Eyes, Ears, Sleep

Question 1

tinnitus - severe and sudden, cannot be reduced by pressure, high pitch

Answer 1

excess syndrome usually caused by liver and gall bladder fire disturbing the upper orifices

Question 2

tinnitus - low and gradual, can be reduced or stopped by pressure

Answer 2

deficiency syndrome usually caused by liver and kidney yin deficiency; or insufficiency of spinal marrow due to kidney essence deficiency

Question 3

sudden deafness in new disease

Answer 3

1. ear infection
2. excess syndrome usually caused by flaring-up of liver and gall bladder fire
3. warm heat accumulated in upper jiao and stagnated in the ears

Question 4

gradual deafness in chronic disease

Answer 4

deficiency syndrome usually caused by deficiency and failure of kidney essence qi

Question 5

sudden hearing impairment

Answer 5

1. excess syndrome usually caused by phlegmatic turbidity

2. wind-evil attacking upward and obstructing the ears

Question 6

gradual hearing impairment

Answer 6

deficiency syndrome usually caused by deficiency and failure of the kidney essence, causing malnutrition of the ears

Question 7

severe ocular itching, acute

Answer 7

excess syndrome

Question 8

mild ocular itching, on/off

Answer 8

blood deficiency

Question 9

severe ocular pain

Answer 9

excess syndrome, usually due to liver fire flaring up or external invasion of wind-heat

Question 10

mild ocular pain

Answer 10

deficiency syndrome, usually due to fire, deficient heat

Question 11

dizziness accompanied by headache, distention of head, heavy sensation of the head

Answer 11

1. excess syndrome, usually due to wind-fire attacking upper orifices
2. damp-phlegm confusing the upper orifices

Question 12

dizziness accompanied by tired mind, vertigo, tinnitus

Answer 12

1. deficiency syndrome, usually due to sinking of middle qi and non-ascending of clear yang
2. shortage of essence and blood due to liver and kidney deficiency

Question 13

blurred vision, night blindness, and diplopia

Answer 13

all have similar etiology and pathogenesis

usually indicate liver (blood) and kidney (essence) deficiency, causing malnutrition of the eyes, commonly seen in prolonged disease or elderly patients

Question 14

insomnia

Answer 14

1. heart blood deficiency
2. hyperactivity of fire due to yin deficiency
3. gall bladder phlegm heat

Question 15

somnolence accompanied by lassitude, heaviness of head, eyes, and limbs, oppression and fullness of the chest

Answer 15

phlegm-dampness disturbing the spleen and failure of clear yang to rise (spleen yang deficiency w/ dampness obstruction)

Question 16

postprandial somnolence accompanied by spiritual lassitude, poor appetite and indigestion

Answer 16

spleen-stomach qi deficiency, failure of spleen to transform and transport

Question 17

extreme spiritual lassitude and somnolence as if sleeping but not sleeping

Answer 17

heart and kidney yang deficiency, internal exuberance of yin cold