Blood and Fluids

Question 1

All of the following are symptoms of Heat in the Blood EXCEPT:
  Fixed abdominal masses 
  Irregular bleeding 
  Skin rashes 
  Restlessness

Answer 1

Fixed abdominal masses - Blood Stagnation

Question 2

Your patient presents with a constant stabbing pain in her lower back. She also suffers from severe cramps during the first couple days of her menstrual cycle. Her LR pulse is choppy, and her tongue is a pale purple. You diagnose her with:
Blood Deficiency
Blood Stagnation
Blood Heat

Answer 2

Blood Stagnation

Question 3

True or False: Dryness is both an EPF and an IPF?

True
False

Answer 3

True
Exterior Dryness comes from climactic factors
Interior Dryness comes from deficiency of Jin Ye from diet, sweating, other fluid loss.

Question 4

The pulse quality associated with Fluid Deficiency is:
  Weak 
  Slippery 
  Wiry 
  Thin

Answer 4

Thin - not enough fluids

Question 5

True or False: Blood Stagnation can result from both Hot and Cold pathology:
True
False

Answer 5

True

Hot because heat damages Yin, thickens and stagnates blood.

Cold because cold congeals blood and makes it sluggish

Question 6

Name the blood pathology:
Emotional or physical numbness, dull white complexion, dry hair, skin, nails, tongue, dizziness, pins and needles, muscle cramps, restless legs, tight muscles.
Scanty menses, insomnia, palpitations, lack of concentration.
Pulse: Thin
Tongue: Pale, dry, narrow

Answer 6

Blood deficiency

Question 7

What is the etiology of Blood Deficiency?

Answer 7

Poor nutrition - diet low in meat and grains
Emotional stress - excessive mental activity
Blood loss - Trauma or surgery

Question 8

Name the Blood Pathology:
Dark complexion, purple or black around eyes, dusky, purple nails, lips, eye lids.
Fixed, stabbing pain, masses that do not move, varicosities, menstrual clots, cardiovascular clots, painful menses.
Pulse: Choppy
Tongue: Purple, dark and distended sublingual veins, purple/black and dark spots on tongue or sides.

Answer 8

Blood Stagnation

Question 9

Mobile masses are blood stagnation, true or false?

Answer 9

False - they are Qi stagnation

Question 10

Painful menses during menstruation, heavy and prolonged menstrual bleeding is Blood Stagnation, true or false?

Answer 10

True.

Painful menses before menstruation but better after bleeding is Qi stagnation.

Question 11

Blood stagnation and Blood Deficiency can cause Blood Heat, true or false?

Answer 11

True
Blood Stagnation: body may fight stagnation with fire, causing heat. Long term blood stagnation can cause blood heat.
Blood Deficiency: Empty heat, heat can have upper burner bleeding: nose bleeds, vomit, cough, blood shot eyes, flooding menstrual blood, anxiety, restless, irritable, agitation.

Question 12

Blood Heat pulse and tongue:

Answer 12

Pulse:
Rapid, flooding, big from Full Heat
Choppy if from Blood Stagnation
Thin if from Blood Deficiency

Tongue:
Red, dark red sides, tip of tongue red, thick yellow coat, prickles or red spots on tongue

Question 13

What is the etiology of Blood Stagnation?

Answer 13

Trauma
Qi Stagnation
Qi Deficiency
Blood Deficiency
Heat
Cold

Question 14

Why are Qi stagnation, Qi deficiency, and Blood deficiency etiologies for Blood Stagnation?

Answer 14

Qi Stagnation - Qi moves blood
Qi Deficiency - not enough Qi to move the blood
Blood Deficiency - low not enough blood

Question 15

Why can Heat and Cold be causes of blood stagnation?

Answer 15

Heat damages yin, thickens and stagnates blood

Cold - cold condenses and congeals, makes blood sluggish