2 Written Questions

1. Fever, impaired consciousness, childhood convulsions, irritability & restlessness. The child may also have wheezing, nausea, night crying, vomiting milk, diarrhea, abdominal pain, excessive secretion of mucus & saliva, sounds of mucus in the throat.
   T: not noted
   P: not noted
   Dx:-Childhood convulsion due to phlegm heat entering the Pc and veiling the orifices of the Ht
   -This pattern is one of heat, phlegm, wing and convulsions
   -Clear heat and open-
2. High fever, irritability & restlessness, delirious speech, impaired consciousness.
   Also for coma due to wind stroke, childhood convulsions, stiffness of tongue, frigid extremities
   T: red or deep red
   P: rapid
   Dx: Warm febrile d/z sinking into the Pc w/ turbid phlegm veiling the sensory orifices
   -Clear heat and open

1 Multiple Choice Question

1. 1. Sudden collapse, loss of consciousness & clenched jaw.
   2. Fullness, pain and a sensation of cold in the chest and abdomen which may signal the impending sudden loss of consciousness or coma
   3. Abdominal pain and focal distention in the chest, an urge to vomit and defecate w/o doing either, which in severe cases can lead to sudden loss of consciousness or coma.
   All are accompanied by pale complexion, purple lips, shi mucus and saliva, cold extremities
   T: pale body. slippery greasy coat
   P: deep wiry
   Dx: For a variety of acute closed d/o due to shi cold
   1. Wind stroke from damp cold and turbid phlegm veiling the sensory orifices and disturbing the spirit
   2. Acute d/o involving constrained qi leading to sudden collapse, or a crippling attack of damp cold obstruction
   3. Fierce qi of epidemic sudden turmoil d/o which obstructs and stagnates the qi mechanism
   -Warm and open_
   1. Hui Chun Dan (Special pill to restore life)
   2. An Gong Niu Huang Wan (Calm the palace pill w/ cattle gallstone)
   3. Su He Xiang Wan (Liquid styrax pill)
   4. Zi Xue Dan (Purple snow special pill)

1 True/False Question

1. Zi Xue Dan (Purple snow special pill) → 1. Sudden collapse, loss of consciousness & clenched jaw.
   2. Fullness, pain and a sensation of cold in the chest and abdomen which may signal the impending sudden loss of consciousness or coma
   3. Abdominal pain and focal distention in the chest, an urge to vomit and defecate w/o doing either, which in severe cases can lead to sudden loss of consciousness or coma.
   All are accompanied by pale complexion, purple lips, shi mucus and saliva, cold extremities
   T: pale body. slippery greasy coat
   P: deep wiry
   Dx: For a variety of acute closed d/o due to shi cold
   1. Wind stroke from damp cold and turbid phlegm veiling the sensory orifices and disturbing the spirit
   2. Acute d/o involving constrained qi leading to sudden collapse, or a crippling attack of damp cold obstruction
   3. Fierce qi of epidemic sudden turmoil d/o which obstructs and stagnates the qi mechanism
   -Warm and open_

   True        False