Tcm Diagnosis Study Guide
A young woman comes to your office complaining of a cough that does not go away. As you question her, you discover that her cough began four months ago with a flu that kept her in bed for three weeks with a high fever, constipation, and a red rash. All of her symptoms are now gone except for this cough, which is very painful for her. She complains feeling 'globs' of sputum stuck in her throat and chest, but she cant seem to cough them up.
Her face appears slightly flushed and she gets thirsty easily. Her pulse is slightly rapid and slightly thready.
Which of the following tongue appearances would you expect to find in this case? Simon, age 31, complains of impotence and inability to maintain an erection for more than one minute. He also complains of exhaustion, cold hands and feet, and loose stools. Upon examination, you notice that he has bead of sweat on his forehead. He says he sweats very easily during the day with the slightest exertion.
He also complains of diarrhea in the early hours of the morning at least twice a week. Additionally, he is being treated by Western doctors for bronchial asthma. He currently uses a steroidal inhaler because of his difficulty inhaling. What kind of tongue and pulse would you expect to find in Simon at this time?
Marianne is a 52 year-old woman who has been suffering from headaches for the past three years. The headaches occur mostly in the forehead and facial areas, but also on the top of the head. The headaches started after a fast and are worse during the daytime. They are accompanied by a feeling of fuzziness in the head.
She reports that she has also been suffering from chronic catarrh and rhinitis for the past 25 years. She suffers with chronic low back pain and frequent urination. She feels tired. She is also constipated and does not mover bowels every day.
When she does have a bowel movement, the stools are loose. She generally feels cold. With which of the following tongue ad pulse signs will this patient most likely present? A 58-year old male has suffered from chronic bronchitis for over ten years. Five days ago, his cough worsened when he caught a cold. Now he coughs all day with profuse thick yellow sputum that is difficult to expectorate.
He reports fullness and distention in the chest and hypochondriac region as well as chest pain induced by cough. Other symptoms include shortness of breath and sonorus breathing, a red face, thirst with a desire to drink water, and a slippery rapid pulse. Which of the following tongue descriptions would you most likely find in this patient? A 50 year-old female patient has had pain in her left elbow for six months. The pain is severe and worsens with movement or when trying to grip an object with her hand. She is unable to work or carry out her daily household chores.
A surgeon diagnosed the condition as lateral humeral epicondylitis. Heat therapy provides temporary relief from the pain. Examination shows local tenderness over the left lateral humeral epicondyle. Pain is also elicited by resisting dorsiflexion of the patient's left hand. What is the pathogenesis? A 40 year-old female has had dull epigastric pain for over 20 years. Two years ago she was diagnosed with an ulcer in the duodenal bulb with chronic superficial gastritis.
The pain radiates to her back and is accompanied by nausea and regurgitation of clear fluids. She has a poor appetite, a dulled sense of taste, and a preference for hot beverages.
The pain is alleviated with local pressure. Her stools are sticky and loose.
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She has a pale tongue with a thin, white coating and a deficient pulse. What is the pathogenesis? A 35 year-old female comes in for treatment of her chronic loose stools that have lasted over three years. She was diagnosed with irritable bowel syndrome. The diarrhea is usually accompanied with abdominal pain which is releved somewhat after the bowel movement. She has episodes of loose stools five to six times per day. It is often induced by emotional depression or anger.
She is currently going through a divorce. She also suffers from hypochondriac pain and distention, retching, and lack of appetite.
Her tongue is dusky purple with teeth marks and a thing white coating. Which of the following pulses will most likely be found in this patient? A 30 year-old male has suffered from asthma for over 20 years. He has asthma attacks five to eight times per year. These attacks are induced by weather changes or when he catches a cold. He had a flu last week with chills and fever, headache, body aches, and cough. Now he experiences shortness of breath and cough with watery sputum.
He looks very skinny and pale, has a weak voice, and sweats easily. His tongue is pale with a thin coating. What is the most likely pulse one would find in this patient? A 58 year-old African American male patient had a CVA two weeks ago. He now suffers from hemiplegia on his right side. During the physical examination you find that there are big scars on his chest and right inner leg, the result of a bypass surgery three years ago. His right hand and ankle are swollen.
Blood pressure is 180/190 mmHg. His tongue is swollen with a purplish color and there is a thick yellow greasy coating. His hypoglossal veins are purple and extended.
Which of the following pulses will most likely be found in this patient? A 34 year-old female has suffered from migraine headaches for over 12 years: The pain is on the top of the head with a dull, achy, cold sensation.
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The pain is accompanied by nausea, dry heaves or spitting of clear fluids, as well as photo-sensitivity. The pain usually occurs just after her menstrual period. Her cycle is 34 days. Upon examination, you find she is 5'4' tall and weighs 95 lbs.
Her tongue is slightly pale with a white, moist coating. Which of the following is the pulse most likely to be found in this patient? A 36 year-old female had an abortion to terminate her three month pregnancy. That was four months ago, and since then she hasn't had a menstrual period. She also suffers from constant low abdominal pain and complains of fatigue, dizziness, and periodic blurred vision. Physical examination finds that there are tender spots on her lower abdomen that are sensitive to pressure.
Her tongue is pale purple with a thin coating. Which of the following pulses will most likely be found in this patient? A 35 year-old female has experienced UTI symptoms three to four times per year for the past six years.
She uses antibiotics each time to control the symptoms until last year, when she developed a yeast infection. Her UTIs are usually induced by exertion and in general her energy level is very low. She urgently needs to urinate every hour, and it is painful and burning. Her tongue has teeth marks, and is slightly pale with a greasy yellow coating.
Which of the following pulses will most likely be found in this patient? Joe is a 51 year-old male Wall Street broker who has been diagnosed with hypertension over the past ten years. He experiences dizziness, distending headache, insomnia, dream disturbed sleep, and occasional tinnitus which is high pitched. Three days ago, after returning home from work, he suddenly felt numbness in his limbs and stiffness along his left side. This was accompanied by inability to speak and facial hemiplegia on the left side.
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His tongue is red with a thin yellow coating. Which of the following pules will you find in Joe at this time? A 33 year-old female patient had a miscarriage three years ago. Since then, she has suffered from persistent mild headaches that have a dull, empty feeling.
This headache is worse in the morning and is aggravated by exertion. It is even worse during or after her menstrual period. Other signs and symptoms include low energy, shortness of breath, palpitations, and insomnia. Her tongue looks pale and has a thin white coating. Which of the following pulses are most likely to be found in this patient? A 31 year-old woman has been pregnant for four months and complains of frequent uterine bleeding, which is spotty and dark red in color, with abdominal pain and slight spasms.
According to the results of several ultrasounds, she has a fibroid tumor that is increasing in size. She also told you that she has suffered from dysmenorrhea over the past 15 years and that her menstrual periods are always overflowing, with dark purple blood and clots. She has had four miscarriages and she wants you to help her carry this baby to full-term. Which of the following pulses would you expet to find in this patient? A 24 year-old female complains of hand tremors and nervousness.
She said that over the past couple weeks she has been emotionally unstable and has experienced palpitations, restlessness, and insomnia. She also has loose stools and is losing weight.
She sweats a lot, is intolerant of heat, and has muscle weakness. Laboratory studies how increased serum T3 and serum T4. Pulse rate is 120 bpm, and her blood pressure is 120/83 mmgHg.
She has a red tongue with a thready yellow coating. Her Western diagnosis is hyperthyroidism. Which of the following pulses will most likely be found in her?
Books.google.co.th - This book is organized around the 'four pillars' of TCM diagnosis: inspection, inquiry, listening and smelling, and palpation. In this text, each aspect is explained in a clear and systematic manner, with generous use of tables and illustrations. This is followed by a series of review questions for deeper. Traditional Chinese Medicine Diagnosis Study Guide. This book is organized around the 'four pillars' of TCM diagnosis: inspection, inquiry, listening and smelling, and palpation. In this text, each aspect is explained in a clear and systematic manner, with generous use of tables and illustrations.
This is followed by a series of review questions for deeper understanding. A comprehensive self-examination consisting of 200 multiple choice questions, with a separate key to the answers, tests the reader's understanding of the important points of each aspect of diagnosis. These questions, many of which are presented in case study format, will help students prepare for the board exams. Qiao Yi, M.D.
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(China), M.P.H., L.Ac., is a graduate of Beijing University of Traditional Chinese Medicine (1987), and received a Masters degree in Public Health from U.C.L.A. She served as clinical director at both Emperor's College and SAMRA University, and as Associate Dean and Academic Dean at Yo San University and Emperor's College.
Qiao has been teaching TCM courses since 1991 at schools in Southern California, where she was also involved with curriculum development. She also served as commissioner for the Accredita¬tion Commission for Acupuncture and Oriental Medicine (ACAOM) for eight years.
In addition to teaching, Dr. Qiao is engaged in acupuncture research at Cedar Sinai Hospital, and maintains a private practice in Los Angeles.
Qiao and Stone are coauthors of The Traditional Chinese Medicine Formula Study Guide.Al Stone, L.Ac., D.A.O.M., graduated from Emperor's College with a Masters in TCM (1997) and a Doctorate in Acupuncture and Oriental Medicine (2007). He is best known as the founder of the website acupuncture.com. Stone maintains a significant online presence at gancao.net, and an internal medicine practice that focuses on Chinese herbal medicine in Santa Monica. He also teaches classes and super¬vises in the clinic at Emperor's College. Stone has been editing TCM texts since 1995, including The Treatment of Lupus, Scleroderma, and Dermatomyositis with TCM, published by People's Medical Publishing House in Beijing.
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