Reply To: Acupuncture Bootcamp
For Practice Exam – Clinical Case Study #6, Case 6 question 22, in the analysis of the correct answer it says “bearing down sensations and stomach pains worsen after a bowel movement – Excess condition”, would this not be a deficiency sign since pain is worse after a bowel movement?
For Practice Exam – Clinical Case Study #5, I have a couple of questions:
The first one is from Case 2, Question 3. In the description of the correct answer, it explains that the pulse is a combo of Liver, Yin Deficiency and also a lot of heat in the Lung, which makes me wonder if it meant the Cun position was large and rapid and not the chi?
Case Info:
A 38-year-old man has been suffering from epistaxis for more than 8 years. He had been to the hospital 5 times and has taken a lot of Chinese and Western medicine to no avail.
Patient Information:
* he experiences epistaxis every 3-5 days
* profuse bleeding
* dull, greenish complexion
* emaciation
* fatigue
* sore and hot lower back
* Tongue: red with little coating
* Pulse: Wiry (Xuan) and Thready (Xi) overall and the right Chi position was Large (Da) and Rapid (Shuo)
My second question from that exam is about the diagnosis in Case 16 Question 25 vs Case 17 question 26.
Question 25 the answer includes the root pattern plus the current prominent pattern that needs to treated today. Whereas Question 26 the correct answer is just Water Fluid Blocking Middle Jiao and doesn’t include the root pattern of Yang Deficiency. Since both questions are worded “what’s the best TCM diagnosis?”, I’m wondering why the correct answer for Case 17 Question 26 wasn’t “Yang deficiency with fluid retention” when there is Yang deficiency signs? In both cases we need to focus on treating the branch as it’s acute, but I’m wondering why one case (case 16) the diagnosis includes the root pattern and the other case (case 17) doesn’t. I hope that makes sense! Let me know if it doesn’t haha
Case 16 info:
An 18-year-old man suffered from edema for 8 years. He was diagnosed with glomerular nephritis 8 years ago. He received many treatments, but the symptoms just worsened.
Patient Information:
* very serious chronic edema
* feelings of cold
* aversion to heat
* fatigue
* thirst without desire to drink
* headache
* neck stiffness
* nasal obstruction
* sweating easily with exertion
* soreness of the low back
* Tongue: slight yellow coat
* Pulse: Floating (Fu), Rapid (Shuo), and Thready (Xi)
Question 25: Which is the best TCM diagnosis?
options:
– Wind Damp attacking the Lung and Bladder
–
Kidney Yang Deficiency with Wind-Heat attack (correct answer)
–
Wind Heat attack and retention of Water Fluid
– Kidney Yang Deficiency and Water retention
Case 17 info:
A 68-year-old woman suffered from vomiting for 1 week. She has had Kidney disease for many years. One week ago, she went to the hospital due to uremia.
Patient Information:
* severe vomiting (even food and medicine)
* whole body edema
* abdominal distention
* scanty urination
* dizziness on exertion
* a feeling of cold
* cold limbs
* Tongue: dark and swollen with a white, moist coat and tooth marks
Question 26: Which is the best TCM diagnosis?
Options:
– Kidney Qi Deficiency with Fluid retention
– Yang Deficiency with Fluid retention
– Spleen Qi Deficiency with Fluid retention
– Water Fluid blocking the Middle Jiao (correct answer)