manic depressive/dizziness/melancholia Flashcards

1
Q

Gradual onset, emotional dejection and mental dullness a the initial stage, followed by incoherent speech, changing moods, or muteness, somnolence, anorexia. T: thin, sticky coating P: String taut, thready or string taut rolling Dx?

a) Depressive Disorder
b) Manic Disorder

A

a) Depressive Disorder

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2
Q

Sudden onset, irritability, easy to anger, insomnia, loss of appetite, followed by excessive motor activity w/increased energy and violent behaviors. T: yellow, sticky coat P: String taut rolling rapid Dx?

a) Depressive Disorder
b) Manic Disorder

A

b) Manic Disorder

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3
Q

Gradual onset, emotional dejection and mental dullness a the initial stage, followed by incoherent speech, changing moods, or muteness, somnolence, anorexia. T: thin, sticky coating P: String taut, thready or string taut rolling Points?

a) BL 15, BL 18, BL 20, HT 7, ST 40
b) DU 14, DU 16, DU 26, PC 6, ST 40

A

a) BL 15, BL 18, BL 20, HT 7, ST 40

Dx = Depressive d/o

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4
Q

Sudden onset, irritability, easy to anger, insomnia, loss of appetite, followed by excessive motor activity w/increased energy and violent behaviors. T: yellow, sticky coat P: String taut rolling rapid Points?

a) BL 15, BL 18, BL 20, HT 7, ST 40
b) DU 14, DU 16, DU 26, PC 6, ST 40

A

b) DU 14, DU 16, DU 26, PC 6, ST 40

Dx = LV fire causes phlegm heat

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5
Q

Pt reports dizziness that is aggravated by anger, irritability, flushed face, red eyes, tinnitus, bitter taste in the mouth, dream distrubed sleep> T: Red w/yellow coat P: String taut rapid

a) Hyperactivity of LV yang
b) Xu of qi and blood
c) Interior retention of phlegm dampness

A

a) Hyperactivity of LV yang

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6
Q

Dizziness accompanied by pallor and lusterless complexion, weakness, palpitations, insomnia, pale lips and nails lassitude, loss of consciousness if severe

a) Hyperactivity of LV yang
b) Xu of qi and blood
c) Interior retention of phlegm dampness

A

b) Xu of qi and blood

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7
Q

Dizziness w/a heavy feeling of the head and suffocating sensation in the chest, nausea, profuse sputum, anorexia, somnolence

a) Hyperactivity of LV yang
b) Xu of qi and blood
c) Interior retention of phlegm dampness

A

c) Interior retention of phlegm dampness

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8
Q

Dizziness accompanied by pallor and lusterless complexion, weakness, palpitations, insomnia, pale lips and nails lassitude, loss of consciousness if severe

a) GB 20, BL 18, BL 23, KD 3, LV2
b) moxa DU 20, BL 20, CV 4, ST 36, SP 6
c) ST 8, BL 20, CV 12 PC 6, ST 40

A

b) moxa DU 20, BL 20, CV 4, ST 36, SP 6

dx = xu of qi and blood - dizziness

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9
Q

Dizziness w/a heavy feeling of the head and suffocating sensation in the chest, nausea, profuse sputum, anorexia, somnolence

a) GB 20, BL 18, BL 23, KD 3, LV2
b) moxa DU 20, BL 20, CV 4, ST 36, SP 6
c) ST 8, BL 20, CV 12 PC 6, ST 40

A

c) ST 8, BL 20, CV 12 PC 6, ST 40

dx = Interior retention of phlegm dampness - dizziness

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10
Q

Mental depression, distress of the chest, hypochondriac pain, abd distention, belching, anorexia, or abd pain, vomiting, abnormal bms T: thin, sticky coat P: String taut

a) Depression of the qi in the LV
b) Xformation of depressed qi into fire
c) Stagnation of phlegm
d) Insufficiency of blood

A

a) Depression of the qi in the LV

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11
Q

H/a, dryness and bitter taste in the mouth, irritability, distress of the chest, hypochondriac distension, acid regurgitation, constipation, red eyes, tinnitus. T: Red w/yellow coat P: String taut, rapid

a) Depression of the qi in the LV
b) Xformation of depressed qi into fire
c) Stagnation of phlegm
d) Insufficiency of blood

A

b) Xformation of depressed qi into fire

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12
Q

Feeling of lump choking in the throat, hard to spit it out or to swallow it. T: thin, sticky coat P: String, taut, rolling

a) Depression of the qi in the LV
b) Xformation of depressed qi into fire
c) Stagnation of phlegm
d) Insufficiency of blood

A

c) Stagnation of phlegm

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13
Q

a) Depression of the qi in the LV
b) Xformation of depressed qi into fire
c) Stagnation of phlegm
d) Insufficiency of blood

A

d) Insufficiency of blood

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14
Q

Grief w/o reason, capricious joy or anger, suspicious, tendency towards fright, palpitations, irritability, insomnia, or sudden distress of the chest, hiccup, sudden aphonia, convulsion or loss of consciousness in severe cases. T: Thin, white coat P: string taut thready

a) Depression of the qi in the LV
b) Xformation of depressed qi into fire
c) Stagnation of phlegm
d) Insufficiency of blood

A

d) Insufficiency of blood

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15
Q

Mental depression, distress of the chest, hypochondriac pain, abd distention, belching, anorexia, or abd pain, vomiting, abnormal bms T: thin, sticky coat P: String taut

a) BL 18, CV 17, CV 12, ST 36, SP 4, LV 3
b) CV 13, TW 6, GB 34, LV 2, GB 43
c) CV 22, CV 17, PC 6, ST 40, LV 3
d) CV 14, HT 7, SP 6, LV 3

A

a) BL 18, CV 17, CV 12, ST 36, SP 4, LV 3

dx = depression of the qi in the LV - melancholia

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16
Q

H/a, dryness and bitter taste in the mouth, irritability, distress of the chest, hypochondriac distension, acid regurgitation, constipation, red eyes, tinnitus. T: Red w/yellow coat P: String taut, rapid

a) BL 18, CV 17, CV 12, ST 36, SP 4, LV 3
b) CV 13, TW 6, GB 34, LV 2, GB 43
c) CV 22, CV 17, PC 6, ST 40, LV 3
d) CV 14, HT 7, SP 6, LV 3

A

b) CV 13, TW 6, GB 34, LV 2, GB 43

dx = xformation of depressed qi into fire - melancholia

17
Q

Feeling of lump choking in the throat, hard to spit it out or to swallow it. T: thin, sticky coat P: String, taut, rolling

a) BL 18, CV 17, CV 12, ST 36, SP 4, LV 3
b) CV 13, TW 6, GB 34, LV 2, GB 43
c) CV 22, CV 17, PC 6, ST 40, LV 3
d) CV 14, HT 7, SP 6, LV 3

A

c) CV 22, CV 17, PC 6, ST 40, LV 3

dx = stagnation of phlegm - melancholia

18
Q

Grief w/o reason, capricious joy or anger, suspicious, tendency towards fright, palpitations, irritability, insomnia, or sudden distress of the chest, hiccup, sudden aphonia, convulsion or loss of consciousness in severe cases. T: Thin, white coat P: string taut thready

a) BL 18, CV 17, CV 12, ST 36, SP 4, LV 3
b) CV 13, TW 6, GB 34, LV 2, GB 43
c) CV 22, CV 17, PC 6, ST 40, LV 3
d) CV 14, HT 7, SP 6, LV 3

A

d) CV 14, HT 7, SP 6, LV 3

dx - Insufficiency of blood - melancholia