Quiz 1 Flashcards by Cherry Kim

4 pattern differentiations of Qi

Sinking of Qi
Stagnation of Qi
Rebellion/Perversion of Qi (Lu, St, Li)
Deficiency of Qi

How well did you know this?

Not at all

Perfectly

3 pattern differentiation of Blood

Blood Deficiency
Blood Heat
Blood Stasis

How well did you know this?

Not at all

Perfectly

Pale or sallow complexion/lips without luster
dry, thin, brittle nails with pale nail beds
dizziness, blurry vision
palpitations, insomnia
numbness of extremities
menst: scant and pale flow, late, amenorrhea
pale tongue
thin and weak pulse

Blood Xu

How well did you know this?

Not at all

Perfectly

hot body that worsens at night
irritability, insomnia, mental restlessness; mania in severe conditions
red eyes and complexion
dry mouth with no desire to drink
skin rashes
heat causing reckless movement of blood
crimson-red tongue
rapid and thin or rapid and wiry pulse

Blood Heat

How well did you know this?

Not at all

Perfectly

sharp/stabbing and fixed pain that is worse at night
fixed masses, tumors
dim complexion, purple-blue-green lips
dry mouth with desire to sip but not swallow liquids
rough/scaly skin, pigment spots
numbness in extremities
tongue: deep-blue-green or purple-dim body, possibly with dark patches, or with stasis points on tip and sides
pulse: deep, thin, choppy

Blood Stasis

How well did you know this?

Not at all

Perfectly

alopecia (hair loss)
painful red eyes with red sclera
red nose
chronic gum disease and halitosis
dim-blue-green complexion, vitiligo, pigment spots

Blood Stasis in head and Face

How well did you know this?

Not at all

Perfectly

uncontrollable laughing or crying, crazy singing, disorientation, inability to recognize family members
insomnia, copious dreams, forgetfulness
dry mouth
headaches
chest pain with aversion to placing anything on chest or with strong desire to place heavy objects/pressure on chest
fever at night, nightsweats
blue-green lips, tongue with stasis points
pulse: thin and choppy

Blood stasis above the diaphgram

How well did you know this?

Not at all

Perfectly

fixed, stabbing epigastric pain that is worse at night and with pressure
abdominal masses

Blood stasis below the diaphgram

How well did you know this?

Not at all

Perfectly

lower abdominal pain, fullness and distention
irregular menstruation, red/white leukorrhea, spotting
infertility or habitual miscarriage
deep-blue-green tongue; deep and choppy pulse

Blood satsis in the uterus and/or lower abdomen

How well did you know this?

Not at all

Perfectly

dyspnea, fatigue, listlessness, spontaneous sweating, numbness of extremities or hemiplegia or sharp/stabbing pains
purple-dim tongue with stasis points, choppy pulse

Qi-xu blood stasis

How well did you know this?

Not at all

Perfectly

dizziness, blurry vision, palpitations, insomnia
localized, fixed, stabbing pain that is worse with pressure
purple-dim- tongue with stasis points
thin and choppy pulse

blood xu blood stasis

How well did you know this?

Not at all

Perfectly

cold body and limbs
localized, fixed, stabbing pain that is cold to touch and improves with heat and worsens with cold
women with cold and painful lower abdomen, delayed menstruation with purple-dark blood and clots
pale-purple tongue
deep, slow and choppy pulse

cold congealing blood stasis

How well did you know this?

Not at all

Perfectly

hot body
localized, fixed, stabbing pain that likes cold
crimson-red tongue, thin and rapid pulse

heat knotting blood stasis

How well did you know this?

Not at all

Perfectly

chest and flank distension and pain
irritability and easy angry, sighing
subcostal masses with fixed and sharp pain
delayed menstruation with purple-dark clothes, lower abdominal pain
purple-dim tongue with stasis-points
wiry and choppy pulse

qi stasis and blood stasis

How well did you know this?

Not at all

Perfectly

pale or sallow complexion
dizziness, vertigo
dyspnea, no desire to speak
fatigue, spontaneous sweating
insomnia, palpitations
pale tongue, thin and weak pulse

qi and blood both xu

How well did you know this?

Not at all

Perfectly

pale or sallow complexion
fatigue and weakness
dyspnea, dislike speaking
poor appetite
bleeding; sub-dermal, spotting, blood in stool
tongue: pale, puffy, toothmarks

qi xu bleeding

How well did you know this?

Not at all

Perfectly

major blood loss accompanied by:
pale complexion 
frigid extremities
cold sweats
possible fainting
pale tongue
pulse: faint or imperceptible

qi deserting with the blood

How well did you know this?

Not at all

Perfectly

cracked lips, dry tongue and throat
dry and lusterless skin
dry stool, constipation
scant urine
red tongue
pulse: thin and rapid

deficiency of body fluids

How well did you know this?

Not at all

Perfectly

dizziness, vertigo, sudden fainting
phlegm sounds in throat
deviation of eyes and mouth
stiff tongue, aphasia
deep and slippery pulse

wind phlegm

How well did you know this?

Not at all

Perfectly

cough with thick, sticky yellow phlegm
painful and swollen throat
constipation
irritability or mania, withdrawal
crimson-red tongue
slippery and rapid pulse

hot phlegm

How well did you know this?

Not at all

Perfectly

cough with thin and clear phlegm
dyspnea, wheezing/asthma
aversion to cold, cold extremities
pale tongue with white coat
deep and slow pulse

cold phlegm

How well did you know this?

Not at all

Perfectly

stuffy chest
copious phlegm that is easy to expectorate
nausea, vomiting, poor appetite
dizziness, vertigo
heaviness of body; weakness and difficulty moving limbs
swollen and tender tongue
pulse: slippery or soggy and choppy

damp phlegm

How well did you know this?

Not at all

Perfectly

scant, thick and sticky phlegm that is difficult to expectorate
dryness of mouth, nose, throat, tongue
constipation
scant urine
red and skinny tongue
thin and rapid pulse

dry phlegm

How well did you know this?

Not at all

Perfectly

fullness of chest and flank
sloshing sounds in stomach
vomiting clear fluids
thin and water phlegm
dizziness, vertigo
palpitations, dyspnea
no thirst
white, greasy tongue coat
wiry and slippery pulse

phlegm-fluids/rheum stasis

How well did you know this?

Not at all

Perfectly

``` pain and heaviness of body edema in limbs fever, chills, no sweating scant urine asthma, cough with white, frothy phlegm white tongue coat wiry and tight pulse ```

flooding-fluids/rhuem stasis

``` palpitations chest fullness dyspnea, shallow breathing spontaneous sweating fatigue pale complexion tongue: pale, white coat pulse: weak, deficient ```

Heart qi xu

heart qi xu symptoms, but more severe: palpitations, chest fullness, dyspnea, shallow breathing, spontaneous sweating, fatigue; all worse with exertion plus: chest oppression, aversion to cold, cold body and extremities, pale-bright-white or dim complexion tongue: swollen, pale; wet and white coat pulse: deep, weak, faint; knotted if severe

Heart yang xu

``` palpitations insomnia, dream-disturbed sleep anxiety, easily startled poor memory dizziness pale and lusterless/dull complexion, pale lips tongue: pale, possibly slightly dry pulse: choppy, thin ```

Heart blood xu

``` palpitations, insomnia, dream-disturbed sleep, anxiety, easily startled, poor memory five-palm heat malar flush tidal fever night sweats dry mouth and throat tongue: red, not much coat, dry, possibly with midline crack that reaches the tip of the tongue pulse: thin, rapid ```

Heat-yin xu

irritability, mania, insomnia, delirium, confused speech if severe chest oppression red face dry and bitter mouth; mouth and tongue ulcers urination; burning, urgent, frequent, dark/with blood dry stool thirst for cold water bleeding sores, carbuncles tongue: red, crimson-red; tip especially red and possibly swollen and with red-points, ulcers; dry, yellow coat pulse: rapid, forceful

Exuberant heart fire

palpitations, chest oppression/stuffiness chest pain that radiates to upper back, shoulder, down left arm and fifth-finger sharp, stabbing, prickling pain in cardiac region frigid extremities purple-blue-green lips and nail-beds tongue: blue-green or purple with purple stasis-patches pulse: choppy, knotted, regularly intermittent

chest bi due to heart blood stagnation

``` palpitation, chest oppression/stuffiness chest pain that radiates to upper back, shoulder, down left arm and fifth-finger fullness and oppression in chest sensation of heaviness throughout body often overweight; edema copious phlegm; leukorrhea lassitude; dizziness tongue: thick, greasy, white coat pulse: deep, slippery/knotted ```

chest bi due to phlegm damp obstruction heart yang

palpitation, chest oppression/stuffiness chest pain that radiates to upper back, shoulder, down left arm and fifth-finger paroxysmal cardiac-region pain that is aggravated or induced by cold and alleviated by warmth aversion to cold, cold limbs/extremities tongue: pale body, white coat pulse: deep and slow, or deep and tight

chest bi due to excess cold

palpitation, chest oppression/stuffiness chest pain that radiates to upper back, shoulder, down left arm and fifth-finger distending pain in chest and hypochondrium that fluctuates with emotions and stress frequent sighing poor appetite, abdominal distention tongue: fant blue-green body, thin white coat pulse: wiry

chest bi due to liver qi stasis

mental confusion, mental depression unconsciousness, lethargic stupor incoherent or slurred speech; aphasia rattling sound in throat, vomiting phlegm dull eyes tongue: puffy-swollen body, thick and sticky/white coat, greasy pulse: slippery

phlegm clouding the shen | cold-phlegm clouding the shen

mental restlessness, agitation, incoherent speech, mental confusion, rash and aggressive behavior, uncontrolled laughing or crying, shouting, muttering to self, mental depression and dullness, manic behavior insomnia, dream-disturbed sleep palitations, chest oppression copious phlegm, rattling sound in throat red face-bitter mouth, thirst tongue: red, swollen body, yellow, dry sticky coat; deep heart crack; tip redder, swollen with red points pulse: rapid, slippery, forceful; rapid, surging, slippery; rapid, wiry

Phlegm fire harassin the heart

``` irritability, insomnia, palpitations thirst with a preference for cold rinks urination: hot, burning, painful; dark color, blood in urine hemorrhoids mouth and tongue ulcers tongue: red, yellow coat pulse: rapid, forceful ```

small intestine excess heat Heart yang warms the small intestine, connection between Ht and SI, so if Ht has excess fire it will transfer to SI and then turbidity to the bladder, making painful urination

``` slight and weak cough mild dyspnea and/or wheezing spontaneous sweating dislike of speaking, weak voice fatigue aversion to wind and cold tendency to catch colds all of the above worse with exertion tongue: pale, white coat pulse: weak, deficient ```

Lung qi xu

dry cough; or cough with scant, sticky sputum; or cough with blood-streaked sputum weak and hoarse or lost voice dry mouth and throat tidal fever, five-palm heat, night sweats, steaming bone, malar flush tongue: red, little or no coat pulse: thin, rapid, weak

lung yin xu

``` slight fever, aversion to cold (chills) cough with thin, clear, white sputum nasal congestion, runny nose with thin and clear mucous no sweating occipital headache, bodyaches tongue: thin, white coat pulse: floating, tight ```

invasion of lungs by wind-cold

fevver and chills, fever more than chills cough, possibly with sticky yellow phlegm runny nose with thick, turbid mucous or thick yellow mucous thirst sore throat tongue: red (mostly tip), possibly with thin yellow coat pulse: floating, rapid

invasion of lung by wind heat

``` dry cough; or cough with small amount of thick and sticky phlegm that is difficult to expectorate; or cough with blood-tinged sputum chest pain mild fever, chills or aversion to wind dry nose and throat tongue: red, dry yellow coat pulse: rapid, floating ```

dry evil invading lung

``` cough with copious white phlegm that is easy to expectorate wheezing chest fullness nausea; vomiting in extreme cases tongue: greasy white coat pulse: slippery ```

damp-phlegm in the lungs

``` cough with copious, thick, sticky, yellow or green sputum shortness of breath, wheezing fullness or oppression in the chest feeling of heat thirst tongue: red with a greasy yellow coat pulse: slippery and rapid ```

phlegm-heat in the lungs

``` dry cough, occasionally with scant, thick, sticky, sputum that is difficult to expectorate shortness of breath, chest oppression dry throat thirst tongue: dry and sticky coat pulse: thin, slippery ```

dry-phlegm obstructing the lungs

``` cough with chest pain, possibly with yellow sputum or with blood and pus in sputum dypsnea, coarse and hasty breathing fever, aversion to heat flaring nostrils mental restlessness nosebleed scant, dark urine constipation with hard and dry stool tongue: red, yellow coat pulse: rapid, excess ```

(excess) lung heat

``` constipation with dry and hard stool that is difficult to pass halitosis dizziness tongue: dry, yellow coat pulse: thin, rapid ```

large intestine fluid xu

diarrhea-foul smelling, with burning sensation around anus abdominal pain tenesmus urgency of defecation with incomplete evacuation, followed by a sensation of heaviness and down-bearing that occurs after the diarrhea urine: scant and dark fever: yes or no, can be tidal fever thirst tongue: red, with greasy, yellow coat pulse: slippery, rapid; soggy/soft and rapid

large intestine damp heat

``` poor appetite abdominal distention that worsens after meals loose stools fatigue, lassitude, weakness of limbs shortness of breath, dislike of speaking sallow-yellow complexion emaciation; or overweight; edema tongue: pale, white coat pulse: weak, moderate, soggy ```

spleen qi xu

heaviness and down-bearing sensation in abdomen that worsens after meals frequent urge to defecate, heaviness and down-bearing sensation in rectum chronic diarrhea in severe cases with rectal prolapse organ prolapse; uterus, stomach, rectum, hernia, kidney cloudy, turbid urination accompanied by spleen qi xu signs and symptoms

spleen qi sinking

little to no appetite, bland taste in mouth, no thirst abdominal distention that worsens after meals chronic, low-grade, dull abdominal pain that improves with warmth and pressure loose/watery stool, chronic diarrhea scant urination cold limbs pale-white complexion edema profuse, thin, white leukorrhea tongue: pale, puffy, teeth-marks, slippery white coat pulse: deep, slow, weak

Spleen yang xu

``` bleeding sallow complexion poor appetite loose stools listlessness, fatigue shortness of breath, dislike of speaking tongue: pale pulse: thin, weak ```

spleen not controlling blood (implies sp qi xu)

``` epigastric and abdominal fullness, distention and pain; preference for warmth loss of appetite, no thirst nausea loose stool, diarrhea heaviness of head and body edema jaundice (yin-yellow) leukorrhea; profuse, white obesity tongue cot: white and greasy, or white and slippery ```

cold-damp obstruction spleen

epigastric and abdominal fullness and distention loss of appetite, thirsty but can't drink much bitter and sticky mouth nausea, vomiting and aversion to greasy/oily foods loose stool, diarrhea, but not complete; maybe bad odor heaviness of body and limbs tidal fever that is not relieved by sweating jaundice with bright-yellow color, ithcy skin scant, dark-yellow urine tongue: greasy yellow coat pulse: slippery, rapid

damp-heat obstructing spleen (and stomach)

``` epigastric pain and/or distention that improves with pressure and worsens after eating low appetite and thirst belching bland taste in mouth sallow-yellow complexion shortness of breath, lassitude, dislike of speaking tongue: pale and thin, white coat pulse: deficient and weak ```

stomach qi xu insufficiency of St qi leads to impairment of receiving and rotting/ripening functions with leads to disharmony of St and impaired descending of St qi

epigastric pain and distention that is mild, intermittent, cold and improving with warmth and pressure vomiting clear fluids, sometimes with undigested food low appetite, no thirst, bland taste in moth weakness, fatigue aversion to cold, cold limbs tongue: pale, puffy, wet pulse: deep, slow, weak

stomach yang xu | insufficiency of St yang leads to internal deficiency cold and subsequent disharmony of St and impaired St descending

burning epigastric pain that is relatively mild and intermittent empty and uncomfortable sensation in the stomach poor appetite or hunger with little desire to eat dry vomiting, hiccup dry mouth and throat constipation with dry stool five-palm heat tongue: red, little moisture, little to no coat pulse: thin, rapid

stomach yin xu | insufficiency of St yin leads to lack of St moisture and disharmony and impaired descending of St qi

cold and paroxysmal, epigastric pain that is aggravated by cold and alleviated by warmth nausea, vomiting bland mouth, no thirst, possibly with copious clear fluids in mouth aversion to cold, cold limbs tongue: white coat pulse: tight

excess cold invading the stomach

``` burning epigastric pain that is averse to pressure thirst with a preference for cold drinks strong hunger halitosis gums; swollen, painful, ulcers, bleeding constipation with dry stool urine scant and yellow tongue: red with yellow coat pulse: slippery and rapid ```

stomach fire | pathogenic heat/fire invades the St to disharmony and impaired descending of St qi

abdominal and epigastric distention, fullness and pain belching with rotten odor, sour regurgitation vomiting-sour and foul smelling (after vomiting the abdominal pain and discomfort is reduced) no desire to eat diarrhea or constipation with foul smelling stool tongue: thick, greasy coat pulse: slippery, or deep and excess

food stagnation in the Stomach

sharp, fixed epigastric pain that is worse at night and averse to pressure tongie: dim, purple, possibly with stasis points pulse: deep, choppy

blood stagnation in the Stomach