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Diagnostics 2 Exam (10/2) Prep > Exam Prep - Final > Flashcards

Exam Prep - Final Flashcards

1
Q

INQUIRY - EATING/DRINKING

Thirst with NO desire to Drink

A

Damp-Heat

Adequate BF not circulating

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2
Q

INQUIRY - EATING/DRINKING

Excessive thirst and or craves cold drinks

A

Excess Heat

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3
Q

INQUIRY - EATING/DRINKING

Slight or some thirst with sipping

A

Yin Deficiency

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4
Q

INQUIRY - EATING/DRINKING

Unquenchable thirst, excessive urination, big eating with weight loss

A

Wasting & Thirsting syndrome “xiao ke”– Severe Yin Deficiency- Diabetes

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5
Q

INQUIRY - EATING/DRINKING

Five of the main 6 Zang organs are involved, but mainly _______& _________

A

Spleen & Stomach

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6
Q

INQUIRY - EATING/DRINKING

Excess or Deficient

A

If eating improves a condition = deficiency

If eating worsens a condition = excess

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7
Q

INQUIRY - EATING/DRINKING

Eating/Appetite - Scope of Inquiry

A

Nature - loss of appetite, overeating, hunger w/No desire to eat or abnormal taste
Degree or severity
Amount of food intake
Preferences for warm, cold, a particular flavor Accompanying symptoms

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8
Q

INQUIRY - EATING/DRINKING

Poor Appetite

A

SP Qi deficiency = failure of T&T, no fire needing to be fed
Acute external pathogen = wind-cold, etc.
Food Stagnation = (poor app, belching, bloating, dislikes pressure)

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9
Q

INQUIRY - EATING/DRINKING

Excessive Appetite

A

ST Heat/Fire = eat and be hungry again soon after
Hunger w/no desire to eat or snacking (constant) = ST yin deficiency
Sweet Craving = Love deficiency

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10
Q

INQUIRY - EATING/DRINKING

Abnormal tastes are present in the absence of

A

food and drink

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11
Q

INQUIRY - EATING/DRINKING

By way of the meridian pathways the tongue can reflect zang-fu pathology - T or F?

A

True

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12
Q

INQUIRY - DEFECATION/URINATION

Metabolic Wastes involve

A 
T&T of SP/ST
Free flow of LV Qi
Dispersing and Descending of LU
Warming of KD
UB and SJ also involved
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13
Q

INQUIRY - DEFECATION

Constipation - Excess Heat

A

Red tongue
rapid pulse
yellow coat

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14
Q

INQUIRY - DEFECATION

Constipation - Cold

A 
Yang deficiency: 
No movement
Kidneys control the two lower Yin
Sluggish
Limited peristalsis
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15
Q

INQUIRY - DEFECATION

Normal Defecation

A

1x/day, smooth, no discomfort; the feces is brown, soft and formed; no pus, blood, mucus, or undigested food

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16
Q

INQUIRY - DEFECATION

Tenesmus (definition)

A

Constant feeling of need to empty the bowel (or bladder), may be with pain or cramping.

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17
Q

INQUIRY - DEFECATION

Questions to ask Patient

A 
Time & frequency of bowel movement Form of stool
Color of stool
Quantity of stool
Smell
Sensations during defecation 
Accompanying symptoms
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18
Q

INQUIRY - DEFECATION

Abnormal Defecation Symptoms

A

Change in frequency: diarrhea, constipation
Change in form: shapeless, undigested food
Change in color: dark brown, black tar-like, red & white, grayish white
Change in sensation: unsmooth, tenesmus, burning, sagging feeling, incontinence

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19
Q

INQUIRY - DEFECATION

Excess Heat Symptoms

A 
Severe constipation
Dry stools
Abdominal pain
Dry mouth
Red Tongue, Rapid Pulse
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20
Q

INQUIRY - DEFECATION

LV Qi Stagnation/Attacking Spleen

A

Small pieces of stool, “Goat pellets”, not dry, may alternate diarrhea, sx aggravated by emotional stress or lack of activity

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21
Q

INQUIRY - DEFECATION

SP & LU Qi Deficiency

A

Dry or soft stool, days between movements, has desire but not enough energy, fatigue after bowel movement

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22
Q

INQUIRY - DEFECATION

Blood and Yin Deficiency

A

Round dry stools, normal frequency but difficult to pass, older persons, post- partum women, dizzyness, pale complexion

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23
Q

INQUIRY - DEFECATION

Acute Exterior Invasion

A

Can be cold or heat, stagnates LU function and transmits to LI

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24
Q

INQUIRY - DEFECATION

Damp-heat lower jiao

A

Foul smell w/blood, mucus, burning sensation, Tenesmus

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25
Q

INQUIRY - DEFECATION

Cold-damp invasion

A

Watery stool, abd pain better with warmth, borborygmus, Tenesmus

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26
Q

INQUIRY - DEFECATION

Food stagnation

A

After overeating, smelly stools w/undigested food and copious foul gas

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27
Q

INQUIRY - DEFECATION

LV Fire >SP

A

Tenesmus, induced/aggravated by emotional stress, alternating w/constip.

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28
Q

INQUIRY - DEFECATION
Change in Stool Form:
Yangming fu pattern

A

Dark watery stool w/foul smell, abd pain resists pressure, not relieved by passage of stool

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29
Q

INQUIRY - DEFECATION
Change in Stool Form:
SP deficiency

A

Loose stools, occasional undigested food, diarrhea worse after eating raw, cold or greasy food

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30
Q

INQUIRY - DEFECATION
Change in Stool Form:
KD Yang deficiency

A

Early morning diarrhea w/undigested food, usually follows intestinal borborygmus and abd discomfort which improves after passing diarrhea

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31
Q

INQUIRY - DEFECATION
Change in Stool Form:
Intestine Heat

A

Dry stool, dark color

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32
Q

INQUIRY - DEFECATION
Change in Stool Form:
LV Qi Stagnation

A

Goat Pellets

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33
Q

INQUIRY - DEFECATION
Change in Stool Form:
Blood deficiency

A

Small round stools, dry

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34
Q

INQUIRY - DEFECATION
Change in Stool Form:
SP/ST deficiency

A

Loose shapeless stool

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35
Q

INQUIRY - DEFECATION
Change in Stool Form:
SP Deficiency w/Damp

A

Initial stool hard followed by loose

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36
Q

INQUIRY - DEFECATION
Change in Stool Form:
LV/SP disharmony

A

Alternating loose and dry stool

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37
Q

INQUIRY - DEFECATION
Change in Stool Form:
KD/SP Yang

A

Loose w/undigested food

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38
Q

INQUIRY - DEFECATION
Change in Stool Form:
Damp-Heat LI

A

Stool w/yellow mucus

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39
Q

INQUIRY - DEFECATION
Change in Stool Form:
Food stagnation

A

Yellow sticky foul odor

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40
Q

INQUIRY - DEFECATION
Changes in Sensation:
Un-smooth defecation

A

Abdominal pain or incomplete = LV >SP or D-H in LI

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41
Q

INQUIRY - DEFECATION
Changes in Sensation:
Burning sensation in anus

A

D-H in LI

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42
Q

INQUIRY - DEFECATION
Changes in Sensation:
Tenesmus

A

Dysentery d/t D-H or KD def

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43
Q

INQUIRY - DEFECATION
Changes in Sensation:
Incontinence

A

SP and or KD yang def

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44
Q

INQUIRY - DEFECATION
Changes in Sensation:
Sagging feeling in Anus

A

Possible prolapse, SP Qi sinking

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45
Q

INQUIRY - DEFECATION
Changes in the Color of Stool -
Heat stagnation in intestines

A

Dark, yellow

Damp-Heat jaundice(LV/GB):

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46
Q

Food and drugs can change color which would not suggest a pathology…True or False?

A

True

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47
Q

INQUIRY - DEFECATION
Changes in the Color of Stool -
Blood stasis (upper GI bleeding)

A

Black, tar-like, coffee grounds

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48
Q

INQUIRY - DEFECATION
Changes in the Color of Stool -
Blood Stasis/Heat/SP sinking (lower GI bleeding)

A

Red blood

sent email to Dr. H for more info

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49
Q

INQUIRY - DEFECATION
Changes in the Color of Stool -
Damp-Heat dysentery

A

Red (blood) and white (pus)

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50
Q

INQUIRY - DEFECATION
Changes in the Color of Stool -
Damp-Heat, Jaundice (LV/GB)

A

(sent email to Dr. H for more info)

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51
Q

INQUIRY - DEFECATION
Abnormal Sensations -
Unsmooth defecation symptoms

A

Abd pain or incomplete = LV >SP or D-H in LI

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52
Q

INQUIRY - DEFECATION
Abnormal Sensations -
Burning sensation in anus

A

D-H in LI

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53
Q

INQUIRY - DEFECATION
Abnormal Sensations -
Tenesmus

A

Dysentery d/t D-H or KD def

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54
Q

INQUIRY - DEFECATION
Abnormal Sensations -
Incontinence

A

SP and or KD yang def

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55
Q

INQUIRY - DEFECATION
Abnormal Sensations -
Sagging feeling in anus

A

Possible prolapse, SP Qi sinking

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56
Q

SCOPE OF PALPATION

Palpation of the body includes

A

Skin
Hands & Feet
Acupuncture Points/Meridians
Chest & Abdomen

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57
Q

SCOPE OF PALPATION

Determine

A

Hot or Cold
Moist or Dry
Swollen or Distended

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58
Q

SCOPE OF PALPATION

Exterior Heat

A

Heat is intense upon initial pressure but becomes mild after prolonged pressure

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59
Q

SCOPE OF PALPATION

Interior Heat

A

Heat is mild upon initial pressure and becomes intense after prolonged pressure

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60
Q

SCOPE OF PALPATION

Damp Heat

A

Skin not hot but sticky and or more heat with prolonged pressure

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61
Q

SCOPE OF PALPATION

Yang Deficiency

A

Icy cold hand and feet which can extend above the knees and elbows

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62
Q

SCOPE OF PALPATION

Yang Collapse

A

Icy cold extremities with oily sweat, pale face, weak deep pulse

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63
Q

SCOPE OF PALPATION

LV Qi Stagnation

A

Cold extremities, but abdominal/chest temperature is warm or hot; also true heat false cold

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64
Q

SCOPE OF PALPATION

Yang Stagnation

A

Cold fingers and toes that warm easily

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65
Q

SCOPE OF PALPATION

Exterior Cold

A

Skin is not cold but patient feels cold

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66
Q

SCOPE OF PALPATION

KD Yang Deficiency

A

Cold felt in the loins, lower abd and lower back

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67
Q

SCOPE OF PALPATION

Wind Heat

A

Warm moist skin

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68
Q

SCOPE OF PALPATION

Interior Excess Heat

A

Hot moist skin

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69
Q

SCOPE OF PALPATION

Yang Deficiency Collapse

A

Cool moist skin

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70
Q

SCOPE OF PALPATION

Wind-Cold Excess

A

Dry skin

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71
Q

SCOPE OF PALPATION

LU Yin Deficiency

A

Dry skin

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72
Q

SCOPE OF PALPATION

Bi Syndrome

A

Dry, rough and thick skin

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73
Q

SCOPE OF PALPATION

Blood stagnation/Exhaustion of fluid

A

Scaly, dry skin

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74
Q

SKIN TEXTURE
Condition of Qi & Blood -
Moist and smooth

A

Qi and blood sufficient

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75
Q

SKIN TEXTURE
Condition of Qi & Blood -
Rough & Dry

A

Qi and blood defic & stagnation

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76
Q

SKIN TEXTURE
Condition of Qi & Blood -
Very dry and scaly

A

Blood stagnation/defic.

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77
Q

EXAMINING SWELLING

Qi Swelling

A

Pitting is formed when pressed but returns to normal soon after pressure is released; indicates local qi stagnation

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78
Q

EXAMINING SWELLING

Edema (water-swelling)

A

Pitting is formed when pressed, but does not return to normal soon after release of pressure; indicates dampness or water retention

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79
Q

SCOPE OF PALPATION

Cold hands and feet indicate either

A

yang deficiency or yin excess

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80
Q

SCOPE OF PALPATION

Hot hands and feet indicate either

A

yang excess or yin deficiency

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81
Q

SCOPE OF PALPATION
Hands/Feet -
KD Yang Deficiency

A

hands and feet are cold; sensation of cold may extend above the elbows and knees

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82
Q

SCOPE OF PALPATION
Hands/Feet -
Excess cold or Qi stagnation

A

cold only on hands and feet or below elbows and knees

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83
Q

SCOPE OF PALPATION
Hands/Feet -
Excess heat

A

hands and feet are warmer on the dorsum

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84
Q

SCOPE OF PALPATION
Hands/Feet -
Deficiency heat

A

hands and feet are warmer on the palms

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85
Q

SCOPE OF PALPATION
Hands/Feet -
Exterior Heat

A

forehead and dorsum of hands and feet is hotter than palm

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86
Q

SCOPE OF PALPATION
Hands/Feet -
Interior Heat

A

palms of hands and feet are hotter than the dorsum and forehead

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87
Q

INQUIRY - URINATION

Enuresis definition

A

spontaneous urination while sleeping but controlled when awake

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88
Q

INQUIRY - URINATION

Dysuria definition

A

difficult urination, passing as drops, low volume (mild, chronic)

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89
Q

INQUIRY - URINATION

Anuria definition

A

absence of discharged urine despite the urge (severe, acute)

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90
Q

INQUIRY - URINATION

Formation of urine is controlled by

A

Bladder w/help from Stomach, Spleen, Lung, Small Intestine, Kidney, Liver, SJ

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91
Q

INQUIRY - URINATION

Normal urination

A

average 4-6 times/day, not at all or once at night, amount 1500- 2000ml (total), clear yellow color

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92
Q

INQUIRY - URINATION

Frequency, color, and quantity are influenced by

A

fluid intake, air temp/relative humidity, sweating and age

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93
Q

INQUIRY - URINATION

Scope of Inquiry

A

Urine color
Odor
Time and frequency Quantity
Sensations during urination Accompanying Sx

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94
Q

INQUIRY - URINATION

Abnormal/Pathological Urination

A

zangfu dysfunction, deficiency of body fluid, dysfunction of qi hua, water retention

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95
Q

INQUIRY - URINATION
Scanty Urination
Excess Heat & Yang Def

A

● Excess heat, fluid loss: scanty yellow urine

● Yang defic: scanty and clear urine w/edema

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96
Q

INQUIRY - URINATION

Copious Urination

A

● Xiao ke/Kidney Yin defic: thirst w/ large liquid intake, may be more yellow
● KD Yang defic: clear & copious

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97
Q

INQUIRY - URINATION

Damp Heat qualities

A

urgent, dark-yellow, scanty, painful (uti), acute

98
Q

INQUIRY - URINATION

KD Qi Def qualities

A

clear, chronic, more mild than Kd yang, more daytime

99
Q

INQUIRY - URINATION

LV Qi Stagnation qualities

A

small amounts of urine initiated/aggravated by stress

100
Q

INQUIRY - URINATION

KD Yang Def qualities

A

much more frequent at night, chronic, cold signs

101
Q

INQUIRY - URINATION

Abnormal color

A 
Excessive heat: yellow urine
Deficient cold: clear urine
Damp-heat: turbid yellow urine
Heat causing bleeding: red urine
Xiao ke disease: profuse milky/cloudy urine
102
Q

INQUIRY - URINATION

Abnormal Sensations or Elimination -

A

Burning pain = Damp-heat: urgent, frequent (uti), acute

103
Q

INQUIRY - URINATION

Abnormal Sensations or Elimination -

A

Dribbling urine = KD qi defic: dribble, drips after urination, chronic

104
Q

INQUIRY - URINATION

Abnormal Sensations or Elimination -

A

Incontinence = KD qi defic: spontaneous discharge of urine while awake

105
Q

INQUIRY - URINATION

Abnormal Sensations or Elimination -

A

Enuresis = KD qi defic: spontaneous discharge while sleeping, normal daytime

106
Q

INQUIRY - URINATION
Abnormal Sensations or Elimination -
Dysuria/Anuria (difficulty eliminating, only dripping or complete absence of urine flow)

A

● KD Yang defic
● KD Stone/Blood Stasis = obstruction of
urinary tract
● Damp-heat lower jiao = impaired function of Bladder qi

107
Q

INQUIRY - SLEEP

Yin

A

night, dark, quiet, Spirit/shen and Qi move inward to the interior

108
Q

INQUIRY - SLEEP

Yang

A

day, bright, loud, Spirit/shen and Qi move outward to the exterior

109
Q

INQUIRY - SLEEP

Shen/Spirit

A

Shen/Spirit is more Qi and Yang but is “rooted” in and nourished by Blood and Yin

110
Q

INQUIRY - SLEEP

Main organ systems involved

A

Heart, Liver, Kidney, Spleen, Stomach

111
Q

INQUIRY - SLEEP

Scope of Inquiry

A

Sleeping time and hours
State of sleeping- easy or difficult to fall asleep, easily wakened, amount and intensity of dreams
Accompanying Sx- irritability, palpitations, thirst etc.

112
Q

INQUIRY - SLEEP

Insomnia

A

difficulty falling asleep
early awakening
intermittent waking or inability to sleep thru night
restlessness during sleep dream-disturbed sleep

113
Q

INQUIRY - SLEEP

Excess type Insomnia caused by LV Qi Stag w/Heat

A

dream-disturbed or restless sleep, induced or aggravated by emotional stress; hypochondriac pain/fullness, headache

114
Q

INQUIRY - SLEEP

Excess type insomnia caused by Phlegm heat disturbing heart

A

restless in bed, easily awakened, irritability; full/stifling sensation in chest, phlegm, nausea, cloudy thinking

115
Q

INQUIRY - SLEEP

Excess type insomnia caused by Food Stag

A

more difficulty falling asleep, abd discomfort, aggravated by large meal or late eating; acid regurg, foul belching

116
Q

INQUIRY - SLEEP

Excess type insomnia caused by Blood Stag

A

inability to sleep, severe agitation, anxiety, maybe chest pain; night fever, moodiness, palpitations, mania

117
Q

INQUIRY - SLEEP

Deficient type insomnia caused by HT & KD disharmony

A

difficulty falling asleep, intermittent waking; dizzy, poor memory, tinnitus, weak back, night sweat, 5 palm heat

118
Q

INQUIRY - SLEEP

Deficient type insomnia caused by HT & SP Def

A

easily falls asleep but sleep is light and shallow/easily awakened; poor memory, palpitations, poor app, fatigue

119
Q

INQUIRY - SLEEP

Deficient type insomnia caused by LV & HT Blood Def

A

difficulty falling asleep, dream-disturbed sleep, restlessness, irritability; anxiety, palpitations, night sweat

120
Q

INQUIRY - SLEEP

Deficient type insomnia caused by HT & GB Qi Def

A

difficult to fall asleep, fearfulness before sleep, easily awakened, waking up frightened, easily startled, timidity

121
Q

EMOTIONS - DEPRESSION

Excess - LV Qi Stagnation

A

depressed, feelings, moodiness, irritability, can be w/heat and or w/phlegm (plum-pit)

122
Q

EMOTIONS - DEPRESSION

Excess - Phlegm Fire Harassing HT/Mind

A

depression-anxiety, agitation, restlessness

123
Q

EMOTIONS - DEPRESSION

Excess - HT Blood Stasis

A

long-term depression, agitation, inability to sleep

124
Q

EMOTIONS - DEPRESSION

Excess - GB Heat

A

depression, irritability, bitter taste

125
Q

EMOTIONS - DEPRESSION

Deficiency - SP & HT Def

A

depression, fatigue, insomnia, palpitations

126
Q

EMOTIONS - DEPRESSION

Deficiency - HT Yang Def

A

depression, cold hands, palpitations, sob

127
Q

EMOTIONS - DEPRESSION

Deficiency - LV Blood Def

A

same as stagnation + bld defic signs

128
Q

EMOTIONS - DEPRESSION

Deficiency - KD & HT Yin Def

A

depression, anxiety, palpitations, night sweat

129
Q

EMOTIONS - DEPRESSION

Deficiency - KD Yang Def

A

depression, lack of motivation, no will power, cold, frequent urination

130
Q

EMOTIONS - FEAR/ANXIETY

Deficiency

A

In deficiency of yin or blood the shen and hun lose their residence in the blood and the patient will feel anxious

131
Q

EMOTIONS - FEAR/ANXIETY

Excess

A

In excess the shen and hun may be agitated or forced out of the blood by qi stagnation, blood stasis, heat or phlegm-heat

132
Q

EMOTIONS - FEAR/ANXIETY

Excess - HT Fire

A

severe anxiety, palpitations, panic attacks HT

133
Q

EMOTIONS - FEAR/ANXIETY

Excess - Blood stasis

A

severe anxiety, palpitations

134
Q

EMOTIONS - FEAR/ANXIETY

Excess - Phlegm-Fire Harassing HT

A

severe anxiety, manic behavior

135
Q

EMOTIONS - FEAR/ANXIETY

Excess - LV Fire

A

severe anxiety, h/a, anger outbursts

136
Q

EMOTIONS - FEAR/ANXIETY

Deficient - HT Blood Def

A

mild anxiety, insomnia, palpitations, poor memory

137
Q

EMOTIONS - FEAR/ANXIETY

Deficient - HT Yin Def

A

anxiety worse at night, palpitations, night sweat

138
Q

EMOTIONS - FEAR/ANXIETY

Deficient - LV Blood Def

A

mild anxiety, depression, insomnia, dream disturbed sleep

139
Q

EMOTIONS - FEAR/ANXIETY

Deficient - LV Yin Def

A

mild anxiety w/ LV yin signs

140
Q

EMOTIONS - FEAR/ANXIETY

Deficient - KD Yin Def

A

anxiety worse at night, poor will-power, tinnitus

141
Q

EMOTIONS - FEAR/ANXIETY

Deficient - HT & GB Qi Def

A

mild anxiety, timidity, insomnia

142
Q

EMOTIONS - FEAR/ANXIETY

Deficient - KD & HT Yin Def

A

anxiety worse at night, dizziness, tinnitus, palpitations

143
Q

EMOTIONS

Anger/Irritability

A

Irritability is similar to anger but broader in context and less intense
Propensity to anger is a Liver pattern
General mild irritability may involve any of the organ systems

144
Q

EMOTIONS - WORRY/OVER-THINKING

HT & SP Qi Def

A

By far the most common pattern

worry, obsessive thinking, palpitations, poor appetite, poor sleep, poor memory, fatigue

145
Q

EMOTIONS - WORRY/OVER-THINKING

LU Qi Def

A

worry, sob, depression, fatigue

146
Q

EMOTIONS - WORRY/OVER-THINKING

HT Yin Def

A

worry worse at night, anxiety, restlessness, uneasiness, palpitations, irritability

147
Q

EMOTIONS - SADNESS

LU & HT Qi Def

A

sadness, crying, depression, sob, palpitations

148
Q

EMOTIONS - SADNESS

LV Blood Def

A

post-partum sadness, worse after menses, crying, feeling lost

149
Q

EMOTIONS - SADNESS

HT Blood Def

A

sadness, crying, depression

150
Q

EMOTIONS - SADNESS

LU & LV Qi Stag

A

sadness, plum-pit, mild irritability, depression, chest tightness, anxiety

151
Q

MEN - IMPOTENCE

KD Yang Def

A

feeling cold, weak sore back and knees, dizziness, tinnitus, clear frequent profuse urine

152
Q

MEN - IMPOTENCE

Damp-Heat in LV Channel

A

urethral discharge, irritability, heavy sensation in the scrotum

153
Q

MEN - LACK OF LIBIDO

A

KD qi or Yang deficiency

Severe qi deficiency or SP, HT, LU LV Qi Stagnation

154
Q

MEN - PREMATURE EJACULATION

A

KD Qi not firm/Yin/Yang deficiency
HT Qi deficiency
HT Blood deficiency
Excess or Deficient heat in the Heart

155
Q

MEN

Tiredness and dizziness after ejaculation

A

KD Deficiency

156
Q

PULSE

Principle Positions

A

Cun
Guan
Chi

157
Q

PULSE

Rates (ages 1-4, 4-10, 10-16)

A

Age 1-4 years = 90+ beats/minute
Age 4-10 years = 84 beats/minute
Age 10-16 years = 78/80 beats/minute

158
Q

PULSE

Clinical Conditions

A

Fast = greater than normal heat
Slow = greater than normal cold
Can indicate the state of Yin and Yang
Slow pulse can indicate Yang or Qi deficiency
Fast pulse can indicate a Yin or Blood deficiency

159
Q

PULSE

The 3 levels

A 
Qi = near top (radial artery)
Blood = near middle of vessel
Organ = near the bottom of vessel
160
Q

PULSE

Skin surface or Superficial level

A

Usually indicates an exterior disease
Felt by just resting fingers on the skin above the artery
For Board Exam: Qi depth & Superficial levels are the same (Macioca)

161
Q

PULSE

Energy levels

A 
Superficial/Qi = Exterior
Middle = Stomach and Spleen
Deep = Interior
162
Q

PULSE

Organs (levels)

A 
Superficial/Qi = Heart-Lungs
Middle = Stomach-Spleen
Deep = Kidneys
163
Q

PULSE

Left arm

A

HT
LV
KD
“I left my heart in Liverpool”

164
Q

PULSE

Right arm

A

LU
SP
KD

165
Q

PULSE

Normal

A

Rate: 4-5 beats per breath
Moderate in depth, force, size
Smooth flow with regular rhythms

166
Q

PULSE

Rates (16-35, 35-50, 50+)

A

Age 16-35 years = 76 beats/minute
Age 35-50 years = 72/70 beats/minute
Age 50+ years = 68 beats/minute

167
Q

PULSE

Floating Tight

A

Floating Tight = Wind Cold

168
Q

PULSE

Floating Rapid

A

Floating Rapid = Wind Heat

169
Q

PULSE

Floating Empty

A

Floating Empty = Yin Deficiency

170
Q

PULSE

Floating Weak

A

Floating Weak = Prolonged illness

171
Q

PULSE

Floating Diffuse

A

Floating Diffuse = Exterior Deficiency

172
Q

PULSE

Deep Forceful

A

Deep Forceful:
Interior Excess (heat/cold)
Qi/Blood Stagnation

173
Q

PULSE

Deep Weak

A 
Deep Weak:
Interior Deficiency (Qi or Yang)
174
Q

PULSE

Slow

A

Under 3 beats/breath (40-60 bpm)
Can be normal for athletes
Can be indicative of Blood Thick (sticky blood)

175
Q

PULSE

Slow Weak

A

Slow Weak = Cold Yang Deficiency

176
Q

PULSE

Slow Forceful

A

Slow Forceful = Excess Cold

177
Q

PULSE

Rapid

A

More than 5 beats/breath (90-120 bpm)
Heat patterns (blood accelerated)
Fever, Heart disease, anemia hyperthyroid, myocarditis

178
Q

PULSE

Rapid Forceful

A

Rapid Forceful = Full Heat

179
Q

PULSE

Rapid Weak

A

Rapid Weak = Yin Def Heat

180
Q

PULSE

Empty

A

Forceless in all 3 levels
Indicates deficiency across the board
- Qi, Blood, Zang-fu
- Weak Root/KD Deficiency

181
Q

PULSE

Full Rapid

A

Full Rapid = Excess Heat

182
Q

PULSE

Full Slow

A

Full Slow = Excess Cold

183
Q

PULSE

Two possible diagnosis for Full pulse

A

Food Stagnation

Qi Stagnation

184
Q

PULSE

Slippery

A

Smooth, rounded and slides under the fingers
Phlegm/Damp
Food retention
Pregnancy

185
Q

PULSE

Choppy

A 
Feels rough under the fingers
Jagged edge, like a sawtooth blade
Blood & BF Deficiency (excess vomiting of sweating)
Severe Blood Stasis
Generally indicates Blood Deficiency
186
Q

PULSE

Long

A

Waveform is overextended
Feels longer than normal
Gen. indicates Heat patterns, which can be associated w/stagnations
i.e. constipation

187
Q

PULSE

Short

A

Waveform of shortened
Feel shorter than normal
Indicates Severe Qi Deficiency, predominately ST Qi Deficiency

188
Q

PULSE

Overflowing

A 
Feels big
Extends beyond the principal positions
Superficial
“Flooding River”
Indicates Extreme Heat
189
Q

PULSE

Overflowing Empty

A

Overflowing Empty = Yin Deficient Heat

190
Q

PULSE

Fine/Thin

A

Thinner than normal
Indicates:
- Blood Deficiency or
- Internal Damp w/Severe Qi Deficiency

191
Q

PULSE

Minute

A 
More so than Thin/Fine
Difficult to feel
Indicates severe deficiencies
Qi, Blood, Yang and Yin
Critical
192
Q

PULSE

Tight

A

Feels like twisted thick rope

Pain and or Cold

193
Q

PULSE

Tight Floating

A

Tight Floating = Exterior Cold

194
Q

PULSE

Tight Deep

A

Tight Deep = Interior Cold

195
Q

PULSE

Wiry

A 
Feels like a Guitar string
Harder than a Tight pulse
‘Hits fingers’
Pain
LV disharmonies
Phlegm
GB Damp Heat
196
Q

PULSE

Tense

A 
Like a stretched rope/string
In between Tight and Wiry
Cold
Pain
Food Retention
197
Q

PULSE

Hollow

A

Felt only at the Superficial and Deep levels, absent middle quality
Indicates post hemorrhage
Rapid and slightly hollow indicates forthcoming blood loss

198
Q

PULSE

Leather

A

Hard and Tight at the Superficial level
Drum skin like
Empty at Middle and Deep levels
Critical/severe Deficiency of KD Essence or Yin

199
Q

PULSE

Firm

A

Felt only at Deep level and feel Hard and Wiry
Similar to Wiry pulse buy only at the Deep level
Interior Stagnation pain
Interior Cold/Hernia

200
Q

PULSE

Soft/Soggy

A

Felt Superficially, lacks strength and will disappear with pressure
Yin & Essence Deficiency
Damp Syndromes

201
Q

PULSE

Weak

A

Only felt at the Deep level
Forceless, Thready/Thin
Extreme Yang Deficiency

202
Q

PULSE

Scattered

A

Superficial, feels broken into small dots or pieces
Critical, indicates severe Qi and Blood Deficiency
Organ failure, Extreme Deficiency

203
Q

PULSE

Hidden

A 
Feels hidden beneath the bone
Extremely Deep, Forceless & Thready/Thin
Extreme Yang Deficiency
Profuse bleeding
Hypotension 60/30
Heart Shock
Severe pain
204
Q

PULSE

Moving

A

Feels like a vibration or electrical
‘Spinning Bean’
Indicates sudden shock, anxiety, fright or extreme pain
Typically found in the Guan position

205
Q

PULSE

Hasty

A

Rapid and stops at irregular intervals
Extreme Heat
Heart Qi Deficiency
Heart Fire

206
Q

PULSE

Knotted

A

Slow and stops irregularly
Indicates Cold and Deficiency of HT Qi
HT disease
Cold Phlegm

207
Q

PULSE

Intermittent

A

Stops at regular intervals
Always indicates a serious issue with Zang organs
Stops 4 beats or less

208
Q

PULSE

Hurried

A

Very rapid
Feels agitated and urgent
Excess Yang & Fire Exhausting Yin

209
Q

PAIN - HEAD & BODY

Distending Pain

A 
Pain feels swollen or with pressure
Sudden onset
Comes and goes
Qi stagnation
Hyperactivity of Liver Yang/LV fire
210
Q

PAIN - HEAD & BODY

Stabbing Pain

A 
Boring pain
Fixed location
Sharp, severe
Small area
Blood stasis
211
Q

PAIN - HEAD & BODY

Unfixed Pain

A

Migrating pain
Moves without a definite location
Wind Bi Syndrome
Qi stagnation

212
Q

PAIN - HEAD & BODY

Fixed Pain

A

Cold Bi Syndrome

Blood Stasis


213
Q

PAIN - HEAD & BODY

Cold Pain

A 
Usually localized
Can be cramping or spastic
Cold sensation
Yang Qi Deficiency
Exterior Cold Invasion
214
Q

PAIN - HEAD & BODY

Burning Pain

A

Burning sensation
Localized
Yang Excess (internal/external)
Yin Deficiency

215
Q

PAIN - HEAD & BODY

Colic Pain

A

Severe
Twisting knife
Larger area
Excess syndrome

216
Q

PAIN - HEAD & BODY

Dull Pain

A

Mild
Chronic
Deficiency of Yin or Blood
Deficiency of Yang or Qi

217
Q

PAIN - HEAD & BODY

Heavy Pain

A

Often in limbs
Achey
Dampness

218
Q

PAIN - HEAD & BODY

Aching Pain

A

Mild to more severe
Often with heavy or dull
Exterior Dampness
KD Deficiency

219
Q

PAIN - HEAD & BODY

Hollow Pain

A

Empty and light feeling
Preference for pressure and warmth
Qi & Blood Deficiency
Essence Deficiency

220
Q

PAIN - HEAD

YangMing channel

A

Yangming channel headache= LI/ST

221
Q

PAIN - HEAD

ShaoYang channel

A

Shaoyang channel headache = GB/SJ

222
Q

PAIN - HEAD

TaiYang channel

A

Taiyang channel headache = BL/SI

223
Q

PAIN - HEAD

JueYin channel

A

Jueyin channel headache = LV/PC

224
Q

PAIN - HEAD
Exterior Types (Excess)
Diagnosis

A

Wind Cold
Wind Heat
Wind Damp

225
Q

PAIN - HEAD
Internal headache (Deficiency)
Diagnosis

A

Qi Deficiency
Blood Deficiency
KD Deficiency
SP Deficiency

226
Q

PAIN - HEAD

Diagnosis

A

Phlegm
LV Fire flares upwards
Blood Stasis

227
Q

PAIN - HYPOCHONDRIAC

Diagnosis

A 
LV Qi Stagnation
Shaoyang syndrome
Damp Heat in LV/GB
LV Blood Stagnation
LV Fire Stagnation
LV Yin Deficiency
228
Q

PAIN - ABDOMINAL

Diagnosis

A 
Deficiency syndrome
Excess syndrome
Cold syndrome
Heat syndrome
Intestinal Parasites
Enuresis
229
Q

PAIN - BACK

Diagnosis

A 
Wind-Cold in Taiyang
Damp-Heat
Wind-Damp-Cold
Blood Stasis
KD Deficiency
230
Q

PAIN - LIMBS

Diagnosis

A 
Migratory Arthralgia (Wind)
Cold Arthralgia
Damp Arthralgia
Heat Arthralgia
Blood Stasis
Qi & Blood Deficiency
KD & LV Deficiency
231
Q

PAIN
General Aches
Diagnosis

A 
Wind Cold
Damp
Qi & Blood Deficiency
Blood Deficiency
Blood Stasis/Cold
232
Q

INQUIRY - CHILLS

A

Cold sensation felt by patient
Aversion to Wind
Aversion to Cold
Intolerance to Cold

233
Q

INQUIRY - FEVER

A 
Sensation of heat felt by patient
Can be just a subjective feeling or an actual elevation of body temp
Low grade fever
  - Tidal fever
  - High fever
234
Q

INQUIRY - LOW GRADE FEVER

Qi/Yang Deficiency:

A

Intermittent
Occurs in morning or afternoon
Induced or worsened by activity
Middle burner Qi Deficiency leading to stagnation producing heat

235
Q

INQUIRY - LOW GRADE FEVER

Blood Stagnation:

A

PM or nighttime
Localized sensation of heat w/fixed and sharp pain
After a traumatic injury
Stagnation transforming into heat

236
Q

INQUIRY - LOW GRADE FEVER

Qi/Yin Deficiency:

A

Usually late afternoon or nighttime - especially in hands, feet, chest - Malar flush
Yin Deficiency leads to relative Yang Excess and endogenous heat

237
Q

INQUIRY - TIDAL FEVER

Yin Deficiency:

A

Usually late afternoon or nighttime - especially in hands, feet and chest - Malar flush
Yin Deficiency leading to relattive Yang Excess and endogenous heat

238
Q

INQUIRY - TIDAL FEVER

Damp Heat:

A

Initially skin feels normal
Prolonged touch feels hot, worse in PM
Sweat alleviates a little but heat quickly returns
Damp_heat in middle burner prevents heat from radiating outward
Dampness is sticky and hard to resolve, becomes prolonged and chronic

239
Q

INQUIRY - TIDAL FEVER

YangMing Fu Syndrome:

A

High grade tidal fever
Occurs and aggravated between 3-5pm
‘The 4 Bigs’: Big thirst, Big pulse, Big fever, Big sweat
Yangming peaks at 3-5pm (when pathogenic battle is strongest)

240
Q

INQUIRY - SWEAT

Exterior Wind-Cold Invasion

A 
Acute onset
Severe chills
Mild fever
No sweat
HA and body aches
nasal obstruction
241
Q

INQUIRY - SWEAT

Nutritive/Defensive qi disharmony d/t exterior pathogen

A 
Spontaneous seating
Aversion to Wind
Body aches
Fever
Chills
Sneezing

Diagnostics 2 Exam (10/2) Prep (1 decks)

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