Advanced Diagnosis Quiz 1 Flashcards

1
Q

DIAGNOSIS: fever, aversion to wind, headache, spontaneous sweating, facial edema, stuffy nose, dry retching, itchy skin, edema

A

External wind attack superficies

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2
Q

External wind attack superficies tongue

A

pale, thin white coating

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3
Q

External wind attack superficies pulse

A

floating, moderate

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4
Q

DIAGNOSIS: fever, aversion to wind, thirst, itchy or sore throat, itchy skin

A

External wind heat attack

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5
Q

External wind heat attack tongue

A

red tip, thin yellow coating

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6
Q

External wind heat attack pulse

A

floating, rapid

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7
Q

DIAGNOSIS: aversion to wind, but doesn’t want to take off clothes, soreness of joints, sweating, shortness of breath, unsmooth urination, poor qi transformation

A

External wind damp attack

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8
Q

External wind damp attack tongue

A

pale, white greasy coating

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9
Q

External wind damp attack pulse

A

soggy, moderate

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10
Q

External wind damp attack treatment principle

A

dispel wind, drain damp, activate channel and open collaterals to relieve pain

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11
Q

DIAGNOSIS: aversion to wind, spontanou sweating, easy to catch cold

A

wei qi deficiency

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12
Q

wei qi deficiency tongue

A

plae

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13
Q

wei qi deficiency pulse

A

floating, weak

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14
Q

DIAGNOSIS: severe aversion to cold, fever, no sweating, body ache, headache, stuffy nose, runny nose, shortness of breath

A

wind-cold

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15
Q

wind-cold tongue

A

thin white coating

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16
Q

wind-cold pulse

A

floating, tight

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17
Q

wind-cold pathogensis

A

cold attacking superficies causing wei yang to be depressed

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18
Q

DIAGNOSIS: severe aversion to cold, mild fever, headache, no sweating, dry mouth, nose, and throat, cough with little sputum

A

cool dryness attacking the lung

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19
Q

cool dryness attacking the lung tongue

A

thin white dry coating

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20
Q

cool dryness attacking the lung pulse

A

floating, tight

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21
Q

cool dryness attacking the lung pathogenesis

A

cold attacking superficies, causing wei yang to be depressed

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22
Q

DIAGNOSIS: alternating chills and fever, bitter mouth, dry throat, dizziness, chest and hypochondriac fullness, irritability, nausea

A

shaoyang syndrome

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23
Q

shaoyang syndrome tongue

A

thin white coating

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24
Q

shaoyang syndrome pulse

A

wiry

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25
Q

shaoyang syndrome pathogenesis

A

pathogen located half exteriorly and half interioly so qi cannot flow smoothly and stagnation turns into heat

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26
Q

DIAGNOSIS: aversion to cold, shiver if severe, unconsciousness, desire to remove clothes or covering, burning sensation in chest and epigastrium, thirst and preference for cold drinks, rough breathing, loud voice, constipation, reddish urine

A

true heat false cold

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27
Q

true heat false cold tongue

A

crimson, brown-yellow dry coating

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28
Q

true heat false cold pulse

A

deep, slippery, forceful

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29
Q

true heat false cold pathogenesis

A

heat, hidden deep within, yang qi is stagnated inside and cannot go to exterior, the internal heat blocks the yang qi

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30
Q

DIAGNOSIS: vertigo, cold limbs, chest and epigastrium, oppression, vomiting of clear liquid and saliva edema

A

cold fluid retention

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31
Q

cold fluid retention tongue

A

white, slippery, coating

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32
Q

cold fluid retention pulse

A

wiry, tight or wiry, slippery

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33
Q

cold fluid retention pathogenesis

A

phlegm and fluid is stagnated in the hypochondrium or in stomach and intestines or in limbs. phlegm and rheum are yin evil, so when cold fluid is stagnated inside, yang qi cannot flow smoothly, therefore aversion to cold

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34
Q

DIAGNOSIS: fear of cold, cough, shortness of breath, chest oppression, large amounts of white sputum

A

cold phlegm obstructs lung

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35
Q

cold phlegm obstructs lung tongue

A

white slippery coating

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36
Q

cold phlegm obstructs lung pulse

A

wiry, tight

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37
Q

DIAGNOSIS: fear of cold, cold limbs, epigastric distention and oppression, slimy sensation in mouth, poor appetite, nausea, bland taste in mouth, no thirst, abdominal pain, loose stool, feeling of heaviness in head and body

A

cold dampness obstructs middle jiao

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38
Q

cold dampness obstructs middle jiao tongue

A

pale, puffy, greasy, white coating

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39
Q

cold dampness obstructs middle jiao pulse

A

soggy, moderate

40
Q

DIAGNOSIS; fear of cold, cold limbs, aversion to cold, lower abdomen cramping and cold pain, sagging distention in testicles, retracted scrotum due to coldness, irregular menstruation, dysmenorrhea, vertex headache, worse with cold, better with warmth, vomiting of saliva

A

cold coagulate in the liver meridian

41
Q

cold coagulate in the liver meridian tongue

A

white coating

42
Q

cold coagulate in the liver meridian pulse

A

tight

43
Q

DIAGNOSIS: fear of cold, cold limbs, dull facial complexion, lack of energy, palpitation, shortness of breath, chest oppression or pain

A

heart yang deficiency

44
Q

heart yang deficiency tongue

A

dull purple, puffy and tender

45
Q

heart yang deficiency pulse

A

thready, weak, or knotted, intermittent

46
Q

DIAGNOSIS: fear of cold, cold limbs, pale facial complexion, lack of energy, declined in appetite, abdominal distention, bland taste in the mouth, no thirst, epigastric cold pain relieved by warmth and pressure, loose stool or undigested food in stool

A

spleen yang deficiency

47
Q

spleen yang deficiency tongue

A

pale, white coating

48
Q

spleen yang deficiency pulse

A

deep, thready

49
Q

DIAGNOSIS: fear of cold, cold limbs, pale bright white face or dull dark facial complexion, spiritual malaise, cold aches in loins and knees, clear, profuse and frequent urination, vision and hearing loss, impotence, spontaneous emission, premature ejaculation, clear thin white vaginal discharge, threatened miscarriage, coldness of uterus causing infertility

A

kidney yang deficiency

50
Q

kidney yang deficiency pulse

A

deep, thready, weak

51
Q

kidney yang deficiency tongue

A

pale, white coating

52
Q

DIAGNOSIS: high fever, reversal cold of limbs, headache, chest oppression, red facial complexion, rough breathing, irritability, delirium, unconsciousness if severe, yellow and reddish urine

A

severe heat and severe reversal

53
Q

severe heat and severe reversal tongue

A

crimson, dry

54
Q

severe heat and severe reversal pulse

A

slippery, rapid or overflowing, rapid

55
Q

severe heat and severe reversal pathogenesis

A

mostly due to exterior heat that goes deeper into interior excess heat in interior or heat attacks pericardium (nutritive level) or summer heat stagnated inside

56
Q

DIAGNOSIS: fever, red cheeks on pale face, dry and painful throat, reversal cold of limbs, diarrhea with undigested food in stool

A

true cold, false heat

57
Q

true cold, false heat tongue

A

pale white coating

58
Q

true cold, false heat pulse

A

deep, thready, almost cannot be felt

59
Q

true cold, false heat pathogenesis

A

weak yang qi and excess yin cold in interior repels yang (severe yang deficiency causing yin and yang separating and floating yang)

60
Q

DIAGNOSIS: continuous low grade fever, often accompanied by dry cough or cough with little phlegm, blood in phlegm, dry throat or hoarseness, dry mouth and tongue, thirsty, slim body, poor appetite, dry stool

A

LU/ST yin deficiency

61
Q

LU/ST yin deficiency tongue

A

red, little or no coating

62
Q

LU/ST yin deficiency pulse

A

thready, rapid, or empty

63
Q

DIAGNOSIS: continuous low grade fever or five center heat, often accompanied by red cheeks, dry mouth and throat, dizziness, lassitude, lack of strength, or insomnia, dreams, tinnitus

A

LV/KD yin deficiency

64
Q

LV/KD yin deficiency tongue

A

red, little or no coating

65
Q

LV/KD yin deficiency pulse

A

wiry, thready, or thready rapid pulse

66
Q

DIAGNOSIS: continuous low grade fever, often accompanied by bright white facial complexion, shortness of breath, lack of strength, lassitude, no desire to speak, spontaneous sweating when active

A

qi deficiency low grade fever

67
Q

qi deficiency low grade fever tongue

A

pale, tender

68
Q

qi deficiency low grade fever pulse

A

empty, big

69
Q

qi deficiency low grade fever pathogenesis

A

qi deficiency causes floating of yang or uprising of deficiency heat

70
Q

DIAGNOSIS: low grade fever but want to put on clothes, physically cold, fear of cold, no warmth in limbs, dizziness, like to lie down, aching pain in loin and knees

A

yang deficiency low grade fever

71
Q

yang deficiency low grade fever tongue

A

pale, enlarged tongue or with teeth marks, moist, white coating

72
Q

yang deficiency low grade fever pulse

A

deep, thready or, floating, big, weak

73
Q

DIAGNOSIS: low grade fever, temperature fluctuates with emotion, depression, irritability, fullness and oppression in chest and hypochondrium, dry mouth, bitter taste in mouth, poor appetite, dry stool with constipation

A

liver qi stagnation low grade fever

74
Q

liver qi stagnation low grade fever tongue

A

red, thin yellow coating

75
Q

liver qi stagnation low grade fever pulse

A

wiry, rapid

76
Q

DIAGNOSIS: low grade fever in late afternoon or evening, dry mouth and throat, want to rinse mouth with water without swallowing, fixed pain or bump in trunk or limbs, sallow yellow or dull facial complexion, rough skin or incrusted skin if severe

A

blood stasis low grade fever

77
Q

blood stasis low grade fever tongue

A

red/purple with stasis speckles

78
Q

blood stasis low grade fever pulse

A

wiry or choppy

79
Q

blood stasis low grade fever pathogensis

A

blood stasis affects blood to flow smoothly causing heat, blood level begins to yin, so low grade fever mostly occurs in late afternoon or evening

80
Q

qi stagnation low grade fever

A

in qi level, mainly caused by depressed emotions that turns into fire or excessive anger and liver fire generating low grade fever. since it is due to emotions, temperature changes depending on emotional state

81
Q

DIAGNOSIS: low grade fever, worse in the afternoon, chest oppression, reduced food intake, heavy body, nausea, no thirst, vomit soon after drinking, thin stool or difficulty in defecation with sticky stool

A

damp stagnation low grade fever

82
Q

damp stagnation low grade fever tongue

A

white or yellow greasy coating

83
Q

damp stagnation low grade fever pulse

A

soggy, rapid

84
Q

damp stagnation low grade fever pathogenesis

A

damp stagnation turns into heat which can be caused by external dampness or spleen deficiency with dampness obstruction. dampness belongs to yin so low grade fever is worse in the afternoon

85
Q

DIAGNOSIS: five center heat, worse in the afternoon, often want to hold onto something cold in the hands, like to have limbs outside of blanket when lying down, night sweating, seminal emission, red cheeks, weakness in loin and knees, dry mouth and throat

A

Yin deficiency five center heat

86
Q

Yin deficiency five center heat tongue

A

bright red, peeled, little coating

87
Q

Yin deficiency five center heat pulse

A

deep, thready, rapid

88
Q

Yin deficiency five center heat pathogenesis

A

yin deficiency of any of the 5 zang organs can be manifested as five center heat

89
Q

DIAGNOSIS: five center heat in the afternoon, worse with stress, lassitude, poor appetite, no desire to speak, palpitation, dizziness and vertigo

A

blood deficiency five center heat

90
Q

blood deficiency five center heat tongue

A

pale

91
Q

blood deficiency five center heat pulse

A

thready weak or thready choppy

92
Q

blood deficiency five center heat pathogenesis

A

most often due to deficiency of both spleen and liver. spleen is post natal organ that transforms food into qi and generates blood. the liver stores blood. if spleen and liver are injured, blood cannot be generated or stored, causing blood deficiency. skin cannot be nourished, so there is pale skin, blood deficiency generates heat, causing five center heat

93
Q

DIAGNOSIS: five center heat, chest oppression, emotional discomfort, irritability, distention in head, bitter taste in mouth, reddish urine, inhibited menstruation

A

fire stagnation five center heat

94
Q

fire stagnation five center heat tongue

A

red, yellow coating

95
Q

fire stagnation five center heat pulse

A

deep, rapid

96
Q

fire stagnation five center heat pathogenesis

A

yang qi cannot be spread, stagnation generates heat