4 Levels Flashcards by Amelia S

What is the Wen Bing Xuē?

A collection of texts that include patterns of disharmony for “ye ten shi” (4 levels) and “wu ju tan” 3 burners. All regard pathogens that invade via mouth/nose.

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3 Benefits and 5 Problems that are a result of a fever:

Benefits:
1. Pathogens don’t like the increase in temp.
2. Body stops using glucose for metabolic needs. It instead uses lipids and proteins and Pathogens are then starved of food (glucose)
3. Fever increases immune activity

Problems:
1. Decreases filtration rate of KD
2. Increases bleeding risk
3. Temp >104 can damage LV
4. Inflammation of GI tract due to decrease in blood flow
5. >104 may cause brain damage

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True or false: All warm diseases manifest with fever (aka. Febrile).

True

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True or false: with warm diseases, all pathogenic factors enter via mouth/nose

True

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True or false: Warm diseases are not infectious.

FALSE
Warm diseases are usually causes of epidemics and infectious diseases.

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True or false: with warm diseases, pathological developments are rapid and can quickly overwhelm even strong constitutions.

True

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True or false: warm diseases tend to injure yang

False
Injures the yin bc of excess heat: dries things out, creates fluid problems

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Wind Heat (Wei level + Upper Burner):
Symptoms

*SORE THROAT
*BODY ACHES
-Slight sweat
-Slight thirst
-Slight fever/aversion to cold
-HA
-Runny nose w/ white or yellow mucous

Tongue: *Red sides/front, thin white coat
Pulse: Floating, rapid

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Wind Heat TXP and TX:

TXP: Release exterior
Expel wind heat
Restore descending/diffusing function of LU Qi

TX:
LI 11
LI 4
LU 7
LU 11 - Sore throat
TW 5
GV 14
BL 12

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Summer Heat (wei level) symptoms

*EPIGASTRIC DISCOMFORT
*HEAVINESS- DUE TO DAMP
-Fever, aversion to cold
-No sweat
-HA (Frontal)
-Irritability
-Thirst

Tongue: Red front and sides, white STICKY coat
Pulse: Soggy, rapid

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Summer heat TXP and TX

TXP: Release exterior
Clear heat
Expel summer heat from middle burner
Promote fluids

TX
LI 4
LI 11
PC 9 - Summer heat
BL 40 - Summer heat
GV 14
GV 26

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Damp heat (Wei level) - ST Flu symptoms

*THIRST, NO DESIRE TO DRINK
*SWOLLEN GLANDS (DAMP)
*EPIGASTRIC DISCOMFORT (damp obstructing mid burner)
-Feeling of heaviness
-Fever worse in PM
-Aversion to cold
-HA
-Irritability
-Diarrhea

Tongue: White sticky coat
Pulse: soggy

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Damp Heat TXP and TX

TXP: Release exterior
Resolve damp
Clear heat

TX
LI 4, LI 11 - Heat
SP 9, SP 6 - Damp
CV 12, CV 9 - Clear damp from middle burner

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Dry Heat (Wei level) symptoms (Attacks lungs)

*DRY SKIN, NOSE, MOUTH, THROAT (inured body fluids)
*DRY COUGH
*SORE THROAT
-Fever
-Slight aversion to cold
-Slight sweat

Tongue: Dry w/ thin white coat
Pulse: floating rapid

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Dry heat TXP and TX

TXP
Release exterior
Clear heat
Promote fluids

TX
LI 4
Li 11
LU 9 (LU Yin)
SP 6
TW 5
ST 36
CV 12

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What are the 4 different Wei-level patterns of disharmony?

Wind-heat
Summer heat
Damp heat
Dry heat

ALL HAVE FEVER AND AVERSION TO COLD
ALL RELEASE EXTERIOR FOR TXP

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LU Heat (Qi Level + Upper Burner) symptoms

*COUGH, SOB, THIN YELLOW SPUTUM
-High fever, feels hot
-No aversion to cold
-Sweating

Tongue: red w/ yellow coat
Pulse: slippery rapid

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LU Heat TXP and TX

TXP: Clear Qi
Clear LU Heat
Resolve Phlegm
Restore descending function of Lu Qi

TX
LU 5
LU 10
LU 1
CV 17 - LU Heat
GV 14
BL 13 - LU Shu
LI 11

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Stomach Heat (Qi Level + Middle Burner)
Symptoms

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Heat without form
4 BIGS
*HIGH FEVER, WORSE IN PM
*FEELING HOT
*PROFUSE SWEATING
*INTENSE THIRST
*PULSE = OVERFLOWING, RAPID

-No aversion to cold
-Tongue: red w/ yellow coat

Stomach Heat (Qi Level) TXP and TX

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TXP: Clear Qi
Clear ST Heat

TX:
ST 44, ST 43 - ST Heat
ST 34 - xi-cleft
LI 11
ST 21
ST 25

Intestines Dry Heat (Qi Level) Symptoms

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*ABDOMINAL FULLNESS AND PAIN (from pathogen)
-High Fever worse in PM, feeling hot
-Constipation, dry stool, burning anus
-Irritability/delirium
-Tongue: Red w/ thick yellow dry coat
-Pulse: Deep, full rapid

Intestines Dry Heat (Qi Level) TXP and TX

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TXP: Drain fire
Clear ST and Intestines
Move Downward

TX:
ST 25, SP 15 - Constipation
LI 11
ST 37, ST 39

Gall Bladder-Heat (Qi Level) Symptoms

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SHAO YANG (Wood attacking Earth)
-Alternating hot and cold feelings (more fever)
-Epigastric fullness & hypochondriac pain
-Nausea, bitter taste
-Thirst, dry mouth

Tongue: Red w/ unilateral sticky yellow coat
Pulse: Wiry and Rapid

Gall Bladder-Heat (Qi Level) TXP and TX

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TXP:
Harmonize Shao Yang
Clear Gall Bladder Heat

TX:
GB 34, GB 43
TW 5, TW 6

Damp-Heat in ST & SP (Qi Level + Middle Burner) Symptoms

-Fever which decreases after sweat but returns -Body & head feel heavy -Chest & epigastrium feel oppressed -Nausea -Loose stools Tongue: Red w/ sticky yellow coat Pulse: Soggy, rapid

Damp-Heat in ST & SP (Qi level) TXP + TX

TXP: Clear heat in ST & SP Resolve dampness TX: CV 9, CV 12 SP 6, SP 9 ST 26 LI 11 + BL 22 - TW BL 20 - SP Shu

Heat in Ying Level Symptoms

-Fever at night -Dry mouth but no desire to drink -MACULES (RED) - Insomnia, mental restlessness or aphasia - Delirium Tongue: Red w/ no coat Pulse: Fine, rapid

Heat in Ying Level TXP & TX

TXP: Clear the Ying Heat Promote fluids TX: PC 9 PC 8, HT 9 KD 6 Shixuan (bleed fingertips)

Heat in PC (Ying Level + Upper Burner) Symptoms

-Fever at night -body feels hot but hands/feet are cold (heat is blocking circulation) -Macules -Incoherent speech or aphasia -Delirium, mental confusion Tongue: Red w/ no coat Pulse: Fine, rapid

Heat in PC (Ying Level) TXP & TX

TXP: Clear the Ying Heat Promote fluids TX: PC 9, PC8, PC 3 HT 9 KD 6 LI 11 Shixuan (bleed fingertips) TX when bleeding is present LI 11, SP10, LV 5 KD2, LV 3 SP6, SP4

Heat victorious agitates blood (Xue Level) Symptoms

-High fever -Macules - dark -Vomiting blood, nosebleed -Blood in stools -Blood in urine *Bleeding due to EXTRAVASATION from HEAT - Manic behavior, mental restlessness Tongue: Red w/ no coat Pulse: Fine, rapid

Heat victorious agitates blood (Xue Level) TXP & TX

TXP: -Clear Blood Heat -Stop bleeding TX: LV 5 SP 10 SP4 BL 17 LI 11 LV 2 KD 6 HT 9 Shixuan (bleed fingertips)

Heat victorious stirring WIND (Xue Level + Lower Burner) Symptoms

-High fever -Fainting -Convulsions, twitching, opisthotonos, eyeballs turning up, clenching of teeth -Rigidy of neck Tongue: Dark red tongue, no coat Pulse: Wiry, rapid

Heat victorious stirring WIND (Xue Level) TXP & TX

TXP: Clear Blood Heat Extinguish Wind TX: LV 2 LV 3 LI 11 SP 10 HT 9 KD 6 GV16 GB20 SI 3 BL62 Shixuan (bleed fingertips)

Empty Wind Agitating in the INTERIOR (Xue Level + Lower Burner) Symptoms

Deficiency Pattern -Low grade fever -Malar flush -Tremor of limbs, twitching -Weight loss -Listless Tongue: Dark red w/ no coat Pulse: Fine, rapid

Empty Wind Agitating in the INTERIOR (Xue Level) TXP & TX

TXP: Clear Blood Heat Extinguish Wind Nourish LV & KD Yin TX: LV 3 LV 8 KD 3 KD 6 SP 6 GV 16 GB 20 SI 3 BL 62

Which Dr. came up with the idea of warm disease organized by the three burners

Wu Ju Tong

Which burner do pathogens typically originate in?

Upper Burner

Name the three burners and their associated organs/regions

UPPER - LU, Chest MIDDLE - SP/ST, LV/GB, Digestions, Intestines UPPER - KD, LV, BL

Three Burners vs. 4 Levels Patters 8 Patterns

Upper: Wind Heat, Lung Heat, Heat in PC Middle: ST Heat, Damp Heat in ST/Intestines Lower: Heat Stirs Wind, Empty Wind + Heat in KD

Heat in the Kidneys (Lower Burner) Symptoms

-Fever in afternoon & evening 5-palm heat -Night sweats -Dry mouth & throat -Fatigue -Deafness Tongue: Deep red tongue w/ no coat Pulse: Floating-empty & rapid

Heat in the Kidneys (Lower Burner) TXP & TX

TXP: Nourish KD Yin Clear Empty Heat TX: KD 6 KD 3 KD 2 SP 6 LI 11

Collapse of Yin (Xue Level) Symptoms

-Low grade fever -Night sweats -Dry mouth, drinking in sips -Malar Flush -5 palm heat -Emaciation Tongue: Dark red and dry w/o coat Pulse: Fine rapid

Collapse of Yin (Xue Level) TXP & TX

TXP: -Rescue Yin -Restore consciousness TX: CV4 ST36 SP6 KD3 KD6

Collapse of Yang (Xue Level) Symptoms

-Feeing cold, cold limbs -Bright white complexion -Profuse sweating, may be oily (forehead) -Listless Tongue: Pale swollen, or short Pulse: Hidden, slow, scattered

Collapse of Yang (Xue Level) TXP & TX

TXP: Rescue Yang Restore consciousness TX: CV 4 CV6 CV8 ST 36 USE MOXA

4 Levels Flashcards

(46 cards)