Listening and Smelling Flashcards
1
Q
Loud volume and strong force sounds indicate…
A
Heat, Excess
2
Q
Soft/low volume and weak force sounds indicate…
A
Cold, Deficiency
3
Q
What is the gateway of the voice?
A
The Lungs
4
Q
What is the root of the voice?
A
The Kidney
5
Q
What is the strength of the voice?
A
Stomach and Spleen
6
Q
What two aspects are included in the scope of listening?
A
- Listening to Speech and Breathing
- Listening to abnormal sounds
7
Q
Vocalization depends on the function of…
A
Qi (Yang Qi)
8
Q
Hoarseness is…
A
The partial loss of vocal sounds
9
Q
Aphonia is…
A
The total loss of vocal sounds /voice
10
Q
With pathological voice sounds, the voice loses its…
A
Smoothness and clarity
11
Q
Loud volume voice sounds indicate…
A
Heat, Excess
12
Q
Low volume voice sounds indicate…
A
Cold, Deficiency
13
Q
Soft/low volume and vague voice sounds indicates…
A
Exterior wind cold, dampness invasion
14
Q
The speech is the voice of the … (organ)
A
Heart
15
Q
Which organ controls speech?
A
The Heart
(Speak from your heart)
16
Q
Taciturn (silent or dislike of speaking) indicates…
A
Cold, deficiency
17
Q
Persistent talking indicates…
A
Excess, heat
18
Q
Loud, harsh, rapid respiration indicates…
A
heat, excess
19
Q
Weak, deep, slow respiration indicates…
A
Cold, deficiency
20
Q
Deep breathing indicates…
A
Excess qi in the Heart and Lung
21
Q
Weak breathing indicates….
A
Deficiency of both the Liver and Kidney
22
Q
Rough respiration with rapid exhalation and slow inhalation indicates…
A
heat, excess, exogenous disease
23
Q
Faint respiration with slow inhalation and exhalation indicates…
A
deficiency chronic endogenous disease
24
Q
With asthma, if acute onset and relieved by exhalation it indicates..
A
Excess
25
**With asthma, if chronic and gradual onset, relieved by inhalation it indicates...**
Deficiency
26
Pathogenesis of wheezing is...
Lung qi failure to descend and **phlegm**
27
Shortness of Breath with low energy, spontaneous sweating, frequent cold, teeth mark tongue indicates...
Lung Qi Deficiency
28
Pathogenesis of asthma (panting)...
Lung qi failure to descend
29
Shortness of Breath indicates...
Lung Qi Deficiency
30
Acute onset, harsh cough, coarse or hacking, choking loudly indicates...
Exterior
31
Is a cough always a pathological change?
No, it could also be a response for self-protection
32
Borborygmi indicates...
Qi Obstruction
Qi and dampness lodged in Large Intestine
33
Sighing due to chest distress and aggravated by emotional stress indicates...
Liver Qi Stagnation
34
Sighing with a low and feeble sound, SOB, chest distress and aggravated by exertion indicates...
Yang Qi Deficiency
35
Foul, rotten, fetid, stinking smell indicates...
Heat, excess
36
Fish or odorless smell indicates...
Cold, deficiency
37
**Goatish** body odor indicates...
**Wind** damp heat accumulation
| A goat out in the wind! :-)
38
Foul stinking body odor indicates...
Epidemic infection disease or summer heat toxic syndrome
39
Foul sweat body **odor in the armpit** ("fox-like" smell) indicates...
Damp Heat Accumulation
40
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...
Stomach fire flaring upward
41
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...
Food stagnation
42
Aphonia due to wind stroke indicates...
Exogenous or endogenous pathogen
43
Acute aphonia indicates... and the prognosis is...
Exopathogenic factor. It is curable.
44
Chronic aphonia indicates... and the prognosis is...
Endopathogenic factor. It is difficult to cure.
45
Is pregnancy aphonia permanant?
No. It is a temporary condition caused by high stress.
46
Chronic aphonia is seen in which patterns?
Deficiency and Stagnation
(Lung/Kidney yin deficiency
Lung/Spleen qi deficiency
Qi and blood stagnation)
47
Speech is a manifestation of...
Mental activity and consciousness
48
Sudden onset of hoarseness, the voice is low in pitch and raspy (with chills and fever, sore or itchy throat, cough, floating pulse) indicates...
Exterior syndrome
49
Chronic hoarseness with gradually increasing intensity indicates...
Blood stagnation
50
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...
Phlegm Heat
51
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...
Lung and Kidney yin deficiency
52
Define Dysarthria
Difficult, poor articulated speech; slurring
53
Define Aphasia
Impaired expression or comprehension of written or spoken language
54
Spirit disorders usually cause what type of speech?
Incoherent speech
55
Tongue disorders usually cause what type of speech?
Indistinct speech
56
Rude and incoherent speech with cursing and shouting in a loud voice is known as...
Raving (Yang)
57
Incoherent speech, talking to one's self silently or quietly is known as...
Muttering (yin)
58
Raving indicates...
1. phlegm fire disturbing the heart
2. Liver/GB heat accumulation
59
Muttering indicates...
1.phlegm obstructing Heart orifices
2. Spleen / Heart Deficiency
60
Words or sentences express the wrong meaning when spoken aloud, however the patient recognizes and corrects immediately...
Wrong Speech
(dizziness, fatigue, palpitations, frequent sighing, depression, irritability)
61
Murmuring to one's self with repetition and interruptions, the content is incoherent and stops when in the presence of other people...
Soliloquy
(poor memory, fatigue, slow reactions, pale face, thin pulse)
62
Indications of wrong speech are...
Heart and Spleen deficiency, Liver qi stagnation, or turbid phlegm accumulation
63
Indications of soliloquy are..
Heart qi and blood deficiency, or turbid phlegm obstructing the Heart orifices
64
Delirium indicates...
Yang, excess, heat febrile disease)
65
Faint Murmuring indicates...
Yin, deficiency, later stage of illness
66
Respiration, the inhaling and exhaling of air is done primarily by which organs? Which organ is most directly related?
Lung and Kidney
Lung
67
With upper stifling breath, respiration is rapid and ____ is more evident than ____.
Exhalation is more evident than inhalation (may be accompanied by shortness of breath and edema of the face and eyes)
68
Lung qi rises upward to the throat
and obstructs the air tract.
69
With upper stifling breath sounds that are short and rapid respiration, dry cough or phlegm that is difficult to expectorate
Deficiency
70
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
Excess
71
Shortness of breath with cough with white watery sputum, stifling sensation in the chest
Water retention in chest
72
Pathogenesis of
Upper stifling breath
vs
Shortness of Breath
vs
Shortage of Qi
Lung Qi Obstruction
Lung qi deficiency
Antipathogenic (zhong) qi insufficiency
73
Acute onset, harsh, coarse, or hacking,
choking cough, and loud cough,
daytime worse than night time indicates...
Exterior
74
Chronic recurrent onset, cough with
loud coarse sound, cough may worse
in the morning of after meal with
rattling loose sound indicates...
Interior, Excess
75
Chronic cough with feeble and weak
sound, worse in the afternoon and
evening indicates...
Interior, Deficiency
76
Acute onset sneezing, constant loud sound indicates...
Heat, excess
77
Chronic frequent sneeze attack, soft volume indicates...
Lung qi deficiency
78
Sudden sneezing in critical stage of chronic illness
Yang qi recovery, improvement in disease state
79
Sneezing due to external stimulation indicates...
Normal
80
Vomiting is caused by...
Rebellious Stomach qi
81
Emesis without sound but with vomitus is known as..
Silent Vomiting
82
Emesis with sound but no vomitus or scanty fluid is known as...
Retching
83
84
Emesis with sound and vomitus is known as...
Vomiting
85
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**
Excess...
Cold damp attacks Stomach
86
Vomiting with loud and forceful sound, turbid vomitus has **acidic taste and foul odor**, usually occurs after **over consumption of food**
Excess.. Food Stagnation
| (Think acid clam shell--> food)
87
Vomiting with **deep loud** sound, or retching without vomiting, intermittent attacks of **nausea** and **sighing**, usually occurs with **emotional stress**
Excess...
Liver / Stomach disharmony
88
Vomiting comes **slowly** with a **weak** sound, usually after a meal, and **little quantity** of vomitus
Deficiency... Spleen / Stomach yang deficiency
89
**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**
Deficiency... Stomach Yin Deficiency
90
Belching that is long, loud and tight indicates (excess or deficiency?)
Excess
(Food Stagnation or
Liver Qi Stagnation)
91
Belching that is low volume, feeble and short indicates...
Deficiency
(Spleen / Stomach Deficiency)
92
Acute onset hiccough with loud, high-pitched, forceful, and consistent sound indicates...
Excess
93
Chronic onset hiccough, with low, weak, and
intermittent sound indicates...
Deficiency
94
Borborygmi is caused by... (pathogenesis)
Large Intestine disorder
* Qi obstruction
* Qi and dampness lodged in the Large Intestine
95
Loud volume borborygmi, acute attack, thunder-like, sound or water sloshing in a bottle sound, may accompanied by diarrhea or dysentery indicates...
Excess
96
Weak volume borborygmi, chronic condition, inconsistent sounds, recurrent attack, relieve by food indicates...
Deficiency
97
What causes body odor?
Pathological changes to sweat
98
Fetid mouth odor that is sticking and foul indicates...
Gingivitis
99
Sour and foul mouth odor indicates...
Tooth decay
100
Foul mouth odor that disappears after brushing teeth indicates...
Bad mouth hygiene
101
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...
Stomach fire flaring upward
102
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
Damp Heat in the Liver and Gallbladder
103
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
Phelgm Heat Accumulation in the Lung
104
Inhalation more difficult than exhalation indicates...
Kidney Deficiency
105
Exhalation more difficult than inhalation indicates...
Lung Qi Deficiency
