Giovanni Chap 24 Diagnosis By Interrogation

Front 1

Two aspects of interrogation are

Back 1

General and Specific

Front 2

General interrogation is ...

Back 2

asking about lifestyle, work, emotions, diet, etc to determine cause of disease

Front 3

Specific interrogations is...

Back 3

asking about clinical manifestations to determine the patterns of disharmony

Front 4

The questions asked during the interrogation must always be guided by our attempt to confirm or ...

Back 4

exclude a pattern of disharmony

Front 5

Procedure for interrogation...
O
L
A
P
E or C
P D or O
F I
E

Back 5

Observe-movement, complexion eyes
Listen-tone of voice
Ask-about presenting problem
Possible patterns?
Ask to Exclude/confirm pattrns
Past diseases or operations
Family illnesses? Asthma, eczema, heart disease
Emotional life of patient

Front 6

Remember the ______ and _____ may indicate the presence of patterns not evident from the clinical manifestations.

Back 6

tongue and pulse

Front 7

Remember to not follow th traditional _________ rigidly.

Back 7

questions

Front 8

10 Traditional questions started by Zhang Jing Yue are...
A
S
H and B
S and U
F and D
C and A
D
T
P I
C of D

Back 8

Aversion to cold/fever
Sweating
Head and Body
Stools and Urine
Food and Drink
Chest and Abdoman
Deafness
Thirst
Previous illness
Causes of disease

Front 9

Addition questions added for modern Chinese books are
T
S
H and T
P

Back 9

Taste
Sleep
Hearing and tinnitis
Pain

Front 10

Three new questions for Westerners...
E
S S
E L

Back 10

Emotions
Sexual Symptoms
Energy levels

Front 11

Invasion of exterior pathogenic factors
Interior Cold or Heat
Stagnation of Qi or Blood
Obstruction by Phlegm
...are all examples of

Back 11

FULL CONDITIONS!!!

Front 12

Deficiency of Qi and Blood
Consumptions of Body Fluids from Yin deficiency
....are all examples of

Back 12

EMPTY CONDITIONS!!!

Front 13

Empty or Full?
With Pressure pain is alleviated

Back 13

Empty

Front 14

Empty or Full?
With Pressure pain is aggravated

Back 14

Full

Front 15

Empty or Full?
better laying down

Back 15

Empty

Front 16

Empty or Full?
better sitting up

Back 16

Full

Front 17

Cold or Heat?
If type of pain is Cramping it is a

Back 17

Cold condition

Front 18

Cold or Heat?
If type of pain is Burning it is a

Back 18

Heat condition

Front 19

Cold or Heat?
Alleviated by cold it must be a

Back 19

Heat condition

Front 20

Empty or Full?
better sitting up

Back 20

Full

Front 21

Cold or Heat?
If type of pain is Cramping it is a

Back 21

Cold condition

Front 22

Cold or Heat?
If type of pain is Burning it is a

Back 22

Heat condition

Front 23

Cold or Heat?
Alleviated by cold it must be a

Back 23

Heat condition

Front 24

If type of pain is Dull-lingering it is an

Back 24

Empty condition

Front 25

If type of pain is Sharp it is a

Back 25

Full condition

Front 26

If type of pain is better with movements it is a

Back 26

Full and Cold condition

Front 27

If type of pain is better without movements it is an

Back 27

Empty condition

Front 28

If type of pain is worse with movements it is a

Back 28

Heat condition

Front 29

If pain is alleviated by Bowel Movement the condition is

Back 29

Full, Heat

Front 30

If pain is aggravated by Bowel Movement the condition is

Back 30

Empty, Cold

Front 31

If pain is alleviated by Vomiting the condition is

Back 31

Full, Heat

Front 32

If pain is aggravated by Vomiting the condition is

Back 32

Empty, Cold

Front 33

With Qi Stagnation in the Liver, Stomach and Small Intestines pain will be felt in the

Back 33

Epigastrium and Abdomen

Front 34

With Blood Stasis in the Liver, Uterus, Heart, Stomach and Intestines pain could be felt in the

Back 34

Head, chest, epigastrium, abdomen, Uterus

Front 35

With Liver Yang Rising pain could be felt in the

Back 35

Head

Front 36

With Cold in the Stomach, Uterus, Intestines pain could be felt in the

Back 36

Epigastrium, abdomen, Uterus, joints, bladder

Front 37

With Damp Heat in the Uterus, Stomach, Intestines, Bladder and Gall Bladder pain could be felt in the

Back 37

Hypochondrium, epigastrium, abdomen,hypogastrium, Uterus, forehead, joints

Front 38

With External Wind pain could be felt in the

Back 38

Occipult

Front 39

With External Dampness in the Stomach, Intestines, Uterus pain could be felt in the

Back 39

Head, epigastriium, abdomen, Uterus, Bladder, joints

Front 40

With Retention of food in the Stomach, Intestines pain could be felt in the

Back 40

epigastriium, abdomen

Front 41

With Phlegm in the Stomach, Intestines, Uterus pain could be felt in the

Back 41

Head, epigastriium, abdomen, joints

Front 42

Causes of Pain: Qi Stagnation

Back 42

distension/bloating more than pain, or distending pain, no fixed location, coming and going

Front 43

Causes of Pain: Liver-Yang rising

Back 43

chronic headaches with distending, throbbing pain

Front 44

Causes of Pain: Blood Stasis

Back 44

severe, boring or stabbing pain with a fixed location

Front 45

Causes of Pain: Cold (full or empty)

Back 45

Cramping, spastic pain aggravated by cold weather and cold foods/liquids and alleviated by application of heat

Front 46

Causes of Pain: Damp Heat

Back 46

burning pain with feeling of fullness and heaviness

Front 47

Causes of Pain: External wind

Back 47

Occipital headache and stiffness

Front 48

Causes of Pain: External Dampness

Back 48

Pain in the joints or epigastrium

Front 49

Causes of Pain: Retention of food

Back 49

intense pain with the feeling of fullness (more in children)

Front 50

Causes of Pain: Phlegm

Back 50

does not usually cause pain, but it may do so especially in the joints (as in rheumatoid arthritis)

Front 51

Food: Lack of appetite

Back 51

Spleen Qi Deficiency

Front 52

Food: Excessive hunger

Back 52

ST Heat

Front 53

Food: feeling of fullness

Back 53

Dampness or retention of food

Front 54

Food: feeling of distention

Back 54

Qi Stagnation

Front 55

Food: Sharp pain

Back 55

Blood stasis

Front 56

Food: feeling of heaviness

Back 56

Dampness

Front 57

Food: preference for hot food/drinks

Back 57

cold pattern

Front 58

Taste: Bitter taste constant

Back 58

full heat in liver

Front 59

Taste: Bitter taste in the morning, insomnia

Back 59

full heat in heart

Front 60

Taste: Sweet taste

Back 60

Spleen deficiency or damp heat

Front 61

Taste: Sour taste

Back 61

retention of food or liver invading the stomach

Front 62

Taste: Salty taste

Back 62

kidney yin deficiency

Front 63

Taste: Pungent taste

Back 63

Lung heat

Front 64

Taste: Lack of taste sensation

Back 64

Spleen and stomach deficiency

Front 65

Vomit: Sour

Back 65

Invasion of stomach by LV

Front 66

Vomit: Bitter

Back 66

Liver and or gall bladder heat

Front 67

Vomit: clear watery

Back 67

Cold in the stomach

Front 68

Vomit: soon after eating

Back 68

heat in the stomach

Front 69

Vomit: Sudden with loud noise

Back 69

Full

Front 70

Vomit: Slow in coming and weak noise

Back 70

Empty

Front 71

Constipation: acute w thirst and dry yellow coating

Back 71

heat in stomach and intestines

Front 72

Constipation: in old people and women after childbirth

Back 72

blood deficiency

Front 73

Constipation: with small, dry bitty stools like goat stools

Back 73

Liver Qi Stagnation, heat in the intestines

Front 74

Constipation: with abdominal pain

Back 74

full or empty cold

Front 75

Constipation: w dry stools, dry mouth, desire to drink small sips

Back 75

Yin deficiency, usually of Kidneys/Stomach

Front 76

Constipation: alternating with diarrhea

Back 76

Stagnant liver Qi invading the spleen

Front 77

Urine Function: enuresis of incontinence of urine

Back 77

Kidney deficiency

Front 78

Urine Function: retention of urine

Back 78

Dampness in the bladder, Lung Qi deficiency

Front 79

Urine Function: difficulty in urination

Back 79

Dampness in bladder or kidney deficiency (the latter more common in older people)

Front 80

Urine Pain: before

Back 80

Stagnation of qi in the lwr burner

Front 81

Urine Pain: during

Back 81

Damp heat in bladder

Front 82

Urine Pain: after

Back 82

Qi deficiency

Front 83

Urine Color: Pale

Back 83

cold pattern

Front 84

Urine Color: Dark

Back 84

Heat pattern

Front 85

Urine Color: Turbid or cloudy

Back 85

Dampness in bladder

Front 86

Urine Color: copious clear pale during an exterior invasion of wind-cold or wind-heat

Back 86

pathogenic factor in interior

Front 87

Urine Color: dark urination during an invasion of wind-cold or wind-heat

Back 87

pathogenic factor in interior

Front 88

Urine amount: frequent and copious

Back 88

Kidney Yang deficiency

Front 89

Urine amount: frequent and scanty

Back 89

Qi deficiency

Front 90

Urine amount: Scanty and dark

Back 90

Kidney yin deficiency