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TCM Diagnosis - Maciocia > Zangfu Organ patterns > Flashcards

Zangfu Organ patterns Flashcards

1
Q

In all KID patterns, what are the three general manifestations

A

lower backache, dizziness, tinnitus

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2
Q

What are some of the General Etiology of Kidney Patterns:

A 
Hereditary Weakness
Emotional Strain
Excessive Sexual activity
Chronic Illness
Overwork
Old Age
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3
Q

Kidney Yang def

A

Backache, feeling of cold and weak kidney pulse

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4
Q

Backache, feeling of cold and weak kidney pulse

A

Kidney Yang def

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5
Q

Deficiency of ____________ causes a lack of libido

A

KID-Yang

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6
Q

______________ within the Kidneys causes and excessive sexual desire

A

empty heat

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7
Q

Kidney yin deficiency

A

backache and night sweating

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8
Q

backache and night sweating

A

Kidney yin deficiency

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9
Q

Dribbling after urination, chronic vaginal discharge and backache

A

Kidney Qi not Firm

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10
Q

Kidney Qi not Firm

A

Dribbling after urination, chronic vaginal discharge and backache

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11
Q

Shortness of breath in exertion, lower backache and clear urination

A

Kidney`s failing to receive Qi: Shen by na Qi

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12
Q

Kidney`s failing to receive Qi: Shen by na Qi

A

Shortness of breath in exertion, lower backache and clear urination

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13
Q

Poor bone development in children and weak knees, falling hair and weak sexual activity in adults

A

Kidney essence deficiency:

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14
Q

Kidney essence deficiency:

A

Poor bone development in children and weak knees, falling hair and weak sexual activity in adults

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15
Q

slight shortness of breath and empty Lung pulse

A

Lung Qi deficiency

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16
Q

Lung Qi deficiency

A

slight shortness of breath and empty Lung pulse

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17
Q

dry cough and rootless tongue coating in the front

A

Lung Qi def

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18
Q

Lung Qi def

A

dry cough and rootless tongue coating in the front

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19
Q

aversion to cold, sneezing & floating pulse

A

Invasion by wind cold

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20
Q

Invasion by wind cold

A

aversion to cold, sneezing & floating pulse

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21
Q

what is the cardinal manifestation of external invasion of wind

A

aversion to cold and “fever”

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22
Q

fever, aversion to cold, sore throat, floating rapid pulse

A

Invasion of lungs by wind heat

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23
Q

Invasion of lungs by wind heat

A

fever, aversion to cold, sore throat, floating rapid pulse

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24
Q

cough, feeling of heat, thirst, red tongue with yellow coating

A

Lung heat

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25
Q

Lung heat

A

cough, feeling of heat, thirst, red tongue with yellow coating

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26
Q

cough with white watery sputum, phlegm in throat, swollen tongue with sticky white coating

A

cold phlegm in lungs

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27
Q

cold phlegm in lungs

A

cough with white watery sputum, phlegm in throat, swollen tongue with sticky white coating

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28
Q

cough, yellow or green sputum, thick sticky yellow coating, rapid slippery pulse

A

Phlegm heat in lungs

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29
Q

Phlegm heat in lungs

A

cough, yellow or green sputum, thick sticky yellow coating, rapid slippery pulse

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30
Q

dry cough with occasional expectoration of scanty sputum, a feeling of oppression in chest

A

Dry Phlegm in Lungs

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31
Q

Dry Phlegm in Lungs

A

dry cough with occasional expectoration of scanty sputum, a feeling of oppression in chest

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32
Q

Phlegm fluids obstructing the Lung

A

cough with white watery frothy sputum

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33
Q

cough with white watery frothy sputum

A

Phlegm fluids obstructing the Lung

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34
Q

What are SP Qi def signs

A

Tired, digestive: distention after eating or eat then bloat; loose stools, poor appetite
T: pale with white fur
P: Weak

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35
Q

Tired, digestive: distention after eating or eat then bloat; loose stools, poor appetite
T: pale with white fur
P: Weak

A

SP Qi def signs

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36
Q

SP Yang Def

A

General Symptoms: Poor appetite, Tiredness, Slight abd. Distention, Pale tongue, Loose stools, Lassitude, Weakness of Limbs
Unique from SP Qi def: wet fatter tongue, undigested food in stools, COLD, Pulse has become deep

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37
Q

Which is worse: SP Qi def or SP Yang def

A

SP Yang def

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38
Q

List symptoms which are unique to SP Yang Def, which are not a component of SP Qi Def

A

Cold: feeling of cold, cold in the limbs; wet tongue due to Yang not transforming the fluids, undigested foods in the stool, Edema,
P: has become deep

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39
Q

what are some of the causes of SP yang def

A

Eating XS cold food, chronic illness, intestinal pathogen, consuming cold herbs.

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40
Q

SP Qi sinking - what are some of the unique symptoms

A

Unique: prolapse, frequency or urgent urination, bleeding, easily bruising, period problems, bearing down sensation, weak pulse

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41
Q

SP not controlling the blood is similar to what

A

SP Qi sinking

Further of the disorder

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42
Q

Signs and symptoms of Qi not controlling the blood

A

blood spots under skin, easily bruised, more in the lower half of the body, blood in urine & stools, XS uterine bleeding

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43
Q

What are some of the causes of Blood def

A

SP Qi def, menstruation XS

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44
Q

The symptoms of blood def. are similar to which pattern

A

similar to SP Qi def.

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45
Q

What are some of the unique signs and symptoms of Blood def.

A

depression, insomnia, scanty periods or amenorrhea (LIVER blood), dizziness lack of nourishment by blood, dry skin, pale lips; tongue b/c thinner slightly dry; pulse choppy (def of blood and fluids, not enough) fine thready pulse, joint aches,

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46
Q

Signs and symptoms of Cold damp invading the SP

A

Similar to SP def.
Heavyness, Feeling of fullness epigastrium, Feeling cold, damp, heaviness, Sweet taste in mouth or absence of taste - distinguish b/t. Flavors. Nausea - Qi ni - damp stopping Qi from going down - when Qi moves in the opposite, Not thirsty - full is stagnant damp, Loose stools, Lassitude, tiredness, oedema for dampness, XS white vag. Discharge, Tongue - sticky white coat, Pulse slippery; deep / tardy

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47
Q

feels better after eating - what kind of pattern

A

deficiency

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48
Q

General Symptoms: Poor appetite, Tiredness, Slight abd. Distention, Pale tongue, Loose stools, Lassitude, Weakness of Limbs

A

SP Yang def

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49
Q

prolapse, frequency or urgent urination, bleeding, easily bruising, period problems, bearing down sensation, weak pulse

A

SP Qi sinking

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50
Q

blood spots under skin, easily bruised, more in the lower half of the body, blood in urine & stools, XS uterine bleeding

A

Qi not controlling the blood

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51
Q

depression, insomnia, scanty periods or amenorrhea (LIVER blood), dizziness lack of nourishment by blood, dry skin, pale lips; tongue b/c thinner slightly dry; pulse choppy (def of blood and fluids, not enough) fine thready pulse, joint aches,

A

Blood def

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52
Q

Liver Qi stagnation

A

depression, tendency to sigh, hypochondrum distention, pain in the breast, Irregular period, PMS abdominal pain, wir pulse

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53
Q

feeling of distention and a wiry pulse by themselves are enough to diagnose _________________

A

Liver Qi stagnation.

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54
Q

Liver Blood Def. - signs and symptoms

A

Dry eyes, blurred vision, night blindness, dizziness in the head, white face lacking luster, pale white lips and nails or menstrual block, pale white tongue body and string like and fine pulse

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55
Q

Dry eyes, blurred vision, night blindness, dizziness in the head, white face lacking luster, pale white lips and nails or menstrual block, pale white tongue body and string like and fine pulse

A

Liver Blood Def

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56
Q

Cause of LIV blood def

A

XS loss of blood, insufficient engendering of blood, long term disease injuring and consuming the yin blood

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57
Q

Stagnant Liver Qi turning into Heat

signs and symptoms to add to Liver Qi stagnation

A

feeling of heat, red face, thirst, propensity to outbursts of anger, heavy periods
T: red on sides
P: wiry and rapid

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58
Q

How is LIV blood def unique

A

Brittle nail, muscular weakness and cramps, Jin, tingling or numbness of limbs, blurred vision, dry hair, scanty menstruation, night vision, classic orangey color tongue, plan less - Hun not nourished.

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59
Q

Stabbing pain and purple tongue are enough to diagnose ______________

A

Liver Blood stasis:

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60
Q

Liver Blood stasis:

A

Manifestations: Hypochondrial pain, irregular period, and pain, vomiting of blood, nosebleed, menstrual blood dark and clotted, infertility, masses in abdomen, purple nails, purple lips, purple or dark complexion, dry nails, purple petechiae,
Pulse: wiry or firm
Key symptoms: dark and clotted menstrual blood, purple tongue.

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61
Q

Manifestations: Hypochondrial pain, irregular period, and pain, vomiting of blood, nosebleed, menstrual blood dark and clotted, infertility, masses in abdomen, purple nails, purple lips, purple or dark complexion, dry nails, purple petechiae,
Pulse: wiry or firm
Key symptoms: dark and clotted menstrual blood, purple tongue.

A

Liver Blood stasis:

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62
Q

Liver fire blazing:

A

Manifestations : irrationality, nosebleed, propensity of anger, tinnitus, deafness, temporal headache, dizziness, red face and eyes, thirst, bitter taste in mouth, disturbed sleep, constipation with dry stools, dark yellow urine,
Tongue: red body, redder on the sides, dry yellow coating on tongue,
Pulse: full wiry, rapid

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63
Q

Manifestations : irrationality, nosebleed, propensity of anger, tinnitus, deafness, temporal headache, dizziness, red face and eyes, thirst, bitter taste in mouth, disturbed sleep, constipation with dry stools, dark yellow urine,
Tongue: red body, redder on the sides, dry yellow coating on tongue,
Pulse: full wiry, rapid

A

Liver fire blazing:

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64
Q

Key symptoms of LIVER fire blazing

A

headache, irritability, red face, red eyes, Red tongue with yellow coat.

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65
Q

headache, irritability, red face, red eyes, Red tongue with yellow coat.

A

Key symptoms of LIVER fire blazing

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66
Q

Cause of Liver fire blazing

A

emotional stress, diet

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67
Q

Key symptoms of damp heat in the LIVER

A

full hypochondrium and ABD. Feeling heaviness

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68
Q

full hypochondrium and ABD. Feeling heaviness

A

Key symptoms of damp heat in the LIVER

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69
Q

Stagnation of cold in the Liver

key symptoms

A

hypogastrium pain referring to scrotum. Cold hands and feet. Wiry deep slow pulse

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70
Q

hypogastrium pain referring to scrotum. Cold hands and feet. Wiry deep slow pulse

A

Stagnation of cold in the Liver

key symptoms

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71
Q

Stagnation of cold in the Liver

A

Clinical manifestations:
Fullness and distension of the hypogastrium w/ pain which refers downwards to scrotum and testis and upwards to hypochondrium. Pain is alleviated by warmth, straining of the testis or contraction of the script in, vertical headache, feeling of cold, cold hands and feet, vomiting of clear water fluid or. Dry vomiting. In women there can be shrinking of the vagina
Tongue: pale and wet with a wire coating
Pulse: deep wiry slow

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72
Q

Clinical manifestations:
Fullness and distension of the hypogastrium w/ pain which refers downwards to scrotum and testis and upwards to hypochondrium. Pain is alleviated by warmth, straining of the testis or contraction of the script in, vertical headache, feeling of cold, cold hands and feet, vomiting of clear water fluid or. Dry vomiting. In women there can be shrinking of the vagina
Tongue: pale and wet with a wire coating
Pulse: deep wiry slow

A

Stagnation of cold in the Liver

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73
Q

Cause of cold in Liver

A

pattern is due to invasion of exterior cold.

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74
Q

Liver yin Def

A

Clinical manifestations:
Dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in eyes, dry eyes, diminished night vision, scanty menusrtuation or amenorrhea, dull pale complexion without luster but with the red cheekbones, muscular weakness, cramps, whithered and brittle nails, very dry hair and skin, depression, a feeling of aimless
Tongue: normal colloured without coating or with rootless coating
Pulse: floating empty

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75
Q

Clinical manifestations:
Dizziness, numbness or tingling of limbs, insomnia, blurred vision, floaters in eyes, dry eyes, diminished night vision, scanty menusrtuation or amenorrhea, dull pale complexion without luster but with the red cheekbones, muscular weakness, cramps, whithered and brittle nails, very dry hair and skin, depression, a feeling of aimless
Tongue: normal colloured without coating or with rootless coating
Pulse: floating empty

A

Liver yin Def

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76
Q

Liver yang rising:

key symptoms

A

headache, irritability, wiry pulse.

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77
Q

headache, irritability, wiry pulse.

A

Liver yang rising:

key symptoms

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78
Q

Liver yang rising:

Clinical patterns:

A

Clinical patterns:
Headache that may be on the temples, eyes or lateral side of the head dizziness, tinnitus, deafness blurred vision, dry mouth and throat, insomnia, irritability, feeling worked up, propensity to outbursts of angry, stiff neck, red face and eyes
Has either Kidney yin def or Liver yin def.

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79
Q

Clinical patterns:
Headache that may be on the temples, eyes or lateral side of the head dizziness, tinnitus, deafness blurred vision, dry mouth and throat, insomnia, irritability, feeling worked up, propensity to outbursts of angry, stiff neck, red face and eyes
Has either Kidney yin def or Liver yin def.

A

Liver yang rising:

Clinical patterns:

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80
Q

Cause of Liver Yang rising

A

anger emotional stress cause, anger and resentment, must have the def basis.

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81
Q

Manifestations : Fullness of the hypochondrium, ADB. Or hypochondrium, bitter taste, sticky taste, poor appetite, nausea, feeling of heaviness of the body, yellow vaginal discharge, vaginal itching, vulvar eczema or sores, mid cycle bleeding and pain, pain, redness and selling of the scrotum, genital papular skin rashes, and itching, urinary difficulty, burning on urination, dark urine, dysuria
Tongue: Red body with redder sides, sticky yellow coat
Pulse: Slippery wiry rapid

A

Damp heat in the Liver

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82
Q

Damp heat in the Liver

A

Manifestations : Fullness of the hypochondrium, ADB. Or hypochondrium, bitter taste, sticky taste, poor appetite, nausea, feeling of heaviness of the body, yellow vaginal discharge, vaginal itching, vulvar eczema or sores, mid cycle bleeding and pain, pain, redness and selling of the scrotum, genital papular skin rashes, and itching, urinary difficulty, burning on urination, dark urine, dysuria
Tongue: Red body with redder sides, sticky yellow coat
Pulse: Slippery wiry rapid

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83
Q

Key symptoms of HE Qi def

A

Palpitations, tiredness, empty pulse

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84
Q

Cause Heart Qi def

A

emotional sadness or grief

Blood loss

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85
Q

Clinical manifestations of Heart Qi def.

A

Palpitations, shortness of breath on exertion, pale face, spontaneous sweating, tiredness, slight depression, Pale tongue, empty pulse

86
Q

Palpitations, shortness of breath on exertion, pale face, spontaneous sweating, tiredness, slight depression, Pale tongue, empty pulse

A

Clinical manifestations of Heart Qi def.

87
Q

Key symptoms Heart Yang Def.

A

palpitations, cold hands, deep weak pulse

88
Q

Clinical manifestations of Heart Yang def

A

Palpitations, shortness of breath on exertion, tiredness, spontaneous sweating, stuffy feeling in heart region, feeling of cold, cold hands, bright pale face, slightly dark lips, Pale tongue, deep weak pulse

89
Q

Palpitations, shortness of breath on exertion, tiredness, spontaneous sweating, stuffy feeling in heart region, feeling of cold, cold hands, bright pale face, slightly dark lips, Pale tongue, deep weak pulse

A

Clinical manifestations of Heart Yang def

90
Q

Key symptoms of Heart Yang collapse

A

cyanosis of lips, hidden minute pulse, cold limbs

91
Q

Palpitations, shortness of breath, weak and shallow breathing, profuse sweating, cold limbs, cyanosis of lips, greyish white complexion in severe cases coma, very pale or bluish tongue, hidden minute knotted pulse

A

Clinical manifestations of Heart Yang def

92
Q

Clinical manifestations of HE Yang collapse

A

Palpitations, shortness of breath, weak and shallow breathing, profuse sweating, cold limbs, cyanosis of lips, greyish white complexion in severe cases coma, very pale or bluish tongue, hidden minute knotted pulse

93
Q

cyanosis of lips, hidden minute pulse, cold limbs

A

Key symptoms of Heart Yang collapse

94
Q

palpitations, cold hands, deep weak pulse

A

Key symptoms Heart Yang Def.

95
Q

Palpitations, tiredness, empty pulse

A

Key symptoms of HE Qi def

96
Q

Clinical manifestations of HE Blood def

A

Palpitations, dizziness, insomnia, dream disturbed sleep, poor memory, anxiety, propensity to be startled, dull pale complexion, pale lips, T: pale, thin, slightly dry; P: fine or choppy

97
Q

Palpitations, dizziness, insomnia, dream disturbed sleep, poor memory, anxiety, propensity to be startled, dull pale complexion, pale lips, T: pale, thin, slightly dry; P: fine or choppy

A

Clinical manifestations of HE Blood def

98
Q

Key symptoms to HE Blood def

A

palpitations, insomnia, poor memory, pale tongue

99
Q

palpitations, insomnia, poor memory, pale tongue

A

Key symptoms to HE Blood def

100
Q

Aetiology of HE blood def

A

lack of blood producing foods -> SP Qi def, when chronic -> blood def, and long term Blood def => weakens HE and cause HE blood def
emotional stress
sever blood loss

101
Q

Clinical manifestations of HE Yin def

A

Palpitations, insomnia, dream disturbed sleep, propensity to be startled, poor memory, anxiety, mental restlessness ‘uneasiness’, ‘fidgetiness’, dry mouth and throat, night sweating, tongue without coat, floating empty pulse

102
Q

Palpitations, insomnia, dream disturbed sleep, propensity to be startled, poor memory, anxiety, mental restlessness ‘uneasiness’, ‘fidgetiness’, dry mouth and throat, night sweating, tongue without coat, floating empty pulse

A

Clinical manifestations of HE Yin def

103
Q

Key symptoms of HE Yin def

A

palpitations, mental restlessness, night sweating, tongue without coating, empty heat, malar flush, feeling heat esp in the evening, ‘feeling hot and bothered’ five palm heat

104
Q

palpitations, mental restlessness, night sweating, tongue without coating, empty heat, malar flush, feeling heat esp in the evening, ‘feeling hot and bothered’ five palm heat

A

Key symptoms of HE Yin def

105
Q

Aetiology of HE yin def.

A

long standing anxiety, worry and fear
overwork
Ext. heat injuring yin

106
Q

Xi fan

A

heart feels vexed

107
Q

Pathological precursors to HE yin def

A

HE yin def often accompanied or caused by KID yin def. water to be def, and KID yin cannot rise to nourish & cool the HE
LIV yin def can lead to HE yin def

108
Q

Clinical manifestations HE fire blazing

A

Palpitations, thirst and tongue ulcers, mental restlessness, feeling agitated, feeling of heat, thirst, insomnia, dream disturbed sleep, red face, dark urine or blood in urine, bitter taste in mouth after a bad night’s sleep, T: Red tip, swollen with macules, yellow coat, midline crack to tip

109
Q

Palpitations, thirst and tongue ulcers, mental restlessness, feeling agitated, feeling of heat, thirst, insomnia, dream disturbed sleep, red face, dark urine or blood in urine, bitter taste in mouth after a bad night’s sleep, T: Red tip, swollen with macules, yellow coat, midline crack to tip

A

Clinical manifestations HE fire blazing

110
Q

Key symptoms of HE fire blazing

A

tongue ulcers, thirst, palpitations, red tongue

111
Q

tongue ulcers, thirst, palpitations, red tongue

A

Key symptoms of HE fire blazing

112
Q

Aetiology of HE Fire blazing

A

emotional problems: anxiety, constant worrying and depression over time -> Qi stasis many years => Fire
Diet: hot foods and alcohol

113
Q

Why in HE fire blazing is there a bitter taste in the mouth?

And what makes this bitter taste distinctive to HE fire instead of LIV fire?

A

HE opens to the tongue and controls taste

Distinct from LIV in that it only appears in the morning and is related to the quality of sleep

114
Q

Pathological precursors of patterns HE fire blazing

A

often transmitted from LIV fire (mother)

also transmitted by the emotional aspects having a similar root of disorder

115
Q

If HE fire burns for an extended period of time, what other patterns may develop?

A

affect SP and cause SP Heat
affect ST and cause ST fire
cause HE yin def

116
Q

Clinical manifestations of Phlegm fire harassing the HE

A

Palpitations, thirst, red face, bitter taste, a feeling of oppression of the chest, expectoration of phlegm, rattling sound in the throat, mental restlessness, insomnia, dream disturbed sleep, agitation, incoherent speech, mental confusion, rash behaviour, tendency to hit or scold people, uncontrolled laughter or crying, shouting muttering to oneself, mental depression and dullness, T: red with sticky/dry yellow coating; P: full and rapid

117
Q

Palpitations, thirst, red face, bitter taste, a feeling of oppression of the chest, expectoration of phlegm, rattling sound in the throat, mental restlessness, insomnia, dream disturbed sleep, agitation, incoherent speech, mental confusion, rash behaviour, tendency to hit or scold people, uncontrolled laughter or crying, shouting muttering to oneself, mental depression and dullness, manic behaviour T: red with sticky/dry yellow coating; P: full and rapid

A

Clinical manifestations of Phlegm fire harassing the HE

118
Q

Key symptoms of phlegm fire harassing the HE

A

all the various mental symptoms and the red tongue with sticky yellow coat

119
Q

all the various mental symptoms and the red tongue with sticky yellow coat

A

Key symptoms of phlegm fire harassing the HE

120
Q

Aetiology of Phlegm fire harassing the HE

A

severe emotional problems

Diet: XS hot greasy foods -> phlegm and heat

121
Q

What is distinctive b/t Phlegm fire harassing the HE and HE fire blazing from the mental aspect

A

HE fire: agitation of mind, can’t sleep - BUT mind not clouded
Phlegm fire: Phlegm obstructs the mind -> mental disturbances

122
Q

Dian

A

insanity

123
Q

Kuang

A

violent behaviour

124
Q

Pathological precursor of pattern Phlegm fire harassing the Heart

A

Phlegm pattern
Must be underlying def of SP (formation of Phlegm), maybe LU & KID
Fire burning and condensing fluids adds to the formation of phlegm

125
Q

What kind of pathological developments can arise from Phlegm fire harassing the HE

A

Injure Yin and cause Yin def
Phlegm obstructs -> SP Qi def
dryness
Phlegm and fire => blood stasis further obstructing the mind

126
Q

Clinical Manifestations of Phlegm misting the mind

A

Mental confusion, unconsciousness, lethargic stupor, incoherent speech, slurred speech, aphasia, vomiting of phlegm, rattling sound in the throat, mental depression, very dull eyes; T: swollen with sticky coating, P: Slippery

127
Q

Mental confusion, unconsciousness, lethargic stupor, incoherent speech, slurred speech, aphasia, vomiting of phlegm, rattling sound in the throat, mental depression, very dull eyes; T: swollen with sticky coating, P: Slippery

A

Clinical Manifestations of Phlegm misting the mind

128
Q

Key symptoms of Phlegm misting the mind

A

mental confusion, rattling sound in the throat, swollen tongue with sticky coating

129
Q

mental confusion, rattling sound in the throat, swollen tongue with sticky coating

A

Key symptoms of Phlegm misting the mind

130
Q

Aetiology of Phlegm misting the mind

A

diet: XS greasy foods, cold or raw foods, with HE pattern match poor diet with emotional disturbances

131
Q

Root ot Phlegm obstructing the HE orifaces

A

Def: SP LU & KID -> phlegm

132
Q

Clinical manifestations of HE Blood stasis

A

Palpitations, stabbing or pricking pain in the chest that may radiate to inner aspect of left arm or to the shoulder, a feeling of oppression or constriction of the chest, cyanosis of lips and nails, cold hands, T: purple in its entirety or only on the sides of chest area, P: Choppy, wiry, or knotted

133
Q

Palpitations, stabbing or pricking pain in the chest that may radiate to inner aspect of left arm or to the shoulder, a feeling of oppression or constriction of the chest, cyanosis of lips and nails, cold hands, T: purple in its entirety or only on the sides of chest area, P: Choppy, wiry, or knotted

A

Clinical manifestations of HE Blood stasis

134
Q

Key symptoms of HE Blood stasis

A

Stabbing pain in the chest, cyanosis of lips, purple tongue

135
Q

Stabbing pain in the chest, cyanosis of lips, purple tongue

A

Key symptoms of HE Blood stasis

136
Q

Aetiology of HE blood stasis

A

emotional: anxiety, grief or worry long term

137
Q

Precursors to HE Blood stasis pattern

A

HE yang def

LIV Qi stasis - loss of free flow of Qi

138
Q

What other pathological developments may arise from HE Blood stasis

A

make phlegm

dryness

139
Q

ST Qi Def clinical manifestations

A

Uncomfortable feeling in epigastrium, lack of appetite, lack of taste sensation, loose stools, tiredness especially in the morning, weak limbs. T: pale, P: empty, esp in mid right position

140
Q

Uncomfortable feeling in epigastrium, lack of appetite, lack of taste sensation, loose stools, tiredness especially in the morning, weak limbs. T: pale, P: empty, esp in mid right position

A

ST Qi def - clinical manifestations

141
Q

Key symptoms of ST Qi def.

A

Don’t want to eat - lack of appetite, tired in morning, uncomfortable feeling in epigastrium, empty pulse on ST position

142
Q

Don’t want to eat - lack of appetite, tired in morning, uncomfortable feeling in epigastrium, empty pulse on ST position

A

ST Qi def

143
Q

Clinical manifestations of ST def. and cold

A

Discomfort or dull pain in epigastrium, better after eating and better w. Pressure or massage, no appetite, preference to warm drinks and food, vomiting of clear fluid, lack of thirst, cold and weak limbs, tiredness, pale complexion; T: pale and wet, P: deep-weak-slow, esp on middle position.

144
Q

Discomfort or dull pain in epigastrium, better after eating and better w. Pressure or massage, no appetite, preference to warm drinks and food, vomiting of clear fluid, lack of thirst, cold and weak limbs, tiredness, pale complexion; T: pale and wet, P: deep-weak-slow, esp on middle position.

A

ST def and cold clinical manifestation

145
Q

Key symptoms of ST def. and cold

A

Discomfort in epigastrium that is better after eating, tiredness cold limbs

146
Q

Discomfort in epigastrium that is better after eating, tiredness cold limbs

A

Key symptoms ST def and cold

147
Q

ST yin def clinical manifestations

A

No appetite or slight hunger but with no desire to eat, constipation, dull or slightly burning epigastrium pain, dry mouth and throat esp. In afternoon with a desire to drink in small sips, a slight feeling of fullness after eating, normal coloured tongue w/out coating in centre, or rootless coating, floating empty pulse on middle right

148
Q

No appetite or slight hunger but with no desire to eat, constipation, dull or slightly burning epigastrium pain, dry mouth and throat esp. In afternoon with a desire to drink in small sips, a slight feeling of fullness after eating, normal coloured tongue w/out coating in centre, or rootless coating, floating empty pulse on middle right

A

Clinical manifestations of ST yin def

149
Q

Cause of ST yin def

A

Irregular eating habits, spicy hot foods, antibiotics

150
Q

Key symptoms of ST yin def

A

Dull epigastrium pain, dry mouth, tongue without coating or with rootless coating

151
Q

Dull epigastrium pain, dry mouth, tongue without coating or with rootless coating

A

Key symptoms of ST yin def

152
Q

Clinical manifestations of ST fire

A

Burning epigastrium pain, intense thirst with a desire to drink cold liquids, mental restlessness, bleeding gums, dry stools, dry mouth, mouth ulsers, sour regurgitation, nausea, coming soon after eating, XS hunger, foul breath, a feeling of heat T: red in centre with a dry yellow or dark yellow (or black) coat, P: rapid and overflowing

153
Q

Burning epigastrium pain, intense thirst with a desire to drink cold liquids, mental restlessness, bleeding gums, dry stools, dry mouth, mouth ulsers, sour regurgitation, nausea, coming soon after eating, XS hunger, foul breath, a feeling of heat, T: red in centre with a dry yellow or dark yellow (or black) coat, P: rapid and overflowing

A

ST fire clinical manifestations

154
Q

Key symptoms ST fire

A

Burning sensations I the epigastrium, thirst with desire to drink cold fluids, thick yellow coating, red tongue

155
Q

Burning sensations I the epigastrium, thirst with desire to drink cold fluids, thick yellow coating, red tongue

A

ST fire key symptoms

156
Q

Clinical manifestations of Cold invading the ST

A

Sudden severe pain in epigastrium, a feeling of cold, cold limbs, preference for warmth, vomiting of clear fluids, nausea, feeling worse after swallowing cold fluids, which are quickly vomitied, preference for warm coating. T: thick white coating, P: deep tight slow

157
Q

Sudden severe pain in epigastrium, a feeling of cold, cold limbs, preference for warmth, vomiting of clear fluids, nausea, feeling worse after swallowing cold fluids, which are quickly vomitied, preference for warm coating. T: thick white coating, P: deep tight slow

A

Clinical manifestation of cold invading ST

158
Q

Key symptoms of cold invading the ST

A

Sudden pain in the epigastrium, vomiting, a feeling of cold, deep-tight pulse

159
Q

Sudden pain in the epigastrium, vomiting, a feeling of cold, deep-tight pulse

A

Key symptoms of cold invading the ST

160
Q

Sudden pain in the epigastrium and a tight pulse are enough to diagnose

A

Cold invading the ST

161
Q

Clinical manifestations of ST Qi rebelling upwards

A

nausea, difficulty in swallowing, belching, vomiting, hiccup. T: no changes, P: tight or wiry

162
Q

nausea, difficulty in swallowing, belching, vomiting, hiccup. T: no changes, P: tight or wiry

A

ST Qi rebelling clinical manifestations

163
Q

Key symptoms of ST Qi rebelling upwards

A

Nausea, belching

164
Q

Nausea, beltching

A

Key symptoms of ST Qi rebelling upwards

165
Q

Clinical manifestations of retention of food in the ST

A

Fullness, pain and distention of the epigastrium that are relieved by vomiting, nausea, vomiting of sour fluids, foul breath, sour regurgitation, beltching, insomnia, loose stools or constipation, poor appetite, T: thick coating, P: full slippery

166
Q

Fullness, pain and distention of the epigastrium that are relieved by vomiting, nausea, vomiting of sour fluids, foul breath, sour regurgitation, beltching, insomnia, loose stools or constipation, poor appetite, T: thick coating, P: full slippery

A

Clinical manifestation of retention of food in the ST

167
Q

Key symptoms of retention of food in the Stomach

A

Epigastrium fullness, sour regurgitation, thick tongue coating

168
Q

Epigastrium fullness, sour regurgitation, thick tongue coating

A

Key symptoms of retention of food in ST

169
Q

Epigastrium fullness, sour regurgitation and a thick tongue coating are enough to to diagnose what?

A

Retention of food in ST

170
Q

Clinical manifestations of Stasis of blood in the Stomach

A

Severe, stabbing epigastrium pain that may be worse at night, dislike of pressure, nausea, vomiting, possibly coming of blood, vomiting of food looking like coffee grounds, T: Purple, P: Wiry

171
Q

Severe, stabbing epigastrium pain that may be worse at night, dislike of pressure, nausea, vomiting, possibly coming of blood, vomiting of food looking like coffee grounds, T: Purple, P: Wiry

A

Clinical manifestation of stasis of blood in ST

172
Q

A stabbing pain in the epigastrium and a tongue that is purple in the centre are enough to diagnose

A

Blood stasis in the ST

173
Q

Key symptoms of stasis of blood in ST

A

Stabbing pain in the epigastrium vomiting of dark blood

174
Q

Stabbing pain in the epigastrium vomiting of dark blood

A

Key symptoms of Stasis of blood in the ST

175
Q

Clinical manifestations of full heat in the SI

A

Mental restlessness, insomnia, tongue/mouth ulsers, pain in the throat, deafness, an uncomfortable feeling and what sensation in the chest, abdominal pain, thirst with a desire to drink cold fluids, scanty and dark urging, burning pain on urination, blood in urine, T: red w. Redder and swollen tip, yellow coating, P: overflowing rapid, if urinary symptoms P will be Wiry on left rear position

176
Q

Mental restlessness, insomnia, tongue/mouth ulsers, pain in the throat, deafness, an uncomfortable feeling and what sensation in the chest, abdominal pain, thirst with a desire to drink cold fluids, scanty and dark urging, burning pain on urination, blood in urine, T: red w. Redder and swollen tip, yellow coating, P: overflowing rapid, if urinary symptoms P will be Wiry on left rear position

A

Clinical manifestations of full heat in the SI

177
Q

Abdominal pain, tongue ulcers and scanty dark painful urination are enough to diagnose

A

Full heat in the SI

178
Q

Key symptoms of full heat in SI

A

Abdominal pain, tongue ulser, scanty dark painful urinination

179
Q

Abdominal pain, tongue ulser, scanty dark painful urination

A

Key symptoms of full heat in SI

180
Q

Clinical manifestations of SI def and cold

A

Dull abdominal pain alleviated by pressure, a desire for hot drinks, borborygmi, Diarrhoea, pale and abundant urination, cold limbs, T: pale body, white coating

181
Q

Dull abdominal pain alleviated by pressure, a desire for hot drinks, borborygmi, Diarrhoea, pale and abundant urination, cold limbs, T: pale body, white coating

A

Clinical manifestations of SI def & cold

182
Q

Key symptoms SI def & cold

A

Dull abdominal pain, borborygmi, and Diarrhoea

183
Q

Dull abdominal pain, borborygmi, and Diarrhoea

A

Key symptoms of SI def and cold

184
Q

Clinical manifestations of Damp heat in Large intestines

A

Abdominal pain that is not relieved by a bowel movement, abdominal fullness, diarrheoea, mucus and blood in stools, offensive odor of stools, burning in the anus, scanty dark urine, fever, sweating that does not decrease the fever, a feeling of heat, thirst without a desire to drink, a feeling of heaviness of the body and limbs, T: red with sticky yellow coat, P: slippery rapid

185
Q

Abdominal pain that is not relieved by a bowel movement, abdominal fullness, diarrheoea, mucus and blood in stools, offensive odor of stools, burning in the anus, scanty dark urine, fever, sweating that does not decrease the fever, a feeling of heat, thirst without a desire to drink, a feeling of heaviness of the body and limbs, T: red with sticky yellow coat, P: slippery rapid

A

Clinical manifestations of damp heat in the LI

186
Q

Key symptoms of damp heat in large intestines

A

Abdominal pain, Diarrhoea with mucus and blood in the stools

187
Q

Abdominal pain, Diarrhoea with mucus and blood in the stools

A

Key symptoms of damp heat in large intestines

188
Q

Clinical manifestations of heat in the LI

A

Constipation with dry stools, a burning sensation in the mouth, dry tongue, burning and swelling in anus, scanty dark urine, T: thick yellow (or brown or black), P: full rapid

189
Q

Constipation with dry stools, a burning sensation in the mouth, dry tongue, burning and swelling in anus, scanty dark urine, T: thick yellow (or brown or black), P: full rapid

A

Clinical manifestations of heat in LI

190
Q

Key symptoms of heat in LI

A

Dry stools, burning sensation in anus, thick yellow dry coating

191
Q

Dry stools, burning sensation in anus, thick yellow dry coating

A

Key symptoms of heat in large intestines

192
Q

Cold invading the large intestines - clinical manifestations

A

Sudden, cramping abdominal pain, Diarrhoea with pain, a feeling of cold, a cold sensation in abdomen, T: thick white coating, P: deep tight

193
Q

Sudden, cramping abdominal pain, Diarrhoea with pain, a feeling of cold, a cold sensation in abdomen, T: thick white coating, P: deep tight

A

Clinical manifestations of cold invading the large intestines

194
Q

Key symptoms of cold invading the large intestines

A

Sudden abdominal pain, Diarrhoea, a feeling of cold

195
Q

Sudden abdominal pain, Diarrhoea, a feeling of cold

A

Key symptoms of cold invading the large intestine

196
Q

Clinical manifestations of LI dry

A

Dry stools that are difficult to discharge, dry mouth and throat, thin body, foul breath, dizziness, T: dry, either pale or red body with rootless coating, P: fine

197
Q

Dry stools that are difficult to discharge, dry mouth and throat, thin body, foul breath, dizziness, T: dry, either pale or red body with rootless coating, P: fine

A

Clinical manifestations of LI dry

198
Q

Key symptoms of LI dry

A

Dry stools that are difficult to discharge

199
Q

Clinical manifestations in LI Cold

A

Loose stools like duck droppings, dull abdominal pain, borborygmi, pale urine, cold limbs, T: pale, P: deep weak

200
Q

Clinical manifestations of dampness in Gallbladder

A

Jaundice, dull yellow eyes and skin, Hypochondrial pain, fullness and distention, nausea, vomiting, inability to digest fats, dull yellow sclera, turbid urine, lack of thirst, sticky taste, dull headache, a feeling of heaviness of the body, T: thick sticky white coating, either bilateral in 2 strips or unilaterally, P: slippery - wiry

201
Q

Jaundice, dull yellow eyes and skin, Hypochondrial pain, fullness and distention, nausea, vomiting, inability to digest fats, dull yellow sclera, turbid urine, lack of thirst, sticky taste, dull headache, a feeling of heaviness of the body, T: thick sticky white coating, either bilateral in 2 strips or unilaterally, P: slippery - wiry

A

Clinical manifestations of dampness in Gallbladder

202
Q

Key symptoms of dampness in the Gallbladder

A

Hypochondrial fullness, feeling of heaviness, and unilateral sticky coating

203
Q

Hypochondrial fullness, feeling of heaviness, and unilateral sticky coating

A

Key symptoms of dampness in the Gallbladder

204
Q

Clinical manifestation of damp heat in the Gallbladder

A

Hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion, scanty and dark yellow urine, fever, thirst without desire to drink, bitter taste, dizziness, tinnitus, irritability, feeling heaviness - body, numbness - limbs, swelling feet, loose stools / constipation, alt. Hot / cold feeling, yellow sclera, a feeling of heat, T: thick sticky yellow coating, P: slippery wiry rapid

205
Q

Hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion, scanty and dark yellow urine, fever, thirst without desire to drink, bitter taste, dizziness, tinnitus, irritability, feeling heaviness - body, numbness - limbs, swelling feet, loose stools / constipation, alt. Hot / cold feeling, yellow sclera, a feeling of heat, T: thick sticky yellow coating, P: slippery wiry rapid

A

Clinical manifestations of damp heat in GB

206
Q

Key symptoms of damp heat in GB

A

Hypochondrial fullness, bitter taste and thick sticky yellow coating on the right side

207
Q

Hypochondrial fullness, bitter taste and thick sticky yellow coating on the right side

A

Key symptoms of damp heat in the Gall bladder

208
Q

clinical manifestations of Damp cold in bladder

A

Frequent and urgent urination, difficult urination, a feeling of heaviness in hypogastrium and urethra, pale and turbid urine, T: white sticky coating on root, P: slippery-slow and slightly wire on the left rear position

209
Q

Frequent and urgent urination, difficult urination, a feeling of heaviness in hypogastrium and urethra, pale and turbid urine, T: white sticky coating on root, P: slippery-slow and slightly wire on the left rear position

A

Clinical manifestations of damp cold in the bladder

210
Q

Key symptoms of damp cold in the bladder

A

Difficult urination, a feeling of heaviness, pale turbid urine

211
Q

What are the 5 causes of LIV wind?

A 
Heat XS
Base of LIV yin def w. LIV yang rising
LIV blood def
Yin def post febrile disease
Blood dryness

TCM Diagnosis - Maciocia (20 decks)

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