TCM and Cancer/ TCM and Nausea and Vomiting Flashcards
What was the primary population studied in the chemotherapy-induced peripheral neuropathy (CIPN) acupuncture trial?
A) Men over 18 with cardiovascular disease
B) Women over 18 with breast or gynecological cancer undergoing taxane-based chemotherapy
C) Patients under 18 with neurological disorders
D) Adults over 50 with diabetes
Correct Answer: B) Women over 18 with breast or gynecological cancer undergoing taxane-based chemotherapy
A is incorrect: The study did not focus on men with cardiovascular disease.
C is incorrect: Patients under 18 were not included in the study population.
D is incorrect: While adults over 50 might be included, the study wasn’t limited to this age group or to diabetes.
Which acupoints were commonly used in the CIPN study (Subgroup A)?
A) Lr 3, Lr 8, Sp 4, St 36
B) UB 23, Kd 6, St 44, GB 25
C) LI 10, Lr 2, Ht 8, St 44
D) Pc 6, Kd 1, LI 2, Lr 14
Correct Answer: A) Lr 3, Lr 8, Sp 4, St 36
B is incorrect: These acupoints (e.g., UB 23, Kd 6) focus on supporting Kidney Qi and bone marrow rather than peripheral neuropathy.
C is incorrect: Lr 2 and St 44 are more commonly used to clear heat, not to address CIPN symptoms.
D is incorrect: Points like Pc 6 and Lr 14 focus on nausea and liver-related conditions.
What was a significant outcome for Group B (acupuncture plus manual therapies) at 6 weeks in the CIPN trial?
A) Increased FACT-Tax emotional well-being scores
B) No improvement in quality-of-life measures
C) Decrease in bone marrow suppression markers
D) Higher nausea and vomiting scores
Correct Answer: A) Increased FACT-Tax emotional well-being scores
B is incorrect: Quality of life measures improved in both intervention groups compared to controls.
C is incorrect: Bone marrow suppression was not directly addressed in this study.
D is incorrect: Nausea and vomiting were not the focus of this trial.
How does acupuncture benefit patients with lung cancer undergoing chemotherapy?
A) Enhances CD3, CD4, and NK cell levels
B) Decreases fatigue without improving immune response
C) Increases Karnofsky Performance Status (KPS) alone
D) Only addresses nausea but not tumor response
Correct Answer: A) Enhances CD3, CD4, and NK cell levels
B is incorrect: Acupuncture also improves immune response and not just fatigue.
C is incorrect: KPS improved alongside other measures but was not the sole benefit.
D is incorrect: Acupuncture benefits multiple symptoms beyond just nausea.
Which acupoint was most commonly used in studies addressing lung cancer symptoms?
A) ST 36
B) Pc 6
C) UB 17
D) GB 34
Correct Answer: A) ST 36
B is incorrect: Pc 6 is commonly used for nausea but was not the most frequently reported for lung cancer.
C is incorrect: UB 17 is used but was less frequently applied compared to ST 36.
D is incorrect: GB 34 is effective for musculoskeletal issues but not primary for lung cancer.
What was the intervention for women with breast cancer in the electroacupuncture (EA) study?
A) Moxibustion therapy at ST 36 and Pc 6 for 6 weeks
B) EA for 14 treatments over 12 weeks at points such as UB 15, GV 20, and SP 6
C) Herbal therapy combined with acupuncture for 10 sessions
D) Manual acupuncture with high-frequency stimulation
Correct Answer: B) EA for 14 treatments over 12 weeks at points such as UB 15, GV 20, and SP 6
A is incorrect: Moxibustion was not used in this study.
C is incorrect: No herbal therapy was included.
D is incorrect: Stimulation frequency was 2 Hz, not a general “high-frequency.”
What was the effect of electroacupuncture (EA) on sleep and health-related quality of life (HRQoL) in women with breast cancer?
A) No improvement in either HRQoL or sleep
B) Improvement in HRQoL but no significant change in sleep
C) Significant improvement in both HRQoL and sleep
D) HRQoL improved more than sleep quality
Correct Answer: C) Significant improvement in both HRQoL and sleep
A is incorrect: Improvements were observed for both HRQoL and sleep.
B is incorrect: Sleep quality improved alongside HRQoL.
D is incorrect: Both measures improved significantly without one dominating the other.
Which acupoint is frequently used for nausea and vomiting management in chemotherapy patients?
A) Pc 6
B) UB 23
C) GV 14
D) ST 44
Correct Answer: A) Pc 6
B is incorrect: UB 23 is used for Kidney-related issues, not nausea.
C is incorrect: GV 14 addresses heat and fever, not nausea.
D is incorrect: ST 44 is more for clearing heat in the Stomach, not nausea prevention.
Which herbal formula is most associated with addressing chemotherapy-induced nausea through liver Qi movement?
A) Long Dan Xie Gan Tang
B) Dang Gui Bu Xue Tang
C) Qing Gu San
D) Zhi Bai Di Huang Wan
Correct Answer: A) Long Dan Xie Gan Tang
B is incorrect: Dang Gui Bu Xue Tang focuses on blood and Yin deficiency, not liver Qi stagnation.
C is incorrect: Qing Gu San clears heat for Yin deficiency with fever, not nausea.
D is incorrect: Zhi Bai Di Huang Wan is for Yin deficiency heat, not directly for nausea.
What is a key benefit of combining acupuncture or moxibustion with chemotherapy in cancer treatment?
A) Prevents all chemotherapy side effects
B) Enhances immune function and quality of life
C) Decreases tumor size in all patients
D) Replaces conventional chemotherapy
Correct Answer: B) Enhances immune function and quality of life
A is incorrect: Acupuncture cannot prevent all chemotherapy side effects.
C is incorrect: Tumor size reduction is not a guaranteed benefit.
D is incorrect: Acupuncture is complementary, not a replacement for chemotherapy.
What is the most common cause of Stomach Qi rebelling due to external pathogens in adults?
A. Heat
B. Cold and dampness
C. Wind
D. Phlegm
Correct Answer: B. Cold and dampness
Explanation: Cold and dampness are common external pathogens that disrupt Stomach function, leading to rebellious Qi.
A is incorrect because heat can also affect the Stomach but is less common as an external cause in adults compared to cold and dampness.
C is incorrect because wind typically affects the upper respiratory system rather than the Stomach.
D is incorrect because phlegm is usually the result of internal dysfunction rather than an external pathogen.
Which eating habit is most likely to lead to rebellious Stomach Qi?
A. Eating small, frequent meals
B. Eating late at night
C. Eating warm, cooked foods
D. Eating slowly and mindfully
Correct Answer: B. Eating late at night
Explanation: eating late at night disrupts the Stomach’s natural rhythm and can lead to Qi rebelling upward.
A is incorrect because small, frequent meals help regulate Stomach Qi.
C is incorrect because warm, cooked foods support digestion and promote Stomach Qi.
D is incorrect because mindful eating prevents Qi disharmony.
Which emotion is most commonly associated with causing rebellious Stomach Qi?
A. Joy
B. Grief
C. Anger
D. Fear
Correct Answer: C. Anger
Explanation: Anger causes Liver Qi to move horizontally instead of ascending, affecting the Stomach and Spleen and disrupting the descending nature of Stomach Qi.
A is incorrect because joy is associated with the Heart, not the Liver or Stomach.
B is incorrect because grief depletes Qi but is less likely to cause rebellious Stomach Qi.
D is incorrect because fear primarily impacts the Kidneys.
What type of vomiting would most likely indicate Liver Qi stagnation invading the Stomach?
A. Vomiting of thin, watery fluids
B. Vomiting of sour fluids
C. Vomiting of bitter fluids
D. Vomiting after eating
Correct Answer: B. Vomiting of sour fluids
Explanation: Sour fluids are a key sign of Liver Qi stagnation affecting the Stomach, as the Liver controls the smooth flow of Qi.
A is incorrect because thin, watery fluids indicate cold in the Stomach.
C is incorrect because bitter fluids are associated with heat in the Liver and Gall Bladder.
D is incorrect because vomiting after eating points to an excess Stomach pattern.
What is the most appropriate lifestyle advice for managing rebellious Stomach Qi due to overwork?
A. Eat large, nutrient-dense meals
B. Set regular work-rest schedules
C. Increase high-intensity exercise
D. Avoid cold and damp environments
Correct Answer: B. Set regular work-rest schedules
Explanation: Overwork disrupts Qi and setting routines helps restore balance, allowing the Stomach Qi to descend properly.
A is incorrect because large meals burden the Stomach and can exacerbate the problem.
C is incorrect because high-intensity exercise might worsen Qi stagnation if not balanced.
D is incorrect because while avoiding cold and dampness is beneficial, it specifically addresses external pathogens, not overwork.
- Also when you are eating, make sure you spend time away from work and just focus on resting.
