Midterm Review Flashcards
Explain why a patient with Yin & Blood Vacuity has a Soggy pulse?
- Soggy pulse is forceless and deficient in contour because of deficiency
- It is not rooted due to Yin & Blood Vacuity
Explain why a patient with Blood Deficiency presents with a Choppy pulse?
- not enough blood to fill the vessels or have smooth flow
- therefore the pulse is hesitant (or uneven) & feels slower than normal
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
(d) Forceless & fine
A pulse that is fine & choppy is associated with:
(a) Exterior wind cold
(b) Liver qi depression
(c) Blood vacuity
(d) Stagnation
(c) Blood vacuity
A large forceless pulse is often associated with:
(a) Liver excess
(b) Internal cold repletion
(c) Yang vacuity
(d) Phlegm accumulation
(c) Yang vacuity
Phlegm is a FORCEFUL pulse!
Which of the following pulses is commonly associated with phlegm & damp disorders?
(a) Slippery
(b) Soggy
(c) Choppy
(d) Hidden
(a) Slippery
Soggy could be, but it’s an unusual presentation. The best answer is Slippery.
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
(b) Slow & deep
Probably a vacuity cold. Swollen pale indicates Qi or Yang vacuity. Thick white tongue coat indicates Cold.
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
(d) Vacuity cold
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
(d) Crimson tongue, mirrored
Because this is the most severe.
(Prior to mirrored might be Crimson tongue with no coat.)
A thin tongue is associated with which pathologies?
- Blood & Yin vacuity (not enough to just say ‘vacuity’)
- Early stage Qi or Yang vacuity
Tongue cracks that are not congenital indicate the condition is:
(a) Recent
(b) Exterior
(c) Excess
(d) Chronic
(d) Chronic
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
(a) Duration of the condition
A pale dry tongue is associated with which pathology?
Blood Deficiency
A dry white cracked (or fissured) tongue coat can be associated with which pathology?
Intense Heat / Fire
A pale limp tongue indicates:
(a) Yin vacuity
(b) Qi & Blood vacuity
(c) Heart fire
(d) Wind stroke
(b) Qi & Blood vacuity
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
(c) Fine, rapid & forceless
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
(d) Forceless & fine
Which pulse has an essential characteristic the features of located near the bone?
Deep pulse
A patient with a Deep pulse likely has:
(a) Yin vacuity
(b) Excess interior cold
(c) Exterior heat
(d) Vacuity cold
(b) Excess interior cold
Explain the Pathomechanism associated with the swollen tongue in cases of yang deficiency.
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.
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
(a) Phlegm
Describe the tongue body of a patient with moldy tongue coat (Phlegm).
Thick or swollen tongue body
Describe a moving tongue.
Large, slow, uncontrolled, lolling movements
Describe a quivering tongue.
Small, rapid, uncontrolled, jerky movements
A numb tongue is indicative of which pathologies?
Failure to nourish due to either:
- Blood & Qi vacuity, or
- Excess / Stagnation that’s blocking
Please explain what is occurring with a patient presenting with a tongue coat that is yellow on one side & white on the other.
Transformation or transition in disease pattern from HOT to COLD or from COLD to HOT
