Scribd Logo
Upload

Welcome to Scribd!

  • 224 views

    Intro To Zang Fu 1

    Uploaded by

    Erica Yang
    This document provides an overview of differential diagnosis and disease identification in traditional Chinese medicine (TCM). It discusses the steps of differential diagnosis, how TCM uses it to understand disease manifestations and progression. Key aspects of TCM diagnosis like the "four pillars" are explained. The relationship between disease and pattern is explored, noting that the same disease may present as different patterns and different diseases may share patterns. Disease is defined as any deviation from normal structure or function, while pattern refers to the current stage of disease based on signs and symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Intro To Zang Fu 1

    Uploaded by

    Erica Yang
    224 views20 pages
    This document provides an overview of differential diagnosis and disease identification in traditional Chinese medicine (TCM). It discusses the steps of differential diagnosis, how TCM uses it to understand disease manifestations and progression. Key aspects of TCM diagnosis like the "four pillars" are explained. The relationship between disease and pattern is explored, noting that the same disease may present as different patterns and different diseases may share patterns. Disease is defined as any deviation from normal structure or function, while pattern refers to the current stage of disease based on signs and symptoms.

    Original Description:

    Intro to Zang Fu 1

    Original Title

    Intro to Zang Fu 1

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides an overview of differential diagnosis and disease identification in traditional Chinese medicine (TCM). It discusses the steps of differential diagnosis, how TCM uses it to understand disease manifestations and progression. Key aspects of TCM diagnosis like the "four pillars" are explained. The relationship between disease and pattern is explored, noting that the same disease may present as different patterns and different diseases may share patterns. Disease is defined as any deviation from normal structure or function, while pattern refers to the current stage of disease based on signs and symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    224 views20 pages

    Intro To Zang Fu 1

    Uploaded by

    Erica Yang
    This document provides an overview of differential diagnosis and disease identification in traditional Chinese medicine (TCM). It discusses the steps of differential diagnosis, how TCM uses it to understand disease manifestations and progression. Key aspects of TCM diagnosis like the "four pillars" are explained. The relationship between disease and pattern is explored, noting that the same disease may present as different patterns and different diseases may share patterns. Disease is defined as any deviation from normal structure or function, while pattern refers to the current stage of disease based on signs and symptoms.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 20
    At a glance
    Powered by AI
    The key takeaways are that differential diagnosis is a process of differentiating between conditions with similar symptoms, and involves considering various potential diagnoses, gathering information through history and examination, and narrowing down the possibilities.

    Differential diagnosis is the process of differentiating between two or more conditions that share similar signs or symptoms.

    The steps to differential diagnosis are: patient presents with chief complaint, consider all diagnostic options based on training, ask questions, consider history, perform examination, continue investigation until differentials are narrowed down.

    ZANG FU I

    WEEK 1
    DIFFERENTIAL DIAGNOSIS

    • What is Differential Diagnosis?


    • The process of differentiating between two or more conditions that share
    similar signs or symptoms.
    • Differential Diagnosis is a process where a list of possible causes of a patient’s
    condition can be made. It is a ‘process’ and works at each step of interaction
    with a patient. One makes differential diagnosis at each step
    STEPS TO DIFFERENTIAL DIAGNOSIS

    • Patient presents with Chief Complaint


    • Consider all options for diagnosis based on training, prior to differential
    diagnosis
    • Ask questions
    • Consider history
    • Examination
    • Continue investigation based on differentials until narrowed down
    WE USE DIFFERENTIAL DIAGNOSIS TO:

    • Take all the TCM theories and patterns


    • and put them to use understanding manifestations of symptoms,
    • analyzing changes and progression of dz,
    • understanding the pathomechanisms of dz,
    • predicting the transformation of dz,
    • and diagnose disease
    HOLISTIC APPROACH

    • 1.) Interior reflects exterior, and vice versa.


    • 2.) The whole body condition can be known by observing local changes
    • 3.) Abnormal changes can be understood by understanding normal physiology
    TCM DIAGNOSIS
    • Examination, collection of information and data “Four Pillars” (Zhen)
    • 1. Inspection
    • 2. Smelling and listening
    • 3. Inquiry
    • 4. Palpation
    • Judgement, decision (Duan)
    • 1. Identify disease
    • 2. Identify pattern
    DISEASE IDENTIFICATION
    WHAT IS DISEASE?
    • Any deviation from normal structure or function of body part or system, or organ.
    • There will be a characteristic set of signs/symptoms, of which we know possible
    • etiologies,
    • pathologies,
    • anatomical locations,
    • and future prognosis.
    • The disease will be the summary of these distinct features of a disorder,
    • including the process,
    • manifestation,
    • and progression of pathologic development
    DISEASE IDENTIFICATION
    HOW DOES DISEASE DEVELOP?

    • Pathogenic factors (6 xie, 7 emotions) attack Zang fu or Meridians ->


    pathological changes create signs or symptoms
    • We use examination methods to collect data relates to changes in the
    patient’s health.
    • We analyze data to identify disease.
    • Based on the data, we differentiate the pattern of disease
    HOW DO WE DIAGNOSE DISEASE?

    • Observe signs or symptoms -> identify the nature of


    the pathological change and the location ->
    determine causative factors (see the past)
    • Look at Etiology (causes), Location, Signs and
    symptoms, Pathology, determine prognosis (predict
    the future!)
    QI REVIEW

    • Zheng Qi v Evil Qi • Ying Qi


    • Yuan Qi • Wei Qi
    • Gu Qi • Zhong Qi
    • Zong Qi • Zheng Qi
    • Zhen Qi
    DEFINITIONS OF SIGNS/SYMPTOMS (S/SX) AND PATTERN
    • Symptoms/signs: Any manifestation. A s/sx standing alone has almost
    no diagnostic value

    • Diarrhea.
    • -> DH, CD, SP Qi xu, SP yang xu, SP and KD yang xu

    • HA.
    • ->SP qi sinking, SP qi xu, PH, CP, LV yang rising, LV xue xu…

    • No s/sx can be treated without understanding the context and


    relationship of it to all other s/sx
    PATTERN: THE WHOLE PICTURE, OR ANY/ALL OF THE
    RELATED S/SX THAT MANIFEST AT ANY GIVEN ONE TIME

    • The pattern includes s/sx, and this includes cause, location, and nature of dz.
    This also includes the relationship between evil and righteous qi.
    • The pattern may be an acute cause of disease (ex. exterior WH invasion)
    • But, the pattern may not be an acute cause of disease (ex KD yang xu caused
    by aging and the passage of time/lifestyle choices)
    • Putting together a pattern is like playing detective! Piece together a number
    of clues (s/sx) to determine the whole picture. The more clues, the better!
    Some clues are more valuable than others!
    CHINESE CONCEPT OF DISEASE:

    • Chinese medicine idea of disease- traditional names for diseases, such as bi


    pain, cough, HA, constipation.
    • Sometimes the idea of Chinese disease is the whole picture, or sometimes it is
    the chief complaint. But sometimes there may be multiple symptoms that all
    are diseases that the same person is suffering from, and they all fit into a
    bigger overarching pattern
    • Chinese “diseases” are oftentimes regarded as symptoms by western
    medicine
    DISEASE V PATTERN

    • The same disease may be rooted in different patterns in different people


    • OR
    • Different diseases may have the same pattern and treatment!!
    DISEASE NAMING

    • A summary of pathology and disease process.


    • May include etiology, pathomechanisms, signs/symptoms.
    • May provide insight into the nature of the dz- incidence, outcome,
    prognosis all may be inferred by the name.
    • Naming helps not only in diagnosis, but in classification of disease.
    DISEASE NAMING (EXAMPLES)

    • Based on pathological picture or symptoms- edema, asthma, jaundice,


    wheeze
    • Named after pathology- restless organ disorder
    • Named for ZF organ or structure involved- LU abscess, chest bi (painful obst)
    • Named for etiology- windstroke, sunstroke, wind heat attack
    INTRODUCTION OF DIFFERENTIATION OF
    EIGHT PRINCIPLES PATTERNS

    • Many different methods of differentiation:


    • 8-Principle (what we’re learning today)
    • 6-stage (ZZZ- SHL) Cold dz
    • 4-Level Wen Bing Warm dz
    • Etiology differentiation (7 emotions, 6 exogenous pathogens, misc dz)
    • Qi, Blood, Fluids
    • Zang-Fu
    • San Jiao
    • Channel
    8 PRINCIPLES

    • Yin Interior, Cold, Deficient


    • Yang Exterior, Heat, Excess

    • Location- exterior v interior


    • Six Stage, 4 Level, San Jiao, Zang Fu, Channel
    • Nature- heat v cold, excess v deficient; Qualitative
    • Qi Blood Fluids, Etiology (exopathogen attack/ 7 emotions)
    CONCLUSION-

    • Disease: The entire pathological process and the principle disorder


    • Pattern: The particular disorder in it’s current stage
    RELATIONSHIP BETWEEN DISEASE AND PATTERN

    • Disease through Time


    •
    • ----------------------------------------------------------------------
    • Pattern Stage A Pattern Stage B Pattern Stage C
    • Treatment A Treatment B Treatment C
    • : One disease can have different patterns, and one pattern can appear in
    different diseases

    You might also like