Shen

Question 1

Heat entering the Qi aspect pattern

Answer 1

Vexation + agitation vexation worse than agitation
w/ signs of HT excess
Vigorous fever, thirst

Question 2

Heat Entering the Construction Aspect Pattern

Answer 2

Vexation + agitation, but vexation primary
W/ signs of construction heat harassing HT-spirit
Body heat,worse at night, delirium

Question 3

Heat at the Blood Aspect Pattern

Answer 3

Agitation more severe than vexation
May be seen as mania
W/ signs of heat excess
 Body heat, macules, papules
w/  signs of fire flaming up

Question 4

Heat Fire Flaming Upwards

Answer 4

Vexation worse than agitation
Could have manic agitation +delirium(if severe)
w/signs of fire flaming upward

Question 5

Liver Fire Flaming Upward

Answer 5

HTvexation, rashness + agitation w/ tendency to get angry easily
+ LV fire flaming signs

Question 6

Blood Vacuity Patterns

Answer 6

Vexation + agitation w/HT vexation manifesting as vacuity+ vexation of HT
+ other blood def signs

Question 7

Yin Vacuity Pattern(Internal vacuity Heat Pattern)

Answer 7

Vexation +agitation/ manifestation as vexing HT heat,w/ rashness, impatience
+ signs of yin def.

Question 8

Lesser YinVacuity w/ imminent Desertion of Yang

Answer 8

Vexation + agitation that has agitation harassment with an inability to control movements
W/ signs of yang debility
Yin cold signs- limb reversal, fear cold, vomit, diarrhea
Ashtray, red cheeks, spontaneous sweat
P: Large +vacuous

Question 9

Binding Depression of Liver Qi pattern

Answer 9

Emotional depression + chest/rib side pain
Women: breast pain/menstrual pain/ irregularity
P: string-like

Question 10

Phlegm Depression+ Qi stagnation

Answer 10

Depression w/ dizziness, HT palps
Glomus in chest, ST oppression
Sensation of stuckness in throat, cannot be cleared 
T: slimy fur 
String-like, slippery

Question 11

Visceral Agitation Pattern

Answer 11

Emotional depression w/ grief and sadness + desire to cry
w/ flustered spirit, fright, delusions like seeing ghosts, spirits, future
w/fatigue, yawning
Could be caused by unresolved yawning

Question 12

Heart and GallBladder VAcuity Timidity Pattern

Answer 12

Emotional depression w/ suspicion + worry
w/ heart palps, lack of courage, easily frightened, frequent dreaming, easily waking, little want for food or drink
Seen more in women and children
T: pale

Question 13

Yang Brightness Bowel Repletion Pattern

Answer 13

Delirium with tongue/pulse of yang brightness repletion pattern
Abd distention, fullness, pain that refuses pressure

Question 14

Heat Entering the construction aspect

Answer 14

Occasional delirium
w/ tongue/pulse of heat entering the construction aspect
Heat vexation, insomnia

Question 15

Heat entering the Blood aspect

Answer 15

Delirium with tongue and pulse of heat experience stirring the blood
Heat in the blood

Question 16

Heat Entering the Blood Chamber

Answer 16

Delirium that occurs generally at night
With a history of construction (ying level) wind-cold, when tidal menses arrive
W/ alternating cold/heat, full chest, ribs

Question 17

Heat Falling into Pericardium + Heat Entering construction aspect + Heat at the Blood Aspect + Yang BrightnessBowl Pattern

Answer 17

Sudden clouding stupor w/ heat manifesting + blocking HT qi
w/vigorous fever, reverting limbs, body heat, worse at night
T: Sluggish, crimson w/ yellow fur
P: fine and rapid

Question 18

Heat Exuberance Stirring Wind

Answer 18

Sudden clouding Stupor

Clouding in any of the previous patterns

Question 19

Damp-heat Brewing Internally

Answer 19

Gradual clouding Stupor
w/ signs of damp-heat
Jaundice, heavy body, distention, rib side pain, short/yellow urine
T: red with slimy yellow fur

Question 20

Phlegm-Damp Obstructing Internally

Answer 20

Gradual clouding stupor
Onset
Sleepiness, lazy talk
Progression
HT disturbance, unclear speech until unconsciousness

Question 21

Phlegm-Fire Clouding the Heart

Answer 21

Gradual clouding  Stupor
Onset- vexation + agitation insomnia
Progresses
Agitation becomes frantic+ manic
Then becomes clouded - arm/legs agitated 
Phlegm-fire  
Fever, nasty breathing, phlegm, constipation, red urine
T: red w/ yellow slimy fur
P: Slippery, Rapid, forceful

Question 22

Yin Vacuity w/ Yang Wind Rising + Harassing Pattern

Answer 22

Sudden clouding + falling to the ground
Simultaneously deviation of mouth, eyes, stiff tongue
History of water failing to moisten wood
Dizziness, ears ringing, impatience, insomnia, dryness
Before a person may have wind signs
Often middle-aged/ elderly person
Whose work makes them nervous

Question 23

Stasis Heat Construction Blocks

Answer 23

Gradual clouding Stupor 
After clouding,
foul order in the mouth, agitation of limbs, picking at clothing, no  bed covers
Before clouding
Signs of blood stagnation
T: Dark Purple
Happens with fever and loss of blood

Question 24

Water-Damp Rising Counterflow

Answer 24

Urinary toxins invading the heart pattern
Gradual Clouding stupor
Must have scanty urine/long urine block
\+swelling/bright/dark complexion, fear of cold limbs
Prior To clouding
Signs of water-damp rising
Intimidating heart/lungs
Dizziness, nausea panting
HT vexation, nonsenses speech

Question 25

Sudden Veiling Due to Foul Turbidity

Answer 25

Sudden clouding/ loss of consciousness
Lockjaw + delirium
Blocked yang
ABD distention, blue face, cold limbs
In the air very contagious 
P: Weak, Faint

Question 26

Qi deserting With Blood Aspect

Answer 26

Gradual clouding occurring after great blood loss
Onset
green/blue white complexion
Riveting limbs, profuse sweating, weak breathing
Verge of Death
Gradual clouding leads to unconsciousness

Question 27

Yin Collapse Pattern

Answer 27

Gradual Clouding
Prior
Profuse sweating- hot and sticky
Hands and feet warm 
Red cheeks, SOB, panting, sometimes agitation
Dry/red lips
T: Red
P: fine, rapid, racing

Question 28

Yang Collapse Patterns

Answer 28

Gradual Clouding stupor
Sweat, verge of death, skin cool,
The dusky complexion, faint, lying down
P: faint
T: pale/moist purple
Epilepsy…