zang fu comparisons Flashcards
what is LV yang rising d/t?
LV and KD yin failing to control yang
what is LV fire blazing d/t?
emotional stress and qi stagnation xforming into fire
6 sx specific to LV fire blazing
1) acute onset, short course
2) excess heat
3) painful burning sensation in the hypochondrium
4) bitter taste in outh
5) constipation, yellow urine
what is the T and P for LV fire blazing?
T = red w/yellow coat P = wiry, rapid, forceful
5 sx specific to LV yang rising
1) gradual onset, long course
2) excess above, xu below, heat
3) top heavy feeling
4) tendency to fall
5) knee and lumbar weakness
LV yang rising T and P
T = Red tongue w/thin yellow coat or dry coat
P= wiry, thready
Pt has twisting lower abd pain, abd distention, pain worse w/pressure and abd pain improves w/flatulence. T = white coat P = deep, wiry
SI pattern?
a) SI qi pain
b) SI qi tied
a) SI qi pain
sx of twisting abd pain is SI qi pain
SI qi tied pain is ALWAYS acute
Central Qi is also another way of defining
a) original qi
b) post heaven qi
b) post heaven qi
zhong qi = central qi which = post heaven qi
What is another name for zhong qi?
Central qI
The LV is energetically located in which burner?
a) middle
b) lower
c) lower and middle
d) lower middle upper
b) lower
The HT, PC and LU muscle channels all go to the chest muscles and
a) axilla
b) diaphragm
c) shoulder
b) diaphragm
The TW is an organ that
a) lets out and spreads qi
b) stores and releases qi
a) lets out and spreads qi
The TW is a system that includes the chest, abdominal and pelvic cavities. Which of the following is true
a) the sanjiao only includes the chest, abdominal and pelvic cavities
b) the sanjiao includes all body cavities
b) the sanjiao includes all body cavities
True or false the TW system includes joint cavities and capsules?
True
Which has an incorrect pairing betw yellow complexions and disharmonies?
a) smoky, dull yellow complexion: Damp Heat w/Heat predominating
b) ash like yellow complexion: chronic Dampness
a) smoky, dull yellow complexion: Damp Heat w/Heat predominating
smoky yellow = damp heat w/dampness predominating
Pt has chronic tinnitus, worse w/strain and better w/pressure, dizziness, xs leucorrhea, weak knees. P = thready and weak. Pattern?
a) xu LV and KD yin
b) xu KD qi
b) xu KD qi
Which of the following is true?
a) yin symbolizes the more immaterial, pure energy
b) Yin and Yang can be two points on opposite ends of a continuum
b) Yin and Yang can be two points on opposite ends of a continuum
Pt has dry stools, burning sensation in anus, thick dry yellow tongue coating. Dx?
a) Dry LI
b) LI Heat
b) LI Heat
What type of menses would you expect for a pt who has HT palpitations, vacuous weak pulse, lower back soreness and weakness, and shortness of breath?
a) prolonged
b) shortened
a) prolonged
When thick pus becomes thin then this can generally indicate
a) the right qi is becoming debilitated
b) debility of qi and blood
a) the right qi is becoming debilitated
The etiology of HT Fire Blazing includes chronic anxiety, worry, depression and
a) xs eating of spices and red meat
b) wind-heat
a) xs eating of spices and red meat
54 yo pt complains of insomnia. Falls asleep easily but wakes several times during the night. Dry throat, ED for 2 years. T= red w/very thin coating, w/a crack in the HT area of the tongue. P = empty at the deep level and very weak and thin in the left rear and middle position. Wat is the tx plan?
a) nourish KD yin, nourish HT yin, calm the mind
b) tonify LV, nourish yin, calm the mind
a) nourish KD yin, nourish HT yin, calm the mind
d x = KD and HT not harmonized
Pt has acute diarrhea which is watery, abd pain and abd gurgling, and feelings of chilliness that improve w/heat. T= pale w/white coat P = deep and slow
Pattern
a) cold-dampness
b) xu SP and KD yang
a) cold-dampness
A pt has tidal fever in the afternoon, somewhat scanty and fresh red menses that drip for several days. What type of lower abd pain is expected?
a) pain that refuses pressure before or during menses
b) dull after menses
b) dull after menses
dx = vacuity heat
The clinical applications for the yin qiao mai are
a) h/a, mental emotional problems, nourishes yin and blood
b) abd pain, painful red eyes, sleep, atrophy syndrome
b) abd pain, painful red eyes, sleep, atrophy syndrome
Which luo connecting channel treats the full sx of toothache, deafness, tinnitus, and a sensation of heat in the center of the chest?
a) ST luo connecting channel
b) LI luo connecting channel
b) LI luo connecting channel
how does long term use of tricyclic antidepressants scu as Elavil Sinequan or Tofranil affect the pulse?
a) the pulse becomes empty at deep level and slightly floating
b) the pulse becomes soggy and empty on the R middle
a) the pulse becomes empty at deep level and slightly floating
which food treats edema, abd distention and fullness, weak back and knees and xu ST and SP?
a) beef
b) lamb
b) lamb
Which spiritual aspect is associated w/the exiting and entering of the jing?
a) po
b) hun
a) po
After binding at the genitals, which of the following muscle channel pathways is correct?
a) from the genitals, the LV muscle channel ascends the inner aspect of the spine to the nape of the neck
b) from the genitals, the SP muscle channel enters the abd and then adheres to the spine
b) from the genitals, the SP muscle channel enters the abd and then adheres to the spine
** this explains why SP 3 is used for lumbar pain
children who stare straight ahead, are thirsty, have panting and chest oppression, hot breath in the mouth, arch their back, and have spasms in the hands have a pattern of
a) heat
b) repletion
a) heat
Pt has a sporadic cough which is productive w/thick white phlegm, SoB, weak voice, tiredness, loose stools, poor appetite. Which action do you take?
a) tonify xu sp and lu qi and xform phlegm at the same time
b) xform phlegm first and then tonify xu sp and lu qi
a) tonify xu sp and lu qi and xform phlegm at the same time
Xu of antipathogenic qi and xs of the pathogenic factor is a
a) complication of xu and xs
b) xformation of xu and xs
a) complication of xu and xs
which of the following tai yin channels connect to the tongue?
a) SP primary channel, SP divergent channel
b) SP primary channel, SP luo connecting channel
a) SP primary channel, SP divergent channel
Generally, the normal menses cycle is ____ days and the length of the menses flow is ___
a) 25-35 / 3-7
b) 25-30 / 4-9
b) 25-30 / 4-9
the branch of the lower orifice of the ST descends inside the abd and joins the ST meridian of the foot yang ming at
a) ST 39
b) ST 30
b) ST 30
A pt has abd pain, diarrhea w/mucus and blood, foul smelling stools, burning anus, fever, sweating that does not abate the fever, and thirst w/o a desire to drink. Pulse?
a) slippery pulse, rapid pulse
b) full pulse, rapid pulse
a) slippery pulse, rapid pulse
dx = LI damp heat
The pulse can be felt w/a gentle touch of the fingers and, on further pressure to the deep level, the pulse becomes forceless and soft. What tx principle?
a) nourish the yin
b) tonify the qi
a) nourish the yin
Pt has delayed menses, vag discharge, infertility d/t yang vacuity. What tongue?
a) pale purple glossy tongue
b) puffy and enlarged tongue w/teethmarks
a) pale purple glossy tongue
Pt has dribbling and spotting menses w/fine and rapid pulse. This indicates:
a) yin vacuity fire
b) blood heat in the penetrating and conception vessels
a) yin vacuity fire
Which luo connecting channel treats the full sx of hot palms?
a) HT luo
b) LU luo
b) LU luo
LU 7 follows the primary channel to the palm and spreads through the the thenar eminence of the thumb
A pt has a predilection for sighing, pain of the chest and rib side, string like pulse, and dull red tongue. What is the lower abd pain?
a) distending pain, stronger during menses
b) pain that refuses pressure before or during menses
a) distending pain, stronger during menses
dx = LV depression, Qi stagnation
Our capacity for hard work and skilled, delicate activities are influenced by the
a) KD
b) LV
a) KD
