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Theory III
Midterm I
| Question | Answer |
|---|---|
| Patient presents with a cough, thin, white phlegm, easy to expectorate. She has chills & fever w/ chills predominant, aversion to cold, fever, no sweat, no thirst, headache, body aches. | wind cold invading the lung |
| Cough with yellow phlegm, sticky, thick. Fever & chills with fever predominant, aversion to wind/cold, sore throat, thirsty, headache, clammy sweat, yellow nasal discharge | wind heat invading the lung |
| Wind cold signs plus physical cold, cold limbs, cough and panting, white foamy phlegm, frog rale, somber white complexion | Cold rheum congesting the lung |
| Dry cough with no phlegm, dry nose, dry throat, sore, itchy throat, slight aversion to cold, headache | Dryness evil invading the lung |
| Cough, abundant white phlegm, easy to expectorate especially in the morning, congestion of chest, nausea, epigastric fullness and distention, poor appetite, loose stools | Phlegm damp obstructing the lung |
| Cough or wheeze with expectoration of profuse thick, yellow phlegm, heavy breathing, high fever, perspiration, thirst, congestion of chest, sometimes constipation, dark urine. Severe: chest pain, coughing blood (rust colored phlegm) | Phlegm heat congesting the lung |
| Expectoration of watery, white and foamy phlegm, cough/wheeze, often recurring in the winter and relieved in the summer, congestion of chest, palpitations, loose stool, poor appetite, edema in lower limbs | Retention of rheum in the lung |
| Shortness of breath, feeble cough, lack of desire to talk, low voice, worse on exertion, spontaneous sweat (daytime) fatigue, pale complexion (bright white), aversion to cold, susceptibility to catching cold | Lung Qi Vacuity |
| Dry cough, unproductive cough, if phlegm, not much, very sticky, difficult to expectorate, sometimes w/ blood, dry mouth, dry throat, hoarse voice, low grade fever in afternoon, afternoon tidal fever | Lung Yin Vacuity |
| Palpitations, nervousness, fear, fearful throbbing, shortness of breath, congestion of chest, all of which become worse on exertion, pale complexion. | Heart qi vacuity |
| Palpitations,nervousness, fear, fearful throbbing, shortness of breath, congestion of chest all of which become worse on exertion, pale complexion, pronounced cold, aversion to cold, cold limbs etc., heart pain because of cold (angina pectoris) | Heart yang vacuity |
| Palpitations, fearful throbbing, insomnia, dizziness, poor memory, pale face, lips TONGUE: Pale w/ white fur PULSE: Fine & weak | HEART BLOOD VACUITY |
| palpitations, insomnia vacuity heat, vexing heat in 5 hearts, tidal fever, malar flush, night sweats | HEART YIN VACUITY |
| Heart palpitations, heart vexation,insomnia, inappropriate expression of joy/anger/sorrow, fear of light, chest oppression, frequent yawning & stretching | Depressed Heart Qi |
| Pericardial pain, distending chest pain, congestion of chest, fixed location pain, shortness of breath. Onset/severity are affected by the emotional state of the patient | Heart Impediment: Qi Stagnation |
| stabbing chest pain, fixed location, often more severe at night, cyanosis of lips TONGUE: Dark purple w/ purple spots/macules PULSE: Choppy, sometimes intermittent | Heart Impediment: Blood Stasis |
| severe, sudden onset of chest pain, upper shoulder, back, medial aspect of arm pain, pain increases with exposure to cold, somewhat decreased by warmth, cold limbs, pale complexion, chest congestion | Heart Impediment: Yin Cold Evil |
| suffocating pain in chest, overweight, heaviness of limbs, excessive phlegm, shortness of breath | Heart Impediment: Phlegm Turbidity |
| heat signs, palpitations, vexation of the heart, mental restlessness, insomnia, agitation, delirium, flushed face, dark urine, dry stools or constipation, epistaxis, hematamesis, hematuria, carbuncles, boils, painful hot swellings/lesions | Heart Fire Flaming Upward |
| high fever, flushed face, yellow phelgm, coarse breathing, gurgling sound in throat, mannia, agitation, delirium | PHLEGM-FIRE HARASSING THE HEART |
| gradual onset of illness, unhappy, anxiety, mental depression, incoherent speech, muttering to self, tendency to doubt, suspicion, abnormal behavior, loss of ability to differentiate clean from dirty, lethargic stupor, uncontrolled laughter, crying | Phlegm Confounding the Orifices of the Heart Dian Pattern - Depressive Psychosis |
| Momentary, trance-like state Severe: Sudden loss of consciousness, foaming @ mouth, bleating sound rolling back of eyes, rattling sound in throat (phlegm) violent, involuntary movement of limbs complete recovery to normal upon regaining consciousne | Phlegm Confounding the Orifices of the Heart Xian Pattern - Epilepsy |
| vexation of heart, ulceration of mouth & tongue, scanty, hot, dark urine, painful urination, inhibited urination, hematuria | Small Intestine Repletion Heat / Heart Fire Draining to the SI |
| Lower abdominal pain of varying intensity (sometimes severe, sometimes moderate), worse w/ cold, better with heat | Small Intestine Qi Pain |
| loose stools, poor appetite, fatigue, lack of energy, pale, sallow complexion, worse on exertion, gas, diarrhea, frequent urination, dizziness, weakness of limbs, fatigue or tiredness | Spleen Qi Vacuity |
| White complexion, cold & aversion to cold due to yang qi vacuity , abdominal pain relieved with warmth/pressure, lack of warmth in the limbs, sometimes with general edema, inhibited urination Women - profuse, thin white vaginal discharge | Spleen Yang Vacuity |
| Prolapse of organs (especially, Kidney, uterus, stomach, vagina, anus) with bearing down sensation Prolapse of stomach: belching, fullness after eating, poor digestion Prolapse of Kidney: bearing down sensation in lower back | Spleen Qi Fall / Center Qi Fall |
| Bleeding: nosebleed, hemoptysis, blood in stools, blood in urine, dermal bleeding, bleeding gums (chronic) uterine bleeding, easy bruising light, pale color blood long-standing/chronic condition usually in lower part of body | Spleen Failing to Manage Blood |
| Upper Burner: reduced food intake, nausea, vomiting, thirst without a strong desire to drink Middle Burner Fullness/distention in epigastric, abdominal area, Lower Burner: loose stools with foul odor and burning sensation, scanty, dark urine, | Damp Heat Brewing in the Spleen |
| Fullnessin epigastric and abdominal regions, reduced food intake, diarrhea, nausea, vomiting, heaviness of the head & body bland taste in the mouth, sallow complexion (yin jaundice), no thirst, scanty, clear urine, profuse, white vaginal discharge | Cold Damp Encumbering the Spleen |
| Constipation with normal urination, 5 center heat, dry mouth and throat, red dry tongue. | Spleen yin vacuity |
| low weak voice, shortness of breath, lassitude, tiredness, weak pulse, pale tongue, exertion aggravates all symptoms and signs. | Qi vacuity |
| Qi vacuity + cold | Yang vacuity |
| Prolapsed organs + Qi vacuity (spleen Qi) | Qi sinking |
| weak, feeble and irregular breathing, continuous sweating, mouth open with eyes closing, incontinence of urine and feces, pale complexion and feeble pulse. (key data: Breathing is weak and feeble, almost not detectable). | Qi collapse |
| pale dry complexion, eyelid, lips, tongue, nails, dizziness, numbness, light menses in color, thin pulse. (malnourished and moistened) | Blood vacuity |
| Blood vacuity can lead to... | blood collapse, blood coldness and internal dryness |
| suddenly loss great amount of blood or chronic losing blood history, leading to pale complexion, dizziness, palpitation, feeble pulse or empty pulse. Blood collapse can lead to Qi collapse and Yang collapse | Blood collapse |
| blood vacuity + heat (malnourished and moistened, fails to balance Yang) | Yin vacuity |
| heat, red (tongue, face, etc.), dry or scanty sticky sweating, thin and fast pulse, hardly palpable | Yin collapse |
| distending pain or moving pain, comes and goes, no mass, change with emotions, wiry pulse. Normal tongue or slightly dark (if blood circulation is affected). | Qi stagnation |
| stabbing fixed pain, worse at night; mass does not move, feels hard. Dark bleeding with clots; black oily stool; dark complexion, bluish purplish lips and nail,scaly skin, purple patches or dots on tongue, veins expanded under the tongue | Blood stasis |
| 1. Various bleeding; 2. Boils and carbuncles. Key Manifestation: dark fresh red bleeding; fever, crimson tongue, fast slippery or fast wiry pulse. (Included in many diseases) | Blood heat |
| hand and feet cold pain, dark purple in color, or cramp in side abdomen, or dysmenorrhea, delayed menses, dark in color, or with clots, light purple tongue, white coating, deep slow wiry choppy pulse. | Blood cold |
| Reverting cold of hands/feet, deep pulse, but: hot body, no aversion to cold but aversion to heat, rapid, forceful pulse, thirst, vexation, preference for cold fluids, red tongue | Internally true heat and externally false cold |
| Body heat, thirst, red face, large pulse, but: desire to be covered, desire for hot fluids, forceless pulse, cold limbs, clear urine, loose stools, pale tongue w/ white fur | Internal cold w/ false external heat |
| Foul breath, thirst, swelling/pain in teeth and abdominal pain that likes warmth, loose stools. | Heat Above & Cold Below |
| Cold pain of the stomach, vomiting clear sputum and frequent, painful urination, short, dark stools. | Cold Above & Heat Below |
| When discussing true and false signs, False signs are usually in the ________, the _______ or the _____. | False signs: limbs, skin, face |
| When discussing true and false signs,True signs are in the _______, the ________ and the _________. | True signs: zang fu, qi & blood, body fluids |
| Listlessness, white complexion, fatigue, lack of strength, palpitations, SOB, cold or five heart heat, spontaneous or night sweating, loose stools,frequent urination, pale, tender tongue or red tongue with peeling fur | Vacuity Pattern |
| Excitation, vexation & agitation, hasty breathing, distention and fullness of the chest, rib-side and abdomen, pain that increases w/ pressure, rough and painful urine or dribbling or inhibited urination, bound stools | Repletion Pattern |
| Cold body & limbs, pale white or dark and somber facial complexion, withered essence-spirit, SOB, disinclination to speak, bland taste in the mouth, lack or thirst or desire for warm fluids, clear and long urine, loose stools | Yin Pattern |
| Fever, no aversion to cold, aversion to heat, red face & eyes, vexation & agitation, copious movement, hasty breath, loud voice, bitter taste in the mouth, thirst w/ desire for cold, red urine, bound stools | Yang Pattern |
| fever, aversion to cold, sweat, dizziness, headache, nasal congestion, sniveling, itchy throat, cough, floating & moderate pulse. Soreness of a wandering nature in the joints, diffuse, wandering itching | External Wind |
| involuntary, abnormal movement of the body dizziness - sensation of whirling/tendency to fall, tremor - especially hand, convulsions - spasm of limbs,shaking | Interior Wind |
| Paralysis or palsy; wryness of the mouth and eyes; facial paralysis. Rigidity of the neck and back, trismus, convulsive spasm of the limbs. Generalized or localized muscular or articular pain, numbness and impeded movement | Wind Invasion of Channels |
| High fever, copious sweat, vexation thirst, headache, red face, hasty breath, short, red urine, red tongue w/ yellow fur, surging and rapid pulse | Summerheat Warmth |
| Vigorous fever, thirst, copious sweat, decreased urination, oppression in the stomach, heavy body, red tongue w/ slimy yellow fur, surging and large pulse | Summerheat damp encumbering the middle burner |
| Mild: sudden dizziness, h/a, chest oppression, nausea, vomiting, dry mouth, thirst, fatigue – sunstroke Severe: LOC, sudden fainting, hot body, extreme thirst, copious sweat, cold limbs, surging and large pulse, convulsions | Summerheat Stroke |
| Dampness is generally enduring and difficult to treat, esp. damp-heat. Emphasize strengthening the ________ and pay attention to __________ pulse | Spleen |
| External contraction of dryness evil, often comes in through the ________and_______, effecting the lung | Mouth and nose |
| Easily damages the lung – dry cough, little to no phlegm, or very thick, sticky phlegm that is difficult to expectorate, or phlegm w/ streaks of blood | Dryness |
| Oppression in the chest, epigastric/abdominal distension, short, inhibited urination, loose stools, diarrhea w/ no relief from discomfort after evacuation.OR Viscous discharge - stools difficult to eliminate, Sticky vaginal discharge, Sticky phlegm | Damp |
| Heat fire is usually at the ____ level. | Qi |
| What other evils can transform into heat? | All of them |
| High fever, flushed face, vexing thirst, heat sensation in chest, profuse sweating, sores in mouth, h/a, red eyes, disturbance of heart spirit, vexation of heart, insomnia, clouding of the spirit, thick, sticky yellow discharge w/ foul smell | Heat/Fire |
| Heat/Fire tends to engender _______ and stir the _______ | wind - blood (convulsion/spasm of limbs, upturned eyes, rigidity of neck, opisthotonos) and (bleeding, hemoptysis, nose bleed, blood in stools, urine, uterine bleeding, dermal bleeding) |
| low back pain, dribbling urination | Kidney Qi Vacuity |
| palpitations, dizziness | Heart Qi Vacuity |
| poor appetite, weak limbs, loose stools | Spleen Qi Vacuity |
| Shortness of breath, dislike speaking, weak, low voice | Lung Qi Vacuity |
| Fatigue, weakness, spontaneous sweating, pale face | Qi Vacuity |
| Prolapse of internal organs, persistent diarrhea, dizziness, tiredness, bearing down sensation + qi vacuity signs | Qi Fall |
| Pain, Abdominal masses - appear and disappear, soft to touch, moveable | Qi Stagnation |
| headache, dizziness, irritability, blood rising w/ qi, vomiting of blood, loss of consciousness, high blood pressure, migraine Tongue: purple on sides, Normal or with white fur Pulse: Stringlike & Forceful | LIVER Qi Counterflow |
| cough, asthma, shortness of breath Tongue: Greasy (if w/ phlegm) Pulse: Slippery or stringlike | LUNG Qi Counterflow |
| nausea, vomiting, belching, hiccups, moving sickness Tongue: purple in center Pulse: Slippery & stringlike | STOMACH Qi Counterflow |
| pale face, palpitations, insomnia, poor memory TONGUE: Pale w/ thin white coat, small cracks PULSE: Fine, thin, may be irregular | Heart Blood Vacuity |
| Dizziness, vertigo, dream-disturbed sleep, pale nails, blurred vision, numbness of extremities Women - scanty, delayed cycle, light color, painful after period TONGUE: Pale with white fur PULSE: stringlike & fine | Liver Blood Vacuity |
| stabbing pain fixed location increases with pressure, abdominal masses- hard to touch, swelling on body surface, bruises, bleeding (purple w/ clots), menstrual disorders, dark complexion, purple lips, nails, dry, rough skin w/o luster, macules | Blood Stasis |
| When palpating the abdomen , you find a mass on the lower burner with a definite shape, what is it? | Concretion |
| When palpating the abdomen , you find a mass on the lower burner with an indefinite shape,what is it? | Conglomeration |
| When palpating the abdomen , you find a mass on the middle burner with a definite shape, what is it? | Accumulation |
| When palpating the abdomen , you find a mass on the middle burner with an indefinite shape, what is it? | Gathering |
| Blood heat can scorch the vessels causing bleeding. Bleeding is often profuse and the blood is either bright red or purple-black in color. Red papules or macules may also appear. Coma may occur in severe cases. | Frenetic Blood Heat |
| Pain (limbs, hands, feet), pale, cool skin over affected area, purplish discoloration of affected area, subjective sensation of coldness - relieved by warmth, delayed menses (small volume, dark-colored discharge w/ clots), dysmenorrhea, amenorrhea | Blood Cold |
| Enduring Illness, Qi Vacuity leading to failure to produce blood, Blood Vacuity leading to blood failing to nourish Qi can lead to what? | Dual Vacuity of Qi and Blood |
| True or False: If there is Blood Stasis, there is Qi Stagnation. If there is Qi Stagnation, there is not necessarily Blood Stasis | True |
| True or False: Qi produces, moves and controls fluids,Fluids stagnate qi | False |
| Depression, moodiness, unhappiness, fluctuation of mental state, irritability, impatience, agitation, oppression in chest, susceptibility to sighing, distending pain along the channel or in the liver region that comes and goes according emotional state | Liver Qi Stagnation |
| Heavy blood loss, SUDDEN bright white complexion, cold limbs, profuse cold, sticky sweat, fainting (Yang Qi Desertion) TONGUE: Pale PULSE: Scallion Stalk or Drumskin or Faint | Qi Deserting with Blood |
| Thin, fluid, mobile.Located in skin, hair, muscles, orifices, penetrates into blood vessels.Moisten & protect tissues, skin, orifices etc. component of blood | JIN – LIQUID |
| Thicker. Located in zang fu organs, brain, marrow, bones, joints. Moisten & lubricate organs & tissues,nourish organs & tissues | YE - HUMOR |
| pronounced thirst, emaciation, lustreless skin & hair, twitching muscles, tremor of hands, involuntary movement of limbs TONGUE: Red, dry, little or no fur, mirror (more severe) PULSE: Rapid, fine | Insufficiency of Body Fluids |
Created by:
ElisaDanger
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