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Gastroenterology Flashcards

1
Q

Identify the pattern:
Sudden onset of epigastric pain: especially in winter, worse w/ cold, better w/ warmth, cannot eat cold food, aversion to cold, no thirst or thirst w/ desire for warm drink, worse w/ pressure
Pulse: tight, wiry, or slow
Tongue: normal or pale w/ white coat

A

Epigastric Pain due to Cold Evil in ST

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2
Q

Point combination for Excess ST Pattern

A

Ren 12 + PC 6 + ST 36

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3
Q

Identify the pattern:
Overeating leading to epigastric pain/distention; foul breath/ sour belching, eruption of foul gas, foul smelling stool worse w/ pressure, vomiting or belching or BM relieves pain; distention/fullness of epigastrum, difficult BM
Pulse: slippery, possible full
Tongue: slimy coat

A

Epigastric Pain due to Obstruction by Food Stasis

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4
Q

Obstruction by Food Stasis in children presents with _________

A

apple red cheeks, hot palms

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5
Q

Classic formula for food stagnation is ________

A

Bao He Wan

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6
Q

Identify the pattern:
Easily angered, epigastric pain spreads to ribside, fullness/distention worse w/ emotional stress, gas: frequent belch and flatulence (not smelly) and sighing which can relieve pain, alternating constipation/diarrhea, cold hands/feet
Pulse: wiry
Tongue: white coat

A

Epigastric Pain due to Liver invading ST

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7
Q

List actions of following formulas:
Xiao Yao San
Jia Wei Xiao Yao San
Si Ni San

A
  • Course LV, Nourish Blood
  • Course LV, Nourish Blood, Clear heat
  • Relieve Qi constraint in torso
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8
Q

Identify the pattern:
Burning pain in epigastrum, worse w/ pressure or hot food, excessive appetite w/ hunger soon after eating, thirst w/ desire for cold drinks, strong smelling breath / stool, possible sore/swollen gums, irritability, restlessness
Pulse: rapid, strong, slippery
Tongue: red w/ yellow coat

A

Epigastric pain due to accumulation of Heat in ST

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9
Q

ST 21 can be used to treat digestive problems caused by ___________

A

overthinking

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10
Q

Identify the pattern:
Stabbing, sharp ST pain, fixed location, worse w/ pressure, vomiting blood or blood in stool, long duration, worse at night, spider nevi on cheeks, over epigastrium and trunk or around inner ankle and knee
Pulse: wiry or choppy, thready
Tongue: dark, purplish, possibly purple or dark stasis macules, SLV dark and distended

A

Epigastric pain due to Obstruction of ST by Blood Stasis

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11
Q

Identify the pattern:
dull, vague, nagging or burning epigastric pain, worse w/ empty ST, worse at night, Wake w/ pain early in AM. Dry mouth, throat, skin, hard, dry stool, thirst w/ desire for cold drink
Pulse: thready, rapid or wiry, thin, rapid
Tongue: red, dry or little coat or peeled in center - lacks moisture, possible cracks

A

Epigastric pain due to ST Yin Deficiency

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12
Q

identify the pattern:
Dull indistinct ST pain, alway touching/holding ST, brought on by cold/wind, better w/ pressure/ warmth, worse w/o food, regurgitating clear fluid, reduced food intake, tired/fatigue, weight loss, lack of warmth in extremities
Pulse: moderate and weak or deep and slow
Tongue: pale, swollen, scalloped, coat can vary from simple deficiency thin to phlegm accumulation: thick and greasy

A

Epigatric pain due to Spleen and ST Qi Deficiency

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13
Q

Identify the pattern:
sudden onset of vomiting, HA, general aches, chest oppression, epigastric fullness
Pulse: floating and tight/rapid, or soft and rapid
Tongue: Thin white coat / thin yellow coat / greasy coat

A

Vomiting due to Exterior Evil Invading ST

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14
Q

Identify the pattern:
acute or recurrent nausea or vomiting of sour material w/ undigested food, better after vomit, epigastric fullness / distention, foul belching, aversion to food, abdominal pain, fould breath, flatulence, constipation or smelly diarrhea
Pulse: slippery
Tongue: thick, greasy

A

Nausea / Vomiting due to Food Stagnation

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15
Q

Identify the pattern:
Nausea and/or vomiting worse first thing in AM, or w/ exposure to strong odors. Loss of appetite, decreased sense of smell, borborygmus, belching, reflux, sticky or dry mouth w/ no desire for drink, fatigue, lethargy, body feels heavy, dizzy, vertigo or foggy head, musty body odor, tendency to obesity
Pulse: slippery or wiry
Tongue: thick, greasy white coat, body may be flabby

A

Nausea / Vomiting due to Phlegm Damp

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16
Q

Identify the pattern:
Recurrent / chronic nausea / vomit, sour belching, reflux, worse or irritated by stress, better w/ belching or calm, chest / epigastric or hypochondriac tightness, irritable, anger, possible plum pit qi, PMS, irregular menses
Pulse: wiry or wiry, slippery
Tongue: normal or dusky / dark; red sides, thin or greasy coat.

A

Nausea / Vomiting due to Liver Invading ST

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17
Q

Identify the pattern:
Chronic intermittent nausea / vomit after eating, possible better w/ warmth, easily digested foods; worse w/ raw, hard to digest, dairy. Complexion: pale, waxy, lusterless; poor appetite, craves sweets (nausea worse w/ intake). epigastric / abdominal distention
Pulse: weak, thready
Tongue: pale, swollen, scalloped, coat can vary from simple deficiency thin to phlegm accumulation: thick and greasy

A

Nausea / Vomiting due to SP and ST Qi Deficiency

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18
Q

Identify the pattern:
Chronic recurrent persistent mild nausea, w/ occasional vomit or dry retching, possible waking early in AM w/ vague epigastric discomfort / nausea better on rising and eating. Vague dull or burning epigastric pain better w/ pressure; Dry mouth, throat, skin, hard, dry stool, thirst w/ desire for cold drink
Pulse: thready, rapid or wiry, thin, rapid
Tongue: red, dry or little coat or peeled in center - lacks moisture, possible cracks

A

Nausea / Vomiting due to ST Yin Deficiency

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19
Q

List actions of the following formulas:
Chai Hu Shu Gan San
Shao Fu Zhu Yu Tang
Xue Fu Zhu Yu Tang

A
  • Regulate LV and promote qi circulation
  • Resolve Blood Stasis in Lower Abdomen
  • Resolve Blood Stasis in Chest and Constrained Liver Qi
20
Q

List points used to treat blood stasis in female reproductive system

A

Zi Gong Xue, ST 29, Ren 6, SP 8, SP 6

21
Q

Identify a formula to treat extremely cold extremities due to Yang deficiency.

A

Si Ni Tang

22
Q

Identify a formula to treat epigastric pain and vomiting caused by Liver Qi or Cold invading the ST

A

Liang Fu Wan

23
Q

Identify a formula to treat spasmodic abdominal pain caused by middle jiao cold?

A

Xiao Jian Zhong Tang

24
Q

Diarrhea with mucous can indicate _________

Diarrhea preceded by cramping pain can indicate ________

A
  • Spleen Qi deficiency, Liver Qi Stagnation

- Liver Qi Stagnation, Damp Heat

25
Diarrhea upon waking can indicate ________ | Diarrhea soon after eating can indicate _________
- Spleen and Kidney Yang deficiency | - Spleen Qi Deficiency
26
Diarrhea accompanied with burning anus or tenesmus can indicate __________ Diarrhea accompanied with severe distention, strong breath, belching can indicate _________ Diarrhea accompanied with fever can indicate _______
- damp heat - food stagnation - damp heat, summer heat
27
Identify the pattern: watery stool, borborygmus, abdominal pain worse with cold, better with warmth, epigastric fullness Pulse: soft, slow Tongue: white slimy coat
Diarrhea due to Exterior Cold Dampness
28
Identify the pattern: diarrhea, abdominal pain, urgent explosive BM, tenesmus, yellow, pasty stool, burning in anal region, irritability, thirst, dark scanty urine Pulse: rapid, slippery Tongue: Yellow, slimy coat
Diarrhea due to Exterior Damp Heat
29
Identify the pattern: Diarrhea with pain relieved after BM, foul-smelling stool and gas, foul smelling belch, abdomen dislikes pressure, borborygmus, reduced appetite, acid regurgitation Pulse: wiry and slippery, or slippery and rapid Tongue: thick, slimy, filthy, coat
Diarrhea due to Food Stagnation
30
Main points to treat diarrhea due to exterior pattern _______
ST 25, SP 9, ST 37, ST 36
31
Identify the pattern: abdominal pain / diarrhea initiated or aggravated by emotion, cramping that is relieved by BM, general distention / congestion in chest and costal region, gas / belching (not smelly) that relieves pain, borborygmus, cold fingers and toes, PMS, breast tenderness Pulse: wiry Tongue: thick white coat
Diarrhea due Disharmony of LIver and Spleen
32
Identify the pattern: alternating diarrhea / loose stool, BM soon after eating, stool very light - floating, increased BM after greasy food, possible loose stool w/ undigested food, epigastric fullness, discomfort after eating, sallow complexion, reduced appetite, reduced vitality, fatigue Pulse: weak, thready Tongue: pale w/ scallops and white coat
Diarrhea due to Vacuity of Spleen / Stomach
33
Identify the pattern: diarrhea just before dawn, abdominal pain with cold, borborygmus, pain relieved by BM, urgent to BM, physical cold, cold extremities, sore, weak low back and knees Pulse: deep, thready, weak Tongue: pale w/ white coat
Diarrhea due to Vacuity of Kidney and Spleen Yang
34
List formulas that can address Kidney and Spleen Yang Vacuity
Si Shen Wan, Li Zhong Wan
35
Tong Xie Yao Fang can treat what pattern?
Diarrhea due to Liver and Spleen Disharmony
36
Identify the pattern: Constipation for several days, dry stool, Heat in Qi level symptoms, unrelated infection, fever, hot, smelly breath, flushed complexion, dark scanty urine, abdominal pain/distention, stool in LI can be felt on palpation Pulse: rapid, slippery Tongue: Red body, yellow dry coat
Heat constipation
37
Chronic heat constipation can be caused by ______ | Acute heat constipation can be caused by _______
- heat in LI, LV heat, damp | - Yang Ming bowel syndrome
38
Identify the pattern: constipation or sluggish BM, possible alternating w/ loose foul-smelling stool, nausea / vomit, acid reflux, indigestion, epigastric & abdominal fullness / distention, foul-belching flatulence Pulse: slippery Tongue: thick greasy coat
Food stagnation constipation
39
Identify the pattern: tenesmus, no urge to defecate, pebble-like stool, abdominal distention / pain better w/ BM, frequent belching & gas, sense of stuffiness/blockage in chest or hypochondriac area, reduced appetite Pulse: wiry Tongue: unremarkable or dark w/ thin coat
Qi Stagnation constipation
40
Identify the pattern: chronic constipation or sluggish, not dry or possible mucuous, possible tenesmus, better, lighter, clear-headed after BM, abdominal distention, discomfort, foggy headed, poor concentration, poor memory, lethargy, heavy body, possible chronic mucous production, HA triggered by smells, tendency to obesity Pulse: deep and slippery or wiry Tongue: flabby, swollen w/ greasy white coat, thicker at back
Constipation due to phlegm accumulation
41
Identify the pattern: Stool not dry but very difficult to eliminate, passing stool is hard work, SOB, spontaneous sweat, fatigue Pulse: lacks force Tongue: possible scalloped, swollen
Constipation due to Qi deficiency
42
Identify the pattern: dry hard stool, pale lips/complexion, palpitations, insomnia, poor memory- cannot concentrate, possible dizziness, vertigo, tinnitus, tidal fever, nightsweat, sore weak knees/low back Pulse: rough, or weak and thready, possible rapid Tongue: pale, possibly no coat
Constipation due to Blood deficiency
43
Formula for constipation due to Blood deficiency
Run Chang Wan
44
Identify the pattern: stool difficult to eliminate, possibly dry, fatigue after BM, clear copious urine, pale complexion, cold extremities, cold achy low back + knees, abdominal cold/pain - better w/ pressure, warmth Pulse: slow, deep Tongue: pale, moist w/ white coat, possibly swollen, scalloped
Constipation due to Yang Deficiency
45
Formula for constipation due to exterior cold
Da Huang Fu Zi Tang
46
Formula for constipation due to Yang deficiency
Ji Chuan Jian
47
Sighing that relieves pain is typically a sign of ________
LV Qi Stagnation

DTD 1 (2 decks)

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