Palpation Flashcards
Pernicious heat is mild upon initial pressure. Longer you touch (prolonged pressure) the more heat comes up and spreads outward
Internal Heat
Pernicious heat is intense upon initial pressure, but becomes mild after prolonged pressure
Exterior Heat
The skin is not hot but the patient feels hot, or the skin feels hot on heavy pressure when pushing down to the bone
Deficiency Heat
The skin does not feel hot, but sticky; or the skin feels warmer with prolonged pressure.
Damp Heat
Icy cold hands and feet which extend above the knees and elbows
Yang Deficiency
Icy cold extremities with oily sweating, pale face and feeble pulse
Yang Collapse
Cold extremities, but abdominal temperature is warm or hot
True heat, false cold
Cold fingers and toes that are easy to warm up
Yang Stagnation
Skin is not cold, but patient feels cold
Exterior cold
Cold felt in the loins, lower abdomen and lower back
Kidney Yang Deficiency
What does moist skin tell us about the body fluids?
Body fluid is sufficient
What does dry skin tell us about body fluid?
Body fluid is insufficient
Moist and smooth skin texture indicates…
(qi and blood)
Qi and blood sufficient
Rough and dry skin texture indicates…
(qi and blood)
Qi and blood insufficient
Very dry and scaly skin texture indicates…
(qi and blood)
Blood deficiency or blood stagnation
Pathology
Pitting formed by pressing but returns to flat soon after release of pressure
Qi Stagnancy in the area (Qi Swelling)
Pathology
Pitting Edema / Deep finger shape pitting is formed when it is pressed, and does not return to flat soon after finger release.
Excessive water in the body
Sore and boils
Swollen and hard, but neither hot nor painful indicates…
Cold Syndrome
Sore and boils
Swollen, painful and hot indicates…
Heat Syndrome
Sore and boils
Flat sores or boils indicate…
Deficiency Syndrome
Sore and boils
Swollen sore or boil with root (raised) indicates…
Excess Syndrome
Boils or sores are hard upon palpation. What does this indicate?
Sore and boils
No pus
Anything that happens in the side of the ribs area we call…
Hypochondrium
Palpating the hypochondrium will help diagnosis which organs?
Liver and Gallbladder
Pain aggravated by pressure indicates….
(Excess or Deficiency)
Excess Syndrome
Pain alleviated by pressure indicates…
(Excess or Deficiency)
Deficiency Syndrome
Masses that are fixed and immovable, + associated with pain indicates
Blood Stasis
Masses that come and go; no fixed location & movable
Qi Stagnation
Which method of palpation tells us about the zang fu organs?
Pressing! Because the organs are deeper
Which method of palpation tells us about pain and masses (size, texture, shape and mobility)
Pressing
Which method of palpation tells us about the interior or exterior location of disease + condition of yang qi and body fluids?
Touching
Boils or sores are hard on the edges but soft on top
Pus formed
if pus forms -we know it will heal soon
The temperature of the hands and feet reflect the state…
Yang and Qi
Hands and feet are cold, sensation of cold can extend above the elbows and knees
Kidney yang deficiency (deficiency cold)
Cold only on hands and feet, or to below the elbows and knees
Excess cold or qi stagnation
Hands and feet are warmer on the dorsum
Excess heat
Hands and feet are warmer on the palms
(Palms - five center heat)
Deficiency heat
Dorsal aspect of hands and feet is hotter than the palmar aspect
Exterior heat
Palmar aspect of hands and feet is hotter than the dorsal aspect
Interior heat
Forehead is hotter than palm
Exterior heat
Palm is hotter than forehead
Interior heat
What organs do the chest house?
Heart and Lungs
Pain upon pressing of chest indicates…
Water or qi accumulation in chest
Palpating the chest will tell us about which organs?
Heart and Lung
Distending pain in the hypochondrium radiates bilaterally to the lower abdomen
Liver Qi Stagnation
Pain is aggrated by pressure and is hot to the touch
Liver Fire
Excess
Pain alleviated by pressure
Liver deficiency
