폐변증

Question 1

옆으로 누우면 심함(측위호흡곤란)의 원인

Answer 1

심장이나 폐나 구조적인 문제인 경우 (폐한쪽이 망가짐, 심장판막질환, 일부 심장심실의 비대 등)

Question 2

편평호흡곤란은 누우면 편하나 앉거나 일어서면 힘든경우는

Answer 2

심장이 아니라고 생각해야함 폐의 문제임

Question 3

누우면 심해진다(기자호흡곤란)

Answer 3

심장에 문제가 있는 경우(특히 울혈성 심부전의 전형적 증상)
만성폐쇄성 질환일 수도 있지만 주로는 심부전이다

Question 4

호흡곤란하면서 흉통 등일경우 원인

Answer 4

심장

Question 5

Lung Qi Deficiency ,Lung Yin Deficiency ,Lung Dryness 은 표증인가 리증인가

Answer 5

표증임

풍한/풍열/풍수 범폐 = Lung Qi Deficiency ,Lung Yin Deficiency ,Lung Dryness
>1-3에 해당 여기서 폐는 폐라기보다는 폐가 주관하는 위기의 부분이므로 표증으로 진단하고 눈여겨 봐야하는 증상이 오한발열임 습담조폐,담열온폐, 담음조폐는 진짜 폐로 보고 리증으로 생각해야함 (시험예상)

Damp-Phlegm Obstructing the Lungs 습담조폐
Phlegm-Heat Obstructing the Lungs 담열온폐
Phlegm-Fluids Obstructing the Lungs 담음조폐

Question 6

가래의 종류와 증상 쓸것

*습담조폐:
*폐열:
*담열조폐; 주

Answer 6

*습담조폐: 주증상 쉽게 뱉어지는 가래(양치나 말할 때 가래가 나오는등)
*폐열: 주증상 기침하는데 발작적인 기침+열증
*담열조폐; 주증상 기침하는데 가래가 노랗고 끈적, 심지어 녹색

Question 7

기허증상+해서, 기단, 맥허, 설담태백

Answer 7

폐기허

Question 8

건해, 쉰목소리, 도한, 오심번열, 관홍

Answer 8

폐음허

Question 9

건해, 쉰목소리, 도한, 오심번열, 관홍, 피부건조, 구조인건, 설첨홍, 건조태

Answer 9

폐조

Question 10

오한발열 목이 따가움

Answer 10

풍한

Question 11

발열과 목이 아픔

Answer 11

풍열

Question 12

열이나고 목아프고 기침과 흉통

Answer 12

열사온폐

Question 13

다음중 실증은?
열사온폐, 담, 기허, 폐음허, 풍한, 풍열

Answer 13

담,풍한, 풍열

Question 14

백색 white watery담, 추위느낌, 소청룡탕, 백니태

Answer 14

한담

Question 15

황녹담, 갈증, 열감, 번조

Answer 15

열담

Question 16

뱉기 어려움 건해, 건니태, 맥세활, 페모과루산

Answer 16

조담

Question 17

다음은 무엇의 증상인가
oppression chest, 흉민, 오심, 현훈, 객담

Answer 17

담

Question 18

폐의 대표적 병리 두가지

Answer 18

기침과 호흡기증상(호흡곤란)

Question 19

다음 증상의 진단은
-Shortness of breath that is worse on exertion
-Slight cough with thin clear thin sputum
-Soft, weak voice
-Reluctance to speak
-Spontaneous sweating
-Pale-bright complexion
-Fatigue and lassitude
-Aversion to wind and dislike of cold
-Propensity to catching colds

Tongue
Pale or pink tongue, thin white tongue coating
Pulse
Deficient, particularly in the right front position

Answer 19

폐기허 Lung Qi Deficiency

Question 20

다음 원인의 결과는

Constitutional or hereditary weakness of the Lungs
Emotions, especially sadness and grief
Inactivity and prolonged bending over a desk (constricting chest)
Recurrent attacks by exterior pathogenic factors or retained

Answer 20

폐기허 Lung Qi Deficiency

Question 21

Qi deficiency and its causes (including deficiency of Spleen, Heart, Kidney; Zong Qi deficiency; Wei Qi deficiency) Prolonged cough damages Lung Qi

무얼 의미하나

Answer 21

폐기허 Lung Qi Deficiency

Question 22

위음허가 폐음허 유발하는 이유

Answer 22

위음허가 폐음허 유발하는 이윤 위가 금이고 폐가 토여서 그렇다. 위음허인(비음허 아니고) 이유는 비장과 위장의 관계에 의한 것인데, 위장이 부의 장기이나 오장의 역할을 하고 비는 오장이나 육부로 역할을 함. 위장은 수곡지해이기 때문에 진액이 위장으로 들어가서 위장은 진액과 중요한 관련이 있음. 비음허는 드물고 비양허는 흔함. 대신 위음허 흔함 .

Question 23

다음 증상의 진단은

-Dry cough with scanty sticky sputum
- Weak hoarse voice
- Tickly throat
- Low-grade afternoon fever
- Malar flush
- Night sweating
-Five-center heat
- Dry mouth and throat
- Thin body
Tongue
Normal or red tongue, dry scanty or rootless coating on the front third, cracks in the Lung area
Pulse
Thready and rapid; or Superficial-Deficient

Answer 23

-Dry cough with scanty sticky sputum 건해 (폐조에도 주 증상) 폐음허와 폐조 치료방향이 다르기 떄문에 잘 구분해야함, 구분자는 언제 마른기침이 심한지를 확인. 늘 마른기침은 폐조, 오후/저녁저 심한 것은 폐음허
- Weak hoarse voice 쉰 목소리
- Tickly throat
- Low-grade afternoon fever
- Malar flush
- Night sweating
-Five-center heat
- Dry mouth and throat
- Thin body 중요증상으로 폐와 위의 문제, 폐와 위암은 몸이 마름. 만성폐쇄성 폐질환도 마름
폐나 위가 진액을 담당하는 기관이기 때문 진액이 과하면 비만 살이찜
Tongue
Normal or red tongue, dry scanty or rootless coating on the front third, cracks in the Lung area
Pulse
Thready and rapid; or Superficial-Deficient

Question 24

다음 원인의 결과는

Answer 24

-Emotional stress (sadness and grief)
-Overuse of the voice
-Smoking tobacco
-Lung Qi deficiency and its causes
-Stomach or Kidney Yin deficiency and their causes Lung Dryness damages Yin and fluids

Question 25

폐음허의 치료법

Answer 25

Tonify Lung Yin, nourish Body Fluids, clear deficiency heat

Question 26

다음 증상의 진단은 Dry cough Dry skin and hair Dry nasal passages Dry throat Dry lips and mouth Thirst and Hoarse voice Dry Stool Tongue Dry tongue of normal color with a thin coating Pulse Deficient, especially on the right front position

Answer 26

Lung Dryness 폐조

Question 27

다음 원인의 결과는 Dryness can arise from the exterior or interior Exterior Dryness invades the Lung, especially in autumn or during long periods of dry and hot weather Wind-Heat invasion turns into Lung Dryness Stomach Yin deficiency

Answer 27

Lung Dryness 폐조

Question 28

폐조의 치료법

Answer 28

Moisten the Lungs, nourish Fluids

Question 29

다음 증상의 진단은 Aversion to cold with mild fever Cough with thin clear or white sputum Itchy throat Stuffy or runny nose with clear watery mucus Sneezing Occipital headache Body aches Tongue Thin white tongue coating; body color is pink or unchanged Pulse Superficial-tense

Answer 29

. Lungs Invaded by Wind-Cold 흰/clear, 풍한속패, ,폐의 위기가 풍한을 방어함. 폐의 위기가 다니는 부분의 풍한이므로 표증임. Aversion to cold with mild fever 주증상 오한발열-표 Cough with thin clear or white sputum Itchy throat Stuffy or runny nose with clear watery mucus Sneezing Occipital headache 뒤통수(후두통)- 족태양방광경이 지나가는 위치로 풍한이 들어와 후두통 Body aches Tongue Thin white tongue coating; body color is pink or unchanged Pulse Superficial-tense

Question 30

다음 원인의 결과는 Exposure to environmental wind and cold (especially when perspiring or when pores are open) Relative weakness of Wei Qi Exposure to air conditioning or refrigerated rooms

Answer 30

Lungs Invaded by Wind-Cold Exposure to environmental wind and cold (especially when perspiring or when pores are open) 기온차와 땀구멍이 열린상태(참고) Relative weakness of Wei Qi Exposure to air conditioning or refrigerated rooms

Question 31

다음 증상의 결과는 Fever with mild aversion to cold Cough with yellow sputum Sore throat Red, swollen throat with swollen tonsils Stuffy or runny nose with yellow mucus Headache 열 Body aches Slight sweating Increased thirst Tongue Slightly Red on the sides or tip (front third), thin white or thin yellow tongue coating Pulse Superficial-Rapid

Answer 31

Lungs Invaded by Wind-Heat 풍열범폐 Fever with mild aversion to cold 오한발열-표 Cough with yellow sputum Sore throat 풍한에서는 인후통과 편도선이 나타나지 않음. 온열병에서 인후통과 편도선이 주증상 Red, swollen throat with swollen tonsils 편도선 부음 Stuffy or runny nose with yellow mucus Headache 열로인한 두통으로 특정위치는 없음 Body aches Slight sweating 땀이 나면 풍열 안나면 풍한 (풍열은 땀이 날수도 안날수도) Increased thirst Tongue Slightly Red on the sides or tip (front third), thin white or thin yellow tongue coating Pulse Superficial-Rapid

Question 32

다음 증상의 진단은 Sudden swelling of eyes and face gradually spreading to whole body Bright shiny complexion Scanty and pale urination Aversion to wind or cold with fever Cough Breathlessness Tongue White sticky coating Pulse Superficial-Rolling

Answer 32

Lungs Invaded by Wind-Water 풍수범폐 Sudden swelling 부종 of eyes and face gradually spreading to whole body Bright shiny complexion Scanty and pale urination 양이 적은 창백한 소변 Aversion to wind or cold with fever Cough Breathlessness Tongue White sticky coating Pulse Superficial-Rolling

Question 33

다음은 무엇의 치료법인가 Release the Exterior, disperse Cold, resolve Dampness, restore the Lung descending function, open the Water passages

Answer 33

풍수범폐

Question 34

다음의 증상의 진단은 - Cough - Slight breathlessness -Chest ache -Flaring nostrils (acute cases) -Fever or feeling of heat -Thirst -Red face Tongue Red with yellow coating Pulse Surging-Rapid

Answer 34

Lung Heat 폐열 -Flaring nostrils (acute cases) 비익선동 (코가벌름-급성인 경우)

Question 35

다음 원인의 결과는 - Exogenous pathogenic factor invades interior and transforms to Heat (acute) - Retention of pathogenic factors (chronic) - Excessive consumption of rich hot foods leads to interior Heat (chronic) - Smoking tobacco (chronic)

Answer 35

Lung Heat 폐열

Question 36

다음 증상의 진단은 Chronic cough coming in bouts Profuse white sputum that is easy to expectorate Phlegm in the throat Chest oppression Shortness or breath or wheezing Difficulty breathing lying down White-pasty complexion Nausea Bodily heaviness Dizziness and foggy mental state Tongue Swollen with thick, sticky white tongue coating Pulse Rolling; or Soft

Answer 36

Damp-Phlegm Obstructing the Lungs 습담조폐 Clinical Manifestations 중탁점니점체/ 리 한 실증 (검증 필요함) Chronic cough coming in bouts Profuse white(한) sputum that is easy to expectorate Phlegm in the throat 목에 가래, 흉민 Chest oppression Shortness or breath or wheezing 쌕쌕이는 소리 Difficulty breathing lying down 꽉 차서 누워있기 힘듬 White-pasty complexion Nausea Bodily heaviness Dizziness and foggy mental state Tongue Swollen with thick, sticky white tongue coating Pulse Rolling; or Soft

Question 37

다음 원인의 결과는 Recurrent attacks by exterior pathogenic factors that weaken Lung and Spleen and lead to Phlegm Excessive consumption of greasy and cold raw foods (especially dairy foods) Underlying Spleen Qi or Spleen Yang deficiency and their causes

Answer 37

Damp-Phlegm Obstructing the Lungs 습담조폐 Recurrent attacks by exterior pathogenic factors that weaken Lung and Spleen and lead to Phlegm -담은 불규칙한 식사 등으로 비장에서 잘 만들어짐 >종기를 통해 폐로 이동하면 폐의 담이 생김 Excessive consumption of greasy and cold raw foods (especially dairy foods) -유제품과 기름진, 차가운 날 음식 Underlying Spleen Qi or Spleen Yang deficiency and their causes

Question 38

다음 증상의 진단은 Barking cough with profuse sticky yellow or green sputum Shortness of breath or wheezing Phlegm in the throat Chest oppression Sensation of heat Thirst Insomnia Dizziness and heaviness of the head Tongue Red swollen body, greasy yellow coating Pulse Rolling-Rapid

Answer 38

Phlegm-Heat Obstructing the Lungs 담열온폐 Shortness of breath or wheezing 숙강이 잘 되지 않기 때문

Question 39

다음 원인의 결과 Excessive consumption of greasy, spicy foods and alcohol leads to Phlegm and Heat Wind-Heat attacks the Lung, transforms to interior Heat and condenses fluids into Phlegm Smoking tobacco Emotional stress leading to Qi stagnation which transforms to Heat Underlying Spleen Qi deficiency leading to formation of Phlegm

Answer 39

Phlegm-Heat Obstructing the Lungs 담열온폐Heat and condenses fluids into Phlegm -풍열이 진액을 뭉쳐 담을 만듬

Question 40

다음 증상의 진단은 Cough with white watery frothy sputum Breathlessness Wheezing Splashing sounds in the chest Vomiting of white watery frothy sputum Dizziness and heaviness of the head Chilliness Tongue Pale body, thick sticky white coating; or white slippery coating Pulse Thready-Rolling, Soft, String-Taut

Answer 40

Phlegm-Fluids Obstructing the Lungs 담음조폐 String-Taut 현맥

Question 41

다음 원인의 결과는 Excessive consumption of greasy and cold raw foods Underlying Lung, Spleen and Kidney Yang deficiency due to overexertion and poor diet Latent cold Phlegm-Fluids stagnate in the Lung Aggravated by cold weather Occurs in middle-aged and elderly

Answer 41

Phlegm-Fluids Obstructing the Lungs 담음조폐 due to overexertion and poor diet -진액과 밀접한 비폐신의 양허가 담음조폐를 유발할 수 있음