1.
Which syndrome would you suspect?
Tiredness, loose stools, undigested food in the stools, poor or abnormal appetite.
Correct Answer
A. Spleen Qi Deficiency
Explanation
Based on the symptoms described, such as tiredness, loose stools, undigested food in the stools, and poor or abnormal appetite, the most likely syndrome is Spleen Qi Deficiency. Spleen Qi Deficiency is a condition in Traditional Chinese Medicine (TCM) characterized by a weakened Spleen Qi, which affects the digestive system's ability to transform and transport nutrients. This can result in symptoms such as fatigue, loose stools, and poor appetite.
2.
Which syndrome would you suspect?Poor appetite, feeling of heaviness, stuffiness in epigastrium and/or lower abdomen, thirst with no desire to drink, nausea, vomiting, abdominal pain, loose stools with offensive odour, burning sensation in anus, scanty dark yellow urine, low grade fever, dull headache with a feeling of heaviness in the head, skin eruptions, tongue Coat: Thick, Sticky, Yellow.
Correct Answer
G. Damp-Heat Invading the Spleen
Explanation
The symptoms described in the question, such as poor appetite, feeling of heaviness in the abdomen, nausea, loose stools with offensive odor, and skin eruptions, are indicative of Damp-Heat Invading the Spleen. This condition occurs when dampness and heat accumulate in the spleen, leading to symptoms of digestive dysfunction, such as poor appetite, nausea, and loose stools. The presence of a thick, sticky, yellow tongue coat further supports the diagnosis of Damp-Heat Invading the Spleen.
3.
Which syndrome would you suspect?Stuffiness in chest, abdomen and/or epigastrium, feeling of heaviness in the head andbody, feeling cold in the epigastrium – better with warmth, nausea, sweet taste or loss of taste, no thirst, or thirst with no desire to drink, white vaginal discharge, lassitude. Pulse: Slippery.
Correct Answer
F. Cold-Damp Invading the Spleen
Explanation
The symptoms described in the question, such as feeling cold in the epigastrium, nausea, and white vaginal discharge, suggest the presence of Dampness and Cold invading the Spleen. This is further supported by the pulse being described as slippery, which is a characteristic pulse for Dampness. Cold-Damp Invading the Spleen is the most appropriate choice among the given options.
4.
Which syndrome would you suspect?Tiredness, loose stools, undigested food in the stools, poor or abnormal appetite,abdominal distension after eating, heavy limbs, desire to lie down, pale complexion, weakness of limbs, muzzy head.
Correct Answer
E. Spleen Qi Deficiency with Dampness
Explanation
The symptoms described in the question, such as tiredness, loose stools, undigested food in the stools, poor appetite, abdominal distension, and weakness of limbs, are indicative of Spleen Qi Deficiency. The addition of dampness, as mentioned in the answer, suggests that there is also an accumulation of dampness in the body, which further exacerbates the Spleen Qi Deficiency. This combination of Spleen Qi Deficiency with Dampness is a common pattern in traditional Chinese medicine and requires specific treatment to tonify the Spleen Qi and resolve dampness.
5.
Which syndrome would you suspect?
Tiredness, loose stools, undigested food in the stools, poor or abnormal appetite,
menorrhagia or metrorrhagia.purpura, blood spots under skin (petechiae), blood in urine or stools,
bruises easily, sallow pale complexion.
Correct Answer
D. Spleen not controlling Blood
Explanation
The symptoms described in the question, such as blood spots under the skin, blood in urine or stools, and easy bruising, suggest a problem with blood clotting or bleeding. The spleen plays a role in controlling blood in Traditional Chinese Medicine, and when it is not functioning properly, it can lead to bleeding issues. Therefore, the most likely syndrome to suspect based on the symptoms is "Spleen not controlling Blood."
6.
Which syndrome would you suspect?
Tiredness, loose stools, undigested food in the stools, poor or abnormal appetite, bearing down sensation in abdomen, prolapse.
Correct Answer
C. Spleen Qi Sinking
Explanation
The symptoms described in the question, such as tiredness, loose stools, undigested food in the stools, poor or abnormal appetite, bearing down sensation in the abdomen, and prolapse, are all indicative of Spleen Qi Sinking. This condition occurs when the Spleen Qi, which is responsible for transforming and transporting food and fluids, weakens and fails to perform its functions properly. As a result, the person experiences digestive issues, fatigue, and a feeling of heaviness or sinking in the abdomen.
7.
Which syndrome would you suspect?
Tiredness, loose stools, undigested food in the stools, poor or abnormal appetite, feeling cold.
Correct Answer
B. Spleen Yang Deficiency
Explanation
The symptoms described, such as feeling cold, loose stools, poor appetite, and undigested food in the stools, are consistent with Spleen Yang Deficiency. Spleen Yang is responsible for transforming and transporting food and fluids in the body. When it is deficient, digestion and absorption are impaired, leading to symptoms like tiredness, poor appetite, and loose stools. Feeling cold is also a common symptom of Spleen Yang Deficiency, as Yang energy is responsible for maintaining warmth in the body.
8.
Which syndrome might you suspect?Uncomfortable feeling in the epigastrium, poor or abnormal appetite, tiredness especially in the morning, weak limbs.
Correct Answer
A. Stomach Qi Deficiency
Explanation
The symptoms described, such as an uncomfortable feeling in the epigastrium, poor or abnormal appetite, tiredness especially in the morning, and weak limbs, are consistent with Stomach Qi Deficiency. Qi is the vital energy in Traditional Chinese Medicine, and when it is deficient in the Stomach, it can lead to digestive disturbances and fatigue. This can manifest as discomfort in the epigastrium, poor appetite, and weakness. Additionally, the tiredness in the morning suggests a deficiency in Qi, as the Stomach is responsible for transforming food into energy. Therefore, Stomach Qi Deficiency is the most likely explanation for the symptoms described.
9.
Which syndrome might you suspect?Severe, stabbing pain in the epigastrium which may be worse at night and with pressure, vomiting, possibly vomiting of dark blood.
Correct Answer
F. Stagnation of Blood in the Stomach
Explanation
The symptoms described, including severe stabbing pain in the epigastrium, vomiting of dark blood, and worsening of symptoms at night and with pressure, are indicative of Stagnation of Blood in the Stomach. This condition is characterized by the obstruction of blood flow in the stomach, leading to pain and potential bleeding. The other options do not align with the specific symptoms mentioned.
10.
Which syndrome might you suspect?Fullness, pain and distension of the epigastrium that is relieved by vomiting, sour regurgitation, no appetite, nausea, vomiting.
Correct Answer
E. Retention of Food in the Stomach
Explanation
The given symptoms of fullness, pain, distension of the epigastrium relieved by vomiting, sour regurgitation, no appetite, nausea, and vomiting are indicative of the condition known as "Retention of Food in the Stomach." This condition occurs when food is not properly digested and remains in the stomach for an extended period. The symptoms align with the inability to properly empty the stomach, leading to discomfort and other associated symptoms.
11.
Which syndrome might you suspect?Sudden, severe pain in the epigastrium, vomiting clear fluid (which may alleviate the pain), feeling cold, preference for warmth and warm fluids.
Correct Answer
D. Cold Invading the Stomach
Explanation
The sudden, severe pain in the epigastrium, vomiting clear fluid, feeling cold, and preference for warmth and warm fluids suggest that the syndrome is Cold Invading the Stomach. Cold invading the Stomach can cause sharp, intense pain in the epigastrium, along with nausea and vomiting. The preference for warmth and warm fluids is a common symptom of Cold Invading the Stomach, as the body tries to counteract the cold.
12.
Which syndrome might you suspect?Burning pain in epigastrium, intense thirst with desire to drink cold liquids, constant hunger.
Correct Answer
C. Stomach Fire
Explanation
The symptoms described in the question, such as burning pain in the epigastrium, intense thirst with a desire to drink cold liquids, and constant hunger, are indicative of Stomach Fire. Stomach Fire is a condition in traditional Chinese medicine characterized by excessive heat in the stomach, leading to symptoms such as burning pain and intense thirst. The desire to drink cold liquids is a common symptom of Stomach Fire, as cold liquids help to cool down the excessive heat. Therefore, based on the symptoms described, Stomach Fire is the most likely syndrome to suspect.
13.
Which syndrome might you suspect?Abnormal appetite, dull or slightly burning epigastric pain, constipation with dry stools, feeling of heat in the afternoon, dry mouth and throat especially in the afternoon, thirst with a desire to drink in small sips.
Correct Answer
B. Stomach Yin Deficiency
Explanation
Based on the symptoms described, such as abnormal appetite, dull or slightly burning epigastric pain, constipation with dry stools, feeling of heat in the afternoon, dry mouth and throat especially in the afternoon, thirst with a desire to drink in small sips, the most likely syndrome is Stomach Yin Deficiency. Stomach Yin Deficiency is characterized by a lack of nourishing fluids in the stomach, leading to symptoms such as dryness, heat, and thirst. This is consistent with the symptoms described in the question.
14.
Stomach Yin Deficiency can be caused by (select all that apply)
Correct Answer(s)
A. Irregular eating
C. After-effects of external heat
E. Medication such as sterroids and anti-biotics
Explanation
Stomach Yin Deficiency can be caused by irregular eating, as not having regular and balanced meals can disrupt the proper functioning of the stomach. After-effects of external heat can also contribute to Stomach Yin Deficiency, as excessive exposure to heat can deplete the Yin energy in the body. Medications such as steroids and antibiotics can further aggravate Stomach Yin Deficiency, as they can disrupt the balance of Yin and Yang in the body.
15.
Retention of food in the Stomach can be caused by overeating, eating very rich food, eating too quickly, or eating in a very stressful environment.
Correct Answer
A. True
Explanation
Retention of food in the stomach can be caused by various factors such as overeating, consuming rich food, eating too quickly, or eating in a stressful environment. These factors can lead to delayed gastric emptying, where the food remains in the stomach for a longer period than usual. This can cause discomfort, bloating, and other digestive issues. Therefore, the statement "Retention of food in the stomach can be caused by overeating, eating very rich food, eating too quickly, or eating in a very stressful environment" is true.
16.
Spleen Qi Deficiency can be caused by any of the following (check more than one correct answer)
Correct Answer(s)
A. Lots of raw food and fruit juice
B. Over-thinking and excess studying
D. Irregular eating habits
F. A damp environment
G. Long term or chronic illness