DX Theory Flashcards
1
Q
Prognosis:
Dx:
A
- What’s going to happen
2. What they currently have
2
Q
When the spirit is present, prognosis is ___. When the spirit is absent, prognosis is ___.
A
good, grave.
3
Q
What are the 4 methods/examinations in Dx ?
A
- Looking
- Listening/Smelling
- Asking (interrogation)
- Feeling (palpitation)
4
Q
What are all the pattern differentiation ?
A
- “4 Levels” (Wei, Qi, Ying, Xue)
- “6 Channels/stages”
- “3 SJ’s” (UJ, MJ, LJ)
- “5 Elements”
- “7 Emotions”
- “8 Principles/extraordinary”
- “12 channels”
- “Zang/FU (8 entities, BF, Qi, Blood, Organ theory)
5
Q
Spirit indicates ___.
A
Prognosis
6
Q
Spirit pours into the ___.
A
Eyes
7
Q
Spirit is housed in the ___
A
Blood (HT)
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.
9
Q
Spirit gives light to the ___
A
complexion
10
Q
What do we look at for the assessment of spirit ?
A
The eyes
11
Q
HT is connected to the ability to ___.
If spiritless, you’ll have a decrease in ___.
A
Speak, speaking
12
Q
___ agitates shen.
___ contracts/subdues shen.
A
Heat
Cold
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
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)
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
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
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
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
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)
20
Q
Full face is red =
Cheeks are red (malaria flush) =
A
- Excess/full/replete HEAT
- Def/empty/vacuous HEAT
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
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
23
Q
Yellow complexion signifies:
A
- earth constitution / imbalance
- possible SP condition (loathes dampness/wet)
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
25
Jaundice is indicated as:
Damp-Heat/Cold in the SP
26
Green complexion signifies:
- 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.
27
Nose looks greenish indicates:
ST pain (ask if their ST hurts)
28
Black complexion signifies:
- water constitution/imbalance
| - KD imbalance
29
Large bags under eyes =
Big swollen dark circles that are moist under eyes =
Dry, ashy burnt complexion under eyes =
- Severe KD failure
- Extreme Cold
- Extreme Heat (KD yin def)
30
If colors are superficial, they are ___. If colors are deep, they are ___.
external (mild, superficial, yang, color is clear and distinct, usu. good prognosis)
internal (chronic, yin, color is muggy, indistinct, turbid, usu. poor prognosis)
31
Scattered =
| Concentrated =
1. New Dz
| 2. Old Dz
32
```
Right cheek is which organ ?
L cheek ?
Chin ?
Forehead ?
Tip of nose ?
Side of nose ?
Bridge of nose ?
```
- LU
- LV
- KD
- HT
- SP
- ST
- LV
33
Form is :
| Bearing is :
- Basic Body Shape (what you got)
| - Posture and Movement (What you do with it)
34
Form is a ___ aspect, Bearing is a ___ aspect.
yin, yang
35
The bigger you are, the more __. The more skinny you are, the more ___.
Yin (yin excess = overweight/obese, damp/phlegm/more bf).
| Yang (yin def = emaciated, very thin)
36
Muscle wasting is related to the ___ organ.
SP
37
Abnormal bearing indicates:
posture is not upright/lack of qi or yang
38
With observation/looking, begin with ___ and move to the ___.
__ pours out of the eyes.
___ opens at the eyes.
Eyes are the nest of ___.
Shen, eyes, shen, LV, essence
39
What are the 3 treasures?
1. Jing (conceveied )
2. Qi (nourished)
3. Shen (consciousness)
- can't get Qi and Shen w/o Jing
40
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:
```
SP (water retention, muscle weakness)
LV (Iris moving = sinews opening and closing, cholesterol)
KD
HT (severe blood def looks white)
LU
```
41
Deficiency allows ___ to enter and will cause twitching, tremors, numbness, paralysis, etc.
Wind
42
Throat is the uppermost part of the ___ system. Throat is the opening of the ___. __ channel goes to the throat.
digestive, ST, KD (KD brings spittle to throat - moisture. KD yin moistens the throat)
43
What can cause a dry throat ?
LU heat
ST heat
KD yin def
44
___ circulate Qi in the limbs. We need ___ to move limbs.
SP/ST (root of post-heaven Qi which gives energy to help move the limbs), LV/GB
45
```
Swollen joints indicate:
Swollen and Red joints indicate:
Swelling moves from joint to joint indicates:
Stiffness of the joint indicates:
Swollen and distorted indicates:
```
- 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
46
Pitting edema vs. non-pitting edema
Pitting: water edema (leaves a dent)
| Non-pitting edema: Qi edema (doesn't leave a dent after pressing)
47
Edema is usu. caused from:
Lack of yang/eternal fire to help keep water circulating
48
Facial and/or hand edema:
Abdominal edema:
Leg/ankle edema:
Acute edema:
LU yang def (invasion of wind-water - not very common)
SP yang def
KD yang def
Qi stag
49
What is the pediatric finger?
- 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.
50
Most yang channels go to the __.
eye (sometimes eye problems might arise from pf in the yang channels - ST, UB, GB)
51
We look for Jing in the __.
Ears (opening of KD, long lobes mean more Jing, moist and bright reflects good Zheng qi and good prognosis)
52
Withered, dry ear:
Swelling, pain, or pus coming out of ear:
Producing a lot of ear wax:
- 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
53
Thin body fluids vs. Thick bf:
Thin = Jin
| Thick =. YE
54
Nose is the opening of the ___ and manifests in the __ and ___.
LU, skin, nasal mucous
55
```
White tip on nose:
Thin clear mucous:
Thick and yellow mucous:
White/clear thick mucous:
Flaring of nostrils:
```
- blood def
- LU qi def
- heat or phlegm heat in LU
- cold or phlegm cold in LU
- extreme heat in LU or asthma
56
___ open to the mouth and manifest in the __.
mouth, lips
57
Moisture of lips is related to __ __. Color of lips reflects __.
SP yin, blood
58
```
If lips are dry and cracked indicates:
Very pale lips:
Blueish lips:
Greenish lips:
Very red and dry lips:
```
- SP yin def
- blood/yang def
- extreme cold (could be blood stasis or extreme blood def)
- extreme LQS or LV blood stag
- ST heat
59
Teeth reflects the ___ and bears on ___ for moisture.
| Moisture and brightness comes from ___ and ___/
KD, SP/ST
| saliva (SP) - keeps mouth and teeth moist when eating and spittle (KD) - keeps mouth moist all the time
60
Dry, grimy teeth indicate:
| Swollen/easily bleeding gums indicate:
long-term heat (LU & ST or KD yin def with heat)
| ST/LI heat
61
If veins are blue it indicates:
| If veins are reddish it indicates:
cold pattern
| heat pattern
62
Skin is the tissue of the ___. ___ is important in skin. ___ conditions may be manifested in the skin.
LU, blood, LV
63
Dry skin indicates:
| Dry, scaly and dusky skin indicates:
- LV blood def
| - LV blood stag
64
Papules are:
Macules are:
Pustules are:
- 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
65
Herpes is:
damp-heat in the LV channel
66
What kinds of things would we listen for during examination process?
- breathing
- sighing
- gas
- borborygmus (belly noise)
- cough
- vomiting sound
67
If the sound is loud/forceful, it is:
| If sounds if soft/weak, it is:
- excess of heat
| - cold or deficient
68
What kinds of things would we smell for during examination process?
- sweat
- secretions
- stool
- urine
- breath
- discharge
69
If smell is strong and foul:
| If smell has no scent or a fishy smell:
- excess/heat, excess heat
| - deficient or cold
70
Voice reflects the condition of the __.
| Speech reflects the ___.
LU, HT
71
Loud voice indicates:
Soft and weak voice indicates:
Sudden loss of voice indicates:
Gradual loss of voice indicates:
- excess pattern
- deficiency pattern
- wind invasion
- lu qi def or kd def
72
```
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:
```
- 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
73
Interrogation/asking phase of the examination includes what:
- 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)
```
74
Alternating chills and fever =
Feels cold only =
Feels warm/hot only =
Shao Yang syndrome
Interior condition
Interior condition
75
What is Shao Yang syndrome ?
When PF is 1/2 exterior and 1/2 interior
| bitter taste, hypochrondriac pain, nausea, T =greasier on one side, P =bowstring
76
4 BIGS:
BIG fever
BIG thirst
BIG pulse
BIG sweats
* QI level heat/yangming channel syndrome
77
Tidal fever =
only feels warm in the afternoon/evening
78
Yin def w/heat =
Red cheeks, peeled coating, red tongue
79
Yangming organ syndrome has ___ fever with ___.
Tidal, constipation
80
Damp Heat in any organ would cause what kind of fever?
Low grade fever
81
```
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:
```
- 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
Low appetite:
High appetite:
Hungry w/o desire to eat:
- SP/ST qi def or food stag + dampness
- ST heat
- ST yin def w/heat
83
Cravings:
```
Iced/Cold foods:
Spicy foods:
Sour foods:
Bitter foods:
Salty foods:
Sweet foods:
```
- ST heat
- LU
- LV
- HT
- KD
- SP
84
```
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:
```
- 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
Thirst for lots of cold liquid:
No thirst:
Thirst w/o desire to drink:
Thirst w/ desire to drink in small sips:
- excess heat
- normal or cold
- damp-heat
- yin def
86
Normal BM characteristics:
formed/cohesive, 1-3 x/day, easy to move, pleasurable, brown-is/yellow (from bile)
87
Any sx that is better with moving bowels:
| Any sx that is worsened by moving bowels:
- excess condition
| - deficiency condition
88
Constipation w/ stools that are dry:
Constipation w/ pebbled shaped stool:
Constipation w/ abdominal pain:
Constipation w/ darker colored stool:
- excess heat in ST/LI, yin def, or blood def
- LQS
- before = excess condition, after = deficient condition
- more heat
89
Diarrhea early in the AM/ cocks crow:
| Diarrhea w/ undigested food particles:
- KD yang def
| - SP yang def
90
Acute diarrhea is usu:
Damp-heat in LI or Damp-cold in LI
| mucous in stools
91
Bright red blood in stools:
Dark red/black and tarry stools:
Coffee ground stools:
Alternating constipation and diarrhea:
- damp-heat in LI; SP Qi sinking
- Blood stag
- CALL 911/hospital
- LQS (LV attacking SP/ST)
92
What are the main organs involved with urine ?
KD, UB, SI
93
Long, clear urination:
| Scanty, dark urination:
Cold conditions
| Heat conditions
94
```
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:
```
- 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
UB infections can include:
D-H in UB (most common)
D-C in UB
Damp in UB
96
Phlegm vs. Damp
- 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
Causes of fatigue:
- DEF causes:
QI def, Yin def, Yang def
- EXCESS causes:
Dampness, D-H, Qi stagnation
98
```
Somnolence:
Onset insomnia:
Can't stay asleep:
Dream disturbed sleep:
Early waking/easily startled:
```
- yang def
- HT blood def
- HT yin def
- HT fire/ LV fire
- GB qi def
99
```
Sharp, localized pain:
Dull, diffuse pain:
Cramping:
Burning:
Bloating/distending:
Moving pain:
Numbness/tingling:
Heaviness:
Pain with stiffness:
Pain with swelling:
```
- Blood stag
- Blood def
- Cold (excess cold/def cold)
- Heat
- Qi stag
- wind
- blood def (also wind, wind phlegm)
- dampness
- wind involved
- damp
100
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:
```
- 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
Depression:
Anxiety:
Plum pit qi:
palpitations:
- LQS/SP qi def/ phlegm
- agitation of shen / excess or def heat of HT or LV
- LQS
- usu. HT pattern
102
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:
- 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
What is a normal menstruation ?
- every 28-30 days
- no cramps
- no pms
- bleeding 3-5 days
- no clots
104
If cycle is always early ( <25 days apart):
| If cycle is always late (> 35 days apart):
- Heat in the blood or, SP not holding blood
| - Blood def or, Blood stag or, Cold (excess or def)
105
Dark or bright red menstrual blood:
Scarlet (bright red pink) blood:
Purple or Black blood:
Mucousy blood:
- Heat
- deficient heat
- blood stagnation or cold
- dampness
106
Pain before menstruation:
Pain during menstruation:
Pain after menstruation:
- qi stag (xs)
- blood stag (xs)
- def
107
White discharge:
Yellow discharge:
Green discharge:
Yellow discharge + pus and blood:
- indicates cold pattern
- indicates heat pattern
- indicates LV pattern
- toxic damp heat (cancer)
108
Fishy smelling leukorrhea:
| Leathery smelling leukorrhea:
- cold or def
| - damp-heat (clamedia)
109
4 limbs are cold:
| hands and feet are cold:
- SP/ST yang def
| - LQS/ bood def
110
```
Dorsum of hand is hotter:
Palm of hand is hotter:
Warmth at the surface:
Warmth with heavy pressure:
5 palms are hot:
```
- external heat
- internal heat
- exterior
- interior, heat in bones (yin def)
- yin def w/def heat
111
Cold and clammy skin:
Neutral temp, but too moist skin:
Dry skin:
Sry skin + also rough and scaly:
- yang def
- wind invasion
- blood def
- blood stag
112
Phlegm nodules:
Qi stag nodules:
Blood stag nodule:
- moveable, painless
- reduceable ( you can rub it and it'll go away)
- hard, fixed, painful (more serious)
113
What are the 8 entities:
1. exterior vs. interior
2. cold vs. heat
3. excess vs. def
4. yin vs. yang
114
Empty cold vs. Full cold:
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
True cold, false heat VS. True heat, false cold:
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
S/sx of Yin collapse:
- 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
S/sx of Yang collapse:
- 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
QI patterns:
```
Qi stag:
Qi counterflow/rebellion:
Qi def:
Qi sinking:
Qi wild:
```
- 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
Blood patterns:
Bloods stasis:
Blood def:
Heat in blood:
- 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
Body fluid patterns:
Def: dryness, dry stool, constipation
Excess: edema (qi/water, yang def)
121
SP makes ___.
| LU stores ___.
Phlegm, phlegm
122
Cold phlegm :
Substantial
- white, copious, watery
- easy to expectorate
- cold limbs
- slow pulse
- nausea
123
Hot phlegm:
Substantial
- yellow, sticky
- feels warm
- possible dry mouth
- no thirst
- or thirst w/o desire to drink
124
Damp Phlegm:
Substantial
- very profuse phlegm
- easy to expectorate
- not as watery as cold phlegm, but still copious
- heaviness
125
Dry Phlegm:
Substantial
| - scanty phlegm
126
Wind-phlegm:
Substantial
- dizziness, cough
- wind and phlegm
- wind stroke
127
Qi Phlegm:
Insubstantial
- plum pit qi
- goiter
- swelling of throat
- swallowing
- irritability
128
Phlegm fluids/Phlegm Rheum:
- 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
4 different types of phlegm fluids:
1. ST & Intestines
2. Phlegm fluid in hypochondriac (LV, SOB bc of ribs)
3. Phlegm in the limbs
4. Phlegm above the diaphragm
130
LQS s/sx:
```
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
Long-term LQS can turn into ___
heat
132
LQS w/heat s/sx:
p = bowstring + rapid
- angry
- red face
- feels warm
- constipation
- heavy, irregular periods
- red sides on the tongue
- thirst
133
What leads to LQS ? and why ?
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
LV Fire S/sx:
- 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
Damp heat in LV/LV Damp-heat S/sx:
- 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
LV blood stases s/sx:
- 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
Cold-stag in LV s/sx:
- 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
LV blood def s/sx:
- 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
Tingling and numbness is causes by:
blood def & yin def
140
LV yin def s/sx:
- 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
LYR d/t LV blood def:
- throbbing h/a
- dizziness and tinnitues
- temporal h/a
- insomnia
- irritability
- T = pale
- P = wiry
142
LV fire generating wind s/sx:
- tremors
- T = deviated with red and thick yellow fur
- heat symptoms
- tics
- spasms
- strokes
143
LV blood def generating wind s/sx:
- blurred vision
- poor memory
- tics
- dryness
- tremors
144
LV yin def with Yang rising generating wind s/sx:
- T = normal, no fur
- P = fine and wiry
- dry throat
- blurred vision
- numbness and tingling of limbs
145
LV yang def can be caused by LV ___ def, LV ___ def, and ___ yin def.
blood, yin, KD
146
LU qi def s/sx :
- sob
- fatigue
- weak cough
- easy sweating
- dislike of speaking
- weak voice
- T = pale
- P = empty
147
LU yin def s/sx:
- 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
LU dryness s/sx:
- dry cough
- dry throat
- hoarse voice
- T= dry , not red
- P= empty
149
WC invading LU s/sx:
- aversion to cold
- sneezing
- itchy throat
- blocked/runny nose
- T = thin white coating
- P = floating-tight
150
ST yin def leads to ___, ___ leads to ___.
LU dryness, LU dryness leads to LU yin def
151
WH invading LI s/sx:
- fever
- aversion to cold
- sore throat
- T = sl. red on sides in chest area
- P= floating rapid
152
Wind water invading LU s/sx:
- facial edema
- aversion to wind
- T = sticky white coating
- P = floating-slippery
153
What causes wind water to invade the LU ?
exposure to exterior WC and Dampness
154
Heat in LU s/sx:
- cough
- feeling of heat
- thirst
- flaring of nostrils
- T = red with yellow coating
- P = overflowing-rapid
155
____ -> LU heat _> ____
external wind, LU yin def
156
Damp-phlegm in the LU s/sx:
-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
Cold-Phlegm in LU s/sx:
- cough with white, watery sputum
- phlegm in throat
T = swollen, sticky white coating
- feeling cold
- P = slippery-slow
158
Phlegm-Heat in LU s/sx:
- barking cough
- yellow or green sputum
- T = thick sticky yellow coating
- P = rapid-slippery
- phlegm in throat
- oppression in chest
- thirst
159
Dry-Phlegm in LU s/sx:
- 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
HT Qi def s/sx:
- fatigue
- palpitations
- SOB
- tightness/discomfort in the chest
- pale face
- T = pale, thin white fur
- P = weak, empty
161
HT yang def s/sx:
- spontaneous sweating
- chest discomfort
- exhausted
- more intense palpitations
- cold limbs
- feels cold
- T = pale, blush, enlarged, wet
- P = slow, irregular (deep-weak-knotted)
162
_____ & ____ -> HT qi def -> ____
KD qi def, GB qi def, HT yang def
163
HT yang collapsing s/sx:
- 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
HT blood def s/sx:
- palpitations
- sob
- insomnia
- trouble falling asleep
- dream disturbed sleep
- anxiety
- dryness
- scanty menses
- T = pale, thin, sl. dry
P = thready, choppy fine
165
HT yin def s/sx:
- dryness everything
- insomnia, frequent waking
- thirst, sips only
- 5 palm heat
- T = no coating
- P = floating, empty
166
HT Fire s/sx:
- thirst
- irritability
- agitated shen
- mania
- whole face red
- loud and fast speech
- bitter taste
- T = red
- P = rapid
167
Phlegm fire s/sx:
- 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
Phlegm misting the mind s/sx:
- mental confusion
- rattling sound in throat
- vomiting phlegm
- mental depression
- unconsciousness
- T = swollen with thick sticky coating
P = slippery
169
HT Qi stagnation s/sx:
- 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
HT vessel obstructed s/sx:
- 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
HT blood stag s/sx:
- 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
SP qi def s/sx:
- fatigued
- poor appetite
- abdominal distention
- loose stools
- T = pale
- P = empty
173
SP qi sinking s/sx:
- bearing down sensation
- prolapse of ST , uterus, anus or bladder
- frequency/urgency of urination
- T = pale
- P = weak
174
SP yang def s/sx:
- loose stools
- feeling cold
- cold limbs
- edema
- T = pale and wet
- P = deep-weak
175
SP not holding blood s/sx:
- 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
SP blood def s/sx:
- fatigue
- slight abdominal distention
- scanty periods
- insomnia
- T = pale, thin, sl. dry
- P = choppy or fine
177
Cold-damp invading SP s/sx:
- abdominal fullness
- feelings of heaviness
- feeling of cold in epigastrium - improved with applying heat
- T = pale with sticky white coating
- P = slippery - slow
178
Damp- heat invading SP s/sx:
- abdominal fullness
- feeling of heaviness
- low-grade fever
- thirst w/o desire to drink
- Red sticky yellow coating
- P = slippery-rapid
179
SP qi def with dampness s/sx:
- heaviness
- muzziness
- T = pale, white fur, greasy
- P = deep, weak, slippery
180
KD yang def s/sx:
- lower backache
- abundant clear urination
- dizziness/tinnitues
- cold knees and lower back
- urination at night
- fatigue
- T = pale and wet
- P = deep-weak
181
KD yin def s/sx:
- backache
- nightsweating
- dizziness
- vertigo
- tinnitus
- T = normal or red if with heat
- P = floating-empty, or rapid if heat
182
KD qi not firm s/sx:
- dribbling after urination
- chronic vaginal discharge
- soreness or weakness of lower back
- weak knees
- T = pale
- P = deep-weak
183
KD failing to receive Qi s/sx:
- SOB on exertion
- lower backache
- clear urination
- chronic cough
- cold limbs
- T = pale
- P = deep-weak-tight
184
PC fire s/sx:
- palpitations
- feeling of tightness in chest
- thirst
- bitter taste
- insomnia
- T = red, tip redder
and swollen, yellow coating
- P = full, rapid, overflowing
185
PC Qi stag s/sx:
- 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
Rebellious LV qi invading the SP s/sx:
- alternating constipation and loose stools
- irritablility
- abdominal distention and pain
187
Rebellious LV qi invading the ST s/sx:
- halitosis
- hiccup
- belching
- sour regurgitation
- n/v
188
Rebellious LV qi insulting the LU s/sx:
- asthma
- cough
- allergies
- breathlessness
- constipation
- scanty-dark urine
- red face
- thirst
- h/a dizziness
189
LV and HT blood def:
- dry hair
- dull pale complexion
- dizziness
- insomnia
- poor memory
- depression
- brittle nails
- scanty period
190
SP and LU qi def s/sx:
- poor appetite
- weak voice
- dislike to speak
- weak limbs
- spontaneous sweating
- sl. SOB
- sl. cough
- pale complexion
191
SP and LV blood def s/sx:
- depression
- insomnia
- dizziness
- dry hair
- dull pale complexion
- blurred vision
- poor appetite
- brittle nails
- tiredness
- scanty periods
- cramps
- numbest and tingling of limbs
192
Obstruction of SP by dampness w/ stagnation of LV qi:
- nausea
- poor appetite
- heaviness
- loos stools
- epigastric distention
- irritability
- hypochondriac pain
193
KD and LV yin def s/sx:
- scanty, dark urine
- dry nails/hair/eyes
- dry throat
- night sweating
- numbness/tingling of limbs
- dry vagina
- dry stools
- lowback pain
- tinnitus
194
KD and HT not harmonized:
- dry throat at night
- mental restlessness
- low Back ache
- feeling of heat in the afternoon
- insomnia
- anxiety
- tinnitus
- dark urine
195
KD and LU yin def:
- dizziness/tinnitus
- dry throat
- dry cough
- low back ache
- night sweating
- scanty urine
196
KD and SP yang def:
- bright white complexion
- feeling of cold
- lower backache
- chronic diarrhea
- fatigue
- abdominal distention
- low libido
- weak legs
- cold and weak knees
- edema
197
ST and SP qi def:
- poor appetite
- fatigue
- discomfort in the epigastrium
- sl. abdominal distention
- loose stools
- weak limbs
- lack of taste
198
D-H in the GB and LV:
- 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
ST qi def s/sx:
- 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
