Exam Review Flashcards
In springtime, the normal pulse tends toward what?
Wiry
The normal pulse condition should include what 3 things?
Stomach qi, spirit, root
A deep, slow and hesitant (choppy) pulse can be caused by what?
Blood stagnation due to cold
what emotional changes can temporarily cause the slow pulse?
joy
The normal pulse condition can be affected by what 3 things?
season, age, mental state
what 3 conditions are associated with the hesitant (choppy) pulse?
qi and blood stagnation, essence deficiency, blood deficiency
A slow irregular pulse can be caused by what 3 things?
blood stagnation, excess cold, vital qi deficiency
what is true of a thin (thready) pulse?
thin, but clear and distinct
a soft (soggy) pulse indicates what?
excess heat in qi level
If skin is not hot, but patient feels hot, or the skin feels hot on heavy pressure when pushing down to the bone, what this indicate?
deficient heat
normal pulse conditions
- A woman’s pulse is generally slight fast than a man’s pulse
-The elder patient’s pulse is generally weaker than a younger patient.
-Pulses in the summer time may appear slightly flooding.
“Pitting” edema is caused by
water retention
what would give rise to edema that pits when pressed, but immediately returns to level after releasing finger pressure?
qi stagnation
what patterns would you find in a patient whose forehead feels hot at first touch, but becomes mildly warm after prolonged contact?
exterior heat
what patterns would be indicated when a patient’s dorsal aspect of the hand (back of the hand) is hotter than the palm?
exterior heat
Which pulse is deep, thin, and forceless?
weak
what pulse can be seen in an excess heat pattern?
surging, rapid, and slippery
what pulse may appear in deficiency condition?
slow
what pulses do we normally see in phlegm stagnation syndrome?
slippery, string-taut or wiry, abrupt
what pulses are indicates severe pain?
tense/tight
Which pulse is rapid and irregularly intermittent?
abrupt
String-taut (wiry) and thin pulse indicates which of the following?
Liver qi stagnation due to blood deficiency
what portion of pulse taking can be use to detect the Liver’s condition?
left side Guan portion
During pregnancy, the pulse will be
rolling and rapid
what pulses does miss beats?
knotted, abrupt, regularly-intermittent
All of the following pulse can be appear in a healthy person
rapid, string-taut or wiry, slow (hesitant or choppy would NOT be healthy)
What kind of pulse condition can be seen in Yin deficiency with heat syndrome or blood deficiency with heat syndrome?
deep, thin and rapid
rapid pulse indicates
deep pulse indicates
soft pulse indicates
heat syndrome
interior syndrome
dampness
Which of the following pulse feels taut, forceful and vibrates, like a stretched rope?
tense or tight
what is correct regarding the String-taut (wiry) pulse?
indicates LV/GB disorder
straight and long
can appear in healthy person
a 1x2 cm mass is located in patient’s right lower quadrant. mass is hard and pressure aggravated the pain. her pulse is choppy. what is the patient’s diagnosis?
Blood stagnation
If a patient’s skin is moist and soft, this indicates
Body fluid sufficiency
A 6 years old boy has been diagnosed labor pneumonia. His body temperature is 102.8°F., tachypnea, profuse sweating, red face, dry lips, severe thirst and irritability. His TCM diagnosis is excess heat accumulate in the Lung. What kind pulse he may has?
surging and rapid
pulse that appear in phlegm or dampness conditions
thin or thready
soft or soggy
weak
Which of the following pulse rate less than 3 times per breath?
knotted pulse
what pulse indicate emotional shock?
Regularly-intermittent pulse
what pulse indicate threatened abortion?
Hesitant (choppy) pulse
sx of excess pattern
cough w/ loud sound
strong bad breath
pain worse w. pressure
If patient has a hesitant and rolling pulse, indicates
Blood and Phlegm stag.
Food and phlegm stag.
Phlegm stag. w/ heat
what pulses cannot appear at the same time?
Abrupt and knotted
what signs does reflect having Shen?
Clear voice and speech
Quick response
Even breathing
A patient with a chronic illness who is in critical condition suddenly sits up and starts eating. The cheeks on his face appear red and he speaks with a louder voice. We call this:
False Shen
Green-blue facial color can be seen in 3 syndromes or symptoms
cold syndrome
pain
blood stagnation
If patient sheen is withered (perishing), dim, lusterless, and dryness, what it indicates
essence exhausted
what pathogenesis can cause a yellow facial complexion?
Spleen deficiency w/ dampness
what syndromes can have a pale facial complexion
qi def
blood def
cold syndrome
The inner canthus of the eye is related with which of the following organs?
heart
Which part of eye is corresponds with the Kidney?
pupil
organs corresponds with the middle center part of the tongue body?
spleen and stomach
can help to distinguish the disease belongs to heat or cold in observance of tongue coat?
color
If ear helix is dry with scales, what does it indicate?
blood stag
organs disorder can caused abdominal expansion and bulging?
spleen and stomach
The normal tongue condition includes what 3 things
free movement
pink color
moist
Observation of the tongue coating’s root (with root or without root), can help to understand what
stomach qi and yin condition
tongue shapes can be see in a normal healthy person?
cracked tongue
tongue conditions can be seen in blood deficiency syndrome?
Pale tongue with thin white coating
Yellow greasy tongue coating indicates what
Damp-heat accumulation
A dark complexion accompanied by scaly skin indicates:
blood stag
red spots or prickles on the surface of the middle third of the tongue indicates
Excessive heat in the Stomach
tongue states can be seen in internal wind syndrome
tremors, deviated, stiffness
*NOT flaccid
tongue coating changes indicates that the pathogen is getting stronger
from thin to thicker
Exfoliated (Peeling) tongue coating indicates
stomach qi and yin def
tongue coating made of fine particles which are difficult to scrape off and covered by mucus?
greasy
what is “Messenger of the Heart, orifice of the Liver”?
eye
A pale flabby tongue with a slightly yellow slippery coating indicates
Yang deficiency with dampness
what is indicated by a thin and small tongue body with pale color?
Qi and blood deficient
what can give rise to a black and moist tongue coating?
Yang deficiency with excess cold
what syndromes would you most likely encounter a pale tongue with a flaccid body?
Qi and blood deficiency
Pale purple and moist tongue indicates what?
Cold constricted in the channels with blood stagnation
what is caused by excessive pathogenic heat?
high fever
Chills or cold sensations which are not relieved by covering up or putting on more clothes, indicates:
Exterior cold syndrome
Foul, rotten, nauseating smell like rancid meat is due to:
heat
Which of the following headaches is caused by blood deficiency?
Dull pain with empty and light feeling
what characteristic does belong to pain due to the blood stagnation?
The pain getting worse at evening
Sharp pain with stable location
The pain getting worse after exercise
*NOT The pain is relieved after massage or pressure
types of thirst are due to Yin deficiency
Thirst with preference for warm or room temperature drinks
symptoms can appear in Kidney yang deficiency pattern:
Nocturnal urination
Frequent copious clear urination
Dysuria and anuria
*NOT Scanty yellow urine
Alternative chills and fever indicate
Shao yang pattern
preceded menstrual cycle, heavy bleeding with fresh color indicate
excess heat
symptoms belong to the main symptoms of Yin deficiency,
Night sweating
Low grade fever in the afternoon
Red crack tongue with little coating
*NOT Thirst, want to drink ice water
What px is indicated by soreness and weakness in the lower back and knees, frequent and copious urination, early morning diarrhea, a pale tongue, and a weak pulse?
KD yang def
what sx’s may be cause by Stomach fire?
Overeating but still feeling hungry
symptoms caused by Lung qi rebellious
cough
wheezing
sneezing
Patient feels paroxysmal abdominal pain and frequently has an urgent to defecate. It is difficult to completely defecate. This patient also has a heavy sensation in the anus.
tenesmus
Hunger but no desire to eat indicates
Stomach Yin deficiency
When does simultaneous chills and fever occur?
Exterior wind heat
Exterior wind cold
Stickiness and sweet taste in the mouth indicates
Dampness accumulation in the Spleen
Irregular menstruation cycle indicate
Liver qi stagnation
can cause menstruation cycle delay
cold
qi stag
blood def
Severe stabling chest pain which is sudden onset, the pain radiate to left arm and worse at night indicate
blood stag
can cause severe and sharp menstrual cramping in the early stages of menstruation
blood stag
LV qi stag
excess cold invasion
Numbness on both side of the arm, indicate
blood deficiency
Insomnia with restlessness, irritability, dream disturbed sleep and tongue ulcers is caused by:
heart fire
symptoms and signs indicate excess condition?
Deep and long, harsh and loud breathing, relieved by exhalation
symptoms belong to the main symptoms of Liver qi stagnation
sigh often
Hypochondriac distending pain
Irregular menstrual cycle
symptoms and signs are most closely associated with the Heart
insomnia, palpitation, irregular pulse
what organ(s) hypo-function (deficiency) can lead abdominal bloating and distention?
spleen
Daily early morning diarrhea with cold limbs, pale tongue and deep slow pulse are caused by:
Kidney Yang deficiency
main characteristic of stomach pain caused by excess pathogenic cold attack is:
The pain is acute, can be alleviated by warmth
Sever pain as if the body being strangulated cut and twisted, very violent, and caused by excessive pathogenic factor obstruction. What we call this pain?
colic pain
symptoms can be see in Liver fire flair up, and Liver yang rising as well,
Red face and eyes
Dizziness and vertigo
Irritability and easy angry
*NOT low back pain and ache
causes of continuous lower grade fever?
Yin deficiency
Qi deficiency
Blood deficiency
*NOT - Yang excess
severe headaches with fixed location means
blood stag
Headache with an empty (hollow) sensation is caused by
Qi deficiency
Blood deficiency
Kidney essence deficiency
Insomnia with palpitations, dizziness, blurring of vision, poor appetite, pale face and thready pulse is caused by
Heart blood and Spleen qi deficiency
Frontal headache is called
Yang ming headache
is the major causative factor of abnormal vaginal discharge?
dampness
Thin, light color and scanty menses indicate
blood def
headache caused by Liver yang rising or Liver qi stagnation?
Distending pain
Pale facial complexion, dizziness, blurry vision, palpitation, numbness of the limbs with a tingling sensation, insomnia, pale tongue and thin pulse indicates
blood def
may result in a pattern of qi collapse?
bleeding
Qi stagnation can cause
qi def
damp
blood stag
*NOT heat
what ex’s belong to the pattern of qi deficiency?
Spontaneous sweating
Shortness of breath
Symptoms and signs worse with exertion
symptoms/signs can appear in blood deficiency pattern
-Delay menstruation, with light scanty bleeding
-Amenorrhea, with pale tongue and thin pulse
-Dysmenorrhea, pain worse in later period time or after menstruation, relieve by warmth and pressure
Hematemesis (vomiting with blood), irritability, fever, and deep red tongue indicate
heat in blood
patterns represent a a critical state
qi collapse
blood collapse
qi collapse followed by bleeding
Frequent dizziness, fatigue, low energy, sharp pain in hypochrondrium which is resistant to pressure, pale and tender tongue with dark purple petechia, pale lip and nails, and a thin and wiry pulse indicate what px
Qi deficiency with blood stagnation
key point(s) to distinguish bleeding due to heat in the blood or bleeding due to qi deficiency
Color of the blood (fresh red vs. light red)
Pulse (rapid vs. weak)
Blood quality (thick vs. thin)
hematochezia (blood in stool), fatigue, low energy, pale tongue, shortness of breath, weak pulse indicates what px
Bleeding due to qi deficiency
If treatment is delayed, or there is improper treatment, a patient with a qi deficiency pattern might develop what px
blood def
phlegm
qi stag
symptoms and signs indicate qi collapse,
A superficial pulse without root
Sudden profuse sweating
Urinary and/or fecal incontinence
*NOT clenched fist and jaw
symptoms or signs are clinical manifestation of the pattern of qi deficiency,
Frequently gets sick
Poor appetite
Pale facial complexion and tongue
NOT Numbness and tingling sensation in the extremities
A pattern of blood deficiency can manifest as
Dizziness, blurry vision
Pale tongue, thin pulse
Mental and physical fatigue
Dry mouth and throat, dry and cracked lips, desire to drink water; dry, rough and withered skin; scanty urination, dry stool, and a thin pulse indicates
Body fluids insufficiency
Qi deficiency may cause
blood stag
bleeding
qi stag
NOT qi obstruction
what belong to the pattern of qi stagnation?
Distress and distention pain in the chest
appear in a pattern of blood stagnation
Sharp pain
Mass or lump which is in a fixed location
Dark complexion
NOT Pain relieved by pressure and warmth
The pattern of Qi rebellious is most often related to which of the following Zang Fu organs?
Lung, Stomach, Kidney
Pain and coldness in the hands and feet, which can be relieved by warmth, bluish purple skin, pale tongue, tight and choppy pulse indicate
Cold in the blood
what belong to the pattern of qi deficiency?
Dizziness and blurry vision
Pale facial complexion and pale tongue
Mental or physical fatigue
*NOT Dry eye and hair loss
A sensation of fullness and distension was felt in the chest and hypochondrium, and a hard mass was palpated under the right rib area, with pricking pain and resistance to pressure. What is it
Qi stagnation and blood stasis
characteristics that belongs to Yin edema,
Chronic condition
Pale and tender tongue
Ankle pitting edema, fatigue and low back ache
NOT Superficial and slippery pulse
symptoms can occur in both qi deficiency as well as blood deficiency?
Dizziness and blurry vision
Characteristics of bleeding due to qi deficiency is best described by
Light bleeding, pale color and thin blood
what’s associated with Yang edema
Heavy limbs, abdominal distention
White greasy tongue coating
Lung and Spleen
what do these indicate: Retained placenta, abdominal pain resistant to pressure, bleeding with a lot blood clots, foul-smell vaginal discharge, shortness of breath, fatigue, and weak voice.
Qi deficiency with blood stagnation
Sudden loss of consciousness, with harsh breathing and a gurgling sound in the throat, clenched fists and jaw, with the urination and stool absent. Forceful, slippery and rapid pulse. What kind of pattern do the above symptoms/sings indicate?
Qi obstructed
what is a cause for blood stagnation?
qi stag
blood def
qi rebellion
*NOT: Qi def
what patterns can develop from a pattern of Blood stagnation
qi stag
bleeding
qi def
*NOT Blood def
Qi obstructed pattern is usually caused by:
Extreme emotional stimulation
Blood stagnation can be caused by which of the following?
bleeding
heat in blood
blood def
what are particularly associated with blood stasis
Darkish purple complexion, squamous and dry skin
What are the clinical manifestations of a combination of stagnation of both qi and blood?
sharp pain in fixed location worse in the evening?
She has fatigue, dizziness, is frightened easily, has restless sleep, and wakes up easily at night. She gets constipated, but her urination is normal. Her menses is scanty and light red. Sometimes she has palpitations and feels a tingling sensation in her hands. She has a pale tongue with a thin coating, and pulse is thin and weak. What is TCM diagnosis for her?
Blood deficiency
A 28 year old female patient has had no menstrual periods over the past three months. Before that, her menstruation yielded only very little blood, was scanty and light, the flow lasted usually only two to three days, and the menstruation cycle was usually 35 to 40 days. She has a dull and sallow complexion, pale lips and nails, and suffers from dizziness, poor vision, dry eyes, numb and cold hands and feet, poor sleep, sweats easily and has low energy. Her tongue is pale and tender, and her pulse is weak and thin. What is TCM diagnosis for her?
Both Qi and blood deficiency
35 year old has suffered from dysmenorrhea for over 20 years. The cramps usually start one or two days before the menstruation and stop on the third or fourth day. The pain, located in the lower abdomen, is severe, worse with pressure, and relieved by warmth. She also suffers from severe PMS, distending pain in the breasts, irritability, anger, mood swings, and constipation. Her menstrual cycle is very irregular, from 21 days to 35 days, and the blood color is very dark with clots. The tongue is dusky, with a thin yellow coating, and the pulse is wiry. Which of the following is the best diagnosis?
Qi stagnation and blood stasis
A 54 year old patient was diagnosed with Crohn’s disease three years ago. The symptoms include persistent diarrhea, which occurs three to four times per day, watery stool with undigested food. He also suffers from fatigue, dizziness and shortness of breath which worsens with exertion, poor appetite, and profuse sweating. He lost 6 pounds in the last three weeks. His tongue is pale with thin white coating, and his pulse is deep and weak. What is the best TCM diagnosis for him?
Qi sinking
A 23 years old female patient suffers from metrostaxis (a continual dripping and slight loss of blood from the uterus) for over four months. The bleeding sometime stops for two to four days, but then starts right back up again. In the last couple of weeks, she has also begun to experience dizziness, blurry vision, numbness and tingling sensation in her hands. Her menses are dark colored with blood clots and accompanied by pain in the lower abdomen, a dark purple tongue, thin and choppy pulse. What is the best TCM diagnosis for her condition?
Blood deficiency and stagnation
A 46 years old male patient has been coughing for the past three months and was diagnosed with chronic bronchitis. Symptoms include a sensation of fullness and oppression in the chest, dyspnea, and profuse thin clear sputum, shortness of breath, made worse by exertion, wheezing, and fatigue. He also feels depressed and melancholy due to his illness. He has a pale complexion, a pale tender tongue with thick slippery coating, deep, slippery, and slight wiry pulse. Which of the following is the current diagnosis for him?
qi def
qi rebellious
qi stagnation
what may cause Heart vessels obstruction
phlegm
blood stasis
cold
*NOT Qi rebellion
what sx’s are commonly seen in Heart disease pattern?
insomnia
palpitation
coma, delirium
*NOT heartburn
What is the main symptom to distinguish wind cold invading the Lung from wind heat invading the Lung?
sore throat
What pattern is indicated by the following signs and symptoms: shortness of breath, spontaneous sweating, fatigue, cough with thin phlegm, a pale tongue, and a weak pulse?
lung qi deficiency
Dry cough, scanty sticky phlegm, difficult to expectoration, dry mouth and throat, five center heat, night sweats, a dry red tongue, and a thin rapid pulse, indicate which of the following patterns?
lung yin def?
A patient suffers from palpitations. This is a key symptom in Heart Patterns. Which one of the following symptoms is the most meaningful in distinguishing Heart Blood Deficiency from Heart Yin Deficiency?
red tongue w/ little coating?
Phlegm fire harassing the Heart may cause
schizophrenia
stroke
menopause-related insomnia
*NOT epilepsy
What pattern is indicated by the following signs and symptoms: palpitation, shortness of breath, oppression and coldness in the chest that is aggravated by exertion, spontaneous sweating, cold limbs, a pale tongue with white coating, and a weak and knotted pulse.
Heart qi deficiency
Which of the following sings and symptoms can appear in both Lung yin deficiency and dryness invading the Lung?
Dry cough without sputum, or little sticky sputum
What pattern is indicated by the following signs and symptoms: palpitation, shortness of breath, spontaneous sweating, oppression in chest, fatigue, listlessness, pale complexion and pale lips, insomnia, poor memory, pale tongue, weak and thin pulse
heart qi and blood def?
Cough with scanty yellow sputum, difficult to expectoration, fever, sweats, chills, thirst, red tongue tip with thin yellow coating, and a superficial and rapid pulse, indicate which of the following pattern?
Wind heat invading the Lung
Which of following signs and symptoms can appear in wind cold invading the Lung, Cold invading the Lung, and Cold phlegm obstructing the Lung patterns? Must be present in ALL three patterns.
cough with thin and clear sputum?
what is true of wind cold invading the Lung and cold invading the Lung pattern? (q13)
Which is associated with exterior dryness invade Lung pattern? (q14)
Which of the following signs or symptoms indicate damp heat in Large Intestine?
Dysentery
What type of cough is characteristic of dry phlegm obstructed Lung?
No productive cough, occasionally difficult expectoration of scanty white or blood streaked sputum
Which of the following bowel movement is caused by Large Intestine deficiency cold?
Abnormal bowel movements, diarrhea or constipation
Constipation may appear in these following patterns,
Large Intestine heat accumulation
Large Intestine dryness
Large Intestine deficiency cold
*NOT Large Intestine damp heat
what pattern will have a high fever that gets worse between 3 and 5 pm?
Large Intestine heat accumulation
The main symptoms and signs for Large Intestine dryness pattern is: (q20)
Bad breath and dizziness?
What is associated with phlegm misting the Heart?
Yin mania
Syncope due to phlegm
epilepsy
According to Zang Fu pattern identification, Schizophrenia with manic behaviors belongs to which of the following pattern?
Phlegm-fire harassing the Heart
What appears in the Small Intestine pattern?
Constipation with dry stool
According to zang fu pattern identification, epilepsy with seizure indicate which of the following?
Phlegm misting the Heart
Small Intestine deficiency cold and Large Intestine deficiency cold share which of the following symptoms?
Intolerance of cold, cold limbs
What does belong to Large Intestine damp-heat
Fever and thirst
Diarrhea with blood and pus
Tenesmus, loose stools with dis- comfort or burning sensation of the anus
What appears in both wind heat invading the Lung and heat congesting the Lung? (q27)
what are the most common symptoms and signs for Heart qi deficiency, Heart yin deficiency, Heart yang deficiency, and Heart blood deficiency?
palpitation
signs/sx’s that appear in Heart yin deficiency pattern (q29)
these signs may appear in both Heart fire blazing and Phlegm fire harassing the Heart:
Irritability and restlessness
constipation
rapid pulse
most common symptoms for Heart disease
Palpitation
Cough and asthma are the most common symptoms for Lung diseae
Cough and asthma
most common symptoms for Large Intestine disease
Abnormal bowel movement
A 74 year old male patient diagnosed with COPD, came into the clinic with cough with copious foamy sputum, panting and wheezing, shortness of breath especially during physical activities, and in severe cases he demonstrated an inability to lie flat. Other symptoms and signs include chest tightness, lack of energy, frequent respiratory infections, easy sweat, palpitation, and cold extremities. His tongue is pale flabby with a thick slippery white tongue coating, and a knotted and slippery pulse. TCM diagnosis for him include all of the following patterns
Cold water shooting into the Lung
Lung qi deficiency
Heart yang deficiency
A 55 years old male patient, H: 5’10”, WT: 256 lbs, BP: 184/95 mmHg, HR:72 beat/min. He has a history of hypertension for over 6 years. He has experienced dull aching pain in left side chest over the last two days, and he also sometimes has palpitations and shortness of breath. He has a pale tongue with white greasy coating, and a deep and slippery pulse. What is the pattern identification for him?
Heart vessels obstructed by phlegm
A patients has had palpitations with intermittent attack, and they sometimes feels that the heart has stopped beating. Fatigue, shortness of breath, oppression and sharp pain in the chest are also present. The tongue is pale with thin white coating, pulse are abrupt, or irregular. These signs and symptoms indicate which of the following?
Heart qi deficiency with blood stagnation obstructing the vessels
Joy, a 21 years female patient has been diagnosed with lactose intolerance and has remained on dairy free diet over 15 years. Yesterday she had birthday party and ate one piece of strawberry cheesecake and had a glass of champagne. A couple of hours later, she felt bloating and distention, flatulence, and twisting pain in the lower abdomen, which was worse with pressure, and relieved by passing gas. She has slight thick white tongue coating, and a deep and wiry pulse. According to zang fu pattern identification, what is the diagnosis?
Small Intestine qi stagnation
A 49 years old female patient suffered from insomnia and dream-disturbed sleep for over 3 years. She also has poor memory, palpitations, dizziness and vertigo. She has had no menstrual period since last year. Laboratory examination shows: FSH 124 mIU/ml, estradiol 20 pg/mL, LH 48.3 IU/L. Her physician was diagnosed her as menopause syndrome. She has a pale face and tongue, and her pulse is weak. What is the TCM diagnosis for according to zangfu pattern identification?
Heart blood deficiency
A 22 year old male college student complains of insomnia for over 3 weeks. He has trouble falling sleep, and always has nightmares. He also experiences bitter taste in the mouth, thirst, mental restlessness and palpitations. He has acne on his face and upper back, canker sores in his mouth and he is constipated. What is the TCM diagnosis in this case?
Heart fire blazing
Jean, a 34 year old woman seeks treatment from you because she has PVC and SVT, symptoms includes palpitations and a feeling of oppression in her chest. From your interview and examination, you discover that she has mental restlessness, insomnia, dream-disturbed sleep, a propensity to be startled, poor memory, anxiety, “uneasiness,” a malar flush, night sweating, and a dry mouth and throat. Her blood tests for hormone level are finding all in normal range. Her tongue is red with little coating and there is a crack down the middle of the tongue. Her pulse is thin and rapid. What is the best TCM diagnosis for her?
Heart yin deficiency
A 65 year-old male has had heart attacks twice in the past 5 years. He felt severe left chest pain with a very hot and tight sensation just before going to the emergency room. He generally prefers a cooler place. His face is reddish, his hands are warm, but his feet are slightly cold. He has frequent palpitations at night, night sweats, constipation and dark yellow urine. His tongue is red with purple spots, a scanty yellow coating, and his pulse is string-taut and thin. What is the TCM diagnosis for him?
Heart Vessels obstructed by blood stasis with Heart yin deficiency
Jacob, a 21 year old college student had green (kale, spinach and celery) smoothie as breakfast this morning, and one hour later he started to experience severe pain in his umbilicus and lower abdomen area. The pain is paroxysmal, with borborygmus and watery diarrhea. Drinking hot ginger tea gave him some relief. He has a white and glossy tongue tongue, and a wiry and tight pulse. What is the diagnosis for him?
Large Intestine damp cold
A 52 year old male has been suffering from hypertension for over 10 years. Recently he has been experiencing oppression in the chest, and pain in the chest which is sharp and extends to the left shoulder or arm. He also complains of palpitations, breathlessness, dizziness and expectoration of white sputum. He has a flabby tongue with purple spots on the side and a rolling and hesitant pulse. What is the most appropriate zangfu pattern identification for him?
Heart vessels obstructed by blood stasis and cold phlegm
A 66-year-old man with a smoking history of one pack per day for the past 47 years presents with progressive shortness of breath and chronic cough, productive of yellowish sputum for the past 2 years. On examination he appears cachectic and in moderate respiratory distress, especially after walking to the examination room, and has pursed-lip breathing. His neck veins are mildly distended. Lung examination reveals a barrel chest and poor air entry bilaterally, with moderate inspiratory and expiratory wheezing. Heart and abdominal examination are within normal limits. Lower extremities exhibit scant pitting oedema. His had a crack red tongue with little coating, and a deep, rolling and thready pulse. What is the most appropriate TCM diagnosis for him?
Lung qi and yin deficiency with heat phlegm
Calvin, a 10 years old boy had a pool party to celebrity his birthday yesterday. This morning he start complains of abdominal pain with rumbling sounds, he also have watery diarrhea. The pain around umbilicus area and heat pad helps. He has chills, and his body temperature is 100.4 F, and he has a cough with clear thin sputum. His tongue coating is white and thick, and his pulse is superficial and tight. What is TCM diagnosis for him?
Wind cold attack Lung with damp cold in Large Intestine
A 65 years old patient suffers from chronic cough over10 months. She complains of persistent cough, worse in the evening, cough with very little phlegm which is sticky, slight yellow and difficulty to expectorated. Her cough usually induce or worse when she tired or after exercise. Other symptoms include anxiety, irritable, insomnia, fatigue, and palpitation sometime. She has a red crack tongue and very red tip with little slight yellow coating, and a thin, and deep pulse. What is her TCM diagnosis?
Lung qi deficiency
Lung yin deficiency
Heart fire blazing
A 34 years old male was diagnosed with Crohn’s disease over 10 years. His current symptoms include loose stool, borborygmi, dull abdominal pain which preference for warmth and pressure. He has cold limbs, and his urine is clear. He has a pale tongue with white tongue coating, and his pulse is deep slow and feeble. What is TCM diagnosis for him?
Large Intestine deficiency cold
A 29 years old male patient was admitted into the hospital due to severe abdominal pain. The pain started 3 days ago and got gradually worse. Now the pain is so severe that it is unbearable to be pressed, and it located around umbilicus and low abdomen area. According to the patient, he has not had a bowel movement since he participated in a spicy noodle competition a week ago. He has had a high body temperature since yesterday and has foul-smelling dark green watery stools, but his body temperature has not decreased since the watery stools were passed. Other symptoms includes abdominal bloating and distention, thirst and desire for cold water, irritable, insomnia. Physical exam revealed a long, hard lump in the left low quadrant; BT 102.8 F; RT: 92; a red tongue with dark brown coating; a deep, forceful and rapid pulse. According to zang fu pattern identification, what is the diagnosis?
Large Intestine heat accumulation
A 45-year-old man has just been diagnosed with essential hypertension. He has a long history of bronchial asthma and has also been recently diagnosed with chronic obstructive pulmonary disease (COPD). He suffers from cough with profuse clear sputum, wheezing, shortness of breath, and palpitations. He feels tired all the time and sweats a lot even without any physical exertion. You find that his voice is very weak when he talks to you. His tongue is pale with a thin white coating and his pulse is weak. Which of the following patterns is the best diagnosis for him?
Lung qi and Heart qi deficiency
