Interrogation Flashcards
16 Questions
Pain Food and taste Stools and urine Thirst and drink Energy levels Head face and body Chest and abdomen Limbs Sleep Sweating Ears and eyes Feeling of cold or heat and fever Emotional symptoms Sexual symptoms Women’s symptoms Children’s symptoms
Pain
Full or Empty conditions
Ascertain, esp. in relation to head chest or abdomen
Intense and sharp: Full
Less intense and dull: Empty
Pain from Full condition
Invasion of exterior pathogenic factors
Interior Cold or Heat
Stagnation of Qi or Blood
Retention of food
Obstruction by Phlegm
All conditions cause an obstruction to the circulation of Qi in the channels ^ pain.
Pain from Empty conditions
Deficiency of Qi and Blood
Consumption of Body Fluids from Yin deficiency
These conditions cause malnourishment of the channels ^ pain.
Empty Pain
Alleviated by pressure
Alleviated by food
Full, lingering
Aggravated by bowel movement
Better lying down
Slow, gradual onset
Aggravated by vomiting
Better with rest
Full pain
Aggravated by pressure
Aggravated by food
Sharp
Alleviated by bowel movement
Better sitting up
Sudden onset
Alleviated by vomiting
Better with movement
Pain from Cold pattern
Cramping
Alleviated by heat
Aggravated by bowel movement
Aggravated by vomiting
Better with movement
Pain from Heat pattern
Burning
Alleviated by cold
Alleviated by bowel movement
Alleviated by vomiting
Worse with movement
Cause of Pain
Most common causes of chronic pain in internal conditions = Qi stagnation, Blood stasis, Cold.
Qi stagnation: causes distention more than pain, which comes and goes according to emotional state. Locations = epigastrium and abdomen.
Liver-Yang Rising: type of Qi stagnation or rebellious Qi. ^chronic headaches and distending, throbbing pain.
Stasis of Blood: severe boring or stabbing pain, fixed in small area. Locations = head chest epigastrium abdomen and Uterus.
Cold: Full or Empty. Cramping spastic pain aggravated by cold weather foods. Alleviated by heat. Locations = epigastrium abdomen Uterus joints.
Heat: causes pain when accompanied by Dampness. Damp-Heat causes burning pain with feeling of fullness and heaviness. Locations = forehead epigastrium abdomen Uterus Bladder and joints.
Exterior pathogenic factor: Wind or Dampness. Wind^ occipital headache and stiffness. Dampness^ joints and epigastrium.
Retention of food: children. Intense with a feeling of fullness.
Phlegm: does not usually cause pain, except in joints.
Food
Establish state of Stomach and Spleen
Empty: relieved by eating
Full: aggravated by eating
Spleen-Qi deficiency: lack of appetite
Heat in Stomach: voracious appetite
Retention of food / Dampness: Feeling of fullness after eating
Qi stagnation: feeling of distension
Taste
Full-Heat due to Liver-Fire: constant bitter taste
Full-Heat due to Heart-Fire: bitter taste associated with insomnia, present in morning after a sleepless night, not present after a good night’s sleep
Spleen deficiency or Damp-Heat: sweet taste
Retention of food in Stomach, disharmony of Liver and Stomach: sour taste
Kidney-Yin deficiency: salty taste
Spleen deficiency: lack of taste
Lung-Heat: pungent taste
Vomit
Full pattern: sudden vomiting with loud noise
Empty pattern: slow in coming with weak noise
Invasion of Stomach by Liver: sour
Liver/GB Heat: bitter
Cold in Stomach: clear, watery
Heat in Stomach: after eating
Constipation
Empty pattern: aggravation of condition after BM
Full condition: alleviation of condition after BM
Heat in Stomach and Intestines: acute constipation with thirst and dry yellow coating
Deficiency of Blood: constipation in old people and women after childbirth
Liver Qi stagnation / Heat in SI-LI: constipation with small dry stools
Liver Qi stagnation: difficulty in performing BM, stools not dry
Internal Cold, Full or Empty: constipation with abdominal pain
Stomach / Kidney Yin deficiency: constipation with dry stools dry mouth desire to drink in small sips
Liver Qi stagnation invading the Spleen: alternating constipation and diarrhea
Diarrhea
Spleen / Kidney Yang deficiency: chronic diarrhea
Kidney Yang deficiency: chronic diarrhea everyday in early morning
Interior Cold in Intestines: diarrhea with abdominal pain
Dampness in Intestines: diarrhea with mucus in stools
Damp-Heat in Intestines: diarrhea with mucus and blood in stools
Spleen Qi deficiency: loose stools with i digested food
ST&SP Qi deficiency with sinking of SP Qi: slightly loose, frequent stools. Cannot hold them easily
Blood stasis: black or very dark stools
Damp-Heat in Intestines: bright red blood eliminating first splashing in all directions
Heat in Blood: blood comes first and is turbid, anus feels heavy and turbid
SP Qi deficiency unable to hold Blood: stools first then watery blood
Liver involvement or Heat: pain accompanying diarrhea
Heat: foul-smelling stools
Cold: absence of smell
SP deficiency: borborygmi with loose stools
Liver Qi stagnation: borborygmi with abdominal distension w/o loose stools; Flatulence.
Damp-Heat in SP or Heat in intestines: flatulence with foul smell
Interior Cold from SP Yang deficiency: flatulence w/o smell
Heat: burning sensation in anus while passing stools
