Case Studies for Final Exam Flashcards
Patient: 54-year-old male
CC: Chronic joint pain, especially in the knees and lower back, aggravated by cold and damp weather.
History: The pain started five years ago and has gradually worsened. There is stiffness in the morning, which gets better with movement, and some swelling in the joints.
Other symptoms are aversion to cold, heavy sensation in limbs, pale complexion, and no thirst.
Tongue: white greasy coat
Pulse: Slippery
What are the diagnosis, the pattern differentiation, and acupuncture points?
Bi Syndrome
Due to Wind-Damp
Ashi points
SP-10 + BL-17
SP-9 + ST-36
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 42-year-old female
CC: Weakness and atrophy in both lower legs, difficulty walking.
History: Symptoms began six months ago after a prolonged fever. Muscle strength continues to decline, with mild tingling in the feet.
Other Symptoms: Dry mouth, irritability, scanty urination, low-grade fever in the afternoon.
Tongue: Red with little coating
Pulse: Thready, rapid
Wei-Flaccidty
Ki Yin Xu w/ Empty Heat
KI-3 + KI-6 + SP-6 + LI-11 + BL-23
GB-34 + GB-31 + ST-31
HT-7 + PC-6
Haotoujiaji
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 37-year-old male
Chief Complaint: Lower back pain, worse after work, alleviated with rest.
History: Works in construction, and frequently lifts heavy objects. The pain is dull, achy, and improves with warmth.
Other Symptoms: Weak knees, cold sensation in the lower back, frequent nighttime urination, fatigue.
Tongue: Pale + puffy
Pulse: Deep, weak
Lumbago
KI Yang Xu
BL-25 + BL-40 + BL-23 + Yao Yan + Ashi Points
DU-4 (moxa) + BL-52
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 28-year-old male
Chief Complaint: Frequent nocturnal emissions, sometimes occurring without dreams.
History: Increased frequency over the past three months. Feels tired and unfocused during the day.
Other Symptoms: Palpitations, poor memory, insomnia, dry mouth.
Tongue: Red with a scanty coating
Pulse: Thready, rapid
Seminal or Nocturnal Emission
Due to HT + KI Disharmony
HT-7 + BL-15 + BL-23 + BL-52
KI-6 + SP-6 + ST-36
An Mian + Sishenchong
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 52-year-old female
Chief Complaint: Swelling in the legs and abdomen for the past six months, worsening over time.
History: Chronic digestive issues, bloating, and fatigue. Swelling is worse in the morning and improves slightly with movement.
Other Symptoms: Poor appetite, loose stools, cold extremities, shortness of breath, and a heavy sensation in the body.
Tongue: Pale with a swollen body and teeth marks, white greasy coat
Pulse: Deep, slow, weak
Edema, Yin-type
SP Yang Xu
SP-9 + REN-9 + ST-28
SP-6 + ST-36 + BL-20 + BL-22 + BL-28
REN-4 + REN-6
Moxa on DU-4 + REN-8
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 68-year-old male
Chief Complaint: Difficulty urinating, weak urine stream, and frequent dribbling for the past year.
History: Long-standing lower back and knee weakness, cold intolerance, fatigue, and dizziness. Symptoms worsen in cold weather.
Other Symptoms: Sore and weak lower back, cold limbs, pale complexion, occasional impotence.
Tongue: Pale, swollen, with a thin white coat
Pulse: Deep, weak
Urine Retention
KI Yang Xu
REN-3 + BL-28
BL-23
REN-4 + REN-6 + ST-36
Moxa on DU-4 + REN-8
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 35-year-old male
Chief Complaint: Burning pain during urination, frequent urgency, and difficulty urinating.
History: Symptoms started two weeks ago after eating a lot of spicy food and drinking alcohol.
Other Symptoms: Dark yellow urine with a strong odor, thirst with a desire for cold drinks, irritability, urethra pain
Tongue: Red with a yellow greasy coat
Pulse: Rapid, slippery
Stranguria
Damp-Heat
REN-3 + SP-9 + ST-28
BL-39
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 29-year-old male
Chief Complaint: Sudden onset of facial and eyelid swelling, progressing to the limbs.
History: Recent cold with fever and chills, started experiencing swelling a few days ago.
Other Symptoms: Aversion to wind, slight cough, difficulty breathing, scanty urination.
Tongue: Thin white coat
Pulse: Floating, slippery
Edema, Yang-type
Wind-Water Attacking
LI-4 + LU-7 + SJ-5
BL-12 + BL-13
LI-6
REN-17 + ST-36
SP-9 + REN-9 + ST-28
REN-3 + BL-28
What are the diagnosis, the pattern differentiation, and acupuncture points?
Chief Complaint: Difficulty starting urination, urinary hesitation, and a sense of incomplete emptying.
History: Symptoms appear during periods of stress and emotional tension. No physical pain, but a feeling of distension in the lower abdomen.
Other Symptoms: Irritability, sighing frequently, hypochondriac discomfort, PMS symptoms.
Tongue: Slightly red edges
Pulse: Wiry
Urine Retention
LR Qi Stagnation
LR-3 + LR-14 or 4 Gates
REN-3 + BL-28
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 45-year-old male
Chief Complaint: Loose stools occurring every morning before dawn for the past three months.
History: Chronic lower back soreness and fatigue. Stools are watery and undigested.
Other Symptoms: Cold limbs, aversion to cold, frequent nighttime urination, low energy.
Tongue: Pale + puffy
Pulse: Deep, weak
Diarrhea
KI Yang Xu
ST-25 + ST-36
DU-4 + REN-8 w/ salty moxa
REN-4 + REN-6
BL-20 + BL-23
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 60-year-old female
Chief Complaint: Hard, dry stools, difficult to pass, with a bowel movement every three to four days.
History: Long-term constipation, worse in winter. Stool is dry and pebble-like, requiring straining.
Other Symptoms: Cold limbs, pale complexion, preference for warm drinks, frequent, clear urination
Tongue: thick, white coat
Pulse: Slow, deep
Constipation
Body Fluids Xu w/ Yang Xu
SJ-6 + ST-25 + ST-28 ST-37
KI-6
REN-8 moxa
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 32-year-old male
Chief Complaint: Urgent, frequent diarrhea with a foul odor and abdominal cramping.
History: Symptoms started two days ago after eating street food. Stools are yellowish and watery, with an urgent need to defecate.
Other Symptoms: Fever, mild chills, thirst with a desire for cold drinks, burning sensation in the anus.
Tongue: Red with a yellow greasy coat
Pulse: Rapid, slippery
Diarrhea
Damp-Heat
ST-25 + ST-37 + ST-39
BL-39 + SP-9 + REN-9
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 55-year-old female
Chief Complaint: Lower abdominal pain and distention, with a firm mass that does not move upon palpation.
History: Abdominal fullness and discomfort for the past year. Symptoms have worsened, with increased pain and a sensation of pressure.
Other Symptoms: Dark complexion, dry skin, irregular periods, dark clotted menstrual flow.
Tongue: Dark purple with purple spots
Pulse: Choppy
‘Ji’ Abdominal Mass
Blood Stasis
SP-6 + SP-10 + BL-17
LI-4 + LR-3 + + LR-14 + GB-34
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 27-year-old male
Chief Complaint: Severe abdominal pain with tenesmus, urgency, and diarrhea mixed with blood and mucus.
History: Symptoms began two days ago. Pain is relieved after defecation but returns shortly after.
Other Symptoms: Irritability, thirst, burning sensation in the rectum, fever.
Tongue: Red with a sticky yellow coat
Pulse: Rapid, slippery
Dysentery
Damp-Heat
BL-25 + ST-28 + ST-29 + BL-32
BL-39 + + SP-9 + LI-11
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 58-year-old male
Chief Complaint: Gradual difficulty swallowing, starting with solid foods and now affecting liquids.
History: Symptoms have worsened over the past six months. The patient feels as if something is stuck in the throat, with occasional choking and a sensation of fullness in the chest.
Other Symptoms: Dry mouth and throat, weight loss, fatigue, dry stools.
Tongue: Red with little coating
Pulse: Thin, rapid
Ye Ge
Body Fluids Xu w/ Heat
REN-17 + REN-22 + PC-6
KI-3 + KI-6 + SP-6
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 40-year-old female
Chief Complaint: Frequent bouts of hiccups that are loud and continuous, occurring mostly after meals.
History: The condition started after a stressful event two weeks ago. The patient also experiences emotional distress and irritability.
Other Symptoms: Hypochondriac tightness, sighing, bloating, and occasional belching.
Tongue: Slightly red edges with a thin white coat
Pulse: Wiry
Hiccup
LR Qi Stagnation
BL-17 + BL-46 + REN-12 + PC-6 + ST-36
REN-17 + LR-3
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 35-year-old male
Chief Complaint: Frequent vomiting with a sour taste, especially after eating greasy foods outside during a summer picnic.
History: The condition started one month ago. The patient reports epigastric discomfort and nausea, with symptoms worsening when lying down.
Other Symptoms: Poor appetite, bloating, acid regurgitation, bad breath.
Tongue: Red with a yellow greasy coat
Pulse: Slippery, rapid
Vomiting
Summer Heat w/ Dampness
PC-6 + SP-4 + REN-12 + ST-36
ST-44 + BL-39 + Jinjin + Yuye
What are the diagnosis, the pattern differentiation, and acupuncture points?
Patient: 52-year-old male
Chief Complaint: Progressive abdominal distention with visible vein distention around the umbilicus.
History: The patient has had a history of excessive alcohol consumption for many years. The abdomen feels full and tight, with discomfort that worsens in the evening.
Other Symptoms: Poor appetite, dark complexion, fatigue, dry mouth but no desire to drink, history of jaundice.
Tongue: Dark purple with petechiae
Pulse: Wiry, choppy
Drum Distention
Blood Stasis
SP-6 + SP-10 + BL-17
4 Gates
REN-6 + REN-17
SP-9 + REN-9 + ST-28
What are the diagnosis, the pattern differentiation, and acupuncture points?
