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Diagnosis Quiz 5 - Inquiry

Terms in this set (96)

Feels cold, but can't be
relieved by warmth
Aversion to cold (Wu Han)
Felt cold, but can be relieved by warmth
Fear of cold (Wei Han)
Relatively severe cold when the entire body is huddled and trembling
Shivering (Han Zhan)
Subjective feeling of heat but body temp is NOT rising;
or actual temperature is rising
Fever (Fa Re)
Aversion to cold seen as
exterior syndrome
Fear of cold seen as
internal cold or yang def
Shivering seen in
either cold or heat conditions, also malaria
Chill (Aversion to Cold) and Fever seen simultaneously
Exterior syndrome
Wind cold/ Wind heat
Light fever, more chill; no sweating; floating and tight pulse
Wind Cold Invasion
Light chill, more fever; slightly sweating; floating and
rapid pulse
Wind Heat Invasion
Alternating Chills and Fever
half exterior and half interior pattern
Shaoyang disease, Malaria
Bitter taste, nausea, dry throat,
dizziness; fullness in chest and hypochondria; wiry pulse
Shaoyang disease
Alternating high fever and chills at regular intervals; sweating and thirst; then fever to retreat and return to normal; headache
Malaria
Abdominal cold pain, cramp; diarrhea; deep, full and tight pulse, dislikes pressure
Excess cold
Intolerance of cold or fear of cold; cold hands and cold feet; deep, slow and weak pulse, prefers pressure
Def cold
Def cold due to
SP/KD/ HT yang def
Excess cold due to
cold in ST/SP/LI/ uterus; cold in the channels or joints
Fever
interior heat pattern
High fever (thirsty, profuse sweating, surging (flooding) pulse) due to
Internal full heat, Yangming jing disease or qi level (4 big signs)
Tidal fever (Yangming) High fever w/peak at 3-5 pm; constipation,
abdominal pain; deep and full pulse due do
Yangming Fu disease
- Fever higher in afternoon
- Skin does not feel hot initially, but does so being felt
for a while
- Heaviness of head and limbs; greasy tongue coating
Damp heat tidal fever
Low fever in afternoon or at night - Hot flashes, 5-palm heat, night sweats
Yin def tidal fever
Also called "steaming bone tidal fever
Low fever due to
Yin def/ Blood def, Late stage febrile disease, or Damp heat
- Lower fever, lingering heat or possibly tidal fever, occasionally there may be vigorous fever; fever is stronger after taxation or exertion (activity)
- Pale face, spontaneous sweating, shortness of breath, fatigue
low fever due to Qi def
- Low fever, or tidal fever, occasionally there may be vigorous heat
- Accompanied by withered yellow or pale complexion, dizziness, palpitation, insomnia, numbness of the limbs, pale lips and nails
low fever due to blood def
Low fever qi def due to
SP qi def, clear yang cannot rise upward, and yang qi cannot rise up and circulate, stagnate or blockage in superficial level (muscle and skin), so there is fever. Also called "Yin Huo"
aversion to cold, fever, floating tight pulse
Exterior Syndrome without Sweating
Exterior Excess
aversion to wind, fever, floating moderate pulse
Exterior Syndrome with Sweating
Exterior deficiency
fever, sl chills, sore throat, floating rapid pulse
Wind Heat
Spontaneous sweating in daytime, with lassitude, cold limbs, clammy hands and feet
Qi or Yang def (mainly LU/SP qi def)
Night sweating while falling asleep, stopping when waking
up
Yin def
Night sweating, Tidal fever, 5 palm heat
Yin def
Profuse sweating, high fever, thirsty, surging (flooding) pulse
Excess Heat (Yang Ming Heat)
Profuse sweating, cold sweat, pale complexion, cold limbs, weak or minute pulse
Yang collapse
Yellow sweating
damp heat
Sweating over head and face, red face, thirst, red tip w yellow coating tongue, rapid pulse
Upper jiao heat
Sweating over head and face, heaviness of head and limbs, low fever, yellow greasy coat
Middle jiao damp heat
Sweating over head and face, oily sweat on forehead like pearls, cold hands and cold feet, minute pulse
Yang collapse
Sweating on half body, blockage qi and blood circulation (hemilateral withering)
Wind Stroke or paralysis
Seating on half body, Qi and blood def in half of the body
Qi and blood not nourishing, ying and wei unbalanced
Sweating on palms and soles
Spleen and stomach deficiency or dampness retention - spleen controls the muscles and four limbs
Sweating on palms and soles, 5 palm sweat, dry mouth and dry throat, yellow urine, thin pulse
Yin def
Heat in the yin channels
Yin def
Distending pain in the chest and hypochondria
qi stagnation
Distending and throbbing headache
LV yang rising or LV fire
Stabbing pain
blood stasis
Fixed pain
blood stasis, or cold bi, or damp bi
Unfixed pain (moves around)
qi stagnation, or wind bi
Cold pain
excess cold, or yang def
Burning pain
excess heat, or yin def
Colic pain (sharp pain like knife stabbing)
excess evil blocking the channels
Heavy pain
dampness retention
Dull, achy pain
blood def, or yang def
Hollow pain (empty sensation) and vague pain
qi and blood def, or kd essence def
Headache Forehead (frontal) and supra-orbital region
Yang-Ming Headache
Evil invading the foot yang ming ST channel
Headache Both sides of head, temples (Taiyang) regio
Shao-Yang Headache
foot shao yang GB channel
Headache Back of head and neck
Tai-Yang Headache
foot Tai yang UB channel
Headache Vertex of head
Jue-Yin Headache
foot Jue yin LV channel connecting eye and also connecting in vertex w Du mai
acute onset, intensive headache, with aversion to cold and fever
Exterior Headache
headache w stiffness of neck
Wind Cold headache
headache w red face and red eyes
Wind Heat headache
headache as if wrapped up w wet towel, heaviness feeling
Wind Damp headache
Blockage or Deficiency
Interior Headache
dull headache, worse after overwork
Qi deficiency headache
headache dull pain w dizziness, and pale complexion
Blood deficiency headache
hollow headache (empty sensation) w soreness of back and knees
Kidney Essence deficiency headache
headache fixed pain, stabbing and prickling pain
Blood Stasis headache
headache as if wrapped up tightly w wet towel; oppressive sensation in chest and greasy coating
Phlegm Retention headache
distending and throbbing headache
Liver Yang Rising or Liver fire headache
Dizziness with distending headache, tinnitus, irritable,
flushed face, wiry pulse
Liver Fire or Liver Yang Rising
Dizziness with drowsiness (sleepy) or heaviness, chest
distress, nausea, greasy tongue coating
Phlegm Obstruction
Dizziness esp. when suddenly stand up (orthostatic hypotension) with lassitude, fatigue, palpitation, insomnia, pale complexion, pale tongue, weak pulse
Qi and Blood deficiency
Dizziness with soreness of low back and knees,
tinnitus, seminal emissions, poor memory
Kidney Essence deficiency
Body pain, sudden onset, pain all over with chills and fever
Exterior syndrome (wind cold, wind heat)
chronic disease, pain all over the body, tiredness
Qi and Blood Deficiency
Body pain, heaviness in head and limbs, chest distress, loose stools, poor appetite, greasy tongue coating
Dampness Obstruction
Body pain, heaviness feeling all over, esp the limbs, fatigue and tiredness, shortness of breath, poor appetite
Spleen Qi deficiency
Joint pain wandering (moving) from joint to joint
Wind Bi (Wandering Bi)
Joint pain very painful, and fixed pain
Cold Bi (Painful Bi)
Joint pain, Fixed pain, with swelling and heaviness sensation
More lingering pain
Damp Bi (Fixed Bi)
Joint Pain, Heat pain, burning sensation, with red and swelling joints
Heat Bi, Due to wind damp heat evil or wind-cold-damp transmit to heat
soreness, dull achy in back; lassitude
Kidney deficiency
cold pain in back, with heaviness, worse in cold and damp weather
Cold Damp Obstruction
severe back pain likes stabbing or prickling, fixed pain and worse with pressure, with inability to turn the waist
Blood Stasis
Numbness of limbs; blurred vision, floaters in eyes; muscle weakness or muscle (sinews) spasms, cramps; withered and brittle nails, dry hair and skin
Blood Deficiency
Numbness of limbs; tremor of limbs; dizziness;
convulsions or paralysis
Internal Wind
Numbness in extremities, heaviness in the limbs, heaviness in head and chest, obese, cough with phlegm, greasy coating, slippery pulse
Phlegm retention
Chest pain, oppression (tight) in the front of the chest, pain comes and goes, radiated to left shoulder and back, palpitations, shortness of breath
Chest Bi due to
HT yang def, qi def and blood stasis, or phlegm obstruction, or due to LQS
Chest pain suddenly onset, stabbing, prickly pain and squeezing sensation, radiated to inner aspect of the left arm or to shoulder, gray complexion, cyanosis of lips and nails, sweating, cold limbs
Heart blood stasis - Also called True Heart Pain due to
heart yang def, heart blood def, and heart Qi def, causing heart blood vessels suddenly obstructed
chest pain; with cough, profuse yellow sputum, wheezing, fever, red face
LU heat
chest pain; dry cough, with a little sticky blood-tinged sputum, night sweat, tidal fever
LU yin def
Oppression of chest, wheezing, cough, profuse white sputum
Phlegm-damp obstructing LU
due to SP def (SP produces phlegm and LU stores it)
palpitation, worse with movement or exertion; fatigue, spontaneous sweating, shortness of breath
Heart Qi deficiency
palpitation, or fearful throbbing or stirring palpitation; chills or feeling of cold, cold limbs
Heart Yang deficiency
palpitation, insomnia, dizziness, pale complexion, pale tongue
Heart Blood deficiency
palpitation, dream disturbed sleep, insomnia, tidal fever, night sweats, red tongue with little coating, thin rapid pulse
Heart Yin deficiency
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