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DSY Final Review

DSY Final Review. DSY class 13-14. Heart Patterns. Differentiation and Treatment. Deficiency patterns. HEART-QI DEFICIENCY. Palpitations , shortness of breath on exertion, sweating, pallor, tiredness, listlessness.

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DSY Final Review

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  1. DSY Final Review • DSY class 13-14

  2. Heart Patterns • Differentiation and Treatment

  3. Deficiency patterns

  4. HEART-QI DEFICIENCY • Palpitations, shortness of breath on exertion, sweating, pallor, tiredness, listlessness. • Tongue: Pale or normal color. Severe cases: midline crack reaching the tip with swelling on either side. • Pulse: Empty. Severe cases: Overflowing and Empty (very superficial and somewhat pounding with light pressure but empty with heavier pressure). • Key symptoms: palpitations, tiredness, Empty pulse.

  5. HEART-YANG DEFICIENCY • Palpitations, shortness of breath on exertion, tiredness, listlessness, sweating, feeling of stuffiness or discomfort in the heart region, feeling of cold, bright-pale face, cold limbs (especially hands). • Tongue: Pale, wet, Swollen. • Pulse: Deep-Weak or Knotted. • Key symptoms: palpitations, feeling of cold, cold limbs, Deep pulse.

  6. HEART-YANG COLLAPSE • Palpitations, shortness of breath, weak and shallow breathing, profuse sweating, cold limbs, cyanosis of lips, severe cases coma. • Tongue: Very Pale or Bluish-Purple, Short. • Pulse: Hidden-Minute-Knotted. • Key symptoms: cyanosis of lips, Hidden‐Minute pulse, cold limbs.

  7. HEART-BLOOD DEFICIENCY • Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull-pale complexion, pale lips. • Tongue: Pale, Thin, slightly dry. • Pulse: Choppy or Fine. • Key symptoms: palpitations, insomnia, poor memory, Pale tongue.

  8. SPLEEN- AND HEART-BLOOD DEFICIENCY • Palpitations, dizziness, insomnia, dream-disturbed sleep, poor memory, anxiety, propensity to be startled, dull-pale complexion, pale lips, tiredness, weak muscles, loose stools, poor appetite, scanty menstruation. • Tongue: Pale, Thin, slightly dry. • Pulse: Choppy or Fine. • Key symptoms: palpitations, insomnia, poor memory, Pale tongue.

  9. HEART-YIN DEFICIENCY • Palpitations, insomnia, dream-disturbed sleep, propensity to be startled, poor memory, anxiety, mental restlessness, "uneasiness", "fidgetiness", malar flush, feeling of heat especially in the evening, night sweating, dry mouth and throat, 5-palm heat. • Tongue: Red, no coating, tip redder and swollen with red points, deep midline crack reaching the tip. • Pulse: Floating-Empty-Rapid or Fine‐Rapid. May be Overflowing in Front and Weak in Rear positions. • Key symptoms: palpitations, mental restlessness, feeling of heat, malar flush, Red-Peeled tongue, deep midline crack.

  10. KIDNEY AND HEART NOT HARMONIZED • Palpitations, mental restlessness, insomnia, dream-disturbed sleep, anxiety, poor memory, dizziness, tinnitus, deafness, lower backache, nocturnal emissions with dreams, fever or feeling of heat in the evening, night sweating, 5-heart heat, scanty-dark urine. • Tongue: Red-Peeled, tip redder, midline crack reaching tip. • Pulse: Floating-Empty, Rapid or Deep weak rear with front Overflowing. • Key symptoms: palpitations, insomnia, night sweating, Red-Peeled tongue with redder tip and midline crack.

  11. Excess patterns

  12. HEART-FIRE BLAZING • Palpitations, thirst, mouth and tongue ulcers, mental restlessness, feeling agitated, "impulsiveness", feeling of heat, insomnia, red face, dark urine or blood in urine and bitter taste. • Tongue: Red, tip redder and swollen with red points, yellow coating; may be midline crack reaching to the tip. • Pulse: Full-Rapid-Overflowing especially on the left Front position. It could also be Hasty. • Key symptoms: tongue ulcers, thirst, palpitations, Red tongue.

  13. FULL-HEAT IN THE SMALL INTESTINE • Mental restlessness, insomnia, tongue/mouth ulcers, pain in the throat, deafness, uncomfortable feeling and heat sensation in the chest, abdominal pain, thirst for cold liquids, scanty and dark urine, burning painful urination, blood in urine. • Tongue: Red with redder and swollen tip, yellow coating. • Pulse: Rapid, Overflowing, especially in the Front position. Urinary symptoms, will be wiry in rear. • Key symptoms: abdominal pain, tongue ulcers, scanty-dark-painful urination.

  14. PHLEGM-FIRE HARASSING THE HEART • Mental restlessness, palpitations, bitter taste, insomnia, dream disturbed sleep, easily startled, incoherent speech, mental confusion, rash behavior, tendency to hit or scold people, uncontrolled laughter or crying, agitation, shouting, muttering to oneself, mental depression and dullness; in severe cases aphasia and coma. • Tongue: Red, yellow-sticky coating, midline crack with yellow prickles in it. Tip may be redder and swollen with red points. • Pulse: Full-Rapid-Slippery or Rapid-Overflowing-Slippery or Rapid-Full-Wiry.

  15. PHLEGM MISTING THE MIND • Mental confusion, unconsciousness, lethargic stupor, vomiting, rattling sound in the throat, aphasia. • Tongue: Thick-sticky-slippery coating, midline crack reaching the tip with prickles in it. Tongue‐body Swollen. • Pulse: Slippery. • Key symptoms: mental confusion, rattling sound in throat, sticky-slippery tongue coating.

  16. HEART-BLOOD STAGNANT • Palpitations, pain in the heart region which may radiate to the inner aspect of the left arm or to the shoulder, discomfort or feeling of oppression or constriction of the chest, cyanosis of lips and nails, cold hands. • Tongue: Purple. • Pulse: Knotted. • Key symptoms: pain in the heart region, cyanosis of lips, purple tongue.

  17. Liver Patterns

  18. STAGNATION OF LIVER-QI • a. Feeling of distension of hypochondrium, chest, epigastrium or abdomen, sighing. • b. Melancholy, depression, moodiness, fluctuation of mental state, "feeling wound-up", feeling of lump in the throat. • c. Irregular periods, painful periods, distension of breasts before the periods, pre-menstrual tension and irritability. • Tongue: the body color may be normal, or with red sides. • Pulse: Wiry, especially on the left side. • Key symptoms: hypochondriac and chest distension, depression, moodiness, Wiry pulse.

  19. LIVER-FIRE BLAZING UPWARDS • Irritability, propensity to outbursts of anger, tinnitus, deafness, temporal headache, dizziness, red face and eyes, thirst, bitter taste, dream‐disturbed sleep, constipation with dry stools, dark-yellow urine, epistaxis, hematemesis, hemoptysis. • Tongue: Red body, redder on the sides, yellow coating, dry. • Pulse: Full-Wiry-Rapid. • Key symptoms: irritability, red face, red eyes, Red tongue with yellow coating.

  20. LIVER-YANG RISING • Headache which may be on the temples, eyes or lateral side of the head, dizziness, tinnitus, deafness, dry mouth and throat, insomnia, irritability, feeling worked-up, shouting in anger. • Tongue: Red, especially on the sides, though may vary with underlying condition. • Pulse: Wiry. • Key symptoms: headache, irritability, Wiry Pulse.

  21. DAMP-HEAT IN LIVER • Fullness and pain of hypochondrium, chest, abdomen or hypogastrium, bitter or sticky taste, nausea, vomiting, poor appetite, feeling of heaviness, yellow vaginal discharge, vulvar eczema or sores, mid-cycle bleeding or pain, pain-redness-swelling of scrotum, vaginal or genital itching or rashes, dark urine, dysuria, burning urination. • Tongue: Red body, sticky-yellow coating. • Pulse: Slippery-Wiry-Rapid. • Key symptoms: fullness in abdomen and hypochondrium, feeling of heaviness, nausea, bitter or sticky taste, sticky yellow coating, Slippery pulse.

  22. STASIS OF LIVER-BLOOD • Vomiting of blood, epistaxis, painful periods, irregular periods, menstrual blood dark and clotted, abdominal pain, "masses" in abdomen, purple nails, purple lips, purple complexion, dry skin (in severe cases), petechiae. • Tongue: Purple especially on the sides, with purplish spots. • Pulse: Wiry. • Key symptoms: dark and clotted menstrual blood, Purple tongue.

  23. STAGNATION OF COLD IN THE LIVER CHANNEL • Fullness and distension of the hypogastrium with pain which refers to the scrotum and testis. Straining of the testis or contraction of the scrotum. In women there can be shrinking of the vagina. The pain is alleviated by warmth. • Tongue: Pale, wet, white coating. • Pulse: Wiry-Deep-Slow. • Key symptoms: hypogastric pain referring to scrotum, Wiry-Deep-Slow Pulse.

  24. Deficiency Patterns

  25. DEFICIENCY OF LIVER-BLOOD • Dizziness, numbness of limbs, insomnia, blurred vision,"floaters" in eyes, scanty menstruation or amenorrhea, dull-pale complexion, pale lips, muscular weakness, muscle spasms, cramps, withered and brittle nails, dry hair and skin. • Tongue: Pale especially on the sides which can assume an orange color, and Dry. • Pulse: Choppy or Fine. • Key symptoms: blurred vision, scanty periods, dull-pale complexion, Pale tongue.

  26. LIVER-YIN DEFICIENCY • Dizziness, numbness or tingling of limbs, insomnia, blurred vision,"floaters" in eyes, diminished night vision, scanty menstruation or amenorrhea, dull-pale complexion without luster but with red cheekbones, muscular weakness, cramps, withered and brittle nails, very dry hair and skin, depression, feeling of aimlessness. • Tongue: normal color, no coating or with rootless coating. • Pulse: Floating Empty. • Key symptoms: blurred vision, dry eyes, uncoated tongue.

  27. KIDNEY- AND LIVER-YIN DEFICIENCY • Dizziness, tinnitus, deafness, dull occipital or vertical headache, insomnia, numbness of limbs, malar flush, dry eyes, blurred vision, lower backache, dry throat, dry hair and skin, vaginal dryness, night sweating, dry stools, nocturnal emissions, scanty menstruation or amenorrhea, delayed cycle, infertility. • Tongue: Normal or Red with rootless or no coating. • Pulse: Floating-Empty (or Choppy). • Key symptoms: dry eyes, dry throat, night sweating, scanty menstruation, Red-Peeled tongue.

  28. Deficiency/Excess Patterns

  29. LIVER-WIND • The general clinical manifestations of Liver‐Wind are: tremor, tic, numbness, dizziness, vertigo, headache and convulsions or paralysis. • Internal Wind signs are characterized by movement or the absence of it, hence the tremor and convulsions or paralysis (as in Wind-stroke).

  30. EXTREME HEAT GENERATING WIND • High temperature, convulsions, rigidity of the neck, tremor of limbs, opisthotonos, in severe cases coma. • Tongue: Deep-Red, Stiff, thick yellow coating. • Pulse: Wiry-Rapid-Full. • Key symptoms: high temperature, convulsions, Stiff tongue.

  31. LIVER-YANG RISING CAUSING WIND • Maciocia gives three subtypes of this pattern: • a) Liver‐Yang Rising deriving from Liver‐Yin Deficiency • b) Liver‐Yang Rising deriving from Liver‐ and Kidney-Yin Deficiency • c) Liver‐Yang Rising deriving from Liver‐Blood Deficiency

  32. a) Liver‐Yang Rising deriving from Liver‐Yin Deficiency • Tremor, facial tic, severe dizziness, tinnitus, headache, hypertension, dry throat, dry eyes, blurred vision, numbness or tingling of limbs, poor memory • Tongue: Normal colored without coating • Pulse: Wiry-Fine

  33. b) Liver‐Yang Rising deriving from Liver‐ and Kidney-Yin Deficiency • same as above but with backache, scanty urine, night sweats • Tongue: Normal colored without coating • Pulse: Wiry-Fine

  34. c) Liver‐Yang Rising deriving from Liver‐Blood Deficiency • Tremor, dizziness, tinnitus, headache, hypertension, dry throat, blurred vision, numbness or tingling of limbs, poor memory, insomnia • Tongue: Pale and Thin • Pulse: Wiry-Fine

  35. LIVER-BLOOD DEFICIENCY GENERATING WIND • Fine tremor, dizziness, blurred vision, numbness or tingling of limbs, poor memory, insomnia, scanty periods • Tongue: Pale and Thin • Pulse: Wiry-Fine

  36. LIVER INVADING THE SPLEEN • Irritability, abdominal distension and pain, alternation of constipation and diarrhea, stools sometimes dry and bitty and sometimes loose, flatulence, tiredness. • Tongue: Red on the sides or Pale. • Pulse: Weak on the right and Wiry on the left. • Key symptoms: alternation of constipation and diarrhoea, abdominal distension and pain.

  37. Lung Patterns • DSY class 4

  38. Deficiency Patterns

  39. LUNG-QI DEFICIENCY • Slight shortness of breath, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright-pale complexion, propensity to catching colds, tiredness, dislike of cold. • Tongue: Pale. • Pulse: Empty, particularly in the right Front position. • Key symptoms: shortness of breath, weak voice, Empty Pulse.

  40. KIDNEYS FAILING TO RECEIVE QI • Shortness of breath on exertion, rapid and weak breathing, difficulty in inhaling, cough, asthma, sweating, cold limbs, cold limbs after sweating, swelling of the face, thin body, mental listlessness, clear urination during asthma attack, soreness of the back. • Tongue: Pale. • Pulse: Weak, Tight, Deep. • Key symptoms: shortness of breath on exertion, sweating, clear urination.

  41. LUNG-YIN DEFICIENCY • Cough which is dry or with scanty sticky sputum, weak and/or hoarse voice, dry mouth and throat, tickly throat, tiredness, dislike of speaking, thin body or chest, night sweating. • Tongue: Normal color, dry without coating or rootless coating in front. • Pulse: Floating-Empty and Rapid. • Key symptoms: dry cough, weak-hoarse voice, dry throat, night sweating.

  42. KIDNEY- AND LUNG-YIN DEFICIENCY • Dry cough which is worse in the evening, dry throat and mouth, thin body, dizziness, tinnitus, breathlessness on exertion, lower backache, night sweating, 5-heart heat, scanty urination. • Tongue: Normal or Red with rootless or no coating. • Pulse: Floating-Empty, possibly rapid. • Key symptoms: dry cough, tongue with rootless or no coating.

  43. Excess Patterns

  44. INVASION OF LUNGS BY WIND-COLD • Aversion to cold, fever, cough, itchy throat, slight breathlessness, blocked or runny nose with clear-watery discharge, sneezing, occipital headache, body aches. • Tongue: thin-white coating. • Pulse: Floating-tight. • Key symptoms: aversion to cold, sneezing, Floating pulse.

  45. INVASION OF LUNGS BY WIND-HEAT • Cough, fever, aversion to cold, cough, sore throat, blocked or runny nose with yellow discharge, sneezing, headache, body aches, slight sweating, slight thirst, swollen tonsils. • Tongue: slightly Red on the sides or tip, possibly thin white or yellow coating. • Pulse: Floating-Rapid. • Key symptoms: Fever, aversion to cold, sore throat, Floating-Rapid pulse.

  46. INVASION OF LUNGS BY WIND-WATER • Sudden swelling of eyes and face, gradually spreading to the whole body, bright-shiny complexion, scanty and pale urination, aversion to Wind, fever, cough, slight breathlessness. • Tongue: White-sticky coating. • Pulse: Floating-Slippery. • Key symptoms: sudden swelling of face, aversion to Wind, Floating-Slippery pulse.

  47. LUNG HEAT • Cough, slight breathlessness, feeling of heat, chest ache, flaring of nostrils, thirst, red face. • Tongue: Red with yellow coating. • Pulse: Overflowing-Rapid. • Key symptoms: cough, feeling of heat, thirst, red tongue with yellow coating.

  48. LIVER-FIRE INSULTING THE LUNGS • Breathlessness, asthma, fullness and stuffiness of the chest and hypochondrium, cough, yellow or blood-tinged sputum, headache, dizziness, red face, thirst, bitter taste, scanty-dark urine, constipation. • Tongue: Red, redder on the sides, swollen in the front part, yellow coating. • Pulse: Wiry and Slippery. • Key symptoms: breathlessness, asthma, fullness of hypochondrium, headache, Wiry pulse.

  49. PHLEGM-HEAT IN THE LUNGS • Barking cough, profuse sticky yellow or green sputum, shortness of breath, wheezing, feeling of oppression of the chest, feeling of heat, thirst, insomnia, agitation, dizziness and heaviness of the head. • Tongue: Red, swollen, thick-sticky yellow coating. • Pulse: Slippery-Rapid-Full. • Key symptoms: cough, yellow or green sputum, thick-sticky yellow coating, Rapid-Slippery pulse.

  50. DRY-PHLEGM IN THE LUNGS • Dry cough with occasional expectoration of scanty sputum, shortness of breath, feeling of oppression of the chest, scanty phlegm in the throat, heaviness in the head, dizziness, dry throat, wheezing, pasty-dry complexion. • Tongue: swollen with dry-sticky coating. • Pulse: Fine-Slippery. • Key symptoms: Dry cough with occasional expectoration of scanty sputum, feeling of oppression of the chest.

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