Palpations Flashcards
Cold Feeling Skin
Cold Pattern
Four Limbs Cold
Both SP and ST Yang
Cold Loins, Lower back of Feed Cold
KD Yang Def
Cold Lower Abdomen Cold
Sp Yang Def
Skin Hot
Damp-Heat
Skin hot on first touch –>ceases to feel hot if the pressure is maintained
Exterior Wind-Heat Pathogen still on the Exterior
Skin over a blood vessel hot on medium pressure but not on heavy pressure
Interior Heat in Middle Jiao or HT
Skin feels hot on heavy pressure, which nearly reaches the bone
Empty-Heat from Yin Def
Moist Skin
Exterior Wind
Moist Skin without exterior Symptoms
LU Qi Def
Dry Skin
Blood Def, LU Yin Def
Rough Skin
Bi Syndrome from Wind
Scaly and Dry Skin
Exhaustion of Body Fluids, Severe Def, LV Blood Dryness
Swollen Skin, pitting
Water Swelling from SP/KD Yang Def
Swollen Skin, Not Pitting
Qi Swelling from Damp or Wi Stagnation
Cold Hands and Feet
SP/ST Yang def (common cause)
Phlegm or Interior Heat obstructing Qi circulation (less common)
Cold Hands
LU/HT Yang Def
Cold Feet
KD Yang Def
Cold hands and feet in women
Blood Def
Cold hands in women
HT Blood Def
Cold feet in women
LV Blood Def
Cold fingers and toes
LV Qi Stagnation
Apical Pulse Clearly felt, not hard, relatively Slow Normal
Normal
Apical Pulse feeble and without strength
Gathering (Song) Qi Def
Apical Strong and Hard
LU/HT excess Condition
Apical Pulse Large but Empty
HT Qi Def
Apical Pulse Stopping and Starting
Severe Shock or alcoholism
Apical Pulse Discrepancy between apical and radial pulse
Poor Prognosis
Apical Pulse Rapid
Shock, Fright or Outburst of Anger
Area Below Xphoid Process
Should feel soft (rest of the abdoment
Area Below Xphoid Process Hard on Palpation
Full condition, Qi stagnation (from emotional problems)
Area Below Xphoid too soft on palpation
HT Def
Chest is tender with light palpitation of RN17
HT Blood Stasis
Chest Tender around the Center
LU Excess Condition
Chest Tenderness relieved by palpation
HT/LU Def condition
Chest Tenderness relieved by light palpation but elicited by deeper palpation
Def and Ecess
Breast Lump relatively soft
Phlegm
Breast Lump relatively hard
Blood Stasis
Breast Lump Distinct Edges
Phlegm
Breast Lump Indistinct Edges
Toxic Heat
Mobile on Palpation
Phlegm
Immovable on Palpation
Blood Stasis or Toxic Heat
Fibrocystic Disease (Small, Multiple, movable lumps with distinct edges, changing size according to menstrual cycle
Qi Stagnation and Phlegm
Fibroadenoma (Single, relatively hard, movable lump with distinct edges, possibly painful)
Phlegm and Blood Stasis
Carcinoma of the breast (single, hard, immovable, painless lump with indistinct margins)
Blood stasis, Qi stagnation and Phlegm
Abdominal is Hard
Full
Abdominal is too soft
Empthy
Abdominal ache is relieved by palpation
Empty
Abdominal pain aggravated by palpation
Full
Lower Abdomen soft and flabby
Original Yuan QI Def
Abdominal masses that come and go move palpation
Qi stagnation
Fixed abdominal masses
Blood Stasis
Palpation of back transporting points
Sharp pain = full in relevant organ (either spontaneous or on pressure)
Dull soreness=empty (either spontaneous or on pressure)
Palpation of the back points
UB 43 (LU), UB52 (KD) UB31,32,33,34 (Reproductive esp in Women)
Palpation of Front Collecting Points
For Pathological changes of Internal Organs,
Full if points are tender on palpation
Empty pattern if palpation relieves tenderness
Palpation of Lower Sea Points
For diagnosing stomach or intestinal diseases
ST36 (ST), ST37 (LI), ST39 (SI), Lanweixue (appendix)
Palpation of Ah Shi Points
- Dull soreness on pressure indicates an Empty condition of the channels influencing that area
- Sharp pain on pressure indicates a full condition of the channel.
