Zang Fu Ii

Front 1

What part of the body do you see disease caused by rheum?

Back 1

Chest, abdomen, and four limbs
Relationship to Sp and St is close.

Front 2

Where can you find phlegm in the body?

Back 2

Phlegm follows the flow of qi, has no location and no path.

Front 3

What is the primary clinical differentiation of the four rheums?

Back 3

Based on location of the collection and retention of the water rheum and the differences in primary signs.

Front 4

Phlegm Rheum

Back 4

Water rheum collection and retention in the middle burner, intestines, & stomach

Primary sign: gurgling sound in intestines

Front 5

Suspended Rheum

Back 5

Water rheum collection in the rib-side

Primary sign: cough that causes pain in rib-side

Front 6

Spillage Rheum

Back 6

Water rheum flowing and seeping into flesh & muscles of four limbs

primary sign:
pain of the body & deep heaviness,
in extreme cases puffy swelling

Front 7

Propping Rheum

Back 7

Water rheum collection and retention in
chest and lungs,
causing lungs to be unable to diffuse and depurate

primary sign: cough, panting, & in extreme cases, inability to lie flat

Front 8

In Six Pattern ID, which patterns are ascribed to interior patterns?

Back 8

Yangming &

Taiyin
Shaoyin
Jueyin

Front 9

In Six Pattern ID, which pattern is ascribed to exterior patterns?

Back 9

Taiyang

Front 10

In Six Pattern ID, which pattern is ascribed to half-interior, half-exterior?

Back 10

Shaoyang

Front 11

If px has tar-like stool, what level of the disease is most likely?

Back 11

Blood level

Taiyang blood retention - one of primary symptoms is blood in urine or tarlike stool along with blood stagnation symptoms.

Front 12

In all the different pattern identifications, name the patterns associated with the "4 BIGs" syndromes.

Back 12

*Interior Excess Heat Patterns*

Excess Fire (Etiology Pattern ID)
Yangming Channel Pattern (6 Pattern ID)
Qi Level Pattern (4 Level Pattern)
Middle Jiao (Heat in Yangming - SJ Pattern ID)

Front 13

Which syndromes are associated with Tidal Fever (peaks at 3pm)?

Back 13

Damp-Warm Disease (Etiological Pattern ID)
Yangming Fu Pattern
Middle Jiao - Heat in Yangming
Lower Jiao - Kd Yin Deficiency

Front 14

Which syndromes have fever that is worse at night?

Back 14

Ying Level Pattern
Blood Level Pattern

Upper Jiao - Warm heat transmit into Pc

Taiyang Blood Retention Pattern (Fever at night)

Front 15

In general what does un-surfaced fever indicate?

Back 15

Dampness pattern

Damp-Warm Disease (Etiological ID)
Middle Jiao - Damp-heat invading Sp

Front 16

If px's tongue coating is dark brown with thorns, what does that indicate?

Back 16

Severe heat

as in Yangming Fu Pattern - characterized by tidal fever, severe constipation and dry feces

Front 17

Compare pulses for summer heat damage vs. sun stroke and sun warmth.

Back 17

Summer heat (mild): Feeble & Rapid
Sun Stroke: (more severe): Feeble & Large
Summer warmth (most severe): Surging & Rapid

Front 18

What are the two kinds of Shaoyin Channel Patterns and their corresponding Zang Fu?

Back 18

Shaoyin Cold Pattern - Ht & Kd Yang deficiency
Shaoyin Heat Pattern - Ht and Kd Yin deficiency

Front 19

What are the key symptoms of Jueyin Pattern?

Back 19

Heat above with cold below

Major symptoms are:
Thirst
Hunger but no desire to eat
Cold limbs
Loose stool
Vomiting after eating

Front 20

Shera complains of fullness and pain in the abdomen, vomiting, poor appetite and loose stools. Her abdominal pain is relieved by warmth and pressure. She has cold limbs and no thirst. Her tongue is pale with white coat, and pulse is slow, deep and weak. What is the diagnosis?

Back 20

Taiyin Pattern
- Sp qi deficiency made worse --> retention cold damp

Front 21

Fire not generating earth

Back 21

Kd and Sp Yang deficiency

Front 22

Fire overacting on metal

Back 22

Heart Fire with excess heat in Lu

Front 23

Fire insulting Water

Back 23

Heart and Kd disharmony

Front 24

If px has chest pain and distention which may be aggravated by cough, sneezing, and deep breath, what kind of rheum pattern is it?

Back 24

Suspended Rheum
- chest and rib

Front 25

If Px has chest oppression and cough with profuse clear white sputum, SOB, inability to lie down flat and edema is worse on the legs, what rheum pattern does this person have?

Back 25

Propping Rheum
- lungs

Front 26

Px has abdominal chest pain and distention, borborygymous and is vomiting clear sticky fluids, what rheum pattern do they have?

Back 26

Phlegm Rheum
- stomach and intestine

Front 27

If px has limbs edema with heaviness in the body. He has scanty urination and no sweating. What kind of rheum pattern is it?

Back 27

Spillage Rheum
- skin and muscle

Front 28

If patient comes in with a really taut belly that is swollen and distended. You can see the navel is pushed out. He has scanty urination. What rheum pattern is it?

Back 28

Abdominal Water
- abdomen

Front 29

Px has chills & fever, sweating, edema, with difficult urination. She also complains of fullness and distention of lower abdomen. She is often irritated and complains of thirst and wants to drink water, but vomits after drinking. Her pulse is superficial and rapid. What is the pattern identification?

Back 29

Taiyang Water Retention Pattern

- pathogenic heat transmits into bladder, which affects its transforming function.

Front 30

Px comes in with twitching and weakness sensation on his left side of the face and he is drooling. His tongue is red with thin yellow coating and his pulse is slightly superficial and wiry. What is the diagnosis?

Back 30

Wind attacks collaterals

Front 31

Px presents with high fever, profuse sweating and sever thirst with preference for cold drinks. He has red face & eyes and is irritable. His tongue is red with dry and yellow coat. His pulse is surging & rapid. What is the appropriate pattern ID?

Back 31

*Interior Excess Heat Pattern*

Excess Fire (Etiology Pattern ID)
Yangming Channel Pattern (6 Pattern ID)
Qi Level Pattern (4 Level Pattern)
Middle Jiao (Heat in Yangming - SJ Pattern ID)

Front 32

Px's fever is worse at night. She has severe irritability and mental restlessness. She is vomiting blood and has tremors in the limbs. What is the 4 Level Pattern ID?

Back 32

Blood level pattern

Front 33

Patient has high fever that is worse at night. She is irritable and delirious. She has stiff tongue and difficulty speaking. Cold limbs. Tongue is deep red and stiff with a rapid pulse. What is the diagnosis?

Back 33

Upper Jiao
Warm heat transmit into the Pc

Front 34

Jim has hardness and fullness in the lower abdomen with pain. He is constantly thirsty and is restless and irritable. He has fever at night. He has normal urination but has tarlike stool. His tongue is purplish with bluish black spots. His pulse is deep and choppy. What is the diagnosis?

Back 34

Taiyang Blood Retention pattern