HT SI LU LI patterns - exam prep

Question 1

What types of urinary issues does SI pattern cause?
Does it cause diarrhea, constipation or both?

Answer 1

Abnormal urination due to Small Intestine dysfunction mainly manifests in changes in frequency and quantity:
copious or scanty urination;
frequent, nocturnal or reduced urine output;

Exopathogenic cold invasion, chronic illness, improper diet or improper treatment, and aging all impair functions of the SI in transforming and absorbing fluid, as well as separating the clear from the turbid –
diarrhea or loose stools

Question 2

Epilepsy occurs in a few zang fu patterns. Make a note of which ones - what are the similarities and differences?

Answer 2

phlegm misting the heart
LI excess heat
Ht and KD lack of communication

Question 3

cause of Heart Vessels Obstructed?
What types of patterns/pathogens do NOT cause this pattern?

Answer 3

Heart Vessels Obstructed Pattern
Continuous or Fright palpitations, chest tightness and distress, Intermittent chest pain, pain radiates to the shoulder and arm

causes:
pathogenic cold
Sudden onset,
severe pain, relieved by warmth,
cold limbs,
Pale tongue with white coating,
deep and slow or deep and tight pulse

Phlegm
Heavy and tight pain, heavy sensation in the body,
tiredness,
white greasy tongue coating,
deep and slippery pulse

blood stasis:
Sharp pain needle prick,
purple tongue or purple spots on the tongue,
a thready and choppy pulse

qi stagnation
Distending pain, paroxysmal (a fit, attack, or sudden increase or recurrence of symptoms);
induced by emotional stress,
a slight red tongue, and
wiry pulse

do NOT cause this pattern?
Excess heat, Deficiency

Question 4

Wind-Cold Invading the Lungs vs Wind-Heat Invading the Lungs vs Dryness Invading the Lung

Answer 4

Common
Chills and fever, cough, nasal congestion, headache, superficial pulse

Wind-Cold Invading the Lungs
Headache, body aches

Wind-Heat Invading the Lungs
Sore throat, thirst

Dryness Invading the Lung
Dryness, thirst, possibly
bleeding

Question 5

Are you able to identify the differences between qi deficiency in each organ?

Answer 5

Common: SoB, dislike talk, fatigue, spont sweat, worse with exertion
Pale tender tongue
Deficient weak pulse

HT QI XU
Palpitation, chest tightness

ST QI XU
Epigastric discomfort

SP QI XU
Poor app, bloat, loose stool, emaciation, edema

LU QI XU
Cough with clear thin phlegm
Asthma, wheezing, Aversion to wind

GB QI XU
Dizz, floaters, nervousness, timidity, indecision

KD QI XU
Low back and knee pain, frequent urination, ears ringing, infertility
Panting, difficult inhale

Question 6

Lung Yin Deficiency
Heat Congesting the Lungs
Wind-Heat Invading the Lungs
Dryness Invading the Lung

Answer 6

Lung Yin Deficiency
Dry mouth, emaciation, hoarse voice, malar flush, night sweats, five-center heat
Red tongue with scanty coating;
thin rapid pulse

Heat Congesting the Lungs
High fever w/ flaring nostrils, rapid breathing, pain in the chest, dry stools, dark urine
Red tongue with yellow coating;
rapid pulse

Wind-Heat Invading the Lungs
Slight aversion to wind or cold
Red tongue tip, thin, yellow coating;
superficial and rapid pulse

Dryness Invading the Lung
Dryness, dry stool, scanty urination; absent or slight sweating
Dry tongue coating, possibly yellow;
superficial, possibly rapid pulse

Question 7

Heart Yin Deficiency vs Heart Blood Deficiency

Answer 7

Common
Palpitations, insomnia, dream-disturbed sleep

Heart Yin Deficiency
Palpitations, insomnia, dream-disturbed sleep,
low-grade fever in the afternoon or evening, five-center heat, night sweats
Tongue: Red tongue with scanty coating
Pulse: Thin and rapid pulse
Key Symptoms: Palpitations, insomnia, plus yin deficiency signs and symptoms

Heart Blood Deficiency
Fright or continuous palpitations, insomnia, dream-disturbed sleep,
dizziness, poor memory and concentration, pale or sallow complexion, pale lips, pale nails
Tongue: Pale
Pulse: Thin and weak
Key Symptoms: Palpitations, insomnia, poor memory, plus blood deficiency signs and symptoms

Question 8

WHAT IS THE DIFFERENCE BETWEEN YIN MANIA AND YANG MANIA?

Answer 8

Yang mania:
phlegm fire harassing the heart pattern

yin mania:
phlegm misting the heart pattern.

Yang mania has a more aggressive outward presentation like violence and shouting vs yin mania

Question 9

Phlegm-Fire Harassing the Heart

Answer 9

HT FIRE + PHLEGM

Diseases and Treatments Relating to Phlegm-Fire Harassing the Heart Pattern

Yang Mania:
Schizophrenia, neurosis, psychosis, OCD, anxiety, ADD/ADHD
more extreme abnormal manic behavior, such as improper laughter, shouting and crying.

Wind Stroke:
cerebrovascular accident (CVA) stroke when blood flow to a part of your brain is blocked or ruptured

Insomnia:
Menopause syndrome, anxiety, neurosis, ADD/ADHD

Question 10

Phlegm Misting the Heart - clinical manifestations

Answer 10

Clinical Manifestations of Phlegm Misting the Heart

Constraint:
Depression, neurosis, menopause syndrome, ADD/ADHD, autism

Seizure:
Epilepsy

Yin Mania:
Schizophrenia, hysteria, neurosis, OCD, PTSD, ADD/ADHD

Question 11

What types of urinary issues does SI pattern cause?
Does it cause diarrhea, constipation or both?

Answer 11

impair functions of the SI in transforming and absorbing fluid, as well as separating the clear from the turbid

change in frequency or quantity of urine

diarrhea and loose stools

Question 12

Epilepsy occurs in a few zang fu patterns. Make a note of which ones - what are the similarities and differences?

Answer 12

Phlegm Misting the Heart - xian epilepsy
Sudden syncope with drooling saliva and spasms of the limbs;
a short blackout or period of confused memory,
odd changes in the way thighs look, sound, smell or feel;
after the symptoms pass, the patient manifests no abnormality

Phlegm misting HT can also be caused by:
Yin Mania
Phlegm collapse: syncope, loss consc.

Question 13

Large Intestine Deficiency Cold vs. Small Intestine Deficiency Cold

Answer 13

Large Intestine Deficiency Cold
Main: Diarrhea loose stools
Failure to reabsorb fluids diluting stool
Chronic diarrhea,
Tongue: pale tongue with white tongue coating
Pulse: deep slow and forceless
dull abdominal pain, preference for warmth and pressure,
intolerance of cold, cold limbs

Small Intestine Deficiency Cold
Main: clear copious urine
Failure to separate clear from turbid - extra fluid pouring down
Dull pain in the lower abdomen that is relieved by pressure and warmth,
borborygmus, loose stools, frequent or clear copious urination,
Tongue: Pale tongue body, thin white coating
Pulse: Deep, weak and slow
intolerance of cold, cold limbs, low energy

Question 14

LI damp heat causes and sx
What type of stool in LI damp heat? Constipation or diarrhea?

Answer 14

What type of stool in LI damp heat? Constipation or diarrhea? Diarrhea/Sticky Stool BUT! NOT so much constipation

Causes
External heat, summer heat, unhygienic food

Sx
Diarrhea, loose stool
Sticky stools, foul odor
Blood and pus
Tenesmus: constant feeling that you have to go to the bathroom
Fever + mild chills,
superficial pulse
Scanty yellow urine
Thirst
Red tongue, yellow greasy tc
Rapid pulse

Question 15

Wind-Heat Attacking the Lung vs
Heat Congesting the Lung vs
Heat-Phlegm Obstructing the Lung

Answer 15

Common
Coughing, panting, dyspnea, thick yellow sputum

Wind-Heat Attacking the Lung
Chills and fever, headache, nasal congestion, sore throat
Red tongue tip, thin yellow coating;
superficial rapid pulse

Heat Congesting the Lung
Red tongue, yellow tc
Forceful rapid p

Heat-Phlegm Obstructing the Lung
Red tongue, thick yellow greasy tc
Slippery rapid p

Question 16

Wind-Heat Invading the Lung
vs.
Heat Congesting the Lung

Answer 16

Wind Heat Invading the Lung
Cough with sticky yellow sputum, nasal congestion with thick yellow discharge, fever, slight aversion to wind or cold, slight thirst, and sore throat.

Tongue: Tongue has a red tip with thin yellow coating.
Pulse: Superficial and rapid

Key Points: Cough with sticky yellow sputum, plus exterior wind-heat signs and symptoms.

Heat Congesting the Lung
Coughing, panting, high fever with flaring nostrils, sore throat, rapid breathing, thirst, pain in the chest,
cough with foul pus and blood, dry stools, dark urine

Tongue: Red tongue with yellow coating
Pulse: Rapid

Key Points: Coughing, panting, plus interior excess heat signs and symptoms

Question 17

Tongue and Pulse for HT patterns

Answer 17

Heart Qi Deficiency
Mild
Pale tongue with thin white coating;
weak pulse, rapid pulse without strength, knotted pulse, or abrupt pulse
Palpitations, shortness of breath, chest distress or tightness, worse with exertion, irregular pulse

Heart Yang Deficiency
Severe
Pale flabby tongue with moist white coating;
Weak, minute, knotted, or deep pulse without strength
Palpitations, shortness of breath, chest distress or tightness, worse with exertion, irregular pulse

Heart Blood Deficiency
Moderate
Pale tongue with thin coating;
weak thin pulse
Palpitations, insomnia, dream-disturbed sleep, thin pulse

Heart Yin Deficiency
Moderate
Red tongue with scanty coating or no tongue coating;
thin rapid pulse
Palpitations, insomnia, dream-disturbed sleep, thin pulse

Question 18

HT FIRE
vs
PHLEGM FIRE HARASSING HT

Answer 18

Heart Fire Blazing
Clinical Manifestations: Red face and lips, irritability, anxiety, vexation, insomnia, bitter taste, thirst, canker sores on lips or tongue.

Tongue: Red tongue tip, or deep red tongue with yellow coating
Pulse: Rapid

In some cases, there are manic behaviors, delirium, nosebleed, vomiting blood, or skin sores or boils.
There may also be painful and burning urination.

Phlegm Fire Harassing the Heart
Clinical Manifestations: Fever, irritability, red face and eyes, thirst, heavy breathing, bitter
taste in the mouth, manic agitation, incoherent speech, mental confusion, rash and violent behavior, uncontrolled laughter or crying, shouting, muttering to oneself, or even coma and delirium

Tongue: Red tongue with yellow greasy coating
Pulse: Slippery and rapid

Question 19

KEY PATTERNS HT SI
LU LI

Answer 19

Heart (4):
Palpitations,
shen disturbance,
chest distress,
Sleep disturbance
Other: canker sores, pale or dark facial complexion, poor memory, tongue ulcers, knotted, abrupt, or intermittent pulse, excessive sweating, red tongue tip or crimson tongue, yellow urine with burning and painful sensation

Small Intestine (3):
Abnormal urination (copious or scanty),
Loose stools or diarrhea
Abdominal distention and pain

Lung (3):
Cough,
chills and fever,
abnormal respiration
Other: Nasal congestion, sneezing, edema, expectoration or hemoptysis, sore or itching throat, chest distress or pain, voice change, dry and withered body hair, abnormal sweating, and superficial pulse

Large Intestine (3):
Diarrhea or loose stools,
constipation
Abdominal distention, bloating, borborygmus

Question 20

Dryness Invading the Lung and
Lung Yin Deficiency similarity

Answer 20

Common
Dry cough without sputum, with little sticky sputum or with blood-streaked sputum, difficult to expectorate, dry mouth, throat and nose, thirst, cough with blood, nosebleed, dry stools, scanty urine

Different

Exterior: fever, slight aversion to wind and cold, no sweating or little sweating

Deficiency heat: tidal fever, night sweats, feverish sensation in the five centers, red cheeks

Question 21

Lung Qi Deficiency
Cold Water Shooting into the Lung
Dry-Phlegm Obstructing the Lung
Heart Yang Deficiency

Answer 21

Common
Difficulty breathing, chest distress and pain

**Lung Qi Deficiency **
cough, panting, wheezing,
Pale tongue with thin white coating / weak pulse

Cold Water Shooting into the Lung
cough, panting, wheezing,
int + ext, foamy white sputum
Soft slow + slippery OR wiry p /
If exterior, superficial p

Dry-Phlegm Obstructing the Lung
cough, panting, wheezing,
Dry thick tc /
Slippery p

Heart Yang Deficiency
Pale flabby tongue, moist white tc / Weak, minute, knotted or deep without strength

Question 22

Different Types of Phlegm differences???
Similarities?

Answer 22

Common
Productive cough, wheezing,
shortness of breath,
Distress and tightness in the chest,
Phlegm in the throat,
feeling of heaviness,
Thick tongue coating,
slippery pulse

Dampness-Phlegm
damp causes digestive issues
Chronic paroxysmal cough
with profuse white sticky sputum, easy to expectorate,
Worse after eating
aversion to lying down, nausea

Heat-Phlegm
Barking cough
with profuse sticky yellow or green phlegm, difficult to expectorate
Thirst, agitation, insomnia,
red tongue,
rapid pulse

Cold-Phlegm
Cough
with expectoration of thin white sputum,
worse with exposure to cold or at night
Cold hands and feet,
pale tongue,
slow pulse

Dryness-Phlegm
cold
Dry cough,
occasionally difficult expectoration of scanty white or blood-streaked sputum
Dry throat and nose,
dry coating

Question 23

heart qi xu
vs
lung qi xu

Answer 23

Common
shortness of breath that worsens on exertion, fatigue, pale face, spontaneous sweating

Heart qi xu
weakness of motive force, which slows the circulation of blood, resulting in the Heart losing nourishment
Fright or continuous palpitations, chest tightness,
Tongue: Pale tongue with white coating
Pulse: Weak pulse, rapid pulse without strength, knotted pulse, or abrupt pulse
Key Symptoms: Fright or continuous palpitations, chest distress, plus qi deficiency

Lung Qi Deficiency
Lung hypofunction
Feeble cough and panting that is worse with exertion, copious thin, clear sputum;
shortage of Qi, aversion to speaking, weak voice, low energy, sensitivity to wind, easily catches cold
Tongue: Pale tongue with thin white coating
Pulse: Weak
Key points: Feeble cough and panting that is worse with exertion, plus qi deficiency

Question 24

Dryness Invading the Lung vs
Lung Yin Deficiency

Answer 24

Common
Dry cough without sputum, with little sticky sputum or with blood-streaked sputum, difficult to expectorate, dry mouth, throat and nose, thirst, cough with blood, nosebleed, dry stools, scanty urine

Different
Dryness:
Exterior: fever, slight aversion to wind and cold, no sweating or little sweating
Lung Yin Xu:
Deficiency heat: tidal fever, night sweats, feverish sensation in the five centers, red cheeks

Tongue and Pulse
Dryness:
Normal or sl red tongue w dry coat;
P superficial AND rapid,
superficial AND tight pulse

Lung Yin Xu:
Red
red AND cracked tongue body w little coat;
P thin AND rapid

Question 25

Heart Qi Deficiency
vs
Heart Blood Deficiency

Answer 25

Heart qi xu
Fright or continuous palpitations, chest tightness, shortness of breath that worsens on exertion, fatigue, pale face, spontaneous sweating
Tongue: Pale tongue with white coating
Pulse: Weak pulse, rapid pulse without strength, knotted pulse, or abrupt pulse
Key Symptoms: Fright or continuous palpitations, chest distress, plus qi deficiency

Heart Blood xu
Fright or continuous palpitations, insomnia, dream-disturbed sleep, dizziness, poor memory and concentration,
pale or sallow complexion, pale lips, pale nails
Tongue: Pale
Pulse: Thin and weak
Key Symptoms: Palpitations, insomnia, poor memory, plus blood deficiency

Question 26

compare
Heat Phlegm Obstructing the Lung
Heat Congesting the Lungs
Wind-Heat Invading the Lungs
Warm Dryness Invading the Lung

Answer 26

Heat Phlegm Obstructing the Lung
Agitation, insomnia
Red tongue, Thick or greasy yellow tc
Rapid slippery pulse

Heat Congesting the Lungs
High fever, flaring nostrils, rapid breathing
Chest pain
Dry stool, dark urine
Red tongue, yellow tc
Rapid pulse

Wind-Heat Invading the Lungs
Sl. aversion to wind / cold
red tongue tip, thin yellow tc
Superficial and rapid pulse

Warm Dryness Invading the Lung
Dry mouth
Sl. red tongue w thin white coat
Superficial and rapid pulse

Question 27

Warm dryness vs
cool dryness

Answer 27

Overall, warm dryness presents with obvious dry signs, in addition to heat.
Dryness predominates over heat

Warm dryness
Heat damages body fluid
Late summer, early autumn
Yellow or blood streaked sputum
Pref cold drinks
Sl. red tongue, thin white tc
Rapid pulse

Cool dryness
Cold constricts and obstructs body surface/channels
Late autumn, early winter
Sl. aversion cold, No sweat,
white sputum, HA
Normal tongue, thin dry tc
Sl. tight pulse

Question 28

Comparison:
Wind-Cold Invading the Lung vs.
Cold Invading the Lung vs.
Cold-Phlegm Obstructing the Lungs

Answer 28

Key Points:
1. Course of illness: chronic and long vs. acute and short
2. Exterior signs, i.e., chills and fever
3. Tongue and pulse

Common:
Cough, panting, thin clear sputum

Wind-Cold Invading the Lung
acute, chills and fever
Thin white tc
Superficial, tight pulse

Cold Invading the Lung
subacute
Thin white tc
Deep, tight, slow pulse

Cold-Phlegm Obstructing the Lungs
chronic
Greasy white tc
Slippery pulse

Question 29

Dryness Invading the Lung Pattern
燥邪犯肺 zào xié fàn fèi
What type of pattern is this?
Eight Principles:

Answer 29

exterior pathogenic dryness attacking the Lung and damaging Lung yin. Also called ‘lung dryness’ or ‘exterior dryness’. Depending on accompanying pathogens, it may manifest as warm-dryness 溫燥 wēn zào, or cool-dryness 涼燥 liáng zào

Clinical Manifestations:
Dry cough, scanty sticky sputum or blood-stained sputum, difficult expectoration,
Dry mouth, dry throat and dry nose, or nosebleeds, cough with blood, dry stool, scanty urine.
accompanied by fever, slight chills, and absent or slight sweating.
Tongue: Thin and dry tongue coating
Pulse: Superficial AND rapid, or superficial AND tight

Key Points: dry cough with scanty sticky sputum, dry mouth, throat and nose, plus mild exterior sx.

Question 30

Large Intestine Deficiency cold sx

Answer 30

Causes
Aging, weak constitution
Overconsume cold foods

Sx
Loose stools, diarrhea, AND constipation
Abdominal pain, likes warmth and pressure
Cold intolerance, cold limbs, low energy

Flabby, pale tongue, white glossy tc
Deep, feeble pulse

Question 31

LI xu cold
LI damp heat
LI heat accumulation
LI dryness

Answer 31

Large Intestine Deficiency cold
Causes: Aging, weak constitution, Overconsume cold foods
Sx
Loose stools, diarrhea
AND Constipation
Abdominal pain, likes warmth and pressure
Cold intolerance, cold limbs, low energy
Flabby, pale tongue, white glossy tc
Deep, feeble pulse

LI damp heat
Loose stools and diarrhea, possible fever
No constipation
T: Red tongue, yellow greasy tc
P: Rapid pulse

Large Intestine Heat Accumulation
Interior heat condition. Excess heat + accumulation in intestines
Tidal fever: A high-grade fever aggravated between 3-5 pm (Yang Ming Fu).
Abd pain resistant to pressure
Severe constipation
diarrhea dark green + foul odor
Coma, delirium, manic, irritable, insomnia
Thirst, desire drink
Tongue thick dry yellow tc, or dark brown tc with thorns
Pulse deep, forceful

LI dryness
constipation
dy mouth, thirst dry skin,
dry tongue coat
thin pulse

Question 32

What does dryness do to the body fluids - how would this affect the pulse?

Answer 32

thin pulse

Question 33

Clinical Manifestations of Phlegm Misting the Heart - Yin Mania

Answer 33

Chronic depression,
aversion to speaking or mumbling to oneself,
laughing or crying inappropriately

Question 34

phlegm fire harassing the heart - yang mania

Answer 34

Schizophrenia, neurosis, psychosis, OCD, anxiety, ADD/ADHD

Irritability, flushed face, restlessness, agitations, fidgeting, vexation, shouting, manic behavior, bitter taste, fever, insomnia, yellow urine, constipation, thirst, red tongue with yellow coating, rapid pulse

Question 35

HT vessels obstructed
vs
HT yin xu

Answer 35

HEART VESSELS OBSTRUCTED BY BLOOD STASIS

Clinical Manifestations: Continuous palpitations, tight sensation or distress in the chest,
intermittent chest pain attacks, and pain radiating to the shoulders and arms.

Tongue and pulse: n.a.

Key Symptoms: Palpitations, chest tightness and distress with pain

Yin Deficiency signs and symptoms will not be present in Heart vessel obstr

Question 36

Small Intestine Deficiency Cold
Large Intestine Deficiency Cold
Large Intestine Cold-Dampness
Small Intestine Qi Stagnation

Answer 36

Small Intestine Deficiency Cold
Copious, frequent urination

Large Intestine Deficiency Cold
Dull abdominal pain, prefer warmth relieved by pressure,
intolerance of cold, cold limbs,
a flabby tongue,
a slow feeble pulse;
fecal incontinence, rectal prolapse
Duck drops

Large Intestine Cold-Dampness
Acute
Severe watery stool with borborygmus, cold pain of the umbilicus and abdomen,
Pulse may be wiry or tight
Watery stools, diarrhea

Small Intestine Qi Stagnation
Acute
caused by improper diet, Excessive emotions, especially anger, wailing
Lower abdominal twisting colicky pain, which may extend to the stomach area,
abdominal distention, dislike of pressure on the abdomen,
borborygmus, flatulence and abdominal pain relieved by passing gas.
More gas than bowel

Question 37

Heart Vessels Obstructed Pattern -
blood stasis
vs
phlegm

Answer 37

blood stasis:
Sharp pain needle prick
purple tongue or purple spots on the tongue,
a thready and choppy pulse

Phlegm
Heavy and tight pain, heavy sensation in the body,
tiredness,
white greasy tongue coating,
deep and slippery pulse

Question 38

Lung Yin Deficiency,
Lung Qi Deficiency with Phlegm Heat

Answer 38

LUNG YIN DEFICIENCY
Dry cough
Low-grade fever in the afternoon and evening
Thirst, small sips
Dry cough without sputum, or with sticky scanty sputum, or blood-tinged sputum,
Difficult expectoration, dry mouth,
emaciation, hoarse voice,
low-grade fever in the afternoon and evening, malar flush, night sweats, five-center heat
Tongue: Red tongue with scanty coating
Pulse: Thin rapid

LUNG QI DEFICIENCY with PHLEGM HEAT
+ Feeble cough and panting that is worse with exertion, copious thin, clear sputum; shortage of Qi, shortness of breath, aversion to speaking, weak voice, fatigue, low energy, spontaneous sweating, Sensitivity to wind, easily catches cold, pale complexion
+ Barking cough with profuse sticky yellow or green phlegm, difficult to expectorate. Thirst, agitation, insomnia

Tongue: Pale tongue with thin white coating
Pulse: Weak
or
Tongue: Red
Pulse: Rapid pulse

Question 39

Wind Cold Attacking the Lung
with
Damp Cold in the Large Intestine

Answer 39

WIND COLD ATTACKING THE LUNG
Clinical Manifestations: Cough with thin clear sputum, aversion to cold, fever, headache, body ache, and nasal congestion and discharge with snivel, hoarseness or loss of voice
Tongue: Thin white coating
Pulse: Superficial and tight

COLD DAMPNESS IN THE LARGE INTESTINE
Symptoms and signs: acute onset, rumbling intestines, cold pain of the umbilicus and abdomen, clear and watery diarrhea
Tongue: white and glossy tongue coating
Pulse: Moderate

Question 40

Lung Qi and Yin Deficiency with Heart Fire Blazing

Answer 40

lung qi xu

yin deficiency sx

HT fire
Red face and lips, irritability, anxiety,
vexation, insomnia, bitter taste,
thirst, canker sores on lips or
tongue.
Tongue: Red tongue tip, or deep
red tongue with yellow coating
Pulse: Rapid
In some cases, there are manic
behaviors, delirium, nosebleed,
vomiting blood, or skin sores or
boils. There may also be painful
and burning urination.

Question 41

Lung Qi and Yin Deficiency with Heat Phlegm Obstructing the Lung

Answer 41

Lung Qi and Yin Deficiency with Heat Phlegm Obstructing the Lung

Qi xu
yin xu signs
Heat phlegm:
thirst, agitation, insomnia
Productive cough, wheezing, shortness of breath, distress and tightness in the chest, phlegm in the throat, feeling of heaviness, thick tongue coating, slippery pulse. Barking cough with profuse sticky yellow or green phlegm, difficult to expectorate.

Question 42

Lung Qi Deficiency with Accumulation of Cold Phlegm

Answer 42

Lung Qi Deficiency
and
Cough with expectoration of thin white sputum, worse with exposure to cold or at night.

Other: Cold hands and feet,
pale tongue, slow pulse

Question 43

Compare:
Phlegm fire harassing the Heart
Large Intestine heat accumulation
Small Intestine excess fire
Large Intestine damp-heat

Answer 43

Phlegm fire harassing the Heart
Fever, irritability, red face and eyes, thirst, heavy breathing, bitter taste in the mouth, manic agitation, incoherent speech, mental confusion, rash and violent behavior, uncontrolled laughter or crying, shouting, muttering to oneself, or even coma and delirium
Tongue: Red tongue with yellow greasy coating
Pulse: Slippery and rapid

Large Intestine heat accumulation
Interior heat condition. Excess heat + accumulation in intestines
Tidal fever: A high-grade fever aggravated between 3-5 pm indicates Yang Ming Fu syndrome.
Abdominal pain resistant to pressure
Severe constipation, diarrhea dark green + foul odor
Coma, delirium, manic, irritable, insomnia
Thirst, desire drink
Tongue thick dry yellow tc, or dark brown tc with thorns
Pulse deep, forceful

Small Intestine excess fire
Frequent urination with painful, urgent, and burning sensation, scanty dark yellow urine or bloody urine, irritability, thirst with desire to drink cold water, sore throat canker sores, tongue ulcers.
Tongue: A red tongue with yellow coating
Pulse: Rapid
There may also be early stage exterior symptoms; e.g., fever and chills and a superficial pulse
Key Symptoms: Frequent urination with painful, urgent, and burning sensation, bloody urine,
plus interior excess heat signs and symptoms

Large Intestine damp-heat
Diarrhea, loose stool
Sticky stools, foul odor
Blood and pus
Tenesmus
Fever mild chills, superficial pulse
Scanty yellow urine
Thirst
T: Red tongue, yellow greasy tc
P: Rapid pulse

Question 44

COMPARE AND CONTRAST
● Lung Qi Deficiency
● Heart Qi Deficiency
● Heart Blood Deficiency
● Cold Phlegm Obstructing the Lungs
● Cold Water Shooting into the Lungs

Answer 44

Lung Qi Deficiency
qi xu + cough

Heart Qi Deficiency
qi xu + palpitations

Heart Blood Deficiency
blood xu + palpitations

Cold Phlegm Obstructing the Lungs
shi cold + phlegm + cough
thin white sputum, worse with exposure to cold or at night
Cold hands and feet,
pale tongue,
slow pulse

Cold Water Shooting into the Lungs
shi cold + cough
Soft slow and slippery OR wiry pulse
Possibly Interior + exterior
If exterior, superficial pulse
Profuse white foamy sputum