Four Level Six Stages.txt

9) A 35 year old male patient comes to you for help. Three days ago he woke up with a headache around his left eye and a toothache on the lower left hand side of his jaw. He also felt chilled and slightly feverish. That night he felt really achy and both arms and legs felt really stiff keeping her up all night. Their fever has gotten gradually worse and is now up to 100.3�F, but they no longer feel chilled. Their toothache is better today, but still hurts a great deal, her gums are swollen. Her tongue has a thin, yellow coating anther pulse is superficial, rapid, and slightly flooding. Which one of the following best matches her diagnosis?

A) Simultaneous Taiyang and Yangming-stage disorder.
B) Simultaneous Taiyang and Jueyin stage disorder
C) Simultaneous Shaoyang and Yangming-stage disorder
D) Simultaneous Taiyang and Shaoyang-stage disorder

10) A patient presents with a cough, feeling of heat, and thirst. Their tongue is red with yellow coating and their pulse is surging and rapid. What is this patient's diagnosis?

A) Phlegm-Heat Obstructing the Lungs
B) Lung Dryness
C) Lung Heat
D) Lung Yin Deficiency

61) A patient presents with a fever at night, and delirium. Their tongue is red and dry without coating and their pulse is thready and rapid. What is this patient's diagnosis?

A) Heart Yin Deficiency
B) Heat in the Pericardium
C) Phlegm Fire Misting the Mind
D) Pericardium Fire

29) In which one of the following stages would you expect to see a feeling of a stream of air ascending to the chest region and cold limbs at the same time?

A) Taiyin Syndrome
B) Shaoyin Heat Syndrome
C) Jueyin Syndrome
D) Shaoyin Cold Syndrome

89) Which one of the following cases would you diagnose a patient with Damp Heat in the Stomach and Spleen?

A) Fever, aversion to cold, headache, sweating, an uncomfortable feeling in the epigastrium, irritability, thirst, and the tongue is red in the front with a white and sticky coating and the pulse is superficial and thready and hits the fingers without strength. The pulse is also more than five beats per breath.
B) Nausea, a feeling of oppression of the chest and epigastrium, a feeling of heaviness of the body and head. A continuous fever that decreases after sweating but soon again increases. The tongue has a sticky, yellow coating and the pulse is superficial and thready and hits the fingers without strength. The pulse is also more than five beats per breath.
C) Sweating, shortness of breath, cough with thin, yellow sputum, thirst, no aversion to cold, feeling of heat, high fever, and a red tongue with yellow coating and a pulse that is more than five beats per breath and feels smooth and flowing like pearls rolling on a dish.
D) Profuse sweating, thirst with preference for cold drinks, dysphoria, high fever. The tongue is yellow and dry and the pulse feels smooth and flowing like pearls rolling on a dish.

20) Which one of the following cases would you diagnose a patient with Damp Heat in the Stomach and Spleen?

A) A patient presents with high fever, dysphoria, thirst with preference for cold drinks, and profuse sweating. They have a dry and yellow tongue coating and a rolling pulse.
B) A patient presents with a high fever, a feeling of heat, no aversion to cold, and they are thirsty. They also have a cough with thin, yellow sputum, shortness of breath, and they are sweating. They have a red tongue with yellow coating and a rolling and rapid pulse.
C) A patient presents with thirst, irritability, an uncomfortable sensation in the epigastrium, sweating, a headache, aversion to cold, and fever. They have a red in the front or sides with a white and sticky coating and the pulse is soft and rapid.
D) A patient presents with continuous fever that decreases after sweating but soon again increases. They also have a feeling of heaviness of the body and head and a feeling of oppression of the chest and epigastrium and nausea. They have a red tongue with sticky yellow coating and a soft and rapid pulse.

22) Which one of the following cases would you diagnose a patient with Heat in the Pericardium?

A) A patient presents with a feverishness of the body which is worse at night. They have incoherent speech. They are delirious and have macules. They also appear to be mentally restless. They have not been able to sleep for the past 3 days or so. Their tongue is red without a coating and their pulse is thready and rapid.
B) A patient presents with a fever that is worse in the afternoon. They have a sticky taste in their mouth and their body is hot to the touch. They have a headache and a feeling they refer to as an oppression in their stomach area. Their glands are swollen and they confirm they are thirsty, but they would not like anything to drink. Their tongue has a sticky white tongue coating and their pulse is soft.
C) A patient presents with a fever at night and they have aphasia. They appear to be delirious and they have macules. They appear to be very confused. You also notice that their body is hot and their hands and feet are cold. Their tongue is red without coating and their pulse is thready and rapid.
D) A patient presents with emaciation, a malar flush, and five palm heat. They have a dry mouth with a desire to sip liquids. They also have mental restlessness and night sweats. They also seem to have a low grade fever. Their tongue is dark red and dry without a tongue coating.

143) Which one of the following cases would you diagnose a patient with Empty-Wind Agitating the Interior?

A) A patient presents with a feverishness of the body which is worse at night. They have incoherent speech. They are delirious and have macules. They also appear to be mentally restless. They have not been able to sleep for the past 3 days or so. Their tongue is red without a coating and their pulse is thready and rapid.
B) A patient presents with clenching of the teeth. Their eyeballs are turned up and they clearly have opisthotonos. Their neck is rigid and they are having convulsions and twitching of the limbs. They also have a high fever. Their tongue is dark red and has no coating and their pulse is string-taut.
C) A patient presents with a low grade fever, tremor of limbs, loss of weight, malar flush and listlessness. Their tongue is dark red without a coating and it is dry. Their pulse is thready and rapid.
D) A patient presents with emaciation, a malar flush, and five palm heat. They have a dry mouth with a desire to sip liquids. They also have mental restlessness and night sweats. They also seem to have a low grade fever. Their tongue is dark red and dry without a tongue coating. Their pulse is thready and rapid.

102) Which one of the following cases would you diagnose a patient with Lung Heat?

A) A patient presents with thirst, irritability, an uncomfortable sensation in the epigastrium, sweating, a headache, aversion to cold, and fever. They have a red in the front or sides with a white and sticky coating and the pulse is soft and rapid
B) A patient presents with continuous fever that decreases after sweating but soon again increases. They also have a feeling of heaviness of the body and head and a feeling of oppression of the chest and epigastrium and nausea. They have a red tongue with sticky yellow coating and a soft and rapid pulse.
C) A patient presents with a high fever, a feeling of heat, no aversion to cold, and they are thirsty. They also have a cough with thin, yellow sputum, shortness of breath, and they are sweating. They have a red tongue with yellow coating and a rolling and rapid pulse.
D) A patient presents with high fever, dysphoria, thirst with preference for cold drinks, and profuse sweating. They have a dry and yellow tongue coating and a rolling pulse.

130) Which one of the following cases would you diagnose a patient with Retention of heat in the Stomach?

A) A patient presents with thirst, irritability, an uncomfortable sensation in the epigastrium, sweating, a headache, aversion to cold, and fever. They have a red in the front or sides with a white and sticky coating and the pulse is soft and rapid.
B) A patient presents with a high fever, a feeling of heat, no aversion to cold, and they are thirsty. They also have a cough with thin, yellow sputum, shortness of breath, and they are sweating. They have a red tongue with yellow coating and a rolling and rapid pulse.
C) A patient presents with high fever, dysphoria, thirst with preference for cold drinks, and profuse sweating. They have a dry and yellow tongue coating and a rolling pulse.
D) A patient presents with continuous fever that decreases after sweating but soon again increases. They also have a feeling of heaviness of the body and head and a feeling of oppression of the chest and epigastrium and nausea. They have a red tongue with sticky yellow coating and a soft and rapid pulse.

182) Which one of the following cases would you diagnose a patient with Summer Heat?

A) A patient presents with a high fever, a feeling of heat, no aversion to cold, and they are thirsty. They also have a cough with thin, yellow sputum, shortness of breath, and they are sweating. They have a red tongue with yellow coating and a rolling and rapid pulse.
B) A patient presents with thirst, irritability, an uncomfortable sensation in the epigastrium, sweating, a headache, aversion to cold, and fever. They have a red in the front or sides with a white and sticky coating and the pulse is soft and rapid.
C) A patient presents with a fever that is worse in the afternoon. They have a sticky taste in their mouth and their body is hot to the touch. They have a headache and a feeling they refer to as an oppression in their stomach area. Their glands are swollen and they confirm they are thirsty, but they would not like anything to drink. Their tongue has a sticky white tongue coating and their pulse is soft.
D) A patient presents with continuous fever that decreases after sweating but soon again increases. They also have a feeling of heaviness of the body and head and a feeling of oppression of the chest and epigastrium and nausea. They have a red tongue with sticky yellow coating and a soft and rapid pulse.

195) Which one of the following cases would you diagnose a patient with Wei Level: Damp Heat?

A) A patient presents with thirst, irritability, an uncomfortable sensation in the epigastrium, sweating, a headache, aversion to cold, and fever. They have a red in the front or sides with a white and sticky coating and the pulse is soft and rapid.
B) A patient presents with a fever that is worse in the afternoon. They have a sticky taste in their mouth and their body is hot to the touch. They have a headache and a feeling they refer to as an oppression in their stomach area. Their glands are swollen and they confirm they are thirsty, but they would not like anything to drink. Their tongue has a sticky white tongue coating and their pulse is soft.
C) A patient presents with a feverishness of the body which is worse at night. They have
incoherent speech. They are delirious and have macules. They also appear to be mentally restless.
They have not been able to sleep for the past 3 days or so. Their tongue is red without a coating and
their pulse is thready and rapid.
D) A patient presents with continuous fever that decreases after sweating but soon again increases. They also have a feeling of heaviness of the body and head and a feeling of oppression of the chest and epigastrium and nausea. They have a red tongue with sticky yellow coating and a soft and rapid pulse.

26) Which one of the following stages has the treatment principle to recover yang and eliminate cold, use points from the Ren, Foot Shaoyin, and Foot Taiyin, and use both acupuncture and moxa with emphasis on moxa?

A) Invasion of Taiyang by Cold
B) Cold Syndrome of Shaoyin
C) Taiyin Syndrome
D) Jueyin Syndrome

40) You visit a patient that complains of aversion to cold, they are lying in a curled up position, they are listless with a desire to sleep, they have cold limbs, diarrhea with undigested food and are not sweating. Their tongue is pale with a white coating and their pulse is deep, feeble, thready. What is their diagnosis?

A) Jueyin Syndrome
B) Taiyin Syndrome
C) Invasion of Taiyang by Cold
D) Cold Syndrome of Shaoyin

194) You visit a patient that complains of aversion to cold, they are lying in a curled up position, they are listless with a desire to sleep, they have cold limbs, diarrhea with undigested food and are not sweating. Their tongue is pale with a white coating and their pulse is deep, feeble, thready. What is their diagnosis?

A) Cold Syndrome of Shaoyin
B) Jueyin Syndrome
C) Invasion of Taiyang by Cold
D) Taiyin Syndrome