layered cases

Question 1

Pt has dry throat, dry cough, hoarse voice, constant low grade fever which doesn’t improve w/sweating, worse in afternoon, exhaustion, breathlessness, night sweating, cloudy and scanty dark urine w/fresh blood, mental restlessness, bitter taste, insomnia,heaviness in body, feeling of heat in the feet, edema in legs, tongue ulcers. T = red at the tip, no coat w/yellow sticky coating and red spots at the root. P=thin, rapid, slippery. Patterns?

a) HT fire blazing, SP damp heat, LU yin xu
b) hyperactive LV yang, BL damp heat, LU qi xu
c) LU yin xu, Invasion of Damp Heat; BL heat

Answer 1

c) LU yin xu, Invasion of Damp Heat; BL heat

Question 2

Pt has slt hypochondrial distention, bright purple spots under the skin, burning epigastric pain, thirst w/desire for cold drinks, dry mouth, mental restlessness, feverish at night, epistaxis, bleeding gums, pms, scanty periods, tingling limbs, depression, frequent sighing. T = red, yellow dry coating w/red points. P = rapid, choppy. Patterns?

a) LV fire attacking ST, xu LV blood
b) ST Fire, stagnatnt LV qi, xu blood
c) ST fire; blood heat, xu LV blood

Answer 2

c) ST fire; blood heat, xu LV blood

Question 3

Pt has burning epigastric pain, dry mouth, desire for cold drinks, bleeding gums, T = red w/dry yellow coating P = rapid. Dx?

a) ST fire
b) ST heat
c) LV invading ST

Answer 3

ST fire

Question 4

Pt has bright purple spots under skin, epistaxis T= red w/red points,P = rapid Dx?

a) Blood stagnation
b) Blood heat

Answer 4

b) Blood heat