Midterm Review

Question 0

Explain why a patient with Yin & Blood Vacuity has a Soggy pulse?

Answer 0

• Soggy pulse is forceless and deficient in contour because of deficiency
• It is not rooted due to Yin & Blood Vacuity

Question 1

Explain why a patient with Blood Deficiency presents with a Choppy pulse?

Answer 1

• not enough blood to fill the vessels or have smooth flow

- therefore the pulse is hesitant (or uneven) & feels slower than normal

Question 2

A person who has Qi & Blood Vacuity will likely have a pulse that is:

(a) Rapid & forceful
(b) Hidden & forceless
(c) Rapid & fine
(d) Forceless & fine

Answer 2

(d) Forceless & fine

Question 3

A pulse that is fine & choppy is associated with:

(a) Exterior wind cold
(b) Liver qi depression
(c) Blood vacuity
(d) Stagnation

Answer 3

(c) Blood vacuity

Question 4

A large forceless pulse is often associated with:

(a) Liver excess
(b) Internal cold repletion
(c) Yang vacuity
(d) Phlegm accumulation

Answer 4

(c) Yang vacuity

Phlegm is a FORCEFUL pulse!

Question 5

Which of the following pulses is commonly associated with phlegm & damp disorders?

(a) Slippery
(b) Soggy
(c) Choppy
(d) Hidden

Answer 5

(a) Slippery

Soggy could be, but it’s an unusual presentation. The best answer is Slippery.

Question 6

A person with swollen pale tongue with a thick white tongue coat is most likely to have which of the following pulse types?

(a) Rapid & fine
(b) Slow & deep
(c) Floating & rapid
(d) Choppy

Answer 6

(b) Slow & deep

Probably a vacuity cold. Swollen pale indicates Qi or Yang vacuity. Thick white tongue coat indicates Cold.

Question 7

A person with swollen pale tongue with thick white tongue coat most likely has which of the following conditions?

(a) Vacuity heat
(b) Excess cold
(c) Damp heat
(d) Vacuity cold

Answer 7

(d) Vacuity cold

Question 8

Which of the following reflects a more severe condition?

(a) Red tongue no coat
(b) Crimson tongue very thin coat
(c) Crimson tongue no coat
(d) Crimson tongue, mirrored

Answer 8

(d) Crimson tongue, mirrored

Because this is the most severe.
(Prior to mirrored might be Crimson tongue with no coat.)

Question 9

A thin tongue is associated with which pathologies?

Answer 9

• Blood & Yin vacuity (not enough to just say ‘vacuity’)

- Early stage Qi or Yang vacuity

Question 10

Tongue cracks that are not congenital indicate the condition is:

(a) Recent
(b) Exterior
(c) Excess
(d) Chronic

Answer 10

(d) Chronic

Question 11

The thickness of the tongue coat informs the practitioner about:

(a) Duration of the condition
(b) Hot or cold
(c) Excess or vacuity cold
(d) Blood & qi vacuity

Answer 11

(a) Duration of the condition

Question 12

A pale dry tongue is associated with which pathology?

Answer 12

Blood Deficiency

Question 13

A dry white cracked (or fissured) tongue coat can be associated with which pathology?

Answer 13

Intense Heat / Fire

Question 14

A pale limp tongue indicates:

(a) Yin vacuity
(b) Qi & Blood vacuity
(c) Heart fire
(d) Wind stroke

Answer 14

(b) Qi & Blood vacuity

Question 15

A person who has vacuity heat will have a pulse that is:

(a) Large, slow & forceful
(b) Hidden & forceless
(c) Fine, rapid & forceless
(d) Fine, slow & forceless

Answer 15

(c) Fine, rapid & forceless

Question 16

A person who has qi & blood vacuity will likely have a pulse that is:

(a) Rapid & forceful
(b) Hidden & forceless
(c) Rapid & fine
(d) Forceless & fine

Answer 16

(d) Forceless & fine

Question 17

Which pulse has an essential characteristic the features of located near the bone?

Answer 17

Deep pulse

Question 18

A patient with a Deep pulse likely has:

(a) Yin vacuity
(b) Excess interior cold
(c) Exterior heat
(d) Vacuity cold

Answer 18

(b) Excess interior cold

Question 19

Explain the Pathomechanism associated with the swollen tongue in cases of yang deficiency.

Answer 19

One of the yang functions is to move. So when yang is deficient, there is not sufficient movement of a variety of substances including fluids. Therefore fluid backs up and we see swelling of tongue.

Swollen, pale, wet tongue is due to failure to transform fluids.

Question 20

A patient presenting with a moldy tongue coat likely has which of the following conditions?

(a) Phlegm
(b) Blood vacuity
(c) Yin vacuity
(d) Exterior wind heat

Answer 20

(a) Phlegm

Question 21

Describe the tongue body of a patient with moldy tongue coat (Phlegm).

Answer 21

Thick or swollen tongue body

Question 22

Describe a moving tongue.

Answer 22

Large, slow, uncontrolled, lolling movements

Question 23

Describe a quivering tongue.

Answer 23

Small, rapid, uncontrolled, jerky movements

Question 24

A numb tongue is indicative of which pathologies?

Answer 24

Failure to nourish due to either:

• Blood & Qi vacuity, or
• Excess / Stagnation that’s blocking

Question 25

Please explain what is occurring with a patient presenting with a tongue coat that is yellow on one side & white on the other.

Answer 25

Transformation or transition in disease pattern from HOT to COLD or from COLD to HOT