TCM Diagnosis

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son850
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TCM Diagnosis
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2011-12-07 22:11:13
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TCM Diagnosis
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  1. TCM Diagnosis manifests the features of TCM in the concepts of?
    Wholism and Differentiations
  2. What are the 4 methods of diagnostic examination?
    • 1. Observation
    • 2. Auscultation and smelling
    • 3. Interrogation
    • 4. Pulse feeling and palpation
  3. Who determines the Chief Complaint?
    Practitioner decides through pattern differentiation and typically when all questions have been asked
  4. The patient chief complaint should include?
    Main symptom and duration
  5. The patients chief complaint should include?
    Main symptoms and duration
  6. During the Inquiry portion of intake, what specific questions should be asked with a female patient?
    • Menses
    • Menopause
    • Number of pregnancies
    • Number of births
    • Number of miscarriages
    • Number of abortions
  7. During the Inquiry portion of intake, what specific questions should be asked with a child patient?
    Vaccines (i.e. smallpox, chickenpox, measles, etc)
  8. What are the three specials questions one should ask the patient?
    • Work Lifestyle (i.e. stressful?)
    • Social (smoking, drugs, alcohol, etc)
    • Sexual ability / activity (infertility)
  9. External pattern
    Sudden and temporary
    Aversion to cold
  10. Permanent
    Constitutional cold
    Intolerance to cold
  11. What is the difference between Aversion to cold with sweat and Aversion to cold without sweat?
    • With sweat - deficiency external pattern
    • Without sweat - excessive external pattern
  12. Sweat due to Qi & Yang def.
    Spontaneous Sweat (sweating for no reason, cannot hold fluid)
  13. Sweat due to Yin def
    Night Sweat (sweat during sleep not necessarily during the night time)
  14. At the point between sick and not sick this type of sweat occurs
    Trembling perspiration (physiologically trembling to sweat out pathogens)
  15. Sweat that comes out from all / many orifices possibly cold on touch
    Perspiration due to Yang collapse
  16. Sweat is sticky / oily with burning / hot sensation on touch
    Perspiration due to Yin collapse
  17. If there is perspiration on the forehead region, which channel is associated?
    Yang Ming
  18. If there is perspiration on only one side of the body (hemihidrosis), what is that typically due to?
    Stroke related (sweat occurs on the non-stroke side of the body)
  19. If there is perspiration located on the palms and soles what is that due to?
    Damp-heat or Damp-cold
  20. What are the three deficient type headaches?
    • Qi def
    • Blood def
    • Essence def
  21. What are the three excess type headaches?
    • Liver Yang
    • Phlegm-damp
    • Blood Stasis
  22. Headache of the occipital region, involving the nape
    Tai Yang Headache
  23. Headache of the forehead region, involving the supraorbital region
    Yang Ming Headache
  24. Headache of both sides of the head, involving the ears
    Shao Yang Headache
  25. Headache of the top of the head; both eyes may be involved
    Jue Yin Headache
  26. Headache involving the teeth. Generally aggravated at night and alleviated by day.
    Shao Yin Headache
  27. What is the root cause of Vertigo?
    Kidney Yang def
  28. What is the cause of vertigo with distending headache?
    Liver Yang Rising
  29. What is the cause of vertigo with sleepiness?
    Qi / Blood def
  30. What is the cause of vertigo with dim eyesight?
    Wind-phlegm
  31. What is the cause of vertigo with tinnitus?
    Kidney def
  32. Wind-damp-cold
    Wind-damp-heat
    Bi-syndrome
  33. If one has lumbago pain with signs of vague pain and weakness of the waist which are aggravated in the afternoon, what is that due to?
    Kidney Def
  34. If one has lumbago pain with signs of cold pain and feeling of heaviness of the waist which is aggravated during overcast or rainy days, what is that due to?
    Cold-Dampness
  35. If one has lumbago pain with signs of hot pain, feeling of distension and heaviness of the waist, accompained with frequent micturition (urination), urodynia (painful urination), and deep-colored urine, what is that due to?
    Downward flow of Damp-Heat
  36. If one has chest pain with signs of palpitations, what is that due to?
    Heart Qi Def
  37. If one has chest pain with Cold signs, what is that due to?
    Heart Yang Def
  38. If one has chest pain with signs of insomnia, dizziness, anxiety, pale complexion, what is that due to?
    Heart Blood def
  39. If one has chest pain with signs of Heat, 5 palm-heat, night sweat, what is that due to?
    Heart Yin def
  40. If one has chest pain with signs of purple nails, purple lips, purple tongue, radiating / stabbing pain, what is that due to?
    Signs / Symptoms of Obstruction of Heart collaterals
  41. If one has chest pain with signs of fatigue, cough, no palpitations, what is that due to?
    Lung Qi Def
  42. If one has chest pain with signs of sputum, phlegm, distension, fullness, what is that due to?
    Lung Qi Stag
  43. If one has chest pain with signs of long term disease, tidal fever, what is that due to?
    Consumptive Disease (TB)
  44. If one has chest pain with signs of pneumonia, rusty-brown sputum, what is that due to?
    Pulmonary abscess
  45. If one has chest pain with signs of the"4 Bigs", what is that due to?
    Exuberance of Lung Heat
  46. If one has epigastric pain with signs of relief with heat, pain on pressure, clear saliva, what is that due to?
    Excessive Cold in Stomach
  47. If one has epigastric pain with signs of big appetite, always hungry, no weight gain, what is that due to?
    Flaming up of Stomach Fire
  48. If one has epigastric pain with signs of relief on heat and pressure, clear saliva, what is that due to?
    Stomach Yang Def
  49. If one has epigastric pain with signs of vague pain, dry mouth, dry stool, skinny body type, hunger but no appetite, what is that due to?
    Stomach Yin def
  50. If one has epigastric pain with signs of sharp-stabbing pain, distension, what is that due to?
    Blood stasis in gastric collaterals
  51. If one has hypochondriac pain with signs of red face, red lips, red eyes, tinnitus, headache, what is that due to?
    Liver Yang Rising
  52. If one has hypochondriac pain with signs of irritability, poor appetite, sadness, depression, short temper, what is that due to?
    Liver Qi Stag
  53. If one has hypochondriac pain with signs of thick yellow greasy coating, bitter taste, red eyes, red face, red tongue, irritability, what is that due to?
    Gallbladder Heat
  54. If one has hypochondriac pain with signs of constipation, short temper, thick yellow greasy coating, red tongue, bitter taste, what is that due to?
    Stag of Damp-Heat in LR / GB
  55. If one has abdominal pain with signs of diarrhea with undigested food, cold intolerance, what is that due to?
    Spleen Yang Def
  56. If one has abdominal pain with signs of indigestion, fatigue, poor appetite, malnutrition, what is that due to?
    SP / ST Qi Def
  57. If one has abdominal pain with signs of movement on palpation, what is that due to?
    Parasitic Infection (mostly found in rural areas)
  58. What time does the body regenerate RBC's?
    9 pm - 3 am
  59. What is a better question to ask than the number of ours patients sleep?
    The exact time interval they sleep
  60. If one has insomnia with signs of annoyance, frustration, hotness in palms and soles (5 palm heat), soreness and weakness of the waist and knees, what is that due to?
    Heart and Kidney Disharmony
  61. If one wakes easily from sleep with signs of palpitation, amnesia, anorexia, feebleness, possibly poor appetite and / or fatigue, what is that due to?
    Heart and Spleen Def and / or Blood def
  62. If one has insomnia with signs of fullness, distension, oppression in the epigastric region, belching with putrid and sour odor, thick greasy coating of tongue, bad breath, what is that due to?
    Food Stagnation (late dinners may also cause this)
  63. If one has dream-disturbed sleep with signs of palpitation, edema, what is that due to?
    Heart and Kidney Yang def
  64. 1. Spleen Yang def with damp accumulation
    2. Spleen Qi def after a meal
    3. Heat attacking Pericardium
    Drowsiness or Lethargy
  65. What are the four types of defecation?
    • Heat Constipation
    • Cold Constipation
    • Deficient Constipation
    • Constipation due to depression and stagnation of Liver energy
    • (constipation can be heat or cold signs, excess or def signs)
    • *Boat in Intestines example
  66. What are the four types of Diarrhea?
    • Deficient cold (Yang Qi def, slippery boat due to ice)
    • Damp-Heat (tenesmus - always feel the need to go)
    • Improper eating (food poisoning / allergy)
    • Depression and stagnation of Liver Energy (IBS)
  67. Essence and Qi are not impaired
    Presence of Vitality
  68. Essence and Qi of internal organs have been impaired during the course of an illness
    Absence of Vitality
  69. Appears in patient whose condition is severe, or who is even dying. It manifests itself as a sudden short-lived improvement and then sharp decline soon after.
    False Vitality
  70. Fu (Superficial)
    Shallow Looking Complexion
    Exterior Pattern
  71. Chen (Deep)
    Deep Looking Complexion
    Interior Pattern
  72. Qing (Clear)
    Clear and Smooth Looking Complexion
    Yang Pattern
  73. Zhuo (pigmented)
    Dusky and Haggard Looking Complexion
    Yin Pattern
  74. Wei (Light)
    Pale Looking Complexion
    Def pattern
  75. Shen (Dark)
    Dark Looking Complexion
    Excess Pattern
  76. San (Dispersing)
    Evenly Distributed Complexion
    Newly-attacking illness
  77. Tuan (Concentrated)
    Congested Looking Complexion
    Lingering illness process
  78. Ze (Bright)
    Bright and Moist Looking Complexion
    Good Prognosis
  79. Yao (Dull)
    Dull and Dry Looking Complexion
    Poor Prognosis
  80. Sparkling Eyes
    Vigorous Spirit
    Natural Facial Expression
    Bright, Moist Complexion
    Clear Mind
    Correct in Normal Voice (Speech)
    Coordinated in Action
    Quick Reaction
    Good Muscle Tone
    Mild Case
    Good Prognosis
    Presence of Vitality
  81. Dull Looking Eyes
    Listless Spirit
    Indifferent Facial Expression
    Dim, Dry Complexion
    Confuse in Mind
    Incoherent in Low / High Voice (Speech)
    Disharmonious in Action
    Dull / Poor in Reaction
    Weak and Flaccid Muscle
    Severe Case
    Poor Prognosis
    Absence of Vitality
  82. If one has a weak body physique, what is that due to?
    Def
  83. If one has an obese body physique, what is that due to?
    • Spleen Qi / Yang def
    • Excess
  84. If one has a slender body physique, what is that due to?
    • Kidney Yin / Essence Def
    • Def Heat
  85. Head shape
    Congenital defects or the deficiency of Kidney Essence (genetic)
    Severe case
    Microcephalia
  86. What are the five kinds of developmental retardation?
    • Teeth - Calcium def (avg. ~8 months)
    • Speech - possibly congenital (avg. ~1 year)
    • Standing (avg. ~10 months)
    • Walking (avg. ~12 months)
    • Sitting - Calcium def (avg. ~5 months)
  87. Shaking of the Head is due to?
    Qi and Blood Def / Exhaustion due to Internal Wind
  88. This type of edema causes wrinkles to disappear and skin look smooth.
    Qi Type Edema
  89. This type of edema is sudden onset, starts in the face and works its way down
    Yang Type Edema
  90. This type of edema is slow (takes months to years) onset, starts at the ankles and works its way up to the knees
    Yin Type Edema (if it makes its way to the knees it is considered a serious / critical condition)
  91. The neck is a filter of what?
    Clear and Turbid Qi, normally only Clear Qi goes to the head
  92. Orifices of the face are termed?
    "Clear" orifices
  93. Orifices of the lower body are termed?
    "Turbid" orifices
  94. Thick, sleek and glossy hair are indicative of?
    Abundant Blood and Kidney Essence
  95. Dry, sparse, or withered hair and hair falling is indicative of?
    Kidney Essence Def
  96. Alopecia areata is indicative of?
    Wind attacking due to Blood Def
  97. Thin, sparse hair and the liability of its falling in young or middle aged people is indicative of?
    • Blood Heat (cause obstruction due to "burning" away of fluid which in turn obstructs any way for the hair to obtain nutrients which is why the hair fall out)
    • Kidney Def
  98. Hair entangled like tassels are indicative of?
    Malnutrition
  99. Acute onset is typically considered
    Excessive type
  100. If Qi stag and Phlegm accumulation is found in the neck, what condition is this?
    Goiter
  101. Phlegm nodules found in the neck due to Def Fire induced by Yin Def is indicative of?
    Scrofula
  102. Opisthotonus (neck spasms) are indicative of?
    Wind-Fire in stroke
  103. Flaccid neck with drooping head is indicative of?
    Qi exhaustion
  104. Identify each, by Name, Anatomical Site, and Organ
    • 1. Eyelid
    • 2. Whites of eye
    • 3. Pupil
    • 4. Color of Eye
    • 5. Canthus
  105. Conjunctive congestion with swelling and pain is due to?
    Excessive Heat syndrome (depending on where the redness is located it will effect certain organs; Five Orbiculus - for the exception of Liver Heat where the redness is found all over the eye)
  106. Pale conjunctiva and canthus is due to?
    Blood Def
  107. Bright / Gold / Orange colored conjunctiva due to Jaundice
    Yang Type Jaundice due to Damp-Heat
  108. Smoky yellow color conjunctiva due to Jaundice
    Yin Type Jaundice due to Cold-Damp
  109. If ones nose is pale at the apex, what is that due to?
    Loss of Blood
  110. If ones nose is yellow, what is that due to?
    Exuberance of Damp-Heat
  111. If ones nose is blue, what is that due to?
    Abdominal Pain
  112. If ones nose is red, what is that due to?
    Heat in SP and LU
  113. If ones nose is light black, what is that due to?
    Retention of Body Fluids
  114. If ones nose is Black with Dried Nostrils, what is that due to?
    Extreme Heat
  115. Rosacea is due to?
    Blood Heat in the Lung
  116. Flared nostrils (nares) are due to?
    Exhaustion of Lung Qi
  117. If ones nose has clear secretions, what is that due to?
    Cold type
  118. If ones nose has turbid secretions, what is that due to?
    Heat type
  119. Ruddy (reddish) lips signify what?
    Exuberant Stomach Qi (manifest on lips, 5 phase chart)
  120. Pale lips signify what?
    Qi and Blood Def
  121. Deep red lips signify what?
    Heat syndrome
  122. Deep red and dry lips signify what?
    Exuberance of Heat and depletion of Yin
  123. Cyanotic lips signify what?
    Blood Stasis
  124. Black color around the mouth signify what?
    Exhaustion of Kidney Qi / Essence
  125. Black, dry, and curled lips are an ominous sign of what?
    Spleen failure (Water Insults Earth)
  126. Dry mouth with cracked lips is due to?
    Fluid Def
  127. Erosion of the mouth is due to?
    Damp-Heat in Spleen-Stomach
  128. Redness, hotness, swelling, itching, or pain on mouth and lips is due to?
    Stomach Fire
  129. Twitching of the oral corner is due to?
    Stirring of Liver Wind
  130. Deviation of the mouth and eyes is due to?
    Facial paralysis or apoplexy (bleeding in stroke)
  131. Aphtha (sores in mouth ("canker sore" - fei ji) is due to what?
    Acc Heat in Heart-Spleen
  132. Mycotic stomatitis (sores / patches of white in and / or around mouth (canker sore type)) or thrush is due to?
    Hidden Heat in Heart-Spleen
  133. Slobbering along corner of the mouth is due to?
    Spleen Def (Spleen is one of the organs in charge of water metabolism, def of spleen cannot control the water / slobber)
  134. Pale gums are due to what?
    Blood Def
  135. Withered gums are due to?
    • Exuberance of Heat
    • Depletion of Yin
    • Exhaustion of Essence and Vital Energy
  136. Swelling, pain, and bleeding of the gums are due to?
    Excessive Fire
  137. Pale shriveling gum with wizened teeth are due to?
    Exhaustion of Kidney Yin
  138. Slackened teeth with exposed dental roots are due to?
    Flaming up of Excessive Fire due to Kidney Yin Def
  139. Delayed Growth of permanent teeth in children is due to?
    Kidney Qi def
  140. Teeth grinding in sleep is due to?
    • Stomach Heat
    • Parasitic Infestation
    • Dyspepsia (indigestion / upset stomach)
  141. Involuntary teeth gnashing is due to?
    Liver Wind
  142. Swelling, pain, ulcers, yellowish white pus in the throat is due to?
    Excess Heat
  143. Tender redness with slight pain, or dry redness without swelling is due to?
    Yin Def
  144. Pale redness with diffuse swelling is due to?
    Acc of Phlegm-Dampness
  145. Epidemic Heat Pathogen
    Scar Forming
    Smallpox
  146. Epidemic Heat Pathogen
    Non-Scar Forming
    Chickenpox
  147. Maculae
    Ruddy, Scattered, Brighter
    Good Prognosis
    Excessive Pattern
    Yang Maculae
  148. Maculae
    Pale Red or Dim Purple
    Poor Prognosis
    Def Pattern
    Yin Maculae
  149. Herpes Zoster is due to?
    LR / GB issues
  150. Eczema is due to?
    SP issues
  151. Identify the following concerning SVIF
  152. Thickening of SVIF indicates?
    Heat or Excess syndrome
  153. Thinning of SVIF indicates?
    Cold or Def syndrome
  154. Superficial and evident SVIF indicates?
    Exterior syndrome
  155. Deep and Hidden SVIF indicates?
    Interior syndrome
  156. Bright Red SVIF indicates?
    Exterior Syndrome
  157. Purplish-Red SVIF indicates?
    Interior Heat syndrome
  158. Pale Yellow SVIF indicates?
    Spleen Def
  159. Blue SVIF indicates?
    Wind or Pain
  160. Purplish Black SVIF indicates?
    Blockage of Blood Circulation
  161. Pale and Lusterless SVIF indicates?
    Def Syndrome
  162. Deep, dim colored and Stagnated SVIF indicates?
    Excess Syndrome
  163. Clear, dilute, frothy phlegm accompanied with dizziness, oppressed feeling in the chest is due to what type of discharge?
    Wind-Phlegm
  164. White, slippery, abundant phlegm is apt to be expectorated is due to what type of discharge?
    Dampness-Phelgm
  165. Scanty, sticky phlegm which is difficult to be expectorated is due to what type of discharge?
    Dryness-Phlegm
  166. Phlegm tinged with bright red blood is due to what type of discharge?
    Damage of Lung Collaterals by Heat
  167. Stench phlegm with pus and blood is due to what type of discharge?
    Pulmonary Abscess
  168. Turbid nasal discharge is due to what?
    Wind-Heat
  169. Clear nasal discharge is due to what?
    Wind-Cold
  170. Protracted, incessant, turbid nasal discharge is due to what?
    Nasal sinusitis
  171. Incessant clear slobbering is due to what?
    Spleen Asthenia (Def) or Cold syndrome of Spleen
  172. Involuntary slobbering, esp during sleep is due to what?
    • Spleen Def
    • Parasitic Infection
    • Stomach Heat (in children)
  173. Spitting of copious frothy saliva is due to what?
    • Wetness-Cold in Stomach
    • Kidney Yang Def
  174. Clear, dilute vomit without acid and offensive odor is due to what?
    • Stomach Def
    • Cold Syndrome of Stomach
  175. Filthy, turbid, sour, stinking vomits is due to what?
    • Excessive
    • Heat Syndrome of Stomach
  176. Sour and putrid vomits with undigested food is due to what?
    Dyspepsia (indigestion) due to over-eating or improper diet
  177. Yellowish green, bitter, watery vomits is due to what?
    Heat in LR / GB
  178. Spitting of bright red or dim purple blood mixed with food is due to what?
    Damage of Stomach collaterals
  179. Sudden onset high tone tinnitus usually caused by?
    Hyperactive Liver Yang
  180. Vitality
    Color
    Shape
    Motility
    The 4 properties of Tongue Inspection
  181. Which organ is considered a 3 Jiao organ?
    Liver (*tree example)
  182. Under what conditions is it best to inspect the tongue?
    Under natural light
  183. When is the best time to check to tongue?
    Early in the morning before eating
  184. Very thick coating is indicative of what?
    • Digestive issue
    • Pathogens
  185. When inspecting the tongue, what are signs of good Shen?
    • Parabolic shape
    • Symmetrical shape
    • Not too much coating, Not too little coating
  186. In general, cracks on the tongue are indicative of what?
    Consumption of Yin
  187. Taste buds of the tongue are indicative of what?
    Stomach Qi
  188. If the Wei level is being attacked, what signs that are present on the tongue?
    Tongue Tip Red
  189. If the Qi level is being attacked, what signs that are present on the tongue?
    • Red Tongue body
    • Thick Yellow coating
  190. If the Ying level is being attacked, what signs that are present on the tongue?
    No / Scanty coating (damage to Taste Buds)
  191. If the Blood level is being attacked, what signs that are present on the tongue?
    Blood Spots / Bleeding
  192. If "peeling" is found on the whole tongue, what is that due to?
    Stomach Qi exhaustion (very Def)
  193. If "peeling' is found on portions of the tongue, what is that due to?
    Stomach Yin exhaustion (very Def)
  194. Tremors and Stiffness of Tongue indicate?
    Wind (external wind invading and inducing internal wind)
  195. Tremors, dryness and redness of Tongue indicate?
    Liver Wind (extreme Heat stirring up Liver Wind)
  196. Tremors and Paleness of Tongue indicate?
    Deficiency syndrome (Qi / Blood / Yang leading to poor nourishment / circulation)
  197. Repeated and Involuntary extension of Tongue and licking lips indicates?
    Liver Wind (upward stirring of Spleen and Heart Heat)
  198. Playing with the tongue is due to what?
    • Exuberance of Heat in the Heart and Spleen, generally\
    • Poor Mental development in infants (convulsions)
  199. Wagging of Tongue is due to what?
    • Cerebral hypoplasia in children (underdevelopment)
    • Febrile disease involving Central Nervous System
  200. Flaccid Tongue and unable to curl and protrude tongue (weakness), is due to what?
    • Qi and Blood Exhausion (very Def)
    • Yin / Fluid depletion
  201. Numb tongue is due to what?
    Qi and Blood Def
  202. Thin, short, light red with less branching of sublingual veins is indicative of what?
    Qi / Blood Def
  203. Thick purple / dark blue with branching of sublingual veins is indicative of what?
    Qi / Yin exhaustion
  204. What are the 4 abnormal voices?
    • 1. Loudness - loud (excess), weak (def)
    • 2. Intonation (pitch) - emotional (voice goes lower in sadness)
    • 3. Groaning - pain (release stagnation)
    • 4. Husky voice / muteness
  205. Taciturnity (shyness) of speech is indicative of what?
    def, cold syndrome
  206. Fretfulness and talkativeness in speech is indicative of what?
    excess, heat syndrome
  207. Fading murmuring in speech is indicative of what?
    def syndrome
  208. Delirium in speech is indicative of what?
    excess syndrome
  209. Soliloquy in speech is indicative of what?
    • Yin sydrome
    • Obstruction of Heart by phlegm condensation
  210. Ravings in speech is indicative of what?
    Yang syndrome
  211. Dysphasia in speech is indicative of what?
    • Wind-phlegm
    • Obstruction of vessel collaterals due to Wind-phlegm
  212. Excess gasping is indicative of what?
    • excess Lung Heat
    • retention of Phlegm-fluid in chest
  213. Def gasping is indicative of what?
    Lung-Kidney Qi def
  214. What are the components of a TCM pulse?
    • Vessel
    • Blood
    • Qi
  215. Location
    Frequency
    Length
    Strength
    Width
    Smoothness
    Tension
    Rhythm
    8 qualities of pulse diagnosis
  216. Cun-Guan-Chi on both sides is congenitally deep and thready without disorder
    Six Yin Pulse
  217. Cun-Guan-Chi on both sides is congentially full and large without disorder
    Six Yang Pulse

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