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Livingston Year 1 > Exterior/Interior Patterns > Flashcards

Exterior/Interior Patterns Flashcards

1
Q

EXTERIOR PATTERNS

  • Invasion of __________?
  • Struggle b/w ________ and _________?
    FEVER and CHILL (aversion to ____ and ____) present simultaneously
A
  • Invasion of external pathogen
  • Struggle b/w Upright Qi and Evil (EPF)
  • Fever and chills aversion to WIND/COLD
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2
Q

Fa Re

A

To feel hot to the touch, but does not necessarily indicate elevated body temperature; “heat effusion”; “fever”

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3
Q

Taiyang Wind Strike

Fever? Chills?

A
  1. Aversion to wind (kind of chill), slight feverishness, sweating
    - exterior wind invasion with deficiency
    - headache, stiff neck
    PULSE: floating (exterior) and moderate (normal)
    TONGUE: thin, white fur
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4
Q

Taiyang Cold Damage

Fever? Chills?

A
  1. More chills than fever, no sweating
    - exterior wind-cold excess
    - headache, body aches, wheezing
    TONGUE: thin white coating
    PULSE: floating and tight
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5
Q

Exterior-wind-heat attaching the Defensive level (Exterior wind-heat invasion)
Fever? Chills?

A
  1. More fever than chills
    - fever, slight aversion to wind or slight chills, slight or no sweating, dry mouth, slight thirst, headache, general body ache (heat affects body fluids), sore throat
    TONGUE: red tip with thin white coat
    PULSE: floating and rapid (heat)
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6
Q

INTERIOR PATTERNS

A
  • External pathogen has moved from the exterior and entered into the interior of the body
    OR
  • Endogenous cold or heat from excess or deficiency is present in the interior
    *Here there is typically no mingling hot and cold sensations simultaneously – one or the other is present
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7
Q

HIGH fever or feeling hot

A

Interior Heat Pattern– Interior heat excess
- high fever, red complexion, thirst with desire to drink cold water, profuse sweating
TONGUE: red body, thick, dry, yellow coat
PULSE: surging (excess) and rapid

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8
Q

Low Grade Fever

A

Interior Heat Pattern – Yin deficiency patterns (deficient heat)
- feeling hot mostly at night or in flushes, red cheeks, thirst with only slight desire to drink and a preference for cold water, night sweating, five-palm heat
TONGUE: red body, little or no coat
PULSE: thin, weak, rapid

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9
Q

Name the 3 causes of Tidal Fever

What is tidal fever?

A
  1. Yangming Fu (St, LI) disease
  2. Damp Heat Patterns
  3. Yin Deficiency Patterns
    Tidal Fever - a fever that gets worse or occurs only at certain times
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10
Q

Yangming Fu disease (tidal fever)

A

Interior Heat Pattern
- high fever that gets worse between 3-5 pm, constipation with dry stool, abdominal fullness and distention, scant yellow urine
TONGUE: red body, dry yellow coat
PULSE: rapid, forceful

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11
Q

Damp Heat Patterns (tidal fever)

A 
Interior Heat Pattern
- fever that gets worse in the afternoon (not as high as Yangming fever) and that does not abate with sweating
- clammy, heaviness of head and body
TONGUE: red body, greasy yellow coat
PULSE: rapid, slippery (damp)
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12
Q

Yin Xu Patterns (tidal fever)

A

Interior Heat Pattern
- low grade “fever” that gets worse in afternoon or evening, steaming bone (sensation of heat in the bones), 5-Palm heat, malar flush, night sweats, emaciation dry mouth and throat
TONGUE: thin and red body with little to no coating
PULSE: thin (yin Xu), rapid, [weak: added in class]

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13
Q 
Yang Deficiency (deficiency cold)
Interior Cold Pattern
A
  • aversion to cold, cold body and limbs, spontaneous sweats, other yang deficiency symptoms
  • chronic diseases
    TONGUE: pale, wet
    PULSE: deep (interior), slow (cold), weak (Xu)
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14
Q

Interior Cold Excess

Interior Cold Pattern

A
  • exogenous cold which has moved to interior
  • strong aversion to cold, absence of thirst, cold and painful abdomen, cold and pain in local areas
    PULSE: deep (interior), slow (cold), tight (excess cold), forceful (excess)
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15
Q

Shaoyang Disease

A
  • Alternating chills and fever****
  • exogenous cold which is half in the exterior and half in the interior and transforming to heat
  • alternating chills and fever, bitter taste, dry mouth, dizziness, blurry vision, fullness and oppression in the costal and hypochondriacal regions, poor appetite (wood overacting on earth), mental restlessness, nausea or vomiting
    PULSE: wiry
    [constrained Shaoyang Fire (ministerial fire), transforms to pathological heat
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16
Q

Key points when inquiring about SWEAT (5)

A
  • presence or absence
  • location
  • nature
  • time
  • quantity
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17
Q

SWEAT and Exterior Patterns

No sweat (1)
Sweat (2)
A

No sweat
- Taiyang Cold Damage (ext wind-cold excess)
- no sweat, chills more than fever, still and painful nape and neck, headache, floating and tight pulse
Sweat
- Taiyang wind-strike
- sweating, aversion to wind, slight feverishness, floating and moderate pulse
- Exterior Wind-Heat Invasion
- sweating, fever more than chills, headache, sore throat, floating and rapid pulse

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18
Q

SWEAT and Interior Patterns

What are the 3 types?

A
  1. Spontaneous sweating (“self sweat”)
  2. Night Sweating (“thief sweat)
  3. Whole body sweating
19
Q

Spontaneous Sweating (self sweat)

A

Interior Pattern

  • sweating in the daytime that is not related to emotions, temperature or exercise, but is worse with exertion
  • QI/YANG DEFICIENCY
  • sweating during the day that is worse with exertion
  • aversion to wind and cold, weak immunity (easy catching colds), pale complexion, listless and fatigued, thin and weak pulse [deep added in class]
20
Q

Night Sweating (thief sweat)

A
  • sweating that occurs during sleep
  • YIN DEFICIENCY
  • night sweats, tidal fever, malar flush, five-palm heat, thin red tongue with little to no coat, thin and rapid pulse
  • sleep occurs when yang “enters” yin – when yin is deficient, yang is relatively more and steams the yin, causing night sweats
21
Q

Whole Body Sweating

2 types

A

Interior Heat Excess
- (profuse) sweating that occurs over the entire body, fever, thirst with a desire to drink, constipation, dark urine, rapid and forceful pulse

Collapse of Yang, Desertion of Yang Qi
- profuse sweating over entire body, cold limbs, faint pulse
Tongue: ready body, yellow coat
(SEVERE Yang Xu)

22
Q

Dizziness and Deficiency

A

QI AND BLOOD XU
- dizziness aggravated by overwork or postural changes, blurry vision, pale complexion, palpitations (not receiving enough Qi and blood), insomnia (blood not nourishing Shen), pale tongue with thin coat, weak [thin] pulse
KIDNEY ESSENCE DEFICIENCY
- dizziness, tinnitus (Kid opens to ear), nocturnal emission, poor memory, sore and weak low back and knees, pale tongue, weak pulse
*Kid stores Essence, Essence generates Marrow, Brain = Sea of Marrow

23
Q

Dizziness and Excess Patterns

A

LIVER YANG RISING-POSSIBLY WITH STIRRING OF LIVER WIND
- dizziness, dis tending headache, red complexion and eyes, tinnitus, bitter mouth, dry throat, wiry pulse
PHLEGM DAMP OBSTRUCTING CLEAR-YANG FROM ASCENDING TO NOURISH HEAD – turbid yin
- dizziness, heavy and foggy head, stuffy chest, nausea, vomiting phlegm, greasy tongue coat [puffy, wet]

24
Q

HEADACHE - Excess and Xu patterns, general

A

Excess - sudden onset, short duration, constant and more intense pain (e.g. Headache from Exterior wind-cold invasion)
Deficiency - slow, gradual onset, chronic, lingering, intermittent, interior patterns (e.g. Qi and Blood Xu, overtime becomes deficient)

25
Q

Headache

  1. Heavy feeling?
  2. Pain in the Brain?
  3. Distending, throbbing?
  4. Sharp, fixed, boring pain?
  5. With Muzziness, heaviness, and dizziness?
A
  1. Dampness or phlegm
  2. Kid deficiency
  3. Liver Yang Rising
  4. Blood Stasis
  5. Dampness
  6. Phlegm
26
Q

HEADACHE - YANG LEVELS

Taiyang, Shaoyang, Yangming Channels

A

TAIYANG - Occipital, radiate to neck and upper back, stiff neck/shoulders
YANGMING - Frontal, pain in forehead and eyebrows
SHAOYANG - temporal, pain in temples, sides of head, ears

27
Q

HEADACHE - YIN LEVELS

Taiyin, Shaoyin, Jueyinb Channels

A

TAIYIN - headache with dizziness and heaviness of head, diarrhea, spontaneous sweating
SHAOYIN - headache with pain in brain and teeth (kidney)
JUEYIN - Vertex headache, radiating to sides of head and behind eyes, sensation of Qi rising, possible nausea and vomiting
- Running Piglet, Wood overacting on Earth

28
Q

PAIN IN WHOLE BODY

  1. Sudden onset, with fever and chill
  2. Ache all over with fatigue
  3. Post-partum dull pain
  4. Post-partum severe pain
  5. Dull ache in muscles, especially limbs, with heaviness
A
  1. Exterior wind invasion
  2. Qi and blood Xu
  3. Blood deficiency
  4. Blood stasis
  5. Dampness
29
Q

BACKACHE
1. Continuous, dull, better with rest
2. Recent onset, severe, with stiffness
3. Pain that is aggravated by cold and damp, alleviated by warmth
4 Fixed, stabbing pain
5. Pain in the upper back, shoulders, neck

A
  1. Kid deficiency
  2. Blood Stasis due to sprain/strain
  3. Cold damp
  4. Blood Stasis
  5. Exterior Wind invasion
30
Q

CHEST - Heart disorders

  1. Stabbing pain
  2. Chest oppression, pain radiating to back and shoulders
A
  1. Blood stasis in heart

2. Heart vessel blocked by blood stasis, phlegm damp, cold, Heart yang deficiency

31
Q

CHEST - Lung disorders

  1. Chest pain, cough, high fever, dyspnea, wheezing, nasal flaring
  2. Chest pain, cough with blood-tinged sputum, night sweats, tidal fever
  3. Chest oppression, cough with copious white phlegm, dyspnea
  4. Chest oppression, cough with copious yellow phlegm, dyspnea
  5. Chest oppression, weak cough, dyspnea, fatigue
A
  1. Excess heat in Lung
  2. Lung yin Xu
  3. Phlegm damp accumulating in Lung
  4. Phlegm heat accumulating in Lung
  5. Lung Qi deficiency
32
Q

HYPOCHONDRIUM (flanks: Liv, GB) [or Shaoyang]

  1. Distending pain in the chest and hypochondrium, sighing, irritability, wiry pulse
  2. Burning pain in hypochondrium, red complexion and eyes, wiry and rapid pulse
  3. Dis tending and heavy or burning pain in hypochondrium, yang-type jaundice, wiry and slippery pulse
  4. Fixed and stabbing hypochondrium pain that is worse at night
  5. Fullness and oppression in hypochondrium, alternating fever and chills, bitter mouth, dizziness, blurry vision, restlessness, nausea, wiry pulse
A
  1. Liver Qi stagnation
  2. Depressed-fire from Liver Qi stagnation
  3. Damp heat in Liver and GB
  4. Blood Stasis
  5. Shaoyang Disease
33
Q

EPIGASTRIUM (Cold and Heat)

  1. Cold and paroxysmal epigastric pain relieved by warmth and aggravated by cold
  2. Burning pain in epigastrium, excessive hunger, foul breath, constipation with dry stool
A
  1. Invasion of pathogenic cold in Stomach

2. Stomach fire

34
Q

EPIGASTRIUM (Qi and Blood)

  1. Distending pain aggravated by anger/stress/emotions, belching, hiccough
  2. Stabbing pain in fixed location that is worse at night
A
  1. Liver Qi stagnation with liver overacting on Stomach

2. Blood stasis in Stomach

35
Q

EPIGASTRIUM (Yin and Yang)

  1. Dull, epigastrium pain relieved by warmth and pressure
  2. Burning sensation in epigastrium, hunger but inability to eat much, red tongue with little to no coating, thin rapid pulse
A
  1. Stomach yang Xu

2. Stomach yin Xu with deficiency heat

36
Q 
ABDOMEN
Excess
Deficiency
Cold
Heat
Blood Stasis
Liver Qi Stagnation
A

Excess - pain: acute, more severe, worse with pressure
Xu - pain: chronic, less severe, better with pressure
Cold - worse with cold, better with heat
Heat - worse with heat, better with cold
Blood Stasis - fixed and sharp/stabbing pain, worse @ night
Liv Qi stagnation - dis tending and moving pain, possibly worse with stress/emotional upset

37
Q

EARS (tinnitus)

  1. Begins gradually, low pitch, off and on, reduced when cover ears with hands (pressure)
  2. Sudden onset, loud, louder when cover ears with hands
A
  1. Kidney Xu

2. Liver and GB fire

38
Q

EARS (deafness)

  1. Gradual hearing impairment or deafness that occurs after long illness or in elderly
  2. Sudden hearing loss or deafness, with bitter mouth and rib-side/flank/hypochondrium pain
A
  1. Kidney deficiency

2. Liver and GB fire

39
Q

EYES

  1. Red and painful
  2. Red without much pain
  3. Blurry vision, dry eyes
A
  1. Excess heat
  2. Deficient heat
  3. Liver yin or blood deficiency, Kidney yin or essence deficiency
40
Q

THIRST and fluid intake

  1. No thirst
  2. Dry mouth with little to no desire to drink, or only desire to sip (4)
A
  1. Cold patterns
    2.
    - Yin Deficiency (deficient-heat, deficiency so not want to drink to much)
    - Damp Heat (heat makes dry/thirst, damp subdues desire to drink)
    - Retention of phlegm fluids (body fluids not evenly distributed leads to thirst, retention of fluids, subdues desire to drink)
    - Blood Stasis (body fluids not evenly distributed leads to thirst, stasis of fluids subdues desire to drink)
41
Q 
APPETITE and food intake
Reduced Appetite (3)
No appetite (2)
A

Reduced

  • spleen and stomach Qi Xu
  • accumulation of dampness in spleen
  • damp heat in liver and GB

No appetite

  • food stagnation
  • morning sickness
42
Q

APPETITE and food intake

  1. Excessive Hunger
  2. Hunger without much desire to eat, or can only eat a small amount
  3. Cravings for strange things
A
  1. Stomach Fire – thirsty, can eat
  2. Stomach Yin Xu
  3. Parasites, Pregnancy
43
Q

Insomnia

  1. easily waking in the middle of the night, palpitations, poor memory, poor appetite, fatigue, digestive weakness, loose stools, pale tongue, weak pulse
  2. Difficulty falling asleep, mental restlessness, dream disturbed sleep, tidal fever, night sweats, sore and weak lumbar region and knees
A
  1. DEFICIENCY OF SPLEEN QI AND HEART BLOOD
  2. HEART AND KID NOT COMMUNICATING
    - Ht and Kid YIN Xu
    - Kid water not nourishing/controlling Heart fire

Livingston Year 1 (11 decks)

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