202 1 Examination questions for practitioners of traditional Chinese medicine over the years

diagnostics of traditional Chinese medicine

A 1 type problem

1. The clinical significance of patients with yellow, dry, thin and easy to fall is:

A. Deficiency of essence and blood B. Kidney deficiency or blood heat

C. Blood deficiency wind D. Malnutrition

E. caused by endowment

2. The significance of children with blue nose, eyebrows and lips lies in:

A. Irregular liver and spleen B. Internal resistance due to blood stasis

C. infantile convulsion D. severe pain

E. cold coagulation and qi stagnation

3. The main basis for inferring the rise and fall of qi and blood is:

A. Color of tongue body B. Thickness of tongue coating

C. dynamics of tongue body D. sublingual collaterals

E. Color of tongue coating

4. The coating particles of tongue coating are fine and dense, which are not easy to scrape off, and there are mucilage genera on it:

A. Smooth moss B. Rotting moss

C. greasy moss

E. muddy and greasy fur

Reference answer and analysis

1. Answer A. Analysis: (1) This topic examines the main contents and clinical significance of diagnostics of traditional Chinese medicine-Chapter II Visiting the Clinic-Sending the Clinic. (2) The clinical significance of yellow, dry, thin and prone to falling is the deficiency of essence and blood, which can be seen in patients with serious illness or chronic physical weakness. Young people's hair is sparse and easy to fall off. If they are dizzy, forgetful and weak in waist and knees, it is kidney deficiency (B wrong). Flaky alopecia and alopecia areata (C-mistake) due to blood deficiency and wind. Children's hair is spike-shaped, yellow and dull, accompanied by sallow and emaciated, mostly due to malnutrition (D error). Children's hair is sparse, yellow and soft, slow growth, long-term non-growth, sparse hair behind the pillow, mostly caused by endowment (E wrong). Therefore, choose a in this question.

2. Answer C. Analysis: The blue color around the child's nose column, eyebrows and lips is a precursor to fright or fright (C pair). The clinical significance of sallow complexion is liver depression and spleen deficiency (liver and spleen disorder) (a mistake). The meaning of blue lips after a long illness is heart-yang deficiency, blood stasis and lung qi congestion (B wrong). Pale or black complexion indicates excess cold syndrome and severe pain (D- error). Blue complexion means blood stasis, qi stagnation, cold syndrome, pain syndrome and convulsion (e-mistake). So, the topic is C.

3. Answer A. Analysis: (1) This question examines the knowledge points of TCM diagnostics-Chapter III Tongue Diagnosis-methods and precautions. (2) The color of fur can distinguish the nature of pathogenic factors: for example, the main diseases of white fur are exterior syndrome, cold syndrome and wet syndrome; Yellow fur governs diseases: interior syndrome and heat syndrome; The main symptoms of gray-black moss: yin cold/heat heat. (e is wrong). The thickness of tongue coating mainly reflects the rise and fall of pathogens and the depth of pathogens (B wrong). The dynamics of the tongue body mainly include: tough tongue, soft tongue, trembling tongue, crooked tongue, spit tongue and short tongue (C error). The colors of the tongue are divided into five types: pale red, pale white, red, crimson and blue-purple, which are the main basis for reflecting the ups and downs of qi and blood. Sublingual collaterals Sublingual collaterals are an important basis for analyzing qi and blood circulation (D error). Therefore, choose a in this question.

4. Answer C. Analysis: (1) This question examines the characteristics of traditional Chinese medicine diagnostics and the knowledge points of clinical significance-Chapter III-qualitative change of tongue coating (thickness, dryness, corruption, peeling, true and false). (2) greasy moss: the moss is fine and can't be wiped off or scraped off. If they are greasy, they are thick in the middle and thin at the edges (C pair). Slippery coating: There is too much moisture on the tongue surface, and the tongue is about to drip and slippery (a mistake). Rotten moss: the moss particles are loose and thick, which looks like bean curd residue accumulated on the tongue surface and can be wiped off (B mistake). Dirty coating: turbid and cemented tongue coating (D error). Turbid and greasy fur: the tongue is covered with a layer of greasy matter, and its particles are fine and close to the surface of the tongue, which can not be wiped off and is difficult to scrape off (E mistake). Therefore, this question chooses C.