ZF 2 Final

Question 1

What are the ID patterns of the 4 levels?

Answer 1

WEI
QI
YING
XUE

Question 2

Within the 4 levels there is Wei level, what are the 4 types of heat and what is the most common?

Answer 2

wind heat (the most common)
damp heat
summerheat
dry heat

Question 3

Out of the 4 levels what level is the Qi level and what are the are types of patterns within this level?

Answer 3

the pathogenic factor has moved from exterior to interior and transferred to heat, but it’s the most superficial of the interior layers.

there is the LU heat
stomach heat
ints. dry heat 
GB heat
and damp heat in the SP & ST

Question 4

in the ying level, what are the 2 patterns?

Answer 4

Heat in the ying Qi level

& heat in the pericardium

Question 5

Xue level patterns?

Answer 5

heat makes the blood move recklessly
heat stirs wind
empty wind agitating the interior
collapse of yin and collapse of yang

Question 6

6 stages of Pattern ID: what are the different stages?

Answer 6

Greater Yang Taiyang (Exterior) (UB & SI)
Bright Yang Yangming (Qi level ST & INTS)
Lesser Yang Shaoyang (alt between interior/exterior) (GB&SJ)

Greater Yin Taiyin (interior def cold) (LU,SP)
Lesser Yin Shaoyin (most critical) (HT, KD)
Terminal Yin Jueyin (LV, PC)

Question 7

With the Greater Yang stage (Taiyang) what are the 4 patterns?

Answer 7

Invasion of Wind Cold with prevalence of Wind

Invasion of Wind Cold with prevalence of Cold

Accumulation of Water

Accumulation of Blood

Question 8

What are the s/sx of Taiyang wind cold attack with emphasis on wind?

Answer 8

sl. aversion to cold, aversion to WIND, sl fever, sl. sweating, headache & stiff neck, sneezing, floating slow pulse

Question 9

what are the s/sx of Taiyang wind cold attack with emphasis on cold?

Answer 9

aversion to cold, sl fever, NO sweating, headache and stiff neck, sneezing runny nose with white discharge, breathlessness, floating tight pulse.

Question 10

S/Sx of Accumulation of Water in the Taiyang level?

Answer 10

aversion to cold, fever, retention of urine, sl thirst, vomiting of fluids soon after drinking. Floating rapid pulse

(Although the Taiyang is not in the interior the pathogenic factor is in the UB while there’s still s/sx on the exterior in this pattern)

Question 11

S/Sx of Accumulation of Blood in the Taiyang stage?

Answer 11

hypogastric distention, fullness & urgency, blood in urine, mental restlessness & reddish purple tongue w/ coat, deep fine rapid or deep & choppy pulse.

Question 12

bright yang stage ( Yangming) is in what organs and what are the s/sx?

Answer 12

ST & L.I.

HIGH FEVER, profuse sweating, intense thirst, red face,, feeling of heat, irratability, delirium, red tongue w/ yellow coat. overflowing rapid pulse

(@ this stage the pathogen has transferred into the interior and transformed into heat - pattern is FULL HOT)

Question 13

What are the 2 types in the Yangming stage?

Answer 13

Yangming channel pattern (4 BIGS)

Yangming organ pattern (interior heat in the ST & INTS. However, the heat is more intense & has injured the body fluids and caused dryness

Question 14

Lesser Yang (Shaoyang stage) s/sx?

Answer 14

oscillating from exterior to interior

** it is important to note that the aversion to cold & feeling of heat alternate & are not simultaneous as in the Greater Yang pattern

alternation of shivers (or cold feeling) & fever (or feeling of heat), bitter taste, dry throat, blurred vision, hypochondriac fullness & distention, no desire to eat or drink, irritability, nausea, vomiting, unilateral thin white coating. Wiry - fine pulse

Question 15

Greater Yin (Taiyin) stage s/sx? (1st stage of the yin patterns)

Answer 15

abdominal fullness, feeling cold, vomitting, no appetite, no thirst, diarrhea, tiredness, pale T, sticky white coat.
Deep- weak pulse

(this pattern is characterized by SP yang def with cold)

Question 16

Lesser Yin Stage (Shaoyin) has how many patterns and what are they?

Answer 16

Cold transformation=
feeling cold, chills, lying w/ body curled up, desire to sleep, listlessness, cold limbs, diarrhea, no thirst, frequent pale urine. Pale wet Tongue with coat. Deep-slow-weak pulse

(the pathology of this pattern is essentially KD yang def w/cold)

Heat transformation=
feeling of heat, irritability, insomnia, feverish sensation in 5 center areas, nights sweats, dry mouth-throat, little coat red tongue, thready rapid pulse.

(KD yin def w empty heat)

Question 17

Terminal Yin Stage or Jueyin s/sx?

Answer 17

persistent thirst, feeling of energy rising to the chest, pain & heat sensation in the heart region, hungry but no desire to eat, cold limbs, diarrhea, vomiting or vomit of roundworms, wiry pulse.

(this pattern is characterized by heat above and cold below)

Question 18

What 4 bigs characterize the Yangming channel?

Answer 18

Big sweat, big thirst, big fever, big pulse

Question 19

How does the pulse differ between the Bright Yang channel and the organ pattern?

Answer 19

The pulse in the channel pattern is overflowing and rapid or Big & rapid.

The organ pattern would have a deep -full -slippery-rapid, which represents the deeper location of the fire.

Question 20

Which organ pattern does the greater Yin pattern most resemble?

Answer 20

SP yang deficiency

Question 21

What tongue & pulse would you expect in the lesser Yin pattern?

Answer 21

pale wet tongue with white coating. Deep weak slow pulse. ( KD Yang def)

Question 22

Give one symptom of each in the heat above and cold below of the terminal yin stage?

Answer 22

Heat above: thirst, feeling of energy rising in the chest, pain and heat sensation in the chest, hunger

Cold below: no desire to eat, vomiting, diarrhea, cold limbs

Question 23

Who formulated and set down the theory for of ID patterns for the 4 levels and what was his book called?

Answer 23

Te Tian Shi

Study of Warm Dz (Wen Bing Lun) 18th century

Question 24

Give the 5 special characteristics of warm dz?

Answer 24

the all manifest with a fever
they enter through the nose and mouth
they are infectious 
the pathogenic factors are rapid
the pathogenic factor has a strong tendency to injure yn

Question 25

Give 3 general s/sx of a pathogenic factor at the Qi level?

Answer 25

fever, thirst, feeling of heat, mental restlessness, red tongue with thick yellow coat and rapid full pulse

Question 26

Give 2 general symptoms which differentiate Ying level from Qi level?

Answer 26

fever at night and a deep red tongue w/o coat

Question 27

Which symptom is a definite sign that the heat has reached the blood level?

Answer 27

macules

Question 28

What 3 pathogenic factors characterize an invasion of summer heat?

Answer 28

external wind, dampness and interior heat

Question 29

How would you expect the tongue look with heat in the nutritive level

Answer 29

red without coating (heat has injure d the yin)

Question 30

What are the 3 general symptoms which characterize heat in the blood level?

Answer 30

fever @ night, bleeding, internal wind

Question 31

What are the 3 main patterns of Latent Heat and give their levels

Answer 31

``` Lesser yang (Qi level) Bright yang (Qi level) Lesser Yin (blood level) ```

Question 32

Which organ pattern corresponds to the pattern of wood not generating fire?

Answer 32

deficient gall bladder

Question 33

Describe the symptoms and their pathology caused when earth does not generate metal?

Answer 33

PHL in the chest, cough and tiredness caused by a deficient SP, leading to the accumulation of PHL which obstructs the LU's

Question 34

Identify the clinical manifestations in terms of their 5 element sequence pattern: dizziness blurred vision headaches and vertigo

Answer 34

water not generating wood

Question 35

If a patient has multiple symptoms involving the LU's but has a yellow face?

Answer 35

in the earth element (the face color usually shows the origin of the disharmony

Question 36

Which internal organ pattern corresponds to the pattern of fire insulting water?

Answer 36

KD & HT are not harmonized. or KD or HT yin deficiency with empty heat

Question 37

Wood overacting on Earth?

Answer 37

LV & SP/ST disharmony | LV Qi stagnation w/ SP Qi def

Question 38

Water not generating wood?

Answer 38

KD yin def w/ LV yang rising (low back/knee pain, tinnitus, seminal emissions, dizziness, blurred vision, vertigo, headache, irritability

Question 39

Water insulting earth?

Answer 39

KD & SP yang def (pale complexion, cold limbs and body, chronic loose stools or cocks crow, watery stool w undigested particles, edema, difficult urination. pale tender tongue with slippery coat. deep slow weak pulse)

Question 40

How does identification of patterns according to the 3 Burners relate to that of the 4 levels?

Answer 40

The patterns of the middle burner are essentially the same as those of the Qi level and those of the lower burner are essentially as some of those of the blood level.The patterns of the of the upper burner occur at 3 depths: Wei, Qi and Ying.

Question 41

At which of the 4 levels is the pattern Heat in the LU's?

Answer 41

@ the Qi level

Question 42

Give 3 examples of Heat in the pericardium

Answer 42

high fever @ night, a burning sensation of the epigastrium, cold limbs, delirium and aphasia

Question 43

You suspect a diagnosis of Heat in the bright Yang. The patient has a high fever, thirst, feels hot and has no aversion to cold. Do these s/sx support your diagnosis?

Answer 43

yes

Question 44

describe the tongue and pulse for the pattern Heat in the KD's

Answer 44

Deep red tongue without coating. Floating empty pulse and rapid pulse

Question 45

What is Etiological pattern identification?

Answer 45

analysis of the s/sx and bodily evidence of the disease as well as any objective reasons in order to grasp the disease cause, differentiate the nature of the pattern and determine the treatment method

Question 46

What are pathogenic factors?

Answer 46

（病因） also cause of disease, are pathogens, etiological factors, or causative factors, which refers to the reasons for breaking up the state of relative balance in the body and leading to development of disease. Such as pathogenic wind, heat, coldness, or blood stasis, phlegm, or parasite, and trauma injury, etc.

Question 47

What are the primary pathogenic factors

Answer 47

Exopathogenic factors Endopathogenic factors

Question 48

What are the secondary pathogenic factors?

Answer 48

PHL Blood stasis Stone

Question 49

In pathogenic factors that aren't primary or secondary factors what are some other factors?

Answer 49

trauma injury, parasites, genetic factor, toxicity etc

Question 50

What are the differences between endopathogens and exopathogens

Answer 50

Endopathogens are the 7 emotions, improper diet, overstrain. | Exopathogens are 6 evils Qi & pestilence (fatal or epidemic dz)

Question 51

The conditions for six climatic factors to | transform into six pathogenic factors, what are they?

Answer 51

– Sudden or extremely, or appear in wrong season | – Antipathogenic qi insufficient

Question 52

pattern caused by wind, | wind attack s/sx?

Answer 52

wind, cold, heat, damp & dryness

Question 53

Wind Bi s/ sx according to Etiology Pattern ID

Answer 53

joint pain, goiter, arthritis

Question 54

Wind water according to Etiology Pattern ID s/sx

Answer 54

wind prevents the LU from opening the water passages to diffuse and descend fluids. Edema, swollen eyelids, superficial pulse

Question 55

wind blocks the collaterals according to Etiology Pattern ID s/sx

Answer 55

blocks Qi circulation, causing issues with muscle and tendons

Question 56

Cold Pattern according to Etiology Pattern ID s/sx and what season?

Answer 56

Winter or summer from AC's Yin pathogen damage yang Qi (could be exterior or ZF) loose stools, afraid of or aversion to cold, cold limbs, and cold pain, joint stiffness, aching or pain, spasms in the limbs. tight or slow pulse

Question 57

cold attack of the exterior would have sweating or no sweating and what other 2 important symptoms?

Answer 57

No sweating, chills and fever

Question 58

cold attack in the interior would look like what?

Answer 58

and cold relieved by warmth, vomiting clear fluids, borborygmus & loose stools (Qi & dampness accumulate) deep tight or wiry pulse

Question 59

cold bi looks like what? | Especially for elderly or someone who lives in a cold environment

Answer 59

joint pain, cramping, difficult bending or stretching

Question 60

Summerheat pattern s/sx? Is it internal or external? What season?

Answer 60

ALWAYS EXTERNAL, it cannot be internal early summer (hot & humid) YANG Pathogen high fever, irritability, surging pulse, red face and eyes, dizziness, blurred vision, restlessness or even coma, sweating, SOB, thirsty, red tongue, fatigue (dampness) UNSURFACED FEVER

Question 61

what is a unsurfaced fever?

Answer 61

the longer you feel someones skin or forehead the more heat you feel. (this is the dampness holding back at first touch)

Question 62

wind rashes cause?

Answer 62

pathogenic wind lodged in interstitial | space

Question 63

Wind can combine and usually does with heat, cold, damp that attack the body surface, the defensive Qi rises up to fight the pathogens, LU Qi dispersing and descending function is impaired. What s/sx do you start to see?

Answer 63

ALL have chills and fever with a superficial pulse. heat= sore throat, sweating, rapid pulse cold= headache, cough w/ thin white sputum, body ache, tight pulse damp= wrapped headache, body ache, heaviness, PHL & slippery pulse

Question 64

Summer Warm pathology and s/sx

Answer 64

``` heat invade and transfer into the body rapidly, impair body fluids and qi, generate wind, Consume body fluids and impairs qi Acute onset with high fever, profuse sweating, irritability, restless, sever thirst, headache, or manic, coma, convulsion or even opisthotonus ```

Question 65

sun stroke cause and s/sx

Answer 65

``` Long time exposure to sun with physical activities, or staying in a hot and poor ventilation place. Heat upward disturb Heart spirit, damage body fluids ``` Restlessness, irritability, vexation, Sudden fever, profuse sweating, thirst and hasty breathing, Fainting, loss consciousness, and cold limbs

Question 66

damp is a yin type pathogen, what are it's characteristics and s/sx?

Answer 66

impairs yang Qi and obstructs Qi circulation, s/sx are Full sensation in the chest, epigastric distention, difficult and scanty urination, edema, poor appetite, loose stool, etc

Question 67

Dampness that is heavy and stagnates can impair the SP what are the six?

Answer 67

Poor appetite, loose stool, | bloating snd distention

Question 68

If dampness is turbid and lingers, it is difficult to cure, recurrent or has a long course you would get s/sx that look like?

Answer 68

Eczema, osteoarthritis, damp fever (intestinal thyphoid), etc.

Question 69

What are the patterns caused by Dampness?

Answer 69

``` Dampness attack body exterior Invade by dampness Damp-Bi Damp-warm Damp-rash (Eczema) ```

Question 70

Dampness attack | the exterior characteristics and s/sx?

Answer 70

External dampness invading suppress defensive qi, obstruct the Lung qi, impair the Spleen qi, and restrict the yang qi ascending and outward Aversion to cold, fever, wrapped and heavy headache, suffocated sensation in the chest, poor appetite, bloating, nausea, no thirst, heavy and aching limbs, general lassitude and heaviness, greasy coating, superficial and slippery or soft pulse

Question 71

Invade by dampness characteristics s/sx?

Answer 71

Dampness obstruct qi circulation, clear yang not able to ascend and reach out Wrapped heavy headache, heavy and aching limbs, general lassitude

Question 72

dampness Bi characteristics and s/sx?

Answer 72

Dampness obstruct channels and collaterals, lodge in lower extremities joints Joint pain, numbness, stiffness with heavy sensation, may have some degree of swelling, worse in the low extremities

Question 73

Damp warm characteristics & s/sx?

Answer 73

``` Damp-warm hidden in the qi level or in the middle burner, dampness and heat mixed and lock in each other, heat accumulates inside dampness, and dampness constraints the heat from radiating out and emitting to the surface ``` Un-surfaced fever, fever aggravated in the afternoon, and not relieves after sweating, it may linger for days or weeks. Bloating, nausea, lassitude, heavy limbs, poor appetite, sticky stool and incomplete feeling after defecation.

Question 74

Damp rashes Eczema characteristics & s/sx?

Answer 74

Damp-heat accumulates on body surface area, with attack by exterior wind Small, fluid-filled bumps that become moist and ooze. And red, crusted, or open lesions may appear on any area affected

Question 75

Dry pathogen characteristics and S/sx?

Answer 75

``` Consumes body fluids Dry mouth and lips, dry nose and throat, dry and chapped skin, scanty urine, and dry stool Apt impair lung, cause lung lost its dispersing and descending function ``` ``` Dry cough without phlegm, or with phlegm but difficult expectorate, or with blood stained sputum, or even with hasty breathing and chest distress or chest pain ```

Question 76

There are two pattern for Dryness which occurs during what season and is yang or yin?

Answer 76

Yang, Winter (heater high) or autumn dryness (early warm, late cool) Warm dryness Cool dryness

Question 77

Pathogenisis & S/sx of cool dryness?

Answer 77

``` Cool dryness attack lung cause lung lost its dispersing and descending function Slight headache, aversion to cold, no sweating, cough with little sputum, itching throat, nasal congestion, dry nose and mouth, white coating, superficial pulse ```

Question 78

Warm dryness pathogenesis & s/sx?

Answer 78

Dryness heat attacks lung cause lung lost its dispersing and descending function ``` Fever with sweating, thirst, dry throat, cough with chest pain, or with little sticky bloody sputum, scanty urine and dry stool. Dry yellow coating, and superficial rapid pulse ```

Question 79

Excess Fire (yang pattern) different pathogenesis:

Answer 79

Fire in the Qi level Fire in the Ying level Fire in the Xue level Fire disturb heart spirit Fire exuberance stirring wind

Question 80

What do all fire pathogenesis have in common as far as s/sx?

Answer 80

red face, sweating, thirst and desire for cold drink, yellow urination, red tongue with yellow coat and rapid pulse

Question 81

Fire in the Qi level, what are the s/sx?

Answer 81

High fever worse between 3-5 pm, sweating, thirst and desire for cold drink, irritability, constipation, surging pulse

Question 82

Fire in the Ying level

Answer 82

Fever worse in the evening, thirst but no desire to drink, irritability, insomnia, deep red or crimson tongue, rapid pulse

Question 83

Fire in the blood level s/sx?

Answer 83

Various types of bleeding or macule | papule eruptions

Question 84

Fire disturb Heart spirit s/sx?

Answer 84

Irritability, uneasiness, Coma, | delirium

Question 85

Fire exuberance stirring | wind

Answer 85

Convulsion

Question 86

Heat Toxic / Fire or Heat accumulate in local area spoils and ulcerates the flesh

Answer 86

Boils, sores, skin ulcers, abscesses, with local | redness and sswelling