Diagnosis and Treatment Planning Flashcards

In Four Levels (Wei-Qi-Ying-Xue) diagnosis, a deep crimson tongue with skin maculae and bleeding indicates which level?

Answer: Xue level

Heat at the Blood (Xue) level causes reckless bleeding, maculae, and a deep crimson tongue.

A tongue that is red only at the tip most commonly reflects heat in which organ?

Answer: Heart

The tongue tip corresponds to the Heart, so redness there indicates Heart heat or fire.

A slippery (Hua) pulse may indicate all of the following EXCEPT:

Answer: Blood deficiency

Slippery pulses indicate phlegm, damp, food stagnation, or pregnancy, whereas blood deficiency gives a thin or choppy pulse.

A patient reports thirst but little desire to drink, heavy limbs, and a sticky taste. This most suggests:

Answer: Damp-heat

Dampness obstructs fluid distribution, causing thirst without desire to drink alongside heaviness.

A new patient describes a sudden 'worst headache of my life' with neck stiffness. What is the most appropriate treatment plan?

Answer: Refer immediately for emergency medical evaluation

These red-flag signs suggest possible subarachnoid hemorrhage or meningitis and require urgent medical referral.

Cold limbs, pale complexion, preference for warm drinks, frequent clear urination, and a deep slow pulse indicate:

Answer: Yang deficiency

Signs of internal cold with a deep, slow, weak pulse point to deficient Yang failing to warm the body.

Compared with chronic conditions, acute conditions are generally treated with what frequency?

Answer: More frequently, often several times a week

Acute conditions typically respond best to frequent, closely spaced treatments early on.