wk10 - hot & cold

Question 1

What are the different types of Cold?

Answer 1

· Aversion to Wind
· Fear of Cold
· Aversion to Cold

Question 2

What is Aversion to Wind? What is the underlying pattern?

Answer 2

· pt. wears jacket even in summer bc dislike AC and fans

· possibly a Wei Qi deficiency

Question 3

What is Fear of Cold? What is the underlying pattern?

Answer 3

· pt. is cold & feels cold; responds well to heat or to covering
· due to Vacuity Cold (aka Yang Vacuity)

Question 4

What is Aversion to Cold? What is the underlying pattern?

Answer 4

· pt. is cold & feels cold; but heat & covering does not help
· due to Excess Cold

Question 5

What are the different types of Heat Effusion or Fever?

Answer 5

·  Mild Heat
·  Aversion to Heat
·  Heat Vexation
·  Steaming Bone
·  Tidal Fevers
·  Unsurfaced Heat
·  Yin Vacuity Heat

Question 6

What is Mild Heat?

Answer 6

· subjective phenomena: pt. complains of heat, but it’s mild

Question 7

What is Aversion to Heat?

Answer 7

· pt. feels hot & they are also warm to the touch

· this is when pt. actually begins to exhibit heat symptoms

Question 8

What is Heat Vexation?

Answer 8

· pt. has fever

· visceral agitation due to fever

Question 9

What is Steaming Bone?

Answer 9

· pt. complains of deep heat (similar to bone pain)
· heat is deep-seated; cannot be felt at surface
· possibly rheumatoid arthritis

Question 10

What are Tidal Fevers? What channel syndrome is this often associated with?

Answer 10

· recurring fevers at the same time every day (like the tide)
· frequently late afternoon
· often assoc. with Yang Ming / LI heat

Question 11

What is Unsurfaced Heat?

Answer 11

· 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

Question 12

What is Yin Vacuity Heat? What is the underlying cause?

Answer 12

· presents mostly in evening & at night

· due to Yin Vacuity

Question 13

What are the 2 types of Interior Heat?

Answer 13

1) Interior Excess Heat

2) Interior Vacuity Heat

Question 14

What is Interior Excess Heat? What are the underlying causes?

Answer 14

· described as fulminant heat (intense, severe heat)

· caused by: 4 bigs, bowel heat, or heat toxin

Question 15

What are the 4 types of Interior Vacuity Heat?

Answer 15

· Blood Vacuity
· Yin Vacuity
· Qi Vacuity
· Yang Vacuity

Question 16

What is Interior Heat due to Blood Vacuity?

Answer 16

· mild fever

· blood loss patients whose internal thermostat is hot (e.g. postpartum women)

Question 17

What is Interior Heat due toYin Vacuity?

Answer 17

· classic nighttime fever

Question 18

What is Interior Heat due to Qi Vacuity?

Answer 18

· 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

Question 19

What is interior Heat due to Yang Vacuity?

Answer 19

· classic “true cold / false heat” (serious vacuity)

· patient feels cold on interior, but presents with heat at surface & feels hot to touch

Question 20

Why would a patient with Yang Vacuity present with “true cold / false heat”?

Answer 20

· 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

Question 21

A patient presents with the complaint of feeling cold and being unable to get relief. What is the nature of the patient’s condition?

Answer 21

Excess Cold – bc if it were Vacuity Cold they would get relief from warmth & covering

Question 22

If a patient presents with night time sweating, what is the most likely diagnosis?

Answer 22

Yin Vacuity