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59 Cards in this Set
- Front
- Back
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body odors
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goatish: LV disorder, addicts
putrid: elderly, px close to death fishy: vaginal odor, yeast infection rotten egg: intestines, flatulence |
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differentiation
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arrival at one or more specific disease patterns from careful analysis of px's diagnostic symptoms and signs
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8 principles
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external/internal
excess/deficient heat/cold yang/yin |
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exterior conditions info
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affect skin, muscles, channels
invasion tries to break through wei qi, SHORT, CHILLS AND FEVER, TONGUE UNCHANGED |
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exterior acute onset conditions
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shaoyang syndrome, sneezing, body aches, headaches, stiff neck, floating pulse
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exterior gradual onset
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bi syndrome, exposure to pathogen, cold in one joint, wind (pain moves around), dampness (swelling), heat (severe pain and hot swollen joints)
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interior conditions info
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pathogen breaks through wei qi, can be caused by emotional evil, can have severe manifestations: high fever, convulsions, digestive symptoms
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interior condition differentiation
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no chills, only hot or cold
long duration tongue color and texture change |
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cold conditions sx
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aversion to cold and desire for heat, not thirst, pale complexion, cold limbs, deep and slow pulse, pale tongue
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heat conditions sx
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aversion to heat and desire for cold, thirst, red complexion, hot limbs, rapid pulse, red tongue sometimes yellow coat
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cold causes
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environment, diet, medication
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heat causes
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environment, diet, qi stagnation, cold turning into heat
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states of zheng qi
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zheng qi: healthy qi
xu: state of zheng qi shi: state of evil |
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exteriorl excess cold
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NO SWEAT, no thirst, body aches, stiff neck (nape), chills/fever, cough, tongue: thin white coat, PULSE: FLOATING AND TIGHT
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exterior excess heat
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SLIGHT SWEATING, thirst for cold drinks, aversion to cold, fever, tongue: red w/ thin white coat, PULSE: FLOATING AND RAPID
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wind attack
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AVERSION TO WIND, SPONTANEOUS SWEAT, headache, stiff neck, fever, pulse: floating, slow
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cold attack
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CATCHES COLD EASILY, SPONTANEOUS SWEATING, pale complexion, shortness of breath worse w/ exertion, low energy, loose stools, pulse: thready and weak
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internal excess heat
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high fever w/ desire for cold drink, agitation, mania, hot limbs, red face, constipation, dark urine, skin eruptions, tongue: red dry w/ yellow coat, pulse: flooding, rapid
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internal excess cold
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cold w/ desire for warm drink, cold limbs, bluish lips, bright white complexion, tongue: pale, purple w/ white moist thick coat, pulse: deep tense slow
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internal def heat (yin def)
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restlessness, malar flush, emaciated, afternoon fever, night sweats, 5 hots, dry mouth/throat, dry stools, tongue: red thin, peeled, pulse: thready rapid
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cold causes
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environment, diet, medication
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heat causes
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environment, diet, qi stagnation, cold turning into heat
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states of zheng qi
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zheng qi: healthy qi
xu: state of zheng qi shi: state of evil |
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exteriorl excess cold
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NO SWEAT, no thirst, body aches, stiff neck (nape), chills/fever, cough, tongue: thin white coat, PULSE: FLOATING AND TIGHT
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exterior excess heat
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SLIGHT SWEATING, thirst for cold drinks, aversion to heat, fever, tongue: red w/ thin white coat, PULSE: FLOATING AND RAPID
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wind attack
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AVERSION TO WIND, SPONTANEOUS SWEAT, headache, stiff neck, fever, pulse: floating, slow
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cold attack
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CATCHES COLD EASILY, SPONTANEOUS SWEATING, pale complexion, shortness of breath worse w/ exertion, low energy, loose stools, pulse: thready and weak
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internal excess heat
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high fever w/ desire for cold drink, agitation, mania, hot limbs, red face, constipation, dark urine, skin eruptions, tongue: red dry w/ yellow coat, pulse: flooding, rapid
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internal excess cold
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cold w/ desire for warm drink, cold limbs, bluish lips, bright white complexion, tongue: pale, purple w/ white moist thick coat, pulse: deep tense slow
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internal def heat (yin def)
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restlessness, malar flush, emaciated, afternoon fever, night sweats, 5 hots, dry mouth/throat, dry stools, tongue: red thin, peeled, pulse: thready rapid
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internal def cold (yang def)
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lethargy, cold limbs, no thirst, pale complexion, loose stools, abundant clear urine, tongue: pale, thin, white, pulse: deep slow weak
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Zhen qi
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true qi
originates from zong (gathering) qi has two forms: ying and wei |
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Ying qi
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nutritive qi
nourishes and protects interior refined essence of food and water |
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Wei qi
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defensive
protects and warms the interior coarse opens and closes pores |
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Zheng qi
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upright qi
all inclusive term for protective energy includes Ying, Wei, KD essence enemy is Xie (pathogenic) qi |
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what season is associated with wind?
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spring
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what is the difference between external and internal wind?
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external is more like common cold, internal includes numbness and itching from ying-wei imbalance and sometimes spasms and convulsions
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what is the difference in pulse between external cold and internal cold?
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external is floating and tight
internal is slow and tight |
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damp qualities
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distending headache (the band)
muzzy thinking heaviness, fatigue, sluggishness, turbid painful urination, pulse: soggy |
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cool dryness sx
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late fall or winter
headache, chills, no sweat, cough, throat irritation, tongue: dry white coat, pulse: floating, slow (esp in LU) |
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warm dryness sx
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late summer or early fall
fever with some sweat, thirst, dry nose and throat, cough, chest pain, tongue: dry yellow coat, pulse: floating, rapid |
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summer heat characteristics
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disperses upwards
extreme in nature damages qi and body fluids usually pairs with damp evils |
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difference between mild and severe summer heat?
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severe has convulsions, difficult breathing, coma and no tongue coat
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fire characteristics
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moves upwards, causes body fluid damage and mental alterations, pulse is rapid and flooding
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difference between fire and toxic heat?
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toxic heat has fire symptoms plus swelling, redness, heat, pus, pain
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JOY
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affects heart
makes qi slow down caused by excessive excitement bi polar disease, drug use |
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ANGER
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makes qi rise
affects LV (and HT) |
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GRIEF
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dissapates LU (and HT) qi
can lead to qi stagnation may affect LV blood in women unexpressed can affect KD |
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WORRY
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knots the qi
affects SP, LU, HT caused by stress, overwork affects appetite and digestive system |
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FEAR
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depletes KD
makes qi descend shock can cause heart to close (scattered pulse is shock) |
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qi deficiency
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shortness of breath, weak voice, spontaneous sweating, lack of appetite, loose stools, fatigue, pulse is weak
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qi sinking
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qi can't hold organ in position, all def sx plus bearing down, chronic diarrhea/vag. discharge, dizziness, blurred vision, mental depression
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qi stagnation
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distending pain, digestive disturbance, menstrual disorders, mental unrest, headaches, frequent sighing
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qi rebellion
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caused by stagnation, breathlessness, cough, belching, nausea, vomitting, headache, dizziness, irritability
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blood stasis
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fixed stabbing pain, purple color, fixes masses, painful clotty menses, dusky tongue, pulse: wiry, choppy, irregular
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body fluid def
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dry mouth, lips, skin, scanty urine, constipation, tongue is red and dry, pulse is thready
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yang edema (WC/WH)
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WC/WH sx plus:
thin shiny skin, involves eyelids, forehead and spreads down, scanty urination, floating pulse |
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yang edema (internal damp)
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swollen skin w/ pitting, heavy sensation, epigastric fullness, nausea, tongue: pale greasy white coat
pulse: soggy |
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yin edema
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sp/kd yang def, progressive illness, cold limbs, scanty urine w/ loose stools, aversion to cold, soreness in low back and knees, tongue: pale, blackish purplish, pulse: deep weak
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