Hello, it was like this when I first started studying. I can't read it, and the book is very abstract. Kidney governs water, and the function of kidney is reduced, which will lead to water retention, precipitate some pigments and produce dark circles. There is no necessary relationship between black eyes and cold and wet zone. It was the same at the beginning. I'll write it down first, and when I learn it later, the more I learn, the more I will understand. Check more books. Youku also has a lecture video of TCM diagnostics, which is more detailed.
Ⅱ "Summary of Diagnostics of Traditional Chinese Medicine" txt complete download
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Review of TCM diagnostics
Q: The earliest extant monograph on pulse science in China is Pulse Classic.
Question: The first extant monograph on tongue diagnosis is The Golden Mirror Record of Typhoid Diseases.
Examination questions: The monograph that comprehensively discusses the investigation is Guan Jing.
Question: The number of pulses recorded in Li Shizhen's Lakeside Veins is 27.
Test questions:
1 The thinking process of analyzing and synthesizing the clinical data of patients, judging the current nature of the disease and summarizing it into a complete syndrome name is called syndrome differentiation.
2. The method of TCM diagnosis and collection of diseases is called diagnosis.
Test questions:
1. The pulse of the disease is seven to one in one breath.
The normal pulse of a baby is seven to seven in one breath.
Q: What is the basic principle of TCM diagnostics?
Answer (1) overall review: one person is an organic whole, and two people are influenced by society and natural environment. The diagnosis should be considered as a whole. ⑵ Combination of diagnosis and reference: Pay equal attention to four diagnosis, and comprehensively collect disease data. ⑶ Combination of disease and syndrome: both syndrome differentiation and disease differentiation are needed. (4) Seek the essence based on syndrome differentiation, and explore the understanding of the nature and law of diseases through the collection of four diagnoses.
Q: What is the basic principle of TCM diagnostics?
The answer (1) is extrapolated from the inside: observe the changes outside the body and measure the changes inside the body (pathological changes). ⑵ See the subtle changes and measure the overall situation (pathological changes). ...
Ⅲ Answers to online assignments of nursing management in the examination course of China Medical University (20 1 1).
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Ⅳ Why most people who cough badly at night are deficient in kidney and water; If you cough badly in the morning, it is caused by spleen deficiency. This is a diagnostic work of traditional Chinese medicine. Requirements are analyzed from the perspective of traditional Chinese medicine. Thank you.
Suggestion:
Cough at night should be related to physical factors. In addition, it may also be due to chronic pharyngitis or excessive internal heat and improper diet. You can use cough syrup or Kekemin to relieve it.
Ⅳ Excuse me, which student has the exercises of clinical medical diagnostics and traditional Chinese medicine diagnostics, and wants a complete set. If you have it, please send it to me. thank you
1. Multiple-choice questions (Choose a correct answer from the four alternative answers of each question and fill in its number in the brackets after the question. Every little problem
1
Points, * * * *
10
Integral)
1.
According to the relative distribution of zang-fu organs on the tongue surface, the genus tip of tongue (
)。
A.
kidney
B.
liver
C.
spleen
D.
None of the above.
2.
Hot flashes with chest tightness, hunger and weight loss are mostly (
)。
A.
Yangming hot flashes
B.
Qi deficiency and fever
C.
Wet temperature and hot flashes
D.
Hot flashes due to yin deficiency
3.
The clinical manifestations of exterior syndrome are characterized by (
)。
A.
Top-heavy and light, slow pulse.
B.
Fever, redness and no sweat.
C.
Aversion to cold, headache and body aches.
D.
Aversion to cold, fever and no sweat.
4.
Symptoms include burning pain in chest and ribs, impatience and irritability, dizziness, bitter taste, cough and hemoptysis, red tongue and rapid pulse, which can be diagnosed as (
)。
A.
flaming-up of the liver-fire
B.
Damp-heat in liver and gallbladder
C.
Liver-fire injuring lung
D.
Deficiency of lung yin
5.
Venules mainly exist in (
)。
A.
Yang declined.
B.
Deficiency of vital qi
C.
Exhaustion of yin
D.
deficiency of blood
6.
Cold-heat syndrome, fullness of chest and ribs, vexation and vomiting, and no eating belong to (
)。
A.
Syndrome of external cold and internal heat
B.
Cold-heat syndrome
C.
Syndrome of upper heat and lower cold
D.
Half exterior and half interior syndrome
7.
Patients who are tired, sleepy and easy to sleep after meals mostly belong to (
)。
A.
Obstruction of phlegm-dampness in the middle
B.
Weakness of temper
C.
Yang deficiency of heart and kidney
D.
Heat entering pericardium
8.
Abdominal distension, loss of appetite, drowsiness, loose stool, short and red urine, yellow and greasy tongue coating, and rapid pulse.
)。
A.
Damp-heat in liver and gallbladder
B.
large intestinal damp-heat
C.
Damp-heat accumulation in spleen and stomach
D.
None of the above.
9.
Black eyes, slow reaction, action failure and compulsion are due to (
)。
A.
Deficiency of lung and spleen essence and qi
B.
Deficiency of liver and kidney essence
C.
Heart-essence decline
D.
Pathogenic pericardium
10.
Patients with headache, severe difficulty in wrapping body and limbs have (
)。
A.
Phlegm-dampness headache
B.
Rheumatoid headache
C.
wind-heat fever
D.
wind-cold headache
Second, multiple-choice questions (choose two to five correct answers from the five alternative answers of each small question, and fill in the serial number of the correct answer)
In brackets. Wrong selection, multiple selection and missing selection do not score. Every little problem
1
Points, * * * *
10
Integral)
1.
The main diseases of purple tongue are (
)。
A.
A blazing flame
B.
Cold solidification
C.
deficiency of blood
D.
Gas stripping
E.
stagnation of qi and blood
2.
However, head sweating is a symptom, which is more common (
)。
A.
Deficiency of lung and spleen qi
B.
Coke steaming
C.
Medium coke damp heat
D.
Go to yue.
E.
Yin deficiency and internal heat
3.
The patient's language is clumsy, which can be seen in (
)。
A.
Wind-phlegm blocking collaterals
B.
Wind-phlegm blocking lung
C.
Phlegm and fire disturb the heart
D.
Thermal sealing pericardium
E.
Wind-phlegm blindness and resuscitation.
4.
The same symptoms of heart-blood deficiency and heart-yin deficiency syndrome are (
)。
A.
Palpitation and numbness
B.
hot flash
C.
Insomnia is my dream.
D.
Red tongue
E.
Pulse number
National registered architects and builders exam preparation materials; Over the years, the real test experience simulated test questions.
5.
Among the following meridian diseases, the main ones are (
)。
A.
Syndrome of insufficient yin meridian
B.
Pulse syndrome
C.
Pulse syndrome
D.
Syndrome of foot Jue yin meridian
E.
Syndrome of foot shaoyang meridian
6.
The main clinical features of whooping cough are (
)。
A.
Cough like a dog barking
B.
Cough eruption
C.
Cough is not loud.
D.
Cough and vomiting
E.
Cough and hemoptysis
7.
The mechanism of pulse sinking is because (
)。
A.
Pathogenic stagnation in the interior
B.
Internal stagnation of qi and blood
C.
Cold coagulation and qi stagnation
D.
Zang-fu organs are weak and unable to inspire.
E.
Aggregation of pathogenic heat
8.
The identification points of exterior syndrome and interior syndrome mainly include (
)。
A.
Are you sweating?
B.
Cough?
C.
Tongue coating thickness
D.
Pulse fluctuation
E.
It depends on whether there is aversion to cold and fever.
9.
Common symptoms of liver disease are (
)。
A.
Dizziness and pain
B.
menoxenia
C.
Dai Na has loose bowels
D.
Bitter mouth and yellowing
E.
Impatience and irritability
10.
Among the following changes of disease and syndrome, the one that belongs to the disease decline is (
)。
A.
The sun turns to Yangming
B.
Taiyin to Yangming
C.
Shaoyin to Taiyin
D.
Jueyin turns to shaoyang
E.
Shaoyang to Yangming
Three. True or false (Please tick "√" in brackets for the following questions, and "×" for the wrong ones. Every little problem
1
Points, * * * *
10
Integral)
1.
Mental malaise is the manifestation of the decline of viscera function, and the prognosis is poor. (
)
2.
There is moss on the tongue in the morning, and it recedes after eating. This is fake fur, a sign of a serious illness. (
)
3.
Patients with abdominal pain and dysuria are characterized by hematocele in the lower coke. (
)
4.
Spleen edema, lasting for a long time, damaging kidney yang, or insufficient kidney yang, which is unfavorable for opening and closing, and water can not be excreted, can all become yin water. (
)
5.
Disorder of liver and spleen refers to the syndromes of spleen deficiency and liver hyperactivity and soil deficiency and equisetum equisetum. (
)
6.
Macula is a skin disease. (
)
7.
Accumulation refers to a visible and tangible lump in the abdomen that can't be pushed away. (
)
8.
Upper heat and lower cold, upper cold and lower heat belong to the syndrome of mixed cold and heat. (
)
9.
Yin deficiency of lung and kidney refers to the syndrome of deficiency of lung and body fluid and kidney essence. (
)
10.
Syndrome differentiation of qi in epidemic febrile diseases mostly belongs to positive syndrome, pathogenic syndrome and hyperactivity of qi. (
)
Fill in the blanks (each blank)
1
Points, * * * *
20
Integral)
1.
The earliest extant monograph on pulse science in China is《
_______________
",the author is
_______________
.
2.
Head stiffness is caused by too many pathogenic factors.
_______________
Caused by the attack; The head is weak and the head is drooping, which belongs to many genera.
_______________
.
3.
The tongue is pale white, the fur is gray and black, and it is dry as a thorn, but it is clean after scraping. The main diseases are
_______________
.
4.
The manifestations of joint pain are characterized by joints of limbs.
_______________
It hurts.
5.
In the syndrome of cold and heat, this illusion often appears in
_______________
、
_______________
And skin color.
6.
Tingling, swelling, darkening of color, and unsmooth pulse are all symptoms.
_______________
Key points of syndrome differentiation.
7.
The pathological feature of Jueyin disease is mainly the dispute between Yin and Yang,
_______________
.
8.
The main disease of cyan is
_______________
、
_______________
、
_______________
And the children's fears.
9.
Main observation of tongue coating
_______________
、
_______________
Two aspects.
10.
The clinical feature of qi deficiency fever is long-term low fever,
_______________
What is this?
1 1.
The image characteristics of slippery pulse are as follows
_______________
、
_______________
.
12.
From heat syndrome to cold syndrome, there are many causes.
_______________
.
13.
Palpitation, shortness of breath, chest tightness, chills, cold limbs, pale and fat tongue and thready pulse all belong to this genus.
_______________
.
Verb (abbreviation for verb) noun explanation (every small problem
2
Points, * * * *
20
Integral)
1.
Traditional Chinese medicine diagnostics,
2.
Guest color,
3.
Big-headed plague,
4.
Yin Huang,
5.
A false god,
6.
Exogenous exterior syndrome,
7.
Complicated diseases,
8.
Mirror tongue,
9.
Juemai,
10.
syndrome of qi system
6. Questions and answers (
15
Integral)
1.
Try to distinguish between asthma syndrome and asthma syndrome, deficiency asthma and excess asthma from smell and diagnosis. (
four
Integral)
2.
Both Yangming fu-organ syndrome and heat entering the blood can cause delirium. Try to distinguish it from the aspects of etiology, pathogenesis and clinical manifestations. (
five
Integral)
3.
Briefly describe the similarities and differences in pathogenesis and manifestations between liver-fire hyperactivity syndrome and liver-yang hyperactivity syndrome. (
six
Integral)
Seven, medical record analysis (
15
Integral)
Zhao Moumou, male,
30
Years old, worker. The patient began to have fever five days ago, accompanied by slight chills. Cough, thick phlegm, stuffy nose, turbid nasal fluid, did not see a doctor in time.
Symptoms now turn to fever, thirst, aggravated cough, thick and yellow sputum, rough breathing, restlessness, dry stool, short and red urine, red tongue with yellow and dry fur, and rapid pulse.
Document number
1.
Choose the best dialectical method (
2
Integral)
2.
Dialectical diagnosis (
five
Integral)
3.
Syndrome analysis (
eight
Integral)
Reference answer
One,
1.D 2。 C 3。 D 4。 C 5。 A six. D 7。 B 8。 C 9。 B 10。 B
Second,
1.ABC 2。 BCD 3。 AE 4。 AC 5。 CD 6。 BDE 7。 ABD 8。 ABDE 9。 ABE 10。 BCD
Three. 1 .× 2 .× 3 .× 4.√ 5 .× 6 .× 7.√ 8.√ 9.√ 10.√
Fourth,
1.
Pulse meridian, Wang Shuhe
2.
Febrile diseases are pathogenic fire, and kidney qi is insufficient.
3.
Yang deficiency and cold excess
4.
wandering
5.
Limbs, skin
6.
Blood stasis
7.
Staggered heat and cold
8.
Cold syndrome, blood stasis and pain syndrome
9.
Moss color
10.
trouble
1 1.
Smooth communication, such as beads moving.
12.
Good is invincible.
13.
Deficiency of heart yang
Five,
1.
That is, under the guidance of the basic theory of traditional Chinese medicine, the subject of research and diagnosis of diseases and syndrome differentiation.
2.
That is, people's skin color and skin color change with the change of natural environment and living conditions.
3.
My head is swollen like a bucket, and my face is so swollen that I can't open my eyes. It's called big head plague.
4.
This is a kind of jaundice, yellow and black like smoke.
5.
It is the illusion that the dying patient is temporarily mentally better.
6.
It refers to the syndrome caused by exogenous wind pathogen attacking the muscle surface, which is manifested as wind pathogen sweating.
7.
It refers to the phenomenon that once the disease does not stop, other diseases will follow.
8.
That is, the tongue coating completely disappears, making the tongue surface smooth without coating and smooth as a mirror.
9.
That is, no stomach, no spirit or no roots.
10.
It refers to the syndrome of internal heat caused by pathogenic factors spreading in the viscera, excess of pathogenic factors and excess of yang heat.
Six,
1.
(
1
As far as hearing diagnosis is concerned, wheezing is generally called sound, that is, wheezing is like the sound made by a chicken in its throat (
1
Points); Breathing with breath is shortness of breath.
If you cannot breathe continuously, you can call it breathing. (
1
Integral)
(
2
) Asthma can be divided into two categories: sudden excessive asthma, deep breathing, rough breathing and shortness of breath, but the exhalation is the fastest (
1
Points); empty
Asthma attack is slow, sometimes light and sometimes heavy, wheezing is low, shortness of breath is difficult to last, breathing for a long time is fast, and moving is heavy (
1
Integral)
2.
(
1
The delirium of the two syndromes is caused by excessive pathogenic heat and disturbing the mind. (
1
Integral)
(
2
) Yangming's syndrome of fu-organs, heat is in qi, and evil binds the gastrointestinal tract, and its delirium is caused by evil heat indirectly disturbing the mind (
1
Points), so the clinical table
At present, there are many abdominal distension and constipation, the weather is very hot, and the tongue coating is yellow, thick and dry. The pulse is heavy and strong (
1
Integral)
(
three
) heat enters the blood, heat is in the blood, and evil blocks the pericardium. Delirium belongs to pathogenic heat, which directly disturbs the mind (
1
Points), so the clinical manifestations.
With macula, body heat at night, red tongue, rapid pulse (
1
Integral)
3.
(
1
The similarity between the two syndromes lies in the pathological changes of qi and fire rising and falling on the sick machine (
1
Points), manifested as dizziness, headache, blushing, red eyes,
Upper symptoms such as impatience and irritability are prominent. (
1
Integral)
(
2
The difference between the two syndrome types is that hyperactivity of liver fire is often accompanied by fire symptoms such as bitter taste, dry throat, burning pain in chest and ribs, red urine and constipation (
1
Points), proved to be pure,
Most of them are new diseases with short course of disease (
1
Points); Syndrome of hyperactivity of liver yang is often accompanied by tinnitus, heavy head and soreness of waist and knees.
1
), the certificate belongs to this.
Virtual reality, mostly chronic diseases. The course of disease is long. (
1
Integral)
Seven,
1.
(
1
) give priority to with viscera dialectical; (
1.5
Points) (
2
) combines the dialectics of Qi Wei and Xue Ying. (
0.5
Integral)
2.
(
1
) hot lung and stomach; (
four
Points) (
2
) the disease is in qi. (
1
Integral)
3.
(
1
) At the beginning, fever is aversion to cold, with more heat and less cold (or more heat and less cold).
-
Warm pathogen invading exterior, defensive pathogen stagnation (
1
Points);
(
2
At first, it was accompanied by cough, yellow sputum, stuffy nose and turbid flow.
-
Heat invades the lung orifices, and the lung loses its smoothness (
1
Points);
(
three
) intense heat and thirst
-
When heat enters the stomach, body fluid is consumed internally (
1
Points);
(
four
) The cough is thick and yellow.
-
Hot burning in the lungs causes liquid to burn into phlegm (
1
Points);
(
five
) Shortness of breath
-
Heat is confined to the lungs, and qi loses its vitality (
1
Points);
(
six
) dry stool, short and red urine
-
Qi and heat accumulate, rob the body fluid and moisten the intestines, and the source of transformation is insufficient (
1
Points);
(
seven
) The tongue is red and coated with Huang Gan.
-
Tongue image of evil in the interior and qi in the heat (
1
Points);
ⅵ Homework Answers of Distance Education College of Beijing University of Chinese Medicine
Don't think that way.
ⅶ Where can I find the answer to online diagnostics of traditional Chinese medicine?
The online course of TCM diagnostics is to meet the needs of modern distance education, and it can be suitable for anyone, anytime and anywhere. This online teaching method is based on learning, which requires students to learn by themselves step by step according to their learning progress and teaching objectives, and to test their mastery of the key and difficult points of each knowledge point through practice. If students encounter difficulties, they can ask their teachers questions in time by email to seek answers. Organize online discussion on hot and difficult issues related to TCM diagnostics in a timely manner, and organize online discussion on common and difficult diseases to reflect the interaction between online teaching and learning. The online course of TCM diagnostics also provides the latest research trends to broaden the knowledge of TCM diagnostics. Diagnostics of traditional Chinese medicine is a highly theoretical and practical subject, and it is the concrete application of basic theories, knowledge and skills of traditional Chinese medicine. There are both theoretical knowledge, practical operation and diagnostic analytical thinking. Therefore, it is necessary to cultivate correct learning methods when studying TCM diagnosis. To learn diagnostics of traditional Chinese medicine, we must cultivate correct learning methods: first, we must master the basic theory of traditional Chinese medicine skillfully. Only by knowing the normal physiological state of the human body like the palm of your hand can you know the constant changes and understand the various changes in the pathological state. Therefore, on the one hand, we should deeply understand and master the basic theory and knowledge of TCM diagnostics, review and apply the basic theory of TCM, and deepen the study and understanding of TCM diagnostics according to the systematic and scientific theory of TCM. Secondly, we should attach importance to and constantly strengthen clinical practice. The predecessors said that familiarity with Wang Shuhe is not as good as familiarity with clinic, which shows that this theory must be combined with clinic. Diagnostic methods and skills must be carefully studied in long-term clinical practice to gain experience and gain, and there is no other way. Therefore, we must actively participate in clinical practice, cultivate our serious and meticulous work style and attitude, and avoid dabbling. Third, we should learn and use dialectical thinking methods. Clinical diagnosis is a leap from perceptual knowledge to rational knowledge and a comprehensive application of medical theoretical knowledge and scientific thinking. Therefore, to improve the level of clinical diagnosis, we should not only have profound medical knowledge, but also have correct thinking methods. The medical records of famous doctors in the past dynasties contain rich diagnostic methods and experiences, especially the dialectical thinking method of difficult and critical diseases, which deserves our good inheritance to overcome the influence of subjectivism, mechanical isolation and other wrong ideas.