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17 Cards in this Set
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On the CHM shift, A 23 y-o male comes in with flushed face and hoarse voice. He came back from Europe yesterday and felt chilly and hot last night. This morning woke up with sore throat and sounds wired while talking. Other sx: thirst with desire to drink cold fluids, very hot.
You feel the heat steaming out from him while interviewing with him, and feel sticky wet while feeling his pulses. T: red tongue w/ thin yellow dry coat P: rapid and forceful pulse |
Dx: Blazing heat in Qi level (YM meridian)
Tx: Clear qi level heat Formula: Bai Hu Tang |
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23 y-o male comes in a week after he saw us – tired (he traveled again), poor sleep, feel warm and sweating a lot, poor appetite, nausea, irritability, sore and dry throat, thirst with a large bottle of cold water in hands. He is unable to concentrate on his work
Oh, he just took once of the herb you gave to him last week which made him nauseated. Then he went on trip without taking again. T: red geographic P: soft & rapid pulse |
Dx: Lingering Qi level heat injuring qi and yin
Tx: Clears heat, generate fluids, augment qi Formula: Zhu ye shi gao tang |
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A 35 y-o male looks for help for his intractable off-and-on skin rashes which are related to his sleep (he thought so). He had a blood infection 4 months ago from a small cut while doing yard work. He has been feeling hot as a tide ever since. Other sx: insomnia or dream-disturbed sleep.
T: dry scarlet P: rapid, slightly thin |
Dx: Heat in the Ying level
Tx: clear ying heat, relieve fire toxin, nourishe yin Formula: Qing Ying Tang |
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A 52 y-o female leukemia patient comes in complaining about abdominal distention and fullness, thirst and nosebleed 1-2 times/day. She is treated with chemo and feels irritable. She looks pale and weak.
T: dry, purple-red e/ thin gray coating P: thin, weak & slightly rapid |
Dx: Heat entering blood level
Tx: Clear heat, relieve fire toxin, cool blood, nourish yin Formula: Xi jiao di huang tang |
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A 31 y-o red-faced male wants to be cooler internally. He has been hot since switching to Atkin’s diet (6 months ago). He did lose 6 pounds at beginning, then gained back. However, he feels hot all the time. Other sx: constipation, thirst, hot sensation worse in the evening, red face pronounced on the nose and around area with some acne.talking to him, you smell a warm steam coming to you.
T: Red w/ thick yellow coat P: Forceful, rapid |
Dx: Severe heat obstructing all 3 jiaos
Tx: Drain fire, relieve toxicity Formula: Huang Lian Jie Du Tang |
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A 37 y-o male looks for Tx of his recurrent aphthosis which bothers him with eating, drinking, even smiling and talking. He was just diagnosed as HIV+, and feels depressed. Other sx: stiff and swollen tongue, irritability and hot sensation in the epigastrium, long-term smoker, thirst, constipation, sore throat and red eyes each morning when gets up, better with day goes on.
T: Red tipped and edged, with dry yellow coat P: Wiry, rapid |
Dx: Drain fire, unblock bowels
Tx: Heat accumulation in upper and middle jiao Formula: Liang Ge San |
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A 3 and 8 month old boy was carried in by his dad with fever and chills, flushed face, coarse breathing, does not answer any questions. He appears tearing eyes, apathy.
Dad thinks the boy caught a cold from preschool where 2 kids has presented the similar sx. A very warm face and whole body with aversion to wind. A tender and hot area palpated below the right jaw. T: red tipped P: rapid, floating Index finger veins show within wind and qi regions. |
Dx: Acute, massive febrile d/o of head
Tx: Clear heat tocin, disperse wind heat Formula: Pu Ji Xiao Du Yin |
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A 25 y-o male suffers from a flu-like bug for over a month – evening low-grade fever, hot chest, night sweats, weight loss, good appetite. He had a chronic cough for 3 weeks, and treated with ma xing shi gan tang x 5 bags prior to this weird fever.
T: Thin red, little coat P: Deep, rapid |
Dx: Heat smoldering in yin level of body
Tx: Nourish yin, vent heat Formula: Qing Hao Bie Jia JTang |
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A 62 y-o female has been suffering night sweating for 9 years since her menopause. Recently she was diagnosed as diabetes, and she feels even warmer, and sweats during the day. Other sx: dry mouth, short-temper, poor sleep, frequent hunger, dry stool and difficult to eliminate
Used to take liu wei di huang wan with good effect T: dry, red e/ thin yellow coating P: rapid and slightly thin |
Dx: Nightsweats d/t raging fire from xu
Tx: Enrich yin, clear heat, stabilize the exterior, stop sweating Formula: Dang Gui Liu Huang Tang |
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A 21 y-o quick-talking female wants you to help her with recurrent premenstrual canker sores and hot scanty urination every month. Other sx: PMS, cold drinks preferred, acne worse with period.
T: red-tipped w/ thin yellow coat P: Thin & rapid |
Dx: Heat in HT & SI meridians
Tx: Clears heart, promotes urine, nourishes yin Formula: Dao Chi San |
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A 46 y-o male asks your help for his migraine headache. He has been suffering from migraine since he was misdiagnosed as a cancer for his diverticulosis and hepatolithiasis. Other sx: bitter taste in the mouth, dizziness, hypochondriac pain that worse with eating. He took xiao yao wan and pain-killer as well with some temporary effect, but just cut edge
T: red w/ purple dots on sides, a yellowish gray coating pronounced in center P: wiry |
Dx: Long Dan Xie Gan Tang
Tx: Excess heat in LV a/o GB meridian Formula: Drain the LV & GB fire, clear and drain lower jiao damp heat |
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A 29 y-o female asks for help of her heart burn with acid reflux in the evenings 2 hours after meal. She just started a stressful job 23 days ago, and has to keep eating to ease herself from time to time. Other sx: bloating, burping and epigastric pain while stressed out, headache.
T: Red w/ thin yellow coat P: Wiry and slightly rapid |
Dx: LV heat OA on SP
Tx: Clear LV heat, direct rebellious qi down Formula: Zuo Jin Wan |
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A 4 year and 5 month girl comes in with her mom, looks for Tx of cough and wheezing off and on for over 5 weeks. She caught a cold 2 months ago and a kind of gone with taking antibiotics. Other sx: afternoon aggravation, night sweating at times, poor appetite, loose stools.
T: red-tipped w/ thin grayish coating P: rapid pulse Index finger vein in wind & qi regions |
Dx: Smoldering fire d/t contrained heat
Tx: Clear LU heat, calm cough & wheeze Formula: Xie Bai San |
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A 57 y-o old male comes in for his excessive hunger and bad breath even 2 months after smoking cessation (actually his appetite gets greater). Other sx: bleeding gums while eating hot food, exertion on constipation every morning that makes stools with blood.
T: red w/ little yellow coating in back P: rapid & slippery pulse |
Dx: ST heat accumulation
Tx: Drain ST fire, cool blood, nourish yin Formula: Qing Wei San |
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A 54 y-o female has been suffering from severe itchiness in her ears for over 2 months, been treated with her MD and ear specialist with little effect. Other sx: hot flushes 4-8 times per day, night sweats, very good appetite, gum recession, gum bleeding each time while brushing teeth.
T: thin red w/ little coating P: Thready rapid pulse |
Dx: ST fire w/ KD yin xu
Tx: Clear ST heat, nourish yin Formula: Yu Nu Jian |
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A 18 y-o female looks for help for her diarrhea with abdominal pain upon return from a trip to South America. She took antibiotics twice 2 days ago for an acute diarrhea with pus in stool. Other sx: tenesmus, a hot feeling around anus, frequent BM with a bit of stool and a lot pus and some blood.
T: slightly red tongue w/ thick yellow coat, esp in the center P: slippery & slightly rapid pulse |
Dx: Damp heat in LI (dysenteric d/o)
Tx: Clear heat, relieve toxings, regulate/harmonize blood & qi Formula: Shao Yao Tang |
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A 40 y-o male has had diarrhea with purple- red pus in stool for 4 days after he attended a raw sea food banquet. Other sx: feverishness, burning abdominal pain, worse with pressure; thirst with a desire to drink cold water, burning sensation around the anus, frequent BM with decreasing amount of fishy-stinky feces and increasing amount of dark-red slimy JELLO-like pus.
T: Deep red w/ dry orange coat P: Wiry, rapid and forceful |
Dx: Hot dysenteric d/o
Tx: Clear heat, releive toxins, cool blood, alleviate dysenteric d/o Formula: Bai Tou Weng Tang |
