final review

Question 1

What are the main differences in the bowel movements resulting from Kidney yang deficiency vs. Spleen yang deficiency?

Answer 1

KD yang xu - loose stool
SP yang xu - undigested food particles

Question 2

What are the major similarities of Kidney Yin deficiency as well as Kidney essence deficiency?

Answer 2

poor memory
low back
infertility

Question 3

What are the KEY signs and symptoms for each of the following organs: ST, SP, LV, GB, KD, UB?

Answer 3

ST epigastrium
SP poor app
LV hypochondriac pain
GB hypochondriac + bitter taste
KD low back and knees
UB urinary issue

Question 4

Pay close attention to the signs and symptoms of Kidney Essence insufficiency

Answer 4

in children: poor devmt, slowed growth, fontanelles not closed

in adults: premature aging, early loss hair/teeth, infertility, soft bones, memory loss

T can be yin xu (pale) or yang xu (red) depending on root cause
P thready rapid OR deep weak

Question 5

What types of abnormal urination accompany Kidney Yang deficiency?

Answer 5

abundant clear urination
urination at night

Question 6

Which organs are commonly involved with the pattern of Kidney yang deficiency with water effusion pattern?

Answer 6

UB clear scanty urination
HT palpitations
LU cough asthma frothy sputum

Question 6

What types of urination occur with Damp-Heat in the Urinary Bladder disease pattern? What types do NOT?

Answer 6

UB damp heat: dark urination
frequent, urgent, difficult
burning sensation

UB xu cold: frequent pale abundant urine / incontinence

UB damp cold: difficult urination, often stop midstream

Question 7

Which signs and symptoms are common to ALL of the following patterns: Spleen qi deficiency, Spleen yang deficiency and Spleen Qi sinking? (i.e., what do they ALL share in common?)

Answer 7

SP QI XU sx
poor app
abd distension
low energy
tired after eating
weak limbs
loose stool
pale face

SP yang xu: SP QI XU sx + cold
SP qi sinking: SP QI XU SX + bearing down/prolapse

Question 8

Compare and contrast Large Intestine Fluid Insufficiency, Stomach Fire, Damp Heat Encumbering the Spleen and Food Stagnation Patterns

Answer 8

LI dryness: dry stool
ST fire: dry stool
SP Damp Heat: loose stool (stinky)
Food stag: loose stool or constip

Question 9

Which patterns are acute vs. chronic? Pay close attention to symptoms that are acute vs. chronic for the test questions, i.e., would you see “chronic” vomiting in an acute case of food poisoning, etc

Answer 9

LI collapse: chronic diarrhea
LU damp phlegm: chronic cough
SP qi sinking: chronic diarrhea

Question 10

What type of appetite is associated with Stomach Fire?

Answer 10

ST fire - excess hunger

Question 11

Regarding Cold-Damp Encumbering the Spleen and Damp-Heat Encumbering the Spleen, what signs and symptoms do they share? What are their differences?

Answer 11

BOTH poor appetite, fullness, heaviness, nausea, loose stool

Cold Damp SP
excess white vag discharge
feeling cold, sweet taste, tiredness, edema

damp heat SP
thirst + no drink, stool smells bad, dark urine, feeling hot, low grade fever, sweat does not lower fever, HA heaviness, skin eruptions

Question 12

Compare and contract Stomach Fire, Food Accumulation, Damp-Heat encumbering the Spleen and Stomach Yin Deficiency

Answer 12

ST FIRE
burning epig pain, thirst cold, bleeding gums, excess hunger

FOOD STAG
epig fullness, pain, distension, better with vomiting!, aversion to food, dreams

SP DAMP HEAT
poor app, fullness, heaviness, thirst no drink, n/v, loost stool offensive odor, feel hot, dark urine, lg fever not lower w sweat, heaviness HA, skin erruption

ST YIN XU
hunger no desire eat, burning dull pain epig. constip. thirst small sips

Question 13

What types of urination and defecation are associated with Spleen Qi Sinking?

Answer 13

SP QI SINKING
frequent urination
chronic diarrhea

Question 14

Compare and contrast Liver Fire Blazing and Liver Yang rising

Answer 14

LV fire
temporal HA, red face/eyes, bitter taste, easily angered

LYR
dizziness, low back pain or weakness
less heat signs
T red but not dry, w redder sides
P wiry but not rapid

Question 15

Cold stagnation in the Liver primarily affects which area of the body?

Answer 15

cold hands and feet

Question 16

Compare and contrast Liver fire blazing , Stomach fire, Heart fire blazing and Gallbladder qi stagnation with phlegm disturbance

Answer 16

LV fire
red face/eyes, temporal HA, easily angered

ST fire
burning epig pain, bleeding gums, excess hunger

HT fire
agitation, thirst, tongue ulcer, red face

GB qi stag with phlegm
fright, easily startled

Question 17

What area of the body associated with the Liver is NOT associated with Liver Qi stagnation?

Answer 17

no red face and eyes, no nails

Question 18

Compare and contrast Liver fire blazing, Heart fire blazing, Phlegm fire harassing and Liver yang rising

Answer 18

LYR and LV fire
dizz, tinnitus, distending pain in eye and head, red face and eyes, irritability, short temper

LYR
Excess above, Def below
top heavy
knee, back weakness

LV Fire
Excess heat, HA, burning hypochondrium, bitter taste, constipation, yellow urine

HT Phlegm Fire and HT Fire
Irritability, flushed face, restlessness, agitations, fidgeting, vexation, bitter taste, fever, insomnia, yellow urine, constipation, thirst, red tongue with yellow coating, rapid pulse

Phlegm Fire Harrass HT
slurred speech, uncontrollable laughing/crying, manic, confusion, lashing out
T red, red tip, yellow sticky tc, heart crack
P rolling rapid forceful

HT Fire
tongue ulcers, red face, insomnia, dream dist sleep, delirium, coma, nosebleed, vomit blood
T red tip, swollen, yellow tc
p rapid, surging

Question 19

Compare and contrast Kidney yin deficiency with Liver yang rising, Liver wind with phlegm obstruction, Liver qi stagnation and Liver blood stasis, Wind cold attack with phlegm obstruction

Answer 19

KD yin xu: night sweat, dry mouth/throat, afternoon/eve fever, anxiety, vertigo, T red, little or no TC, P rapid thready
LYR: distending HA, dizziness, low back pain or weakness, tinnitus, deafness, blurry vision, dry mouth/throat, irritability, top heavy feeling

LV Wind Phlegm Obstruction: develops from LYR, Red tongue or red tongue with thin or peeled coating, wiry rapid or thin pulse
LV Blood stasis: painful menses, clots, purple nails, nosebleed, blood in cough mucus

Wind Cold attack: aversion to cold, chill/fever, itchy throat, clear watery discharge, sneeze, body ache, occipital HA. acute, thin white tc, superficial tight pulse
Phlegm obstruction: wheezing, asthma, dyspnea, chest oppr. worse with cold, white greasy tc, slippery p

Question 20

Compare and contrast Damp-heat in the bladder, Heart fire, Kidney Yin deficiency, Small Intestine excess fire

Answer 20

all heat sx

UB Damp-heat
frequent urgent difficult dark urination with burning
thirst + no drink
blood urine
feel hot

Small Intestine excess fire insomnia, restlessness, chest heat, tongue/ mouth ulcer, burning urination or blood lin

Heart fire
insomnia, palp. thirst, agitation, tongue ulcer, red face, insomnia

Kidney Yin deficiency

Question 21

Compare and contrast: Heart yang deficiency, Kidney yang deficiency, Heart qi deficiency and Lung qi deficiency

Answer 21

HT YANG XU
pallor, feeling cold, chest stuffiness or discomfort, bright pale face, cold limbs esp hands, cyanosis

KD YANG XU
soreness and weakness of the low back, cold knees, abundant clear urination, cold in the back, leg edema, impotence/infertility, bright white complexion, poor appetite, loose stools, prema-jaculation, dizziness, tinnitus

HT QI XU
shortness of breath on exertion, sweating (spontaneous), tiredness
listlessness, pallor

LU QI XU
SOB, cough, watery sputum, weak voice, daytime sweating, dislike to speak, dislike of cold, bright white complexion, propensity to catch colds
tiredness

Question 22

Compare and contrast all of the Kidney deficiency syndromes

Answer 22

Soreness and weakness lumbar and knees, dizziness, tinnitus, fatigue, lassitude, a pale tongue, and
deep weak pulse

Yin Xu poor memory, insom

Yang Xu Cold sx, edema

Qi Xu (Not Firm)

KD fail to consolidate: Frequent urine, nocturnal, enuresis, spermatorrhea,
premature ejaculation, clear copious vaginal discharge, habitual miscarriage

KD fail to grab qi: chronic panting, dyspnea, cough or asthma, exhale more than inhale, worse with exertion

Question 23

Compare and contrast menstrual problems associated with Spleen qi deficiency, Kidney yin deficiency with deficiency heat and Liver qi stagnation with Liver fire

Question 24

Compare and contrast all of the Spleen deficiency patterns

Question 25

Compare and contrast Kidney essence insufficiency, Liver blood deficiency, Spleen qi deficiency (with marked accumulation of dampness), and Dampness and cold invading the Large Intestine deficiency cold

Question 26

Compare and contrast Food accumulation, Damp-heat encumbering the spleen, Stomach yin deficiency, and Stomach Fire

Question 27

Compare the signs and symptoms of Qi deficiency in the following organs: Lung, Kidney, Heart and Spleen

Question 28

Compare and contrast all the patterns of Damp heat

Question 29

Compare and contrast all the patterns damp-cold with damp-heat

Question 30

Compare and contrast damp heat in the Bladder, Small Intestine fire, damp-heat in the large intestine, Kidney yin deficiency

Question 31

Compare and contrast the major differences between patterns of Spleen qi and yang deficiency with kidney qi and yang deficiency vs. damp-heat in the Large intestine

Question 32

Compare and contrast Stomach fire, food stagnation, Stomach yin deficiency and Spleen qi deficiency

Question 33

What are the differences between all of the following: Spleen qi deficiency, Kidney qi deficiency, Spleen yang deficiency, Kidney yang deficiency

Question 34

What are the differences between all of the following: Spleen qi deficiency, Spleen qi sinking,, Spleen yang deficiency, Kidney yang deficiency

Question 35

Compare and contrast yin deficiency of the following organs: Lung, Stomach, Kidney, Liver