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45 Cards in this Set

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Patient presents with hot flashes, cold hands and feet, night sweats, frequent pale urination, flushed around the neck when talking, slightly agitated, chilliness, dry throat, dizziness, tinnitus, backache. Tongue is pale or red, and pulse is floating-empty or fine rapid, weak and deep. Which formula would be best for this patient?
A. Er xian Tang and Er zhi Wan
B. Fu Geng Yin and Fu Geng Yin
C. None of the above
D. Both A & B
A. Er xian Tang and Er zhi Wan
Patient presents with hot flashes, cold hands and feet, night sweats, frequent pale urination, flushed around the neck when talking, slightly agitated, chilliness, dry throat, dizziness, tinnitus, backache. Tongue is pale or red, and pulse is floating-empty or fine rapid, weak and deep. Differentiation for this patient is?
A. KI yin deficiency
B. KI yang deficiency
C. Both A & B
C. Both A & B
Patient comes in with PMS symptoms such abdominal and breast distention before the period, irritabiltiy, clumisness, moodiness, depression, hypochondrial pain and distention. Her tongue is unchanged in light cases or sides may be red in chronic cases. Pulse is wiry. Which formula would you use for this patient?
A. Sheng Tie Luo Yin
B. Er Xian Tang
C. Xiao Yao Wan
D. Chocolate cake and ice cream
C. Xiao Yao Wan
Patient comes in with abdominal and breast distention before the period, irritabiltiy, clumisness, moodiness, depression, hypochondrial pain and distention. Her tongue is unchanged in light cases or sides may be red in chronic cases. Pulse is wiry. What is the differentiation for this patient?
A. LV Qi Stagnation
B. Phlegm Fire Harassing upwards
C. Blood heat
D. Cold in the uterus
A. LV Qi Stagnation
Female patient comes in with PMS symptoms as well as agitation, depression, slightly manic behaviour, aggressiveness, a feeling of oppression of the chest, a red face, blood shot eyes. The tongue is red with a sticky yellow coating and pulse is overflowing, slippery and rapid. Which formula would you recommend?
A. Sheng Tie Luo Yin
B. Er Xian Tang
C. Xiao Yao Wan
D. Hitting Dr. Chu over the head w a golf club
A. Sheng Tie Luo Yin
Female patient comes in with agitation, depression, slightly manic behavious, aggressiveness, a feeling of oppression of the chest, a red face, blood shot eyes. The tongue is red with a sticky yellow coating and pulse is overflowing, slippery and rapid. Differentiation?
A. LV Qi Stagnation
B. Phlegm Fire Harassing upwards
C. Blood heat
D. Cold in the uterus
B. Phlegm Fire Harassing upwards
Patient presents with infertility, irregular periods, pms tension, painful periods, breast distention, irritability, tongue is normal or slightly red on sides, and pulse is wiry or choppy. Which formula would u recommend?
A. Kai Yu Zhong Yu Tang
B. Er Xian Tang
C. Sheng Tie Luo Yin
D. chocolate frogs
A. Kai Yu Zhong Yu Tang
(This is a variation of Xiao Yao San)
Patient presents with irregular periods, pms tension, painful periods, breast distention, irritability, tongue is normal or slightly red on sides, and pulse is wiry or choppy.
A. LV Qi Stagnation
B. Dampness in the LV
C. Cold in the uterus
D. fire harasssing the heart
A. LV Qi stagnation
(book calls this Qi stagnation and not LV Qi stagnation)
Patient presents with irregular periods, delayed cycle, mid cycle pain, vaginal discharge, long term infertility, adhesions, obesity, feeling of heaviness, palpations, tongue is sticky coating and pulse is slippery. What are the formula?
A. Qi Gong Wan
B. Er Chen Tang + Tao Hong Si Wu Tang
C. Both A & B
D. Neither
C. Both A & B
Patient presents with irregular periods, delayed cycle, mid cycle pain, vaginal discharge, long term infertility, adhesions, obesity, feeling of heaviness, palpations, tongue is sticky coating and pulse is slippery. What is the differentiation?
A. Phlegm fire in the middle jiao
B. Cold in the uterus
C. Dampness or damp phlegm in the lower jiao
D. NOne of the above
C. Dampness or damp phlegm in the lower jiao
Patient comes in with lower abdominal pain during period, or one or two days before period, a pronounced feeling of distention of the abdomen and breasts, hesitant start to the period, menstrual blood is dark w/o clots, and pre menstrual tension w irritability, the tongue is normal or slightly red on sides and the pulse is choppy or wiry. Which formula?
A. Xiao Yao San Variation
B. Jia Wei Xiao Yao San,
C. Chai Hu Shu Gan San
D. All of the above
D. All of the above
Please note that Chai hu Shu Gan san is used if greater LV Qi stagnation
and Jia Wei Xiao Yao San if more heat symptoms
What is the most common cause for dysmennorrhea?
A. LV Qi and Blood Stagnation
B. Dr. Zhu's internal med class
C. Cold in the uterus
D. Dampness in the lower jiao
A. LV Qi and Blood Stagnation
Patient comes in today with intense stabbing pain before or during the period, dark menstrual blood w large clots, mental restlessness and pain relieved after passing clots, tongue is purple or little dark and pale with dark spots and pulse is wiry and tight. Which formula would u recommend?
A. Xiao Yao San Variation
B. Jia Wei Xiao Yao San,
C. Chai Hu Shu Gan San
D. Tao Hong Si Wu Tang
D. Tao Hong Si Wu Tang
Patient comes in today with intense stabbing pain before or during the period, dark menstrual blood w large clots, mental restlessness and pain relieved after passing clots, tongue is purple or little dark and pale with dark spots and pulse is wiry and tight. What is the differentiation?
A. Blood stasis
B. LV Qi Stagnation
C. Blood Heat
D. Damp Phlegm invading chong meridian
A. Blood stasis
If you have dymennorrhea with pain due to blood stasis + cold in the lower abdomen then what formula would u use?
A. Xiao Yao San Variation
B. Shao Fu Ju Yu Tang
C. Ge Xia Zhu Yu Tang
D. All of the above
B. Shao Fu Ju Yu Tang
If you have dymennorrhea and abdominal masses with pain with blood stasis and Qi stag in the area below the diaphragm. what formula would u use?
A. Xiao Yao San Variation
B. Shao Fu Ju Yu Tang
C. Ge Xia Zhu Yu Tang
D. All of the above
C. Ge Xia Zhu Yu Tang
Patient presents with slight morning sickness, nausea w/o vomiting or vomiting of dilute fluids, tiredness, poor appetite, depression, tongue is pale and wet and pulse is slippery, moderate and a little weak. What formula?
A. Xiang Sha Liu Jun Zi Tang
B.Su Ye Huang Lian Tang variation
C. Xiao Yao San
D. None of the above
A. Xiang Sha Liu Jun Zhi Tang
Patient has morning sickness, retching, belching, vomiting of food w sour taste, abdominal and epigastric distention, depression, irritability with a tongue thats slightly red, red sides and coating slightly yellow and pulse is slippery and wiry.
A. Xiang Sha Liu Jun Zi Tang
B. Su Ye Huang Lian Tang variation
C. Xiao Yao San
D. None of the above
B. Su Ye Huang Lian Tang variation
Patient presents with Threatened miscarriage early in the pregnancy, lumbar soreness, scanty vaginal bleeding, dizziness, exhaustion, frequent urination, T: pale if there is Ki yang df and red w/o coat if KI yin df P: deep weak/KI yang floating empty/KI yin. What formula?
A. Shou Tai Wan
B. Tai Yuan Yin variation
C. Shan Zhu Yu Tang
D. Tai Shan Pan Shi San
A. Shou Tai Wan
Patient presents with threatened miscarriage towards the end of 3 months, scanty vaginal bleeding with blood that is pale and dilute, tiredness, weariness, palpitations, pale complexion, T: pale P: fine,
weak, empty. Which formula would u recommend?
A. Shou Tai Wan
B. Tai Yuan Yin variation
C. Shan Zhu Yu Tang
D. Tai Shan Pan Shi San
B. Tai Yuan Yin variation
Patient presents with Threatened miscarriage early in the pregnancy, lumbar soreness, scanty vaginal bleeding, dizziness, exhaustion, frequent urination, T: pale if there is Ki yang df and red w/o coat if KI yin df P: deep weak/KI yang floating empty/KI yin. What is the differentiation for this?
A. KI, Blood and Qi deficiency
B. Cold in the uterus
C. KI deficiency
D. Blood and Qi Deficiency
C. KI deficiency
Patient presents with threatened miscarriage towards the end of 3 months, scanty vaginal bleeding with blood that is pale and dilute, tiredness, weariness, palpitations, pale complexion, T: pale P: fine,
weak, empty. What is the differentiation?
A. KI, Blood and Qi deficiency
B. Cold in the uterus
C. KI deficiency
D. Blood and Qi Deficiency
D. Blood and Qi Deficiency
What formula would you use if a patient has KI, Blood and Qi deficiency?
A. Shou Tai Wan
B. Tai Yuan Yin variation
C. Shan Zhu Yu Tang
D. Tai Shan Pan Shi San
D. Tai Shan Pan Shi San
Tai Shan Pan Shi San is a variation of what formula?
A. Shou Tai Wan
B. Shan Zhu Yu Tang
C. Ba Zhen Tang
D. Si wu tang
C. Ba Zhen Tang
A patient presents with dull abdominal pain after childbirth which is relieved by pressure and after eating, scanty, but continuous uterine bleeding which is pale in colour, dizziness, tiredness, blurred vision, constipation, T: pale and thin P: choppy. Which formula would u use?
A. Chang Ning Tang
B. Run Chang Wan
C. Du Huo Ji Sheng Tang
D. Huang Qi Gui Zhi Wu Wu Tang
A. Chang Ning Tang
A patient presents with dull abdominal pain after childbirth which is relieved by pressure and after eating, scanty, but continuous uterine bleeding which is pale in colour, dizziness, tiredness, blurred vision, constipation, T: pale and thin P: choppy. What is the differentiation?
A. KI yin deficiency
B. Blood deficiency and Blood Stagnation
C. heat in the uterus
D. none of the above
B. Blood deficiency and Blood stagnation
What formula would you use for constipation after child birth due to blood deficiency?
A. Chang Ning Tang
B. Run Chang Wan
C. Du Huo Ji Sheng Tang
D. Huang Qi Gui Zhi Wu Wu Tang
B. Run Chang Wan
Run Chang Wan is a variation of what formula?
A. Chang Ning Tang
B. Si Wu Tang
C. Du Huo Ji Sheng Tang
D. Huang Qi Gui Zhi Wu Wu Tang
B. Si Wu Tang
Patient presents with Pain in the joints with sudden onset, contractions of joints, pain relieved by movement. If cold predominates the pain is fixed in a joint, intense and ameliorated by the application of heat. If wind predominates the pain wanders from joint to joint. If Dampness predominates the ache is dull and accompanied by a feeling of heaviness and tingling, and the joints are swollen. T: no change P: no change. Which formula would you recommend?
A. Du Huo Ji Sheng Tang
B. Huang Qi Gui Zhi Wu Wu Tang
C. Si Wu Tang
D. Xiao Yao Wan
A. Du Huo Ji Sheng Tang
Patient presents with Pain in the joints with sudden onset, contractions of joints, pain relieved by movement. If cold predominates the pain is fixed in a joint, intense and ameliorated by the application of heat. If wind predominates the pain wanders from joint to joint. If Dampness predominates the ache is dull and accompanied by a feeling of heaviness and tingling, and the joints are swollen. T: no change P: no change. What is the differentiation?
A. Invasion of wind cold dampness
B. Heat in the lower jiao
C. blood def and blood stasis
D. none of the above
A. Invasion of wind cold dampness
Patient presents with severe joint pain after childbirth, stiffness of joints, contraction of limbs, ab. Pain, scanty lochial discharge, dark complexion. T: Purple P: Wiry. Which formula would u recommend?
A. Du Huo Ji Sheng Tang
B. Huang Qi Gui Zhi Wu Wu Tang
C. Si Wu Tang
D. Xiao Yao Wan
B. Huang Qi Gui Zhi Wu Wu Tang
Patient presents with severe joint pain after childbirth, stiffness of joints, contraction of limbs, ab. Pain, scanty lochial discharge, dark complexion. T: Purple P: Wiry. What is the differentiation?
A. Invasion of wind cold dampness
B. Heat in the lower jiao
C. blood deficiency and blood stasis
D. none of the above
C. blood deficiency and blood stasis
Patient presents with insufficient or absent lactation after childbirth, watery milk, no feeling of distension of the breasts, sallow complexion, dry skin, poor appetite, tiredness. T: pale P: Choppy. Which formula would u recommend?
A. Tong Ru Dan
B. Xia Ru Yang Quan
C. Si Wu Tang
D. Ba Zhen Tang
A. Tong Ru Dan
Patient presents with insufficient or absent lactation after childbirth, watery milk, no feeling of distension of the breasts, sallow complexion, dry skin, poor appetite, tiredness. T: pale P: Choppy. What is the differentiation?
A. Qi and blood deficiency
B. LV Qi Stagnation
C. Cold dampness
D. Cold in the uterus
A. Qi and blood deficiency
Patient presents with absent or scanty lactation, distension, hardness and pain of breasts, hypochondrial distension, irritability, epigastric distension, T: red on the sides P: wiry. What is the formula for this patient?
A. Tong Ru Dan
B. Xia Ru Yang Quan
C. Si Wu Tang
D. Ba Zhen Tang
B. Xia Ru Yang Quan
Patient presents with absent or scanty lactation, distension, hardness and pain of breasts, hypochondrial distension, irritability, epigastric distension, T: red on the sides P: wiry. What is the differentiation?
A. Qi and blood deficiency
B. LV Qi Stagnation
C. Cold dampness
D. Cold in the uterus
B. LV Qi Stagnation
Patient presents with persistent lochial discharge that is dark, scanty and with clots, abdominal pain that is relieved by the passing of clots. The tongue is purple and pulse is wiry. Which formula would u recommend?
A. Dan Zhi Xiao Yao San
B. Jia Wei Di Huang Wan
C. Sheng Hua Tang + Shi Xiao San
D. Huang Qi Tang
C. Sheng Hua Tang + Shi Xiao San
Patient presents with persistent lochial discharge that is dark, scanty and with clots, abdominal pain that is relieved by the passing of clots. The tongue is purple and pulse is wiry. What is the differentiation?
A. Blood heat
B. Blood stasis
C. Cold in the uterus
D. None of the above
B. Blood stasis
Patient presents with excessive vaginal discharge that is white or slightly yellow, sticky without smell [usually has fishy smell] and persistent, dull complexion, tiredness, depression, cold limbs, loose stools. T: pale with a sticky-white coating. P: weak and slightly slippery [fatigue in extremities, edema in legs][lasting longer than one month. Which formula would u recommend?
A. Yi Huang Tang
B. Shao Yao San
C. Wan Dai Tang
D. Rou Chong Wan
C. Wan Dai Tang
Patient presents with excessive vaginal discharge that is white or slightly yellow, sticky without smell [usually has fishy smell] and persistent, dull complexion, tiredness, depression, cold limbs, loose stools. T: pale with a sticky-white coating. P: weak and slightly slippery [fatigue in extremities, edema in legs][lasting longer than one month. What is the differentiation?
A. SP Qi deficiency with Dampness
B. KI yang def
C. KI yin deficiency
D. Wind invasion
A. SP Qi def with Dampness
Patient presents with profuse yellow or brown discharge that is sticky in consistency and with an odour, loose stools, the tongue is sticky yellow on the root with red spots. Pulse is slippery. What is the formula?
A. Yi Huang Tang
B. Wan Dai Tang
C. Sheng Hua Tang
D. Ba Zhen Tang
A. Yi Huang Tang
Patient presents with profuse yellow or brown discharge that is sticky in consistency and with an odour, loose stools, the tongue is sticky yellow on the root with red spots. Pulse is slippery. What is the differentiation?
A. SP Qi deficiency
B. Damp heat
C. KI yin deficiency
D. damp cold
B. Damp heat
Patient comes in with slight morning sickness, nausea without vomiting or vomiting of dilute fluids, tiredness, feeling cold, poor appetite, depression, the tongue is pale and wet and the pulse is weak. What is their differentiation?
A) ST yin def
B) ST qi def with empty cold
C) Food retention
D) ST heat
B) ST qi def with empty cold
Patient has morning sickness, retching, belching, vomiting of food with sour taste, abdominal and epigastric distension, depression, irritability, the tongue is slightly red on the sides and the pulse is wiry. What is the differentiation?
A) ST yin def
B) ST qi def with empty cold
C) Stagnant LV qi invading the ST
D) Cold in the uterus
C) Stagnant LV qi invading the ST