Week 9 - HT Diagnoses

Question 1

In the TCM the functions of the HT are _______

Answer 1

moves blood to extremities (HT yang)
regulate pulse (HT qi)
nourish and house shen at night (HT yin, blood)

Question 2

In the waking state, the Shen is located _______

Answer 2

in the sense organs

Question 3

HT blood is related to what aspects of mental acuity?

Answer 3

short-term memory

ability to focus

Question 4

Any HT deficiency can exhibit the symptom of ______, which can be categorized as ______ or ________

Answer 4

palpitations
subjective
objective

Question 5

What are the HT deficiency patterns?

Answer 5

HT yin deficiency
HT blood deficiency
HT yang deficiency
HT qi deficiency

Question 6

What are the HT excess patterns?

Answer 6

HT fire
HT blood stasis
Phlegm heat misting orifices
Phlegm cold misting orifices

Question 7

List signs and symptoms of HT yin deficiency pattern

Answer 7

subjective palpitations, anxiety fairly pronounced - panic attacks, phobias, sleep walking, sleep talking, nightmares, insomnia - trouble falling asleep, restless sleep, vivid dreams, night sweats, sweat from chest/palms, thirst w/ desire for cold fluids,
pulse - thin, rapid
tongue - red w/ bright red tip, thin dry yellow fur/patchy or no fur

Question 8

What is the treatment principle for HT yin deficiency?

Answer 8

Nourish HT yin, calm shen

Question 9

List signs and symptoms of HT blood deficiency pattern

Answer 9

subjective palpitations, anxiety, poor short term memory, touble focusing, insomnia - trouble falling asleep, restless sleep, vivid dreams, dry skin, dry hair, blurry vision, floaters, tight muscles, long menstrual cycle, short scanty menses, pale complexion
pulse - thin
tongue - pale dry tongue, thin dry white fur

Question 10

How do HT blood deficiency and HT yin deficiency differ

Answer 10

signs and symptoms are similar but HT yin deficiency will exhibit heat signs - night sweats, thin/rapid pulse, red tongue tip, yellow tongue fur

Question 11

What is the treatment principle for HT blood deficiency?

Answer 11

nourish blood, calm shen

Question 12

List signs and symptoms of HT yang deficiency?

Answer 12

objective palpitations, cold in upper body - edema in face, fingers, chest pain - angina w/ dull non-fixed pain worse w/ exertion or exposure to cold, cold sweat from upper body
pulse - weak, deep slow or irregular
tongue - pale, swollen, wet, thin white coat

Question 13

HT yang deficiency can present w/:

• chest pain because _______
• cold sweat from upper body because ________

Answer 13

insufficient yang to move blood & fluids

yang fails to close the pores

Question 14

What is the treatment principle for HT yang deficiency?

Answer 14

warm and tonify HT yang

Question 15

List signs and symptoms of HT qi deficiency

Answer 15

palpitations, fatigue, shortness of breath, spontaneous sweat, anxiety, tendency to be easily startled or frightened, some trouble falling asleep, withdrawn personality, lack of physical strength
pulse - weak, regularly intermittent
tongue - pale, swollen, thin white fur

Question 16

What is the treatment principle for HT qi deficiency?

Answer 16

strengthen HT, tonify qi

Question 17

List signs and symptoms of HT fire pattern

Answer 17

overexcited/hypomanic/manic state, bright red face, upper body sweat - axillary, palms, extreme thirst w/ desire for cold fluids, canker sores on the tongue, burning sensation on tip of the tongue, racing thoughts, rapid/pressured speech, severe insomnia
pulse - rapid, excess
tongue - bright red, bright red tip, thin dry yellow fur, possible sores

Question 18

What is the treatment principle for HT fire?

Answer 18

clear heat, drain fire from HT, calm shen

Question 19

HT fire can manifest w/:
racing thoughts because ________
rapid/pressured speech because _______

Answer 19

heat overstimulates shen

heat agitating the tongue

Question 20

HT blood stasis is typically an exacerbation of ______ List signs and symptoms for HT blood stasis

Answer 20

HT yang deficiency

severe throbbing chest pain, fixed in location, can be worse at any time, spider angiomas, purple lips, purple spots on tongue, dark distended SLV
pulse - choppy/rough

Question 21

What is the treatment principle for HT blood stasis

Answer 21

invigorate HT blood, dispel stasis

Question 22

Phlegm blocking the HT orifices typically manifests as _______

Answer 22

delusions, hallucinations, psychosis

Question 23

List signs and symptoms of phlegm heat misting orifices

Answer 23

delusions, hallucinations, hyperintense ranting & raving, extreme emotional agitation, angry outbursts for no apparent reason, confused incoherent thought/speech, irritability, illogical emotional swings, nasal congestion, phlegm in chest, plum pit qi, red face, excessive sweat, dark scanty urine, tendency towards constipation
tongue - bright red, thicky greasy yellow coat
pulse - slippery, rapid

Question 24

What is the treatment principle for phlegm heat misting orifices?

Answer 24

clear heat, drain fire, transform phlegm, open orifices, calm shen

Question 25

List signs and symptoms of phlegm cold misting orifices

Answer 25

chaotic, incoherent speech, delusions, hallucinations, withdrawn presentation, no emotional response, flat affect, extreme fatigue, very little talking, chronic congestion, plum pit qi, coughing up clear white phlegm, catatonia, posturing, slow response time, sensation of heaviness distending heavy headaches
tongue - pale, swollen, thick greasy white fur
pulse - slippery

Question 26

What is the treatment principle for phlegm cold misting orifices?

Answer 26

transform phlegm, open orifices, calm shen