diagnosis questions

6
Questions hot, cold and fever, chills Acute condition with chills predominating = External Wind-Cold Acute condition with fever predominating = External Wind-Heat Alternates between feeling hot and cold = Shao Yang Stage of Disease Low grade fever in the afternoon or evening = Yin Deficiency Fever that worsens in the afternoon = Yang Ming Stage of Disease Chronic low grade fever = Damp Heat Condition Patient feels hot w/o fever = Internal Heat Patient feels cold w/o signs of external pathogens = Internal Cold SWEAT Spontaneous daytime sweating w/little or no exertion = Qi or Yang Deficency Nightsweats = Yin Deficiency Exterior conditions w/sweating = Deficiency Exterior conditions w/o sweating = Excess Oily beady sweat on forehead = Collapse of Yang Sweating of the whole body = Lung Qi Deficiency Sweating on palms, soles and chest ("heat in the 5 palms") = Yin Deficiency HEAD & EYES Headache: Chronic = Internal Disharmony Severe = Excess Condition Dull Pain = Deficient Condition Distending a/or Throbbing Pain = LV Boring Pain = Blood Stagnation Worse with wind a/or cold = Cold Condition Worse with fatigue = Qi Deficiency

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Page 1: Diagnosis Questions

Questions hot, cold and fever, chills

Acute condition with chills predominating = External Wind-Cold Acute condition with fever predominating = External Wind-Heat Alternates between feeling hot and cold = Shao Yang Stage of Disease Low grade fever in the afternoon or evening = Yin Deficiency Fever that worsens in the afternoon = Yang Ming Stage of Disease Chronic low grade fever = Damp Heat Condition Patient feels hot w/o fever = Internal Heat Patient feels cold w/o signs of external pathogens = Internal Cold

SWEAT Spontaneous daytime sweating w/little or no exertion = Qi or Yang Deficency Nightsweats = Yin Deficiency Exterior conditions w/sweating = Deficiency Exterior conditions w/o sweating = Excess Oily beady sweat on forehead = Collapse of Yang Sweating of the whole body = Lung Qi Deficiency Sweating on palms, soles and chest ("heat in the 5 palms") = Yin Deficiency

HEAD & EYES Headache: Chronic = Internal Disharmony Severe = Excess Condition Dull Pain = Deficient Condition Distending a/or Throbbing Pain = LV Boring Pain = Blood Stagnation Worse with wind a/or cold = Cold Condition Worse with fatigue = Qi Deficiency Feels heavy "like a damp towel wrapped around" = Damp Condition Frontal Headache = Yang Ming Meridians Temporal Headache = Shao Yang Meridians Vertex Headache = LV Posterior a/or Occipital = Tai Yang Meridians Worse during the day = Qi a/or Yang Deficiency Worse during the evening = Blood a/or Yin Deficiency Dizziness: With Loss of Balance = Internal Wind With heavy/muzzy feeling in the head = Phlegm Obstruction Worse with fatigue = Qi Deficiency Sudden onset = Excess Condition Gradual onset = Deficient Condition Eyes: Eye pain, swelling a/or redness = LV Fire or Wind Heat

Page 2: Diagnosis Questions

Blurred vision a/or "floaters" = LV Blood Deficiency Dry eyes = Deficiency of KD Yin or LV Yellow sclera = Jaundice Abnormal eye movements = LV Wind Ears: Sudden onset tinnitus = Excess Condition, LV Heat/Wind Chronic tinnitus = KD Deficiency Sudden onset deafness = Excess Condition Gradual onset deafness = KD Deficiency

|PAIN

Pain that is better with the application of heat = Cold Condition Pain that is improved with pressure on the area = Deficient Condition Pain that is aggravated with pressure on the area = Excess Condition Pain that is aggravated with damp weather = Damp Condition Pain associated with bloating, fullness a/or distention = Qi Stagnation Pain that is sharp a/or stabbing = Blood Stagnation Pain that moves from location to location = Qi Stagnation a/or Wind Dull pain that is worse with fatigue = Qi Deficiency Backpain: Chronic dull pain = KD Deficiency Acute = LV

|URINE, STOOL

Urine: Incontinence = KD Deficiency Retention of Urine = KD Deficiency or Damp Heat Incomplete urination = Qi a/or Yang Deficiency, may also be Dampness Pain with urination = Damp Heat or Heat in the UB Pale colored urine = Cold Condition Dark colored urine = Heat Copious amounts of urine = KD Yang Deficiency Scanty urination = KD Yin Deficiency or Damp Heat Stools: Constipation with heat signs (yellow tongue coat, etc.) = Heat in the ST or

Intestines Constipation in elderly patients = Blood Deficiency Small stools = LV Qi Stagnation or Heat in the ST or Intestines Infrequent but not dry bowel movements = LV Qi Stagnation Alternating Diarrhea and Constipation = LV invading the SP Chronic diarrhea = Chronic Qi a/or Yang Deficiency usually of the SP or KD or

Acute Damp or Cold Urgent diarrhea with heat signs = Damp Heat or Heat Diarrhea after eating a meal = SP Qi Deficiency

Page 3: Diagnosis Questions

Early morning diarrhea (cock's crow) = KD Yang Deficiency Discomfort improves after a bowel movement = Excess Condition

| T hirst, appetite, taste

Thirst: Lack of thirst a/or desire for warm liquids = Cold Condition Strong thirst esp. for cold liquids = Heat Condition Dry mouth w/desire to sip liquids = Yin Deficiency Thirst w/o desire to drink = Dampness Appetite: Lack of appetite = SP Qi Deficiency Insatiable appetite = ST Heat Fullness, bloating a/or distention after eating = Food Stagnation Preference for warm/hot foods = Cold Condition Preference for cold/cool foods = Heat Condition Tastes (Based on 5 Elements): Bitter taste = Full Heat in LV/GB Sweet taste = SP Qi Deficiency a/or Dampness Sour taste = Retention of Food a/or LV invading ST Salty taste = KD Yin Deficiency Pungent taste = Heat in the LU Metallic taste = Intestinal Issues Lack of taste = SP Deficiency

|SLEEP

Difficulty falling asleep but sleeps well = HT Blood Deficiency Wakes often = HT a/or KD Yin Deficiency Nightmares a/or violent dreams = LV a/or HT Fire Restless sleeping after eating late = Retention of Food

thorax, abdomen

Pain in the chest area = HT Blood Stagnation Pain in the chest w/cough = LU Costal Pain = LV/GB Hypchondriac Pain = LV Qi Stagnation Epigastric Pain = Retention of Food or ST Heat Lower abdominal Pain = Blood Stagnation, LV Qi Stagnation, Interior Cold or

Damp Heat in the Intestines

Page 4: Diagnosis Questions

Gynecological

Early Periods = SP Deficiency or Heat in the Blood Late Periods = Blood Stagnation or Deficiency or Cold Condition Irregular Periods = LV Qi Stagnation Heavy Periods = Heat in the Blood or Qi Deficiency Scanty Periods = Blood Stagnation or Deficiency or Cold Condition Bright or Dark Red Blood = Heat in the Blood Pale Blood = Blood Stagnation or Cold Condition Blood Clots = Blood Stagnation or Cold Condition Leukorrhea: White = Cold Condition Yellow = Heat Condition Green or Red/White = Damp Heat

history

Medical History: All major illnesses and procedures one has had Family/Genetic illnesses Prescription and Recreation Drug Use may cause issues with the LV a/or Kidney

meridians and others may require changes in treatments (i.e. blood thinners, may bruise easily, insulin, be careful not to drop blood sugar too low, etc.)

Emotional states should be considered via the 5 Elements

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