27 Yang Syndrome Includes ( )

2004

27 Yang syndrome includes ( )

A external, heat and sthenia syndrome

B internal, cold and asthenia syndrome

C external, cold and sthenia syndrome

D external, heat and asthenia syndrome

E internal, heat and sthenia syndrome

28 The characters of external syndrome are ( )

A sudden onset, long duration and deep location

B sudden onset, short duration and deep location

C sudden onset, short duration and shallow location

D sudden onset, long duration and shallow location

E chronic onset, long duration and deep location

2 The distinguish between heat syndrome and cold syndrome.

2005

28. Yin-syndrome includes ( )

A external, heat and sthenia syndrome

B internal, cold and asthenia syndrome

C internal, cold and sthenia syndrome

D external, heat and asthenia syndrome

E internal, heat and sthenia syndrome

29. About Qi asthenia syndrome, which of the follows is wrong? ( )

A lack of Qi

B spontaneous sweating

C short of breath

D red and rough tongue

E weak pulse

6 Please list the distinguish between external heat syndrome and external cold syndrome.

New

Syndrome differentiation with eight principles except:

A yin and yang

B internal and external

C cold and heat

D asthenia and sthenia.

E viscera and six meridians

Internal syndrome Clinical manifestations except:

A high fever, aversion to heat

B restlessness, retention of feces, scanty and brownish urine

C the tongue fur is still thin and white without change

D thirst with profuse drinking of water

E reddish tongue with yellowish fur and fast and powerful pulse.

Cold syndrome manifestations except:

A aversion to cold or aversion to cold with preference for warmth,

B cold limbs and huddling up in sleeping,

C light colored tongue with whitish moist and slippery fur, slow or tense pulse.

D yellowish and sticky sputum and snivel,

E thin sputum, saliva and snivel, clear and profuse urine, loose stool,

Heat syndrome manifestations except:

A fever, aversion to heat with preference for cold,

B flushed complexion or flushed cheeks,

C thirst with preference for cold drinks, restlessness and insomnia,

D yellowish and sticky sputum and snivel, vomiting blood and epitasis,

E light colored tongue with whitish moist and slippery fur, slow or tense pulse.

Asthenia syndrome

fatigue, shortness of breath, no desire to speak,

aversion to clod and cold limbs,

spontaneous sweating,

clear and profuse urine, loose stool,

tender tongue with thin fur or little fur and weak pulse, etc.

Sthenia syndrome

fever, restlessness, even coma with delirium,

chest oppression, harsh breath, exuberance of phlegm and drool,

impalpable pain of abdomen, retention of dry feces, or dysentery with blood and pus,

tenesmus, inhibited urination, or painful stringuria,

tough tongue, thick or greasy fur and sthenic pulse, etc.

Yin syndrome except:

A Internal syndrome,

B cold syndrome

C asthenia syndrome

D asthenia cold syndrome.

E Heat syndrome

Yang syndrome except:

A External syndrome

B heat syndrome

C sthenia syndrome

D sthenic heat syndrome.

E Cold syndrome

Please explain the differentiation of syndrome. How about the methods for differentiating syndrome.

Qi asthenia syndrome Clinical manifestations:

Lack of qi, no desire to speak, low voice, shortness of breath, dispiritedness, lassitude, dizziness, spontaneous sweating, aggravation of all the symptoms after movement, pale and tender tongue, as well as weak pulse.

Qi sinking syndrome Clinical manifestations:

Prolapsing distension of epigastrium and abdomen, or prolapse of rectum due to chronic diarrhea, prolapse of uterus, dizziness, lassitude, pulse tongue with thin fur and weak pulse, etc.

Qi stagnation syndromeClinical manifestations:

Distending oppression, pain (distension is more serious than pain) or migratory pain and attacking pain are felt over the chest, hypochondrium, epigastrium and abdomen. The location of pain and distension is usually unfixed. The distension cannot be felt by palpation but is alleviated after sighing, borborygmus are breaking wind. It may be attenuated or worsened with the changes of emotions.

Qi reversion syndromeClinical manifestations:

Cough and asthmatic breath in upward reversion of pulmonary qi; hiccup, belching, nausea and vomiting in upward reversion of gastric qi; headache, dizziness, even coma and hematemesis in upward reversion of liver qi.

Blood asthenia syndromeClinical manifestations:

Pale or sallow complexion, pale eyelids, lips and nails, dizziness, palpitation, insomnia, numbness of hands and feet, scanty, pale and delayed menstruation, or even amenorrhea, pale tongue, and thin and weak pulse.

Blood stasis syndromeClinical manifestations:

Stabbing and cutting pain with fixed location which is impalpable and worsened at night; local lumps which appear cyanotic in the superficies and hard and unmovable in the abdomen; repeated bleeding with purplish colour or with clot or with asphalt-like stool; amenorrhea or metrorrhagia in women; blackish complexion, cyanotic lips and nails, subcutaneous purplish petechial, or squamous skin, or visible abdominal veins, or silk-like red stripes on the skin; cyanotic tongue or with cyanotic petechial and points, thin and astringent pulse.

Blood cold syndromeClinical manifestations:

Local cold pain which alleviates with warmth and aggravates with cold, cyanotic and cold skin over the affected part, delayed menstruation, purplish menorrhea with clot, dysmenorrhea, purplish tongue with white fur, and sunken, slow and astringent pulse.

Blood heat syndromeClinical manifestations:

Hemoptysis, or hematemesis, bleeding, hematuria, hematochzia, advanced profuse menstruation, even metrorrhagia, dysphoria, thirst, deep reddish tongue and fast pulse.

Asthenia of both qi and bloodClinical manifestations:

Lack of qi, on desire to speak, dispiritedness, fatigue, or spontaneous sweating, dizziness, palpitation, pale or sallow complexion, pale lips and nails, pale and tender tongue, thin and weak pulse.

Qi asthenia and hemorrhagic syndromeClinical manifestations:

Hematemesis, hematochezia, or muscular bleeding, or epistaxis, or profuse menstruation, metrorrhagia, accompanied by lack of qi, no desire to speak, lassitude, pale complexion, pale tongue and weak pulse.

Depletion of qi with bleeding syndromeClinical manifestations:

Massive bleeding accompanied by pale complexion, profuse sweating, cold limbs, weak breath, extreme dispiritedness, even coma, pale tongue, indistinct pulse, or hollow pulse, or scattered pulse.

Qi asthenia and blood stasis syndromeClinical manifestations:

Dispiritedness, lack of qi, no desire to speak, or spontaneous sweating, fixed, impalpable and stabbing pain over the chest, hypochondrium and other local regions, pale complexion, light purplish tongue or with petechial, sunken, astringent and weak pulse.

Qi stagnation and blood stasis syndromeClinical manifestations:

Depression or restlessness, distending pain or migratory pain over chest and hypochondrium, or accompanied by mass formation, impalpable stabbing pain, purplish tongue or with purplish petechial, taut and astringent pulse, distending pain of breast before or after menstruation, dysmenorrhea, purplish menstruation with blood clot, or amenorrhea, etc.

Insufficiency of body fluidClinical manifestations:

Dry mouth and throat, dry or fissured lips, sunken orbit, dry skin, thirst with desire for water, scanty urine, retention of dry feces, dry feces, dry tongue with scanty saliva and thin and astringent pulse.

Phlegm syndromeClinical manifestations:

Cough with sticky sputum, chest oppression, or dizziness, or epigastric mass, anorexia, nausea, vomiting, or coma with sputum rale, or mental derangement with mania, dementia and epilepsy, or numbness of limbs, hemiplegia, or scrofula, goiter, breast nodules, phlegm nodules, greasy fur and slippery pulse.

Fluid-retention syndromeClinical manifestations:

Epigastric and abdominal fullness and distension, borborygmus, vomiting of clear fluid; or cough and asthma, profuse thin sputum, chest oppression and palpitation, even inability to lie flat on bed; or thoracic and hypochondriac fullness, distending pain, aggravation of pain after cough, spitting or rotating the body; or dizziness, dysuria, dropsy and aching heaviness of the limbs; whitish slippery fur and taut pulse.

Yang edemaClinical manifestations:

Dropsy of face and eyelids, eventually involving the whole body with rapid development, smooth and bright skin, scanty urine, accompanied by fever, aversion to wind and cold, aching pain of limbs, sore-throat, thin fur and floating pulse; or dropsy of the whole body with slow development, depression under pressure, heaviness of the limbs, epigastric and abdominal fullness and oppression, poor appetite, nausea and regurgitation, whitish greasy tongue fur as well as soft and slow pulse.

Yin edemaClinical manifestations:

Repeated relapse of edema, severity below the waist, depression under pressure, epigastric and abdominal distension and oppression, poor appetite and loose stool, dispiritedness, fatigue of limbs, cold body and limbs, preference for warmth; or aching cold sensation of loins and knees, scanty urine, dull or pale complexion, pale and bulgy tongue with white and slippery fur as well as sunken, slow and weak pulse.

Cold syndrome manifestations:

aversion to cold or aversion to cold with preference for warmth,

cold limbs and huddling up in sleeping,

pale or light colored complexion,

moist mouth without thirst,

thin sputum, saliva and snivel, clear and profuse urine, loose stool,

light colored tongue with whitish moist and slippery fur, slow or tense pulse.

Heat syndromemanifestations

fever, aversion to heat with preference for cold,

flushed complexion or flushed cheeks,

thirst with preference for cold drinks, restlessness and insomnia,

yellowish and sticky sputum and snivel, vomiting blood and epitasis,

scanty brownish urine, dry feces,

reddish tongue with scanty moist and fast pulse, etc.

Asthenia syndrome

fatigue, shortness of breath, no desire to speak,

aversion to clod and cold limbs,

spontaneous sweating,

clear and profuse urine, loose stool,

emaciation,

feverish sensation over the five centers (palms, soles and chest), tidal fever, flushed cheeks, night sweating,

pale or sallow complexion, dizziness, palpitation and insomnia,

dry mouth and throat, thirst with desire to drink, dry skin,

scanty urine and feces,

tender tongue with thin fur or little fur and weak pulse, etc.

Sthenia syndrome

fever, restlessness, even coma with delirium,

chest oppression, harsh breath, exuberance of phlegm and drool,

impalpable pain of abdomen, retention of dry feces, or dysentery with blood and pus,

tenesmus, inhibited urination, or painful stringuria,

tough tongue, thick or greasy fur and sthenic pulse, etc.

Yin syndrome

Internal syndrome, cold syndrome and asthenia syndrome ,asthenia cold syndrome.

Yang syndrome

External syndrome, heat syndrome and sthenia syndrome , sthenic heat syndrome.

Qi asthenia syndromeClinical manifestations:

Qi sinking syndrome Clinical manifestations:

Prolapsing distension of epigastrium and abdomen, or prolapse of rectum due to chronic diarrhea, prolapse of uterus, dizziness, lassitude, pulse tongue with thin fur and weak pulse, etc.

Qi stagnation syndrome

Clinical manifestations:

Qi reversion syndrome

Clinical manifestations:

Blood asthenia syndrome

Clinical manifestations:

Blood stasis syndrome Clinical manifestations:

Blood cold syndrome

Clinical manifestations:

Blood heat syndrome

Clinical manifestations:

Hemoptysis, or hematemesis, bleeding, hematuria, hematochzia, advanced profuse menstruation, even metrorrhagia, dysphoria, thirst, deep reddish tongue and fast pulse.

Asthenia of both qi and blood

Clinical manifestations:

Lack of qi, on desire to speak, dispiritedness, fatigue, or spontaneous sweating, dizziness, palpitation, pale or sallow complexion, pale lips and nails, pale and tender tongue, thin and weak pulse.

Qi asthenia and hemorrhagic syndrome

Clinical manifestations:

Depletion of qi with bleeding syndrome

Clinical manifestations:

Massive bleeding accompanied by pale complexion, profuse sweating, cold limbs, weak breath, extreme dispiritedness, even coma, pale tongue, indistinct pulse, or hollow pulse, or scattered pulse.

Qi asthenia and blood stasis syndrome

Clinical manifestations:

Qi stagnation and blood stasis syndrome

Clinical manifestations:

Insufficiency of body fluid

Clinical manifestations:

Phlegm syndrome

Clinical manifestations:

Fluid-retention syndrome

Clinical manifestations:

Yang edema

Clinical manifestations:

Yin edema

Clinical manifestations: