CAP 2 Quiz 2

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son850
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226176
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CAP 2 Quiz 2
Updated:
2013-07-07 12:16:53
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CAP
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ENT, Oral, Eyes
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  1. Onset of Tinnitus / deafness is abrupt with ringing in the ear as if some wind blowing into ear. Pressing with hand over the ear orifice has no relief of deafness nor tinnitus. Headache, flushed face, bitter taste and dry throat, restlessness with irritability, disturbed sleep, discomfort in the hypochondriac region, constipation.
    T: red w/ yellow coating
    P: rapid & wiry

    What is Diagnosis? Treatment Principle? Points?
    • Flaring Fire of LR & GB
    • Clear heat in LR & GB
    • SJ-3, 17, GB-2, 40, 43, LR-2
  2. Tinnitus like the ringing of a cicada with hypoacusis (partial hearing loss) / deafness as if there is obstruction. Dizziness with heavy sensation, fullness in the chest, bitter taste in mouth, excessive phlegm, unsmooth urinary and stool discharge.
    T: Greasy coat
    P: slippery

    What is Diagnosis? Treatment Principle? Points?
    • Phlegm-Heat Stagnation
    • Eliminate Heat, resolve Phlegm, disperse pathogenic accumulation
    • SJ-3, 17, GB-2, 43, CV-13, ST-40, 44
    • Hearing Loss due to Heat: LI-6
  3. Tinnitus bothering both ears intermittently is better in the daytime but worse at night, hand over ear alleviates condition. Loss of hearing, dizziness, fatigue, soreness and weakness of the lumbar region and knee joints, fidgeting of def type and insomnia.
    T: red w/ little coat
    P: weak & thready / rapid

    What is Diagnosis? Treatment Principle? Points?
    • KI Essence Def
    • Reinforce KI Essence
    • SJ-3, 17, GB-2, BL-23, 42, DU-4, CV-4, SP-6, LR-3, KI-3
  4. What are the main acupoints for any type of tinnitus?
    • SJ-3 (needling towards proximal), 17
    • GB-2
  5. What are good scalp zones for the treatment of tinnitus?
    • Vertigo Zone
    • Auditory Zone
    • *bilaterally
  6. Vertigo and spinning, head like something wrapped, easy to get angry, distention in hypochondriac and chest regions, nausea, vomiting of sticky sputum, poor appetite.
    T: red w/ thick sticky coat
    P: wiry & slippery

    What is Diagnosis? Treatment Principle? Points?
    • LR over control ST
    • Soothe LR Yang, regulate ST, resolve phlegm
    • GB-20, PC-6, CV-12, ST-36, LR-3
    • Phlegm: ST-40
    • Severe Dizziness: Yin Tang
    • Tinnitus: SI-19
  7. Heaviness in the head and unsteady balance, pale complexion, palpitation, tinnitus, poor appetite, fatigue
    T: pale
    P: thready

    What is Diagnosis? Treatment Principle? Points?
    • HT & ST Def
    • Tonify HT & SP
    • DU-20, GB-12, BL-15, 17, ST-36, SP-6
  8. Vertigo accompanied with Tinnitus, soreness of lumbar and knees, five center heat, tidal fever, malar flush
    T: red w/ less coat
    P: thready

    What is Diagnosis? Treatment Principle? Points?
    • LR & KI Yin Def
    • Nourish Yin, inhibit Wood
    • GB-20, 24, BL-18, 23, KI-3, SP-6
  9. What is the needle technique of PC-6 in the case of Ménière's Syndrome
    • Massage / Knead for 5 mins before needle insertion
    • *to prevent shooting / shock sensation to hands, block region distal to PC-6
  10. Dripping of fresh blood accompanied by dry nose, general feverish sensation, dry mouth, cough w/ little sputum
    T: Red w/ thin white coat
    P: rapid, superficial

    What is Diagnosis? Treatment Principle? Points?
    • Heat Accumulation in the LU
    • Clear Wind, Eliminate Heat, stop bleeding
    • GB-20, LI-4, 20, LU-11
    • Severe Heat: DU-14, LI-11
    • Heavy Nasal Bleeding: BL-40 (bleeding)
  11. Heavy nasal bleeding of fresh red / deep red color accompanied by dry throat, foul smell in the mouth, thirst, desire for cold drinks, constipation, scanty urine
    T: red w/ yellow coat
    P: rapid & superficial

    What is Diagnosis? Treatment Principle? Points?
    • Burning of ST Heat
    • Eliminate ST Fire, stop bleeding
    • LI-4, 20, ST-44, DU-23
    • Massive Nasal Bleeding: ST-45 (bleeding)
  12. Small amount of fresh red bleeding which starts and stops, dry mouth, dizziness, vertigo, palpitations, tinnitus, restlessness, insomnia
    T: red w/ less coat
    P: thready, rapid, & weak

    What is Diagnosis? Treatment Principle? Points?
    • LR & KI Yin Def
    • Tonify LR & KI, sedate Fire, stop bleeding
    • KI-3, LR-3, SP-6, BL-7, 58
  13. What are major distal point for nasal problems?
    • ST-44, 45
    • BL-40
  14. More severe fever than aversion to cold, headache and cough accompanied by redness, swelling and pain in the throat
    T: red w/ yellow coat
    P: rapid floating

    What is Diagnosis? Treatment Principle? Points?
    • Wind-Heat
    • Remove Wind-Heat
    • GB-20, LI-4, 11, LU-7, 11
    • Headache: Tai Yang, DU-14
  15. Continuous strong fever without headache or aversion to cold, severe sore throat, flushed face with eye congestion, mouth ulcerations, thirst with desire to drink, constipation, scanty urine
    T: red w/ burnt yellow coat
    P: rapid & slippery

    What is Diagnosis? Treatment Principle? Points?
    • Excess Heat
    • Eliminate Heat from LU & ST, promote throat
    • LI-1, 4, LU-5, ST-44, SJ-1
    • Constipation: SJ-6
  16. Dull pain in the throat, thirst with no desire to drink, soreness in lumbar and knees, dizziness, tinnitus, tidal fever
    T: red w/ less coat
    P: rapid & thready

    What is Diagnosis? Treatment Principle? Points?
    • Def Heat
    • Nourish Yin, sedate fire, relieve sore throat
    • KI-3, 6, LU-10, Jin Jin Yuye
    • Soreness in lumbar and knees: BL-23
  17. What points are used in the case of lateral strabismus? medial strabismus?
    • Lateral: BL-1, 2
    • Medial: Tai Yang, GB-1
  18. Swelling and pain in the eyelids, hyperemia (excess blood flow to...) of bulbar conjunctiva, lacrimation (tearing) with profuse discharge, fever, headache, aversion to wind
    T: think yellow coat
    P: floating & rapid

    What is Diagnosis? Treatment Principle? Points?
    • Wind-Heat invasion
    • Eliminate Wind-Heat, relieve swelling and ease pain
    • GB-20, BL-2, Tai Yang (bleeding), LU-11 (bleeding), LI-4, SJ-5
    • *Take caution of vessels when bleeding Tai Yang
  19. Swelling and pain in eyelids, increased sticky discharge, photophobia, bitter taste in mouth, dysphoria, dizziness, constipation
    T: red w/ yellow coat
    P: rapid & wiry

    What is Diagnosis? Treatment Principle? Points?
    • Excess Fire in LR & GB
    • Clear LR & GB Fire
    • GB-1, 20, 43, Tai Yang, LI-4, 11, LR-2
    • Headache: Yin Tang
    • Irritable & feverish sensation: SJ-1
  20. What other modalities can you use for Conjunctivitis?
    • Auricular Points: eye, eye 1, eye 2, LRStrong stimulation, 30 min retention
    • Bleeding: DU-14 and corresponding Jia Ji, Tai Yang, Yin Tang
  21. No redness nor pain in the eyes, lacrimation especially due to exposure to wind, not heat feeling when tearing, decrease in vision with long periods of tearing

    What type of Lacrimation? Treatment Principle? Points?
    • Cold Lacrimation (LR & KI Def)
    • Replenish LR & KI
    • BL-1, 2 (towards BL-1), GB-20, BL-18, 23, Da Gu Kong (moxa only), Xiao Gu Kong (moxa only)
    • Vision problems: SI-6, ST-1, GB-37
    • *cold lacrimation is due to looseness of eye control
  22. Redness and swelling in the eye, photophobia, sticky tears, lacrimation worse on exposure to wind, heat feeling during tearing

    What type of Lacrimation? Treatment Principle? Points?
    • Heat Lacrimation (Wind-Heat / LR Fire)
    • Eliminate Wind-Heat, Soothe LR, Brighten Eyes
    • BL-1, 2 (towards BL-1), LI-4, GB-14, LR-2
    • Headache and excessive lacrimation: DU-24, GB-15
    • *heat lacrimation is due to dysfunction of puncta lacrimalis due to heat pathogens
  23. What are the extra points for lacrimation? Acupuncture or Moxibustion?
    • *only moxibustion is used for these two points
  24. What is the needle technique of BL-2 used for cases of lacrimation?
    Towards BL-1, needle tip is medial to and on the level of the inner canthus, affecting the lacrimal sac
  25. What is the proper wrist posture to insert a needle into SI-6?
    Plamar aspect of hand facing patients body
  26. What are the major points for the treatment of myopia?
    ST-2, GB-1, 20, 37, LI-4, BL-18, 23
  27. What are Auricular points for the treatment of myopia?
    • Endorince
    • Sympathetic
    • Eye
    • Eye 1
    • Eye 2
    • LR
    • KI
  28. Progressive decrease of vision, dry eyes, dizziness, tinnitus, spermatorrhea, lassitude, of the loins
    T: red
    P: thready

    What is Diagnosis? Treatment Principle? Points?
    • LR & KI Yin Def
    • Tonify LR & KI, promote visual acuity
    • BL-18, 23, GB-20, 37, BL-1, Qiu Hou
    • Dizziness: LR-3
  29. Vision decreasing gradually, dizziness, irritability, palpitations, poor memory, dream disturbed sleep
    T: red
    P: weak & deficient

    What is Diagnosis? Treatment Principle? Points?
    • HT and Ying Insufficiency
    • Tonify Qi & Blood, promote visual acuity
    • BL-15, GB-20, Yi Ming, LI-14, BL-1, Qiu Hou
    • Insomnia: HT-7
  30. Which one of the following points is safer than the others?
    BL-1
    ST-1
    Qiu Hou
    • Qiu Hou
    • *relatively few vessels in that area compared to the other two; needle can be inserted to when it hits bone
  31. Where is the location of Yi Ming
    • midpoint between SJ-17 & An Mian
    • An Mian is located at the midpoint between SJ-17 & GB-20
    • Insertion: 1.5-2 cun, in the the space between the mastoid and styloid process
  32. Which point is most effective in the treatment of simple glaucoma with strong stimulation?
    LR-2
  33. Why is LI-14 selected in the treatment of eye disorders?
    Crossing point of LI & Yang Wei
  34. Sudden loss of visual acuity, dizziness, tinnitus, fullness, sensation in the chest and hypochondrium, flushed face, night sweating
    T: dark red tongue
    P: wiry & rapid

    What is Diagnosis? Treatment Principle? Points?
    • Hyperactivity of LR Yang
    • Pacify LR Fire, promote visual acuity
    • GB-1, 20, LR-3, GB-37, Qiu Hou
    • Distention of eyes: SJ-1 (bleeding)
    • Night sweats: BL-15, BL-23
  35. Sudden loss of visual acuity, distending pain in the eyes and head, restlessness, thirst
    T: purplish
    P: choppy / wiry

    What is Diagnosis? Treatment Principle? Points?
    • Qi Stag & Blood Stasis
    • Activate Blood circulation, remove stasis, promote vision
    • BL-1, 10, 17, 18, PC-6, LI-4
  36. What is the needle direction of GB-20 and BL-10 for eye disorders?
    • Toward outer canthus of the same side eye
    • *Esp. with GB-20, if there is sensation moving along GB channel towards GB-14, would produce best results
  37. Based on the Five Wheel Theory of the Eye, Which regions are most affected in the case of cataracts?
    Wind & Water Wheel (LR & KI)
  38. What auricular points are used in the treatment of simple cataracts?
    • Eye 1
    • Eye 2
    • LR
    • KI
    • Sympathetic
    • HT
    • SP
    • Subcortex
    • *Auricular points have been found more effective than acupuncture in the case of cataracts
  39. Where is the location of Xin Ming I & II, for the use of eye ground disorders?
    • Xin Ming I: 0.5 cun anterior and superior to SJ-17, located on the center and posterior fold of ear lobe
    • Xin Ming II: at the depression 1 cun superior and 0.5 cun exterior to the end of eyebrow
  40. What are distal points used for the treatment of eye problems?
    BL-10, GB-20, 37, LI-4, 14, SI-6

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