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Clinical Sciences
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A 30 year old female presents with difficulty breathing on exertion. Lately she has been feeling weak, dizzy, and sweats randomly throughout the day. In her medical history, she often catches the common cold and had asthma as a child. On physical examination, she is coughing, speaks with a weakened voice, and her complexion is pale. Tongue: Pale with white coat. Pulse: weak, deep (especially in the right cun position).
Lung qi deficiency
3 multiple choice options
Which acupuncture points are recommended for Lung qi deficiency?
CV 4, Lu 9, Lu 7, GV 12, UB 13
3 multiple choice options
A 53 year old male comes to you with a complaint of waking up sweating at night and is concerned about lung cancer as he is also a smoker and recently coughed up blood-tinged sputum. Medical history documents a chronic cough that is dry with small amounts of sticky sputum. He does not exercise as this makes him short of breath and he generally feels weak and dizzy. His complexion is pale and you note a malar flush across his face. Tongue: Red and dry with a crack proximal to the tip of the tongue. Pulse: thready and rapid
Lung yin deficiency
3 multiple choice options
Which acupuncture points are recommended for Lung yin deficiency?
Lu 5, Lu 9, UB 13, UB 43, Lu 10
3 multiple choice options
It is the fall season and a friend calls you for naturopathic advice regarding her 9 year old son who is coughing, sneezing, with a sore and itchy throat, slight fever, headache and body aches. Symptoms occurred within a few days after he refused to wear his jacket outdoors at recess. She also mentions to you that he recently completed a round of antibiotics for an ear infection. To confirm a TCM diagnosis, your friend tells you that his sputum is clear, he is thirstless, and has an aversion to the cold. Tongue: thin white coat. Pulse: slow and floating/light.
Wind-cold invasion
3 multiple choice options
Which acupuncture points are recommended for wind cold invasion?
Lu 7, Li 4, TW 5, UB 12, GB 20
3 multiple choice options
A 10 year old male with a history of tonsilitis was brought to your office. After completing a course of antibiotics his symptoms initially improved but now he is experiencing a frequent cough, sore throat, sensation of heat, and chest pain. He is coughing up yellow and sticky sputum, sometimes tinged with blood. Although he is drinking a lot due to being very thirsty, his urine is scanty and dark yellow and he is constipated. Wheezing is heard on auscultation of his lungs. Tongue: red, thin, yellow coat. Pulse: rapid
Lung fire
3 multiple choice options
Which acupuncture points are recommended for lung fire?
Lu 5, Lu 10, Li 4, Li 11, GV 14
3 multiple choice options
A 1st year college student whose diet is composed of mostly greasy cafeteria food recently returned from a month long trip in the humid Peruvian rainforest and likely came back with a 'bug'.. Maybe Campylobacter. She comes to you as she is experiencing diarrhea and abdominal pain. As an ND, you get into the nitty gritty details of her poop and you learn that it has blood and mucous, very foul smelling, and burns her anus. She is also feverish, sweaty, and thirsty, but has no desire to drink. Her urine is also deep yellow and scanty and she has a general feeling of 'heaviness'. To confirm your TCM diagnosis, you check her pulse, which is rapid and slippery and her tongue is red with a sticky yellow coat.
LI Damp heat
3 multiple choice options
Which acupuncture points are recommended for LI Damp heat?
Li 11, Sp 9, Li 10, UB 25, St 25
3 multiple choice options
A post partum woman living in the hot and dry desert is experiencing constipation with very dry and difficult to pass stools. She also mentions that she has a dry mouth and throat. Her urine is scanty and yellow. Her pulse is thin/thready and her tongue is pale with no coat. She does not feel hot or feverish.
LI dryness
3 multiple choice options
Which acupuncture points are recommended for LI dryness?
St 36, UB 25, Kd 6, CV 4, St 25
3 multiple choice options
A 50 year old woman who you see regularly for depression, which she has been managing all her life, is experiencing palpitations, shortness of breath on exertion, sweating spontaneously, dizziness, fatigue, pale complexion, and a low voice. She is not currently coughing, but in the years that you have been working with her, she is often sick with a cold. Her pulse is weak and empty. Her tongue is pale with a thin white coat
Heart qi deficiency
3 multiple choice options
Which acupuncture points are recommended for Heart qi deficiency?
Ht 5, PC 6, UB 15, CV 15, CV 17
3 multiple choice options
You are concerned about your grandmother, who was the youngest in a family of 14 children and born prematurely, as she has been admitted to the ER numerous times for chest pain and palpitations. She has long-standing health concerns, and in addition she is feeling that something is off - she is fatigued, dizzy, short of breath, and has an overall feeling of 'chilliness', especially in her limbs. Her face is bright pale, pulse: slow and thready, tongue: pale, swollen and wet.
Heart yang deficiency
3 multiple choice options
Which acupuncture points are recommended for Heart yang deficiency?
Ht 5, PC 6, UB 15, CV 15, CV 17
3 multiple choice options
A woman comes to you and is experiencing the post-partum blues. She has a history of depression and does not consume enough food. She is feeling dizzy, experiencing palpitations and she has pale lips and complexion. She tells you that she has been having a difficult time falling asleep and that she is constantly dreaming but can't remember them and feels like she can't recall things as she normally would. When you call her name from the waiting room she is easily started. Pulse: empty and weak. Tongue: thin, pale with a thin white coat.
Heart blood deficiency
3 multiple choice options
Which acupuncture points are recommended for Heart blood deficiency?
Ht 7, PC 6, CV 14, Sp 6, UB 17
3 multiple choice options
A 3rd year CCNM student is experiencing anxiety and palpitations after completion of her final exam period. She has been feeling worn out since beginning her studies. She has low energy, dizzy, and has a pale complexion and lips. She has not been sleeping well and notices she is easily started. While studying for her exams, she mentions she feels like her memory, focus, and concentration is lacking. Now she is concerned as she is waking up with night sweats, feels hot in the afternoons, malar flush, and heat in the palms and soles. Her pulse is rapid and weak. Her tongue is red, no coat, red tip and papules, and there is a crack forming down the midline.
Heart yin deficiency
3 multiple choice options
Which acupuncture points are recommended for Heart yin deficiency?
UB 15, Ht 7, PC 1, Lv 8, Sp 10
3 multiple choice options
A teenage refuge who has experienced anxiety and mental depression all his life is experiencing palpitations. In the intake you note that his face is red, he appears to be very restless and agitated, and is constantly drinking big gulps of water. In his ROS you learn that his urine is dark yellow, he has ulcers in his mouth, and cannot sleep. He mentions a strange/rare/peculiar in that he always wakes up with a bitter taste in his mouth. Tongue is red with a red tip. Pulse is rapid and full.
Heart Fire
3 multiple choice options
Which acupuncture points are recommended for Heart fire?
Ht 3, Ht 9, Ht 7, Kd 6, Sp 6
3 multiple choice options
The kids in your neighbourhood are afraid to walk by the driveway of a man who has been known to shout and randomly throw objects at passersby. You get the neighbourhood gossip that this man has struggled for a long time with depression and was once the type who ‘never spoke up’. One neighbour who confronted him said he startled him and that he appeared mentally unwell as he wandered his yard muttering to himself, spoke incoherently, and laughed hysterically, cried, then shouted all within a 2 minute interaction. What was understood is that he was experiencing intense heart palpitations, has a bitter taste in his mouth on waking, and has dream-disturbed sleep. Based on the TCM diagnosis, his tongue is likely red with a sticky yellow coat and his pulse is wiry and slippery.
Phlegm fire harassing the heart
3 multiple choice options
Which acupuncture points are recommended for Phlegm fire harassing the heart?
St 40, GV 24, Ht 7, Ht 9, PC 5
3 multiple choice options
Your boyfriend returns from work feeling angry and decides to consume a pint of icecream to eat away his sorrows. Shortly after he develops flatulence and borborgymus. Accompanied with these symptoms, he is experiencing pain in his lower abdomen that is twisting and extending to his back as well as pain in his testicles. When you rub his belly, you notice it is distended and his pain is worse with the pressure of your touch. His pulse is wiry and deep. His tongue has a white coat.
Small Intestine Qi Stagnation
3 multiple choice options
Which acupuncture points are recommended for Small Intestine Qi Stagnation ?
Lv 3, GB 34, CV 6, Sp 6, St 39
3 multiple choice options
A 1st year CCNM student is having trouble grasping her new study load. With finals approaching and a recent flood in her basement apartment, she is overthinking and forgetting to eat and her diet has become irregular. Because she does not have time to prepare meals, she is eating her food raw and binging on ice cream in her damp apartment. She decides to see an intern because she is experiencing a lot of abdominal distention (especially after eating), loose stools, poor appetite, and her limbs feel weak. She appears fatigued, apathetic, pale complexion, and sweats spontaneously. You look at her tongue and it is pale with scalloped and swollen edges. Her pulse is weak.
Spleen qi deficiency
3 multiple choice options
Which acupuncture points are recommended for Spleen Qi deficiency?
Sp 3, Sp 6, St 36, CV 12, UB 20
3 multiple choice options
The next semester, the first year student failed to improve her diet, move, or change her approach to her studies. She comes back to you because she is now noticing that her loose stools have undigested food. She also complains of chilliness, especially in her limbs and they appear swollen. Her complexion is now bright and sallow. You take her pulse and it is weak and slow. Her tongue is still pale, swollen, with scalloping but more wet.
Spleen yang deficiency
3 multiple choice options
Which acupuncture points are recommended for Spleen yang deficiency?
Sp 3, UB 21, GV 14, TW 5, Li 4
3 multiple choice options
A 20 year old waitress comes to see you because she is experiencing a strange 'bearing down' sensation in her lower abdomen. On physical exam you find that her uterus is prolapsed and her skin has a dull and pale complexion. You also learn that she has been overwhelmed with her job and the hours make it difficult for her to eat a proper diet, especially since she has a poor appetite. You learn she is also fatigued, becomes dizzy, sweats spontaneously, and has difficulty working on her feet all day serving as all her limbs feel weak. In ROS you learn that she frequently and urgently urinates throughout the day and her stools are loose and often experiences prolonged diarrhea and she says she always feels bloated, especially with food. Tongue: pale. Pulse: weak and thin
Spleen qi sinking
3 multiple choice options
Which acupuncture points are recommended for Spleen qi sinking?
Sp 3, Sp 6, UB 20, CV 6, CV 12
3 multiple choice options
An air traffic controller, whose job requires a lot of thinking, is experiencing a lack of appetite, loose stools, weak limbs, pale complexion, abdominal distention
Spleen failing to control blood
3 multiple choice options
Which acupuncture points are recommended for Spleen failing to control blood?
Sp 3, Sp 6, CV 4, Sp 10, UB 17
3 multiple choice options
A female hiker returned from a wet and rainy week along the West Coast Trail. Upon returning she has felt a heaviness in her head and body, fullness and distention in her abdomen, and complaining of lassitude. In ROS you learn her stools are loose and sticky, her mouth feels sticky, and her vaginal discharge is cloudy. She also mentions that she lost her sense of appetite and thirst. Tongue appears to have a sticky thick white coat and pulse is slippery and slow.
Cold Damp in the spleen
3 multiple choice options
Which acupuncture points are recommended for Cold Damp in the spleen?
Sp 3, Sp 9, CV 12, St 40
3 multiple choice options
A college student is experiencing a hang over after a night out drinking and eating wings and icecream. Not only is he experiencing nausea, vomiting, low-grade fever, and headache, he is also experiencing a heaviness in his body and head, fullness/distention in his abdomen, sticky mouth, sticky and foul smelling stools that burn on passing, scanty dark urine. He has an overall lassitude and laziness where he is thirsty but does not have the desire to drink and hungry with no desire to eat. Tongue: yellow sticky coat. Pulse: rapid and slippery
Damp heat invading the spleen
3 multiple choice options
Which acupuncture points are recommended for Damp heat invading the spleen?
St 40, St 36, GB 34, Sp 9, Li 11
3 multiple choice options
In celebrating the completion of midterm exams, you and a classmates go out for hot and greasy wings and beer. At the party, you have an uncomfortable and empty feeling in your belly. When the wings arrive, you eat constantly and can't seem to get full. You also continue to order ice water to help cool the burning and pain you feel in your stomach. While eating, the food is burning the sores in your mouth and gums and you are experiencing reflux. After your first lbs of wings, you excuse yourself to the bathroom where you quickly vomit, urinate very yellow and scanty urine, and attempt to poop but are constipated. After returning from the washroom, you classmate quietly gives you a mint for your foul smelling breath. Tongue: Red, Thick yellow dry coat. Pulse: full, rapid
Stomach fire
3 multiple choice options
Which acupuncture points are recommended for stomach fire?
St 44, St 45, CV 12, CV 13, PC 6
3 multiple choice options
In celebrating the completion of final exams, and despite the winter time, you and classmates go out for icecream. While out, you suddenly feel a sharp pain in your epigastrium and it gets worse with each lick of icecream. You quickly go outside to vomit and it is all clear liquid. After this, you listen to your body cues and drink a warm tea, put on your goosefeathered jacket, and loosen your belt (as belly is
Stomach cold
3 multiple choice options
Which acupuncture points are recommended for stomach cold?
UB 21, CV 12, St 34, GV 4, St 36
3 multiple choice options
You are staying up late to study point location. While stressed and studying, you snack very quickly and nervously on raw carrots. You decide to finally go to sleep, but are kept awake with insomnia and abdominal distention and get up to vomit undigested food, which helps alleviate your symptoms. Your breath is foul and you cannot lay down fully as you are also experiencing gastric reflux. Tongue has a thick coat. Pulse is full and slippery
Food retention in the stomach
3 multiple choice options
Which acupuncture points are recommended for Food retention in the stomach?
St 44, St 45, CV 12, PC 6, CV 13
3 multiple choice options
Your sister experiences a cyclic behaviour with outbursts of anger/irritability/mood swings. She wears loose-fitting clothing and refuses to wear a bra during this time as her breasts are tender and she experiences migrating pain and distention in her abdomen and underneath the right ribs. You notice that she sighs frequently and her skin has a slightly yellow appearance. She complains to you about a strange sensation in her throat that makes swallowing difficult. At her worst, she experiences loose stools, low appetite, borborgymus as well as belching, nausea, and vomiting as well as menstrual irregularities. Her tongue appears normal, maybe slightly purple. Pulse is wiry
Liver qi stagnation
3 multiple choice options
Which acupuncture points are recommended for Liver qi stagnation?
Lv 3, Li 4, GB 34, Lv 14, PC 6
3 multiple choice options
A friend of yours recently separated from her husband, who was emotionally abuse towards her with outbursts of anger and rage stemming from long-standing suppressed emotions. She was worried about him as he would have difficulty falling asleep and often woke from nightmares. As his ND, his visits dealt with his frequent headaches (behind his eyes and vertex), sudden tinnitus/deafness, ear pain (with purulent discharge) and nosebleeds. You noted that his complexion is red as are his eyes. You always advise him to drink more water for his constipation, yellow-scanty urine, and thirst. Tongue: red with thick yellow coat. Pulse: rapid, wiry, full
Liver fire rising
3 multiple choice options
Which acupuncture points are recommended for Liver fire rising?
Lv 1, Lv 2, Lv 3, Lv 8, GB 20
3 multiple choice options
You are concerned about your aging father, who was recently fired due to emotional concerns where he never sought help and his low back and knees could no longer support his physically demanding job. He returned home with red eyes, and a flushed face. Before his expulsion, he often called in sick for his headaches (vertex, behind the eyes) which were accompanied by tinnitus and vertigo. On these days he also experienced insomnia with excessive dreams, which affected his memory. In the peak of his anger outbursts, he would experience palpitations. Tongue: red, no coat. Pulse: rapid, wiry, thready.
Liver Yang rising
3 multiple choice options
Which acupuncture points are recommended for Liver yang rising?
GB 41, GB 44, Lv 2, TW 5, Lv 8
3 multiple choice options
A woman in her mid-20s, who has suffered from anorexia most of her life, comes to you because she wants to get pregnant but is not menstruating. She is experiencing dizziness, tinnitus, fatigue, and trouble with her vision: blurry, floaters, dryness, and night blindness. She has difficulty exercising as her muscles fatigue easily and shes prone to injury due to her tight and rigid joints. She experiences insomnia with excessive dreams. Objective findings include brittle hair and nails, pale complexion. Tongue: small, pale, white coat. Pulse: weak, wiry, thready.
Liver blood deficiency
3 multiple choice options
Which acupuncture points are recommended for Liver blood deficiency?
Lv 8, UB 17, Sp 10, Lv 3, Kd 3
3 multiple choice options
A 30 year old female comes to see you to manage her mental health disorder, which she has experienced all her life and has a bad history with pharmaceuticals. On first encounter, she appears very tightly wound and speaks in a 'shouting' voice. She tells you that the night before your visit, she checked herself into the ER for pain in her hypochondriac region and no significant findings were noted. Her complaints are numerous and include insomnia with excessive dreaming, tinnitus, dizziness, trouble with her vision - blurriness, dryness, floaters. In your afternoon appointment she is dressed lightly as she feels hot in the afternoons. She also sweats at night and has 5-center heat. You learn in her medical history that she is recovering from anorexia and has not had a period in 10 years. To help manage all these symptoms with TCM, you assess her tongue: dry, red and pulse: wiry, rapid and thready.
Liver yin deficiency
3 multiple choice options
Which acupuncture points are recommended for Liver yin deficiency?
Lv 8, UB 18, Sp 6, CV 4, St 36
3 multiple choice options
A child has been diagnosed with the measles. Before the child went into coma, she experienced a very high fever, convulsions, neck rigidity, and intense rigidity with her head and back arching back. With the back spasms, convulsions, fever, you wondered if she had gotten a tetanus shot. Her tongue is red with a thick yellow coat and pulse is full and rapid.
Heat generating liver wind
3 multiple choice options
Which acupuncture points are recommended for Heat generating liver wind?
Lv 2, Lv 3, TW 5, GB 12, GB 44
3 multiple choice options
A cranky elderly man suddenly becomes very dizzy, develops facial drooping, paralysis of his right arm, and speech difficulties. You recall that these are signs of a stroke and must contact EMS right away before he becomes unconscious. His tongue is peeled and cracked. His pulse is floating and weak.
Liver yang generating liver wind
3 multiple choice options
Which acupuncture points are recommended for Liver yang generating liver wind?
Lv 2, TW 5, GB 12, GV 20, Lv 8
3 multiple choice options
A patient of yours who you have previously diagnosed with spleen qi def and liver qi stagnation is preparing for CONO board exams, but is having difficulty as she has been experiencing diarrhea and vomiting with a lack of appetite. Other symptoms include fullness/distention in her hypochondriac area, heavy feeling in her body, foul smelling diarrhea that sticks to the toilet. She knows she should replenish lost fluids, but has no desire to, especially since she has a fever and her urine is dark and scanty. When she comes in to see you, she appears jaundiced with lassitude. While this is happening, she also has vaginal itching and swelling of her labia.
Damp-heat in the GB
3 multiple choice options
Which acupuncture points are recommended for Damp-heat in the GB?
GB 24, GB 40, Lv 14, Sp 9, UB 19
3 multiple choice options
A female presents to clinic with a constant ringing in her ears. Before you learn she is 50 years old, you thought that she was at least 65, especially as her hair was grey and balding and she stiffly walked into your room with a sore back and weak knees! In her medical history, she was the youngest of 12 and was born prematurely to parents who were in their 40s. Her fontanelles were late to close and she was not always known as the 'brightest' crayon in the box and she appears to have difficulty with her memory recall. After several miscarriages, her sex drive is low and now in menopause she is infertile. Tongue: small. Pulse: weak and thready.
Kidney essence deficiency
3 multiple choice options
Which acupuncture points are recommended for kidney essence deficiency?
Kd 1, Kd 3, St 29, UB 23, GV 4
3 multiple choice options
A friend of yours is a male sex worker and although his sex drive is high for the job, he has not been performing well lately as he prematurely ejaculates and certain positions are bothersome due to his sore back and weak knees and vertigo will sometimes occur and throw him off balance. He learns that a yang tonic would help keep his erections strong, but he has since abused them. He works at night, as he struggles with insomnia anyway. When he does sleep, his dreams are vividly sexual and he gets wet dreams as if he was a teenager. He also has a malar flush, 5-center heat, afternoon fever, night sweats, and a dry mouth and throat. Tongue: cracked mirror appearance, no coat. Pulse: rapid and thready.
Kidney yin deficiency
3 multiple choice options
Which acupuncture points are recommended for kidney yin deficiency?
Kd 6, Kd 3, CV 4, UB 23, GB 25
3 multiple choice options
An middle-aged gentleman comes to you because he is having marital problems. His wife is post-menopausal and experiencing a higher sex drive, but his drive does not match hers and he is also experiencing difficulty 'getting it up' and does not want to continue taking Viagra. He also doesn't feel in the mood as he is constantly bloated and wakes early in the morning with urgent diarrhea and urinates a lot throughout the day. It is the summertime, and he comes in wearing long pants and jacket as he feels chilly, especially in the back and knees. Tongue: wet, flabby, pale. Pulse: deep and slow.
Kidney yang deficiency
3 multiple choice options
Which acupuncture points are recommended for kidney yang deficiency?
CV 6, CV 4, GV 20, GV 14, Kd 6
3 multiple choice options
A 21 year old female presents to clinic because she is alarmed by seeing stones in her urine with blood and this began weeks after becoming overly sexually active with a new partner and not maintaining proper hygiene. She is experiencing an increase in urination frequency, urgency, and has difficulty urinating. On urinanalysis, her urine appeared dark yellow and cloudy with trace of blood. She also has a fever with increased thirst. Tongue: sticky yellow coat in the back, red. Pulse: rapid and slippery.
UB damp heat
3 multiple choice options
Which acupuncture points are recommended for UB damp heat?
UB 28, CV 3, UB 22, GB 34, Sp 9
3 multiple choice options
A 60 year old male comes in for his annual prostate exam and you note that it is enlarged. He is experiencing the classic signs of BPH, such as increased urinary frequency and urgency, difficulty on urination, where it stops midstream, and a heavy sensation in the urethra with the inability to completely empty the bladder. On urinanalysis, you notice that it appears pale and turbid. Tongue: white sticky coat in back. Pulse: slow and slippery.
UB damp cold
3 multiple choice options
Which acupuncture points are recommended for UB damp cold?
UB 28, CV 3, UB 29, UB 26, Sp 9
3 multiple choice options
Your 4 year old son has been having nightmares lately and wetting the bed. He is still in child diapers as he is incontinent and produces copious amounts of urine frequently. You are now concerned because you have noticed that he is producing a white discharge and he is complaining of a backache and is always cold. Tongue: wet and pale. Pulse: slow and weak.
UB Cold
3 multiple choice options
Which acupuncture points are recommended for UB cold?
GV 4, UB 23, UB 52, UB 29, UB 28
3 multiple choice options
A patient who has been struggling with depression has been undergoing a major life transition that is contributing to many scary and unfamiliar symptoms such as heart palpitations, a sensation in her throat as if it is blocked, and a very tight and oppressive feeling in her chest. She wears thick gloves and socks as her hands have been cold and she appears thinner as her lack of appetite keeps her from eating. She is sighing throughout your session and her mood is more on the irritable side. Tongue: pale/purple sides. Pulse: empty
Pericardium qi stagnation
3 multiple choice options
Which acupuncture points are recommended for Pericardium qi stagnation?
PC 6, CV 17, Ht 7, UB 14, St 40
3 multiple choice options
Your receptionist called EMS after a patient in your waiting room began experiencing palpitations and a stabbing pain in his chest that radiated to his left shoulder and arm. When you arrived, his lips and nails were blue, hands were cold, and pulse was present but choppy. Tongue: purple.
Heart blood stagnation + PC blood stasis
3 multiple choice options
Which acupuncture points are recommended for
Heart blood stagnation + PC blood stasis?
PC6, Ht 7, CV 17, UB 14, UB 17
3 multiple choice options
A patient is experiencing pain that is 'migrating', or moving and cannot localize it. This pain comes and goes and usually affects his joints, especially knees, wrists, ankles, elbows and is causing limited mobility. He is also experiencing a fever and chills. Tongue: thin with sticky coat. Pulse: superficial, floating.
Bi wind
3 multiple choice options
Which acupuncture points are recommended for Bi wind?
UB 10, UB 11, UB 12, UB 17, UB 18
3 multiple choice options
A patient is experiencing a painful and stabbing pain that is very localized and fixed. On examination, there is no visible redness. > heat, < cold. Tongue: white coat. Pulse: slow tense
Bi cold
3 multiple choice options
Which acupuncture points are recommended for Bi cold?
GV 4, UB 23, UB 52, CV 4, Kd 3
3 multiple choice options
A patient presents with fever and thirst. The excruciating pain they are experiencing is accompained by local redness and swelling, >cold,
BI heat
3 multiple choice options
Which acupuncture points are recommended for Bi heat?
GV 14, GV 20, Li 11, Lv 2, Ht 8
3 multiple choice options