Exam Review Flashcards by dang gui

In springtime, the normal pulse tends toward what?

Wiry

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The normal pulse condition should include what 3 things?

Stomach qi, spirit, root

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A deep, slow and hesitant (choppy) pulse can be caused by what?

Blood stagnation due to cold

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what emotional changes can temporarily cause the slow pulse?

joy

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The normal pulse condition can be affected by what 3 things?

season, age, mental state

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what 3 conditions are associated with the hesitant (choppy) pulse?

qi and blood stagnation, essence deficiency, blood deficiency

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A slow irregular pulse can be caused by what 3 things?

blood stagnation, excess cold, vital qi deficiency

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what is true of a thin (thready) pulse?

thin, but clear and distinct

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a soft (soggy) pulse indicates what?

excess heat in qi level

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If skin is not hot, but patient feels hot, or the skin feels hot on heavy pressure when pushing down to the bone, what this indicate?

deficient heat

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normal pulse conditions

A woman’s pulse is generally slight fast than a man’s pulse
-The elder patient’s pulse is generally weaker than a younger patient.
-Pulses in the summer time may appear slightly flooding.

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“Pitting” edema is caused by

water retention

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what would give rise to edema that pits when pressed, but immediately returns to level after releasing finger pressure?

qi stagnation

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what patterns would you find in a patient whose forehead feels hot at first touch, but becomes mildly warm after prolonged contact?

exterior heat

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what patterns would be indicated when a patient’s dorsal aspect of the hand (back of the hand) is hotter than the palm?

exterior heat

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Which pulse is deep, thin, and forceless?

weak

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what pulse can be seen in an excess heat pattern?

surging, rapid, and slippery

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what pulse may appear in deficiency condition?

slow

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what pulses do we normally see in phlegm stagnation syndrome?

slippery, string-taut or wiry, abrupt

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what pulses are indicates severe pain?

tense/tight

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Which pulse is rapid and irregularly intermittent?

abrupt

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String-taut (wiry) and thin pulse indicates which of the following?

Liver qi stagnation due to blood deficiency

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what portion of pulse taking can be use to detect the Liver’s condition?

left side Guan portion

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During pregnancy, the pulse will be

rolling and rapid

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what pulses does miss beats?

knotted, abrupt, regularly-intermittent

All of the following pulse can be appear in a healthy person

rapid, string-taut or wiry, slow (hesitant or choppy would NOT be healthy)

What kind of pulse condition can be seen in Yin deficiency with heat syndrome or blood deficiency with heat syndrome?

deep, thin and rapid

rapid pulse indicates deep pulse indicates soft pulse indicates

heat syndrome interior syndrome dampness

Which of the following pulse feels taut, forceful and vibrates, like a stretched rope?

tense or tight

what is correct regarding the String-taut (wiry) pulse?

indicates LV/GB disorder straight and long can appear in healthy person

a 1x2 cm mass is located in patient's right lower quadrant. mass is hard and pressure aggravated the pain. her pulse is choppy. what is the patient's diagnosis?

Blood stagnation

If a patient’s skin is moist and soft, this indicates

Body fluid sufficiency

A 6 years old boy has been diagnosed labor pneumonia. His body temperature is 102.8°F., tachypnea, profuse sweating, red face, dry lips, severe thirst and irritability. His TCM diagnosis is excess heat accumulate in the Lung. What kind pulse he may has?

surging and rapid

pulse that appear in phlegm or dampness conditions

thin or thready soft or soggy weak

Which of the following pulse rate less than 3 times per breath?

knotted pulse

what pulse indicate emotional shock?

Regularly-intermittent pulse

what pulse indicate threatened abortion?

Hesitant (choppy) pulse

sx of excess pattern

cough w/ loud sound strong bad breath pain worse w. pressure

If patient has a hesitant and rolling pulse, indicates

Blood and Phlegm stag. Food and phlegm stag. Phlegm stag. w/ heat

what pulses cannot appear at the same time?

Abrupt and knotted

what signs does reflect having Shen?

Clear voice and speech Quick response Even breathing

A patient with a chronic illness who is in critical condition suddenly sits up and starts eating. The cheeks on his face appear red and he speaks with a louder voice. We call this:

False Shen

Green-blue facial color can be seen in 3 syndromes or symptoms

cold syndrome pain blood stagnation

If patient sheen is withered (perishing), dim, lusterless, and dryness, what it indicates

essence exhausted

what pathogenesis can cause a yellow facial complexion?

Spleen deficiency w/ dampness

what syndromes can have a pale facial complexion

qi def blood def cold syndrome

The inner canthus of the eye is related with which of the following organs?

heart

Which part of eye is corresponds with the Kidney?

pupil

organs corresponds with the middle center part of the tongue body?

spleen and stomach

can help to distinguish the disease belongs to heat or cold in observance of tongue coat?

color

If ear helix is dry with scales, what does it indicate?

blood stag

organs disorder can caused abdominal expansion and bulging?

spleen and stomach

The normal tongue condition includes what 3 things

free movement pink color moist

Observation of the tongue coating's root (with root or without root), can help to understand what

stomach qi and yin condition

tongue shapes can be see in a normal healthy person?

cracked tongue

tongue conditions can be seen in blood deficiency syndrome?

Pale tongue with thin white coating

Yellow greasy tongue coating indicates what

Damp-heat accumulation

A dark complexion accompanied by scaly skin indicates:

blood stag

red spots or prickles on the surface of the middle third of the tongue indicates

Excessive heat in the Stomach

tongue states can be seen in internal wind syndrome

tremors, deviated, stiffness *NOT flaccid

tongue coating changes indicates that the pathogen is getting stronger

from thin to thicker

Exfoliated (Peeling) tongue coating indicates

stomach qi and yin def

tongue coating made of fine particles which are difficult to scrape off and covered by mucus?

greasy

what is "Messenger of the Heart, orifice of the Liver"?

eye

A pale flabby tongue with a slightly yellow slippery coating indicates

Yang deficiency with dampness

what is indicated by a thin and small tongue body with pale color?

Qi and blood deficient

what can give rise to a black and moist tongue coating?

Yang deficiency with excess cold

what syndromes would you most likely encounter a pale tongue with a flaccid body?

Qi and blood deficiency

Pale purple and moist tongue indicates what?

Cold constricted in the channels with blood stagnation

what is caused by excessive pathogenic heat?

high fever

Chills or cold sensations which are not relieved by covering up or putting on more clothes, indicates:

Exterior cold syndrome

Foul, rotten, nauseating smell like rancid meat is due to:

heat

Which of the following headaches is caused by blood deficiency?

Dull pain with empty and light feeling

what characteristic does belong to pain due to the blood stagnation?

The pain getting worse at evening Sharp pain with stable location The pain getting worse after exercise *NOT The pain is relieved after massage or pressure

types of thirst are due to Yin deficiency

Thirst with preference for warm or room temperature drinks

symptoms can appear in Kidney yang deficiency pattern:

Nocturnal urination Frequent copious clear urination Dysuria and anuria *NOT Scanty yellow urine

Alternative chills and fever indicate

Shao yang pattern

preceded menstrual cycle, heavy bleeding with fresh color indicate

excess heat

symptoms belong to the main symptoms of Yin deficiency,

Night sweating Low grade fever in the afternoon Red crack tongue with little coating *NOT Thirst, want to drink ice water

What px is indicated by soreness and weakness in the lower back and knees, frequent and copious urination, early morning diarrhea, a pale tongue, and a weak pulse?

KD yang def

what sx's may be cause by Stomach fire?

Overeating but still feeling hungry

symptoms caused by Lung qi rebellious

cough wheezing sneezing

Patient feels paroxysmal abdominal pain and frequently has an urgent to defecate. It is difficult to completely defecate. This patient also has a heavy sensation in the anus.

tenesmus

Hunger but no desire to eat indicates

Stomach Yin deficiency

When does simultaneous chills and fever occur?

Exterior wind heat Exterior wind cold

Stickiness and sweet taste in the mouth indicates

Dampness accumulation in the Spleen

Irregular menstruation cycle indicate

Liver qi stagnation

can cause menstruation cycle delay

cold qi stag blood def

Severe stabling chest pain which is sudden onset, the pain radiate to left arm and worse at night indicate

blood stag

can cause severe and sharp menstrual cramping in the early stages of menstruation

blood stag LV qi stag excess cold invasion

Numbness on both side of the arm, indicate

blood deficiency

Insomnia with restlessness, irritability, dream disturbed sleep and tongue ulcers is caused by:

heart fire

symptoms and signs indicate excess condition?

Deep and long, harsh and loud breathing, relieved by exhalation

symptoms belong to the main symptoms of Liver qi stagnation

sigh often Hypochondriac distending pain Irregular menstrual cycle

symptoms and signs are most closely associated with the Heart

insomnia, palpitation, irregular pulse

what organ(s) hypo-function (deficiency) can lead abdominal bloating and distention?

spleen

Daily early morning diarrhea with cold limbs, pale tongue and deep slow pulse are caused by:

Kidney Yang deficiency

main characteristic of stomach pain caused by excess pathogenic cold attack is:

The pain is acute, can be alleviated by warmth

Sever pain as if the body being strangulated cut and twisted, very violent, and caused by excessive pathogenic factor obstruction. What we call this pain?

colic pain

symptoms can be see in Liver fire flair up, and Liver yang rising as well,

Red face and eyes Dizziness and vertigo Irritability and easy angry *NOT low back pain and ache

causes of continuous lower grade fever?

Yin deficiency Qi deficiency Blood deficiency *NOT - Yang excess

severe headaches with fixed location means

blood stag

Headache with an empty (hollow) sensation is caused by

Qi deficiency Blood deficiency Kidney essence deficiency

Insomnia with palpitations, dizziness, blurring of vision, poor appetite, pale face and thready pulse is caused by

Heart blood and Spleen qi deficiency

Frontal headache is called

Yang ming headache

is the major causative factor of abnormal vaginal discharge?

dampness

Thin, light color and scanty menses indicate

blood def

headache caused by Liver yang rising or Liver qi stagnation?

Distending pain

Pale facial complexion, dizziness, blurry vision, palpitation, numbness of the limbs with a tingling sensation, insomnia, pale tongue and thin pulse indicates

blood def

may result in a pattern of qi collapse?

bleeding

Qi stagnation can cause

qi def damp blood stag *NOT heat

what ex's belong to the pattern of qi deficiency?

Spontaneous sweating Shortness of breath Symptoms and signs worse with exertion

symptoms/signs can appear in blood deficiency pattern

-Delay menstruation, with light scanty bleeding -Amenorrhea, with pale tongue and thin pulse -Dysmenorrhea, pain worse in later period time or after menstruation, relieve by warmth and pressure

Hematemesis (vomiting with blood), irritability, fever, and deep red tongue indicate

heat in blood

patterns represent a a critical state

qi collapse blood collapse qi collapse followed by bleeding

Frequent dizziness, fatigue, low energy, sharp pain in hypochrondrium which is resistant to pressure, pale and tender tongue with dark purple petechia, pale lip and nails, and a thin and wiry pulse indicate what px

Qi deficiency with blood stagnation

key point(s) to distinguish bleeding due to heat in the blood or bleeding due to qi deficiency

Color of the blood (fresh red vs. light red) Pulse (rapid vs. weak) Blood quality (thick vs. thin)

hematochezia (blood in stool), fatigue, low energy, pale tongue, shortness of breath, weak pulse indicates what px

Bleeding due to qi deficiency

If treatment is delayed, or there is improper treatment, a patient with a qi deficiency pattern might develop what px

blood def phlegm qi stag

symptoms and signs indicate qi collapse,

A superficial pulse without root Sudden profuse sweating Urinary and/or fecal incontinence *NOT clenched fist and jaw

symptoms or signs are clinical manifestation of the pattern of qi deficiency,

Frequently gets sick Poor appetite Pale facial complexion and tongue NOT Numbness and tingling sensation in the extremities

A pattern of blood deficiency can manifest as

Dizziness, blurry vision Pale tongue, thin pulse Mental and physical fatigue

Dry mouth and throat, dry and cracked lips, desire to drink water; dry, rough and withered skin; scanty urination, dry stool, and a thin pulse indicates

Body fluids insufficiency

Qi deficiency may cause

blood stag bleeding qi stag NOT qi obstruction

what belong to the pattern of qi stagnation?

Distress and distention pain in the chest

appear in a pattern of blood stagnation

Sharp pain Mass or lump which is in a fixed location Dark complexion NOT Pain relieved by pressure and warmth

The pattern of Qi rebellious is most often related to which of the following Zang Fu organs?

Lung, Stomach, Kidney

Pain and coldness in the hands and feet, which can be relieved by warmth, bluish purple skin, pale tongue, tight and choppy pulse indicate

Cold in the blood

what belong to the pattern of qi deficiency?

Dizziness and blurry vision Pale facial complexion and pale tongue Mental or physical fatigue *NOT Dry eye and hair loss

A sensation of fullness and distension was felt in the chest and hypochondrium, and a hard mass was palpated under the right rib area, with pricking pain and resistance to pressure. What is it

Qi stagnation and blood stasis

characteristics that belongs to Yin edema,

Chronic condition Pale and tender tongue Ankle pitting edema, fatigue and low back ache NOT Superficial and slippery pulse

symptoms can occur in both qi deficiency as well as blood deficiency?

Dizziness and blurry vision

Characteristics of bleeding due to qi deficiency is best described by

Light bleeding, pale color and thin blood

what's associated with Yang edema

Heavy limbs, abdominal distention White greasy tongue coating Lung and Spleen

what do these indicate: Retained placenta, abdominal pain resistant to pressure, bleeding with a lot blood clots, foul-smell vaginal discharge, shortness of breath, fatigue, and weak voice.

Qi deficiency with blood stagnation

Sudden loss of consciousness, with harsh breathing and a gurgling sound in the throat, clenched fists and jaw, with the urination and stool absent. Forceful, slippery and rapid pulse. What kind of pattern do the above symptoms/sings indicate?

Qi obstructed

what is a cause for blood stagnation?

qi stag blood def qi rebellion *NOT: Qi def

what patterns can develop from a pattern of Blood stagnation

qi stag bleeding qi def *NOT Blood def

Qi obstructed pattern is usually caused by:

Extreme emotional stimulation

Blood stagnation can be caused by which of the following?

bleeding heat in blood blood def

what are particularly associated with blood stasis

Darkish purple complexion, squamous and dry skin

What are the clinical manifestations of a combination of stagnation of both qi and blood?

sharp pain in fixed location worse in the evening?

She has fatigue, dizziness, is frightened easily, has restless sleep, and wakes up easily at night. She gets constipated, but her urination is normal. Her menses is scanty and light red. Sometimes she has palpitations and feels a tingling sensation in her hands. She has a pale tongue with a thin coating, and pulse is thin and weak. What is TCM diagnosis for her?

Blood deficiency

A 28 year old female patient has had no menstrual periods over the past three months. Before that, her menstruation yielded only very little blood, was scanty and light, the flow lasted usually only two to three days, and the menstruation cycle was usually 35 to 40 days. She has a dull and sallow complexion, pale lips and nails, and suffers from dizziness, poor vision, dry eyes, numb and cold hands and feet, poor sleep, sweats easily and has low energy. Her tongue is pale and tender, and her pulse is weak and thin. What is TCM diagnosis for her?

Both Qi and blood deficiency

35 year old has suffered from dysmenorrhea for over 20 years. The cramps usually start one or two days before the menstruation and stop on the third or fourth day. The pain, located in the lower abdomen, is severe, worse with pressure, and relieved by warmth. She also suffers from severe PMS, distending pain in the breasts, irritability, anger, mood swings, and constipation. Her menstrual cycle is very irregular, from 21 days to 35 days, and the blood color is very dark with clots. The tongue is dusky, with a thin yellow coating, and the pulse is wiry. Which of the following is the best diagnosis?

Qi stagnation and blood stasis

A 54 year old patient was diagnosed with Crohn’s disease three years ago. The symptoms include persistent diarrhea, which occurs three to four times per day, watery stool with undigested food. He also suffers from fatigue, dizziness and shortness of breath which worsens with exertion, poor appetite, and profuse sweating. He lost 6 pounds in the last three weeks. His tongue is pale with thin white coating, and his pulse is deep and weak. What is the best TCM diagnosis for him?

Qi sinking

A 23 years old female patient suffers from metrostaxis (a continual dripping and slight loss of blood from the uterus) for over four months. The bleeding sometime stops for two to four days, but then starts right back up again. In the last couple of weeks, she has also begun to experience dizziness, blurry vision, numbness and tingling sensation in her hands. Her menses are dark colored with blood clots and accompanied by pain in the lower abdomen, a dark purple tongue, thin and choppy pulse. What is the best TCM diagnosis for her condition?

Blood deficiency and stagnation

A 46 years old male patient has been coughing for the past three months and was diagnosed with chronic bronchitis. Symptoms include a sensation of fullness and oppression in the chest, dyspnea, and profuse thin clear sputum, shortness of breath, made worse by exertion, wheezing, and fatigue. He also feels depressed and melancholy due to his illness. He has a pale complexion, a pale tender tongue with thick slippery coating, deep, slippery, and slight wiry pulse. Which of the following is the current diagnosis for him?

qi def qi rebellious qi stagnation

what may cause Heart vessels obstruction

phlegm blood stasis cold *NOT Qi rebellion

what sx's are commonly seen in Heart disease pattern?

insomnia palpitation coma, delirium *NOT heartburn

What is the main symptom to distinguish wind cold invading the Lung from wind heat invading the Lung?

sore throat

What pattern is indicated by the following signs and symptoms: shortness of breath, spontaneous sweating, fatigue, cough with thin phlegm, a pale tongue, and a weak pulse?

lung qi deficiency

Dry cough, scanty sticky phlegm, difficult to expectoration, dry mouth and throat, five center heat, night sweats, a dry red tongue, and a thin rapid pulse, indicate which of the following patterns?

lung yin def?

A patient suffers from palpitations. This is a key symptom in Heart Patterns. Which one of the following symptoms is the most meaningful in distinguishing Heart Blood Deficiency from Heart Yin Deficiency?

red tongue w/ little coating?

Phlegm fire harassing the Heart may cause

schizophrenia stroke menopause-related insomnia *NOT epilepsy

What pattern is indicated by the following signs and symptoms: palpitation, shortness of breath, oppression and coldness in the chest that is aggravated by exertion, spontaneous sweating, cold limbs, a pale tongue with white coating, and a weak and knotted pulse.

Heart qi deficiency

Which of the following sings and symptoms can appear in both Lung yin deficiency and dryness invading the Lung?

Dry cough without sputum, or little sticky sputum

What pattern is indicated by the following signs and symptoms: palpitation, shortness of breath, spontaneous sweating, oppression in chest, fatigue, listlessness, pale complexion and pale lips, insomnia, poor memory, pale tongue, weak and thin pulse

heart qi and blood def?

Cough with scanty yellow sputum, difficult to expectoration, fever, sweats, chills, thirst, red tongue tip with thin yellow coating, and a superficial and rapid pulse, indicate which of the following pattern?

Wind heat invading the Lung

Which of following signs and symptoms can appear in wind cold invading the Lung, Cold invading the Lung, and Cold phlegm obstructing the Lung patterns? Must be present in ALL three patterns.

cough with thin and clear sputum?

what is true of wind cold invading the Lung and cold invading the Lung pattern? (q13)

Which is associated with exterior dryness invade Lung pattern? (q14)

Which of the following signs or symptoms indicate damp heat in Large Intestine?

Dysentery

What type of cough is characteristic of dry phlegm obstructed Lung?

No productive cough, occasionally difficult expectoration of scanty white or blood streaked sputum

Which of the following bowel movement is caused by Large Intestine deficiency cold?

Abnormal bowel movements, diarrhea or constipation

Constipation may appear in these following patterns,

Large Intestine heat accumulation Large Intestine dryness Large Intestine deficiency cold *NOT Large Intestine damp heat

what pattern will have a high fever that gets worse between 3 and 5 pm?

Large Intestine heat accumulation

The main symptoms and signs for Large Intestine dryness pattern is: (q20)

Bad breath and dizziness?

What is associated with phlegm misting the Heart?

Yin mania Syncope due to phlegm epilepsy

According to Zang Fu pattern identification, Schizophrenia with manic behaviors belongs to which of the following pattern?

Phlegm-fire harassing the Heart

What appears in the Small Intestine pattern?

Constipation with dry stool

According to zang fu pattern identification, epilepsy with seizure indicate which of the following?

Phlegm misting the Heart

Small Intestine deficiency cold and Large Intestine deficiency cold share which of the following symptoms?

Intolerance of cold, cold limbs

What does belong to Large Intestine damp-heat

Fever and thirst Diarrhea with blood and pus Tenesmus, loose stools with dis- comfort or burning sensation of the anus

What appears in both wind heat invading the Lung and heat congesting the Lung? (q27)

what are the most common symptoms and signs for Heart qi deficiency, Heart yin deficiency, Heart yang deficiency, and Heart blood deficiency?

palpitation

signs/sx's that appear in Heart yin deficiency pattern (q29)

these signs may appear in both Heart fire blazing and Phlegm fire harassing the Heart:

Irritability and restlessness constipation rapid pulse

most common symptoms for Heart disease

Palpitation

Cough and asthma are the most common symptoms for Lung diseae

Cough and asthma

most common symptoms for Large Intestine disease

Abnormal bowel movement

A 74 year old male patient diagnosed with COPD, came into the clinic with cough with copious foamy sputum, panting and wheezing, shortness of breath especially during physical activities, and in severe cases he demonstrated an inability to lie flat. Other symptoms and signs include chest tightness, lack of energy, frequent respiratory infections, easy sweat, palpitation, and cold extremities. His tongue is pale flabby with a thick slippery white tongue coating, and a knotted and slippery pulse. TCM diagnosis for him include all of the following patterns

Cold water shooting into the Lung Lung qi deficiency Heart yang deficiency

A 55 years old male patient, H: 5'10", WT: 256 lbs, BP: 184/95 mmHg, HR:72 beat/min. He has a history of hypertension for over 6 years. He has experienced dull aching pain in left side chest over the last two days, and he also sometimes has palpitations and shortness of breath. He has a pale tongue with white greasy coating, and a deep and slippery pulse. What is the pattern identification for him?

Heart vessels obstructed by phlegm

A patients has had palpitations with intermittent attack, and they sometimes feels that the heart has stopped beating. Fatigue, shortness of breath, oppression and sharp pain in the chest are also present. The tongue is pale with thin white coating, pulse are abrupt, or irregular. These signs and symptoms indicate which of the following?

Heart qi deficiency with blood stagnation obstructing the vessels

Joy, a 21 years female patient has been diagnosed with lactose intolerance and has remained on dairy free diet over 15 years. Yesterday she had birthday party and ate one piece of strawberry cheesecake and had a glass of champagne. A couple of hours later, she felt bloating and distention, flatulence, and twisting pain in the lower abdomen, which was worse with pressure, and relieved by passing gas. She has slight thick white tongue coating, and a deep and wiry pulse. According to zang fu pattern identification, what is the diagnosis?

Small Intestine qi stagnation

A 49 years old female patient suffered from insomnia and dream-disturbed sleep for over 3 years. She also has poor memory, palpitations, dizziness and vertigo. She has had no menstrual period since last year. Laboratory examination shows: FSH 124 mIU/ml, estradiol 20 pg/mL, LH 48.3 IU/L. Her physician was diagnosed her as menopause syndrome. She has a pale face and tongue, and her pulse is weak. What is the TCM diagnosis for according to zangfu pattern identification?

Heart blood deficiency

A 22 year old male college student complains of insomnia for over 3 weeks. He has trouble falling sleep, and always has nightmares. He also experiences bitter taste in the mouth, thirst, mental restlessness and palpitations. He has acne on his face and upper back, canker sores in his mouth and he is constipated. What is the TCM diagnosis in this case?

Heart fire blazing

Jean, a 34 year old woman seeks treatment from you because she has PVC and SVT, symptoms includes palpitations and a feeling of oppression in her chest. From your interview and examination, you discover that she has mental restlessness, insomnia, dream-disturbed sleep, a propensity to be startled, poor memory, anxiety, "uneasiness," a malar flush, night sweating, and a dry mouth and throat. Her blood tests for hormone level are finding all in normal range. Her tongue is red with little coating and there is a crack down the middle of the tongue. Her pulse is thin and rapid. What is the best TCM diagnosis for her?

Heart yin deficiency

A 65 year-old male has had heart attacks twice in the past 5 years. He felt severe left chest pain with a very hot and tight sensation just before going to the emergency room. He generally prefers a cooler place. His face is reddish, his hands are warm, but his feet are slightly cold. He has frequent palpitations at night, night sweats, constipation and dark yellow urine. His tongue is red with purple spots, a scanty yellow coating, and his pulse is string-taut and thin. What is the TCM diagnosis for him?

Heart Vessels obstructed by blood stasis with Heart yin deficiency

Jacob, a 21 year old college student had green (kale, spinach and celery) smoothie as breakfast this morning, and one hour later he started to experience severe pain in his umbilicus and lower abdomen area. The pain is paroxysmal, with borborygmus and watery diarrhea. Drinking hot ginger tea gave him some relief. He has a white and glossy tongue tongue, and a wiry and tight pulse. What is the diagnosis for him?

Large Intestine damp cold

A 52 year old male has been suffering from hypertension for over 10 years. Recently he has been experiencing oppression in the chest, and pain in the chest which is sharp and extends to the left shoulder or arm. He also complains of palpitations, breathlessness, dizziness and expectoration of white sputum. He has a flabby tongue with purple spots on the side and a rolling and hesitant pulse. What is the most appropriate zangfu pattern identification for him?

Heart vessels obstructed by blood stasis and cold phlegm

A 66-year-old man with a smoking history of one pack per day for the past 47 years presents with progressive shortness of breath and chronic cough, productive of yellowish sputum for the past 2 years. On examination he appears cachectic and in moderate respiratory distress, especially after walking to the examination room, and has pursed-lip breathing. His neck veins are mildly distended. Lung examination reveals a barrel chest and poor air entry bilaterally, with moderate inspiratory and expiratory wheezing. Heart and abdominal examination are within normal limits. Lower extremities exhibit scant pitting oedema. His had a crack red tongue with little coating, and a deep, rolling and thready pulse. What is the most appropriate TCM diagnosis for him?

Lung qi and yin deficiency with heat phlegm

Calvin, a 10 years old boy had a pool party to celebrity his birthday yesterday. This morning he start complains of abdominal pain with rumbling sounds, he also have watery diarrhea. The pain around umbilicus area and heat pad helps. He has chills, and his body temperature is 100.4 F, and he has a cough with clear thin sputum. His tongue coating is white and thick, and his pulse is superficial and tight. What is TCM diagnosis for him?

Wind cold attack Lung with damp cold in Large Intestine

A 65 years old patient suffers from chronic cough over10 months. She complains of persistent cough, worse in the evening, cough with very little phlegm which is sticky, slight yellow and difficulty to expectorated. Her cough usually induce or worse when she tired or after exercise. Other symptoms include anxiety, irritable, insomnia, fatigue, and palpitation sometime. She has a red crack tongue and very red tip with little slight yellow coating, and a thin, and deep pulse. What is her TCM diagnosis?

Lung qi deficiency Lung yin deficiency Heart fire blazing

A 34 years old male was diagnosed with Crohn’s disease over 10 years. His current symptoms include loose stool, borborygmi, dull abdominal pain which preference for warmth and pressure. He has cold limbs, and his urine is clear. He has a pale tongue with white tongue coating, and his pulse is deep slow and feeble. What is TCM diagnosis for him?

Large Intestine deficiency cold

A 29 years old male patient was admitted into the hospital due to severe abdominal pain. The pain started 3 days ago and got gradually worse. Now the pain is so severe that it is unbearable to be pressed, and it located around umbilicus and low abdomen area. According to the patient, he has not had a bowel movement since he participated in a spicy noodle competition a week ago. He has had a high body temperature since yesterday and has foul-smelling dark green watery stools, but his body temperature has not decreased since the watery stools were passed. Other symptoms includes abdominal bloating and distention, thirst and desire for cold water, irritable, insomnia. Physical exam revealed a long, hard lump in the left low quadrant; BT 102.8 F; RT: 92; a red tongue with dark brown coating; a deep, forceful and rapid pulse. According to zang fu pattern identification, what is the diagnosis?

Large Intestine heat accumulation

A 45-year-old man has just been diagnosed with essential hypertension. He has a long history of bronchial asthma and has also been recently diagnosed with chronic obstructive pulmonary disease (COPD). He suffers from cough with profuse clear sputum, wheezing, shortness of breath, and palpitations. He feels tired all the time and sweats a lot even without any physical exertion. You find that his voice is very weak when he talks to you. His tongue is pale with a thin white coating and his pulse is weak. Which of the following patterns is the best diagnosis for him?

Lung qi and Heart qi deficiency

Exam Review Flashcards

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