Mid-term 1 Flashcards
What are 4 methods of diagnosis
1) hearing/smelling
2) observing
3) feeling
4) asking
ASKING / 10 Q?’s
1) aversion to cold and fever
2) sweating
3) head and body
4) excretions
5) food and taste (drink separate)
6) stools and urine (excretions)
7) sleep ***
8) hearing and tinnitus (was deafness)
9) thirst and drink (was with food)
10) pain
missing: cause of Dz
INQUIRY
Urination
Stool
Digestion/Diet
Sleep
Energy level
Thirst
Sex
Hot or Cold
Sweat
Pain (level, freq, duration, aggravation)
Menstruation/repro health
Med history (Rx)
Emotions
Fengshui
Astrology
Movement
Subjective + Objective = Assessment
S symptoms = Subjective Information
O observation / listening / Palpation = Objective Information
S plus O leads to Assessment of Dx
Symptoms to explore
Fever “Fa Re”
Aversion to cold and wind
Abnormal sweating
Headache
Cough, panting, chest pain
Palpitations
Insomnia
Shen
Bleeding
Thirst
Appetite
Abdominal pain, distention, duct pain
Vomit, retching & constipation
Diarrhea, dysentary and dizziness
8 Principles
hot/cold
interior/exterior
Excess/def
Yin/Yang
Exterior differential
there is a difference between exterior pathogen and exterior pattern
Exterior Pathogens
Six Excesses
Six Climatic Factors
Six Evils
cold
heat (fire)
summer heat
wind
damp
dryness
Exterior Patterns
1) Something from the outside comes in
2) Affects the exterior layers first
What is the exterior?
1) Taiyang, Wei Qi (upper burner, LU orifice)
2) Skin, hair, muscles and interspaces, superficial channels and collaterals
Interior Pathogens
7 emotions or “affects” that directly affect the Qi Ji of the organs
anger affecting LV // makes Qi rise
joy affecting the HT // slows down Qi
pensiveness affecting the SP // knots Qi
worry affecting the LU // knots Qi
feat affecting KI // Qi descends
sadness dissolves Qi
shock scatters Qi
Relations of emotions
-Anger injures Liver, sadness counteracts anger
-Joy injures Ht, fear counteracts Joy
-Pensiveness (thought) injures Spleen, Anger counteracts Pensiveness
-Worry* (metal, here) injures Lungs, Joy counteracts worry
Fear injures Kidneys, Pensiveness counteracts fear
*usually grief / sorrow
excessive emotions stagnate the Qi
emotions affect the HT, emotions involve the LV, Sadness depletes the Qi most directly
“the five emotions turn to Fire”
stagnant Qi turns to heat/depressive heat
4 interior patterns
1) Qi, Ying, Blood
2) Middle Jiao, Lower Jiao, (Upper Jiao)
3) Zang-fu patterns (Lung)
4) all 6 conformations but Taiyang (exterior) and Shaoyang (half/half)
Exterior Fever patterns (5)
* wind-cold exterior excess
* wind-cold exterior vacuity
* wind-warm exterior pattern (wei qi pattern)
* damp-warm excess (wei qi pattern)
* autumn-dryness exterior pattern (wei qi pattern)
wind cold exterior excess AKA
Taiyang Cold damage
wind cold exterior vacuity AKA
Taiyang Wind Strike
wind warm exterior pattern AKA
Wind heat exterior invasion
Half Interior OR Half Exterior
- Shaoyang
- Malaria // hot malaria (more severe) // Vacuity malaria (xu signs)
Interior Fever patterns (5)
*yangming channel pattern
*yangming bowel pattern
*heat evil congesting LU (Qi level)
*Summer-heat warm (Qi level)
*Heat entering deeper levels
-PC (ying)
-Ying qi
-Blood level
4 LEVELS
DEFENSIVE QI // aversion to cold and fever
QI LEVEL // no aversion to cold, feeling of heat
NUTRITIVE QI // mental changes, fever at night
BLOOD LEVEL // fever at night, bleeding, macule, internal wind
Zang-Fu Fever patterns
- Spleen and Stomach damp heat
- Liver/GB damp heat
- LI damp heat
- SI damp heat
- UB damp heat
other patterns (not zang-fu)
*wind damp heat obstructing - wind damp bi pain (channels and joints)
*exuberant heat stirring (LV) wind (Heat victorious stirring wind) -4 lvl
*epidemic disease
Vacuity fever (5)
- Yin (organ Yin Xu Re)
- Blood
- Qi
- Yang
- Infantile summer heat infixation - long residing pathogen
Wu Han
* External Contraction: Hx of FEVER and other ext Sx
* Half interior, Half exterior (i.e Shaoyang Syndrome)
external Sx of Wu Han
- Nasal obstruction
- Sniffling
- Clear nasal discharge
- achy/painful joints (esp neck and shoulders)
Interior Excess Cold Patterns (4)
* Cold Evil Settling in LU
* Cold Damp encumbering SP (Taiyin pattern)
*Cold in LI channel
*Shaoyin Cold Transformationi
Shaoyin cold transformation
Shoayin pattern: yang vacuity with yin exuberance; Xu and Shi
Vacuity Cold Patterns (4)
1) heart yang vacuity
2) spleen yang vacuity
3) kidney yang vacuity
4) true heat false cold
Other manifestations of cold (3)
*Local cold (corresp organ)
*Cold Bi painful obstruction syndrome (better w heat)
*Cold invades muscles and sinews
3 things about ABNORMAL SWEATING
1) Yang (transforms and evaporates) and Wei Qi (opens and closes pores) involved
2) NL sweat balances int and ext
3) Wei qi lets out excess heat and fluids
abnormal sweat as patho (5)
-Qi and yang fail to manage fluids
-Wei Qi fails to regulate Cou li
(ext heat enters)
-Zang-fu hyperactivity > int heat
-Yin xu re
-Blood vacuity
Excess Sweating Patterns (5)
- wind cold ext invasion
- wind warm exterior pattern
- internal replete heat
- damp heat Qi level pattern
- lower jiao damp heat
Vacuity Sweat Patterns (6)
- qi vacuity
- yang vacuity
- yin vacuity
- yang collapse
- yin collapse
- dual vacuity of HT and SP
Sweat Block
- lack of nutritive layer sweating
- disorder of yang qi and/or wei qi
Sweat Block patterns (2)
1) Wind-cold ext repletion (tai yang cold damage)
2) True heat false cold
Headache: Etiology
external: more severe temp
internal: intermittent, mild or severe
Headache // Internal excess
*binding depression of LV Qi
*liver fire flaming upwards
*hyperactive ascension of LV yang
*phlegm
*blood stasis
*head wind
*food/alcohol damage
Vacuity headache (5)
*KI Jing Xu
*Blood Xu
*Yin Xu
*Qi Xu
*Yang Xu
Phlegm headache (3)
*wind phelgm
*phlegm fire
*phlegm reversal (counterflow) / phlegm blocking the orifices
