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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
Q

Taste signs: sour

A

LV attacks ST

food retention

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26
Q

Appetite: poor

A

deficiency
SP or ST qi or yang def
excess: dampness or food stag (may suppress or cause early fullness)

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27
Q

Appetite: too high appetite

A

ST heat

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28
Q

Appetite: hunger w/o desire to eat

A

ST yin def

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29
Q

Stool: looser and paler in color

A

cold conditions

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30
Q

Stool: darker, firmer stools

A

heat

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31
Q

Stool: mucous

A

dampness

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32
Q

Bloody stool: red blood

A

usually lower GI

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33
Q

Bloody stool: dark blood is more serious

A

possibly upper GI

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34
Q

Bloody stool: “coffee ground stools” (old dried blood)

A

upper GI bleed

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35
Q

Bloody stool: black, tarry

A

suggests blood stagnation

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36
Q

Bloody stool: stools first, then watery blood

A

SP not holding blood

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37
Q

Bloody stool: Blood is first, then stool

A

usually heat, or damp heat

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38
Q

Sleep: hard to fall asleep

A

HT blood def

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39
Q

Sleep: hard to stay asleep

A

HT or LV Yin def

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40
Q

Sleep: dream-disturbed sleep

A

excess heat

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41
Q

Sleep: waking too early

A

GB qi deficiency

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42
Q

Sleep: poor sleep - excess

A

food stagnation
excess heat
phlegm-fire

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43
Q

Sleep: poor sleep - deficiency

A

HT/KD disharmony
SP Qi def
LV blood def

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44
Q

Energy: chronic tiredness

A

Deficiency: usually qi, possibly blood, yin, yang

Excess: damp, phlegm, damp-heat

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45
Q

Energy: “tired & wired”

A

usually yin def w/heat

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46
Q

Energy: somnolence, sleepiness, or extreme exhaustion w coldness

A

usually yang def

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47
Q

Energy: too high, restlessness, agitation

A

Heat: excess, deficient

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48
Q

Energy: mania

A

phlegm heat obstructing the heart orifice

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49
Q

Signs and symptoms of Liver Yang Rising

A

outbursts of sudden anger, migraine, red face, blurred vision, hypertension, tinnitus, deafness, insomnia, irritability, stiff neck

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50
Q

Causes of Liver Yang Rising

A

deficiency of LV blood, or LV/KD yin –> fails to anchor LV yang

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51
Q

Chest pain

A

Heart qi stag or blood stag

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52
Q

Chest pain w/cough

A

Lung heat

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53
Q

Heavy-oppressive pain

A

lung phlegm-heat

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54
Q

hypochondriac pain

A

LV qi stag or LV blood stag

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55
Q

Relief after BM/urine

A 
possibly: 
phlegm-heat
damp
heat
cold
qi stag
blood stag
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56
Q

Worse after BM/urine

A 
possibly:
blood def
ST/SP qi def
qi & blood def
KD def
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57
Q

questions to ask re:pain

A 
intensity
quality
location
duration
tolerance
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58
Q

Constipation: deer pellet “bitty” or pebbly stools

A

usually due to LV qi stagnation

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59
Q

Constipation: difficult BM w/normal stools

A

LV qi stagnation

food, ST, SI, LI stag?

60
Q

Constipation: painful

A

usually excess cold or deficient cold

61
Q

Constipation: with thirst, red tongue body & yellow fur

A

excess heat

62
Q

Constipation: chronic, in elderly or after loss of blood

A

blood deficiency

63
Q

Diarrhea: loose stools

A

SP Qi def

64
Q

Diarrhea: loose w/undigested food particles and coldness

A

tends to be SP yang def

65
Q

Diarrhea: chronic

A

SP yang def

KD yang def

66
Q

Diarrhea: chronic w Cock’s crow diarrhea

A

KD yang def

67
Q

Diarrhea: alternating constipation & diarrhea

A

LV attacking Spleen

68
Q

Diarrhea w mucous: fishy smell

A

Damp cold

69
Q

Diarrhea w mucous: foul smell

A

Damp-heat

70
Q

Diarrhea w mucous: burning sensation in anus

A

Heat or damp-heat

71
Q

Diarrhea w mucous: incomplete BM

A

Dampness

72
Q

Thirst: no thirst or desires warm beverages

A

cold conditions

73
Q

Thirst

A

heat conditions

74
Q

Thirst: thirst for lots of cold water

A

excess heat

75
Q

Thirst: thirst with desire to sip only

A

deficient heat

76
Q

Thirst: thirst w/o desire to drink

A

damp-heat

sometimes dampness creates a dry mouth

77
Q

Urination: long, clear urination

A

cold

78
Q

Urination: short, dark urination

A

heat

79
Q

Urination: incontinence

A

KD Qi not firm

80
Q

Urination: retention

A

usually UB damp

LU qi def

81
Q

Urination: turbid urine

A

damp

leakage of essence (in men)

82
Q

Urination: pain before voiding

A

Qi stag

83
Q

Urination: pain during

A

damp heat in UB

84
Q

Urination: pain after

A

qi def

85
Q

Urination: nocturia

A

KD def

86
Q

Urination: UTI-type symptoms

A

Damp heat in UB

Heart fire entering SI

87
Q

Sweating: exterior excess

A 
wind cold (no sweat)
wind heat (sweating)
88
Q

Sweating: exterior deficiency

A

Lung qi deficiency

–> slight sweat, chills and fever, fatigue, SOB, pulse, floating and deficient

89
Q

Sweating: interior excess

A

qi level heat
internal excess heat
“4 bigs”: big sweat, big thirst, big fever, big pulse

90
Q

Sweating: interior deficiency

A

most often due to yin deficiency heat -> night sweats

qi deficiency -> yang deficiency

91
Q

Shaoyang syndrome symptoms

A

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
Q

Sweating during the day

A

yang def

93
Q

Sweating at night

A

yin def

94
Q

Sweating: only on head

A

heat in stomach

damp heat

95
Q

Sweating: oily sweat on forehead

A

yang collapse

96
Q

Sweating: only arms and legs

A

ST and SP deficiency

97
Q

Sweating: only hands

A

Lung Qi def

Heart Qi def

98
Q

Sweating: palms, sole, and chest

A

yin deficiency

5 palms sweat

99
Q

Sweating: whole body

A

Lung Qi def

100
Q

Dizziness: excess

A

phlegm, wind

101
Q

Dizziness: deficiency

A

qi, blood, Jing, LV yang rising

102
Q

Tinnitus or ear ringing: excess

A

Acute, loud, high pitched, worse w/pressing on ears

  • LV Wind
  • LV Yang Rising
  • LV Fire
103
Q

Tinnitus or ear ringing: deficient

A

Chronic, gradual onset, low pitch & low volume, better w/pressing on ears
- KD def (GB def)

104
Q

Eye signs: excess

Itchy red eyes

A

Wind heat invasion

105
Q

Eye signs: deficient

Blurry vision, “floaters”, “flowery” vision

A

LV blood def

LV or KD yin def

106
Q

Eye signs: deficient

photophobia

A

LV blood def

LV yang rising

107
Q

Emotions: excess pathogens

A 
Qi stagnation
Fire
Phlegm
Phlegm-fire
Blood stagnation
Food stagnation
108
Q

Emotion: deficient causes

A 
Spleen
Heart
Lung qi and blood def
GB qi def
Yin def w/empty heat
Yang def
LV yang rising
109
Q

Menstruation: Pain before

A

Stagnation of Qi or blood

110
Q

Menstruation: Pain during

A

Blood heat, blood stasis, cold

111
Q

Menstruation: Pain after

A

Blood deficiency

112
Q

Menstruation: Long periods

7-10 days

A

Qi stagnation
Blood stasis
KD Yin deficiency

113
Q

Menstruation: Painful Periods

A

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
Q

Menstruation: Color

Bright Red

A

Heat in Blood

115
Q

Menstruation: Color

Dark Red

A

Heat in Blood

116
Q

Menstruation: Color

Pale

A

Blood deficiency

117
Q

Menstruation: Color

Purple

A

Blood stasis

Cold

118
Q

Menstruation: Color

Black

A

Blood stasis

Cold

119
Q

Menstruation: Color

Fresh Red Blood

A

Empty Heat from Yin Deficiency

120
Q

Menstruation: Quality

Congealed with clots

A

Blood stasis or cold

121
Q

Menstruation: Quality

Watery blood

A

Blood or yin deficiency

122
Q

Menstruation: Quality

Turbid blood

A

Blood heat

Stagnation of cold

123
Q

Menstruation: Amount

Heavy bleeding

A

Heat in blood or qi deficiency

Blood stasis

124
Q

Menstruation: Amount

Scanty

A 
Blood deficiency
Phlegm obstruction of uterus
Cold
KD yang or Yin deficiency
Blood stasis
125
Q

Menstruation: Timing

Early

A

Blood heat

SP/KD qi deficiency

126
Q

Menstruation: Timing

Coming consistently

A

Full heat from LV qi stag turning into fire from blood heat or LV KD yin deficiency

127
Q

Menstruation: Timing

Always late

A

blood deficiency
stagnation of blood
cold excess or deficiency
KD yang def or qi stag

128
Q

Menstruation: Timing

Irregular

A

LV Qi stagnation
LV blood stagnation
SP deficiency
KD Yin and Yang def

129
Q

Leukorrhea: white

A

excess cold
deficient cold
SP qi def (LV qi stag)

130
Q

Leukorrhea: yellow or red & white

A

damp heat in lower burner

131
Q

Leukorrhea: greenish

A

damp-heat in LV channel

132
Q

Leukorrhea: yellow with pus and blood

A

toxic damp heat

if after menopause, possible cancer sign

133
Q

Leukorrhea: fishy smell

A

damp cold

134
Q

Leukorrhea: leathery smell

A

damp heat

135
Q

Infertility & pregnancy:

Infertility causes

A

blood def
jing def
damp heat in lower burner
blood stag in uterus

136
Q

Infertility & pregnancy:

Morning sickness

A

most common: ST def
Chong def
Dampness

137
Q

Infertility & pregnancy:

Miscarriage

A

before 3 months is usually blood or Jing def

after 3 months is likely LV blood stag or SP qi sinking

138
Q

Infertility & pregnancy:

Postpartum depression

A

often due to blood def

139
Q

Libido & sexual symptoms: libido too low

A

KD yang def (LV qi stag?)

140
Q

Libido & sexual symptoms: libido too high

A

KD yin def w/heat

141
Q

Libido & sexual symptoms: impotence/erectile dysfunction

A 
KD yang def
SP Qi def
HT blood def
LV qi stag
Damp heat
142
Q

Libido & sexual symptoms: premature ejaculation

A

KD qi not firm

143
Q

Libido & sexual symptoms: vaginal dryness

A

KD yin def

144
Q

Libido & sexual symptoms: anorgasmia

A

Trauma
LV/HT qi stag
HT deficiency

145
Q

Libido & sexual symptoms: pain

A

Qi and/or blood stag

Trauma

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