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TCM Diagnosis 1 Fina

Chills feel cold but cannot be relieved by warmth
cold feel cold but can be warmed up
fever temperature is higher than normal
warm feel warm, temperature may be higher than normal or normal
normal temperature 98.6 F = 37 C
Chills accompanied by fever indicates Exterior (superficial) syndrome, chills are present = exterior syndrome (more chills, more fever)
Cold without fever indicates cold syndrome (excess or deficiency)
Cold evil invasion, abdominal pain, likes warmth, dislikes pressure Excess cold syndrome
Loose stool, abdominal pain, likes warmth and pressure, weak pulse Yang deficiency
Fever (warm) without cold heat syndrome (excess or deficiency)
High fever > 39 C
Tidal fever a fever that occurs or becomes worse at a fixed time of the day, just like the sea waves
Slight fever Temp < 38 C
High fever, profuse sweating, severe thrist, flooding pulse Excess heat syndrome (Yang ming channel syndrome) The big 4s
Afternoon fever (between 3-5pm) with constipation and fullness and pain in the abdomen Excess heat syndrome (Yang ming fu syndrome) "yang ming tidal fever"
Tidal fever in the afternoon or evening, night sweating, malar flush, red tongue with little coating, rapid and weak pulse Yin deficiency (yin deficiency tidal fever)
slight fever, fatigue, poor appetite, weak pulse qi deficiency
slight fever, heavy in the head and body, red tongue with a thick coating heat damp syndrome
Alternating chills and fever half exterior and half interior syndrome
Fever (high fever) that alternates with chills at regular intervals half exterior and half interior syndrome; malaria
Fever that alternates with chills at irregular intervals, bitter taste in the mouth, thirst, fullness in the chest and hypochondrium half exterior and half interior syndrome; Shao yang disease
Exterior syndrome without sweating exterior EXCESS syndrome, exterior COLD syndrome (same thing)
Exterior syndrome with sweating indicates Exterior deficiency syndrome (Tai yang wind syndrome)
Controversy: exterior heat syndrome with sweating and without sweating (so we say both)
Interior syndrome (3 features) - Spontaneous sweating - Night sweating - Profuse sweating
Spontaneous sweating (sweating while awake) that is worse with exertion and accompanied by fatigue indicates Qi deficiency (without cold symptoms) Yang deficiency (with cold symptoms)
Night sweating (sweating during sleep, stopping when awake), malar flush, tidal fever or warm indicates yin deficiency
profuse sweating, high fever, severe thirst, flooding pulse (big 4s) indicates excess heat syndrome (Yang ming channel syndrome)
Profuse cold sweating, pale complexion, cold limbs, feeble pulse that is Barely palpable indicates yang collapse (exhausted)
feels distended and painful, often seen in the chest, epigastric, hypochondrial and abdominal regions indicates qi stagnation
feels distended and painful in teh head indicates liver fire or liver yang rising
Feels heavy and painful and often seen in the head and four limbs indicates dampness or damp bi
pain that is unfixed in the joints at the four limbs indicates wind bi
pain that moves from place to place with a distended sensation in the chest, hypochondrial or abdominal region indicates qi stagnation
a pain that feels like being pricked indicates blood stasis
a pain that is very sharp and violent indicates substantial pathogenic factors obstructing the qi
Heart attack chest bi
a pain with a burning sensation indicates heat or fire syndrome
shingles heat or fire syndrome
pain with a cold sensation that is relieved by warmth cold evil invasion; yang deficiency
a lingering pain that is not severe deficiency syndrome
pain with a hollow sensation qi and blood deficiency
pain that is aggravated by pressure or dislikes pressure exterior evils invasion, qi or blood stagnation, substantial pathognieic obstruction (food, stone, etc).
Pain that is alleviated by pressure and likes pressure qi, blood, or yang deficiency
back of the head and neck pain indicates tai yang channel (UB)
forehead pain indicates yang ming channel (ST)
sides of the head, especially at the temples shao yang channel (SJ)
Vertex pain indicates Jue yin channel (LV)
Back of the head and neck pain, chills and fever, floating pulse indicate exterior syndrome (Tai yang disease = UB)
Chest pain heart or lung disease
colic pain in the chest Chest Bi (heart attack)
stabbing pain in teh chest heart blood stasis
chest pain, night sweating, cough with a little blood in the sputum lung yin deficiency
hypochondrial pain liver or gall bladder disease
hypochondriac area feels distended with pain moving from place to place, irritability, wiry pulse indicates liver qi stagnation
hypochondriac pain, jaundice, thick yellow tongue coating indicates heat and damp in the liver and gall bladder
stabbing pain in the hypochondriac region with scaly skin and purplish tongue indicates liver blood stasis
burning pain in the hypochondriac region with vesicular skin eruptions indicates liver fire and damp (shingles)
Epigastric pain (WAN = middle) stomach and spleen disease
distended epigastric pain that is alleviated by belching or flatus indicates qi stagnation
a dull, lingering epigastric pain that is alleviated by pressure indicates deficiency syndrome
epigastric pain that is alleviated by warmth, refuses pressure indicates cold invading the stomach
abdominal pain spleen, LI, UB B/L lower abdominal pain = LV channel
dull abdominal pain that is alleviated by warmth and pressure, loose stools, fatigue indicates spleen yang deficiency
distended b/l lower abdominal pain indicates liver qi stagnation
lumbago kidney or UB disease or injury
lower back pain with fatigue indicates kidney deficiency syndrome
lower back colic pain that radiates to the perineum, bloody urine indicates kidney stone stone obstruction and qi stagnation
fixed pain at the lower back with a history of injury indicates local qi stagnation and blood stasis
Limb pain, joint pain joint pain = bi syndrome
joint pain that is unfixed in the four limbs wind bi
joint pain with a heavy sensation indicates damp bi
joint pain that is fixed and severe indicates cold bi
joint pain with redness and swelling indicates heat bi
thirsty and wants to drink may be caused by profuse sweating, vomitting, diarrhea, or loss of body fluids
severe thirst, high fever, profuse sweating, flooding pulse indicates excess heat syndrome (yang ming channel syndrome)
thirsty but does not want to drink, with malar flush, tidal fever, night sweating indicates yin deficiency
thirst but drinks very little, with a heavy sensation in the head and limbs, red tongue, thick yellow coating indicates heat and damp syndrome
thirsty but can only gargle and not swallow, with a purplish tongue, hesitant pulse blood stasis
Poor appetite, fatigue, abdominal distention, loose stool, weak pulse indicates spleen qi deficiency
Anorexia, jaundice, hypochondriac pain, thick yellow tongue coating heat damp in the liver and gall bladder
poor appetite with a heavy sensation in the head and limbs, thick tongue coating indicates damp invading the spleen
excessive appetite with mouth odor, red and swollen gums, constipation indicates stomach fire
excessive apetite, excessive thierst, excessive urination, emaciation indicates TCM = xiao ke; WM = dm
hungry but doesnt want to eat with a burning sensation in teh stomach, red tongue indicates stomach yin deficiency
tasteless (can still taste but just doesnt taste good) spleen qi deficiency
sweetish taste or stickiness heat damp syndrome
sour regurgitation liver stomach heat
bitter taste liver and gb heat
salty taste kidney deficiency or cold syndrome
prefers warm food or drink cold syndrome
prefers cold food or drink heat syndrome
Insomnia with palpitations, night sweating, red tongue with little coating, rapid and weak pulse indicates: Heart yin deficiency
Insomnia with palpitations, lower back soreness, night sweating, red tongue indicates Disharmony between the heart and kidney
INsomnia with palpitations, poor appetite, fatigue, pale tongue, weak pulse indicates Heart and spleen deficiency
Insomnia with a restless mind, dream disturbed sleep, red tongue tip indicates: Heart fire hyperactive
Lethargy with a heavy sensation in the head and limbs, thick coating, slippery pulse indicates Phlegm damp syndrome
Sleepiness especially after eating, fatigue, poor appetite indicates Spleen qi deficiency
Half asleep with general lassitude, cold limbs indicates Heart and kidney yang deficiency
Lethargic stupor, skin with visible macules or papules, deep red tongue, rapid pulse indicates - Heat invading the pericardium - Blood fen (xue fen)
Constipation with a high fever, distended abdomen, red tongue with a yellow and dry coating indicates: excess heat syndrome
constipation with a pale face, cold limbs, prefers warm drinks, and a deep slow pulse indicates: cold syndrome
Constipation or a dry stool with a red tongue with little coating, rapid and thready pulse indicates yin deficiency
constipation or a dry stool seen with fatigue in a long term disease or in an elderly patient or postpardum woman indcates qi and body fluid deficiency
Loose stool, poor appetite, abdominal distention with a dull pain in the abdomen indicates: spleen qi deficiency
diarrhea before dawn, abdominal pain, borborygmus, relieved by defecation, low back soreness, cold in teh limbs indicates: kidney yang deficiency
diarrhea with a foul smell, sour vomit with an odor and undigested food, abdominal pain that is relieved by defecation or vomiting indicates food stagnation
abdominal pain with diarrhea, relieved by defecation, relating to emotional change imbalance between the liver and the spleen
Undigested food in the stool indicates spleen or kidney deficiency
alternating constipation and loose stools indicates imbalance between liver and spleen
a stool that is dry first, then becomes loose spleen deficiency
bloody stool with large mucous and tenesmus with a burning sensation at the anus indicates large intestine heat damp (dysentery)
black stool indicates distal blood
tenesmus indicates large intestine heat damp
heavy sensation at the anus or prolapse of the anus indicates spleen qi deficiency
Clear and profuse urine, cold limbs, likes warmth yang deficiency
profuse urine, excessive appetite, excessive thirst, emaciation xiao ke
yellow urine in small amounts excess heat syndrome (dehydration)
small amount of urine with edema lung, spleen, kidney disease (kidney failure)
Dark or bloody scanty urine, colic pain in the lower back or abdomen shi lin (kidney stone)
Yellow, scanty, frequent, urgent painful urination UB heat damp (UTI)
Excessive urine at night indicates kidney deficiency
retention or difficult, dribbling urination in an elderly patient indicates kidney deficiency
incontinence in an elderly patient indicates kidney qi deficiency
Vertigo with fatigue, pale face, and lips, pale tongue, weak pulse Qi and blood deficiency (deficiency)
Vertigo with a heavy sensation in the head and limbs, thick coating indicates damp and phlegm syndrome (exess)
Vertigo with severe headache, red eyes, and wiry pulse indicates liver yang hyperactive & wind syndrome or omen of a stroke (mixed excess and deficiency)
sudden onset, high pitch noise tinnitus that is agravated by pressure indcates excess syndrome of liver fire
gradual onset, low pitch tinnitus that is alleviated by pressure indicates kidney deficiency
sudden onset deafness indicates excess syndrome
gradual onset deafness indicates deficiency syndrome (commonly seen in the elderly)
red eyes with blurred vision, headache, tinnitus, lower back soreness indicates kidney yin deficiency liver yang hyperactive
dry eyes with decreased vision indicates liver blood deficiency; liver and kidney yin deficiency
palpitation + Qi deficiency (big 5) sxs indicate heart qi deficiency
palpitation + yang deficiency (big 5 + cold) sxs heart yang deficiency
Palpitations + blood deficiency (PPPPP) sxs heart blood deficiency
Palpitations + yin deficiency (night sweats, malar flush, etc.) sxs heart yin deficiency
Normal menstruation 21-35 days
Shortened menstrual cycle < 21 days
Lengthened menstrual cycle > 35 days
Irregular menses you never know
Amenorrhea no period for 6 months
Profuse flow with a bright red color, red tongue indicates heat syndrome
Profuse flow with a light red color, fatigue, pale tongue, weak pulse indicates qi deficiency
scanty amount with a light red color indicates blood deficiency
purplish color with cloths, lower abdominal stabbing indicates blood stasis
leukorrhea normal should have no odor
Condition of the arterial pulse is felt by the finger tips True
Pulse formation is associated with __, __, and __ zang fu, qi and blood
Pulse formatinon is controlled to the heart, vessels, zong qi, ying qi, lung spleen, stomach, liver, kidney True
__ locations of palpating the TCM pulse 3
Universal palpation pulse is taken on the head, upper limbs, and lower limbs. Each of those parts are further divided into upper, middle, and lower portions "3 parts and 9 portions"
Three parts palpation Renying pulse: carotid pulse Cunkou pulse: radial pulse Fuyang pulse: dorsal pulse
Renying pulse carotid pulse
cunkou pulse radial pulse (most common)
fuyang pulse dorsal pulse
Cunkou palpitation Most common - palpating the radial artery on both wrists, divided into 3 parts: cun, guan, chi
Normal pulse differentiated by: depth, speed, strength, shape, rhythm
Normal pulse has 3 characteristics Stomach qi, vitality (shen) and root at the moderate level, is even and smooth at cun, guan, and chi; has moderate force and regular rhythm , 4-5 beats per breath
athlete's pulse slower
child's pulse faster
obese person's pulse deeper
thin person's pulse more superficial
woman's pulse softer and slighlty faster
pregnant woman's pulse slippery pulse
spring pulse wiry
summer pulse flooding
Right hand is stronger than left pulse baby girl
left hand is stronger than right pulse baby boy
autumn pulse floating pulse
winter pulse sinking pulse
Pulse can be felt with light palpation but is relatively weak with deep palpation floating, superficial pulse
Floating superficial pulse indicates: exterior (superficial) syndrome or deficiency syndrome (yang qi floating out)
pulse floating, large and weak pulse - seen in: prolonged illness and weakened condition
Pulse is felt only with heavy pressure sinking, deep pulse
Sinking, deep pulse is an __ syndrome interior
Deep and forceful sinking deep pulse interior excess syndrome
Deep and weak sinking deep pulse interior deficiency syndrome
slow pulse the rate is slow with less than 4 beats per breath (< 60 bpm)`
slow pulse indicates cold syndrome
slow and forceful pulse excess cold syndrome
slow and weak deficiency cold syndrome (Yang syndrome)
The rate is rast, with more than 5 beats per breath (> 90 beats per minute) rapid pulse
Rapid pulse indicates Heat syndrome
Rapid pulse and forceful excess heat syndrome
Rapid pulse and weak deficiency heat syndrome (Yin deficiency)
teh rate is very fast with 7-8 beats per breath (140-180 bpm) swift pulse
Swift pulse extreme heat and yin exhausted, approaching qi collapse
The pulse is felt weak at all 3 levels of pressure Empty pulse
Empty pulse, fatigue, spontaneous sweating, light red tongue or with teeth marks indicates
Empty pulse, pale face, lips, nails, and tongue indicates blood deficiency
Empty and slow pulse, spontaneous sweating, cold limbs, likes warmth, swollen tongue indicates Yang deficiency
Empty and rapid pulse, night sweating, malar flush, red tongue with little coating or no coating indicates Yin deficiency
The pulse is felt strong and forceful at all 3 levels of pressure excess, forceful, strong pulse
Excess cold, excess heat, food stagnation phlem and qi and blood stagnation excess syndrome
Excess xie qi and strong zheng qi excess syndrome
The pulse is felt smooth and flowing like beads (pearls) rolling on a plate Slippery, rolling pulse
Sloppery rolling pulse indicates phlegm and fluid retention, food stagnation, excess heat, women during pregnancy
The pulse is felt rough, uneven, unsmooth Hesitant, choppy, rough pulse
Hesitant and forceful pulse Qi or blood stagnation; food stagnation, phlegm retention
Hesitant and weak pulse Essence impairment and blood deficiency
The pulse is broad, large and forceful like roaring waves which come on powerfully and fade away Flooding, tidal pulse
Flooding or tidal pulse indicates excess heat
Excess heat in the flooding or tidal pulse is seen in yang ming channel syndrome or Qi Fen Syndrome; also seen in prolonged disease (a weak constitution with a flooding pulse indicates a critical conditions)
The pulse is broad and large with NO forceful, roaring waves big, large pulse
Pulse is big and forceful excess syndrome
Pulse is big and weak deficiency syndrome
The pulse is felt like a fine thready but is very distinct and clear "as thin as a thread" thin, thready pulse
Thin and thready pulse Qi, blood and yin deficiency OR dam syndrome
Small, fine pulse same as thin and thready pulse
The pulse is felt tight and forceful like a stretched rope Tight, tense pulse
Tight and tense pulse indicates Cold syndrome, pain, or food stagnation
The pulse rate is 4 beats per breath Moderate, leisurely pulse
Indications for a moderate, leisurely pulse Normal pulse, damp syndrome, spleen and stomach deficiency, qi or blood deficiency, morbid (diseased) moderate = sluggish
The pulse is long and straight Long pulse
Normal pulse [long and gentle], liver yang hyperactive, excess heat syndrome, morbid (diseased) long [long and wiry] Long pulse
The pulse is short, only felt distinctly at the guan position Short pulse
Pulse is short and forceful qi stagnation
Pulse is short and weak Qi deficiency
the pulse is felt taut, straight, and long, feels like the "string of a violin" wiry, stringy pulse
Wiry, stringy pulse indicates Liver and gall bladders disease, phlegm and damp retention, pain, and malaria
The pulse is felt at a superficial and deep level, empty at the middle "feeling like an onion stalk" Hollow, onion stalk pulse
Indications for hollow, onion stalk pulse loss of blood, impairment of yin
The pulse is felt at the superficial level, large, hollow, and taught "lke feeling the surface of a drum" Leather, tympanic pulse
Indications for leather, tympanic pulse loss of blood, impairment of essence
The pulse is felt at the deep level, long, taught, and forceful Confined, fixed, prison pulse
Indications for confined, fixed, prison pulse cold accumulation, qi or blood stagnation
The pulse is felt at the very deepest level (pressing to the bone), thready, feeble, and hardly palpable Hidden pulse
Indications for hidden pulse Pathogens in the interior, jue syndrome (syncope, cold limbs), severe pain
The pulse has a round shape like a bean, feeling short, slippery, rapid and forceful Moving, spinning bean pulse
Indications for a moving, spinning bean pulse pain and fright
THe pulse is felt at the superficial level, thready and soft Soggy, soft pulse
Indications for the soggy and soft pulse deficiency syndrome and damp
The pulse feels extremely thready, feebile, barely palpable Minute pulse
Indications for a minute pulse deficiency syndrome
The pulse is felt at the deep level, thready, and very soft Frail, weak pulse
Indication for a frail and weak pulse qi and blood deficiency
The pulse is felt at the superficial level, scattered and uneven Scattered pulse
Indication for scattered pulse Qi is exhausted
The pulse is rapid with irregularly missed beats hurried, abrupt pulse
Indications for hurried and abrupt pulse excess heat syndrome, qi and blood stagnation, phlegm retention, food stagnation, prostration (CVD)
The pulse is slow with irregularly missed beats knotted pulse
Indications for knotted pulse Excessive yin, qi stagnation, cold phlegm, blood stagnation
The pulse is missing beats at regular intervals intermittent, regularly intermittent pulse
Indications for an intermittent, regularly intermittent pulse Zang qi defciency, wind syndrome, pain, emotional fear and fright, injury, CVD
Floating pulse exterior syndrome
sinking pulse interior syndrome
Slow pulse cold syndrome
rapid pulse heat syndrome
Weak pulse deficiency syndrome
forceful pulse excess syndrome
Prolonged disease, weak condition with a moderate pulse condition is getting better
prolonged disease, weak condition with a flooding pulse critical condition
Exterior syndrome with a moderate pulse condition is getting bette
exteriro syndrome with a rapid pulse may change to an interior syndrome
Floating and rapid pulse exterior (superficial) heat syndrome
floating tight pulse exterior (superficial) cold syndrome
Thready rapid pulse heat deficiency syndrome (yin deficiency)
forceful and rapid pulse excess heat syndrome
Rapid, slippery, wiry pulse heat phlegm syndrome
Cold cold syndrome
warm warm syndrome
soft and likes pressure deficiency syndrome
hard and refuses (dislikes) pressure excess syndrome
5 heart heat (heat sensation in the palms, soles, and chest) yin deficiency syndrome
local edema pitting edema
local qi distention non-pitting edema
zheng ji - pain or a lump with a fixed position indicates blood stagnation
jia ju - pain or a lump with an unfixed position indicates qi stagnation
Created by: Krys2287