Diagnostics 1 Exam 2

Front 1

To prepare for tongue observation, you need to consider certain things may cause false tongue color?

Back 1

1. The lighting
2. What the patient may have eaten or had to drink.
3. Is the patienton medication
4. Did the client brush the tongue

Front 2

Which do you observe 1st, tongue body or coating?

Back 2

Tongue body is always 1st. Coating is 2nd.

Front 3

True ot false: If a patient leaves his/her tongue out too long, it will change.

Back 3

True

Front 4

How is the tongue coating formed according to TCM?

Back 4

Rising of the spleen and stomach qi.

Front 5

Tongue tip corresponds to which organ?

Back 5

Heart

Front 6

The area directly above the tip corresponds to which organ?

Back 6

Lung

Front 7

The middle of the tongue corresponds to which organ?

Back 7

Spleen and stomach

Front 8

The most distal area of the tongue corresponds to which organ?

Back 8

kidney

Front 9

Which organs correspond to the sides of the tongue?

Back 9

Liver and Gall bladder

Front 10

Lower Jiao correspond to which part of the tongue?

Back 10

Root

Front 11

Upper jiao corresponds to which part of the tongue?

Back 11

Tip

Front 12

Middle jiao corresponds to which part of the tongue?

Back 12

Middle

Front 13

Normal tongue should be...?

Back 13

1.  Moist (body fluid ok), Bright and shiny 2. Light red (blood ok) 3.  Flexible (qi and blood harmonized) 4.  soft 5.  coating: thin and a little white (translucent)

Front 14

What is the difference between Qi Xu and Yang Xu?

Back 14

cold

Front 15

Can a pale tongue happen in Yin Deficiency?

Back 15

Never

Front 16

One patient is pale due to qi xu and one due to blood xu. What is the difference?

Back 16

One is wet, one is dry. Blood makes moist, it nourishes. The Blood Xu tongue is dry. Qi Xu tongue will be wet and pale. Qi Xu causes some damp.

Front 17

Red tongue tells you there is _________?

Back 17

Heat

Front 18

Deficient heat and excess heat can cause Red tongue: true or false?

Back 18

True

Front 19

What is the difference between a tongue with excess heat and deficient heat?

Back 19

Bright, fresh red is an excess heat. Dim Red tongue is a deficient heat.

Front 20

Mirrored (bright, shiny) tongue is an indication of ______________?

Back 20

Stomach qi and yin Xu/damage

Front 21

*Purple tongue indicates?

Back 21

Stasis, stasis, stasis

Front 22

*Purple and Moist

Back 22

Stasis due to cold

Front 23

Slight purple, more dim, is considered to be ___________

Back 23

Dusky

Front 24

*According to TCM, stasis comes from ______________?

Back 24

Heat (drys out the blood and water in the vessel) and Cold (contracts and causes blockage)

Front 25

*Purple and dry due to _______

Back 25

Stasis due to heat

Front 26

Sublingual veins: purple and distended Vein is due to ____________

Back 26

Stasis

Front 27

*excessive heat will damage the body fluid, together with some blood stagnation is what kind of tongue

Back 27

Purple and dry = stasis with some heat

Front 28

Thin tongue body is?

Back 28

yin def

Front 29

swollen tongue will eventually cause __________?

Back 29

teethmarks

Front 30

Cracks in a tongue indicate?

Back 30

Yin Xu

Front 31

Prickled, tongue tip is _______?

Back 31

Heart, excess, fire

Front 32

Deviation in the tongue indicates _______?

Back 32

liver wind

Front 33

Moving or quivering tongue is ___________?

Back 33

wind

Front 34

Swollen tongue can be caused by?

Back 34

Qi Xu, Yang Xu, damp retention and excess Heat.

Front 35

Cracks/fissure are caused by?

Back 35

Yin deficiency, body fluid Xu (due to heat), blood xu, Conginital defect makes it normal.

Front 36

Describe a yin def tongue?

Back 36

thin, cracks, less coating

Front 37

abnormally swollen plus teethmarks?

Back 37

spleen qi xu with some water retention.

Front 38

White coating

Back 38

normal or cold

Front 39

yellow

Back 39

heat

Front 40

black

Back 40

extreme cold or heat

Front 41

dry

Back 41

heat

Front 42

moist/wet

Back 42

damp

Front 43

thin coating

Back 43

normal, beginning of disease, superficial evil

Front 44

Thick coating

Back 44

Deep evil, chronic

Front 45

pale swollen with thin white coating reddish tip

Back 45

spleen qi xu, superficial problem

Front 46

teeth marks indicate?

Back 46

qi xu, yang xu, damp

Front 47

slide 22

Back 47

yellow thick greasy - heat chronic damp

Front 48

if see patient thick, yellow coating*

Back 48

internal excessive heat, excess

Front 49

patient thick, yellow dry coating

Back 49

internal, damp heat with consuming of body fluid by heat

Front 50

*thick coating, slippery and white

Back 50

internal, damp cold

Front 51

black coating

Back 51

too much heat or too much cold

Front 52

bean curd

Back 52

food stagnation/food retention

Front 53

Thick, rough, loose grains, easy to scrape off

Back 53

Curdy/tofu coating

Front 54

Smooth, fine, evenly distributed grains, difficult to scrape off.

Back 54

Greasy/sticky coating

Front 55

Cracks (fissures) can be caused by 4 conditions

Back 55

Yin Xu, Blood Xu, body fluid xu or normal (congenital) condition

Front 56

horizontal crack across the tongue

Back 56

stomach and kidney yin deficiency

Front 57

You cannot draw a conclusion based on one method. Four methods should combine toghether.

Back 57

true

Front 58

Order of the 4 methods:

Back 58

1. Observation 2. listen and smell 3. ask questions/interrogation 4. feeling/pulse/palpitation

Front 59

You cannot draw a conclusion from one symtom or pattern. You may have to disregard the patient's description on occasion.

Back 59

Keep an open mind

Front 60

Ask logical questions

Back 60

If chief complaint is Liver Qi related, don't start a line of questioning that is relevant to Heart/Kidney disharmony.

Front 61

What in an absolute No-No during client interrogation. Hint: It could create blood stasis between you and patient.

Back 61

Never Interrupt patient

Front 62

Do not assume your diagnosis via information regarding habits, jobs, body types...

Back 62

true

Front 63

A chief complaint does not include _________

Back 63

diagnosis

Front 64

chief complain needs to be less than ____ words

Back 64

20

Front 65

Present history is directly related to the ____________

Back 65

chief complaint

Front 66

Past History should include information about ____________

Back 66

contagious diseases like hepatitis, TB, HIV

Front 67

personal history is considered extra information and addresses __________

Back 67

lifestyle

Front 68

family history will include things that are congenital like _____________

Back 68

allergies, cancer, heart disease, diabetes

Front 69

body pain: sharp?

Back 69

excess/acute

Front 70

body pain: dull?

Back 70

chronic/deficiency

Front 71

body pain: fixed

Back 71

blood stasis

Front 72

Moving pain?

Back 72

qi stagnation

Front 73

cold pain

Back 73

likes to cover or drink warm things

Front 74

pain during eating

Back 74

stomach

Front 75

pain after eating

Back 75

intestine

Front 76

what to ask about urination?

Back 76

color, amount, frequency, pain

Front 77

pale urine

Back 77

cold and deficient

Front 78

yellow or dark color

Back 78

heat and excess

Front 79

red in urine

Back 79

heat; blood, infection, kidney problems

Front 80

profuse urination

Back 80

deficiency (can't hold the urine)

Front 81

scanty urination

Back 81

excess heat (heat burning fluid)

Front 82

frequent urination, urgent, with pain

Back 82

excessive heat

Front 83

frequent, clear, profuse, incontinent

Back 83

deficient cold

Front 84

urination smells like amonia

Back 84

kidney failure

Front 85

urination smells like rotten apple

Back 85

diabetes

Front 86

painful urination

Back 86

lin syndrome

Front 87

painful urination with blood

Back 87

blood lin syndrome

Front 88

stone

Back 88

shi (stone) lin syndrome

Front 89

Normal bowel color

Back 89

brown

Front 90

white bowel movement

Back 90

Liver/GB Qi stagnation

Front 91

red bowel movement

Back 91

fresh red = lower intestine (below stomach including anus)

Front 92

black stool

Back 92

upper GI - upper intestines, stomach bleeding

Front 93

normal bowel movement

Back 93

1 or 2 times a day

Front 94

bowel more than 3 times a day is

Back 94

dairrhea

Front 95

watery diarrhea

Back 95

damp

Front 96

list 2 reasons for constipation

Back 96

1. heat is 80% - burning the body fluid. 2. Qi def. means can't get the energy to push down (sweating and tired after)

Front 97

loose stool

Back 97

qi deficiency

Front 98

watery stool

Back 98

qi stagnation and water retention.

Front 99

bowel movement has strong odor

Back 99

excess heat

Front 100

bowel movement has sour smell

Back 100

food stagnation

Front 101

urination light to no smell

Back 101

could be deficient

Front 102

mucus in the bowel

Back 102

damp

Front 103

moist poo

Back 103

cold, not much heat

Front 104

time of poo

Back 104

corresponds to that organ

Front 105

spicy foods hurt the _____

Back 105

yin

Front 106

craving the sweets means _____________

Back 106

spleen qi Xu

Front 107

craqving for sour foods

Back 107

liver qi stagnation

Front 108

poor appetite

Back 108

spleen qi deficiency

Front 109

eating a lot; easily hungry (not gluttny)

Back 109

stomach fire

Front 110

hungry but can't eat much because stomach can't digest it well.

Back 110

stomach yin def.

Front 111

poor appetite, no tolerance for fried or oily foods, mild fever

Back 111

liver/gall bladder damp heat

Front 112

drinking a lot

Back 112

excessive heat, chronic kidney yin xu, loss of body fluids

Front 113

thirsty but not drinking

Back 113

xu, damp heat, phlegm (tongue will tell the difference)

Front 114

thirsty but just rinse mouth, not swallow.

Back 114

blood stasis

Front 115

bland taste no matter what you eat

Back 115

spleen and stomach qi def

Front 116

sweet taste

Back 116

?

Front 117

sour taste

Back 117

liver and stomach heat

Front 118

bitter taste

Back 118

stomach or liver/gB, heart heat

Front 119

salty

Back 119

kidney has some cold

Front 120

low energy is __________

Back 120

qi def

Front 121

fall asleep ok. poor appetite. pale tongue. palpitation. Don't stay asleep.

Back 121

heart and spleen def.

Front 122

light sleep, restless, belching and abdominal distintion.

Back 122

food retention

Front 123

pain before menstration

Back 123

liver qi stagnation

Front 124

pain after mensus

Back 124

blood def.

Front 125

pain during menstration

Back 125

blood/qi def.

Front 126

light color menstration

Back 126

xu

Front 127

fresh red

Back 127

heat

Front 128

clots and dark

Back 128

blood stasis

Front 129

much bleeding

Back 129

blood heat and qi def.

Front 130

scanty menstration

Back 130

yin and blood def.

Front 131

ammenorrhea

Back 131

qi and blood def

Front 132

early menstration

Back 132

blood heat or qi def.

Front 133

late menstration

Back 133

blood Xu or cold

Front 134

irregular menstration

Back 134

qi problems

Front 135

pain is caused by

Back 135

malnutrition or blockage

Front 136

only chills and warmth helps?

Back 136

yang xu/chronic

Front 137

chills and warmth doesn't help?

Back 137

yin excess/acute

Front 138

only chills?

Back 138

interior cold

Front 139

only fever

Back 139

interior heat

Front 140

4 greats =

Back 140

yang excess

Front 141

spontaneous sweating

Back 141

qi def

Front 142

night sweating

Back 142

yin def

Front 143

profuse sweating

Back 143

excess heat

Front 144

shivering sweating

Back 144

turning point in the battle with the evil pathogen and correct qi

Front 145

yangming stage

Back 145

4 greats

Front 146

head only sweating

Back 146

upper jaio, damp heat

Front 147

sweating on palms and soles

Back 147

middle jiao, damp heat

Front 148

sweating on one side of the body

Back 148

blocked channel, wind stroke

Front 149

chills and fever without sweating

Back 149

wind cold

Front 150

no sweating can be 3 things

Back 150

1. no body fluid - yin xu 2. no energy to puch sweat out - yang xu 3. external cold closed pores.

Front 151

difficult falling asleep

Back 151

yang or qi xu

Front 152

difficult staying asleep

Back 152

yin or blood xu

Front 153

dream disturbed sleep

Back 153

heart and liver blood xu

Front 154

induce labor combo

Back 154

SP6 and LI4