Traditional Chinese Vet Med Self tests

Si- Zhen refers to

" the four" TCVM diagnostic methods

Spleen Qi is derived from

Kidney Essence or Yuan Qi

The Yuan Qi is derived from which of the following

Kidney Essence or congenital essence

Clear and long urination indiates

Kidney Yang Deficiency

Where do the bladder and stomach channels connect

on the head

Where do the liver and gall bladder connect

on the rear feet

A ten year old thoroughbred mare has a history of chronic heaves and cough. Which organ should you closely examine

Lung

A dog that acts timid and shy and runs from you when you approach

Water constitution.

Feeling of fear belong to which element

Water element

The bladder belongs to

Water element

Water metabolism

Water metabolism is associated with the spleen, lung and kidney. The final waste product of water metabolism is urine. Edema and diarrhea can be caused by a water metabolism disorder.Small intestine is related to water metabolism.

Wei Qi

Wei Qi warms the body surfaces

Qi characteristics II

Where there is Qi there must be life. Qi gives birth to human beings. The absence of Qi is death. Qi is not always functional. Qi can be substantial.

Wind characteristics

Wind is the master pathoge, It usually brings in or combines with other pathogens when invading the body. Where there is itching there must be wind( not true for cough). The disease caused by wind usually has a short course

The six exogenous pathogens

Wind, Cold, Damp,Summer heat,Fire, Dryness

The spring season belongs to which element

Wood element

Which element is the child of water

Wood is the child of Water

Who is the grandmother of Earth

Wood is the grandmother

Cheng over control cycle

Wood-->Earth-->water-->fire-->metal

The most significant clinical sign of a disease caused by wind is

Seizue

Bonnie 10 yr old FS mixed breed with separation anxiety. She showed excessive panting,drooling,and clawing. Dry haircoat with dandruff. Tongue pale and dry, pulse deep and weak.

Shen disturbance due to heart blood deficiency

Shen characteristics

Shen is housed in the heart. Shen can be disturbed by Deficient Heart blood. Signs of shen disturbance include abnormal behavior and anxiety . shen refers to mental activities

A quiet reserved withdrawn thirteen year old border collie is more:

Yin constitution

Weak coughing usually indicates

Lung qi deficiency

The fact that lameness in a performance horse is better after exercise indicates

Qi/Blood stagnation

How many cun are there between the carpus and elbow

12

How many regular channels are in the body

12

Electroacupuncture for musculoskeletal conditions is commonly administered at what setting.

20 Hz

How many points in TH

23

How many point is CV

24

According to the TCVM circadian clock where does the bladder dominate

3-5 pm

According to the TCVM circadian clock when does pericardium dominate

7-9pm

How many extraordinary channels are there

8

Spleen and Stomach Qi

Ascending spleen qi leads to vomitting and diarrhea. Ascending stomach qi leads to diarrhea. Descending stomach qi leads to diarrhea

Which of the following points is closest to the eye

Bl-1

The channel with the greatest number of acupoints is

Bladder

The pelvic limb Tai yang is which of the following

Bladder channel

Dandruff indicates

Blood deficiency

Body fluids

Body fluid is the collective term for all normal fluids in the body. Body fluid acts to moisten and nourish the body. Edema and phlegm are signs of body fluid disorder. A disorder of body fluid is due to water metabolism disorder

If the yin-yang equilibrium is destroyed by excess heat. What is the proper treatment principle to restore balance

Clear Excess heat

Cinnamon 11yr old GSD spayed female presented with severe chronic hip dysplasia. Hips painful on extension and deep palpation.Pulses weak and deep. Happy,friendly dog.

Constitution: Fire TCVM disease state: Interior Deficiency Pattern. Local Qi/Blood stagnation.

Enuk 13 yr old male castrated husky malamute presents with a history on adr after an intestinal obstruction surgery. The owner reports that he has been very sensitiveThe hair has not grown back and seems weak, collapsing on walks. Poor body condition. No vomiting, stool is normal. Pulses are weak and eep , weaker on right side. Tongue is pale and wet. Cool near bai hui region

Constitution: Wood TCVM disease diagnosis: Qi deficiency Having had major surgery,being sensitive to anesthetics ,advanced age further accelerates loss of qi.

Chief is a nine ear old castrate Japanese chin. history of chronic CHF and bronchitis. Hospitalizeddue to lethargy weakness, anorexia. Diagnoses with chronic renal failure, mild pancreatitis, cervical disc disease. Chief is a confident and dominant dogHe does no fear anything. He loves to be in charge. Nose is dry, tongue deep red and dry. pulse is thready and thin. He eats well and not thirsty. He is reluctant to lower his head to eat or drink.

Constitution: Wood TCVM disease: Yin Deficiency

Spot is a quiet ,gentle 15 yr old spayed female DSH.She presents with chronic hind limb weakness. Her ears and back feel cold on palpation. She has a pale purple wet tonge. Her pulses are weak

Constitution:Yin TCVM disease pattern:Yang Deficiency Feeding: Hot foods

What is the worst enemy of the spleen

Damp

A malodorous , wet discharge from ears indicae

Damp heat

Toy Poodle five year old. Nice personality. Bloody diarrhea while being boarded. Hot spot on chin and neck. Occur more often in winter months.Tongue red color with yellow coating in the center. Pulse rapid and forceful.

Damp heat

Dryness

Dryness often leads to yin deficiency. Where there is dandruff there must be dryness.Dryness often leads to blood deficiency. Dryness often leads to deficiency of body fluid.

Digestive function is associated with

Earth

Pete is a ten year old with with IVDD. HE is laidback friendly, NEver acted aggressive. Prefers cool or cold condtions. Pete is overweight and tries to avod acupuncture needling several times. Tongues i s red and dry ,pulse fast thready and very deep /weak. Diagnosed with Bony bi and Yin Deficiency

Earth Consititution. TCVM Disease- Yin deficiency

The damp climate belongs to which element

Earth element

Which element is the mother of metal

Earth is the mother

Halitosis indicates

Excess heat

Yellow coating indicates

Excess heat

Heat/Fire Clinical Signs

Fever, Hemorrhage, anxiety, thirsty

Mind is associated with

Fire

A horse runs to greet you a the fence, nibbles in play, dances around, spirited and friendly

Fire constitution

The color red belongs to which element

Fire element

Yang characteristics

Fire, 10am, Stallion, Summer, East

Defensive Qi (WeiQi) is derived from which of the following

Food essence ( Gu Qi)

Where do the large intestine channel and lung channel connect

Front feet

Which of the following is a source of blood

Gu Qi, Ying Qi, Essence and Body Fluid

Which organ dominates the blood vessels

Heart

The thoracic limb Shao yin is which of the following

Heart channel

In TCVM stifle pain:

Is usually associated with ST channel stagnations

The "De Qi" response during acupuncture is related to which of the following

Jing Luo Qi

When we hear the "root of prenatal life" we connect it with the function of which of the following zang organs.

Kidney

Summer heat

Leads to high fever, often combined with damp. can cause non-sweating anhidrosis in horses. Often occurs in late summer.

A dog has a history of chronic ocular discharge and a hyperactivity. Which organ is most important

Liver

According to the five elements, which organ to examine if the dog has a history of chronic eye discharge and hyperactive personality. It is responsible for the body's tolerance of fatigue.

Liver

Which organ controls the sinews(tendon/ligaments) and paws/hooves

Liver

Tendon and ligament problems are typically associated with what TCVM diagnosis-

Liver Yin and Blood deficiency

Red and inflamed eyes are a signs

Liver heat

16 yr old cat with lifelong dermatitis. As a kitten with persistent upper respiratory infection. Coughing episodes worse in the summer. Quiet and independent cat that is recently clingy. She had moist dermatitis around her ears and eyes. Kitten has severe muscle atrophy and general rear weakness . tongue red and dry with her pulse deficient, thin and deep. Sensitive on palpation of Bl 20 and CV 12. Ears filled with malodorous waxy materail for months.

Liver/Gallbladder Damp heat, Spleen Qi, and Kidney Qi deficiency.

A horse that does not pay much attention to you but continues grazing is

Metal constitution

The nose belongs to which element

Metal element

Who is the grandchild of Fire

Metal is the grandchild of Fire

Eight Confluent Points

PC6-Yin wei SP4-Chong LU7-CV Kid 6-Yin qiao TH 5- Yang wei GB 41- Dai Mai SI 3-GV BL 62-Yang Qiao

Qi flow

Passes from wife to husband channels or from husband to wife channels

Max 7 yr old Basset Hound, Friendly happy dog who greets everybody and loves being pet. Chronic impacted anal glands. Sick when he was born. Temporary lamensess. at two years old developed a high fever,diarrhea and vomiting. Recently shown lethargy ,listlessness and warm seeking behavior. Anorexic and lethargic. Drooling and loose stool and vomiting. Not eaten for two days. Diagnosed with DCM. Pulse weaker on right side. Tongue pale purple with white cold. Ears and Feet cold. Bl15, BL 20 and BL 21 sensitive.

Personality: Fire TCVM disease : Kidney Jing deficiency.( history of serious disease at young age) Zang organs: Spleen and Heart. Heart yang deficiency( warm-seeking, cold ears and feet, fire personality, dcm, pale purple tongue), Spleen qi deficiency( anorexia, lethargy,vomiting and drooling, weak pulse on right side) Treatment: Tonify spleen qi and heart yang, then tonify kidney jing Txt: Shan-gen, bai hui, Bl 20, St 36, LI 10, HT 7, Bl 15 Si jun zi tang, and zhen wu tang.

Mac B is a ten year old castrated Dalmatian wit a history of severe chronic progressive hepatic cirrhosis. Severe muscle wasting and pendulous abdomen. Histopathology of the liver revealed degeneration and inflammation of hepatic tissue, seven liters of ascitic fluid was drained. Tongue was pale and wet, pulse deep and weak.

Qi deficiency with retained fluids

Qi characteristics

Qi is the commander or general of blood, while blood is the conveyor of qi. Blood stagnation may cause qi stagnation. Qi deficiency may cause blood deficiency. Qi stagnation may cause blood stagnation

Yin characteristics

Sitting, Slow, Tail, interior, back leg

Mother of the five zang organs.

Spleen

Which zang organ dominaes the muscles

Spleen

According to five elements which organ should be tonified when the lung is deficient.

Spleen ( Earth, mother)

18yr old thoroughbred mare had chronic diarrhea for three months. She is mellow, laid back mare. Poor appetite and significant weight loss. Her stool is loose without blood or odor. Has intermittent bouts of watery diarrhea. Dietary changes and enzymes has not improved diarrhea.

Spleen Qi Deficiency

According to the five elements which organ should be sedated when the heart is in excess

Spleen( Earth,child)

Which group of organs is most closely associated with blood

Spleen, liver, heart

Sensitivity at BL 35, BL 39 and GB 27 on palpation or scanning indicates

Stagnation (pain) in the hock

Sensitivity at GB 20 on palpation or scanning indicates

Stagnation (pain) in the opposite hip,stifle, hock.

Sensitivity at Bl 53, BL 54 and Lu gu on palpation indicates

Stagnation (pain) on the hip

Sensitivity at LI 18 and PC 1 on palaption . or scanning indicates

Stagnation or pain in the foot

Sensitivity at St 31 and SP 11 on palpation indicates

Stagnation or pain in the stifle

Raja 6 yr old FS GSD presents with a two day history of vomitng, explosive diarrhea and inappetance. . History of eating animal feces on walk. Slippery rapid pulses and a red tongue with yellow foa. not febrile bu cool seeking. Liquid malodorous diarrhea.

TCVM Diagnosis: Damp heat in the middle jiao.Invasion of Damp heat into spleen.

Beebing a 3 yr old thoroughbred gelding for racing, presented with 3 month history of poor performance. Wood constitution Wiry,fast pulse and red tongue. His gums were red and bleeding. Scanning indicated CV 12, BL 20, Bl 21, St 7. Endoscopy confirmed presence of gastric ulcerations.

TCVM Disease: Stomach heat Points: Bai hui, St 45, St 44, BL 67, BL . 20, BL 21

18 yr old QH presented with a sore back. Showing signs of back ains that worsened.Normally nice easy going mellow horrse. sensitive on left side from BL 17- 22. Tongue purple and pulse forceful and wiry

TCVM disease : Qi and Blood stagnation

A 14 yr old FS dog presented with a history of stiffness and pain in back and rear limbs. Bilateral nuclear sclerosis, painful on hip extension and overall muscle atrophy and pain on lumbar area. Occasional vertigo and geriatric disorientation. Tongue pale and lavender. Pulse deficient on right side.

TCVM disease Dx: Qi deficiency and Qi stagnation pattern. Txt: Tonify the deficiency and tonify the pathogen stagnation at the same time.

Bandit 10 yr old gelding with high fever .Profuse sweating,drinking a lot of water. Large bounding rapid pulse and cherry red tongue. Yellow mucoid discharge from his eyes and nostrils. FEer increased.

TCVM disease diagnosis: Yang Ming Channel Pattern

Maxil , 10 yr old thoroughbred gelding presented with laminitis of both thoracic limbs and fever one week after prosthetic larygnoplasty. Wood constitution. Because of severe pain he was down in the stall and his right thoracic limb was more severely affected. His tongue was dark and purple and his pulse wiry. Scanning indicates LI 18, PC 1, Bl 13

TCVM disease diagnosis:Excess heat with local qi-bood stagnation at front feet Txt:Hemoacupuncture at TH-1, LI-1 , SI 1 and electro acupuncture at the following points. Left and Right Shen shu. Bilateral GB 21 + Bl111, bilatral qian ti men + Li 3, bilateral PC 9 + SI 3

A one year old castrated male DSH presents with an acute onset of nasal discharge and congestions. His ears are back and hot. His temp is 104, his tongue is red and fast strong pulses.

TCVM disease pattern: Yang Excess

Marcie, a ten year old spayed female lab presents with chronic pruritus. She has had itchy skin since she was 5 yrs old. Prednisone helped int he first 3 years, but worsens in past 2 years. The itchiness is worst in spring.summer and night around the face,neck and trunk.Her eyes are red, tongue red and dry. Pulses thready and fast.

TCVM disease pattern: Yin deficiency Food: Cooling food

Zach 10yr old cm pitbull. Moderately differentiated mct on his left lateral thorax. History of unilateral chronic inflammatory intraocular disease leading to glaucoma. Increased respiratory stridor, harsh large airway sounds. Occasional dry cough. His haircoat was dry. He is exercise intolerance with loose stool. His tongues was red and dry, pulse was weak,deep and thready in right proximal.

TCVM disease state: Interior Deficiency Pattern, Lung Yin deficiency with spleen qi deficiency

Lady Red is a 10 yr old SF Golden with two year history of severe degenerative joint disease of left carpus. Immune mediated polyarthropathy suspected. Given prednisolone for several years. Difficulty getting up, prefers cold places. PE revealed hindlimb paresis and generalized muscle atrophy, bilateral immune cataracts . Tongue red and dry. Pulse deficient on left

TCVM disease: Interior Deficiency Pattern.Kidney and Spleen Qi deficiency with Kidney yin deficiency.

17 yrs old mare presented with history of infertility. Bred the last two years. Still open. Normal cycle with normal follicles. She had multiple melanomas around her anus and tail with an apple sized mass caudal to her left eye. Her tongue was pale,swollen and wet. Pulse deep and weak.

TCVM disease: Kidney Qi deficiency

Trickline, 2 yr old colt with high fever and nasal discharge. High temp, appetite and water intake normal with mild cough. puls was superficial and, forceful and rapid.

TCVM dx: Wind heat pattern Txt:Pungent cool diaphoresis.

Jumper, a ten month old castrated male DSH is an outdoor-indoor cat. He enjoys running,climbing tree and jumping to high places. He's a good hunter, catching small creatures. He likes attention and walks with his guardian. His whole body feels hot.He tends to have UTI, drinks alot and does not have any endocrine pattern

TCVM: Yang Excess Food: Cooling foods

What is the goal of traditional Chinese veterinary medicine.

The balance/harmony between the universe and the body, individuals, mind and body, daily life and diet.

Damp.

The disease caused by Damp often has a long course-difficult defecation or urination. Impairment of Spleen yang. difficulty walking, stiffness, weakness.

What diagnostic system was originally developed to help explain the progression and severity of Heat induced pathologies, associated with outbreaks of infectious diseases common at the time.

The four stages

Fu organs

The fu organs are hollow, while zang organs are solid. Fu organs are relatively exterior and zang organs are interior. The major function of Fu organs is to excrete and zang organs to store. The GB is one of the six fu organs and extraoridinary fu organs.

Meridians

There are 12 major /regular channels. the meridians are the networking system in which all zang fu organs are connected. the meridians reflect symptoms of diseases and transmit pathogenic factors. the meridians protect the body surface and resist attack from pathogens.

If yin is deficient what is the treatment principle

Tonify yin

Lacy was a 6yr old SF with history of allergic skin disease. Patchy alopecia with skin flaking. Moderate dental calculus . Her tongue was pale and dry. Her pulse was weak and thready on the left

Treatment: Nourish Blood

Sheng cycle order

Wood-->fire-->earth-->metal-->water

An outgoing high energy hyperactive two year old thoroughbred colt has a

Yang constitution

A slow pulse indicates

Yang deficiency

Heat/Fire characteristics

Yang excess, Yin deficiency leads to. Extreme heat/fire may transform into Wind. Heat/fire may consume body fluid. Where there is redness there must be heat/fire. Often inflammation or infections can be considered as heat/fire

Excess heat occurs

Yang is too high, and yin is normal

False cold occurs when:

Yang is too low(def) and Yin is normal

Clinical signs of cold

Yin Excess, impairment of yang qi (yang deficiency) causes. Cold limbs, watery stool, pain, fever without sweating, aversion to cold. Where there is excretion/discharge there must be cold. Cold leads to yin deficiency. Extreme cold can transform wind. Cold often opens the pores of skin and causes sweat.

Polydipsia in a geriatric dog usually indicates

Yin deficiency

a rapid pulse and red tongue

Yin deficiency

Excess cold occurs with

Yin is too high, yang is nomal

False heat occurs

Yin is too low (def) and Yang is normal

Zhong qi

Zhong qi is a combination of Spleen Qi, Stomach qi. Zhong qi's major function is to hold the inner organs in the normal position. The signs of zhong qi deficiency include prolapse of the anus or uterus. Zhong qi is different fron zong qi.

Zong Qi

Zong qi is a combinaton of Gu Qi, and Qing Qi. Zong qi is related to the voice. Zong qi promotes the functions of the heart and lung. Zong qi is formed in the chest.

The De Qi Response is:

a physical sensation that indicates altered Qi flow and good efficacy of needle placement

Jing luo

an internal-external network of communication and blood qi circulation

Yin meridians

are present on the medial aspect of the limbs

Saliva belongs to

earth

Red Tongue Indicates

heat

Zheng Qi

is the whole body's ability to resist any pathogens. protects the body from being invaded by virus and bacteria. Includes wei qi,ying qi and yuan qi. Deficiency leads to immune deficiency.

The TCVM diagnostic scan may be superior to western technique for

subtle and subclinical conditions.

Shang fu mai is

the common carotid artery

One channel that begins in the chest and ends in the forelimb is

the pericardium

Spleen Qi deficiency clinical signs

weight loss or muscle atrophy. poor appetite, loose stool or diarrhea, exercise intolerance