Week 12 - LV, GB Diagnoses

Question 1

List the LV pathologies

Answer 1

LV blood deficiency
LV yin deficiency
LV Qi Stagnation
LV Yang Rising
LV Fire
LV Wind due to Yang rising, Excess Heat, Blood Deficiency

Question 2

List the GB pathologies

Answer 2

GB (& HT) Qi Deficiency
LV/GB damp heat
GB phlegm fire

Question 3

List signs and symptoms of LV blood deficiency

Answer 3

recent decline in visual acuity, dry eyes, impaired night vision, reduced range of motion, tight stiff muscles that tend to spasm, long menstrual cycle >32 days, short period <3 days, scanty bleeding, dizziness, pale face & tongue, mild temporal headache, postmenstrual dull achy cramping, dry hair, dry nails, dry skin
tongue - pale dry, thin dry white coat
pulse - thin

Question 4

Treatment principle for LV blood deficiency

Answer 4

Soothe LV, nourish blood

Question 5

LV blood deficiency can be caused by _________

Answer 5

poor diet, excessive loss of blood, heavy menstrual period, bleeding ulcers, bleeding hemorrhoids

Question 6

LV blood deficiency can lead to _______ deficiency, signs and symptoms of which are _________

Answer 6

HT Blood

insomnia, anxiety, short term memory loss, inability to concentrate

Question 7

List signs and symptoms of LV yin deficiency

Answer 7

dry red burning eyes, irritability, dizziness, tidal fever, mallor flush, severe insomnia, agitation, thirst for cold drinks, dark scanty urine
pulse - thin, rapid
tongue - red, dry w/ thin dry yellow coat

Question 8

Treatment principle for LV yin deficiency

Answer 8

Soothe LV, nourish yin, clear deficiency heat

Question 9

LV Qi stagnation can be caused by ________

Answer 9

stress, anger, emotional upset, excessive caffeine use, alcohol use, opiate use, statin use

Question 10

List signs and symptoms of LV Qi stagnation

Answer 10

temporal tension headache, stiff tight neck & shoulders, tense muscles, ribside hypochondriac distention/discomfort, frequent sighing, frequent stretching & yawning, breast distention, LV type insomnia, digestive issues triggered by stress - nausea, vomiting, ST pain, constipation, diarrhea or alternating constipation/diarrhea, pain/discomfort in inguinal area, frustration, irregular menstrual cycle, severe PMS
tongue - red or orage sides, peeled or pinched
pulse - wiry

Question 11

Treatment principle for LV Qi Stagnation is _______

Answer 11

Soothe LV, move Qi

Question 12

LV type insomnia is characterized by _________

Answer 12

waking up 1-3am, difficulty falling back asleep

Question 13

List signs and symptoms of LV Yang Rising

Answer 13

severe headache, hypertension, classic migraine, stroke, seizure, dizziness, bright red face, blurry vision, floaters, thirst for cold, upper body sweat mainly at night, LV type insomnia
tongue - red, dry, thin dry yellow fur
pulse - wiry, rapid

Question 14

Treatment principle for LV Yang Rising is __________

Answer 14

Sedate Yang, Soothe LV, Nourish Yin & blood

Question 15

LV fire can be caused by _________

Answer 15

severe stress, emotional upset (anger), alcohol

Question 16

List signs and symptoms of LV fire

Answer 16

Bright red face, upper body sweat, extreme thirst w/ desire for cold drink, severe temporal headache, cluster headaches, severe LV type insomnia, emotional intensity, rage, anger, ranting, raving, screaming, short temper, dark scanty urine, constipation
pulse - wiry, very rapid
tongue - bright red thin dry, thin dry yellow coat

Question 17

What are cluster headaches?

Answer 17

short-lived headaches occuring in clusters, extraordinarily painful

Question 18

Treatment principle for LV fire is ________

Answer 18

clear heat, drain fire from LV

Question 19

LV wind pathology is most often characterized by _________

List signs and symptoms of LV wind due to Yang Rising, Excess Heat, Blood Deficiency

Answer 19

involuntary movement

Yang Rising - migraines, nominative aphasia, flashes, aura, smells, stroke, seizure, quivering tongue

Excess Heat - high fever, quivering tongue, febrile convulsions, extremely rapid wiry pulse, bright red dry tongue, thin yellow dry fure

Blood Deficiency - ticks, tremors, muscle twitch, Tourret’s syndrome, early stage Parkinson’s Disease, quivering tongue, pulse - very thin, wiry
tongue - pale, dry, thin, white coat, possible red sides

Question 20

List signs and symptoms of GB Qi deficiency

Answer 20

difficulty making decision, severe anxiety, panic attacks, phobias, social anxiety, fatigue, shortness of breath, spontaneous sweat, indigestion, loose stool, diarrhea w/ eating fatty food, severe GB type insomnia
pulse - weak
tongue - pale & swollen

Question 21

What is GB type insomnia?

Answer 21

trouble falling asleep, waking up during GB time 11pm-1am, restlessness, vivid dreams

Question 22

Treatment principel for GB Qi deficiency is ______

Answer 22

Strengthen GB, Tonify Qi

Question 23

Yin jaundice is characterized by ________ while Yang jaundice is characterized by ____________

Answer 23

severe SP Qi & Yang deficiency, pale yellow hands & feet, no yellow in sclera of eyes

deep yellowing of whole body including sclera of eyes

Question 24

LV/GB damp heat is associated with _____ jaundice.

List signs and symptoms of LV/GB damp heat

Answer 24

Yang

bitter taste in mouth, nausea, vomiting, low grade fever, extremely poor appetite, strong thirst w/ limited desire for cold drink, heavy distending ribside/epigastrium, irritability, dark scanty turbid urine, strong odor, damp sores on external genitals, STD w/ red pussy lesions
pulse - slippery, rapid
tongue - red, wet w/ greasy yellow fur

Question 25

Treatment principle for LV/GB damp heat is __________

Answer 25

clear heat, drain damp, soothe LV/GB

Question 26

List signs and symptoms of GB phlegm fire

Answer 26

acute schizophrenia, severe mania, delusions, hallucinations, bright red face, severe temporal headache, sticky spontaneous sweat, strong thirst for cold, no real desire to drink, rage for no real reason, incoherent thought/speech, ribside distention, severe insomnia
tongue - bright red, wet, thick greasy yellow coat
pulse - slippery rapid

Question 27

Treatment principle for GB phlegm fire is ________

Answer 27

clear heat, drain fire, transform phlegm, calm shen