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Diagnosis > Pain > Flashcards

Pain Flashcards

1
Q

range of diseases of headache

A

many reasons; no matter external invasion or internal damage, deficiency or excess syndromes

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2
Q

clinical significance of headache w/ toothache

A

refers to KD channel of the foot shaoyin

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3
Q

clinical significance of headache w/ neck pain

A

refers to taiyang channel

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4
Q

clinical significance of headache w/ pain on both sides of head (temples)

A

can indicate shaoyang channel

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5
Q

clinical significance of headache on forehead and supraorbital bone

A

issue w/ yangming channel

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6
Q

clinical significance of headache on vertex of head

A

can indicate jueyin channel

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7
Q

range of diseases of chest pain

A

mostly heart and lung diseases

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8
Q

clinical significance of chest pain - precordial pain radiating to medial side of arm

A

heart problem, possibly blood stasis or blood-qi deficiency

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9
Q

clinical significance of chest pain accompanied by cough, sputum

A

lung problem

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10
Q

range of diseases of hypochondriac pain

A

usually liver and gall bladder diseases

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11
Q

clinical significance of hypochondriac pain

A
  1. stagnation of liver qi (w/ pronounced feeling of distention)
  2. exuberance of heat in liver and gall bladder (fire)
  3. damp heat in liver and gall bladder (w/ feeling of oppression and heaviness)
  4. suspended fluid retention
  5. blood stasis (severe, stabbing pain)

normally showing cough

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12
Q

range of diseases of abdominal pain

A

belongs to different zang-fu organs according to the position of the pain

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13
Q

clinical significance of abdominal pain above the navel (large abdomen)

A

spleen and stomach

upper abdomen dull pain, alleviated by warm and pressure - cold in spleen-stomach

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14
Q

clinical significance of abdominal pain below the navel (small abdomen)

A

kidneys, bladder, large intestine, small intestine, uterus

distending pain in lower abdomen, difficulty and heat sensation of urination - damp-heat in bladder

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15
Q

clinical significance of abdominal pain on two sides of small abdomen

A

liver

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16
Q

range of diseases of backache

A

gall bladder channel of foot taiyang, and du channel

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17
Q

clinical significance of backache w/ inability to stretch or bend the back

A

often caused by impairment of the du vessel

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18
Q

clinical significance of backache involving the neck

A

retention of win cold in the taiyang channel

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19
Q

range of diseases of lumbago

A

kidney diseases due to invasion of wind, cold, and damp

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20
Q

clinical significance of lumbago which involves abdomen

A

damage of girdling vessel (dai mai)

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21
Q

range of diseases of pain in the limbs

A

blockage of qi and blood, or deficiency and damage of the spleen and stomach

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22
Q

clinical significance of pain in the limbs - joint pain inthe four limbs and pain of muscles

A

often seen in impediment disease, due to invasion of wind, cold, and dampness (Bi syndrome)

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23
Q

clinical significance of pain in the limbs w/ debility of the limbs

A

mostly due to deficiency of the spleen and stomach

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24
Q

clinical significance of pain in the limbs - pain of the heel, or aching of the legs and knees

A

usually indicates kidney deficiency

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25
Q

range of diseases for general pain

A

pain of the whole body can be due to excess or deficiency syndromes

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26
Q

clinical significance of general pain in new onset of disease

A

usually due to excess syndrome

27
Q

clinical significance of general pain in chronic disease, limited movement

A

deficiency of both qi and blood, or malnutrition of the channels

28
Q

clinical significance of distending pain (pain due to stagnation syndromes)

A

qi stagnation

29
Q

clinical significance of stabbing pain

A

blood stasis

30
Q

clinical significance of colicky pain (severe abdominal pain caused by spasms, obstruction, or distention)

A
  1. excess syndrome
  2. cold coagulating
  3. blood stasis
    ex. kidney stones, gall stones
31
Q

clinical significance of dull pain

A

usually due to deficiency syndrome

32
Q

clinical significance of cold pain

A
  1. congealed cold

2. yang deficiency

33
Q

clinical significance of burning pain

A

usually due to heat syndrome

34
Q

clinical significance of heavy pain

A

mostly dampness/phlegm syndrome

head heaviness pain: liver yang

35
Q

clinical significance of migratory pain

A
  1. wandering pain in chest and abdomen - qi stagnation

2. wandering pain in joints - wind-dampness (moving Bi syndrome)

36
Q

clinical significance of fixed pain

A
  1. chest, abdomen fixed pain - blood stasis

2. fixed painful joints - cold-dampness (fixed Bi syndrome)

37
Q

clinical significance of pulling pain

A

usually due to malnutrition or blockage of channels, mostly indicates liver or heart condition

38
Q

clinical significance of empty pain

A

usually due to deficiency of qi, blood, and essence

  1. headache w/ emptiness: kidney deficiency
  2. lower abdomen pain w/ emptiness: blood deficiency
39
Q

vertigo accompanied by distention, restlessness, and irritability, red tongue and wiry-rapid pulse

A

syndrome of liver-fire flaring up

liver stagnation leads to liver fire

40
Q

vertigo accompanied by distending pain, tinnitus, aching and weakness of the lumbar region and knees, red tongue w/ lack of coating, thready-wiry pulse, inclination to become angry

A

hyperactivity of liver yang

LIV/KD yin deficiency —> rising liver yang (worse than liver fire)

41
Q

vertigo accompanied by pale face, tired spirit and body, pale tongue, thready pulse, intensified by tiredness

A

deficiency of qi and blood

42
Q

vertigo accompanied by heavy sensation in the head like being wrapped up, chest oppression and vomiting, white and greasy tongue coating, foggy mind, slippery pulse

A

internal obstruction due to phlegm-dampness

43
Q

vertigo accompanied by stabbing pain

A

blockage due to blood stasis

44
Q

hypochondriac distention w/ propensity to anger

A

stagnation of liver qi, emotional upset

45
Q

hypochondriac distention w/ bitter taste in mouth, yellow-greasy tongue coating

A

damp heat in the liver and gall bladder

46
Q

gastric stuffiness w/ acid regurgiation

A

retention of heat in the stomach

47
Q

gastric stuffiness w/ diminished appetite and loose stool

A

spleen-stomach qi deficiency

48
Q

abdominal distention w/ no pain on pressure

A

deficiency syndrome, usually resulting from deficiency of the spleen and stomach unable to perform transporting and transforming function

bloating

49
Q

abdominal distention w/ pain on pressure

A

excess syndrome, usually resulting from food retention in stomach or intestines; or internal retention of excessive heat which obstructs qi circulation

heat in the middle jiao

50
Q

abdominal distention like a drum, accompanied by yellow skin colour, pale bulgy veins on abdominal wall

A

severe stage, cirrhosis of liver, or cancer

51
Q

heaviness of body w/ swelling

A

usually due to invasion of wind-evil, wind-water combat syndrome

52
Q

heaviness of body w/ spiritual lassitude, foggy mind, and shortness of breath

A

usually due to spleen qi deficiency w/ dampness obstruction

53
Q

numbness

A
  1. deficiency of qi and blood
  2. internal disturbance of liver-wind
  3. damp-phlegm and obstruction of channels
  4. blood stagnation obstructing the channels
54
Q

range of diseases of epigastric pain in the upper abdomen

A

most are related to stomach illness

55
Q

epigastric / abdominal pain which feels better after eating

A

deficiency syndrome

56
Q

epigastric / abdominal pain which worsens after eating

A

excess syndrome

57
Q

epigastric / abdominal pain - spastic pain alleviated by heat

A

cold in stomach

58
Q

epigastric / abdominal pain - burning, heaviness, greasy yellow tongue coating

A

damp-heat in stomach

59
Q

epigastric / abdominal pain - pain w/ feeling of fullness

A

food retention

60
Q

epigastric / abdominal pain - distending pain radiating to the left or right ribs

A

rebellious liver-qi invading stomach

61
Q

epigastric / abdominal pain - severe, stabbing pain

A

blood stasis in stomach

62
Q

epigastric / abdominal pain - chronic, intermittent burning pain, dry mouth, mirror tongue

A

stomach yin deficiency

63
Q

epigastric / abdominal pain - chronic, intermittent dull pain, alleviated by heat/warm drink, aggravated by cold

A

stomach yang deficiency

Diagnosis (7 decks)

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