pattern diagnosis (II) Flashcards
exterior deficiency
chills + mild fever
SWEAT + sneeze
superficial & MODERATE (P)
exterior excess
SEVERE chill + mild fever
head/ body ache
NO SWEAT
superficial & TIGHT (P)
interior excess cold
SEVERE ABDM. PAIN
likes warm, hates pressure
interior excess heat
THIRST, desire to drink COLD
constipation
red + yellow coat (T)
sl rapid (P)
interior excess
PROFUSE SPUTUM vomit/diarrhea
stifling in chest
THICK coat (T)
interior deficiency
FATIGUE, SOB, dry mouth, loose stool; SPTN sweat
interior deficiency cold
ABDM PAIN; loose stool
likes warm + pressure
interior deficiency heat
THIRST; likes warm drink
hot flush; night SWEAT
irritable; insomnia
red crack (T) thin (P)
exterior heat
HIGH FEVER + mild chills
SORE THROAT; sweat or no sweat; YELLOW SPUTUM
superficial + RAPID (P)
heat above + cold below
FOUL BREATH; toothache
thirst likes cold drink
abdm pain - likes warm
LOOSE STOOL; cold leg/feet
cold above + heat below
HA worse w/ exertion
vomit clear; painful burn pee
scanty/brown urine
diarrhea or constipation
heat and cold complex in Middle Burner
epigastria focal distention - full or tight w/ very sl or no pain
dry heaves or vomit
borborygmus w/ diarrhea
poor appetite
deficiency w/ in excess
high fever + SWEAT constipation + thirst likes cold drink; dry mouth
red (T) rapid (P)
excess w/ in deficiency
BROAD SIGNS: weak constitution patient; recurrently attacked
- Qi deficiency lead to water retention or phlegm accumulation
- Qi deficiency lead blood stag.
excess co-exist w/ deficiency
cough w/ profuse yellow sticky mucus
SOB; fatigue
sl red + teeth mark + yellow greasy coat (T) slippery + weak (P)
excess above, deficiency below
distention HA, insomnia, irritable, panting w/ harsh breath; vomit + loose stool, aching weak low back; copious or scanty clear urination
deficiency above, excess below
dizziness, poor memory, SOB, dislike talk + constipation, difficulty urinate or no urination; severe menses cramp
exterior transform interior
persistent thirst for cold
– bad prognosis
interior exiting to exterior
initial: high fever; restlessness; wheeze
progression: fever + sweat + skin eruptions
– improvement
cold transform to heat
ie bi starts off cold pain; heaviness; numb then becomes joints turn red, swell, burn
– good prognosis
heat transform to cold
chills, pale complexion, cold limbs, feeble (P)
– bad prognosis
excess transform deficient
initial: high fever, thirst, profuse sweat
progression: weight loss, fatigue, SOB, peeling tongue coat, weak/thin (P)
– not improving
deficient transform excess
initial: chronic fatigue; SOB
progression: SUDDENLY – severe abdominal pain or high fever w/ sweat or cough w/ phlegm; stronger (P) than before
– improvement
true cold, false heat
- red face but ONLY cheek bones are red
- feel warm, but body temp only SLIGHTLY elevated and prefer being covered in fetal position
- thirsty, bit SIPPING water
- large (P) but lacks force and root
true heat
excess heat: acute, whole face red, thirst for cold, high fever - dislike warm, manic, daytime sweat
deficiency heat: chronic, malar flush, thirst for warm, low grade fever, disturbed sleep, night time sweat
true heat, false cold
- sl. pale complexion w/ red lip and bright eyes
- cold hands and feet: below elbow and knee (only finger and toes)
true cold
excess cold: cold limb hard to warm up
deficiency cold: cold feeling extend above elbow and knee
true excess, false deficiency
acute; relieved after activity; better after poop; loud voice; deep and forceful (P); thin, small, crack (T)
true deficiency, false excess
chronic; weak constitution
abdm fullness - like pressure
wiry, forceless w/o root (P)
exterior heat w/ interior cold
chills + fever; aversion to cold (cover up doesn’t help)
superficial + has root (P)
exterior cold w/ interior heat
chills > fever; whole body chills (cover up does help)
superficial + tight (P)
deficiency patterns
HT + LU Qi def
SP + LU Qi def
HT + LIV Blood def
HT + SP def
HT + KID disharmony
LU + KID Yin def
LIV + KID Yin def
HT + KID Yang def
SP + KID Yang def
excess patterns
HT Fire transmit SI
LIV Fire invade LU
LIV + ST Disharmony
LIV + GB damp-heat
excess + deficiency patterns
LIV + SP disharmony
SP + ST disharmony
3 yang channels
taiyang, yangming, shaoyang
3 yin channels
taiyin, shaoyin, jueyin
taiyang general
chill + fever; stiff posterior head/neck; superficial P
UB
yangming general
high fever; severe sweat
thirst; force + rapid P
ST
shaoyang general
alt. chill + fever; bitter taste in mouth; wiry P
GB
taiyin general
abdm. distention; loose stool; slow + weak P
SP
shaoyin general
yin def: irritable; dry mouth; thready P - KID
yang def: lethargy; intolerance cold; loose stool; faint P - KID
jueyin general
thirst; qi surge up; hunger no desire to eat; cold extremities; loose stool
LIV
taiyang ch sx (wind stroke)
chills + fever; HA; runny nose; superficial P +
sweat; aversion to wind; moderate P
taiyang ch sx (wind cold damage)
chills + fever; HA; runny nose; superficial P +
no sweat; aversion to cold; tight P
taiyang fu water retention
difficult pee; thirst but vomit after drink; may chills/fever
taiyang fu blood retention
low abdm. pain; normal pee; manic behavior
yangming ch sx
high fever; thirst; sweat; irritable; coma; persistent high fever; severe thirst
yangming fu sx
high fever; thirst; sweat; irritable; coma; tidal fever 3-5pm; abdm. pain; severe constipation; thick brown T coat; deep P
shaoyang sx
alt. fever + chills; bitter taste in mouth; poor appetite; wiry P
taiyin sx
abdm. full + periodic pain
loose stool w/ o thirst
shaoyin heat sx.
irritable; insomnia; dry mouth; thirst
shaoyin cold sx.
lethargy; intolerance cold w/o fever; loose stool; cold limb
jueyin sx
thirst; qi surge chest or epigastric w/ burn pain; hunger + no desire to eat; cold extremities; loose stool
taiyang types
wind attack
wind cold
water retention
blood retention
yangming types
channel
fu
shaoyin types
cold
heat
taiyang wind attack is…
exterior cold deficiency
wind attack Lu
taiyang wind cold is…
exterior cold excess
wind cold invade LU
taiyang water retention is…
exterior wind cold + internal water retention
wind cold attack LI + water retention in UB
taiyang blood retention is…
exterior cold + interior blood retention
wind cold attack in LU + blood stagnation in LJ
yangming ch is…
interior excess heat
excess heat invade ST
yangming fu is…
interior excess heat
excess heat in ST + LI
shaoyang is…
half exterior half interior
pathogenic heat stag. GB
taiyin is…
interior deficiency cold
SP yang deficiency + cold damp
shaoyin cold is…
interior deficiency cold or true cold fast heat
KD + HT yang deficiency
shaoyin heat is…
interior deficiency heat
KD + HT yin deficiency
jueyin is…
heat above, cold below
heat in GB + ST + cold in INTS
5 zang orangs
lung, liver, spleen, kidney, heart/ pc
6 fu organs
small int, large int, gallbladder, stomach, bladder, san jiao
extraordinary organs
brain, marrow, bone, blood vessel, gallbladder, uterus
