ACTCM: Diagnosis 2 (Hsu) Final Review
Name Qi and Blood combination syndrome. S/Sx: 1. Blood in stool, urine or vomit 2. Skin bruising with pale purple color 3. Ecchymosis 4. Teeth & gum bleeding 5. Menorrhagia 6. SOB 7. Spontaneous Sweating 8. Fatigue 9. Pale face Tongue: Pale Pulse: Weak
Bleeding due to Qi Deficiency
Name Qi and Blood combination syndrome. Caused by: 1. Massive Bleeding and/or Trauma 2. Profuse Menses 3. Delivery of Baby 4. Organ Damage
Bleeding due to Qi Exhaustion
Name Qi and Blood combination syndrome. Diseases associated: 1. Hemorrhagic Shock
Bleeding due to Qi Exhaustion
Name Qi and Blood combination syndrome. S/Sx: 1. Pale Face 2. Excessive Bleeding 3. Profuse sweating with cold extremities 4. Feeble Breathing 5. LOC (loss of conciousness) Tongue: Pale Pulse: Minute / Floating / Scattered
Bleeding due to Qi Exhaustion
Name Qi or Blood Syndrome. Caused by: 1. Cold accumulates and Qi stagnation occurs in local blood vessels 2. Cold factor attack
Blood Cold
Name Body Fluid syndrome. Caused by: 1. Heat 2. Weak production & distribution of fluids by the LU/SP/KID 3. Loss of fluids: diarrhea / vomiting / profuse sweating / chronic heat 4. Lack of food & nutrition 5. Cancer 6. Chronic stomach indigestion 7. Wrong treatment: too much diaphoresis
Lack of Fluids (Deficiency)
Excess or Deficient Syndrome S/Sx? Tongue: Red with scanty fur = Yin ___. Pulse: Deep, Slow and Deficient
DEFICIENCY Syndrome S/Sx
Name Body Fluid syndrome. S/Sx: 1. Dry Skin without luster 2. Urine scanty 3. Body Weight: Too Skinny / Emaciated 4. Stool: Constipation / Dryness Tongue: Dry / Thin with white fur or thin yellow fur Pulse: Thin / Thin & Fast if Heat is involved
Lack of Fluids (Deficiency)
Are the following symptoms interior or exterior? Fever, chills and joint pain with redness x 2 days.
Exterior
Involves the following factors: 1. External Factors 2. Penetrates Surface 3. Beginning stage of disease. 4. Sudden Onset 5. Mild Symptoms 6. Short course of disease and treatment.
Exterior
Which syndrome combination belongs to these S/Sx? 1. Fever 2. Aversion to cold 3. No sweat 4. Shortness of breath 5. Very Thirsty 6. Irritable Pulse: Floating & Tight
Exterior Cold and Interior Heat S/Sx Symptoms are a result of catching cold 1st then heat transitions to inside.
Interior or Exterior? Involves 6 evils: cold, heat, dry, damp, wind and summerheat.
Exterior Factors
Interior or Exterior Signs & Symptoms? Body aches, sore throat, mild itching and aversion to wind and cold. Tongue: normal Pulse: Floating & tight / soft.
Exterior S/Sx
Any sickness involving the skin, hair, muscles and channels.
Exterior Syndrome
Fu organ condition
Exterior Syndrome
Refers to sickness location on surface
Exterior Syndrome
Treatment may be shorter with a shorter recovery
Exterior Syndrome
What External combination causes these S/Sx? 1. Wei Qi is Deficient 2. Easily able to catch cold 3. Aversion to wind and cold 4. Fever 5. Shortness of breath after activity 6. Easily Fatigued Tongue: Pale Pulse: Floating Soft or Thin Weak
External Deficiency from Internal Lung & Spleen Qi Deficiency S/Sx
What External combination causes these S/Sx? 1. Aversion to wind 2. Sweat 3. Fever 4. Affects Wei Qi Pulse: Floating & Moderate
External Deficiency from Wind only attack S/Sx
What External combination causes these S/Sx? 1. Zheng Qi is affected 2. Headache 3. Bodyaches 4. No Sweat Pulse: Floating & Tight
External Excess when Exterior Evil attacks S/Sx
Internal or External Heat Symptoms? 1. Fever 2. Slight aversion to cold 3. More aversion to wind 4. Slight thirst 5. Sweating 6. Sore Throat Tongue Color: tongue tip color may become red Pulse: Floating & Fast
External Heat S/Sx
Which syndrome combination belongs to these S/Sx? 1. Fever 2. Sore Throat 3. Headache
External Wind Heat S/Sx
(Fill in the blank with heat or cold.) _____ transforms into internal ______ S/Sx: 1. High Fever 2. Shivering 3. Symptoms change to weakness. 4. Symptoms change to watery diarrhea.
HEAT Transforming into COLD S/Sx
Are the following symptoms interior or exterior? Chest pain, hematoptysis and fever that comes and goes.
Interior
Interior or Exterior? Involves dysfunction of body Qi, Blood and Organs.
Interior Factors
Interior or Exterior? Involves the following factors: 1. Pathological change in the body 2. Blood & body organs become abnormal. 3. Middle or late stage of disease. 4. Internal Injury 5. Severe symptoms with long term disease and treatment.
Interior Factors
Interior or Exterior signs and symptoms? 1. High or low grade fever 2. Irritability 3. Thirsty 4. Abdominal Pain 5. N/V/D (nausea/vomiting/diarrhea) 6. Scanty dark urine 7. Headache 8. Coma
Interior S/Sx
Involves Deep Layer Yin
Interior Syndrome
Involves blood vessels, bone and true organs.
Interior Syndrome
Interior or Exterior Tongue and Pulse? Tongue: color- abnormal change, thicker or less fur Pulse: Deep
Interior Syndrome Tongue & Pulse
Name Pulse: 1. Regularly skipped beats 2. Felt Slow and Weak Syndromes: 1. Organ function deficiency 2. Wind Syndrome 3. Pain Syndrome 4. Trauma 5. Emotionally Disturbed
Intermittent (Dai Mai)
Cold or heat symptoms? What type of cold or heat? 1. Intolerance of cold 2. Face is pale 3. Profuse saliva 4. Pale urine 5. Loose Stool Tongue color changes to pale
Internal Cold S/Sx
Name Qi and Blood combination syndrome. Caused by: 1. Qi cannot make blood 2. Chronic disease or prolonged sickness
Qi & Blood Deficiency
Name Qi and Blood combination syndrome. Diseases associated: 1. Anemia 2. Neurasthenia: chronic fatigue and weakness, loss of memory, and generalized aches and pains 3. Chronic Disease Late Stage
Qi & Blood Deficiency
Name Qi and Blood combination syndrome. S/Sx: 1. Dizziness 2. Blurry Vision 3. Fatigue 4. Heart Palpitation 5. Insomnia 6. Shortness of breath (SOB) 7. Unwilling to speak 8. Pale face or Sallow Pale Yellow 9. Spontaneous Sweating Tongue: Pale & tender like raw beef Pulse: Thin & Weak
Qi & Blood Deficiency
Name Qi or Blood Syndrome. Caused by: 1. Severe Over-stress or Over-strain 2. Deficient Qi that can't hold things up.
Qi Collapse / Qi Sinking
Name Qi or Blood Syndrome. S/Sx: 1. Prolapse of organs: rectum / uterus / ST / KID 2. Fatigue 3. Dizziness 4. Blurry Vision 5. Persistent diarrhea or dysentery Tongue: Pale w/ white fur Pulse: Weak
Qi Collapse / Qi Sinking
Name Qi or Blood Syndrome. Caused by: 1. Abnormal organ function or decline of organ function. 2. Chronic Disease 3. Over-strain or over-work 4. Old age which causes organ function decline.
Qi Deficiency
Name Qi or Blood Syndrome. S/Sx: 1. Fatigue/Lassitude 2. SOB 3. Unwilling to speak or talk 4. Dizziness 5. Blurry Vision 6. Spontaneous Sweat 7. Pale Face Tongue: Pale w/ thin white coat Pulse: Deficient & Weak
Qi Deficiency
Name Qi or Blood Syndrome. Caused by: 1. Blockage 2. Organ function decline 3. Qi is not moving smoothly 4. Abnormal Emotions 5. External Attack 6. Yang Qi Deficiency
Qi Stagnation
Name Qi or Blood Syndrome. S/Sx: 1. Pain w/ distention & fullness 2. Pain can be in Stomach 3. Chest Pain = Lung & Heart Disease 4. Hypochondriac Pain = Liver & GB 5. Pain in Extremities = Channel Qi dysfunction 6. Pain that is movable Tongue: Dusky & Coat does not change Pulse: Tight / Bowstring
Qi Stagnation
Name Qi and Blood combination syndrome. Caused by: 1. Internal abnormal emotions 2. External Attack
Qi Stagnation & Blood Stasis
Name Qi and Blood combination syndrome. Diseases associated: 1. Chronic Hepatitis 2. Liver Cerrosis 3. Coronary Heart Disease 4. Dysmenorrhea 5. Duodenal Ulcer
Qi Stagnation & Blood Stasis
Name Qi and Blood combination syndrome. S/Sx: 1. Fullness & Distention 2. Fullness in chest & hypochondriac region 3. Depression & irritability 4. Abdominal prickle needle pain 5. Immovable mass 6. Patient refuses to be touched 7. Distention and pain in breast 8. Breast pain in females due to menses 9. Menses = Amenorrhea or menses with dark purple red blood w/ clots Tongue: Black Petechiae Pulse: Wiry & Choppy
Qi Stagnation & Blood Stasis
(Fill in the blank with heat or cold.) True ____ and false ____ S/Sx: 1. Fever 2. Big thirst but thirsty for warm drinks. 3. Red face and fever because cold is pushing Yang Qi out. Tongue: Pale with white fur Pulse: Big pulse but no strength
True COLD and False HEAT S/Sx
Name Body Fluid syndrome. S/Sx: 1. Edema starts in lower region, extremities, lower legs and ankles. 2. Pitting edema: when skin is pressed slow return 3. Edema worsens slowly 4. Weakness & soreness in lower back and knees 5. Cold Extremities. 6. Intolerant to cold. Tongue: Dusky Pulse: Deep / Slow / Weak
Yin Edema Fluid Retention
Excess Cold (Including Damp) involves Yin or Yang evil Factors?
Yin Evil Factors
True Yin or Yang Deficiency OR Yin or Yang Exhaustion S/Sx? 1. Profuse Sticky Salty Sweat 2. Skin Warm
Yin Exhaustion S/Sx
True Yin or Yang Deficiency OR Yin or Yang Exhaustion S/Sx? 1. Profuse Sticky Salty Sweat 2. Skin Warm 3. Rough breathing or hurried breathing 4. Desire for cold drink but no relief Tongue: Dry / Red Pulse: Surging & Full / Rushing / Agitated over 150bpm / No Strength / Floating Pulse
Yin Exhaustion S/Sx
Which is a critical condition True Yin or Yang Deficiency OR Yin or Yang Exhaustion?
Yin Exhaustion S/Sx
True Yin or Yang Deficiency OR Yin or Yang Exhaustion Tongue & Pulse? Tongue: Dry / Red Pulse: Surging & Full / Rushing / Agitated over 150bpm / No Strength / Floating Pulse
Yin Exhaustion Tongue & Pulse
Yin or Yang Syndrome S/Sx 1. Dusky dull face 2. Fatigue 3. Lower voice 4. Not Thirsty 5. Cold Extremities 6. Intolerance of Cold 7. Poor Appetite 8. Diarrhea 9. Copious Urine Tongue: Pale / Enlarged / Tender Like Beef Pulse: Weak / Thin / Thready / Slow
Yin Syndrome S/Sx
Yin or Yang Syndrome Tongue & Pulse? Tongue: Pale / Enlarged / Tender Like Beef Pulse: Weak / Thin / Thready / Slow
Yin Syndrome Tongue & Pulse
Cold or Heat Syndrome? 1. Internal Yang Deficiency 2. Affects Wei Qi Level
Cold Syndrome
1. Check Pulse for Force if it's strong or weak 2. Palpate Pulse for root or no root 3. Listen to voice for quiet or loud 4. Length of illness, over 4 weeks is excess. 5. Check Tongue: Shriveled = Excess Heat Moist Rare Steak = Deficient
Comparison Techniques for Excess or Deficient Syndromes
Excess or Deficient Syndrome S/Sx? 1. Pale Face or yellow face 2. Fatigue 3. Palpitation 4. Shortness of Breath 5. Cold Extremities 6. Spontaneous Sweating 7. Incontinence 8. Burning 5 Center Heat 9. Nightsweats Tongue: Pale Puffy = Yang Qi ___ Tongue: Red with scanty fur = Yin ___. Pulse: Deep, Slow and Deficient
DEFICIENCY Syndrome S/Sx
Excess or Deficient Syndrome S/Sx? Burning 5 Center Heat
DEFICIENCY Syndrome S/Sx
Excess or Deficient Syndrome S/Sx? Pale Face or yellow face
DEFICIENCY Syndrome S/Sx
Excess or Deficient Syndrome S/Sx? Shortness of Breath
DEFICIENCY Syndrome S/Sx
What are 4 Blood Syndromes.
1. Blood Deficiency 2. Blood Stasis 3. Blood Heat 4. Blood Cold
What are 4 Qi Syndromes?
1. Qi Deficiency 2. Qi Collapse 3. Qi Stagnation 4. Abnormal Qi Rising
What are 5 Qi and Blood combination syndromes?
1. Qi Stagnation & Blood Stasis 2. Qi & Blood Deficiency 3. Blood Stasis due to Qi Deficiency 4. Bleeding due to Qi Deficiency 5. Bleeding due to Qi Exhaustion
Signs & Symptoms of Syndrome: 1. Alternating cold and heat 2. Stuffy & fullness in chest and hypochondriac region 3. Nausea and vomiting 4. Blurry Vision 5. Poor Appetite 6. Bitter Taste in Mouth 7. Dry Throat 8. Wiry Pulse
1/2 Exterior & 1/2 Interior Syndrome
Name Qi or Blood Syndrome. Caused by: 1. Qi is supposed to descend but has abnormal organ function 2. May involve LU / ST / LIV Qi
Abnormal Qi Rising
Name Qi or Blood Syndrome. S/Sx: 1. Cough 2. Lungs - Asthma caused by phlegm 3. Spleen phlegm source of Lung 4. Stomach - Nausea / Vomiting & Belching 5. LIver - Headache / Dizziness / LOC / Anger / Fainting
Abnormal Qi Rising
Name Qi and Blood combination syndrome. Caused by: 1. Chronic Disease 2. Impaired Spleen Function
Bleeding due to Qi Deficiency
Name Qi and Blood combination syndrome. Diseases associated: 1. Vitamin Deficiency 2. Uterine Bleeding 3. Thrombopenic Pupura (Red Dots)
Bleeding due to Qi Deficiency
Name Qi or Blood Syndrome. S/Sx: 1. Pain that starts in hands and feet 2. Hands & Feet are cold and painful 3. Skin color = dark blue purple color 4. Patient likes warm 5. May have aversion or intolerance to cold 6. Pain will be reduced by warmth 7. Cold sensation in abdomen 8. Menses = delayed / dark purple blood w/ clots Tongue: Dusky / Purple / Blue / Pale Blue Pulse: Slow / Deep / Tight / Choppy
Blood Cold
Name Qi or Blood Syndrome. Caused by: 1. Diet 2. Over-thinking 3. Congenital defect deficiency 4. Any chronic bleeding 5. Chronic disease 6. Parasite disease 7. Blood stasis
Blood Deficiency
Name Qi or Blood Syndrome. S/Sx: 1. Pale face 2. No luster 3. Pale lips & nails 4. Insomnia 5. Heart Palpitation 6. Numbness of hands and feet 7. Menses = Light red / delayed / amenorrhea Tongue: Pale / Thin white fur Pulse: Thin / Deficient
Blood Deficiency
Name Qi or Blood Syndrome. Caused by: 1. Over-exertion 2. Alcoholism 3. Abnormal Anger that lasts too long 4. Excessive Sex Life
Blood Heat
Name Qi or Blood Syndrome. S/Sx: 1. Affects Lung = Cough up blood 2. Affects Stomach = Vomiting blood 3. Nosebleed 4. Blood color is fresh red 5. Fever or no fever Tongue: Crimson red Pulse: Wiry & Fast
Blood Heat
Name Qi or Blood Syndrome. Caused by: 1. Cold accumulation 2. Qi Stagnation 3. Qi Deficiency 4. External Trauma 5. Seven Emotions Abnormality
Blood Stasis
Name Qi or Blood Syndrome. S/Sx: 1. Pain is fixed / stabbing / sharp / refuses touch 2. Pain gets worse at night with cold 3. Subcutaneous bruise that changes color 4. Abdominal Pain in Male = mass 5. Menses = clots / dark blood / long cycle 6. Stool = dark and oily 7. Dusky rough skin on face 8. Dry skin on extremities 9. Lips = Dusky Purple 10. Nails = Dark Purple 11. Varicose veins mostly in legs and abdomen Tongue: Dusky Purple / Petechiae w/ black dots Pulse: Thready / Choppy
Blood Stasis
Name Qi and Blood combination syndrome. Caused by: 1. Qi does not have energy to move or circ. blood. 2. Chronic Disease
Blood Stasis due to Qi Deficiency
Name Qi and Blood combination syndrome. Diseases associated: 1. Cancer 2. Chronic Disease
Blood Stasis due to Qi Deficiency
Name Qi and Blood combination syndrome. S/Sx: 1. Pale dusky face: common in cancer pt. 2. Fatigue and heavy sensation 3. SOB & unwilling to speak 4. Sharp localized pain in chest & hypochondriac region and pt refuses to be touch. Tongue: Pale Purple with Petechiae Pulse: Deep & Choppy / Thin & Choppy
Blood Stasis due to Qi Deficiency
(Fill in the blank with heat or cold.) _____ transforms into internal ______ S/Sx: 1. Slight Fever 2. Aversion to cold --> aversion to heat Tongue normal --> red Pulse: Floating & Tight
COLD Transforming to Internal HEAT S/Sx
Name Pulse: 1. Opposite of Slippery Pulse 2. Feels rough & uneven: like a knife scratches on bamboo 3. Pulse rate and strength are irregular Syndromes: 1. Blood stasis 2. Qi Stagnation w/ Blood Stasis 3. KID Jing Deficiency 4. Lack of blood quantity 5. Phlegm stagnation 6. Food Stagnation
Choppy Pulse (Se Mai)
Cold or Heat Symptoms? 1. Aversion to Cold 2. Headache 3. Muscle Aches 4. Mild Fever 5. No Sweat Pulse: Floating & Tight
Cold
What Deficient combination causes these S/Sx? 1. Body Yang Qi is low 2. Mostly Interior Condition 3. Pale Face 4. Fatigue 5. Intolerance of cold with cold extremities 6. Abd Pain 7. Loose Stool 8. Copious Clear Urine. Tongue: Pale & Tender Pulse: Minute / Deep / Slow or Weak
Deficiency Cold
Deficiency Cold Or Deficiency Heat Tongue & Pulse: Tongue: Pale & Tender Pulse: Minute / Deep / Slow or Weak
Deficiency Cold Tongue & Pulse
What Deficient combination causes these S/Sx? 1. Red Cheeks 2. Emaciation 3. Low Grade Fever 4. Nightsweats 5. Burning 5 Center Heat 6. Dry Mouth & Throat Tongue: Red w/ Scanty Fur Pulse: Thin & Fast
Deficiency Heat
Deficiency Cold Or Deficiency Heat Tongue & Pulse: Tongue: Red w/ Scanty Fur Pulse: Thin & Fast
Deficiency Heat Tongue & Pulse
What Transforming Syndrome causes these conditions? 1. Chronic Anemia 2. Lower Immune Function
Deficiency transforming to Excess syndromes
Name Pulse: 1. Forceless, weak and soft pulse felt on all levels. 2. The fingers touched feel like a balloon partially filled with water. Syndromes: Deficiency Syndrome
Deficient Pulse / Empty Pulse (Xu Mai)
Excess or Deficient Syndrome S/Sx? 1. Fever or High Fever 2. Abd. pain & refuses touch 3. Chest Stuffy = Qi ___ 4. Restlessness w/ delirium 5. Rough Uneven Breathing = Yang ___ 6. Constipation caused by Yin cold or Yang Heat ___ 7. Diarrhea w/ urgency = Qi is blocked by virus/bacteria. 8. Painful urination = Yang Heat Tongue: Tight, shriveled and red Pulse: Forceful
EXCESS Syndrome S/Sx
Excess or Deficient Syndrome S/Sx? Abd. pain & refuses touch
EXCESS Syndrome S/Sx
Excess or Deficient Syndrome S/Sx? Fever or High Fever
EXCESS Syndrome S/Sx
Excess or Deficient Syndrome S/Sx? Rough Uneven Breathing = Yang ___
EXCESS Syndrome S/Sx
Excess or Deficient Syndrome S/Sx? Tongue: Tight, shriveled and red Pulse: Forceful
EXCESS Syndrome S/Sx
What Excess combination causes these S/Sx? 1. Pale Face 2. Cold Extremities 3. Abd pain w/ cold sensation & don't like touch. 4. Diarrhea w/ borborygmus 5. Cough up profuse white sputum w/dyspnea 6. Tasteless mouth w/ profuse saliva 7. Copious urination & clear color Tongue: Pale / Thick White Fur Pulse: Slow & Tight
Excess Cold
Excess Heat or Excess Cold S/Sx? Abd pain w/ cold sensation & don't like touch.
Excess Cold S/Sx
Excess Heat or Excess Cold S/Sx? Copious urination & clear color
Excess Cold S/Sx
Excess Heat or Excess Cold S/Sx? Diarrhea w/ borborygmus
Excess Cold S/Sx
Excess Heat or Excess Cold S/Sx? Pale Face & Cold Extremities
Excess Cold S/Sx
Excess Heat or Excess Cold S/Sx? Tasteless mouth w/ profuse saliva
Excess Cold S/Sx
Excess Heat or Excess Cold Tongue & Pulse? Tongue: Pale / Thick White Fur Pulse: Slow & Tight
Excess Cold Tongue & Pulse
What Excess combination causes these S/Sx? 1. Zhang Qi is normal 2. High Fever 3. Very thirsty likes cold beverages 4. Red Face 5. Red Eyes 6. Irritable 7. Delirium 8. Painful abd distention w/ burning sensation & don't like touch. 9. Constipation 10. Diarrhea w/ foul smell 11. Dark Urine Tongue: Red Pulse: Full & Fast or Flooding & Slippery
Excess Heat
Excess Heat or Excess Cold S/Sx? Constipation or Diarrhea w/ foul smell
Excess Heat S/Sx
Excess Heat or Excess Cold S/Sx? Dark Urine
Excess Heat S/Sx
Excess Heat or Excess Cold S/Sx? Painful abd distention w/ burning sensation & don't like touch.
Excess Heat S/Sx
Excess Heat or Excess Cold S/Sx? Red Face & Red Eyes
Excess Heat S/Sx
Excess Heat or Excess Cold S/Sx? Very thirsty likes cold beverages
Excess Heat S/Sx
Excess Heat or Excess Cold Tongue & Pulse? Tongue: Red Pulse: Full & Fast or Flooding & Slippery
Excess Heat Tongue & Pulse
What is this Syndrome Combination? 1. Dominated by Deficiency Syndrome 2. Can be caused by damaged Yin fluids. 3. Nightsweats 4. Fever that comes & goes.
Excess syndrome combined with Deficient Condition
What is this Syndrome Combination? 1. Dominated by Excess Syndrome 2. Qi is weak 3. Over treated with warm herbs & caused too much sweat.
Excess syndrome combined with Deficient Condition
What Transforming Syndrome causes these conditions? 1. Acute Nephritis 2. High Fever 3. Urine Retention w/pain 4. Most commonly caused by over-treatment of antibiotics
Excess transforming to Deficiency syndromes
These are False symptoms of Excess or Deficiency? Dull Pain and doesn't like pressure or touch
False Symptom of Deficiency
These are False symptoms of Excess or Deficiency? Feels bad but likes touch and pressure
False Symptom of Excess
These are False symptoms of Excess or Deficiency? 1. Quiet but has loud voice when speaking 2. Diarrhea and feels better afterwards 3. Poor appetite but eats and feels better afterwards. 4. Fatigue but feels better after exercise 5. Dull Pain and doesn't like pressure or touch
False Symptoms of Deficiency
These are False symptoms of Excess or Deficiency? 1. Feels bad but likes touch and pressure 2. Wiry, Deep and Slow Pulse
False Symptoms of Excess
Name Pulse: 1. The pulse is smooth and flowing like pearls on a dish. 2. Feels fast in beats but is normal Syndromes: 1. Dampness 2. Phlegm Retention 3. Food Stagnation 4. Excess Heat Syndrome
Slippery (Hua Mai)
Internal Yang function is weakened. Give warm blankets
Treatment for Deficiency Cold
TCM Tx should involve support of Lung & Spleen Qi
Treatment for External Deficiency from Internal Lung & Spleen Qi Deficiency
TCM Tx should involve supporting Wei Qi
Treatment for External Deficiency from Wind only attack
True Cold & False Heat or True Heat & False Cold S/Sx? Big thirst but thirsty for warm drinks.
True Cold and False Heat S/Sx
True Cold & False Heat or True Heat & False Cold S/Sx? Tongue: Pale with white fur Pulse: Big pulse but no strength
True Cold and False Heat S/Sx
(Fill in the blank with heat or cold.) True ____ and false ____ S/Sx: 1. Damp heat causes cold hands due to blocked Qi. 2. Fever with no aversion to cold. 3. Irritability 4. Thirsty for cold beverages. 5. Foul Breath 6. Dark Urine Tongue: Body is red / Fur is yellow and dry Pulse: Deep, Fast and Forceful
True HEAT and False COLD S/Sx
True Cold & False Heat or True Heat & False Cold S/Sx? Thirsty for cold beverages.
True Heat & False Cold S/Sx
True Cold & False Heat or True Heat & False Cold S/Sx? Tongue: Body is red / Fur is yellow and dry Pulse: Deep, Fast and Forceful
True Heat & False Cold S/Sx
True Yin or Yang Deficiency OR Yin or Yang Exhaustion S/Sx? 1. Pale Face 2. Pale Lips 3. SOB 4. Dyspnea 5. Cough w/ Clear Sputum 6. Puffy Body 7. Spont. Sweating 8. Poor Appetite 9. Severe Dizziness 10. Vertigo (room spinning can't stand) 11. Poor Appetite 12. Intolerance to Cold 13. Cold Extremities 14. Loose Stool 15. Abd. Bloating w/ Swollen Legs & Ankles 16. Early Morning Diarrhea 17. Impotence 18. Infertility 19. Drop Foot / Flaccidity Tongue: Pale Enlarged / Fur: Thin/White/Slippery Pulse: Big / Weak = No Strength or Minute
True Yang Deficiency S/Sx
True Yin or Yang Deficiency OR Yin or Yang Exhaustion S/Sx? 1. Spontaneous Sweating 2. Intolerance to Cold 3. Cold Extremities
True Yang Deficiency S/Sx
True Yin or Yang Deficiency OR Yin or Yang Exhaustion Tongue & Pulse? Tongue: Pale Enlarged / Fur: Thin/White/Slippery Pulse: Big / Weak = No Strength or Minute
True Yang Deficiency Tongue & Pulse
True Yin or Yang Deficiency OR Yin or Yang Exhaustion S/Sx? 1. Night Sweats 2. "5" Center Heat 3. Low Grade Fever
True Yin Deficiency S/Sx
True Yin or Yang Deficiency OR Yin or Yang Exhaustion S/Sx? 1. Pale Face w/ red cheeks 2. Dry Mouth 3. Dry Throat 4. Fresh Red Lips 5. Irritable 6. Dizziness 7. Blurry Vision 8. KID involved may have Tinnitus 9. Soreness of Lower Back & Knees 10. Low Grade Fever 11. Nightsweats 12. Nocturnal Emission 13. Constipation 14. Lack of Urine 15. "5" Center Heat Tongue Body- Red Tongue / Slight Red / Dry Tongue Fur- White / Yellow / No Fur Pulse: Thin & Fast or Weak & Fast
True Yin Deficiency S/Sx
True Yin or Yang Deficiency OR Yin or Yang Exhaustion Tongue & Pulse? Tongue Body- Red Tongue / Slight Red / Dry Tongue Fur- White / Yellow / No Fur Pulse: Thin & Fast or Weak & Fast
True Yin Deficiency Tongue & Pulse
Upper Heat & Lower Cold or Lower Cold & Upper Heat S/Sx? 1. Urinary Tract Infection (UTI) S/Sx / Painful Urination Pulse: Wiry & Slippery
Upper Cold and Lower Heat S/Sx
Upper Heat & Lower Cold or Lower Cold & Upper Heat S/Sx? 1. Irritable feeling in chest & stomach acid 2. Can be caused by antibiotics which can damage SP Qi 3. Cold hands and feet
Upper Heat and Lower Cold S/Sx
Name Pulse: 1. Can only be felt in 3rd level 2. Thin pulse that hits fingers w/o strength Syndromes: Qi & Blood Deficiency
Weak Pulse (Ruo Mai)
(Fill in the blank with EXCESS or DEFICIENT.) ___ Syndrome is caused by: 1. Diet 2. Sex 3. Exhaustion 4. Emotional Disorders 5. Yin/Yang, Qi/Blood, Body Fluid, Organ deficiency
What causes DEFICIENCY Syndrome?
(Fill in the blank with EXCESS or DEFICIENT.) ___ Syndrome is caused by: 1. Internal Organ Factors 2. From an attack from the outside
What causes EXCESS Syndrome?
True or False Symptom affected areas? - Extremities - Skin - Face
Where do False Symptoms show up?
True or False Symptom affected areas? - Body Fluid - Blood
Where do True Symptoms show up?
(Fill in the blank with heat or cold.) This is why _____ transforms into internal ______. 1. Yang Qi is excessively strong. 2. Wrong treatment.
Why does COLD transform in internal HEAT?
(Fill in the blank with heat or cold.) This is why _____ transforms into internal ______. 1. Wrong treatment damages Yang Qi. 2. Heat factors are too strong.
Why does HEAT Transform to COLD?
Name Pulse: 1. Feels like a metal violin string 2. Strong pressure felt in all 3 levels Syndromes: 1. LIV/GB Syndrome 2. Pain syndrome 3. Phlegm retention 4. Malaria
Wiry Pulse / Bowstring Pulse (Xuan Mai)
Name Body Fluid syndrome. S/Sx: 1. Edema starts at head and face and works downward to rest of body 2. Pitting edema: when skin pressed returns fast. 3. Swollen skin is thin and shiny often combined with aversion to wind or cold 4. Puffy Face & Puffy Eyelids Tongue: Fur is Greasy Pulse: Deep & Tight
Yang Edema Fluid Retention
Excess Heat involves Yin or Yang evil factors?
Yang Evil Factors
True Yin or Yang Deficiency OR Yin or Yang Exhaustion S/Sx? 1. Thin Profuse Cold Sweat 2. Cold Extremities 3. Skin Cold
Yang Exhaustion S/Sx
True Yin or Yang Deficiency OR Yin or Yang Exhaustion S/Sx? 1. Thin Profuse Cold Sweat 2. Cold Extremities 3. Skin Cold 4. Weak Breathing 5. Thirsty for Warm Drinks Tongue: Thin / Moist Pulse: Floating / Fast / Deficient / Minute
Yang Exhaustion S/Sx
True Yin or Yang Deficiency OR Yin or Yang Exhaustion Tongue & Pulse? Tongue: Thin / Moist Pulse: Floating / Fast / Deficient / Minute
Yang Exhaustion Tongue & Pulse
Yin or Yang Syndrome S/Sx: 1. Heat 2. Red Face 3. Hot Skin 4. Bad Smell 5. Thirst 6. Fever 7. Loud Voice 8. Rough Breathing 9. Difficult Breathing w/ Phlegm Sound 10. Constipation 11. Dark Yellow Urine Tongue: Red or Deep Red / Yellow Fur Pulse: Fast / Surging / Slippery / Floating / Full
Yang Syndrome S/Sx
Yin or Yang Syndrome Tongue & Pulse? Tongue: Red or Deep Red / Yellow Fur Pulse: Fast / Surging / Slippery / Floating / Full
Yang Syndrome Tongue & Pulse