气血津液辩证 Qi Blood Body Fluid Patterns

Question 1

Qi Deficiency S/S

Answer 1

Breathlessness, weak voice, spontaneous sweating, no appetite, tiredness, loose stools,
tiredness P: empty pulse

Question 2

Qi sinking S/S

Answer 2

Feeling of bearing down, tiredness, listlessness, mental depression, prolapse of organs. P: empty

Question 3

Qi Stagnation S/S

Answer 3

Feeling of distentions, distending pain that moves from place to place, abdominal masses that appear and disappear, mental depression, irritability, gloomy feeling, frequent mood swings, frequent sighing P: string taught (wiry) or tight T: normal or slightly purple on sides

Question 4

Blood Deficieny S/S

Answer 4

Sallow complexion, pale lips, dizziness, poor memory, numbness, blurred vision, insomnia, dry hair, thin body, tiredness, scanty/late periods T: pale, dry P: Thin, Choppy

Question 5

Blood Stasis S/S

Answer 5

Dark complexion, purple lips, boring/fixed/stabbing pain, abdominal masses that don’t move, purple nails, dark blood with clots P: wiry, hesitant/choppy T: Purple, possibly with purple spots

Question 6

Yang Deficiency S/S

Answer 6

Chills, cold limbs, listlessness, lassitude, spontaneous sweats, absence of thirst or desire for warm drinks, frequent pale urination, loose stools, T; pale wet swollen scalloped P: thready weak deep slow

Question 7

Yin deficiency S/S

Answer 7

Afternoon fever, malar flush, heat sensation in palms, night sweats, dryness of throat and mouth, yellow urine, dry stools T: red without coating or geographical or without root P: superficial and empty or thready and rapid

Question 8

Causes of Blood Stasis

Answer 8

Qi Stag., Qi deficiency, blood heat, blood deficiency, Internal cold

Question 9

Causes of Blood Deficiency

Answer 9

SP, LV, KD deficiency

Question 10

Causes of Qi stagnation:

Answer 10

Qi stagnation may be caused by emotional strain, irregular eating, excessive physical work or lack of exercise. Emotional strain is the most common cause of Qi stagnation in Western patients

Question 11

Blood deficiency can lead to…

Answer 11

LV yang rising, LV wind, Dryness (which can further develop into wind in the skin)

Question 12

Organ most commonly affected by Qi Stagnation?

Answer 12

LV

Question 13

Organ most commonly affected by blood stasis?

Answer 13

LV

Question 14

Pathological patterns of body fluids are:

Answer 14

Edema, Dryness, Phlegm

Question 15

Causes of body fluid deficiency

Answer 15

Irregular eating, eating drying foods, yin deficiency, heavy blood loss, sweating, diarrhea, vomiting, severe/chronic blood deficiency.

Question 16

Deficiency of fluids mostly affect which organs?

Answer 16

Lungs, Stomach, Kidneys and Large Intestines

Question 17

Causes of Edema

Answer 17

Lungs not diffusing and descending fluids, Spleen not transforming and transporting, Kidneys not Transforming and excreting fluids. (also qi stag and dampness)

Question 18

Edema caused by LU deficiency usually affects what part of the body?

Answer 18

The upper part of the body (face, hands)

Question 19

Edema caused by SP deficiency usually affects what part of the body?

Answer 19

The middle part of the body (abdomen/ ascites: the accumulation of fluid in the peritoneal cavity, causing abdominal swelling) and limbs

Question 20

Edema caused by KD deficiency usually affects what part of the body?

Answer 20

The lower part of the body ( legs, ankles)

Question 21

What is non-substantial phlegm?

Answer 21

Phlegm that is not seen i.e. under the skin, in the channels, misting the HT, in the GB or KD, in the Joints

Question 22

Common types of phlegm

Answer 22

Damp phlegm, phlegm heat, phlegm-fluids, qi-phlegm, cold-phlegm, wind-phlegm.

Question 23

Phlegm under the skin manifests as?

Answer 23

This takes the form of lumps under the skin (although not all lumps are due to Phlegm), including nerve ganglia swellings, swelling of lymph nodes (lymphadenopathy), swelling of the thyroid and lipomas.

Question 24

Phlegm in the channels manifests as what?

Answer 24

Phlegm in the channels is not visible as a swelling, but it causes numbness.

Question 25

Phlegm misting the HT manifests as what?

Answer 25

In severe cases, this gives rise to some types of mental illness such as schizophrenia and manic depression, and also to epilepsy. However, Phlegm misting the Mind may also occur in milder forms causing mental confusion, depression. or anxiety.

Question 26

Phlegm in the GB or KD can manifest as what?

Answer 26

Gall bladder or kidney stones are considered to be a form of Phlegm

Question 27

Phlegm in the joints manifests as what?

Answer 27

The bone deformities that occur in chronic rheumatoid arthritis or other bone growths

Question 28

Damp phlegm manifests as what?

Answer 28

This is manifested with expectoration of very profuse phlegm that is white. sticky and relatively easy to expectorate, a feeling of oppression of the chest and epigastrium. nausea, a sticky taste, absence of thirst, a Swollen tongue with a sticky tongue coating and a Slippery pulse.

Question 29

Phlegm heat manifests as what?

Answer 29

This is manifested with expectoration of sticky yellow phlegm. a feeling of oppression of the chest. nausea, a red face, dry mouth , restlessness, a Red and Swollen tongue with sticky yellow coating and a Rapid-Slippery pulse.

Question 30

Cold Phlegm manifests as what

Answer 30

This is manifested with expectoration of white, watery phlegm, a feeling of oppression of the chest, cold limbs, nausea, a Pale and Swollen tongue with white, wet coating and a Deep-Slippery-Slow pulse

Question 31

Wind Phlegm manifests as what?

Answer 31

wind stroke: This causes dizziness, nausea, vomiting, numbness of the limbs (especially unilateral). coughing up of phlegm, a feeling of oppression of the chest, a rattling sound in the throat and aphasia, a Swollen and Deviated tongue with sticky coating and a Wiry pulse

Question 32

Qi Phlegm manifests as what?

Answer 32

a feeling of swelling in the throat (but no actual swelling), a difficulty in swallowing, a feeling of oppression of chest and diaphragm, irritability, moodiness, depression and a Wiry pulse (emotional problems)

Question 33

Phlegm Fluids 痰饮manifests as what?

Answer 33

Located in different parts of the body, this is a type of substantial Phlegm characterized by white, very watery and thin sputum. It can sometimes actually be heard splashing in the body.

Question 34

Four types of Phlegm Fluids

Answer 34

痰饮 phlegm fluids in the ST and LI/SI，悬饮 suspended fluids in the hypochondrium、溢饮 flooding fluids in the limbs and under the skin、支饮 prodding fluids in the chest/lungs

Question 35

Phlegm-Fluids in Stomach and Intestines

Answer 35

This is called 痰饮 in Chinese, meaning ‘phlegm and fluids’. This is manifested with abdominal fullness and distension, vomiting of watery fluids, a dry tongue and mouth without a desire to drink, a splashing sound in the stomach, a feeling of fullness of the chest, loose stools, loss of weight, a Deep-Slippery or Wiry pulse and a Swollen tongue with sticky coating.

Question 36

Phlegm-Fluids in the hypochondrium

Answer 36

his is called 悬饮 in Chinese, meaning ‘suspended fluids’. This is manifested with hypochondria! pain that is worse on coughing and breathing, a feeling of distension of the hypochondrium, shortness of breath, a Swollen tongue with a sticky coating and a Deep-Wiry pulse.

Question 37

Phlegm-Fluids in the limbs

Answer 37

This is called 溢饮 in Chinese, meaning ‘flooding fluids’. This is manifested with a feeling of heaviness of the body, a pain in the muscles, absence of sweating, lack of desire to drink, a cough with abundant white sputum, a Swollen tongue with a sticky white coating and a Wiry pulse.

Question 38

Phlegm-Fluids above the diaphragm

Answer 38

This is called 支饮 in Chinese, meaning ‘prodding fluids’. This is manifested with a cough, asthma, oedema, a feeling of oppression of the chest, dizziness, abundant white sputum, a Swollen tongue with a sticky, thick, white coating and a Wiry pulse. All the symptoms are aggravated by exposure to cold.