TCM Dx Listen Smell

• Voice
• Speech
• Respiratory Sound
• Cough
• Vomiting Sound

• Odor of the Patient
• Odor of the Excreta
• Odor of the Ward

Variation Reflects nature of illness and Healthy Energy

• Loudness of Voice
• Change of intonation
• Groaning- Pain
• Husky Voice or Aphonia

• Taciturnity generally signifies a Deficiency, Cold Syndrome.
• Fretfulness and talkativness generally signify an Excess, or Heat Syndrome.
• Fading Murmuring signifies a Deficient Syndrome.
• Delerium signfies an Excess Syndrome.
• Soliloquy is a Sx of Paraphasia; signfies Yin Syndrome, or an Obstruction of HT Aperature by Phlegm Condensation.
• Ravings signify a Yang Syndrome.
• Dysphasia signifies the covering up of Lucid Aperature by Wind-Phlegm, or the obstruction of Vss Collaterals by Wind-Phlegm.

• LU is in charge of Vital Energy.
• KD Governs the reception of Air.
• Therefore, IAW TCM, abnormalities of respiration reflect the pathologic changes of LU & KD primarily.

• Feeble Breath.
• Gruff Breath.
• Shortness of Breath.
• Deficiency of Breath.

• Weak & Thin- Def of LU & KD Qi, Internal Injury.
• Strong & Coarse- Excess Heat which obstructs Throat.
• Frequent Sighs- Stagnation of LR Qi.
• Hiccup & Belching- Rebellious Qi of ST.

• Coarse, high-pitched Wheezing=Excess
• Weak, Low-pitched Wheezing=Def
• Loud, Explosive Cough=Excess
• Weak Cough=Def
• Dry Cough=LU Yin Def

2' Severe adverse uprising of ST Energy. Sound is Low, long, and Gruff; but does not occur repeatedly.

• ...with sour fetid odor usually signifies a sthenic, heat syndrome, and often caused by Retention of Food or Dyspepsia.
• ...with Sonorous sound but no putrid odor is usually 2' Hyperactivity of LR Energy which invades ST.
• Frequent, odorless Eructation with Low Sound is usually 2' by Debility of SP-ST.

• Odor of the Patient.
• Odor from the Mouth.
• Odor of Respiration.
• Odor from the Nose.
• Odor of the Body.
• Odor of the Excreta.
• Odor of the Ward.

• Excess Gasping 2' Excess LU Heat, or the Retention of Phlegm-Fluid in the Chest.
• Deficiency Gasping 2' Debility of LU-KD Energy.

• External Pathogen- Wind, Cold, Heat, Dryness, Dampness, Fire.
• Internal Disorders- Deficiency, Excess.

This indicates invol, loud, high-pitched sound w/ short duration thru throat 2' Adverse upward rushing ST Energy.

• 1. Successive, loud, energetic hiccup which breaks out repeatedly signifies Excess Heat Syndrome.
• 2. Low, Feeble Hiccup which breaks out intermittantly & Infrequently signifies Def, or Cold Syndrome.
• 3. Sudden onset Hiccups in Protracted illness or in critical condition signifies Collapse of ST Qi.