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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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show Cold rheum congesting the lung  
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show Dryness evil invading the lung  
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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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show Heart qi vacuity  
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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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show Heart Impediment: Qi Stagnation  
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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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show Heart Impediment: Phlegm Turbidity  
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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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show Phlegm Confounding the Orifices of the Heart Dian Pattern - Depressive Psychosis  
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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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show Small Intestine Repletion Heat / Heart Fire Draining to the SI  
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show Small Intestine Qi Pain  
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show Spleen Qi Vacuity  
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White complexion, cold & aversion to cold due to yang qi vacuity , abdominal pain relieved with warmth/pressure, lack of warmth in the limbs, sometimes with general edema, inhibited urination Women - profuse, thin white vaginal discharge   show
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Prolapse of organs (especially, Kidney, uterus, stomach, vagina, anus) with bearing down sensation Prolapse of stomach: belching, fullness after eating, poor digestion Prolapse of Kidney: bearing down sensation in lower back   show
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Bleeding: nosebleed, hemoptysis, blood in stools, blood in urine, dermal bleeding, bleeding gums (chronic) uterine bleeding, easy bruising light, pale color blood long-standing/chronic condition usually in lower part of body   show
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show Damp Heat Brewing in the Spleen  
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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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Qi vacuity + cold   show
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Prolapsed organs + Qi vacuity (spleen Qi)   show
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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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pale dry complexion, eyelid, lips, tongue, nails, dizziness, numbness, light menses in color, thin pulse. (malnourished and moistened)   show
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show blood collapse, blood coldness and internal dryness  
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suddenly loss great amount of blood or chronic losing blood history, leading to pale complexion, dizziness, palpitation, feeble pulse or empty pulse. Blood collapse can lead to Qi collapse and Yang collapse   show
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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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Body heat, thirst, red face, large pulse, but: desire to be covered, desire for hot fluids, forceless pulse, cold limbs, clear urine, loose stools, pale tongue w/ white fur   show
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show Heat Above & Cold Below  
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show Cold Above & Heat Below  
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show False signs: limbs, skin, face  
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show True signs: zang fu, qi & blood, body fluids  
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show Vacuity Pattern  
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show Repletion Pattern  
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Cold body & limbs, pale white or dark and somber facial complexion, withered essence-spirit, SOB, disinclination to speak, bland taste in the mouth, lack or thirst or desire for warm fluids, clear and long urine, loose stools   show
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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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High fever, copious sweat, vexation thirst, headache, red face, hasty breath, short, red urine, red tongue w/ yellow fur, surging and rapid pulse   show
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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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Heat fire is usually at the ____ level.   show
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show All of them  
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show Heat/Fire  
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Heat/Fire tends to engender _______ and stir the _______   show
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low back pain, dribbling urination   show
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show Heart Qi Vacuity  
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show Spleen Qi Vacuity  
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Shortness of breath, dislike speaking, weak, low voice   show
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show Qi Vacuity  
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show Qi Fall  
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Pain, Abdominal masses - appear and disappear, soft to touch, moveable   show
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show LIVER Qi Counterflow  
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show LUNG Qi Counterflow  
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show STOMACH Qi Counterflow  
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show Heart Blood Vacuity  
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Dizziness, vertigo, dream-disturbed sleep, pale nails, blurred vision, numbness of extremities Women - scanty, delayed cycle, light color, painful after period TONGUE: Pale with white fur PULSE: stringlike & fine   show
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show Blood Stasis  
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When palpating the abdomen , you find a mass on the lower burner with a definite shape, what is it?   show
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show Conglomeration  
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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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show Gathering  
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show Frenetic Blood Heat  
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show Blood Cold  
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Enduring Illness, Qi Vacuity leading to failure to produce blood, Blood Vacuity leading to blood failing to nourish Qi can lead to what?   show
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True or False: If there is Blood Stasis, there is Qi Stagnation. If there is Qi Stagnation, there is not necessarily Blood Stasis   show
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show False  
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show Liver Qi Stagnation  
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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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Thin, fluid, mobile.Located in skin, hair, muscles, orifices, penetrates into blood vessels.Moisten & protect tissues, skin, orifices etc. component of blood   show
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show YE - HUMOR  
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pronounced thirst, emaciation, lustreless skin & hair, twitching muscles, tremor of hands, involuntary movement of limbs TONGUE: Red, dry, little or no fur, mirror (more severe) PULSE: Rapid, fine   show
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