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Diagnosis 2 TCM > Mid-term 1 > Flashcards

Mid-term 1 Flashcards

1
Q

What are 4 methods of diagnosis

A

1) hearing/smelling
2) observing
3) feeling
4) asking

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2
Q

ASKING / 10 Q?’s

A

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

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3
Q

INQUIRY

A

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

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4
Q

Subjective + Objective = Assessment

A

S symptoms = Subjective Information
O observation / listening / Palpation = Objective Information
S plus O leads to Assessment of Dx

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5
Q

Symptoms to explore

A

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

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6
Q

8 Principles

A

hot/cold
interior/exterior
Excess/def
Yin/Yang

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7
Q

Exterior differential

A

there is a difference between exterior pathogen and exterior pattern

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8
Q

Exterior Pathogens

Six Excesses
Six Climatic Factors
Six Evils

A

cold
heat (fire)
summer heat
wind
damp
dryness

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9
Q

Exterior Patterns

A

1) Something from the outside comes in
2) Affects the exterior layers first

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10
Q

What is the exterior?

A

1) Taiyang, Wei Qi (upper burner, LU orifice)
2) Skin, hair, muscles and interspaces, superficial channels and collaterals

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11
Q

Interior Pathogens

7 emotions or “affects” that directly affect the Qi Ji of the organs

A

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

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12
Q

Relations of emotions

A

-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

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13
Q

excessive emotions stagnate the Qi

A

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

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14
Q

4 interior patterns

A

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)

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15
Q

Exterior Fever patterns (5)

A

* 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)

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16
Q

wind cold exterior excess AKA

A

Taiyang Cold damage

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17
Q

wind cold exterior vacuity AKA

A

Taiyang Wind Strike

18
Q

wind warm exterior pattern AKA

A

Wind heat exterior invasion

19
Q

Half Interior OR Half Exterior

A
  • Shaoyang
  • Malaria // hot malaria (more severe) // Vacuity malaria (xu signs)
20
Q

Interior Fever patterns (5)

A

*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

21
Q

4 LEVELS

A

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

22
Q

Zang-Fu Fever patterns

A
  • Spleen and Stomach damp heat
  • Liver/GB damp heat
  • LI damp heat
  • SI damp heat
  • UB damp heat
23
Q

other patterns (not zang-fu)

A

*wind damp heat obstructing - wind damp bi pain (channels and joints)
*exuberant heat stirring (LV) wind (Heat victorious stirring wind) -4 lvl
*epidemic disease

24
Q

Vacuity fever (5)

A
  • Yin (organ Yin Xu Re)
  • Blood
  • Qi
  • Yang
  • Infantile summer heat infixation - long residing pathogen
25
Q

Wu Han

A

* External Contraction: Hx of FEVER and other ext Sx
* Half interior, Half exterior (i.e Shaoyang Syndrome)

26
Q

external Sx of Wu Han

A
  • Nasal obstruction
  • Sniffling
  • Clear nasal discharge
  • achy/painful joints (esp neck and shoulders)
27
Q

Interior Excess Cold Patterns (4)

A

* Cold Evil Settling in LU
* Cold Damp encumbering SP (Taiyin pattern)
*Cold in LI channel
*Shaoyin Cold Transformationi

28
Q

Shaoyin cold transformation

A

Shoayin pattern: yang vacuity with yin exuberance; Xu and Shi

29
Q

Vacuity Cold Patterns (4)

A

1) heart yang vacuity
2) spleen yang vacuity
3) kidney yang vacuity
4) true heat false cold

30
Q

Other manifestations of cold (3)

A

*Local cold (corresp organ)
*Cold Bi painful obstruction syndrome (better w heat)
*Cold invades muscles and sinews

31
Q

3 things about ABNORMAL SWEATING

A

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

32
Q

abnormal sweat as patho (5)

A

-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

33
Q

Excess Sweating Patterns (5)

A
  • wind cold ext invasion
  • wind warm exterior pattern
  • internal replete heat
  • damp heat Qi level pattern
  • lower jiao damp heat
34
Q

Vacuity Sweat Patterns (6)

A
  • qi vacuity
  • yang vacuity
  • yin vacuity
  • yang collapse
  • yin collapse
  • dual vacuity of HT and SP
35
Q

Sweat Block

A
  • lack of nutritive layer sweating
  • disorder of yang qi and/or wei qi
36
Q

Sweat Block patterns (2)

A

1) Wind-cold ext repletion (tai yang cold damage)
2) True heat false cold

37
Q

Headache: Etiology

A

external: more severe temp
internal: intermittent, mild or severe

38
Q

Headache // Internal excess

A

*binding depression of LV Qi
*liver fire flaming upwards
*hyperactive ascension of LV yang
*phlegm
*blood stasis
*head wind
*food/alcohol damage

39
Q

Vacuity headache (5)

A

*KI Jing Xu
*Blood Xu
*Yin Xu
*Qi Xu
*Yang Xu

40
Q

Phlegm headache (3)

A

*wind phelgm
*phlegm fire
*phlegm reversal (counterflow) / phlegm blocking the orifices

41
Q
A
42
Q
A

Diagnosis 2 TCM (1 decks)

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