Module 4: Pain Flashcards
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.
GIO Ext Invasion of Wind-Cold in the Lung (p. 550)
- Feeling of distension of hypochondrium, chest, epigastrium or abdomen, sighing.
- Melancholy, depression, moodiness, fluctuation of mental state. ‘feeling wound-up’, feeling of a lump in
the throat. - 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.
Liver Qi Stagnation (GIO 503):
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.
- Liver Fire Flaring * (GIO 513):
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.
Kidney Yin Deficiency with Deficiency Heat * (GIO 593)
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.
Deficiency Heat
Pain with distention
in the same
location
Sudden onset,
comes and goes,
pain relieved by
passing gas
Distending pain
Qi stagnation
Pain with sensation
of being needled or
stabbed
Fixed in location,
sharp in character,
small area
Stabbing
Blood stagnation
Severe pain as if the
body is being
twisted
Larger area, a
violent cut or
twisted pain
Colicky
Obstruction of an
excess pathogenic
factor
Migrating pain that
moves without
definite location
Migrates without
stable location
Unfixed
Pathogenic wind
attacking the body
Pain with pulling
sensation
Radiating pain, with
starting point and
pulling feeling
Retraction
Malnutrition of
tendons
Pain feels as if one
is being burned
Heat and burning
sensation at
location with a
preference for cold
Scorching
Pathogenic heat
injuring the
channels
Pain feels as if one
is being frozen
Cold sensation at
location of pain,
relieved by warmth
Cold
Pathogenic cold
constricting channel
Pain with a
sensation of
heaviness
Heaviness of the
limbs with achy
sensation
Heavy
Pathogenic
dampness in the channel
Pain with sensation
of emptiness
Empty and light
feeling with a
preference for
pressure and
warming
Hollow
Deficiency of blood,
essence, yin and
yang
Pain lingering and
mild
Tolerable pain that
lingers for along
period of time
Dull
Deficiency of qi,
blood, yin or yang
Pain that aches,
accompanied by
weariness
Mild, may be
accompanied by
other pain such as
heavy or dull
Aching
Exterior dampness
or kidney deficiency
Etiology of pain
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.
Pain has three basic levels:
- Mild Pain: patient can ignore the sensation
- Moderate Pain: interferes with tasks or concentration
- Severe Pain: interferes with basic needs or requires bedrest
Mild pain
patient can ignore the sensation
Moderate
interferes with tasks or concentration
Severe
interferes with basic needs or requires bedrest
Headache is the meeting place of what?
All yang channels and h
Headache is the meeting place of what?
All yang channels
Headache is the meeting place of what?
All yang channels and houses the brian
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.
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.
Occipital, radiating to nape
Tai Yang
Forehead and periocular region
Yang Ming, over thinking
Lateral aspect of head
Shaoyang, stresss headache
Vertex
Jue Yin, common for xu type
Sides of head which radiates to teeth and throat
Shao Yin, Kidney channel xu
Headache with heavy sensation and diarrhea
Tai Yin
Distending pain is caused by
Qi Stag
Stabbing pain is caused by
Blood Stasis
Colicky pain is caused by
Obstruction of an
excess pathogenic
factor
Unfixed pain is caused by
Pathogenic wind
attacking the body
Retraction pain is caused by
Malnutrition of
tendons
Scorching
Scorching pain is caused by
Pathogenic heat
injuring the
channels
Cold
Cold pain is caused by
Pathogenic cold
constricting
channels
Heavy pain is caused by
Pathogenic
dampness in the
channels
Hollow pain is caused by
Deficiency of blood,
essence, yin and
yang
Dull pain is caused by
Deficiency of qi,
blood, yin or yang
Aching pain is caused by
Aching pain is caused by
Exterior dampness
or kidney deficiency
Aching pain is caused by
Exterior dampness
or kidney deficiency
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
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
Chronic headache, pain is intermittent and mild
deficiency, interior
Qi, blood, essence or
body fluids deficiency fails to nourish the brain and head.
Aching pain is caused by
Exterior dampness
or kidney deficiency
Chronic headache, pain is intermittent and mild
deficiency, interior
Qi, blood, essence or
body fluids deficiency fails to nourish the brain and head.
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
Aching pain is caused by
Exterior dampness
or kidney deficiency
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
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
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
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
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
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
Headache that is persistent and severe + chills and fever, cough, seasonal, acute and short course
excess, exterior
Headache that is persistent and severe + longer duration with excess type pulse image
excess, interior
Chronic headache, pain is intermittent and mild
deficiency, interior
