EM review

Question 1

acute pain

Answer 1

Any specific, sharp pain with rapid onset (last 3 days)
Usually very isolated, comes on quickly, and is limited in its duration.
Usually the result of a specific impact or traumatic event

Question 2

subacute pain

Answer 2

(3 days to 3 weeks old) Fragile scar tissue forming (Your body is regenerating and developing new tissue)
Yellow, green and brown bruising
Range of motion increases as Inflammation decreases

Question 3

chronic pain

Answer 3

(over three weeks old)
Pain with movement is dull or achy, not sharp, pain at the very end of a range of movement
Dull achey pain at rest, bruising is gone
signs of inflammation are gone
Scar tissue is maturing.

Question 4

pain questions

Answer 4

primary site
radiations
nature of pain
severity
duration
frequency
time / situation of occurrence
better / worse for
associated phenomenon

Question 5

dull pain

Answer 5

xu

Question 6

strong pain

Answer 6

shi

Question 7

burning

Answer 7

fire/heat

Question 8

stuffy

Answer 8

xu

Question 9

knife like

Answer 9

phlegm/blood stasis

Question 10

moving/intermittent pain

Answer 10

wind or qi stag

Question 11

pain better for pressure

Answer 11

xu

Question 12

pain worse with pressure

Answer 12

shi

Question 13

spinal problems TCM diagnosis

Answer 13

localized qi and blood stag

Question 14

wry neck TCM diagnosis

Answer 14

exterior invasion of wind cold

Question 15

whiplash TCM diagnosis

Answer 15

local qi and blood stasis, liver qi stag

Question 16

empirical points for moving qi

Answer 16

r7, st36, lv3 + li4

Question 17

empirical points for moving blood

Answer 17

sp10, sp6, bl17, bl15, ht7

Question 18

stagnation always leads to

Answer 18

xu

Question 19

allergic rhinitis causes

Answer 19

seasonal allergies, hayfever, dust, fungal spores and animals

presents as nasal congestion, watery nasal discharge, sneezing

Question 20

wind cold rhinitis symptoms

Answer 20

only treat during an attack, sneezing, runny nose with profuse watery discharge, pale complexion, stuffed nose, slight headache, no thirst

BL12,13, + lg7
du23, gb20

Question 21

wind heat rhinitis symptoms

Answer 21

sneezing, runny nose with white watery discharge, itchy throat, soft palate, itchy red eyes, slight thirst

bl12,13
li4 + li11
li20

Question 22

lung and kidney defensive qi xu affecting du channel rhinitis

Answer 22

the root cause of all allergic rhinitis, treat at end of allergy season (aug, sept, oct)
only affects wei qi aspect of kidneys
du channel starts at kidneys and emerges at nose

Question 23

lung and kidney defensive qi xu affecting du channel rhinitis symptoms

Answer 23

pale complexion, weak back, propensity to catching colds, generally weak immune
system, history of allergic rhinitis / asthma from childhood
Or: AR onset after the age of 40/50, tongue pale, pulse deep & weak

du4 + r4 with moxa
bl23 + kd3 + bl13 + du12
lg7 + lg9
du24 + du23
gb20
du14 with moxa
si3 + bl62

Question 24

sinusitis symptoms

Answer 24

Swollen and infected mucosa, loss of taste & smell, purulent foul smelling nasal discharge, stuffed and blocked nose/face/head, throbbing frontal headache over maxillary or frontal sinuses, muzzy, heavy head, runny nose, sneezing
all sinusitis are excess patterns

st36 and bl20

Question 25

lung heat sinusitis symptoms

Answer 25

Flushed face, tenderness over maxillary sinuses, feeling of heat, thirst, stuffed nose, thick yellow discharge, itchy nose & throat, itchy eyes, redness & swelling around the nose, tongue red coating sticky & yellow, pulse slippery & full on front right position

li20 + li11 + li4
lg7 + lg10 + gb20
bl12 + bl13 + du14
st2 + st8 + st40 + st44

Question 26

wind heat sinusitis symptoms

Answer 26

stuffy nose, sticky, purulent yellow discharge, headache, loss of sense of smell, aversion to cold, fever, tongue red front, pulse floating & rapid

li11+ li4 + li20
du23 needled forwards towards end of nose
bl12 cupping
gb20

Question 27

liver and gb heat sinusitis symptoms

Answer 27

yellow, sticky & foul smelling/tasting mucus, bloodshot eyes, red face, irritability, dry stool, reduced sense of smell, bitter taste, dry throat, full, pounding headache, tongue red, redder sides, coating sticky yellow, pulse wiry, slippery , rapid

i4 + lv3 + lv2
gb14/15 + gb18 + gb20 + gb37 + gb43
lg7

Question 28

stomach and spleen damp heat sinusitis symptoms

Answer 28

sticky, yellow, foul smelling discharge, reduced sense of smell, red cheeks, frontal headache, chest & epigastric oppression, heaviness feeling in the head, full, muzzy headache, bitter taste & sticky sensation, coating sticky, yellow in centre, pulse slippery

st2 + st8 + st25 + st40
sp9 + sp5
sp10
sp6
lg7

Question 29

tinnitus symptoms

Answer 29

sensation of hearing a noise without source, can be uni or bilateral, may be constant or intermittent, high pitched whistle, engine running, rushing water

sudden onset and worse for cupping hands over ears=full condition

gradual onset, better for cover = empty condition

Question 30

liver and gb fire rising tinnitus

Answer 30

sudden onset, loud high pitched noise, related to emotional strain, headache, irritability, bitter taste, thirst, red face, dizziness, constipation, tongue red, redder sides, coating yellow, pulse wiry & rapid

lv2
sj17 + sj3 + sj5
gb2 + gb8 + gb20 + gb21 + gb43

Question 31

phlegm fire rising upwards tinnitus

Answer 31

tinnitus that sounds like crickets, reduced hearing, chest oppression, productive cough, thirst, dizzy sensation in the head tongue red, swollen, coating sticky & yellow, pulse slippery, rapid

sj21 + sj5 + sj3
si19 + si5
gb2 + gb20
r9 + st40 + sp9
r12 + r10
bl20

Question 32

kidney essence xu tinnitus

Answer 32

gradual onset tinnitus, intermittent low pitched watery sound, slight dizziness, emptiness in the head, poor memory, blurred vision, sore back and knees, poor memory, diminished libido or performance, tongue pale, or red & peeled (may present as kid yang or yin xu)
pulse deep & weak (kd yg xu) or floating & empty (kid yin xu)

kd2 + kd3 + r4 +bl23 + kd7
du4 with moxa
sp6
ht6 + kd7
lv3

Question 33

upper jiao qi xu tinnitus

Answer 33

intermittent tinnitus with gradual onset, mild intensity, low pitched, tiredness, slight breathlessness, pale complexion, slight spontaneous sweating, tongue pale, teethmarks, pulse empty especially R front

r17+ bl13 +lg9
r6
do20 + sj16
si19