Module 4: Pain Flashcards

(64 cards)

1
Q

Aversion to cold, fever, cough, itchy throat. Slight breathlessness, blocked or runny nose with clear watery
discharge, sneezing, occipital headache, body aches.
Tongue: thin white coating.
Pulse: Floating-Tight.
Key symptoms: aversion to cold, sneezing, Floating
pulse.

A

GIO Ext Invasion of Wind-Cold in the Lung (p. 550)

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2
Q
  1. Feeling of distension of hypochondrium, chest, epigastrium or abdomen, sighing.
  2. Melancholy, depression, moodiness, fluctuation of mental state. ‘feeling wound-up’, feeling of a lump in
    the throat.
  3. Irregular periods, distension of breasts before the periods, premenstrual tension and irritability
    Tongue: the body colour may be normal. In severe cases, it may be slightly Red on the sides.
    Pulse: Wiry, especially on the left side.
A

Liver Qi Stagnation (GIO 503):

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3
Q

Irritability, propensity to outbursts of anger, tinnitus, deafness, temporal headache, dizziness, red face and eyes,
thirst. bitter taste, dream-disturbed sleep, constipation
with dry stools, dark-yellow urine, epistaxis, haematemesis, haemoptysis.
Tongue: Red body. redder on the sides, dry yellow
coating.
Pulse: Full-Wiry-Rapid.
Key symptoms: headache, irritability, red face, red eyes, Red tongue with yellow coating.

A
  1. Liver Fire Flaring * (GIO 513):
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4
Q

Dizziness, tinnitus. vertigo, poor memory, hardness of hearing, night sweating, dry mouth and throat at night,
lower backache, ache in bones, nocturnal emissions, constipation. dark scanty urine, infertility, premature
ejaculation, tiredness, lassitude, depression, slight anxiety
Tongue: normal coloured without coating.
Pulse: Floating-Empty.
Key symptoms: backache, night sweating.

A

Kidney Yin Deficiency with Deficiency Heat * (GIO 593)

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5
Q

Five-palm heat, a feeling of heat in the evening, malar, flush, menopausal hot !lushes, thirst with a desire to drink
in small sips, pronounced anxiety in the evening, nocturnal emissions with dreams.
Tongue: Red without coating; in severe cases also cracked.
Pulse: Floating-Empty and slightly Rapid.

A

Deficiency Heat

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6
Q

Pain with distention
in the same
location

Sudden onset,
comes and goes,
pain relieved by
passing gas

A

Distending pain

Qi stagnation

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7
Q

Pain with sensation
of being needled or
stabbed

Fixed in location,
sharp in character,
small area

A

Stabbing

Blood stagnation

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8
Q

Severe pain as if the
body is being
twisted

Larger area, a
violent cut or
twisted pain

A

Colicky

Obstruction of an
excess pathogenic
factor

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9
Q

Migrating pain that
moves without
definite location

Migrates without
stable location

A

Unfixed

Pathogenic wind
attacking the body

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10
Q

Pain with pulling
sensation

Radiating pain, with
starting point and
pulling feeling

A

Retraction

Malnutrition of
tendons

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11
Q

Pain feels as if one
is being burned

Heat and burning
sensation at
location with a
preference for cold

A

Scorching

Pathogenic heat
injuring the
channels

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12
Q

Pain feels as if one
is being frozen

Cold sensation at
location of pain,
relieved by warmth

A

Cold

Pathogenic cold
constricting channel

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13
Q

Pain with a
sensation of
heaviness

Heaviness of the
limbs with achy
sensation

A

Heavy

Pathogenic
dampness in the channel

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14
Q

Pain with sensation
of emptiness

Empty and light
feeling with a
preference for
pressure and
warming

A

Hollow

Deficiency of blood,
essence, yin and
yang

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15
Q

Pain lingering and
mild

Tolerable pain that
lingers for along
period of time

A

Dull

Deficiency of qi,
blood, yin or yang

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16
Q

Pain that aches,
accompanied by
weariness

Mild, may be
accompanied by
other pain such as
heavy or dull

A

Aching

Exterior dampness
or kidney deficiency

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17
Q

Etiology of pain

A

The first is stagnation, which can be causedby zang fu dysfunction, local trauma or wind-cold invasion.
The second is deficiency of qi,blood, body fluids or essence, which will result in a lack of nourishment and nutrition to thetissues of the body.

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18
Q

Pain has three basic levels:

A
  • Mild Pain: patient can ignore the sensation
  • Moderate Pain: interferes with tasks or concentration
  • Severe Pain: interferes with basic needs or requires bedrest
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19
Q

Mild pain

A

patient can ignore the sensation

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20
Q

Moderate

A

interferes with tasks or concentration

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21
Q

Severe

A

interferes with basic needs or requires bedrest

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22
Q

Headache is the meeting place of what?

A

All yang channels and h

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23
Q

Headache is the meeting place of what?

A

All yang channels

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24
Q

Headache is the meeting place of what?

A

All yang channels and houses the brian

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25
What happens if pathogenic factors invade the head?
block the clear yang (external), or if stagnation of qi and blood in endogenous disease blocks the channels (internal) and deprives the brain or nourishment, headache will ensue.
26
3 pathogeneses
1.) Headache that is persistent and severe + chills and fever, cough, seasonal, acute and short course: excess, exterior: phlegm, cold or blood stasis obstructs the channels or pathogenic heat disturbs the head 2.) Headache that is persistent and severe + longer duration with excess type pulse image: excess, interior: phlegm, cold or blood stasis obstructs the channels or pathogenic heat disturbs the head 3.) Chronic headache, pain is intermittent and mild: deficiency, interior: Qi, blood, essence or body fluids deficiency fails to nourish the brain and head.
27
Occipital, radiating to nape
Tai Yang
28
Forehead and periocular region
Yang Ming, over thinking
29
Lateral aspect of head
Shaoyang, stresss headache
30
Vertex
Jue Yin, common for xu type
31
Sides of head which radiates to teeth and throat
Shao Yin, Kidney channel xu
32
Headache with heavy sensation and diarrhea
Tai Yin
33
Distending pain is caused by
Qi Stag
34
Stabbing pain is caused by
Blood Stasis
35
Colicky pain is caused by
Obstruction of an excess pathogenic factor
36
Unfixed pain is caused by
Pathogenic wind attacking the body
37
Retraction pain is caused by
Malnutrition of tendons
38
Scorching
39
Scorching pain is caused by
Pathogenic heat injuring the channels
40
Cold
41
Cold pain is caused by
Pathogenic cold constricting channels
42
Heavy pain is caused by
Pathogenic dampness in the channels
43
Hollow pain is caused by
Deficiency of blood, essence, yin and yang
44
Dull pain is caused by
Deficiency of qi, blood, yin or yang
45
Aching pain is caused by
46
Aching pain is caused by
Exterior dampness or kidney deficiency
47
Aching pain is caused by
Exterior dampness or kidney deficiency
48
Headache that is persistent and severe + chills and fever, cough, seasonal, acute and short course
Excess exterior: phlegm, cold or blood stasis obstructs the channels or pathogenic heat disturbs the head
49
Headache that is persistent and severe + longer duration with excess type pulse image
Excess interior: phlegm, cold or blood stasis obstructs the channels or pathogenic heat disturbs the head
50
Chronic headache, pain is intermittent and mild
deficiency, interior Qi, blood, essence or body fluids deficiency fails to nourish the brain and head.
51
Aching pain is caused by
Exterior dampness or kidney deficiency
51
Chronic headache, pain is intermittent and mild
deficiency, interior Qi, blood, essence or body fluids deficiency fails to nourish the brain and head.
51
Headache temporal, eyes, or lateral side of head, dizziness, tinnitus, deafness, blurred vision, dry mouth and throat, insomnia, irritability, feeling worked up, propensity to outbursts, stiff neck Pulse: wiry
Liver yang rising
52
Aching pain is caused by
Exterior dampness or kidney deficiency
53
dizziness, numbness or tingling in limbs, insomnia, blurred vision, floaters, diminished night vision, scanty menstruation, dull/pale complexion without luster, pale lips, muscle weakness, cramps, brittle nails, dry hair and skin, depression, aimlessness Pulse: choppy or fine
Liver Blood Xu
54
fine tremor, facial tic, dizziness, blurred vision, numbness or tingling or limbs, poor memory, insomnia, scant period Tongue: pale, thin Pulse: wiry, fine
Liver Blood Xu generating wind
55
Poor appetite, slight abdominal distention after eating, tiredness, lassitude, desire to lie down, pale complexion, weak limbs, loose stool Tongue: pale Pulse: empty
Spleen Qi Xu/ Qu Xu
56
Poor appetite, slight abdominal distention after eating, tiredness, lassitude, desire to lie curled up, pale complexion, weakness in limbs, loose stool, feeling cold, cold limbs, edema. Tongue: pale and wet Pulse: weak-deep
Spleen Yang Xu/ Yang Xu
57
Chronic cough, sticky white sputum, easy to expectorate, white pasty complexion, phlegm in throat, feeling of chest oppression, SOB, dislike lying down, wheezing, nausea, heaviness, fuzziness, dizziness Tongue: Swollen with sticky white coat Pulse: slippery/ soggy
Lung Phlegm Damp/ Phlegm Turbidity
58
dark complexion, purple lips, boring pain, fixed and stabbing, abdominal masses, purple nails, bleeding with dark blood clots Tongue: purple Pulse: wiry, firm, choppy
Liver Blood Stasis/ Blood Stasis
59
Headache that is persistent and severe + chills and fever, cough, seasonal, acute and short course
excess, exterior
60
Headache that is persistent and severe + longer duration with excess type pulse image
excess, interior
61
Chronic headache, pain is intermittent and mild
deficiency, interior
62