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NCCAOM Theory Palp
NCCAOM Fundamentals Exam - Palpation
| Question | Answer |
|---|---|
| What are the pulse positions and the organs associated on the left hand? | Cun: HT; Guan: LV; Chi: KD Yin |
| What are the pulse positions and the organs associated on the right hand? | Cun: LU; Guan: SP; Chi: KD Yang |
| What is the pinyin for a floating pulse and the indications? | Fu Mai; Invasion of external wind, Yin deficiency (interior) [yang rising to surface to fight pathogen; yin not anchoring yang weak and superficial] |
| What is the pinyin for a deep pulse and the indications? | Chen Mai; Pathogenic factor in the interior (Deep-full) and Yang deficiency (Deep-weak) |
| What is the pinyin for a slow pulse and the indications? | Chi Mai; Cold pattern, Empty-cold (slow and weak), Full-cold (slow and full) |
| What is the pinyin for a rapid pulse and the indications? | Shu Mai; Heat pattern, Full-heat (rapid and full), Empty-heat (rapid and floating) |
| What is the pinyin for an empty pulse and the indication? | Xu Mai; Qi deficiency |
| What is the pinyin for a full pulse and the indications? | Shi Mai; Full pattern, Full-heat (full-rapid), Full-cold (full-slow) [always excess] |
| What is the pinyin for an overflowing pulse, the yin/yang classification, and the indications? | Hong Mai; Yin w/in Yang; Full-heat, Empty-heat (overflowing-empty) [Surging] |
| What is the pinyin for a fine (thin) pulse and the indications? | Xi Mai; Blood deficiency, Dampness w/ severe Qi deficiency [Thready; Yin def + rapid; Yang def + cold] |
| What is the pinyin for a slippery pulse, the yin/yang classification, and the indications? | Hua Mai; Yang w/in yin; Phlegm, Dampness, Retention of food, Pregnancy |
| What is the pinyin for a choppy pulse, the yin/yang classification, and the indications? | Se Mai; Yin; Blood deficiency, Exhaustion of body fluids [can mean blood stasis] |
| What is the pinyin for a wiry pulse and the indications? | Xuan Mai; LV disharmony, Pain, Phlegm |
| What is the pinyin for a tight pulse, the yin/yang classification, and the indications? | Jin Mai; Yang w/in Yin; Cold, Exterior cold (tight-floating), Interior full-cold (tight-full-deep), Interior empty-cold (tight-weak-deep), Pain |
| What is the pinyin for a soggy (weak-floating) pulse and the indications? | Ru Mai; Dampness w/ Qi deficiency, Yin deficiency, Essence deficiency [also soft, Qi deficiency w/ damp] |
| What is the pinyin for a weak pulse and the indications? | Ruo Mai; Yang deficiency, Blood deficiency [Qi or yin (floating) deficiency] |
| What is the pinyin for a hasty pulse and the indications? | Cu Mai; Severe heat, HT Qi deficiency, HT-Fire [irreg. irreg. sl. rapid] |
| What is the pinyin for a knotted pulse and the indications? | Jie Mai; Cold w/ HT yang deficiency [irreg. irreg. sl. slow] |
| What is the pinyin for an intermittent pulse and the indications? | Dai Mai; Serious problem in internal organ, HT problem (in Western medical sense) [reg. irreg.] |
| What is the pinyin for a long pulse and the indication? | Chang Mai; Heat pattern |
| What is the pinyin for a short pulse and the indications? | Duan Mai; Severe Qi deficiency, ST Qi deficiency [can feel like not moving] |
| What is the pinyin for a minute pulse and the indication? | Wei Mai; Severe deficiency of Qi and blood |
| What is the pinyin for a slow-down pulse and the indication? | Huan Mai; yin/yang balanced; Generally a healthy pulse |
| What is the pinyin for a hollow pulse and the indications? | Kou Mai; Hemorrhage, forthcoming hemorrhage (hollow and rapid) |
| What is the pinyin for a leather pulse and the indications? | Ge Mai; Severe deficiency of KD-Essence; Severe deficiency of KD-Yin |
| What is the pinyin for a firm pulse, the yin/yang classification, and indications? | Lao Mai; Yang w/in Yin; Blood stasis, interior cold (firm and slow), Pain |
| What is the pinyin for a scattered pulse and the indications? | San Mai; Severe deficiency of Qi and blood, Severe deficiency of KD-Qi, Serious condition |
| What is the pinyin for a hidden pulse and the indication? | Fu Mai; Severe yang deficiency |
| What is the pinyin for a moving pulse and the indications? | Dong Mai; Shock, anxiety, fright; Pain [spinning quality] |
| What is the pinyin for a hurried pulse and the indication? | Ji Mai; Fire exhausting Yin |
| What is the pinyin for a big pulse and the indications? | Da Mai; Entrance of Dz (w/ force), Outward floating of yang vacuity (w/o force) [large] |
| What does a floating + moderate pulse indicate? | Wind-damp |
| What does a floating + empty pulse indicate? | Summer-Heat damage |
| What does a floating slippery pulse indicate? | Wind-phlegm or food retention |
| What does a floating rapid pulse indicate? | Wind-heat |
| What does a floating hollow pulse indicate? | Blood loss [scallion stalk] |
| What does a floating scattered pulse indicate? | Extreme taxation |
| What does a floating short pulse indicate? | Qi Dz |
| What does a floating choppy pulse indicate? | Blood damage |
| What does a floating tense pulse indicate? | Wind-cold What does a floating surging, big pulse indicate? |
| What does a deep slow pulse indicate? | Interior cold |
| What does a deep rapid pulse indicate? | Interior heat |
| What does a deep moderate pulse indicate? | Water-damp |
| What does a deep confined pulse indicate? | Cold accumulation |
| What does a deep wiry pulse indicate? | Swelling w/ pain, LV Qi stagnation |
| What does a deep tight pulse indicate? | Cold pain |
| What does a deep hidden pulse indicate? | Choleraic Dz [SI, Asiatic Cholera] |
| What does a deep slippery pulse indicate? | Phlegm and food accumulation |
| What does a deep choppy pulse indicate? | Depression of Qi, blood stasis |
| What does a slow floating pulse indicate? | Exterior cold |
| What does a slow deep pulse indicate? | Interior cold |
| What does a slow slippery pulse indicate? | Phlegm, Food |
| What does a slow thin pulse indicate? | Yang debility |
| What does a slow wiry pulse indicate? | Accumulation pain |
| What does a slow moderate pulse indicate? | Cold-damp |
| What does a slow choppy pulse indicate? | Blood deficiency |
| What does a rapid surging pulse indicate? | Exuberant yang excess heat (sores and welling abscesses) |
| What does a rapid thin pulse indicate? | Yin deficiency w/ empty fire |
| What does a rapid and rolling pulse indicate? | Phlegm-fire excess heat |
| What does a rapid and empty pulse indicate? | Pulmonary wilting |
| What does a rapid choppy pulse indicate? | Yin and blood injury and exhaustion |
| What does a rapid hollow pulse indicate? | Extreme loss of blood |
| What does a rapid wiry pulse indicate? | LV Fire |
| What does an empty floating pulse indicate? | Qi deficiency |
| What does an empty choppy pulse indicate? | Blood deficiency |
| What does an empty rapid pulse indicate? | Yin deficiency internal heat |
| What does an empty slow pulse indicate? | Yang deficiency |
| What does an empty soggy pulse indicate? | Deficient protective Qi, w/ spontaneous sweat |
| What does a full deep pulse indicate? | Internal excess |
| What does a full floating pulse indicate? | Exterior excess |
| What does a full slippery pulse indicate? | Phlegm or food retention |
| What does a full tight pulse indicate? | Damage by cold evil |
| What does a full rapid pulse indicate? | Bowel heat, LU abscess |
| What does a full wiry pulse indicate? | LV Fire |
| What does an overflowing big pulse indicate? | Exuberant heat |
| What does an overflowing floating pulse indicate? | Exterior heat, yin deficiency |
| What does an overflowing deep pulse indicate? | Internal heat, cold restraining heat |
| What does an overflowing tight pulse indicate? | Distention (chest) and fullness, constipation w/ bleeding |
| What does an overflowing slippery pulse indicate? | Phlegm-heat |
| What does a fine (thin) deep pulse indicate? | Damp impediment, pain |
| What does a fine (thin) minute pulse indicate? | Yang deficiency |
| What does a fine (thin) rapid pulse indicate? | Deficient heat |
| What does a fine (thin) tight pulse indicate? | Cold damage |
| What does a fine (thin) wiry pulse indicate? | LV blood/Yin deficiency |
| What does a fine (thin) choppy pulse indicate? | Blood deficiency, Qi stagnation |
| What does a slippery floating pulse indicate? | Wind-phlegm |
| What does a slippery deep pulse indicate? | Phlegm-rheum panting and coughing, Food retention |
| What does a slippery rapid pulse indicate? | Damp-heat, Phlegm-fire, Food damage |
| What does a slippery slow pulse indicate? | Dysentery |
| What does a slippery wiry pulse indicate? | Food stagnation, Phlegm w/ LV Qi stagnation |
| What does a slippery tight pulse indicate? | Cold-phlegm obstructing |
| What does a choppy wiry pulse indicate? | Qi stagnation, blood stasis |
| What does a choppy deep pulse indicate? | Interior deficiency, Yin debility |
| What does a choppy floating, thin pulse indicate? | Large amounts of sweating damaging the fluids, Dried fluids |
| What does a choppy weak pulse indicate? | Qi exhausted |
| What does a choppy minute pulse indicate? | Blood deficiency, Yang deficiency |
| What does a wiry rapid pulse indicate? | Heat in the LV channel, LV fire |
| What does a wiry rapid, thready pulse indicate? | LV yin deficiency |
| What does a wiry rapid, big pulse indicate? | LV fire blazing |
| What does a wiry slow pulse indicate? | SP and ST deficient cold, LV cold |
| What does a wiry floating pulse indicate? | Propping-rheum |
| What does a wiry deep pulse indicate? | Pain d/t suspended rheum, Interior stagnation w/ pain |
| What does a wiry big w/o force pulse indicate? | Deficiency pattern |
| What does a wiry thin pulse indicate? | Acute titanic spasm |
| What does a wiry slippery pulse indicate? | Phlegm-rheum |
| What does a wiry tight pulse indicate? | Concretion and gathering |
| What does a tight floating pulse indicate? | Cold damage to Tai Yang |
| What does a tight deep pulse indicate? | Cold accumulation and abdominal pain |
| What does a tight wiry pulse indicate? | Mounting accumulation and abdominal pain, Cold obstruction |
| What does a tight rapid pulse indicate? | Simultaneous heat and cold pattern |
| What does a tight full pulse indicate? | Distention and pain |
| What does a tight choppy pulse indicate? | Cold obstruction |
| What does a soggy (weak-floating) wiry pulse indicate? | Dizziness or numb fingers |
| What does a soggy (weak-floating) choppy pulse indicate? | Blood loss |
| What does a soggy (weak-floating) rapid pulse indicate? | Damp-heat |
| What does a weak choppy pulse indicate? | Blood deficiency, Essence deficiency, Cold or infertility |
| What does a weak rapid pulse indicate? | Seminal emission, Uterine bleeding |
| What does a weak soggy pulse indicate? | Spontaneous sweating |
| What does a weak wiry, thin pulse indicate? | Blood deficiency, Flaccid tendons |
| What does a hasty floating, forceful pulse indicate? | Heat exuberance in the exterior |
| What does a hasty surging pulse indicate? | Heat exuberance in the Yang Ming |
| What does a hasty slippery pulse indicate? | Phlegm-rheum, Food retention |
| What does a hasty thin/minute pulse indicate? | Debilitation of organ Qi, Separation of yin and yang |
| What does a knotted floating pulse indicate? | Cold evil stagnating in the channels |
| What does a knotted deep, choppy pulse indicate? | Stasis accumulation, Qi/Blood stagnation w/ lumps |
| What does a knotted deep, weak pulse indicate? | Mingmen fire exhausted |
| What does a knotted slippery pulse indicate? | Phlegm evil accumulation and stagnation |
| What does a knotted wiry pulse indicate? | Binding depression of the seven emotions |
| What does an intermittent weak pulse indicate? | Yuan Qi deficiency, SP/ST weakness |
| What does a long floating pulse indicate? | External pathogen or yin deficiency |
| What does a long surging pulse indicate? | Yang insanity or epilepsy |
| What does a long deep, thin pulse indicate? | Lumps or tumors |
| What does a long slippery pulse indicate? | Phlegm heat |
| What does a long soggy pulse indicate? | Alcohol intoxication or cold |
| What does a long wiry pulse indicate? | LV disharmony |
| What does a short floating pulse indicate? | LU Qi deficiency or blood stasis |
| What does a short deep pulse indicate? | KD Qi deficiency |
| What does a short rapid pulse indicate? | HT pain and irritability |
| What does a short slow pulse indicate? | Cold deficiency |
| What does a short rolling, rapid pulse indicate? | Alcohol injuring Shen |
| What does a minute soggy pulse indicate? | Spasms |
| What does a minute weak pulse indicate? | Spontaneous sweating |
| What does a minute choppy pulse indicate? | Great blood loss |
| What does a slow-down floating pulse indicate? | External damp or wind |
| What does a slow-down deep pulse indicate? | Damp obstructing |
| What does a slow-down choppy pulse indicate? | Blood deficiency |
| What does a slow-down slow, thin pulse indicate? | Yang deficiency |
| What does a hollow rapid pulse indicate? | Yin deficiency |
| What does a hollow empty, soggy pulse indicate? | Essence deficiency, Blood loss |
| What does a hollow knotted pulse indicate? | Blood stasis |
| What does a leather slippery big pulse indicate? | Excess perspiration or diarrhea |
| What does a leather moderate, no spirit pulse indicate? | “Dead” Yin, not treatable |
| What does a firm deep pulse indicate? | Chronic cold disease |
| What does a scattered floating pulse indicate? | Extreme deficiency of blood and Qi |
| What does a hidden slow pulse indicate? | Extreme cold, Extreme yin ascending |
| What does a hidden rapid pulse indicate? | Extreme heat, Extreme yang ascending |
| What does a moving weak pulse indicate? | Palpitations |
| What does a moving full pulse indicate? | Pain, Obstruction |
| What does a moving hollow pulse indicate? | Essence loss |
| What does a moving floating pulse indicate? | External pathogen |
| What does a big floating pulse indicate? | Deficiency or Exterior heat |
| What does a big deep pulse indicate? | Interior heat of KD disharmony |
| What does a big wiry pulse indicate? | Shao Yang disharmony |
| What does a big moderate pulse indicate? | Damp-heat |
| What does a big floating pulse indicate? | ST excess |
| Skin that is palpated and feels cold indicates? | Cold pattern |
| Skin that is palpated and the 4 limbs are cold indicates? | Both SP and ST yang deficiency |
| Skin that is palpated and the loins, lower back and feet are cold indicates? | KD yang deficiency |
| Skin that is palpated and the lower abdomen is cold indicates? | SP Yang deficiency |
| Skin that is palpated and feels hot indicates? | Damp-heat |
| Skin that is hot on first touch then ceases to feel hot if pressure is maintained indicates? | Exterior wind-heat pathogen still on the exterior |
| Skin that is hot over a blood vessel on medium pressure but not on heavy pressure indicates? | Interior heat in the MJ or HT |
| Skin that feels hot on heavy pressure which nearly reaches the bone indicates? | Empty heat from yin deficiency |
| Skin that feels moist indicates? | Exterior wind |
| Skin that feels moist w/o exterior Sx indicates? | LU Qi deficiency |
| Skin that feels dry indicates? | Blood deficiency, LU yin deficiency |
| Skin that feels rough indicates? | Bi syndrome from wind |
| Skin that is scaly and dry indicates? | Exhaustion of body fluids, Severe deficiency, LV blood dryness |
| Skin that is swollen and pitting indicates? | “Water swelling” from SP/KD yang deficiency |
| Skin that is swollen but not pitting indicates? | “Qi swelling” from damp or Qi stagnation |
| What do cold hands and feet indicate? | SP/ST yang deficiency (common cause); Phlegm or interior heat obstructing Qi circulation (less common) |
| What do cold hands indicate? | LU/HT yang deficiency |
| What do cold feet indicate? | KD yang deficiency |
| What do cold hands and feet in women indicate? | Blood deficiency |
| What do cold hands in women indicate? | HT blood deficiency |
| What do cold feet in women indicate? | LV blood deficiency |
| What do cold fingers and toes indicate? | LV Qi stagnation |
| What is indicated when an apical pulse is clearly felt, not hard, and relatively slow? | Normal |
| What is indicated when an apical pulse is feeble and w/o strength? | Gathering (Zong) Qi deficiency |
| What is indicated when an apical pulse is strong and hard? | LU/HT excess condition |
| What is indicated when an apical pulse is large but empty? | HT Qi deficiency |
| What is indicated when an apical pulse is stopping and starting? | Severe shock or alcoholism |
| What is indicated when an apical pulse has a discrepancy w/ the radial pulse? | Poor Px |
| What is indicated when an apical pulse is rapid? | Shock, fright or outburst or anger |
| What is indicated when the area below the xyphoid process is hard upon palpation? | Full condition, Qi stagnation from emotional problems |
| What is indicated when the area below the xyphoid process is too soft on palpation? | HT deficiency |
| How should the area below the xyphoid process feel in normal circumstances? | Soft vs the rest of the abdomen |
| What is indicated when the area of RN17 is tender w/ light palpation? | HT blood stasis |
| What is indicated when the chest is tender around the center? | LU excess condition |
| What is indicated when tenderness in the chest is relieved by palpation? | HT/LU deficiency condition |
| What is indicated when tenderness in the chest is relieved by light palpation by elicited by deeper palpation? | Deficiency + excess |
| What is indicated when there are relatively soft breast lumps? | Phlegm |
| What is indicated when there are relatively hard breast lumps? | Blood stasis |
| What is indicated when breast lumps have distinct edges? | Phlegm |
| What is indicated when breast lumps have indistinct edges? | Toxic heat |
| What is indicated when breast lumps are mobile on palpation? | Phlegm |
| What is indicated when breast lumps are immobile on palpation? | Blood stasis or toxic heat |
| An abdomen that is hard upon palpation indicates? | Full |
| An abdomen that is too soft upon palpation indicates? | Empty |
| An achy abdomen relieved by palpation indicates? | Empty |
| A lower abdomen that is soft and flabby to palpation indicates? | Original (Yuan) Qi deficiency |
| An abdomen that has masses that come and go and move on palpation indicates? | Qi stagnation |
| An abdomen that has fixed abdominal masses indicates? | Blood stasis |
| When palpating back shu points what does sharp pain indicate? | Full in relevant organ (either spontaneous or on pressure) |
| When palpating back shu points what does dull soreness indicate? | Empty if dull soreness (either spontaneous or on pressure) |
Created by:
kabrown
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