Dementia - final

Question 1

dementia

Answer 1

-describes a decline in memory or thinking skills which reduce a person’s ability to perform every day activities

Question 2

jian wang

Answer 2

“jian - constant; wang - forgetting”

• poor memory, absent minded, forgetfulness
• “tendency to forget matters; forgetfulness occurs most commonly in vacuity patterns such as depletion of kidney essence and insufficiency of the heart and spleen, but also in repletion patterns such as affect damage and phlegm turbidity harassing the upper body.”

Question 3

chi dai

Answer 3

“chi - imbecile, sentimental, stupid, foolish; dai - foolish, stupid, no expression”

• feeble mindedness, dementia
• “a disease characterized by not talking the whole day, not eating, not drinking, sudden laughing or crying, rejection of fine food and acceptance of ordure, and a preference to dress in plant and tree leaves rather than clothes.”

Question 4

what is the difference between chi dai and jian wang in terms of zang fu patterns

Answer 4

chai dai - much deeper; all the way down to the marrow (brain)
ex:
-phlegm damp misting the orifices
-qi depression, xue xu
-LV xue / KD yin xu
-marrow / jing xu
-qi and xue stasis

jian wang - the mind is not being nourished in some way; most likey a disharmony or stress
ex:
-HT & SP vacuity
 -KD jing xu
-HT / KD disharmony
-phlegm
-xue stasis

Question 5

on a mini mental state exam, the scale for one’s cognitive understanding is…

Answer 5

>25 = normal
21-14 = mild cognitive impairment
10-20 = moderate cognitive impairment
<9 = severe cognitive impairment

Question 6

which hormones, chemicals and markers do we look for in labs of patients with cognitive problems

Answer 6

TSH - if high, then hypothyroidism; if low then hyperthyroidism & grave’s
Folate - indicative of nervous system malfunctions
B12 - indicative of nervous system malfunctions
MCV - size of rbcs tells us if the patient is blood deficient or getting proper nourishment from blood