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CCM Clinic entrance exam > CCM Pathology > Flashcards

CCM Pathology Flashcards

1
Q

Yin Pattern: observation

A

pale and dark complexion
tired, likes to lie down
dislikes physical activity

tongue: fat slippery w/ oily/greasy appearance

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2
Q

Yin Pattern: listening and smelling

A

Weak voice
Pt quiet dislikes talking
Weak breathing
SOB

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3
Q

Yin Pattern: questioning

A 
bad smelling feces
food tasteless
PT not restless  or thirsty
prefers warm beverages
urination long and clear
urination short and scant (light in color)
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4
Q

Yin Pattern: palpation

A

St painful and full
better with pressure
body and feet cold
Pulse: deep, faint, thin, rough, weak, slow and/or forceless

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5
Q

Yang Pattern: observation

A 
red face
hot body
likes cold
restless
dry cracked lips

Tongue: yellow or brown coat, cracked, brown

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6
Q

Yang Pattern: listening and smelling

A 
strong voice
impatient
talkative
breathing is rough and fast
sounds of phlegm
Pt shouts and/or curses
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7
Q

Yang Pattern: questioning

A 
stool hard, constipated
foul smell
anorexia
dry mouth
thirst with desire to drink
urine short and dark
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8
Q

Yang Pattern: palpation

A

st painful
dislikes pressure
body and feet are warm

Pulse: floating, surging, rapid, large, slippery full and/or forceful

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9
Q

location of external dz

A

skin
hair
muscles
meridians

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10
Q

Location of internal DZ

A

Z/F organs
blood vessels
bone marrow

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11
Q

cold patterns

A 
prefers warmth dislikes cold
no thirst
complexion: pale white ghostly
limbs cold
stool loose
urine light in color long in duration
tongue: pale with white slippery coat
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12
Q

hot patterns

A 
prefers cold and dislikes warmth
thirsty, likes cold drinks
flushed/ red complexion
limbs hot
stool hard
urine dark and  short
tongue: red with yellow coat
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13
Q 
Tai Yang 
Biao
Ben
Zhong qi
KAi-He- Shu
A

Biao: Taiyang
Ben: cold
Zhong qi: Shaoyin
Kai-He-Shu: opens Yang

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14
Q

tai yang SHL lines

A

SHL Line 1: In Tai Yang disease the pulse is floating, the head and nape are stiff and painful, and
there is aversion to cold.

SHL Line 2: In Tai Yang disease, when there is heat effusion, sweating, aversion to wind, and a pulse
that is moderate, it is called Wind Strike.

SHL Line 3: Greater Yang disease, whether heat has effused or not, as long as there is aversion to
cold, with generalized pain, counterflow retching, and yin and yang pulses are both tight it is called Cold
Damage.

SHL Line 71: When in Greater Yang disease, after sweating is promoted and a great sweat issues, if
there is dryness in the Stomach, vexation and agitation with insomnia, giving a small amount of water
will harmonize the Stomach Qi so that recovery will ensue. (2) if the pulse is floating and there is
inhibited urination, slight heat, and dispersion thirst, Wu Ling San governs.

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15
Q 
Yang Ming
Biao
Ben
Zhong qi
Kai-He-Shu
A

Biao: Yangming
Ben: dryness
Zhong qi: Taiyin (Dry-Damp balance)
Kai-He-Shu: closes Yang, descending

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16
Q

Yang Ming SHL

A

SHL Line 180: In Yangming disease, the Stomach organ/channel complex is replete.
* 4 BIGS: sweat, pulse, fever, thirst

In Tai Yang disease, if one promotes sweating, or purges, or promotes urination, the fluids become damaged and dryness arises dryness in the Stomach and disease passes into Yang Ming. No bowel movements, internal fullness, and difficult defecation is Yang Ming.

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17
Q 
Shao yang
Biao
Ben
Zhong qi 
Kai He Shu
A

Biao: Shaoyang
Ben: fire
Zhong qi: Jueyin
Kai-He-Shu: Pivot, the birth of Yang

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18
Q

Shao yang SHL

A

SHL Line 263: In Shao Yang disease there is a bitter taste in the mouth, dry throat, and dizzy vision.

SHL Line 264: When Wind Strikes Shao Yang, there is no hearing in both ears, red eyes, and fullness and vexation in the chest.

SHL Line 265: In Cold Damage, when the pulse is string-like and thin, and there is headache with fever, the disease belongs to Shao Yang.

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19
Q 
Tai yin
Biao
Ben
Zhong qi 
Kai he shu
A

Biao: Taiyin
Ben: Dampness
Zhong qi: Yangming
Kai-He-Shu: Open

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20
Q

Tai Yin

SHL

A

SHL Line 273: In disease of Tai Yin there is abdominal fullness and vomiting with the inability to get food down, severe spontaneous diarrhea, and periodic spontaneous abdominal pain, and if purged (precipitation is used) there will be a hard bind below the chest.

SHL Line 277: When there is spontaneous diarrhea and thirst is absent, this belongs to Tai Yin disease; because there is cold in the storehouse (zang), one should use a warming treatment. A counterflow cold decoction formula is appropriate.

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21
Q 
Shao yin 
Biao
Ben
Zhong qi 
Kai he shu
A 
Biao: Shaoyin
Ben: heat
Zhong qi: Taiyang
Kai-He-Shu: Pivot (interaction of Yin and Yang, Yin transformation necessary for Yang to enter storage
of Yin)
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22
Q

shao yin SHL

A

SHL Line 303: When in Shaoyin disease that has lasted more than two or three days, there is vexation
in the heart and inability to sleep, Huang Lian E Jiao Tang governs.

SHL Line 316: When Shaoyin disease has not ceased after two or three days, and at four or five days there is abdominal pain, inhibited urination, heaviness and pain in the limbs and spontaneous diarrhea it means there is water qi, and the person may cough, or have uninhibited urination, or diarrhea, or retching; therefore Zhen Wu Tang governs.

SHL Line 305: When in Shaoyin disease, there is generalized pain, cold extremities, joint pain, and a pulse that is sunken, Fu Zi Tang governs.

23
Q 
Jue yin
Biao
Ben
Zhong qi 
Kai he shu
A

Biao: Jueyin (at the deepest level of Yin pathology)
Ben: wind
Zhong qi: Shaoyang
Kai-He-Shu: close (allowing Yin conformations to come to a close so that Yang can be allowed to
reemerge)

24
Q

jue yin SHL

A

SHL Line 326: In Jue Yin disease there is consumptive thirst, upward qi surges striking the heart, painful heat in the heart, hunger with inability to eat and vomiting roundworms upon eating; for if purged, incessant diarrhea will occur.

25
Q

Wei fen Pathogenesis

A

Pathogenic heat invades the body from the exterior attacks the lung and is stagnated in wei

26
Q

Wei fen syndrome

A

Fever and dry mouth, slight aversion to wind and cold, occasional head ache and pain in the throat, cough, Tongue: red margin and tip of the tongue, and Pulse: floating and rapid pulse.

27
Q

wei fen tx

A

Relieving the exterior syndrome with drugs pungent in flavor and cold in property

28
Q

wei fen points

A

LI4, LU7, (regulate flow of qi, clear lung heat)
TB5 (resolves pathogen),
GB20 , GV14, (clear exogenous pathogens)

29
Q

qi fen pathogenesis

A

Wind heat pathogen invades the lung and stomach, or damp heat lingers in san jiao.

30
Q

qi fen syndrome

A

High fever and aversion to heat
Thirst with a bitter taste, vexation
Cough, fever unrelieved with sweating
Dark urine

Pulse: full and large pulse or deep and re-plete pulse.

31
Q

qi fen tx

A

Clearing away the heat

Expelling the pathogenic factor from the exterior Promoting the dispersing function of the lung

32
Q

qi fen points

A

LI4 (heat)
LU5 (drains clears heat, d/c lung fire)
LI11 (heat)
GV14 (clear pathogen),

33
Q

ying fen pathogensis

A

Constant invasion of pathogenic heat consumes ying - yin and heat sinks into the pericardium and mentality is disturbed.

34
Q

ying fen syndrome

A 
Fever and vexation
Dry mouth and sleeplessness 
Tongue: reddened or crimson tongue, 
Pulse: rapid
                                OR
indistinct skin eruptions, or coma and delirium
Pulse: rapid
35
Q

ying fen tx

A

Expelling heat from ying fen or removing the heat from the heart to re-store consciousness

36
Q

ying fen points

A

PC8 ( fire)
SP 6 (3 yin)
KI6 (nourish kid yin).

37
Q

xue fen pathogensis

A

Pathogenic heat entering xuefen damages the heart and liver.

38
Q

xue fen syndrome

A 
High fever
coma or mania
distinct skin eruptions
hematemesis, nose bleeding , melena/hematochezia, hematuria
twitching or spasm of the limbs

Tongue: dark red tongue, less coating
Pulse: weak and rapid or running pulse.

39
Q

xue fen tx

A

Removing heat from the blood and dissipating blood stasis

40
Q

xue fen points

A 
SP10 (move blood, build blood), 
SP8 (circulate blood)
LR2 (clear heat in liver channel)
KI2 (clear more heat) 
Shixuan (tips of fingers, dispel wind, clear heat)
41
Q

list the 5 evils

A 
inner wind stirring
cold generated from the middle
internally generated damp
Jin-fluid xu transforming into dryness
internally generated fire heat
42
Q

Liver Yang transforming into Wind

A
  • overwork or emotional stress damages Lr and Kd yin
    causing yin xu/yang excess.
  • Lr yang rises up with no control and turns into wind.
  • Muscle twitches, dizziness with desire to lie down, tremors.
43
Q

Extreme heat generating Wind

A
  • Fluid is cooked off and sinews and vessels are no longer
    lubricated, excess yang heat generates wind.

Loss of consciousness with full body spasms
Spasms of the limbs
Flaring and relaxing of the nares of the nose
Eyes roll back in addition to other signs like high fever, coma, delirium

44
Q

Yin deficiency stirring inner Wind

A

Yin fluids have become dried out, can no longer nourish the sinews, wind is generated.
Muscle spasms, and tremors in the hands and feet.

45
Q

Blood deficiency generating Wind

A

blood failing to nourish the collaterals and internal
generation of wind arising.
Numbness in the limbs, tremors or shaking of the limbs.

46
Q

Yang deficiency wherein Yin becomes over abundant

A

Contraction symptoms, bi-syndrome, spasm.

47
Q

Yang deficiency that negatively affects Qi transformation

A

Creates situations of accumulation.
Long voidings of clear urine, lots of clear cold thin saliva; in some cases there will be loose stools or even diarrhea (chronic); or perhaps edema.

48
Q

Internal generation of damp turbidity

A

Spleen deficiency creating dampness.

Stuffy feeling in chest, cough, abdominal distention, lack of interest in food, loose stools.

49
Q

Jin-fluid deficiency transforming into dryness

A

Yin deficiency due to chronic disease or heat syndrome. Most commonly affects Lung, Large Intestine, Stomach.

Dry/flaky skin, dry eyes, dark urine, dry cough, dry stool constipation.

50
Q

Excessive Yang transforming into fire

A

Yang becomes overbearing and functional processes become hyperactive; yin is damaged and fluids consumed.

51
Q

Pathogen blockage transforming into fire

A

Due to external/internal pathogens, food stagnation, parasitic pathogens.

52
Q

Emotional excesses transforming into fire

A

Emotions block flow of qi and creates liver qi stagnation and eventual transformation into fire.

53
Q

Yin deficiency with effulgent fire

A

Due to essence and blood deficiency damaging yin fluids leading to excessive yang.

54
Q

review 19 lines

A

:)

CCM Clinic entrance exam (6 decks)

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