Inquiry of Pain

Question 1

Describe pain from fullness

Answer 1

• blockage in the channels
• refuses and dislikes pressure

Question 2

Describe pain from deficiency

Answer 2

• malnourishment of channels
• mild pain, wants and likes pressure

Question 3

Name the headache locations and meridians

Answer 3

Forehead - YangMing
Temples - ShaoYang
Occipital - Taiyang
Vertex/Top - Jueyin
Headache w teeth pain - Shaoyin KD

Question 4

3 syndromes of external, excessive headache

Answer 4

Wind-Cold - acute w occipital stiffness (contract muscle)
Wind-Damp - acute, severe, dull, heavy (sensation)
Wind-Heat - acute, severe (heat sensation)

Question 5

3 syndromes of internal, deficiency headache

Answer 5

Qi Def - daytime (during 3-5pm)
Blood Def - dull, evening
KD Def - feeling of emptiness and dull pain

Question 6

3 Syndromes of pain in the ribs

Answer 6

Liver-Qi stagnation - distention feeling
Liver-Gallbladder damp heat - feeling of oppression & heaviness
Blood stasis - severe, stabbing pain

Question 7

Describe Rebellious Liver-Qi invading ST (pain)

Answer 7

Distending pain radiating to the right/left rib

Question 8

Describe ST Yin Def (epigastrium pain)

Answer 8

• intermittent burning pain
• dry mouth, mirror tongue

Question 9

Describe ST Yang Def (epigastrium pain)

Answer 9

• intermittent dull pain
• alleviate by heat/warm drink, aggravate by cold

Question 10

Describe Def and Cold in SP-ST (abdomen pain)

Answer 10

dull pain in upper abdomen, alleviated by warm and pressure

Question 11

Describe Damp-heat in bladder (abdomen pain)

Answer 11

• distention pain in lower abdomen
• difficulty and heat sensation of urination IE. UTI

Question 12

Describe Damp-Cold (lower back pain)

Answer 12

• feels heavy, excess pain
• dislike pressure, cold, dampness
• likes heat

Question 13

Describe Damp-Heat (lower back pain)

Answer 13

• feels heavy, burning sensation pain
• dislike pressure, likes cold

Question 14

Describe Blood Stasis (lower back pain)

Answer 14

• sharp stabbing pain, fixed location
• pain worse at night

Question 15

Describe KD Def (lower back pain)

Answer 15

• feels dull, likes pressure, can oscillate

Question 16

Name the “4 Time of Pain”

Answer 16

1. Daytime pain - dysfunction of qi or blood
2. Nighttime pain - yin def or blood stasis
3. Intermittent pain - qi def or stagnation
4. Continuous pain - blood stasis

Question 17

Describe Temperature (factor affecting pain)

Answer 17

better w warmth: cold/yang def
better w cold: acute joint sprain/heat syndrome