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MEM-Pediatric Final
| Question | Answer |
|---|---|
| Diagnosis for cold type asthma | KD failing to grasp Qi |
| symptoms of Cold type asthma | Puffy face – bright white to grey complexion, mountain base bluish, copius white frothy phlegm, cold body no sweat, no thirst, prefers warm drinks, coughing, wheezing, grasping for breath. |
| Causative factors for asthma | 1. pre or post heaven LU Qi Xu. 2. Repeated respiratory tract infection 3. Accumulation disorders 4. Meds that drive pathogens deeper in to the body |
| Triggers for asthma | Food additives, pet danders, dust mites, air pollens, perfume, Tv and video games, lack of exercise, emotional triggers, weather change |
| Which is more common, hot or cold asthma? | Hot |
| Hot Type Asthma diagnosis | KD failing to grasp Qi w/ heat obstuction |
| Hot Type Asthma symptoms | coughing, wheezing, thick yellow phlegm, red complexion, thirst with desire for cold drinks. Yellow urine, constipation, stuffy chest. |
| Point where KD grasps LU Qi. | CV6 |
| Wai Lao Gong | disperses heat, also can warm for deficiency cold. Used for diarrhea or enuresis. Opposite P8 |
| What does Tian He Shui treat? | Tian He Shui – PC channel. Always from distal to proximal –Yin Xu heat or mixed syndrome. Relieves ext. Calms fright.Good for fever. Fright crying. ST heat,constipation, Heat in Urine. |
| Jian Jing | GB 21 -grasp or press rotate for neck rigidity, tonsillitis or sore throat. Invigs Qi and blood. Descends Qi. |
| Feng Men | UB 12 – 1.5 cun lateral to T2- Press rotate for colds, asthma, respiratory problems. |
| Shen Shu | UB 23 – diarrhea, developmental weakness, enuresis. |
| What is “seven segments” | L2 - Sacrum. For constipation, diarrhea, low back pain. Chafing, or rotate push or push. Pushing down will help constipation. Push up for diarrhea. |
| For what 2 conditions can you go down the spine? | Fever & ? |
| Qing Jin(Blue tendon) | near LU 9(more ulnar) press rotate for vision/eyes. |
| Shi Wang | (Shi Xuan) – revive shen, coma |
| Er Shan Men | Surrounds the PC finger on dorsal side of hand. Press rotate or dredge. Sedates and calms, any heat syndrome. |
| LR Jing | Don’t tonify, always reduce. Clear GB heat, LR heat, relax mind, convulsion, expel wind, reduce fever. |
| Which pt. should only be reduced, tx:Ear and Shaoyang situations? | GB Jing |
| LI Jing | Disperse for constipation. Tonify for diarrhea. Both for colic. |
| Wai Lao Gong | disperses heat, also can warm for deficiency cold. Used for diarrhea or enuresis.LOCATION??? |
| What does Tian He Shui treat? | Tian He Shui – PC channel. Always from distal to proximal –Yin Xu heat or mixed syndrome. Relieves ext. Calms fright.Good for fever. Fright crying. ST heat,constipation, Heat in Urine. |
| Turtle tail | at tip of coccix – GV1, press rotate or fingernail press. Stop diarrhea or help constipation |
| Bai Hui | Du 20 – Smoothes LR Qi, improves eyes, convulsion, epilepsy, headache, insomnia, Contraindicated for N/V. Helps any prolapse. |
| Tian Tu | CV 22 – 10 to 20 times – for cough with difficulty expelling mucous. Forceful pressure will induce vomit. |
| San Yin Jiao | SP 6 – Diarrhea/bedwetting – push up. Constipation/convulsion push down or press rotate. |
| 2 causes for acute Otitis Media | 1.external attack of W-C or W-H. 2.Heat in LR/GB(more discharge/more pain)Either can and usually does combine with dampness. |
| E and P of Otitis Media | EPI or Internal pathogen transfers into the ear. Phlegm obstruction in ear canal and eustation tube. Asso. w/ pertussis vacine? |
| Chronic Otitis Media DX: | 1. Damp-heat in LR/GB and KD Yin Xu2. SP Qi XU leading to damp. |
| Ji Zhu | Spine (C7 down) |
| Acute pink eye Dx: | W-H attacking the eye (Common) – Sudden onset, red, sore, itchy, watery eyes. w/ other signs of W-H(thirst, fever) |
| What is the IFV and TX: for acute pink eye? | IFV dark red or purple at wind pass. Tx: clear wind heat, cool and nourish the eyes. |
| What's a goodeye wash for pink eye? | Long Da Xie Gan Tang |
| Most common chronic pattern of pink eye? | Damp-Heat in LR gall bladder(common in older children with weak eye Qi from repeated Wind attacks or LPFs. |
| Symptoms of chronic pink eye | Sticky, gritty, mucus in eye, red, swollen, painful eye, red face, yellow scant urine, thirst, worse w/anger, often w/ styes. |
| E and P of chronic pink eye | Qi of the eye is weakened. Phlegm in channels blocks the circulation of Qi to the eyes giving rise to recurrent bouts of conjunctivitis. |
| levels of eczema | Mild – red patches Medium- rough flaky patches that flake off when rubbed. Serious – covers larger areas of skin and weep and ooze. |
| TCM root cause of eczema? | Skin not nourished. Something prevents good circulation of blood(or good blood) to skin. Usually phlegm/ damp under the skin, heat in blood, Blood xu or a combo of xu and heat. |
| Factors that contribute to eczema# | Other contributing factors: Heredity Lu and/or SP dysfunction. Immunization Antibiotics Diet Emotions |
| Foods that aggravate eczema | milk, peanuts, peanut butter, oranges and bananas, shellfish, spicy |
| MMR vaccine can cause | hot LPF |
| Symptoms of Qi and Blood Xu type eczema | dry/flaky skin , rash less severe |
| Tx for Qi and Blood Xu type eczema | Clear Phlegm heat, Bu the LU, Treat the LPF. |
| Large Transverse Line | wrist crease- ca fa for excess phlegm ECZEMA. |
| 5 considerations for eczema | 1. heat2. damp3. dry/rough skin(heat and phlegm combo)4. Qi and Blood Xu5. itching(Qi and Blood Yu) |
| snail shell | two points on side of wrist (cough asthma, EPI) |
| small celestial center | P7, shen stuff/eye stuff(convulsion, blurred vision, night crying) |
| Bone of celestial pillar | C1-C7 go down for fever or vomiting(descends Qi) |
| Abdomen Fu | stomach issues |
| Abdomen corner (Du Jiao) | grasp ST 27 for ab. pain |
| Dan Tian | Tonify KD |
| How long does it take for children to form meridians? | 7 years |
| What are always components of the diagnosis in children? | SP/ST or Shen |
| What is "Changing"? | Growth of Yin organs – every 32 days |
| What is "Steaming"? | Growth of Yang organs – every 64 days |
| First stage is Birth to 5-6 years equates to what organ/element? | SP-Earth |
| Second stage in kids dev. is between 6 months and 4 years | LU/LI - (likely to get asthma, wind invasions, etc.) |
| Third stage is between 4-5 years | KD - bone and brain growth |
| Fourth stage in kids is between 5-7 years | LR - emotional stuff |
| Allergy to cow milk | Phlegm, stomach pain, violent behavior, excema. |
| Allergy to Bananas | Phlegm and abdominal pain |
| Allergy to Gluten | phlegm, irritability, depression, diarrhea |
| Allergy to Additives(Citric acid), colorings, preservatives | – hyper, irritable, irrational behavior |
| Allergy to refined sugar | hyper, difficulty focusing, mood swings |
| Child's Qi comes from | Parents |
| Premature babe is likely to have weak... | Sp and LU |
| What can cause early loss of Yin? | Premature birth or birth trauma, mommy stress, congenital Yin weakness, fast paced life, not enough rest, too much video/tv, too much spicy |
| Way to assess the child: | 1.Xu or Shi? 2.Shen? 3.Face inc: Mountain Base? 4.IFV? 5.Pulse? 6.Tongue 7.Complection 8. Lymph 9. everything else |
| What are the 3 parts of the IFV? | Wind, Qi and Organ pass |
| What does a red or light red IFV indicate? | cold |
| What does a dark red or purple IFV indicate? | heat |
| What does a bright red IFV indicate? | EPI |
| What does a dull yellow IFV indicate? | SP |
| What does a blue IFV indicate? | Pain |
| What is normal pulse for 4 5 and 6 year olds? | - 4years -90 bpm(normal), 5 years – 80 bpm, 6 years – 70 bpm |
| A normal pulse for a child may be of what quality? | wiry and slippery |
| Puffy face and puffy under the eyes may indicate | LU Xu |
| Premier problem for babies is | Infantile phlegm. |
| Basic E and P of Infantile phlegm | When digestive fire is challenged the infant is unable to completely vaporize the food essence. Remaining impure mist rises to the lungs and congeals to mucus |
| 2 causes of colic | HT heat(heat from food stag goes up), SP Cold(Pathologic Yin overcomes Yang at night) |
| 3 Stages of diarrhea | 1.Cold 2. Cold turns to damp-heat 3. SP and KD Yang depletion(911) |
| Excess Constipation | usually hot condition. Child didn't drink enough water, ate spicy or greasy food. |
| Deficient Constipation | usually cold condition. Food stag leads to MJ/LJ stag |
| Turtle tail is located at | DU 2 |
| Teething is considered what type of disorder? | Digestive problem. Associated w/KD Qi & Yang. ST and LI are involved, thus digestion problems. |
| Sore gums, irritability, restlessness, poor appetitie, insomnia may indicate | teething. |
| Causes of vomiting | 1. Food retention(over fed, fed cold milk or formula)2. Stomach Cold 3. ST heat accumulation(hot spicy, greasy food or lingering W-H) |
| Projectile vomiting is usually associate with | Accumulation of heat in the ST. |
| IFV and mountain base for W-C | IFV light to bright red. Mountain Base blackish(indicates cold) |
| IFV and mountain base for W-H | IFV – deep red to purple, Mountain base – grayish |
| Violent expulsion of purulent, ropey phlegm indicates | Whooping cough(100 day cough)(Pertussis) |
| Stage 1 of Whooping cough | Onset - 10-20 days of copius sputum, runny nose |
| Stage 2 of whooping cough | Illness - 40-60 days of convulsive croupy cough and vomiting of phlegm |
| Stage 3 of whooping cough | Recovery - characterized by weakness and cold |
| E and P of Pertussis | EPI attacks weak/phlegmy body causing stag that turns to heat. Phlegm thickens, LU rebels to clear itself with cough and vomiting. Heat injures LU leading to bloody sputum, vomit, and Yin consumption. |
| What are the Opening Three? | 1.Tian Men (Yintang line) – use Ma Fa. 2.Kan Gong – spread apart over eyebrows. 3. Tai Yang - Press rotate |
| What is Stone Moth? | Chronic Tonsilitis. Caused by Hot or cold LPF. Feels like stone in throat. Child is strong, tonsils are swollen, bright red, painful. Enlarged glands, dry hard cough. Pale tongue, Slippery pulse. IFV is red or purple. |
| What is Milk Moth? | 2Chronic Tonsilitis d/t YIN XU. Has pus, milky fluid, spots, gooey stuff. WFD issues in past + weak KD Qi. Child has Yin XU lifestyle. Throat is Swollen, painful, red, dry, covered with dry white paste and or pus. |
| According to TCM what can cause measles? | Fetal toxins/pathogens not allowed to emerge. |
| Stage 1 of measles | Incubation – eye symptoms, flu-like symptoms, sore throat. After 3-4 days, red strip appears at back of the ear. Kopliks spots |
| Stage 2 of measles | 2. Venting rash - from behind ears, to neck, face, chest, body. Spots get patchy, dark red, oozy. High fever, thirst, pos. convulsions, cough . 3-6 days |
| Besides Tuina, what might be helpful to treat pediatric asthma? | Plum blossom, cupping, percussion. |
| Autism symptoms | Mental/social regression, impaired speech, word and bizarre behavior repetition, Head banging, flapping arms, screaming, little interest in human contact, self destructiveness, hypersensitivity, resistance to change, inability to care for oneself. |
| How common is autism? | 1 in 150 children. |
| Hep B - | blood bourne |
| Rotovirus - | fecal-oral route. Vomit, diarrhea, fever , ab pain) can lead to dehydration/require hospitalization. |
| Diptheria - | grey pseudomembrane. Danger of HT or KD problems of esophageal obstruction. |
| Tetanus | tetanus spores into a puncture wound. |
| Mumps | Acute viral illness spread airborn. sxs inc:pain and swelling of salivary glands. Skin rash. |
| Rubella | German measles - can be passed from mom to fetus or through moisture droplets.Risk to unborn baby if mom is infected in first 4 months of prego. |
| Polio | airborne and fecal-oral transmission.Usually mild – 85% no symptoms |
| Varicella - | varicella zoster virus, life long immunity. |
| Meningitis - | inflammation of brain/spinal cord membranes. Viral meningitis-mild, no treatment. BACTERIAL meningitis -life-threatening, use antibiotics. |
| Tian Zu Gu | Heavenly pillar c1-c7superior to inferior (good for vomit) |
| Ban Men – | On thumb for phlegm and vomiting |
| Nei Ba Gua – | ton Qi of the body |
| Wei Ba Gua - | ton Qi of the body, digestion |
| Er shen man – | dredge for fever |
| Turtle tail - | tip of coccix |
| Luo Si – | harmonize Qi of the body |
| DU 20 (Ba Hui) – | raise yang |
| Xiao Tian shen – | small celestial heart – for heat, anxiety, restless, teething |
| Stage 3 of measles | recovery - rash fades, everything improves. |
| 3 DX: of enuresis | 1. weak lower gate(KD Qi or Yang)fear/abuse. (Qi left genitalia), 2. SP and LU Qi Xu(chronic lots of weakness,pm urine is copious)3. Damp-heat in LR channel (frustration, anger issues - UTI Symptoms. |
| Symptons of KD Qi Xu enuresis | Deep voice with cavernous timber, urinate in AM, Pm, normal KD Xu signs, low energy, slow growth, development. Slow deep forceless pulse, pale tongue.) |
| E and P of KD Qi Enuresis | KD Qi and Yang are weak so lower burner weak. Urethra and anus can't hold fluids. |
| Recommendations for enuresis | No fluids after 5:00pm, no spicy, no greasy no over thinking. |
| E and P for SP Qi Xu enuresis | LU governs water passage, SP T and T - both organs weak- loss of control of fluids. |
| E and P of D-H in LR channel | LR Qi Yu turns to heat, collects in channels. Hot damp diet contributes.pours down into bladder, irritates urethra. |
Created by:
rmr
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