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CM Diagnosis > FINAL EXAM REVIEW > Flashcards

FINAL EXAM REVIEW Flashcards

1
Q

What are the 5 things to ask about the MAIN COMPLAINT?

A

1) History of Illness (duration)
2) Nature or course of the illness
3) Actions taken (What makes it better/ worse)
4) Recommendations of Others
5) Accompanying Symptoms (esp recent)

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2
Q

What are the four types of questions?

A

1) Open Ended
2) Closed
3) Focused
4) Suggestive

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3
Q

What does an open ended question do?

A

Asks for general information

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4
Q

What does a closed question do?

A

Requests a “yes” or “no” answer

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5
Q

What does a focused question do?

A

Narrows a patient’s response by asking for specific information

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6
Q

What does a suggestive question do?

A

Leads a patient in a specific direction

AVOID THIS!!

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7
Q

What are the FOUR TYPES OF BI?

A

1) Wandering Bi
2) Fixed & Painful (COLD)
3) DAMP (Fixed w/ swelling & Numbness)
4) HOT (Inflamed & Swollen)

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8
Q

When else can swelling of joints occur?

A

Due to BLOOD DEFICIENCY

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9
Q

What are the three areas of palpitation?

A

1) Pulse
2) Meridian
3) Abdomen

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10
Q

What are the ORGANS responsible for OEDEMA?

A

1) Spleen
2) Lungs
3) Kidneys

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11
Q

Where does SPLEEN related oedema arise?

A

Abdominal or BOTH hands & feet

-oedema of 4 limbs can also occur w/ qi stagnation

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12
Q

Where does LUNG related oedema arise?

A

Upper body (i.e. face & hands)

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13
Q

Where does KIDNEY related oedema arise?

A

LOWER BODY (i.e. ankles & legs)

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14
Q

How many questions are traditionally asked during the INQUIRY EXAM?

A

10 questions

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15
Q

What are the 10 ASPECTS OF INQUIRY or QUESTIONS?

A

1) Aversion to cold & fever
2) Sweating
3) Head & body
4) Chest & Abdomen
5) Food & taste
6) Stools & Urine
7) Sleep
8) Hearing & Tinnitus
9) Thirst & drink
10) Pain

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16
Q

What are the 10 things to note in PALPATING the ABDOMEN?

A

1) Temperature
2) Tension
3) Pressure/Pain
4) Fluid Sounds
5) Traveling/Reactive sensations
6) Strength/Weakness muscles
7) Lumps
8) Pulsing
9) Skin Quality/Texture
10) Swelling/Indentations

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17
Q

In the MAP OF the EYE, what organ corresponds to the upper eye lid?

A

SPLEEN

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18
Q

In the MAP OF the EYE, what organ corresponds to the the lower eye lid?

A

STOMACH

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19
Q

In the MAP OF the EYE, what organ corresponds to the corners of the eye?

A

HEART

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20
Q

In the MAP OF the EYE, what organ corresponds to the pupil?

A

KIDNEY

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21
Q

In the MAP OF the EYE, what organ corresponds to the iris?

A

LIVER

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22
Q

In the MAP OF the EYE, what organ corresponds to the sclera?

A

LUNGS

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23
Q

In the TONGUE MAP of the ZANGFU, what organ is at the root (most posterior)?

A

KIDNEY

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24
Q

In the TONGUE MAP of the ZANGFU, what organ is at the root to the left?

A

LARGE INTESTINE

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25
Q

In the TONGUE MAP of the ZANGFU, what organ is at the root to the right?

A

SMALL INTESTINE

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26
Q

In the TONGUE MAP of the ZANGFU, what organ is at the root, anterior to the most posterior?

A

URINARY BLADDER

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27
Q

In the TONGUE MAP of the ZANGFU, what organ is at the right side (of the person)?

A

GALL BLADDER

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28
Q

In the TONGUE MAP of the ZANGFU, what organ is at the left side (of the person)?

A

LIVER

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29
Q

What two organs are in the center of the tongue?

A

STOMACH (posterior)

SPLEEN (anterior)

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30
Q

What organ makes up the anterior 1/3 of the tongue?

A

LUNG

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31
Q

What organ is at the tip of the tongue?

A

HEART

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32
Q

In the 3 BURNERS MAP of the TONGUE, where are the three burners?

A

TIP: UPPER
MIDDLE: MIDDLE
ROOT: LOWER

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33
Q

Which ORGANS does the TIP of the tongue or UPPER JIAO include?

A

HEART & LUNG

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34
Q

Which ORGANS does the MIDDLE of the tongue or MIDDLE JIAO include?

A

STOMACH & SPLEEN

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35
Q

Which ORGANS does the ROOT of the tongue or LOWER JIAO include?

A

URINARY BLADDER
KIDNEY
SMALL INTESTINE
LARGE INTESTINE

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36
Q

Which two ZangFu are not included on the 3 BURNERS MAP?

A

LIVER & GALLBLADDER

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37
Q

In the ABDOMINAL DIAGNOSIS MAP, what organ and element is the area under the xyphoid process?

A

HEART (FIRE)

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38
Q

In the ABDOMINAL DIAGNOSIS MAP, what organ and element is on the right of the umbilicus?

A

LUNG (METAL)

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39
Q

In the ABDOMINAL DIAGNOSIS MAP, which organ and element is to the left of the umbilicus?

A

LIVER (WOOD)

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40
Q

In the ABDOMINAL DIAGNOSIS MAP, which organ and element is below the umbilicus?

A

KIDNEY (WATER)

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41
Q

In the ABDOMINAL DIAGNOSIS MAP, which organ and element is the area of the umbilicus?

A

SPLEEN (EARTH)

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42
Q

What are the FOUR EXAMINATIONS?

A 
FALLS
Feeling
Asking
Looking
Listening/Smelling
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43
Q

What are the 14 things to LOOK for in OBSERVATION?

A

1) Spirit
2) Body
3) Demeanor
4) Ears
5) Eyes
6) Nose
7) Mouth
8) Head & Face
9) Gums & Teeth
10) Throat
11) Limbs
12) Skin
13) Tongue
14) Channels

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44
Q

What do each element FLOURISH in (body areas)?

A 
WOOD: NAILS
FIRE: COMPLEXION
EARTH: LIPS
METAL: BODY HAIR
WATER: HEAD HAIR
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45
Q

What ORIFICES relate to each element?

A 
WOOD: EYES
FIRE: TONGUE
EARTH: MOUTH
METAL: NOSE
WATER: EARS
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46
Q

With the ELEMENTAL BODIES, what element is known as the “5 KINDS OF SMALLNESS”

A

WOOD: versatile, apt to change (wind0

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47
Q

With the ELEMENTAL BODIES, what element is known as the “5 POINTED STRUCTURES”

A

FIRE: flaring, flame shape

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48
Q

With the ELEMENTAL BODIES, what element is known as the “5 KINDS OF ROUNDNESS & SHORTNESS”

A

EARTH: round & solid, sincere, trustworthy, calm

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49
Q

With the ELEMENTAL BODIES, what element is known as the “5 KINDS OF SQUARENESS”

A

META: quiet & calm when still, fierce when in motion

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50
Q

With the ELEMENTAL BODIES, what element is known as the “5 KINDS OF FATTNESS” or “5 KINDS OF SMOOTHNESS” or “5 KINDS OF MOISTURE”

A

WATER: tend to be deceptive & overindulgent

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51
Q

What is the GENERATING CYCLE starting with FIRE?

A 
FIRE-->
EARTH-->
METAL-->
WATER-->
WOOD
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52
Q

What are the 5 ASPECTS OF THE TONGUE to OBSERVE?

A

1) VITALITY
2) BODY COLOR***!
3) BODY SHAPE
4) COATING
5) MOISTURE

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53
Q

What does a PALE, DRY (THIN) tongue signify?

A

BLOOD XU

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54
Q

What does a PALE, WET tongue signify?

A

YANG QI XU

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55
Q

What does a RED TONGUE signify?

A

HEAT (includes spots/papilla)

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56
Q

What does a RED TONGUE body with a ROOTED coat signify?

A

EXCESS (TRUE) HEAT

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57
Q

What does a RED TONGUE body with a ROOTLESS coat signify?

A

XU (EMPTY) HEAT

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58
Q

What does a PURPLE TONGUE signify?

A

BLOOD STASIS (develops w/ time)

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59
Q

What does a BLUE-PURPLE tongue signify?

A

INTERIOR COLD (previously pale)

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60
Q

What does a RED-PURPLE tongue signify?

A

HEAT-coagulating blood & consuming fluid (previously red)

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61
Q

What does a BLUE tongue signify?

A

INTERIOR COLD from YANG XU w/ BLOOD STASIS

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62
Q

What do the SUBLINGUINAL VEINS help to determine?

A

Problems of STASIS

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63
Q

What do DARK COLORED sublinguinal veins signify?

A

BLOOD STASIS

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64
Q

What do DISTENDED sublinguinal veins signify?

A

CONDITION OF EXCESS

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65
Q

What do THINNER subliniguinal veins signify?

A

CONDITION OF XU

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66
Q

Headaches relate to the different Hand Yin/Yang pairs. Especially these:

A 
TAI YANG (UB)
YANGMING (ST/LI)
SHAO YANG (GB)
JUE YIN (LR/PC)
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67
Q

What channel relates to OCCIPITAL headaches? What organ is implied?

A

TAI YANG

UB implied

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68
Q

What channel relates to FRONTAL headaches? What organ is implied?

A

YANGMING

ST & LI implied

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69
Q

What channel relates to VERTEX (TOP head) headaches? What organ is implied?

A

JUE YIN

LR/PC implied

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70
Q

What is the cause of ENTIRE HEAD headaches?

A

Pathogenic invasion (W-C/W-H)
or
KI XU

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71
Q

What channel relates to BEHIND the EYE headaches? What condition is a potential cause?

A

JUE YIN

LR Yang or Blood Xu

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72
Q

What does HEADACHE PAIN sensation of HEAVY/WRAPPED IN TOWEL indicate?

A

DAMPNESS

73
Q

What does pain that is CHRONIC LOW GRADE HEADACHE (BRAIN HURTS) (INTERIOR) indicate?

A

KI XU

74
Q

What does a headache pain that is THROBBING or DISTENDED indicate?

A

STAGNATION

LR YANG RISING

75
Q

What is a headache pain that is BORING & DRILLING (SHARP/STABBING) indicate?

A

BLOOD STASIS

76
Q

What is a headache pain that is BETTER W/ REST & WORSE W/ ACTIVITY indicate?

A

DEFICIENCY

77
Q

If someone has a HEADACHE, what are two things to ask about?

A

EYE PAIN

DIZZINESS

78
Q

EYES: PHOTOPHOBIA?

A

LR BLOOD XU

79
Q

EYES: DRY EYES?

A

LR or KI YIN XU

80
Q

EYES: Pain that feels like a NEEDLE in the eyes plus HEADACHE?

A

HT FIRE (EXCESS)

81
Q

EYES: FLOATERS W/ BLURRY VISION?

A

LIVER

LR BLOOD XU

82
Q

EYES: ITCHY EYES?

A

LR FIRE
or
XU LR FIRE giving rise to WIND

83
Q

EYES: BLURRED?

A

LR XU

84
Q

EYES: STICKY YELLOW TONGUE COAT W/ STICKY EYES?

A

DAMP-HEAT

85
Q

EYES: PRESSURE BEHIND EYES?

A

LR YIN XU

86
Q

EYES: PAIN, SWELLING, EXCESS?

A

LR FIRE

87
Q

What are four factors that can cause DIZZINESS?

A

WIND
PHLEGM
BLOOD XU
FIRE

88
Q

What does DIZZINESS from WIND feel like?

A

FEELS LIKE ON A BOAT

89
Q

What does DIZZINESS from PHLEGM feel like?

A

SENSATION OF HEAVINESS IN HEAD

90
Q

What does DIZZINESS from BLOOD XU feel like?

A

WORSE W/ FATIGUE

91
Q

What does DIZZINESS from FIRE feel like?

A

ACUTE ONSET- MORE SEVERE- ASSOCIATED W/ LR FIRE

92
Q

SPUTUM: YELLOW & STICKY?

A

PHLEGM HEAT

93
Q

SPUTUM: BLOOD STREAKED?

A

PHLEGM HEAT IN LUNGS

94
Q

SPUTUM: WHITE & STICKY

A

DAMP-PHLEGM IN LUNGS

95
Q

SPUTUM: WHITE & DILUTE?

A

COLD PHLEGM OR SP/KI YANG XU

96
Q

What are two things to ask about NASAL DISCHARGE?

A

COLOR

CONSISTENCY

97
Q

NASAL DISCHARGE: WHITE, WATERY & DILUTE?

A

COLD PHLEGM OR LU QI XU OR EXTERNAL PF (COLD)

98
Q

NASAL DISCHARGE: YELLOW & STICKY

A

DAMP-HEAT

99
Q

TINNITUS: HIGH PITCH?

A

LR YANG RISING & WIND

100
Q

TINNITUS: LOW PITCH?

A

KI (YIN) XU

101
Q

TINNITUS: GRADUAL ONSET?

A

PROBABLY KI

102
Q

TINNITUS: ACUTE ONSET?

A

PROBABLY LR

103
Q

What are 4 MAIN types of BI SYNDROME?

A

WANDERING BI
COLD BI
DAMP BI
HOT BI

104
Q

What is WANDERING BI like?

A

CAUSED BY WIND- MORE LIVER

105
Q

What is COLD BI like?

A

JOINT- FIXED & PAINFUL

106
Q

What is DAMP BI like?

A

FIXED W/ SWELLING & NUMBNESS

107
Q

What is HOT BI like?

A

INFLAMED & SWOLLEN

108
Q

EDEMA: PITTING SORT?

A 
WATER EDEMA
(FURTHER DIVIDE YIN/YANG- YIN=PITTING)
(YANG= ACUTE/SUDDEN ONSET)
109
Q

EDEMA: FROM STAGNATION OR DEFICIENCY OF QI?

A

QI EDEMA

110
Q

EDEMA: HANDS ONLY? (organ rel)

A

LUNG-YANG XU

111
Q

EDEMA: FEET ONLY? (organ rel)

A

KIDNEY- YANG XU

112
Q

EDEMA: HANDS & FEET? (organ rel)

A

SPLEEN YANG XU

113
Q

What are the emotions related to the 5 ELEMENTS?

A 
LIVER: ANGER
HEART: JOY
SPLEEN: PENSIVENESS
WORRY/SADNESS: LUNGS
FEAR: KIDNEYS
114
Q

WHAT ORGAN DO ALL EMOTIONS AFFECT? (BEYOND THEIR ELEMENTAL RELATIONSHIP?

A

THE HEART

115
Q

WHAT IS THE DIRECTION OF QI W/ ANGER?

A

ANGER MAKES QI RISE

116
Q

WHAT IS THE DIRECTION OF QI W/ JOY OR ANXIETY?

A

MAKES QI SLOW DOWN, DIALATE, & SCATTER

117
Q

WHAT IS THE DIRECTION OF QI W/ WORRY?

A

WORRY KNOTS OR STAGNATES QI

118
Q

WHAT IS THE DIRECTION OF QI W/ PENSIVENESS?

A

KNOTS QI

119
Q

WHAT IS THE DIRECTION OF QI W/ SADNESS OR GRIEF?

A

DEPLETES QI

120
Q

WHAT IS THE DIRECTION OF QI W/ FEAR?

A

SINKS OR SUSPENDS QI

121
Q

WHAT IS THE DIRECTION OF QI W/ SHOCK?

A

SCATTERS QI

122
Q

WHAT IS THE DIRECTION OF QI W/ HATRED?

A

KNOTS & SLOWS QI DOWN

123
Q

WHAT IS THE DIRECTION OF QI W/ CRAVING?

A

SCATTERS QI

124
Q

WHAT IS THE DIRECTION OF QI W/ GUILT?

A

STAGNATES OR SINKS QI

125
Q

STOOLS: LOOSE STOOLS W/ UNDIGESTED FOOD?

A

SP QI XU

126
Q

STOOLS: ALTERNATING CONSTIPATION & DIARRHEA?

A

LR QI INVADING SP

127
Q

STOOLS: BLACK/DARK STOOLS

A

BLOOD IN STOOLS

128
Q

STOOLS: FREQUENT & URGENT

A

XU OR SINKING OF SP QI

129
Q

STOOLS: COCK’S CROW DIARRHEA?

A

KI XU

130
Q

STOOLS: BITTY GOAT PELLET STOOLS

A

LR QI STAGNATION OR HEAT

131
Q

URINATION: FREQUENT & COPIOUS

A

KI YANG XU

132
Q

URINATION: SCANTY

A

KI YIN XU (MORE HEAT)

133
Q

SWEATING: DAY TIME

A

YANG XU

134
Q

SWEATING: NIGHT TIME

A

YIN XU

135
Q

SWEATING: OILY

A

COLLAPSE OF YANG

136
Q

SWEATING: POURS OUT IN WATERY & DILUTE DROPS

A

COLLAPSE OF YIN SWEATING

137
Q

SWEATING: W/ SHIVERING

A

CHILLS, FEVER- USUALLY SICK

138
Q

SWEATING: 5 PALMS SWEAT

A

HANDS, FEET, CHEST

NERVOUS FIRE TYPE

139
Q

SWEATING: ONLY HANDS

A

LU OR HT QI XU

140
Q

CHILLS: GENERAL

A

YIN

141
Q

FEVER: GENERAL

A

YANG

142
Q

COLDNESS IN LIMBS: HANDS ONLY

A

LU/HT YANG XU

143
Q

COLDNESS IN LIMBS: FROM ELBOWS & KNEES DOWN TO HANDS & FEET

A

SP YANG XU

144
Q

COLDNESS IN LIMBS: LEGS & LOW BACK

A

KI YANG XU

145
Q

COLDNESS IN LIMBS: HANDS & FEET

A

QI STAGNATION

146
Q

COLDNESS IN LIMBS: HANDS & FEET PLUS CHEST:

A

HT YANG XU

147
Q

ALTERNATING CHILLS & FEVER?

A

SHAO YANG

148
Q

GYNECOLOGY: IMPOTENCE IN OLDER MEN?

A

KI YANG XU

149
Q

GYNECOLOGY: IMPOTENCE IN YOUNGER MEN?

A

HT PATTERNS

150
Q

GYNECOLOGY: LACK OF LIBIDO ON ORGASM (WOMEN)

A

KI YANG XU OR HT PATTERN

151
Q

GYNECOLOGY: EXCESS LIBIDO

A

KI YIN XU (CREATE XU H)
HT FIRE
LR YANG

152
Q

GYNECOLOGY: PREMATURE EJACULATION

A

KI QI XU

153
Q

GYNECOLOGY: FATIGUE/TIREDNESS AFTER EJACULATION?

A

KI XU (GENERALLY)

154
Q

GYNECOLOGY: HEADACHE AFTER ORGASM

A

WOMEN- REB QI OF CHONG MAI

HT FIRE

155
Q

GYNECOLOGY: DYSMENORRHEA?

A

PAINFUL MENSTRUATION

156
Q

GYNECOLOGY: MENORRHAGIA?

A

ABNORMALLY HEAVY MENSTRUAL BLEEDING

157
Q

GYNECOLOGY: AMENORRHEA?

A

ABSENCE OF MENSTRUATION

158
Q

GYNECOLOGY: VISCEROPTOSIS?

A

ORGANS SINKING OR DROPPING OUT OF PLACE (UTERUS IN GYNO)

159
Q

GYNECOLOGY: ENTEROPTOSIS?

A

ALSO GENERAL ABDOMINAL DROPPING (COULD BE PROLAPSE OF UTERUS, ST, INTESTINES)

160
Q

WHAT IS THE C.M. DIAGNOSIS FOR VISCEROPTOSIS OR ENTEROPTOSIS?

A

SP QI SINKING

think prolapse

161
Q

VAGINAL DISCHARGE: WHITE?

A

COLD

162
Q

VAGINAL DISCHARGE: YELLOW?

A

HEAT OR DAMP-HEAT

163
Q

VAGINAL DISCHARGE: GREENISH?

A

DAMP HEAT IN LR CH

164
Q

VAGINAL DISCHARGE: RED & WHITE?

A

DAMP-HEAT

165
Q

VAGINAL DISCHARGE: YELLOW-RED W/ WHITE PUS AFTER MENOPAUSE?

A

TOXIC H

166
Q

INFERTILITY: FULL CONDITION

A

DAMP-HEAT IN LOWER BURNER

167
Q

INFERTILITY: EMPTY CONDITION

A

KI ESSENCE XU

168
Q

MISCARRIAGE: BEFORE 3 MONTHS?

A

BLOOD OR ESSENCE XU

169
Q

MISCARRIAGE: AFTER 3 MONTHS?

A

LR BLOOD STASIS OR SINKING OF SP QI

170
Q

PROLAPSE OF UTERUS (OR BEARING DOWN SENSATION IN LOWER ABDOMEN)?

A

SP QI XU

171
Q

WHAT ARE THREE AREAS OF PALPITATION?

A

PULSE
MERIDIAN
ABDOMEN

172
Q

WHAT ARE THE 10 THINGS YOU CAN LOOK AT WHEN PALPATING THE ABDOMEN?

A

1) TEMPERATURE
2) TENSION (DEEP OR SUPERFICIAL)
3) PRESSURE OR PAIN
4) FLUID SOUNDS
5) TRAVELING &/OR REACTIVE SENSATIONS
6) STRENGTH OR WEAKNESS OF MUSCULATURE
(HARDNESS/SOFTNESS)
(TIGHTNESS/LOOSENESS)
7) LUMPS
8) PULSING (UMBILICAL PULSE)
9) SKIN QUALITIES & TEXTURE
10) SWELLINGS & INDENTATIONS

173
Q

WHAT ARE THE 5 LEVELS OF ABDOMINAL PALPATION?

A

1) TOUCHING SKIN (SUPERFICIAL)
2) PRESSING INTO MUSCLE
3) PRESSING HARDER (TOUCH ORGANS)
4) PRESSING INTO ORGANS TO TOUCH DEEPER ORGANS
5) PRESSING THROUGH LIKE TRYING TO TOUCH SPINE

174
Q

HOW DO YOU PALPATE THE ABDOMINAL PULSE?

A

GO AROUND THE NAVEL, NEVER ON TOP
PALPATING FOR ORIGINAL QI
THE UMBILICAL PULSE

175
Q

WHAT ARE AH SHI POINTS?

A

ANY PLACE IN THE BODY THAT IS REACTIVE BUT NOT ON A MERIDIAN

-CAN BE USED DIAGNOSTICALLY & IN TREATMENT

176
Q

WHAT ARE TRIGGER POINTS?

A

A FOCUS OF HYPER-IRRITABILITY IN THE TISSUE THAT WHEN PRESSED IS LOCALLY TENDER & IF SUFFICIENTLY HYPER-SENSITIVE GIVES RISE TO REFERRED PAIN & TENDERNESS

177
Q

WHAT IS THE DIFFERENCE BETWEEN AH SHI POINTS & TRIGGER POINTS?

A

AH SHI POINTS- ANY REACTIVE PT

TRIGGER PTS- W/ REFERRED PAIN*

178
Q

HOW DO YOU PALPATE A LUMP?

A

ALWAYS PALPATE AROUND THE LUMP, NOT ON TOP OF IT

CM Diagnosis (1 decks)

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