wk10 - hot & cold Flashcards
What are the different types of Cold?
· Aversion to Wind
· Fear of Cold
· Aversion to Cold
What is Aversion to Wind? What is the underlying pattern?
· pt. wears jacket even in summer bc dislike AC and fans
· possibly a Wei Qi deficiency
What is Fear of Cold? What is the underlying pattern?
· pt. is cold & feels cold; responds well to heat or to covering
· due to Vacuity Cold (aka Yang Vacuity)
What is Aversion to Cold? What is the underlying pattern?
· pt. is cold & feels cold; but heat & covering does not help
· due to Excess Cold
What are the different types of Heat Effusion or Fever?
· Mild Heat · Aversion to Heat · Heat Vexation · Steaming Bone · Tidal Fevers · Unsurfaced Heat · Yin Vacuity Heat
What is Mild Heat?
· subjective phenomena: pt. complains of heat, but it’s mild
What is Aversion to Heat?
· pt. feels hot & they are also warm to the touch
· this is when pt. actually begins to exhibit heat symptoms
What is Heat Vexation?
· pt. has fever
· visceral agitation due to fever
What is Steaming Bone?
· pt. complains of deep heat (similar to bone pain)
· heat is deep-seated; cannot be felt at surface
· possibly rheumatoid arthritis
What are Tidal Fevers? What channel syndrome is this often associated with?
· recurring fevers at the same time every day (like the tide)
· frequently late afternoon
· often assoc. with Yang Ming / LI heat
What is Unsurfaced Heat?
· often assoc. with damp
· subjective presentation: pt. feels warm but to practitioner it feels like mild heat
· to practitioner: heat is more than in Mild Heat (may need to wait a moment before feeling heat)
· heat may not be as deep as steaming bone, but it’s unsurfaced bc damp mutes
What is Yin Vacuity Heat? What is the underlying cause?
· presents mostly in evening & at night
· due to Yin Vacuity
What are the 2 types of Interior Heat?
1) Interior Excess Heat
2) Interior Vacuity Heat
What is Interior Excess Heat? What are the underlying causes?
· described as fulminant heat (intense, severe heat)
· caused by: 4 bigs, bowel heat, or heat toxin
What are the 4 types of Interior Vacuity Heat?
· Blood Vacuity
· Yin Vacuity
· Qi Vacuity
· Yang Vacuity
What is Interior Heat due to Blood Vacuity?
· mild fever
· blood loss patients whose internal thermostat is hot (e.g. postpartum women)
What is Interior Heat due toYin Vacuity?
· classic nighttime fever
What is Interior Heat due to Qi Vacuity?
· mild fever
· biomedically may be referred to as “fevers of unknown origin” – low grade fevers with no infectious agent, general malaise
· in TCM, malaise is due to Qi Vacuity
What is interior Heat due to Yang Vacuity?
· classic “true cold / false heat” (serious vacuity)
· patient feels cold on interior, but presents with heat at surface & feels hot to touch
Why would a patient with Yang Vacuity present with “true cold / false heat”?
· yang vacuity is such that the only yang they have left presents at surface
· if their yang is vacuous, their yin is probably vacuous, so whatever yang remaining is unanchored & comes to surface
· thus there is seemlngly all this heat at the surface, but they are severely yang deficient
· treatment involves warming the patient (removing heat will not help) & banking up yin
A patient presents with the complaint of feeling cold and being unable to get relief. What is the nature of the patient’s condition?
Excess Cold – bc if it were Vacuity Cold they would get relief from warmth & covering
If a patient presents with night time sweating, what is the most likely diagnosis?
Yin Vacuity
