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Hi
this is a question regarding the practice exam – clinical exam study #1
It’s case 4:
Use the following information to answer questions (22-24):
A 42-year-old male suffers from hematuria for 2 years after years of “body abuse” via recreational drugs.
Patient Information:
patient was diagnosed with acute nephritis 2 years ago and Western medication relieved the symptoms to an extent
patient more recently diagnosed with chronic nephritis as the hematuria reappeared with the quantity of blood increased
deep red urine with the occasional cloudiness
bitter taste in the mouth
dry tongue
thirst with desire for small sips
palpitations
poor sleep with frequent waking
hot sensations in the palms and soles of feet
occasional backache with a heavy sensation
slight swelling in the lower limbs
red cheeks in the evening
Tongue: red, dry, yellow, and greasy coat
Pulse: Slippery (Hua), Rapid (Shuo), Thready (Xi)
Question 22: What is the most accurate TCM pattern to treat today?
I would like to know why the answer is Heart Yin Deficiency with Empty Heat and Heat-Toxins in the Bladder rather than Kidney Yin Deficiency with Heart Yin Deficiency with Empty Heat?