Tcm Foundations Final Exam

Front 1

Describe pulse/tongue of Stomach yin deficiency Heat:

Back 1

Tongue = red, peeled in center
Pulse = Floating, slightly rapid

Front 2

Blocked nose and yellow nasal discharge are due to ______ on the face

Back 2

Damp Heat in Stomach

Front 3

"Extreme heat can mist the mind and cause:"

Back 3

Delirium

Front 4

High fever, profuse sweat, intense thirst, red face, irritability

Back 4

Yang Brightness

Front 5

Feel cold, lying body curled, listlessness, desire to sleep

Back 5

Lesser Yin

Front 6

Feeling energy rising to chest, pain and sensation of heat in heart

Back 6

Terminal Yin:

Front 7

Aversion to cold, aversion to wind, slight fever, slight sweat

Back 7

Tai Yang

Front 8

Ab fullness, feeling of cold, vomit

Back 8

Tai Yin

Front 9

Alternating chills/fever, bitter taste, dry throat

Back 9

Lesser Yang

Front 10

Who wrote the book on the 6 stages and what was it called?

Back 10

Zhang Zhong Jing: A discussion on cold-induced disease

Front 11

Who wrote the book on the 4 levels and what was it called?

Back 11

Ye Tian Shi: Discussion on Warm Diseases

Front 12

Interior full heat (what level?)

Back 12

Qi level

Front 13

Blood level:

Back 13

bleeding

Front 14

Heat injures yin, fever at night (which level?)

Back 14

Nutritive level

Front 15

Aversion to cold, slight fever, slight thirst (what level?)

Back 15

Defensive level

Front 16

Fever evening/night, night sweating, 5 palm heat (which burner level?)

Back 16

Lower burner level

Front 17

High fever, intense thirst/sweating, tongue red with yellow coating (what level?)

Back 17

Middle Burner level

Front 18

Fever, aversion to cold, headache, sore throat (what level?)

Back 18

Upper Burner level

Front 19

Upright qi pinyin name?

Back 19

Zheng qi

Front 20

What kind of pulse does qi stagnation have?

Back 20

Wiry

Front 21

3 key words with Blood stasis

Back 21

stabbing, fixed, boring

Front 22

Any 4 symptoms related to wind

Back 22

vertigo, delirium, convulsion, high fever, headache, coma, unconsciousness

Front 23

What is the key note sensation with the Retention of Dampness?

Back 23

Heaviness

Front 24

Which organ is wind always associated with?

Back 24

liver

Front 25

What is the key note sensation attributed to cold?

Back 25

cramping

Front 26

Lumps from phlegm are

Back 26

painless and soft

Front 27

lumps from blood stasis are

Back 27

painful and hard

Front 28

what organ is always associated with phlegm?

Back 28

spleen

Front 29

A condition of the tongue that signifies phlegm:

Back 29

stomach crack with a sticky dry coating

Front 30

List any 4 unhealthy or healthy expressions of fire

Back 30

Minister Fire
Fire of the Gate of Life
Lesser Fire
Liver Fire (any organ)
Exuberant Fire

Front 31

Emotions can give rise to qi stagnation and qi stagnation gives rise to what?

Back 31

Heat

Front 32

List 4 of the general clinical manifestations of fire:

Back 32

red face, red eyes, swelling and pain of the eyes, tongue ulcers, mouth ulcers, scanty dark urine, dry stools, bleeding, insomnia, mental restlessness, pronounced irritability, propensity to outbursts of anger (in liver fire), agitation, red tongue with a dry, dark-yellow coating, deep-full-rapid pulse

Front 33

An Excess (Full) condition is an excess of what?

Back 33

a pathogen

Front 34

An Empty (Deficient) condition is a condition of what?

Back 34

A deficiency of upright qi

Front 35

Full cold ----- does what to ____ Qi that leads to ______

Back 35

Obstructs Yang qi that leads to Empty-Cold

Front 36

Full-heat ----does what to ____ Qi leading to ______

Back 36

Injured Yin Qi leading to Empty-Heat

Front 37

Six successive questions that will address the treatment principles:
Excess of Yang:
Deficiency of Yang:
Excess of Yin:
Deficiency of Yin:
Empty-Cold:
Empty-Heat:

Back 37

Excess of Yang: clear heat
Deficiency of Yang: tonify yang
Excess of Yin: expel cold
Deficiency of Yin: nourish yin
Empty-Cold: expel cold, tonify and warm yang
Empty-Heat: clear heat, nourish yin

Front 38

Know the four fundamental movements of qi

Back 38

Ascending (yang)
Descending (Yin)
Exiting (Yang)
Entering (Yin)

Front 39

Symptoms of Spleen qi pathology:

Back 39

loose stools or prolapsed organs

Front 40

Symptoms of Stomach qi pathology:

Back 40

hiccups, nausea, vomiting, belching

Front 41

Symptoms of Lungs qi pathology:

Back 41

cough, breathlessness, and occasionally, especially in the elderly, urine retention

Front 42

Symptoms of Heart qi pathology:

Back 42

anxiety, mental restlessness and insomnia

Front 43

Symptoms of Liver qi pathology:

Back 43

mental-emotional repercussions making the person depressed and aimless

Front 44

Symptoms of Kidney qi pathology:

Back 44

urinary retention, breathlessness

Front 45

Symptoms of Bladder qi pathology:

Back 45

urinary retention

Front 46

Symptoms of small intestine qi pathology:

Back 46

abdominal distention and pain

Front 47

Symptoms of large intestine qi pathology:

Back 47

constipation and abdominal distention

Front 48

Generally speaking, if qi fails to ascend in a channel from a particular area that has been subjected to trauma or repetitive strain, the muscle ______ that area will feel _____ whereas those _____ the area will feel _____.

Back 48

below, stiff
above, flabby

Front 49

Similarly, if qi fails to descend in a channel from a particular area that has been subjected to traum or repetitive strain, the muscle ____ that area will feel ____ whereas the area _____ will feel _____

Back 49

above, stiff
below, flabby

Front 50

A disruption of the entering/exiting of qi in the ___________ cavities causes a dysfunction of ______ metabolism

Back 50

triple burner
fluid

Front 51

Pattern in pin yin

Back 51

bian zheng

Front 52

when yang is deficient, there is ______
when yin is deficient, there is ______
when yang is in excess there is _______
when yin is in excess there is ______

Back 52

external cold
internal heat
External heat
internal cold

Front 53

Two classes of external disorders

Back 53

Those that affect the skin and muscles and are caused by an exterior pathogenic factor having an acute onset and those that affect the channels and have a slower onset.

Front 54

When there is wind, tx

Back 54

Blood

Front 55

What are the 2 classic symptoms of an invasion of the exterior?

Back 55

Aversion to cold and fever

Front 56

Obstruction to cold:

Back 56

Pain is severe and is relieved by heat (usually only 1 joint affected)

Front 57

Obstruction from wind:

Back 57

Pain moves from joint to joint

Front 58

Obstruction from dampness:

Back 58

Swelling of joints

Front 59

Obstruction from heat

Back 59

Severe pain and joints are swollen/hot

Front 60

What is the keynote symptom that the invasion of pathogenic factors has shifted and is now an interior condition?

Back 60

Disappearance of aversion to cold and onset of aversion to heat

Front 61

Face, Feeling of heat, pulse, and tongue for Full-Heat (as opposed to Empty-heat)

Back 61

Face: whole face red
Feeling of heat: All day
Pulse: Full-Rapid-Overflowing
Tongue: Red with yellow coating

Front 62

Face, Feeling of heat, pulse, and tongue for Empty-Heat

Back 62

Face: malar flush
Feeling of heat: in the afternoon or evening
Pulse: floating-empty, rapid
Tongue: red and peeled

Front 63

Face, Pain, Pulse, Tongue for Full Cold (as opposed to Empty Cold)

Back 63

Face: Bright-white
Pain: Sharp, worse on pressure
Pulse: Full-tight-Deep
Tongue: Thick white coating

Front 64

Face, Pain, Pulse, Tongue for Empty Cold

Back 64

Face: Dull-white
Pain: Dull, better on pressure
Pulse: Weak-slow-deep
Tongue: Thin white coating

Front 65

Know and list at leas 4 symptoms of any kind of qi deficiency

Back 65

fatigue, breathlessness, loose stools, pale face, systemic exhaustion

Front 66

Know and list any 4 symptoms of yang deficiency

Back 66

chillness, cold limbs, desire hot drinks, absence of thirst

Front 67

List 4 symptoms of Blood deficiency

Back 67

dull, pale face, blurred vision, dry hair, numbness/tingling

Front 68

List 4 symptoms of yin deficiency

Back 68

night sweating, red tongue, dryness symptoms, thin body, feeling of heat in the afternoon/evening

Front 69

What happens when yin collapses?

Back 69

Abundant perspiration, skin hot to touch, hot limbs, dry mouth with desire to drink cold liquids in small sips, retention urine, constipation, floating-empty and rapid pulse, red, peeled, short and dry tongue

Front 70

What happens when yang collapses?

Back 70

Chilliness, cold limbs, weak breathing, profuse sweating with oily sweat, absence thirst, frequent profuse urination or incontinence, minute-deep pulse and pale-wet-swollen-short tongue.

Front 71

List one symptom of each rebellious qi for each organ

Back 71

St: vomit
SP: diarrhea
LV: Headache, irritability
LU: cough
KD: breathlessness, asthma
HT: insomnia

Front 72

Blood stasis

Back 72

boring, stabbing, fixed location

Front 73

purple nails, dark face, painful periods with dark menstrual blood, premenstrual pain, purple tongue especially on sides, wiry/firm pulse

Back 73

Blood stasis of liver

Front 74

purple lips, stabbing or pricking pain in the chest, mental restlessness, purple tongue on sides toward front, purple and distended veins under tongue, choppy or knotted pulse

Back 74

Blood stasis of heart

Front 75

feeling oppression of the chest, coughing of dark blood, a tongue purple on sides toward the front part, purple and distended veins under the tongue

Back 75

blood stasis of lungs

Front 76

epigastric pain, vomiting of dark blood, dark blood in the stools, a tongue purple in the center

Back 76

Blood stasis of stomach

Front 77

severe abdominal pain, dark blood in stools

Back 77

Blood stasis of the intestines

Front 78

painful periods, premenstrual pain, dark menstrual blood with dark clots, amenorrhea, fixed abdominal masses, a purple tongue, a wiry or firm pulse

Back 78

Blood stasis of the uterus

Front 79

What are the two types of phlegm?

Back 79

substantial (can be seen) and insubstantial (can't be retained).

Front 80

expectoration of very profuse, sticky white phlegm, a feeling of oppression of the chest, nausea, a red face, a dry mouth, restlessness, a red and swollen tongue with sticky tongue coating and slippery pulse

Back 80

Damp-phlegm

Front 81

expectoration of white watery phlegm, a feeling of oppression of the chest, cold limbs, nausea, a pale and swollen tongue with white wet coating and a deep-slippery slow pulse

Back 81

Cold-phlegm

Front 82

dizziness, nausea, vomiting, numbness of the limbs (especially unilateral), coughing of phlegm, a feeling of oppression of the chest, a rattling sound in the throat, aphasia, a swollen and deviated tongue with sticky coating and a wiry pulse

Back 82

Wind-phlegm

Front 83

expectoration of sticky yellow phlegm, a feeling of oppression of the chest, nausea, a red face, a dry mouth, restlessness, a red and swollen tongue with sticky yellow coating and a rapid-slippery pulse

Back 83

Phlegm-heat:

Front 84

List any 4 functions of the heart

Back 84

governs blood, controls blood vessels, manifests in the complexion, houses the mind, opens into the tongue, controls sweat

Front 85

Qi and affectations

Back 85

Joy: slows
Sadness and grief: dissolve/deplete
Anger: rises
Worry: knots

Front 86

4 symptoms of heart qi deficiency

Back 86

palpitations, tiredness, slight depression, spontaneous sweating

Front 87

Describe a knotted pulse

Back 87

a slow pulse that stops at irregular intervals (slow because yang deficient)

Front 88

When heart yang fails to move qi in the chest, this may lead to (Western disease)

Back 88

Angina pectoris, coronary heart disease, and congestive heart failure

Front 89

State a pattern that leads to/underlies a hidden pulse

Back 89

severe deficiency of yang/yang collapse of the heart

Front 90

List any 4 symptoms of Heart-blood deficiency

Back 90

dizziness, insomnia, dream-disturbed sleep, anxiety, pale lips...

Front 91

Both heart yang and heart blood deficiency produce a pale tongue. Which is which?

Back 91

Heart blood deficiency = pale and slightly dry
Heart yang deficiency = pale, slightly wet

Front 92

Describe the possible pulse for yin deficiency of the heart

Back 92

thin (fine) and rapid or floating empty (weak) and rapid

Front 93

Liver heat vs. heart heat and a bitter taste:

Back 93

bitter taste from liver fire occurs every day; bitter taste from heart fire occurs only after a bad night's sleep

Front 94

Name the western medical psychological disease name corresponding to phlegm-fire harassing the heart

Back 94

manic depression

Front 95

List any 4 symptoms of phlegm misting the mind

Back 95

slippery pulse, swollen tongue with thick sticky coating, rattling sound in throat, mental depression

Front 96

What is the only cause of heart qi stagnation?

Back 96

Emotional stress

Front 97

Name the two patterns engendering chest pain:

Back 97

Heart vessel obstructed and
Heart-blood stasis

Front 98

3 keynote ideas about the pericardium

Back 98

always involves chest symptoms, PC disorders often involve the lungs, & PC patterns often related to liver

Front 99

Heat in pericardium occurs at which of the 4 levels?

Back 99

Nutritive (Ying) qi level

Front 100

Describe tongue and pulse for blood deficiency of the pericardium

Back 100

pale, thin, slightly dry tongue
pulse = choppy or fine but very slightly hard on the left front position (brittle)

Front 101

Know 3 symptoms of Pericardium Fire

Back 101

palpitations, feeling of tightness in the chest, thirst, bitter taste, insomnia

Front 102

Phlegm fire harassing the mind; Fire harasses the mind, but what does the phlegm do?

Back 102

Obstructs.

Front 103

Because the Pericardium goes to the chest, it influences gathering qi and what 2 channels?

Back 103

Heart and Lungs

Front 104

Which pattern is always from emotional strain knotting qi in the chest?

Back 104

Qi stagnation of the pericardium

Front 105

What causes pain in the chest and arms?

Back 105

blood stasis of the pericardium

Front 106

list any 4 liver functions

Back 106

stores blood, controls sinews, controls tears, affected by anger

Front 107

what two pathogenic factors can affect the liver?

Back 107

wind and dampness

Front 108

List 4 symptoms of liver qi stagnation

Back 108

wiry pulse, distention, melancholy, irregular periods

Front 109

As qi is commander of blood, what tends to develop when liver qi stagnates over time?

Back 109

liver blood stasis

Front 110

in case of rebellious liver qi, what direction?

Back 110

horizontal

Front 111

List 3 symptoms of liver blood stasis

Back 111

purple nails, painful periods, ab pain, vomiting blood

Front 112

Name pattern characterized by red tongue body, red sides, dry yellow coating, excessive or full wiry pulse rapid

Back 112

liver fire blazing

Front 113

Most std-related pelvic infections express presence in which pattern?

Back 113

damp heat in liver

Front 114

Inguinal herniation/genital contraction, name liver pattern involved

Back 114

stagnant cold in liver

Front 115

List 2 extraordinary vessels reliant on liver blood

Back 115

ren mai and chong mai (penetrating and conception/directing vessels)

Front 116

Distinguish liver-yin from liver-blood deficiency

Back 116

liver yin deficiency = dry eyes, red cheekbones, tongue without coating

Front 117

liver yang rising symptom

Back 117

throbbing (headache)

Front 118

3 symptoms of liver wind

Back 118

ticks, tremors, coma, epilepsy

Front 119

A disharmony is defined as interior when the ________ are affected

Back 119

internal organs

Front 120

Pale swollen tongue and loose stools = collapse yin or yang?

Back 120

Yang collapse

Front 121

Constipation = collapse of yin or yang?

Back 121

Collapse of yin

Front 122

The lungs have a _____ & _____ function in relation to body fluids and defensive qi

Back 122

Diffusing and Descending

Front 123

What are the two most exterior pathogenic factors to attack the lungs?

Back 123

Wind-cold and Wind-heat

Front 124

Which organ creates phlegm? Stores phlegm?

Back 124

Spleen; lungs store

Front 125

List 4 symptoms of lung qi deficiency

Back 125

slight cough, weak voice, pale tongue, breathlessness

Front 126

What does the tongue look like in yin-deficiency with empty heat?

Back 126

red and peeled

Front 127

Dry cough, dry skin, dry throat, dry mouth, thirst, and a hoarse voice describe what condition?

Back 127

Lung-dryness

Front 128

state two cardinal symptoms of exterior wind-cold

Back 128

aversion to cold and fever

Front 129

the exterior wind obstructs the _____ system and impairs the _______

Back 129

lungs' defensive qi, descending of the lungs

Front 130

List any 4 symptoms of invasion of the lungs by wind-heat

Back 130

body aches, swollen tonsils, fever, aversion to cold, sore throat, floating-rapid pulse, sneezing, itching, and cough

Front 131

What causes aversion to cold/chills in wind-heat?

Back 131

pathogen obstructing the circulation of defensive qi

Front 132

What is the keynote feature of the spleen?

Back 132

T&T (transportation and transformation)

Front 133

List any 4 symptoms of spleen-qi deficiency

Back 133

tiredness, loose stools, weakness of limbs, deficient pulse, poor appetite

Front 134

Name 3 organs where spleen deficiency, esp spleen qi deficiency, may lead to trouble in those organs

Back 134

heart, lungs, kidneys (esp kidney yang)

Front 135

List 3 of 4 organs subject to prolapse

Back 135

stomach, uterus, anus, bladder

Front 136

Of all the many leading disorders, what are the two main patterns with spleen?

Back 136

Spleen not holding the blood (deficiency pattern) and spleen blood-heat (excess)

Front 137

Describe the pulse and tongue for spleen-blood deficiency

Back 137

Tongue: pale, thin, and dry
Pulse: choppy or fine

Front 138

In case of cold-damp invading the spleen, what is the cause of heaviness of the head? And the cause of vaginal discharge?

Back 138

Dampness (prevents clear yang from ascending to the head)
Dampness (is heavy and has a tendency to infuse downwards causing vaginal discharge)

Front 139

Two symptoms of damp-heat invading the spleen

Back 139

abdominal fullness and a sticky yellow coating

Front 140

List 6 functions of the kidney

Back 140

governs water, houses the will power, opens into the ears, manifests in the head hair, controls the ming men, produces marrow, fills up the brain and controls bones

Front 141

Name the pattern characterized by internal cold, sexual dysfunction, and fluid accumulation:

Back 141

Kidney yang deficiency

Front 142

Describe the tongue and pulse in instance with heat (empty-heat of kidney yin deficiency)

Back 142

red tongue with little or no coating, in severe cases cracked. Floating-empty (weak) and rapid pulse

Front 143

Nighttime sweating =?
Daytime sweating =?

Back 143

Evaporation from the bones
Evaporation from the muscles

Front 144

Dribbling after urination, chronic vaginal discharge, and backache characterize what pattern?

Back 144

Kidney Qi not firm

Front 145

Shortness of breath on exertion, lower backache, and clear urination are signs of what?

Back 145

Kidney failing to receive qi

Front 146

4 symptoms of kidney essence deficiency

Back 146

poor bone development, infertility, loose teeth, poor memory

Front 147

the _____ generates ______ which fills the brain

Back 147

Kidney essence; marrow

Front 148

Lung heat usually corresponds to which of the 4 levels of warm disease?

Back 148

Qi level

Front 149

In lung patterns of excess damp phlegm or excess cold phlegm, identify the underlying deficiency:

Back 149

spleen qi deficiency

Front 150

Describe the tongue and pulse in case of phlegm-heat in the lungs

Back 150

red tongue, swollen with sticky coating
pulse: slippery-rapid

Front 151

a lung-related pattern occurring in the elderly or in a person with pre-existing yin deficiency

Back 151

dry-phlegm in the lungs

Front 152

a cough with expectoration of white watery foamy sputum in an elderly person is

Back 152

phlegm fluid obstructing the lungs

Front 153

What is the single most important symptom that arises due to stomach qi deficiency?

Back 153

tiredness

Front 154

name the stomach pattern associated with or corresponding to spleen yang deficiency

Back 154

stomach yang deficiency and cold

Front 155

what is the cardinal symptom of stomach qi stagnation?

Back 155

epigastric distention

Front 156

phlegm-fire in stomach affects the mind and can cause what severe mental state?

Back 156

manic depression

Front 157

name the pattern caused by sudden epigastric pain with a tight pulse

Back 157

cold invading the stomach

Front 158

list any 3 symptoms of stomach qi rebelling upwards

Back 158

belching, vomiting, hiccup

Front 159

epigastric fullness, sour regurgitation, and thick tongue coating = ?

Back 159

retention of food in the stomach

Front 160

list 3 symptoms of blood stasis in the stomach

Back 160

purple tongue, stabbing pain in the epigastrium, wiry pulse

Front 161

ab pain, tongue ulcers, and scant dark painful urine occur due to what pattern?

Back 161

full heat in the small intestines

Front 162

small intestine qi stagnation pain usually related to ____ invading ____

Back 162

liver; spleen

Front 163

list 3 symptoms of SI qi tied

Back 163

severe pain, distention, intolerance pressure, constipation

Front 164

4 types of worms

Back 164

round, hook, pin, and tape

Front 165

describe the tongue and pulse of small intestine deficiency and cold (yang deficiency and cold):

Back 165

deep, weak, slow pulse
pale body, white coating tongue

Front 166

ab pain and diarrhea with mucus and blood in stools =?

Back 166

damp heat in large intestine

Front 167

heat in large intestine pulse and tongue:

Back 167

overly forceful (full) pulse and rapid.
tongue = thick, yellow, even brown or black

Front 168

3 symptoms heat in LI

Back 168

dry stools, dry tongue, thick yellow (or brown/black) dry coating

Front 169

what tcm pattern is equivalent to Bright Yang stage?

Back 169

Heat obstructing the LI

Front 170

sudden ab pain, diarrhea, and a feeling of cold are enough to dx

Back 170

cold invading the large intestine

Front 171

3 symptoms qi stagnation LI

Back 171

ab distention, wiry pulse, irritability

Front 172

irregular dietary habits that deplete yin lead to what pattern?

Back 172

spleen yang deficiency

Front 173

2 causes of collapse of the large intestine?

Back 173

spleen qi deficiency (chronic) and sinking of spleen qi

Front 174

hypochondrial fullness, a feeling of heaviness, and unilateral sticky coating dx?

Back 174

Dampness in GB

Front 175

Describe the tongue/pulse for Damp Heat in the GB

Back 175

thick sticky yellow coating, either bi- or uni-lateral, slippery-wiry-rapid

Front 176

list 2 of 3 symptoms of GB deficiency mental state

Back 176

timidity, indecision, lack of initiative

Front 177

Burning urine, dark urine, difficult urine =?

Back 177

damp heat in Bladder

Front 178

when damp cold in BL, urine has what 2 characteristics?

Back 178

pale and turbid

Front 179

blood deficiency and cold, what is the kd deficiency accompanying this?

Back 179

KD yang deficiency

Front 180

In heart fire blazing the dark urine is due to the transmission of fire from the heart to what 2 channels?

Back 180

Bladder and Small intestine

Front 181

Exterior lung pattern which results in slight breathlessness, facial edema, and scanty urination = ?

Back 181

Invasion of the lungs by wind-water

Front 182

Heat in lungs looks like? on tongue?

Back 182

red, swollen, and sticky coating

Front 183

Spleen yang deficiency is the same as spleen qi deficiency but with addition of what symptoms?

Back 183

Yang Deficiency symptoms (cold symptoms)

Front 184

What pattern results from failure of communication between lungs and kidney causing asthma, sweating, and backache?

Back 184

KD failing to receive/grasp Qi

Front 185

KD yang deficiency with water overflowing, key symptom = ankle edema. What additional symptom arises if h20 also overflows the following two organs (Heart, Lungs)

Back 185

Heart: palpitations
Lungs: frothy sputum

Front 186

Even just tinnitus and a red peeled tongue would be enough to diagnose this advance stage of yin deficiency. What is it?

Back 186

KD yin deficiency with empty heat blazing