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Inspection of Spirit, Eye, Nose, Ear, Index Finger

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Inspection includes 5 major areas:
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Terms in this set (23)

Inspection includes 5 major areas:
List them

1. whole body
2. local areas
3. infant's index finger
4. inspection of excreta & secretions
5. tongue

Inspection of spirit (shen)

- patient's mental state
- excess or deficiency in the zang fu organs
- yin, yang, qi & blood
- prognosis of disease

Definition of Spirit (Shen)
better translation is vitality

Shen, general manifestation of the vital activities of the human body, and the outward sign of the relative strength of qi & blood of the zang fu organs
- broad sense (total external manifestation, reflections of zang fu organ functions
- narrow sense ( mental activities, incl. consciousness & cognition)

Origin of Spirit

combined mother's & father's essence = congenital essence
congenital essence + acquired essence = Spirit
Shen & Life is not separatable

Manifestation of Shen

shen dominates whole body's activity, but is seen especially in eyes

What are the 3 treasures

1. essence
2. qi

Definition of Essence

original substance (source) of human life. Composed of:
-congenital essence, inherited form parents
-acquired essence, produced from food by stomach & spleen

Definition of Qi in respect to the 3 treasures

Qi denotes
-essential substances of the human body which maintain its vital activities
- functional activities of the zang fu organs & other tissues

Definition of Shen, (Spirit/Vitality) in respect to the 3 treasures

Spirit is the manifestation of all life activities
-broad sense, reflection of the functions of the viscera
-narrow sense, mental activities, consciousness & cognitive activities

To observe Spirit attention should be put on patient's facial expression, mental state, physical activity, speech, etc.
Special emphasis should be pun on what?

eye movement
- eye is regarded as the orifice of the liver
- eye is the messenger of the heart
- all the essence & qi of the 5 zang & six fu organs rise & pour into the eyes

ON TEST table
"comparison of having spirit, loss of spirit & false spirit"
(page 16, table 1.1.2)

look up table re.
complexion
eyes
mental status
motion & response
respiration
diet

Having spirit indicates what

sufficient essence, mild illness, and good prognosis

Fatigued spirit indicates what

deficiency syndrome, usually caused by heart & spleen, or kidney yang deficiency

ON TEST table
"the 5 colors & their indicated disorder"
(not in book, slide show #39)

blue-green: wind, cold, pain
red: heat, yang
yellow: damp, spleen-def.
pale: def., cold
dark: cold, water

ON TEST
remember eye picture
(page 35)

Pupil = kidney
Canthus (2 corner of eye) = heart
Iris = liver
Sclera (white part) = lung
eyelids & surrounding tissue = spleen