Diagnosis of Commonly Seen Clinical Symptoms: Bleeding

Vocabulary flashcards covering clinical definitions, types, and differential diagnosis of bleeding patterns according to Traditional Chinese Medicine.

Bleeding

Refers to blood not traveling within the vessels or to blood flowing out from the body via the visceral systems or the orifices.

Nose flooding

Incessant bleeding from the nose.

Red sweat

Nosebleeding during an acute heat disease with high fever but no sweating, where the fever retreats and the body cools after bleeding; also called spontaneous bleeding.

Inverted menstruation

Regular nosebleeding 1 to 2 days prior to the period, during the period, or after the period; also called menstrual spontaneous external bleeding.

Spontaneous bleeding of the teeth

Blood coming from the gums or the roots of the teeth; also called bleeding from the gums.

Tongue bleeding

Spontaneous bleeding from the top or the bottom of the tongue.

Blood sweat

Spontaneous bleeding from the skin where blood comes out from the hair follicles.

Blood ejection

Blood spat out from the mouth without the sound of vomiting or cough, including bleeding from the respiratory tract and the upper digestive tract.

Retching of blood

Blood that comes from the stomach and emerges during vomiting with sound, generally dark purple and possibly containing food particles.

Expectoration of blood

Fresh blood within the throat that comes up as clots or fresh red blood as soon as one expectorates.

Coughing of blood

Blood that comes from the lungs and emerges with coughing, appearing as phlegm mixed with blood, blood-streaked phlegm, or fresh red blood with froth.

Spitting of blood

Blood that emerges with spittle that is fresh red and mixed with frothy spittle.

Bloody stools

Blood that emerges from the anus; also called precipitation of blood.

Distal bleeding

A manifestation of bloody stools where there is stool first and then blood.

Proximal bleeding

A manifestation of bloody stools where there is blood first and stools after.

Intestinal wind

A condition where there is blood first and then stools, and the blood is fresh red.

Visceral toxin

A condition where there is stool first and then blood, and the blood is turbid and dark purple.

Bloody urine

Blood in the urine where the urine is red and may be accompanied by blood clots, without a sensation of pain.

Flooding

A large amount of blood emerging quickly and profusely from a woman's vagina.

Spotting

Incessant dripping of blood from a woman's vagina that comes leisurely and in a scanty amount.

Fetal spotting

A small amount of intermittent bleeding or constant dripping from the vagina after a woman has become pregnant, without lumbar distention or abdominal pain.

Flooding bleeding after delivery

Copious bleeding (over 400 ml) within 24 hours or 24 hours after giving birth.

Umbilical bleeding

Enduring and incessant bleeding from the umbilicus of an infant after the umbilical cord has been cut.

Internal repletion heat pattern

A bleeding pattern characterized by fresh red or purple-red blood that is profuse, fierce, thick, and sticky, accompanied by interior exuberant heat signs.

Yang brightness bowel pattern

A bleeding pattern usually presenting with spontaneous bleeding and bloody stools that are hard, easily passed, and black in color.

Yin vacuity pattern

A bleeding pattern characterized by fresh red or slightly pale blood that is scanty, leisurely in force, and thin, accompanied by internally generated vacuity heat.

Spleen not managing the blood pattern

A pattern where bleeding mostly occurs in the lower body, with pale red or fresh red blood, moderate strength, thin consistency, and spleen qi vacuity signs.

Blood stasis pattern

A pattern where bleeding is dark, thick, turbid with stasis clots (bloody stools are black with luster like black lacquer), accompanied by fixed pain and stasis signs.

External damage blood loss pattern

Bleeding occurring from an open wound or trauma to viscera, requiring a history of external damage with stasis swelling, pain, or an open wound.

Images of blood desertion

Clinical manifestations in severe blood loss including a pale complexion without luster, sweating, thirst, heart palpitations, shortness of breath, and a fine, rapid, weak pulse.