Inquiry Flashcards
What are the 16 diagnostic areas of questioning
- pain
- Food and taste
- Stool and urine
- Thirst and drink
- Energy levels
- Head face and body
- Chest and abdomen
- Limbs
- Sleep
- Sweating
- Eyes and ears
- Feeling cold or heat or fever
- Emotional sx
- Sexual sx
- Women’s sx
- Children’s sx
Why I was questioning about aversion to cold and fever traditionally placed at the beginning of interrogation in the traditional 10 questions?
Because when traditional 10 questions were formulated febrile disease were very common in China and would have formed the major part of a doctors practice
What is the basic pathology of pain Due to a full condition
All pain from full condition is seen to be caused by obstruction to the circulation of qi in the channels
What are characteristics of pain caused by blood stasis
Blood stasis causes severe boring or stabbing pain with fixed location
In general if you condition is aggravated by eating what does this indicate?
But it is a full condition
What pattern as indicated by a constant bitter taste in the mouth
Liver fire
If I condition gets worse after a bowel movement what general pattern do you suspect
Empty pattern
Loose stools with undigested food indicate which pattern
Spleen qi deficiency
What is likely pattern causing difficulty in urination an elderly person
Kidney qi deficiency
The absence of thirst indicate which general pattern
A cold pattern usually stomach or Splaine
Patient reports long-term tiredness and is also tense and anxious pulse is wiry what pattern do you suspect
Liver qi stagnation
A doll headache at the vertex of the head commonly comes from which pattern
Liver blood deficiency
The patient complains of sinusitis with a chronic runny nose with a sticky yellow discharge which pattern is most likely?
Damp heat in the stomach channel
What my mouth ulcers on the lower gum indicate
Heat or empty heat in the stomach
Numbness of the fingers elbow and arm on the side of the body indicates the presence of which pathogens
Internal wind and phlegm
Which patterns most commonly caused a feeling of fulness and distension in the epigastrium
Dampness or liver qi stagnantion
What are three possible patterns causing cold hands
Young deficiency heart blood deficiency or liver qi stagnation
What pattern is most likely to be present of a patient wakes up frequently during the night
You can deficiency of heart liver or kidneys
Which organ do you suspect may be involved in a patient sweats only on their hands
The lungs or the heart
Tinnitus with low pitch noise like rushing water indicates what pattern
Kidney deficiency
Give three clinical Manifestations of full cold
Any three of the following: intense feeling of cold and shivers, body feels cold and relatively hard to touch, pain, full pulse, sudden onset
What is meant by the term fever in Chinese diagnosis in the context of exterior diseases
Fever literally means omission of heat and therefore it means the patient’s body feels objectively hot on palpation
The patient suffers from anxiety that gets worse in the afternoon and also suffers with insomnia palpitations and night sweats what is the likely presenting pattern
Heart yin deficiency
Which two organs would you consider first and the diagnosis of a young man suffering with importance
The kidneys or the heart
Pain after a period Indicates which pattern
Blood deficiency
Whereas a Chinese patient might report a distending pain a western patient might report
A) Feelin small and in pain
B) feeling bloated
C) feeling painfully hungry
B
An area of questioning which might be added to the traditional 10 questions is A) emotional state B) sexual symptoms C) Energy levels D)All of the above
D
Always being hungry is usually a sign of
A) stagnation of qi
B) heat in the stomach
C) When she deficiency
B
Constipation with small dry bitty stools like goat stools indicates
A) dampness with spleen qi deficiency
B) lung qi deficiency and phlegm
C) stagnation of liver qi And heat in the intestines
C
What does the absence of thirst usually indicate
A) cold pattern
B) heat pattern
C) dryness
A
Slight dizziness which gets worse when the person is tired is often due to
A) phlegm
B) blood deficiency
C) Lung yin deficiency 
B
The most common cause of cold hands is
A) yin deficiency
B) phlegm
C) yang deficiency
C
Fever in Chinese pattern discrimination indicates that
A) The patient’s temperature registers at a raised on thermometer
B) The patience for head and door some of the hand feel hot to touch
C)The patient feels hot
B
Questions about sexual symptoms or ask primarily to ascertain the state of which organs
A) kidney and spleen
B) kidneys and heart
C) Lung And liver
B
Sometimes the absence of certain symptoms or sign is diagnostically significant true or false
True
The tongue and Paul’s frequently show the existence of patterns that we’re not evident from the symptoms and signs reported by the patient true or false
True
Pain from a full condition is more intense and sharper than that from an empty condition true or false
True
A bitter taste from liver fire is only present in the morning after a sleepless night true or false
False
Chronic diarrhoea occurring every day in the very early morning is due to stomach qi Deficiency
True or false
False
Dampness and phlegm are heavy And way down the body so that the person feels heavy And tired true or false
True
Mouth ulcers always indicate a full condition True or false
False 
Blood deficiency is a common cause of numbness/tingling of the limbs in younger people especially women true or false
True
Walking during the night generally indicates yang deficiency true or false
False
Heart and or liver blood deficiency may lead to excessive worrying True or false
True
