Liver And Gall-bladder Syndromes

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Liver And Gall-bladder Syndromes - Quiz

Learn the basic Liver and Gall-Bladder Syndromes in Traditional Chinese Medicine.


Questions and Answers
  • 1. 

    With the following symptoms select the most likely syndrome:Postural dizziness, numbness or tingling of limbs, scanty periods, blurred vision.

    • A.

      Liver Blood Deficiency

    • B.

      Liver Yin Deficiency

    • C.

      Kidney Yin Deficiency

    • D.

      Liver Yang Rising

    • E.

      Liver Qi Stagnation

    Correct Answer
    A. Liver Blood Deficiency
    Explanation
    The given symptoms of postural dizziness, numbness or tingling of limbs, scanty periods, and blurred vision are indicative of Liver Blood Deficiency. This syndrome is characterized by a lack of nourishment to the liver, leading to insufficient blood production. The symptoms mentioned are consistent with this deficiency, as they suggest inadequate blood supply to the limbs and eyes, as well as hormonal imbalances affecting the menstrual cycle. Liver Yin Deficiency, Kidney Yin Deficiency, Liver Yang Rising, and Liver Qi Stagnation do not align with the specific symptoms mentioned.

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  • 2. 

    With the following symptoms select the most likely syndrome:Postural dizziness, numbness or tingling of limbs, scanty periods, blurred vision.

    • A.

      Liver Blood Deficiency

    • B.

      Liver Yin Deficiency

    • C.

      Kidney Yin Deficiency

    • D.

      Liver Yang Rising

    • E.

      Liver Qi Stagnation

    Correct Answer
    A. Liver Blood Deficiency
    Explanation
    The given symptoms of postural dizziness, numbness or tingling of limbs, scanty periods, and blurred vision are indicative of Liver Blood Deficiency. Liver Blood Deficiency is a condition in Traditional Chinese Medicine where there is a lack of nourishment and circulation of blood in the liver. This can lead to symptoms such as dizziness, numbness, and vision problems. The other options, such as Liver Yin Deficiency, Kidney Yin Deficiency, Liver Yang Rising, and Liver Qi Stagnation, do not match all the symptoms mentioned. Therefore, the most likely syndrome based on the given symptoms is Liver Blood Deficiency.

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  • 3. 

    With the following symptoms select the most likely syndrome:Moodiness, pre-menstrual tension, irritability.

    • A.

      Liver Blood Deficiency

    • B.

      Liver Yin Deficiency

    • C.

      Kidney Yin Deficiency

    • D.

      Liver Yang Rising

    • E.

      Liver Qi Stagnation

    Correct Answer
    E. Liver Qi Stagnation
    Explanation
    The given symptoms of moodiness, pre-menstrual tension, and irritability are commonly associated with Liver Qi Stagnation. Liver Qi Stagnation refers to an imbalance in the flow of Qi (energy) in the liver, leading to emotional and physical symptoms. The liver is responsible for the smooth flow of Qi throughout the body, and when it becomes stagnant, it can manifest as mood swings, irritability, and hormonal imbalances. This is often seen in cases of stress or emotional suppression, which can disrupt the normal functioning of the liver.

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  • 4. 

    With the following symptoms select the most likely syndrome:Headaches on the temples, eyes or lateral side of head, irritability, dizziness,propensity to outburst of anger.

    • A.

      Liver Blood Deficiency

    • B.

      Liver Yin Deficiency

    • C.

      Kidney Yin Deficiency

    • D.

      Liver Yang Rising

    • E.

      Liver Qi Stagnation

    Correct Answer
    D. Liver Yang Rising
    Explanation
    The given symptoms of headaches on the temples, eyes or lateral side of the head, irritability, dizziness, and propensity to outburst of anger are indicative of Liver Yang Rising. Liver Yang Rising is a condition in Traditional Chinese Medicine where the liver energy becomes excessive and rises upwards, causing symptoms such as headaches and irritability. This condition is often associated with stress, anger, and emotional imbalance.

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  • 5. 

    With the following symptoms select the most likely syndrome:Insomnia, dry eyes, restlessness, irritability.

    • A.

      Liver Blood Deficiency

    • B.

      Liver Yin Deficiency

    • C.

      Kidney Yin Deficiency

    • D.

      Liver Yang Rising

    • E.

      Liver Qi Stagnation

    Correct Answer
    B. Liver Yin Deficiency
    Explanation
    Liver Yin Deficiency is the most likely syndrome based on the given symptoms. Insomnia, dry eyes, restlessness, and irritability are all characteristic symptoms of Liver Yin Deficiency. This condition occurs when there is a deficiency of Yin, which is a cooling and nourishing energy, in the liver. This imbalance can lead to symptoms such as difficulty sleeping, dryness in the eyes, restlessness, and irritability. Therefore, based on the symptoms provided, Liver Yin Deficiency is the most appropriate explanation.

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  • 6. 

    Given the following symptoms which is the most likely syndrome?Melancholy, feeling ‘wound up’, distension in hypochondrium, sighing.

    • A.

      Liver Qi Stagnation

    • B.

      Liver Yang Rising

    • C.

      Liver Fire Blazing Upwards

    • D.

      Liver Blood Stagnation

    Correct Answer
    A. Liver Qi Stagnation
    Explanation
    The symptoms described, such as melancholy, feeling 'wound up', distension in the hypochondrium, and sighing, are indicative of Liver Qi Stagnation. Liver Qi Stagnation is a condition in Traditional Chinese Medicine where the flow of Qi (energy) in the liver is blocked or disrupted. This can lead to emotional symptoms like melancholy and feeling 'wound up', as well as physical symptoms like distension in the hypochondrium and sighing. Liver Yang Rising, Liver Fire Blazing Upwards, and Liver Blood Stagnation do not match the symptoms described.

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  • 7. 

    Given the following symptoms which is the most likely syndrome?Feeling of a blockage in the throat, difficulty swallowing, irregular periods, pre-menstrual breast distension.

    • A.

      Liver Qi Stagnation

    • B.

      Liver Yang Rising

    • C.

      Liver Fire Blazing Upwards

    • D.

      Liver Blood Stagnation

    Correct Answer
    A. Liver Qi Stagnation
    Explanation
    The given symptoms of feeling of a blockage in the throat, difficulty swallowing, irregular periods, and pre-menstrual breast distension are indicative of Liver Qi Stagnation. Liver Qi Stagnation is a condition in Traditional Chinese Medicine where the flow of Qi (vital energy) in the liver becomes blocked or stagnant. This can lead to various physical and emotional symptoms, including those mentioned. The other options, Liver Yang Rising, Liver Fire Blazing Upwards, and Liver Blood Stagnation, do not align with the given symptoms.

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  • 8. 

    Given the following symptoms which is the most likely syndrome?Painful periods, dark and clotted menstrual blood, fixed stabbing abdominalpain.

    • A.

      Liver Qi Stagnation

    • B.

      Liver Yang Rising

    • C.

      Liver Fire Blazing Upwards

    • D.

      Liver Blood Stagnation

    Correct Answer
    D. Liver Blood Stagnation
    Explanation
    The given symptoms of painful periods, dark and clotted menstrual blood, and fixed stabbing abdominal pain are indicative of Liver Blood Stagnation. In Chinese medicine, this syndrome refers to a condition where there is a blockage or stagnation of blood flow in the liver, leading to symptoms such as pain and abnormal menstrual bleeding. The other options, Liver Qi Stagnation, Liver Yang Rising, and Liver Fire Blazing Upwards, do not align with the specific symptoms mentioned in the question.

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  • 9. 

    Given the following symptoms which is the most likely syndrome?Outbursts of anger, dream-disturbed sleep, red face and eyes.

    • A.

      Liver Qi Stagnation

    • B.

      Liver Yang Rising

    • C.

      Liver Fire Blazing Upwards

    • D.

      Liver Blood Stagnation

    Correct Answer
    C. Liver Fire Blazing Upwards
    Explanation
    The symptoms described, such as outbursts of anger, dream-disturbed sleep, red face and eyes, are indicative of Liver Fire Blazing Upwards. This syndrome is characterized by excess heat in the liver, causing emotional disturbances, sleep disturbances, and physical symptoms such as redness in the face and eyes. The term "Liver Fire" refers to the excess heat in the liver, while "Blazing Upwards" indicates the upward movement of the heat, leading to the redness and other symptoms.

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  • 10. 

    Given the following symptoms which is the most likely syndrome?Throbbing headaches on the temples,  dizziness, propensity to outburst of anger, stiff neck,.

    • A.

      Liver Qi Stagnation

    • B.

      Liver Yang Rising

    • C.

      Liver Fire Blazing Upwards

    • D.

      Liver Blood Stagnation

    Correct Answer
    B. Liver Yang Rising
    Explanation
    The given symptoms of throbbing headaches on the temples, dizziness, propensity to outburst of anger, and stiff neck align with the syndrome of Liver Yang Rising. This syndrome is characterized by the upward movement of liver yang energy, leading to symptoms such as headaches, dizziness, irritability, and neck tension. Liver Yang Rising is often associated with stress, emotional tension, and an imbalance in the liver system.

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  • 11. 

    Given the following symptoms, which syndrome is most likely?Mild tremor of limbs, facial tic, numbness of limbs, shaking of head.

    • A.

      Liver Blood Deficiency Causing Wind

    • B.

      Extreme Heat generating Liver-Wind

    • C.

      Liver Yang Rising Generating Wind

    • D.

      Liver Yin Deficiency

    Correct Answer
    A. Liver Blood Deficiency Causing Wind
    Explanation
    The given symptoms of mild tremor of limbs, facial tic, numbness of limbs, and shaking of the head are indicative of a syndrome related to the liver. Among the options provided, the most likely syndrome is Liver Blood Deficiency Causing Wind. This is because the symptoms mentioned can be associated with a deficiency of liver blood, which can lead to the development of wind in the body. The other options do not specifically address the symptoms mentioned or are unrelated to liver conditions.

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  • 12. 

    Given the following symptoms, which syndrome is most likely?Insomnia, dry eyes, restlessness, dry hair and skin, malar flush.

    • A.

      Liver Blood Deficiency Causing Wind

    • B.

      Extreme Heat generating Liver-Wind

    • C.

      Liver Yang Rising Generating Wind

    • D.

      Liver Yin Deficiency

    Correct Answer
    D. Liver Yin Deficiency
    Explanation
    The given symptoms, such as insomnia, dry eyes, restlessness, dry hair and skin, and malar flush, are indicative of Liver Yin Deficiency. This condition is characterized by a lack of nourishment and moisture in the liver, leading to various symptoms including dryness, restlessness, and insomnia. The other options, such as Liver Blood Deficiency causing Wind, Extreme Heat generating Liver-Wind, and Liver Yang Rising Generating Wind, do not align with the presented symptoms.

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  • 13. 

    Given the following symptoms, which syndrome is most likely?Headache, hypertension, severe dizziness, sudden unconsciousness, convulsions,deviation of eye and mouth, hemiplegia, aphasia or difficult speech, severe tremor.

    • A.

      Liver Blood Deficiency Causing Wind

    • B.

      Extreme Heat generating Liver-Wind

    • C.

      Liver Yang Rising Generating Wind

    • D.

      Liver Yin Deficiency

    Correct Answer
    C. Liver Yang Rising Generating Wind
    Explanation
    The given symptoms include headache, hypertension, severe dizziness, sudden unconsciousness, convulsions, deviation of eye and mouth, hemiplegia, aphasia or difficult speech, and severe tremor. These symptoms are indicative of Liver Yang Rising Generating Wind syndrome. Liver Yang Rising refers to the excessive activity of liver yang energy, which can lead to symptoms such as headache, dizziness, and hypertension. Generating Wind refers to the manifestation of symptoms like convulsions, unconsciousness, and tremors. Therefore, based on the symptoms described, Liver Yang Rising Generating Wind is the most likely syndrome.

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  • 14. 

    Given the following symptoms, which syndrome is most likely?High temperature, convulsions, rigidity of the neck, tremor of the limbs,opisthotonos.

    • A.

      Liver Blood Deficiency Causing Wind

    • B.

      Extreme Heat generating Liver-Wind

    • C.

      Liver Yang Rising Generating Wind

    • D.

      Liver Yin Deficiency

    Correct Answer
    B. Extreme Heat generating Liver-Wind
    Explanation
    The given symptoms of high temperature, convulsions, rigidity of the neck, tremor of the limbs, and opisthotonos suggest an excess of heat in the body. This excess heat affects the liver, causing it to generate wind. This is known as Extreme Heat generating Liver-Wind. The symptoms of convulsions, rigidity, and tremors are indicative of the presence of wind in the body.

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  • 15. 

    A patient describes suffering from nausea, a feeling of fullness and heaviness of the tummy and ribs, a bitter taste, poor appetite, and dark urine.  The tongue is red, swollen, and has a sticky yellow coating.  Which syndrome do you suspect?

    • A.

      Damp-Heat in the Bladder

    • B.

      Liver Qi Stagnation

    • C.

      Damp-Heat in the Liver and Gall-Bladder

    • D.

      Liver Blood Stagnation

    Correct Answer
    C. Damp-Heat in the Liver and Gall-Bladder
    Explanation
    The patient's symptoms, such as nausea, feeling of fullness and heaviness in the abdomen, bitter taste, poor appetite, and dark urine, along with a red, swollen tongue with a sticky yellow coating, suggest the presence of Damp-Heat in the Liver and Gall-Bladder. This syndrome is characterized by an accumulation of dampness and heat in the liver and gallbladder, leading to symptoms such as digestive disturbances, bitter taste, and dark urine. The tongue appearance also aligns with this syndrome, as a red, swollen tongue with a sticky yellow coating indicates heat and dampness in the body.

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  • 16. 

    A patient presents with distension and pain from above the bladder into the testicles, with a straining feeling.  The pulse is wiry and deep, especially on the left middle position.  Which pathogenic factor has invaded the Liver channel?

    • A.

      Wind

    • B.

      Heat

    • C.

      Damp

    • D.

      Cold

    Correct Answer
    D. Cold
    Explanation
    The patient's symptoms of distension and pain from above the bladder into the testicles, along with a straining feeling, suggest an obstruction or stagnation in the Liver channel. The wiry and deep pulse, especially on the left middle position, indicates the presence of Cold as the pathogenic factor. Cold tends to constrict and obstruct the flow of Qi and blood, leading to pain and distension. Therefore, the correct answer is Cold.

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  • 17. 

    If the Ethereal Soul (Hun) is not properly anchored by yin and blood, the person may feel aimless and low because its capacity for planning will be diminished.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    If the Ethereal Soul (Hun) is not properly anchored by yin and blood, it can lead to a feeling of aimlessness and low mood. This is because the Ethereal Soul is responsible for our capacity for planning and when it is not properly anchored, this capacity is diminished. Therefore, it is true that if the Ethereal Soul is not properly anchored, a person may feel aimless and low.

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  • 18. 

    Liver Blood Deficiency may be cause by which of the following? 

    • A.

      A diet lacking red meat, leafy greens and other nourishing foods

    • B.

      Blood loss or heavy periods

    • C.

      Too much physical exercise

    • D.

      Emotional stress

    • E.

      An underlying Kidney deficiency

    Correct Answer(s)
    A. A diet lacking red meat, leafy greens and other nourishing foods
    B. Blood loss or heavy periods
    C. Too much physical exercise
    D. Emotional stress
    E. An underlying Kidney deficiency
    Explanation
    Liver Blood Deficiency can be caused by a diet lacking red meat, leafy greens, and other nourishing foods, as these foods provide essential nutrients for the liver's blood production. Blood loss or heavy periods can also lead to Liver Blood Deficiency, as excessive bleeding depletes the body's blood supply. Too much physical exercise can strain the liver and deplete its blood resources. Emotional stress can also affect the liver's blood production. Additionally, an underlying Kidney deficiency can contribute to Liver Blood Deficiency, as the Kidney is closely connected to the liver in Traditional Chinese Medicine theory.

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  • 19. 

    Emotional problems such as anger, frustration and resentment, eating when angry, or excessive alcohol can all lead to Liver Yang Rising over time. 

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Emotional problems such as anger, frustration, and resentment can lead to Liver Yang Rising over time. This is because these negative emotions can disrupt the flow of Qi (energy) in the body, specifically in the liver. When the liver becomes imbalanced, it can cause an excess of Yang energy, leading to symptoms such as irritability, restlessness, and anger. Additionally, using unhealthy coping mechanisms like eating when angry or excessive alcohol consumption can further contribute to liver imbalances. Therefore, it is true that emotional problems can lead to Liver Yang Rising over time.

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  • 20. 

    As the Liver manifests in the nails, Liver Blood stagnation may cause purple nails.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The liver is believed to be connected to the nails in traditional Chinese medicine. According to this belief, if there is stagnation of liver blood, it can cause the nails to turn purple. Therefore, the statement that liver blood stagnation may cause purple nails is true.

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  • 21. 

    A patient presents with Herpes Zoster - a yellow, fluid filled vessicular (blister like) rash across the rib which is painful and itchy, feeling tired and heavy.  Which syndrome do you suspect?

    • A.

      Liver Qi Stagnation

    • B.

      Damp-Heat in the Liver and Gall-Bladder

    • C.

      Liver Yin Deficiency

    • D.

      Gall-Bladder Deficient

    Correct Answer
    B. Damp-Heat in the Liver and Gall-Bladder
    Explanation
    The patient's symptoms of a yellow, fluid-filled vesicular rash, along with pain, itching, fatigue, and heaviness, suggest Damp-Heat in the Liver and Gall-Bladder syndrome. This syndrome is characterized by an accumulation of dampness and heat in the liver and gallbladder, leading to symptoms such as skin rashes, pain, and fatigue. The presence of a vesicular rash and the associated symptoms align with this syndrome, making it the most likely explanation.

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  • 22. 

    Which of the following symptoms feature in Liver Blood Deficiency?  (check more than one box)

    • A.

      Dull pale face

    • B.

      Palpitations at rest

    • C.

      Cramps

    • D.

      Postural dizziness

    • E.

      Poor appetite

    • F.

      Scanty periods

    Correct Answer(s)
    A. Dull pale face
    C. Cramps
    D. Postural dizziness
    F. Scanty periods
    Explanation
    Liver Blood Deficiency is a condition in Traditional Chinese Medicine (TCM) that is characterized by a lack of nourishment to the liver and its associated symptoms. The symptoms mentioned in the answer choices are commonly associated with Liver Blood Deficiency. A dull pale face can indicate a lack of blood circulation, cramps can be caused by insufficient nourishment to the muscles, postural dizziness can be a result of poor blood flow to the brain, and scanty periods can be a sign of inadequate blood supply to the uterus. Therefore, these symptoms are likely to feature in Liver Blood Deficiency.

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