Hearing & Olfaction

Question 1

2 Syndromes of a Low Muffled Voice

Answer 1

• external wind (common cold, sinus congestion)
• phlegm or dampness

Question 2

Syndromes of Hoarseness (Excess)

Answer 2

• wind heat/cold, phlegm retention, lung defensive qi cannot go through
• depletion of Qi = cannot nourish the voice

Question 3

Syndromes of Hoarseness (Deficiency)

Answer 3

shouting too much, speaking too long = Qi-Yin Def

Deficiency - lung-kidney yin deficiency, empty fire burns metal, fluid cannot go upward to nourish vocal chords

Question 4

Describe Groaning (Excess and Def)

Answer 4

Excess:
- loud, powerful
- severe pain

Deficient:
- low, weak
- chronic illness

Question 5

Describe Crying (Shock)

Answer 5

Kids:
- sudden crying, loud, high fever

Adults:
- terror, sharp pain, mental illness

Question 6

Describe Snoring

Answer 6

Normal:
- sleep apnea

Unconsciousness snoring:
- fever, evil heat invade PC

Question 7

Describe Speech (Deficiency and Excess)

Answer 7

• not inclined to speak, not talkative
  = Cold Syndrome
• talkative, shouting, sonorous voice
  = Heat Syndrome

Question 8

Syndrome of Delirium

Answer 8

confused mind, incoherent speech causing heat to disturb the mind

= excessive, evil heat invades PC

Question 9

Syndrome of Fading Murmuring

Answer 9

repeated intermittent speech, low and weak voice: HT Qi damaged, mind and spirit disperse

= deficiency, chronic & critical illness

Question 10

Syndrome of Soliloquy

Answer 10

muttering to oneself, stop when sees people

= HT Qi Deficiency, qi-phlegm obstructs the mind (epilepsy)

Question 11

What is Paraphasia?

Answer 11

Speaks nonsense in consciousness, is aware of it afterwards

Question 12

Describe Paraphasia (Deficiency and Excessive)

Answer 12

Def:
HT-SP Qi Deficiency = unable to nourish the mind, chronic illness, old age

Excess:
Phlegm-dampness, qi-blood stagnation obstruct the heart

Question 13

Syndromes of talking in one’s sleep

Answer 13

HT Fire
GB heat
ST heat
Qi-blood def

Question 14

Syndrome of slurred speech

Answer 14

Retention of phlegm, obstruct mind orifices, before or after wind-stroke

Question 15

Describe Respiration (Excessive and Deficiency)

Answer 15

Rapid, loud breathing
= acute attack exterior phlegm heat invades lung = lung qi cannot go downward

Question 16

What is dyspnea and its syndromes?

Answer 16

Trigger Stage: difficulty breathing, short of breath w rising shoulders, unable to lie down

Excess: heat-phlegm/wind-cold attack lung
Deficiency: lung-kidney qi deficiency

Question 17

What is wheezing and its syndromes?

Answer 17

Remittance Stage: whistling sound during breathing, short of breath, on and off

= Internal/external causes trigger the hidden phlegm

Question 18

What is shortness of breath and its syndromes?

Answer 18

short, irregular, rapid breaths, no rising shoulder, no water sounding in the throat

= lung qi def or phlegm/blood stasis inside

Question 19

What is weak breath and its syndromes?

Answer 19

weak, low, short breathing sound, weak voice

= general deficiency

Question 20

Syndrome of “low cough, yellow sticky sputum”

Answer 20

Lung Heat

Question 21

Syndrome of “low cough, depressed sound, yellow sticky sputum, difficult to spit out”

Answer 21

Heat attack Lungs

Question 22

Syndrome of “dry cough, no sputum”

Answer 22

Dry heat or Lung-Yin Def

Question 23

Syndrome of “cough with faint/low sound, no power”

Answer 23

Lung-Qi Def

Question 24

For vomiting, hiccuping, belching, describe the excess and def syndrome

Answer 24

Excess:
- urgent vomiting
- strong and short hiccup/belching voice
- filthy fluid

Def:
- slow vomiting
- weak and long hiccups/belching voice
- clear fluid

Question 25

Syndrome of Sighing

Answer 25

Qi stagnation of the liver and lungs, derives from emotional problems

Question 26

Syndrome of Sneezing

Answer 26

Impairment of the Lung’s diffusing of Qi

new attack: wind cold
chronic: yang def

Question 27

Syndrome Borborygmi

Answer 27

Gurgling sound int he intestines

Disappearance of the sounds, pain = Qi blockage

Question 28

Syndrome of “foul breath”

Answer 28

stomach heat, food retention, decayed teeth

Question 29

Syndrome of “acid foul breath/sour smelling”

Answer 29

indigestion, food retention

Question 30

Syndrome of “rotten smelling breath, spit dirty blood”

Answer 30

damp-heat in the LI, ulcer or abcess

Question 31

Describe Sputum for Lung Abscess

Answer 31

Sputum with fishy-smelling, dirty dark blood

Question 32

Describe Sputum for Lung Heat

Answer 32

Sputum with rotten-smelling, sticky yellow

Question 33

Describe Sputum for Cold Phlegm

Answer 33

Sputum without smell, dilute, clear