Week 2-3 - Qi, Blood & Fluid Pattern ID

Question 1

Qi, Blood, and Fluid Pattern ID is mostly concerned with what pathologies?

Answer 1

deficiency and stagnation

Question 2

Describe pathologies of Qi

Answer 2

Deficiency
Stagnation
Collapse
Counterflow

Question 3

Describe pathologies of Blood

Answer 3

Deficiency
Stasis
Bleeding

Question 4

Bleeding can be caused by _________. Indicate systemic pathologies and local pathologies

Answer 4

Qi deficiency - systemic
Excess Heat - systemic
Blood stasis - local
Trauma - local

Question 5

Describe pathologies of body fluids

Answer 5

Fluid deficiency
Dampness
Rheum
Phlegm

Question 6

Describe fluid deficiency

Answer 6

internal dryness - constipation

usually in elderly

Question 7

Rheum is often associated w/ what symptom?

Answer 7

ascites

Question 8

Phlegm is categorized as either ______ or ______. Describe each type

Answer 8

visible - expelled/expectorated phlegm, masses, tumors, cysts
invisible - misting HT orifices - psychosis, coma, stroke - phlegm blocking channels in head

Question 9

List causes of Qi deficiency and give examples

Answer 9

dietary impropriety - SP taxed when food is raw

• eating food that has lost qi after harvesting
• SP taxed when meals are irregular
• poor mental state while eating

taxation fatigue - excessive behavior depletes qi

Question 10

How does Qi deficiency present in the pulse and tongue?

Answer 10

weak pulse

pale, swollen tongue, toothmarked, thin white coat

Question 11

How does Qi deficiency present in the upper jiao?

Answer 11

soft, weak voice; spontaneous sweat; aversion to wind; frequent colds/flu/respiratory infections; weak, dry cough; shortness of breath; palpitations

Question 12

How does Qi deficiency present in the middle jiao?

Answer 12

indigestion; bloating, distention after eating; poor appetite; tendency towards loose stool/diarrhea; possibly blood/pus in stool

Question 13

How does Qi deficiency present in the lower jiao?

Answer 13

weak, sore low back/knees; frequent urination; urinary dribbling; incontinence; urinary blockage; premature ejaculation; spontaneous emissions; spontaneous/threatened miscarriage; excessive vaginal discharge

Question 14

How does Qi deficiency affect menses?

Answer 14

shorter cycle - qi fails to hold blood in Chong Mai

longer menstrual bleeding > 7 days

Question 15

Qi stagnation can be sub-divided into ______

Answer 15

systemic Qi stagnation - LV Qi stagnation

local Qi stagnation - pain mainly caused by trauma

Question 16

List external and internal causes of systemic Qi stagnation

Answer 16

external - alcohol abuse, narcotics, statin drugs, excessive caffeine, greasy foods

internal - anger, stress, emotional upset

Question 17

How does Qi stagnation present in the pulse and tongue?

Answer 17

wiry pulse

red tongue, peeled along the sides

Question 18

How does Qi stagnation present?

Answer 18

headaches (temporal, crown @ Du 20); tension headache; tension/stiffness in neck, shoulders; distention/discomfort in ribside; tight chest; breast distention; plum pit qi; digestive issues triggered by stress - ST pain, nausea, acid reflux; SP - diarrhea, alternating constipation/diarrhea;
urinary hesitancy; PMS; insomnia; depression/anxiety

Question 19

Qi collapse is caused by _______

Answer 19

longstanding severe Qi deficiency

Question 20

How does Qi collapse present in the pulse and tongue?

Answer 20

very weak pulse

very pale, very swollen tongue, toothmarked

Question 21

How does Qi collapse present?

Answer 21

fatigue, exhaustion; digestive issues - severe indigestion, bloating, distention; long-term chronic loose stool/diarrhea; other qi deficiency signs; one or more organs prolapsing (HT, ST, UB, uterus, hernia, vagina, anus)

Question 22

List causes of blood deficiency

Answer 22

poor diet
taxation fatigue
chronic bleeding condition
history of febrile illness

Question 23

Give examples of anemia that cause blood deficiency

Answer 23

excessive menstrual flow

peptic duodenal ulcers

Question 24

Describe general blood deficiency signs/symptoms

Answer 24

dry, thin hair, loss of hair due to illness; dry skin; pale complexion; dry eyes; blurry vision; floaters; decline in visual acuity; impaired night vision; tight muscles; dry lips; dry mouth; thirst but no desire for cold

Question 25

Describe the tongue and pulse in blood deficiency

Answer 25

thin pulse

pale, dry tongue

Question 26

Describe signs/symptoms of HT blood deficiency

Answer 26

anxiety, panic attacks, phobias, insomnia - diffculty falling asleep, restless sleep, profuse, vivid dreaming

Question 27

Describe menstruation in case of blood deficiency

Answer 27

long cycle > 33 days
short, scanty menstrual flow
headache, anxiety, eye twitch after period

Question 28

Describe signs/symptoms of blood stasis

Answer 28

throbbing, boring severe pain, fixed location

varicose veins, spider angioma, fibroids

Question 29

Describe pulse and tongue in blood stasis

Answer 29

choppy, rough pulse

purple tongue, dark distended SLV

Question 30

Compare and contrast local and systemic bleeding

Answer 30

local - bleeding ulcer, gums; blood in stool

systemic - bruise easily, varied bleeding throughout body

Question 31

Describe bleeding due to Qi deficiency

Answer 31

frequent bleeding, worse w/ fatigue, pale red blood

Question 32

Describe bleeding due to heat

Answer 32

bright red bleeding, worse w/ heat, purple blood in severe heat

Question 33

Describe bleeding due to stasis

Answer 33

ST ulcer - black, tarry stool