Goiter

Question 1

5 categories:

Answer 1

1) Qi ying
2) rou ying (mm)
3) xue ying (blood)
4) jing ying (tendon)
5) Shi ying (stone)

Question 2

differentiate the 5 categories

Answer 2

1) qi= soft, comes and goes with emotional changes
2) xue= fixed hard lump
3) jing= swollen, vericose
4) Shi= hard as a stone, cancer

Question 3

how to differentiate patterns?

Answer 3

1) XU vs SHI

2) heat VS fire

Question 4

patterns:

Answer 4

1) Qi stg with PH
2) blood stg with PH
3) LIV fire flare up
4) yin xu fire (HT/LIV)

Question 5

etiology

Answer 5

1) emotions/stress
2) diet
3) constitution

Question 6

POT

Answer 6

reg. Qi, transform PH, disperse stg/nodules, activate blood

Question 7

ALT

Answer 7

1) auricular- shenmen, LIV, HT, KID, endocrine thyroid
2) plumblossom- neck/nape (C-4-7)
3) moxa
4) herbs

Question 8

points

Answer 8

yangming meridians (ST, LI)
ashi
Lu 7
Li 4

Liver fire: Liv 2/3
Phlegm Retention: St 36/40

Question 9

technique

Answer 9

surrounding needle (4-8 needles)

Question 10

chinese name

Answer 10

ying bing

Question 11

Disease diagnosis

Answer 11

Slow onset
Young people/pregnancy
No symptoms
Whole gland enlarged
One or both sides
No tenderness on palpation
Soft
Loss of voice
Teaches problems leading to cough

• ask patient to swallow and if it’s normal the thyroid gland moves up and down*
• check basal body temp*

Question 12

Pattern Differentitaion

Answer 12

1. Diabetes. Vs. Hyperthyroid
2. Types: ie Shi, Jing etc
3. Excess (branch). Vs. Def
   Color of veins Yin Def
   Soft or hard Qi def (Hrt/Liv)
   Heat/Fire Symptoms