Inquiry Flashcards
OPQRST’ Mnemonic for Pain Syndromes
Onset Provocation and Palliation Quality and Quantity Region and Radiation Severity Time (how long, has it changed, did it ever happen before?)
Ten Questions (Oriental Medicine)
- Chills / Fever
- Sweating
- Pain
- Head and Body (includes Back & Extremities)
- Chest and Abdomen
- Appetite, Thirst and Taste
- Defecation and Urination
- Sleep
- Hearing and Vision
- Women’s Symptoms
FAOMASH’ Mnemonic
Family history Associated symptoms Other symptoms Medication/other practitioners seen Accidents/Allergies Surgeries Hospitalizations
Chills accompanied by fever is key for..
exterior syndrome
When Chills > fever =
Wind-Cold
When Fever > chills =
Wind- Heat
Alternating chills and fever is also known as..
Shaoyang syndrome
Fever without chills is a key for..
interior syndrome
A patient has High fever, =?
Interior Excess Heat
The 4 bigs is also known as..
YangMing Channel Syndrome
A patient has Tidal fever (rises and falls) btwn 3-5pm = ?
Yangming Organ Syndrome.
A patient has Tidal fever low fever rising in the afternoon= ?
Damp Heat
A patient has Tidal fever , a low fever in the afternoon and evening?
Yin Def
A patient has a Low fever at night..
Yin Def, Blood Def
A patient Low fever during the Day
Qi Def.
Chills without fever is a key for..
Interior Syndrome.
If a patient has Chills w/o fever, acute, severe pain, vomiting/diarrhea..
Interior Excess COLD
A patient has chills w/o fever, Chronic, cold body & limbs, alleviated by warmth and covering…
Yang Def.
A patient has No Perspiration
Wind- Cold
A patient has Perspiration and an aversion to wind, mild fever, superficial Moderate pulse
Exterior Def.
A patient has Perspiration fever, slight chills, superficial rapid pulse
Wind Heat.
A patient has spontaneous sweating…
Qi or Yang Def.
A patient has night sweating
Yin def.
A patient has profuse sweating with thirst and high fever
Yang Ming Syndrome
A patient has profuse sweating with oily beads of sweat and cold body&limbs
Yang Collapse.
A patient has profuse sticky sweat.
Yin collapse.
A patient has sweat on the Head only
Stomach Heat, or Damp Heat in Middle Jiao
A patient has sweat on Hands only
Lung of Heart Qi Def.
A patient has sweat on 5 centers
Yin Def.
A patient has sweat on Half the body
Wind Phlegm obstructing the channels
A patient has yellow sweat
Damp Heat
A patient has Distending pain on the Body
Qi Stag
A patient has Distending pain on the HEAD
Liver Fire, Liver Yang Rising
A patient has stabbing pain
Blood Stag
A patient has wandering pain
Wind Bi, Qi Stag
A patient has Fixed pain
Cold bi, Blood Stag
A patient has cold sensation
cold Syndrome
A patient has Burning sensation
Heat Syndrome.
A patient has colicky (cramping) pain
Excess Syndrome
A patient has dull pain
def syndrome
A patient has heavy feeling
dampness
A patient has aching on the whole body
exterior syndrome, dampness
A patient has aching on the lower back and knees
kidney def
A patient has aching on the joints
damp bi
A patient has hollow sensation
blood or essence def
A patient has throbbing pain
qi stagnation, yang rising
A patient has pulling sensation
liver wind
A patient has pain aggravated by Pressure,
Lying down,
Immobility
Excess
A patient has pain Relieved by
Movement
Sitting upright
Bowel movement or vomiting
Excess
A patient has pain Aggravated by
Movement and exertion
Sitting upright
Bowel movement or vomiting
Deficiency
A patient has pain Relieved by
Pressure
Lying down and resting
Eating
Deficiency
A patient has pain Aggravated by cold and inactivity
Relieved by heat and movement
cold pain
A patient has pain Aggravated by heat and movement
Relieved by cold application
Heat Pain
A patient has a headache on the occipital region radiating to nape and upper back
Taiyang channel - Wind Cold / Kidney Def
A patient has a headache forehead and brow
Yang Ming Channel - Stomach Heat,
Retention of Food,
Qi Def.
A patient has a headache – temples and sides of head
Shaoyang Channel - Hyper activity of Liver Yang, Liver Fire, Liver Qi Stag.
A patient has a headache pain radiating to brain and teeth
Shaoyin Channel = cold invading the channel.
A patient has a headache on vertex radiating to sides
Jueyin Channel - Liver Blood Def, cold rebelling in Liver channel (Jueyin syndrome)
A patient has a headache on the whole head
Excess syndrome
A patient has a headache is Acute onset
Severe pain
Chills and fever
Exterior Excess
A patient has a headache is Acute or chronic
Pain is usually intense
Aggravated by pressure
Interior Excess
A patient has a headache Chronic
Dull pain
Relieved by pressure
Interior Def.
A patient has a Sudden onset
Severe dizziness, vertigo, possibly with headaches and tremors
Aggravated by lying down
Excess pattern
A patient has Gradual onset or chronic
Mild dizziness, lightheadedness
Aggravated by exertion
Def Pattern
A patient has Whole body pain with Sudden onset with chills and fever
Exterior Wind syndrome
A patient has Whole body pain with Muscular pain with hot sensation of the flesh
Stomach Heat
A patient has Whole body pain with Aching pain and bodily heaviness
Dampness
Aching body, tiredness: Qi and Blood deficiency
A patient has Whole body pain with Severe pain after childbirth
Blood stagnation
A patient has Whole body pain with Dull pain after childbirth
Blood deficiency
A patient has Moving pain from joint to joint
Wind
A patient has Severe and fixed joint pain
COLD
A patient has Soreness, numbness, heaviness and swelling joint pain
Dampness