切诊 Other Palpations

Question 1

Skin Temperature: Cold

Answer 1

Cold areas of body related to channels, organs, etc. mostly deficiency or stagnation

Question 2

Skin Temperature: Heat

Answer 2

Hot skin or hot to touch mostly excess heat, but could be yin deficiency heat if heat is close to bone (deep)

Question 3

Skin Moisture and Texture: Moist Skin

Answer 3

Exterior Wind

Question 4

Skin Moisture and Texture: Moist Skin without exterior symptoms

Answer 4

LU Qi deficiency

Question 5

Skin Moisture and Texture: Dry Skin

Answer 5

Blood deficiency, LU Yin deficiency

Question 6

Skin Moisture and Texture: Rough Skin

Answer 6

Bi syndrome from wind

Question 7

Skin Moisture and Texture: Scaly and dry skin

Answer 7

Exhaustion of Body Fluids, Severe deficiency, LV Blood dryness

Question 8

Skin Moisture and Texture: Swollen Skin, pitting

Answer 8

“Water Swelling” from SP/KD yang deficiency

Question 9

Skin Moisture and Texture: Swollen Skin, non pitting

Answer 9

“Qi Swelling” from Damp or Qi Stagnation

Question 10

Apical Pulse

Answer 10

Found on the left side of the chest in the 5th intercostal space at the midclavicular line. Felt to assess the Zong Qi and HT

Question 11

Area Below Xyphoid Process

Answer 11

(zhong ting/ jiu wei area) Palpated to assess the HT and its situation

Question 12

Chest: Ren 17 tender with light palpation

Answer 12

HT Blood Stasis (could be severe)

Question 13

Chest: Tenderness relieved by palpation

Answer 13

Deficiency

Question 14

Chest: Tenderness relieved by light palpation but elicited by deep palpation

Answer 14

deficiency + excess

Question 15

Breast Lumps: Fribrocystic disease

Answer 15

small multiple movable lumps with distinct edges, changing size according to the menstrual cycle. Qi Stag and Phlegm.

Question 16

Breast Lumps: Fibroadenoma

Answer 16

single, relatively hard, movable lump with distinct edges, possibly painful. Phlegm and Blood Stasis

Question 17

Carcinoma

Answer 17

Single, hard, immovable, painless lump with indistinct edges. Blood stasis, Qi stag and Phlegm. (toxic heat) RED FLAG, very bad sign refer to PCP urgently

Question 18

Abdominal ache relieved by palpation

Answer 18

Deficiency

Question 19

Abdominal pain aggravated by palpation

Answer 19

Excess

Question 20

Lower Abdomen soft and flabby

Answer 20

Yuan Qi deficiency

Question 21

Abdominal masses that come and go move on palpation

Answer 21

Qi stagnation

Question 22

Fixed abdominal masses

Answer 22

Blood stasis