E & P Midterm

Question 1

• Severe, stabbing pain, worse with rest, better with light exercise
• tender to touch, worse standing or sitting

Answer 1

Stagnation of Qi and Blood

Question 2

• Chronic backache, dull pain in bouts, better with rest

- Worse when overtired, aggravated by sex

Answer 2

Kidney Deficiency

Question 3

-Acute or Chronic backache, affects spinal sinews causing contraction,
Spasm, stiffness; from EMOTIONS

Answer 3

Liver Qi Stagnation

Question 4

• Pain worse in AM, better with light exercise

- Pain relieved by heat, worse with cold and damp

Answer 4

Retention of Cold Damp

Question 5

Better with light exercise

Answer 5

Local Stagnation or Cold

Question 6

Worse in AM, Better with time

Answer 6

Cold Invasion

Question 7

Better in AM, worse with time

Answer 7

Kidney deficiency

Question 8

Worse with Cold, Damp

Answer 8

External Cold/ Damp Invasion

Question 9

-No weather change

Answer 9

Sprain or Kidney Deficiency

Question 10

Palpation is Essential for proper diagnosis of back pain

Answer 10

Identify painful areas, Ah Shi points

Also Hua Tou points

Question 11

Acute or Chronic backache worse in AM,
Better with Exercise, better with Heat,
Worse with cold and Damp, large area of pain
Feeling cold in lower back

T: Thick white coating
P: Tight-Full especially in Left Rear position

Tx: Expel Cold, resolve Damp, invigorate low back channels

Answer 11

INVASION of COLD and DAMP

Question 12

Acute Chronic backache slightly better with movement
But worse with excessive exercise; pain in fairly small area,
Rigidity of back muscles, HX of repeated bouts.

T: no change
P: Wiry, especially in Left Rear position

Tx: Move Qi, eliminate stagnation, invigorate Blood
and lower back channels.

Answer 12

STAGNATION of QI and BLOOD

Question 13

Hx of chronic backache, pain alleviated by rest, aggravated
by exercise; Aggravated by sexual activity for men, pregnancy
And childbirth in women; weakness of lower back feeling of
Cold low back, dizziness, tinnitus, weak knees.

T: Pale, if deficiency less coat
P: Deep and Weak

Tx: Tonify and Warm the Kidney Yang, Invigorate the channels
of the lower back.

Answer 13

KIDNEY DEFICIENCY

Question 14

Acute or chronic backache in bouts, often with emotional
Stress, spasm, contraction and stiffness of the spinal muscles,
Irritability, menstrual irregularities in women.

T: often no change; if severe, slightly Red sides
P: Wiry

Tx: Move Qi, soothe the liver, eliminate stagnation, calm the mind
Settle the Hun, benefit the sinews.

Answer 14

LIVER QI STAGNATION

Question 15

BL 40- Pain above Buttock (cooling point)
GV 26- pain Midline outward
BL 10- Pain midline outward
SI 3- Unilateral pain, Umbilicus (good for lower back)
BL 58 (leg pain between BL / GB
BL 62 (unilateral pain,radiates to one leg only) good for lower back
BL 59 (difficulty walking)
Yaotongxue above umbilicus

Answer 15

Distal points in Acute Conditions (test Ques)

Question 16

BL 26 usually tender, painful
BL 25 pain above sacroiliac ( back LI Shu point)
BL 54 pain in buttocks 
Tunzhong pain in buttocks
BL 36 pain down back of thigh
BL 37 pain down back of thigh
GV 3 Strengthen back, pain down
GV 4, 8 Tonify Yang, relax sinews
BL 32 Liao point
BL 23 Tonify Kidney 
Shiqizhuixia or Josen

Answer 16

Local points in Acute Conditions

Question 17

SI 3 Du Mai
BL 62 Du Mai
BL 60 important distal pt for Chronic cases
KD 4 for Deficiency, LUO
SP 3 influences the Spine
GV 20, GV pt pain in lower lumbar
HT 7 indirect back effect, Shao Yin with kidney

Answer 17

Distal points for Chronic Conditions

Question 18

BL 26
Shiqizhuixia
BL 54 Pain travels to Buttocks
Tunzhong pain in Buttocks and down leg
Yaoyan good local point for Chronic Backache

Answer 18

Local point for Chronic Conditions