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E&P III Final Exam > Urinary Disorders E&P > Flashcards

Urinary Disorders E&P Flashcards

1
Q

TCM Pattern for Burning, Hypogastric Pain?

A

Heat Urinary Syndrome - Damp Heat

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2
Q

TCM Pattern for Sacral, Hypogastric Pain?

A

STONE URINARY SYNDROME

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3
Q

Most common urinary disorder pattern?

A

Damp or Fire

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4
Q

TCM Pattern for difficult painful urination, hypogastric pain and distention?

A

Qi Urinary Syndrome

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5
Q

TCM Pattern for burning painful urination, blood in urine?

A

Blood Urinary Syndrome - Blood Heat

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6
Q

TCM Pattern for slight discomfort on urination, not much pain, sore back, pale blood in urine?

A

Blood Urinary Syndrome - Empty Heat

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7
Q

TCM Pattern for Sharp stabbing pain, rough pain during urination, w/o burning; purple urine or with purple clots; fixed stabbing pain in lower jiao; palpable masses; spider naevi on trunk or around inner ankle and knee; dark ashen complexion, dark or purplish lips, dark rings under eyes.

A

BLOOD STASIS

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8
Q

TCM Pattern for turbid, cloudy urine; possible blood or sediment, difficult urination. Urine is either scanty and cloudy like rice water or cloudy and yellow. T: sticky coat P: full slippery

A

STICKY URINARY SYNDROME - Damp

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9
Q

TCM Pattern for cloudy or turbid urine, slight difficulty in urination, tiredness, dizziness, lower backache. T: pale, sticky coat P: soggy

A

STICKY URINARY SYNDROME - Qi Deficiency

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10
Q

TCM Pattern for Difficult urination coming in bouts, no burning, frequency, dribbling after micturition, dragging feeling in hypogastrium, exhaustion, sore back, depression, feeling cold. Chronic condition with Kidney Yang deficiency T: Pale / P: Weak

A

FATIGUE URINARY SYNDROME

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11
Q

TCM Pattern for mild low back ache, frequent urination that feels hot, occasional irritation or discomfort, heat in 5 palms?

A

Exhaustion Painful Urination Syndrome - Kidney Yin Deficiency

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12
Q

TCM Pattern for lower abdominal discomfort, better with warmth, low back ache, weakness, clear urine, pale complexion, oedema of lower extremities. T: pale, thin coat P: deep, thready?

A

Exhaustion Painful Urination Syndrome - Kidney Qi Deficiency

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13
Q

TCM Pattern for lower abdominal discomfort, better with warmth, low back ache, weakness, clear urine, pale complexion, oedema of lower extremities, cold extremities, intolerance to cold. T: pale, swollen, toothmarks. P: slow

A

Exhaustion Painful Urination Syndrome - Kidney Yang Deficiency

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14
Q

Points for Kidney Yin Deficiency w/ exhaustion?

A

BL 23, 28; CV 2, KD 3, 2, 6.

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15
Q

Points for Kidney Qi Deficiency w/ exhaustion

A

GV 4, BL 23, 28; KD 3, 6, 7; CV 4, SP 6, LU 7

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16
Q

Points for Kidney Yang Deficiency w/ exhaustion

A

GV 4, BL 23, 28; KD 3,6,7; CV 4, SP 6, LU 7

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17
Q

TCM Pattern for a dull abdominal pain, difficulty and pain on micturition and emaciation ?

A

URINARY CALCULI d/t Qi deficiency and Heat. (formation is similar to the evaporation of sea water by fire to produce salt)

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18
Q

Urinary stones or sand are derived from (a) and are precipitated into solid by (b)?

A

(a) Damp

(b) Heat

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19
Q

Which of these does NOT cause urinary calculi?

1) excess sex
2) emotions
3) diet
4) lack of exercise
5) loss of fluids

A

Emotions

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20
Q

ACUTE or CHRONIC?

Damp Heat, KD Yin Deficiency and KD Yang deficiency.

A

Chronic

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21
Q

ACUTE or CHRONIC?

Damp Heat, KD Yin Deficiency and KD Yang deficiency.

A

Chronic

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22
Q

ACUTE or CHRONIC?

Pain is colicky in nature, very intense, coming in waves; restless, sweats, may appear as if in shock?

A

Acute

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23
Q

Points for acute urinary calculi?

A

BL 23, ST 25, CV 6, SP 9, LIV 3, KD 3. Local points

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24
Q

ACUTE or CHRONIC?

Burning urination, difficulty, dark urine T: yellow sticky coat P: Slippery

A

Chronic - Damp Heat

BL 22, ST 28, SP 9, ST 36

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25
Q

ACUTE or CHRONIC?

Repeated attacks, dull ache in back , dark urine, prickly pain in urethra, insomnia, dry mouth, night sweats

A

Chronic - Kidney Yin Deficiency

BL 23, 25; SP 6, LIV 3, KD 6

26
Q

ACUTE or CHRONIC?

Repeated attacks, sore back, chilliness, depression, exhaustion T: pale P: Weak, deep

A

Chronic - Kidney Yang deficiency

BL 23, CV 6, CV 4, SP 6, KD 3,

27
Q

True or False:

Pain is always present in Urinary Syndromes?

28
Q

TCM Pattern for Dragging discomfort relieved by pressure, or a feeling of burning that is improves with warmth and pressure?

A

Deficient Qi:
Spleen Qi Deficiency d/t chronic Heat

Excess Qi:
Excess is Qi stagnation exacerbated by mental/emotional

29
Q

Color of urine if bleeding due to:

  • Fire
  • Damp Heat
  • Blood stasis
  • KD yin def. or stones
A

Fire = Bright red
Damp Heat = Bright Red
Blood Stasis = Purple
Kidney Yin Def or Stones = Pink

30
Q

Color of urine:

  • KD Yang def.
  • SP Qi def.
  • Qi stagnation?
31
Q

Burning Pain like passing glass is caused by?

A

Heat or Damp Heat

32
Q

Burning Mild Pain is caused by?

A

Yin Deficiency

33
Q

Stabbing Pain is caused by?

A
  • Blood Stagnation

- Stones

34
Q

Mild or dragging, empty discomfort after urinating is caused by?

A
  • Qi deficiency
35
Q

Frequent, urgent, concentrated urination is caused by?

A
  • Heat or Damp Heat
36
Q

Frequent, pale urination is caused by?

A
  • KD Yang or Qi def.
37
Q

Frequent, pale, broken stream is caused by?

A
  • KD Yang def.
38
Q

Pain During Urination?

A

Excess condition

39
Q

Pain Before Urination?

A

Qi Stagnation

40
Q

Pain After Urination?

A

Deficient condition

41
Q

Frequent, scanty and difficult urination, burning pain on urination, dark urine with a strong smell, hypogastric pain, bitter taste, nausea, pain on the sacrum, constipation, thirst. irritability, h/a, dizziness, tinnitus; T: red; P: Wiry rapid

A

Liver Fire

42
Q

Frequent, scanty and difficult urination, burning pain on urination, dark urine with a strong smell, hypogastric pain, bitter taste, nausea, pain on the sacrum, constipation, thirst. Insomnia, tongue ulcers, mental restlessness; T: red, redder tip P: overflowing

A

Heart Fire

43
Q

Frequent, scanty and difficult urination, burning pain on urination, dark urine with a strong smell, hypogastric pain, bitter taste, nausea, pain on the sacrum, constipation, thirst. T: yellow sticky coat on root, red spots
P: Slippery on left rear and slightly rapid

A

Damp or Fire

44
Q

TX principle for urinary heat conditions?

A

Clear Heat, drain Damp, open waterways.

45
Q

Points for Damp Heat

A

Damp: CV 3, LIV 5, 2; HT 8, SP 9, 6; BL 28, if ‘shao yang’ condition add TW 5/GB 39

46
Q

Points for Liver Fire

A

Liver Fire: CV 3, LIV 5,3,2. BL 28, TW 6,

47
Q

Points for Heart Fire?

A

Heart Fire: CV 3, HT 8, PC 8, ST 28, SP 6, KD 6, PC 6, SP 9, Yin Tang.

48
Q

Which TCM pattern for difficulty urination which may stop suddenly, hypogastric pain, sacral pain, blood in urine?
T: Red, thick sticky coat on root
P: Wiry on left rear, rapid

A

STONE URINARY SYNDROME
Clear Heat, drain Damp, open waterways, expel stones
BL 22, ST 28, SP 9, CV 6, CV 3, BL 28, BL 63, BL 39, KD 2

49
Q

What are the three kinds of urinary stones?

A
  1. Kidney Stones
  2. Ureter Stones
  3. Bladder or Urethra Stones
50
Q

BL 23 - to SP 9 +, EA, on same side
Aux.: BL 28, KD 6, ST 25, GB 25?

  1. Kidney Stones
  2. Ureter Stones
  3. Bladder or Urethra Stones
A
  1. Kidney Stones
51
Q

CV 4 or 3 – to ST 28 + or SP 6 +, EA
Aux: KD 8, SP 14, PC 6; Ear: KD, BL, Shen Men, subcortex. Strong manual or electro-stimulation?

  1. Kidney Stones
  2. Ureter Stones
  3. Bladder or Urethra Stones
A
  1. Bladder or Urethra Stones
52
Q

BL 23 - to BL 28 +, EA, on same side
Aux: CV 6, BL 22?

  1. Kidney Stones
  2. Ureter Stones
  3. Bladder or Urethra Stones
A
  1. Ureter Stones (Upper)
53
Q

BL 23 – TO ST 28 +, EA, on same side
Aux: CV 3, BL 32?

  1. Kidney Stones
  2. Ureter Stones
  3. Bladder or Urethra Stones
A
  1. Ureter Stones (Lower)
54
Q

1) Difficult painful urination, hypogastric pain and distention, irritability. P: Wiry, deep

2) Difficult urination, weak stream, slight hypogastric distention, tiredness. P:weak
T: pale

A

1) Full Qi Pattern - TX: move Qi, open waterways
2) Empty Qi Pattern - TX: tonify, raise Qi, open waterways

CV 3, CV 5, BL 28, LIV 3, LIV 5, LIV 8, BL 64, SP 6, ST 36, CV 6, GV 20, LU 7, KID 6, SI 3, BL 62

55
Q

True or False: These are points for Blood Stasis: BL 28, CV 3, SP 10, SP 1, ST 29, CV 4, SP 6, BL 17?

56
Q

Best points for Blood Stasis?

1) CV 3, CV 5, BL 28, LIV 3, LIV 5, LIV 8, BL 64, SP 6, ST 36, CV 6, GV 20, LU 7, KID 6, SI 3, BL 62
2) BL 28, CV 3, SP 10, SP 1, ST 29, CV 4, SP 6, BL 17

A

1) Qi

2) Blood Stasis

57
Q

Best points for Qi Def. in Sticky Urinary Syndrome?

1) CV 3, BL 22, BL 28, BL 23, SP 9, SP 6, ST 28, KD 7, CV 6, CV 9,
2) CV 3, BL 22, BL 28, SP 9, 6; ST 28, KD 7, GB 34, ST 40

A

1) Qi Def. in Sticky Urinary Syndrome

2) Damp in Sticky Urinary Syndrome

58
Q

True or False: These are points for Qi:

BL 28, 22; CV 3, SP 9, 6; ST 28, GB 34, ST 40, KD 7?

A

False - Damp in Sticky Urinary Syndrome

59
Q

Which are good points for Fatigue Urinary Syndrome?

1) BL 28, 22; CV 3, SP 9, 6; ST 28, GB 34, ST 40, KD 7
2) BL 23, CV 4, BL 28, GV 20, ST 36, SP 6, SP 9, CV 6, KD 3, GV 4?

A

1) Damp in Sticky Urinary Syndrome

2) Fatigue Urinary Syndrome

60
Q

Which are better points for Kidney Yang Def?

1) BL 23, 28; CV 2, KD 3, 2, 6?
2) GV 4, BL 23, 28; KD 3,6,7; CV 4, SP 6, LU 7

A

1) Kidney Yin Def.

2) Kidney Yang def

61
Q

Acute Stage of urinary calculi?

1) BL 23, 25; SP 6, LIV 3, KD 6
2) BL 23, ST 25, CV 6, SP 9, LIV 3, KD 3. Local points

A

1) Kidney Yin deficiency - chronic calculi

2) Acute Stage of urinary calculi

E&P III Final Exam (9 decks)

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