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Oriental Diagnosis > Listening and Smelling > Flashcards

Listening and Smelling Flashcards

1
Q

Loud volume and strong force sounds indicate…

A

Heat, Excess

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2
Q

Soft/low volume and weak force sounds indicate…

A

Cold, Deficiency

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3
Q

What is the gateway of the voice?

A

The Lungs

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4
Q

What is the root of the voice?

A

The Kidney

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5
Q

What is the strength of the voice?

A

Stomach and Spleen

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6
Q

What two aspects are included in the scope of listening?

A
  1. Listening to Speech and Breathing
  2. Listening to abnormal sounds
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7
Q

Vocalization depends on the function of…

A

Qi (Yang Qi)

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8
Q

Hoarseness is…

A

The partial loss of vocal sounds

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9
Q

Aphonia is…

A

The total loss of vocal sounds /voice

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10
Q

With pathological voice sounds, the voice loses its…

A

Smoothness and clarity

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11
Q

Loud volume voice sounds indicate…

A

Heat, Excess

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12
Q

Low volume voice sounds indicate…

A

Cold, Deficiency

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13
Q

Soft/low volume and vague voice sounds indicates…

A

Exterior wind cold, dampness invasion

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14
Q

The speech is the voice of the … (organ)

A

Heart

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15
Q

Which organ controls speech?

A

The Heart
(Speak from your heart)

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16
Q

Taciturn (silent or dislike of speaking) indicates…

A

Cold, deficiency

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17
Q

Persistent talking indicates…

A

Excess, heat

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18
Q

Loud, harsh, rapid respiration indicates…

A

heat, excess

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19
Q

Weak, deep, slow respiration indicates…

A

Cold, deficiency

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20
Q

Deep breathing indicates…

A

Excess qi in the Heart and Lung

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21
Q

Weak breathing indicates….

A

Deficiency of both the Liver and Kidney

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22
Q

Rough respiration with rapid exhalation and slow inhalation indicates…

A

heat, excess, exogenous disease

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23
Q

Faint respiration with slow inhalation and exhalation indicates…

A

deficiency chronic endogenous disease

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24
Q

With asthma, if acute onset and relieved by exhalation it indicates..

A

Excess

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25
Q

With asthma, if chronic and gradual onset, relieved by inhalation it indicates…

A

Deficiency

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26
Q

Pathogenesis of wheezing is…

A

Lung qi failure to descend and phlegm

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27
Q

Shortness of Breath with low energy, spontaneous sweating, frequent cold, teeth mark tongue indicates…

A

Lung Qi Deficiency

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28
Q

Pathogenesis of asthma (panting)…

A

Lung qi failure to descend

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29
Q

Shortness of Breath indicates…

A

Lung Qi Deficiency

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30
Q

Acute onset, harsh cough, coarse or hacking, choking loudly indicates…

A

Exterior

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31
Q

Is a cough always a pathological change?

A

No, it could also be a response for self-protection

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32
Q

Borborygmi indicates…

A

Qi Obstruction
Qi and dampness lodged in Large Intestine

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33
Q

Sighing due to chest distress and aggravated by emotional stress indicates…

A

Liver Qi Stagnation

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34
Q

Sighing with a low and feeble sound, SOB, chest distress and aggravated by exertion indicates…

A

Yang Qi Deficiency

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35
Q

Foul, rotten, fetid, stinking smell indicates…

A

Heat, excess

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36
Q

Fish or odorless smell indicates…

A

Cold, deficiency

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37
Q

Goatish body odor indicates…

A

Wind damp heat accumulation

A goat out in the wind! :-)

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38
Q

Foul stinking body odor indicates…

A

Epidemic infection disease or summer heat toxic syndrome

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39
Q

Foul sweat body odor in the armpit (“fox-like” smell) indicates…

A

Damp Heat Accumulation

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40
Q

Foul odor with hot swollen gums; or ulcers in the mouth and on the tongue; thirst with desire to drink cold fluids, red tongue with yellow coating indicates…

A

Stomach fire flaring upward

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41
Q

Sour and stinking odor like rotten eggs, belching with foul smell, acid regurgitation, abdominal distention and pain that refuses pressure, red tongue, thick yellow greasy coating that looks like cottage cheese indicates…

A

Food stagnation

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42
Q

Aphonia due to wind stroke indicates…

A

Exogenous or endogenous pathogen

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43
Q

Acute aphonia indicates… and the prognosis is…

A

Exopathogenic factor. It is curable.

44
Q

Chronic aphonia indicates… and the prognosis is…

A

Endopathogenic factor. It is difficult to cure.

45
Q

Is pregnancy aphonia permanant?

A

No. It is a temporary condition caused by high stress.

46
Q

Chronic aphonia is seen in which patterns?

A

Deficiency and Stagnation
(Lung/Kidney yin deficiency
Lung/Spleen qi deficiency
Qi and blood stagnation)

47
Q

Speech is a manifestation of…

A

Mental activity and consciousness

48
Q

Sudden onset of hoarseness, the voice is low in pitch and raspy (with chills and fever, sore or itchy throat, cough, floating pulse) indicates…

A

Exterior syndrome

49
Q

Chronic hoarseness with gradually increasing intensity indicates…

A

Blood stagnation

50
Q

Hoarseness with plum-pit sensation and coughing (cough with thick yellow phlegm, severe sore throat or plum pit sensation, fever, red tongue with slippery rapid pulse) indicates…

A

Phlegm Heat

51
Q

Chronic onset of hoarseness, with gradually increasing intensity, worse in the evening (dry itchy throat with slight soreness, night sweats, dry cough without phlegm, thready pulse indicates…

A

Lung and Kidney yin deficiency

52
Q

Define Dysarthria

A

Difficult, poor articulated speech; slurring

53
Q

Define Aphasia

A

Impaired expression or comprehension of written or spoken language

54
Q

Spirit disorders usually cause what type of speech?

A

Incoherent speech

55
Q

Tongue disorders usually cause what type of speech?

A

Indistinct speech

56
Q

Rude and incoherent speech with cursing and shouting in a loud voice is known as…

A

Raving (Yang)

57
Q

Incoherent speech, talking to one’s self silently or quietly is known as…

A

Muttering (yin)

58
Q

Raving indicates…

A
  1. phlegm fire disturbing the heart
  2. Liver/GB heat accumulation
59
Q

Muttering indicates…

A

1.phlegm obstructing Heart orifices
2. Spleen / Heart Deficiency

60
Q

Words or sentences express the wrong meaning when spoken aloud, however the patient recognizes and corrects immediately…

A

Wrong Speech
(dizziness, fatigue, palpitations, frequent sighing, depression, irritability)

61
Q

Murmuring to one’s self with repetition and interruptions, the content is incoherent and stops when in the presence of other people…

A

Soliloquy
(poor memory, fatigue, slow reactions, pale face, thin pulse)

62
Q

Indications of wrong speech are…

A

Heart and Spleen deficiency, Liver qi stagnation, or turbid phlegm accumulation

63
Q

Indications of soliloquy are..

A

Heart qi and blood deficiency, or turbid phlegm obstructing the Heart orifices

64
Q

Delirium indicates…

A

Yang, excess, heat febrile disease)

65
Q

Faint Murmuring indicates…

A

Yin, deficiency, later stage of illness

66
Q

Respiration, the inhaling and exhaling of air is done primarily by which organs? Which organ is most directly related?

A

Lung and Kidney

Lung

67
Q

With upper stifling breath, respiration is rapid and ____ is more evident than ____.

A

Exhalation is more evident than inhalation (may be accompanied by shortness of breath and edema of the face and eyes)

68
Q
A

Lung qi rises upward to the throat
and obstructs the air tract.

69
Q

With upper stifling breath sounds that are short and rapid respiration, dry cough or phlegm that is difficult to expectorate

A

Deficiency

70
Q

With upper stifling breath sounds that are harsh, rapid respiration, difficult breathing with rattling sound in throat. stifling sensation in chest, relieved
with exhalation or sitting, worse when lying down

A

Excess

71
Q

Shortness of breath with cough with white watery sputum, stifling sensation in the chest

A

Water retention in chest

72
Q

Pathogenesis of
Upper stifling breath
vs
Shortness of Breath
vs
Shortage of Qi

A

Lung Qi Obstruction

Lung qi deficiency

Antipathogenic (zhong) qi insufficiency

73
Q

Acute onset, harsh, coarse, or hacking,
choking cough, and loud cough,
daytime worse than night time indicates…

A

Exterior

74
Q

Chronic recurrent onset, cough with
loud coarse sound, cough may worse
in the morning of after meal with
rattling loose sound indicates…

A

Interior, Excess

75
Q

Chronic cough with feeble and weak
sound, worse in the afternoon and
evening indicates…

A

Interior, Deficiency

76
Q

Acute onset sneezing, constant loud sound indicates…

A

Heat, excess

77
Q

Chronic frequent sneeze attack, soft volume indicates…

A

Lung qi deficiency

78
Q

Sudden sneezing in critical stage of chronic illness

A

Yang qi recovery, improvement in disease state

79
Q

Sneezing due to external stimulation indicates…

A

Normal

80
Q

Vomiting is caused by…

A

Rebellious Stomach qi

81
Q

Emesis without sound but with vomitus is known as..

A

Silent Vomiting

82
Q

Emesis with sound but no vomitus or scanty fluid is known as…

A

Retching

83
Q
A
84
Q

Emesis with sound and vomitus is known as…

A

Vomiting

85
Q

Vomiting with deep sound, vomitus is made up first of clear fluids, followed by food, severe abdominal pain relieved by vomiting, usually occurs after over consumption of raw or cold foods

A

Excess…
Cold damp attacks Stomach

86
Q

Vomiting with loud and forceful sound, turbid vomitus has acidic taste and foul odor, usually occurs after over consumption of food

A

Excess.. Food Stagnation

(Think acid clam shell–> food)

87
Q

Vomiting with deep loud sound, or retching without vomiting, intermittent attacks of nausea and sighing, usually occurs with emotional stress

A

Excess…
Liver / Stomach disharmony

88
Q

Vomiting comes slowly with a weak sound, usually after a meal, and little quantity of vomitus

A

Deficiency… Spleen / Stomach yang deficiency

89
Q

Violent vomiting with sharp and crisp sound, vomitus is made up first of food, then clear fluids or green mucus, occurs immediately after eating, usually in the wake of febrile disease or over consumption of hot spicy food

A

Deficiency… Stomach Yin Deficiency

90
Q

Belching that is long, loud and tight indicates (excess or deficiency?)

A

Excess
(Food Stagnation or
Liver Qi Stagnation)

91
Q

Belching that is low volume, feeble and short indicates…

A

Deficiency
(Spleen / Stomach Deficiency)

92
Q

Acute onset hiccough with loud, high-pitched, forceful, and consistent sound indicates…

A

Excess

93
Q

Chronic onset hiccough, with low, weak, and
intermittent sound indicates…

A

Deficiency

94
Q

Borborygmi is caused by… (pathogenesis)

A

Large Intestine disorder
* Qi obstruction
* Qi and dampness lodged in the Large Intestine

95
Q

Loud volume borborygmi, acute attack, thunder-like, sound or water sloshing in a bottle sound, may accompanied by diarrhea or dysentery indicates…

A

Excess

96
Q

Weak volume borborygmi, chronic condition, inconsistent sounds, recurrent attack, relieve by food indicates…

A

Deficiency

97
Q

What causes body odor?

A

Pathological changes to sweat

98
Q

Fetid mouth odor that is sticking and foul indicates…

A

Gingivitis

99
Q

Sour and foul mouth odor indicates…

A

Tooth decay

100
Q

Foul mouth odor that disappears after brushing teeth indicates…

A

Bad mouth hygiene

101
Q

Fould mouth odor with hot, swollen gums; or ulcers in the mouth and on the tongue; thirst with desire to drink cold fluids, red tongue with yellow coating indicates…

A

Stomach fire flaring upward

102
Q

Foul mouth odor with yellow eyes and skin, heavy sensation in the body, fatigue, poor appetite nausea, bitter taste in the mouth, yellow greasy tongue coating

A

Damp Heat in the Liver and Gallbladder

103
Q

Foul fishig mouth odor; cough with turbid sputum, or pus and blood; chest pain and distress, dry mouth and throat, no desire to drink, fever

A

Phelgm Heat Accumulation in the Lung

104
Q

Inhalation more difficult than exhalation indicates…

A

Kidney Deficiency

105
Q

Exhalation more difficult than inhalation indicates…

A

Lung Qi Deficiency

Oriental Diagnosis (10 decks)

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