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ICTCM Year 2 > Advanced Diagnosis Test #2 > Flashcards

Advanced Diagnosis Test #2 Flashcards

1
Q

Head distending discomfort usually caused by anger, fever, dry mouth, bitter taste, bulging of superficial veins on the forehead, red face and red painful swollen eyes, agitation, insomnia, deafness. DIAGNOSIS

A

Liver fire blazing

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2
Q

Liver fire blazing tongue

A

red, yellow coating

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3
Q

Liver fire blazing pulse

A

Wiry or rapid

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4
Q

Liver fire blazing pathogenesis

A

Anger or repressed emotion
spicy foods
liver qi stagnation
Liver fire flares upward to disturb the clear mind causing head distending discomfort and headache

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5
Q

Liver fire blazing upward ears

A

deafness

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6
Q

Liver fire blazing upward veins

A

bulging in the forehead

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7
Q

Head distending discomfort with feeling of heaviness and muzziness, as if being wrapped by a piece of cloth, chest oppression, epigastric fullness, abdominal distending pain, vomiting, no desire to eat, heaviness in limbs DIAGNOSIS

A

Dampness obstruction and qi stagnation

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8
Q

Dampness obstruction and qi stagnation tongue

A

white greasy coating

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9
Q

Dampness obstruction and qi stagnation pulse

A

soggy or slippery

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10
Q

Dampness obstruction and qi stagnation pathogenesis

A

Living in wet environment/rain
damp evil invades and blocks the meridians
Non ascending of clear yang and non descending of turbid yin causes head distending discomfort

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11
Q

Dampness obstruction and qi stagnation headache type

A

heaviness as if wrapped by a cloth

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12
Q

Head distending discomfort with headache, aggravated by heat, fever, aversion to wind, red face, sore and swollen throat, dry mouth and thirst DIAGNOSIS

A

wind heat attacking

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13
Q

wind heat attacking tongue

A

red tip, thin yellow coat

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14
Q

wind heat attacking pulse

A

floating rapid

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15
Q

wind heat attacking temperature

A

hot, fever, aversion to wind

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16
Q

wind heat attacking pathogenesis

A

the yang meridians are attacked by the invading wind heat evil resulting in head distention discomfort

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17
Q

Head coldness feeling accompanied by head and nape stiffness and pain, aversion to cold, fever and body aching DIAGNOSIS

A

Tai Yang wind cold attack

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18
Q

Tai Yang wind cold attack tongue

A

pink, thin coating

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19
Q

Tai Yang wind cold attack pulse

A

floating, tight

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20
Q

Tai Yang wind cold attack excess or deficient cold?

A

excess

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21
Q

Tai Yang wind cold attack where is the pain

A

nape of the neck

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22
Q

Tai Yang wind cold attack body feeling

A

body aching

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23
Q

Tai Yang wind cold attack temperature

A

aversion to cold, fever

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24
Q

Tai Yang wind cold attack pathogenesis

A

Tai Yang meridian governs the exterior and serves as the defense of the whole body
Foot tai yang runs from the head to the foot via the back
Qi movement is blocked when the wind cold evil attack sthe exterior thus causing head coldness feeling

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25
Q

Head coldness feeling accompanied by vertex headache, desire to be covered, dull cyanotic facial complexion, reversal coldness of four limbs, vomiting out clear saliva and frothy sputum DIAGNOSIS

A

Jue Yin direct cold attack

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26
Q

Jue Yin direct cold attack tongue

A

white coating

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27
Q

Jue Yin direct cold attack pulse

A

deep, tight

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28
Q

Jue Yin direct cold attack pathogenesis

A

Jue Yin meridian ends at head vertex
Cold evil reaches the jue yin meridian by direct invasion or from the exterior
The cold disturbs the vertex causing head coldness feeling

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29
Q

Jue Yin direct cold attack temperature

A

reversal coldness of four limbs

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30
Q

Jue Yin direct cold attack complexion

A

dull facial complexion

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31
Q

Jue Yin direct cold attack vomiting

A

clear saliva and frothy sputum

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32
Q

Coldness at the forehead and vertex that may connect with the back vertebral column, varying in intensity, can be relieved by warmth, cannot be cured, and persisting. Cold limbs, store lower back, fear of cold, pale lusterless facial complexion DIAGNOSIS

A

Du meridian deficiency cold

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33
Q

Du meridian deficiency cold tongue

A

Pale, white coating

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34
Q

Du meridian deficiency cold pulse

A

deep, thready, or deep

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35
Q

Du meridian deficiency cold pathogenesis

A

Taxation, chronic illness, or damp cold evil invasion

Du meridian lacks nourishment because of blood and essence deficiency resulting into deficiency cold

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36
Q

why is there cold at the forehead and vertex for Du meridian deficiency cold

A

Du meridian runs along the spine to reach the vertex, head coldness will be felt when the yang qi is not sufficiently filed in the channel because of the deficiency cold

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37
Q

Vertigo with distending headache, aggravated by anger, heaviness in head lightness at legs, irritability, restlessness, insomnia with lots of dreams, dry mouth, bitter taste DIAGNOSIS

A

Liver yang hyperactive

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38
Q

Liver yang hyperactive tongue

A

red, yellow coating

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39
Q

Liver yang hyperactive pulse

A

wiry, rapid

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40
Q

Liver yang hyperactive pathogenesis

A

Repressed emotion and anger
liver qi stagnation transformed into fire
Fire injures liver yin
liver yang flares upward to disturb the clear mind causing vertigo and head distending discomfort

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41
Q

Liver yang hyperactive body feeling

A

heaviness in head, lightness at legs

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42
Q

Vertigo with blurred vision, aggravated by over thinking, sallow lusterless facial complexion, pale lips, palpitation, fatigue, breathlessness, weakness, insomnia, poor appetite, loose stool DIAGNOSIS

A

Spleen qi deficiency

Heart blood deficiency

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43
Q

Spleen qi deficiency
Heart blood deficiency
tongue

A

pale

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44
Q

Spleen qi deficiency
Heart blood deficiency
pulse

A

thready weak

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45
Q

Spleen qi deficiency

Heart blood deficiency pathogenesis

A

insufficiency of qi and blood to nourish the head and eyes, leads to vertigo and blurred vision

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46
Q

Spleen qi deficiency

Heart blood deficiency complexion

A

sallow lusterless

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47
Q

Spleen qi deficiency

Heart blood deficiency lips

A

pale

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48
Q

Spleen qi deficiency

Heart blood deficiency heart symptoms

A

palpitation, insomnia, palpitations

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49
Q

Spleen qi deficiency

Heart blood deficiency spleen symptoms

A

fatigue, poor appetite, loose stool, fatigue

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50
Q

Spleen qi deficiency

Heart blood deficiency vision

A

blurred

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51
Q

Vertigo with tinnitus, blurred vision, listlessness, mental fatigue, poor memory, premature senility, loos of hair, sore and weak lower back and knees, seminal emission, impotence DIAGNOSIS

A

Kidney essence deficiency

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52
Q

Kidney essence deficiency tongue

A

thin, pale red

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53
Q

Kidney essence deficiency pulse

A

deep, thin

thready and weak at Chi position

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54
Q

Kidney essence deficiency pathogenesis

A

brain is the sea of marrow
kidney is the root of preheaven essence
the brain stores essence and produces marrow
the brain is not fully filled in case of kidney essence deficiency

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55
Q

brain is the

A

sea of marrow

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56
Q

the kidney is the root of

A

preheaven essence

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57
Q

Kidney essence deficiency vision

A

blurred

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58
Q

Kidney essence deficiency body feeling

A

listlessness, fatigue

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59
Q

Kidney essence deficiency mind feeling

A

mental fatigue

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60
Q

Kidney essence deficiency hair

A

loss of hair

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61
Q

Dizziness with heavy head sensation, fullness at chest and epigastrium, nausea, vomiting, no desire to drink and eat, heaviness of the body and limbs, may have somnolence or strong desire to sleep DIAGNOSIS

A

dampness and phlegm obstructing the middle jiao

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62
Q

dampness and phlegm obstructing the middle jiao tongue

A

white greasy coating

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63
Q

dampness and phlegm obstructing the middle jiao pulse

A

soggy and slippery

wiry and slippery

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64
Q

dampness and phlegm obstructing the middle jiao pathogenesis

A

Because of the osbtruction in the middle jiao, the clear yang cannot ascend and the turbid yin cannot descend
leads to vertigo, somnolence, and heavy head feelingq

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65
Q

dampness and phlegm obstructing the middle jiao head sensation

A

heavy

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66
Q

dampness and phlegm obstructing the middle jiao chest feeling

A

fullness

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67
Q

dampness and phlegm obstructing the middle jiao digestion

A

nausea/vomiting

no desire to drink or eat

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68
Q

dampness and phlegm obstructing the middle jiao body feeling

A

heaviness of body and limbs

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69
Q

Dizziness, vertigo, five center heat, agitation, insomnia, sore weak lower back and knees, may have tremor or numbness of limbs DIAGNOSIS

A

LV/KD yin deficiency

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70
Q

LV/KD yin deficiency tongue

A

red, little coating

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71
Q

LV/KD yin deficiency pulse

A

thready rapid

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72
Q

LV/KD yin deficiency pathogenesis

A

Liver kidney yin deficiency due to hyperactive liver yang and deficient fire rising to disturb the mind

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73
Q

LV/KD yin deficiency pain

A

soreness in the lower back and knees

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74
Q

LV/KD yin deficiency limbs

A

tremors or numbness

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75
Q

LV/KD yin deficiency temperature

A

five center heat

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76
Q

Dizziness, tinnitus, vertigo, headache, dull expression, forgetfulness, retarded movement, disturbed sleep, fecal and urinary incontinence DIAGNOSIS

A

Kidney essence deficiency

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77
Q

Kidney essence deficiency tongue

A

pale, thin white coating

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78
Q

Kidney essence deficiency pulse

A

deep, thready

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79
Q

Kidney essence deficiency pathogenesis

A

Due to insufficient marrow production to fill up the brain

Usually due to old aged, over worked patients

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80
Q

Kidney essence deficiency ears

A

tinnitus

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81
Q

Kidney essence deficiency expression

A

dull

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82
Q

Kidney essence deficiency movement

A

slow, delayed

83
Q

Kidney essence deficiency bathroom problems

A

fecal and urinary incontinence

84
Q

Kidney essence deficiency sleep

85
Q

Dizziness, fatigue, weakness, lusterless facial complexion, dull sluggish spirit, flaccid limbs DIAGNOSIS

A

Qi deficiency

Blood stagnation

86
Q

Qi deficiency

Blood stagnation tongue

A

pale dull with stasis patches

thin white coating

87
Q

Qi deficiency

Blood stagnation pulse

A

thready soggy

88
Q

Qi deficiency

Blood stagnation pathogenesis

A

chronic illness
severe blood loss
external head injury

89
Q

Qi deficiency

Blood stagnation body feeling

A

fatigue, weak

90
Q

Qi deficiency

Blood stagnation complexion

A

lusterless

91
Q

Qi deficiency

Blood stagnation spirit

92
Q

Qi deficiency

Blood stagnation limbs

93
Q

Headache with vertigo, located at the temple and vertex, aggravated by anger, irritability, tinnitus, insomnia, hypochondriac pain, dry mouth, red face DIAGNOSIS

A

Liver yang hyperactive

94
Q

Liver yang hyperactive tongue

A

red, little coating or thin yellow coating

95
Q

Liver yang hyperactive pulse

A

wiry or thready rapid

96
Q

Liver yang hyperactive pathogenesis

A

suppressed emotions
yin deficiency
causes hyperactive liver yang that disturbs the clear orifice leading to headache with vertigo
usually aggravated by anger

97
Q

Headache with hollow pain, aggravated by overworking, fatigue, weakness, poor appetite, breathlessness, loose stool DIAGNOSIS

A

spleen qi deficiency

98
Q

spleen qi deficiency tongue

A

thin white coating

99
Q

spleen qi deficiency pulse

A

empty forceless

100
Q

spleen qi deficiency pathogenesis

A

non ascending of clear yang and non descending of turbid yin due to qi deficiency does not clear the orifices
this leads to persisting headache

101
Q

spleen qi deficiency headache

A

hollow pain, persisting

102
Q

spleen qi deficiency headache aggravated by

103
Q

Vague headache with vertigo, palpitations, insomnia, dry eyes, blurred vision, white facial complexion, pale lips DIAGNOSIS

A

yin and blood deficiency

104
Q

yin and blood deficiency tongue

105
Q

yin and blood deficiency pulse

A

thready weak

106
Q

yin and blood deficiency pathogenesis

A

head lacks blood nourishment and leads to vague headache with vertigo

107
Q

yin and blood deficiency headache

A

vague with vertigo

108
Q

yin and blood deficiency sleep symptoms

109
Q

yin and blood deficiency eyes

110
Q

yin and blood deficiency complexion

111
Q

yin and blood deficiency vision

112
Q

yin and blood deficiency lips

113
Q

Chronic stabbing headache with fixed location, maybe history of external head injury DIAGNOSIS

A

Blood stagnation obstructing the head

114
Q

Blood stagnation obstructing the head tongue

115
Q

Blood stagnation obstructing the head pulse

A

thready or thready soggy

116
Q

Blood stagnation obstructing the head pathogenesis

A

stagnated blood blocking the meridian causes pain

117
Q

Blood stagnation obstructing the head headache

A

chronic stabbing headache with fixed location

118
Q

Headache with drowsiness, vertigo, chest oppression, epigastric fullness, vomiting of phlegm and saliva, poor appetite DIAGNOSIS

A

turbid phlegm obstructing the head

119
Q

turbid phlegm obstructing the head tongue

A

white greasy coating

120
Q

turbid phlegm obstructing the head pulse

A

wiry slippery

121
Q

turbid phlegm obstructing the head pathogenesis

A

SP/ST dysfunction due to improper feeding habits leads to phlegm production
turbid phlegm ascends to mist the clear orifice causing drowsiness and dull headache

122
Q

turbid phlegm obstructing the head vomiting

A

phlegm and saliva

123
Q

turbid phlegm obstructing the head appetite

124
Q

turbid phlegm obstructing the head chest feeling

A

chest oppression, epigastric fullness

125
Q

Distending headache with vertigo, dry eyes, tinnitus, irritability, disturbed sleep, hypochondriac pain, dry mouth, red face DIAGNOSIS

A

Liver yang hyperactive

126
Q

Liver yang hyperactive tongue

A

red little coating

127
Q

Liver yang hyperactive pulse

A

wiry or thready rapid

128
Q

Liver yang hyperactive pathogenesis

A

repressed emotion
liver qi stagnation and transforms into heat/fire
yin unable to hold down the yang
yang flares upward to disturb the clear mind causing migraine headaches that will be aggravated by emotional fluctuation

129
Q

Liver yang hyperactive migraine aggravated by

A

emotional fluctuation

130
Q

Chronic headache of fixed location and stabbing in nature, forgetfulness, palpitation, irregular menstruation DIAGNOSIS

A

blood stagnation affecting the head

131
Q

blood stagnation affecting the head tongue

A

dull purple, purple patches

132
Q

blood stagnation affecting the head pulse

A

wiry or deep soggy

133
Q

blood stagnation affecting the head pathogenesis

A

The blood stasis is usually resulted from qi stagnation

stasis enters and blocks the meridians with time

134
Q

blood stagnation affecting the head type of headache

A

chronic and fixed location

stabbing

135
Q

blood stagnation affecting the head mind

A

forgetfulness

136
Q

blood stagnation affecting the head heart symptoms

A

palpitations

137
Q

blood stagnation affecting the head gyno

A

irregular menstruation

138
Q

Dull headache with drowsiness, fullness at chest and epigastrium, stomach pain that likes warmth, vomiting out saliva and phlegm, reversal coldness of four limbs, poor appetite DIAGNOSIS

A

Phlegm fluid obstructing

139
Q

Phlegm fluid obstructing tongue

A

white, greasy coating

140
Q

Phlegm fluid obstructing pulse

A

wiry slippery

141
Q

Phlegm fluid obstructing pathogenesis

A

long standing spleen yang dysfunction leads to dampness and fluid retention
phlegm fluid blocks the meridians and impedes ascending of clear yang causing drowsiness and dull headache

142
Q

Phlegm fluid obstructing headache type

143
Q

Phlegm fluid obstructing stomach

A

pain that likes warmth

144
Q

Phlegm fluid obstructing vomiting

A

out saliva and phlegm

145
Q

Phlegm fluid obstructing temperature

A

reversal coldness of four limbs

146
Q

Tingling in the scalp, more tingling than numbness over the scalp, lusterless facial complexion, dizziness, palpitations, pale lips, pale nails DIAGNOSIS

A

blood deficiency

147
Q

blood deficiency tongue

A

pale, thin coating

148
Q

blood deficiency pulse

A

thready forceless

149
Q

blood deficiency pathogenesis

A

skin lacks nourishment due to blood deficiency

150
Q

Scalp tingling and numbness, more numbness than tingling over the scalp, vertigo, tiredness of the body and limbs, fullness of the chest and epigastrium vomiting out saliva and phlegm DIAGNOSIS

A

Dampness and phlegm obstructing meridian

151
Q

Dampness and phlegm obstructing meridian tongue

A

thick, greasy coating

152
Q

Dampness and phlegm obstructing meridian pulse

A

wiry slippery

153
Q

Dampness and phlegm obstructing meridian pathogenesis

A

qi and blood circulation in meridians is impeded by the damp and phlegm obstruction
skin lacks nourishment

154
Q

Dampness and phlegm obstructing meridian body symptoms

A

tiredness of body and limbs

fullness of chest and epigastrium

155
Q

Dampness and phlegm obstructing meridian vomiting

A

out saliva and phlegm

156
Q

head drooping is a severe symptom due to

A

zang qi depletion

157
Q

Head drooping with sallow facial complexion, emaciation, fatigue, limb weakness, breathlessness, unwilling to talk, poor appetite, loose stool DIAGNOSIS

A

spleen qi deficiency

158
Q

spleen qi deficiency tongue

A

pale puffy

teeth marks

159
Q

spleen qi deficiency pulse

A

thready forceless

160
Q

spleen qi deficiency pathogenesis

A

spleen qi deficiency, inability of clear yang to ascend leads to head drooping

161
Q

spleen qi deficiency talking symptoms

A

unwilling to talk

162
Q

spleen qi deficiency body symptoms

A

fatigue, emaciation, limb weakness

163
Q

spleen qi deficiency complexion

164
Q

Head drooping with tinnitus, deafness, soreness and weakness of the lower back and knees, difficulty in standing and walking, unstable gait, seminal emission, impotence DIAGNOSIS

A

marrow depletion

165
Q

marrow depletion tongue

A

pale, little coating

166
Q

marrow depletion pulse

A

deep minute

167
Q

marrow depletion pathogenesis

A

the brain is the sea ofm arrow
kidney essence is the origin of marrow
the brain is not fully filled because of the kidney deficiency
this leads to head drooping and deafness

168
Q

marrow depletion pain

A

soreness and weakness in the lower back and knees

169
Q

Involuntary head shaking with dizziness, body trunk and limbs tremor, red face, red eyes, bitter taste, dry throat DIAGNOSIS

A

Liver yang rising generating wind

170
Q

Liver yang rising generating wind tongue

A

red, yellow coating

171
Q

Liver yang rising generating wind pulse

A

wiry, rapid

172
Q

Liver yang rising generating wind pathogenesis

A

Liver is wood and wind
wind is moving and shaking
the head is shaking involuntarily in case of internal wind stirring due to liver yang rising

173
Q

Liver yang rising generating wind tremors

A

limbs and trunk

174
Q

Liver yang rising generating wind throat

175
Q

Usually ocrrured at the late stage of febrile disease, involuntary head movement, agitation, hot feeling, night sweating, insomnia, low spirit and weakness DIAGNOSIS

A

Liver yin deficiency stirring wind

176
Q

Liver yin deficiency stirring wind tongue

A

red, little coat

177
Q

Liver yin deficiency stirring wind pulse

A

thready, rapid

178
Q

Liver yin deficiency stirring wind pathogenesis

A

Liver lacks nourishment from the deficient liver yin

internal wind due to liver yin deficiency harassing upward causing the head to shake

179
Q

Early greying of hair, thinning of hair, vertigo, blurred vision, tinnitus, decrease hearing power, sore weak lower back and knees, nocturia DIAGNOSIS

A

LV/KD deficiency

180
Q

LV/KD deficiency tongue

181
Q

LV/KD deficiency pulse

A

thready weak

182
Q

LV/KD deficiency pathogeensis

A

kidney stores essence
hair relies on the nourishment of the kidney essence
liver stores blood and hair is an extension of blood
the hair lacks nourishment inc ase of deficiency of kidney essence and liver blood resulting in early greying
usually occurs in middle aged people

183
Q

LV/KD deficiency vision

184
Q

LV/KD deficiency hearing

185
Q

LV/KD deficiency pain

A

weak and sore low back and knees

186
Q

Greying of hair with whtie dandruff falling off, emaciation, palpitations, agitation, insomnia, dreaming a lot, declining memory DIAGNOSIS

A

Yin/blood deficiency heat

187
Q

Yin/blood deficiency heat tongue

188
Q

Yin/blood deficiency heat pulse

A

thready weak

189
Q

Yin/blood deficiency heat pathogenesis

A

pensiveness injures the heart blood, causing blood deficiency with deficient heat formation
hair lacks nourishment as the blood is burnt by the head
usually occurs in younger people

190
Q

Sudden greying in short period of time, suppressed emotion, oppression and fullness of chest and hypochondrium, frequent sighing, irritability, no desire of drinking and eating DIAGNOSIS

A

Liver qi stagnation

191
Q

Liver qi stagnation tongue

192
Q

Liver qi stagnation pulse

A

wiry rapid

193
Q

Liver qi stagnation pathogenesis

A

disruption of the smooth qi flow in the liver leads to qi stagnation which turns into heat
the hair lacks nourishment as the yin blood is burnt by the heat
this causes greying of hair in a short period of timeq

194
Q

Head distending discomfort diagnoses

A

Liver fire blazing
dampness obstruction and qi stagnation
wind heat attacking

195
Q

Head coldness feeling diagnoses

A

tai yang wind cold attack
jue yin direct cold attack
Du meridian deficiency cold

196
Q

Vertigo diagnoses

A

liver yang hyperactivity
heart blood deficiency/spleen qi deficiency
kidney essence deficiency
dampness and phlegm obstructing the middle jiao

197
Q

Dizziness diagnoses

A

LV/KD yin deficiency
kidney essence deficiency
qi deficiency and blood stagnation

198
Q

headache diagnoses

A 
liver yang hyperactive
spleen qi deficiency
yin/blood deficiency
blood stagnation obstructing the head
turbid phlegm obstructing the head
199
Q

migraine headache diagnoses

A

liver yang hyperactive
blood stagnation obstructing the head
phlegm fluid obstructing the head

200
Q

scalp tingling/numbness diagnoses

A

blood deficiency

dampness and phlegm obstructing meridian

201
Q

head drooping diagnoses

A

spleen qi depletion

marrow depletion

202
Q

head shaking diagnoses

A

liver yang rising generating wind

liver yin deficiency stirring wind

203
Q

early greying of hair diagnoses

A

liver kidney deficiency
yin/blood deficiency with heat
liver qi stagnation

ICTCM Year 2 (24 decks)

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