Palpitation Flashcards
What is palpitation
Diagnostic technique
Touch,feel,push,press parts of body
Palpitation, touching
To assess temperature and moisture
Gentle on body surface
Using fingers to palpate patients body with more strength then touching to detect tenderness and swelling.
Usually Chest and abdomen
Seeking or stroking
Pressing
Palpate body with heavy pressure deep in the body or abdomen to probe for masses or pain.
Heat is intense upon initial pressure but becomes mild after time.
Exterior heat
Heat is mild upon initial pressure but becomes intense after time and spreads outward.
Internal heat
Skin is not hot but patient feels hot, or skin feels hot when pushing down to the bone.
Deficiency heat
Skin does not feel hot, but sticky. Or skin feels warmer with prolonged pressure,
Damp heat
Cold skin
Yang deficiency or yin excess
Yang deficient
Cold hands and feet, extend above the knees and elbows.
Cold fingers and toes but warm up easily.
Yang stagnation
Moist skin
Sufficient body fluid
Body fluid insufficient
Dry skin
Hands and feet are warmer on the dorsam (top)
Exterior heat
Hands and feet are warmer on the palms (under)
Deficiency
Dorsal(top) of hands and feet is hotter than palm
Exterior heat
Palm of hands and feet is hotter than dorsal(top)
Interior heat
Forehead is hotter than palm
Exterior heat
Palm is hotter the forehead
Interior heat
Why palpate the right hypochondriam bilaterally
Liver/GB condition
Pain aggravated by pressure
Excess syndrome
Pain alleviated by pressure
Deficiency syndrome
Fixed and immovable mass associated by pain?
Blood stasis
Mass comes and goes, no fixed location
Qi stagnation
Heart
Governs blood
Lung
Governs qi
Spleen/Stomach
Transportation and transformation
Liver
Stores blood
Kidney
Essence transformed into Qi
Left side
Cun-heart
Guan-liver
Chi-kidney
Distal
Cun
Middle finger
Guan
Proximal
Chi
Right side
Cun-lung
Guan -spleen/ST
Chi -kidney/MM
What side is lung pulse on ?
Right /Cun
What side is liver pulse on ?
Left guan
What side is heart on
Left/cun
What side is kidney on?
Left /chi
What side is Spleen/ST on
Right/guan
What side is kidney/MM on ?
Right/chi
Pulse rhythm is determined by which organ?
Heart qi
The size of the pulse is determined by?
Qi and blood/ Zang fu organs
The depth of the pulse is determined by?
Stomach Qi
The strength of the pulse reflects the condition of ?
Qi and blood
The length of the pulse is determined by?
Qi and blood, qi makes blood move
The rate of the pulse is dominated by?
Lungs and heart , movement of blood
What season is for string-taut/wiry pulse
Spring
Autumn has which pulse?
Floating /superficial
Summer pulse is ?
Surging/flooding
Winter pulse is ?
Deep
Anger
String-taut/wiry or rapid
Melancholy pulse
Moderate
Fear
Deep pulse
Joy
Slow pulse
Grief
Short pulse
Fright pulse
Moving
What is the definition of pathological pulse?
The pulse associated with disease
Why does the blood vessel’s diameter change and how?
Not Filled or overfilled by blood and qi
The depth of the pulse depends on?
Qi ( yang qi) will cause change in pulse
Upon what does the strength of the pulse depend?
Qi
Upon what does the RATE of the pulse depend?
Yang Qi is the force
What affects the length of the pulse?
Qi mainly
Upon what does the rhythm of the pulse depend on?
Heart Qi
Upon what does the TENSION of the pulse depend on?
Qi and blood fail to fill vessel
What pulse forceful strength, superficial location, rapid,long length ?
Yang pulse
What pulse is weak, deep,slow and short in length?
Yin pulse
What are the 6 categories of key pathological pulses?
Deep,superficial,slow,rapid deficient and excess
What does the pulse of irregular menstruation feel like?
Frail in the Chi position, normal in cun and guan
Amenorrhea pulse? ( absence of period in a women of reproductive age )
Chi pulse position is deficient it indicates deficiency
If chi pulse is wiry it indicates excess
Pregnant pulse
Rolling and rapid in chi position
Agreement of pulse
Pulse image and symptom agree
Disagreement of pulse
Pulse symptom and image do not agree
Retaining pulse and abandoning the pattern?
The pulse image REFELCTS THE TRUE illness and Pattern presents an false appearance.
Retaining pattern and abandoning the pulse
The PATTERN is in accordance with pathological changes, not the pulse image.
Case
Abdominal distinction and bloat, severe pain which is resistant to pressuring, constipation and dry stool. Dry yellow tongue
Pulse thin and slow
Symptoms true
Pulse is false
Case
Cold hands and feet, worsen with emotional stress . Other symptoms include irritability, red tongue, constipation. Pulse is rolling/slippery and rapid.
Pulse is true
Symptom is false
Excess heat obstructed inside and not able to reach outward.
Yuan qi is?
Ancestral qi
Wei qi is?
Defense Qi
Zong qi is?
Gathering Qi, big Qi
Zheng Qi
Good Qi of entire body
Ying Qi is ?
Nutritive
Xie Qi
Makes you sick
What are the four pillars of examination
Inspection
Inquiry’
Listening/smelling
Palpitation
What are the 8 principles ?
Yin-yang
Exterior-interior
Heat-cold
Excess-deficient