Diagnosis Looking, Listening, Smelling, & Asking

Generally, what does a loud vs quieter sound mean in tcm?

Loud = excess, quieter = deficient

Strong voice

excess or healthy

weak voice

deficiency (usually lung)

sudden loss of voice

external pathogen invasion

chronic loss of voice

deficiency, usually lung yin deficiency

slurred speech, paraphasias

shen disruptions or internal wind

excessive talking

heat

shouting element

wood/liver pattern

laughing element

fire/heart patterns

singing element

Earth/spleen patterns

weepy element

metal/lung patterns

groaning element

water/kidney patterns

strong coarse breathing

excess (often heat)

shallow breathing or shortness of breath

deficiency

dyspnea and wheezing

phlegm

heavy sudden violent cough

excess - often heat

dry, hacking cough

heat leading to dryness, yin deficiency or external dryness invading

weak cough

deficiency of qi or yin

profuse sputum

phlegm

loud hiccough

excess pattern (LR invading st)

weak hiccough

deficiency - ST Qi or ST yin

long and loud belching

excess - ST heat or LR invading ST

short and quiet belching

deficiency ST Qi

what are the 2 main types of bodily odours

1. heat type - foul, rotten, nauseating (eg, rotten eggs)

2. cold type - pungent, fishy (eg. bleach-like)

strong unpleasant odour

ST heat or food stag

sour smell

food stagnation

foul and pungent

damp-heat in the ST

rotten

damp-heat in the large intestine

strong smelling sweat

damp-heat

strong and rotten smelling sputum

Lung heat, lung phlegm, or toxic heat

strong smelling urine

damp-heat in the bladder

non scented urine

cold

foul smelling

heat or damp-heat in the intestines

no smell in stool

cold

strong leathery vaginal discharge

damp-heat pattern

fishy vaginal discharge

damp-cold

strong smelling lochia

damp-heat or toxic heat in the uterus

strong, foul smelling gas

damp-heat in the large intestine

rancid and rotten gas

toxic heat in the large intestine

non scented gas

normal or spleen qi deficiency

what are the 5 questions regarding pain?

1. nature

2. duration

3. aggravation and relieving factors

4. quality

   1. location

what does excess pain feel like?

sudden onset, intense, sharp or distending

what does deficiency pain feel like?

slower onset and lingering, dull or less intense

pain relieved by heat

cold pattern

pain relieved by cold

heat pattern

pain relieved by pressure

deficiency pattern

pain relieved by eating

deficiency pattern

pain relieved by bowel movement

excess pattern

pain relieved by vomiting

excess pattern

pain relieved by rest

deficiency pattern

pain relieved by movement

excess pattern

pain relieved by laying down

deficiency pattern

pain relieved by sitting up

excess pattern

pain aggravated by pressure

excess pattern

pain aggravated by eating

excess pattern

pain aggravated by humidity

dampness pattern

pain aggravated by bowel movement

deficiency pattern

pain aggravated by vomiting

deficiency pattern

pain aggravated by rest

excess pattern

pain aggravated by movement

deficiency pattern

qi stag symptoms

bloating, fullness, distention, no fixed location for pain. often related to stress and comes and goes, common in the digestive tract

blood stasis symptoms

sharp stabbing and severe pain in a fixed location. common in the head, chest, epigastrium, abdomen and uterus

liver yang rising symptoms

qi rebellion, distending and throbbing headaches

cold symptoms

cramping, colicky pain, often aggravated by cold weather, foods or drinks. alleviated by heat, often causes pain in digestive track, uterus, and joints

heat symptoms

Burning pain, aggravated by heat, relieved by cold. Often combined with Dampness which creates a heavy feeling.

damp-heat symptoms

can cause headaches, pain in the digestive track, hypochondrium, hypogastrium, Uterus, Bladder and joints.

food retention pain symptoms

felt in the stomach or abdomen and is common in children. Full and intense.

what channel is a forehead headache related to

yang ming channels

what channel is a temple headache related to

shao yang channels

what channel is a occipital headache related to

tai yang channels

what channel is a vertex headache related to

jue yin channels

what channel is chest pain related to

heart, lung

what channel is epigastrium pain related to

stomach

what channel is abdominal pain related to

small and large intestine, liver, spleen

what channel is hypogastrium pain related to

liver, bladder, uterus

what channel is lower back pain related to

kidney, uterus, bladder

lack of appetite

spleen qi deficiency

large appetite

heat in the stomach

fullness after eating

food distention or dampness

feeling of distention after eating

qi stagnation

sharp pain after eating

blood stasis

heaviness after eating

dampness

aggravation by cold foods & relieved by warm

cold pathogen

aggravation by hot foods & relieved by cool

hot pathogen

food tasting bitter

liver fire or heart fire

food tasting sweet

spleen qi deficiency or damp heat

food tasting sour

food retention or liver/stomach disharmony

lack of taste (food is bland)

spleen and stomach deficiency

sudden and loud vomiting

excess

slow and quiet vomiting

deficiency

sour vomit

liver stomach disharmony

bitter vomit

liver gallbladder heat

clear and watery vomit

cold in the stomach with fluid accumulation

after eating, vomit

heat pattern

chronic loose stool and diarrhea

spleen and or kidney yang deficiency

chronic diarrhea in the early morning

kidney yang deficiency

undigested food matter in diarrhea

spleen qi deficiency

borborygmi with diarrhea

spleen qi deficiency

fullness or Abdominal pain that is relieved by passing stool, usually mild smell

internal cold in the large intestine (XS or Def)

mucous in diarrhea

dampness