Week 2 The 10 Questions

The 10 Questions:

Link questions to pattern differentition

Classical 10 Questions
Sensitivity to Cold or Heat.
Sweat
Head and Limbs
Urination and Defacation
Diet
Chest
Deafness
Thirst
Complexion
Odor & Spirit

Modern 10 Questions (even tho there is 12)
Cold/Heat -
Aversion to cold or emission of heat/Chills or Fever
Sweat
Body - Head Observation/complain
Stool/Urine observation
Diet
Chest
Deafness-vision
Disease History
Sleep
Emotions
Gender Specific Questions

Use Algorithmic Thinking/OCD Deductive Reasoning/Global Thinking
Establish Hypothesis from the instant somebody walks through the door
Tell Chief Complaint (C/C)
Cross reference Hypothesis-C/C = New Theory
Then Use 10 Questions to TARGET and CONFIRM OR DENY New Theory
Select questions to work with the C/C


Details
Aversion to Cold and Emission of Heat
Wu Han - Aversion to Cold (Nigel Wisemen
Chills = Giovanni
Practical - Sensitive to the cold?
Literal - Fear/Hate Cold (Stronger version) - Does Clothing help? Yes - Fear Cold, No - Aversion to cold
If No, Wei Qi is either Bound/Fettered or Vacuous. If Wei Qi Bound - Ma Huang Tang
Wei Qi Xu = Gui Zhi Tang
If Wei Qi is bound, use attack, if Wei Qi Xu, support

Heat
Fa Re, Objective OR subjective
Emit Heat - touch, or feel,
"I feel warm, but I took my temperature and its ok" Perfect answer for us

Yang Replete Evil - Exterior Heat
Yin Replete Evil - Internal Cold
Yang Vacuity - Exterior Cold - Wei Qi
Yin Vacuity - Interior Heat - Yin Yang... if Yin is Xu, then part of Yang is unanchored



Try to do active learning:
Think of something BEFORE looking it up to confirm corrections
IE cheater books in clinic

Aversion to cold WITH Emission of FeverWu Han with Fa Re
1% Chills = 1% Exterior
WCold - WHeat, WDry, WDamp, Summerheat (high humidity high heat), Malarial Evils, Sore Toxins/Heat Toxins (hospital potential)

Fear Cold
*Yang Vacuity Depletion of Heat

Gan Yu Qi Zhi = Liver Qi Stag
Gan Qi Yu Jie = LV Qi Stag with emotions
Liver Qi Depression and Binding
LV Qi collects heat and binds the Yang qi and keep it from flowing

True Heat/False Cold
Depends on what one wants to drink.
Hot Drinks + Hot = False Heat, True Cold
Cold Drinks + Hot = True Heat
Hot Drinks + Cold = True Cold, False Heat
Cold Drinks + Cold = True Heat, False Cold

Phlegm/Tan Yin Obstructing/Collecting
Confined pulse, holding the Yang Qi
Warm drinks may help because warm moves yin

Cold Strike/Shao Yin
Underlying Yang vacuity. Shaoyin = Heart/Kidney Axis = All Fire comes from Fire
Fu Zi Warms Heart to Warms KD

Aversion to Cold > Fever = WC with External replete
Floating, Tight, Chills/Fever, White/Clear snot - Cowboy
Fever > Aversion to Cold = WH
Cough, Throat, Heat Toxin, Slightly yellow snot, Floating, Rapid, Red Tongue Tip
Fever with Aversion to wind = WC with External Vacuity
Chills with a draft. Ying-Wei Disharmony- Gui Zhi Tang, Floating, Moderate

Fever No Chills
Heat Congesting in the Lungs = Heat in Yang Ming Channel 4 Bigs
Damp Heat steaming internally = Heat in Yang Ming Fu 4 Bigs
Summer Heat = Heat enters Ying and Xue
Heat Toxins = Qi Vacuity
Blood Vacuity = Yin Vacuity

Febrile Disease = Diseases with Fever


Tidal Fever comes and goes like the tide
Yin Vacuity/Vacuity Heat = Internal Heat = PM
Sp Qi Xu = AM Tai Yang time Sp time, worst with taxation, use Dang Gui Liu Huang Tang
Dang Gui
Huang Qi
Huang Lian
Huang Qiao
Huang
Shu Di Huang
Shen Di Huang
Yang Ming = ST Qi vacuity Closing of Yang
DampHeat = Sticky Fever, sweaty but no relief.
Ying and Xue = Leads to Qi Xu, that can lead to Yang Xu. All transformation of Qi is warm transformations. Not a fever, but hot when on exertion. Heat Boom = Flash. Hot Flash
Use Sweet and Warm to Clear Fever = Huang Qi and Ren Shen.
HQ boosts Wei Qi/Moving, Upbear
RS boosts Yuan Qi/Fixed
Chai Hu,
Dang Gui, Build Blood
Chen Pi - Regulate Qi, Downbear Turbid
Bai Zhu - Dry Spleen


Alternating Cold and Heat
Shao Yang - Inbetween Ext Int
Shao Chai Hu Tang
Heat entering Blood Chamber
7 Xie Nui = Malarial Disease


Quiz
10 Patterns for Fever, no Chills
5 Patterns for Fever with Chills