Disease Diagnosis Patterns For The Final Exam

Front 1

headache, acute onset, occurs on exposure to wind, with a splitting pain, the pain may extend to the neck & back, aversion to wind & cold, no thirst, thin white coating, floating tight pulse. Also called head wind.

Back 1

Wind–Cold Attack Headache

Front 2

acute onset, distending HA or even splitting HA, fever, slight aversion to cold, thirst, like to drink, sore throat runny nose with a yellow discharge, red eyes & face, constipation, dark urine, red tongue, yellow coating, floating & rapid pulse.

Back 2

Wind–Heat Attack Headache

Front 3

acute onset HA with a feeling that the head is tightly wrapped & heaviness, an oppressive sensation in the chest & epigastrium, heavy sensation in the body & limbs, poor appetite, loose stools, difficult urination, white greasy coating, soggy pulse. Can happen after swimming, after working out + sweating then cold shower, from the beach

Back 3

Wind–Damp Attack Headache

Front 4

a fixed stabbing HA that lasts for a long time, worse at night, may have history of head injury or trauma, blurring of vision, poor memory, purplish spots on the tongue, thin white coating, deep thin or choppy pulse

Back 4

Blood Stasis Headache

Front 5

dull & muzzy pain in the head, dizziness, a feeling of fullness & oppression in the chest & epigastrium, nausea, vomiting, puffy & pale tongue with teeth marks, white greasy coating, wiry or wiry & slippery pulse

Back 5

Turbid Phlegm Headache

Front 6

distending or throbbing temporal HA, which is related to emotional changes & exertion, dizziness, irritability, short temper, poor sleep, red face & eyes, bitter taste, red tongue, thin yellow coating Pulse: deep, wiry & forceful

Back 6

Liver Yang Rising Headache

Front 7

HA, dizziness, aggravated by overstrain & alleviated by rest, SOB, spontaneous sweats, aversion to wind, palpitation, fatigue, poor memory, poor appetite, pallor, pale tongue, thin white coating, thready weak pulse. Could be HA post menstruation or K xu + W–C attack

Back 7

Qi & Blood Deficiency Headache

Front 8

HA w/ an empty feeling, vertigo, dizziness, tinnitus, soreness & weakness in the low back & knees, fatigue, insomnia, poor memory, seminal emission in men, discharge in women, red tongue, less coating, deep thin and forceless pulse.

Back 8

Kidney Deficiency Headache

Front 9

wandering pain & soreness in the body, limbs, joints, & muscles, particularly in the wrist joints, elbow, knee and ankle areas, Limited ROM or fever w/ aversion to cold, thin greasy tongue coating, superficial wiry pulse

Back 9

wind bi

Front 10

severe pain in the limbs & joints as if being stabbed or pricked, in worse cases fixed pain that is alleviated by warmth & aggravated by cold, better in the day time, worse at night, limited ROM, (NO local redness or feverish/hot sensations), cold sensation in the affected parts, thin white tongue coating, wiry tight pulse

Back 10

cold painful bi

Front 11

pain & heavy sensation in relatively fixed areas of limbs or joints, possible swelling or numbness of the joints or muscles, aggravation during rainy and cloudy days, with or w/o limited ROM, white greasy tongue coating, soft slow pulse

Back 11

damp fixed bi

Front 12

painful, swollen joints, burning sensation with redness, warm & painful to the touch , aggravated by warmth, better with cold, limited ROM in the affected joints, worse at night, high fever, mild chills, sweating, thirst, irritability, desire for cold drinks. Possible other heat signs, constipation, burning urine, gout. T: red body, white or yellow & dry coating, P: wiry or slippery & rapid

Back 12

heat bi

Front 13

chronic progressive pain, swelling or deformity of the joints with significantly limited ROM, intermittent fever, purple tongue, white greasy coating, choppy or wiry and choppy pulse

Back 13

Bi Syndrome

qi and blood stagnation

Front 14

chronic progressive pain of the joints and limbs with numbness and weakness, aggravated by exertion, tiredness, soreness and weakness in the low back and knees, blurry vision, dizziness, tinnitus, pale tongue, white coating or red tongue with less coating, thin weak pulse

Back 14

Bi Syndrome

Liver and Kidney deficiency

Front 15

long history of repeated attacks that have already deformed the affected joints, some of the joint areas may have black spots, severe pain in the local areas, limited ROM, soreness, numbness, redness and swelling of the joints, or cold sensation in the joints, worsened condition in the cold seasons, alleviation of pain by warmth, purplish dark tongue with purplish spots and thin choppy pulse

Back 15

stubborn bi

Front 16

acute onset, weak and muscular flaccidity of the lower limbs or parts of the body, fever, cough, thirst, irritability, dry skin, scanty and dark urin, dry stools, red tongue with yellow and dry coating, thready and rapid or slippery rapid pulse

Back 16

Atrophy Disorder
LU heat damaged fluids

Front 17

acute onset, flaccid or slightly swollen and weak legs, a little hot sensation on touch, low–grade fever, general heaviness, fullness in the chest and epigastrium region burning or pain and scanty dark urine, red tongue yellow sticky greasy coating, soft and rapid or slippery and rapid pulse

Back 17

Atrophy Disorder
damp–heat accumulation

Front 18

mostly from diet: chronic progressive weakness and flaccidity of limbs or parts of the body, tiredness, SOB, poor appetite, bloating loose stools, pale face and tongue, puffy tongue,thin white coating, deep thin or weak pulse

Back 18

Atrophy Disorder
Spleen & Stomach Deficiency

Front 19

slow onset, chronic, progressive weakness and muscular flaccidity of the lower limbs, soreness and weakness in the low back and knees, extreme tiredness, seminal emission,irregular menses, dizziness, tinnitus, five center heat, night sweats, blurry vision, red tongue, less coating, deep, thready and rapid pulse

Back 19

Atrophy Disorder
Liver & Kidney yin deficiency

Front 20

acute onset, weak and muscular flaccidity of the lower limbs or parts of the body, fever, cough, thirst, irritability, dry skin, scanty and dark urin, dry stools, red tongue with yellow and dry coating, thready and rapid or slippery rapid pulse

Back 20

Atrophy Disorder
LU heat damaged fluids

Front 21

acute onset, flaccid or slightly swollen and weak legs, a little hot sensation on touch, low–grade fever, general heaviness, fullness in the chest and epigastrium region burning or pain and scanty dark urine, red tongue yellow sticky greasy coating, soft and rapid or slippery and rapid pulse

Back 21

Atrophy Disorder
damp–heat accumulation

Front 22

mostly from diet: chronic progressive weakness and flaccidity of limbs or parts of the body, tiredness, SOB, poor appetite, bloating loose stools, pale face and tongue, puffy tongue,thin white coating, deep thin or weak pulse

Back 22

Atrophy Disorder
Spleen & Stomach Deficiency

Front 23

slow onset, chronic, progressive weakness and muscular flaccidity of the lower limbs, soreness and weakness in the low back and knees, extreme tiredness, seminal emission,irregular menses, dizziness, tinnitus, five center heat, night sweats, blurry vision, red tongue, less coating, deep, thready and rapid pulse

Back 23

Atrophy Disorder
Liver & Kidney yin deficiency

Front 24

long–standing pronounced tremor of limbs with marked amplitude, numbness in limbs, difficulty in movement and rigidity, severe stiff neck, handwriting becomes progressively smaller, staring look, walking with small shuffling steps, tiredness, dizziness, tinnitus, blurred vision, insomnia, night sweats, soreness and ache in low back and knees, poor memory, small and red tongue, less coating thin and rapid pulse

Back 24

Parkinson’s:

yin deficiency with yang rising

Front 25

long–standing pronounced tremor of the limbs, walking uncoordinated, swollen limbs, obesity, a feeling of oppression of the chest, heaviness of the body, dizziness vertigo, nausea, vomiting, cough with yellow mucus, dry mouth with no desire to drink, red tongue thick yellow/white greasy coating, deep slippery or rapid pulse

Back 25

Parkinson’s:

phelgm heat accumulation

Front 26

from trauma/brain tumor: long–standing pronounced tremor of limbs, walking uncoordinated, cramps in limbs, dark complexion, limitation of movements, purple tongue, thin yellow/white coating, wiry or choppy pulse

Back 26

Parkinson’s:

Qi and blood stagnation

Front 27

long–standing pronounced tremor of limbs and head, handwriting becomes progressively smaller, staring look, walking with small shuffling steps, tiredness, poor memory, dizziness, tinnitus, blurred vision, sleeping urine and BM disorders, soreness and weakness in low back and knees, puffy tongue with teeth marks, thin white coating, deep wiry thin and weak pulse

Back 27

Parkinson’s:

lack of marrow and brain

Front 28

long–standing pronounced tremors of limbs, walking uncoordinated, weakness of limbs,stiff neck, staring look, tiredness, pale face, dislike of speaking, dizziness, palpitations, restlessness, SOB, poor appetite, spontaneous sweats, pale and puffy tongue, teeth marks, white coating deep weak or thin pulse

Back 28

Parkinson’s:

Qi and blood deficiency

Front 29

thirst with desire to drink, dry mouth, dry skin, and tongue, frequent urination, polyuria, red tip of tongue, thin yellow coating, flooding and rapid pulse

Back 29

Xiao Ke:
Upper Xiao:

Lung Heat Damaged Body Fluids

Front 30

big appetite, excessive hunger, stronger thirst, increased drinking, frequent urinary discomfort, sensation in the stomach, weight loss, restlessness with feverish sensation, emaciation, dark yellow urine, dry stools or constipation, red tongue, dry yellow coating, rapid, slippery and forceful pulse

Back 30

Xiao Ke:
Middle Xiao:

Severe Stomach Heat

Front 31

good appetite or hunger without a desire to eat, thirst, desire to drink, frequent urination, weight loss, tiredness, fatigue of the limbs, loose stools or constipation or dry stools, pale tongue, white and dry coating thin weak pulse

Back 31

Xiao Ke:
Middle Xiao:

Spleen & Stomach qi and yin deficiency

Front 32

frequent, copious urination with cloudy and turbid or sweaty urine, dry mouth and tongue, desire to drink, weight loss, dizziness, blurring of vision, red cheeks, itching skin, tinnitus, soreness and weakness in low back and knees, night sweats, restlessness, seminal emission, scanty menses or amenorrhea, red tongue, less coating and thready rapid pulse

Back 32

Xiao Ke:
Lower Xiao:

Kidney yin deficiency

Front 33

very frequent copious or scanty urination with emaciation, dry mouth, desire for profuse drinking, dizziness, blurring of vision, aversion to cold, soreness and coldness of the low back and knees, dark or even black face, impotence in men, infertility in women, pale and dry tongue with white coating, and deep thready weak pulse

Back 33

Xiao Ke:
Lower Xiao:

Kidney yin & yang deficiency

Front 34

continuous (=spontaneous) sweating w/o any exertion or worse w/ exertion, cold limbs with cold sweat in severe cases, easily catch colds, fatigue, SOB, palpitations, distention in abdomen and epigastrium, pale or pink tongue, thin white coating, thin weak pulse.

Back 34

Sweating

Lung & Wei Qi Deficiency

Front 35

continuous sweating (=spontaneous), aversion to wind, feverish w/ chills, body aches and soreness, or sweating on one side or parts of the body, pale or normal tongue, thin white coating and moderate floating pulse

Back 35

Sweating

Ying and Wei Disharmony

Front 36

spontaneous sweating or night sweating, palpitations, insomnia, fatigue, SOB, pale face, pale tongue, thin white coating, and thin pulse.

Back 36

Sweating

Heart Blood Deficiency

with qi xu = spontaneous sweating
with yin xu = night sweating

Front 37

night sweats, red cheeks, hot flashes in afternoon, feverish sensations in the palms and soles, dry mouth, thirsty, irritability, dry stools, dark and scanty urine, dry and red tongue, less coating and rapid thin pulse

Back 37

Sweating

Yin Deficiency with Fire Rising

Front 38

steaming sweats during sleep or in the daytime, yellowish sweats, red face and eyes, irritability, short temper, bitter taste, difficult painful and yellow urination, red tongue, thin yellow coating, wiry and rapid pulse

Back 38

Sweating

Stagnant Heat Steaming

Front 39

nose bleeding, dry nose, mouth and throat, may have feverish body, cough with scanty phlegm, red tongue thin coat, rapid pulse

Back 39

Epistaxis:
(nose bleed)

Heat Attacking the Lung

Front 40

bleeding from the nose or gums with bright red blood, thirst with a desire for cold water, dry nose and mouth, smelly mouth, foul breath, restlessness, constipation, dry red tongue, yellow coat, rapid pulse

Back 40

Epistaxis:
(nose bleed)

Severe Stomach Heat

Front 41

nose bleeding, headache, irritability, short temper, dizziness, tinnitus, red face and eyes, bitter taste, red tongue, wiry and rapid pulse

Back 41

Epistaxis:
(nose bleed)

Liver Fire Rising

Front 42

nose bleeding or with gums bleeding, fatigue, dizziness, tinnitus, palpitations SOB, insomnia, pale tongue, thin forceless pulse

Back 42

Epistaxis:
(nose bleed)

Qi & Blood Deficiency

Front 43

bleeding from gums with fresh red blood, painful and swollen (inflammation) gums, frontal headache, dislike for warm/hot food & drink, smelly mouth, red tongue, yellow coating, rapid, flooding and forceful pulse

Back 43

Bleeding Gums

Severe Stomach Fire

Front 44

bleeding from gums with light fresh red blood, toothache, headache, irritability, feverish, thirst, smelly mouth,poor appetite, hiccups, dry mouth and tongue, red tongue with dry yellow coating, thin and rapid pulse

Back 44

Bleeding Gums

Kidney Yin Deficiency
w/ Stomach Heat

Front 45

bleeding from gums with pink blood, gradual onset, usually aggravated by heat attacking or overstrain, loose teeth, dizziness, tinnitus, red tongue, less coating, thin rapid pulse

Back 45

Bleeding Gums

Yin Deficiency Fire Rising

Front 46

chronic gum bleeding with light blood, aggravated by exhaustion, fatigue, dizziness, palpitations, SOB, pale face, poor appetite, abdominal distention, loose stools, low voice, pale tongue with teeth marks, weak pulse

Back 46

Bleeding Gums

Qi & Blood Deficiency

Front 47

itchy throat, cough with bloody phlegm, dry mouth and nose, fever, slight aversion to cold, sneezing with nasal discharge, red, dry tongue, thin white or light yellow coating, rapid or floating rapid pulse

Back 47

Hemoptysis
(coughing up blood)

Dry–Heat Damaging the Lung

Front 48

emotional changes causing sudden bouts of cough with blood–streaked phlegm or fresh–red blood, irritability, restlessness, distention and pain in the chest and hypochondriac, bitter taste,, red tongue, thin yellow coat, wiry and rapid pulse

Back 48

Hemoptysis
(coughing up blood)

Liver Fire Attacking the Lung

Front 49

cough with scanty blood–streaked phlegm, or recurrent spitting of bright red blood, fatigue, dizziness, dry mouth and throat, red cheeks, five center heat, night sweats, hot flush, red tongue, less coat, thin rapid pulse

Back 49

Hemoptysis
(coughing up blood)

Lung Yin Deficiency
with Empty–Heat

Front 50

cough with blood–streaked phlegm or fresh–red blood, chest pain, palpitations, darkish face, emaciation, insomnia, blue–purple tongue, white coating, choppy wiry pulse

Back 50

Hemoptysis
(coughing up blood)

Blood Stasis

Front 51

distention and fullness in the epigastrium and abdomen, even with pain in severe cases, vomiting of bright red or dark purple blood, often with food residue, foul breath, smelly mouth, constipation, black stools, red tongue, yellow greasy coating, slippery and rapid pulse

Back 51

Hematemesis
(vomiting blood)

Severe Stomach Heat Accumulating

Front 52

vomiting of bright red or dark purple blood, bitter taste, hypochondriac pain, irritability, short temper, insomnia, dream disturbed sleep, red crimson tongue, wiry rapid pulse

Back 52

Hematemesis
(vomiting blood)

Liver Fire
Over–acting on Stomach

Front 53

constant vomiting of light dusky blood, conditions can be mild or severe, fatigue, dizziness, palpitations, SOB, insomnia, pale face and tongue, thin forceless pulse

Back 53

Hematemesis
(vomiting blood)

Deficient Qi
Fails to Control the Blood

Front 54

red blood in the stools, constipation or loose stools, or abdominal pain, bitter taste, red tongue with yellow greasy coating, soggy and rapid pulse

Back 54

Hemafecia
(blood in the stools)

Damp–Heat in the Intestine

Front 55

tarry stools or profuse blood in the stools, stomach ache with burning sensation, thirst, dry mouth, smelly mouth, no appetite, red tongue with yellow coating, rapid pulse

Back 55

Hemafecia
(blood in the stools)

Stomach Heat

Front 56

red or dark purplish blood in the stools, even tarry stools in severe cases dull pain in the abdomen, loose stools, poor appetite, fatigue, dizziness, palpitations, SOB, insomnia, sallow complexion, pale tongue with teeth marks, thin pulse

Back 56

Hemafecia
(blood in the stools)

Deficient Qi
Fails to Hold Blood

Front 57

dusky purplish blood in the stools, or even blackish/tarry stools in severe cases, dull pain and cold in abdomen, like hot drinks, cold limbs, fatigue, dizziness, dislike of speaking, pale face, palpitations, SOB, loose stools, pale tongue with a white coat, weak or deep thin pulse

Back 57

Hemafecia
(blood in the stools)

Deficient Cold in the
Spleen & Stomach

Front 58

acute onset, burning pain in urethra, frequent and urgent urination, dark yellow urine with or w/o visible fresh blood, irritability, restlessness, insomnia, thirst, canker sores, red face and tongue, yellow coating rapid pulse

Back 58

Hematuria
(blood in the urine)

Lower Jiao Damp–Heat

Front 59

scanty dark urine with or w/o visible fresh blood, chronic fatigue, dizziness, tinnitus, soreness and weakness in the low back and knees, insomnia, hot flush, five center heat, red tongue, thin rapid pulse

Back 59

Hematuria
(blood in the urine)

Kidney Yin Deficiency
with Fire Rising

Front 60

chronic urine with or w/o visible light blood, even with gum bleeding and purpura, fatigue, poor appetite, dizziness, SOB, low voice, pale face and tongue with teeth marks, thin weak (guan) pulse

Back 60

Hematuria
(blood in the urine)

Spleen Failing to
Control the Blood

Front 61

chronic blood in urine with or w/o visible fresh pinkish blood, pain or spasm in low back or abdomen which radiates down to lower abdomen, may have difficult urination, fatigue, tinnitus, dizziness, soreness in low back and knees, pale tongue with thin coat, deep weak (chi) pulse

Back 61

Hematuria
(blood in the urine)

Unstable Kidney Qi

Front 62

bright red spots under the skin, or with nose bleeding, gum bleeding, blood in urine, or stools, thirst, constipation, may have a fever, red tongue, yellow coat, wiry and rapid pulse

Back 62

Purpura
(bleeding under the skin)

Blood Heat

Front 63

red spots and petechiae under the skin, comes and goes, with nose bleeding, gum bleeding, heavy periods, red cheeks, hot flush, five center heat, restlessness, night sweats, dizziness, tinnitus, insomnia, red tongue, less coating thin rapid pulse

Back 63

Purpura
(bleeding under the skin)

Yin Deficiency
Fire Rising

Front 64

chronic and recurrent onset, pale red spots under the skin, aggravated by exertion fatigue, dizziness, palpitations, SOB, poor appetite, pale face and tongue, thin forceless pulse

Back 64

Purpura
(bleeding under the skin)

Qi Deficiency
Unable to Hold the Blood