Reference no: EM133653240

Assignment:

A 46-year-old male presents with recurrent asthmatic attacks and coughing for the past 10 years. The attacks are brought on by changes in the weather. He recently suffered a relapse for 2 weeks after a cold. He was short of breath and was unable to breathe while lying down. There was slight sweating, chills, and white, foamy and watery sputum. His appetite was poor, and his stools were unformed. The tongue was light red with a white, greasy coating. The pulse was submerged, slippery and frail. Auscultation revealed severe rhonchi and wheezing. Chest X-ray was normal.

1. Identify the 8 principles of the case (Interior/Exterior, Excess/Deficient, Hot/Cold, Yin/Yang)

2. List all possible zang fu (organ) patterns for this chief complaint.

3. State your working diagnosis for this case study. Support your choice with at least three elements from the case.

4. State the accepted pathomechanism for the chief complaint.

5. Which channels are likely affected in this case? (Remember to consider luo channels, tendino-muscular channels, divergent channels and extraordinary channels, in addition to main meridians)

6. State your treatment principle (both for zang fu diagnosis & channel diagnosis)

7. Which acupuncture points would you use? (No more than six, and consider the type of needle stimulation indicated)

8. What is the representative herbal formula for the zang fu pattern? Should this formula be modified to better address the chief complaint?

9. What lifestyle advice would you give this patient? Please be specific.

10. Identify the differential diagnosis list for this chief complaint from a biomedical perspective (usually 2-4 diagnoses).

11. Please state the most likely biomedical diagnosis & the ICD code.

12. Which physical exams would be appropriate for this case?

13. Which labs would be appropriate for this case?

14. State the red flags for this chief complaint.

15. State the prognosis for this case.