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Oriental Diagnosis > Observations > Flashcards

Observations Flashcards

1
Q

What is the most important component in the observation of the spirit?

A

Eye movement

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2
Q

What does purplish sclera indicate?

A

Liver Wind

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3
Q

When the eye’s sclera is unclear, what does it indicate?

(which pathogen/evil)

A

Dampness

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4
Q

What does the eye reflect?

(The state of…)

A

The state of Spirit and Essence

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5
Q

Hair that suddenly falls out in big clumps/patches is due to:

A

Blood deficiency with wind attack

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6
Q

Kidney essence exhaustion can cause which of the following?
a. Exophthalmus
b. playcoria (dilation of the pupils)
c. Sunken eyes
d. Eyelid twitching

A

b. Platycoria (dilation of the pupils)

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7
Q

Which of the following can cause eyelid twitching?
a. Spleen deficiency with dampness
b. Heart fire
c. Qi and blood deficiency
d. Kidney yin deficiency

A

c. Qi and blood deficiency

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8
Q

The condition of children sleeping with their eyes slightly open is due to which of the following?
a. Spleen deficiency with qi and blood insufficiency
b. Kidney deficiency with yin exhaustion
c. Liver wind
d. Excessive heat in the Liver channel

A

a. Spleen deficiency with qi and blood insufficiency

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9
Q

Definition of Inspection of Spirit

A

Inspection of spirit means to observe whether the patient’s mental state is normal, whether the consciousness is clear, the movements harmonious, and whether reactions are timid in order to determine whether there is a state of excess or deficiency in the zàng fû organs, yin, yang, qi and blood; and the prognosis of disease

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10
Q

A withered and parched helix is due to which of the following?
a. Fire flaming up form the shao yang channel
b. Insufficiency of Kidney essence and Kidney yin
c. Bloood stagnaiton in the shao yin channel
d. Spleen deficiency

A

b. Insufficiency of Kidney essence and Kidney yin

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11
Q

A green or blue tip of the nose indicates which of the following?
a. blood deficiency
b. abdominal pain
c. damp heat
d. exterior wind cold

A

b. abdominal pain

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12
Q

Which of the following symptoms can be observed when excessive heat accumulates in the Lung?

A

d. Nostrils flaring

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13
Q

Which of the following can cause involuntary drooling?
a. excess heat in the lung
b. Insufficiency of Kidney essence and Kidney yin
c. spleen qi deficiency with excessive dampness
d. kidney qi deficiency

A

c. Spleen qi deficiency with excessive dampness

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14
Q

Complexion signs of loss of Spirit

A

dim hues and dull sheen

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15
Q

Complexion signs of False Spirit

A

dull sheen with sudden flushed cheeks

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16
Q

Eye signs of loss of Spirit

A

dull colors with blurred vision

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17
Q

Eye signs of False Spirit

A

dull colors but suddenly lustrous

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18
Q

Mental Status signs of loss of Spirit

A

unconsciousness or delirium

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19
Q

Mental Status signs of False Spirit

A

unclear consciousness with a sudden change for the better

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20
Q

Motion and Response signs of loss of Spirit

A

slow movements and responses

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21
Q

Motion and Response signs of False Spirit

A

suddenly responsive

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22
Q
A
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23
Q

Respiration signs of loss of Spirit

A

rapid, feeble, or with difficulty

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24
Q

Respiration signs of False Spirit

A

feeble, but suddenly strengthening

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25
Q

Diet signs of loss of Spirit

A

poor diet

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26
Q

Diet signs of False Spirit

A

poor, but suddenly improving

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27
Q

Face and Zang Fu Organ

What is the guest complexion color?

A

The seasonal changes in color

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28
Q

What is the guest complexion for each of the following seasons?
Spring
Summer
Late Summer
Autumn
Winter

A

Spring : blue-green
Summer : red
Late Summer : yellow
Autumn : white (pale)
Winter : black (dark)

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29
Q

What are examples of transient normal complexion?

A

Changes in complexion due to different working conditions, climates, living environments, diet, sexual activity and emotions

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30
Q

What is the host complexion?

A

The color from time of birth. The normal facial skin color that remains unchanged during life

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31
Q

A blue-green complexion indicates what disorder/pathogen/evil?

A

wind, cold, pain, blood stasis

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32
Q

A red complexion indicates what disorder/pathogen/evil?

A

excess heat, (floating) yang, def. heat/yin deficiency

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33
Q

A yellow complexion indicates what disorder/pathogen/evil?

A

damp, Spleen deficiency, jaundice

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34
Q

A pale complexion indicates what disorder/pathogen/evil?

A

deficiency cold/yang deficiency, qi & blood deficiency

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35
Q

A dark complexion indicates what disorder/pathogen/evil?

A

cold, water, kidney deficiency (water), phlegm damp, blood stasis

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36
Q

According to Basic Questions which organ corresponds to the following location on the face?
1. forehead
2. right cheek
3. left cheek
4. nose
5. chin

A
  1. forehead - heart
  2. right cheek - lung
  3. left cheek - liver
  4. nose - spleen
  5. chin - kidney
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37
Q

In a pathological/ morbid complexion, what does sheen reflect?

A

Sheen/ luster or lack thereof determines the condition (full/exhausted) of the essence and the state of the spirit (having/ lacking spirit)

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38
Q

What does abnormal sheen indicate?

A

Essence exhausted, spirit less (lack of shen), death and poor prognosis

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39
Q

What is the origin of the guest complexion in the spring season?

A

The channels

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40
Q

In the broad sense, what is the manifestation of spirit?

A

Describes the total external manifestaion of vital activities which reflect the functions of the viscera.

41
Q

In the narrow sense, what is the manifestation of spirit?

A

Describes mental activities including consciousness and cognitive activities.

42
Q

Transformation:
From having to lack: worse

A

Having Spirit

43
Q

Transformation:
From lack to having : better

A

Lack of Spirit

44
Q

What four components of observation are included in eye inspection?

A

eye spirit
eye color
eye shape
eye bearing

45
Q

What is spirit disturbance?

A

Psychological and emotional disorder due to various etiology and pathology

46
Q

What is the indication of fatigue spirit?

A

Deficiency syndrome

47
Q

Which Zang Fu organ dominates the blood vessels?

48
Q

Where is the luster of the heart reflected?

A

On the face

49
Q

What is facial color associated with?

A

Blood and yin

50
Q

What is facial sheen associated with?

A

Qi and Yang

51
Q

Quality of abnormal color| indication

Location: Deep (color hidden inside skin) vs. Floating (color visible superficially)

A

Deep: internal pattern
Floating: exterior pattern

52
Q

Quality of abnormal color| indication

Brightness: Bright (color is clear & distinct) vs. Dull (color is dark & dim)

A

Bright: yang pattern
Dull: yin pattern

53
Q

Quality of abnormal color| indication

Thickness: thin (faint– color is shallow and light) vs. thick (extreme– color is deep and thick)

A

Thin: qi dificiency
Thick: excess pattern

54
Q

Quality of abnormal color | indication

Concentration: scattered (color is dispersed or scanty) vs. concentrated (accumulated color)

A

Scattered: new or mild disease
Concentrated: enduring or serious disease

55
Q

Eye and Channels Relationship

Inner and outer canthus corresponds to…

Which zàng fû organs

A

Heart/ Small Intestine

Blood Wheel

56
Q

Eye and Channels Relationship

Sclera corresponds to…

Which zàng fûorgans

A

Lung/ Large Intestine

Qi Wheel

57
Q

Eye and Channels Relationship

Iris corresponds to…

Which zàng fû organs

A

Liver/ Gallbladder

Wind Wheel

58
Q

Eye and Channels Relationship

Pupil corresponds to…

Which zàng fûorgans

A

Kidney/ Urinary Bladder

Water Wheel

59
Q

Eye and Channels Relationship

Eyelids and surrounding muscle corresponds to…

Which zàng fûorgans

A

Spleen/ Stomach

Flesh Wheel

60
Q

Yellow on the sclera that may extend to the iris and pupil indicates…

A

Jaudice, dampness

61
Q

Red on the inner or outer canthus sclera (or may appear on entire eye) indicates…

62
Q

Blue-green on the sclera or iris indicates…

A

Wind, cold, pain

63
Q

White on the inner or outer canthus, the iris or pupil indicates…

A

Deficiency

64
Q

Black on the sclera indicates…

A

water, deficiency

65
Q

Exophthalmia (bulging eye) indicates…

A

Excess, stagnation

66
Q

Sunken eyes indicate…

A

Deficiency

67
Q

Swollen eyes indicates…

A

Dampness/ water retention

68
Q

Stabismus (the eye cannot look straight or deviates to one side or the other) indicates…

A

Liver wind or obstruction

69
Q

Eyelid spasms indicate…

A

Wind or blood xu

70
Q

Eye drop or difficulty keeping the eye open completely indicates…

A

Qi sinking or obstruction

71
Q

Myosis or pupil constricted (< 2mm) indicates…

A

Poison herb mushrooms

72
Q

Nasal Discharge

Bleeding from the nose indicates…

A

Heat injury in the LU and ST

73
Q

Nasal Discharge

Clear and thin nasal discharge indicates…

A

Wind cold attack

74
Q

Nasal Discharge

Yellow and turbid nasal discharge indicates…

A

Wind heat attack

75
Q

Infant finger examination is a diagnostic method used for children aged…

A

For children age under 3 years old

76
Q

For infant finger diagnosis, which side is for boys and which is for girls?

A

Usually right for girls and left for boys

77
Q

What are the three manifestations of lack of spirit?

A

Loss of Spirit
False Spirit
Spirit Disturbance

78
Q

In summary having spirit means…

A

Sufficient essence, mild illness and good prognosis

79
Q

Which organ governs the nose?

A

The Spleen
(Nose is center of face, analogous with middle burner and earth )

80
Q

Swollen nose indicates…

A

Excess condition

81
Q

Sunken nose indicates…

A

Deficiency condition
Insufficient antipathogenic qi

82
Q

Nasal Polyp indicates…

A

Stagnated heat in yang ming channel

83
Q

Ulcerous and sunken nasal septum indicates….

84
Q

Sunken nasal septum with loss of eyebrows indicates…

85
Q

Flaring nostrils with high fever indicates…

A

Wind heat or phlegm heat accumulation in the Lung, or asthma

86
Q

Flaring nostrils during critical stage of illness indicates…

A

Lung failure

87
Q

Teeth are the surplus of…

A

Bone and bone is governed by the Kidney

88
Q

Inspection of teeth and gums contribute to understanding of which organs?

A

Kidney, Stomach and Intestinal Disorder (Yang Ming)

89
Q

Yellow or white pus discharge from the ear indicates…

A

Kidney yin def fire with damp heat in the Liver and Gallbladder channels

90
Q

Dry helix (ear) with scales indicates…

A

Blood stasis

91
Q

Bloody discharge from the ears indicates…

A

Heat in the blood

92
Q

Hair is the surplus of…

A

Blood
(and the external manifestation of Kidney qi)

93
Q

Skin is the external manifestation of…

A

Qi and blood

94
Q

Edema that starts from face or upper part of the body, then gradually involves entire body indicates…

A

Yang edema
(yang rules upper body)

95
Q

Edema that starts from feet or lower limbs, then involves entire body, but lower part is more severe…

96
Q

Distention (of skin) indicates…

A

Qi stagnation or dampness in the middle burner

97
Q

The original color of the hair indicates…

A

Sufficient blood and Kidney essence

98
Q

Hair thinning or falling out is due to…

A

Blood deficiency

98
Q

Premature graying of the hair indicates…

A

Deficiency of Kidney essence

Oriental Diagnosis (10 decks)

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