Foundations CM, Pt1 – Flashcards
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IN qi gong, the small heavenly circuit refers to which meridian?
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Ren mai and hu mai
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a 42 year old patient (px) has returned for consultation. Her complaint is dysmenorrhea with irritability w/ dark blood clots. She has anxiety, insomnia, palps, and agitation. She is going thru divorce. Other symptoms (sym) include sever throbbing headaches over the right eye, bitter taste, and flushed face. She has resentment, and hatred toward her busband. T: Red with red dots on sides. Tip is redder and swollen. Coat is thick and yellow. P: Wiry and thin. Diagnosis (dx) ?
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Liver and heart Fire Blazing: Key: anxiety, palps, insomnia.
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What food is contraindicated with heat symptoms such as red tongue, fever and extreme thirst?
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Chicken: it is warm and sweet.
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The mental spiritual aspec associated with Lungs is
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Po (Corporeal Soul)
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A 27 yr old woman has large fibroid tumors in her uterus. She has pain before and sometimes during her period. The blood flow is sometimes heavy. T: is little red and purple tinge and stiff. P: deep and wiry. Treatment Plan (TX) ?
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Disperse Liver, Regulate Blood: Key: fibroids, pain before and after, flow heavy. Fulllness, nausea, bitter taste (sticky) yello coat. Pulse slippery.
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A constitutional weakness of the lungs often shows as
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Cracks in the front part of the tongue.
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A 49 year old woman has hypochondrial pain, dry throat, dry eyes, fatigue in the morning, poor memory, insomnia, depression, some dizziness, and scanty period, floating empty pulse, and reddish tongue w/o coat. TX:
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Tonify Liver Yin
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A 57 year old px has intermittent tinnitus with a low sound, insomnia, poor memory, palps, dull colored face, and a slight cough with little sputum. DX:
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heart Blood Deficiency (Xu)
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A px has dull epigastric pain, feels oppressed in the chest, dry mouth, no desire to drink, sticky taste in the mouth, nausea, occasionally vomiting, red tongue with greasy yellow coating, slipper fast pulse. Your DX:
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Damp Heat in the Stomach
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Which of the following six stages patterns and 4 stages of diseases share the same symptoms?
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Yang Ming and Qi Level.
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A baby is sick. You used the index finger diags method to determine the severity of the disease. After rubbing the index finger you notive dscoloration and small veins in the middle joing area. What does this indicate?
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QI gate: interior more severe disease
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A 33 yr old woman is dx with rheumatoid arthritis. She has painful and swollen writs and ankles. The joint pain is worse with cold, worse with damp and improves w/heat. She also has low back aches, frequesnt urination and exhaustion. T: pale. P: Deep and weak. DX:
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Cold and Damp Bi Syndrom, KD Yang Xu.
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The inner and outer canthus are associated with the:
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Heart
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A px has alternating shills and fever, lack of appetite, dry throat, nausea and white greasy tongue coat. Pulses would be:
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Wiry. Shao Yang Stage
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A 37 year old woman has migraines. They are over the right eye. The pain is throbing and worse when she lies down. She also has thirst, butter taste, hot sensations in the body. Migraines got better when she was pregnant, but worse after childbirth. T: little red, dry, rather peeled in center, with cracks in middle. P: Wiry. DX:
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Liver Fire Rising with Sto. Yin Injured.
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A 40 yr old man has history of alchol and amphetamine abuse for over 20 years. He has dull eyes, poor memory, poor concentration and is absent minded. When speaking, he has difficulty finding words. T: swollen w/crack in center. Coat is thick sticky yellow. P: Slippery: Dx:
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Phlegm Obstructing Mind
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Cynosis of lips, cold limbs, and hidden minute pulse are symptoms of
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Heart Yang Collapse
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A px coughs in short bursts and the cough is dry with no phlegm. The saliva has blood. Other sym's include wanting to open window in evening, and night sweats. The body is thin. DX:
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Lung Yin Deficiency
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What drink is contraindicated in both hypertension and pregnancy?
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Coffee
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A px has abd. Pain, darrhea w/mucous and blood, foul smelling stools, burning anus, fever, sweating does not abate fever, thirsts for cold drinks. What T: is expected?
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Red Tongue, greasy-yellow coat. LI Damp Heat
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A px has fever an dchills, runny nose, body aches, t: thin white coat and floating pulse. Dietary Advice: (to eat what?)
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chick and ginger.
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Fever, irritability, insomnia, dry mouth and throat. Scanty dark uring. T: red w/o coat. P: Thin and fast. Symptoms of what
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Shao Yin.
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Which of the following manifests as depression, alternating with manic behaviors, such as shouting, scolding, or hitting people?
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Phlegm Fire Affacting the Heart
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a 47 year old px has fresh blood in the stools, loose and freqent stools with mucus, and abd. Pain. T: red and yellow greasy coat. The P: slippery and fast. TX:
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Clear heat, tx damp, stop bleeding
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A 9 mo old baby has a high fever for a few days. This was followed by having sporadic tremors with strong convulsions. Meningitis was ruled out. TX:
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Clear heat. Disperse liver. Subdue Wind.
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test 2
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...
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A 37 year od woman has had diarrhea for the past three years. Stools are loose and watery. She often feels tired and lethargic with a heavy feeling in her body and head. T: Is pale and Swollen. P: weak on right side. TX:
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...
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A 37 r old woman has diarrhea for the past three years. Stools are loose and watery. She often feels tired and lethargic with heavy feeling in her body and head. T: Pale and swollen. P: Weak on right side. TX:
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Tonify Spleen QI, Resolve dampness
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A 45 yr old man has had diarrhea for the past 5 years. The stools are loose and watery, mixed with musous blood. He had a strong urge for aBM in the AM. He says that his body temp is normal. He has had an operation for bleeding hemorrhoids. T: is red with thick sticky coat. P: slipper. DX:
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Damp Heat in the Intestines.
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A px has dull epigastric pain. Feels oppressed in the chest, dry mouth, no desire to drink, sticky taste in the mouth, nausea, occasionally vomiting, red tongue and greasy yellow coat, slipper fast pulse. TX:
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Harmonize the stomach, clear heat, resolve damp.
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WHAT DIFFERNTIATES EXTERIOR Deficiency from exterior excess?
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Sweating
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A px has chronic asthma made worse w movement and cold, difficult inhalation, frothy sputum, edema of legs and ankles, sore low back, scanty clear urination, sweating, cold limbs, pale swollen tongue, and weak pulse. DX:
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XU Kd Yang w/ Water overflowing to Lungs
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What is the most likely cause of thirst w/o desire to deink or only wants to rinse mouth and not swallow?
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Damp Heat
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A pt has headaches, red face, thirst, bitter taste in mouth, irritable, and constipated. What pulse would you expect?
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Wiry and fast
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A 36 yr. old woman has menorrhagia as a main complaint for the past year. She is a busy, hot executive and has been overworking. Her thyroid function test is normal and she is not on HRT. She has no abnormal growths in her uterus or ovaries. Menstral bleeding is somethimes stanty and other times abundant. The blood is sticky with no clots. There is a yellowish discharge before bleeding starts. She has burning pain in the lower abd., joint pain, and a stifling sensation in the chest. The uring is dark and hot sensations during urinations. She is irritable and has dull rib pain. Lately she has been having fague, palps, insomnia, and poor memory. T: Sticky yellow, P: slippery overall and weak on left position. DX:
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Damp Heat in Uterus
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A px has allot of sweating, hot skin, dry mouth, with thirst, retention of urine, restlessness, red-peeled tongue, and fast pulse. Your DX:
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Yin Collapse
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After using amoxicillin for sinus infection, a px has sinusitis reoccuring every spring. She is angry the antibiotics did not work this time, and she works long hours. The nasal discharge is sticky-yellow. She has reddish cheeks, thirst, dry lips, impared sense of smell, frontal headaches, and a heavy head, feeling of heaviness in chest. YOu note the pulse is slippery: What is her tongue:
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Sticky with Coating in center.
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A 25 yr old man comes to you with SOB, sweating easily, when climbing stairs, fatigue, pale tongue and face, weak pulses. He returns and his previous symps are better now, but has night sweating, insomnia, feels hot at night, dry eyes, reddish tongue and pulse is thin, weak and slightly fast. Dx:
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Fire insulting Water .
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Which of the following western diseases is not related to wei syndrome?
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Secondary trigemial neuralgia
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A px has abd. Distension, loose stools, lethargy, sallow complexion, pale tongue and thin weak pulse. What dietary advice do you give?
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Lamb and Ginger
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A px comes to you to see you with atrphy of lower limbs. He has fiver and weak flaccid limbs which occur after the fever subsides, dry skin, thirst, restlessness, cough, dry throat, dry stools, red tongue with no coating, thin fast pulses. DX:
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Heat in the lungs injuring Yin Fluids.
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A 69 year old px w back pain and freq. urination has an acute asthma attack triggered by cold weather. Symps include wheezing, SOB, tight chest, no sweating, pale face, feels cold, sneezing, cough, stiff shoulders and neck, tight pulse. What is your dx:
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Wind cold invades Lungs
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A 70 yr old man has been suffereing from insomnia ever since his wife died, 6 yrs ago. It is difficult for him to fall asleep and once asleep he wakes freq. He has blurry vision, poor mem, and dry throat. T: red and dry with very little coat. P: floating and weak, little on wiry on left side. DS:
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Liver Yin Xu, with Etheral Soul (hun) unrooted.
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A px has tinnitues, and pressing against the ears reduces the rining sound. That means it's a
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Deficient condition.
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In treating channel problems which distal points are more powerful?
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The feet points
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A 23 yr old woman has r.a. for 1 year. It started with fever and the joints in her hand cecoming more painful, hot and swollen. Currently they are swollen, heavy, painful, and worse in humid weather. Other Symp's include regular periods, scanty blood flow, tingling in the legs, eye floaters. Complexion is pale T: Pale P: weak. DX:
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Damp BI, Deficient QI and Blood
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What is associated with heart fire transmitting to SI:
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Bitter taste, Tongue ulcers, burning urination
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A 24 year old woman has allergic rhinitis, since she was 10. She is allergic to dust, cats, dogs. She sneezes allot and her nose has a watery white discharge. She has a freq. and urgent need to urinate but there Is no burning. She also has back pain. The T: is pale, w/teeth marks and yellow coat at root. Pulse is deep and weak:
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Def. of Defensive Lung QI, and KD Yang Deficiency
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A 43 year old woman's main complaint is SOB. Which is worse with emotional stress, she has had a problem with exhalation for three years. Other symps include thirst, butter tasste, headaches in the temple area, palps and insomnia. T: is red with sides and tip redder still. T: shallow crack in the center. P: wiry. DS:
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Liver fire insulting lungs, Heart Fire.
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A 28 yr old man complains of fatigue. He has low se drive with wet dreams. He feels tired after sex. (who doesn't?) he has a pronounced feeling of hypochondrial distention. His hands and feet get cold easily. He has a tall and thin body frame. His personality has an edge to it, with a demanding quality. T: very red with sides being slightly redder. P: Full and wiry. DX:
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Stag. Liver qi transforming to Fire
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Which of the following is not a Yin/Yang Pair? A. Solid/Interior, B. contractive/expansive, C. structure/Function, D. Chronic/Acute
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Solid/interior
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Which of the following does the Yin Wei Mai Treat?
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heart pain and depression
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100 questions
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...
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A px has abnormal uterine bleeding which is continous and scanty, light red and thin blood, lassitute, and SOB, poor appetite. T: pale. P: thin and weak: Pattern?
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deficent qi
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The incubation for AIDS is up to
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10 years
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A px has hypogastric pain which is dull and comes towards the end of her period. There is a dragging sensation in the lower abd. , pain that impoces with pressure, scanty bleeding, pale compex, tiredness, slight dizzy, loose stools. What is dx:
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QI & Blood Xu
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A 25 yr old woman has mental confusion, poor appetite, bluffed vision, agitation, scanty menses, thirsty but drinks in small sips, depression, dizziness, numbness, nausea, rash behavior, muscle spasm, loose stools with offensive odor (that peels paint off the wall) , brittle nails, scanty dark urine, insomnia, and low grade fever, T: red with sticky yellow coat. P: slipper, fast, and choppy. Pattern?
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Splen damp heat, heart phlegm fire, XU liver blood.
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Your female patient admits to being abused by her husband. What advice do you give her?
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Offer her a safe shelter and counseling.
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a 43 yr old woman has pms. Symptoms include depression, irritable, vertex headaches, Period is regular, scanty, and not painful. General symptoms include back pain, constipation, dry mouth in the evening, dry ahir, sore eyes and blurry vision. The T: is a little red w/o coat. P: weak esp. in the left rear position. DX:
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Stag Liver QI, Deficient Liver and KD Yin.
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A px has low grade fever, night sweating, mental restless, dry mouth with desire to sip drinks, 5 palm heat, malar flush, emaciation, dark red and dry tongue w/o coat, and fine fast pulse. What is the level?
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Blood Level Collapse of Yin
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A px has paunful urination. Excess eating of greasy and dairy products can agrravate which type?
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Cloudy type painful urination syndrom.
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A px has dribbling and spotting menses, with fine and fast pulse. This indicates what?
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Yin Vacuity fire
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If after rubbing the index finger of an infant, venules appear just beyond the 2nd gate, this indicates
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Interior disorder
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A px has delayed menses, vaginal discharge, infertility due to yang vacuity. What tongue do you expect?
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Pale and purple gloss tongue
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A px has high fever, profuse sweating, intense thirst, red face, feeling of heat, irritable, delirium, red tongue with yellow coat, big fast pulse. Stage?
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Bright Yang (yang Ming)
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A px has difficult and hesitant urination with fullness and pain in the lower abdomen. T: thin and white coat. P: deep and wiry. DX:
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Stagnant Liver QI
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A preg woman has prolonged labor with malposition of the fetus, sharp pain in the abd., scanty dark and red bleeding, dark complexion. T: id sdark, P: Deep ^& forceful, pattern:
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Stag blood and QI.
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A px has enuresis due to damp heat. Which foods do you recommend?
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red bean soup with soy beans, with salt
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three years ago, a 55 year old woman had a kd infection. Her diags was pyelonephritis. Since then, she has had headaches. Head pain is on the back of the nexk, top of head, and eyes. She tends to be constipated. The urine is dark and scanty. She has night sweats and back pain. T: is little red with a very thick yellow coat at the root. P: thin and slightly wiry, in both the rear positions. That is tx plan:
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First resolve damp-heat, nourish Kd Yin: Deficient Kidney Yin, Bladder Damp Heat
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Which level has a tongue with a red body and thick yellow coat?
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QI level (qi)
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a 39 yr old female has abundant menstral bleeding with sticky blood and a yellow brown discharge before bleeding starts. No clots. There are vaginal discharges. She has difficult urination, buring pain when urinates, blood in the urine, and fullness and pain the thy hypochondriam. She has abd. pain which worsns with pressure and after eating. Fullness in the abdomen. She has reddish eruptions on the elbow and knees. There is acid reflux in the esophagus and diarrhea which relieves the abd. pain. T: red and sticky yellow coat. P: slippery, full and fast. PatterN:
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Blood heat, damp heat in uterus, retention of food.
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A px had dry stools which are diccicult to pass. Dry mouth and throat, thin body. What tongue is expected ?
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Pale or red tongue, w/o coat.Dry Large Intesting,
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Which of the following types of asthma can take a long time to treat?
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Allergic ashtma
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If an organ is diseased, one should avoid the taste related to the element that controls that element along the Controlling sequence.
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Controlling Sequence
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If a px has sharp and stabbing pains in the epigasrium which are worse with heat, pressure and after eating, vomiting, dark blood, and blood in the stools. What pulse is expected ?
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Wiry pulse or chopy pulse. Blood stasis in Stomach
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a px has dysmenorrhea with dull pain at the end of menstruation that is better with warmth and pressure, pink and scanty and thin menses, pale complexion. T: pale. P: weak. Pattern?
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Deficient QI and Blod
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A the end of the following descibes the choppy pulse; a. without a wave, chages rate freq. , very fine and almost blurred, rough jagged and short.
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very fine and almost blurred.
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In dealing with clinical emergencies in your office, which of the folowing is false: a. provides is liable for substandard medical response in the clinic, b. provider is liable for eqpt incorrectly used in office emergencies, c. provider must us e discretion in defining the limits of respons in the office, d. Provider is not liable because of the Good samaeritan laws.
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Your liable, so good sameritan doesn't mean squat.
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A px with meningitis with high fever, confusion, mental agitation, body hot but hands feel cold, not talking, deep red tongue: assessments?
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Ying Stage.
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A preg. Woman patient has morning sickness with nausea and vominting of indigested food right after eating, slippiness, lassitude. Tongue is pale and white coat. Pulse is slipper and weak. Pattern:
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Def. Qi of Spln and Sto.
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People who have a strong pernatal constitution have all the following characteristics except
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the nose is turned up and exposed (like a pig)
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Which is not a yin symptom?
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Inflamatory Disease
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A 27 year old male has tinnitus for 2 years. Sound is high pitched. It is better at rest and worse with stress. T: is red with yellow coat. P: is full with wiry, esp. weak in the rear position. Diags?
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liver and gb fire blazing up, KD yin xu.
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Our capacity for hard work and skilled, delicate activities are influsenced by the
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Kidneys
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Whether state laws supercede Hippa laws varies from state to state ??
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State privacy/security laws supercded HIPA laws if state law are stricter.
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A 35 yr old woman has had dysmenorrhea since her first period. The pain occurs during the menstral flow. The blood is dark with clots. The pain improces with hot water bottle. She has vaginal itching with a yellow and sticky dicharge. She has a slight sensation of heat which last throughout the day, and offensive smelling stools. The tongue has a purple tinge with greasy yellow coat. Pulse is choppy, wiry, and clippery. Tx plan?
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Disperse Liver, Move blood, Resove damp, clear heat. Liver Stagnant Blood, spleen damp, heat.
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What is a firm plulse?
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pulse felt as dep level and wiry.
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A 27 year old pt has the following symptoms: irritable, mental depression, chest, rib, breats, and abd. Distention or oppression, sighing, dysmenorrhea, and irregular menses. T: normal w/normal or white fur. P: bowstring. TX:
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Course the liver rectifu the qi. Liver depression qi stagnation.
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A 30 yr old woman was diagnosed with myalgic encephalitis two years ago.. It began after she had the flu. At that time she felt exhausted, and could hardly stand up. She did not fully recover and continue to experience exhaustion, and general flu like symptoms such as shivering and achy muscles. Her fatigue is worse with excerise, has poor memory and her head feels like she has cotton balls in it. She sweats easily after even a short walk. Her appetite is poos, and she has abd, distention. T: pale and swollen with crack in center. P: weak and minute, especially in the front position. Her Diag:
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Def lung qi, def, spleen qi.
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Loose stools, edema, and weak limbs are diagnosted as:
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Water insults wood.
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A pt has irritability, hypochondrial pain, and every other period has menstral blood with clots. What action do you take?
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Move the Liver QI
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A px has predilection for sighing, pain of the chest and rib side, stringlike pulse, and dulll red tongue. What would you expect the lower adb. Pain tto be?
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Distending Pain, Stronger during Menses, Liver Depression, QI stag,
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After giving birth, a woman has no breast milk, depression, chest distress with distending breast pain, t: normal, p: wiry. Dx:
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Liver Qi Stag
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When referring a px to another doctore you need to communiation to both the px and the doctor, when is that an exception?
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You want to shift the malpractive risk
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The material foundation of the mind is called:
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Blood
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A px has excess menstrual bleeding, with sudden flooding outside of the time of her period. She can also have a trickle for many days after the period, with the blood being freshred and rather watery. She has menal restlessness, feeling of heat int eh eveing, malar shush, scanty dark uring and dry stools.. Toungue is red w/o coat. Pulse is floating empty: Dx:
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Blood Empty Heat
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A pt has high fever, profuse sweating, intense thirst, red face, a feeling of heat, irritability, delierium, red tongue with yellow coat, big fast pulse. Stage:
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Bright Yang. (yang ming)
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The pathways of the cutaneous regions are associated with the
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Primary and Luo Connecting Channels
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In observing a child, breathing that is hasty, discontinuous, or acompanied with the flaring of nostrils usually indicates
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Phlegm-heat congesting lungs
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A female px has lower back pain, feels chilly, has freq. clear urination, wants to lie down and be covered, and has sharp fixed stabbing pain the the lower abd., with menstration of dark purplish clots. After a month, she returns and also compains of new symptoms of dryness. What is the root (ben) for the dryness symptoms?
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Stagnant Blood.
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A pt has dymenorrhea with pain in the lower abd., that starts prior to menstruation, scanty and dark purple menses w. clots. And distending breat pain.. T: purplish color. P: Deep and wiry. DX:
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Stagnant Liver Blood
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Do state licensing bodies have a right to medical records to assess charting and care. ?
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True in some states.
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A px had tidal fever, dry stools, abd. Pain worse with pressure, yellow dry toungue coat, strong pulse. Today, sympotoms include confusion, irritably, insomnia, mental agitation, you assessment?
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Qi stage progressing to Ying Stage
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Which level has big rapid depl full rapid, or slipper rapid pulses?
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Qi Level
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A px has light red rashes, heavy sensations in the body, T: white and sticky. DX:
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Wind damp.
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Which luo connecting channel treats genital itching and impotense. ?
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Liver Luo Connecting Channel, Empyt Condition
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A pt has abd. Pain, diarrhea, with mucous and blood, foul smelling stools, buring anus, fever, sweating does not abate, fever and thirst w/o desire to drink. P expected?
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Slippery Pulses, fast pulse. LI damp heat.
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A pt. has abundant bleeding during mid cycle. The blood is sticky and has no clots. She has a yellow brown discharge before the bleeding starts. She has a feeling of heaviness and a dragging sensation in the lower adb. She has a feeling of oppression of the chest, irritable, stanty dark uring, burning urination, T: stucky yellow: P is slippery. DX:
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Damp heat in the uterus.
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Pathological symptoms associated with the Primary and Luo connecting channels will often appear as manifestations on
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Related cutaneous regions.
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Your pt has wide teeth, pointed small head, well developed shoulder muscles, curly hair or not much hair, small hands and feet, brick walking. This is a
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Fire type.
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A px has a sporadic cough, which is productive with thick white phlegm, SOB, weak voice, tiredness, loose stools, poor appetite, TX:
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Tonify deficient spleen and lung qi, tx phlegm
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In assessing sores, which of the following indications the formation of pus?
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Sweat that emerges when the fever does not recede.
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Yesterday, a px has tidal fever, dry stools, abd. Pain worse with pressure, yellow dry tongue coat, and strong pulse. Today the symptoms include confusion, irritable, insomnia, and mental agitation? Your assessment:
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qi stage progressing to Ying stage.
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The two main channels have epistaxis as a part of their symptom pattern:
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Large Intesting and Stomach
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What does a practitioner often use to take the pulse of a child?
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Thumb.
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Which of the following do not exhibit excess yang leading to deficient yin?
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exterior cold leading to internal heat
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When performing Gua Sha
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you glove both hands. You glove both hands as you can get HIV or HBV.
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The pathways of the cutanrous regions are associated with the
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Primary and Luo connecting channels.
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A 42 year old px has periumbilical palps, folowed by an upsurging of qi from the abd to the sternum, when px becomes upset. Other symps: include cold limbs and body when the px is nervous an restoration of the heat in the limbs when patient is relaxed and at ease. T: white slimy ton. coat. P: is bowstring that tends to eb hooked.
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Level liver and downbear counterflow: liver qi counterflowing upwards.
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in examin the tongue, you notice dark purple sublngual veing which can indicate
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damp blood statis
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A px has irregular menses, with scanty light red blood flow, ,dizziness, tinnitus, and weak back, T: pale with Thin coat. P: deel and weak. DX:
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Def. Kd QI.
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Which food treats edema, abd. Distention and fullness, weak back and knees, dificient stomach and spleen:
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beef
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Which of the following solutions is not recommended to clear office surfaces and equptment?
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Windex.
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A 72 year old female has had breathlessness worse with exertion for 5 years. She has a history of TB of the lungs. She currently feels exhausted, Coughs up blood tinged sputum,. She is sensitive to cold which immediately affects her chest and causes bronchitis with profuse yellow greem sputum. She has night sweeats, dry throat, and a feeling of heat int he afternoon. She is overweight. T: slightly red, swollen, and with a rootless coating int eh front part. Pulse is slippery. What are the pt;
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Lung Yin Xu, Spleen QI Xu causing Phlegm.
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A pt has feeling of cold, cold limbs, bright white complexion, profuse sweating on the forehead, listlessness, a pale swollen and short tongue, and hidden slow scattered pulse. What is the level?
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Blood level, (xue) : Collapse of Yang.
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You are tx a politican for substance abuse. Local news calls and asks, what do you do?
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Refuse to confirm nor deny.
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The clinical applications for the yin qia mai (yin stepping vessel) are
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Abd. Pain, painful red eyes, sleep, atrophy syndrome.
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Which is not an example of a cross infections?
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HRT
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You are tx a px who is preggo. Which of the followign B vits would you recommend she take?
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B9
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A px has suffocating feeling and distending pain in the epigastric area, belching and insomnia. Pulse is slippery. DX:
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Retention of food
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In comparing an intermittent pulse, with a knotted pulse:
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A knotted pulse is slow, and an intermittent pulse is neither slow nor fast.
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True qi take the form of?
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Nutritive qi, and defensive qi.
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a 35 yr old female has had depression and anxiety for 12 years. She is on antidepressants. She had an unhappy childhood and to this day, has resented towards her mother. Her sleep is restless. Other symps include headache wth stabbing pain on the forehead. She tends to have nasal discharge with thick yellow phlegm. She has a burning sensations in the epigastrium with thirst. T: red w/ purplish tinge and crack down center. The coat is greasy and yellow. P: slippery, wiry, and full. TX:L
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Resolve phlegm, drain fire, move blood, calm mind : Phlegm Fire affecting heart and Sto, Stag. Blood.
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Which of the folowing lip colors correspond to the incorrect symptom?
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Very pale / excess yang
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A man has cinusitis, and insomnia as the main compaints. He wakes up durring the night and talks in his sleep. He has a sticky and yellow nasal discharge. Impared sense of smell, frontal headaches, blurred vision, irritable, sticky staste in the mouth, red cheeks, dry lips, feeling of heat, sensations of oppression in the chest, sore and dry eyes, sensations of heaviness in the head, dry skin and dry hair. T: red with no coat, in teh front, and sticky yellow coaring in the center. P: slippery and floating empty: Patterns:
answer
PoCM, pg 296
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A 36 YEAR OLD woman with chronic menorrhagia as the main complaint. She has a pale sallow complexion, tiredness, weak voice, and loose stools. She often feels thirsty, her cheeks occasionally red. Tongue is red on the sides. P is weak but slightly fast. After tx for def. qi, the issue hasn't imporved. Why?
answer
Hot Blood
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A 17 year old has had the flu six month ago. He was given antibiotics, which did not help. He developed mouth ulcers as a result. His contemporary symp's include dry throat and mouth. Hypochondrail pain, thirst, dry stools, epigastric pain, and has feelings of fullness after eating. Sometimes he feels hot and then cold. The tongue is red and peeled in the center. Pulse is wiry on th eleft and floating and empty on the right. DX:
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Shao yaing syndrome, stomach yin deficiency.
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What does a light red tongue with dry yellow moss tend to signify?
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Chronic condition drying up blood and fluids, Dry stomachine and intestines.
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The incubation period for Hep B is?
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50 to 180 days.
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In comparing a knotted pulse , a hasty pulse, and a chopy pulse what is true?
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all 3 have abnormal pulse rates
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The lower abd pain of a px who has tidal fever after noon, somewhat scanty, fresh red menses, that drops for several days... no lower back pain would be expected to be?
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dull after menses.
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A px has cloudy uring with milky apprearance, burning urination, T: sticky coat, p: thin and fast. Diagnossis?
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Stag damp heat with def kd yin
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A defensive qi level (wei) which pattern has only a thin white tongue coat?
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summer heat.
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a 20 year old femals has chronic migraines, the pain is on the side of the head and behind the eyes. Pain is stabbing and sever. There is diarrhea and nausea with her headaches. Her periods are scanty. TL is pale and slightly purplish. Pulse is deep and minute. TX:
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subdue liver yang, nourish liver blood, move blood: liver yang rising. Deficient liver blood, Stag. Blood.
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The most difficult type of painful urination dyndrom to tx is:
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Stone Type.
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A px has brethlessness, ashtma, fullness in the hypochonrial area, headache, and wiry pulse.
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liver fire insulting the lungs
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In assessing a sore which of the following is a favorable sign?
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During discharge of the pus, thich yellow and white, with a slight fishy smell.. RANK.
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What vegitable treasts hypertension?
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celery
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Hep B can survive on a surface at room temp?
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One week
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A px has a sore throat which is congested with an abrupt onset, fever, dysphagia, and constripation.T: red and thin yellow coat. PL floating and fast. DX:
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Excess heat.
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According to the 5 e basic qualities, SHANG SHU is:
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Water mistens downward, fire flares up, wood can be bent and straightened.
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a 43 year old woman has parkinsons disease for five years. The main complain was trembling of the left hand. Also has tiredness, and blurry vision. T: pale. P: Choppy. DS:
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liver blood deficiency, generating wind.
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A soggy pulse is
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broken into many tiny dots.
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A patient has burning sensations in the epigastrium, thirst with desire for cold drinks, and red tongue, with thick yellow and dry coat. Full deep fast pulse,DX:
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Stomach Fire.
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A PT HAS DIFFICULT URINATION, FEELING OF HEAVINESS, CLOUDY urine. What is the DX:
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Bladder Damp Cold
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A px has abdominal pain, diarrhea with blood and mucous in the stools. What is Dx:
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LI Damp Heat.
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A px has irritability, red face, red eyes, red tongue, with yellow coat. DX:
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Liver fire blazing upwards
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A pt has lower abd. Twisting pain, that improves with Flatulence, borborygmus, and deep wiry pulse. DX:
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Small Intesting QI pain.
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A px has dry cough, hot sensations, in the afternoon, and a peeled red tongue. What is the dx:
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Lung Yin Def.
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A px has sudden violent abd. Pain, constipation, vomiting and deep wirey pulse. DX:
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Small Intestine QI Tied.
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A px has burning urination, difficult urination, and dark pee. DX:
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Bladder Damp Heat
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A pt has dark and clotted menstral blood, purple tongue. DX:
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Stasis of Liver Blood
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A px has weak knees, hair loss and weak sex drive. Dx:
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KD Essence deficiency.
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A px has shortness of breath, during exertion, weating, and clear urine. What is the x:
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KD Fail to receive qi.
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A px has palps, tiredness, and empty pulse. DX:
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Heart QI Deficiency.
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A px has dry stools, burning sensations in the aus, and thick dry yellow tongue coat. DX:
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Large Intestine Heat.
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A px has loose stools, chillines, cold limbs. Fatgued. DX:
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Spleen yang deficiency.
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A px has palps, feels cold, cold limbs, and deep weak pulse. DX:
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Heart Yang Deficiency.
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Px has burning sensations in the epigastrium, thirsty for desire for cold drinks and red tongue with thick yellow and greasy coat. DX:
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Stomach phlegm Fire.
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A px has dry cough, dry throat, hoarse voice, dry (not red) tongue, dx:
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Lung Dryness.
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A px has bearing down sensations, prolapses and weak pulses. DX:
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Spleen qi sinking
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A pt has hypogastric pain, pain referring to genitals, and improved with warmth. Deep wiry pulse. DX:
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Stag of cold in the liver channel.
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A px has dizziness, loose stools, scanty menses, pale tongue. DX:
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Spleen and Liver Blod Deficiency: poor appetite, slight abdominal distension after eating. Tiredness , lassitude, dull pale complexion. Weakness of limbs. Loose stools, Thin body, scanty periods or amenorrhea, insomnia, dizzy, numbnmess of limbs. Blurred Vision. Floaters in teh eyes. Slight depression. Cramps, withered and brittle nails. Dry hair and skin. Feeling Aimlessness.
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A pt has constipations, abdomincal pain, fever, thick dry yellow coat, and a big pulse. DX:
answer
...
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pt has constipation, abd. Pain, fever, thick dry yellow coat, and big pulse.
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Heat obstructing Large Intestine. Constipation, buring in anus, abd. Distension and pain that are worse with pressure, high fever or tidal fever. (fever that rises in the afternon), sweating, esp on imbs, vomiting, thrist, delirium. T: thick dry yellow coat, red body. P: Deep Full.
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A px has dryness of mouth at night. Night sweats, backache, and a normal tongue with no coat. DX:
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Kidney Yin Deficiency: Dizziness, tinnitus, vertifo, poor memory, hardness of hearing, night sweating, dry mouth, and dry throat., esp at night. Lower back ache, ache in the bones, nocturnal emissions, constipated, dark stancy urine, infertility, premature ejackulation, tiredness, lassitude, depression. , slight anxiety. T: normal w/o coat. P:Floating, night sweating
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A pt has epigastric fullness, sour regurgitation, thick tongue coat, DX:
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Retention of Food in the Stomach : Fullness, pain and distension of the epigastrium that are relieved by vomiting, nausea, vomiting of sour fluids, foul breath, belching, insomnia, loose stools or constipated, Poor appetite. T: Thick coat (white or yellow) P: Full Slippery
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A pt has blurred vision, scanty periods, dull and pale complexion, pale tongue. DX:
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Deficient Liver Blood: Key: blurred vision, scanty periods, dull complexion, pale tongue.
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A pt has fever, aversion to cold, sore throat, floating pulse: DX:
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Wind heat invading lungs. Key: Fever, avsrsion to cold, sore throat, Floating Rapid Pulses.
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A pt has no appetite, fatigue, and SOB, DX:
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Spleen and Lung QI Deficiency: Key: lack of appetite, tiredness and breathlessness. P: Empty, esp. on right side.
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A px has hypochondriac pain, bitter taste, thick greasy yellow coat on right side. DX:
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Gall Bladder Damp Heat: KEY: hypochondrial fullness, bitter taste, thick sticky yellow coat on right side.
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A pt has abd. Pain, tongue ulcers, dark scanty painful urination. DX:
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Small Intestine Heat: Key: abd. Pain, tongue ulcer, scanty dark painful urination.
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A pt has palps, mental restlessness, feeling of heat, malar flush, peeled red tongue with deep crack in middle: DX:
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Heart Yin Def.,: Key: Palps, mental restless, night sweats, tongue w/o coat, empty heat, malar flush, feeling of heat esp in evening. 5 palm heat. T: red w/o coat. Redder tip with red points. P: Floating, fine rapid.
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A px has frequent, pale and copious urination. DX:
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Bladder Deficient and cold. Keys: Freq. Pale abundant urination, Deep weak Pulse.
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A pt has palps, insomnia, poor memory, and pale tongue. DX:
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Heart Blood Xue: Keys: palps, insomnia, poor memory: Pale Tongue. P: Choppy, or fine.
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Pt has cold back, profuse and clear urination, pale tongue, and deep pulse. DX:
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Kidney Yang Deficiency: Key: backache, feeling of cold: Weak KD pulse (deep) are enough to diags.
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PT has abd. Pain improved with heat, borborygmus and diarrhea. DX:
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Small Intesting, Deficient cold: Key: Dull abd pain, borborygmi and diarrhoea are enough to diags SI D& Cold.
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PT has acute edema of the face, aversion to wind, superficial slipery pulse. What is Diags:
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Invasion of Lungs by Wind Water: Key: acute (sudden) swelling of face, aversion to wind, Floating slippery Wind:.
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PT has stabbing pain in the epigastrium, vomitting dark blood. DX:
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Blood statis in stomach: Key: stabbing pain the epigastrium, vomiting of dark blood.
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A pt has sudden abd pain, diarrhea, and cold feelings. DX:
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Cold Invading Large Intestine. Key: sudden abdominal pain, cold.
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A px has timidity, sighing, and slight lack of courage, what is the dx:
answer
Gall bladder deficiency
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A pt has chronic cough, profuse sputum, and thick greasy white tongue coat. What is the DX:
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Damp Phlegm obstructing the lungs....a cough with profuse expectoration of sticky sputum is enough to dx dp in the lungs.
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A PT has rash behavior, uncotrollableemotions, inchoerent speech and red tungue with sticky yellow coat. Dx:
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Phlegm fire harrassing the heart.
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A px has chronic diarrhea and prolapsed anus.
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Large Intesting Collapse...Key: Chronic Diarrhoea and porlapse are enough to dx LI issue.
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A px has epigastric pain, dry mouth, and peeled tongue, in the central part or rootless coating in the central part. DS:
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Stomach Yin Def.
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A pt has edema in the ankels, pale and swollen tongue. Deep weak Pulse. What is dx:
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Kidney Yang Def. with water overflowing To the Heart. Key: edema key! Palps too! ....
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A Px has tongue ulcers, thirst, palps, and red tongue. DX:
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Heat fire blazing: Tongue ulcers, thirst, palps, red tongue are the keys.
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A Px has dry stools, which are difficult to pass and dryness, int eh throat and mouth. DX:
answer
Dry Large Intestine. Loose stools, diffucult to discharge, dry mouth and throat, thing body, foul breath, dizzy, dry tongue and either pale or red w/o rootless coating.
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A px has fever, fullness in the chest, and hypochondirac area, nausea, greey yellow coat, and slippery pulse. DX:
answer
Damp heat in the Liver and GB.
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a px has edema in the ankles, thin and watery frothy sputum, pale and swollen tongue deep weak pulse, dx:
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Kd yang def. with water overflowing to the lungs. Key: edema of ankles, deep weak pulse, palse swollen tongue. Water Oflowing to Heart includes all plus palps. Water of to lungs, includes all plus thin watery frothy sputum.
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A px has loose stools, and foul smelling stools, low grade fever and greasy, yellow tongue coat. DX"
answer
Damp heat invading spleen
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A px has red cheecks, mental restlessness, throat dryness at tnight, and hot sensations int eh afternoon, red peeled tongue: dx:
answer
Kd Yin Def. with Empty Fire blazing. Key: Just tinnitues and red peeled tongue would be enough to dx.
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A px has aversion to cold, sneezing and floating tight pulse. DX:
answer
Wind cold invasion of Lungs. Key: Cold and Fever are Cardinal. Lu9, Ren4, Ki6, Sp6, Ren12, st 36 to treat.
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A px has discomfort in the epigastrium which improves after eating, fatigue and cold limbs. DS:
answer
Stomach Def. and Cold.TFoCM, 551
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A px has sensations of oppression in the chest and epigastric areas, feelings of heaviness and greasy white tongue coat. DX:
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Damp cold invasion of the spleen :Key: abd. Fullness and sticky white tongue coat,
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A px has shaking head, tremours and pale tongue. DX:
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Def. Liver Blood causing Wind. : Key: Tremours, shaking of head, pale tongue.
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A px has loose and foul smelling stools, low grade fever and greasy yellow tongue coat DX:
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Damp heat invading Spleen: Loose and smelly stools, fever, greasy yellow tongue... damp heat spleen
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A px has discomfort in the epigastrium which imporces after eating, fatigue, and cold limbs. DX:
answer
Stomach Deficient and Cold. Key: Discomfort in the epigastrium is better after eating, tired, cold limbs are enough to dx ST Def And Cold. Points: St36, Ren12, Bl20, Bl20 and Re6
