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Diagnosis Midterms
Diagnosis Midterm flashcards
57
Medical
Graduate
06/28/2021

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Cards

Term
full cold
Definition

 

  • Feeling cold

  • Cold limbs

  • No thirst

  • Pale face

  • Abdominal pain worse with pressure

  • Likes warm liquids

  • Loose stools

  • Clear abundant urination

  • Pulse: deep, full,tight

  • Tongue:pale with thick coat

Term
empty cold
Definition

 

  • Feeling cold

  • Cold limbs

  • Dull pale face

  • Listlessness

  • Sweating

  • Loose stools

  • Clear abundant urination

  • Pulse: deep,slow,weak

Term
General Symptoms of Cold Pattern
Definition
Signs/Symptoms: Aversion to cold, likes warm, absence of taste in the mouth, lack of thirst,  pale white facial color, cold limbs, desire to lay down and curl up,clear and long urination, thin/loose stools, pale tongue with white fur that is moist/glossy, slow or tight pulse
Term
Treatment for cold pattern
Definition
warm the yang and eliminate cold
Term
2 examples of exterior patterns
Definition

1.Acute onset of exterior pathogen

2. Gradual onset of channel pathology

Term
Symptoms of acute exterior pathogen invasion
Definition
Fever with aversion to cold, stiff neck, body aches, floating pulse
Term
Symptoms of acute exterior pathogen invasion with cold
Definition
fever is slight, more pronounced aversion to cold, stiff neck and aching body is severe, no sweat, no thirst, tight pulse
Term
Symptoms of acute exterior pathogen invasion with heat
Definition
slight sweat, thirst, rapid pulse, body aches aren’t as pronounced, aversion to cold is slight, tongue may be slightly red in the front/sides
Term
What is gradual onset of channel pathology ?
Definition

 

  • Pathogenic factor that invades the channels (bi syndrome, painful obstruction) 

Term
What are the ways channel pathology can manifest?
Definition

 

  • Cold - one joint affected, severe pain

  • Damp -swelling

  • Wind - move around

  • Heat-swelling and heat

Term
What are the three ways that interior patterns can develop?
Definition

1.External pathogenic factor moving internally

2.External pathogenic factor strikes someone with compromised zheng qi

3.Improper eating/drinking, improper conduct of life, affects of the seven emotions

Term
General symptoms of heat patterns
Definition
heat in the afternoon or evening, dry mouth, wants small sips, dry throat at night, night sweating, five palm heat, dry stools, scanty dark urine, floating rapid empty pulse, red peeled tongue
Term
General treatment for heat patterns
Definition
nourish yin, clear heat
Term
Full Heat Symptoms
Definition

 

  • Thirst 

  • Feeling of heat

  • Red face

  • Mental restlessness

  • Dry stools

  • Scanty dark urine

  • Pulse:full/rapid

  • Tongue: red with yellow coat

Term
Empty Heat Symptoms
Definition

 

  • Heat in the afternoon or evening

  • Dry mouth

  • Wants small sips

  • Dry throat at night

  • Night sweating

  • Five palms heat

  • Dry stools

  • Dark scanty urine

  • Pulse: Floating, rapid, empty

  • Tongue: red/peeled

Term
True cold/false heat symptoms
Definition

 

  • Body heat with desire to be covered

  • thirst for warm liquids in small sips

  •  red face

  •  large forceless pulse

  • Cold limbs

  • Clear urine

  • Loose stools

  • Tongue with white fur

Term
True heat, false cold
Definition

 

  • Cold limbs

  • Body heat

  • Aversion to heat

  • Thirst

  • Vexation

  • Preference for cold fluids

  • Red tongue with yellow fur

  • Short voidings of red urine

  • Dry stools

Term
What does full & empty refer to?
Definition
relative strength of antipathogenic qi and pathogenic qi
Term
What is an empty/ vacuous pattern?
Definition

right qi is vacuous, weak, or insufficient--physiological functions are impaired and bodies ability to repel pathogens is diminished

 

**deficiency of antipathogenic qi

Term
General symptoms of empty patterns
Definition
Listlessness, white facial complexion, malar flush in the afternoon, bodily fatigue, lack of strength, emaciated form, heart palpitations, shortness of breath, physical cold with cold limbs, five palms vexing heat, spontaneous sweating or night sweating,  loose stool or diarrhea, frequent urination, urinary incontinence, pale and tender tongue body with diminished or no fur, vacuous pulse with no force or fine rapid pulse
Term
Types of empty patterns
Definition
  • qi deficiency
  • blood deficiency
  • yang deficiency
  • yin deficiency
Term
Signs of qi deficiency
Definition

 

  • Pale face

  • weak voice

  • Sweats easily

  •  Tired

  •  SOB

  •  loose stools

  • decreased appetite

  • empty pulse

Term
Signs of blood deficiency
Definition

 

  • Dull pale face

  • Pale lips

  • Blurry vision

  • Dry hair

  • Fatigue 

  • Poor memory

  • numbness/tingling

  • Insomnia

  • Scanty periods

  • fine/choppy pulse

  • Pale thin dry tongue

Term
Signs of yang deficiency
Definition

 

  • Qi deficiency 

  • + cold signs

  • More severe signs of deficiency

  • Objectively cold temperature

  • Lying curled up

  • bright pale face

  • No thirst

  • Loose stool with undigested food

  • Forceless pulse

  • Pale wet tongue

Term
Signs of yin deficiency
Definition

 

  • Heat in the afternoon, evening

  • dry throat

  • Dry eyes

  • Night sweating

  • floating /empty pulse

  • Tongue with no coat

  • Low grade fever

  • Irritability

  • Vexation

  • Trouble sleeping

Term
What is a full/ replete pattern?
Definition
Manifestation of surplus of hyperactive and exuberant evil qi, or interal disease causing stagnation of bodily resources
Term
General symptoms of full pattern
Definition
 vexation of the spirit, agitation, hasty breathing, distention and fullness of chest, rib side and abdomen, pain that increases with pressure, rough and painful urination, dribbling or inhibited urine, bound stool with constipation, withered tongue body, replete and forceful pulse
Term
General treatment for full patterns
Definition
drain the repletion and expel pathogenic factors
Term
General treatment for empty patterns
Definition
supplement the vacuity and support the right
Term
What are signs of a normal spirit?
Definition

 

  • Alertness

  • bright/vivid/clear eyes

  • Clear consciousness & speech

  • Quick responses 

  • Resonant voice

  • Radiant complexion

  • Natural expressions

  • Freely moveable body

Term
What are signs of a fatigued spirit
Definition

 

  • Listlesseness

  • Lassitude 

  • Poor memory

  • Weak and low voice 

  • Aversion to speaking

  • Fatigue

  • Slow and awkward actions

Term
what are signs of loss of spirit
Definition

 

  • Dull eyes

  • Slow/awkward actions

  • Blurred vision

  • Dulled complexion & facial expression

  • Heaviness of the body 

  • Metal confusion

  • Delirium 

  • Hallucination

Term
what are signs of false spirit
Definition

 

  • Listless 

  • Unconscious 

  • Dull eyes

  • Inability to speak

  • Low voice

  • Dull complexion

  • Lack of appetite

  • Suddenly patient feels better

Term
what is facial color related to?
Definition
qi and blood
Term
what is facial lustre related to
Definition
yang and qi
Term
signs of normal facial complexion
Definition

 

  • Healthy flow of qi and blood

  • Adequate support of essence from zangfu

  • Bright

  • Moist

  • Lustrous

Term
what is host / governing facial color?
Definition
Normal skin color determined by inheritance from mother and father
Term
what is guest/ visiting facial color
Definition
Slight change in facial color following seasonal changes
Term
what is transient normal facial color
Definition
Changes in complexion due to different working conditions, climates, living environments,diet, sexual activity, and emotions
Term
what does blue/green facial color signify?
Definition
Blood not filling up vessels in the face due to obstruction of vessels
Term
what does a red facial complexion signify?
Definition
Heat accelerates flow of blood and fills the vessels
Term
what does red over the entire face signify?
Definition
excess heat
Term
what do red cheeks signify?
Definition
deficiency heat
Term
what does a yellow facial complexion signify?
Definition
Dampness obstructing flow of qi/blood in the zangfu
Term
what does a bright orange complexion signify?
Definition
yang type jaundice
Term
what does a smoky hazy yellow face signify?
Definition
yin type jaundice
Term
what does white facial complexion signify?
Definition
Lack of flow of blood/qi to nourish face (excess cold/deficiency of qi/blood)
Term
what does pale white face signify?
Definition
qi deficiency
Term
what does bright white face signify?
Definition
yang deficiency
Term
what does a dark/black facial complexion signify?
Definition

 

Channels and vessels spasm/contract causing blood stagnation in the collaterals

Term
what does the sudden appearance of blue green color signify?
Definition
pain
Term
what does blue/green/purple facial color signify?
Definition
blood stasis
Term
WOOD ELEMENT CONSTITUTION
Definition

body typeTall, thin, fairly broad shoulders, strong straight back, visible tendons/ligaments

color:green

mental/emotional:Hardworking, tendency to overthink/worry, needs to exercise for health, follows directions but challenges authority

 

Term
FIRE ELEMENT CONSTITUTION
Definition

Body type:Small pointed head, pointy chin, curly hair, little hair, small hands, walks fast, defined muscles

Color:red

Mental/emotional:Quick, energetic, active, unconcerned with material wealth, fond of beauty, idealistic, not oriented towards longevity

Term
METAL ELEMENT CONSTITUTION
Definition

Body type:Broad shoulders, triangle and white face, strongly built body, walks slowly and deliberately

Color:white

Mental/emotional:Meticulous, rational, independent and strong willed, capable leader, critical in decision making, gives and receives criticism easily

Term
EARTH ELEMENT CONSTITUTION
Definition

Body type:Large head, round body, large abdomen, strong thighs, wide jaws, walks without lifting feet, ample cheeks

Color:yellow

Mental/emotional:Calm and generous, not very ambitious, good interpersonal skills, likes to laugh, expresses emotional easily, likes to eat and drink

Term
WATER ELEMENT CONSTITUTION
Definition

Body type:Round face and body, long spine proportionally, big head, sullen or heavy expression, wrinkled face

Color:soft white

Mental/emotional:Sympathetic/slightly lazy, loyal to work/family, aware, sensitive, introverted, psychically inclined, trouble expressing themselves

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