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COMPS EXAM 1 > DX Theory > Flashcards

DX Theory Flashcards

1
Q

Prognosis:
Dx:

A
  1. What’s going to happen

2. What they currently have

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2
Q

When the spirit is present, prognosis is ___. When the spirit is absent, prognosis is ___.

A

good, grave.

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3
Q

What are the 4 methods/examinations in Dx ?

A
  1. Looking
  2. Listening/Smelling
  3. Asking (interrogation)
  4. Feeling (palpitation)
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4
Q

What are all the pattern differentiation ?

A
  1. “4 Levels” (Wei, Qi, Ying, Xue)
  2. “6 Channels/stages”
  3. “3 SJ’s” (UJ, MJ, LJ)
  4. “5 Elements”
  5. “7 Emotions”
  6. “8 Principles/extraordinary”
  7. “12 channels”
  8. “Zang/FU (8 entities, BF, Qi, Blood, Organ theory)
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5
Q

Spirit indicates ___.

A

Prognosis

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6
Q

Spirit pours into the ___.

A

Eyes

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7
Q

Spirit is housed in the ___

A

Blood (HT)

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8
Q

What is the relationship b/w spirit and Jing ?

A
  • based on Jing (pre&post heaven Jing)
  • spirit arises from pre-heaven Qi from parents (KD assoc. organ)
  • post-natal Qi (ST, SP, LU) from food, environment, lifestyle, air.
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9
Q

Spirit gives light to the ___

A

complexion

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10
Q

What do we look at for the assessment of spirit ?

A

The eyes

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11
Q

HT is connected to the ability to ___.

If spiritless, you’ll have a decrease in ___.

A

Speak, speaking

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12
Q

___ agitates shen.

___ contracts/subdues shen.

A

Heat

Cold

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13
Q

Spirited (with spirit) characteristics:

A
  • zheng qi is strong
  • body form = strength, upright posture, balanced
  • healthy hair, teeth, ears, eyes
  • color = moist and bright/ moisture and luster to skin
  • eyes have luster & moisture
  • makes eye contact
  • speak smoothly, clearly, and coherently
  • oriented to time and space
  • calm, even breathing
  • appropriate response to outside world
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14
Q

Fatigued spirit characteristics:

A
  • between spirited and spiritless
  • losing will to live ‘losing hope”
  • still hope to recovery
  • posture is intermediate
  • lustre and moisture may come back
  • may be ill
  • more physical (body form and presence)
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15
Q

Clouded spirit characteristics:

A
  • zheng qi is weakening/ being overtaken by PF
  • zheng qi may be okay, but spirit is obscured or replaced by phlegm
  • obscured clouded
  • marijuana, alcohol, and other drugs, heat stroke, trauma, shock, PTSD, toxins, pocession
  • more related to shen, speech, eyes, orientation to outside of the world
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16
Q

False spirit characteristics:

A
  • floating pulse, but rootless
  • flare up of spirit (temporary yang rising)
  • may open eyes
  • color, speech, complexion, appetite may come back
  • typically means death is coming
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17
Q

Spiritless/ Zero Shen characteristics:

A
  • clouded, dull, disconnected or even closed eyes
  • no lustre or moisture in eyes, white of eyes may be abnormal
  • zheng qi is greatly damaged
  • posture is not upright
  • weak, no strength
  • no appearance of strength/balance of the body
  • emaciated or bloated body form
  • no moisture or lustre in complexion
  • breathing problems, labored shallow breathing
  • little speaking and appetite
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18
Q

What is a normal complexion ?

A
  • moist and bright
  • moisture reflects yin and bf nourishing the face
  • lustre is a shine that the face has - shen is shining through complexion
  • reddish -> blood is going to face, oxygenated blood is getting to the face, above the HT, to the face so has reddish hue
  • contained
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19
Q

Red complexion signifies:

A
  • increased circulation (hyper circulation)
  • more oxygen blood going to head than normal
  • fire imbalance
  • HT imbalance (overjoy or actual HT problem)
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20
Q

Full face is red =

Cheeks are red (malaria flush) =

A
  • Excess/full/replete HEAT

- Def/empty/vacuous HEAT

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21
Q

White complexion signifies:

A
  • shock
  • less blood in the face
  • metal imbalance/constitution
  • blood deficiency ( not enough blood)
  • yin def
  • yang def
  • qi def
  • cold pathogenic factor
  • possible LU condition
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22
Q

Bright white complexion =
Pale complexion =
Red cheeks but pale face =
Dull white complexion =

A
  • Yang def
  • Qi def
  • Yin def w/ heat
  • Blood def
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23
Q

Yellow complexion signifies:

A
  • earth constitution / imbalance

- possible SP condition (loathes dampness/wet)

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24
Q

orangey - yellow complexion =
greenish - yellow complexion =
Sallow/pale yellow complexion =

A 
yang jaundice (damp-heat in SP)
yin jaundice (damp-cold )
SP Qi/blood def
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25
Q

Jaundice is indicated as:

A

Damp-Heat/Cold in the SP

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26
Q

Green complexion signifies:

A
  • wood constitution / imbalance
  • possible LV condition
  • blood is not oxygenated
  • blood circulation is not normal
  • may have qi stag, wind condition, pain, cold, or blood stag.
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27
Q

Nose looks greenish indicates:

A

ST pain (ask if their ST hurts)

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28
Q

Black complexion signifies:

A
  • water constitution/imbalance

- KD imbalance

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29
Q

Large bags under eyes =
Big swollen dark circles that are moist under eyes =
Dry, ashy burnt complexion under eyes =

A
  • Severe KD failure
  • Extreme Cold
  • Extreme Heat (KD yin def)
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30
Q

If colors are superficial, they are ___. If colors are deep, they are ___.

A

external (mild, superficial, yang, color is clear and distinct, usu. good prognosis)
internal (chronic, yin, color is muggy, indistinct, turbid, usu. poor prognosis)

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31
Q

Scattered =

Concentrated =

A
  1. New Dz

2. Old Dz

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32
Q 
Right cheek is which organ ?
L cheek ?
Chin ?
Forehead ?
Tip of nose ?
Side of nose ?
Bridge of nose ?
A
  • LU
  • LV
  • KD
  • HT
  • SP
  • ST
  • LV
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33
Q

Form is :

Bearing is :

A
  • Basic Body Shape (what you got)

- Posture and Movement (What you do with it)

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34
Q

Form is a ___ aspect, Bearing is a ___ aspect.

A

yin, yang

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35
Q

The bigger you are, the more __. The more skinny you are, the more ___.

A

Yin (yin excess = overweight/obese, damp/phlegm/more bf).

Yang (yin def = emaciated, very thin)

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36
Q

Muscle wasting is related to the ___ organ.

A

SP

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37
Q

Abnormal bearing indicates:

A

posture is not upright/lack of qi or yang

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38
Q

With observation/looking, begin with ___ and move to the ___.
__ pours out of the eyes.
___ opens at the eyes.
Eyes are the nest of ___.

A

Shen, eyes, shen, LV, essence

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39
Q

What are the 3 treasures?

A
  1. Jing (conceveied )
  2. Qi (nourished)
  3. Shen (consciousness)
  • can’t get Qi and Shen w/o Jing
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40
Q

Yellowish eyelids indicates:
The eye itself (like the brown, blue, green part) indicates:
Pupil indicates:
Blood vessels at the corner of the eye indicates:
White part of eye indicates:

A 
SP (water retention, muscle weakness)
LV (Iris moving = sinews opening and closing, cholesterol)
KD 
HT (severe blood def looks white)
LU
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41
Q

Deficiency allows ___ to enter and will cause twitching, tremors, numbness, paralysis, etc.

A

Wind

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42
Q

Throat is the uppermost part of the ___ system. Throat is the opening of the ___. __ channel goes to the throat.

A

digestive, ST, KD (KD brings spittle to throat - moisture. KD yin moistens the throat)

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43
Q

What can cause a dry throat ?

A

LU heat
ST heat
KD yin def

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44
Q

___ circulate Qi in the limbs. We need ___ to move limbs.

A

SP/ST (root of post-heaven Qi which gives energy to help move the limbs), LV/GB

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45
Q 
Swollen joints indicate: 
Swollen and Red joints indicate: 
Swelling moves from joint to joint indicates: 
Stiffness of the joint indicates: 
Swollen and distorted indicates:
A
  • Bi syndrome/Damp Bi
  • Damp-Heat Bi syndrome
  • Wind-Cold or Wind-Heat Bi syndrome
  • Wind-Cold or Wind-Heat Bi syndrome
  • Phlegm-Cold or Phlegm-Heat Bi syndrome
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46
Q

Pitting edema vs. non-pitting edema

A

Pitting: water edema (leaves a dent)

Non-pitting edema: Qi edema (doesn’t leave a dent after pressing)

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47
Q

Edema is usu. caused from:

A

Lack of yang/eternal fire to help keep water circulating

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48
Q

Facial and/or hand edema:
Abdominal edema:
Leg/ankle edema:
Acute edema:

A

LU yang def (invasion of wind-water - not very common)
SP yang def
KD yang def
Qi stag

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49
Q

What is the pediatric finger?

A
  • life gate (at the distal index joint) : disease is very serious. Call 911
  • Qi gate (middle joint of index finger): qi level, disease is rather severe
  • Wind gate (proximal distal joint of the index finger) disease is mild, at the surface
  • rub finger towards the body, see where blood flows back.
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50
Q

Most yang channels go to the __.

A

eye (sometimes eye problems might arise from pf in the yang channels - ST, UB, GB)

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51
Q

We look for Jing in the __.

A

Ears (opening of KD, long lobes mean more Jing, moist and bright reflects good Zheng qi and good prognosis)

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52
Q

Withered, dry ear:
Swelling, pain, or pus coming out of ear:
Producing a lot of ear wax:

A
  • Zheng qi is being overtaken by outside pf, poor prognosis and zheng qi is lacking
  • heat in the SJ channels (middle ear infection)
  • body fluids leading to phlegm/dampness
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53
Q

Thin body fluids vs. Thick bf:

A

Thin = Jin

Thick =. YE

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54
Q

Nose is the opening of the ___ and manifests in the __ and ___.

A

LU, skin, nasal mucous

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55
Q 
White tip on nose: 
Thin clear mucous: 
Thick and yellow mucous: 
White/clear thick mucous: 
Flaring of nostrils:
A
  • blood def
  • LU qi def
  • heat or phlegm heat in LU
  • cold or phlegm cold in LU
  • extreme heat in LU or asthma
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56
Q

___ open to the mouth and manifest in the __.

A

mouth, lips

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57
Q

Moisture of lips is related to __ __. Color of lips reflects __.

A

SP yin, blood

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58
Q 
If lips are dry and cracked indicates: 
Very pale lips: 
Blueish lips: 
Greenish lips: 
Very red and dry lips:
A
  • SP yin def
  • blood/yang def
  • extreme cold (could be blood stasis or extreme blood def)
  • extreme LQS or LV blood stag
  • ST heat
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59
Q

Teeth reflects the ___ and bears on ___ for moisture.

Moisture and brightness comes from ___ and ___/

A

KD, SP/ST

saliva (SP) - keeps mouth and teeth moist when eating and spittle (KD) - keeps mouth moist all the time

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60
Q

Dry, grimy teeth indicate:

Swollen/easily bleeding gums indicate:

A

long-term heat (LU & ST or KD yin def with heat)

ST/LI heat

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61
Q

If veins are blue it indicates:

If veins are reddish it indicates:

A

cold pattern

heat pattern

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62
Q

Skin is the tissue of the ___. ___ is important in skin. ___ conditions may be manifested in the skin.

A

LU, blood, LV

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63
Q

Dry skin indicates:

Dry, scaly and dusky skin indicates:

A
  • LV blood def

- LV blood stag

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64
Q

Papules are:
Macules are:
Pustules are:

A
  • raised spots on the skin
    same as macules, but damp
    fluid filled blisters
- flat spots on skin
red = heat
red with fever = het has gone to ying level
purple = blood stag
white = yin/blood def
  • turbis fluid in blister
    toxic heat

** if any of these are itchy, add wind

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65
Q

Herpes is:

A

damp-heat in the LV channel

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66
Q

What kinds of things would we listen for during examination process?

A
  • breathing
  • sighing
  • gas
  • borborygmus (belly noise)
  • cough
  • vomiting sound
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67
Q

If the sound is loud/forceful, it is:

If sounds if soft/weak, it is:

A
  • excess of heat

- cold or deficient

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68
Q

What kinds of things would we smell for during examination process?

A
  • sweat
  • secretions
  • stool
  • urine
  • breath
  • discharge
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69
Q

If smell is strong and foul:

If smell has no scent or a fishy smell:

A
  • excess/heat, excess heat

- deficient or cold

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70
Q

Voice reflects the condition of the __.

Speech reflects the ___.

A

LU, HT

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71
Q

Loud voice indicates:
Soft and weak voice indicates:
Sudden loss of voice indicates:
Gradual loss of voice indicates:

A
  • excess pattern
  • deficiency pattern
  • wind invasion
  • lu qi def or kd def
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72
Q 
Talkative/talks a lot: 
Talks little/reticent: 
Illogical speech and phlegm: 
Illogical heat and loud/fast speech:
Illogical heat, loud/fast speech + phlegm: 
Mumbling: 
Loud, forceful, frustrated sigh: 
Soft, wistful sigh: 
Sad sigh:
A
  • HT heat
  • LU qi def or general def
  • phlegm misting the mind
  • HT fire
  • Phlegm heat obstructing HT
  • HT Qi def
  • LQS
  • SP qi def
  • LU Qi def
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73
Q

Interrogation/asking phase of the examination includes what:

A
  • hx of their complaint/ cc
O = onset
P = Palliative/Provocative (what helps/what have u tried)
Q = quality (describe pain)
R = radiation/location 
S = severity 
T = timing (what time, all day, one a day)
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74
Q

Alternating chills and fever =
Feels cold only =
Feels warm/hot only =

A

Shao Yang syndrome
Interior condition
Interior condition

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75
Q

What is Shao Yang syndrome ?

A

When PF is 1/2 exterior and 1/2 interior

bitter taste, hypochrondriac pain, nausea, T =greasier on one side, P =bowstring

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76
Q

4 BIGS:

A

BIG fever
BIG thirst
BIG pulse
BIG sweats

  • QI level heat/yangming channel syndrome
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77
Q

Tidal fever =

A

only feels warm in the afternoon/evening

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78
Q

Yin def w/heat =

A

Red cheeks, peeled coating, red tongue

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79
Q

Yangming organ syndrome has ___ fever with ___.

A

Tidal, constipation

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80
Q

Damp Heat in any organ would cause what kind of fever?

A

Low grade fever

81
Q 
Sweating only on the head: 
Sweating only on arms and legs: 
Sweating only on hands: 
Sweating of the 5 palms: 
Day sweats only: 
Night sweats only: 
Oily sweats, like pearls, on the forehead:
A
  • Heat/Damp-Heat/ST heat (most common)
  • SP + ST qi def
  • HT or LU qi def
  • yin def
  • yang def
  • yin def or damp-heat
  • yang collapse (yin and yang separating)
82
Q

Low appetite:
High appetite:
Hungry w/o desire to eat:

A
  • SP/ST qi def or food stag + dampness
  • ST heat
  • ST yin def w/heat
83
Q

Cravings:

Iced/Cold foods: 
Spicy foods: 
Sour foods: 
Bitter foods: 
Salty foods: 
Sweet foods:
A
  • ST heat
  • LU
  • LV
  • HT
  • KD
  • SP
84
Q 
No taste/bland taste in the mouth: 
Constant bitter taste: 
Sweet taste: 
Sour taste: 
any sx that gets better with eating: 
any sx that gets worse with eating:
A
  • SP/ST Qi def or Cold
  • Heat
  • SP def or Damp-Heat
  • Food stag or LV invading ST
  • d/t deficinecy
  • d/t excess
85
Q

Thirst for lots of cold liquid:
No thirst:
Thirst w/o desire to drink:
Thirst w/ desire to drink in small sips:

A
  • excess heat
  • normal or cold
  • damp-heat
  • yin def
86
Q

Normal BM characteristics:

A

formed/cohesive, 1-3 x/day, easy to move, pleasurable, brown-is/yellow (from bile)

87
Q

Any sx that is better with moving bowels:

Any sx that is worsened by moving bowels:

A
  • excess condition

- deficiency condition

88
Q

Constipation w/ stools that are dry:
Constipation w/ pebbled shaped stool:
Constipation w/ abdominal pain:
Constipation w/ darker colored stool:

A
  • excess heat in ST/LI, yin def, or blood def
  • LQS
  • before = excess condition, after = deficient condition
  • more heat
89
Q

Diarrhea early in the AM/ cocks crow:

Diarrhea w/ undigested food particles:

A
  • KD yang def

- SP yang def

90
Q

Acute diarrhea is usu:

A

Damp-heat in LI or Damp-cold in LI

mucous in stools

91
Q

Bright red blood in stools:
Dark red/black and tarry stools:
Coffee ground stools:
Alternating constipation and diarrhea:

A
  • damp-heat in LI; SP Qi sinking
  • Blood stag
  • CALL 911/hospital
  • LQS (LV attacking SP/ST)
92
Q

What are the main organs involved with urine ?

A

KD, UB, SI

93
Q

Long, clear urination:

Scanty, dark urination:

A

Cold conditions

Heat conditions

94
Q 
Scanty, dark urine: 
Clear, copious urine: 
Frequent urine: 
Pain before urination: 
Pain during urination: 
Pain after urination: 
UTI with pain, burning, urgency, difficulty dribbling: 
UTI with above sx + w/ HT sx (delirium, shen agitation, anxiety, palpitations)  
Turbid/cloudy Urine:
A
  • KD yin def
  • KD yang def
  • KD qi not firm/KD def
  • UB qi stag
  • damp-heat in UB
  • KD/UB Qi def
  • damp-heat in UB
  • HT fire entering SI
  • Dampness
95
Q

UB infections can include:

A

D-H in UB (most common)
D-C in UB
Damp in UB

96
Q

Phlegm vs. Damp

A
  • Phlegm can be anywhere, but more common in UJ (LU, HT), feeling of fuzziness, brain fog, coughing phlegm up
  • Damp typically settles in LJ (UB, LI), creates turbid, sticky discharges, feeling of heaviness
97
Q

Causes of fatigue:

A
  • DEF causes:
    QI def, Yin def, Yang def
  • EXCESS causes:
    Dampness, D-H, Qi stagnation
98
Q 
Somnolence:  
Onset insomnia: 
Can't stay asleep: 
Dream disturbed sleep: 
Early waking/easily startled:
A
  • yang def
  • HT blood def
  • HT yin def
  • HT fire/ LV fire
  • GB qi def
99
Q 
Sharp, localized pain: 
Dull, diffuse pain: 
Cramping: 
Burning: 
Bloating/distending: 
Moving pain: 
Numbness/tingling: 
Heaviness: 
Pain with stiffness: 
Pain with swelling:
A
  • Blood stag
  • Blood def
  • Cold (excess cold/def cold)
  • Heat
  • Qi stag
  • wind
  • blood def (also wind, wind phlegm)
  • dampness
  • wind involved
  • damp
100
Q

Types of headache pain:

Throbbing: 
Empty: 
"My brain hurts":
Frontal: 
Occipital: 
Vertex: 
Temporal h/a: 
h/a with feeling of muzziness/heaviness: 
Whole head h/a:
A
  • Wind/LYR
  • Blood def
  • KD def
  • ST heat / phlegm in LU
  • wind-cold invasion / kd def / GB channel stag
  • LV yin or blood def
  • GB Qi stag
  • damp/phlegm
  • wind-heat
101
Q

Depression:
Anxiety:
Plum pit qi:
palpitations:

A
  • LQS/SP qi def/ phlegm
  • agitation of shen / excess or def heat of HT or LV
  • LQS
  • usu. HT pattern
102
Q

Dizziness in the head patterns:

Severe, where everything begins to sway:
Mild/when standing quickly:
W/ vomiting and diarrhea and external condition:

Tinnitus acute onset, loud, worse with pressing on ears:
Chronic tinnitus, low volume and pitch, Bette with pressure on ears:

A
  • internal wind
  • blood def or KD def
  • wind phlegm invasion
  • excess/heat
  • kd def
    (tinnitus can also be caused by wind in the SJ channel)
103
Q

What is a normal menstruation ?

A
  • every 28-30 days
  • no cramps
  • no pms
  • bleeding 3-5 days
  • no clots
104
Q

If cycle is always early ( <25 days apart):

If cycle is always late (> 35 days apart):

A
  • Heat in the blood or, SP not holding blood

- Blood def or, Blood stag or, Cold (excess or def)

105
Q

Dark or bright red menstrual blood:
Scarlet (bright red pink) blood:
Purple or Black blood:
Mucousy blood:

A
  • Heat
  • deficient heat
  • blood stagnation or cold
  • dampness
106
Q

Pain before menstruation:
Pain during menstruation:
Pain after menstruation:

A
  • qi stag (xs)
  • blood stag (xs)
  • def
107
Q

White discharge:
Yellow discharge:
Green discharge:
Yellow discharge + pus and blood:

A
  • indicates cold pattern
  • indicates heat pattern
  • indicates LV pattern
  • toxic damp heat (cancer)
108
Q

Fishy smelling leukorrhea:

Leathery smelling leukorrhea:

A
  • cold or def

- damp-heat (clamedia)

109
Q

4 limbs are cold:

hands and feet are cold:

A
  • SP/ST yang def

- LQS/ bood def

110
Q 
Dorsum of hand is hotter: 
Palm of hand is hotter: 
Warmth at the surface: 
Warmth with heavy pressure: 
5 palms are hot:
A
  • external heat
  • internal heat
  • exterior
  • interior, heat in bones (yin def)
  • yin def w/def heat
111
Q

Cold and clammy skin:
Neutral temp, but too moist skin:
Dry skin:
Sry skin + also rough and scaly:

A
  • yang def
  • wind invasion
  • blood def
  • blood stag
112
Q

Phlegm nodules:
Qi stag nodules:
Blood stag nodule:

A
  • moveable, painless
  • reduceable ( you can rub it and it’ll go away)
  • hard, fixed, painful (more serious)
113
Q

What are the 8 entities:

A
  1. exterior vs. interior
  2. cold vs. heat
  3. excess vs. def
  4. yin vs. yang
114
Q

Empty cold vs. Full cold:

A

Empty:
bright white complexion (yang def)
slow and def pulse
usually more chronic

FULL: 
slow and excess pulse
usually more acute
acute diarrhea/pain
cramping and painful
contractive
PF (cold environment)
115
Q

True cold, false heat VS. True heat, false cold:

A

True cold, false heat:
- red face, irritability, thirst, looks like heat but, T is pale and wet, slow deep pulse, no desire to drink, listless and fatigue, body feels hot but wants to cover up

True heat, false cold:
- cold limbs, pulse is deep, chest is hot, pulse is also rapid. cold is being pushed to surface.

116
Q

S/sx of Yin collapse:

A
  • abundant sweat
  • skin that’s hot to touch
  • hot limbs
  • desire to drink cold in small sips
  • dry mouth
  • urinary retention
  • constipation
  • floating, empty, rapid pulse
  • very dry, red, peeled tongue

TX: rescue Yin

117
Q

S/sx of Yang collapse:

A
  • feel cold, cold limbs
  • very subdued shen
  • weak breathing
  • cold ,oily sweat pearls
  • no thirst
  • profuse urination
  • incontinence
  • pulse is minute, very deep, hard to feel, slow
  • tongue is pale, wet, swollen

TX: rescue yang

118
Q

QI patterns:

Qi stag: 
Qi counterflow/rebellion: 
Qi def: 
Qi sinking: 
Qi wild:
A
  • diffuse pain, distention, bloating, feeling stuck
  • coughing, diarrhea
  • fatigue, SOB (LU), cough (kd not grasping qi), chronic low back pain (kd), frequent urine (kd)
  • prolapsed
  • running piglet qi
119
Q

Blood patterns:

Bloods stasis:
Blood def:
Heat in blood:

A
  • stabbing pain, p = choppy, t = purple, menses clotted
  • dryness (skin, hair, eyes, nails), pale, poor memory, scanty menses, anxiety
  • early menses, thirst, t = red, p = rapid, bleeding, red skin eruptions
120
Q

Body fluid patterns:

A

Def: dryness, dry stool, constipation

Excess: edema (qi/water, yang def)

121
Q

SP makes ___.

LU stores ___.

A

Phlegm, phlegm

122
Q

Cold phlegm :

A

Substantial

  • white, copious, watery
  • easy to expectorate
  • cold limbs
  • slow pulse
  • nausea
123
Q

Hot phlegm:

A

Substantial

  • yellow, sticky
  • feels warm
  • possible dry mouth
  • no thirst
  • or thirst w/o desire to drink
124
Q

Damp Phlegm:

A

Substantial

  • very profuse phlegm
  • easy to expectorate
  • not as watery as cold phlegm, but still copious
  • heaviness
125
Q

Dry Phlegm:

A

Substantial

- scanty phlegm

126
Q

Wind-phlegm:

A

Substantial

  • dizziness, cough
  • wind and phlegm
  • wind stroke
127
Q

Qi Phlegm:

A

Insubstantial

  • plum pit qi
  • goiter
  • swelling of throat
  • swallowing
  • irritability
128
Q

Phlegm fluids/Phlegm Rheum:

A
  • phlegm somewhere in body, sounds like phlegm/fluid splashing in body
  • can be lodged in abdomen, hypochondriac, chest, UJ,
  • abdominal dullness/distention
  • slippery pulse
  • pain and distention in the hypochondrium
  • in limbs, heaviness
  • above diaphragm - can’t lie flat bc fluid builds up - cough, asthma, edema
  • abundant white fluid
129
Q

4 different types of phlegm fluids:

A
  1. ST & Intestines
  2. Phlegm fluid in hypochondriac (LV, SOB bc of ribs)
  3. Phlegm in the limbs
  4. Phlegm above the diaphragm
130
Q

LQS s/sx:

A 
distending
hypochondriac pain
abdominal pain
pebble stools
irritable 
moody
pms
irregular period
cold hands, but easy to warm up
p=wiry/bowstring/string taut 
t = normal, maybe sl. red
131
Q

Long-term LQS can turn into ___

A

heat

132
Q

LQS w/heat s/sx:

A

p = bowstring + rapid

  • angry
  • red face
  • feels warm
  • constipation
  • heavy, irregular periods
  • red sides on the tongue
  • thirst
133
Q

What leads to LQS ? and why ?

A

blood def, bc there’s not enough blood to move the qi. When body doesn’t have enough blood, it will also hold onto the blood to save it.

134
Q

LV Fire S/sx:

A
  • red complexion
  • thirst for lots of cold water
  • P = rapid + bowstring
  • T = red, red sides, thick yellow fur
  • dream disturbed sleep
  • red eyes
  • h/a
  • dark scanty urine
135
Q

Damp heat in LV/LV Damp-heat S/sx:

A
  • alcoholic, cirrhosis, herpes
  • thirst w/o desire to drink
  • heaviness
  • muzziness
  • red face, red or yellow eyes
  • oozing skin lesions
  • nausea
  • sticky taste in mouth
  • smelly diarrhea
  • p = slippery, rapid
  • T = greasy, yellow, red
136
Q

LV blood stases s/sx:

A
  • dusky complexion
  • t = dusky/purplish with thin white fur, or purple spots on LV area of tongue
  • P= choppy
  • clotting, pain during menses
  • stabbing localized h/a (vertex or temporal)
  • stabbing pain behind eyes
137
Q

Cold-stag in LV s/sx:

A
  • cramping pain along LV channel
  • helped with heat
  • feels cold
  • vertex h/a
  • T pale, wet, coating with white fur
  • P deep, wiry, slow
138
Q

LV blood def s/sx:

A
  • dry eyes
  • t = pale, small, thin white fur, dry
  • p = bowstring and thin
  • menses is scanty, watery, pale blood
  • poor vision
  • floaters
  • dry and rough skin
  • dry hair
    dry and weak nails
    dizziness and tinnitus
    tingling or numbness
139
Q

Tingling and numbness is causes by:

A

blood def & yin def

140
Q

LV yin def s/sx:

A
  • dry eyes
  • T = red, no fur
  • P = thin, bowstring
  • menses is scarlet
  • poor night vision
  • floaters
  • trouble staying asleep
  • red cheeks
  • night sweats
  • thirst with small sips
  • dizziness
  • tinnitus
  • anxiety, insomnia
141
Q

LYR d/t LV blood def:

A
  • throbbing h/a
  • dizziness and tinnitues
  • temporal h/a
  • insomnia
  • irritability
  • T = pale
  • P = wiry
142
Q

LV fire generating wind s/sx:

A
  • tremors
  • T = deviated with red and thick yellow fur
  • heat symptoms
  • tics
  • spasms
  • strokes
143
Q

LV blood def generating wind s/sx:

A
  • blurred vision
  • poor memory
  • tics
  • dryness
  • tremors
144
Q

LV yin def with Yang rising generating wind s/sx:

A
  • T = normal, no fur
  • P = fine and wiry
  • dry throat
  • blurred vision
  • numbness and tingling of limbs
145
Q

LV yang def can be caused by LV ___ def, LV ___ def, and ___ yin def.

A

blood, yin, KD

146
Q

LU qi def s/sx :

A
  • sob
  • fatigue
  • weak cough
  • easy sweating
  • dislike of speaking
  • weak voice
  • T = pale
  • P = empty
147
Q

LU yin def s/sx:

A
  • dry cough with scanty sticky sputum
  • weak/hoarse voice
  • dry mouth and throat
  • dislike of speaking
  • night sweats
  • T = normal color, dry coating
  • P = floating-empty
148
Q

LU dryness s/sx:

A
  • dry cough
  • dry throat
  • hoarse voice
  • T= dry , not red
  • P= empty
149
Q

WC invading LU s/sx:

A
  • aversion to cold
  • sneezing
  • itchy throat
  • blocked/runny nose
  • T = thin white coating
  • P = floating-tight
150
Q

ST yin def leads to ___, ___ leads to ___.

A

LU dryness, LU dryness leads to LU yin def

151
Q

WH invading LI s/sx:

A
  • fever
  • aversion to cold
  • sore throat
  • T = sl. red on sides in chest area
  • P= floating rapid
152
Q

Wind water invading LU s/sx:

A
  • facial edema
  • aversion to wind
  • T = sticky white coating
  • P = floating-slippery
153
Q

What causes wind water to invade the LU ?

A

exposure to exterior WC and Dampness

154
Q

Heat in LU s/sx:

A
  • cough
  • feeling of heat
  • thirst
  • flaring of nostrils
  • T = red with yellow coating
  • P = overflowing-rapid
155
Q

____ -> LU heat _> ____

A

external wind, LU yin def

156
Q

Damp-phlegm in the LU s/sx:

A

-chronic cough with profuse white sputum
- T = thick sticky white coating
- wheezing
- phlegm in the throat
- nausea
- heaviness
T = swollen with sticky white coating
P = slipper or soggy

157
Q

Cold-Phlegm in LU s/sx:

A
  • cough with white, watery sputum
  • phlegm in throat
    T = swollen, sticky white coating
  • feeling cold
  • P = slippery-slow
158
Q

Phlegm-Heat in LU s/sx:

A
  • barking cough
  • yellow or green sputum
  • T = thick sticky yellow coating
  • P = rapid-slippery
  • phlegm in throat
  • oppression in chest
  • thirst
159
Q

Dry-Phlegm in LU s/sx:

A
  • dry cough, occasional scanty sputum
  • feeling of oppression
  • heaviness and muzziness in the head
  • T = swollen with a dry sticky coating or without coating
  • P = fine-slippery
160
Q

HT Qi def s/sx:

A
  • fatigue
  • palpitations
  • SOB
  • tightness/discomfort in the chest
  • pale face
  • T = pale, thin white fur
  • P = weak, empty
161
Q

HT yang def s/sx:

A
  • spontaneous sweating
  • chest discomfort
  • exhausted
  • more intense palpitations
  • cold limbs
  • feels cold
  • T = pale, blush, enlarged, wet
  • P = slow, irregular (deep-weak-knotted)
162
Q

_____ & ____ -> HT qi def -> ____

A

KD qi def, GB qi def, HT yang def

163
Q

HT yang collapsing s/sx:

A
  • almost like an acute MI
  • profuse cold sweating
  • worse than HT yang
  • cyanosis of lips
  • T = very pale, bluish purple, short
  • P = hidden-minute-knotted
164
Q

HT blood def s/sx:

A
  • palpitations
  • sob
  • insomnia
  • trouble falling asleep
  • dream disturbed sleep
  • anxiety
  • dryness
  • scanty menses
  • T = pale, thin, sl. dry
    P = thready, choppy fine
165
Q

HT yin def s/sx:

A
  • dryness everything
  • insomnia, frequent waking
  • thirst, sips only
  • 5 palm heat
  • T = no coating
  • P = floating, empty
166
Q

HT Fire s/sx:

A
  • thirst
  • irritability
  • agitated shen
  • mania
  • whole face red
  • loud and fast speech
  • bitter taste
  • T = red
  • P = rapid
167
Q

Phlegm fire s/sx:

A
  • same as fire, but add phlegm
  • palpitations
  • dream disturbed sleep
  • mental confusion
  • uncontrolled laughter/crying
  • thirst w/o desire to drink
  • talking loud, fast, and illogically
  • various mental symptoms
  • T = red, swollen, yellow dry sticky coating, deep HT crack
  • P = rapid, slippery
168
Q

Phlegm misting the mind s/sx:

A
  • mental confusion
  • rattling sound in throat
  • vomiting phlegm
  • mental depression
  • unconsciousness
  • T = swollen with thick sticky coating
    P = slippery
169
Q

HT Qi stagnation s/sx:

A
  • emotional stress is the only cause
  • palpitations
  • chest distention
  • cold limbs
  • cold hands
  • purple lips
  • poor appetite
  • T = sl. pale-purple
  • P = empty, wiry, overflowing
170
Q

HT vessel obstructed s/sx:

A
  • like HT blood stag
  • CAD
  • oppression in the chest
  • inability to lie down
  • stabbing or prickling.pain in HT region
  • T = purple on side, swollen with sticky coating
  • P = wiry, choppy
171
Q

HT blood stag s/sx:

A
  • stabbing pain in the chest
  • cyanosis of lips
  • T = purple
  • P = choppy, wiry
  • stabbing or prickling pain in the chest, may run to inner aspect of L arm
172
Q

SP qi def s/sx:

A
  • fatigued
  • poor appetite
  • abdominal distention
  • loose stools
  • T = pale
  • P = empty
173
Q

SP qi sinking s/sx:

A
  • bearing down sensation
  • prolapse of ST , uterus, anus or bladder
  • frequency/urgency of urination
  • T = pale
  • P = weak
174
Q

SP yang def s/sx:

A
  • loose stools
  • feeling cold
  • cold limbs
  • edema
  • T = pale and wet
  • P = deep-weak
175
Q

SP not holding blood s/sx:

A
  • same as sp qi def but bleeding
  • bleeding
    blood in urine/stools
  • loose stools
    uterine bleeding
  • blood spots under the skin
  • T = Pale
  • P = weak or fine
176
Q

SP blood def s/sx:

A
  • fatigue
  • slight abdominal distention
  • scanty periods
  • insomnia
  • T = pale, thin, sl. dry
  • P = choppy or fine
177
Q

Cold-damp invading SP s/sx:

A
  • abdominal fullness
  • feelings of heaviness
  • feeling of cold in epigastrium - improved with applying heat
  • T = pale with sticky white coating
  • P = slippery - slow
178
Q

Damp- heat invading SP s/sx:

A
  • abdominal fullness
  • feeling of heaviness
  • low-grade fever
  • thirst w/o desire to drink
  • Red sticky yellow coating
  • P = slippery-rapid
179
Q

SP qi def with dampness s/sx:

A
  • heaviness
  • muzziness
  • T = pale, white fur, greasy
  • P = deep, weak, slippery
180
Q

KD yang def s/sx:

A
  • lower backache
  • abundant clear urination
  • dizziness/tinnitues
  • cold knees and lower back
  • urination at night
  • fatigue
  • T = pale and wet
  • P = deep-weak
181
Q

KD yin def s/sx:

A
  • backache
  • nightsweating
  • dizziness
  • vertigo
  • tinnitus
  • T = normal or red if with heat
  • P = floating-empty, or rapid if heat
182
Q

KD qi not firm s/sx:

A
  • dribbling after urination
  • chronic vaginal discharge
  • soreness or weakness of lower back
  • weak knees
  • T = pale
  • P = deep-weak
183
Q

KD failing to receive Qi s/sx:

A
  • SOB on exertion
  • lower backache
  • clear urination
  • chronic cough
  • cold limbs
  • T = pale
  • P = deep-weak-tight
184
Q

PC fire s/sx:

A
  • palpitations
  • feeling of tightness in chest
  • thirst
  • bitter taste
  • insomnia
  • T = red, tip redder
    and swollen, yellow coating
  • P = full, rapid, overflowing
185
Q

PC Qi stag s/sx:

A
  • palpitations
  • feeling of distention in chest
  • lump in throat
  • T = pale-purple on sides in chest area
  • P = empty but sl. overflowing on L front position
186
Q

Rebellious LV qi invading the SP s/sx:

A
  • alternating constipation and loose stools
  • irritablility
  • abdominal distention and pain
187
Q

Rebellious LV qi invading the ST s/sx:

A
  • halitosis
  • hiccup
  • belching
  • sour regurgitation
  • n/v
188
Q

Rebellious LV qi insulting the LU s/sx:

A
  • asthma
  • cough
  • allergies
  • breathlessness
  • constipation
  • scanty-dark urine
  • red face
  • thirst
  • h/a dizziness
189
Q

LV and HT blood def:

A
  • dry hair
  • dull pale complexion
  • dizziness
  • insomnia
  • poor memory
  • depression
  • brittle nails
  • scanty period
190
Q

SP and LU qi def s/sx:

A
  • poor appetite
  • weak voice
  • dislike to speak
  • weak limbs
  • spontaneous sweating
  • sl. SOB
  • sl. cough
  • pale complexion
191
Q

SP and LV blood def s/sx:

A
  • depression
  • insomnia
  • dizziness
  • dry hair
  • dull pale complexion
  • blurred vision
  • poor appetite
  • brittle nails
  • tiredness
  • scanty periods
  • cramps
  • numbest and tingling of limbs
192
Q

Obstruction of SP by dampness w/ stagnation of LV qi:

A
  • nausea
  • poor appetite
  • heaviness
  • loos stools
  • epigastric distention
  • irritability
  • hypochondriac pain
193
Q

KD and LV yin def s/sx:

A
  • scanty, dark urine
  • dry nails/hair/eyes
  • dry throat
  • night sweating
  • numbness/tingling of limbs
  • dry vagina
  • dry stools
  • lowback pain
  • tinnitus
194
Q

KD and HT not harmonized:

A
  • dry throat at night
  • mental restlessness
  • low Back ache
  • feeling of heat in the afternoon
  • insomnia
  • anxiety
  • tinnitus
  • dark urine
195
Q

KD and LU yin def:

A
  • dizziness/tinnitus
  • dry throat
  • dry cough
  • low back ache
  • night sweating
  • scanty urine
196
Q

KD and SP yang def:

A
  • bright white complexion
  • feeling of cold
  • lower backache
  • chronic diarrhea
  • fatigue
  • abdominal distention
  • low libido
  • weak legs
  • cold and weak knees
  • edema
197
Q

ST and SP qi def:

A
  • poor appetite
  • fatigue
  • discomfort in the epigastrium
  • sl. abdominal distention
  • loose stools
  • weak limbs
  • lack of taste
198
Q

D-H in the GB and LV:

A
  • dizziness
  • irritability
  • yellow complexion
  • yellow sclera
  • tinnitus
  • thirst w/o desire to drink
  • bitter taste
  • inability to digest fats
  • n/v
  • feeling of heaviness
199
Q

ST qi def s/sx:

A
  • epigastric discomfort
  • poor appetite, esp. in morning
  • lack of taste
  • loose stools
  • low energy in am
  • weak limbs
  • P = empty in ST position
  • T = pale unrooted coating

COMPS EXAM 1 (15 decks)

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