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SOAP Flashcards

1
Q

Type of pain: ______

Description: feels like bloating, erratic, affected by emotions.

A

Distending pain

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2
Q

Type of pain: ______

Description: sharp, localized

A

Stabbing pain

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3
Q

Type of pain: ______

Description: feels as if one is being burned

A

Burning pain

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4
Q

Type of pain: ______

Description: feels tight, constricted

A

Tight pain

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5
Q

Type of pain: ______

Description: feeling of heaviness, ashiness

A

Heavy pain

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6
Q

Type of pain: ______

Description: lingering, mild pain or a feeling of emptiness

A

Dull/hollow pain

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7
Q

Pain: distending
Indication: ______

A

qi stagnation

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8
Q

Pain: stabbing
Indication: ______

A

blood stagnation

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9
Q

Pain: burning
Indication: ______

A

pathogenic heat injuring channels

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10
Q

Pain: cramping
Indication: ______

A

cold

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11
Q

Pain: heavy
Indication: ______

A

pathogenic dampness in the channels

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12
Q

Pain: dull/hollow
Indication: ______

A

deficiency of qi, blood, yin, yang or even Jing

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13
Q

Headaches/Migraines
Description: Daytime
Indication: _____

A

Qi or Yang def

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14
Q

Headaches/Migraines
Description: evening
Indication: _____

A

blood or yin def

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15
Q

Headaches/Migraines
Description: nighttime
Indication: _____

A

blood stagnation

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16
Q

Headaches/Migraines
Description: acute
Indication: _____

A

wind-invasion (tai yang is usually wind cold, whole head in wind-heat)

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17
Q

Headaches/Migraines
Description: gradual onset
Indication: _____

A

interior condition

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18
Q

Headaches/Migraines
Description: worse with fatigue, better w/rest
Indication: _____

A

qi deficiency

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19
Q

Headaches/Migraines
Description: aggravated by emotions/PMS and/or throbbing
Indication: _____

A

Liver Yang rising

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20
Q

Taste signs: bland

A

qi deficiency

cold condition

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21
Q

Taste signs: bitter

A

internal excess heat

typically LV or HT fire

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22
Q

Taste signs: sweet

A

spleen deficiency

damp heat

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23
Q

Taste signs: pungent

A

lung heat

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24
Q

Taste signs: salty

A

KD issues: esp KD yin def

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25
Taste signs: sour
LV attacks ST | food retention
26
Appetite: poor
deficiency SP or ST qi or yang def excess: dampness or food stag (may suppress or cause early fullness)
27
Appetite: too high appetite
ST heat
28
Appetite: hunger w/o desire to eat
ST yin def
29
Stool: looser and paler in color
cold conditions
30
Stool: darker, firmer stools
heat
31
Stool: mucous
dampness
32
Bloody stool: red blood
usually lower GI
33
Bloody stool: dark blood is more serious
possibly upper GI
34
Bloody stool: "coffee ground stools" (old dried blood)
upper GI bleed
35
Bloody stool: black, tarry
suggests blood stagnation
36
Bloody stool: stools first, then watery blood
SP not holding blood
37
Bloody stool: Blood is first, then stool
usually heat, or damp heat
38
Sleep: hard to fall asleep
HT blood def
39
Sleep: hard to stay asleep
HT or LV Yin def
40
Sleep: dream-disturbed sleep
excess heat
41
Sleep: waking too early
GB qi deficiency
42
Sleep: poor sleep - excess
food stagnation excess heat phlegm-fire
43
Sleep: poor sleep - deficiency
HT/KD disharmony SP Qi def LV blood def
44
Energy: chronic tiredness
Deficiency: usually qi, possibly blood, yin, yang Excess: damp, phlegm, damp-heat
45
Energy: "tired & wired"
usually yin def w/heat
46
Energy: somnolence, sleepiness, or extreme exhaustion w coldness
usually yang def
47
Energy: too high, restlessness, agitation
Heat: excess, deficient
48
Energy: mania
phlegm heat obstructing the heart orifice
49
Signs and symptoms of Liver Yang Rising
outbursts of sudden anger, migraine, red face, blurred vision, hypertension, tinnitus, deafness, insomnia, irritability, stiff neck
50
Causes of Liver Yang Rising
deficiency of LV blood, or LV/KD yin --> fails to anchor LV yang
51
Chest pain
Heart qi stag or blood stag
52
Chest pain w/cough
Lung heat
53
Heavy-oppressive pain
lung phlegm-heat
54
hypochondriac pain
LV qi stag or LV blood stag
55
Relief after BM/urine
``` possibly: phlegm-heat damp heat cold qi stag blood stag ```
56
Worse after BM/urine
``` possibly: blood def ST/SP qi def qi & blood def KD def ```
57
questions to ask re:pain
``` intensity quality location duration tolerance ```
58
Constipation: deer pellet "bitty" or pebbly stools
usually due to LV qi stagnation
59
Constipation: difficult BM w/normal stools
LV qi stagnation | food, ST, SI, LI stag?
60
Constipation: painful
usually excess cold or deficient cold
61
Constipation: with thirst, red tongue body & yellow fur
excess heat
62
Constipation: chronic, in elderly or after loss of blood
blood deficiency
63
Diarrhea: loose stools
SP Qi def
64
Diarrhea: loose w/undigested food particles and coldness
tends to be SP yang def
65
Diarrhea: chronic
SP yang def | KD yang def
66
Diarrhea: chronic w Cock's crow diarrhea
KD yang def
67
Diarrhea: alternating constipation & diarrhea
LV attacking Spleen
68
Diarrhea w mucous: fishy smell
Damp cold
69
Diarrhea w mucous: foul smell
Damp-heat
70
Diarrhea w mucous: burning sensation in anus
Heat or damp-heat
71
Diarrhea w mucous: incomplete BM
Dampness
72
Thirst: no thirst or desires warm beverages
cold conditions
73
Thirst
heat conditions
74
Thirst: thirst for lots of cold water
excess heat
75
Thirst: thirst with desire to sip only
deficient heat
76
Thirst: thirst w/o desire to drink
damp-heat | sometimes dampness creates a dry mouth
77
Urination: long, clear urination
cold
78
Urination: short, dark urination
heat
79
Urination: incontinence
KD Qi not firm
80
Urination: retention
usually UB damp | LU qi def
81
Urination: turbid urine
damp | leakage of essence (in men)
82
Urination: pain before voiding
Qi stag
83
Urination: pain during
damp heat in UB
84
Urination: pain after
qi def
85
Urination: nocturia
KD def
86
Urination: UTI-type symptoms
Damp heat in UB | Heart fire entering SI
87
Sweating: exterior excess
``` wind cold (no sweat) wind heat (sweating) ```
88
Sweating: exterior deficiency
Lung qi deficiency | --> slight sweat, chills and fever, fatigue, SOB, pulse, floating and deficient
89
Sweating: interior excess
qi level heat internal excess heat "4 bigs": big sweat, big thirst, big fever, big pulse
90
Sweating: interior deficiency
most often due to yin deficiency heat -> night sweats qi deficiency -> yang deficiency
91
Shaoyang syndrome symptoms
bitter taste in mouth, nausea, hypochondriac pain, irritability, headache pulse: bowstring, wiry string-taut tongue: white or yellow fur on 1 side of tongue Tx: harmonize exterior and interior
92
Sweating during the day
yang def
93
Sweating at night
yin def
94
Sweating: only on head
heat in stomach | damp heat
95
Sweating: oily sweat on forehead
yang collapse
96
Sweating: only arms and legs
ST and SP deficiency
97
Sweating: only hands
Lung Qi def | Heart Qi def
98
Sweating: palms, sole, and chest
yin deficiency | 5 palms sweat
99
Sweating: whole body
Lung Qi def
100
Dizziness: excess
phlegm, wind
101
Dizziness: deficiency
qi, blood, Jing, LV yang rising
102
Tinnitus or ear ringing: excess
Acute, loud, high pitched, worse w/pressing on ears - LV Wind - LV Yang Rising - LV Fire
103
Tinnitus or ear ringing: deficient
Chronic, gradual onset, low pitch & low volume, better w/pressing on ears - KD def (GB def)
104
Eye signs: excess | Itchy red eyes
Wind heat invasion
105
Eye signs: deficient | Blurry vision, "floaters", "flowery" vision
LV blood def | LV or KD yin def
106
Eye signs: deficient | photophobia
LV blood def | LV yang rising
107
Emotions: excess pathogens
``` Qi stagnation Fire Phlegm Phlegm-fire Blood stagnation Food stagnation ```
108
Emotion: deficient causes
``` Spleen Heart Lung qi and blood def GB qi def Yin def w/empty heat Yang def LV yang rising ```
109
Menstruation: Pain before
Stagnation of Qi or blood
110
Menstruation: Pain during
Blood heat, blood stasis, cold
111
Menstruation: Pain after
Blood deficiency
112
Menstruation: Long periods | 7-10 days
Qi stagnation Blood stasis KD Yin deficiency
113
Menstruation: Painful Periods
Qi stagnation Stagnation of Cold Damp Heat LV Qi Stag turning into LV fire Excess: qi stag, blood stasis, stag of cold, damp, LV qi stag turning into fire Deficiency: qi and blood def, Yang and Blood def
114
Menstruation: Color | Bright Red
Heat in Blood
115
Menstruation: Color | Dark Red
Heat in Blood
116
Menstruation: Color | Pale
Blood deficiency
117
Menstruation: Color | Purple
Blood stasis | Cold
118
Menstruation: Color | Black
Blood stasis | Cold
119
Menstruation: Color | Fresh Red Blood
Empty Heat from Yin Deficiency
120
Menstruation: Quality | Congealed with clots
Blood stasis or cold
121
Menstruation: Quality | Watery blood
Blood or yin deficiency
122
Menstruation: Quality | Turbid blood
Blood heat | Stagnation of cold
123
Menstruation: Amount | Heavy bleeding
Heat in blood or qi deficiency | Blood stasis
124
Menstruation: Amount | Scanty
``` Blood deficiency Phlegm obstruction of uterus Cold KD yang or Yin deficiency Blood stasis ```
125
Menstruation: Timing | Early
Blood heat | SP/KD qi deficiency
126
Menstruation: Timing | Coming consistently
Full heat from LV qi stag turning into fire from blood heat or LV KD yin deficiency
127
Menstruation: Timing | Always late
blood deficiency stagnation of blood cold excess or deficiency KD yang def or qi stag
128
Menstruation: Timing | Irregular
LV Qi stagnation LV blood stagnation SP deficiency KD Yin and Yang def
129
Leukorrhea: white
excess cold deficient cold SP qi def (LV qi stag)
130
Leukorrhea: yellow or red & white
damp heat in lower burner
131
Leukorrhea: greenish
damp-heat in LV channel
132
Leukorrhea: yellow with pus and blood
toxic damp heat | if after menopause, possible cancer sign
133
Leukorrhea: fishy smell
damp cold
134
Leukorrhea: leathery smell
damp heat
135
Infertility & pregnancy: | Infertility causes
blood def jing def damp heat in lower burner blood stag in uterus
136
Infertility & pregnancy: | Morning sickness
most common: ST def Chong def Dampness
137
Infertility & pregnancy: | Miscarriage
before 3 months is usually blood or Jing def | after 3 months is likely LV blood stag or SP qi sinking
138
Infertility & pregnancy: | Postpartum depression
often due to blood def
139
Libido & sexual symptoms: libido too low
KD yang def (LV qi stag?)
140
Libido & sexual symptoms: libido too high
KD yin def w/heat
141
Libido & sexual symptoms: impotence/erectile dysfunction
``` KD yang def SP Qi def HT blood def LV qi stag Damp heat ```
142
Libido & sexual symptoms: premature ejaculation
KD qi not firm
143
Libido & sexual symptoms: vaginal dryness
KD yin def
144
Libido & sexual symptoms: anorgasmia
Trauma LV/HT qi stag HT deficiency
145
Libido & sexual symptoms: pain
Qi and/or blood stag | Trauma

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