CAP I Midterm Review

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CAP I Midterm Review
2013-02-22 19:28:32

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  1. What are the symptoms that differentiate Exterior from Interior Syndrome?
    • Exterior: Fever /w aversion
    • Interior: Fever or aversion
  2. What are the symptoms that differentiate Wind Cold from Wind Heat?
    • Wind-Cold: No sweat, Tai Yang headache, dilute white sputum, white coating, tense pulse
    • Wind-Heat: Sweat, Yang Ming headache, yellow sticky sputum, yellow coating, rapid pulse
  3. Which points Dispel Wind / contain Wind in their name?
    • DU-16: Palace of Wind (Feng Fu)
    • GB-20: Wind Pool (Feng Chi)
    • BL-12: Wind Gate (Feng Men)
  4. Which points Disperse the Lung and Release the Exterior?
    • LU-7 & LI-4
    • Reducing /w moxa
  5. What is the needling direction of GB-20?
    • Toward the opposite inner canthus
    • Toward tip of nose
    • Toward the mouth
  6. What is the needling direction of GB-20 when used to relieve occipital headache and nasal obstruction due to wind-cold attack?
    Oblique towards nose & mouth /w moxa
  7. What is the best point for reducing body temperature?
  8. What is the best point for sore throat?
  9. What is the best points in the prevention of influenza?
    • BL-12
    • ST-36
    • /w moxa
  10. Which Zang organs are related to chronic cough?
    • LU
    • SP
    • LR (KI)
  11. What is the needle technique of CV-22 for severe cough with productive sputum?
    • Tap needle in first at 45°
    • Curve and go in
  12. What is the key point regarding the TCM pathogenesis of asthma?
    • Constitutional tendency of phlegm
    • due to climate, diet, emotions, overstrain
  13. What does the term Xiao Chuan mean?
    • Xiao - wheezing
    • Chuan - dyspnea
  14. Which Zang organs are related to Asthma?
    • LU
    • SP
    • KI (more for dyspnea)
  15. If a patient cannot lie flat on their back to sleep at night (requiring many pillows), then it is a sign of what?
    Kidney Deficiency
  16. What is the best point for asthma especially for relieving wheezing?
    Ding Chuan (.5 cun lateral to DU-14)
  17. What is the importance of CV-17 in treating asthma?
    • Hui-Meeting point of Qi
    • Point of Sea of Qi
  18. What point to treat persistent asthma?
    DU-12 (send to hospital immediately)
  19. What Auricular point for treating asthma?
    • Apex of Antitragus (Ping Chuan)
    • Adrenal
    • Trachea
    • Subcortex
    • Sympathetic
  20. In Modern Research of Asthma, which point was found to improve lung function by affecting the level of plasma cAMP and hydrocortisone?
  21. What are the main symptoms associated with Upper Respiratory Infection related to internal excessive syndrome in TCM?
    • High Fever
    • Chest Pain
    • Constipation
  22. Which points, with the use of the bleeding method, treat LU Heat?
    DU-13, 14
  23. Using the theory of combining Yuan-Source with Luo-Connecting points, which point are used to treat LU Heat?
    LU-9 & LI-6
  24. What is the Chinese term for Allergic Rhinitis?
    • Bi Jiu
    • *Bi Yuan - polyps / chronic inflammation
  25. What is TCM Etiology of Allergic Rhinitis?
    LU Qi↓ → Wei Qi↓ → Wind-Cold invasion → fluid retention
  26. What are the common patterns of Allergic Rhinitis?
    • LU Qi Def w/ Wind-Cold affection
    • Heat Retention in the LU & ST meridians
  27. Which points are commonly used to treat nasal problems?
    • DU-23
    • LI-20
    • Bi Tong
  28. What is an easy way to locate DU-23 (esp. in the case of patients with unusual or receding hair lines)?
    Midpoint of Yin Tang & DU-20
  29. What is the needle technique of LI-20 & Bi Tong?
    • Through-needle starting at LI-20
    • 30° towards the nose
  30. What are Auricular points for the treatment of allergy?
    • Inner Nose (for post nasal drip)
    • Shen Men
    • Endocrine
    • Lung
    • Wind Stream (a.k.a. Allergic)
    • Spleen
  31. What is the TCM Pathogenesis of Pulmonary Tuberculosis?
    • Water Exhaustion, Earth Impairment, Metal Erosion
    • 水枯土崩金蝕
  32. What is the TCM pathogenesis of Bronchiectasis?
    • A deficiency complicated by excessive syndrome
    • Lung Qi↓ w/ EPF Phlegm
  33. What is the point to treat Bronchiectasis (Damp-Heat)?
  34. How do you determine whether Aphonia is "Metal Fullness" (金實無聲) or "Metal Broken" (金碎不鳴)
    • Metal Fullness - Excess - due to EPF / emotional, short duration
    • Metal Broken - Deficiency - due to Yin Def / overstrain of vocal cords, long duration
  35. What are the patterns for "Metal Fullness" (金實無聲)?
    • Wind-Cold restriction and Lung's inability to disperse
    • Phlegm-Heat in the LU
    • Qi Stagnation
  36. What is the pattern for "Metal Broken" (金碎不鳴)?
    LU & KI Def
  37. What is the needle technique of SI-17 for the treatment of Aphonia?
    • 45° towards tongue root
    • *especially for tonsillitis / laryngitis
  38. What are the most important points for Acute Respiratory Failure?
    DU-25, 26
  39. This syndrome refers to a suffocating sensation, fullness and pain in the chest.  There is only fullness as if the chest is being oppressed in the mild case, but angina pectoris, shortness of breath and asthmatic breathing in the severe cases.  It is closely related to the dysfunction of the heart and lung organs.
    Thoracic Bi-Syndrome / Zhen Xin Tong / 真心痛
  40. What is the key Etiology of Thoracic Bi-Syndrome?
    Constitutional deficiency of either Heart Qi / Yang
  41. What patterns of Thoracic Bi-Syndrome?
    • Def Cold (Angina Pectoris)
    • Turbid Phlegm Retention (Cholesterol)
    • Blood Stasis (Atherosclerosis)
  42. What is the needle technique of CV-15?
    Downward insertion only
  43. This term refers to a cardiac condition characterized by rapid heart beat with nervousness and anxiety.  it generally occurs in paroxysmal (sudden) attacks.  Such attacks or their aggravated conditions are often the consequence of emotional disturbance or overstrain.
    Palpitations / Jing Ji / 惊悸
  44. What is the key Etiology of Palpitation?
    Constitutional deficiency of HT Qi or insufficiency of HT Blood
  45. What are the patterns of Palpitations?
    • HT-Shen Disturbance
    • Qi & Blood Def
    • Phlegm-Fire Disturbance
    • Blood Stasis
  46. What are points used to treat Anxiety?
    • HT-7 & BL-15
    • Combination of Yuan-Source with Back-Shu points
  47. What is the best point to treat Arrhythmia?
    PC-6 w/ light stimulation, < 90° manipulation
  48. This term refers to a mental disorder with paroxysmal (sudden) attacks, is characterized by a sudden falling down in a fit, mouthful of foam, eyes staring upward (only see the whites), convulsions and screaming as if sounding like a pig or sheep.  However, the patient appears normal when he regains consciousness.
    Epilepsy / Seizures / Xian Syndrome / 癇症
  49. What is the difference between Yang Epilepsy and Yin Epilepsy?
    • Yang: convulsion (movement)
    • Yin: loss of consciousness (stasis)
  50. What points are used to treat Seizures?
    • DU-8, 14
    • CV-15
    • Yao Qi - 1→1.5 cun above hiatus
  51. Legally speaking, do acupuncturist treat seizures?
    • No
    • Call 911 immediately
  52. This is characterized by a quiet physical state such as emotional dejection, apathy, dull or incoherent speech.
    • Dian 癲 Manic Depression - Fluid stagnates into phlegm and disturbs upward to result in the mind disorder
    • Yin in Nature
  53. This is characterized by hyperactive physical and mental state such as restlessness, abnormally hyperactive mentality, excessive motor activity or violent behavior.
    • Kuang 狂 Mental Insanity - related to depressed LR Qi
    • Yang in Nature
  54. What is the special needle technique applied to treat Dian (癲) Syndrome?
    • 30 gauge needle, 1.5 cun needle into Yin Tang
    • Needling tip inserted until same level as BL-1
  55. What are the patterns for insomnia?
    • Def of HT & SP
    • HT & KI Disharmony
    • Derangement of ST
    • Flaring up of LR Fire
  56. What are common points for insomnia?
    HT-7 & SP-6
  57. How do you locate An Mian?
    Midpoint of SJ-17 & GB-20
  58. What is the tonification / sedation method for BL-62 & KI-6 in treating insomnia?
    • BL-62↓ (Yang Qiao)
    • KI-6↑ (Yin Qiao)
  59. What is the indication for moxa therapy in the treatment of insomnia?
    • DU-20
    • *esp for HT Blood & SP Qi Def
  60. What is the Etiology for Somnolence?
    • Excessive damp acc in the SP
    • Trauma leading to blood stasis of vessels of the brain
  61. What is the Pattern for Somnolence?
    • Excess Damp Acc in SP
    • SP Qi Def
    • Def and Decline of Yang Qi
    • Blood Stasis obstructing
  62. What is tonification / sedation method for BL-62 & KI-6 for Somnolence?
    • BL-62↑ (Yang Qiao)
    • KI-6↓ (Yin Qiao)
  63. What are the patterns for Poor Memory?
    • HT & SP Def
    • HT & KI Disharmony
    • Emptiness of Sea of Marrow
    • Phlegm-Fluid and Stasis Obstruction
  64. What point are good for Poor Memory?
    • Si Shen Cong
    • HT-5
  65. What are points used to Sweating?
    • Over sweat: LI-4↓ & KI-7↑
    • No Sweat: LI-4↑ & KI-7↓
  66. What are the patterns for Epigastric Pain?
    • LR Qi attacking ST
    • Food Retention
    • Def Cold in SP & ST
  67. What are common points for Epigastric Pain?
    • CV-12
    • ST-36
    • PC-6
  68. What are most common causes of Erosive Gastritis?
    • NSAIDs
    • Alcohol
    • Stress
  69. What is the common cause of Nonerosive Nonspecific gastritis?
    • H. pylori
    • *This is a spiral gram-negative rod that resides beneath the gastric mucus layer adjacent to gastric epithelial cells.
  70. This term refers to noisy vomiting with food substances?
    Ou Tu 嘔吐
  71. This term refers to non-sounding vomiting with food substance?
    Tu 吐
  72. This term refers to noisy nausea without food substance or gastric fluid?
    Ou 嘔
  73. What are the patterns for Nausea & Vomiting?
    • EPF invading ST
    • Food Retention in ST
    • LR Qi attacking ST
    • Def of SP & ST
  74. What points can be applied to safely treat Hiccups?
    Extremity points (i.e. PC-6, ST-44, LR-3); torso points not suitable due to the hiccuping action
  75. What is the extra point used for Hiccups?
    • Zhong Kui
    • On the dorsal crease of the middle finger, at the center of the proximal interphalangeal joint
  76. What TCM syndrome is associated with GERD?
    LR Qi Stag
  77. Which Jia Ji Points are used to treat Stomach ache?
  78. This refers to a condition characterized by a feeling of obstruction during swallowing and instant vomiting after food intake.
    Dysphagia Syndrome 噎膈
  79. What is not included in Abdominal Pain in TCM?
    • Post-op abdominal pain
    • GYN abdominal pain
  80. What is the pathogenesis of Abdominal Pain?
    • Cold obstructing Qi flow
    • Food Retention turning to heat
    • Constitutional Yang Def and Spleen Yang Def
  81. What are the patterns for Abdominal Pain?
    • Acc of Cold in the interior
    • Food Retention
    • SP Yang Def
  82. What TCM syndrome is associated with Ulcerative Colitis and Crohn's Disease?
    SP Qi Def
  83. This term refers to an intestinal epidemic disease that occurs more in the summer time. It is characterized by abdominal pain, tenesmus and frequent bowel movements containing blood and mucus. Clinically, it is divided into damp-heat, damp-cold, fasting, and chronic recurrent types.
  84. This type of dysentery includes symptoms of abdominal pain, tenesmus, blood stools with pus and mucus?
  85. This type of dysentery includes symptoms of spasmodic pain in the abdomen, white mucus or mixed with small amount of blood in the stools, tenesmus?
  86. This type of dysentery includes symptoms of frequent stools containing blood and pus, total loss of appetite?
    Fasting Dysentery
  87. This type of dysentery includes symptoms of intermittent occurrence from time to time in a lingering course.
    Chronic Recurrent Dysentery
  88. What are the patterns for Constipation?
    • Heat
    • Qi Stag
    • Deficiency
    • Cold
  89. What is the point combination for constipation due to Qi Stag?
    • GB-34
    • SJ-6
  90. What kinds of diseases are can cause constipation?
    • Endocrine: hypothyroid, Diabetes
    • Metabolic: hypokalemia, hypercalcemia, uremia
    • Neurologic: paraplegia, Parkinson's, MS
  91. This term refers to accumulation of heat in the intestines producing purulent substance. Clinically, the patient may have fever with aversion to cold, palpable masses in the lower lateral abdomen and pain that is worse on pressure, or pain with difficulty in extending the leg.
    Intestinal Abscess / Appendicitis
  92. Where is Lan Wei Xue (extra point) located?
    • 1-2 cun below ST-36
    • This point is not a fixed point, must palpate
    • can range from 0 to +3
    • Where 0 (or below) is a negative sign and +3 which is an emergency case requiring immediate hospitalization
  93. What are the patterns for Prolapse of Rectum?
    • Def Qi in Middle Jiao
    • Damp-Heat attacking Lower Jiao
  94. What is the needling technique for DU-1 for Prolapse of Rectum?
    Toward the abdomen using a 2 cun needle
  95. This type of hemorrhoid involves sinking pain in the anus, and small soft swollen veins in fresh red or purplish green color. Bleeding is often caused by pressing during bowel excretion characterized by dripping of bleeding in the mild case and shooting of blood in the severe case.
    Internal Hemorrhoid
  96. This type of hemorrhoid is mainly characterized by visible swollen veins that increase in size and become hard in nature. It is usually caused by long sitting, long standing or anus friction. There is generally, no bleeding involved.
    External Hemorrhoid
  97. What are common points for hemorrhoids?
    • BL-57
    • Er Bai (extra point)
    • Pile Spot (Hemorrhoid, auricular point)