acupasspeek

8/13/2019 acupasspeek

1/10

TABLE OF CONTENTS

Introduction ............................................................................................................. 1

Study Pyramid ......................................................................................................... 5

Abbreviations ........................................................................................................... 7

My Cheat Sheet ........................................................................................................ 9

Theory

Introduction ........................................................................................................... 12

Review.................................................................................................................. 13

Multiple Choice ....................................................................................................... 20Answers ................................................................................................................ 37

Diagnosis

Introduction ........................................................................................................... 45Exercises and Multiple Choice ................................................................................... 47

Answers ................................................................................................................ 83

Pulse .................................................................................................................... 90

Pulse Answers ........................................................................................................ 99

Meridian Pathways

Introduction..........................................................................................................102

Primary Meridian Pathways .....................................................................................104Primary Meridian Pathways Answers.........................................................................120Extra Meridian Pathways.........................................................................................123

Extra Meridian Pathways Answers ............................................................................131

Points

Introduction..........................................................................................................133

Point Location .......................................................................................................136Point Location Answers...........................................................................................155

Point Functions......................................................................................................159

Point Functions Answers .........................................................................................183Shanghai Points.....................................................................................................187

*Special Points Description

Introduction..........................................................................................................191

Memorizing all those points.....................................................................................192

Special Points Descriptions (short answer) ................................................................198

Answers ...............................................................................................................206


2/10

*Extra Points

Introduction..........................................................................................................210

40 Extra Points (chart) ...........................................................................................211

Questions .............................................................................................................214

Answers ...............................................................................................................216

*Conclusion

Shu Point Indications .............................................................................................219Chart of Points and Levels: Abdomen .......................................................................220

Chart of Points and Levels: Dorsal............................................................................221

Special Considerations ...........................................................................................222

Needle Technique

Introduction..........................................................................................................223Needle Technique Questions....................................................................................224

Answers ...............................................................................................................230Extra Points Needle Techniques Chart.......................................................................232Ear, Scalp, and Electro-Acupuncture Review..............................................................233

Answers ...............................................................................................................246

Single Herbs

Introduction..........................................................................................................250

Single Herb List .....................................................................................................255

Questions (short answer)........................................................................................271

Multiple Choice ......................................................................................................280

Answers (short answer)..........................................................................................293Answers (multiple choice) .......................................................................................299

Formulas

Introduction..........................................................................................................301

California State Board Formulas ..............................................................................303Questions ............................................................................................................305

Answers ...............................................................................................................316

Ingredients ...........................................................................................................320

*Modifications

Introduction..........................................................................................................324List .....................................................................................................................325Questions ............................................................................................................331

Answers ...............................................................................................................337

Gynecology

Introduction..........................................................................................................340


3/10

Questions ............................................................................................................341

Answers ...............................................................................................................356

CNT

Introduction..........................................................................................................360

Questions ............................................................................................................361Answers ...............................................................................................................368

Licensing (for CA SB) .........................................................................................370

Western

Introduction..........................................................................................................371

General Western Questions .....................................................................................372

Short Answer Questions .........................................................................................414

General Western Answers ......................................................................................420Short Answer Answers ...........................................................................................429

Western Charts ....................................................................................................432Hepatitis Spreadsheet ............................................................................................435Radiculopathy and Neurological Features ..................................................................436

Cranial Nerve Examination ......................................................................................437

Vitamin Charts ......................................................................................................438

Vitamin Questions..................................................................................................443

Vitamin Answers....................................................................................................445

Pathology Notes

Introduction..........................................................................................................446

Notes 1 ................................................................................................................447Notes 2 ................................................................................................................453

Notes 3 ................................................................................................................458

Notes 4 ................................................................................................................463Notes 5 ................................................................................................................468

Notes 6 ................................................................................................................472

Case Studies

Introduction..........................................................................................................476

Case Studies .........................................................................................................477Answers ...............................................................................................................496

Blank Test Sheets ...............................................................................................500

Bonus: Additional Formulas ................................................................................513

Conclusion ..........................................................................................................524


4/10

DiagnosisSample Questions taken from the book

123. Which organ is NOT involved in Lin syndrome?

a. STb. SP

c. KD

d. LU

124. A young female comes to you with several complaints. Recently, she has been

feeling very tired, and has noticed some weakness in her arms and legs, along with

atrophy of her muscles, despite the fact that she visits the gym 3 times per week.

This is her first visit with you, so you perform a complete physical, confirming

weakness in her extremities. You also note a slight decrease in her visual acuity

from the norm. You refer her to an MD, and she reports back that her test results

reveal a lesion in the myelin sheath in a section of her spinal cord. What condition

does she have?

a. Parkinsonsb. MSc. an autoimmune disease

d. both b and c

Single Herb Questions

Sample Questions taken from the book

1. What three herbs need to be dissolved in a strained decoction?

4. Da zao combines with what herb to harmonize?

5. What diuretic herb is good for jaundice, and also what point goes with it?

6. Must crush this herb or it does not work at all.

7. Describe the primary vs. secondary fx for bai zhu vs. cang zhu.

74. Which of the following will NOT treat cold in the LV channel?

a. wu zhu yu

b. sheng jiangc. wu yao

d. moxa on LV 1

76. What are the main function(s) of the chief herb in the formula yu ping feng san?

a. tonify the qi and strengthen the SP

b. tonify the qi and consolidate the surface

c. tonify the LU qi

d. expel exterior wind and consolidate the surface


5/10

FormulasSample Questions taken from the book

12. A 44 year-old female patient comes to you with chief complaint of depression.

She states her sleep is restless and she feels tired when she wakes up. She hasuncontrollable crying spells that she cannot pinpoint the cause of. As she is

speaking, you notice she yawns quite a few times. Her tongue is pale, and her pulseis wiry and thready. What is your diagnosis for this case?

a. qi stagnation with phlegm accumulationb. qi and yin deficiency of the HT

c. deficiency of HT and SPd. LV qi stagnation with HT xs

13. What is the best formula for the above patient?

a. gan mai da zao tang

b. tian wan bu xin dan

c. ban xia huo po tang

d. gui pi tang

16. Both wu ling san and zhu ling tang contain which of the following herbs?

a. ze xie, fu ling, zhu ling

b. hua shi, e jiao, ze xie

c. sang bai pi, da fu pi, fu ling

d. gui zhi, bai zhu, zhu ling

17. Which shen is NOT found in tian wang bu xin dan?

a. ren shen

b. dan shen

c. xuan shen

d. dang shen

19. Ban xia bai zhu tian ma tang addresses which organ pair?

a. KD and LVb. HT and SP

c. SP and LVd. HT and LU

20. Prozac can be likened to which herbal formula?

a. wen dan tangb. tian wan bu xin dan

c. long dan xie gan tangd. gan mai da zao tang


6/10

Gynecology


26. A young female patient comes to your office. She recently delivered her firstchild, and suffered excessive blood loss during the long labor. She feels tired all the

time. She has a history of depression and does not want to be unhappy with hernew baby. She also is having a problem with breast feeding her child, and wonders

if acupuncture can help her. What points do you try?

a. GB 41, ST 18, LV 3, REN 17

b. ST 40, LV 2, PC 6, SJ 6, REN 14c. ST 12, SI 1, LV 8, ST 36, UB 15

d. SP 10, SI 1, SP 4, LU 9, UB 14

27. Patient comes to you with diagnosis of endometriosis, and you determine the

etiology is an interlocking of heat and blood. What formula do you choose for this

condition?

a. tao he cheng qi tang

b. da cheng qi tang

c. gui zhi fu ling wan

d. shao fu zhu yu tan

28. Amenorrhea is defined as:

a. menstruation that comes late every month, or skips months altogether

b. forced suppression of the period by use of drugs for less than 3 months

c. an xs condition

d. menstruation that does not come until age 18, or is suppressed for greater than 3 months

29. If patient has diarrhea associated with the menstruation, what organ deficiency

is likely involved?

a. SP and ST

b. SP and KD

c. ST and KD

d. LU and SP


7/10

Western Introduction

This chapter is subdivided into several sections. The first is a group of general

western questions in the standard multiple choice format. Within this first section,

there are groups of questions together regarding skin, hepatitis, HA, andpharmatoxicology. Next is a section comprised of short answer questions, and it is

designed that you try to answer these questions afteryou have completed the

multiple choice section, and check your answers. Then, review the material, and the

next day, or a couple of days later, go back to the multiple choice and take it again.

Keep going over anything you missed in any section, paying particular attention totopics such as hepatitis, HA, and other commonly seen diseases, although you may

be tested on anything found in the assigned western medical books.

At the end of this chapter, there will be some helpful diagrams and charts to aid you

in memorizing all this stuff. There are also separate charts that cover hepatitis,

nerves, and a bonus section devoted to vitamins, minerals, and some popular herbal

supplements.


1. Which of the following is sometimes absent in the case of metastaticcarcinoma of the LV?

a. weight lossb. anorexiac. jaundiced. fever

2. Please find the correct match for the following definition: acute inflammationof the GB usually caused by cystic duct obstruction by an impacted stone.

a. acute cholecystitis; Murphys signb. primary LV cancer; RUQ massc. cholecystitis; palpable RLQ massd. acute choledocholithiasis, obstructive jaundice

3. Ascites is defined as:a. excessive accumulation of lipid in hepatocytesb. calculi in the bile ductsc. functional obstruction of blood flow in the portal systemd. accumulation of fluid within the peritoneal cavity

4. Which of the following exercises should be avoided in a patient with lateralepicondylitis?

a. wrist extensionb. golfingc. pronation of the wristd. squeezing of objects, such as a rubber ball


8/10

17.Congenital immunodeficiency characterized by absence or hypoplasia of thethymus and parathyroid glands, with partial or complete T-cellimmunodeficiency but normal B-cell immunity, describes what disease?

a. x-linked agammaglobinemiab. selective IgA deficiencyc. DiGeorge anomalyd. type I hypersensitivity disorder

18. Myxedema coma is a complication of:a. hypothyroidismb. hyperthyroidismc. aldosteronismd. diabetes mellitus

19. Which type of cells are involved in graft-vs-host disease?a. B cellsb. T cellsc. stem cellsd. nerve cells

20. Anaphylaxis is a systemic reaction mediated by which of the following:a. IgAb. IgEc. IgMd. IgG

Pathology Notes Introduction

I have comprised 6 sections of notes on pathology, which not only covers

information at the cellular level, but also reviews several conditions and diseases

from the western perspective, and points out several key points associated with

various western topics

Several important conditions are discussed within the following pages, such as

diabetes, osteomalacia, Cushings

Sample Outline taken from the book

8. Elevated serum levels of M. enzymes typically found in what disease?

Inflammatory myopathies

13. The diagnosis of SLE is best made by? Anti-nuclear antibody (ANA) production

14. SLE usually involves what organ systems? thyroid, adrenals, ST, pancreas (skin,

joints, kidney, CNS, hematologic)

15. What is DiGeorges syndrome? (AKA Thymic Hypoplasia) A T cell defect due to

malformation of third and fourth pharyngeal pouches. Also has parathyroid gland hypoplasia

(hypocalcemia) with 90% deletion in chromosome 21q11. An immunodeficiency disease.

16. The most common primary immunodeficiency disease is:isolated IgA deficiency


9/10

Case StudiesSample Questions taken from the book

25. Patient presents with high fever, chills, cough, tachypnea, and chest pain. She states she

was diagnosed with a LU abscess and is here for treatment of her symptoms. What stage ofthe disease is she in?

a. exterior stage

b. suppurative stage

c. perforating stage

d. recovery stage

26. What points are good to use at this stage of the disease?

a. LU 5, ST 40, LU 7, LI 11

b. LU 7, KD 6, LI 11, REN 17

c. LU 1, KD 6, LU 9, SP 3

d. LI 11, UB 13, SJ 5, LI 4

27. The above patient did not stick with her treatments and is now back several weeks later

with the chief complaint of coughing up bloody, purulent sputum. How would you modify the

above prescription?

a. add LU 6 and UB 17b. add SP 10 and LI 4

c. add UB 40 and UB 15d. add REN 22 and KD 6

28. For the above case, at either stage, which herb would be the LEAST helpful?

a. tao renb. bai lian

c. jie geng

d. sheng di huang

SampleAnswerstaken from the book

How many books give

you the answer and

EXPLAIN why that

answer is correct?AcuPass does!


10/10

127. d (biphasic regulation means that it can perform opposite effects, for example, ST 25 can

treat both diarrhea and constipation, PC 6 can correct both tachycardia and bradycardia, andDU 14 can both clear heat or generate heat)

128. b (a is for KD yin; d is for replenishing qi and blood; know these differences)130. c (d is used to remove indigestion)

131. d (DU 26 and all the jing well points have this function)

132. d (CAM 378) --- REFERENCES ARE GIVEN FOR MANY QUESTIONS

133. a (odd prescription is the use of one point)135. d (an adjacent point is one in the general area, so for eye problems this could be UB 2;LV 2 is not a command point; an example of a symptomatic point is an empirical point, such

as extra point erbai, which is used to treat hemorrhoids)

1. b (blood stasis etiology will also have dysmenorrhea)2. c (this is phlegm heat, as seen by the tongue; her agitation, with qi stagnation, is seen

by the pulse; her bipolar disorder indicates phlegm fire harassing upwards, since the

mania is a sign of heat, and the depression is a sign of phlegm)

3. c (again, severe pain is indicative of xs cold, which is also shown in her pulse)4. a (she does not have any LV qi stagnation symptoms to justify the use of xiao yao san,

or any LV blood deficiency signs for suan zao ren tang, or any emotional disturbance for

gan mai da zao tang; tian ma bu xin dan is an excellent choice for pre-menopausal

symptoms, and her palpitations indicate heart involvement)

5. c (KD yang deficiency discharge is liquidy, runny, thin, dilute; damp heat will have odor,itching, and burning; toxic heat would have severe heat signs, and is usually associated

with another disorder, such as STD, carcinoma, or boils)

1. a (other circumstances you should NOT induce vomiting: if gag reflex is not present, aseizing patient, or a patient with decreased level of consciousness)

2. b (for the rest of the answers, the opposite of what is written are also causes ofhypoglycemia)

3. a (this respiration involves a long exhalation, as if the patient is holding their breath inbefore breathing out, and is a telltale sign of hyperglycemia, ketoacidosis, and diabetic

coma)

4. c (any condition with these symptoms should be taken seriously, and evaluated by ahospital)5. d (also more common in: diabetes with high blood pressure, pregnant women in their

third trimester, and those that either have or been exposed to herpes simplex virus,

influenza virus, HIV, herpes zoster, and TB; cancer and facial trauma patients(especially infants delivered with forceps) are also at risk)

6. d (FYI, answer c is how you determine the hematocrit)7. c (the other organ damaged by HTN is the KD)241. c (thiazide is an anti-hypertensive, diuretic drug, and is CI if the patient has stones,

since it can cause calcium retention)

242. a (essential means idiopathic, or its cause is not known; d is part of secondary HTN,

where there is an associated disease; black people are more prone than white to having

HTN)

243. d (there is a loss of taste)244. a (c is the generic name for Claritin)

247. d (this drug lacks anticonvulsive and muscle relaxant properties, and causes minimal

sedation)

40. d (the location of the pain tells you the ST or SP is involved. Since the pain is severe, and

acute, this is an xs, and not deficiency, condition. There are no distinct food stagnation signs.

Colicky pain here indicates cold and exterior pathogen. The ST is one of the organs that can

be directly invaded by the cold exterior pathogen. The pulse is wiry because of the pain.)

acupasspeek

Documents