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NCCAOM Theory Inquir

NCCAOM Fundamentals Exam - Inquiry Dx

QuestionAnswer
What do simultaneous chills and fever w/ chills > fever indicate? Exterior Wind-Cold (SHL)
What do simultaneous chills and fever w/ fever > chills indicate? Exterior Wind-Heat (Wen Bing)
What does fever of exterior origin w/ objectively emanating heat indicate? Exterior pathogen has entered into the interior
What does alternating chills and fever indicate? Shao Yang Syndrome (SHL), GB Heat (Wen Bing)
How does a patient describe the cold feeling w/ full cold in the ST? Limbs and epigastrium feel cold
How does a patient describe the cold feeling w/ full cold in the intestines? Legs and lower abdomen are cold
How does a patient describe the cold feeling w/ full cold in the uterus? Lower abdomen feels cold
How does a patient describe the cold feeling w/ yang deficiency of HT or LU? Cold hands, sweaty hands
How does a patient describe the cold feeling w/ SP/ST yang deficiency? Cold limbs and abdomen
How does a patient describe the cold feeling w/ KD Yang deficiency? Cold legs, knees, feet, back
How does a patient describe the cold feeling w/ Qi stagnation? Cold hands and feet especially the fingers
How does a patient describe the cold feeling w/ HT blood deficiency? Cold hands and chest
How does a patient describe the cold feeling w/ LV blood deficiency? Cold feet
What does fever w/o aversion to cold indicate? Interior heat, Yang Ming level (SHL)
What does a low grade fever that is worse in the afternoon indicate? Yin deficiency
What does a constant low grade temperature indicate? Damp-heat
What does a fever in the middle of the night indicate? Yin deficiency (adult); food retention (children)
Describe a patient’s explanation of full cold. Intense feeling of cold and shivers, feels noticeable cold and relatively hard to touch, pain, full pulse, sudden onset
Describe a patient’s explanation of empty cold. Mild, persistent cold feeling or tendency to feeling cold, feels mildly cold to touch, no pain, weak pulse, slow, gradual onset
If a patient has a H/A in the nape of the neck what channel is affected and what may be the pattern? Tai Yang channels; wind-cold or KD deficiency
If a patient has a H/A in the forehead, what channel is affected and what may be the pattern? Yang Ming channels; ST heat or blood deficiency
If a patient has a H/A in the temples and side of the head what channel is affected and what may be the pattern? Shao Yang channels; exterior/interior wind or LV/GB Fire
If a patient has a H/A in the Vertex what channel is affected and what may be the pattern? Jue Yin channel; Usually from LV blood deficiency
If a patient has a headache that encompasses the entire head, what is indicated? Exterior Wind-Cold
What does a heavy feeling H/A indicate? Dampness or phlegm
What does a H/A that is described as hurting inside or brain hurting indicate? KD deficiency
What does a distending/throbbing H/A indicate? LV Yang Rising
What does a Boring H/A indicate? Blood stasis
What does a headache w/ muzziness (muddled) and heaviness indicate? Dampness
What does a headache w/ muzziness, heaviness and dizziness indicate? Phlegm
If a patient has a H/A w/ aversion to wind or cold, what is indicated? Exterior invasion
If a patient has a H/A that is worse w/ cold, what is indicated? Cold Pattern
If a patient has a H/A that is worse w/ heat, what is indicated? Heat Pattern
If a patient has a H/A that is worse w/ fatigue and improved w/ rest, what is indicated? Qi deficiency
If a patient has a H/A that is worse w/ emotional tension, what is indicated? LV Yang Rising (LYR)
If a patient has a H/A that is aggravated by sexual activity, what is indicated? KD deficiency
How does dizziness present w/ internal wind? Severe giddiness when everything seems to sway and loses the balance
How does dizziness present w/ LV Yang Rising? Dizziness w/ a throbbing H/A
How does dizziness present w/ Phlegm obstructing the head? Dizziness w/ feeling of heaviness and muzziness in head
How does dizziness present w/ blood deficiency? Slight dizziness that is aggravated when tired
How does dizziness present in a full pattern? Sudden onset
How does dizziness present in an empty pattern? Gradual onset
How does a patient describe facial pain in the cheeks and jaws d/t wind-heat? Acute, severe, feeling of heat, H/A, sore throat, chills and fever
How does a patient describe facial pain in the cheeks and forehead d/t damp-heat? Severe, red cheeks, greasy skin, sticky yellow/greenish nasal discharge
How does a patient describe facial pain in the cheeks and forehead d/t LV Fire? Red cheeks, thirst, bitter taste, wiry and rapid pulse
What is indicated when facial pain is trigeminal neuralgia? LV fire w/ LV/KD Yin deficiency
How does joint pain d/t wind (bi) present? Wandering from joint to joint
How does joint pain d/t cold (bi) present? Fixed and very painful
How does joint pain d/t dampness (bi) present? Fixed, w/ swelling and numbness
How does joint pain d/t damp-heat (bi) present? With swelling and redness of the joints
How does joint pain d/t blood stasis present? Severe stabbing pain w/ rigidity
What patterns may be present w/ weakness in the limbs? Deficiency of ST-Qi/ Qi and blood/ KD Yang
A patient describes more tingling than numbness in the limbs (esp women), what pattern? Blood deficiency
A patient describes more numbness in the limbs that is often unilateral (esp in elderly), what pathogen? Wind
A patient describes numbness in the limbs w/ a feeling of heaviness, what pathogen? Phlegm
A patient describes numbness w/ swelling in the limbs (esp legs), what pathogen? Damp or Damp-Heat
A patient describes limb numbness w/ pain, what pattern? Qi and blood stagnation
What pattern is indicated w/ cold hands alleviated by heat? Yang deficiency
What pattern is indicated w/ cold hands w/ palpitations and dizziness? HT blood deficiency
What pattern is indicated w/ cold fingers and toes? LV Qi stagnation
What pattern is indicated w/ stabbing chest pain? HT blood stasis – usually yang def -> HT blood stasis
What pattern is indicated w/ chest pain w/ cough and profuse yellow sputum? LU Heat
What pattern is indicated w/ a feeling of chest oppression? LU phlegm, LV Qi stagnation
What pattern is indicated w/ a feeling of distention in the hypochondrium? LV Qi stagnation
What pattern is indicated w/ stabbing pain in the hypochondrium? LV blood stasis
How does epigastric pain d/t deficiency present? Dull pain, alleviated by eating
How does epigastric pain d/t excess present? Severe pain, aggravated by eating
How does epigastric pain d/t food retention, ST fire, ST phlegm-fire, ST Blood stasis, LV => ST present? Severe pain (excess)
How does epigastric pain d/t ST Qi deficiency, ST deficiency cold present? Dull pain (def)
How does epigastric pain d/t dampness present? A feeling of fullness
How does epigastric pain d/t SP Qi deficiency present? Very slight feeling of fullness
How does epigastric pain d/t LV Qi stagnation present? Feeling of distension
What patterns are indicated w/ lower abdominal pain in the intestines and uterus? Internal cold, LV Qi/Blood stagnation, Damp-Heat, Blood stasis
What are characteristics of lower abdominal pain d/t excess? Relieved by bowel movements
What are characteristics of lower abdominal pain d/t deficiency? Aggravated by bowel movements
What are 2 patterns for hypogastric pain? Damp-heat in UB; LV fire infusing downwards to UB (LV => UB)
What can cause a sudden onset of tinnitus? Excess – usually LV fire, LYR or LV wind
What can cause a gradual onset of tinnitus? Deficiency – usually KD deficiency
What are symptoms of pressure w/ tinnitus d/t excess? Aggravated by pressing w/ one’s hands on the ears
What are symptoms of pressure w/ tinnitus d/t deficiency? Alleviated by pressing w/ one’s hands on the ears
What causes a high pitch tinnitus? LYR, LV Fire or LV wind (like a whistle)
What causes a low pitch tinnitus? KD deficiency (like water rushing)
What is indicated w/ a sudden onset of deafness? Excess condition – usually LV fire, LYR or LV Wind
What is indicated w/ a gradual onset of deafness? Deficiency condition
What is indicated w/ chronic cases of deafness? KD deficiency, HT blood deficiency, UJ Qi deficiency, Yang-Qi deficiency
What are Sx of eye pain d/t toxic-heat in the HT channel? Pain like a needle w/ red eyes, associated w/ H/A
What are Sx of eye pain d/t wind-heat or LV fire? Pain, swelling and redness of the eyes
What are Sx of eye pain d/t KD Yin deficiency? A feeling of pressure in the eyes
What patterns are indicated w/ blurred vision d/t floaters? LV blood deficiency; LV/KD yin deficiency
What patterns are indicated w/ blurred vision/photophobia? LV blood deficiency, LV yang rising
What pattern is indicated w/ dry eyes? KD Yin Deficiency
Describe a deficiency condition w/ food. Relieved by eating
Describe an excess condition w/ food. Aggravated by eating
What happens w/ food and SP Qi deficiency? Lack of appetite
What happens w/ food and ST heat? Always hungry
What happens w/ food and food stagnation? Fullness and distension after eating
What happens w/ food and cold patterns? Preference for hot food (temperature)
What happens w/ food and heat patterns? Preference for cold food
What is indicated w/ constant bitter taste? Excess heat in LV
What is indicated w/ bitter taste in the morning and insomnia? Excess ehat in the HT What is indicated w/ a sweet taste?
What is indicated w/ a sour taste? KD Yin deficiency
What is indicated w/ pungent taste? LU heat
What is indicated w/ lack of taste? SP deficiency
What is indicated w/ sour vomiting? LV invade ST
What is indicated w/ bitter vomit? LV/GB heat
What is indicated w/ clear-watery vomit? Cold in ST w/ retention of fluid
What is indicated w/ vomit soon after eating? Heat pattern
What is indicated w/ sudden vomit w/ loud noise? Excess
What is indicated w/ vomit that is slow in coming w/ weak noise? Deficiency
What are thirst Sx w/ excess heat? Thirst w/ desire to drink large amounts of cold water
What are thirst Sx w/ Yin deficiency (ST/KD)? Thirst w/ desire to sip liquids slowly, or sip warm liquids
What are thirst Sx w/ cold patterns (SP/ST)? Absence of thirst
What are thirst Sx w/ damp-heat patterns? Thirst but w/ no desire to drink
What are thirst Sx w/ heat patterns? Desire to drink cold liquids
What are thirst Sx w/ cold patterns? Desire to drink warm liquids
What patterns are indicated w/ menstrual cycles always early? Blood heat, Qi deficiency
What patterns are indicated w/ menstrual cycles always late? Blood deficiency, blood or cold stagnation
What patterns are indicated w/ irregular menstrual periods? LV Qi or blood stagnation, SP deficiency
What patterns are indicated w/ heavy menstrual flow? Blood heat, Qi deficiency
What patterns are indicated w/ scanty menstrual flow? Blood deficiency, blood or cold stagnation
What patterns are indicated w/ a dark-red or bright red menstrual blood color? Blood heat
What patterns are indicated w/ a pale menstrual blood color? Blood or cold stagnation
What patterns are indicated w/ purple or blackish menstrual blood color? Blood or cold stagnation
What patterns are indicated w/ fresh-red menstrual blood color? Deficient heat from yin deficiency
What patterns are indicated when menstrual blood is congealed w/ clots? Blood or cold stagnation
What patterns are indicated w/ water menstrual blood? Blood or yin deficiency
What patterns are indicated w/ turbid menstrual blood? Blood heat or cold stagnation
What patterns are indicated when there is pain before menses? Qi or blood stagnation
What patterns are indicated when there is pain during menses? Blood heat or cold stagnation
What patterns are indicated when there is pain after menses? Blood deficiency
What is indicated w/ white leukorrhea? SP/KD yang deficiency, cold damp, LV Qi stagnation
What is indicated w/ yellow leukorrhea? Heat pattern – DH in LJ
What is indicated w/ greenish leukorrhea? DH in the LV channel
What is indicated w/ red and white leukorrhea? DH
What is indicated w/ yellow + pus, blood after menopause? Toxic DH in the uterus
What is indicated w/ leukorrhea of a watery consistency? Cold-damp
What is indicated w/ leukorrhea of a thick consistency? Damp-heat
What is indicated when there is a fishy smell to leukorrhea? Cold-damp
What is indicated when there is a leathery smell to leukorrhea? Damp-heat
Describe SP Qi deficiency tiredness. Chronic tiredness, desire to lie down, poor appetite, loose stools
Describe SP Yang deficiency tiredness. Chronic tiredness, desire to lie down, poor appetite, loose stools and cold Sx
Describe LU Qi deficiency tiredness. Chronic tiredness, weak voice, propensity to catch colds
Describe LU yang deficiency tiredness. Chronic tiredness, weak voice, propensity to catch colds, + cold Sx
Describe KD yang deficiency tiredness. Chronic tiredness, backache, lassitude, a feeling of cold, depression, frequent urination
Describe LV blood deficiency tiredness. Chronic tiredness, slight depression, dizziness, scanty periods
Describe KD yin deficiency tiredness. Chronic tiredness, anxiety, insomnia, dry mouth at night, tongue w/o coating
Describe Damp retention tiredness. Chronic tiredness, feeling of heaviness of the body, muzziness
Describe phlegm retention tiredness. Chronic tiredness, feeling of oppression of the chest, dizziness, muzziness
Describe LV Qi stagnation tiredness. Chronic tiredness, anxiety, tenseness, wiry pulse
Describe Shao Yang pattern tiredness. Short term tiredness, alternating cold and hot, irritability, unilateral tongue coating, wiry pulse
Describe other Sx w/ impotence d/t KD yang deficiency. Feeling ocld, backache, weak knees
Describe other Sx w/ impotence d/t HT blood deficiency. Palpitations, dizziness, choppy pulse
Describe other Sx w/ impotence d/t HT fire. Palpitations, insomnia, dream-disturbed sleep, rapid overflowing pulse
Describe other Sx w/ impotence d/t LV Damp-heat. Heaviness of the scrotum, urethral discharge
What are the possible patterns for male lack of libido? KD Qi or Yang deficiency; Deficiency of SP, HT or LU; LV Qi stagnation
What are possible patterns for premature ejaculation? KD Qi not firm; HT Qi deficiency; HT blood deficiency
What pattern is present when ejaculation leads to tiredness/dizziness? KD deficiency
What are possible patterns when a female has lack of libido or an inability to reach an orgasm? KD Yang or HT deficiency
What are possible patterns when a female has excessive sexual desire? LV/HT fire, KD Yin deficiency w/ empty heat
What pattern is present when a female has an inability to reach orgasm? HT deficiency
What patterns may be present when an orgasm leads to a H/A in a female? Rebellious Qi of Chong vessel, HT fire
Created by: kabrown