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Diagnostics > Interrogation/Questioning > Flashcards

Interrogation/Questioning Flashcards

1
Q

Pain

A

can be caused by excess or deficiency conditions. Pain from excess is usually more intense and sharper in quality. Pain from a deficient condition tends to be dull and less intense.

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2
Q

Excess causes of pain

A 
invasion of exterior pathogenic factors
interior cold or heat
stagnation of blood or qi
retention of blood
obstruction by phlegm

*pain is cause by obstruction of the flow of qi

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3
Q

Deficiency causes of pain

A 
def or qi and/or blood
yin def

*these deficiency conditions cause malnourishment of the channels and eventually lead to obstruction of the channels

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4
Q

Qi Stagnation

A

causes distention more than pain or a dull achy pain. It does NOT have a fixed location. It is usually aggravated when the patient is in a bad emotional state. Can sometimes be relieved by sighing, belching, or passing gas. Common locations for pain from qi stagnation are the epigastrium and abdomen.

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5
Q

Blood Stagnation

A

causes severe, stabbing pain in a fixed location. Common locations for pain from blood stasis are the head, chest, epigastrium, abdomen, and uterus.

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6
Q

Cold

A

causes cramping pain that is aggravated by cold and relieved by warmth. Common locations of pain from cold are the epigastrium, abdomen, uterus, and joints

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7
Q

Heat

A

doesn’t usually cause pain unless it is accompanied by dampness. Damp heat causes burning pain, which may be accompanied by fullness or heaviness. Common locations of pain from damp heat are the forehead, epigastrium, abdomen, hypochondium, hpyogastrium, uterus, bladder and joints. (damp heat= bi syndrome)

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8
Q

Any exterior pathogen

Wind/Dampness

A

can cause pain but the two most likely to do so are wind and dampness.

Wind causes occipital headaches and neck stiffness
Dampness causes headaches, pain in the joints, epigastrium, abdomen, uterus or baldder

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9
Q

Retention of food

A

occurs mostly in babies and children because their digestive systems have not fully developed yet. This can cause intense epigastric pain and abdominal pain with a feeling of fullness.

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10
Q

Phlegm

A

may cause pain and heavy sensation in the joint, head and epigastrium or abdomen

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11
Q

Qi and blood deficiency

A

if there isn’t enough energy to move qi and blood around the body the qi and blood will stagnate obstructing the flow and causing pain

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12
Q

Yin Def

A

if there isn’t enough energy to move qi and blood around the body the qi and blood will stagnate obstructing the flow and causing pain plus all other clinical signs of yin def

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13
Q

Factors that affect pain

A 
pressure
temperature
food and drink
bowel movements
movement and rest
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14
Q

Factors that affect pain: Pressure

A

deficiency- like pressure

excess- doesn’t like pressure

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15
Q

Factors that affect pain: temperature

A

feels better with heat= cold pattern

feels better with cold= heat pattern

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16
Q

Factors that affect pain: food and drink

A

worse when eat more= excess condition

better when eat more= deficiency condition

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17
Q

Factors that affect pain: bowel movements

A

worse after= def pattern

better after= excess pattern

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18
Q

Factors that affect pain: movement and rest

A

worse on exertion and better with rest: deficiency

better with exertion: excess

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19
Q

Main Patterns of digestive issues: Qi deficiency (spleen and stomach qi def)

A

spleen qi def: causes poor appetite, loose stools and slight abdominal distention

stomach qi def: causes poor appetite and slight epigastric pain

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20
Q

Patterns of digestive issues: Qi stagnation

A

causes distention (bloating) which affects the abdomen or epigastrium

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21
Q

Patterns of digestive issues:Rebellious Qi of Stomach

A

belching, hiccups, nausea and vomiting

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22
Q

Patterns of digestive issues: Qi sinking of the spleen

A

causes loose stools or diarrhea

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23
Q

Patterns of digestive issues: blood stasis

A

causes sharp, stabbing pain that is fixed. may be accompanied by vomiting blood (stomach) or blood in the stools (spleen)

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24
Q

Patterns of digestive issues: dampness

A

causes a feeling of heaviness in the epigastrium or abdomen with a sticky taste and poor appetitie

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25
Q

Patterns of digestive issues: phlegm

A

causes a feeling of oppression in the abdomen or epigastrium with a sticky taste, nausea and poor appetite

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26
Q

Patterns of digestive issues: retention of food

A

causes a feeling of fullness in the abdomen or epigastrium with sour regurgitation, nausea and poor appetite

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27
Q

In terms of food and eating a food intolerance or allergies are due to:

A

Spleen def or stomach heat

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28
Q

Poor appetite or lack of appetite

A

spleen qi def but can also be due to dampness obstructing the middle jiao or emotional stress

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29
Q

excessive hunger

A

usually indicates stomach heat or emotional stress. excessive hunger with no desire to eat is due to either damp heat in the stomach or stomach yin def

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30
Q

aversion to food

A

involves a strong aversion to food and the smell of food. this can indicate retention of food or dampness

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31
Q

hunger with no desire to eat

A

damp heat

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32
Q

Taste: bitter

A

excess heat pattern of liver or heart or occasionally the gallbladder

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33
Q

Taste: Constant bitter taste

A

liver fire

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34
Q

Taste: bitter accompanied by insomnia, worse in the morning

A

heart fire

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35
Q

Taste: sweet

A

spleen def or damp heat

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36
Q

Taste: sour

A

retention of food in the stomach or disharmony of liver and stomach

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37
Q

Taste: salty

A

kidney yin or kidney yang def

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38
Q

Taste: pungeny/spicy

A

lung heat or stomach heat

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39
Q

Taste: sticky

A

dampness or phlegm

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40
Q

Nausea, vomiting, belching, sour regurgitation

A

stomach qi normally descends. when stomach qi is rebellious, ascents or fails to descend, nausea, vomiting, belching and/or sour regurgitation may occur.

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41
Q

Mild feeling of nausea

A

stomach qi deficiency

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42
Q

strong feeling of nausea with vomiting

A

excess cold, heat or stagnation

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43
Q

sour tasting vomit

A

liver overacting on stomach

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44
Q

bitter tasting vomit

A

liver and or gallbladder heat

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45
Q

clear and watery vomit

A

cold in the stomach (ST, Intestines, uterus)

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46
Q

vomiting soon after eating

A

heat pattern

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47
Q

sudden vomiting with loud noise

A

excess pattern

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48
Q

slow vomiting with weak noise

A

empty pattern

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49
Q

violent and loud belching

A

excess stomach pattern (liver qi invading stomach, retention of food)

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50
Q

mild and low belching

A

spleen qi or stomach yin deficiency

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51
Q

Stools

A

a normal bowel movement is once or twice a day. Less frequency is considered constipation. Constipation also indicates excessive dryness of the stools or difficulty and straining in passing the stools. Normal stools are well formed, not loose, not too dry and floating

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52
Q

Acute constipation with thirst and dry yellow tongue coating

A

heat in stomach or intestines

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53
Q

constipation in women

A

blood or kidney deficiency

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54
Q

constipation with dry stools

A

heat in the intestines or yin deficiency

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55
Q

difficulty performing a bowel movement

A

liver qi stagnation or qi deficiency

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56
Q

constipation with abdominal pain

A

internal cold (excess or deficiency)

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57
Q

small, dry, bitty stools like goats stools

A

liver qi stagnation or heat in the intestines

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58
Q

alternation of constipation and loose stools

A

liver overacting on spleen

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59
Q

excessively dry stools

A

heat in the intestines, liver blood deficiency or yin deficiency

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60
Q

Loose stools

A

the most common cause of loose stools and diarrhea is spleen qi deficiency

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61
Q

very watery severe diarrhea

A

spleen or kidney yang deficiency

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62
Q

occurring every day early in the morning (cocks crow diarrhea)

A

kidney yang def

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63
Q

loose stools with undigested food

A

spleen qi def

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64
Q

diarrhea with mucus int he stools

A

dampness in the intestines

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65
Q

abdominal pain better after bowel movement

A

excess condition

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66
Q

abdominal pain worse after bowel movement

A

spleen qi deficiency

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67
Q

small pellet like stools

A

liver qi stagnation

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68
Q

long and thin stools

A

spleen qi deficiency or cancer of the bowel

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69
Q

black or dark stools

A

blood stasis (cancer, upper GI problems, etc)

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70
Q

pale almost white stools

A

cold in the large intestine

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71
Q

burning sensation during or after bowel movement

A

damp heat

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72
Q

feesh bloody stool

A

spleen qi deficiency or heat in the blood (fissures, hemorrhoids)

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73
Q

foul smelling stool

A

heat or damp heat

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74
Q

absence of smell

A

normal or cold in the intestines

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75
Q

Urination

A

urination gives us a good indication of the hot or cold nature of the pattern and the state of the kidneys and urinary bladder. Things to keep in mind when talking about urine: frequency, color, amount, and functional problems

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76
Q

frequent urination especially if abundant and pale

A

kidney yang deficiency

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77
Q

frequent scanty urination

A

spleen and kidney qi deficiency

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78
Q

enuresis- involuntary urination, bed wetting

A

kidney qi deficiency

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79
Q

nocturnal enuresis in children

A

constitutional kidney deficiency or liver fire

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80
Q

difficulty urinating

A

dampness in the bladder or kidney deficiency

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81
Q

retention of urine

A

kidney yang, kidney yin, lung deficiency, dampness, blood stasis, etc

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82
Q

incontinence

A

kidney deficiency

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83
Q

dribbling urine

A

kidney qi not firm

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84
Q

urination at night

A

kidney yang deficiency

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85
Q

pain before urination

A

liver qi stagnation

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86
Q

pain during urination

A

damp heat in bladder

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87
Q

pain after urination

A

kidney qi deficiency

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88
Q

urine color

A

normal urine is pale yellow

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89
Q

copious, clear or pale urination

A

cold pattern usually in the bladder or kidney

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90
Q

scanty, dark urine

A

heat pattern

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91
Q

turbid or cloudy urine

A

dampness usually in the bladder

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92
Q

blood in urine

A

infection, kidney stones, cancer, etc

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93
Q

thirst and drink

A

generally speaking thirst indicates a heat pattern

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94
Q

thirst with desire to drink large amounts of cold water

A

heat patter (usually excess heat)

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95
Q

thirst with desire to drink in small sips

A

yin deficiency (usually of kidney or stomach)

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96
Q

absence of thirst

A

cold pattern (usually of stomach or spleen)

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97
Q

thirst with desire for warm drinks

A

cold pattern

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98
Q

thirst with no desire to dirnk

A

damp heat

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99
Q

dry mouth

A

is usually caused by a yin deficiency, usually in the afternoon or evening

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100
Q

Energy Levels

A

keep in mind the patients lifestyle, work and sleep patterns, age, season

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101
Q

Chronic feeling of tiredness

A

qi, yang, blood or yin deficiency (sometimes due to excess condition- dampness, phlegm, or qi stagnation)
*Pulse diagnosis and other signs and symptoms will help differentiate excess from deficiency tireness.

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102
Q

chronic tiredness with a desire to lie down, poor appetite, and loose stools

A

spleen qi deficiency

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103
Q

chronic tiredness with a desire to lie down, poor appetite, and loose stools with cold symptoms

A

spleen yang deficiency

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104
Q

chronic tiredness with weak voice and person easily catches colds

A

lung qi deficiency

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105
Q

chronic tiredness with weak voice and person easily catches colds with cold symptoms

A

lung yang deficiency

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106
Q

chronic tiredness with backache, feeling of cold, frequent urination

A

kidney yang deficiency

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107
Q

chronic tiredness with depression, dizziness, and scanty periods

A

liver blood deficiency

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108
Q

chronic tiredness with feeling of heaviness of the body and muzziness in the head

A

damp accumulation

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109
Q

chronic tiredness with feeling of oppression in the chest, dizziness, and muzziness in the head

A

phlegm accumulation

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110
Q

chronic tiredness in an anxious and tense person with wiry pulse

A

liver qi stagnation

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111
Q

Head

A

the head is the area where all the yang channels meet bringing clear yang to the head and orifices. The head also houses the brain, which is know as the sea of marrow. This enables the person to have clear sense of sight, smell, taste and hearing

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112
Q

headaches

A

like any other pain may be caused by excess or deficiency patterns

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113
Q

headache sudden onset with aversion to wind and cold

A

wind cold

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114
Q

throbbing headache, worse when angry or stressed

A

liver qi stagnation

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115
Q

throbbing headache, worse when angry, red face and eyes

A

liver yang rising

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116
Q

headache that is continuous and lasts for long periods of time

A

qi and/or blood deficiency (may be due to the marrow not being able to ascend and fill the brain: kidney deficiency)

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117
Q

Headache: acute onset and usually lasts a short while

A

exterior wind cold (excess)

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118
Q

chronic, hurts continuously and lasts long time

A

interior, defiency pattern

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119
Q

daytime headache

A

qi or yang defiency

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120
Q

evening headache

A

blood or yin deficiency

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121
Q

nighttime during sleep headache

A

blood stasis

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122
Q

headache of the nape of neck and occiput

A

wind cold invasion or GB, SJ or UB stagnation

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123
Q

forehead headache

A

stomach heat or blood deficiency

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124
Q

temples and sides of head

A

exterior wind in GB or interior LV-GB fire rising

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125
Q

vertex headache

A

usually liver blood deficiency

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126
Q

headache behind the eyes

A

liver yang rising or liver blood deficiency

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127
Q

whole head headache

A

exterior invasion of wind heat or wind cold or a kidney deficiency

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128
Q

character of pain in the head (headache):

dull with heavy feelign

A

dampness or phlegm

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129
Q

character of pain in the head (headache):

pain inside the head

A

kidney deficiency

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130
Q

character of pain in the head (headache):

distending and throbbing

A

liver yang rising

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131
Q

character of pain in the head (headache):

boring pain

A

blood stasis

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132
Q

character of pain in the head (headache):

pain with feeling of muzziness, heaviness

A

dampness

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133
Q

character of pain in the head (headache):

pain with feeling of muzziness, heaviness, dizziness

A

phlegm

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134
Q

Dizziness

A

in general, dizziness that has an acute onset is cause by a full pattern and dizziness that has a more gradual onset is usually due to an empty pattern

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135
Q

dizziness due to deficiency

A

prolonged dizziness, dizziness that arises slowly, comes on repeatedly, with blurry and dim vision and other deficiency signs: usually due to kidney deficiency or qi and blood deficiency

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136
Q

dizziness due to excess: sudden dizziness, lasts a short amount of time

A

usually due to wind heat

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137
Q

dizziness due to excess: dizziness with throbbing headaches

A

liver yang rising or liver fire

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138
Q

dizziness due to excess: severe dizziness everything seems to sway and the person loses balance

A

internal wind

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139
Q

Most ancient texts say “without phlegm there is no dizziness”

A

(quote)

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140
Q

Acute onset, severe pain of the cheeks and jaw, feeling of heat, headache, sore throat, aversion to cold, fever, etc

A

wind heat

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141
Q

acute onset, spastic pain of cheeks and jaw, sneezing, aversion to cold, runny nose, headache, etc

A

wind cold

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142
Q

severe pain in the cheeks and forehead, red cheeks, greasy skin, sticky yellow or sticky green nasal discharge, sticky yellow tongue coat

A

damp heat

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143
Q

pain in the cheeks and forehead, red cheeks, thirst, bitter taste, red tongue, redder sides, wiry rapid pulse

A

liver fire

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144
Q

intensepain, often unilateral pain of the cheeks, boring pain, purple tongue

A

qi deficiency with blood stasis

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145
Q

bells palsy

A

wind cold

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146
Q

trigeminal neuralgia

A

liver fire with liver and kidney yin deficiency

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147
Q

acute onset runny nose

A

wind cold or wind heat

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148
Q

chronic runny nose with thick sticky yellow discharge

A

damp heat

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149
Q

chronic runny nose clear or white discharge

A

lung qi deficiency with yang deficiency

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150
Q

blocked or stuffy nose

A

dampness, heat, or external wind invasion

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151
Q

bleeding gums

A

spleen qi deficiency not holding the blood in the vessels or caused by heat (excess stomach heat, stomach yin deficiency or kidney yin deficinecy)

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152
Q

recurring or almost permanent mouth ulcers

A

excess pattern

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153
Q

sporadic mouth ulcers

A

deficiency pattern

154
Q

painful with red rim mouth ulcers

A

excess heat

155
Q

less painful, pale rim mouth ulcers

A

yin deficiency

156
Q

ulcers on gum

A

heat in stomach or large intestine

157
Q

ulcers on tongue

A

heart heat

158
Q

ulcers inside the cheeks

A

stomach heat

159
Q

pale rim, aggravated by overwork

A

kidney yin deficiency

160
Q

whole body pain: acute onset, fever and aversion to cold

A

wind invasion

161
Q

whole body pain: achy body, tiredness:

A

qi and/or blood deficiency

162
Q

whole body pain: dull pain in women after childbirth

A

blood deficiency

163
Q

whole body pain: severe pain in women after childbirth

A

blood stasis

164
Q

whole body pain: pain in all muscles with heat sensation

A

spleen and or stomach heat

165
Q

whole body pain: dull ache in the muscles, especially the limbs, with heavy feeling

A

dampness

166
Q

joint pain: wandering joint pain

A

wind

167
Q

joint pain: fixed and very painful

A

cold

168
Q

joint pain: fixed with swelling and numbess

A

dampness

169
Q

joint pain: with swelling and redness around the joints

A

damp heat

170
Q

joint pain: severe stabbing

A

blood stasis

171
Q

backache: constant, dull achy pain, better with rest

A

kidney deficiency or qi and blood stagnation

172
Q

backache: acute onset, severe pain with stiffness

A

sprain or invasion of cold

173
Q

backache: severe pain, aggravated by cold and damp weather, better with heat

A

cold and damp in the channels of the back

174
Q

backache: boring, stabbing pain with inability to turn the waist

A

blood stagnation

175
Q

backache: whole back pain into shoulders and neck

A

exterior wind invasion

176
Q

numbness or arms and legs or hands and feet

A

blood deficiency

177
Q

numbness of fingers, elbows, arm on one side

A

internal wind and phlegm (may indicate stroke)

178
Q

pain in the chest

A

heart blood stagnation

179
Q

pain in the chest with cough, sputum, etc

A

lung pattern

180
Q

feeling of oppression of the chest

A

phlegm in the lungs or severe liver qi stagnation

181
Q

heart palpitations

A

occur any heart pattern

182
Q

Hypochondrium: distending pain

A

liver qi stagnation

183
Q

Hypochondrium: stabbing pain

A

liver blood stasis

184
Q

Epigastrium: dull pain alleviated by eating

A

deficiency pattern (ex. stomach qi def, stomach yang def)

185
Q

Epigastrium: severe pain aggravated by eating

A

excess pattern (ex. stomach heat, damp heat in stomach, retention of food in the stomach)

186
Q

Epigastrium: feeling of fullness

A

dampness (spleen qi deficiency)

187
Q

Epigastrium: feeling of distention (bloating)

A

liver qi stagnation

188
Q

lower abdominal pain

A

internal cold, liver qi stagnation, liver blood stagnation, damp heat, blood stagnation in the intestines or uterus

189
Q

abdominal pain is relieved by bowel movements

A

excess pattern

190
Q

abdominal pain aggravated by bowel movements

A

deficiency pattern

191
Q

hypogastrium: pain

A

damp heat in the bladder or liver fire disturbing the bladder

192
Q

weakness of the limbs

A

stomach ro spleen qi deficiency, general qi and blood deficiency, kidney yang deficiency

193
Q

numbness and tingling of the limbs

A

may be due to blood deficiency, wind, phlegm, dampness, damp heat, or qi and blood stagnation

194
Q

tingling

A

blood deficiency

195
Q

numbness

A

phlegm and wind (wind usually causes unilateral numbness)

196
Q

numbness of the limbs especially the legs

A

dampness and damp heat

197
Q

numbness of the limbs that can be relieved by exercise

A

qi and blood stagnation

198
Q

joint pain

A

bi syndrome (painful obstruction), qi or blood stagnation

199
Q

wind bi

A

pain site moves affecting different joints at different times

200
Q

cold bi

A

severe, fixed joint pain

201
Q

damp bi (frequently combines with heat)

A

swelling of the joints (redness and heat)

202
Q

muscle ache

A

almost always a spleen pattern (usually dampness in space between muscles and skin)

203
Q

tremor

A

always cause by liver wind

204
Q

liver wind caused by excess

A

liver fire, liver yang or severe heat from severe acute febrile disease ( signs and symptoms: pronounced tremors or convulsions)

205
Q

liver wind caused by deficiency

A

liver and or kidney yin deficiency, liver blood deficiency (signs and symptoms- fine tremors or tics)

206
Q

cold hands

A

yang deficiency, blood deficiency, qi stagnation

207
Q

cold feet

A

kidney yang deficiency, liver blood deficiency (especially in women)

208
Q

heavy feeling: dampness

A

dampness is the cause of heavy limbs. excess damp signs and symptoms are more severe than damp signs and symptoms caused by spleen qi deficiency. dampness may combine with heat or cold

209
Q

Sleep

A

a sleep disturbance may be due to a heart or liver blood deficiency or by a heart or liver yin deficiency. Excess heat can agitate the shen and/or hun also leading to sleep disturbance. The stomach, spleen, kidney and gallbladder may also cause insomnia.

210
Q

When diagnosis a sleep disturbance it is important to distinguish between:

A

excess or deficiency

heat or liver pattern

211
Q

excess (full) patterns of sleep

A

restless sleep with a feeling of heat, agitation and excessive dreaming

212
Q

deficiency (empty) patterns of sleep

A

not being able to fall or stay asleep but without any of the other listed excess characteristics

213
Q

liver pattern of sleep

A

insomnia -with excessive dreaming and cause a more severe restlessness than heart pattern

214
Q

very restless sleep, feeling of heat, agitation, and excessive dreaming

A

excess condition

215
Q

trouble falling asleep or staying asleep

A

deficiency condition

216
Q

insomnia with restlessness

A

heart pattern

217
Q

insomnia with excessive dreaming and more severe restlessness

A

liver pattern

218
Q

insomnia as in not being able to fall asleep but sleeping well after falling asleep

A

heart blood deficiency

219
Q

insomnia with difficulty falling asleep, dizziness, blurred vision

A

liver blood deficiency

220
Q

insomnia, waking up during the night with excessive dreaming, night sweats, palpitations

A

heart and kidney yin deficinecy

221
Q

insomnia with anxiety, dream disturbed sleep and other qi and blood deficiency signs

A

heart and spleen blood deficiency

222
Q

difficulty falling asleep

A

heart, spleen, or liver blood deficiency

223
Q

difficulty staying asleep through the night

A

heart, liver, or kidney yin deficiency

224
Q

dream disturbed sleep

A

liver or heart fire (these fires may be caused by yin deficiency)

225
Q

Stomach, spleen, kidney and gallbladder may also cause insomnia

A
  • Kidney yin deficiency
  • Gallbladder deficiency may cause someone to wake up early in the morning and not be able to fall back asleep
  • spleen blood deficiency often accompanies heart blood deficiency, due to its function of helping to create blood by sending Gu Qi up to the heart, contributing to causing insomnia
  • Stomach can cause insomnia if there is food retention
226
Q

feeling sleepy after eating

A

spleen qi deficiency

227
Q

general feeling of lethargy with heaviness

A

dampness

228
Q

general feeling of lethargy with heaviness and dizziness

A

phlegm

229
Q

extreme lethargy and lassitude with feeling of cold

A

kidney yang deficiency

230
Q

lethargic stupor with external heat signs

A

external heat invasion of pericardium

231
Q

lethargic stupor, rattling in the throat, slippery pulse, sticky tongue coat

A

phlegm mist mind

232
Q

somnolence

A

dozing off frequently in the day time or early evening

233
Q

somnolence deficiency causes

A

qi or yang deficiency

234
Q

somnolence excess causes

A

dampness or phlegm

235
Q

sweating

A

remember that the lung controls skin and pores, the heart controls the sweat playing a role in sweating when emotional tension is involved

The purpose of asking about sweating is to determine if abnormal sweating is occurring, when, where and how much it is occurring. Sweating may be caused by interior and exterior conditions. We must keep in mind that sweating during exercise, after eating spicy foods, in hot weather and when under emotional strain is considered normal.

236
Q

Exterior excess conditions

A 
external wind (usually with cold, heat, damp, etc)
** please keep in mind the amount of sweat the patient is having in terms of an external pathogenic  invasion may help differentiate the pattern
237
Q

(sweating) wind cold invasion predominance of cold

A

there may be no sweat if there is a predominance of cold

238
Q

(sweating) wind cold invasion with prevalence to wind

A

slight sweat

239
Q

(sweating) summer heat

A

profuse sweating

240
Q

sweating from interior conditions

A

may be caused by excess heat, yin deficiency or in very severe cases yang deficiency

241
Q

sweating only on the head

A

heat in the stomach or damp heat

242
Q

sweating only on arms and legs

A

stomach and spleen defiency

243
Q

sweating only on hands

A

lung qi or heart qi deficiency

244
Q

sweating all over

A

lung qi deficiency

245
Q

sweating on the palms, soles of feet and chest (five palm sweating)

A

yin deficiency

246
Q

sweating in the day time

A

qi or yang deficiency

247
Q

sweating in the nighttime (steaming bone syndrome)

A

yin deficiency (possibly damp heat/stomach heat)

248
Q

spontaneous sweating

A

lung qi or heart qi deficiency

249
Q

profuse cold sweats during severe illness

A

yang collapse

250
Q

oily seat on forehead like pearls

A

collapse of yang (imminent death)

251
Q

no sweat

A

wind cold prevalence to cold, cold, cold damp, etc

252
Q

oily sweat

A

dampness or severe yin deficiency

253
Q

yellow sweat

A

damp heat

254
Q

acute onset of tinnitus

A

excess condition usually liver fire or liver wind

255
Q

gradual onset of tinnitus

A

deficiency condition usually kidney deficiency

256
Q

loud, high pitched tinnitus

A

liver yang rising, liver fire, or liver wind

257
Q

low pitched tinnitus

A

kidney defieincy

258
Q

noise aggravated by pressure (pressing on the ear)

A

excess condition

259
Q

tinnitus alleviated by pressure

A

deficiency condition

260
Q

acute sudden deafness

A

excess condition usually liver fire or liver wind

261
Q

gradual onset (common in elderly) deafness

A

deficiency condition usually kidney deficiency

262
Q

earache

A

commonly caused by qi and blood stagnation, wind heat, damp heat in the liver and/or gallbladder channel or liver fire

263
Q

acute cases- itchy ears

A

wind heat

264
Q

chronic cases- itchy ears

A

blood deficiency or kidney yin deficiency

265
Q

eyes

A

liver opens to the eyes however kidney (yin) and heart (blood) nourish and moisten eyes. The gallbladder channel also goes to the eyes and may also cause eye problems

266
Q

eye pain, swelling and redness

A

wind heat, liver fire, damp heat

267
Q

sharp eye pain with redness of the eye and headache

A

toxic heat in the heart

268
Q

pressure in the eyes

A

kidney yin deficiency

269
Q

blurred vision and floaters- deficiency patterns

A

liver blood deficiency, liver yin or kidney yin deficiency

270
Q

blurred vision and floaters- excess patterns

A

liver yang rising, liver fire blazing, gall badder heat

271
Q

photophobia (sensitivity to bright lights of flashing)

A

liver blood deficiency or liver yang rising (blood def- pale tongue; yang rising - red tongue)

272
Q

dry eyes

A

liver and/or kidney yin deficiency, wind heat invasion, etc

273
Q

pressure in the eyes

A

kidney yin deficiency or liver fire

274
Q

In order to discuss the diagnostic significance of feelings of cold or heat, it is important to distiguish exterior from interior conditions

A

(statement)

275
Q

Interior cold signs

A

feeling of cold, shivers, aversion to cold, cold limbs, relieved by warmth, patient is cold to the touch

276
Q

excess (full cold)

A

intense feeling of cold and shivers, patient feels cold to the touch, aversion to cold, cold limbs, pain relieved by heat, pulse is full
- usually an acute condition, may only last a few months

277
Q

excess cold in the stomach

A

cold limbs and epigastrium

278
Q

excess cold in the intestines

A

cold legs and lower abdomen

279
Q

excess cold in the uterus

A

cold lower abdomen

280
Q

yang deficiency (empty cold)

A

milder cold feeling, generalized cold feeling, cold limbs, patient has a tendency to feel cold easily, usually no pain, pulse is weak
- usually slow gradual onset (chronic), commonly due to yang def of heart, lungs, spleen, kidney, spleen, and stomach

281
Q

cold hands

A

heart and lung yang def

282
Q

cold limbs and abdomen

A

spleen yang def

283
Q

cold legs, knees, feet and back

A

kidney yang def

284
Q

cold limbs, cold epigastrium

A

stomach yang def

285
Q

other possible causes of cold limbs

A

qi stagnation and blood deficiency

286
Q

interior excess heat (full heat)

A

high fever, aversion to heat, no chills, profuse sweating thirst, rapid pulse, red tongue with yellow coating

287
Q

yin deficiency (empty heat)

A

night sweats, 5 palm heat, red tongue with no coating; takes small sips; floating pulse

  • acute fever= exterior condition
  • low grade fever worse in afternoon or evening: yin or blood deficiency
288
Q

hot and cold in relation to exterior conditions

A

patients has a subjective feeling of cold (aversion to cold) and feels warm on palpation (fever) at the same time- pathogen is on the exterior

289
Q

hot and cold in relation to exterior conditions: aversion to cold

A

external pathogen (usually wind) invades the exterior and obstructs the flow of wei qi. this obstruction prevents the wei qi from warming the muscles so the patients feels cold

290
Q

hot and cold in relation to exterior conditions: fever

A

fever is due to the struggle between the wei qi and the external pathogen. fever does not necessarily mean the patient has an actual fever as measured by a thermometer, it just means they are hot to the touch (especially forehead and dorsum of the hands)

If the patients is not feeling cold but is instead feeling heat and is emanating heat, this indicates the exterior pathogenic factor has entered the interior (the patient subjectively feels heat and is warm on palpation)

if the patient is suffering from alternating feeling of cold and heat, the pathogenic factor is in between the interior and exterior (also known as shao yang syndrom)

291
Q

Depression is usually ascribed to

A

LV Qi stagnation

292
Q

Liver houses the ethereal soul (hun) which is responsible for planning our life and finding our purpose and sense of direction in life. It is the source of life dreams, vision, goals, inspiration, creativity, ideas, etc. It is the described as the coming and going of the mind giving the mind movement to project itself outside to form relationships with other people.

A

the mind guides and controls the ethereal soul. if there is lack of movement, the person will feel depressed. if there is too much movement the person may display manic behavior (bipolar disorder- manic depressive)

293
Q

excess conditions causes of depression: depression, moodiness, irritability

A

liver qi stagnation

294
Q

excess conditions causes of depression: depression, irritability, red tongue

A

liver qi stagnation turning into heat

295
Q

excess conditions causes of depression: depression, moodiness, feeling of lump in the throat

A

liver qi stagnation with phlegm

296
Q

excess conditions causes of depression: depression, anxiety, agitation, expectoration of phlegm, swollen tongue

A

phlegm fire harassing the mind

297
Q

excess conditions causes of depression: depression, agitation, purple tongue

A

heart blood stagnation

298
Q

excess conditions causes of depression: depression, irritability, bitter taste, hypochondrial fullness

A

gall bladder heat

299
Q

deficiency conditions causing depression: depression, insomnia, palpitations, tiredness

A

spleen and heart blood def

300
Q

deficiency conditions causing depression: depression, palpitations, cold hands

A

heart yang def

301
Q

deficiency conditions causing depression: depression, lack of sense of direction in life, sadness

A

liver blood def

302
Q

deficiency conditions causing depression: depression, anxiety, night sweats palpitations, red tongue

A

kidney and heart yin deficiency

303
Q

deficiency conditions causing depression: depression, lack of motivation, lack of will power, feeling cold, frequent urinations

A

kidney yang def

304
Q

anxiety

A

includes emotions of fear and worry. along with these emotions, anxiety may be accompanied or caused by yin and blood deficiency, qi stagnation, blood stagnation, heat excess, or by a heat excess eventually leading to yin deficiency

when blood and yin are deficiency, the mind loses its residence in the heart blood and the ethereal soul loses its residence in the liver blood making the patient have anxiety and poor sleep

excesses such as qi stagnation, blood stagnation, heat or phlegm heat may agitate the mind and the ethereal soul causing anxiety and insomnia

305
Q

deficiency conditions of anxiety

A

tend to be milder

306
Q

excess conditions of anxiety

A

tend to be more severe

307
Q

severe anxiety, palpitations, red tongue with coating

A

heart fire

308
Q

severe anxiety, palpitations, purple tongue

A

heart blood stasis

309
Q

severe anxiety, manic behavior, swollen tongue

A

phlegm fire harassing the mind

310
Q

severe anxiety, depression, irritability, hypochondrial distention

A

liver qi stagnation

311
Q

severe anxiety, headache, thirst, red tongue, wiry pulse

A

liver fire

312
Q

anxiety, headache, dizziness

A

liver yang rising

313
Q

anxiety and feeling of stuffiness in the region under the heart following wind heat invasion

A

diaphragm heat

314
Q

mild anxiety, insomnia, palpitations

A

heart blood deficiency

315
Q

anxiety that is worse in the evening, palpitations, night sweats

A

heart yin deficiency

316
Q

mild anxiety, depression, insomnia

A

liver blood deficiency

317
Q

mild anxiety, depression, insomnia, no tongue coating

A

liver yin deficiency

318
Q

anxiety worse in the evening, lack of will power, dizziness, tinnitus

A

kidney yin def

319
Q

mild anxiety, insomnia, timidity

A

heart and gallbladder qi deficiency

320
Q

Anger

A

is generally associated with the liver.
if angry feelings persist for a prolonged period, they can affect the liver causing stagnation of liver qi and blood, and eventual rising of liver yang, or blazing liver fire
- anger makes qi rise and many of the signs and symptoms will manifest in the head and neck (ex. headache, dizziness, tinnitus, neck stiffness, red face)

  • if anger causes the liver to overact on the stomach sign and symptoms (ex. hiccup, vomiting, sour regurgitation)
  • irritability may be caused by many different patterns affecting different organs. deficinecy causes tend to be less severe than excess causes

Patterns that may cause irritability : qi stag, blood stasis, liver yang rising, blood def, yin def, and heat (damp heat)

other possibly signs and sypmtoms of anger and irritability: sighing (liver qi stagnation), distention and migrating pain in the chest, ribsides, breasts, hypocondriac area and upper abdomen, wiry pulse (possibly rapid), tongue may have red sides.

321
Q

worry and overthinking are commonly related to the spleen and can also affect the lung. spleen qi or spleen blood deficiency are the common patterns associated with worry and overthinking. heart or liver blood deficiency may also lead to excessive worrying

A

(statement)

322
Q

worry, slight obsessive thinking, slight depression

A

spleen and heart qi def

323
Q

worry, depression, pale tongue, empty pulse

A

lung qi def

324
Q

worry, mildly irritable, depression feeling of lump in the throat

A

lung qi stagnation

325
Q

worry, depression, pale and thin tongue, choppy or fine pulse

A

heart blood deficiency

326
Q

worry (worse after period in women) pale tongue, choppy fine pulse

A

liver bood deficiency

327
Q

worry, insomnia, dream disturbed sleep, poor memory, anxiety, mental restlessness, uneasiness

A

heart yin deficiency

328
Q

signs and symptoms of worry and overthinking: fatigue, poor appetite, little desire to eat, abdominal distention, loose stools, palpitations, insomnia, forgetfulness, yellow complexion, deep thin pulse, tongue may be swollen with greasy coat, toothmarks and possible red tip

A

(statements)

329
Q

sadness pertains to the lungs and usually manifests with lung related symptoms such as pale complexion and a weep, weak voice. lack of joy pertains is not an actual emotional state but is more a lack of vitality and it is related to a heart deficiency

A

sadness depletes lung and heart qi. over time, a deficiency of qi in the chest may lead to a stagnation of qi in the chest. since lung governs qi, and the stagnation is occurring in the chest, this stagnation is more of a lung and heart issue than a liver issue.

330
Q

sadness, crying, depression, pale tongue, empty pulse

A

lung qi and heart qi def

331
Q

sadness, crying, depression, pale tongue, choppy or fine pulse

A

heart blood def

332
Q

sadness more common in women especially after their period or childbirth

A

liver blood def

333
Q

sadness with a feeling of a lump in the throat, mild irritability, depression

A

lung qi stagnation

334
Q

signs and symptoms of sadness and grief

A

fatigue, breathlessness, tiredness, discomfort in chest, crying, lack of desire to speak, spontaneous sweating, sorrow with tendency to cry easily, pale complexion, thin weak pulse.

335
Q

impotence

A

kidney deficiency (kidney yang def)

336
Q

impotence in young males

A

more commonly related to heart pattern and anxiety. occasionally it is caused by damp heat int he liver channel

  • it is a common sexual complain in males and can be accompanied by backache, weak knees, dizziness, tinnitus, poor dizziness, tinnitus and poor memory
337
Q

impotence, feeling cold, backache, weak knees, dizziness, tinnitus, poor memory, abundant clear urine

A

kidney yang def

338
Q

impotence, dizziness, palpitations, choppy pulse

A

heart blood deficiency

339
Q

impotence, palpitations, insomnia, dream disturbed sleep, rapid pulse

A

heart fire

340
Q

impotence, heaviness of the scrotum, urethral discharge, sticky yellow tongue coating

A

damp heat in the liver channel

341
Q

lack of libido

A

kidney qi or kidney yang def (spleen, heart and lung qi def or liver qi stagnation may also cause lack of libido)

342
Q

premature ejaculation

A

can be due to a kidney qi not firm or heart qi or heart blood def pattern

343
Q

tiredness or dizziness after ejaculation

A

kidney def pattern

344
Q

lack of libido in women

A

usually kidney (yang) or heart def

345
Q

lack of sexual desire in women

A

def kid yang (minister fire)

346
Q

lack of libido or inability to reach orgasm

A

kidney or heart def

347
Q

excessive sexual desire

A

fire of the liver or heart from kidney yin def

348
Q

menstruation

A

gives an idea of a womens state of qi and blood

349
Q

period always comes early

A

qi def, blood heat, blood or yin def

350
Q

period always comes late

A

blood def, blood or cold stagnation

351
Q

irregular period

A

liver qi or liver blood stagnation, spleen or kidney def

352
Q

amenorrhea

A

severe blood def, blood stagnation or cold in the uterus

353
Q

heavy period

A

heat in the blood or qi deficiency

354
Q

scanty peirod

A

blood deficiency, blood or cold stagnation

355
Q

dark red or bright red period

A

heat in the blood

356
Q

pale blood period

A

blood def

357
Q

purple or blackish blood period

A

blood or cold stagnation

358
Q

fresh red blood

A

yin deficiency

359
Q

congealed blood with clots (period)

A

blood or cold stagnation

360
Q

watery blood period

A

blood or yin def

361
Q

turbid blood period

A

blood heat or cold stagnation

362
Q

pain before period

A

qi or blood stagnation

363
Q

pain during the period

A

blood heat, cold or blood stagnation

364
Q

pain after the period

A

blood deficinecy

365
Q

white vaginal discharge

A

cold pattern (either spleen or kidney yang def, exterior cold damp)

366
Q

yellowish vaginal discharge

A

heat pattern (damp heat in lower jiao)

367
Q

greenish vaginal discharge

A

damp heat in liver channel

368
Q

red and white discharge

A

damp heat

369
Q

yellowish vaginal discharge with pus and blood

A

toxic damp heat in the uterus

370
Q

watery vaginal discharge

A

cold damp pattern

371
Q

thick vaginal discharge

A

damp heat pattern

372
Q

infertility

A

blood or kidney essence def. it can also be caused by liver qi stag, blood stasis in the uterus and damp heat in the lower jiao, etc.

373
Q

miscarriage before 3 months

A

kidney essence or blood def

374
Q

miscarriage after 3 months

A

liver blood stagnation or spleen qi sinking

375
Q

sweating and fever after delivery indicate

A

exhaustion of qi and blood

376
Q

postnatal depression

A

blood def leading to heart blood def

377
Q

childbirth

A

in general causes blood, yin and fluid def due to that which is lost during the actual physical process

378
Q

childrens symptoms: digestive symptoms

A

digestive issues are very common in newborns because the spleen and stomach are weak after birth. the younger the child the more common the digestive issues. take into account allergies or reactions to diff foods. common causes of abdominal pain in children are cold in the stomach and intestines and stagnation of qi in the intestines. retention of food in babies in also common and may cause vomiting of milk and colic.

379
Q

children’s symptoms: respiratory and ear aches

A

children are prone to wind invasions and therefore commonly have cough, wheezing, breathlessness or earaches. chronic cough, wheezing and upper respiratory infections may also be the residual effects of a wind invasion that hasn’t cleared completely.

chronic catarrh is an inflammation of the mucous membrane of the nasal passageways. this is also considered to be a residual pathogenic factor after a wind invasion accompanied by spleen def and phlegm

signs and symptomsL chronic stuffy or runny nose, cough, fluid in the ear

380
Q

children symptoms: earache

A

may be caused by kidney def or damp heat in the gallbladder channel

381
Q

children symptoms: sleep

A

disturbed sleep in babies is often due to retention of food and stomach heat. in older children disturbed sleep may be due to the same factors as adults but may be due to liver fire, stomach heat and retention of food.

382
Q

children symptoms: imunizations

A

in TCM, immunizations are considered to be an injection of a pathogenic factor directly into the blood level. this may latent heat to develop in the blood level which may cause problems to the child both in the present and in the future

Present signs: rash, insomnia, temporary change in cilds character
long term effects: more difficult to predict and much is not known

Diagnostics (4 decks)

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