Tcm Internal Med 1 Midterm

Front 1

aversion to cold, no or maybe sweat, ha, aches, stuffy/runny nose, cough w/phlegm, T thin white moist or normal P floating, tight

Back 1

Wind Cold

Hint 1

Tx: lu7, si7, sj5, li4, bl12, nose-li20, yin tang, ha-gb20, fever-du14
2-3 X's/day!!

Front 2

more often in summer, unsurfaced fever, dampness (ext damp cx), slight aversion to cold, little sweat but fever stays, heavy head, ha, achy/heavy joints, greasy T, no thirs, GI probs=bloating, gas, loose stool T yellow, slimely TC P soft rapid

Back 2

Wind Damp

Hint 2

Tx: lu 7, li4, sj6, ren12, st36, aces=sp21

herbs: huo xiang zheng qi san-summer diarrhea or food poisoning

Front 3

In fall, WH dries body fluids, so you have: dry nose/mouth/throat/lips, slight fever, aversion to W-C, ha, slightly sweaty, dry cough, little or no mucus, T dry, thin white TC, slightly red P floating, wiry maybe rapid

Back 3

Wind Dryness

Hint 3

Tx: li 11, 4, lu 5 (dryness), sj5, ki6, sp6, ren 22, 23 (moisturize the mouth)

Front 4

strong aversion to cold, fever, h/a, nasal congestion, cough with white phlegm, fatigue, low voice, reluctant to speak, + cold signs, T pale, w/white TC P-floating, forceless

Back 4

Ext Cold w/Qi Def

Hint 4

tx: T. qi, expel cold
moxa: st 36, du14 (T. yang)

gb20, lu 7, bl12, li4, ren6, lu9

Front 5

yin def patients or long debilitating illnesses get a cold, fever, h/a, no/little sweating, aversion to cold wind, dizzy, 5 palm heat, thirst, dry cough/mouth/throat w/scanty phlegm or blood streaked T-red w/little TC P-rapid, thready

Back 5

Cold w/Yin Def

Hint 5

tx: gb20, lu7, bl12, li4, sp6, ki3, lu9, ki7, 3, bl 43(chronic yin LU def)

Front 6

h/a, fever, mild chills, shallow complexion, pale lips, fatigue, dizzy, T-pale P-thready, floating. can happen during pregnancies and after labor

Back 6

W-C or H w/Blood def

Hint 6

tx: gb20, lu7, bl12, li4, st36, ren4, du14

Front 7

elderly, not obvious w-c Cx, show more int cold signs, chills, mild fever, aversion to cold, desire to curl up, cold extremities, muscle/bones ache, no sweating or spont sweating, pale complexion/waxy. T-pale, swollen, white tc, waxy, P-deep, weak

Back 7

yang def w/ext C

Hint 7

tx: moxa st 36, ren 4, du 14
gb 20, lu9, 7, bl12, li4

Front 8

cough, fever, chills, body ache, ha, chills, P floating tight, T-thin white or normal

Back 8

w-c cough

Hint 8

expel ext, vent lu stop cough
lu7, luo-li4, bl113 lu shu, 12 (if wind), sj5 to rel ext, gb20 for ha, nose-du 23, cough w/mucus-ren 22, r17 for chest px

Front 9

cough, sore throat, heavy breathing, dry mouth, maybe fever, ha, thirst, aversion to cold, nasal obstruction or yellor or green discharge

Back 9

wind heat cough

Hint 9

bl 13, lu 5, li11, 4, du 14, lu11 for sore throat, xs sweat-ki7, st43

Front 10

dry cough, scanty sticky plegm, diff to expectorate, blood streaked sore throat, dry nose/mouth, stuffy nose, ha, mild fever T dry red tip thin white tc or thin yellow tc, P flating, rapid, thinner, thready, rapid if T is dry

Back 10

w-dryness

Hint 10

expel w-d, moist lu, stop cough
bl13, lu 5, li11, lu10 reducing method, lu 7+li4 for cold, dry-ki7 or 6 or lu9

Front 11

cough in morn, int pattern, a lot of diluted white phlegm, chest oppression, nausea, poor app, loose stools T white greasy scalloped swollen pale tc, P slippery soft

Back 11

P-damp cough

Hint 11

st. sp, tr. damp, rel damp

erchen tang, moxa bl 13 and 20, bl 43 for chronic cough, lu9, sp3 lu and sp source pt, st 40, lu4, epi px-st 36, pc6, ren12

Front 12

emotional cough with red face, bitter taste, dry scanty cough, quick temper, restless T-red, thin yellow tc P rapid wiry

Back 12

liver fire

Hint 12

clear lv fire, dr. lu, rel cough
bl 13, 18, lu8, lv3, ki6, lu6, lv2, gb34, pc6

Front 13

cough, gradual hoarseness, afternoon fever, dry throat, 5 palm heat, night sweats T-red w/little tc or dry or peeled P-rapid, thready

Back 13

yin def cough

Hint 13

bl 13, ki3, lu9, 5, 7, ki6
blood-lu6, bl17

Front 14

sore throat, fever, chills, etc. thin yellow tc, P rapid floating

Back 14

w-h sore throat

Hint 14

lu 11, 10, 5, li4, 11, lu7 for voice loss, li 18, si 17

Front 15

very pxful sore throat, swollen diff to swallow, high fever, xs thirst, ha, bad breath, thick sticky yellow phlegm, constipation, dark scanty urine, toxic heat

Back 15

exuberant heat

Hint 15

li 1 bleed, st 44 for st heat, ren 22, st 40, du 14, li 11, st 37 for const, li 17, 18

clear heat, rel toxins disp swelling, stop px

Front 16

sore throat has a slow onset, swollen painful throat, itchy, burning throat, mild in morn, worse in afternoon, dry cough, T red little to no tc, P rapid, thready

Back 16

lu and ki yin def sore throat

Hint 16

nourish yin, dr fire, stop px
cv23, ki3, lu7, ki6, lu10, ht8 for 5 palm heat, cv6 and st36 are qi and yin boosters, ki3 and bl23 to T KI, bl 13, li 18 for throat px on side, si 17-px below jaw, SJ 17 for px behind ear

Front 17

wheeze, rapid labored breath, chest opp, cough, thin white foamy phlegm, aversion to cold, fever, ha, no sweat, joint px T thin white tc P floating, tight. asthma

Back 17

W-c asthma

Hint 17

lu 7, 5 bl 12, 13, ding chuan, st 3 for stuffy runny nose, li 4, du 14, si 7 for nose congestion du 23, cough-ren 22

diss wc, calm wheeze, vent lu

Front 18

wheeze, short quick respiration raspy voice, chest opp, thick yellow phlegm, fever, thirst for cold, const. dark urine, T yellow greasy tc P rapid slippery

Back 18

p-h in the lu

Hint 18

bl 13, lu5, st40, 3, li4, cv22, ding chuan, chest opp-cv17, lu 1, li 11 and lu10-heat

Front 19

sob, wheze, feeble voice, cough and wheeze, spoooont sweat, sensitive to wind, thin runny phlegm, P weak T pale

Back 19

lu qi def

Hint 19

bl 13, ding chuan, bl 43, lu 9, sp-bl20, st 36, sp 6 (moxa on st 36, r 6, bl20), dry/heat-ki2 and lu 10

Front 20

weheze agg by phys activity, shallow inhalations, sob, fatigue, cold extremities, T pale P deep, weak, thready, edema

Back 20

ki def asthma

Hint 20

moxa du4 and bl23 and 13 and r6 and r4, ki3, ding chuan, du12, bl43, T. ki, anchor qi

Front 21

sinustitis-bi yuan, yellow tc, P rapid flaoting,e tc, chronic, mucus has no smell

Back 21

w-h sinustitis-bi yuan

Hint 21

lu7, li4, bi tong, li 20, yin tang, gb20 to expel wind, bl 2, du 23, li 11 or sj5

Front 22

sinustitis-bi yuan transferred from lv qi stag, heavy discharge, ,thick yellow foul smelling, sever ha, pressure ha, maybe fever, bitter taste, dry throat, insomnia, restlessness, T red, yellow TC P rapid, wiry

Back 22

GB heat sinustitis-bi yuan

Hint 22

dr. gb heat, dispel turbidity, free orifice
local: du 23, yin tang, li 20, bi tong, lv 2, 3, li 4, si 3, sj5

Front 23

sinustitis-bi yuan, overeating bad foods, heavy turbid nasal discharge and congestion, loss of sense of smell, distending px in nose, heavy fatigue, st upset/full, loss of app, dark yellow urine T red g/y tc, P rapid slippery or soft

Back 23

sp and st damp heat sinustitis-bi yuan

Hint 23

clear heat, dr damp, dispel turbid, open orifice
du23, yin tang, bi tong, li 20, st36, sp6, 9, bl10 for nose if prone

Front 24

sinustitis-bi yuan, clear discharge, congestion, no sense of smell, congestion worse w/w-c exposure, sob, T pale, thin white tc

Back 24

lu/sp qi def

Hint 24

needle and moxa du 23, yin tang, du 20, st36, bl13, lu9
needle: li20, 4, dv6
sp qi def: du 20, st 36, sp9, r4, bl20, bl2, li4, sp3+st40 to discharge

Front 25

rhinitis, acute sneezing, nasal itch, runny nose with copious, thin, watery mucus, or nasal obstruction, red or loss of snese of msell, itchy irritated watery eyes, frontal or maxillary ha, T normal or with a thin white coat, P floating or floating and tight

Back 25

w-c rhinitis

Hint 25

warm the lu and disp wc, warm and tr phlegm fluids, redirect lu qi down

lu7, li4, bl12, du14, ki7, lu9, bl13, li20, du23, gb20, yin tang with moxa or moxa on ginger unless cases with heat. coupies mucus-sp3 and st 40, heat: lu 10, 11

Front 26

rhinitis, recurrent episodes of sneezing, nasal ithc, copious clear watery nasal discharge or congestion, agg by exposure to wind and cold air, red or loss of sense of smell, frequent colds, soft, low voice, sob, spont sweating, waxy pale complexion, T pale with a thin white coat P def and weak

Back 26

lu qi def rhinitis

Hint 26

warm and T the Lus, expel W
gb20, li 20, 19, bl12, 13, 20, lu7, 9, st 36, bl23, ki6, li 4
moxa is good for chronic cases: yin tang, du 4, du 12, du 23, ren 6, 8, 12, sp 6, st36

Front 27

rhinitis, reccurent seere nasal congestion or persistent runny nose with thin watery or stickky white mucus, nasal mucosa swollen and pale or ashen, patients with this pattern often have nasal polyps, and children may have upturned noses from frequent wiping upwards with the palm of the had, nasal itch, sneezing, loss of sense of smell, fullness and heaviness in the head, woolly headedness, fat, listlessness, aversion to cold, tired limbs, poor app, picky eater, loose stools or diarrhea, T pale or pale and swollen toothmarked and white coat P soft and weak

Back 27

lu and sp qi def with phlegm rhinitis

Hint 27

st40, sp 3, st36, lu7, bl 20, 13, gb20, li20, 19, du23, li4

Front 28

rhinitis, many years of perennial nasal itch, congestion, sneezing, watery nasal discharge, all of which are worse in the morn and eve, after sex or when fatigued, loss of sense of smell, nasal mucosa pale, wet and oedematous, may be no symptoms of ki def if def wei qi is its only manifestion. in other cases ki symptoms are obvious and the manifestations will vary depending on the type of def

Back 28

ki def rhinitis

Hint 28

bl23, du 4, ren4, 6, gb39, du20, bl15, lu7, ki6, lu9

Front 29

cold invading st, epi px, agg by cold, allev by warmth, aversion to cold, chills, ha, no thirst, doesn't want you to touch stomach T white, cold P tight wiry slow

Back 29

st cold-st pain

Hint 29

dissolve cold, rel px
#1-moxa-ren12, st 36, 21, bl20, 21
needle: pc6, sp4, st34(acute)

Front 30

st px, overeating, irreg habits, wk sp/st qi, xs, def, lv qi stag, P-D, P-H etc, st px agg by prsesure, foul smelling belching, acid reflux, st distention after vomiting patient feels better, diff BMs T thick greasy tc P slippery

Back 30

food stagnation

Hint 30

ren 11, 12, 13, st 21, 36, 34, 40, pc 6, st 25+37 for const, sp def=sp6, bl20, ab bloat=st25, ren 6 sp5

Front 31

st px, disten, can sperad to hypo, belching, acid reflux, diff bm's, const/diarrhea, px with emotion, T white tc P wiry

Back 31

lv overacting on stomach

Hint 31

lv14, cv12, pc6, st36, lv3, gb34, st21, lv13, st34, bl18, 20, 21
lv5 and sp8 for severe px
heat: lv2, st 44

Front 32

pre-existing st cx, mild to severe px, fixed px, px inc with pressure, vomit blood or black stool=severe case. T dark purplish, P rough choppy

Back 32

blood stasis

Hint 32

cv12, st36, pc6, st34, 21, bl17, pc4, sp1

Front 33

dry mouth/throat/stools, T red dry pale tc P rapid thready, stomach px

Back 33

st yin def

Hint 33

bl 20, 21, ren 12, st36, sp6, ki3
def heat: st43, ki2
sharp px: ki2
nausea: pc6
also bl 23, ki3

Front 34

constipation, hard dry pebble stools at several day intervals, dark urine, red complexion, fever, thirst, hallatosis, ab disten, maybe w/px T red w/dry Y tc P rapid, slipper

Back 34

heat constipation

Hint 34

sp3, li4, 11, st25, bl25, sp15, sj6, ki6, st44, st 36, 37, lv2

Front 35

constipation, soft but short bms, stick, sluggish stools, worse w/stress and upset, stuffy chest and ribs, poor app, ab disten px T greasy, thick tc P slippery, wiry

Back 35

qi stag const-lv or lu qi

Hint 35

st25, bl25, sj6 (reg qi and soothes the lv) cv6, 12, hypo px-lv14, gb24, lv5
nausea-pc6, bl18, 20
phlegm-stm 40, sp3
ab disten sp 15

Front 36

const, diff to defecate, stools hard, ltitle, dry no ab px or disten, SOB, spont sweat, tiredness, T swollen, pale toothwomarked thin white tc, P weak thin wiry

Back 36

qi def const

Hint 36

bl25, st25, sp6, bl20, st36, cv4, 6, sp12, ren12, moxa:r12, st36, st25, bl25

Front 37

dry hard stool, common post partum, elderly, dizzy, ertigo, palps, pale complex and lips T pale, thin tc, P rough, thready weak

Back 37

blood def const

Hint 37

bl25, st25, 36, cv4, sp6, 14, cv6
moxa: st36, sp6, bl18, 20, 23

Front 38

yang def with Cold accum, ki and sp yang common in elder, stool may or may not be dry, yang def patterns: clear copious urine, pale complexion, dizzy, cold extremities, aversion to cold, ab cold and pxful, px low bakc or knees T white tc, swollen tooth, moist P slow deep

Back 38

cold const

Hint 38

st25, bl25, cv6, 4, bl23, ki6
moxa: bl25, 23, 20
if weak: st36, sp6, ki3
freq urine: ki7, ren 3

Front 39

n/v due to food stag

Back 39

food stag

Hint 39

cv12, st36, pc6, cv11, 21, sp14
heat-st44, li10, sp40, bl20, st25, ren6 for ab disten

Front 40

n/v due to phelgm..T greasy, P slippery

Back 40

phlegm

Hint 40

sp9, 4, cv12, st40, 36, pc6, 5, lv13, gb34, lv3 for qi stag

Front 41

vomiting due to sp/st def cold

Back 41

sp/st def cold

Hint 41

moxa: bl20, ren12, st36, sp4
needle: bl21, pc6, damp-sp3, ab disten st25, sp15, 3

Front 42

vomiting, thirsy, dry throat

Back 42

st yin def

Hint 42

dv12, st36, pc6, sp4, 6, ki3, bl20, 21, ki9+pc6=directs st qi down
heat: st43, ki2
ki yin-bl23, ki3
def heat-st43, ki2

Front 43

acute, watery diarrhea, borbygamus, cramping px, undigested food, tc will turn thick black, T thin with greasy tc, P soft, floating, slower

Back 43

ext c and d

Hint 43

st25, bl 25, ren12, li4, sp9, chills/ha-du14, bl43, vomiting bl40+pc3, mox and ginger on ren 8

Front 44

yellow, foul diarrhea, burning, irrit, thirsty, dark scanty urine, yellow grsy tc P rapid, slippery floating

Back 44

ext DH

Hint 44

st25, 36, 44, sp9, li11, 4, bl25, st37, fever=du14

Front 45

diarrhea, over eating, irreg eating habit, acute or chronic diarrhea, ab px, borbygamus, foul rotten egg odor, watery or loose, ab px and belching, etc is better after BL acid reflux T thick greasy tc, diry P slippery,r apid, wiry

Back 45

retention of food in St and intestines

Hint 45

ren12, st36, 25, 44, 37, 40, pc6, ab bloat=sp4, ab px=lv5+sp8

Front 46

diarrhea, disten, congestion of chest, ab px, belch, anger/anxiety, trigger diarrhea, preceded by cramping

Back 46

disharmony of lv and sp

Hint 46

st25, ren12, st36, bl18, 25, gb35, lv3, li4, lv13, pc6+lv3=soothe lv qi and regs mj, heat=lv2

Front 47

freq loose stool with oily or grsy food, epi full, discomfortable after eating, sallow complexion, fatigue T pale white tc toothmark P wk, thready, moderate

Back 47

sp and st def

Hint 47

st25, ren12, st36, bl25,21,20,26=strengthen yuan qi, sp3, 9, 6, 4-ab p

Front 48

watery diarrhea, undig food, cocks crow, ab cold px, borbygamus, cold extremities, wk low back and knees T pale white tc P deep, thready wk

Back 48

ki and spe def (yang)

Hint 48

bl23, 20, 25, st25, cv4, ren4, du4, ki3, st36, moxa on st25, bl25, or du 20 or all pts

Front 49

pus and blood, dark scanty urine T yellow slimey tc foul smelling..the more much means more damp, more blood means heat. P rapid, slipper

Back 49

damp heat dysentary

Hint 49

li 4, 11, st44, 25, 37, sp9 fever-du14
tenesmus-bl30 and 29 and du1
nausea-ren 12, pc 6

Front 50

acute ab p, stool has pus, T dark red dry yellow tc P rapid slipper

Back 50

epidemic toxins

Hint 50

bleed sishushen
li4, 11, st44, 25, 37, du14, 10, fingertips
strongly needle du25, ki1 pc6. du26, lv3+bl40-WH

Front 51

sticky stools mixed withi pus and blood. or pure mucus if damp is more. ab px, tenesmus, full epi, aversionto cold, loss app, heaviness related to Sp yang def T pale with greasy tc, P soft, moderate and slippery

Back 51

cold damp dysentary

Hint 51

moxa st 36+25_bl25; li 4, st37, sp9, ren 12, sp3+st40, pc 6=N

Front 52

chrnoic, pus and blood, thick mucus, fresh blood, burning ab px, tensmus, no app, dry mouth and thirst, T dark red with little or peeled tc P rapid, thready

Back 52

yin def dysentary

Hint 52

li4, st25, 37, ki6, sp6, ren 12, 4, bl20, 23, 25, st 36, ki3

Front 53

liquid stool with pus, inctoninence of stool, cold ab, fatigue, low bk px T pake with white tc P deep, weak, slow

Back 53

sp/ki yang def dysentary

Hint 53

moxa li 4, st25, 37; bl20, 23, 25, anal prolapse: du1 or moxa du20. du 4, ki3, st 36

Front 54

no improvement, ab px, tenesmus, both pus and blood, fatigue, loss app, T pale grsy tc, P thready or soft, weak

Back 54

chronic dysentary

Hint 54

lli4, st25, 36, 37, ren 4, 12, lv13, sp6, bl20, 21, 25 sp1 or lv1 for bleeding, mucus-st40, sp3

Front 55

pathologies of persisting hoccough

Back 55

cold, heat, qi stag, sp and st yang def, st yin

Hint 55

that's it

Front 56

hiccough, deep, slow froceful, loud sounding, resonates, might improve with warmth, agg by cold T white tc moise P slow moderate or forceful

Back 56

cold hiccough

Hint 56

moxa #1-cv12, st36, bl17
needle: li4, cv12, pc6, st36, bl17, ren 17, 22
moxa cv13 and st 21 for severe cold, cv 11

Front 57

ext invasion of H or C, tr. to H mostly int heat, ext wh lodges in yang mind channel from overeating and drinking. fried food. mostly PH, loud, clear, strong, continous, halatosis, thirsty, cold drinks, dark scanty urine, maybe w const T yellowtc dry P rapid sliperrry

Back 57

heat st fire hiccough

Hint 57

bl 17, ren 17, cv12, st36, pc6, st44, severe heat: li4, 11
const: sj6, st25
PH-pc5, st 40

Front 58

hiccough agg by emotional changes, stag heat can cause qi stag, disten and chest/rib px, low app, borbymus, flatulance, belching, mild, noisy T thin tc or grsy tc with red edgesP wiry forceful, rapid

Back 58

lv qi stag hiccough

Hint 58

ren 12, bl17, pc 6, st36, cv17, lv3, 14

Front 59

low weak hiccup, pale complexion, low app, k, water/loose stools or undig food T pale with white tc or swollen toothmarked P deep thin weak

Back 59

sp st yang def

Hint 59

cv12, st36, bl17, cv6, 4, bl20, 23, du 4--can moxa

Front 60

febrile dz cause yang ming syndrome, xsw eating hot food, ext invasion, fast short rapid hiccup, irrit, uneasy, dry mouth lip, cold thirst, dry stool const T dry red, cracked or peeled tc P rapid thready

Back 60

st yin hiccough

Hint 60

cv12, bl17, pc6, st36, lu9, ht7, lv3, sp3, 6, ki3, 9
def heat-ki 2, st44

bl 20, 21, 18, cupping on ren 12 and st 18

Front 61

acute sudden ab px, heat relieves it, no thirst, copious clear urine, loose stools, chills, cold n/v T white grsy tc P deep tight wiry

Back 61

cold ab px

Hint 61

cv12, st36, moxa st25-r6, pc4, sp15, li4, st37, sp6, st px-st 34, moxa ren 8 for diarrhea

Front 62

inc ab px with pressuer, const, diff to elim bms, sticky stools, irrit, thirst, scanty dark pee T yellow greasy tc P slip rapid

Back 62

dh ab px

Hint 62

cv10, st21, li11, st25, sp9, st37, 39, 34, bl25, fever=du 14+li4, 11, thirst=st44

Front 63

periodic st px, rel by heat and ext pressure, loose stool, tired, cold T pale with white tc IP deep thready

Back 63

sp yang def

Hint 63

st36, sp6, ren 12, sp15, li4, sp4, bl20, 23, 24, du 4

Front 64

ab disten, fullness, px, loose stools, helps with belchign and vomiting, worse with pressure and eating, T thick grsy tc P slippery and strong

Back 64

food stag ab px

Hint 64

ren 12, st25, 21, 36, ren 6, st40, 44
sp def: sp6, bl20
px: sp4, st34, sp8
N: pc 6, borbygmus-sp5
const: st37, sj6

Front 65

ab px inc with anger, relief with belching, T thin tc, dark red edges pulse woiry

Back 65

qi stag ab ps

Hint 65

cv17, lv3, pc6, gb34, sj6, st 36
px: lv5, sp8

Front 66

fixed severe ab px, worse with pressure in lower ab in illiac, like appendicitis T prplish, stasis spots, sublings dark, P wiry, rough, choppy, thready

Back 66

blood stasis ab px

Hint 66

ren 17, lv3, bl 17, sp 6, st25, ren 6, bl 25, sp10, li4, lv 3, sp4
if cold-moxa
cuppong on large on back