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Assessment and Differentiation > Four Levels > Flashcards

Four Levels Flashcards

1
Q

What is the nature of warm diseases?

A

Warm diseases are caused by external Wind-Heat.

  1. They all manifest with fever
  2. The pathogenic factor enters through the nose and mouth
  3. They are infectious
  4. The pathological developments are rapid
  5. The pathogenic factor of warm diseases tends to injure yin
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2
Q

What are the four levels?

A
  1. Defensive Qi level (Wei)
  2. Qi level
  3. Nutritive Qi level (Ying)
  4. Blood level (Xue)
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3
Q

What is Wei Qi Level?

A

Is the beginning stage of invasions of wind heat, it is the only exterior level.

There are four different patterns: Wind-Heat, Summer-Heat, Damp-heat and dry-heat

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4
Q

What is the Qi Level?

A

The Qi level is interior, the pathogenic factor has moved into the interior and has transformed into heat.

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5
Q

What is the Qi level characterised by?

A

Full interior heat with symptoms of fever, thirst, feeling of heat, mental restlessness, red tongue with thick yellow coating. Rapid full pulse.

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6
Q

What is the nutritive qi level? Ying level.

A

Heat has penetrated into a deeper energetic layer and begun to injure the yin.
Heat is obstructing the mind and pericardium.

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7
Q

What differentiates the Ying and Qi level?

A

In the Ying level, the tongue is deep-red without coating.

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8
Q

What are the two patterns at nutritive qi level?

A
  1. Heat in nutritive qi level

2. Heat in the pericardium

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9
Q

What is the Xue Level?

A

Heat is affecting the blood.

Macules are a definite sign that heat has reached the blood level.

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10
Q

What are the 5 patterns of the blood level?

A
  1. Heat victorious moving blood
  2. Heat victorious stirring Wind
  3. Empty-Wind agitating in the interior
  4. Collapse of Yin
  5. Collapse of Yang
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11
Q

What are vesicles?

A

Blister like spots filled with clear fluid, they always indicate damp.

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12
Q

What are palpules?

A

Palpules are red solid spots that indicate heat at the qi level, especially in the lungs and stomach.

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13
Q

What are malcules?

A

Malcules are spots under the skin that cannot be felt on palpation. They indicate heat at nutritive qi or blood level.

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14
Q

What are the S&S of Wei level?

A 
Exterior pattern
Fever: Slight Fever, aversion to cold 
Thirst: Slight 
Sweat: Slight
Mental state: Unchanged 
Tongue: Red sides/front. Thin white coat
Pulse: Floating rapid
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15
Q

What are the S&S of Qi level?

A

Interior pattern with strong upright Qi
Fever: High fever with feelings of heat
Thirst: Intense thirst, desires cold drinks
Sweat: Profuse
Mental state: Generally mind is clear
Tongue: Red body, thick yellow coat
Pulse: Big, rapid pulse or slippery rapid pulse

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16
Q

What are the S&S of Ying / Xue level?

A 
Interior pattern with weak upright Qi
Fever: Fever at night 
Thirst: Dry mouth, desire to sip water 
Sweat: Night sweats
Mental state: Delirium, fainting, confusion 
Tongue: Red body, no coat
Pulse: Fine rapid pulse
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17
Q

What are the S&S for wind heat at the Wei Level?

A

Fever
Aversion to cold
Headache

Slight sweat
Sore throat

Runny nose with yellow discharge
Swollen tonsils
Body aches

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18
Q

What is the tongue, pulse and treatment principle for Wind Heat at Wei Level?

A

T: Dry with thin white coat
P: Floating rapid
TP: Release exterior, expel wind heat.

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19
Q

What are the S&S of Dry Heat at Wei Level?

A

Fever
Aversion to cold
Headache

Slight sweat
Sore throat

Dry – skin, nose, throat, mouth
Dry Cough

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20
Q

What is the tongue, pulse, and treatment principle of Dry Heat at Wei Level?

A

T: Dry with thin white coat
P: floating rapid
TP: Release exterior, clear heat, promote fluids

21
Q

What are the S&S of Damp heat at the Wei Level?

A

Fever – worse in arvo
Aversion to cold
Headache

Heaviness

Uncomfortable epigastrium
Swollen glands
Thirst, no desire to drink
Hot body

22
Q

What is the tongue, pulse and treatment principle of Damp Heat at Wei Level?

A

T: Sticky white or yellowish coat
P: Soggy
TP: Release exterior, resolve damp heat

23
Q

What are the S&S of Summer Heat at Wei Level?

A

Fever
Aversion to cold
Headache

Slight sweat
Sore throat

Uncomfortable epigastrium
Irritability
Thirst

24
Q

What is the tongue, pulse and treatment principle of Summer Heat at Wei Level?

A

T: Red with sticky white coat
P: Soggy rapid
TP: Release exterior, expel summer heat

25
Q

What are the S&S of Lung Heat at Qi level?

A

High Fever

Thirst
Sweating
Feels hot

Cough with yellow sputum
SOB

26
Q

What is the tongue, pulse and treatment principle of Lung Heat at Qi level?

A

T: Red with yellow coat
P: Slippery rapid
TP: clear lung heat, resolve phlegm, promote D&D of Lung

27
Q

What are the S&S of Stomach Heat at Qi level?

A

High fever – worse in arvo

Big thirst
Big Sweat
Feels hot

This is Yang Ming Channel Pattern in 6 Division theory

28
Q

What is the tongue, pulse and treatment principle of Stomach heat at Qi level?

A

T: Red with yellow coat
P: Overflowing rapid
TP: Clear stomach heat, clear Qi.

29
Q

What are the S&S of intestine dry heat at Qi level?

A

High Fever – worse in arvo

Constipation
Abdominal pain and fullness
Irritability
Delirium

This is Yang Ming Organ Pattern in 6 division theory

30
Q

What are is the tongue, pulse and treatment principle of Intestines dry heat?

A

T: Red with thick yellow dry coat
P: Full rapid
TP: Drain fire, clear stomach and intestines, move downwards

31
Q

What are the S&S of Gall Bladder heat at Qi level?

A

High Fever – worse in arvo

Thirst
Nausea
Oppression of chest and epigastrium

Bitter taste
Dry throat
Pain of hypochondria

32
Q

What is the tongue, pulse and treatment principle in gall bladder heat at Qi level?

A

T: Red with unilateral sticky yellow coat
P: Wiry rapid
TP: Clear GB heat, harmonise Shao Yang.

33
Q

What are the S&S of Damp Heat in Stomach and Spleen?

A

Fever – decreases with sweat and returns

Nausea
Oppression of chest and epigastrium

Loose stools
Heavy body

34
Q

What is the tongue, pulse and TP in damp heat in stomach and spleen at Qi level?

A

T: Red with sticky yellow coat
P: Slippery rapid or soggy rapid
TP: Clear damp from the Spleen and Stomach.

35
Q

What are the S&S of Heat in Nutritive Qi level?

A 
Fever at night
Delirium 
Incoherent speech or aphasia 
Mental restlessness 
Insomnia 
Macules (usually associated with blood heat)
36
Q

What is the tongue, pulse and treatment principle of Heat in Ying Qi level?

A

T: Red without coat
P: Fine and rapid
TP: Clear heat from nutritive qi, promote fluids

37
Q

What are the S&S of heat in pericardium in Ying Qi level?

A 
Fever at night
Delirium 
Incoherent speech or aphasia 
Mental confusion 
Hot body with cold hands and feet
38
Q

What is the tongue, pulse, and TP in Heat in Pericardium at Ying Level?

A

T: Red without coat
P: Fine and rapid
TP: Clear heat from pericardium, restore consciousness and promote fluids.

39
Q

What are the S&S of Heat Victories agitates blood in Blood level?

A 
High fever 
Mental restlessness/mania 
Dark macules 
Vomiting blood 
Blood in stools 
Blood in urine 
Epistaxis
40
Q

What is the tongue, pulse, and TP in Heat victorious agitates Blood?

A

T: Dark red, no coat
P: Wiry rapid
TP: Clear blood heat, stop bleeding

41
Q

What are the S&S in heat victories stirring wind in Blood level?

A 
High fever 
Twitching of limbs
Fainting 
Convulsions 
Opisthotonos 
Neck or jaw rigidity 
Eyeballs turning up
42
Q

What is the tongue, pulse and TP in Heat victorious stirring Wind?

A

T: Dark red, no coat
P: Wiry rapid
TP: Clear blood heat. Extinguish wind

43
Q

What are the S&S of Empty Wind agitating the interior?

A 
Low grade fever 
Twitching or tremors 
Weight loss 
Malar flush 
Listlessness
44
Q

What is the tongue, pulse and TP of Empty Wind agitating the interior?

A

T: Dark red, no coat, dry
P: Fine rapid
TP: Clear blood heat, nourish Liver and Kidney Yin, extinguish wind.

45
Q

What are the S&S of Collapse of Yin?

A

Low grade fever
Night sweats
Mental restlessness
Malar flush

Fire palm heat
Dry mouth with thirst for small sips
Emaciation

46
Q

What is the tongue, pulse and TP in Collapse of Yin?

A

T: Dark red, dry, no coat
P: Fine rapid
TP: rescue Yin

47
Q

What are the S&S in Collapse of Yang?

A

Feeling cold, cold limbs
Profuse sweating on forehead
Listlessness
White complexion

48
Q

What is the tongue, pulse and TP in Collapse of Yang?

A

T: Pale, swollen and short
P: Hidden and slow
TP: Rescue Yang

49
Q

What is Latent heat?

A

Occurs when an external pathogenic factor penetrates the body without causing apparent symptoms at the time.

Assessment and Differentiation (25 decks)

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