Cam Int Medicine T/p Part 4/4

Front 1

infrequent and difficult defecation from every three to five days, or even longer. fever, dire thirst, foul breath



a) yellow, dry tongue coating. rolling and forceful pulse
b) yellow, dry tongue coating , rolling and forceful pulse
c) pale tongue and thin coating thready and weak pulse
d) pale tongue with white and moist coating deep, slow pulse

Back 1

dx- constipation, excess condition: accumulation of heat


a) yellow, dry tongue coating. rolling and forceful pulse - constipation excess type- accumulation heat

Front 2

infrequent and difficult defecation from every three to five days, or even longer. there are fullness and distending pain in the abdomen and hypochondriac regions, frequent belching, loss of appetite



a) yellow, dry tongue coating. rolling and forceful pulse
b) thin, sticky tongue coating string-taut pulse
c) pale tongue and thin coating thready and weak pulse
d) pale tongue with white and moist coating deep, slow pulse

Back 2

dx- constipation, excess condition: stag of qi




b) thin, sticky tongue coating string-taut pulse –constipation, excess type – stag of qi

Front 3

infrequent and difficult defecation from every three to five days, or even longer. pale and lusterless complexion, lips and nails, dizziness and palpitation, lassitude, shortness of breath


a) yellow, dry tongue coating. rolling and forceful pulse
b) rolling and forceful pulse fever, dire yellow, dry tongue coating
c) pale tongue and thin coating thready and weak pulse
d) pale tongue with white and moist coating deep, slow pulse

Back 3

dx- constipation, xu condition – xu of qi blood



c) pale tongue and thin coating thready and weak pulse –constipation xu condition – xu of qi blood

Front 4

infrequent and difficult defecation from every three to five days, or even longer. pain and cold sensation in the abdomen, preference for warmth and aversion to cold



a) yellow, dry tongue coating. rolling and forceful pulse
b) rolling and forceful pulse fever, dire yellow, dry tongue coating
c) pale tongue and thin coating thready and weak pulse
d) pale tongue with white and moist coating deep, slow pulse

Back 4

dx- constipation, xu type – conglomeration of cold.



d) pale tongue with white and moist coating deep, slow pulse – constipation- xu type – conglomeration of cold

Front 5

starts with a distending and dragging sensation of the rectum during defecation, and returning to normal after the bowel movement. if it is sustained without proper treatment, recurrence may happen by overstrain and the prolapsed rectum fails to return spontaneously without the aid of the hand

Back 5

prolapse of rectum

Front 6

abrupt onset of edema with puffy face and eyelids and then anasarca (extreme generalized edema), lusterous skin, accompanied by chills, fever, thirst, cough, asthma and reduced urine output




a) thin white tongue coating superficial or rolling, rapid pulse
b) pale tongue white coating deep, thready pulse
c) pale tongue with white and moist coating deep, slow pulse
d) pale tongue and thin coating thready and weak pulse

Back 6

yang edema


a) thin white tongue coating superficial or rolling, rapid pulse – yang edema

Front 7

insidious onset of edema at first on the pedis dorsum or eyelids and then over the whole body especially remarkable below the lumbar region, accompanied by sallow complexion, aversion to cold, cold limbs, soreness of the back and loins, general weakness, epigastric fullness, abdominal distension, loss of appetite, loose stools




a) thin white tongue coating superficial or rolling, rapid pulse
b) pale tongue white coating deep, thready pulse
c) pale tongue with white and moist coating deep, slow pulse
d) pale tongue and thin coating thready and weak pulse

Back 7

yin edema



b) pale tongue white coating deep, thready pulse – yin edema