ACU 2 prac exam 2 (cases)

Question 1

case 1

CC
— migrain // LR yang rising (du20, BL18)
AS
—funny taste mouth // LR heat (BL18)
—flashing light vision // LR yang rising (du20)
—vomiting // LR/SP (LR13, BL18, PC6, REN13)
—better / after vom // bec. it initates qi flow (PC6, BL18)
—worse / exams & period // stress, LR qi stag (4 gates)

Tx --- 
dark red // heat
purplish sides // LR stag (4 gates)
thin wh // acute or ext
Px --- 
taut & hesitant // exc synd - LR qi stag (4 gates)

Answer 1

Dx — LR YANG RISING / due LR Qi STAG
TP — subdue LR YANG, move LR QI, ton LR YIN

PP
DU.20 ———- subd. LR YANG
[LI.4 + LR.3] — move LR QI *best for LR QI STAG (4 gates)

LR.13 —–harmon LR+SP, spreads LR reg qi *imp for LR & SP (Mu - SP)
PC.6 —– move qi - PAIN, harmon ST - stop VOM
CV.13 —- HARMON. ST > stop VOM

BL 18 —- SPREAD LR qi, COOL fire, pacif LR (back shu - LR exc or def cond’s)

GB 20 – *any WIND ext/int, *imp for migraine
GB.8 —– move QI & BLD *typical pp for migraine

Question 2

case 2

CC
— Anxiety w loose stool // damp & phlegm accum MJ w SP def
AS
— from young age // ? constit SP def> 1. unable prod bld & qi for HT>anxiety & HT cond’s? // constit SP def > 2. damp & phlegm accum >spiritual ss of HT&raquo_space;effect HT?

— nervous, tense, fear, depression > need bathroom, loose stools [w no abd pain] // ? (SP9, ST40)

— worsened / past 2 years, paroxysmal attacks [wakes night panic, palp, SOB or while driving or other] // ?

— attacks AS dizz, nausea [w no heat] // ?
— energy poor, tires easily // SP def
— poor app // damp & phlegm accum MJ (SP9)
— loose stools // SP def, damp (SP9)
Tx —
1. dark, red // ? hidden internal heat blocked by damp?
2. thick wh greasy // chronic/severe damp & phlegm reten
3. moist // damp reten

Px ---
sunken // 
"weak/rou mai"- qi and bld def ...or
"deep/chen mai" - int synd exc/def
wiry // "tight/jin mai"- food reten

Answer 2

Dx — DAMP PHLEGM accum MJ / due. constit SP def
TP — resolve damp & phlegm, ton SP, calm mind

PP
ST.40 — trans phlegm & damp, cl phlem HT > calms mind (luo)
HT.7 —– calm mind (Yuan, shu st, earth)
PC.5 —- calm mind, disp PHLEGM
PC.6 —- calm mind, HT PHLEGM (*luo)

SP. 9 —- reg SP> resolv DAMP, open&move WATER passages, bene LJ - diarr, poor app (*he sea, water, *main SP pp Dampness)

ST. 36 –
all ST cond’s - nausea/poor app
ton Qi & BLD, str SP >resol damp - diarr
calm mind - mania/dep
(*he sea, earth, command, H.star, sea of water/grain)
SP.4 —– ton SP YANG