Etiology, Pathology & Symptoms

Question 1

Provide 5 examples of Internal Pathogens

Answer 1

1. Qi Stagnation
2. Blood Stagnation
3. Phlegm
4. Heat
5. Fire
   There are others…

Question 2

What is the cardinal sign of Qi Stagnation?

Answer 2

Distention

Question 3

Although other organs can be affected by Qi Stagnation, which is the main organ affected?

Answer 3

The Liver

Question 4

Name 3 other organs that can be affected by Qi Stagnation?

Answer 4

1. Heart
2. Lung
3. Stomach

Question 5

What emotional symptoms can be associated with Qi Stagnation?

Answer 5

1. Mental depression
2. Irritability
3. Gloomy feeling
4. Mood swings

Question 6

What pulse quality can be associated with Liver Qi Stagnation?

Answer 6

A wiry pulse.

Question 7

Blood Stagnation usually arises from other pathologies, what are the 6 main ones?

Answer 7

1. Qi Stagnation
2. Cold
3. Heat
4. Qi Deficiency
5. Blood Deficiency
6. Phlegm

Question 8

Blood Stagnation can give rise to other pathologies, what are the 5 main ones?

Answer 8

1. Heat
2. Dryness
3. Blood Deficiency
4. Qi Deficiency
5. bleeding (hemorrhage)

Question 9

What color is associated with Blood Stagnation and how might this be manifested?

Answer 9

Purple

Manifested as: Purple complexion, purple tongue, purple lips, purple tongue, etc.

Question 10

True/False - Blood Stagnation always causes pain.

Answer 10

False

Question 11

What are 3 pulse qualities can be associated with Blood Stagnation?

Answer 11

1. Wiry pulse
2. Choppy pulse
3. Firm pulse

Question 12

A description of the pain qualities associated with Blood Stagnation could include ________?

Answer 12

Stabbing pain
Fixed pain
Boring pain

Question 13

Which Organ is Interior Wind always related to?

Answer 13

The Liver

Note There is mention of other Zang Organ Winds in the Su Wen, but clinically, it is only the Liver.

Question 14

What are the 4 main pathologies that can give rise to Internal Wind?

Answer 14

1. Extreme Heat
2. Liver Yang
3. Liver Fire
   4, Liver Blood or Liver Yin Deficiency

Question 15

What is the symptom that characterizes Internal Wind?

Answer 15

Involuntary movement

Question 16

What are some types of these involuntary movements? List 4 of them.

Answer 16

1. Tics
2. Tremors
3. Seizures (convulsions)
4. Opisthotonos

Question 17

What are the 2 primary causes of Internal Dampness?

Answer 17

1. Internal disharmony (e.g., Spleen Qi Deficiency)

2. Internal transformation of External Dampness

Question 18

List 5 general types of diseases that may arise from Internal Dampness

Answer 18

1. Skin diseases
2. Digestive diseases
3. Genitourinary diseases
4. Sinus diseases
5. Post-viral fatigue syndromes

Question 19

What are 3 general categories of the symptoms of Internal Dampness?

Answer 19

1. Heaviness (e.g. body, limbs, head)
2. Dirtiness (e.g. discharges, turbid urine, oozing skin)
3. Stickiness (e.g.tongue coating, taste, slippery pulse)

Question 20

Which Organs may be affected by Internal Dampness?

Answer 20

Stomach, Spleen, Bladder, Intestines, Uterus, etc.

Question 21

What are the 2 types of Internal Cold?

Answer 21

1. Empty Cold

2. Full Cold

Question 22

Empty Cold is also known as _________.

Answer 22

Yang Deficiency or Yang Xu.

Question 23

The pain of Internal Cold is described as a crampy pain, can it be relieved by hot drinks and application of heat?

Answer 23

Yes, it can be relieved by the administration of hot drinks and the application of heat to the crampy area.

Question 24

What pulse quality can be associated with Internal Cold?

Answer 24

A slow pulse.

Question 25

What is the main cause of Phlegm?

Answer 25

Spleen Deficiency

Question 26

What are 3 serious diseases that can arise from Phlegm?

Answer 26

1. Cancer 2. Heart disease 3. Stroke

Question 27

What other Organs are primarily involved in Phlegm formation?

Answer 27

1. Lung 2. Kidneys They also play a key role in the movement, transformation, and excretion of fluids.

Question 28

What are the 3 cardinal signs of Phlegm?

Answer 28

1. Swollen tongue 2. Sticky tongue coating 3. Slippery or Wiry pulse

Question 29

Phlegm often combines with 4 other pathogenic factors. What are they?

Answer 29

1. Wind 2. Cold 3. Heat 4. Damp

Question 30

Phlegm is sticky. What are 4 symptoms that are sticky?

Answer 30

1. Sticky phlegm (from lungs) 2. Sticky saliva 3. Sticky mouth 4. Sticky stools (mucus in the stools)

Question 31

Continuous, dull back pain that improves with rest can be associated with __________?

Answer 31

Kidney Deficiency

Question 32

Backache with a fixed location and a stabbing quality can be associated with _______?

Answer 32

Blood Stagnation

Question 33

Upper back pain involving the shoulders and neck can be associated with ___________?

Answer 33

Exterior Wind Invasion

Question 34

What are 4 potential causes of Xiong Bi (Chest Bi)?

Answer 34

1. Heart vessel blocked by Blood Stagnation 2. Phlegm Damp 3. Cold 4. Heart Yang Deficiency

Question 35

How might you distinguish between "Phlegm Damp accumulating in the Lung" and "Phlegm Heat accumulating in the Lung"?

Answer 35

Sputum color: Phlegm damp has white sputum Phlegm heat has yellow sputum

Question 36

Chest oppression, dyspnea, weak cough and fatigue can be associated with ____________?

Answer 36

Lung Qi Deficiency

Question 37

Chest pain, a cough with blood-tinged sputum, night sweats and tidal fever can be associated with _______?

Answer 37

Lung Yin Deficiency

Question 38

Flank pain is almost always associated with which two Zangfu organs?

Answer 38

Kidney and Gallbladder.

Question 39

What pulse quality would you expect to see with Shaoyang Disease?

Answer 39

A wiry pulse.

Question 40

Burning epigastric pain with excessive hunger, foul breath, and dry stool constipation can be associated with ______________?

Answer 40

Stomach Fire

Question 41

Slow onset tinnitus and slow onset deafness can both be due _________?

Answer 41

Kidney Deficiency

Question 42

Sudden onset of tinnitus that gets louder when covering the ears with ones hands is likely due to _________?

Answer 42

Liver and Gallbladder Fire

Question 43

Blurry vision, dry eyes can be associated with either ______________?

Answer 43

Kidney Yin Deficiency | Liver Blood Deficiency

Question 44

Absence of thirst indicates what types of conditions?

Answer 44

Cold patterns