the Ying Level?
No thirst
What is indicated when a patient has a feeling of fullness of the the upper abdomen, suffers from anorexia, thick greasy tongue coating?
Retention of food
What causes frequent nocturnal micturition of profuse and clear urine?
Deficient KD Yang
What is indicated by this pattern: dry stool, palpitations, amnesia, vertigo, pale tongue, thready pulse?
Deficient Blood
What is the difference between soggy and weak pulse?
Its location
Which of the following are you most likely to find diarrhea, borborygmus, excrement that smells like rotten eggs, abdominal pain that’s relived after passing stool?
Diarrhea due to food stagnation
What type of pain is experienced when there’s blockage of meridians by pathogenic factors of an excess type?
Colic pain
