Study Charts

1

Study Charts

* These study charts are essential rote

memorization, plus all other material studied

in the first year. This includes some additional

material from first and second year that

should be reviewed before graduation and

taking the NCCAOM Exams.

2

Contents Study Charts – Year 1 Proficiency Exams .......................................................................................................................... 3

Acupuncture Points ....................................................................................................................................................... 3

Locating Acupoints – Proportional Measurement ...................................................................................................... 10

Needling Acupoints & Anatomical Cautions – Point Location .................................................................................... 12

Basic Theory – D&D ......................................................................................................................................................... 16

Five Element Correspondences ................................................................................................................................... 16

Tongue ......................................................................................................................................................................... 22

TCM Pathophysiology .................................................................................................................................................. 25

Pulse – Levels ............................................................................................................................................................... 35

Heart Patterns ............................................................................................................................................................. 43

Pericardium Patterns ................................................................................................................................................... 43

Liver Patterns............................................................................................................................................................... 44

Lung Patterns ............................................................................................................................................................... 45

Spleen Patterns ........................................................................................................................................................... 46

Kidney Patterns ........................................................................................................................................................... 46

Stomach Patterns ........................................................................................................................................................ 47

Small Intestine Patterns .............................................................................................................................................. 47

Large Intestine Patterns .............................................................................................................................................. 47

Gall Bladder Patterns ................................................................................................................................................... 48

Bladder Patterns .......................................................................................................................................................... 48

5 Element - 4 Needle Treatment ..................................................................................................................................... 54

Acu Point Theory - Other ................................................................................................................................................. 55

Acu Moxa Technique A-B – Study Questions .................................................................................................................. 56

Auricular Acupuncture .................................................................................................................................................... 65

Scalp Acupuncture ........................................................................................................................................................... 67

Acupuncture Musculoskeletal Anatomy ......................................................................................................................... 69

Digestion ........................................................................................................................................................................ 107

Endocrine Disturbances ................................................................................................................................................. 108

Biomedical & TCM Micellaneous – Other ..................................................................................................................... 111

CHM ............................................................................................................................................................................... 112

3

Study Charts – Year 1 Proficiency Exams

* Students are responsible for material from both lecture and all assigned reading. These study charts are essential rote memorization, plus

all other material studied in the first year. This includes some additional material from first and second year that should be reviewed before

graduation and taking the NCCAOM Exams.

Acupuncture Points

5 Shu Points Yin Channels

Jing-Well (Wood) Ying-Spring (Fire) Shu-Stream (Earth) Jing-River (Metal) He-Sea (Water)

Lung

Spleen

Heart

Kidney

Pericardium

Liver

5 Shu Points Yang Channels

Jing-Well (Metal) Ying-Spring (Water) Shu-Stream (Wood) Jing-River (Fire) He-Sea (Earth) Lower He-Sea

Large Intestine

Stomach

Small Intestine

Bladder

Sanjiao

Gall Bladder

4

Channel Points

Mother Point Child Point Horary Xi-Cleft Yuan-Source Luo-Connecting Back-Shu Front-Mu

Lung

Large Intestine

Stomach

Spleen

Heart Small Intestine

Bladder

Kidney

Pericardium

Sanjiao

Gall Bladder

Liver

Extraordinary Channel

Xi-Cleft Points

8 Hui-Meeting Points Extraordinary Channel

Confluent Points

12 Heavenly

Star Points

Four/Six

Command Points

Yang Motility Zang Conception Abdomen

Yin Motility Fu Governing Lumbar/back

Yang Linking Qi Penetrating Head/Nape

Yin Linking Blood Girdling Face/Mouth

Sinews Yin Motility Chest/Lateral Costal

Vessels Yang Motility Resuscitation

Bone Yin Lining

Marrow Yang Linking

5

Chinese Clock

Qi & Blood

Time

13 Ghost

Points

12 Officials Window of

Heaven Points

Lung Controller of Drainage & Dregs

Large Intestine Controller of Transport & Transformation

Stomach Official of Separating the Pure from the Impure

Spleen Controller of Water

Heart Official of Balance & Harmony

Small Intestine Controller of Planning

Bladder Controller of Receiving Pure Qi

Kidney Official of Wise Judgment & Decision Making

Pericardium Official Who Protects the Heart

Sanjiao Controller of the Storage of Water

Gall Bladder Supreme Controller

Liver Controller of Rotting & Ripening

Proportion of Qi & Blood in the Regular Channels Group Luo Points 4 Seas

Proportion Channels 3 Arm Yang Nourishment

More Blood Than Qi 3 Leg Yang Blood

More Qi Than Blood 3 Arm Yin Qi

Abundant Qi & Blood 3 Leg Yin Marrow

6

Exit – Entry Points

Channel Exit Entry

Lung

Large Intestine

Stomach

Spleen

Heart

Small Intestine

Bladder

Kidney

Pericardium

Sanjiao

Gall Bladder

Liver

Point Usage

Points Use

Jing-Well

Ying-Spring

Shu-Stream

He-Sea

Mother-Child

Xi-Cleft

Yuan-Source

Luo Connecting

Back-Shu

Front-Mu

Hui-Meeting

8 Confluent

12 Heavenly Star

4/6 Command

4 Seas

Window of Heaven

13 Ghost

7

Channel Primary Channel Originates Pathways - Luo-Connecting, Divergent, Sinew Channel Channel Indications

Lung

Large Intestine

Stomach

Spleen

Heart

Small Intestine

Bladder

Kidney

Pericardium

8

Sanjiao

Gall Bladder

Liver

Ren

Du

9

Extraordinary Vessel Pathway Coalescent Points

Penetrating

Girdling

Yang Motility

Yin Motility

Yang Linking

Yin Linking

10

Locating Acupoints – Proportional Measurement Part of the Body Measurement

Between ends of creases of interphalangeal joints of middle finger at widest point

Between proximal interphalangeal joint & tip of index finger

Width of interphalangeal joint of thumb

Width of 4 fingers held close together at level of dorsal skin crease of proximal interphalangeal joint of middle finger

Anterior to posterior hairline

Glabella to anterior hairline

Between angles of hairline

Between mastoid processes

Between posterior hairline & inferior border of spinous process of C7

Between medial borders of scapula

REN 22 to sternal-xiphoid junction

Sternocostal angle to umbilicus

Umbilicus to pubic symphysis

Upper edge of pubic bone to medial condyle of femur

Between nipples

Between midpoint of clavicles

Between tip of acromion process & midline of body

Between anterior axillary & cubital creases

Between cubital crease & wrist crease

Armpit to just below free ribs

Last rib to hip joint

Lateral prominence of greater trochanter to popliteal crease

Height of patella

Between gluteal fold & knee

Popliteal crease to medial malleolus

Medial condyle of tibia to medial malleolus

Tip of lateral malleolus to sole of foot

11

Organs & Surface Anatomy

Anatomy Find Anatomical Location

Pleura & Pleural Cavity

Lung

Cardiac Outline

Liver

Spleen

Kidneys

Bladder

Counting ribs

Free end of 11th

rib

C7

L2

L3

L4

L5

Sacral Foramen

Inner Bladder Back-Shu Point Line

Sternocostal Angle

Spleen & Stomach Channel Points on Lower Abdomen

12

Palmaris longus

Needling Acupoints & Anatomical Cautions – Point Location Acupoint Anatomical Caution Point Location

LU 1

LU 2

LU 7

LU 8

LU 9

LI 16

LI 17

LI 18

ST 2

ST 5

ST 9

ST 10

ST 11

ST 12

ST 13

ST 14

ST 15

ST 16

ST 18

ST 19

ST 20

ST 21

ST 22

ST 23

ST 24

ST 25

ST 26

ST 27

ST 28

ST 29

13

ST 30

ST 41

ST 42

SP 11

SP 12

SP 13

SP 14

SP 15

SP 16

SP 17

SP 18

SP 19

SP 20

SP 21

HE 1

HE 7

SI 8

SI 12

SI 13

SI 14

SI 15

BL 11

BL 12

BL 13

BL 14

BL 15

BL 16

BL 17

BL 18

BL 19

BL 20

BL 21

BL 22

BL 23

BL 40

BL 41

14

BL 42

BL 43

BL 44

BL 45

BL46

BL 47

BL 48

BL 49

BL 50

BL 51

BL 52

KID 11

KID 12

KID 13

KID 14

KID 15

KID 16

KID 17

KID 18

KID 19

KID 20

KID 21

KID 22

KID 23

KID 24

KID 25

KID 26

KID 27

P 1

P 3

P 6

P 7

SJ 15

GB 20

GB 21

GB 22

15

GB 23

GB 24

GB 25

GB 26

LIV 12

LIV 13

LIV 14

REN 2

REN 3

REN 4

REN 5

REN 6

REN 7

REN 9

REN 10

REN 11

REN 12

REN 13

REN 14

REN 15

DU 3

DU 4

DU 5

DU 6

DU 7

DU 8

DU 9

DU 10

DU 11

DU 12

DU 13

DU 14

DU 15

DU 16

DU 21

DU 22

16

Basic Theory – D&D

* Review all TCM transliterations and terminology.

Five Element Correspondences Wood Fire Earth Metal Water

Seasons

Directions

Colors

Tastes

Climates

Stage of development

Numbers

Planets

Yin-Yang

Animals

Domestic Animals

Grains

Yin Organs

Yang Organs

Sense Organs

Tissues

Emotions

Sounds

Season Yin-Yang Balance Correspondence

Spring

Summer

Fall

Winter

17

Vital Substances

Substance Function

Pre-Heaven Essence

Post-Heaven Essence

Kidney Essence

Yuan Qi (Original)

Zong Qi (Gathering)

Zhen Qi (True)

Ying Qi (Nutritive)

Wei Qi (Defensive)

Zhong Qi (Central)

Zheng Qi (Upright)

Blood

Jin Fluids

Ye Fluids

Shen (Mind)

18

Zang Fu Functions

Heart

Liver

Lungs

Spleen

Kidneys

Pericardium

Stomach

Small Intestine

Large Intestine

Gall Bladder

Urinary Bladder

San Jiao

19

Extraordinary Organs Functions

Uterus

Brain

Marrow

Blood Vessels

Gall Bladder

Emotions & Disease

Emotion Affects/Causes

Anger

Joy

Sadness

Worry

Pensiveness

Fear

Shock

6 Climatic Factors Seasons and Yin Organ associated with and manifestations

20

6 Stages (Shang Han) Clinical Manifestations Channel Clinical Manifestations Organ

4 Levels (Wen Bing) Defensive Level Qi Level Nutritive & Qi/Blood Level

Fever

Thirst

Mental state

Sweating

Skin

Tongue body

Tongue coating

Pulse

Wind Cold – 6 Stages Wind Heat – 4 Levels

Pathology

Penetration route

Aversion to Cold

Shivers

Fever

Sore throat

Nasal

Body ache

Sweating

Thirst

Urine & Stool

Tongue

Pulse

21

Latent Heat Clinical Manifestations

Miscellaneous Causes of Disease Effects - Manifestations

5 Element Body Types Appearance

Wood

Fire

Earth

Metal

Water

22

Tongue Observation Indicates

Tongue-Body Color

Body Shape

Coating

Moisture

Tongue-Body Color

Observation Indicates

Pale

Red

Deep-red

Purple

Red Points

Blue

Sublingual Veins

Tongue-Body Shape


Thin

Swollen

Stiff

Flaccid

Long

Short

Cracked

Quivering

Deviated

Tooth-marked

23

Tongue Coating Physiology

Clinical Significance

Tongue Coat

Presence or Absence of Coat

Coating With or Without Root

Coating Thickness

Coating Distribution

Coating Moisture

Coating Texture

Tongue Coating in External Diseases

Tongue Coating


Thick

Without root

Partial absence

Total absence

White

Yellow

Grey & Black

Tongue Moisture


Too wet

Dry

Sticky/Slippery

24

Write the number on the appropriate area(s) on the diagram

1) Spleen/Stomach

2) Heart

3) Lung

4) Kidney

5) Liver/Gall Bladder

Pain Factors Empty Full Cold Heat

Pressure

Food

Type

Temperature

Bowel Movement

Posture

Onset

Vomiting

Rest/Movement

25

TCM Causes of Pain

TCM Pathophysiology of Pain

Whole Body

Numbness

Joint Pain

Backache

26

Nature of Pain Indicates

Soreness

Pain with Sensation of Heaviness

Distending Pain

Pain with Feeling of Fullness

Pain with Feeling of Emptiness

Pain with Feeling of Cold

Burning Pain

Colicky Pain

Spastic Pain

Pain with Distressing Feeling

Pain with Sensation of Stuffiness

Pushing Pain

Pulling Pain

Cutting Pain

Throbbing Pain

Boring Pain

Lurking Pain

Time of Pain Indicates

Daytime

Night

Intermittent

Continuous

27

Interrogation

16 Questions - 10/12 Traditional Questions

Plus Maciocia’s Additions

Taste Indicates

28

TCM Pathophysiology Related to Constipation

TCM Pathophysiology Related to Loose Stool/Diarrhea TCM Pathophysiology Related to Thirst/Drink

TCM Pathophysiology Related to Dizziness

29

Thirst Indicates

Thirst

Dry mouth

Thirst with desire to drink cold fluids

Thirst with desire to drink in small sips

Thirst with no desire to drink

Thirst with desire to drink, immediately followed by vomiting fluids

Mild thirst with desire to sip fluids

Absence of thirst

Intense thirst with profuse urination

Cough Type of Cough

External Invasion of Wind Cold

External Invasion of Wind Heat

Invasion of Wind Dryness

Lung Heat

Lung Phlegm Heat

Damp Phlegm in Lung

Phlegm Fluids in Lung

Liver Fire Insulting Lungs

Lung Qi Deficiency

Lung Yin Deficiency

Lung Dryness

Mental-Spiritual Entities Pertains to Zang Fu

Ethereal Soul (Han)

Mind (Shen)

Intellect (Yi)

Corporeal Soul (Po)

Will-power (Zhi)

30

TCM Pathophysiology Related to Tiredness Clinical Manifestations of Wind

Clinical Manifestations of External Wind Invasion

TCM Pathophysiology Related to Headaches

Clinical Manifestations of Internal Wind

31

Chest & Abdomen

Symptom TCM Pathophysiology

Stabbing chest pain

Pain accompanied by cough with profuse yellow sputum

Feeling of oppression

Feeling of distension in hypochondrium

Stabbing pain in hypochondrium

Dull pain in epigastrium alleviated by eating

Dull pain in epigastrium

Severe pain in epigastrium aggravated by eating

Severe pain in epigastrium – Full patterns

Feeling of fullness in epigastrium

Very slight feeling of fullness in epigastrium

Feeling of distension in epigastrium

Lower abdominal pain

Abdominal pain relieved by bowel movements

Abdominal pain aggravated by bowel movements

Hypogastrium pain

Insomnia TCM Pathophysiology

Very restless sleep with feeling of heat, agitation, excessive dreaming

Not able to fall asleep or stay asleep, without other symptoms

Difficulty falling asleep

Waking up many times during the night

Insomnia with anxiety, dream-disturbed sleep, with Qi & Blood Deficiency symptoms

Difficult falling asleep, dizziness, blurred vision

Waking up frequently with excessive dreams, night sweating, palpitations

Dream-disturbed sleep

Restless sleep with excessive dreams

Waking up early and failing to fall asleep again

32

Lethargy TCM Pathophysiology

Sleepiness after eating

Lethargy and body heaviness

Lethargy and body heaviness and dizziness

Extreme lethargy and lassitude with a feeling of cold

Lethargic stupor with Exterior Heat symptoms

Lethargic stupor, rattling in throat, slippery pulse, sticky tongue coat

Difficult falling asleep, dizziness, blurred vision

Sweating TCM Pathophysiology

Sweating only on head

Oily sweat on forehead

Sweating only on arms and legs

Sweating only on hands

Sweating whole body

Sweating on palms, soles, chest

Sweating in daytime

Sweating at night-time

Profuse cold sweat during a severe illness

Oily sweat on forehead, like pearls, not flowing

Oily sweat

Yellow sweat

Tinnitus - Deafness TCM Pathophysiology

Sudden onset tinnitus

Gradual onset tinnitus

Noise aggravated by pressing hands on ears

Noise alleviated by pressing hands on ears

Loud, high-pitched noise like a whistle

Low-pitched noise like rushing water

Sudden onset deafness

Gradual onset deafness

33

Eyes TCM Pathophysiology

Eye pain like a needle, eye redness with a headache

Eye pain, swelling and redness

Feeling of pressure in the eye

Blurred vision and floaters

Photophobia

Dry eyes

Men – Impotence - Pathophysiology Men – Lack of Libido - Pathophysiology

Men – Premature Ejaculation - Pathophysiology Men – Tiredness & Dizziness After Ejaculation - Pathophysiology

Women – Lack of Libido - Pathophysiology

34

Women – Menstruation – Leucorrhea – Pregnancy - Childbirth TCM Pathophysiology

Periods always early

Periods always late

Periods irregular

Heavy blood loss

Scanty periods

Dark red or bright red blood

Pale blood

Purple or blackish blood

Fresh red blood

Congealed blood with clots

Watery blood

Turbid blood

Pain before period

Pain during period

Pain after period

Leucorrhea – white discharge

Leucorrhea – yellow discharge

Leucorrhea – greenish discharge

Leucorrhea – red & white discharge

Leucorrhea – yellow discharge with pus & blood

Watery leucorrhea

Thick leucorrhea

Infertility

Vomiting during pregnancy

Miscarriage before 3 months

Miscarriage after 3 months

Nausea & heavy bleeding after delivery

Sweating & fever after delivery

Postnatal depression

35

Pulse – Levels Reflects

Superficial

Middle

Deep

Pulse Qualities Clinical Significance

Floating

Deep

Slow

Rapid

Empty

Full

Slippery

Choppy

Long

Short

Overflowing

Fine

Minute

Tight

Wiry

Slowed-down

Hollow

Leather

Firm

Soggy

Weak

Scattered

Hidden

Moving

Hasty

Knotted

Intermittent

Hurried

36

Internal Wind Symptoms & Signs Qi Stagnation Symptoms & Signs Blood Stagnation Symptoms & Signs

Internal Dampness Symptoms & Signs Internal Cold Symptoms & Signs Phlegm Symptoms & Signs

37

Heat Symptoms & Signs Fire Symptoms & Signs

Ascending/Descending Qi Pathology Symptoms

Spleen Qi Descending

Stomach Qi Ascending

Lung Qi Ascending

Heart Qi ascending

Liver Qi Ascending too much

Kidney Qi Ascending

Bladder Qi Ascending

Small Intestine Qi Ascending

Large Intestine Qi Ascending

Clinical Manifestations of Exterior Patterns

Cold Symptoms Heat Symptoms

38

Full Heat – Empty Heat

Full Heat Empty Heat

Face

Thirst

Eyelid

Taste

Feeling of Heat

Fever

Mind

Bowels

Bleeding

Sleep

Skin eruptions

Pulse

Tongue

Treatment Method

Full Cold – Empty Cold

Full Cold Empty Cold

Face

Pain

Bowels

Pulse

Tongue

Onset

39

True Cold/False Heat – True Heat/False Cold

True Cold/False Heat True Heat/False Cold

By observation

By hearing

By interrogation

By palpation

Collapse of Yin Symptoms Collapse of Yang Symptoms

Qi Deficiency Symptoms Qi Sinking Symptoms Qi Stagnation Symptoms Rebellious Qi Symptoms

40

Blood Deficiency Symptoms Liver Blood Stasis Symptoms Heart Blood Stasis Symptoms Lung Blood Stasis Symptoms

Stomach Blood Stasis Symptoms Intestines Blood Stasis

Symptoms

Uterus Blood Stasis Symptoms Blood Heat Symptoms

Hemorrhage

Cause Color of Blood Quantity

Heat in Blood

Stasis of Blood

Qi Deficiency

Yin Deficiency

41

Qi Stagnation Blood Stagnation

Pain/Distension

Location

Character

Abdominal Masses

Skin

Face

Tongue

Pulse

Deficiency of Body Fluids

Lung Symptoms Stomach Symptoms Kidney Symptoms Large Intestine Symptoms

Edema Common Location

Spleen Yang Deficiency

Kidney Yang Deficiency

Qi & Blood Deficiency

Dampness

Wind Water Invading Lungs

Qi Stagnation

Qi Deficiency & Blood Stasis

Pitting Edema TCM Pathophysiology

Pitting

Non-pitting

42

Phlegm General Symptoms Non-Substantial Phlegm Symptoms

Under Skin

In Channels

Misting Heart

Gall Bladder or Kidneys

In Joints

Nature of Phlegm

Symptoms

Damp Phlegm

Phlegm Heat

Cold Phlegm

Wind Phlegm

Qi Phlegm

Phlegm Fluids

43

Heart Patterns Symptoms & Signs

Heart Qi Deficiency

Heart Yang Deficiency

Heart Yang Collapse

Heart Blood Deficiency

Heart Yin Deficiency

Heart Fire Blazing

Phlegm Fire Harassing Heart

Phlegm Misting Mind

Heart Vessel Obstructed

Heart Blood Stasis

Pericardium Patterns Symptoms & Signs

Heat in Pericardium

Blood Deficiency of Pericardium

Pericardium Fire

Phlegm-Fire Harassing Pericardium

Qi Stagnation in Pericardium

Blood Stasis in Pericardium

44

Liver Patterns Symptoms & Signs

Liver Qi Stagnation

Liver Qi Stagnation Turning Into Heat

Rebellious Liver Qi

Liver Blood Stasis

Liver Fire Blazing

Damp Heat in the Liver

Stagnation of Cold in Liver Channel

Liver Blood Deficiency

Liver Yin Deficiency

Liver Yang Rising

Liver Wind Agitating Within

Rebellious Liver Qi Invading Spleen

Rebellious Liver Qi Invading Stomach

Liver Fire Insulting Lungs

Heart & Liver Blood Deficiency

Causes of Liver Wind Symptoms & Signs

45

Liver Yang Rising Generating Wind

Cause Symptoms & Signs

Lung Patterns Symptoms & Signs

Lung Qi Deficiency

Lung Yin Deficiency

Lung Dryness

Invasion of Lungs by Wind Cold

Invasion of Lungs by Wind Heat

Invasion of Lungs by Wind Water

Lung Heat

Damp Phlegm in Lungs

Cold Phlegm in Lungs

Phlegm Heat in Lungs

Dry Phlegm in Lungs

Phlegm Fluids Obstructing Lung

Lung & Heart Qi Deficiency

46

Spleen Patterns Symptoms & Signs

Spleen Qi Deficiency

Spleen Yang Deficiency

Spleen Qi Sinking

Spleen Not Controlling Blood

Spleen Blood Deficiency

Cold Damp Invading Spleen

Damp Heat Invading Spleen

Spleen & Heart Blood Deficiency

Spleen & Lung Qi Deficiency

Spleen & Liver Blood Deficiency

Obstruction of Spleen By Damp With

Liver Qi Stagnation

Kidney Patterns Symptoms & Signs

Kidney Yang Deficiency

Kidney Yin Deficiency

Kidney Qi Not Firm

Kidneys Failing to Receive Qi

Kidney Essence Deficiency

Kidney Yang Deficiency Water

Overflowing

Kidney Yin Deficiency Empty Heat

Blazing

Kidney & Liver Yin Deficiency

Kidney & Heart Not Harmonized

Kidney & Lung Yin Deficiency

Kidney & Spleen Yang Deficiency

47

Stomach Patterns Symptoms & Signs

Stomach Qi Deficiency

Stomach Deficient & Cold

Stomach Yin Deficiency

Stomach Qi Stagnation

Stomach Fire

Cold Invading Stomach

Stomach Qi Rebelling Upwards

Damp Heat in Stomach

Retention of Food in Stomach

Blood Stasis in Stomach

Stomach & Spleen Qi Deficiency

Small Intestine Patterns Symptoms & Signs

Full Heat in Small Intestine

Small Intestine Qi Pain

Small Intestine Qi Tied

Infestation of Worms in Small Intestine

Small Intestine Deficient & Cold

Large Intestine Patterns Symptoms & Signs

Damp Heat in Large Intestine

Heat in Large Intestine

Heat Obstructing Large Intestine

Cold Invading Large Intestine

Qi Stagnation in Large Intestine

Large Intestine Dry

Large Intestine Cold

Collapse of Large Intestine

48

Gall Bladder Patterns Symptoms & Signs

Damp in Gall Bladder

Damp Heat in Gall Bladder

Gall Bladder Deficient

Damp Heat in Gall Bladder & Liver

Bladder Patterns Symptoms & Signs

Damp Heat in Bladder

Damp Cold in Bladder

Bladder Deficient & Cold

Summer Heat Clinical Manifestations Damp Clinical Manifestations Dryness Clinical Manifestations

49

Damp Heat Clinical Manifestations

Full Fire Empty Fire

Face & Eyes

Feeling of heat

Thirst

Dry mouth

Bitter taste

Urine & Stool

Mind

Skin

Blood in …….

Sweating

Tongue

Pulse

50

Toxic Heat Clinical Manifestations

Identification of Patterns According to 3 Burners

Upper Burner Patterns Lower Burner Patterns Middle Burner Patterns

51

Identification of Patterns According to 8 Extraordinary Vessels

Clinical Manifestations

Du Mai

Ren Mai

Chong Mai

Combined Ren & Chong Mai

Dai Mai

Yin Qiao Mai

Yang Qiao Mai

Yin Wei Mai

Yang Wei Mai

52

Blank

53

Blank

54

5 Element - 4 Needle Treatment

Deficiency - Excess

Channel

Deficiency

Tonify Reduce

Excess

Tonify Reduce

LU

LI

ST

SP

HE

SI

BL

KID

P

SJ

GB

LIV

Cold - Hot

Channel

Cold

Tonify Reduce

Hot

Tonify Reduce

LU

LI

ST

SP

HE

SI

BL

KID

P

SJ

GB

LIV

55

Acu Point Theory - Other This is more for NCCAOM Exams – See NCCAOM Study Guide

Review the following:

Richard Tan Point Prescriptions

Master Tung Acupuncture

Worsley Theory

Japanese Acupuncture

56

Acu Moxa Technique A-B – Study Questions

1) Write a brief historical perspective about zhen jiu (acupuncture & moxibustion) in China and

around the world.

2) Name at least 3 ancient Chinese texts that are considered important contributions to

acupuncture & moxibustion (not CHM).

3) Name at least 3 ancient Chinese doctors that made important contributions to acupuncture &

moxibustion (not CHM).

4) State the general guidelines and clinic protocols for Clean Needle Technique. Describe correct

alcohol swabbing procedure.

5) List the 5 parts of a traditional Chinese acupuncture needle.

57

6) List the Chinese gauge and Japanese # (diameter) of typical acupuncture needles, starting with

thinnest to thickest.

7) List the standard lengths of acupuncture needles used. List in inches and millimeter, starting

with the shortest to longest.

8) List and describe all the commonly used positions for needling a patient and when these

positions are used.

9) List and describe all the needle insertion techniques and when they are used.

10) List the angles of insertion for needles and when each is used.

58

11) Discuss depth of needle insertion.

12) List all the techniques used to induce arrival of qi (“de qi”).

13) Discuss the use of reinforcing, reducing, and even methods of needle manipulation.

14) Describe the needle technique “Setting the mountain on Fire”.

15) Describe the needle technique “Penetrating-heaven coolness”.

16) List the needle technique methods for tonifying and reducing.

59

Method Tonify Reduce

Needle Type & Warming

Needle Length & Thickness

Massage Point

Pinch Point

Exhale/Inhale

Quick/Slow Insertion

Needle sensation

Insertion Depth

Needle Manipulation

Needle Rotation

Needle Direction

Needle Retention

Opening/Closing Hole

Nine & Six

Five Elements

Source – Luo Points

12 Time Periods

17) Discuss frequency of treatment.

60

18) Discuss general precautions to consider when using acupuncture.

19) List all the contraindicated acupoints for moxa and/or needles.

20) Discuss the following clinical complications with acupuncture and their management:

Forgotten needle –

Pain –

Stuck needle –

Bent needle –

Broken needle –

Hematoma –

Fainting –

Injury to anatomical structures/organs –

61

21) Discuss bloodletting indications, methods, techniques, cautions/contraindications.

22) Discuss the functions, uses, and general considerations of using moxibustion.

23) List all the methods of applying moxa and when they are used.

24) List all the commonly used substances used as moxa heat transfer mediums and when they

are used.

25) List all the cautions/contraindications for moxa use, including forbidden points.

62

26) Discuss “akabane”.

27) List all the various types of cups used for cupping

28) List common indications when cupping is used.

29) List the various types of cupping methods.

30) List the cautions/contraindications for cupping.

31) Discuss cutaneous acupuncture, including methods of applying, indications, and

cautions/contraindications.

32) Discuss gua sha, including techniques, most commonly used areas, indications, and


63

33) Discuss infrared and TDP lamps, including indications and cautions/contraindications.

34) Discuss point injection therapy.

35) Discuss electroacupuncture & micro-current, including theory, general use and indications,

application, safety, discussion with patient, and cautions/contraindications.

36) Discuss TENS, Ryodo-Raku, and Ion Cords.

37) Discuss magnet therapy.

38) Discuss intradermal needles/pellets/seeds, including methods of applying, indications, and


39) Discuss auricular acupuncture, including methods of applying, indications, and


64

40) Discuss scalp acupuncture, including location measurements, methods of applying,

indications, and cautions/contraindications.

41) Discuss acupuncture anesthesia/analgesia.

42) Discuss micro system acupuncture.

43) Discuss Japanese acupuncture.

44) Discuss 5 Element acupuncture.

65

Auricular Acupuncture

Write the following numbers on the appropriate location on the diagram:

1) Helix 10) Tragus

2) Helix tubercle 11) Supratragic notch

3) Helix cauda 12) Antitragus

4) Helix crus 13) Intertragic notch

5) Antihelix 14) Helix notch

6) Superior antihelix crus 15) Ear lobe

7) Inferior antihelix crus 16) Concha

8) Triangular fossa 17) Cymba concha

9) Scapha 18) Cavum concha

66

Auricular Acupuncture

Write the following numbers on the appropriate location on the diagram:

1) Liver Yang 14) External genital

2) Eye 15) Shenmen

3) Knee 16) Hip

4) Jaw 17) Neck

5) Ankle 18) Chest

6) Lung 19) Abdomen

7) Spleen 20) Nose

8) Wrist 21) Forehead

9) Lumbo-sacral vertebra 22) Liver

10) Hip 23) Kidney

11) Shoulder 24) Bladder

12) Thoracic vertebra 25) Heart

13) Cervical vertebra

67

Scalp Acupuncture

Write the following numbers on the appropriate location on the diagrams:

1) Sensory Area 5) Motor Area

2) Chorea & Tremor Control Area 6) Speech #3 Area

3) Vertigo & Hearing Area 7) Speech #2 Area

4) Voluntary Movement Area 8) Blood Vessel & Constriction Area


1) Upper Point of Motor Area

2) Leg Motor Sensory Area

3) Upper Point of Sensory Area

68

Scalp Acupuncture


1) Leg Motor Sensory Area

2) Balance Area

3) Speech #2 Area

4) Vision Area


1) Reproduction Area

2) Stomach Area

3) Thoracic Cavity Area

69

Acupuncture Musculoskeletal Anatomy


1) Clavicle 10) Cervical Vertebra 19) Illium

2) Femur (2 places) 11) Phalanges 20) Fibula (2 places)

3) Radius 12) Carpals 21) Tibia

4) Xiphoid Process 13) Scapula 22) Sacrum (2 places)

5) Thoracic Vertebra 14) Lumbar Vertebra 23) Tarsals

6) Ulna 15) Humerous (2 places) 24) Metatarsals

7) Skull 16) Patella 25) Greater Trochanter

8) Metacarpals 17) Sternum 26) Ribs

9) Coccyx (2 places) 18) Coracoid Process 27) Calcaneous

70


Write the following numbers on the appropriate location on the diagrams and give the origin and

insertion of muscles and function:

1) Lateral pterygoid upper head 4) Lateral pterygoid lower head

2) Medial pterygoid deep head 5) Medial pterygoid superficial head

3) Buccinator 6) Temporalis

What is the muscle shown in the diagram?

71




1) Temporalis 3) Lateral pterygoid

2) Lateral ligament of temporo-mandibular joint 4) Inferior temporal line

1) Orbicularis oculi orbital part 9) Levator labii superioris

2) Procerus 10) Levator anguli oris

3) Orbicularis oris 11) Orbicularis oculi palpebral part

4) Zygomaticus major 12) Depressor anguli oris

5) Depressor labii inferioris 13) Frontal belly of occipitofrontalis

6) Transverse part of nasalis 14) Buccinator

7) Platysma 15) Levator labii superioris alaeque nasi

8) Zygomaticus minor

72




1) Sternothyroid (2 places) 8) Sternocleidomastoid 15) Scalenus anterior

2) Styloglossus 9) Facial loop round digastric tendon 16) Scalenus posterior

3) Cricothyroid 10) Mylohyoid 17) Omohyoid

4) Transverse process of atlas 11) Stylohyoid 18) Trapezius

5) Levator glandulae thyroideae 12) Longus capitis 19) Scalenus medius

6) Splenus capitus 13) Levator scapulae

7) Hyoglossus 14) Digastric

1) Biceps 7) Costo-abdominal part of pectoralis major

2) Sternocostal part of pectoralis major 8) Brachialis (2 places) 13) Triceps (2 places)

3) Bicipital aponeurosis 9) Serratus anterior 14) Triceps medial head

4) Deltoid 10) Brachioradialis

5) Latisimus dorsi 11) Triceps long head)

6) Clavicular part of pectoralis major 12) Coracobrachialis

73




1) Biceps 5) Brachialis 9) Pectoralis minor

2) Subclavius 6) Long head of biceps 10) Teres major

3) Coracobrachialis 7) Subscapularis 11) Short head of biceps

4) Serratus anterior 8) Latissimus dorsi

1) Trapezius 6) Teres minor 11) Infraspinatus

2) Splenius capitis 7) Serratus anterior 12) Semispinalis

3) Rhomboideus major 8) Serratus posterior inferior 13) Sternocleidomastoid

4) Supraspinatus 9) Rhomboideus minor 14) Teres major

5) Latissimus dorsi 10) Deltoid 15) Levator scapulae

74


1) What are the elevators of the scapula?

2) What are the depressors of the scapula?

3) What are the protractors of the scapula?

4) What are the retractors of the scapula?

5) What are the retractors of the scapula?

6) What are the upward rotators of the scapula?

7) What are the downward rotators of the scapula?

8) What are the medial (internal) rotators of the humerous?

9) What are the lateral (external) rotators of the humerous?

10) What are the flexors of the humerous?

11) What are the extensors of the humerous?

12) What are the abductors of the humerous?

13) What are the adductors of the humerous?

14) What are the horizontal abductors of the humerous?

15) What are the horizontal adductors of the humerous?

16) What are the flexors of the elbow?

17) What are the extensors of the elbow?

18) What are the supinators of the forearm?

19) What are the pronators of the forearm?

20) What are the flexors of the wrist?

21) What are the extensors of the wrist?

22) What are the adductors of the wrist?

75

23) What are the abductors of the wrist?

24) What are the abductors of the thumb?

25) What are the abductors of the digits?

26) What are the adductors of the thumb?

27) What are the adductors of the digits?

28) What are the extensors of the thumb?

29) What are the extensors of the digits?

30) What are the flexors of the thumb?

31) What are the flexors of the digits?

32) What is involved in thumb opposition?

33) What is involved in little finger opposition?

34) What are the flexors of the head?

35) What are the extensors of the head?

36) What are the major muscles involved in facial expressions?

76


Label the bony landmarks.

1) 7)

2) 8)

3) 9)

4) 10)

5) 11)

6)

77



1) 6) 11)

2) 7) 12)

3) 8) 13)

4) 9) 14)

5) 10) 15)

78



1) 7)

2) 8)

3) 9)

4) 10)

5) 11)

6) 12)

79



1) 7)

2) 8)

3) 9)

4) 10)

5) 11)

6)

80


81




1) Teres minor 8) Humerus

2) Supraspinatus 9) Greater tuberosity

3) Latissimus dorsi 10) Deltoid

4) Spine of scapula 11) Triangular space

5) Long head of triceps 12) Lateral head of triceps

6) Quadrangular space 13) Teres major

7) Infraspinatus 14) Olecranon

82




1) Abductor pollicis longus 13) Flexor carpi radialis (cut tendon)

2) First dorsal interosseous 14) Flexor digitorium profundus

3) Brachio radialis 15) Flexor pollicis brevis

4) Flexor pollicis longus 16) Flexor digiti minimi brevis

5) Abductor pollicis brevis 17) Extensor carpi radialis brevis

6) Flexor carpi ulnaris 18) Pronator quadratus

7) Extensor carpi radialis longus 19) Lumbricals

8) Adductor policis oblique part 20) Flexor retinaculum

9) Abductor digiti minimi 21) Deep transverse mtatcarpal ligaments

10) Adductor pollicis transverse part 22) Supinator

11) Opponens digiti minimi 23) Flexor digitorum superficialis tendon

12) Brachioradialis tendon

83




1) Olecranon 12) Extensores carpi radialis longus et brevis

2) Extensor digiti minimi (2 places) 13) First dorsal interosseus

3) Intertendinous connexions 14) Extensor carpi ulnaris (2 places)

4) Brachialis 15) Ulna

5) Extensor carpi minimi 16) Abductor digiti minimi

6) Extensor digitorum 17) Fascia from triceps covering anconeus

7) Extensor carpi radialis longus 18) Abductor pollicis longus

8) Extensor indicis 19) Extensor carpi radialis brevis

9) Triceps 20) Extensor pollicis brevis

10) Brachioradialis 21) Radius

11) Flexor carpi ulnaris

84




1) Medial intermuscular septum of arm 12) Flexor carpi ulnaris

2) Pisiform 13) Brachioradialis

3) Flexor digitorum superficialis, radial head 14) Flexor retinaculum

4) Pronator teres 15) Tendon to ring finger

5) Palmaris longus 16) First dorsal interosseous

6) Flexor pollicis longus 17) Flexor pollicis brevis

7) Palmaris brevis 18) Flexor carpi radialis

8) Flexor digitorum superficialis 19) Deep transverse metacarpal ligaments

9) Adductor pollicis brevis 20) Palmar aponeurosis central portion

10) Adductor pollicis, transverse head 21) Second lumbrical

11) Bicipital aponeurosis 22) Fibrous flexor sheath

85




1) Abductor pollicis longus 13) Flexor digitorum superficialis

2) Flexor pollicis longus 14) Pronator quadratus

3) Palmaris longus 15) First lumbrical

4) Brachioradialis 16) Flexor carpi ulnaris

5) Interossei (2 places) 17) Flexor retinaculum

6) Adductor pollicis 18) Abductor digiti minimi

7) Pisiform bone 19) Second lumbrical

8) Abductor pollics brevis 20) Flexor carpi radialis

9) Opponens digiti minimi 21) Cruciform fibers in digital heath (2 places)

10) Slip to abductor pollicis brevis 22) Fourth lumbrical

11) Flexor digiti minimi brevis 23) Flexor pollicis brevis

12) Third lumbrical 24) Opponens pollicis

86




1) Longissimus cervicis 13) Rectus capitis posterior major

2) Lateral intertransverse muscle 14) Quadratus lumborum

3) Semispinalis capitis 15) Ligamentum nuchae

4) Rectus capitis posterior minor 16) Longissimus cervicis

5) Ligamentum capitis 17) Illiocostalis thoracic

6) Inferior oblique 18) Levatores costarum breves

7) Spinalis thoracis 19) Erector spinae

8) Illiocostalis lumborum 20) Superior oblique

9) Quadratus lumborum 21) Longissimus thoracis

10) External intercostal 22) Multifidus

11) Illiocostalis cervicis 23) Transversus, origin from thoracolumbar fascia

12) Semispinalis cervicis

87




Name all the anatomical structures in the diagram?

Name all the anatomical structures in the diagram?

88


1) What are the lateral (external) rotators of the hip?

2) What are the medial (internal) rotators of the hip?

3) What are extensors of the hip?

4) What are the flexors of the hip?

5) What are the abductors of the hip?

6) What are the adductors of the hip?

7) What is the lateral (external) rotator of the knee?

8) What is the medial (internal) rotators of the knee?

9) What are the extensors of the knee?

10) What are the flexors of the knee?

11) What are the dorsiflexors of the ankle?

12) What are the plantarflexors of the ankle?

13) What are the invertors of the foot?

14) What are the evertors of the foot?

15) What are the flexors of the vertebral column?

16) What are the extensors of the vertebral column?

17) What are the muscles involved in breathing and moving the abdominal wall?

89




1) Tensor fasciae latae 8) Pectineus

2) Vastus lateralus 9) Psoas major

3) Ligamentum patellae 10) Vastus medialis

4) Adductor longus 11) Illiotibial tract

5) Sartorius 12) Tendon of sartorius

6) Adductor magnus 13) Illiacus

7) Gracillis 14) Rectus femoris

90




1) Gremellus inferior 10) Gemellius superior

2) Gracilis 11) Adductor magnus

3) Gluteus minimus 12) Semitendonosus

4) Piriformis 13) Gluteus maximus

5) Biceps femoris, long head 14) Quadratus femoris

6) Biceps femoris, short head 15) Vastus lateralis

7) Popliteus 16) Gluteus medius

8) Semimembranosus 17) Obturator internus tendon

9) Sacrotuberous ligament

91




1) Tibia 10) Semimenbranosus

2) Gracillis 11) Vastus medialis

3) Gastrocnemius medial head 12) Semitendinosus

4) Extensor retinacula 13) Tibialis anterior

5) Abductor hallucis 14) Soleus

6) Tendo calcaneus 15) Calcaneus

7) Flexor digitorum longus 16) Flexor retinaculum

8) Sartorious 17) Pes anserinus

9) Tibialis posterior 18) Flexor hallucis longus

92




1) Tibialis anterior (2 places) 10) Extensor hallucis longus (2 places)

2) Lower extensor retinaculum 11) Lateral malleolus

3) Gastrocnemius 12) Soleus

4) Upper extensor retinaculum 13) Extensor digitorum brevis

5) Medial malleolus 14) Peroneus longus

6) Insertion of sartorius 15) Patellar ligament (quadriceps tendon)

7) Extensor digitorum longus (2 places)

8) Extensor hallucus brevis

9) Peroneus tertius

93




1) Gracilis 8) Gastrocnemius lateral head

2) Flexor digitorum longus 9) Peroneus brevis

3) Plantaris 10) Semimembranosus

4) Semitendonosus 11) Calcaneus

5) Soleus 12) Camcanean tendon

6) Peroneus longus 13) Gastrocnemius medial head

7) Biceps femoris

94




1) Sheath of rectus, anterior layer 7) Spermatic cord

2) Serratus anterior 8) Pectoralis major

3) External oblique 9) Lumbar triangle

4) Linea semilunaris 10) Latissimus dorsi

5) Inguinal ligament 11) Crest of illium

6) Linea alba 12) Tendinous intersections

1) Digitations of seratus anterior 4) Obliquus internus

2) Latissimus dorsi 5) Intercostalis internus of 10th

intercostal space

3) Rectus abdominuis

95




1) Transversus perini superficialis 7) Corpus spongiosum penis

2) Sacrotuberous ligament 8) Levator ani

3) Obturator internus 9) Pitiformis

4) Bulbospongiosus 10) Coccyx

5) Coccygeus 11) Sacrotuberous ligament

6) Superficial fascia, membranous layer 12) Ischiocavernosus

1) Clitoris 6) Sphincter ani externus

2) Urethra 7) Ischiocavernosus

3) Bulbospongiosus 8) Gluteus maximus

4) Levator ani 9) Vagina

5) Anus 10) Transversus paerini superficialis

96



1) anus 11) hepatic flexure 21) region of pyloric sphincter

2) ascending colon 12) jejunum 22) sigmoid colon

3) cecum 13) larynx 23) splenic flexure

4) common bile duct 14) liver 24) stomach

5) cystic duct 15) pancreas 25) submaxillary gland

6) descending colon 16) parotid gland & duct 26) sublingual gland

7) duodenum 17) pharynx 27) trachea

8) esophagus 18) rectum 28) transverse colon

9) gall bladder 19) region of cardiac sphincter 29) vermiform appendix

10) hepatic duct 20) region of ileocecal valve

97


98


From the previous diagram, match the appropriate number to the anatomy:

1-2) NA Adductor muscles of thigh

3) Femur

4) Illiacus muscle

5) Larynx

6-11) NA Maxilla

12) Mesenteric artery, superior

13) Nasal turbinates

14-20) NA Intercostal artery, vein, nerve

21) Aorta

22) Illiac artery, vein

23) NA Pituitary gland

24) Corpus callosum

25) Eustachian tube opening

26) Quadratus lumborum muscle

27) Renal artery, vein

28-29) NA Adrenal (suprarenal) gland

30) Parietal bone

31-32) NA Sacral nerve plexus

33) Medulla oblongata

34) Cerebrum

35-37) NA Carpal bones

38) Flexor digitorum sublimis muscle

39) Occipital bone

40-41) NA Pubic bone

42) Clavicle

43) Rectum

44) Metacarpal bones

45-48) NA Costae (ribs)

49) Sacrum

50) Cerebellum

51) Urinary Bladder

53) Radius

55) Celiac artery

56) Pons

57-59) NA Cervical nerves

60) Brachialis muscle

61-64) NA Frontal bone

65) Epiglottis

66-67) NA Deltoid muscle

68) Diaphragm

69) Illium

70) Femoral artery, vein, nerve

99

71) NA Esophagus

72) Flexor carpi radialis muscle

73) Frontal sinus

74-76) Coracobrachialis muscle

77) Humerus

78) NA Scapula

79) Intercostal muscles, external, internal

80-82) NA Gluteus medius muscle

83) Mesenteric artery, inferior

84) NA Palmaris longus muscle

85) Psoas muscle

86) Tongue

87) Kidney

88) Mandible

89) Sciatic nerve

90-91) NA Triceps brachii muscle

92) Ulna

93-94) NA Vastus lateralis muscle

95) Spinal cord

96) Vastus intermedius musclw

97-102) NA Uvulva

103) Subscapularis muscle

104) NA Trapezius muscle

105) Sphenoid sinus

106-110) NA Vastus medialis muscle

111) Vena cava

112) Ureter

113) NA

114)

115) NA

116)

117-120) NA

121)

122)

123)

124)

125-126) NA

127)

128)

129-130) NA

131)

132)

133-135) NA

136)

137)

138-147) NA

100

148)

149) NA

150 A)

150 B)

150 C)

151-156) NA

157)

158) NA

159)

160) NA

161)

162)

163-164) NA

165)

166)

167)

101


Muscle Contracting Part of Body Moved Type of Movement Antagonistic Muscle

Pectoralis major

Pectoralis minor

Biceps

Triceps

Quadriceps

Latissimus dorsi

Trapezius

Abdominal wall

muscles

Sternocleidomastoid

Hamstrings

Sartorius

Gastrocnemius

Tibialis anterior

Iliopsoas

Gluteal group

Adductors

Buccinator

Platysma

Epicranius

Corrugator supercilii

Pterygoids

102


Label the following body movements in applicable places on the diagram.

Abduction Retraction Protraction Flexion Inversion

Adduction Pronation Supination Extension Eversion

Dosiflexion Plantar flexion Rotation

103


104


Write the following numbers associated with arteries on the appropriate location on the diagrams:

1) Brachiocephalic 14) External illiac 27) Right common carotid

2) Popliteal 15) Left subclavian 28) Arcuatre

3) Right coronary 16) Digital 29) Pulmonary

4) Left common carotid 17) Internal Carotid 30) Common illiac

5) Internal illiac 18) Anterior tibial 31) Renal

6) Splenic 19) Aorta 32) Deep femoral

7) Radial 20) Inferior mesenteric 33) Occipital

8) External carotid 21) Vertebral 34) Celiac

9) Left coronary 22) Brachial 35) Dorsal pedis

10) Posterior tibial 23) Axillary 36 A) Palmar arches deep

11) Superior mesenteric 24) Peroneal 36 B) Palmar arches superficial

12) Ulnar 25) Femoral

13) Arch of aorta 26) Dorsal metatarsal

105


Write the following numbers associated with veins on the appropriate location on the diagrams:

1) Superior vena cava 12) Great saphenous 23) External illiac

2) Common illiac 13) Phrenic 24) Left internal mammary

3) Subclavian 14) Inferior vena cava 25) Small saphenous

4) Popliteal 15) Radial 26) Posterior tibial

5) Internal illiac 16) Brachial 27) Basilic

6) Axillary 17) Anterior tibial 28) Basilic

7) Internal jugular 18) Middle sacral 29) Right brachiocephalic

8) Hepatic 19) Femoral 30) Renal

9) Spermatic 20) Cephalic 31) Ulnar

10) Suprarenal 21) External jugular 32) Lumbar

11) Superficial temporal 22) Facial

106


What are the 12 cranial nerves?

Location of

Cranial nerve Number Functional class cells of origin Chief function

Spinal Nerve Distribution (Plexuses) Function

1)

2)

3)

4)

5)

Endocrine Glands Function

1)

2)

3)

4)

5)

6)

7)

107

Digestion

Place each of the following terms Place each of the following terms in

the appropriate space under column in the appropriate space under

headed Food Digested column headed Resulting Product

bile-emulsified fats amino acids

emulsified fats bile-emulsified fats

lactose casein

maltose fatty acids

milk protein (caseinogens) glycerol

protein glucose (dextrose)

protein (including casein) maltose

proteoses, peptones,peptids proteoses, peptones,peptids

starches fructose

sucrose galactose

unemulsified fats

Digestive juices & their enzymes Food Digested Resulting Product

Saliva – ptyalin/amylase

Saliva – maltase

Gastric juice - rennin

Gastric juice – pepsin/protease

Gastric juice – lipase

Bile – No enzymes

Pancreatic juice – trypsin/protease

Pancreatic juice – steapsin/lipase

Pancreatic juice –

amylopsin/amylase

Pancreatic juice – maltase

Intestinal juice – erepsin/protease

Intestinal juice – sucrose/invertase

Intestinal juice – lactase

Intestinal juice -maltase

108

Endocrine Disturbances

109

Match the following using each number only one time:

Genetics 1) Nearly all of the energy needed for life processes

Golgi apparatus originates from this

Gene 2) Science of genes, heredity, and the variation of organisms

Metabolism 3) Studies the distribution and abundance of living organisms

Cell Biology 4) Fundamental unit of life

Biology 5) Unit of heredity

Energy 6) Ability of an open system to regulate its internal environment

Sun to maintain stable conditions by means of multiple

Lysosomes dynamic equilibrium adjustments controlled by

Cytokinesis interrelated regulation mechanisms

Photosynthesis 7) Protein found in animal tissue and the major serum protein

Aneurysm 8) Increased amount of fat in the blood

Adenoma 9) Process and package macromolecules, such as proteins and

FSH lipids, after their synthesis and before they make their

Hyperlipemia way to their destination

Idiopathic 10) Thickening and loss of elasticity of the walls of the arteries

Ketone 11) Abnormally increased activity or motor function

Luteinizing hormone 12) Dark pigment of the skin, hair, eye, and certain tumors

Orchitis 13) Pain in a muscle

Cell 14) Compound that is a normal end product of lipid metabolism

Pons 15) The innermost of the 3 meninges covering the brain and

Ptosis spinal cord

Spondylitis 16) Set of chemical reactions that happen in living organisms to

Enzyme maintain life

Epithelium 17) Survival of a living organism depends on the continuous

Fibroblast input of this

Osteoporosis 18) Area of skin innervated by the Cutaneous branches from a

Eosinophils single spinal nerve

Homeostasis 19) Substance that is capable of inducing antibody formation and

Synapse of reacting specifically with the antibodies so induced

Dermatome 20) White blood cell

William Harvey 21) Occurring without known cause

Myalgia 22) Spherical organelles that contain enzymes (acid hydrolases)

Genus that break up food so it is easier to digest; are found in

TSH animal cells; and digest excess or worn-out organelles,

Lymph Nodes food particles, and engulfed viruses or bacteria

DNA 23) Largest gland in body

Cushings Syndrome 24) Help the body deal with stressful situations;

SA Node 25) A sac or pouch of fluid situated in places in tissues where

HDL friction would otherwise occur, especially about joints

Chondritis 26) Prolapse of an organ or part

Albumin 27) Associated with hyposecretion of thyroid hormone

Phagocytosis 28) Gonadotropic hormone produced by the anterior pituitary

Cellular Respiration gland

Oxytocin 29) Inflammation of a testicle

Liver 30) Inflammation of the cartilage

Glucocorticoids 31) Shoulder & Hip

http://en.wikipedia.org/wiki/Gene

http://en.wikipedia.org/wiki/Heredity

http://en.wikipedia.org/wiki/Organism

http://en.wikipedia.org/wiki/Life

http://en.wikipedia.org/wiki/Open_system_(systems_theory)

http://en.wikipedia.org/wiki/Macromolecule

http://en.wikipedia.org/wiki/Protein

http://en.wikipedia.org/wiki/Lipid

http://en.wikipedia.org/wiki/Energy

http://en.wikipedia.org/wiki/Organelle

http://en.wikipedia.org/wiki/Hydrolase

http://en.wikipedia.org/wiki/Organelle

http://en.wikipedia.org/wiki/Virus

http://en.wikipedia.org/wiki/Bacteria

110

Pia matter 32) Process that coverts carbon dioxide into organic compounds,

Bursa especially sugars, using the energy from sunlight

Histology 33) Set of the metabolic reactions and processes that take place in

Arteriorsclerosis organisms' cells to convert biochemical energy from

Antigen nutrients into adenosine triphosphate (ATP), and then

Akylosis release waste products

Ecology 34) Studies the structural and physiological properties of cells,

Melanin including their behaviors, interactions, and environment

Hyperkinesia 35) Sac formed by a localized dilation of an artery, vein, or of the Ball

& Socket Joint heart

Leukocyte 36) Most abundant cell type in connective tissue

Vitamin D 37) Site at which neurons communicate

Frontal Plane 38) Part of the CNS that lies between the medulla oblongata and

the mesencephalon and ventral to the cerebellum

39) Nucleic acid that contains genetic instructions used in

development and functioning of all known living

organisms and some viruses

40) Study of life and living organisms, including their structure,

function, growth, origin, evolution, distribution, and taxonomy

41) Process in which the cytoplasm of a single eukaryotic cell is

divided to form two daughter cells

42) Study of minute structure, composition, and function of

tissues

43) Hormone secreted by the anterior lobe of the hypophysis that

stimulates development of the corpus luteum

44) The engulfing of microorganisms, other cells, and foreign

particles by phagocytes

45) Sheet of cells that covers the body surface or lines a body

cavity

46) Low bone mass and a deterioration of the microscopic

architecture of the bony skeleton

47) Catalyst molecule made of protein

48) A stiff condition

49) A type of granulocyte that play a role in ending allergic

reactions and in parasitic infections

50) Stimulates contractions of uterine muscle

51) First to describe correctly systemic circulation and properties

of blood being pumped around the body by the heart

52) First word in the species binomial

53) Secreted by the anterior pituitary

54) Inflammation of a vertebra

55) Pacemaker of the heart

56) Lipoprotein; high serum level aids in prevention of

atherosclerosis

57) Tumor of a gland

58) Cleanse lymph of pathogens

59) Needed for uptake of calcium from food in intestine

60) Divides the body into anterior and posterior portions

http://en.wikipedia.org/wiki/Metabolism


http://en.wikipedia.org/wiki/Cell_(biology)

http://en.wikipedia.org/wiki/Energy#Energy_and_life

http://en.wikipedia.org/wiki/Adenosine_triphosphate

http://en.wikipedia.org/wiki/Physiology

http://en.wikipedia.org/wiki/Cell_(biology)

http://en.wikipedia.org/wiki/Behavior

http://en.wikipedia.org/wiki/Natural_environment


http://en.wikipedia.org/wiki/Cytoplasm

http://en.wikipedia.org/wiki/Eukaryotic

111

Biomedical & TCM Micellaneous – Other This is more for NCCAOM Exams – See NCCAOM Exam Study Guide –

Review while going through program

Informed Consent

State Regulations & Laws

Lab work (not average reference ranges) & Physical Exam

Orthopedic Evaluation

Neurological Exam

Digital Imaging

Mental health – Abuse

Pharmaceuticals – Dietary Supplements

Referral

Six Stages Theory & Treatment Planning

Four Levels Theory & Treatment Planning

Root & Branch Theory & Treatment

Abdominal/Palpation Diagnosis

Point Selection – distal/local/adjacent; based on TCM muscular channel theory;

points along corresponding channels to affected Cutaneous regions;

Front-Mu & Back-Shu their combinations;

Luo-Connecting & Yuan-Source their combinations

Crossing Points

Four Needle Technique – points, how it affects imbalances

Cold Therapy

Treatment Strategy

Assessing effectiveness of treatment

Practice Risk Management

112

CHM

Match the following using each number only one time:

Zhang Zhong Jing 1) Primary herb to treat Exterior Excess Wind Cold

Xin Yi Hua 2) Treat common cold in the summer

Ge Gen 3) Relieve stuffy chest

Descending Herbs 4) Primary herb to treat Liver Qi Stagnation

Jue Ming Zi 5) Cook shorter time

Sheng Di Huang 6) Strongest herb to Clear Heat in Qi Level

Bitter Herbs 7) Most common dose for individual herbs

San/Fen/Mo 8) Clear Heat & Damp, especially Liver & Gall Bladder

Ku Shen 9) Primary herb to treat a surface condition in a patient with a

Ju Hua Deficient constitution

Huang Qin 10) Clear the eyes, moisten intestines

Zhi Mu 11) Stop itching

Sheng Ma 12) Clear Heat, Cool Blood, Nourish Liver & Kidney Yin

Niu Bang Zi 13) Treat eye problems & Calm Liver Yang

Li Shi Zhen 14) Authored Shang Han Lun & Jing Gui Yao Luo

Dan Dou Chi 15) Release muscles, especially neck & upper back

Shi Gao 16) Powder

Long Dan Cao 17) Treat sore throat

Xiang Ru 18) Can damage digestion

Chai Hu 19) Primary herb for treating sinus problems

Ma Huang 20) Authored Ben Cao Gang Mu

Gui Zhi 21) Treat both Excess & Deficient Heat

Mu Dan Pi 22) Clear Heat & Damp, especially Upper Burner

3-9 g 23) Treat cough

Diaphoretic Herbs 24) Cool Blood, Move Blood

25) Raise Qi

113

CHM This is more for NCCAOM Exams – See NCCAOM Exam Study Guide –

Review while going through program

Herbal Safety – Side Effects – Herb-Drug Interaction

Maintaining herbal dispensary - Managing herbal inventory

Maintaining patient records, including herbs

Evaluation of quality of herbs – Identifying products containing endangered species

Maintaining herbal dispensary supplies & environment

Monitor stored herbs for contamination & expiration dates

Storage of herbal products

Maintain records for discarded products

Differences between Western vs. Chinese herbs

Advise patients of potential side-effects, precautions, interactions with foods, supplements,

medications

TCM dietary therapy

External herbal applications

114

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