Diagnosis exam

Question 1

Floating - tense/tight

Answer 1

Exterior cold, BI SYNDROME due to wind, cold

Question 2

Deep moderate

Answer 2

Yand deficiency with water damp retention

Question 3

Floating moderate

Answer 3

wind attacking, disharmony of ying wei

Question 4

FLoating rapid

Answer 4

wind heat

Question 5

Floating slippery

Answer 5

Exterior syndome, wind phlegm

Question 6

Deep slow

Answer 6

interior cold

Question 7

Deep taught

Answer 7

Liver qi stagnation, fluid water retention

Yellow red and dry tounge

Question 8

deep choppy

Answer 8

Blood stasis due to cold coagulation by yang deficiency

Question 9

favourable and unfavourable

Answer 9

Means if the pulse matches the signs then it is favourable pulse,

Unfavourable would be is the pulse does not match the signs

Question 10

The significance of pulse examination

Answer 10

• To recognize the exterior and interior of disease
• To judge the deficiency and excess
• To ascertain nature of disease
• To identify cause of disease
• To inspect the disease mechanism
• To predict the prognosis

Question 11

Red face

Answer 11

Floating yang

Deficient heat because of the deficiency of Yin

Question 12

Fluid retention tongue

Answer 12

Coating : White , thin and slippery
Body : Corpulent,

Question 13

Cold and Dampness tongue

Answer 13

Coating: Yellow, greasy, thick
Body: Pale, corpulent and teeth marks

Question 14

if patients have more cold then damp then their coating will be

Answer 14

Slippery

Question 15

if patients have more Damp then cold then their coating will be

Answer 15

Greasy

Question 16

Fish smell phlegm

Answer 16

Cold SYNDROME because of HEAT

Question 17

Lower discharge fishy

Answer 17

Dampness

Question 18

SIGNIFICANCE OF THE INSPECTION OF THE TONGUE

Answer 18

the sufficiency or
deficiency of genuine Qi and viscera; observing the tongue coating to
judge the nature of evil and the location of disease.
* 2) Judging whether the vital-qi is sufficient or deficient. The
exuberance or decline of visceral qi and blood can be shown in tongue.
* 3) Differentiating the location of a disease. In exogenous disease, the
thick or thin of the coating can reflect the deep or shallow of disease
location.
* 4) Differentiating the nature of pathogenic factors. Evils of different
natures will make different changes in tongue.
* 5) Estimating the prognosis of a disease. The changes of tongue usually
follow the changes of genuine qi and evils, and disease location. We can
infer the tendency of disease by observing tongue, especially in
exogenous febrile diseases.

Question 19

Normal tongue

Answer 19

Tongue body: light red
(pink), bright, with moisture
and lustre, a suitable size,
and having softness and
flexibility.
Tongue coating: thin, white,
neither dry nor greasy or
slippery.
Normal tongue is usually
described as ‘pink tongue
with thin white coating

Pink tongue with a thin white coating

Question 20

Age : old person toung

Answer 20

Tongue body of an elderly person
may appear cracked and papillae
atrophied due to deficiency of qi
and blood

Question 21

Age : child tounge

Answer 21

Child’s tongue is lighter, tender,
and without or with less tongue
coating

Question 22

Tongue Vitality

Answer 22

• Flourish—light red tongue body with energetic movement and enough fluid of it.
  It suggests the normal stomach qi.

Question 23

B: normal sublingual veins

Answer 23

Normally the veins are appropriately raised and slender with a
light purple colour, they are not convoluted, do not have
branches nor show static spots. The changes of the sublingual
veins reflect the flowing conditions of the qi and blood

Question 24

Auscultation of Voices

Answer 24

• The variations of the patient’s voice are associated with the state of his
  vital-qi and the nature of pathogenic factors. Generally speaking, if the
  patient is talkative and restless with loud voice, his disease pertains to
  excess syndrome, heat syndrome and exogenous diseases or syndromes.
  If he likes to keep silent or speak little with feeble voice, his disease
  pertains to deficiency syndrome, cold syndrome or internal injury.

Question 25

* Hoarseness—

Answer 25

invasion of wind-cold, or the combined invasion of wind-heat and wind-cold.

Question 26

Chronic aphonia

Answer 26

prolonged diseases of lung in which condition lung yin is insufficient and deficient fire scorches the metal and injures the lung, the lung could not produce sound. ( broken bell does not sound)

Question 27

Wheezing—the breath is rapid like asthma with loud sound as if phlegm in throat.

Answer 27

It is seen in early stage of exogenous evil invasion. The evil retains in the interior of the lung in addition of the hiding fluid-retention. When wind-cold attacks the body, the evil makes the qi obstructed.

Question 28

Auscultation of cough * Deficient type

Answer 28

* Nocturnal cough---kidney yin deficiency * * Dawn cough---spleen deficiency or cold-dampness in large intestine * * Low and feeble sound of cough with rapid breath---lung qi deficiency * Children’s cough: * * Whooping cough or hundred-day cough---wind evil in combination with the hiding phlegm obstructing the air tract

Question 29

* Fishy smell menstruation corresponds to

Answer 29

A cold pattern

Question 30

* Foul order menstruation corresponds

Answer 30

to a heat pattern

Question 31

* Yellow, thick, and foul smelling leucorrhoea corresponds to

Answer 31

Damp heat

Question 32

White, thin, and fishy smelling leucorrhoea corresponds to

Answer 32

damp-cold

Question 33

Chief complaint

Answer 33

The chief complaint or concern is the chief symptom of the illness. According to it, the practitioner can estimate the category of the disease or illness and the severity of the condition.

Question 34

Sign Symptom Syndrome Syndrome differentiation DIsease

Answer 34

SIGN is objective phenomenon that deviates from the normal physiological range after disorder occurs. It is visible and can be felt, such as rash, bruise, and swelling.  SYMPTOM is subjective occurrence of phenomenon when there is disorder. It cannot besensed by touching or looking. It is closer to feeling which can be only recognised by questions of practitioner.  SYNDROME is pathological generalisation of a disease in its certain stage. It is summaris ation of environment, causes, pathological location, the condition of vital qi, pathogenic f actors and constitution of patient and so on.  SYNDROME DIFFERENTIATION is analysing and sorting out clinical data of the patients collected on a wide scale so as to determine the cause, the location and the nature of pathogenic changes, to weight the degree of seriousness of the disease and the state of thevital qi in conflict with pathogenic factors and to get hold of the nature of the disease andits internal relations.  DISEASE is the generalisation of the distinct features of a disorder in the whole process and the specific law of pathologic