final review Flashcards
What are the main differences in the bowel movements resulting from Kidney yang deficiency vs. Spleen yang deficiency?
KD yang xu - loose stool
SP yang xu - undigested food particles
What are the major similarities of Kidney Yin deficiency as well as Kidney essence deficiency?
poor memory
low back
infertility
What are the KEY signs and symptoms for each of the following organs: ST, SP, LV, GB, KD, UB?
ST epigastrium
SP poor app
LV hypochondriac pain
GB hypochondriac + bitter taste
KD low back and knees
UB urinary issue
Pay close attention to the signs and symptoms of Kidney Essence insufficiency
in children: poor devmt, slowed growth, fontanelles not closed
in adults: premature aging, early loss hair/teeth, infertility, soft bones, memory loss
T can be yin xu (pale) or yang xu (red) depending on root cause
P thready rapid OR deep weak
What types of abnormal urination accompany Kidney Yang deficiency?
abundant clear urination
urination at night
Which organs are commonly involved with the pattern of Kidney yang deficiency with water effusion pattern?
UB clear scanty urination
HT palpitations
LU cough asthma frothy sputum
What types of urination occur with Damp-Heat in the Urinary Bladder disease pattern? What types do NOT?
UB damp heat: dark urination
frequent, urgent, difficult
burning sensation
UB xu cold: frequent pale abundant urine / incontinence
UB damp cold: difficult urination, often stop midstream
Which signs and symptoms are common to ALL of the following patterns: Spleen qi deficiency, Spleen yang deficiency and Spleen Qi sinking? (i.e., what do they ALL share in common?)
SP QI XU sx
poor app
abd distension
low energy
tired after eating
weak limbs
loose stool
pale face
SP yang xu: SP QI XU sx + cold
SP qi sinking: SP QI XU SX + bearing down/prolapse
Compare and contrast Large Intestine Fluid Insufficiency, Stomach Fire, Damp Heat Encumbering the Spleen and Food Stagnation Patterns
LI dryness: dry stool
ST fire: dry stool
SP Damp Heat: loose stool (stinky)
Food stag: loose stool or constip
Which patterns are acute vs. chronic? Pay close attention to symptoms that are acute vs. chronic for the test questions, i.e., would you see “chronic” vomiting in an acute case of food poisoning, etc
LI collapse: chronic diarrhea
LU damp phlegm: chronic cough
SP qi sinking: chronic diarrhea
What type of appetite is associated with Stomach Fire?
ST fire - excess hunger
Regarding Cold-Damp Encumbering the Spleen and Damp-Heat Encumbering the Spleen, what signs and symptoms do they share? What are their differences?
BOTH poor appetite, fullness, heaviness, nausea, loose stool
Cold Damp SP
excess white vag discharge
feeling cold, sweet taste, tiredness, edema
damp heat SP
thirst + no drink, stool smells bad, dark urine, feeling hot, low grade fever, sweat does not lower fever, HA heaviness, skin eruptions
Compare and contract Stomach Fire, Food Accumulation, Damp-Heat encumbering the Spleen and Stomach Yin Deficiency
ST FIRE
burning epig pain, thirst cold, bleeding gums, excess hunger
FOOD STAG
epig fullness, pain, distension, better with vomiting!, aversion to food, dreams
SP DAMP HEAT
poor app, fullness, heaviness, thirst no drink, n/v, loost stool offensive odor, feel hot, dark urine, lg fever not lower w sweat, heaviness HA, skin erruption
ST YIN XU
hunger no desire eat, burning dull pain epig. constip. thirst small sips
What types of urination and defecation are associated with Spleen Qi Sinking?
SP QI SINKING
frequent urination
chronic diarrhea
Compare and contrast Liver Fire Blazing and Liver Yang rising
LV fire
temporal HA, red face/eyes, bitter taste, easily angered
LYR
dizziness, low back pain or weakness
less heat signs
T red but not dry, w redder sides
P wiry but not rapid
Cold stagnation in the Liver primarily affects which area of the body?
cold hands and feet
Compare and contrast Liver fire blazing , Stomach fire, Heart fire blazing and Gallbladder qi stagnation with phlegm disturbance
LV fire
red face/eyes, temporal HA, easily angered
ST fire
burning epig pain, bleeding gums, excess hunger
HT fire
agitation, thirst, tongue ulcer, red face
GB qi stag with phlegm
fright, easily startled
What area of the body associated with the Liver is NOT associated with Liver Qi stagnation?
no red face and eyes, no nails
Compare and contrast Liver fire blazing, Heart fire blazing, Phlegm fire harassing and Liver yang rising
LYR and LV fire
dizz, tinnitus, distending pain in eye and head, red face and eyes, irritability, short temper
LYR
Excess above, Def below
top heavy
knee, back weakness
LV Fire
Excess heat, HA, burning hypochondrium, bitter taste, constipation, yellow urine
HT Phlegm Fire and HT Fire
Irritability, flushed face, restlessness, agitations, fidgeting, vexation, bitter taste, fever, insomnia, yellow urine, constipation, thirst, red tongue with yellow coating, rapid pulse
Phlegm Fire Harrass HT
slurred speech, uncontrollable laughing/crying, manic, confusion, lashing out
T red, red tip, yellow sticky tc, heart crack
P rolling rapid forceful
HT Fire
tongue ulcers, red face, insomnia, dream dist sleep, delirium, coma, nosebleed, vomit blood
T red tip, swollen, yellow tc
p rapid, surging
Compare and contrast Kidney yin deficiency with Liver yang rising, Liver wind with phlegm obstruction, Liver qi stagnation and Liver blood stasis, Wind cold attack with phlegm obstruction
KD yin xu: night sweat, dry mouth/throat, afternoon/eve fever, anxiety, vertigo, T red, little or no TC, P rapid thready
LYR: distending HA, dizziness, low back pain or weakness, tinnitus, deafness, blurry vision, dry mouth/throat, irritability, top heavy feeling
LV Wind Phlegm Obstruction: develops from LYR, Red tongue or red tongue with thin or peeled coating, wiry rapid or thin pulse
LV Blood stasis: painful menses, clots, purple nails, nosebleed, blood in cough mucus
Wind Cold attack: aversion to cold, chill/fever, itchy throat, clear watery discharge, sneeze, body ache, occipital HA. acute, thin white tc, superficial tight pulse
Phlegm obstruction: wheezing, asthma, dyspnea, chest oppr. worse with cold, white greasy tc, slippery p
Compare and contrast Damp-heat in the bladder, Heart fire, Kidney Yin deficiency, Small Intestine excess fire
all heat sx
UB Damp-heat
frequent urgent difficult dark urination with burning
thirst + no drink
blood urine
feel hot
Small Intestine excess fire insomnia, restlessness, chest heat, tongue/ mouth ulcer, burning urination or blood lin
Heart fire
insomnia, palp. thirst, agitation, tongue ulcer, red face, insomnia
Kidney Yin deficiency
Compare and contrast: Heart yang deficiency, Kidney yang deficiency, Heart qi deficiency and Lung qi deficiency
HT YANG XU
pallor, feeling cold, chest stuffiness or discomfort, bright pale face, cold limbs esp hands, cyanosis
KD YANG XU
soreness and weakness of the low back, cold knees, abundant clear urination, cold in the back, leg edema, impotence/infertility, bright white complexion, poor appetite, loose stools, prema-jaculation, dizziness, tinnitus
HT QI XU
shortness of breath on exertion, sweating (spontaneous), tiredness
listlessness, pallor
LU QI XU
SOB, cough, watery sputum, weak voice, daytime sweating, dislike to speak, dislike of cold, bright white complexion, propensity to catch colds
tiredness
Compare and contrast all of the Kidney deficiency syndromes
Soreness and weakness lumbar and knees, dizziness, tinnitus, fatigue, lassitude, a pale tongue, and
deep weak pulse
Yin Xu poor memory, insom
Yang Xu Cold sx, edema
Qi Xu (Not Firm)
KD fail to consolidate: Frequent urine, nocturnal, enuresis, spermatorrhea,
premature ejaculation, clear copious vaginal discharge, habitual miscarriage
KD fail to grab qi: chronic panting, dyspnea, cough or asthma, exhale more than inhale, worse with exertion
Compare and contrast menstrual problems associated with Spleen qi deficiency, Kidney yin deficiency with deficiency heat and Liver qi stagnation with Liver fire
Compare and contrast all of the Spleen deficiency patterns
Compare and contrast Kidney essence insufficiency, Liver blood deficiency, Spleen qi deficiency (with marked accumulation of dampness), and Dampness and cold invading the Large Intestine deficiency cold
Compare and contrast Food accumulation, Damp-heat encumbering the spleen, Stomach yin deficiency, and Stomach Fire
Compare the signs and symptoms of Qi deficiency in the following organs: Lung, Kidney, Heart and Spleen
Compare and contrast all the patterns of Damp heat
Compare and contrast all the patterns damp-cold with damp-heat
Compare and contrast damp heat in the Bladder, Small Intestine fire, damp-heat in the large intestine, Kidney yin deficiency
Compare and contrast the major differences between patterns of Spleen qi and yang deficiency with kidney qi and yang deficiency vs. damp-heat in the Large intestine
Compare and contrast Stomach fire, food stagnation, Stomach yin deficiency and Spleen qi deficiency
What are the differences between all of the following: Spleen qi deficiency, Kidney qi deficiency, Spleen yang deficiency, Kidney yang deficiency
What are the differences between all of the following: Spleen qi deficiency, Spleen qi sinking,, Spleen yang deficiency, Kidney yang deficiency
Compare and contrast yin deficiency of the following organs: Lung, Stomach, Kidney, Liver
