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Z: Y2S2 - External I > External Therapeutics > Flashcards

External Therapeutics Flashcards

0
Q

Tennis Elbow

Main Merridian

A

LI

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1
Q

Tennis Elbow Sn/Sx

A

Pain: fluctuates, Close to LI 11 (bent elbow, halfway b/w lateral epichondyle and end of crease), increases with pressure or rotation
No swelling, often older patients/manual labourers/sports players
It’s really a bone thing

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2
Q

Tennis Elbow

Differential Dx

A

vs Golf Elbow/Student Elbow (Medial Epichondyle)

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3
Q

Tennis Elbow

Tx

A

LI 10, 11, 12 (3 needle technique), 1.5c needle or 1.2c perp
LI 4
Lu 5 (if tender near there, or pain referring downwards from shoulder), LI 15, SJ 14
Huatojiaji - Cervical, esp C4-C6 (golf elbow is C7-T1)
Yangming
Electro with 3 needle technique (hook up any two, or use one clip on two needles, and the other gets it’s own clip, stim 20 minutes till you can see needle jump, works especially well on Shi)
Warming Needle or Moxa until local turns red
Dr. Dong’s extra points technique - uses points close to bone, lines up 3 or 4 needles
Bone issue, so sometimes insert two needles just right on bone so 3 needle technique becomes 5 needles in a circle
Ashi Points
Bleeding:
Shi only, if really clear Ashi pts, 3-5 dots, can cup after pricking)
Auricular:
elbow, ear shenmen, liver
Herbal Plaster:
People with allergic constitutions may get skin changes, itching, burning, cooling, etc. Take it off after a couple hours if itching too much.
**Must tonify Qi and Blood - St 36, 25, Ren 4,6. **

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4
Q

Tennis Elbow

Education

A

Keep area warm (no ice)
Prevent EPF
Minimize movement of forearm
Need to continue Tx for at least 8x, even if pain is gone

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5
Q

Reynoad’s Disease

What is it

A

Vasospasm of small cutanious arteries
(nose, hands, feet)
Results in cyanotic, cold state of the skin
eg: hands turn pale/red/purple when they touch something cold, and then later they flush to warm.
Autoimmune disorder - often accompanied by Lupus (SLE), Rheumatoid Arthritis, etc.
Triggers - stress, cold
Target- Young women

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6
Q

Reynoad’s

Triggers

A

Cold, Stress

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7
Q

Reynoad’s

Target

A

Young Women (often)

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8
Q

Reynoad’s

Sx

A

Attacks last minutes to 7 hours (fluctuating spasm)
Area blanches, then gets colour again but it’s red and throbs v.painfully
(blanch —>cyanotic (purple/blue) —> red)
Longstanding cases - skin becomes thin, shiny, smooth, tight, and may develop small painful ulcers
Often accompanied by Rheumatoid Arthritis, piano fingers (long, thin, flexible),

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9
Q

Reynoad’s

Complications

A

Recurrent attacks —> infection, gang green (very rare)

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10
Q

Reynoad’s Test

A

No test —> clinical Sx

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11
Q

Reynoad’s

TCM Dx

A

Yang Xu

Mingmen Fire Decline (plus invasion of cold blocks the circulation)

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12
Q

Reynoad’s

POT

A

Warm the meridian
Dispel Cold
Tonify Kidney Yang

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13
Q

Reynoad’s

Education

A

Keep warm!!!
Regulate Emotions - can be stress triggered (even just too happy)
Avoid overstrain
Quit smoking (nicotine can make the small blood vessels spasm)
Treat in summer since it’s a winter disease, and in summer the Yang comes back to superficial, so we can treat more effectively. Can even just rub pepper on hands often in summer). Tx in hottest time of summer (very, very hottest days).
Self moxa on SJ 4, St 36 20 to 30 minutes before bed for the patient. Warn them not to burn themselves, and to put out moxa stick in water, not just assume it’s done burning.

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14
Q

Inquiry

6 questions

A

O-onset
P - palliation (what makes it worse or better)
Q - quality (dull/burning/etc)
R - radiation
S - severity
T - timing
also - location, inducing factors, history, nature, severity, time, accompanying Sx

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15
Q

Diagnostic Steps

A

Inquiry
Observation
Palpation
Olfaction/ Listening (Aufaction?)

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16
Q

Observation

parts

A 
Shen
Bearing
Skin Colour
Collaterals
Tongue
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17
Q

Palpation

parts

A 
*start in pain-free area and move towards pain
Skin
Chest and Hypochondrium
Hand and Foot
Acupoints
Auricular points
Abdomen
Pulse
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18
Q

Olfaction and Listening

parts

A 
Chief Complaints
Acute vs Chronic
Natuer of pain
progression and change of symptoms and such
modalities to stop pain quickly
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19
Q

Modalities for Pain

A 
Herbal
Acup
Moxa
Auricular
Cupping
Guasha
Heat and Cold complex
Tuina
Food
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20
Q

Prevention of Pain/Education

A 
Regulate Emotions
Health Education
Avoid overstrain
Exercise regularly
Preventative herbs/acup
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21
Q

Bi Syndrome

Definition

A

Disease
“Closed, Blockage”
Obstruction of Qi and blood in the meridians and collaterals from EPF
Pain, mumbness, heavy sensation of body, limbs and joints, muscles, limitation of movement

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22
Q

Bi Syndrome

Manifestations

A

Pain
Numbness
Limitation of Movement (spleen-muscle/ kidney-bone/ liver-sinews)
Swelling and Deformity

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23
Q

Xu Qi

signs

A

Water retention (phlegm, blood stasis)

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24
Q

7 Needling Techniques

A

Successive Needling
Restorative Needling (relaxes muscles and tendons)
Uniform Needling (small circumference deep pain)
Superficial Needling
Short Thrust Needling
Shallow Needling
Muscle Needling

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25
Q

Successive Needling
how
why

A

Successively needle and remove ashi points along a line

Wandering Bi

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26
Q

Restorative Needling
how
why

A

Needle Perpendicularly, then remove and change direction to all four directions
Relaxes muscles and tendons

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27
Q

Uniform Needling

A

First needle into centre of pain, retain it. Then a needle on each side-within 2c, angled slightly towards centre needle
Small circumference, deep pain

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28
Q

Superficial Needling

A

One needle perp in centre, four shallow oblique around

Wide, shallow pain, Cold Bi

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29
Q

Short Thrust Needling
how
why

A

Insert at ashi, GENTLY hit bone repeatedly

Bone Bi

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30
Q

Shallow Needling
How
Why

A

Two needles superficially pointed towards pain

Atrophy, numbness, spasms from muscle or tendon Cold Bi

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31
Q

Muscle Needling
how
why

A

Needle Ashi, Origin, Insertion

Muscle Bi from Wind-Cold-Damp, spasms, cramps

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32
Q

Why are steroids bad for arthritis?

A

They harm the bone

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33
Q

Factors Influencing Osteo-Arthritis

A

Weigh bearing joint
use of steroids
age

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34
Q

Factors of Rheumatoid Arthritis

A 
Female
8-15 y/o or 25-55 y/o
Recurring infections (esp. tonsillitis)
Family history
small joints, bilaterally
morning stiffness
swelling or tingling of hands or feek, nodules or cyst around affected joints
deformed joints, feeling of malaise
blood test! (RF factor >20)
may show anemia Sx
ESR (Erythrocyte Sedimentation Rate)
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35
Q

Goals for Arthritis Tx

A

Relieve Pain
Minimize Joint Destruction
Maintain Range of Motion of Joint
Increase Strength of Joint

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36
Q

Frozen Shoulder Syndrome

how people get it

A 
During pregnancy (bones open) - can either make better or worse
Something gets in there and stays
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37
Q

Frozen Shoulder

Differential Dx

A
  1. Supraspinatu Tendinitis (painful arch 60degrees to 120 degrees, but otherwise no pain)
  2. Adhesive capsulitis bursitis (acute=red and swollen)
  3. Bicipital Tendinitis (long head) (tender at Pc2, so press on it then get patient to move arm at elbow and pain will go away)
  4. Rotator Cuff injury (degeneration, etc, will start with 1 or 2 tendons having partial tears, then more tendons tear later or sometimes tendons tear all the way and need surgery)
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38
Q

Pain Management

Pathologies

A
  1. Stagnation of Qi and Blood
  2. Imbalance of Yin and Yang
  3. Imbalance of Ascending and Descending
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39
Q

Reasons for Stagnation of Qi and Blood

A 
Cold
Damp
Heat
Frustration
Trauma
Phlegm/fluids
Qi and Blood Xu
Lingering Dx go to Collaterals
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40
Q

Pain - Etiology

A 
Emotional
EPF
Internal Injury
Trauma
Phlegm/retained Fluids
Blood Stasis
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41
Q

Pain Classification Methods

A

Etiology
Location
Nature

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42
Q

Pain

Nature of it

A

Cold
Heat
Xu
Shi

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43
Q

Pain

POT

A
  1. Stop pain
  2. Tx Ben and Biao
    * change plan when Sx change, Tx organ and Channel differently
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44
Q

Pain

Modalities

A 
Herbal (internal and external)
Acup/Moxa
Auricular
Cupping
Guasha
Heat/Cold
Tuina
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45
Q

Skin Lesion Types

A

Local and Severe (few general Sx, focus on local)

Chronic, Flat, Deep lesions (more general stuff - pale face and lips, SOB, weak pulse)

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46
Q

If pain precedes swelling…

A

Blood issue at tendon and bone level

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47
Q

If swelling precedes pain

A

Qi issue

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48
Q

If injury is red then …..

A

have strong Qi and Blood

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49
Q

If injury is pale but sore and swoolen

A

Qi and Blood Xu

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50
Q

What are the three levels of Qi and Blood Stasis?

A

Muscle
Tendon
Bone

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51
Q

What are the Pathologies of Pain

A
  1. Stagnation of Qi and Blood
  2. Imbalance of Yin and Yang
  3. Imbalance of Ascending and Descending
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52
Q

How to Classify Pain

A

Etiology
Location
Nature

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53
Q

Etiology of Pain

A 
Emo
EPF
Internal Injury
Trauma
Phlegm / retained Fluids
Blood Stasis
54
Q

Sources of Internal Injury

A

Emo
Diet
Overstrain (physical/mental/sexual)

55
Q

Location of Pain

A
  1. Zang Fu organs and Channels/Collaterals

2. Qi, Blood, Body Fluids

56
Q

Nature of Pain

A

Cold
Heat
Xu
Shi

57
Q

What is Bi Syndrom

A 
Obstruction of Meridians (Qi, Blood)
Painful (muscles, joints), limits movement
Weather
All over body
= Arthritis (osteo/rheumatoid)
58
Q

Western names for Bi

A

Neuralgia
Peripheral Vascular Disease
Sequelae of Trauma
Rheumatic Disease

59
Q

Bi

Differential Dx

A

Wei - (“MS”) wei is Xu, has Atrophy, Not related to weather changes, mainly lower limbs, and bi/unilateral, No Pain

Windstroke (Wind Fire, Blood Stasis, Phlegm attack head and block clear orifice) -disorder of Qi, Blood, Yin and Yang, Zang and Fu. Is an actual stroke with stroke Sx

Bi is obstruction from EPF, no atrophy, lots of pain, limited but not loss of movement.

60
Q

Bi Types

A

W-C-D W-D-H Blood Phlegm Stagnation Liv Kid Xu

Shi: Wind Cold Damp Heat

61
Q

Which Disease?
Wandering or fixed pain in joints and or muscles that is aggravated in damp cold or alleviated by warmth, sensitive to weather changes, pain changes in severity, painful area might be cold feeling, aversion ot wind, swelling but not red, joints or muscles may feel weak but mobility is OK. May hae liver and kidney xu, qi and blood xu Sx, Tongue normal with thin or thick white sticky coat, pulse wiry, tight or soggy.

A

Wind Cold Damp Bi

62
Q

General Bi Tx

A 
Ashi
GB 39 (influential of Marrow)
GB 34 (influential of Tendons)
UB 11 (sea of Bone)
63
Q

Which Dx?
Acute onset, wandering or fixed, severe burning pain in the joints with limited movement, wihci will be gone after swelling disappears. Joints are red, swollen and warm to the touch.May have fever, thirst, restlessness, dark yellow urine, red macule. Tongue red at tip with thick or thin yellow sticky coat. Pulse slippery and rapid.

A

Wind Damp Heat Bi

64
Q

Wind

Tx

A 
Disperse Wind
*GB20 ("reserves the wind")
GB 31 ("wind market")
UB 12 ("wind gate")
Du 16 ("House of Wind")
*SJ 5 (wind, blood, channel)
Sp 10 ("Sea of Blood")
65
Q

Disperse Cold

Tx

A

UB 23 (Kidney)
Du 3, 4 (Kidney, wind, yang)
Ren 4, 6 (Yang)

66
Q

Remove Damp

Tx

A

St 28 - “Water Passage”
St 36 - He-Sea
Sp 6, 9
Ren 9 (water)

67
Q

Clear Heat

Tx

A

LI 11
LI 4
Du 14

68
Q

Tonify Qi and Blood

Tx

A 
St 36
Ub 17, 18 (Four Flowers)
Ub 20 
Sp 6 
Sp 10
69
Q

Tonify Liver and Kidney

Tx

A 
K 3, 6, 7
Ub 18 (Liver)
Ub 23 (Kidney)
Sp 6
GB 39 
Du 4
Ren 4
70
Q

Dx?
Wandering pain in the joints, limitation of movement, chilliness and fever, thin and white tongue coat, superficial tight or superficial moderate pulse.

A

Wind Bi

71
Q

Dx?
Severe pain in the joints, alleviated by warmth and agravated by cold, fixed localization but no redness, no hotness, limitation of movement. Coldness of limbs, lack of perspiration. Thin and white tongue coating and a pale tongue. Pulse wiry and tight.

A

Cold Bi

72
Q

Dx?
Numbness and heavy sensation of the limbs, soreness and fixed pain or swelling of the joints, aggravated on cloudy and rainy days. White, thick, sticky and wet tongue coating. Soft or slippery pulse.

A

Damp Bi

73
Q

Dx?
Swelling, rigidity, deformity and restricted movement of the joints, permanently. Pain in the fixed joints is intermittent or changes from time to time. It is worse in the early morning at night, and cloudy, rainy days. It could be better after movement. Purple tongue, white coat, thready, choppy pulse.

A

Stagnation of Phlegm and Blood Bi

74
Q

Dx?
Wandering or fixed pain in the joints and or muscles that is aggravated by overstrain or stress, and alleviated by rest. The severity of the pain changes from time to time. Sore and weak lumbar and knees, lower fever, emaciation or listlessness, shortness of breath, pale or sallow complexion. Red or pink tongue, with scanty or thin white coat. Pulse is thready, rapid or slow.

A

Liver and Kidney Xu Bi

Could combine with other types of Bi Syndrome

75
Q

Temporomandibular Joint Syndrome

Types

A

Wind-Cold-Damp Invasion
Qi and Blood Stagnation
Liver and Kidney Xu
Qi and Blood Xu

76
Q

Shi types of TMJ

A

(Qi and Blood Stagnation in the Shoayang and Yangming Meridians)
W-C-D
Qi and Blood Stagnation

77
Q

Xu types of TMJ

A

(Malnourishment of the muscular region of Shaoyang and Yanming)

Liver and Kidney Xu
Qi and Blood Xu

78
Q

Shaoyang

A

San Jiao

Gall Bladder

79
Q

Yangming

A

Large Intestine

Stomach

80
Q

Qi and Blood Stagnation

Tx?

A

Liv 3

GB 41

81
Q

Frozen Shoulder

Types

A

Wind-Cold-Damp
Qi and Blood Stagnation

Qi and Blood Xu

82
Q

Dx?
Wandering pain in shoulder, which is aggravated by wind-cold, and alleviated by warmth. Slight restriction of joint mobility may be present. Aversion to wind and cold, Stiffness of neck. Tongue pale, coating thin and white. Pulse superficial or wiry.

A

Frozen Shoulder,

Wind Cold Damp

83
Q

Dx?
Fixed sharp or stabbing pain which becomes worse during the night. May have swelling of the shoulder. Limited movement of the shoulder. Purple tongue, with thin white or yellow coating. Pulse is wiry or thready and choppy.

A

Frozen Shoulder Syndrome

Qi and Blood Stagnation

84
Q

Dx?
Soreness and pain in the shoulder which is aggravated by overstrain, limited movement of shoulder. May have macular atrophy. Shortness of breath, lassitude, dizziness, blurred vision, palpitations, tinnitus. Tongue pale with thin white coat. Pulse thready or deep and choppy.

A

Frozen Shoulder

Qi and Blood Xu

85
Q

Frozen Shoulder Tx

A

Add Lu 7 to whatever it is, or prick to bled and cup.

86
Q

Stiff Neck

Types

A

Qi and Blood Stasis

Wind Cold

87
Q

Dx?
Distending pain on one side of the neck, oblique haed to the diseased side, lower jaw turning to the healthy side and limited movement, pain may radiate to the upper back and upper limb. May have a history of injury. No obvious general symptoms. Thin and white coating on tongue, tongue itself is normal or slightly purple. Pulse is wiry.

A

Stiff Neck

Qi and Blood Stagnation

88
Q

Dx?
Distending pain on one side of the neck, oblique head to the diseased side, lower jaw turing to the healthy side and limited movement. Pain may radiate to upper back and the upper limb. Chills, fever, general aching, heavy sensation of the head. Tongue is normal but with a thin and white or white and sticky coating. Pulse is superficial and tight or superficial and moderate.

A

Stiff Neck

Invasion of Wind Cold

89
Q

Cervical Spondylosis

Types

A 
Nerve Root Pattern
Spinal Cord Pattern
Vertebral Artery Pattern
Sympathetic Nerve Pattern
Mixed Pattern
90
Q

Cervical Spondylosis
Nerve Root Pattern
Sx?

A

Stiffness, Pain in neck
Shoots
Worse at Night
Maybe Limited Movement

91
Q

Cervical Spondylosis
Spinal Cord Pattern
Sx?

A

Neck discomfort/Pain
Can’t stretch
Heavy, Numb Limbs
Possible Spasmodic Paralysis and Incontinence/Impotance
Squeezes behind nerve root but hits spinal cord and pushes discs together.

92
Q

Cervical Spondylosis
Vertebral Artery Pattern
Sx?

A 
Dizzy
Headache
Tinnitus
Numb extremities
Possible Sudden Collapse
93
Q

Cervical Spondylosis
Sympathetic Nerve Pattern
Sx?

A

Distended feeling eyes, impaired vision
Tinnitus (deafness)
Nose/Throat/Dreams involved
Numb hands

94
Q

Cervical Spondylosis

Dx

A

Qi and Blood Stagnation in Du and Taiyang (SI, UB)

95
Q

Taiyang

A 
Small Intestine (hand Taiyang)
Urinary Bladder (foot Taiyang)
96
Q

Tennis Elbow

Types

A

Qi and Blood Obstruction (Early Stage, Shi)

Qi and Blood Xu (Later Stage, mixed)

97
Q

Tennis Elbow

Sx

A 
Active, older patient, dominant arm
Pain on Lateral Elbow
Non bacterial Inflammation, but no visible swelling
Pain increases with pressure
Pain fluctuates
Tender spots right on the bone
98
Q

Tennis Elbow

Differential Dx

A

Golf Elbow/Student Elbow

-medial (rather than lateral) elbow

99
Q

Tennis Elbow

Tx

A

Ashi
LI 4, 5, 10, 11, 12
Lu 5,7

100
Q

Wei Syndrome
Main Meridian to Tx
Which text says it

A

Yangming (LI, SI)

Yellow Emperor Internal Classic

101
Q

Wei Syndrome

Western Disease Names

A

Nervous System Disease Disorder
(Atrophy, nerve Sx)
Motor Vehicle Accidents
Paraplegia
Cordiaplegia
MS ….multiple Lesions in brain, atrophy, weakness.
ALS (Lou Gherig’s Disease)
Poly neuritis …. Feels like they are wearing gloves when they aren’t.
Progressive Myotrophy
Myelitis
Muscular Distrophy
Miacenia Gravis… Droopy eyelid is starting Sx, eventually diaphragm stops working too. Tx with spleen b/c Sp controls muscle
Periodic Paralysis …. Related to blood Potassium levels
Histerial Paralysis… Emo/shock
Meningitis after effects

102
Q

Wei Syndrome

Meaning of name

A

Wasting/ Withering Disease

103
Q

Wei Syndrome

Types

A 
Lung Heat Consuming Body Fluids
Damp Heat Affecting Channels
Sp and St Wi Xu
Liv & K Xu
Qi and Blood Stagnation
104
Q

Wei Syndrome

Major Organs Involved

A 
Lung ... Distributes nutrition
Stomach.... Sea of Grain, Yangming
Liver..
Kidney....
Spleen...... All 3 control muscles
105
Q

Strain vs Sprain

A 
Strain = tendon
Sprain = ligament! bruises, swelling, pain, limited movement, history of injury, esp lateral ankle GB40, X-ray shows no break
106
Q

Sprain Dx

A

bruises, swelling, pain, limited movement, history of injury, esp lateral ankle GB40, X-ray shows no break, elastic fixation (limited ROM)

107
Q

Sprain Etiology
Acute
Chronic

A

Acute: Obstruction of Qi &Blood locally (pain, swelling)

Chronic: Qi Xu (can lead to W-C-D invasion)

108
Q

Sprain/Strain Differential Dx

A

vs Bone Fracture
(History, tapping pain, severe swelling/bruising, loss of Fx,deformity)
vs Dislocated Joint
(History, pain, swelling, loss of Fx, elastic fixation, X-ray, and socket is empty upon Palpation)
vs Deformity
(History, lack of pain)

109
Q

How to put dislocation back

A
  1. Pull opposite direction b/c muscles will then pull it back into place (same as TMJ)
  2. Bend elbow and gently push back into place
110
Q

Severe fixed pain aggravated by pressure, movement, obvious swelling. Red or purple skin (ecchymosis), insomnia, thin white tongue coating, tight and wiry pulse

A

Early stage sprain

111
Q

Mild or moderate fixed pain of joint, or soreness and heaviness, recurrent swelling, limited movement, aggravated by cold. Skin is cool and has numbness, pale puffy around area or overall complexion, lassitude, chills. Ecchymosis tongue with white sticky coating. Pulse thready and choppy

A

Sprain-later stage

112
Q

Sprain Tx

A

Xxxxxxxx

113
Q

Strain vs Sprain

A 
Strain = tendon
Sprain = ligament! bruises, swelling, pain, limited movement, history of injury, esp lateral ankle GB40, X-ray shows no break
114
Q

Sprain Dx

A

bruises, swelling, pain, limited movement, history of injury, esp lateral ankle GB40, X-ray shows no break, elastic fixation (limited ROM)

115
Q

Sprain Etiology
Acute
Chronic

A

Acute: Obstruction of Qi &Blood locally (pain, swelling)

Chronic: Qi Xu (can lead to W-C-D invasion)

116
Q

Sprain/Strain Differential Dx

A

vs Bone Fracture
(History, tapping pain, severe swelling/bruising, loss of Fx,deformity)
vs Dislocated Joint
(History, pain, swelling, loss of Fx, elastic fixation, X-ray, and socket is empty upon Palpation)
vs Deformity
(History, lack of pain)

117
Q

How to put dislocation back

A
  1. Pull opposite direction b/c muscles will then pull it back into place (same as TMJ)
  2. Bend elbow and gently push back into place
118
Q

Severe fixed pain aggravated by pressure, movement, obvious swelling. Red or purple skin (ecchymosis), insomnia, thin white tongue coating, tight and wiry pulse

A

Early stage sprain

119
Q

Mild or moderate fixed pain of joint, or soreness and heaviness, recurrent swelling, limited movement, aggravated by cold. Skin is cool and has numbness, pale puffy around area or overall complexion, lassitude, chills. Ecchymosis tongue with white sticky coating. Pulse thready and choppy

A

Sprain-later stage

120
Q

Strain vs Sprain

A 
Strain = tendon
Sprain = ligament! bruises, swelling, pain, limited movement, history of injury, esp lateral ankle GB40, X-ray shows no break
121
Q

Sprain Dx

A

bruises, swelling, pain, limited movement, history of injury, esp lateral ankle GB40, X-ray shows no break, elastic fixation (limited ROM)

122
Q

Sprain Etiology
Acute
Chronic

A

Acute: Obstruction of Qi &Blood locally (pain, swelling)

Chronic: Qi Xu (can lead to W-C-D invasion)

123
Q

Sprain/Strain Differential Dx

A

vs Bone Fracture
(History, tapping pain, severe swelling/bruising, loss of Fx,deformity)
vs Dislocated Joint
(History, pain, swelling, loss of Fx, elastic fixation, X-ray, and socket is empty upon Palpation)
vs Deformity
(History, lack of pain)

124
Q

How to put dislocation back

A
  1. Pull opposite direction b/c muscles will then pull it back into place (same as TMJ)
  2. Bend elbow and gently push back into place
125
Q

Severe fixed pain aggravated by pressure, movement, obvious swelling. Red or purple skin (ecchymosis), insomnia, thin white tongue coating, tight and wiry pulse

A

Early stage sprain

126
Q

Mild or moderate fixed pain of joint, or soreness and heaviness, recurrent swelling, limited movement, aggravated by cold. Skin is cool and has numbness, pale puffy around area or overall complexion, lassitude, chills. Ecchymosis tongue with white sticky coating. Pulse thready and choppy

A

Sprain-later stage

127
Q

Carpal tunnel is felt in which 3.5 fingers?

A

Lateral

128
Q

Contra lateral points method…

A

opposite side, opposite limb

129
Q

Which zone to Tx low back pain?

A

Wrist/ankle 6

130
Q

Thready pulse indicates….

A

Deficiency

131
Q

Ring and small finger numbness…. Which vertebrae?

A

C7-T1

132
Q

Swelling and pain from sprain… Hot or cold in first 24hrs?

A

Cold

133
Q

51 y/o F, numbness of r hand for 1 month. Possible Dx?

A

Wei Syndrome
Carpal Tunel (lateral 3.5 fingers)
Reynoad’s
Cervical Spondylosis

Z: Y2S2 - External I (17 decks)

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