OM Diagnosis Part 1 Flashcards
Cause of Pain: Qi Stagnation
distension/bloating more than pain, distending pain, no fixed location, comes and goes
Cause of Pain: Liver-Yang rising
chronic headaches with a distending, throbbing pain
Cause of Pain: Blood stagnation
severe, boring or stabbing pain, fixed location
Cause of Pain: Cold
cramping, spastic pain
Cause of Pain: Damp-heat
burning pain with fullness and heaviness
Cause of Pain: External wind
occipital headache and stiffness
Cause of Pain: External dampness
pain in the joints or epigastrium
Cause of Pain: Retention of food
intense pain with feeling of fullness
Cause of Pain: Phlegm
Joints pain like in Rheumatoid arthritis
Types of pain: Soreness, dull ache
Deficiency (four limbs or trunk) or Dampness
Types of pain: Heaviness
Dampness or Phlegm (limbs, head, or whole body)
Types of pain: Distending
Qi Stagnation (hypochondrium, epigastrium, lower abdomen, chest, head)
Types of pain: Fullness
Retention of Food (epigastrium, lower abdomen)
Types of pain: Emptiness
Qi and Blood Deficiency or Kidney Deficiency, (head)
Types of pain: Feeling of Cold
Cold or Yang Deficiency (abdomen or limbs)
Types of pain: Burning
Heat or Empty-heat (epigastrium or limbs)
Types of pain: Sharp, cramping
Cold or Blood stasis (epigastrium, lower abdomen)
Types of pain: Spastic
Liver Blood Deficiency with Liver Qi stagnation (limbs, abdomen), Liver Yang rising (head)
Types of pain: Stuffiness
Spleen Deficiency with Heat or Phlegm (chest, epigastrium)
Types of pain: Pushing
Qi Stagnation (hypochondrium, epigastrium)
Types of pain: Pulling
Liver Wind (head)
Types of pain: Cutting
Blood Stasis (lower abdomen)
Types of pain: Throbbing
Liver Yang rising (head)
Types of pain: Boring
Blood stasis (head, chest, hypochondrium, epigastrium, lower abdomen)
Types of pain: Lurking (latent, hidden pain)
Qi and Blood Deficiency or Empty-cold (abdomen, lower back)
Time of Pain: Daytime pain
Dysfunction of Qi or Blood
Time of Pain: Night-time pain
Yin Deficiency or Blood Stagnation
Time of Pain: Intermittent pain
Qi Deficiency or Qi Stagnation
Time of Pain: Constant pain
Blood stasis
Main Pattern of Digestive Symptoms: Qi Deficiency Stomach
Slight epigastric discomfort, dull, slight pain improved by eating, poor appetite
Main Pattern of Digestive Symptoms: Qi Deficiency Spleen
Poor appetite, slight abdominal distension, loose stools
Main Pattern of Digestive Symptoms: Qi Stagnation Stomach
Epigastric distension
Main Pattern of Digestive Symptoms: Qi Rebellious Stomach
Hiccup, belching, nausea, vomiting
Main Pattern of Digestive Symptoms: Qi Rebellious Spleen
Loose stools, diarrhea
Main Pattern of Digestive Symptoms: Blood Stasis Stomach
Stabbing. fixed epigastric pain, vomiting of blood
Main Pattern of Digestive Symptoms: Blood Stasis Spleen
Stabbing, fixed abdominal pain, blood in stools
Main Pattern of Digestive Symptoms: Dampness Stomach
A feeling of fullness and heaviness of the epigastrium, sticky taste, poor appetite
Main Pattern of Digestive Symptoms: Dampness Spleen
A feeling of fullness and heaviness of the abdomen
Main Pattern of Digestive Symptoms: Phlegm Stomach
A feeling of oppression of the epigastrium, sticky taste, nausea, poor appetite
Main Pattern of Digestive Symptoms: Retention of Food Stomach
A feeling of fullness and pain of the epigastrium, sour regurgitation, nausea, poor appetite
Main Pattern of Digestive Symptoms: Retention of Food Spleen
A feeling of fullness and pain of the abdomen
Digestive symptoms: Condition Relieved by Eating
Deficiency pattern
Digestive symptoms: Condition Aggravated by Eating
Excess pattern
Digestive symptoms: Feeling of fulness
Dampness or retention of food
Digestive symptoms: Feeling of Distention
Liver Qi stagnation
Digestive symptoms: Feeling of heaviness
Dampness
Digestive symptoms: Feeling of stuffiness
deficiency with heat or phlegm
Digestive symptoms: Preference of Hot Foods/Drinks
Cold pattern
Digestive symptoms: Preference of Cold Foods/Drinks
Heat pattern
Digestive symptoms: Alleviated by drinking warm liquids, aggravated by cold
Cold in Stomach and Spleen
Digestive symptoms: Alleviated by drinking cold liquids, aggravated by warm
Stomach Heat
Digestive symptoms: Inability to Digest Fats
Dampness in Gallbladder
Normal appetite
Good state of Stomach and Spleen
Lack of appetite
Spleen Qi or Stomach Qi Deficiency or Dampness in Middle burner
Aversion to food
Food poisoning, Retention of food, Dampness in the middle burner, Rebellious Qi of the penetrating vessel (in pregnancy)
Excessive hunger
stomach heat
Excessive hunger without desire to eat
damp heat in stomach or stomach yin deficiency with empty heat
Lack of taste sensation
spleen and stomach deficiency, dampness in middle burner
Bitter taste (constant)
Full-heat in liver or gallbladder
Bitter Taste in Morning
Full-heat in Heart
Sour Taste
retention of food or liver invading stomach
Salty Taste
kidney yin deficiency
Pungent Taste
Lung Heat
Sticky Taste
Dampness
Mild nausea
Stomach Qi Deficiency
Severe nausea/vomiting
Rebellious Stomach Qi
Sour vomiting
Liver Invading to Stomach
Bitter vomiting
liver and/ or gallbaldder heat
Vomiting of Fluids
Stomach Empty condition
Clear watery vomit
Cold in Stomach
Vomiting soon after eating
heat in stomach
Vomiting some hours after eating
cold or empty condition
Loud Bleching
Excess Pattern
Quiet Bleching
Deficiency pattern
Belching with Distention
Stagnant Liver Qi invading the Stomach
Bleching with sour regurgitation
Retention of food
Sour regurgitation with acidity rising
Stagnant Liver Qi invading the Stomach
Sour regurgitation with feeling of fullness
retention of food or dampness in the stomach
Constipation: Aggravation of a condition after bowel movement
Deficiency Pattern
Constipation: alleviated of a conditon after a bowel movement
Excess Pattern
Constipation: Acute constipation with thirst and dry yellow coating
Heat in Stomach and Intestine
Constipation: Old people or women after child birth
Blood Deficiency
Constipation: with small, dry, bitty stools like goar’s stool
Liver-Qi stagnation, Heat in Intestine
Constipation: difficulty in performing a bowel movement (No dry stool)
Liver-Qi Stagnation
Constipation with abdominal pain
excess or deficiency pattern
Constipation with dry stools, dry mouth, desire to drink in small sips
Yin Deficiency in Kidney/Stomach
Alternation of constipation and diarrhea
Liver Qi stagnation invading the Spleen
Chronic loose stools/diarrhea
Spleen and /or Kidney Yang deficiency
Chronic diarrhea every day in the very early morning
Kidney Yang deficiency
Loose stools with undigested food
Spleen Qi deficiency
Stools not loose or only slightly loose but very frequent, can’t hold
Deficiency of Central Qi with sinking of Spleen Qi
Diarrhea with abdominal pain
Liver Qi Stagnation, Cold or Damp-heat
Diarrhea with mucus
Dampness in the Intestines
Diarrhea with blood
Damp-heat in the Intestines or Spleen Qi deficiency
Acute Diarrhea
External Dampness
Undigested food in the stools
Spleen Qi Deficiency
Blood comes first, is turbid and the anus feels heavy and painful
Damp-Heat
Stools come first and then watery blood
deficient Spleen Qi unable to hold blood
Pain accompanying diarrhea
Liver involvement or Heat
Burning sensation in the anus while passing stools
Heat pattern
Sticky stools
Dampness in Intestines
Stools like small pellets
liver qi stagnation
Long and thin stools like pencils
spleen qi deficiency
Stool color light brown
Normal
Stool color Pale Yellow
Empty-heat
Color of stool Dark Yellow
Full-heat
Color of Stool Dark
Heat
Color of Stool Pale
Cold
Color of Stool Green
Liver Qi invading Spleen
Color of Stool Red
Large Intestine heat or Spleen Qi Deficiency
Color of Stool Greenish Blue
Cold in Large intestine
Color of Stool Black of very dark stools
Stasis of Blood
Color of Stool Bright-red blood before stools
Blood-heat
Color of Stool Turbid Blood before stools
Damp-heat
Odour of stools: Absence of smell
Cold pattern or Normal
Odour of stools: Foul smelling of stools
Heat or Damp-heat
Odour of stools: Sour smell
Disharmony of Liver and Spleen
Odour of stools: Borborygmi with loose stools
Spleen deficiency
Odour of stools: Borborygmi with abdominal distention and without loose stools
Liver Qi Stagnation
Odour of stools: Flatulence
Liver Qi stagnation
Odour of stools: Flatulence with foul smell
Damp-heat in the Spleen or Heat in Intestines
Odour of stools: Flatulence without smell
Interior cold from Spleen Yang Deficiency
Urine Function: Enuresis or incontinence of urine
Kidney deficiency
Urine Function: Retention of urine
Dampness in the Bladder or Lung-qi deficiency
Urine Function: Difficulty in urination
Dampness in the Bladder or Kidney deficiency
Urine Function: Urination at night
Kidney Yang Deficiency
Pain before urination
Qi stagnation in Lower burner
Pain during urination
Damp Heat in the Bladder
Pain after urination
Qi deficiency
Pale urine
Cold pattern, usually of Bladder and Kidneys
Dark urine
Heat pattern
Turbid or Cloudy urine
dampness in bladder
Copious, clear and pale urination during an exterior invasion of Wind-cold or Wind-heat
Pathogenic factor has not penetrated into the interior
Dark urination during an exterior invasion of Wind-cold or Wind-heat
Pathogenic factor in
interior
Very frequent and copious urination
Kidney Yang Deficiency
Frequent and scanty urination
Qi deficiency
Scanty and dark urine
kidney yin deficiency
Absence of thirst
cold pattern, usually of the stomach or spleen
Thirst, desire to drink large amounts of Cold water
Full-heat pattern
Thirst, desire to drink small sips
stomach/ kidney yin deficiency with empty heat
Thirst, desire to drink, immediately followed by vomiting of fluids
Phlegm-heat
Thirst, no desire to drink
Damp-heat
Mild thirst with a desire to sip fluids
Qi Deficiency
Intense thirst with profuse urination
Diabetes
Dry mouth
Yin Deficiency
Dry mouth with desire to gargle
blood stasis
Desire to drink cold liquids
Heat pattern
Desire to drink warm liquids
Cold pattern
Chronic tiredness, feeling of heaviness of the body, muzziness
Retention of Dampness
Chronic tiredness, desire to lie down, poor appetite, loose stools
Spleen Qi Deficiency
Chronic tiredness, desire to lie down, poor appetite, loose stools with Cold symptoms
Spleen Yang Deficiency
Chronic tiredness, weak voice, propensity to catch colds
Lung Qi Deficiency
Chronic tiredness, weak voice, propensity to catch colds with Cold symptoms
Lung Yang Deficiency
Chronic tiredness, backache, lassitude, a feeling of cold, depression, frequent urination
Kidney Yang Deficiency
Chronic tiredness, slight depression, dizziness, scanty periods
Liver Blood Deficiency
Anxiety, insomnia, dry mouth at night, tongue without coating
Kidney Yin Deficiency
Chronic tiredness, feeling of oppression of the chest, dizziness, muzziness
Retention of Phlegm
Chronic tiredness, anxiety, tenseness, wiry pulse
Liver Qi Stagnation
Short-term tiredness, alternating cold and hot feelings, irritability, unilateral tongue coating, wiry pulse
Lesser Yang pattern
Headache: Gradual onset, in attacks
interior type
Headache: Recent onset, short duration
Headache from Exterior attack of Wind-cold
Headache from Exterior attack of Wind-cold
Headache: Day-time
Headache: Day-time
Qi or Yang deficiency
Headache: Evening
Blood or Yin deficiency
Headache: Night-time
blood stasis
Headache Location: Nape of neck
Greater Yang channels (Exterior invasion of Wind-cold, or interior Kidney deficiency)
Headache Location: Forehead
Bright Yang channels (Stomach Heat or Blood deficiency)
Headache Location: Temples and sides of head
Lesser Yang channels (Exterior Wind in the lesser yang, or interior Liver/Gallbladder Fire rising)
Headache Location: Behind the eyes pain
Liver Yang rising or Liver Blood Deficiency
Headache Location: Vertex
Terminal Yin Channels (usually Liver Blood deficiency)
Headache (location): whole head
Exterior invasion of Wind-cold
Headache Character of pain: Boring, like a nail in a small point
Blood stagnation
Headache Character of pain: Heavy feeling
Dampness or Phlegm
Headache Character of pain: Pain ‘inside’ the head, ‘hurting the brain’
Kidney Deficiency
Headache Character of pain: Distending, throbbing
Rising of Liver Yang
Headache Character of pain: With feeling of muzziness, heaviness
Dampness
Headache Condition: With aversion to wind or cold
Exterior invasion
Headache Character of pain: With feeling of muzziness, heaviness, dizziness
Phlegm
Headache Condition: Aggravated by cold
Cold pattern
Headache Condition: Aggravated by heat
Heat pattern
Headache Condition: Aggravated by fatigue, improved by rest
Qi Deficiency
Headache Condition: Aggravated by sexual activity
Kidney Deficiency
Headache Condition: Aggravated by emotional tension
Liver Yang rising
Severe dizziness when everything seems to sway and the person loses the balance
Internal Wind
Dizziness with throbbing headaches
Liver Yang Rising
Dizziness with feeling of heaviness and muzziness in head
Phlegm obstructing the head
Slight dizziness aggravated when tired
Blood deficiency
Dizziness Sudden onset
Excess Pattern
Dizziness Gradual onset
Empty pattern
Dizziness; Fainting
Phlegm, retention of food, blood or Yin deficiency of Heart/Liver, Kidney Yang deficiency
Dizziness; Brain noise
Deficiency of the Sea of Marrow, Heart/Spleen Blood deficiency, Damp-heat, Liver Fire
Dizziness; Itchy scalp
Liver Blood Deficiency, Liver/Kidney Yin Deficiency, Internal Wind, Liver Fire, Damp-heat in Liver channel
Facial pain: Acute onset, severe pain of the cheeks or jaws, feeling of heat of the face, face feels hot on palpation, headache, sore throat, aversion to cold, fever
Invasion of Wind-heat
Feeling of heat of the face with cold body
Deficiency Kidney Yin and Yang, or Blood deficiency with Empty heat, or disharmony of the penetrating vessel, or Yin deficiency fire
Facial pain: Acute onset, spastic pain of cheeks and jaws, sneezing, aversion to cold, dorsum of hands hot, runny nose
Invasion of Wind-cold
Facial pain: Severe pain in the cheeks and forehead, red cheeks, greasy skin, sticky-yellow or sticky-greenish nasal discharge, sticky-yellow tongue coating
Damp-heat
Facial pain: Pain in the cheeks and forehead, red cheeks, thirst, bitter taste, red tongue with redder sides, wiry-rapid pulse
Liver Fire
Facial pain: Intense, often unilateral pain of the cheeks, boring in nature and long in duration, dark complexion, purple tongue
Qi deficiency and Blood stasis
Facial pain: Liver Fire with Liver/Kidney Yin deficiency
Liver Fire with Liver/Kidney Yin deficiency
Runny nose with an acute onset
Invasion of Wind
Chronic, runny nose with a thick, sticky, yellow discharge
Damp-heat in Stomach channel
Chronic, runny nose with a clear, watery discharge
Lung Qi Deficiency
Profuse, watery discharge Runny nose
Lung/Kidney/governing vessel Yang Deficiency
Blocked nose: Swollen and pale nose, problem comes and goes
Lung/Spleen Qi deficiency
Blocked nose: Swollen and purple nose
qi and blood stagnation
Blocked nose: Nose membranes red and swollen, sticky-yellow nasal discharge
Gallbladder heat
Blocked nose: Sudden onset, accompanied by symptoms of Wind
Invasion of Wind
Itchy Nose, sneezing: Sudden onset, accompanied by symptoms of an external invasion
Invasion of Wind-heat
Itchy, dry and red nose
Lung Heat
Itchy nose, Sneezing, allergies, profuse, watery nasal discharge coming in bouts
Deficiency of Lung’s Defensive Qi system, Kidney Yang and Governing vessel Deficiency
Bleeding gums, tiredness, poor appetite, loose stools
Deficient Spleen qi not holding blood
Deficient Spleen qi not holding blood
Loss of sense of smell
Loss of sense of smell
Lung-Qi and Spleen Qi deficiency, Invasion of External Wind, Damp-heat
Bleeding gums, dry mouth, a desire to drink in small sips
Stomach Empty-heat
Inflamed, bleeding gums, feeling of heat, thirst
Stomach Full-heat
Bleeding gums, dizziness, tinnitus, night sweating, malar flush
Kidney-Yin Deficiency with
Mouth ulcers: Ulcers that recur very frequently or are even almost permanent
Full Condition
Mouth ulcers: Ulcers that come and go
Empty condition
Mouth ulcers: Pale-rimmed ulcers on the gums
Stomach Empty-heat
Mouth ulcers: Very painful, red-rimmed ulcers on the gums
Stomach Full-heat
Mouth ulcers: Pale-rimmed ulcers aggravated by overwork
Kidney Yin deficiency or Original Qi Deficiency
Mouth ulcers: Uulcers on the tip of the tongue
Heart-fire or Heart Empty-heat
Mouth ulcers: Ulcers on the inside of the cheeks
stomach heat
Mouth ulcers: Ulcers in pregnancy
Disharmony of Directing Vessel
Cold sores: Sudden onset, burning pain
Stomach Full-heat
Cold sores: Come in bouts, recurring over many years
Stomach Empty-heat
Cold sores: Occur in bouts over a long period of time, pale in color, aggravated by overwork
Qi Deficiency
Numbness of the tongue (deficiency)
Heart Blood Deficiency or Spleen Qi deficiency
Numbness of the tongue (Excess)
Phlegm obstructing the orifices, Liver Wind, Chronic Blood stasis
Pain of the tongue
Heart Fire or Heart Empty-heat, Liver Fire or Phlegm Fire
Pain in the Whole body: Sudden onset body pain with aversion to cold and fever
Exterior Wind invasion
Pain in the Whole body: Ache all over, with feeling of tiredness
Qi and blood deficiency
Pain in the Whole body: Dull pain in women after childbirth
Blood deficiency
Pain in the Whole body: Severe pain in women after childbirth
blood stasis
Pain in the Whole body: Pain in all muscles, hot sensation of the flesh
stomach heat
Pain in the Whole body: Pain in arms and shoulders only when walking
Liver Qi Stagnation
Pain in the Whole body: Dull ache in the muscles, especially limbs, with feeling of heaviness
Dampness obstructing muscles
Pain in joints: wandering pain from joint to joint
Wind
Pain in joints: Fixed and very painful
Cold
Pain in joints: With swelling and redness of the joints
Damp-heat
Pain in joints: Severe stabbing pain with rigidity
Blood stasis
Backache: Recent onset, severe back pain with stiffness
Sprain of back causing stasis of Blood
Backache: Continuous, dull back pain better with rest
Kidney Deficiency
Backache: Severe back pain aggravated during cold and damp weather
Invasion of exterior cold and damp to the back channels
Backache: Boring pain with inability to turn the waist
blood stasis
Backache: Pain in the back extending up to the shoulders
exterior invasion of wind
Mild generalized itching with dry skin, worse at night
Blood Deficiency
Numbness of arms and legs or only hands and feet on both sides
Blood deficiency
Numbness of fingers, elbow and arm on one side only (especially first three fingers)
Internal Wind and Phlegm
Itching: Intense generalized itching, possibly moving, with rash or dry skin
Wind
Localized itching, damp skin, vesicles
dampness
Itching with a red rash
Blood Heat
Intense itching with pustules, ulcers, or eczema
Toxic Heat
Itching during healing of wounds or ulcers
normal
