Chinese Medicine Pattern Diagnosis

Questions and Answers

In a diagnosis involving damp-heat in the liver and gallbladder channels, which option should be chosen if option A includes kidney yin deficiency and there are no signs of it?

Damp-heat in liver and gallbladder channels with kidney yin deficiency

Damp-heat in the large intestine

Damp-heat in liver and gallbladder channels (correct)

Damp-heat in the kidney channels

What pulse observation would most likely indicate some type of yin deficiency?

Thin and rapid pulse with a red tongue (correct)

Strong and wiry pulse with a white coating

Deep and tight pulse with a yellow coating

Wide and slow pulse with a pale tongue

If the sides of the tongue are red, which organ dysfunctions may be implied in the pattern diagnosis?

Liver and Gallbladder (correct)

Kidney and Bladder

Spleen and Stomach

Heart and Small Intestine

In pulse diagnosis, what does a deep and tight pulse in the right guan position suggest?

Some type of middle jiao cold Signup and view all the answers

When considering the 8 principles in diagnosis, heat versus cold is one of the principles. Which of the following statements correctly represents the principle of excess versus deficiency?

Deficiency indicates a thin pulse and pale tongue Signup and view all the answers

Which condition is characterized by a pale-red tongue with a thin white coating?

Wind-Cold Signup and view all the answers

What symptom is not typically associated with Wind-Heat?

Clear nasal discharge Signup and view all the answers

Which pattern is characterized by seizures, twitching, and dizziness?

Internal Wind Signup and view all the answers

A person with a weak voice, shortness of breath (SOB), and spontaneous sweating likely has which condition?

Qi Deficiency Signup and view all the answers

What key symptom indicates a Yin Deficiency pattern?

Dry mouth and thirst Signup and view all the answers

Which pulse description is associated with Wind-Cold?

Floating and tight Signup and view all the answers

In Qi Deficiency, which sign is NOT typically present?

Severe fever Signup and view all the answers

What symptom is commonly associated with Qi Stagnation?

Irritability and impatience Signup and view all the answers

Which condition is indicated by a red, thick, dry yellow coating on the tongue?

Excess Heat Signup and view all the answers

What might cause impaired growth and failure to thrive in children?

Poor nutrition and lack of breastfeeding Signup and view all the answers

Which symptom is consistent with Blood Stagnation?

Sharp, stabbing fixed pain Signup and view all the answers

What is a typical sign of Food Stagnation?

Sour taste and foul breath Signup and view all the answers

Which of the following symptoms is NOT associated with Blood Deficiency?

Cold extremities Signup and view all the answers

What type of pulse is commonly felt in cases of both qi and blood deficiency?

Soggy pulse Signup and view all the answers

Which condition is characterized by symptoms such as night sweats and malar flush?

Yin Deficiency Signup and view all the answers

What does a 'hidden, minute' pulse indicate?

Yang Deficiency Signup and view all the answers

Which symptom is NOT typically associated with Yang Deficiency?

Dizziness Signup and view all the answers

What is a common symptom of Yin Deficiency?

Dry cough Signup and view all the answers

A patient with low back pain, cold limbs, and bluish discoloration may be experiencing which condition?

Yang Collapse Signup and view all the answers

Which symptom is primarily associated with Essence Deficiency?

Infertility Signup and view all the answers

What type of tongue coating is generally associated with Yin Deficiency?

Red, peeled coating Signup and view all the answers

What symptom typically suggests that Yang is failing to warm the Spleen?

Watery diarrhea with undigested food Signup and view all the answers

Study Notes

General Pattern Diagnosis Advice

Choose the most obvious answer that aligns with your thoughts, even if phrased differently, such as selecting "middle jiao deficiency" instead of "spleen yang deficiency."
Assess complete answers carefully; select the option that most accurately reflects the symptoms. For instance, prefer a more specific answer if it excludes unrelated conditions.
Use tongue and pulse observations to guide pattern diagnosis; they reveal critical insights about deficiencies or excesses.

Tongue and Pulse Positions

Pulse Positions:
- Left cun: Heart/Small Intestine
- Right cun: Lung/Large Intestine
- Left guan: Liver/Gallbladder
- Right guan: Spleen/Stomach
- Left chi: Kidney/UB
- Right chi: Kidney/San Jiao
Tongue Areas:
- Tip: Heart
- Area just proximal to tip: Lung
- Sides: Liver and GB
- Center: Spleen and Stomach
- Back: Kidney
Observations in specific tongue areas imply related organ involvement, e.g., red sides indicate liver or GB heat.

Eight Principles

Categories for diagnosis:
- Heat vs Cold
- Interior vs Exterior
- Excess vs Deficient
- Yin vs Yang

Key Patterns, Tongues, Pulses, and Symptoms

Wind-Cold:
- Tongue: Pale-red, thin, white coating
- Pulse: Floating, tight
- Symptoms: Abrupt fever/chills, coughing, clear nasal discharge, body aches.
Wind-Heat:
- Tongue: Maybe red tip
- Pulse: Floating, rapid
- Symptoms: Fever worse than chills, sweating, sore throat, red eyes.
Internal Wind (Liver Wind):
- Tongue: Deviated
- Pulse: Stiff
- Symptoms: Convulsions, spasms, dizziness.
Qi Deficiency:
- Tongue: Pale
- Pulse: Weak, moderate
- Symptoms: SOB, fatigue, spontaneous sweating, weak cough.
Blood Deficiency:
- Tongue: Pale, dry
- Pulse: Thin, fine, thready
- Symptoms: Dizziness, blurred vision, pale skin, insomnia.
Yang Deficiency:
- Tongue: Pale, white coat, puffy
- Pulse: Weak, deep, slow
- Symptoms: Cold extremities, frequent urination, low libido.
Yin Deficiency:
- Tongue: Red, peeled coating
- Pulse: Thin, rapid
- Symptoms: Night sweats, dry cough, low appetite.
Essence Deficiency:
- Causes: Poor nutrition, overtaxation, excessive childbirth
- Symptoms: Impaired growth, premature aging, poor memory.
Qi Stagnation:
- Tongue: Wiry
- Symptoms: Hypochondriac pain, irritability, abdominal distension.
Blood Stagnation:
- Tongue: Purple with distended sublingual veins
- Pulse: Choppy
- Symptoms: Sharp pain, menstrual pain.
Food Stagnation:
- Symptoms: Abdominal distension, lack of appetite, sour taste.
Excess Heat:
- Tongue: Red, thick yellow coating
- Pulse: Deep, rapid
- Symptoms: Insomnia, irritability, constipation.
Excess Cold:
- Tongue: Pale, thick white coating
- Pulse: Deep, tight
- Symptoms: Nausea, pain worsened by pressure.
Damp-Heat/Phlegm Heat:
- Tongue: Red, sticky yellow coat
- Pulse: Rapid, slippery
- Symptoms: Cough with sticky sputum, abdominal bloating.
Damp-Cold/Phlegm Cold:
- Tongue: Pale, slimy white/grayish coating
- Pulse: Slippery
- Symptoms: Clear, copious sputum, nausea, depression.

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Description

This quiz focuses on the fundamentals of pattern diagnosis in Traditional Chinese Medicine, emphasizing the importance of symptoms, tongue, and pulse observations. You'll learn how to interpret signs accurately to identify organ deficiencies or excesses. Test your knowledge on specific diagnostic areas and positions.