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A quiet reserved withdrawn thirteen year old border collie is more: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