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Midterm I

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Question
Answer
Patient presents with a cough, thin, white phlegm, easy to expectorate. She has chills & fever w/ chills predominant, aversion to cold, fever, no sweat, no thirst, headache, body aches.   show
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Cough with yellow phlegm, sticky, thick. Fever & chills with fever predominant, aversion to wind/cold, sore throat, thirsty, headache, clammy sweat, yellow nasal discharge   show
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Wind cold signs plus physical cold, cold limbs, cough and panting, white foamy phlegm, frog rale, somber white complexion   show
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Dry cough with no phlegm, dry nose, dry throat, sore, itchy throat, slight aversion to cold, headache   show
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Cough, abundant white phlegm, easy to expectorate especially in the morning, congestion of chest, nausea, epigastric fullness and distention, poor appetite, loose stools   show
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Cough or wheeze with expectoration of profuse thick, yellow phlegm, heavy breathing, high fever, perspiration, thirst, congestion of chest, sometimes constipation, dark urine. Severe: chest pain, coughing blood (rust colored phlegm)   show
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show Retention of rheum in the lung  
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show Lung Qi Vacuity  
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Dry cough, unproductive cough, if phlegm, not much, very sticky, difficult to expectorate, sometimes w/ blood, dry mouth, dry throat, hoarse voice, low grade fever in afternoon, afternoon tidal fever   show
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Palpitations, nervousness, fear, fearful throbbing, shortness of breath, congestion of chest, all of which become worse on exertion, pale complexion.   show
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Palpitations,nervousness, fear, fearful throbbing, shortness of breath, congestion of chest all of which become worse on exertion, pale complexion, pronounced cold, aversion to cold, cold limbs etc., heart pain because of cold (angina pectoris)   show
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show HEART BLOOD VACUITY  
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palpitations, insomnia vacuity heat, vexing heat in 5 hearts, tidal fever, malar flush, night sweats   show
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Heart palpitations, heart vexation,insomnia, inappropriate expression of joy/anger/sorrow, fear of light, chest oppression, frequent yawning & stretching   show
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Pericardial pain, distending chest pain, congestion of chest, fixed location pain, shortness of breath. Onset/severity are affected by the emotional state of the patient   show
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stabbing chest pain, fixed location, often more severe at night, cyanosis of lips TONGUE: Dark purple w/ purple spots/macules PULSE: Choppy, sometimes intermittent   show
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show Heart Impediment: Yin Cold Evil  
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suffocating pain in chest, overweight, heaviness of limbs, excessive phlegm, shortness of breath   show
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heat signs, palpitations, vexation of the heart, mental restlessness, insomnia, agitation, delirium, flushed face, dark urine, dry stools or constipation, epistaxis, hematamesis, hematuria, carbuncles, boils, painful hot swellings/lesions   show
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show PHLEGM-FIRE HARASSING THE HEART  
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gradual onset of illness, unhappy, anxiety, mental depression, incoherent speech, muttering to self, tendency to doubt, suspicion, abnormal behavior, loss of ability to differentiate clean from dirty, lethargic stupor, uncontrolled laughter, crying   show
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Momentary, trance-like state Severe: Sudden loss of consciousness, foaming @ mouth, bleating sound rolling back of eyes, rattling sound in throat (phlegm) violent, involuntary movement of limbs complete recovery to normal upon regaining consciousne   show
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vexation of heart, ulceration of mouth & tongue, scanty, hot, dark urine, painful urination, inhibited urination, hematuria   show
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Lower abdominal pain of varying intensity (sometimes severe, sometimes moderate), worse w/ cold, better with heat   show
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show Spleen Qi Vacuity  
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show Spleen Yang Vacuity  
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show Spleen Qi Fall / Center Qi Fall  
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show Spleen Failing to Manage Blood  
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Upper Burner: reduced food intake, nausea, vomiting, thirst without a strong desire to drink Middle Burner Fullness/distention in epigastric, abdominal area, Lower Burner: loose stools with foul odor and burning sensation, scanty, dark urine,   show
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show Cold Damp Encumbering the Spleen  
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show Spleen yin vacuity  
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low weak voice, shortness of breath, lassitude, tiredness, weak pulse, pale tongue, exertion aggravates all symptoms and signs.   show
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show Yang vacuity  
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show Qi sinking  
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weak, feeble and irregular breathing, continuous sweating, mouth open with eyes closing, incontinence of urine and feces, pale complexion and feeble pulse. (key data: Breathing is weak and feeble, almost not detectable).   show
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show Blood vacuity  
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show blood collapse, blood coldness and internal dryness  
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show Blood collapse  
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blood vacuity + heat (malnourished and moistened, fails to balance Yang)   show
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show Yin collapse  
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show Qi stagnation  
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stabbing fixed pain, worse at night; mass does not move, feels hard. Dark bleeding with clots; black oily stool; dark complexion, bluish purplish lips and nail,scaly skin, purple patches or dots on tongue, veins expanded under the tongue   show
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show Blood heat  
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hand and feet cold pain, dark purple in color, or cramp in side abdomen, or dysmenorrhea, delayed menses, dark in color, or with clots, light purple tongue, white coating, deep slow wiry choppy pulse.   show
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show Internally true heat and externally false cold  
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show Internal cold w/ false external heat  
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show Heat Above & Cold Below  
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Cold pain of the stomach, vomiting clear sputum and frequent, painful urination, short, dark stools.   show
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show False signs: limbs, skin, face  
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When discussing true and false signs,True signs are in the _______, the ________ and the _________.   show
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show Vacuity Pattern  
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show Repletion Pattern  
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show Yin Pattern  
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show Yang Pattern  
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show External Wind  
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show Interior Wind  
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show Wind Invasion of Channels  
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show Summerheat Warmth  
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show Summerheat damp encumbering the middle burner  
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Mild: sudden dizziness, h/a, chest oppression, nausea, vomiting, dry mouth, thirst, fatigue – sunstroke Severe: LOC, sudden fainting, hot body, extreme thirst, copious sweat, cold limbs, surging and large pulse, convulsions   show
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show Spleen  
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show Mouth and nose  
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show Dryness  
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Oppression in the chest, epigastric/abdominal distension, short, inhibited urination, loose stools, diarrhea w/ no relief from discomfort after evacuation.OR Viscous discharge - stools difficult to eliminate, Sticky vaginal discharge, Sticky phlegm   show
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show Qi  
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show All of them  
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High fever, flushed face, vexing thirst, heat sensation in chest, profuse sweating, sores in mouth, h/a, red eyes, disturbance of heart spirit, vexation of heart, insomnia, clouding of the spirit, thick, sticky yellow discharge w/ foul smell   show
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show wind - blood (convulsion/spasm of limbs, upturned eyes, rigidity of neck, opisthotonos) and (bleeding, hemoptysis, nose bleed, blood in stools, urine, uterine bleeding, dermal bleeding)  
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show Kidney Qi Vacuity  
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palpitations, dizziness   show
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poor appetite, weak limbs, loose stools   show
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Shortness of breath, dislike speaking, weak, low voice   show
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Fatigue, weakness, spontaneous sweating, pale face   show
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show Qi Fall  
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show Qi Stagnation  
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headache, dizziness, irritability, blood rising w/ qi, vomiting of blood, loss of consciousness, high blood pressure, migraine Tongue: purple on sides, Normal or with white fur Pulse: Stringlike & Forceful   show
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show LUNG Qi Counterflow  
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nausea, vomiting, belching, hiccups, moving sickness Tongue: purple in center Pulse: Slippery & stringlike   show
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pale face, palpitations, insomnia, poor memory TONGUE: Pale w/ thin white coat, small cracks PULSE: Fine, thin, may be irregular   show
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show Liver Blood Vacuity  
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stabbing pain fixed location increases with pressure, abdominal masses- hard to touch, swelling on body surface, bruises, bleeding (purple w/ clots), menstrual disorders, dark complexion, purple lips, nails, dry, rough skin w/o luster, macules   show
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show Concretion  
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When palpating the abdomen , you find a mass on the lower burner with an indefinite shape,what is it?   show
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When palpating the abdomen , you find a mass on the middle burner with a definite shape, what is it?   show
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When palpating the abdomen , you find a mass on the middle burner with an indefinite shape, what is it?   show
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show Frenetic Blood Heat  
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Pain (limbs, hands, feet), pale, cool skin over affected area, purplish discoloration of affected area, subjective sensation of coldness - relieved by warmth, delayed menses (small volume, dark-colored discharge w/ clots), dysmenorrhea, amenorrhea   show
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show Dual Vacuity of Qi and Blood  
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show True  
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True or False: Qi produces, moves and controls fluids,Fluids stagnate qi   show
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Depression, moodiness, unhappiness, fluctuation of mental state, irritability, impatience, agitation, oppression in chest, susceptibility to sighing, distending pain along the channel or in the liver region that comes and goes according emotional state   show
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Heavy blood loss, SUDDEN bright white complexion, cold limbs, profuse cold, sticky sweat, fainting (Yang Qi Desertion) TONGUE: Pale PULSE: Scallion Stalk or Drumskin or Faint   show
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show JIN – LIQUID  
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show YE - HUMOR  
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show Insufficiency of Body Fluids  
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