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Entrance Exam > Zang Fu Diagnosis > Flashcards

Zang Fu Diagnosis Flashcards

1
Q

Bing Ji

A

It is the pathogenesis:

3 parts:

  • Bing yin
  • Bing Wei
  • Bing Xing
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2
Q

Bing Yin

A

Causitive Factor:

-exogenous or endogenous pathogen

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3
Q

Bing Wei

A

Location of disease

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4
Q

Bing Xing

A

Nature of disease

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5
Q

Normal Function of the lung

A

Dominates qi, descends and disperses qi, upper source of water, manifests at the skin, opens in the nose

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6
Q

Averse cold , fever, no sweat, headache and body discomfort, stuffy nose, watery nasal discharge, cough with sputum

T: thin white coat
P: slippery floating

A

Lung wind cold invasion

Tx: 
Li4
Lu7
Ub12
Ub13
Gb20
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7
Q

Cough with yellow sputum, thick nasal d/c, averse wind and heat, fever, sore throat

P: Floating and rapid
T: thin yellow coat

A

Lung Wind Heat

Li4
Li11
Sj5
Du 14
Gb20
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8
Q

Cough with large quantity of thick and yellow sputum, difficult breathing with wheezing, cough with pain in the chest, extreme thirst and desire for cold drinks, dark urine and constipation

T: red tongue dry and yellowish coat
P: Slippery and rapid

A

lung phlegm heat

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9
Q

Cough with thick sticky sputum, shortness of breast

T: tongue with thick and whitish greasy coat
P: floating and slippery

A

Lu-1
UB-13
St-40

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10
Q

difficulty breathing with wheezing, pain and fullness sensation in the chest and hypochondriac

T: thick white-yellow greasy coat
P: slippery rapi

A

Stagnation of excessive fluids in the lung

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11
Q

Cough with dyspnea, little but sticky phlegm, sometimes with blood streak, dry mouth and sore throat, sensation of cold and fever

T: thin and dry coat, red tip
P: Thready and rapid

A

Lung dryness due to yin deficiency

Lu7
Kd6
Li4

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12
Q

Cough with shortness of breath, fatigue, dislike speaking, weak and low voice, intolerance of wind, spontaneous perspiration

T: pale and thin white coat
P: weak

A

Lung qi Xu

Lu9
St 36
Ub-13
Ren-17

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13
Q

Palpitations, shortness of breath, oppressed feeling in the chest, chest pain, pale complexion, dullness in the body, spontaneous perspiration. cold signs, severe anxiety/panic, exhaustion

P: weak, knotted, intermittent
T: Pale, flabby, dusky, wet, swollen

A

Heart Yang Qi XU

Ht7
Ub15
Ren 14
PC6

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14
Q

Palpitations, vexation, fear, restlessness, dreamy sleep, 5 center heat, heat sx at night, insomnia low grade fever, uneasy, dry motuh throat and lips
T: red tongue with cracks
P: thready and rapid

A

Heart Yin Xu

Ht7
Ht9
Ub15
Kd6

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15
Q

Palpitations, vexation, fear, restlessness, dreamy sleep, pale complexion, insomnia, poor memory, dizziness, anxious, easily startled,
T: pale tongue with little coat
P: thready, rough

A

Heart Blood Xu

Ht7
UB15
Kd6
Sp6
Ub17
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16
Q

Palpitations, manic-depression, insomnia, anxiety

T: red with thick yellow coat
P: Slippery and rapid

A

Heart Phlegm Fire

Bleed Jing Wells
Ht 3
Li4
PC8
St 40
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17
Q

Severe Palpitations, oppressed feeling in the chest with stabbing pain, sharp pain in the chest, bluish purple lips
coma and coldness of limbs
T: dark tongue with purple dots
P: thready, uneven, knotted, intermittent

A

Heart blood stagnation

Ub 17
Sp10
Ht6

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18
Q

Sallow Complexion, dislikes cold vomitting with watery fluid, anorexia, loose stool with undigested food not foul smelling, coldness of the limbs, more edema
T: pale, swollen, wet tongue
P: deep and slow

A

Spleen yang xu

Ub20
Lv13
Sp4
ST36
Ren 8
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19
Q

Poor Appetite, abdominal distention, fatigue and dislike of speaking, diarrhea, prolapse, bloating and distension in the abdomen, tired after eating, belching or flatulence, gravitate to sweets, excess salivaion
T: pale with thin white coat
P: weak andempty

A

Spleen qi xu

Ub20
Sp3
St 36
Ren 6

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20
Q

, lethargy, heavy head, dizziness, nausea, loss of appetite, no thirst, pale urine, vaginal discharge, foggy unclear thinking anorexia, fatigue, heaviness sensation of head and body. Stickiness of the mouth, loose stool or diarrhea (stricky) , nausea
T: greasy adn white coat
P: soft, floating, slippery

A

Spleen Cold Damp

Ren 12
Sp5
Lv13
Sp 9

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21
Q

stuffiness in the chest/Distention of the hypochondriac and abdomen, poor appetite and bitter taste, patient feels hot and heaviness sensation in the body, dark urine and loose stool with a sticky strong smell, may have burning , leatharggy, maybe vomitting, not thirsty, scant dark urine, yellow vaginal discharge,sensation, sallow complexion
T: greasy with yellow coat
P: soft, floating, rapid, slippery

A 
Spleen Damp heat 
sp2
Lv13
sp9
li11
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22
Q

Main function of the liver

A

controls emotions, stores blood, smooth flow of qi

23
Q

Fullness and distending pain in the hypochondriac region, restricted breathing, frequent sighing or clearing of throat, indigestion, , tendency toward headaches, irregular menses, cramping before periods, irregular bowelsnausea, regurgitation, abdominal pain that moves around and is relieved by bowel movement, diarrhea worse emotions, abdominal mass, menstrual irregularities
T: thin coat
P: wiry

A

Liver qi stagnation

Lv3
LV14
Li4: moves qi

24
Q

Burning pain in the hypochondriac, vomitting of bitter saliva, intensedistending pain in the head, dizziness, vertigo,tinnitus, red eyes, irritability, hematemesis, dark urine, insomnia constipation, chest pain,

T: Red yellow coat
P: Wiry and rapid full

A

flamming of liver fire

Lv2
Gb 34
SJ5
Li11

25
Q

Coma, Convulsions, vertigo, numbness, headache, deviated mouth and eyes (stroke), tongue rigidity, hemiplegia, restless legs, tics, tremors shaking, stroke paralysis, numbness and tingling, hypertension, stroke sequela,

A 
Internal Liver wind
Lv3
Lr8
Gb20
Du 20
NOT UB 12 since its internal wind
26
Q

Lower abdominal distention, aches and strange sensation in teh abdomen, long clear urination dragging sensation and pain in the testes, contracture of the scrotum, hernias, emaciation, pt aggravated by cold and alleviated by warmth

T: Moist, white coat
P: deep and wiry slow

A

Liver Cold Accumulation

Ren 4 (warm lower jail)
Lv 1
Sp 6 (create movement in the yin)
27
Q

Dizziness, headache, tinnitus, deafness, numbness of the limbs mild trembling of muscles, dryness and uneasy feeling of the eyes, less seep, dry throat

T: reddened with scanty saliva
P: thready and rapid

A

Liver yin Xu

Lv 8
Sp6
Ub18
Lv 14

28
Q

pallor, Dizziness, vertex headache, mild trembling of muscles, blurred vision, fatigue, scanty menses, fainting, elongated cycles with decreased menstural flow or amenorrhea, numbness and tingling of the extremities, limbs easily fall asleep
T: pale tongue, thin pulse, can be wiry, fine, rough, choppy

A 
Liver blood xu
Lv 8
Sp6
Ub18
Lv 14
29
Q

weakness and soreness of the loins and back, nocturnal emission, premature ejaculation, nocturne, frequent clear and dribbling urination, even incontinence of urine

T: pale with thin white coat
P: weak, deep

A

Kd qi not consolidated

Kd3
Ren4
Ub23
Ub52

30
Q

Blurred vision, deafness, fullness in the chest and hypochondriac pain, irritability, insomnia, vomitting of bitter saliva, palpitation and restlessness

T: yellow greasy coat
P: wiry, slippery

A

Excess of the gallbladder

GB41
SJ5
Gv20
Lv14
Lv3
St40
31
Q

SOB, Severe panting, aggravated on slight exertion, cough with sweating, incontinence of urine with cough, pale complexion

T: pale tongue with thin coat weak chi pulse

A

Kd qi fails to receive inspiration

Ren 17
UB23
Kd3
can add lung points

32
Q

pitting edema due to overflow of fluid in the skin, especially over the lower libs, scanty urination
T: pale and whitish
P: deep and slippery

A

Edema due to kidney insufficiency\

Kd7
Ub23
Ren 4
Ren 3

33
Q

Lassitude in the loins and knees, dizziness, tinnitus, insomnia, seminal emission, premature ejaculation, emaciation, reddened, dry stools, poor memory, afternoon overeating, night sweats

tongue with little coat
P: Thready

A

Kd Yin Xu

Kd 6
Sp6
Ub23

34
Q

stuffiness in the chest, dull heavy pain, SOB, tongue has white greasy tongue
coating, slippery pulse. Patient may also have some nausea, phlegm in throat,
vertigo. May be an overweight patient. Patient may have overall feeling of body
heaviness.

A

Hyperactivity of fire due to kidney yin xu

Kd 3
Lv3
Sp6
Ub23

35
Q

Edema of the face, heaviness sensation of the limbs, fullness in the epigastrum and abdomen, reverse flow of qi and cold abdomen, urinary incontinence, swelling of muscle and skin (all over body), pale tongue with whitish and moist coating. Pulse deep and thready (yuan qi not support TB).

A

Deficiency syndrome of SJ

St 28(water passage)
Sj3
Ub22
Sp9
Ub39(lower he sea of sj)
Ren 4
36
Q

fever, fullness in the epigastrum and abdomen, enuresis or dribbling urine,
swelling of muscle and skin, red tongue with yellow greasy coat. Pulse slippery and rapid

A

Excess of sj

Sj3
Sj10
Ub39
Ren 5

37
Q

Coma and depressive psychosis, choking sensation in the chest and precordial pain, fainting and unconsciousness; Tongue: whitish and greasy fur, Pulse: slippery pulse.
-Tx: Eliminating phlegm for resuscitation. (open heart orifice)

A

Mental confusion due to phlegm

gv 20
st 40
cv17
pc6

38
Q

Cough and dyspnea, whitish abundant expectoration which is easily coughed up, or other cold and heat exterior syndromes seen at the same time. Tongue: thin, whitish and greasy fur ,
Pulse: floating or slippery pulse.

A

Phlegm in the lung

Lu 7
Li 4
St 40

39
Q

Sensation of something stuck in the throat when swallowing, dull in in the chest and
hypochondrium, eructation, susceptibility to anger and depres­sion; Tongue: thin, whitish and
greasy fur, Pulse: wiry and slippery pulse.

A

Stagnancy of phlegm in the liver

Cv 17
St 40
Lv 14
Cv 22

40
Q

Dyspnea and shortness of breath, Tongue: pale tongue, Pulse: deep and thready
pulse; or dizziness and tinnitus, lassitude in the loins and knees, Tongue: red tongue with little fur, Pulse: thready and rapid pulse.

A 
Phlegm in the kidney
Kd 7
Ki 27
Bl23
Cv 17
St 40
41
Q

palpitations, SOB, easily frightened, restlessness, sweating of the palms. Pale
tongue with thin white coat. Weak or intermittent pulse.

A

Qi Deficiency

PC 5
Ht7
Ub 15
Ren 14

42
Q

palpitations, vertigo, dizziness, lustreless complexion, restlessness, and heat in
the heart, insomnia, and excessive dreams. Pale or red tip of the tongue. Pulse thready and rapid.

A 
Blood deficiency
Ub 17
Ht 5
Ub 20
St 36
43
Q

Alternate palpitations, fullness in the chest, bitter taste in the mouth, yellowish profuse sputum with cough, darkish urine, difficulty defecating. A yellow, greasy tongue coating. Slippery & rapid pulse.

A

Phlegm Fire

Lu 5
Lu10
St 40
Ht4
Pc4
44
Q

palpitations and restlessness, alternate heart pain in some severe cases, fullness
and uneasy sensation in the chest, purple lips and nails. A dark and purple tongue, with petechiae. Choppy or intermittent pulse

A

Pc 3
Ht 3
Ren 6
Sp 10

45
Q

difficulty in going to sleep, wake up easily, palpitation, shortness of breath, tired, sallow or pale complexion, loose stool, poor appetite

A

Heart and spleen xu

Ub 20
Ub15
Ht 7
Sp6

46
Q

Insomnia, restlessness, or easy to wake after a short sleep. Hot sensation in
palms & soles, severe palpitations, night sweating, a dry mouth & throat, tinnitus,
amnesia, seminal emission, soreness and weakness of the lumbar region & knees. Red tongue. Thready, rapid pulse.

A

Hyperactivity of fire due to yin deficiency, disharmony of heart and kidney

Ub 23
Ub15
Kd 3
Pc7 (decrease heart fire)
Lv 3
Ht 7
47
Q

Vexation with a full sensation in the heart, gastric distension, belching, dizziness,
even vomiting with phlegm. Tongue has a yellow, greasy coat. Pulse is slippery or wiry

A 
Disorder of stomach qi
Ren12
St 40
St 25
Pc 6
48
Q

sleeplessness with dizziness and headache, irritability, easily frightened, redness
of the eyes, tinnitus, bitter taste in the mouth, hypochondriac pain. Red tongue with thin yellowish coat. Pulse is wirey and rapid.

A

Hyperactivity of liver yang disturbing the heart

Ub 18
Ub 19
Lv 2
Gb 44

49
Q

Hematemesis, epitaxis, delayed/irregular menses, dysmenorrhea, mood swings that are erractic and extreme

T: purple, veinsdark
P: wiry, rough choppy

A

Liver blood stasis

50
Q

unilateral headache, tinnitus, irritability, dry eyes, heat sensation in the upper body, bitter taste, dry mouth and throat, sudden deafness, insomnia, sore lower back , stumbe easily, prone to anger
T: red especially sides
P: wiry thready

A

Liver yang rising

51
Q

exhaustion, chronic fatigue, tinnitus, low back pain sore or weak kness, decline i body functions

A

Kidney qi xu

52
Q

Respiratory problems, difficult inhalation, rapid shallow breathing, chronic asthma, weak cough, SOB, spontaneous swating upon mild exertion, cold limbs clear urine

T: Pale
P: deepthin tight

A

Kidney not grasping the qi

53
Q

severe fatigue, sleeps more hours, hard to keep warm, overdressed ompared to others, cold sweats, urine is frequent long and clear, nocturia, incontinence, edema in leg, early morning watery stool and diarrhea with undigested fod, dyspnea, breathing shallow, dificut and labored
t: pale swollen wet
P: deep weak thin fine thready

A

Kidney yang xu
t: pale swollen wet
P: deep weak thin fine thready

Entrance Exam (3 decks)

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