Podcast
Questions and Answers
In a diagnosis involving damp-heat in the liver and gallbladder channels, which option should be chosen if option A includes kidney yin deficiency and there are no signs of it?
In a diagnosis involving damp-heat in the liver and gallbladder channels, which option should be chosen if option A includes kidney yin deficiency and there are no signs of it?
- Damp-heat in liver and gallbladder channels with kidney yin deficiency
- Damp-heat in the large intestine
- Damp-heat in liver and gallbladder channels (correct)
- Damp-heat in the kidney channels
What pulse observation would most likely indicate some type of yin deficiency?
What pulse observation would most likely indicate some type of yin deficiency?
- Thin and rapid pulse with a red tongue (correct)
- Strong and wiry pulse with a white coating
- Deep and tight pulse with a yellow coating
- Wide and slow pulse with a pale tongue
If the sides of the tongue are red, which organ dysfunctions may be implied in the pattern diagnosis?
If the sides of the tongue are red, which organ dysfunctions may be implied in the pattern diagnosis?
- Liver and Gallbladder (correct)
- Kidney and Bladder
- Spleen and Stomach
- Heart and Small Intestine
In pulse diagnosis, what does a deep and tight pulse in the right guan position suggest?
In pulse diagnosis, what does a deep and tight pulse in the right guan position suggest?
When considering the 8 principles in diagnosis, heat versus cold is one of the principles. Which of the following statements correctly represents the principle of excess versus deficiency?
When considering the 8 principles in diagnosis, heat versus cold is one of the principles. Which of the following statements correctly represents the principle of excess versus deficiency?
Which condition is characterized by a pale-red tongue with a thin white coating?
Which condition is characterized by a pale-red tongue with a thin white coating?
What symptom is not typically associated with Wind-Heat?
What symptom is not typically associated with Wind-Heat?
Which pattern is characterized by seizures, twitching, and dizziness?
Which pattern is characterized by seizures, twitching, and dizziness?
A person with a weak voice, shortness of breath (SOB), and spontaneous sweating likely has which condition?
A person with a weak voice, shortness of breath (SOB), and spontaneous sweating likely has which condition?
What key symptom indicates a Yin Deficiency pattern?
What key symptom indicates a Yin Deficiency pattern?
Which pulse description is associated with Wind-Cold?
Which pulse description is associated with Wind-Cold?
In Qi Deficiency, which sign is NOT typically present?
In Qi Deficiency, which sign is NOT typically present?
What symptom is commonly associated with Qi Stagnation?
What symptom is commonly associated with Qi Stagnation?
Which condition is indicated by a red, thick, dry yellow coating on the tongue?
Which condition is indicated by a red, thick, dry yellow coating on the tongue?
What might cause impaired growth and failure to thrive in children?
What might cause impaired growth and failure to thrive in children?
Which symptom is consistent with Blood Stagnation?
Which symptom is consistent with Blood Stagnation?
What is a typical sign of Food Stagnation?
What is a typical sign of Food Stagnation?
Which of the following symptoms is NOT associated with Blood Deficiency?
Which of the following symptoms is NOT associated with Blood Deficiency?
What type of pulse is commonly felt in cases of both qi and blood deficiency?
What type of pulse is commonly felt in cases of both qi and blood deficiency?
Which condition is characterized by symptoms such as night sweats and malar flush?
Which condition is characterized by symptoms such as night sweats and malar flush?
What does a 'hidden, minute' pulse indicate?
What does a 'hidden, minute' pulse indicate?
Which symptom is NOT typically associated with Yang Deficiency?
Which symptom is NOT typically associated with Yang Deficiency?
What is a common symptom of Yin Deficiency?
What is a common symptom of Yin Deficiency?
A patient with low back pain, cold limbs, and bluish discoloration may be experiencing which condition?
A patient with low back pain, cold limbs, and bluish discoloration may be experiencing which condition?
Which symptom is primarily associated with Essence Deficiency?
Which symptom is primarily associated with Essence Deficiency?
What type of tongue coating is generally associated with Yin Deficiency?
What type of tongue coating is generally associated with Yin Deficiency?
What symptom typically suggests that Yang is failing to warm the Spleen?
What symptom typically suggests that Yang is failing to warm the Spleen?
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Study Notes
General Pattern Diagnosis Advice
- Choose the most obvious answer that aligns with your thoughts, even if phrased differently, such as selecting "middle jiao deficiency" instead of "spleen yang deficiency."
- Assess complete answers carefully; select the option that most accurately reflects the symptoms. For instance, prefer a more specific answer if it excludes unrelated conditions.
- Use tongue and pulse observations to guide pattern diagnosis; they reveal critical insights about deficiencies or excesses.
Tongue and Pulse Positions
- Pulse Positions:
- Left cun: Heart/Small Intestine
- Right cun: Lung/Large Intestine
- Left guan: Liver/Gallbladder
- Right guan: Spleen/Stomach
- Left chi: Kidney/UB
- Right chi: Kidney/San Jiao
- Tongue Areas:
- Tip: Heart
- Area just proximal to tip: Lung
- Sides: Liver and GB
- Center: Spleen and Stomach
- Back: Kidney
- Observations in specific tongue areas imply related organ involvement, e.g., red sides indicate liver or GB heat.
Eight Principles
- Categories for diagnosis:
- Heat vs Cold
- Interior vs Exterior
- Excess vs Deficient
- Yin vs Yang
Key Patterns, Tongues, Pulses, and Symptoms
-
Wind-Cold:
- Tongue: Pale-red, thin, white coating
- Pulse: Floating, tight
- Symptoms: Abrupt fever/chills, coughing, clear nasal discharge, body aches.
-
Wind-Heat:
- Tongue: Maybe red tip
- Pulse: Floating, rapid
- Symptoms: Fever worse than chills, sweating, sore throat, red eyes.
-
Internal Wind (Liver Wind):
- Tongue: Deviated
- Pulse: Stiff
- Symptoms: Convulsions, spasms, dizziness.
-
Qi Deficiency:
- Tongue: Pale
- Pulse: Weak, moderate
- Symptoms: SOB, fatigue, spontaneous sweating, weak cough.
-
Blood Deficiency:
- Tongue: Pale, dry
- Pulse: Thin, fine, thready
- Symptoms: Dizziness, blurred vision, pale skin, insomnia.
-
Yang Deficiency:
- Tongue: Pale, white coat, puffy
- Pulse: Weak, deep, slow
- Symptoms: Cold extremities, frequent urination, low libido.
-
Yin Deficiency:
- Tongue: Red, peeled coating
- Pulse: Thin, rapid
- Symptoms: Night sweats, dry cough, low appetite.
-
Essence Deficiency:
- Causes: Poor nutrition, overtaxation, excessive childbirth
- Symptoms: Impaired growth, premature aging, poor memory.
-
Qi Stagnation:
- Tongue: Wiry
- Symptoms: Hypochondriac pain, irritability, abdominal distension.
-
Blood Stagnation:
- Tongue: Purple with distended sublingual veins
- Pulse: Choppy
- Symptoms: Sharp pain, menstrual pain.
-
Food Stagnation:
- Symptoms: Abdominal distension, lack of appetite, sour taste.
-
Excess Heat:
- Tongue: Red, thick yellow coating
- Pulse: Deep, rapid
- Symptoms: Insomnia, irritability, constipation.
-
Excess Cold:
- Tongue: Pale, thick white coating
- Pulse: Deep, tight
- Symptoms: Nausea, pain worsened by pressure.
-
Damp-Heat/Phlegm Heat:
- Tongue: Red, sticky yellow coat
- Pulse: Rapid, slippery
- Symptoms: Cough with sticky sputum, abdominal bloating.
-
Damp-Cold/Phlegm Cold:
- Tongue: Pale, slimy white/grayish coating
- Pulse: Slippery
- Symptoms: Clear, copious sputum, nausea, depression.
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