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TCM TESTING CENTER
Case Studies
Review Questions by John R. Wahnish, L.Ac.
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SAMPLE:
24 year old female. Chief complaint of chills and slight fever, starting
three days ago. Patient reports strong aversion to cold, slight fever,
chills predominant, no perspiration, headache, aching joints and limbs,
runny nose, scratchy throat, cough with thin white phlegm, without sensations
of excessive thirst.
Tongue: Thin white coat, slight moisture
Pulse: floating and tight
Out of a in-depth intake, this is the crucial information for the pattern
that we see forming. When taking exams involving case studies, you are
constantly being tricked by information you do not need. Look at the questions
that are ask which relate to the case. If the questions do not relate to
past history, then that information is irrelevant to the case and usually
does not apply. Generally focus on what is going on now, the other information
is usually there to confuse your thought process. In addition, the tongue
and pulse generally play important roles in determining the diagnosis in
case study questions.
Typical Questions and answers
Q. What is the TCM Diagnosis?
A. Gan Mao (Common Cold)
due to Wind Cold Invasion.
Q. Is this an internal pattern or external pattern?
A. External
Q. What formula might you use?
A. Jing Fang Bai Du San
Q. What points might you choose?
A. Li4, Li20, Gb20, Lu7, Si7 |
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Case Study 1
42 Year old male . He comes into your office
reporting a frequently recurring cough. The cough is particularly marked
on rising in the morning with expectoration of abundant dilute white phlegm.
He has accompanied signs of oppression in the chest, epigastric fullness,
nausea, poor appetite, and loose stools.
Tongue: White slimy coating
Pulse: Soggy or slippery |
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What is you TCM Diagnosis?
a. Invasion of lung by Wind dryness
b. Ke Sou (cough) due to Phlegm Dampness
c. Ke Sou (cough) due to Liver Fire
d. Ke Sou (cough) due Lung Yin Vacuity
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What channels and or organs are involved?
a. Liver and Kidney
b. Lung and Heart
c. Spleen and Lung
d. Large Intestine and Pericardium
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What formula would you choose?
a. Er Chen Tang
b. Sheng Ma San
c. Bu fei Tang
d. Xie Bai San
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What points you select for this pattern?
a. Sp9, Ub20, Gb20, Li11
b. Sj5, Li4, Lg9, Ki6
c. Lg5, Sp6, Ub18, Lv3
d. Ub13, Ub20, Sp3, Lg9, St40
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TCM
CENTRAL • John R. Wahnish, MSTOM, L.Ac. • [TCMcentral.com] •
Revised: Copyright © 2002
• E-mail: tcmcentral@nyc.rr.com
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