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A patient has profuse cold sweat like pearls, coolness of the body, cold hands and feet, feeble breathing, listlessness, absence of thirst or preference for hot drink, the tongue is pale and moist and pulse is thready and fading, condition?
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A patient has chilliness, cold limbs, weak breathing, profuse sweating w/ an oily sweat, absence of thirst, frequent profuse urination or incontinence, loose stools or incontinence, the tongue is pale-wet-swollen-short and pulse is minute-deep, condition?
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NCCAOM Theory Dx
NCCAOM Fundamentals Exam - Zangfu Dx
| Question | Answer |
|---|---|
| A patient has profuse cold sweat like pearls, coolness of the body, cold hands and feet, feeble breathing, listlessness, absence of thirst or preference for hot drink, the tongue is pale and moist and pulse is thready and fading, condition? | Yang collapse |
| A patient has chilliness, cold limbs, weak breathing, profuse sweating w/ an oily sweat, absence of thirst, frequent profuse urination or incontinence, loose stools or incontinence, the tongue is pale-wet-swollen-short and pulse is minute-deep, condition? | Yang collapse |
| A patient has sticky sweat, feverishness of the body, warm hands and feet, SOB, irritability, restlessness, thirst w/ preference for cold drinks, the tongue is red and dry and pulse is thready, rapid and weak, condition? | Yin Collapse |
| A patient has abundant perspiration, a skin hot to the touch, hot limbs, a dry mouth w/ a desire to drink cold liquids in small sips, retention of urine, constipation, tongue is red-peeled, short and dry and pulse is floating-empty and rapid, condition? | Yin collapse |
| Where would you find substantial phlegm? | In the LU, always affects LU |
| Where would you find insubstantial phlegm? | Skin, channels, HT, stones, joints [RA] – outside the LU |
| How does wind phlegm manifest? | Dizziness, n/v, numbness of the limbs, coughing, coughing of phlegm, a rattling sound in the throat and aphasia |
| How does phlegm-heat manifest? | Expectoration of yellow sticky phlegm, a red face, dry mouth and lips, restlessness, T: red w/ sticky-yellow coating, P: rapid-rolling |
| How does cold-phlegm manifest? | Expectoration of white-watery phlegm, a cold feeling in the limbs and back, nausea, T: pale w/ white-wet coating, P: deep-rolling-slow |
| How does damp-phlegm manifest? | Expectoration of very profuse phlegm which is white and sticky, no appetite, no thirst, a feeling of oppression of chst and epigastrium, T: sticky tongue coating, P: rolling |
| How does Qi-phlegm manifest? | Non-substantial, feeling of swelling in the throat (but no actual swelling) a difficulty in swallowing and a feeling of oppression of chest and diaphragm |
| How do phlegm fluids manifest? | Substantial phlegm characterized by very watery and thin fluids |
| What area is affected w/ phlegm-fluids and what is the key s/s? | Abdominal fullness and distention, vomiting of watery fluids; Key Sx: Gurgling sound |
| What area is affected w/ suspended fluids and what are key s/s? | Hypochondrial pain that is worse on coughing and breathing; key Sx: cough, ribcage pain |
| What area is affected w/ flooding fluids and what are key s/s? | Feeling of heaviness in the body, pain in the muscles; Key Sx: Pain, deep heaviness, puffy swelling |
| What area is affected w/ propping fluids and what are key s/s? | Cough, asthma, edema oppression of the chest; Key Sx: Cough, panting, inability to lie flat |
| What tongue and pulse conditions indicate yang Qi deficiency? | T: pale, wet/moist/slippery, scallops, enlarged; P: thready and weak (MC) could be thready deep weak; weak, deep; weak, slow; knotted (HT yang) |
| What tongue and pulse conditions indicate Qi deficiency? | T: Pale TWC; P: Thready, weak; soft; deficient (empty) |
| What tongue and pulse conditions indicate Blood deficiency? | T: Pale, Sl. dry; P: Thready, weak; hesitant |
| What tongue and pulse conditions indicate yin deficiency? | T: Red/crimson, scanty, peeled, cracked; P: Thready and rapid (MC); superficial, weak |
| What tongue and pulse conditions indicate Qi stagnation? | T: normal, Sl. dusky [lavender hue], TWC; P: String-taut esp on left |
| What tongue and pulse conditions indicate blood stasis? | T: purple body, purple spots; P: Hesitant (+string-taut = LV) Knotted (HT) |
| Where does dampness originate and what area does it affect? | Exterior/interior origin; affects Lower/Middle Jiao |
| What are common dampness patterns? | SP cold-damp, SP DH, LV DH, LV/GB DH, LI DH, UB DH [LJ and SP] |
| What are common Sx of dampness? | Heaviness feeling in head no mental aspect, downward action |
| Where does dampness originate and what area does it affect? | Interior origin (MJ) only; Affects Upper/Middle Jiao |
| What are common phlegm patterns? | LU damp-phlegm, phlegm-heat, phlegm fluids; HT phlegm misting orifices, HT phlegm-fire; ST phlegm-fire [UJ and ST] |
| What are common Sx of phlegm? | Dizziness, mental aspect, stays in UJ |
| What is common b/w LV Qi stagnation and LV blood stasis? | Irregular and painful menstruation, string-taut pulse |
| What are s/s of LV Qi stagnation? | Moodiness, irritability, depression; epigastric, hypochondrial, abdominal and breast distention; Irregular, painful [distending] periods w/ PMS [before] |
| What are T & P of LV Qi stagnation? | T: thin, white coat, P: String-taut |
| What are s/s of LV blood stasis? | Prickling pain, palpable masses; epistaxis, vomiting blood; dark, clotted menstrual blood, irregular periods, painful [during menses and stabbing] |
| What are T & P of LV blood stasis? | T: purplish on sides, spots; P: string-taut |
| What is common b/w LV fire and LV yang rising? | H/A, dizziness and vertigo, tinnitus, red eyes, insomnia, red tongue, string-taut and rapid pulse |
| What are s/s of LV fire [excess]? | Burning pain in intercostal/hypochondria; dark yellow urine, constipation w/ dry stools; hematemesis, hemoptysis, epistaxis |
| What are T & P of LV Fire? | T: red, yellow coat; P: string-taut, rapid |
| What are s/s of LV Yang rising [90% excess, 10% deficiency]? | Mixed Sx of def/excess (LV/KD yin def); Poor memory, sore/weak low back, knees |
| What are T& P of LV Yang rising? | T: red w/ possible yellow coat; P: string-taut, rapid, thready (but not all the time) |
| What are common Sx in cases of internal LV wind? | Tremor of the limbs |
| What are Sx of internal LV wind d/t heat [ext.]? | High fever, neck rigidity, upward staring of eyes, if severe: coma, lockjaw [similar to meningitis] |
| What are T & P of internal LV wind d/t heat? | T: deep-red; P: string-taut, rapid |
| What are s/s of internal LV wind d/t yang rising? | Dizziness, vertigo, H/A, stiffness of tongue; dysphasia, aphasia; deviation of mouth, eyes, hemiplegia |
| What are T & P of internal LV wind d/t yang rising? | T: Red, tremulous; P: string-taut, rapid |
| What are s/s of internal LV wind d/t blood deficiency? | Numbness of limbs, tic, shaking of head |
| What are T & P of internal LV wind d/t blood deficiency? | T: pale, deviated; P: hesitant |
| What are s/s of HT Qi deficiency? | Palpitation, SOB on exertion, Spontaneous sweat, Fatigue, Pallor (key) |
| What are T & P of HT Qi deficiency? | T: pale; P: thready, weak or missed beat |
| What are s/s of HT yang deficiency? | Palpitation, SOB on exertion, spontaneous sweat, fatigue; key: chills, cold limbs, cyanosis |
| What are T & P of HT yang deficiency? | T: pale, swollen, delicate or purplish dark (stasis); P: deep, weak, knotted |
| What are s/s of HT yang collapse? | Palpitations, cyanosis; key: SOB, profuse sweat, cold limbs |
| What are T & P of HT yang collapse? | T: very pale or bluish purple, short; P: feeble, fading |
| What are s/s of HT blood deficiency? | Palpitation, insomnia, dream disturbed sleep, poor memory; key: dizziness/vertigo, pale lips, anxiety |
| What are T & P of HT blood deficiency? | T: pale, thin, sl. dry; P: thready, weak |
| What are s/s of HT yin deficiency? | Palpitation, insomnia, dream disturbed sleep, poor memory; key: mental restlessness, yin def Sx |
| What are T & P of HT yin deficiency? | T: red, no coat; P: thready, rapid |
| What are common s/s of HT fire and HT phlegm-fire? | Palpitations, insomnia, flushed face, bitter taste, deep yellow urine |
| What are common s/s of HT phlegm-fire and HT phlegm? | Mental confusion, severe cases, coma |
| What are s/s of HT fire? | Agitation, impulsiveness, restlessness, palpitations, insomnia, flushed face, bitter taste, deep yellow urine; key: ulceration, pain of mouth and tongue |
| What are T & P of HT fire? | T: red; P: rapid |
| What are s/s of HT phlegm-fire? | Mania, mental derangement, palpitations, insomnia, flushed face, bitter taste, deep yellow urine, mental confusion, severe cases, coma, aggressive behavior, severe cases: aphasia, coma; key: mania |
| What are T & P of HT phlegm-fire? | T: yellow, sticky coat; P: rolling, rapid, forceful |
| What are s/s of HT phlegm? | Stupor, depression and dullness, mental confusion severe cases: coma, dullness, stupor, excessive weeping/laughing, no thirst; key: mental depression, incoherent speech, gurgling w/ sputum in throat |
| What are T & P for HT phlegm? | T: swollen body, white sticky coat [key: swollen, sticky]; P: string-taut, rolling [key] |
| What are common s/s for HT yang deficiency and HT blood stasis? | Palpitations, spontaneous sweating, cold limbs, cyanosis of the face; T: purplish dark, P: knotted |
| What are s/s for HT yang deficiency? | Palpitations, spontaneous sweating, cold limbs, cyanosis of the face, lassiutde, chills |
| What are s/s for HT blood stasis? | Palpitations, spontaneous sweating, cold limbs, cyanosis of the face, intermittent cardiac pain (local, stabbing or stuffy) |
| What are T & P for HT blood stasis? | T: purplish dark; P: thready, hesitant, knotted |
| What are common s/s for SI Qi Pain and SI Qi Tied? | Abdominal distention, dislike of pressure, T: white coat, P: deep, string-taut (pain, Qi stag) |
| What are s/s of SI Qi Pain? | Abdominal distention, dislike of pressure, key: twisting pain of lower abdomen and testes referring to lumbar region; western Dz: hernia |
| What are T & P of SI Qi Pain? | T: white coat, P: deep, string-taut |
| What are s/s of SI Qi Tied? | Abdominal distention, dislike of pressure, key: sudden violent abdominal pain, vomiting; western: appendicitis |
| What are T & P of SI Qi Tied? | T: white coat, P: deep, string-taut |
| What patterns are categorized under SP Qi deficiency? | SP Yang deficiency, SP Qi Sinking, SP Not controlling blood – all have SP Qi deficiency s/s |
| What are s/s of SP Yang deficiency? | Dull pain in abdomen better w/ warmth and pressure, weak limbs, key: cold limbs, edema |
| What are T & P for SP Yang deficiency? | T: Pale; P: deep, slow |
| What are s/s for SP Qi sinking? | Key: visceral prolapse; bearing down sensations, urination frequency |
| What are T & P for SP Qi sinking? | T: pale; P: slow-down, weak/soft, thready |
| What are s/s of SP not controlling blood? | Purpura, blood spots under skin, bloody stools, excessive menstrual flow, sallow, pale complexion, SOB |
| What are T & P for SP not controlling blood? | T: pale; P: thready, weak |
| What are common s/s for SP cold-damp and SP damp-heat? | Fullness, distension in epigastrium/abdomen, no appetite, heaviness of body, loose stools, T: sticky coat, P: soft |
| What are T & P of SP cold-damp? | T: white sticky coat; P: slow, soft |
| What are s/s of SP damp-heat? | Fullness, distension in epigastrium/abdomen, no appetite, heaviness of body only, loose stools, key: bitter taste, thirst w/o desire to drink or drink in small sips, loose stools w/ offensive odor |
| What are T & P of SP damp-heat? | T: yellow, sticky coat; P: rapid, soft |
| What are common s/s of ST fire and ST yin deficiency? | Burning pain in epigastric region (key), empty and uncomfortable feeling in the stomach, constipation |
| What are s/s of ST fire? | Burning pain in epigastric region (key), and other common s/s, sour regurgitation, vomiting, foul breath, vomiting soon after eating, key: thirst and prefer cold drinks, voracious appetite, easily hungry, gums: swelling, bleeding, ulceration, pain |
| What are T & P of ST fire? | T: red, yellow coat; P: rapid |
| What are s/s of ST Yin deficiency? | Burning pain in epigastric region (key), empty and uncomfortable feeling in the stomach, constipation, dry vomiting, hiccups, dryness of mouth, throat, key: hunger w/ no desire to eat, thirst w/ no desire to drink or drink sips |
| What are s/s of LU yin deficiency? | Cough w/ small amount of sticky sputum, cough w/ blood tinged sputum, Yin deficiency Sx w/ heat (key) |
| What are T & P of LU yin deficiency? | T: Red, scanty coating; P: thready, rapid |
| What are s/s of LU dryness? | Dry cough, dry skin, throat, mouth, thirst, key: no heat |
| What are T & P of LU dryness? | T: dry; P: empty, esp LU position |
| What are s/s of exterior LU WC? | White sputum; chill > fever, body aches, sl. sweating |
| What are T & P of exterior LU WC? | T: thin-white coating; P: superficial, tense or moderate |
| What are s/s of exterior LU WH? | Yellow sputum; thirst, sore throat, fever > chills |
| What are T & P of exterior LU WH? | T: thin, yellow coating; P: superficial , rapid |
| What are s/s of exterior LU wind-water? | Yang edema (key), bright-shiny complexion, scanty, pale urine |
| What are T & P of exterior LU wind-water? | T: white-slippery coating; P: superficial, rolling |
| What are common s/s of LU phlegm? | Cough |
| What are s/s of damp-phlegm in the LU? | Cough, profuse white sputum easy to expectorate, sticky sputum, fullness/stuffiness in chest, gurgling sputum in throat, SOB, asthma, dislike of lying down |
| What are T & P damp-phlegm in the LU? | T: white, sticky coating; P: rolling |
| What are s/s of LU phlegm heat? | Cough, yellow, thick sputum or expectoration of foul or bloody pus, chest pain on coughing, mouth dryness |
| What are T & P of LU phlegm heat? | T: red, yellow, sticky coating; P: rolling, rapid |
| What are s/s of LU phlegm-fluids? | Cough, breathlessness, vomiting, white-watery-frothy sputum, splashing sounds in chest, chilliness [fluid in LU] |
| What are T & P of LU phlegm-fluids? | T: pale, thick-sticky white coating; P: thready, rolling, soft |
| What are common s/s of LI DH and LI Heat? | Abdominal pain and burning anus |
| What are s/s of LI DH? | Abdominal pain and burning anus, diarrhea (key) w/ yellow, watery stools: blood or mucus, offensive odor, possible fever, thirst w/o desire to eat |
| What are T & P of LI DH? | T: yellow, sticky coat; P: tolling, rapid, soft and rapid |
| What are s/s LI Heat? | Abdominal pain and burning anus, constipation (key), high or tidal fever, sweating esp on limbs, vomiting, thirst, delirium |
| What are T & P of LI Heat? | T: red body, thick, dry yellow coat; P: deep, excess |
| What are s/s of LI dryness? | Dry stools, constipation, dry mouth and throat [no heat, can be d/t blood def; red tongue w/ yin def] |
| What are T & P of LI dryness? | T: red, dry, yellow coat; P: thready |
| What are s/s of KD Yin deficiency? | Dizziness, tinnitus, poor memory, lumbar soreness/weakness; key: insomnia, nocturnal emission [nocturnal emission + dreams = KD yin def + HT] |
| What are s/s of KD Yang deficiency? | Dizziness, tinnitus, lumbar soreness/weakness, infertility; key: impotence, pallor, cold limbs |
| What are T & P of KD Yang deficiency? | T: pale, white; P: deep, weak (key) |
| What are s/s of KD Qi deficiency? | Lumbar soreness and weakness; key: nocturnal enuresis, frequent urination, incontinence, spermatorrhea, prolapse of uterus, chronic vaginal discharge |
| What are T & P of KD Qi deficiency? | T: pale, white; P: thready, weak (key) |
| What are s/s of KD Jing deficiency? | Poor memory, lumbar soreness/weakness, infertility; key: poor physical/mental development [premature aging, failure to grow and thrive] |
| What are T & P of KD Jing deficiency? | T: red, peeled; P: floating, empty |
| What are s/s of LV/GB DH? | Genital, LJ Sx, abdominal distention, bitter taste, poor appetite, N/V, scanty, dark yellow urine, possible jaundice, possible fever; key: hypochondriac pain/dist., exzema of scrotum, testes swelling/pain, yellow, foul leucorrhea |
| What are T & P for LV/GB DH? | T: yellow, sticky coat; P: string-taut, rapid |
| What are s/s of SP DH? | Generalized Sx, thirst w/o desire to drink, low grade fever, H/A; key: epigastric & abdominal fullness/dist, bitter taste, sticky mouth, loss of appetite, n/v, scanty, dark yellow urine, heaviness, loose stool/offensive odor, burining anus |
| What are T & P for SP DH? | T: yellow, sticky coat; P: soft, rapid [s/s for all 3 jiao] |
| What are s/s LI DH? | Intestinal Sx, chest/epigastric [LU], abdominal pain, scanty, deep-yellow urine, thirst w/o desire to drink, possible fever; key: heaviness of body/limbs, offensive odor of stools w/ blood/mucus, diarrhea is yellow, watery, burning anus, tenesmus |
| What are s/s of UB DH? | UB Sx, abdominal distention/fullness, possible LBP, thirst, fever; key: turbid, deep-yellow urine, urine frequency/urgency, burning pain in urethra, dribbling urination, hematuria, UB stones |
| What are T & P for UB DH? | T: yellow, sticky coat; P: rapid |
| What are s/s of LV blood stasis? | Abdominal pain, purple nails, complexion lips; key: hematemesis, epistaxis, prickling pain in hypochondria, palpable masses, irregular periods, menstrual blood dark/clotted |
| What are T & P of LV blood stasis? | T: Purplish dark esp on sides, purple spots; P: string-taut |
| What are s/s of HT blood stasis? | Cyanosis of face, nails, lips; key: intermittent cardiac pain, referring to shoulder and arm, palpitations |
| What are T & P of HT blood stasis? | T: purplish dark or purplish spots; P: thready, hesitant or knotted |
| What are s/s of ST blood stasis? | Pain after eating; key: hematemesis, blood in stools, stabbing pain in epigastrium/abdomen worse w/ pressure and heat |
| What are s/s of HT phlegm-fire? | Palpitations, flushed face, coarse breathing, bitter taste, constipation, deep-yellow urine, if severe aphasia, coma; key: derangement of mind, mania, incoherent speech, aggressive violent behavior, insomnia dream disturbed sleep |
| What are T & P for HT phlegm-fire? | T: yellow sticky coating; P: rolling, rapid, forceful |
| What are s/s of ST phlegm-fire? | Mental derangement, insomnia; key: stuffiness pain in the epigastrium, less thirst, mucus in stools |
| What are T & P for ST phlegm-fire? | T: thick-yellow-sticky coating; P: rapid |
| What are common s/s of HT fire and PC fire? | Palpitations, thirst, mouth and tongue ulcers, mental restlessness, feeling of agitation, feeling of heat, insomnia, dream-disturbed sleep, red face, bitter taste (after a bad night’s sleep) |
| What are specific s/s for PC fire? | A feeling of tightness and heat of the chest, slight chest ache, rapid breathing, heavy periods |
| What are T & P for HT and PC fire? | T: Red, tip redder and swollen w/ red points, yellow coating, possible midline crack to tip; P: full-rapid-overflowing esp on the left front position; possibly hasty |
| What are common s/s for HT and PC blood deficiency? | Palpitations, anxiety, insomnia, dizziness, dream-disturbed sleep, poor memory, dull-pale complexion, pale lips, propensity to being startled |
| What are specific s/s for PC blood deficiency? | A feeling of stuffiness and discomfort in the chest, very slight SOB, scanty periods, amenorrhea, cold hands |
| What are T & P for HT and PC blood deficiency? | T: pale, thin, slightly dry; P: choppy or fine; PC specific P: very slightly hard on the left front position |
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