CAP 3 Midterm Review II

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CAP 3 Midterm Review II
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2012-10-15 22:00:28
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  1. Early period, pale & dilute menstrual blood.
    Shortness of breath, loose stool, epigastric pain, tireness.
    Tongue: Pale
    Pulse: Weak & Thready
    What is diagnosis? Tx Principle? Points? Modifications?
    • Qi Def (Reinforce and Moxa)
    • Points: ST-36, SP-6, SP-10, CV-6
    • Mods: CV-4, [BL-20 + CV-12 + DU-20]
  2. Early Period, lower back pain, frequent urination, loose stools, dizziness
    Tongue: Swollen
    Pulse: Deep & Weak
    What is diagnosis? Tx Principle? Points?
    • KI Qi fails to consolidate the Chong & CV
    • Points: [LU-7(rt) + KI-6(lt)], [KI-3 + BL-23]
  3. Early period, heavy with bright-red / dark-red blood
    Anxiety, mental restlessness, red face, thirst, dark urine, dry stools
    Tongue: Red with yellowish coating
    Pulse: rapid or wiry
    What is diagnosis? Tx Principle? Points?
    • Blood Heat - excess type (Reducing / Even Method)
    • Points: LI-11, SP-10, CV-3, KI-5
  4. Early Period, bitter taste in mouth, dry mouth and throat, breast tenderness, irritability, abdominal and hypochondriac distension and pain
    Tongue: redder on sides
    Pulse: Wiry & Rapid
    What is diagnosis? Tx Principle? Points?
    • Stagnant LR Qi turning to Fire with Blood Heat
    • Points: [LR-3 + KI-2], [LR-14 + LR-5], SP-8
  5. Early period, scanty or thick and sticky flow
    Hot flashes or feeling of heat in evening, five palm heat, night sweating, dizziness, tinnitus
    Tongue: Red without coating
    Pulse: rapid & thready
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Heat - Def Type (Tonifying or Even Method)
    • Points: KI-3, LR-8, CV-4, [LR-2 + KI-2]
    • Mods: [LU-7(rt) + KI-6(lt)], [CV-3 + SP-6]
  6. Early period, restlessness, agitation, dizziness / vertigo, red face and eyes, dry mouth, and throat, menses flow relatively heavier
    What is diagnosis? Tx Principle? Points? Mods?
    • LR & KI Yin Def leading to Yang rising
    • Points: [BL-23 + KI-3] tonify, [GB-20 + LR-3] reduce
  7. Late periods, scanty bleeding with dark blood, clots and colic pain
    Abdominal pain relieved by heat, worse on pressure
    Feeling of cold, tight abdomen on palpation
    Tongue: Pale with Thick white coating
    Pulse: full & tight
    What is diagnosis? Tx Principle? Points? Modifications?
    • Cold in the uterus - excessive type (reducing method with moxa)
    • Points: CV-4, 6, [ST-29 + BL 32]
    • Mods: [SP-6 + 8], [ST-36 + 25], DU-4
  8. Late period, scanty, pinky or watery blood with small dark clots
    Painful period, abdominal pain relieved by heat and pressure, abdomen loose on palpation
    Tiredness, pale complexion, feeling of cold
    Tongue: pale & pufy
    Pulse: deep and weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • Cold in uterus - def type (Tonify with moxa)
    • Points: CV-4, 6, [ST-29 + BL-32]
    • Mods: SP-6, 8, [ST-25 + 36], DU-4
  9. Late & scanty periods, pale menstrual blood
    Dull-pale complexion, blurreed vision, and numb extremities, dizziness, poor concentration, palpitations, and insomnia
    Tongue: pale with thin coating
    Pulse: weak & thready
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Def (Tonify, Back Shu moxa after needling)
    • Points: BL-20, 17, [ST-36 + SP-6], CV-6
    • Mods: DU-20, LR-8, BL-23, [LU-7 + KI-6], [KI-13 + CV-4], HT-7, [CV-14 + BL-15]
  10. Late & Scanty periods with clots
    Irritability, depression, abdominal and breast distension for long time before the period comes
    Tongue: normal / slight red on the sides
    Pulse: wiry
    What is diagnosis? Tx Principle? Points? Modification?
    • Qi Stagnation (reducing method)
    • Points: LR-3, ST-25, SP-8, KI-13
    • Mods: [SP-4 + PC-6], [LR-14 + CV-17]
  11. Late period, bitter taste in mouth, thirst, short temper
    Tongue: red /w yellowish coating
    What is diagnosis? Tx Principle? Points?
    • LR Qi Stag leading to Heat / Fire
    • Points: [LR-2 + GB-43]
  12. Irregular periods with scanty bleeding, some clots
    Abdominal pain and breast distension, PMS, depression, sighing, irritability
    Tongue: Normal / slight red on sides
    Pulse: wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • LR Qi Stagnation (Reducing Method)
    • Points: LR-3, CV-6 + KI-14, SP-8
    • Mods: [CV-17 + LR-14], HT-7
  13. Irregular periods, dark clots, stabbing abnormal pain, worse by pressing
    Tongue: purplish
    Pulse: Wiry / Choppy
    What is diagnosis? Tx Principle? Points?
    • LR Qi Stag and Blood Stasis (reducing)
    • Points: ST-29, SP-10, BL-32
  14. Irregular periods, scanty with pale menstrual blood, no clots
    Lower back pain, dizziness, tinnitus, feeling of cold
    Tongue: pale and swollen
    Pulse: weak & deep
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI Yang Def (tonify with moxa)
    • Points: BL-23, 52, DU-4
    • (for Essence: KI-13, 14, CV-4, SP-6)
    • Mods: [Yao Yan + KI-10], [ST-36 + SP-6]
  15. Irregular & scanty periods
    Dizziness, blurred vision, night sweats, feeling of heat in the evening
    Tongue: red without coating
    Pulse: rapid & thready
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI Yin Def (Tonify without moxa)
    • Points: KI-3, 6, 7, CV-4
    • (for Essence: KI-13, 14, CV-4, SP-6)
    • Mods: [LU-7 + KI-6], [ST-36 + SP-6]
  16. Mid-cycle bleeding, heavy / scanty, no clots
    Tiredness, heavy and achy joints, congested chest, poor appetite, scanty-dark urine, yellowish vaginal discharge
    Tongue: sticky-yellow coating
    Pulse: slippery
    What is diagnosis? Tx Principle? Points? Modifications?
    • Damp-Heat (reducing or even method)
    • Points: SP-9, BL-22, [CV-9 + ST-28], [GB-41 + SJ-5], [SP-1 + 8]
    • Mods: CV-3, [ST-29 + BL-32]
  17. Mid-cycle bleeding, scanty / profuse, dark blood with clots
    Stabbing abdominal pain and mental restlessness
    Tongue: purple
    Pulse: wiry or choppy
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Stasis (reducing or even method, moxa can be used if tongue is bluish)
    • Points: [SP-4 + PC-6], ST-29, SP-10, 6, BL-17, CV-6, [SP-1 + 8]
    • Mods: [LI-4 + LR-3], KI-14
  18. Mid-cycle bleeding that is scanty, red blood flow without clots, no abdominal pain
    Dizziness, tinnitus, night sweating, back soreness, dark urine
    Tongue: Red without coating
    Pulse: Thready & Rapid
    What is diagnosis? Tx Principle? Points? Modifications?
    • LR & KI Yin Def (Even method, no moxa)
    • Points: [LU-7 + KI-6], CV-4, KI-3 2, 5, SP-6
    • Mods: LI-11, SP-10, LR-2, KI-13
  19. Mid-cycle bleeding, scanty / profuse, red blood / pinky watery, no clots, no abdominal pain
    Tiredness, dizziness, back and knee soreness, loose stool, frequent urination, cold lower back and limbs
    Tongue: pale and swollen
    Pulse: deep and weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • SP & KI Yang Def (Tonify with moxa)
    • Points: [BL-20 + CV-12], [ST-36 + SP-6], [BL-23 + CV-4], CV-6, SP-8
    • Mods: [DU-20 + 4]
  20. Heavy periods, pale and dilute blood
    Pale complexion, tiredness, palpitations, shortness of breath
    Tongue: pale
    Pulse: weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • Qi Def (tonify and moxa)
    • Points: DU-20, CV-6, [CV-12 + BL-20], [SP-6 + ST-36], SP-1
    • Mods: KI-13 / 14, [LU-7 + KI-6]
  21. Heavy periods, cold extremites, soreness and weakness of low back and knees, swollen and puffy legs
    What is diagnosis? Tx Principle? Points?
    • KI Qi and Yang Def
    • Points: [BL-23 + DU-4] moxa after needling, ST-29
  22. Heavy periods, bright-red dense blood
    Mental restlessness, anxiety, feeling of heat, thirst, dry stools, dark urine, red face and eyes, headache or dizziness
    Tongue: red tongue with redder sides
    Pulse: rapid overflowing
    What is diagnosis? Tx Principle? Points?
    • Blood Heat (reducing method)
    • Points: [SP-4 + PC-6], LI-11, SP-10, SP-6, BL-17, [KI-2 + LR-3], SP-8
  23. Heavy period, Bright-red / Dark red blood
    Flooding suddenly, often before proper time, or leaking of blood for a long time after the end of the proper period.  Thirst, red face, agitation, feeling of heat, dark urine, constipation.
    What is diagnosis? Tx Principle? Points?
    • Severe Gushing & Leaking sydnrome (Beng Lou)
    • Points: [SP-1 + LR-1], KI-5
  24. Profuse menstrual bleeding, with sudden flooding.  Depression, irritability, moodiness, thirst, nausea, vomiting, hypochondriac pain and distension.
    Tongue: Red /w redder sides
    Pulse: wiry
    What is diagnosis? Tx Principle? Points?
    • LR Qi Stag leading to Heat
    • Points: GB-34, LR-3, 14, UB-18, SJ-6
  25. Sudden flooding, earlier than the time of proper period or leaking for many days after the period.  Fresh-red blood, mental restlessness, feeling of heat at night, scanty-dark urine, dry stools.
    Tongue: red
    Pulse: thready & rapid
    What is diagnosis? Tx Principle? Points?
    • Blood Heat - def type (tonify)
    • Points: SP-1, LR-1, [LU-7 + KI-6], CV-4
  26. Heavy period with dizziness and tinnitus, soreness and weakness of low back, hot flashes, five center heat
    Tongue: red w/o coating
    Pulse: thready & rapid pulse
    What is diagnosis? Tx Principle? Points?
    • KI Yin Def
    • Points: BL-23, CV-4, KI-3
  27. Heavy periods with dark-clotted blood
    Abdominal pain worse with pressure and better after passing clots.
    Tongue: purple
    Pulse: wiry
    What is diagnosis? Tx Principle? Points?
    • Blood Stasis (Reducing or Even method)
    • Points: [SP-4 + PC-6], SP-6, CV-6, LR-3
  28. Hesitant periods, stops and starts again iwth flood or may leak for long time after period; pain before and during period, dark with clots, abdominal distension and pain, dark complexion.
    Tongue: Bluish-purple
    Pulse: choppy / wiry
    What is diagnosis? Tx Principle? Points?
    • Blood Stasis
    • Points: [ST-30 + SP-12], [SP-10 + BL-17 + ST-29] reducing, [SP-8 + LR-1]
  29. Scanty periods with pale-dilute blood
    Dizziness, blurred vision, insomnia, numb extremities, palpitations, poor memory, dull-pale complexion
    Tongue: pale & thin
    Pulse: Thready
    What is diagnosis? Tx Principle? Points?
    • Blood Def (tonify)
    • Points: CV-4, LR-8, [ST-36 + SP-6], [BL-18 + 20]
  30. Scanty periods, feeling of heat, dry mouth and throat, night sweating
    Tongue: Red w/o coating
    Pulse: Thready & Rapid
    What is diagnosis? Tx Principle? Points?
    • KI Yin Def
    • Points: KI-3, UB-23, [LU-7 + KI-6]
  31. Scanty periods with pale blood
    Back and Knee ache, cold extremities, dizziness, tinnitus, frequent-pale urination
    Tongue: pale & swollen
    Pulse: deep & weak
    What is diagnosis? Tx Principle? Points?
    • KI Yang Def (tonify and moxa)
    • Points: [BL-23 + CV-4], SP-6, ST-36, LR-8, DU-4, KI-13
  32. Scanty periods, dark blood and clots, abdominal pain better after passing clots
    Tongue: purple
    Pulse: wiry
    What is diagnosis? Tx Principle? Points?
    • KI Yang Def and Blood Stasis (Reducing, Nourish Blood)
    • Points: [SP-4 + PC-6], SP-10, BL-17, ST-29
  33. Scanty periods with brownish discharge, period stops and starts
    Overweight, congested chest, excessive discharge, tiredness, a feeling of heaviness
    Tongue: swollen with greasy white coating
    Pulse: slippery
    What is diagnosis? Tx Principle? Points? Modifications?
    • Phlegm obstructing the uterus (reducing or even method)
    • Points: [BL-20 + CV-12 + ST-36], CV-3, ST-40
    • Mods: [LU-7(rt) + KI-6(lt)], CV-6, BL-22, CV-9, ST-28
  34. Menses stops after several months of decreasing periods.
    Dizziness, blurred vision, palpitations, poor memory, dull-pale complexion, insomnia, numb extremities
    Tongue: pale
    Pulse: thready & weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • Blood Def (tonify and moxa)
    • Points: [BL-20 + BL-18 + ST-36], [CV-6 + SP-6]
    • Mods: BL-17, Zi Gong
  35. Amenorrhea, dry hair and falling out, dry eyes and skin, five center heat, hot flashes, night sweating
    Tongue: Red
    Pulse: thready & rapid
    What is diagnosis? Tx Principle? Points?
    • LR & KI Yin Def
    • Points: BL-23, KI-3, CV-4(3)
  36. Menses never had before age of 18 or delayed menarche.  Scanty and light, color, gradually the periods stop.
    Dizziness, tinnitus, soreness or lower back and knees, poor concentration.
    Tongue: pale
    Pulse: deep & thready
    What is diagnosis? Tx Principle? Points? Modification?
    • KI Essence Def (Tonify)
    • Points: [BL-23 + 18], [CV-6 + SP-6 + ST-29]
    • Mods: BL-17, SP-10, ST-36, [SP-4(rt) + PC-6(lt)], [LU-7(rt) + KI-6(lt)]
  37. Secondary Amenorrhea
    Abdominal and hypochondriac distention and pain, moodiness, irritability, depression, dark complexion
    Tongue: purple with purplish spots
    Pulse: wiry
    What is diagnosis? Tx Principle? Points? Modifications?
    • Qi & Blood Stagnation (reducing or even method)
    • Points: LR-3, [SP-4 + PC-6], SP-6, ST-30
    • Mods: [GB-34 + CV-6], KI-14
  38. Secondary Amenorrhea
    Obesity, excessive vaginal discharge, congested chest, nausea, feeling of heaviness, lassitude
    Tongue: swollen with thick greasy coating
    Pulse: slippery
    What is diagnosis? Tx Principle? Points?
    • Damp-Phlegm in uterus (reducing or even method)
    • Points: [GB-41 + SJ-5], [SP-9 + ST-36], ST-28, 27, BL-22, CV-6, CV-12
  39. Amenorrhea, hard and immovable abdominal masses, abdominal pain and distension, excessive vaginal discharge, feeling of heaviness
    Tongue: purple w/ white thick greasy coating
    Pulse: wiry & slippery
    What is diagnosis? Tx Principle? Points?
    • Blood stasis and Damp-Phlegm accumulation in Uterus
    • Points: ST-29, BL-32, [SP-10 + BL-17], [LU-7 + KI-6]
  40. Lower ab pain before / during the period.  Dark purple menstrual blood with clots, pain alleviated by passing out clots
    Breast tenderness, ab and hypochondriac distension and pain, PMS.
    Tongue: purplish red w/ purple spots
    Pulse: wiry and choppy
    What is diagnosis? Tx Principle? Points?
    • Qi Stag & Blood Stasis (reducing)
    • Points: [CV-3 + 4], SP-6, 8, 10, BL-32, ST-29
  41. Ab pain, dark red, heavy menstrual blood, bitter taste in mouth, irritability, anger, feeling of heat, dry stools
    Tongue: redder on sides
    Pulse: Wiry & Rapid
    What is diagnosis? Tx Principle? Points?
    • LR Qi Stag leading to Heat
    • Points: [LR-3 + LI-4], LR-2, LI-11
  42. Ab pain, burning pain extending to sacrum, yellow vaginal discharge
    Tongue: red body w/ sticky-yellow coating
    Pulse: wiry & slipppery
    What is diagnosis? Tx Principle? Points?
    • Qi and Blood Stasis w/ Damp-Heat accumulation
    • Points: SP-9, ST-28, CV-9, LI-11
  43. Lower ab pain before / during period
    Pain & distension relieved by heat, worse on pressure
    Menstrual blood with small, dark clots
    Cold & sore lower back
    Tongue: pale-bluish / bluish-purple
    Pulse: deep & choppy / deep & wiry
    What is diagnosis? Tx Principle? Points?
    • Cold Stag (Reducing w/ Moxa)
    • Points: CV-3, 4, SP-6, 8, 10
  44. Dysmenorrhea, larger clots, sharp / stabbing ab pain with distension
    Tongue: bluish and purplish
    Pulse: choppy
    What is diagnosis? Tx Principle? Points?
    • Cold Stag and Blood Stasis (reducing)
    • Points: [LR-3 + LI-4], BL-32, KI-14, [ST-29 + 27] moxa
  45. Dysmenorrhea worse on pressure, cold extremities and lower back, tiredness, dizziness, ab distension, loose stools, poor appetite
    Tongue: pale bluish, puffy tongue /w teeth marks
    Pulse: deep & thready
    What is diagnosis? Tx Principle? Points?
    • Excessive & Deficient Cold complex (tonify and moxa)
    • Points: BL-23, 20, DU-4, CV-6,12, ST-36
  46. Dull ab pain, towards end of / after period, scant bleeding
    Dragging sensation in the lower abdomen, pain relieved by pressure & massage.
    Pale complexion, blurred vision, tiredness, slight dizziness, loose stools
    Tongue: pale, puffy w/ teeth marks
    Pulse: thready / choppy
    What is diagnosis? Tx Principle? Points? Modification?
    • Qi & Blood Def (reinforcing / even method)
    • Points: CV-4, 6, [ST-36 + SP-6]
    • Mods: BL-20, 17, 32, 54, SP-8, 10, ST-29
  47. Dysmenorrhea relieved by pressure and heat, pale / pinky and watery menstrual flow, tiredness, loose stools, cold limbs and low back
    Tongue: pale and swollen
    Pulse: thready & deep
    What is diagnosis? Tx Principle? Points?
    • Blood & Yang Def
    • Points: CV-12 (moxa), BL-20, 23, ST-36, SP-6
  48. Dull ab pain towards the end of / after period
    Scanty bleeding, irregular menses, pain relieved by pressure and massage
    Sore back, dizziness, tinnitus, blurred vision, exhaustion
    Tongue: red w/o coating
    Pulse: deep, thready & rapid
    What is diagnosis? Tx Principle? Points? Modifications?
    • KI & LR Yin Def (tonify w/o moxa)
    • Points: BL-23, 18, CV-4, KI-3, SP-6
    • Mods: ST-36, BL-54, 32
  49. Ab pain, dry throat and mouth, five center head, afternoon fever and night sweating
    What is diagnosis? Tx Principle? Points?
    • severe LR & KI Yin Def leading to Def Heat
    • Points: [LU-7 + KI-6]
  50. Ab and breast distension before the period, hypochondriac pain and distension
    Irritability, moodiness, depression
    Tongue: redder sides
    Pulse: wiry all over / only on left
    What is diagnosis? Tx Principle? Points? Modifications?
    • LR Qi Stag (reducing)
    • Points: [LR-3 + GB-34], SJ-5, PC-6
    • Mods: GB-41, [ST-36 + SP-6]
  51. PMS with bitter taste in the mouth, headache, red face and eyes, constipation
    Tongue: red w/ yellow coating
    What is diagnosis? Tx Principle? Points?
    • LR Qi Stag leading to Heat
    • Points: LR-2
  52. Agitation, depression, slightly manic behavior, aggressiveness, feeling of oppression of the chest
    Red eyes and face
    Tongue: red w/ sticky-yellow coating
    Pulse: slippery & rapid
    What is diagnosis? Tx Principle? Points? Modifications?
    • Phlegm-fire harassing upward
    • Points: [ST-40 + PC-7], [LI-11 + ST-44], [ST-8 + DU-20]
    • Mods: CV-17, 12, SP-9, BL-20
  53. PMS, severe depression and agitation, subjective sensation in the throat with inability to swallow, aggravated by emotional changes
    What is diagnosis? Tx Principle? Points?
    • Phlegm and Qi accumulation (Plum-pit Qi)
    • Points: CV-22, 17, PC-6, LR-3
  54. Depression and sadness before the period, slight ab and breast distension
    Scanty period, tiredness, poor memory, poor sleep, slight dizziness and a dull-pale complexion, and numb extremities.
    Tongue: pale
    Pulse: choppy / fine
    What is diagnosis? Tx Principle? Points? Modification?
    • LR Blood Def (tonify)
    • Points: CV-4, 6, [LR-8 + BL-18], [PC-6 + GB-34]
    • Mods: [SP-6 + ST-36 + BL-20], [LU-7 + KI-6]
  55. PMS, slight breast distension, irritability before period and occasionally after, sore lower back and knees, dizziness, blurred vision, poor memory, insomnia, dry eyes and throat, five center heat
    Tongue: red w/o coating
    Pulse: deep & thready
    What is diagnosis? Tx Principle? Points?
    • LR & KI Yin Def
    • Points: SP-6, LR-3, BL-23, KI-3
  56. Slight pre-menstrual tension with depression and weeping, slight ab and breast distension, tiredness, sore back, feeling cold, frequent and pale urination, low sex drive
    Tongue: pale & swollen
    Pulse: deep & weak
    What is diagnosis? Tx Principle? Points? Modifications?
    • SP & KI Yang Def (reinforcing w/ moxa)
    • Points: BL-23, 20, CV-4, [ST-36 + SP-6], KI-3, [LU-7 + KI-6]
    • Mods: DU-4, BL-52
  57. PMS, stabbing and distending pain in breasts and ab, cold lower back and limbs
    Tongue: purplish, bluish, watery tongue
    Pulse: deep, weak and choppy
    What is diagnosis? Tx Principle? Points?
    • SP & KI Yang Def and Blood Stasis
    • Points: ST-30, SP-10, [LI-4 + LR-3]

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