Inquiry Flashcards

1
Q

OPQRST’ Mnemonic for Pain Syndromes

A
Onset
Provocation and Palliation
Quality and Quantity
Region and Radiation
Severity
Time (how long, has it changed, did it ever happen before?)
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2
Q

Ten Questions (Oriental Medicine)

A
  1. Chills / Fever
  2. Sweating
  3. Pain
  4. Head and Body (includes Back & Extremities)
  5. Chest and Abdomen
  6. Appetite, Thirst and Taste
  7. Defecation and Urination
  8. Sleep
  9. Hearing and Vision
  10. Women’s Symptoms
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3
Q

FAOMASH’ Mnemonic

A
Family history
Associated symptoms
Other symptoms
Medication/other practitioners seen
Accidents/Allergies
Surgeries
Hospitalizations
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4
Q

Chills accompanied by fever is key for..

A

exterior syndrome

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5
Q

When Chills > fever =

A

Wind-Cold

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6
Q

When Fever > chills =

A

Wind- Heat

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7
Q

Alternating chills and fever is also known as..

A

Shaoyang syndrome

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8
Q

Fever without chills is a key for..

A

interior syndrome

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9
Q

A patient has High fever, =?

A

Interior Excess Heat

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10
Q

The 4 bigs is also known as..

A

YangMing Channel Syndrome

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11
Q

A patient has Tidal fever (rises and falls) btwn 3-5pm = ?

A

Yangming Organ Syndrome.

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12
Q

A patient has Tidal fever low fever rising in the afternoon= ?

A

Damp Heat

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13
Q

A patient has Tidal fever , a low fever in the afternoon and evening?

A

Yin Def

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14
Q

A patient has a Low fever at night..

A

Yin Def, Blood Def

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15
Q

A patient Low fever during the Day

A

Qi Def.

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16
Q

Chills without fever is a key for..

A

Interior Syndrome.

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17
Q

If a patient has Chills w/o fever, acute, severe pain, vomiting/diarrhea..

A

Interior Excess COLD

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18
Q

A patient has chills w/o fever, Chronic, cold body & limbs, alleviated by warmth and covering…

A

Yang Def.

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19
Q

A patient has No Perspiration

A

Wind- Cold

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20
Q

A patient has Perspiration and an aversion to wind, mild fever, superficial Moderate pulse

A

Exterior Def.

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21
Q

A patient has Perspiration fever, slight chills, superficial rapid pulse

A

Wind Heat.

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22
Q

A patient has spontaneous sweating…

A

Qi or Yang Def.

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23
Q

A patient has night sweating

A

Yin def.

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24
Q

A patient has profuse sweating with thirst and high fever

A

Yang Ming Syndrome

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25
Q

A patient has profuse sweating with oily beads of sweat and cold body&limbs

A

Yang Collapse.

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26
Q

A patient has profuse sticky sweat.

A

Yin collapse.

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27
Q

A patient has sweat on the Head only

A

Stomach Heat, or Damp Heat in Middle Jiao

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28
Q

A patient has sweat on Hands only

A

Lung of Heart Qi Def.

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29
Q

A patient has sweat on 5 centers

A

Yin Def.

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30
Q

A patient has sweat on Half the body

A

Wind Phlegm obstructing the channels

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31
Q

A patient has yellow sweat

A

Damp Heat

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32
Q

A patient has Distending pain on the Body

A

Qi Stag

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33
Q

A patient has Distending pain on the HEAD

A

Liver Fire, Liver Yang Rising

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34
Q

A patient has stabbing pain

A

Blood Stag

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35
Q

A patient has wandering pain

A

Wind Bi, Qi Stag

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36
Q

A patient has Fixed pain

A

Cold bi, Blood Stag

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37
Q

A patient has cold sensation

A

cold Syndrome

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38
Q

A patient has Burning sensation

A

Heat Syndrome.

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39
Q

A patient has colicky (cramping) pain

A

Excess Syndrome

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40
Q

A patient has dull pain

A

def syndrome

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41
Q

A patient has heavy feeling

A

dampness

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42
Q

A patient has aching on the whole body

A

exterior syndrome, dampness

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43
Q

A patient has aching on the lower back and knees

A

kidney def

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44
Q

A patient has aching on the joints

A

damp bi

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45
Q

A patient has hollow sensation

A

blood or essence def

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46
Q

A patient has throbbing pain

A

qi stagnation, yang rising

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47
Q

A patient has pulling sensation

A

liver wind

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48
Q

A patient has pain aggravated by Pressure,
Lying down,
Immobility

A

Excess

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49
Q

A patient has pain Relieved by
Movement
Sitting upright
Bowel movement or vomiting

A

Excess

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50
Q

A patient has pain Aggravated by
Movement and exertion
Sitting upright
Bowel movement or vomiting

A

Deficiency

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51
Q

A patient has pain Relieved by
Pressure
Lying down and resting
Eating

A

Deficiency

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52
Q

A patient has pain Aggravated by cold and inactivity

Relieved by heat and movement

A

cold pain

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53
Q

A patient has pain Aggravated by heat and movement

Relieved by cold application

A

Heat Pain

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54
Q

A patient has a headache on the occipital region radiating to nape and upper back

A

Taiyang channel - Wind Cold / Kidney Def

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55
Q

A patient has a headache forehead and brow

A

Yang Ming Channel - Stomach Heat,
Retention of Food,
Qi Def.

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56
Q

A patient has a headache – temples and sides of head

A

Shaoyang Channel - Hyper activity of Liver Yang, Liver Fire, Liver Qi Stag.

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57
Q

A patient has a headache pain radiating to brain and teeth

A

Shaoyin Channel = cold invading the channel.

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58
Q

A patient has a headache on vertex radiating to sides

A

Jueyin Channel - Liver Blood Def, cold rebelling in Liver channel (Jueyin syndrome)

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59
Q

A patient has a headache on the whole head

A

Excess syndrome

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60
Q

A patient has a headache is Acute onset
Severe pain
Chills and fever

A

Exterior Excess

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61
Q

A patient has a headache is Acute or chronic
Pain is usually intense
Aggravated by pressure

A

Interior Excess

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62
Q

A patient has a headache Chronic
Dull pain
Relieved by pressure

A

Interior Def.

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63
Q

A patient has a Sudden onset
Severe dizziness, vertigo, possibly with headaches and tremors
Aggravated by lying down

A

Excess pattern

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64
Q

A patient has Gradual onset or chronic
Mild dizziness, lightheadedness
Aggravated by exertion

A

Def Pattern

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65
Q

A patient has Whole body pain with Sudden onset with chills and fever

A

Exterior Wind syndrome

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66
Q

A patient has Whole body pain with Muscular pain with hot sensation of the flesh

A

Stomach Heat

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67
Q

A patient has Whole body pain with Aching pain and bodily heaviness

A

Dampness

Aching body, tiredness: Qi and Blood deficiency

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68
Q

A patient has Whole body pain with Severe pain after childbirth

A

Blood stagnation

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69
Q

A patient has Whole body pain with Dull pain after childbirth

A

Blood deficiency

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70
Q

A patient has Moving pain from joint to joint

A

Wind

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71
Q

A patient has Severe and fixed joint pain

A

COLD

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72
Q

A patient has Soreness, numbness, heaviness and swelling joint pain

A

Dampness

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73
Q

A patient has Redness and swelling joint pain

A

HEAT

74
Q

A patient has Continuous dull lower back pain and soreness, worse after exertion and sexual activity

A

Kidney deficiency

75
Q

A patient has Severe pain with cold sensation, aggravated by cold and damp weather

A

Cold-Damp invading the channels

76
Q

A patient has Fixed stabbing pain aggravated by pressing and movement

A

Blood stagnation

77
Q

A patient has Back pain extending upward to shoulders

A

Exterior Wind invasion

78
Q

A patient has Heaviness, chest oppression, poor appetite (greasy tongue coating, rolling pulse

A

Dampness

79
Q

A patient has Heaviness, tiredness, shortness of breath, poor appetite (thin tongue coating, deficient pulse)

A

Spleen Qi Def.

80
Q

A patient has Bilateral numbness of arms and legs

A

Liver Blood deficiency

81
Q

A patient has Numbness and swelling of joints

A

Dampness

82
Q

A patient has Unilateral numbness of fingers and arm

A

Internal Wind-Phlegm obstructing the channel

83
Q

A patient has Chest pain Distending, moving, intermittent pain aggravated by stress

A

Qi stagnation

84
Q

A patient has Chest pain Fixed stabbing pain, palpitations

A

Heart Blood stagnation

85
Q

A patient has Chest pain Squeezing, crushing pain radiating to neck and arm with chest oppression

A

Phlegm obstruction

86
Q

A patient has Chest pain Chest pain with fever, wheezing, cough with yellow sputum

A

Lung Heat

87
Q

A patient has Chest pain Chest oppression, dull intermittent pain, palpitations, chilliness

A

Heart Yang Deficiency

88
Q

Chest pain (Heart) will feel

A

Palpitations

89
Q

Cheat pain (Lungs) will feel

A

cough, Dyspnea

90
Q

A patient has Hypochondriac pain Distending intermittent pain

A

Liver Qi stag

91
Q

A patient has Hypochondriac pain Pain with fullness, heaviness, bitter taste

A

Damp Heat in Liver and GB

92
Q

A patient has Hypochondriac pain Fixed stabbing pain, & masses

A

Liver blood Stag

93
Q

A patient has Epigastric Pain Severe pain
Aggravated by eating
Aggravated by pressure

A

Excess

94
Q

A patient has Epigastric Pain Dull pain
Alleviated by eating
Feels better with pressure

A

Def

95
Q

A patient has Epigastric pain Acute severe pain, chills, no thirst

A

Cold invading the Stomach

96
Q

A patient has Epigastric pain Pain, fullness and distention, no appetite, sour regurgitation

A

Retention of food

97
Q

A patient has Epigastric pain Pain and distention radiating to hypochondria, belching

A

Liver invading Stomach

98
Q

A patient has Epigastric pain Burning pain, thirst, constant hunger

A

Stomach Heat and Fire

99
Q

A patient has Epigastric pain Fullness and pain, heaviness, poor appetite, no desire to drink, nausea

A

Damp-Heat in Spleen and Stomach

100
Q

A patient has Epigastric pain Stabbing pain, worse with pressure, worse at night

A

Blood stasis in the Stomach

101
Q

A patient has Epigastric pain Dull burning pain, no appetite, dry mouth and throat but only taking small sips

A

Stomach Yin deficiency

102
Q

A patient has Epigastric pain Dull pain relieved by eating, poor appetite, poor appetite, loose stools, chilliness, tiredness

A

Deficiency Cold in Stomach and Spleen

103
Q

A patient has Abdominal Paint that is Acute
Aggravated by pressure and eating
Relieved by bowel movement

A

Excess

104
Q

A patient has Abdominal Pain that is Dull and chronic
Relieved by pressure and eating
Worse after bowel movement

A

Def

105
Q

A patient has Abdominal Pain relieved by warmth

A

COLD

106
Q

A patient has Abdominal Pain relieved by heat

A

HEAT

107
Q

If a patient has Hypogastric Pain with menstruation, which organ is involved?

A

Uterus

108
Q

If a patient has Hypogastric Pain with defecation, which organ is involved?

A

Large Intestine

109
Q

A patient has Abdominal distention, loose stools, weakness

A

Spleen Qi deficiency

110
Q

A patient has Abdominal fullness, bodily heaviness

A

Dampness accumulation

111
Q

A patient has Aversion to food, epigastric distention and pain, belching:

A

Retention of food

112
Q

A patient has Excessive hunger: Hunger after eating, thin body despite large food intake, thirst

A

Stomach Heat or Fire

113
Q

A patient has Hunger with no desire to eat, with a Dull burning epigastric pain, hiccups, feeling full after eating a small amount

A

Stomach Yin deficiency

114
Q

A patient has Absence of Thirst

A

Cold or Damp syndrome

Absence of Heat

115
Q

A patient has Preference for cold drinks

A

Heat syndrome

116
Q

A patient has Preference for hot drinks

A

Cold syndrome

117
Q

A patient has Extreme thirst, preference for cold drinks, fever, sweating

A

Excess Internal Heat

118
Q

A patient has Extreme thirst, excessive hunger, excessive urine

A

Xiao Ke (Wasting and Thirsting) syndrome

119
Q

A patient has Thirst following sweating, vomiting, diarrhea

A

Consumption of Body Fluid

120
Q

A patient has Desire to sip liquids slowly, five-center heat, night sweating

A

Stomach or Kidney Yin deficiency

121
Q

A patient has With recessive fever, bodily heaviness

A

Damp-Heat

122
Q

A patient has With vomiting of watery clear fluids immediately after drinking

A

Retention of Fluids in the Stomach

123
Q

A patient has Flat or bland taste

A

Spleen Qi deficiency

124
Q

A patient has Sweet sticky taste

A

Damp-Heat in Spleen and Stomach

125
Q

A patient has Bitter taste in the Morning

A

Heart Fire (morning)

126
Q

A patient has a constant Bitter Taste

A

Liver Fire

127
Q

A patient has Sour taste:

A

Liver invading Stomach or Food retention

128
Q

A patient has Salty taste

A

Kidney deficiency

129
Q

A patient has Sour Vomit

A

Liver invading Stomach

130
Q

A patient has Bitter vomit

A

Liver-GB heat

131
Q

A patient has Clear watery vomit:

A

Cold in the Stomach with retention of fluids

132
Q

A patient has Vomiting soon after eating:

A

Excess

133
Q

A patient has Vomiting several hours after eating

A

Deficiency

134
Q

A patient has Sudden noisy vomiting

A

Excess

135
Q

A patient has Slow quiet vomiting

A

Deficiency

136
Q

A patient has Dry stools, distending abdominal pain, thirs

A

Excess Heat in Stomach and Large Intestine

137
Q

A patient has Small stools like pellets, difficult bowel movements, hypochondriac and abdominal pain

A

Liver Qi stagnation

138
Q

A patient has Severe constipation, cramping abdominal pain, chills

A

Cold obstructing the Large Intestine

139
Q

Dry stools in elderly or post-partum patients have

A

Blood Def

140
Q

Dry stools, dry mouth with no desire to drink, night sweating

A

Yin deficiency

141
Q

Thin long soft stools, difficulty opening bowels, fatigue and sweating after defecation

A

Qi and Yang deficiency

142
Q

A Child has Enuresis

A

Kidney Qi Deficiency

143
Q

A patient has Painful diarrhea with fullness, undigested food

A

Cold in the Intestines

144
Q

A patient has Yellowish diarrhea with foul smell, abdominal pain, burning sensation in anus, mucus or blood in stools

A

Damp-Heat in the Large Intestine

145
Q

A patient has Diarrhea with abdominal pain relieved by bowel movement, abdominal fullness, borborygmi, poor appetite, foul breath

A

Retention of food

146
Q

A patient has Loose stools, undigested food in stools, poor appetite, abdominal distention after eating

A

Spleen Qi deficiency

147
Q

A patient has Diarrhea before dawn (3-5am), borborygmi followed by urgent diarrhea, intolerance of cold

A

Kidney Yang deficiency

148
Q

A patient has Alternating constipation and diarrhea

A

Disharmony between Liver and Spleen

149
Q

A patient has Mucus in stool

A

Dampness

150
Q

A patient has Blood preceding stool

A

Heat syndromes

151
Q

A patient has Blood following stool

A

Spleen failing to control Blood

152
Q

A patient has feces Black or very dark blood in stool

A

Blood stagnation

153
Q

A patient has Mucus and blood in feces

A

Damp-Heat

154
Q

A patient has Pus and blood in feces

A

Dysentery

155
Q

A patient has Tenesmus

A

Damp-Heat

156
Q

A patient has Rectal prolapse

A

Spleen Qi sinking

157
Q

A patient has Flatulence:

A

Liver Qi stagnation

158
Q

A patient has Borborygmi:

A

Liver Qi stagnation or Spleen deficiency

159
Q

A patient has Painful, urgent, dark color Urine, thirst, fever

A

Damp-Heat in the Bladder

160
Q

A patient has Copious, clear, frequent nighttime urination

A

Kidney Qi or Yang deficiency

161
Q

A patient has Extreme thirst, constant hunger, frequent urination (“drink once, urinate once”):

A

Xiao Ke (Wasting and Thirsting) syndrome

162
Q

A patient has Scanty dark urination, dry mouth and throat, five-center heat, night sweating, red tongue with no coating, thready rapid pulse

A

Kidney Yin deficiency

163
Q

A patient has Dark yellow urine, fever, sweat, red tongue with dry yellow coating, rapid excess pulse

A

Excess Internal Heat

164
Q

A patient has Clear Profuse Urination Frequent urination, possibly weak stream, increased nighttime urination, chilliness

A

Kidney Yang deficiency

165
Q

A patient has Clear Profuse Urination Acute cramping abdominal pain, chills, no desire to drink, preference for warmth

A

Excess Interior Cold

166
Q

Clear urination indicates pathogenic factor has not penetrated to the interior

A

Exterior syndrome:

167
Q

A patient has Turbid (Cloudy) Urine, Difficult urination, bodily heaviness

A

Dampness in the Bladder

168
Q

A patient has Turbid (Cloudy) Urine, Heavy sensation in the abdomen, frequent urination of small amounts, poor appetite, sore lower back

A

Spleen and Kidney deficiency

169
Q

Bloody urine =

A

Heat in the Bladder

170
Q

A patient has pain before Urination

A

Qi Stag

171
Q

A patient has pain during urination

A

Damp Heat in Bladder

172
Q

A patient has pain after urination

A

Qi Def

173
Q

A patient has Lin Syndrome (6 types)

A

Heat, Blood, Stone, Cloudy, Qi, Fatigue

174
Q

A patient has Incontinence when coughing or sneezing

A

Lung Qi Def

175
Q

A patient has Slight with urinary urgency and bearing down sensation in hypogastrium

A

Spleen Qi deficiency

176
Q

A patient has Dribbling, frequent urination, nocturia, weak stream:

A

Kidney Qi or Yang deficiency

177
Q

A patient has Dribbling, scanty dark urine, dry throat, night sweats

A

Kidney Yin deficiency

178
Q

An adult has Enuresis

A

Yang deficiency and deficiency of Original Qi

179
Q

A patient has Inhibited Urination and Retention of Urine, Short, dark color, frequent, painful

A

Damp-Heat in the Bladder

180
Q

A patient has Inhibited Urination and Retention of Urine, Post-partum or with history of traumatic injury with pain, swelling, hematoma

A

Blood stagnation

181
Q

A patient has Inhibited Urination and Retention of Urine Distended bladder, unable to initiate stream, dribbling urine

A

Kidney Yang deficiency