Midterm 1

Question 1

Severe chills, mild fever, no seating, or w/ mild sweating, headache, general aching or soreness of limbs, nasal obstruction, sneezing, clear nasal discharge, itchy throat, coughing up thin white sputum, no thirst, or slight thirst. Tongue is normal, with thin white coating. Pulse is superficial, tense and soft.
Relieve Exterior with acrid warm herbs.Ma Huang Tang, Gui Zhi Tang. GV16, BL12, GB20, LU7, LI4

Answer 1

Wind-Cold of COMMON COLD

Question 2

Severe fever, mild chills, sweating, distending or pounding headache, nasal obstruction, white or yellow sticky nasal discharge, congested and sore throat, coughing up white or yellow sticky sputum, thirst or mild thirst. Red tongue tip with thin, white, dry or thing and yellow coating. Superficial and rapid pulse. Relieve the Exterior with acrid-cool herbs. Yin Qiao San, Sang Ju Yin, GV14, LI11, SJ5, LI4, LU10, LU11.

Answer 2

Wind-Heat of COMMON COLD

Question 3

Mild chills, fever, mild sweating, heavy sensation in head or whole body, cough with sticky sputum, dizziness, irritability, stuffiness in chest, poor appetite, no thirst, abdominal distension and pain, nausea, diarrhea with foul smelling stool. Red tip of tongue with thin or thick, yellow sticky coating. Superficial, rapid, slippery or soft pulse. Clear summer heat and remove damp to relieve the exterior. Xin Jia Xiang Ru Yin. GV14, LI4, SJ5, ST36, SP9, CV12.

Answer 3

Summer-Heat with Damp of COMMON COLD

Question 4

Spasmodic cough, itchy throat, production of small quantity dilute white sputum, easy expectoration, exterior wind-cold symptom. Course wind, dissipate cold, diffuse lung. Zhi Sou San, San Ao Tang. GB20, LI4, LU7, 5, 1, BL12, SJ5.

Answer 4

Wind-Cold Syndrome of COUGH (EXOGENOUS)

Question 5

Paroxysmal cough with hoarseness of voice, yellow sticky sputum, exterior wind-heat symptoms. Course wind, clear heat, depurate lung. Sang Ju Yin, Ma Xin Shi Gan Tang. GB20, LI4, 11, LU1,5, 7, BL12, GV14

Answer 5

Wind-Heat Syndrome of COUGH (EXOGENOUS)

Question 6

Severe dry cough, a little or little sputum, difficult to expectorate, dryness of nose and lips, dry throat with pain, exterior wind-heat symptoms. Course wind, clear lung, moisten dryness. Sang Xing Tang. GB20, LI4, LU1, 5, 7, BL12, KD6.

Answer 6

Wind Warm Dryness Syndrome of COUGH (EXOGENOUS)

Question 7

Severe dry cough, a little or little sputum, difficult to expectorate, dryness of nose and lips, dry throat with pain, exterior wind-cold symptoms. Course wind, warm lung, moisten dryness. Xing Su San. GB20, LI4, LU1, 5, 7, BL12, KD6.

Answer 7

Wind Cold Dryness of Cough (EXOGENOUS)

Question 8

Heavy could with heavy rattling sound, copious sticky greasy or very thick white and slightly grey sputum, fullness sensation in chest and epigastrium, nausea, poor appetite, general lassitude. Normal, or pale puffy tongue with white greasy coating. Slippery or soft pulse. Er Chen Tang, Ping Wei San, San Zi Yang, Qin Tang. LU5, 1, 7, ST40, Bl13, 20.

Answer 8

Retention of phlegm damp in lung of COUGH (ENDOGENOUS)

Question 9

Heavy cough with heavy rattling sound, yellow (thin or thing and sticky) sputum, feverish sensation and/or red face. Red tongue with yellow sticky coating. Slippery and fast pulse. Qin Qi Hua, Tan Wan. LU1, 5, 7, ST40, BL13, 20, LI11.

Answer 9

Retention of Phlegm Heat in lung of COUGH (ENDOGENOUS)

Question 10

Cough, copious clear or white frothy dilute sputum, cold limbs, aversion to cold, often seen in winter. Pale, puffy and slightly purple tongue with white, slippery and sticky coating. Soft pulse. Xiao Qing Long Tang. LU1, 5, 7, ST40, 36, BL13, 20, SP9.

Answer 10

Retention of Cold Fluid/Phlegm in Lung of COUGH (ENDOGENOUS)

Question 11

Irritating cough, small amount of sticky sputum difficult to expectorate, hypochondria pain, red eyes and face, dry mouth and throat, change of condition in light of emotions. Red tongue with thin dry yellow coat. Wiry and rapid pulse.

Answer 11

Liver Fire Burning Lung of COUGH (ENDOGENOUS)

Question 12

Cough and weak voice, SOB, copious clear dilute sputum difficult to expectorate because of weak energy. Pallor complexion, aversion to wind, sweating, vulnerable to colds, general lassitude, dislike speech, shortness of breath, fatigue. Pale tongue with scallops, thin white and moist coating. Weak pulse. Wen Fei Tang, Xiang Sha Liu, Jun Zi Tang. Bl13, LU9, 7, 1, BL20.

Answer 12

LU QI XU of COUGH (ENDOGENOUS)

Question 13

Unproductive cough, small amount and sticky sputum (may have blood), yin xu symptoms. Red tongue with little coating. Thready and rapid pulse. Bai He, Jin Tang. BL13,43, LU1, 7, 9, KD6.

Answer 13

LU Yin XU of COUGH (ENDOGENOUS)

Question 14

Asthmatic breathing, short and rapid breathing, especially difficult to exhale, rattling sound in throat, mild cough with white dilute or frothy sputum, no thirst or thirst with preference for hot drinks, chills or with fever, anhidrosis, headache, general achine, bluish pale complexion. White slippery tongue coating. Wiry, tense or superficial tense pulse. Warm lung, dissipate cold, transform phlegm to relieve asthma. Xiao Qing Long Tang. BL13, LU1, CV17, 22, LU5, 7, ST40.

Answer 14

Cold Type Phlegm in ASTHMA (DURING)

Question 15

Asthmatic breathing, short and rapid breathing, especially difficult to exhale, rattling sound in throat, paroxysmal cough with thick yellow sputum, thirst with preference for drinks, irritability, sweats, no chills (internal heat), ext. wind cold symptoms. Red complexion. Red tongue with thin yellow sticky coating. Rapid or rapid and superficial pulse. Clear heat and facilitate the lung, transform phlegm to relieve asthma. Ding Chuan Tang. LU10, 11.

Answer 15

Phlegm heat in the LU in ASTHMA (DURING)

Question 16

Asthmatic breathing, especially difficult to exhale, rattling sound in throat, cough with profuse white sticy sputum, gurgling sound in throat, no thirst. Thick and sticky tongue coating. Slippery pulse. Expel phlegm, check upward flow of qi to relieve asthma. Er Chen Tang, San Zi Yang Qing Tang. SP(, 6, CV12.

Answer 16

Phlegm damp in LU in ASTHMA (DURING)

Question 17

Inconsistent breathlessness (asthmatic breathing on exertion), or severe wheezing, especially difficult inhalation or continued asthma, rattling sound in throat, cough without or with a little sticky sputum, dryness of the mouth and throat, afternoon fever, night sweats, malar flush. Deep red tongue with little or thin yellow sticky coating. Thready and rapid pulse. Nourish yin of lung and kidney, clear phlegm heat. Mai, Men Dong Tang. BL43, LU(.

Answer 17

Yin Xu with Phlegm Heat in ASTHMA (DURING)

Question 18

Inconsistent breathlessness (asthmatic breathing on exertion), or severe wheezing, especially difficult inhalation or continued asthma, rattling sound in throat, feeble cough with clear dilute sputum, no thirst, chills cold limbs, spontaneous sweats, pale complexion with purple lips. Pale or puffy or purplish tongue with slippery coating. Deep thready pulse. Tonify qi and warm yang, dispel phlegm damp. Su Zi Jiang Qi Tang, Ren Shen Ge Jie San. LU9, ST36, GV4.

Answer 18

Yang Qi Xu with Phlegm Damp in ASTHMA (DURING)

Question 19

SOB which is worse on exertion, low voice, low gurgling sound in the throat, cough with white dilute sputum, or dry cough with little sticky sputum, pale complexion, spontaneous sweats, aversion to wind, susceptibility to cold or dryness of mouth and throat. Induced by weather change, sneeze, stuffy and running nose before attack. Red tongue with thin white coating. Thready or thready and rapid pulse. Tonify lung qi or yin to strengthen the body surface. Yu Ping Feng San, Sheng Mai San. Qi xu with Lu9, ST36 and SP6, Yin Xu with BL43.

Answer 19

Lung Xu in ASTHMA (REMISSION)

Question 20

SOB, low voice, cough with profuse white thick sputum, poor appetite, abdominal distention which is worse after eating, loose stools, lassitude, induced by improper diet. Pale tongue with white and sticky coating. Thready or soft pulse. Tonify the spleen to transform phlegm. Liu Jin Zi Tang. BL20, CV6, ST36.

Answer 20

Spleen Xu in ASTHMA (REMISSION)

Question 21

SOB, difficult inhalation which is worse on exertion, cough with frothy or a little sticky sputum, pale complexion, chills and cold limbs, palpitations, soreness and weakness in lumbar region and knee joints, dizziness, tinnitus, impotence, nocturnal emission, or malar flush, night sweats, feverish sensations in 5 hearts, induced by overwork. Pale and tender or red tongue with little coating. Deep thready or thready rapid pulse. Tonify the kidney to receive qi. Jin Gui Shen Qi Wan, Qi Wei Du Qi Wan. Qi xu with KD3, BL23, GV4. Yin xu with KD6, SP6.

Answer 21

Kidney Xu in ASTHMA (REMISSION)

Question 22

Acute onset with shaking, chills, fever, cough, chest pain, exterior wind heat symptoms. Red tip of tongue with slightly yellow coating. Superficial and rapid pulse. Disperse wind, clear heat from lung. Lu10, LI11, ST44. Yin Qiao San.

Answer 22

Invasion of Wind Heat in the Lung in PNEUMONIA

Question 23

High fever, cough with rust sputum, dyspnea, chest pain, nausea, coarse breathing, flapping of ala nasi, vomiting, malaise, internal symptoms. Red tongue with yellow sticky coating. Slippery and rapid pulse. Transform phlegm, clear heat from the lung. Lu5, LI4, ST40. Ma Xin Shi Gan Tang.

Answer 23

Retention of Phlegm Heat in the Lung in PNEUMONIA

Question 24

High fever, mental restlessness, mental confusion, loss of consciousness, delirium, cough, dyspnea, chest pain, insomnia. Depp red tongue. Thready and rapid pulse. Clear off heat from PC to revive consciousness. PC6, 9, SI3. Qing Ying Tang.

Answer 24

Invasion of Heat in the PC in PNEUMONIA

Question 25

Profuse cold sticky sweat, cold body and extremities, low blood pressure, coma, feeble breathing, no thirst. Pale or red tongue. Thready, fading and rapid pulse. Restore yang to promote resuscitation. RN8, DU25, 26, PC6. Shen Fu Tang.

Answer 25

Depletion of Yang in PNEUMONIA

Question 26

Alternative fever and chills, sweats, cough with little sputum, SOB, stabbing pain in the chest and hypochondriac region which is worse on breathing and turning, fullness in epigastric region, dry vomit, bitter taste in mouth, dry throat. Wiry and rapid pulse. Thin white or thin yellow coating. Harmonize Shaoyang to remove phlegm heat. Chai Zi Bai Xia Tang. SJ6, GB34, LU5, 10.

Answer 26

Retention of Phlegm Heat in Shoayang (DRY) in Xuanyin (PLEURISY)

Question 27

Chest and hypochondriac pain subside, while dyspnea get worse, fullness or swelling of the chest and hypochondrium, cannot lie flat or lie on ill side. Deep wiry or wiry and slippery pulse. Thine and white tongue coating. Drain retained fluids from lung. Shi Zao Tang. CV17, LU1, LV13, SP9, ST36, 40.

Answer 27

Retained Fluids in Chest and Hypochondrium (WET) in XUANYIN (PLEURISY)

Question 28

Pain in the chest and hypochondriac region, oppression feeling in the chest, difficulty in breath, chronic cough. Wiry pulse. Thin tongue coating. Regulate Qi and Circulate the collaterals. Xiang Fu Xuan Fu Hua Tan. SJ6, GB34, LU5, SP21, LV5.

Answer 28

Disharmony of Collaterals in XUANYIN (PLEURISY)

Question 29

Spasmodic dry cough with little sticky sputum, dull chest and hypochondriac pain, afternoon fever, dry mouth and throat, malar flush, restlessness, five center hot, night sweats, emaciation. Thin and rapid pulse. Red tongue with little coating. Nourish Yin to clear heat. Sha Shen Mai Dong Tag. BL13, 43, LU1, 9.

Answer 29

Lung Yin Xu in XUANYIN (PLEURISY)

Question 30

Stuffy nose, itching in the nose, sneezing, watery nasal discharge, distending headache, especially frontal, itching throat, chills, pale complexion, symptoms are intermittent and come and go quickly, exterior. Pale and puffy tongue, thin and white coating. Soft pulse. Dispel wind and dissipate cold. Cang Er Zi San. LI20, Bitong, Yintang, GV23, GB20, LI4, LU7, SJ5.

Answer 30

Wind Cold in ALLERGIC RHINITIS (Attack Time)

Question 31

Stuffy nose, itching in the nose, sneezing, watery nasal discharge, distending headache, especially frontal, itching and red throat or eyes, mild fever, slight thrist, exterior. Red tip of tongue, thin and yellow coating. Slight rapid pulse. Dispel wind and clear heat. Sang Jun Yin, Cang Er Zi San. LI20, Bitong, Yintang, GV23, GB20, LI4, 11, LU5, 7.

Answer 31

Wind Heat in ALLERGIC RHINITIS (Attack Time)

Question 32

Stuffy nose, yellow sticky nasal discharge, dulled sense of smell, distending frontal headache, unclear speech due to nasal obstruction, internal. Red tongue, yellow and sticky coating. Slippery rapid pulse. Transform phlegm, clear heat. Bi Yan Wan. LI20, Bitong, Yintang, GV23, GB20, LI4, 11, LU5, 7, ST40.

Answer 32

Phlegm Heat in ALLERGIC RHINITIS (Attack Time)

Question 33

SOB which is worse on exertion, low voice, low gurgling sound in the throat, cough with white dilute sputum, or dry cough with little sticky sputum, pale complexion, spontaneous sweats, aversion to wind, susceptibility to cold or dryness of mouth and throat. Induced by weather change, sneeze, stuffy and running nose before attack. Red tongue with thin white coating. Thready or thready and rapid pulse. Tonify Lung qi. Yu Ping Feng San. BL13, 43, GV12, LI10, ST36.

Answer 33

Lung Qi Xu in ALLERGIC RHINITIS (Non Attack Time)

Question 34

SOB, low voice, cough with profuse white thick sputum, poor appetite, abdominal distention which is worse after eating, loose stools, lassitude, induced by improper diet. Pale tongue with white and sticky coating. Thready or soft pulse. Tonify Spleen Qi. Bu Zhong Yi Qi Tang. BL20, LI10, ST36, CV6.

Answer 34

Spleen Qi Xu in ALLERGIC RHINITIS (Non Attack Time)

Question 35

SOB, difficult inhalation which is worse on exertion, cough with frothy or a little sticky sputum, pale complexion, chills and cold limbs, palpitations, soreness and weakness in lumbar region and knee joints, dizziness, tinnitus, impotence, nocturnal emission, or malar flush, night sweats, feverish sensations in 5 hearts, induced by overwork. Pale and tender or red tongue with little coating. Deep thready or thready rapid pulse. Tonify Kidney Qi. Jin Gui Shen Qi Wan. BL23, KD3, CV4, 6.

Answer 35

Kidney Qi Xu in ALLERGIC RHINITIS (Non Attack Time)

Question 36

Bright red, swollen throat, severe sore throat, acute onset, chills, fever, headache, stuffy and running nose, dry cough or cough with yellow sputum. A red tongue tip with thin and yellow coating. A superficial and rapid pulse. Course Wind, clear heat to relieve the exterior. Yin Qiao San. Li18, 4, SI17, LU11.

Answer 36

Exterior Wind Heat (Excess Heat) in Sore Throat

Question 37

Bright red, swollen throat, severe sore throat, acute onset, high fever, thirst, constipation, scanty, dark-yellow urine, swelling and pain or bleeding of the gums, foul breath. Red tongue with yellow coating. Rapid pulse. Clear stomach heat. Pu Ji Xiao Du Yin. LI18, SI17, LU5, 10, ST44.

Answer 37

Stomach Fire (Excess Heat) in Sore Throat

Question 38

Light red and swollen throat, mild and intermittent pain, dry throat, worse at night, gradual onset, dry cough, feverish sensation in 5 hearts, malar flush, tinnitus, low back, soreness. Red tongue with little coating. Thready and rapid pulse. Nourish yin to descend fire. Zhi Bai Di Huang. LI18, SI17, LU7, 10, KD6.

Answer 38

Lung and Kidney Yin Xu (Deficiency Heat) in Sore Throat