Malaria

Which of the following understanding regarding Malaria is related to Chinese Medicine?

• It is a parasitic infection.

• The red blood cells are damaged by the plasmodium.

• It is characterised by intermittent alternate chills and fever.

• It is transmitted via Anopheles mosquitoes.

Which of the following types of Malaria and their descriptions is CORRECT?

• Common Malaria- Typical case of TaiYang syndrome

• Miasma Malaria- caused by dampness and toxin

• Mother of Malaria- Chronic condition with Qi and blood consumption

• Exerted Malaria- Chronic condition with splenomegaly

Which of the following descriptions BEST explains the main pathogenesis of Malaria?

• Malarial pathogen stays in defensive and blood stages.

• Intermittent relapse is the struggle between pathogen and vital Qi.

• Malarial pathogen stays in lower jiao as it affects mainly the liver.

• Sweating is the malarial pathogen being relieved.

The differential diagnosis between Malaria and deficiency heat lies in the fever attack pattern.

• True

• False

More chills than fever, no thirst, chest fullness, lassitude, greasy white tongue coating, wiry pulse.

The above condition is BEST treated with which formula?

• BaiHu Jia GuiZhi Tang 白虎加桂枝汤

• ChaiHu GuiZhi GanJiang Tang 柴胡桂枝干姜汤

• Xiao ChaiHu Tang 小柴胡汤

• ChaiHu JieNue Yin 柴胡截疟饮

The following symptoms and treatment are all suitable for Miasma Malaria EXCEPT:

• Cold Miasma Malaria- Severe chills, lassitude, shortness of breath, emaciation

• Heat Miasma Malaria- Severe fever, aching limbs, chest tightness, delirium

• Cold Miasma Malaria- Jia Wei BuHuanJin Zheng Qi San 加味不换金正气散

• Heat Miasma Malaria- Qing Zhang Tang 清瘴汤

He Ren Yin 何人饮 is used in treating Exerted Malaria MAINLY because:

• Exerted Malaria shows struggling between pathogenic factor and vital Qi.

• It has RenShen 人参 and DangGui 当归 to treat Qi and blood deficiency.

• The malaria relapse during rainy days.

• It has HeShouWu 何首乌 which can treat chronic malaria with deficiency.

Which of the following statements regarding Mother of Malaria is CORRECT?

• It only happens to Miasma Malaria.

• It has migratory mass.

• It is best treated with DaHuang ZheChong Wan 大黄蛰虫丸.

• Its pathogenesis includes deficiency, blood stasis and phlegm.

The acupuncture treatment for Malaria focuses on:

• Preventing intermittent attack

• Stimulating the thoroughfare channel

• Regulating the ShaoYang half-exterior and half-interior

• Directly expel the malarial pathogen

The following methods are effective in preventing Malaria EXCEPT:

• Use of mosquito repellent-treated net

• Avoid travelling to known malarial area

• Use of Artemisinin

• Avoid over-working