Giovanni Flashcards
Exterior Cold
Slight ‘fever’, pronounced aversion to cold, severe aches in the body, severe stiff neck, no sweating, no thirst, a Floating-Tight pulse and a thin white tongue coating
Exterior Heat
Aversion to cold, ‘fever’, slight sweating, thirst, a Floating-Rapid pulse, a thin white tongue coating and, sometimes, redness of the tongue on the sides and/or front
Exterior Empty
Slight or no fever, sweating, aversion to wind, slight body aches, a Floating-Slow pulse and a thin white tongue coatin
Exterior Full
Fever, no sweating, severe body aches, aversion to cold, a Floating-Tight pulse and a thin white tongue coating
Full Heat
Manifestations • Thirst, a feeling of heat, mental restlessness, a red face, dry stools, scanty dark urine, Rapid- Full pulse, Red tongue with yellow coating (internal Full-Heat) Aetiology • Emotional problems • Diet (too much red meat, spices, alcohol) • An external pathogenic factor that has penetrated into the Interior and transformed into Heat
Empty Heat
• A feeling of heat in the afternoon or evening, a dry mouth with a desire to drink in small sips, a dry throat at night, night sweating, a feeling of heat in the chest, palms and soles (five-palm heat), dry stools, scanty dark urine, Floating- Empty and Rapid pulse, Red tongue without coating ork (in the sense of working long hours) Etiology • Irregular eating • Excessive sexual activity • Persistent, heavy blood loss (such as in menorrhagia)
Full Cold
Manifestations • Feeling of cold, cold limbs, absence of thirst, a pale face, abdominal pain that is aggravated on pressure, a desire to drink warm liquids, loose stools, clear abundant urination, a Deep-Full- Tight pulse and a Pale tongue with thick white coating (Internal Full-Cold) Aetiology Cold foods External cold penetrated
Empty Cold
Manifestations • Feeling of cold, cold limbs, a dull, pale face, no thirst, listlessness, sweating, loose stools, clear abundant urination, a Deep-Slow or Weak pulse and a Pale tongue with thin white coating Aetiology • Excessive physical work • Diet, i.e. inadequate consumption of hot foods • Excessive sexual activity (Kidney-Yang) • Internal Cold injuring Yang
Full Conditions
Acute onset, restlessness, irritability, a strong voice, coarse breathing, pain aggravated by pressure, high-pitched tinnitus, scanty urination, constipation, a Full pulse
Full - Empty condition
Kidney-Yin deficiency with Liver-Yang rising • Kidney-Yin deficiency with flaring up of Heart Empty-Heat • Liver-Blood deficiency with Liver-Yang rising • Spleen-Qi deficiency with retention of Dampness or Phlegm • Deficiency of Qi or Blood with Blood stasis • Kidney-Yang deficiency with Dampness
Empty Qi
Pale face, weak voice, slight sweating, slight shortness of breath, tiredness, loose stools, a poor appetite, Empty pulse
Empty Yang
Chilliness, a bright pale face, cold limbs, absence of thirst, a desire for hot drinks, loose stools, frequent pale urination, a Weak pulse and a Pale and wet tongue (in addition to the manifestations of Empty Qi)
Empty Blood
Dull-pale face, pale lips, blurred vision, dry hair, tiredness, poor memory, numbness or tingling, insomnia, scanty periods, a Fine or Choppy pulse, a Pale-Thin tongue
Empty Yin
Feeling of heat in the afternoon or evening, a dry throat at night, night sweating, a thin body, a Floating-Empty pulse and a Red-Peeled and dry tongue
Qi Deficiency
Slight shortness of breath, weak voice, spontaneous sweating, poor appetite, loose stools, tiredness, Empty pulse
Q.v. Sinking
Slight shortness of breath, weak voice, spontaneous sweating, poor appetite, loose stools, tiredness, a feeling of bearing down, mental depression, listlessness, prolapse of an organ, Empty pulse
Qi Stagnation
Feeling of distension, distending pain that moves from place to place, mental depression, irritability, a gloomy feeling, frequent mood swings, frequent sighing, a Wiry pulse, tongue body either normal coloured or slightly Red on the sides
Blood Deficiency
Dull white sallow complexion, dizziness, poor memory, numbness or tingling, blurred vision, insomnia, pale lips, scanty periods or amenorrhoea, depression, slight anxiety, a Pale and slightly dry tongue, a Choppy or Fine pulse
Stasis of Blood
Dark complexion, purple lips, a pain that is boring, fixed and stabbing in character, abdominal masses that do not move, purple nails, bleeding with dark blood and dark clots, painful periods with dark clots, a Purple tongue, Wiry, Firm or Choppy pulse
Blood Heat
Feeling of heat, skin diseases with red eruptions, thirst, bleeding, a Red tongue, a Rapid pulse • Heart-Blood Heat: anxiety, mental restlessness and mouth ulcers • Liver-Blood Heat: skin diseases characterized by itching, heat and redness • Blood Heat in Uterus: excessive blood loss during the periods Blood Heat in the Intestines: blood in the stools
Deficiency of Body Fluid
Dry skin, mouth, nose, cough, lips and tongue Lungs • Dry skin and dry cough Stomach • Dry tongue with horizontal cracks and a dry mouth but without a desire to drink, or with a desire to drink in small sips Kidneys • Scanty urination, a dry mouth at night and a dry throat Large Intestine • Dry stools
Phlegm Manifestation
Tongue and pulse: Swollen tongue body with sticky tongue coating; a Slippery or Wiry pulse • Other symptoms: a feeling of oppression of the chest, nausea, a feeling of heaviness, a feeling of muzziness of the head and dizziness
Edema
Location • Lung-Yang deficiency: oedema of face and hands • Spleen-Yang deficiency: abdomen and limbs • Kidney-Yang deficiency: lower part of the body, the legs and ankles Pitting • Pitting: deficiency of Yang of Spleen, Lungs or Kidneys • Non-pitting: Qi stagnation or Dampness
Non Substantial Phlegm
Under the skin • Lumps under the skin, nerve ganglia swellings, swelling of lymph nodes, swelling of the thyroid, lipomas In the channels • Numbness Misting the Heart • Mental illness, mental confusion, depression, anxiety In Gall Bladder or Kidneys • Gall bladder or kidney stones In the joints • Bone deformities in chronic rheumatoid arthritis
Damp-Phlegm
Expectoration of very profuse, sticky white phlegm, a feeling of oppression of the chest and epigastrium, nausea, a sticky taste, absence of thirst, a Swollen tongue with a sticky tongue coating and a Slippery pulse
Phlegm-Heat
Expectoration of sticky yellow phlegm, a feeling of oppression of the chest, nausea, a red face, a dry mouth, restlessness, a Red and Swollen tongue with sticky yellow coating and a Rapid- Slippery pulse
Cold-Phlegm
Expectoration of white watery phlegm, a feeling of oppression of the chest, cold limbs, nausea, a Pale and Swollen tongue with white wet coating and a Deep-Slippery-Slow pulse
Wind-Phlegm
Dizziness, nausea, vomiting, numbness of the limbs (especially unilateral), coughing of phlegm, a feeling of oppression of the chest, a rattling sound in the throat, aphasia, a Swollen and Deviated tongue with sticky coating and a Wiry pulse
Qi-Phlegm
Feeling of swelling in the throat (but no actual swelling), a difficulty in swallowing, a feeling of oppression of chest and diaphragm, irritability, moodiness, depression and a Wiry pulse
Phlegm-Fluids
Expectoration of very thin, watery sputum, dizziness, a Swollen tongue with sticky coating, Wiry pulse
functions of the Heart
It governs Blood. It controls the blood vessels. It manifests in the complexion. It houses the Mind. It opens into the tongue. It controls sweat.
HEART-QI DEFICIENCY
Palpitations, shortness of breath on exertion, pale face, spontaneous sweating, tiredness, slight depression, Pale tongue, Empty pulse
HEART-YANG DEFICIENCY
Palpitations, shortness of breath on exertion, tiredness, spontaneous sweating, a slight feeling of stuffiness or discomfort in the heart region, feeling of cold, cold hands, bright-pale face, slightly dark lips, Pale tongue, Deep-Weak pulse
HEART-YANG COLLAPSE
Palpitations, shortness of breath, weak and shallow breathing, profuse sweating, cold limbs, cyanosis of lips, greyish-white complexion, in severe cases coma, very Pale or Bluish tongue, Hidden-Minute-Knotted pulse
HT Qi deficiency vs HT blood deficiency
Palpitations from Heart-Qi deficiency occur more in daytime, those from Heart-Blood deficiency more in the afternoon/evening.
HEART-BLOOD DEFICIENCY
Palpitations, dizziness, insomnia, dreamdisturbed sleep, poor memory, anxiety, propensity to be startled, dull-pale complexion, pale lips, Pale and Thin tongue, Choppy or Fine pulse
HEART-YIN DEFICIENCY
Palpitations, insomnia, dream-disturbed sleep, propensity to be startled, poor memory, anxiety, mental restlessness, ‘uneasiness’, ‘fidgetiness’, dry mouth and throat, night sweating, tongue without coating, Floating-Empty pulse
HT Empty Patterns
HEART-QI DEFICIENCY 465 HEART-YANG DEFICIENCY 466 HEART-YANG COLLAPSE 467 HEART-BLOOD DEFICIENCY 469 HEART-YIN DEFICIENCY
HT Full Patterns
HEART-FIRE BLAZING 472 PHLEGM-FIRE HARASSING THE HEART 474 PHLEGM MISTING THE MIND 477 HEART-QI STAGNATION 478 HEART VESSEL OBSTRUCTED
Ht Empty Full pattern
HEART-BLOOD STASIS
HEART-FIRE BLAZING
Palpitations, thirst, mouth and tongue ulcers, mental restlessness, feeling agitated, feeling of heat, insomnia, dream-disturbed sleep, red face, dark urine or blood in urine, bitter taste, Red tongue, tip redder and swollen with red points, yellow coating, Full-Rapid- Overflowing pulse
PHLEGM-FIRE HARRASSING THE HEART
mental restlessness, insomnia, dream disturbed sleep, agitation, incoherent speech, mental confusion, rash behaviour, tendency to hit or scold people, uncontrolled laughter or crying, shouting, muttering to oneself, mental depression and dullness, manic behaviour, Red tongue, redder and swollen tip with red points, yellow dry sticky coating, deep Heart crack, Full-Rapid-Slippery or Rapid-Overflowing-
PHLEGM MISTING THE MIND
Mental confusion, unconsciousness, lethargic stupor, incoherent speech, vomiting of phlegm, rattling sound in the throat, mental depression, emotional lability, aphasia, very dull eyes, Swollen tongue with thick sticky coating, Heart crack, Slippery pulse
HEART-QI STAGNATION
Palpitations, a feeling of distension or oppression of the chest, depression, a slight feeling of lump in the throat, slight shortness of breath, sighing, poor appetite, dislike of lying down, weak and cold limbs, slightly purple lips, pale complexion, tongue slightly Pale-Purple on the sides in the chest area, pulse Empty but very slightly Overflowing on the left Front position
HEART VESSEL OBSTRUCTED
feeling of oppression of the chest, stabbing or pricking pain in the heart region which comes and goes and which may radiate to the upper back or shoulder, pain aggravated by exposure to cold and alleviated by heat, expectoration of phlegm, epigastric or hypochondrial distension, a feeling of heaviness, dislike of speaking. cold hands, sighing, purple lips, face and nails, tongue Purple on the sides in the chest area, Swollen with a sticky coating, Wiry, Choppy or Knotted pulse
HEART-BLOOD STASIS
Palpitations, stabbing or pricking pain in the chest which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, cyanosis of lips and nails, cold hands, tongue Purple in its entirety or only on the sides in the chest area, Choppy, Wiry or Knotted pulse
HEAT IN THE PERICARDIUM
Fever at night, mental confusion, incoherent speech or aphasia, delirium, body hot, hands and feet cold, macules, Red and dry tongue without coating, Fine-Rapid pulse
functions of the Liver
It stores Blood. It ensures the smooth flow of Qi. It controls the sinews. It manifests in the nails. It opens into the eyes. It controls tears. It houses the Ethereal Soul (Hun). It is affected by anger.
Liver Full patterns
LIVER-QI STAGNATION 503 STAGNANT LIVER-QI TURNING INTO HEAT 507 REBELLIOUS LIVER-QI 508 LIVER-BLOOD STASIS 510 LIVER-FIRE BLAZING 513 DAMP-HEAT IN THE LIVER 515 STAGNATION OF COLD IN THE LIVER CHANNEL
Liver Empty Patterns
LIVER-BLOOD DEFICIENCY 518 LIVER-YIN DEFICIENCY
Liver Full/Empty patterns
LIVER-YANG RISING 522 LIVER-WIND AGITATING WITHIN 525 Extreme Heat generating Wind 526 Liver-Yang rising generating Wind 526 Liver-Yang rising deriving from Liver-Yin deficiency 527 Liver-Yang rising deriving from Liver- and Kidney-Yin deficiency 527 Liver-Yang rising deriving from Liver-Blood deficiency 527 Liver-Fire generating Wind 528 Liver-Blood deficiency generating Wind
‘FEEL’ FOR LIVER PATHOLOGY
Rapid changes (e.g. in skin diseases) • Up and down fluctuation (e.g. level of energy, mood) • Emotionally up and down • Moodiness, irritability • Pain • Eye problems • A feeling of ‘distension’ • Gynaecological problems
LIVER-QI STAGNATION
- Feeling of distension of hypochondrium, chest, epigastrium or abdomen, sighing. 2. Melancholy, depression, moodiness, fluctuation of mental state, ‘feeling wound-up’, feeling of a lump in the throat. 3. Irregular periods, distension of breasts before the periods, premenstrual tension and irritability (Fig. 34.1). Tongue: the body colour may be normal. In severe cases, it may be slightly Red on the sides. Pulse: Wiry, especially on the left side.
STAGNANT LIVER-QI TURNING INTO HEA
A feeling of distension, a Wiry pulse and red sides of the tongue would
REBELLIOUS LIVER-QI
Belching, irritability and a Wiry pulse גיהוקים
LIVER-BLOOD STASIS
Hypochondrial pain, abdominal pain, vomiting of blood, epistaxis, painful periods, irregular periods, menstrual blood dark and clotted, infertility, masses in abdomen, purple nails, purple lips, purple or dark complexion, dry skin (in severe cases), purple petechiae, Purple tongue, Wiry or Firm pulse
LIVER-FIRE BLAZING
A Red tongue with redder sides and a dry yellow coating would be enough to diagnose Liver-Fire
DAMP-HEAT IN THE LIVER
A feeling of fullness and heaviness and a sticky yellow tongue coating
STAGNATION OF COLD IN THE LIVER CHANNEL
hypogastric pain referring to scrotum, cold hands and feet, Wiry-Deep-Slow Pulse
LIVER-BLOOD DEFICIENCY
blurred vision, scanty periods, dull pale complexion, and Pale tongue. eyes: blurred vision • sinews: tingling, cramps • nails: ridged nails • Uterus: scanty periods • Ethereal Soul: insomnia, dreaming
Liver-Blood deficiency
It may lead to Heart-Blood deficiency. It may lead to Kidney deficiency. It may lead to secondary Liver-Qi stagnation. It may lead to Liver-Yang rising
