B-V Differentiation of Syndromes

Question 1

A: Excess syndromes of phlegm-heat in the lung
B: Excess phlegm-dampness in the lung
C: invasion of the lung by wind-cold
D: accumulation of cold-phlegm in the lung
E: invasion of the lung by wind-heat
F: accumulation of phlegm-heat in the lung
G: injury of the lung by pathogenic dryness
H: a long-standing yin deficiency of the lung
I. Thick sputum with foul smell suggests ( ).
2. Dilute, clear and odourless sputum suggests ( ).
3. Cough in a coarse voice usually suggests ( ).
4. Cough in a clear voice usually suggests ( ).
5. Coarse breathing accompanied by asthma and rattling sound of sputum suggests ( ).
6. Dry cough with little sputum suggests ( ).

Answer 1

1. F, A;
2. D;
3. C, D;
4. E, F;
5. A, B, F;
6. G, H;

Question 2

A: sustained high-grade fever
B: a slight fever occurring at a definite time of the day
C: a feverish sensation conveyed to the body surface from the interior
D: a feverish sensation on the palms of the hands and soles of the feet
7. ( ) often indicates excess of heat in the interior due to invasion by exogenous pathogenic heat
8. ( ) often indicate( s) endogenous heat caused by deficiency of yin
9. ( ) often indicate(s) transmission of exogenous pathogens from the exterior to the interior.

Answer 2

7. A;
8. B, C, D;
9. A;

Question 3

A: weakness of the spleen and stomach
B: retention of food
C: hyperactivity of fire of the liver and gallbladder
D: damp-heat in the spleen
10. Stickiness and sweet taste in the mouth most likely suggests ( ).
11. A bitter taste in the mouth suggests ( ).
12. Foul belching and acid regurgitation suggests ( ).
13. Poor appetite, loose stools and fullness in the epigastrium and abdomen suggest ( ).

Answer 3

10. D;
11. C;
12. B;
13. A

Question 4

A: accumulation of damp-heat in the kidney and urinary bladder
B: deficiency-cold of the kidney and urinary bladder
C: deficiency of the spleen and kidney, accompanied by fluid retention
14. Scanty urine is most likely caused by ( ).
15. Frequent urination with clear urine suggests ( ).
16. Frequent urination scanty in amount and deep-yellow in colour suggests ( ).

Answer 4

14. C;
15. B;
16. A

Question 5

A.: deficiency syndrome
B: intestinal parasites
C: stagnation of Qi and blood
D: retention of food or phlegm
E: invasion of channels and collaterals by pathogenic wind
F: obstruction of channels and collaterals by cold-dampness
17. Fixed pain is often due to ( ).
18. Pain which is alleviated by pressure suggests ( ).
19. Pain which is aggravated by pressure suggests ( ).
20. Migrating pain is often due to ( ).

Answer 5

17. C;
18. A;
19. B, C, D;
20. E

Question 6

A: heat syndrome of the excess type
B: cold syndrome of the deficiency type
C: stagnation of Qi and blood
D: deficiency of blood
21. Post-menstrual lower abdominal pain which is reduced by pressing and accompanied
by a scanty reddish menstrual flow suggests ( ).
22. Excess menstrual flow which is a deep-red colour and of a shortened cycle suggests ( ).
23. A prolonged menstrual cycle with a scanty light-coloured discharge suggests ( ).
24. Pre-menstrual distending pain in the lower abdomen which is aggravated by pressure, and a dark purplish menstrual flow with clots suggests ( ).

Answer 6

21. D;
22. A;
23. B;
24. C

Question 7

A: flare-up of liver fire
B: deficiency of the blood in the liver
C: stagnation of cold in the liver channel
D: depression of liver Qi
25. Hypochondriac and lower abdominal distention and pain, and a distending sensation in the breasts suggests ( ).
26. Dizziness and distending sensation in the head suggests ( ).
27. Dizziness and numbness of the limbs suggests ( ).

Answer 7

25. D;
26. A;
27. B

Question 8

A: retention of food in the stomach
B: retention of fluid in the stomach due to cold
C: hyperactivity of fire of the stomach
28. Pain in the epigastric region which is aggravated by cold and alleviated by warmth suggests ( ).
29. Pain in the epigastric region accompanied by foul belching suggests ( ).
30. Burning pain in the epigastrium accompanied by preference for cold drinks suggests ( ).

Answer 8

28. B;
29. A;
30. C

Question 9

A: dryness of the lung due to a deficiency of yin
B: deficiency of yang of the spleen
C: deficiency of kidney yang
D: invasion of exogenous pathogenic heat
31. Dry cough with scanty or no sputum, accompanied by afternoon fever, suggests
( ).
32. A cough with excessive sputum which becomes more severe in winter, and accompanied by anorexia suggests ( ).
33. Needling with the reinforcing method combined with moxibustion can be applied to the syndrome of ( ).
34. Acupuncture without moxibustion is best applied to ( ).

Answer 9

31. A;
32. B;
33. B, C;
34. A, D;
35. D;

Question 10

A: deficiency of spleen yang
B: deficiency of kidney yang
C: dampness and heat in the intestine
D: cold and dampness in the intestine
35. Watery diarrhea with abdominal pain and borborymus suggests ( ).
36. Loose stool with undigested food suggests ( ).
37. Slight abdominal pain, borborygmus and diarrhea once or several times each morning at dawn suggests ( ).
38. Diarrhea with yellow, hot, loose and fetid stools suggests ( ).

Answer 10

36. A;
37. B;
38. C

Question 11

A: Excessive anger
B: Excessive grief, melancholy and meditation
C: Excessive joy or fear and fright
39. ( ) may cause mental restlessness and give rise to palpitation, insomnia, irritability, anxiety and even mental disorders.
40. ( ) may cause dysfunction of the liver and its ability to promote unrestraint and patency of vital energy. This in tum will give rise to pain and distention in the costal and hypochondriac region, mental depression and irascibility.
41. ( ) may cause dysfunction of the spleen and stomach in its function of transportation and transformation, and cause anorexia and abdominal fullness and distention after meals.

Answer 11

39. C;
40. A;
41. B

Question 12

A: existence of heat
B: existence of cold or deficiency of blood
C: stagnation of blood or severe pain
42. A patient with a red complexion suggests ( ).
43. A patient with a bluish-purple complexion suggests ( ).
44. A patient with a pale complexion suggests ( ).

Answer 12

42. A;
43. C;
44. B

Question 13

A: retention of food
B: invasion by the exogenous cold-damp
C: retention of phlegm and dampness in the interior
D: invasion by the pestilential pathogens
45. A white, sticky tongue coating usually suggests ( ).
46. A thick, white tongue coating usually suggests ( ).
47. A dry, white coating usually suggests ( ).

Answer 13

45. B, C;
46. A;
47. D

Question 14

A: A thin, yellow tongue coating
B: A thick, yellow tongue coating
C: A yellow, sticky tongue coating
D: A dry, yellow tongue coating
48. ( ) usually suggests persistent accumulation of the food in the stomach and intestine.
49. ( ) usually suggests invasion of the lung by wind-heat.
( ) usually suggests accumulation of heat in the stomach and intestine which results in damage to yin.
50. ( ) usually suggests accumulation of damp-heat in the interior or blockage of the lungs by phlegm-heat.

Answer 14

48. B;
49. A, D;
50. C

Question 15

A: diarrhea with undigested food in the stool and clear urine in increased volume
B: nasal obstruction, soreness or itching of the throat
C: rough and chapped skin and dryness of the throat
D: heaviness and a sensation of distention in the head as though it were tightly bandaged, and a sticky and sweetish taste in the mouth
E: carbuncle, furuncle and ulcer with local heat and redness, swelling, and pain
51. The symptom(s) indicating being affected by pathogenic wind include(s) ( ).
52. The symptom(s) indicating being affected by pathogenic cold include(s) ( ).
53. The symptom(s) indicating being affected by pathogenic dampness include(s) ( ).
54. The symptom(s) indicating being affected by pathogenic dryness
include(s) ( ).
55. The symptom(s) indicating being affected by pathogenic fire include(s) ( ).

Answer 15

51. B;
52. A;
53. D;
54. C;
55. E.