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Practical Diagnosis in Chinese Medicine - T Deng > Spirit-Mind Abnormalities > Flashcards

Spirit-Mind Abnormalities Flashcards

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Chinese (Mandarin) flashcards
1
Q

four primary categories of spirit-mind abnormalities:

A

vexation & agitation
depression
delirious raving
clouding stupor

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2
Q

images of depressed heat within the heart or confinement of the emotional state of the heart

A

vexation

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3
Q

image of disquietude and harassed movement of the hands and feet

A

agitation

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4
Q

you ‘feel’ vexation

I ‘see’ agitation

A
  • vexation is subjective

- agitation may be perceived by others

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5
Q

vexation and agitation
vexation&raquo_space;> agitation
vigorous fever
thirst with desire for colds fluids etc.

A

Heat entering the qi level (4 levels) excess pattern

vexation & agitation with signs of heat exuberance

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6
Q

vexation and agitation
vexation is primary, sometimes agitation
w/ heat signs worse at night
sometimes delirium

A

Heat entering ying level
signs of ying level heat harassing spirit mind
vexation and agitation

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7
Q 
vexation and agitation
agitation >>> vexation
may seem like mania in severe cases
body heat
macules and papules
spitting of blood or bloody stool
A

Heat entering blood/xue level
heat exuberance stirring blood
vexation and agitation

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8
Q 
vexation and agitation
heart vexation is primary
sever cases manic agitation and delirium
red face, red tip of tongue, mouth sores
insomnia
A

Heart Fire flaming upward
(excess pttn)
vexation and agitation

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9
Q

vexation and agitation
heart vexation
rashness and tendency to be easily angered
maybe vertex headache, red eyes etc.

A

Liver fire flaming upward
(excess pttn)
vexation and agitation

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10
Q

note on Heart Vexation:

any pattern that is ascribed to internal heat excess may manifest as heart vexation

A

However, the most common excess patterns are

  • Heat in qi, ying xue
  • HT or LR fire flaming upward
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11
Q 
vexation and agitation
heart vexation
white face without luster,
pale lips nails
dizziness, heart palps, insomnia etc
A

Blood deficiency
deficiency pattern
vexation and agitation

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12
Q 
vexation and agitation
vexing heat in the heart
rashness, impatience, irascibility
dry mouth and throat
tidal heat
night sweats etc
A

yin deficiency

vexation and agitation

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13
Q 
vexation and agitation
inability to control movement as primary
fear of cold
reverting cold of the four limbs
withered essence spirit
vomiting and diarrhea
red cheekbones as if they have been made up
spontaneous sweating
pulse: large empty
A

Shaoyin (HT-KD) with imminent desertion of yang

vexation and agitation

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14
Q

deepness and heaviness of the spirit/mind/shen/heart affect, uncommunicativeness and low spirits

A

Depression

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15
Q

cause of depression

A

damage to the seven affects, binding depression of liver qi and qi failing to course and discharge; Qi dynamic not flowing smoothly

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16
Q

emotional depression
chest and rib side pain
in women distention and pain of lower abdomen and breasts, menstrual pain or irregular menstruation
pulse: string like

A

Binding depression of LR qi

aka Liver qi stagnation and PMS

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17
Q

emotional depression
dizziness
heart palpitations
glomus oppression of chest and stomach duct
sensation of obstruction in the throat (with nothing present) aka plumb pit qi
tongue: slimy fur
pulse: string like and slippery

A

phlegm depression and qi stagnation

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18
Q 
emotional depression
grief and sadness with a desire to cry
flustered heart spirit
fidgetiness
delusions such as seeing ghosts or spirits or the future
spirit fatigue
constant yawning
tongue: pale
pulse: string like and thin
A

visceral agitation
aka restless organs

this is caused by unresolved worry which damages the qi and blood and causes the heart spirit to lack nourishment.

heaviness of shen with sticky unresolved emotions
more commonly seen in women

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19
Q 
emotional depression
suspicion and worry
heart palpitations
lack of courage and tendency to be easily frightened
frequent dreaming and easy waking
little thought of food or drink
tongue: pale
more commonly seen in women and children
A

depression
Heart and Gallbladder deficiency timidity pattern

note: gall bladder not making decisions and hyperawareness

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20
Q

lack of clarity of the spirit-mind

with clouded reflection and nonsensical speech

A

Delirium

excess patterns

21
Q

repetition of speech, low and timid voice, discontinuous speech, broken sentences etc.

A

Mussitation

deficiency patterns

22
Q

Delirium is due to excess
Mussitation is due to deficiency.
Mussitation is more serious

A

–

23
Q

delirium
abdominal distention
fullness and pain that refuses pressure
fever etc

A

Delirium

Yang Ming bowel pattern

24
Q

delirium
body heat worse at night
heart vexation
insomnia etc.

A

Delirium

Heat in the ying level

25
Q

delirium
body heat
macules
spitting blood etc

A

Delirium

Heat in Blood level

26
Q

delirium at night
history of contraction of wind cold during menses
fever
alternating heat and cold or cool body after heat recedes
fullness of chest and lower ribs

A

Delirium
Heat in the PC
heat entering the “blood chamber”

27
Q

lack of clarity of the spirit mind

A 
Clouding Stupor
aka
loss of consciousness
clouding
veiling
clouded veiling
clouded spirit
28
Q

“veiling is clouded veiling and the spirit is not clear”

A

clouding stupor

29
Q

clouded stupor has a relationship to the heart and brain and is generally due to the clear orifices (sense organs) lacking spirit or lack of use of the spirit brightness

A

–

30
Q 
clouding stupor
manifest as clouding stupor with tightly closed jaws
both hands made into fists
red face
hasty breathing
A

cause of clouding stupor- block pattern

31
Q 
clouding stupor
sweating
cold limbs
open eyes
open mouth
relaxed hands
urinary emission
A

clouding stupor- desertion pattern

32
Q

cause of clouding stupor- desertion pattern

A

spirit lacking a place to reside

33
Q

cause of clouding stupor- block pattern

A

pathogens blocking the clear orifices (sense organs) and are ascribed to excess patterns

34
Q 
sudden clouding stupor
vigorous fever
reverting limbs
body heat worse at night
agitated movement
delirium
sluggish tongue
red face
hasty breathing
reddish urine
tongue: crimson with yellow coat
pulse: fine rapid
A

Heat in the PC

Clouding stupor- block pattern

35
Q 
clouding stupor
fever at night
vexation and sleeplessness
delirious speech
maculopapular eruptions
no thirst
tongue: crimson and dry
pulse: fine and rapid
A

Heat in the Ying

Clouding stupor- block pattern

36
Q

clouding stupor
body heat
macules
spitting blood etc.

A

Heat in the xue

Clouding stupor- block pattern

37
Q

clouding stupor
abdominal distention
fullness and pain that refuses pressure
fever etc

A

Yang Ming Bowel pattern

Clouding stupor- block pattern

38
Q 
sudden clouding stupor
vigorous fever
dizziness
distention and pain of the head
agitation of the hands and feet
tongue: crimson and dry
pulse: string like, fine, rapid
A

heat exuberance stirring wind

Clouding stupor- block pattern

39
Q 
gradual clouding stupor
yellowing of the eyes and body
heavy encumbering of the body and limbs
distention and pain of rib side
short yellow urination
tongue: red with slimy yellow fur
A

Damp heat brewing internally
(long term)
Clouding stupor- block pattern

40
Q 
gradual clouding stupor
onset: sleepiness and laziness to talk
gradually unclear speech eventually clouding stupor and unconsciousness
no fever, no vexation
phlegm rales in the throat or pitting of frothy rheum
complexion dusky
chest oppression and abdominal fullness
torpid intake
spirit fatigue
tongue: slimy, white or greasy
A

phlegm damp obstructing
Clouding stupor- block pattern

note signs of Spleen lacking fortification and transportation

41
Q 
gradual clouding stupor
vexation and agitation and insomnia
agitation becomes frenetic and manic then there is 'clouding from which one does not awake'
body and legs are agitated
fever
hasty breathing
phlegm rales in the throat
yellow, sticky and thick phlegm
constipation
reddish urine
tongue: red with yellow slimy fur 
pulse: slippery rapid forceful
A

phlegm fire clouding
Clouding stupor- block pattern

commonly seen in the elderly

42
Q 
sudden clouding stupor
falling to the ground
deviation of mouth and eyes
hemiplegia
stiff tongue and sluggish speech

history of : dizziness, ringing in the ears, distention and pain of the head, rashness, impatience and irascibility
insomnia with profuse dreaming

& yin def signs

in some cases prior to the clouding the patient may experience ominous signs such as dizziness and vertigo, grasping pain of the head, numbness and trembling limbs, unstable walking

A

yin deficiency with yang wind rising and harassing
stroke
Clouding stupor- block pattern

commonly occurs in elderly and middle aged especially those who work too much or whose work makes them very nervous

43
Q 
gradual clouding stupor
foul odor of breath
agitation of the limbs and body
picking at the clothes
taking off bedcovers
hard  full enlarges abdomen with green blue veins protruding
dark complexion
red threads on neck, head, chest, arms (spider veins)
tongue: dark purple with stasis macules
A

stasis heat obstruction block
Clouding stupor- block pattern

note: blood stasis signs accumulating and stagnating
often manifests when there is fever or loss of blood

44
Q

gradual clouding stupor
scanty urination or urinary block for a relatively long time
swelling of body
bright white or dark complexion
fear of cold
cold limbs etc
dizziness nausea rough panting hart vexation agitation nonsensical speech

A

water damp rising counterflow
(urinary toxins invading the heart)
Clouding stupor- block pattern

water damp rising and intimidating heart and lungs: dizziness nausea rough panting hart vexation agitation nonsensical speech

45
Q 
sudden clouding
loss of consciousness
lockjaw or delirium
abdominal distention and oppression
green blue face
cold limbs
pulse: fine or faint
A

sudden veiling due to foul turbidity
Clouding stupor- block pattern

poisoning or pollutants!!!
seen with sudden foul turbidity of the air
infectious

blockage of clear yang: abdominal distention and oppression, green blue face, cold limbs

46
Q 
gradual clouding occurring after a great loss of blood
green blue white facial complexion
reverting cold of the four limbs
profuse dripping of sweat
faint and weak breathing
spirit vexation and agitation
pulse: fain on verge of expiry
A

qi deserting with blood

clouding stupor - desertion pattern

47
Q 
gradual clouding
profuse dripping of sweat that is hot and sticky
hand and feet are warm
white complexion with red cheeks
shortness of breath and panting
agitation
dry and red lips
tongue: red and dry
pulse: fine and rapid or racing and forceless
A

yin collapse

clouding stupor - desertion pattern

48
Q 
gradual clouding stupor
profuse dripping sweat that is clear thin and cool
reverting cold of the hands and feet
clear gray or dusky complexion
lying down and curling up
faint breathing
pale and moist green blue purple lips
tongue: pale moist purple
pulse: faint
A

yang collapse

clouding stupor - desertion pattern

49
Q

other patterns with loss of consciousness or clouding stupor

A 
epilepsy
wind stoke
wasting and thirsting
malaria
epidemic scourge
animal bites
etc.

Practical Diagnosis in Chinese Medicine - T Deng (20 decks)

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