Pulmonology

Question 1

Identify the pattern:
Chief complaint is choking cough, thin white mucous, easy to expectorate, no sweat, no thirst, aversion to cold, runny nose
Pulse is floating and tight
Tongue has a thin white coat

Answer 1

Cough due to Wind Cold invasion of the LU

Question 2

Identify the pattern:
Chief complaint is cough w/ thick sticky yellow mucous, easy to expectorate, aversion to wind, sore throat, thirst, fever
Pulse is floating, rapid
Tongue has thin yellow coat

Answer 2

Cough due to Wind Heat invasion of LU

Question 3

Identify the pattern:
CC: Dry cough, little/no mucous, difficult to expectorate
Dry mouth, nose, throat, thirst, slight aversion to wind, scratchy throat
Blood-tinged mucous in severe cases
Pulse: floating, rapid
Tongue: dry red, w/ white or yellow coat

Answer 3

Cough due to Wind Dryness

Question 4

Identify the pattern:
CC: dry cough, little/no mucous, dry nose/throat, associated w/ cold, fever, no sweat
Only occurs during cold, dry autumn
Pulse: floating
Tongue: thin white coat

Answer 4

Cough due to cool dryness

Question 5

Identify the pattern:
CC: recurring cough with dilute, white, easy to expectorate mucous, especially AM
Chest oppression, poor appetite, fatigue, loose stool, nausea, epigastric distention
Pulse: slippery
Tongue: wet, slippery coat

Answer 5

Cough due to phlegm damp

Question 6

Identify the pattern:
CC: hacking cough, scanty to no sticky mucous
Long term emotional issues, costal pain/distention, bitter taste, flushed complexion, restlessness/irritable
Pulse: rapid, wiry
Tongue: thin yellow coat

Answer 6

Cough due to LV Fire

Question 7

Identify the pattern:
CC: dry hacking cough, no or scanty sticky white mucous, difficult to expectorate
dry throat, 5 center heat, tidal fever in PM, night sweats
Pulse: thready, rapid
Tongue: red, dry, little/no coat or mirror coat

Answer 7

Cough due to Lung Yin Vacuity

Question 8

Middle stage Lung Abscess due to Phlegm Heat can be subcategorized as ________. How can one differentiate these?

Answer 8

suppuration - high fever, cough w/ yellow green sputum, dry mouth and throat

rupture - cough w/ copious purulent smelly sputum, may be blood streaked, can’t lie down, red complexion, thirst for cold drink

Question 9

Identify the pattern:
Heavy nasal discharge of thick turbid yellow foul-smelling fluid w/ severe HA + pain on external pressure b/n eyebrows or in zygomatic region, fever, bitter taste in mouth, dry throat, tinnitus, deafness, insomnia, dream-disturbed sleep, restlessness, irascibility
Pulse: rapid, wiry
Tongue: red w/ yellow coat

Answer 9

Nasal congestion due to GB Heat

Question 10

Identify the pattern:
Heavy turbid yellow nasal discharge, severe continuous nasal congestion, loss of smell, redness/swelling w/in nasal cavity + distending pain w/ the nose, heavy aching head, fatigue, epigastric discomfort + fullness, loss of appetite, dark yellow urine
Pulse: rapid slippery or soft, rapid
Tongue: red w/ slimy yellow coat

Answer 10

nasal congestion due to SP + ST Damp Heat

Question 11

Identify the pattern:
Clear sticky nasal discharge, intermittently mild or severe nasal congestion, impaired smell w/ increase in severity of nasal discharge + congestion upon exposure to wind or cold; SOB, loss of strength, sluggish speech, weak voice, spontaneous sweat, aversion to drafts, coughing w/ phlegm in some cases
Pulse: weak
Tongue: pale body, thin white coat

Answer 11

Nasal congestion due to LU Vacuity Cold

Question 12

Identify the pattern:
Heavy thick milky sticky nasal discharge w/o foul smell, severe nasal congestion and impaired or lost sense of smell, accompanied by heavy limbs, loss of strength, poor appetite, loose stool, sallow withered complexion, heaviness of head, dizziness, vertigo
Pulse: weak, tardy
Tongue: Pale w/ white coat

Answer 12

Nasal congestion due to SP Qi Vacuity

Question 13

Describe symptoms of Summer Heat Damp in superficial level, deeper in ST and LU, deepest level

Answer 13

Superficial : iron band HA, heavy head and limbs, sore limbs/joints

ST & LU: nausea, greasy mouth, chest oppression, epigastric distention

deepest level: loose stool

Question 14

General symptoms of Summer Heat Damp include ______

Answer 14

uncomfortable, aversion to wind

no thirst, little perspiration

Question 15

Wheezing is a failure of ___________.

Answer 15

Lung qi to descend / counterflow Lung qi

Question 16

____ deficiency is frequently observed in chronic wheezing in children.
____ yin deficiency can lead to the manifestation of Lung Qi deficiency

Answer 16

SP

KD

Question 17

identify the pattern:
Acute, suddent wheezing/asthma, chest tight and full, thin white mucous, chills, no sweat, no thirst
Pulse: floating or floating and tight
Tongue: Thin white coat

Answer 17

Wheezing due to Wind Cold Invading Lungs

Question 18

Identify the pattern:
Severe chills and asthma, cough w/ profuse white/watery sputum, chest fullness, orthopnea w/ body aches, fever, no sweat, limbs swelling
Pulse: tight and slippery or floating
Tongue: pale white, greasy coat

Answer 18

Wheezing due to Wind Cold with interior Rheum in Lungs

Question 19

Identify the pattern:
Wheezing/ asthma, chest fullness or distention, heavy breath, flaring nostrils, thick phlegm difficult to expectorate, thirst, fever, chills, restlessness
Pulse: floating, rapid or slippery
Tongue: Red body, thick white or yellow coat

Answer 19

Wheezing due to Exterior Cold w/ Interior Heat

Question 20

Identify the pattern:
Acute wheezing and; cough w/ scant sticky yellow sputum, difficult to expectorate, full or tight chest, mild fever, little or no chills, thirst, nasal obstruction, or thick yellow or green nasal discharge, sore dry throat, mild sweat, HA (usually frontal)
Pulse: floating & rapid
Tongue: normal or red-tipped w/ thin white or yellow coat

Answer 20

Wheezing due to Wind Heat

Question 21

Identify the pattern:
Wheezing/asthma, chest distention/pain/tightness, heavy breathing, coarse voice, profuse yellow, sticky or blood tinged sputum, nausea or less appetite, accompanied by feeling of heat, red face, dry throat, thirst w/ preference for cold drink, dark urine, constipation or loose stool
Pulse: slippery or soft - rapid
Tongue: Red, thick sticky yellow coat

Answer 21

Wheezing due to Phlegm Heat Obstructing the Lung

Question 22

Identify the pattern:
Wheezing/asthma, productive & thick phlegm, chest fullness and oppression, poor appetite, nausea, sticky saliva, no thirst
Pulse: slippery or soft
Tongue: pale & swollen, scalloped, white sticky coat

Answer 22

Wheezing due to Chronic Phlegm Obstructing Lung

Question 23

Identify the pattern:
Chest tightness, dyspnea, wheezing, SOB, difficult to get deep full breath, mild/no mucus, worse w/ emotion/stress, frequent sighing, plum pit qi, low appetite, insomnia, palpitations, vague chest pain, PMS
Pulse: wiry
Tongue: Purplish or unremarkable w/ brown or purplish macules @ sides

Answer 23

Wheezing due to LV Qi Stagnation Damaging Lungs

Question 24

Identify the pattern:
Feeble cough & dyspnea, thin sputum, slight rattling sound in throat, pale complexion, weak voice, fatigue, spontaneous sweat, aversion to wind, catch cold easily
Pulse: weak/forceless
Tongue: Pale, white coat

Answer 24

Wheezing due to Lung Qi Vacuity

Question 25

Identify the pattern: Dry cough w/ scanty or glutinous, blood streaked sputum, malar flush in afternoon, hoarse voice, dysphoria w/ 5 center heat, night sweat, tidal fever Pulse: rapid, thready Tongue: red w/ little coat

Answer 25

Wheezing due to Lung Yin Vacuity

Question 26

Identify the pattern: Chronic asthma, worse on exertion, inhale more difficult than exhale, fatigue, ankle swelling, cold sweating, cold limbs, frequent urine or dysphoria, 5 center heat, night sweat, lassitude, weak low back/knee, tinnitus, dizziness Pulse: thin, weak or thready, rapid Tongue: Pale or ashen, moist coat or red w/ little coat

Answer 26

Wheezing due to KD Vacuity (Yang/Yin/Qi)

Question 27

Identify the pattern: Chest distention and fullness, panting, dyspnea, wheezing, cough; profuse white, sticky or foamy phlegm, SOB, sweat easily, fatigue - worse with exertion, aversion to wind, abdominal distention, low appetite Pulse: slightly slippery Tongue: pale, puffy, thin, sticky or greasy white coat

Answer 27

Pulmonary Distention due to Phlegm Dampness Obstruction

Question 28

Identify the pattern: Chest distention and fullness, panting, dyspnea, wheezing, cough: sticky yellow phlegm hard to expectorate, rough/labored breathing, irritability, fever with slight aversion to cold, moderate sweating, yellow urine, dry stools, thirst Pulse: rapid or slippery, rapid Tongue: Red yellow or greasy yellow coat

Answer 28

Pulmonary Distention due to Phlegm Heat Obstruction

Question 29

Identify the pattern: irritability, agitation, restlessness, delirium, agitation, sleepiness, confusion, disorientation, coma, aphasia, muscle spasms, twitching extremities, cough with breathlessness, hacking, phlegmy, hard to expectorate Pulse: Thready, slippery Tongue: dark red or light purple w/ greasy or yellow greasy coat, turbid

Answer 29

Pulmonary Distention due to Phlegm Heat Misting the Orifices of the Heart

Question 30

Identify the pattern: Chest distention and fullness, painful on inspiration, panting, dyspnea, cough: white foamy phlegm hard to expectorate, breathing: shallow, short, labored, open-mouthed, flaring nostrils, difficulty lying down, weak and low voice, hunched shoulders, cold extremities and sweat Pulse: deep, thready, rapid forceless or irregular Tongue: dark or pale purple

Answer 30

Pulmonary Distention due to Lung and Kidney Qi Vacuity

Question 31

Identify the pattern: chest distention and fullness, panting dyspnea, wheezing, cough: clear, thin, watery phlegm, barrel chest, ascites, edema: face, lower limbs, whole body, intolerance and aversion to cold, scanty urine, low appetite, cyanosis Pulse: deep thready Tongue: puffy / dark, thin greasy coat

Answer 31

Pulmonary Distention due to Yang Deficiency w/ Water Rebelling Upward

Question 32

Identify the pattern: dry cough w/ little or no mucus, or recurrent hemoptysis w/ fresh red frothy blood, chest pain w/ coughing, afternoon fever, night sweats, 5 center heat, malar flush, warm, dry skin, red lips, dry throat, emaciation, insomnia / dream disturbed sleep; irritability / restless, easily angered Pulse: thready and rapid Tongue: scarlet or crimson

Answer 32

Tuberculosis due to Lung Yin Deficiency w/ Heat

Question 33

Identify the pattern: irritating cough w/ scanty, sticky yellow mucous or recurrent hemoptysis w/ fresh red frothy blood, afternoon fever / steaming bone, night sweats, malar flush, low back weak/sore, dizziness, tinnitus, restlessness, irritability, easy anger, insomnia, 5 center heat, spermatorrhea, amneorrhea, emaciation, chest/ribside pain Pulse: thready, rapid, weak Tongue: red or crimson w/ a peeled or cracked surface

Answer 33

Tuberculosis due to Lung and Kidney Yin Deficiency

Question 34

Identify the pattern: weak, dry cough w/ watery or scanty mucous or recurrent hemoptysis w/ fresh red frothy blood, aversion to wind and cold, spontaneous sweating, night sweats, poor appetite, abdominal distention, loose stool, SOB, low voice, waxy pale complexion, chest pain, malar flush, mild afternoon fever, dry mouth and throat Pulse: thready and weak, may be rapid Tongue: pale pink or red, swollen w/ scallops, cracked surface, thin or peeled coat

Answer 34

Tuberculosis due to Lung Qi and Yin Deficiency

Question 35

Identify the pattern: cough/wheeze worse w/ exertion w/ expectoration of frothy or dark-streaked phlegm/ mucous, mild tidal fever, cold body + aversion to cold, spontaneous sweat and night sweat, superficial edema, facial edema, mouth and tongue ulcers, emaciation, anxiety / nervousness, dark lips, low appetite, loose stool or daybreak diarrhea, amenorrhea, impotence Pulse: faint, thready, rapid or deficient and large Tongue: red, dry, peeled / cracked or pale, purplish, swollen w/ scallops

Answer 35

Tuberculosis due to Yin and Yang Deficiency

Question 36

Weak lung qi can result in cold limbs because ________

Answer 36

there may be insufficient qi to push blood to the extremities, resulting in cold hands and/or feet, cyanosis

Question 37

List common herbs to tonify LU qi

Answer 37

Ren Shen, Huang Qi, Shan Yao, Gan Cao

Question 38

List common herbs to tonify LU yin

Answer 38

Mai Men Dong, Bai He, Tian Men Dong, Wu Wei Zi, Gou Qi Zi, Zhi Mu, Tian Hua Fen, Yu Zhu

Question 39

List common herbs to calm cough & wheeze

Answer 39

Xing Ren, Jie Geng, Wu Wei Zi, Gan Cao, Kuan Dong Hua, Ge Jie, Ma Huang

Question 40

List common herbs to disperse Wind Heat

Answer 40

Sang Ye, Ju Hua, Bo He, Chan Tui, Jin Yin Hua, Lian Qiao, Niu Bang Zi

Question 41

List common herbs to disperse Wind Cold

Answer 41

Ma Huang, Sheng Jiang, Jing Jie, Qiang Huo, Gui Zhi, Xi Xin, Fang Feng

Question 42

List common herbs to clear Lung Heat

Answer 42

Shi Gao, Huang Qin, Yu Xing Cao, Sang Bai Pi, Tian Hua Fen, Zhi Mu, Chuan Bei Mu, Zhu Ru

Question 43

List common herbs to clear phlegm

Answer 43

Chen Pi, Ban Xia, Gua Lou, Bai Qian, Qian Hu, Kuan Dong Hua, Bei Mu, Jie Geng, Hou Po

Question 44

List common herbs to warm the Lung

Answer 44

Gan Jiang, Gui Zhi, Sheng Jiang

Question 45

List common herbs to clear LI Damp Heat

Answer 45

Huang Qin, Huang Lian, Qin Pi

Question 46

List common herbs to purge

Answer 46

Da Huang, Mang Xiao

Question 47

List common herbs to moisten LI

Answer 47

Dang Gui, He Shou Wu, Bai Zi Ren, Xing Ren, Gua Lou Ren

Question 48

List action(s) of Yin Qiao San

Answer 48

Disperse wind heat, clear heat, resolve toxicity

Question 49

List action(s) of Qing Qi Hua Tan Tang

Answer 49

Resolve phlegm heat cough

Question 50

List action(s) of Xiao Qing Long Tang

Answer 50

Release exterior, transform congested fluids, warm LU, direct qi downward

Question 51

List action(s) of San Ju Yin

Answer 51

Release exterior wind-heat, stop cough

Question 52

List action(s) of Yu Ping Feng San

Answer 52

Tonify Qi, stabilize exterior, stop sweat

Question 53

List action(s) of Jin Gui Shen Qi Wan

Answer 53

Warm and Tonify KD Yang

Question 54

List action(s) of Long Dan Xie Gan Tang

Answer 54

Drain LV/GB fire, clear and drain damp heat from lower burner

Question 55

List action(s) of Liu Wei Di Huang Wan

Answer 55

Enrich Yin, Nourish KD

Question 56

List action(s) of Bai He Gu Jin Wan

Answer 56

Nourish the Yin, moisten LU, transforms phlegm, stop cough

Question 57

List action(s) of Er Chen Tang

Answer 57

Dry dampness, transform phlegm, regulate qi, harmonize middle burner

Question 58

List action(s) of Ma Xing Shi Gan Tang

Answer 58

Faciliate flow of LU qi, clears heat, calms wheezing, directs rebellious qi downward

Question 59

Pulmonary tuberculosis is generally a _____ deficiency condition

Answer 59

Yin

Question 60

Rhinitis is usually a deficiency of ______ | List signs and symptoms

Answer 60

wei qi watery discharge, sneezing, irritated nose, throat eyes, itchy eyes

Question 61

List signs and symptoms of Deep Source Nasal Congestion

Answer 61

red, swollen nasal mucus membrane, yellow or green purulent rhinorrhea

Question 62

List signs and symptoms of Lung Abscess

Answer 62

Cough w/ foul, fishy-smelling sputum, sputum has pus and probably blood, purulent,, fetid, cloudy, probably thick

Question 63

List the pattern associated with each stage of Lung Abscess

Answer 63

Early stage: Wind Heat Middle: Phlegm Heat Convalescent: Yin Deficiency

Question 64

The hallmark sign of Lung/Pulmonary Wilt is ______ | Patterns associated with Lung Wilt are _________

Answer 64

Extreme emaciation KD Yin Deficiency or KD Yang Deficiency

Question 65

Signs and symptoms of Pulmonary distention are ________

Answer 65

chronic distention and fullness in chest, cough with expectoration of phlegm, dyspnea, barrel chest, possible ascites

Question 66

Signs and symptoms of Pulmonary Tuberculosis are __________

Answer 66

emaciated, extreme dryness, coughing up blood