point D, case studies A, category locations A Flashcards
The pulse cannot be felt with light pressure but only w/heavy pressure at which point it is soft and forceless. Which point prescription is most applicable?
A) SP 10, BL 17
B) CV 6, DU 4
B) CV 6, DU 4
Pulse is deep and empty = interior condition of xu of qi and yang
The pulse cannot be felt w/light pressure but only w/heavy pressure at which point it is hard and forceful. Which point prescription is most applicable?
a) PC 4, BL 15, CV 17
b) CV 7, SP 6, KD 6
a) PC 4, BL 15, CV 17
Pulse is deep and full = interior xs condition - stagnant blood or qi/interior heat or cold
The pulse is felt on deeper pressure where it feels forceful and like a stretched and twisted rope. Which of the following point prescriptions is most applicable?
a) TW 5, LV 3 GB 34
b) SP 4, ST 36, CV 11
b) SP 4, ST 36, CV 11
Pulse = tight or tense, deep and full = interior, xs, cold
34 yo woman complains of low fever which occurs w/fatigue. Other sx incl SoB, fatigue, lack of spirit, dry mouth w/o desire to drink, sweating w/slight exertion poor appetite and loose stools. T = pale. P = weak. TX?
a) CV 6, SP 6, BL 17, BL 20, BL 21, ST 36, LV 3
b) CV 12, CV 6, ST 36, CV 4, LI 11, DU 20
b) CV 12, CV 6, ST 36, CV 4, LI 11, DU 20
DX = Xu SP Qi w/ clear yang not ascending
a 57 yo obese woman has been dx’d w/coronary artery disease. She has dull pericardial pain w/a feeling of oppression in the chest. Pain worsens w/fatigue. She feels weak. Facial complexion is dull w/bluish lips. She appears gloomy. She has loose stools. The tongue is dark red w/very little coating. P = deep and moderate Tx?
a) PC 6, SP 4, BL 15, CV 14, ST 36, SP 6
b) BL 23, BL 15, PC 6, KD 2
a) PC 6, SP 4, BL 15, CV 14, ST 36, SP 6
Dx = HT stagnant blood, Xu SP qiq
A 24 yo man had an appendectomy. He has abd distention w/no gas being passed. The complexion is dark. He is restless. The mouth is dry but he has no desire to drink. He has a bitter taste in his mouth. The urine is scanty and yellow. He is nauseous and occasionally vomits. T = dark red w/greasy and yellow coat. P = deep and forceful. You treat the pt w/ ST25, ST 37, PC 6, ST 36 w/no improvement. How do you change the pt prescription?
a) LI 11, DU 14, LI 4, BL 25, BL 40
b) BL 32, BL 25, PC 6, ST 36
b) BL 32, BL 25, PC 6, ST 36
Dx = Damp heat obstructing Intestine Qi leading to Rebellious ST qi
A 65 yo man has hypertension. He has h/a, blurred vision, tinnitus, deafness in one ear, fullness in the chest, restlessness, palpitations, insomnia, and weak knees. The sx are aggravated by physical and mental exertion and by emotional stress. The head and body feel heavy. The tongue is red w/redder tip and w/o coating in the central area. P = wiry. Tx?
a) LV 3, KD 3, PC 7, LV 8, LI 11, ST 40
b) ST 40, SP 9, ST 44, CV 12, HT 7
a) LV 3, KD 3, PC 7, LV 8, LI 11, ST 40
DX = LV Yang Rising, HT fire blazing, accumulation of phlegm
The points LI 11, SP 10 SP 6 symptomatically treat
a) sore throat
b) fever
c) pruritis
c) pruritis
The points CV 22, LU 7 symptomatically treat
a) inability to speak
b) cough
b) cough
LU 7 relieves cough
CV 22 descends LU qi
Pt has intercostal neuralgia w/stuffy chest,nausea, and heavy body sensation. Selected prescription is TW 6, LV 5, GB 34 combined w/
a) ST 40, LV 13, SP 9
b) LV 3, GB 40, PC 6
a) ST 40, LV 13, SP 9
Pt has acute bronchitis w/persistent coughing. Selected point prescription is BL12, BL 13, LI 4 and ding chuan w/
a) LI 11, DU 14
b) LU 5, LU 7
b) LU 5, LU 7
Pt has epigastric pain w/frothy vomit, dizziness,palpitations, and lumpy feeling in the chest. The selected prescription is PC 6, ST 36, combined w/
a) BL 17, SP 6, SP 4
b) CV 14, ST 40
b) CV 14, ST 40
dx = phlegm dampness obstructing ST
Pt has epigastric pain that changes location, distention relieved by belching and sour taste in the mouth. Point prescription = PC 6, ST 36 and
a) CV 12, LV 3
b) ST 43, ST 44
a) CV 12, LV 3
dx = LV stagnant qi invading ST
A pt has hyperthyroidism w/palps and insomnia. Point prescription = PC 5, SP 6, qi ying and
a) HT 7, KD 7
b) HT 7, an mian
b) HT 7, an mian
Pt has hiccups w/low sound, cold sensation in the limbs, fast breathing and weakness. Points = CV 22, BL 17, PC 6 and
a) CV 4, CV 12, CV 6, ST 36
b) CV 14, ST 25, LV 2, ST 44
a) CV 4, CV 12, CV 6, ST 36
24 yo man had an appendectomy. There is abd distention w/no gas being passed. The complexion is dark. He is restless, has a bitter taste in the mouth. Urine = scanty and yellow. He is nauseous and occasionally vomits. T= dark red w/greasy yellow coat. P = deep and forceful. Points = ST 25, ST 37, PC 6 ST 36. There was little improvement. What points now?
a) BL 32, BL 25, PC 6, ST 36
b) LI 11, DU 14, LI 4, BL 25, BL 40
a) BL 32, BL 25, PC 6, ST 36
DX = Damp heat obstructing Intestine Qi leading to Rebellious ST qi
35 yo woman has abd distention for 4 yrs. It started w/a break up w/her boyfriend. Complains of depression and frequently sighs. She has a sallow complexion, is irritable, quick to get angry. Appetite is poor and she is freq tired. She has loose stools. The abd distention improves w/farts. Periods are irregular w/dark red flow. Breasts are distended during menses. T = pale. Pulse = thin and wiry
a) CV 12, ST 36, ST 25, SP 9, SP 6 LI 4
b) SP 4, PC 6, LV 3, CV 12, CV 6, ST 36
b) SP 4, PC 6, LV 3, CV 12, CV 6, ST 36
Dx = Stagnant LV qi invading the SP
Pt has cough, an itchy throat, nasal obstruction, thin sputum. He complains of fever and aversion to cold. T= thin white coat. P = floating
a) BL 13, LU 7, LI 4
b) LU 5, CV 12, ST 40, DU 14, TW 5
b) LU 5, CV 12, ST 40, DU 14, TW 5
Wind Cold Invades the LU
Pt has dysentery w/frequent stools, pus and blood in the stool, absolutely no appetite, and nausea. T = yellow sticky coating. P = soft rapid
a) ST37, ST 25, CV 12, CV 6, moxa SP 9
b) ST 37, ST 25, CV 12 PC 6
b) ST 37, ST 25, CV 12 PC 6
Dx = Food Resistant Dysentery
Pt has loud hiccups which are worse after meals, epigastric and abdominal distention. T = thick, greasy coat P = slippery and forceful
a) PC 6, BL 17, CV 12, ST 36, BL 19
b) BL 17, CV 12, CV 14, ST 36, PC 6
b) BL 17, CV 12, CV 14, ST 36, PC 6
Dx = Retention of Food in ST
