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Fall 2013 / FCM 3 > lecture 1 & 2 > Flashcards

lecture 1 & 2 Flashcards

0
Q

what do you write in a Medical Record

A
  1. general information: name, gender, age, marital status, heritage, birthday, address, phone, profession
  2. main symptom & duration
  3. history of present disease
  4. patient’s past medical history (including life style and habits)
  5. family history
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1
Q

what are the 4 methods of diagnostic examination?

A
  1. observation (wang)
  2. auscultation and smelling (wen)
  3. interrogation (wen)
  4. pulse feeling and papation (qie)
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2
Q

what are the 10 inquiries?

A
  1. cold and heat (chills and fever)
  2. perspiration (abnormal sweating)
  3. head and body
  4. urination and defecation
  5. diet and taste
  6. sleep
  7. hearing
  8. thirst
  9. anamnesis: cause of disease
  10. medical history
    * special question to women (mensturation), children (vaccines), about life styles, hobby, drugs, alcohol, sexual activity
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3
Q

Cold can be classified by what two categories? What are their characteristics?

A

aversion to cold (sudden & temporary)

intolerance to cold (constitutional, always cold in general)

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4
Q

what are the 4 types of Cold and Heat encountered clinically?

A
  1. aversion to cold and elevation of body temp
  2. intolerance of cold w/o fever
  3. only heat, w/o cold
  4. alternate spells of cold and heat
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5
Q

what are the 3 general exterior syndromes that belong to “aversion to cold and elevation of body temp”?

A
  1. exterior cold syndrome: serious aversion to cold and mild fever
  2. exterior heat syndrome: serious fever and mild aversion to cold
  3. attack of wind on Tai Yang: mild fever, aversion to Wind, and spontaneous perspiration
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6
Q

what are 2 general interior cold syndromes which belong to “intolerance of cold w/o fever”?

A
  1. intolerance of cold due to internal damage, protracted illness, or the debility of Yang. this is generally a Deficient syndrome
  2. intolerance of cold due to an attack of cold on internal organs, such as ST, Intestines, etc. This is generally an excessive syndrome.
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7
Q

“Only Heat, w/o Cold” is commonly encountered in interior heat syndrome, explaine

A
  1. High Fever
  2. Tidal Fever:
    a. tidal fever due to Damp-Heat
    b. tidal fever of Yang Ming
  3. protracted low fever
    a. low fever due to deficiency of vital energy
    b. low fever due to deficiency of Yin or Blood
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8
Q

what is “alternate spells of Cold and Heat”?

A
  1. half-exterior and half-interior syndrome of Shao Yang

2. Malaria

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9
Q

what can cause abnormal sweating?

A

both exopathic attack and internal damage may cause abnormal sweating, such as hyperhidrosis, anhidrosis, etc

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10
Q

what are the 4 interior syndromes differentiated according to state of perspiration?

A
  1. spontaneous perspiration
  2. night sweat
  3. trembling perspiration
  4. perspiration due to collapse of yang
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11
Q

what are general causes of the various types of perspiration?

  1. spontaneous perspiration _______
  2. nigh sweat ______
  3. trembling perspiration ______
  4. perspiration due to collapse of yang _____
A
  1. qi or yang deficiency
  2. yin deficiency (
    3.
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12
Q

what is night sweating?

A

suddenly waking up bc of sudden sweat

all happens in minutes, NOT continuous sweating

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13
Q

what is trembling perspiration?

A

difficult sweating, fighting to expel EPF. you feel better after you sweat bc you expel the pathogen

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14
Q

what does perspiration on forehead generally indicate?

A

usually yangming

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15
Q

what is hemi-hidrosis?

A

half body sweat, usually after stroke

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16
Q

what is perspiration at palms and soles?

A

when you have damp-heat, palm and sole (the inside yin) has more heat

17
Q

what are the 3 general characteristics of pain in (head and body) do you ask about?

A
  1. properties: sharp, dull, burning sensation…
  2. duration
  3. burning
18
Q

what are the pathogenesis and clinical pattern of pain due to obstruction?

A

pathogenesis: any material pathogens such as blood clots, urinary stones, food stagnation cold, heat, dampness accumulation

clinical pattern: Excess

19
Q

what are the pathogenesis and clinical pattern of “Pain Due to Poor Supplementation”

A

pathogenesis: insufficiency Qi and Yang leading to poor warmth, or insufficiency of Blood and Yin, resulting in poor Nourishment

clinical pattern: Deficiency

20
Q

what are the treatment plan for excess and deficient pain, which results in blockage?

A

in excess clinical pattern, you ned to move and expel the blockage

in Deficiency, you tonify and nourish

21
Q

give the pathogenesis and clinical patterns of each manifestations

A
  1. distending pain: Qi Stag, Excessive
  2. stabbing pain: Blood stasis, Excessive
  3. migrating pain: Qi Stag, Excessive
  4. fixed pain: Blood stasis, Damp, Excess
  5. gripping pain: Qi, Blood stasis, Excess
  6. vague pain: Deficiency, Deficient pattern
  7. hollow pain: Def, Def pattern
  8. pain with cold sensation: Excess Cold or Def Cold, Excess or Def pattern
  9. pain with burning sensation: Excess Heat or Deficient heat, Excess or Def pattern
  10. pain with heavy down-bearing: Dampness, mixture excessive and deficient pattern
22
Q

what is duration of pain for excess and deficient pain pattern?

A

Excess pattern - sudden onset, acute pain

Deficient pattern - gradual onset, chronic

23
Q

what are the 3 headaches due to external pathogenic attack?

A
  1. headache due to wind-cold
  2. headache due to wind-heat
  3. headache due to wind-dampness
24
Q

what are the 6 types of headache due to internal damage?

A
  1. headache due to DEF of Vital Energy/ Qi (chronic, always there)
  2. headache due to DEF of Blood (dizzy, pale)
  3. headache due to Kidney DEF (feels hollow)
  4. headache due to hyperactivity of Liver Yang (mixed qi, blood, KD def -> yin def)
  5. headache due to Phlegm-dampness (seizer, eplipsy)
  6. headache due to Blood stasis
25
Q

headache of Taiyang occurs at?

A

occipital part, involving the nape

26
Q

headache of Yangming occurs at the?

A

forehead, involving the supraorbital bone

27
Q

headache of Shaoyang occurs

A

on both side of the head, involving the ears

28
Q

headache of Jueyin occurs at

A

the top of the head, both eyes may be involved

29
Q

headache of Shaoyin involves

A

the teeth, generally aggravated at night and alleviated by day

30
Q

what is Vertigo?

A

a disordered state in which the patient feels as if he is sitting, in a rocking boat, or as if they sky and earth is spinning round, thereby the patient cannot stand up. it is often accompanied with nausea and vomit.

31
Q

what is Vertigo generally caused by?

A

Internal Wind (LV), usually caused by LV Yang rising, phlegm accumulation with wind, Yin and Blood Def

vertigo and tinnitus is usually involves disorders of KD

32
Q

What is Arthralgia and what are the causes?

A

Bi-syndrome (joint pain)
generally caused by wind-cold-dampness mixed as a team but 1 cause can be dominant, and may be classified as:

Ex: Wind Bi-syndrome: wind is dominant pathogen, combined with cold and damp

33
Q

which lumbago points to KD Def?

A

vague pain and weakness of waist which are aggravated in the afternoon

34
Q

which lumbago signify an attack of Cold-Dampness?

A

Cold pain and feeling of heaviness of waist which are aggravated during overcast or rainy days

35
Q

which lumbago signify the downward flow of Damp-Heat (lower jiao)?

A

hot pain, feeling of distention and heaviness of the waist, accompanied with frequent micturition, urodynia, and deep-coloured urine

36
Q

which lumbago signify by injury from falls, contusions, or strains?

A

fixed, stabbing pain of waist which is unable to bend over or turn round

37
Q

what are the symptoms and signs of the chest that are generally due to disorders of LU and HT?

A
  1. insufficiency of HT Qi
  2. insufficiency of HT yang
  3. Def of HT blood
  4. Def of HT yin
  5. obstruction of HT Collaterals
  6. Insufficiency of LU Qi
  7. consumptive disease
  8. pulmonary abscess
  9. exuberance of LU Heat
38
Q

symptoms and signs of hypochondria are generally caused by disorders of _______ and _______?
what are the disorders?

A

Liver and Gallbladder

  1. hyperactivity of Liver Energy
  2. stagnation of liver qi
  3. liver heat
  4. stagnation of damp-heat in LV-GB
  5. accumulation of virulent heat in LV or LV abscess
39
Q

what are the three exterior syndromes differentiated according to the state of perspiration

A
  1. perspiration of excessive exterior syndrome
  2. perspiration of deficient exterior syndrome
  3. perspiration of excessive heat

Fall 2013 / FCM 3 (10 decks)

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