Zang Fu Diagnosis Flashcards
Bing Ji
It is the pathogenesis:
3 parts:
- Bing yin
- Bing Wei
- Bing Xing
Bing Yin
Causitive Factor:
-exogenous or endogenous pathogen
Bing Wei
Location of disease
Bing Xing
Nature of disease
Normal Function of the lung
Dominates qi, descends and disperses qi, upper source of water, manifests at the skin, opens in the nose
Averse cold , fever, no sweat, headache and body discomfort, stuffy nose, watery nasal discharge, cough with sputum
T: thin white coat
P: slippery floating
Lung wind cold invasion
Tx: Li4 Lu7 Ub12 Ub13 Gb20
Cough with yellow sputum, thick nasal d/c, averse wind and heat, fever, sore throat
P: Floating and rapid
T: thin yellow coat
Lung Wind Heat
Li4 Li11 Sj5 Du 14 Gb20
Cough with large quantity of thick and yellow sputum, difficult breathing with wheezing, cough with pain in the chest, extreme thirst and desire for cold drinks, dark urine and constipation
T: red tongue dry and yellowish coat
P: Slippery and rapid
lung phlegm heat
Cough with thick sticky sputum, shortness of breast
T: tongue with thick and whitish greasy coat
P: floating and slippery
Lu-1
UB-13
St-40
difficulty breathing with wheezing, pain and fullness sensation in the chest and hypochondriac
T: thick white-yellow greasy coat
P: slippery rapi
Stagnation of excessive fluids in the lung
Cough with dyspnea, little but sticky phlegm, sometimes with blood streak, dry mouth and sore throat, sensation of cold and fever
T: thin and dry coat, red tip
P: Thready and rapid
Lung dryness due to yin deficiency
Lu7
Kd6
Li4
Cough with shortness of breath, fatigue, dislike speaking, weak and low voice, intolerance of wind, spontaneous perspiration
T: pale and thin white coat
P: weak
Lung qi Xu
Lu9
St 36
Ub-13
Ren-17
Palpitations, shortness of breath, oppressed feeling in the chest, chest pain, pale complexion, dullness in the body, spontaneous perspiration. cold signs, severe anxiety/panic, exhaustion
P: weak, knotted, intermittent
T: Pale, flabby, dusky, wet, swollen
Heart Yang Qi XU
Ht7
Ub15
Ren 14
PC6
Palpitations, vexation, fear, restlessness, dreamy sleep, 5 center heat, heat sx at night, insomnia low grade fever, uneasy, dry motuh throat and lips
T: red tongue with cracks
P: thready and rapid
Heart Yin Xu
Ht7
Ht9
Ub15
Kd6
Palpitations, vexation, fear, restlessness, dreamy sleep, pale complexion, insomnia, poor memory, dizziness, anxious, easily startled,
T: pale tongue with little coat
P: thready, rough
Heart Blood Xu
Ht7 UB15 Kd6 Sp6 Ub17
Palpitations, manic-depression, insomnia, anxiety
T: red with thick yellow coat
P: Slippery and rapid
Heart Phlegm Fire
Bleed Jing Wells Ht 3 Li4 PC8 St 40
Severe Palpitations, oppressed feeling in the chest with stabbing pain, sharp pain in the chest, bluish purple lips
coma and coldness of limbs
T: dark tongue with purple dots
P: thready, uneven, knotted, intermittent
Heart blood stagnation
Ub 17
Sp10
Ht6
Sallow Complexion, dislikes cold vomitting with watery fluid, anorexia, loose stool with undigested food not foul smelling, coldness of the limbs, more edema
T: pale, swollen, wet tongue
P: deep and slow
Spleen yang xu
Ub20 Lv13 Sp4 ST36 Ren 8
Poor Appetite, abdominal distention, fatigue and dislike of speaking, diarrhea, prolapse, bloating and distension in the abdomen, tired after eating, belching or flatulence, gravitate to sweets, excess salivaion
T: pale with thin white coat
P: weak andempty
Spleen qi xu
Ub20
Sp3
St 36
Ren 6
, lethargy, heavy head, dizziness, nausea, loss of appetite, no thirst, pale urine, vaginal discharge, foggy unclear thinking anorexia, fatigue, heaviness sensation of head and body. Stickiness of the mouth, loose stool or diarrhea (stricky) , nausea
T: greasy adn white coat
P: soft, floating, slippery
Spleen Cold Damp
Ren 12
Sp5
Lv13
Sp 9
stuffiness in the chest/Distention of the hypochondriac and abdomen, poor appetite and bitter taste, patient feels hot and heaviness sensation in the body, dark urine and loose stool with a sticky strong smell, may have burning , leatharggy, maybe vomitting, not thirsty, scant dark urine, yellow vaginal discharge,sensation, sallow complexion
T: greasy with yellow coat
P: soft, floating, rapid, slippery
Spleen Damp heat sp2 Lv13 sp9 li11
Main function of the liver
controls emotions, stores blood, smooth flow of qi
Fullness and distending pain in the hypochondriac region, restricted breathing, frequent sighing or clearing of throat, indigestion, , tendency toward headaches, irregular menses, cramping before periods, irregular bowelsnausea, regurgitation, abdominal pain that moves around and is relieved by bowel movement, diarrhea worse emotions, abdominal mass, menstrual irregularities
T: thin coat
P: wiry
Liver qi stagnation
Lv3
LV14
Li4: moves qi
Burning pain in the hypochondriac, vomitting of bitter saliva, intensedistending pain in the head, dizziness, vertigo,tinnitus, red eyes, irritability, hematemesis, dark urine, insomnia constipation, chest pain,
T: Red yellow coat
P: Wiry and rapid full
flamming of liver fire
Lv2
Gb 34
SJ5
Li11
Coma, Convulsions, vertigo, numbness, headache, deviated mouth and eyes (stroke), tongue rigidity, hemiplegia, restless legs, tics, tremors shaking, stroke paralysis, numbness and tingling, hypertension, stroke sequela,
Internal Liver wind Lv3 Lr8 Gb20 Du 20 NOT UB 12 since its internal wind
Lower abdominal distention, aches and strange sensation in teh abdomen, long clear urination dragging sensation and pain in the testes, contracture of the scrotum, hernias, emaciation, pt aggravated by cold and alleviated by warmth
T: Moist, white coat
P: deep and wiry slow
Liver Cold Accumulation
Ren 4 (warm lower jail) Lv 1 Sp 6 (create movement in the yin)
Dizziness, headache, tinnitus, deafness, numbness of the limbs mild trembling of muscles, dryness and uneasy feeling of the eyes, less seep, dry throat
T: reddened with scanty saliva
P: thready and rapid
Liver yin Xu
Lv 8
Sp6
Ub18
Lv 14
pallor, Dizziness, vertex headache, mild trembling of muscles, blurred vision, fatigue, scanty menses, fainting, elongated cycles with decreased menstural flow or amenorrhea, numbness and tingling of the extremities, limbs easily fall asleep
T: pale tongue, thin pulse, can be wiry, fine, rough, choppy
Liver blood xu Lv 8 Sp6 Ub18 Lv 14
weakness and soreness of the loins and back, nocturnal emission, premature ejaculation, nocturne, frequent clear and dribbling urination, even incontinence of urine
T: pale with thin white coat
P: weak, deep
Kd qi not consolidated
Kd3
Ren4
Ub23
Ub52
Blurred vision, deafness, fullness in the chest and hypochondriac pain, irritability, insomnia, vomitting of bitter saliva, palpitation and restlessness
T: yellow greasy coat
P: wiry, slippery
Excess of the gallbladder
GB41 SJ5 Gv20 Lv14 Lv3 St40
SOB, Severe panting, aggravated on slight exertion, cough with sweating, incontinence of urine with cough, pale complexion
T: pale tongue with thin coat weak chi pulse
Kd qi fails to receive inspiration
Ren 17
UB23
Kd3
can add lung points
pitting edema due to overflow of fluid in the skin, especially over the lower libs, scanty urination
T: pale and whitish
P: deep and slippery
Edema due to kidney insufficiency\
Kd7
Ub23
Ren 4
Ren 3
Lassitude in the loins and knees, dizziness, tinnitus, insomnia, seminal emission, premature ejaculation, emaciation, reddened, dry stools, poor memory, afternoon overeating, night sweats
tongue with little coat
P: Thready
Kd Yin Xu
Kd 6
Sp6
Ub23
stuffiness in the chest, dull heavy pain, SOB, tongue has white greasy tongue
coating, slippery pulse. Patient may also have some nausea, phlegm in throat,
vertigo. May be an overweight patient. Patient may have overall feeling of body
heaviness.
Hyperactivity of fire due to kidney yin xu
Kd 3
Lv3
Sp6
Ub23
Edema of the face, heaviness sensation of the limbs, fullness in the epigastrum and abdomen, reverse flow of qi and cold abdomen, urinary incontinence, swelling of muscle and skin (all over body), pale tongue with whitish and moist coating. Pulse deep and thready (yuan qi not support TB).
Deficiency syndrome of SJ
St 28(water passage) Sj3 Ub22 Sp9 Ub39(lower he sea of sj) Ren 4
fever, fullness in the epigastrum and abdomen, enuresis or dribbling urine,
swelling of muscle and skin, red tongue with yellow greasy coat. Pulse slippery and rapid
Excess of sj
Sj3
Sj10
Ub39
Ren 5
Coma and depressive psychosis, choking sensation in the chest and precordial pain, fainting and unconsciousness; Tongue: whitish and greasy fur, Pulse: slippery pulse.
-Tx: Eliminating phlegm for resuscitation. (open heart orifice)
Mental confusion due to phlegm
gv 20
st 40
cv17
pc6
Cough and dyspnea, whitish abundant expectoration which is easily coughed up, or other cold and heat exterior syndromes seen at the same time. Tongue: thin, whitish and greasy fur ,
Pulse: floating or slippery pulse.
Phlegm in the lung
Lu 7
Li 4
St 40
Sensation of something stuck in the throat when swallowing, dull in in the chest and
hypochondrium, eructation, susceptibility to anger and depression; Tongue: thin, whitish and
greasy fur, Pulse: wiry and slippery pulse.
Stagnancy of phlegm in the liver
Cv 17
St 40
Lv 14
Cv 22
Dyspnea and shortness of breath, Tongue: pale tongue, Pulse: deep and thready
pulse; or dizziness and tinnitus, lassitude in the loins and knees, Tongue: red tongue with little fur, Pulse: thready and rapid pulse.
Phlegm in the kidney Kd 7 Ki 27 Bl23 Cv 17 St 40
palpitations, SOB, easily frightened, restlessness, sweating of the palms. Pale
tongue with thin white coat. Weak or intermittent pulse.
Qi Deficiency
PC 5
Ht7
Ub 15
Ren 14
palpitations, vertigo, dizziness, lustreless complexion, restlessness, and heat in
the heart, insomnia, and excessive dreams. Pale or red tip of the tongue. Pulse thready and rapid.
Blood deficiency Ub 17 Ht 5 Ub 20 St 36
Alternate palpitations, fullness in the chest, bitter taste in the mouth, yellowish profuse sputum with cough, darkish urine, difficulty defecating. A yellow, greasy tongue coating. Slippery & rapid pulse.
Phlegm Fire
Lu 5 Lu10 St 40 Ht4 Pc4
palpitations and restlessness, alternate heart pain in some severe cases, fullness
and uneasy sensation in the chest, purple lips and nails. A dark and purple tongue, with petechiae. Choppy or intermittent pulse
Pc 3
Ht 3
Ren 6
Sp 10
difficulty in going to sleep, wake up easily, palpitation, shortness of breath, tired, sallow or pale complexion, loose stool, poor appetite
Heart and spleen xu
Ub 20
Ub15
Ht 7
Sp6
Insomnia, restlessness, or easy to wake after a short sleep. Hot sensation in
palms & soles, severe palpitations, night sweating, a dry mouth & throat, tinnitus,
amnesia, seminal emission, soreness and weakness of the lumbar region & knees. Red tongue. Thready, rapid pulse.
Hyperactivity of fire due to yin deficiency, disharmony of heart and kidney
Ub 23 Ub15 Kd 3 Pc7 (decrease heart fire) Lv 3 Ht 7
Vexation with a full sensation in the heart, gastric distension, belching, dizziness,
even vomiting with phlegm. Tongue has a yellow, greasy coat. Pulse is slippery or wiry
Disorder of stomach qi Ren12 St 40 St 25 Pc 6
sleeplessness with dizziness and headache, irritability, easily frightened, redness
of the eyes, tinnitus, bitter taste in the mouth, hypochondriac pain. Red tongue with thin yellowish coat. Pulse is wirey and rapid.
Hyperactivity of liver yang disturbing the heart
Ub 18
Ub 19
Lv 2
Gb 44
Hematemesis, epitaxis, delayed/irregular menses, dysmenorrhea, mood swings that are erractic and extreme
T: purple, veinsdark
P: wiry, rough choppy
Liver blood stasis
unilateral headache, tinnitus, irritability, dry eyes, heat sensation in the upper body, bitter taste, dry mouth and throat, sudden deafness, insomnia, sore lower back , stumbe easily, prone to anger
T: red especially sides
P: wiry thready
Liver yang rising
exhaustion, chronic fatigue, tinnitus, low back pain sore or weak kness, decline i body functions
Kidney qi xu
Respiratory problems, difficult inhalation, rapid shallow breathing, chronic asthma, weak cough, SOB, spontaneous swating upon mild exertion, cold limbs clear urine
T: Pale
P: deepthin tight
Kidney not grasping the qi
severe fatigue, sleeps more hours, hard to keep warm, overdressed ompared to others, cold sweats, urine is frequent long and clear, nocturia, incontinence, edema in leg, early morning watery stool and diarrhea with undigested fod, dyspnea, breathing shallow, dificut and labored
t: pale swollen wet
P: deep weak thin fine thready
Kidney yang xu
t: pale swollen wet
P: deep weak thin fine thready
