Bi Syndrome

Question 0

Manifestation of Bi Syndrome

Answer 0

Soreness, pain, numbness, heavy sensation of the body, limbs, joints and muscles and limitation of movements

Question 1

Definition of Bi Syndrome

Answer 1

Painful obstruction syndrome

obstruction of Qi and blood in meridian and collaterals due to an invasion of exogenous pathogenic factors

Question 2

Chief Pathology of Bi Syndrome

Answer 2

Obstruction of the meridians

Question 3

Painful muscles and joints of limbs, mostly related to weather change
Absences of muscular dystrophy

Answer 3

SnS of Bi Syndrome

Question 4

SnS of Wei Syndrome

Answer 4

Weakness of limbs, muscular atrophy, paralysis, absence of pain, no relationship to the weather change

Question 5

Polyneuritis, syringomyelia (generic term referring to a disorder in which a cyst or cavity is formed w/i spinal cord, ALS, MS, progressive muscular dystrophy, Myasthenia gravis, poliomyelitis

Answer 5

Western diseases associated with Wei Syndrome

Question 6

Western diseases associated with Bi Syndrome

Answer 6

Rheumatic or Rheumatoid arthritis, osteoarthritis

Question 7

Sudden collapse and loss of consciousness, deviation of the mouth and eye, slurred speech, weakness of the limbs with limitation of movement due to paralysis, impairment of sensation

Answer 7

Sns of Wind Stroke

Question 8

Chief pathology of Wind Stroke

Answer 8

Disorder of Qi, Blood, Yin and Yang, and Zang Fu Organ, Xie Qi attacks the head and blocks the clear orifice

Question 9

Wandering or fixed pain in joints/muscles
aggravated in damp cold weather or places - alleviated by warmth
Sensitive to weather changes. Severity change from time to time
Painful area may have a cold sensation, aversion to wind and swelling, joint is not red. Joints/muscle might feel weak, mobility okay.

Answer 9

Wind-Cold-Damp Bi

Question 10

Tongue and Pulse of Wind Cold Damp Bi Syndrome?

Answer 10

Tongue Body: Normal
Coating: thin/thick, white, sticky
Pulse: Wiry, tight or soggy

Question 11

POT Wind Cold Damp Bi

Answer 11

Disperse Wind, Warm cold and eliminate Dampness

Question 12

SnS of Wind Damp Heat Bi

Answer 12

Acute onset
Wandering or fixed, severe pain in the joints with limited movement
Limitation of movement which will be gone after swelling disappears
*Joints are red, swollen and warm to touch

Question 13

POT of Wind Damp Heat Bi

Answer 13

Disperse Wind, eliminate Damp and clear heat

Question 14

Tongue and pulse of Wind, Damp Heat Bi?

Answer 14

Tongue Body: Red tip
Coat: Thin/thick, yellow and sticky
Pulse: Rapid and slippery

Question 15

Swelling, rigidity, deformity and restricted movements of the joints (permanent)
Pain in the fixed joints if intermittent or changes from time to time
Worse in early morning, at night, and cloudy, rainy days
Better after movement

Answer 15

SnS of stagnation of Phlegm and Blood

Question 16

Tongue and Pulse of Stagnation of Phlegm and blood

Answer 16

Body: Purple
Coat: White
Pulse: Thready, Choppy

Question 17

POT of Stagnation of Phlegm and blood

Answer 17

Eliminated phlegm, remove blood stasis

Question 18

Liver and Kidney Xu SnS

Answer 18

Wandering or fixed pain in the joints and or muscles that is aggravated by overstrain or stressed. Alleviated by rest.
Severity of pain changes from time to time. (Could combine with different types of Bi)

Question 19

Tongue and Pulse of Liver Kidney Xu

Answer 19

Tongue Body: Red/Pink
Coat: Scanty, or thin white
Pulse: Thready, rapid or slow

Question 20

POT of Liver and Kidney Xu

Answer 20

Tonify Liver and Kidney

Question 21

Wind Cold Damp Bi
Wind Damp Heat Bi
Liver Kidney Xu
Stagnation of Phlegm and blood

Answer 21

4 different types of Bi Syndrome

Question 22

wandering pain in the joints, limitation of movements
chilliness and fever
Tongue: thin and white
Pulse: superficial tight/superficial moderate

Answer 22

Wind Bi

Question 23

Severe pain in the joints, alleviated by warmth and aggravated by cold, fixed localization but no local redness and hotness limited movement
coldness of limbs, lack of perspiration
Tongue: Thin and white, pale
Pulse: wiry and tight

Answer 23

Cold Bi

Question 24

Damp Bi

Answer 24

numbness and heavy sensation of the limbs, soreness and fixed pain or swelling of the joints, aggravated on cloudy and rainy days
Tongue: White, thick, sticky and wet
Pulse: Soft or slippery

Question 25

How would you educate your patient?

Answer 25

Stay away from Wind, Damp and cold
use acupuncture to prevent and have patient tonify Qi and Blood (St36, UB 43, 23)
Moxa during the summer
Have herbs infuse in wine (40%)
Diet: avoid fatty foods
Personal hygiene: regular exercises. activate Qi amd blood, decrease in sexual activity

Question 26

List the 7 needling techniques to treat Bi syndrome

Answer 26

Bao Ci, Hui Ci, Qi Ci, Yang Ci, Duan Ci, Fu Ci, He Gu Ci

Question 27

Indication: cold Bi

Leave in needle and add 4 additional needles, obliquely towards the centre of the needle

Answer 27

Yang Ci/Superficial needling

Question 28

Bone Bi, short thrusting needle

into the bone, lift, thrust every thrust touches the bone gently* till pain decreases

Answer 28

Duan Ci

Question 29

Tendon, muscle and cold bi with muscular/spasm
shallow needling
indication: muscle numbness/atrophy

Answer 29

Fu Ci

Question 30

Muscle Bi, muscle needling

Indications: wind, cold, muscular spasm, cramping, pain

Answer 30

He Gu Ci

Question 31

Indication: wandering Bi syndrome

non localized wind/travelling pain

Answer 31

Bao Ci/Successive needling

Question 32

Tendon and muscle Bi syndrome
1.5 cun needle, Ashi points, perpendicular needling, after getting Qi lift to surface
Move needle in 4 directions

Answer 32

Hu Ci/Restorative needling

Question 33

Cold Bi, fixed on a small deep spot, apply warming moxa

Deep needling and insert 2 more needles

Answer 33

Qi Ci/Uniform needling

Question 34

swelling in 1-2 joints, tingling in hands and feet, weight loss, nodule, stiff, joint deformity, blood test, physical exams, ESR RH increase

Answer 34

SnS for Rheumatoid Arthritis

Question 35

POT for Rheumatoid Arthritis

Answer 35

Tonify Zheng Qi, remove Xie Qi, regulate Qi and blood, local and while body common

Question 36

Limited ROM, stiff, pain, starts with one joints, will show deformities

Answer 36

SnS of Osteoarthritis

Question 37

Joints which affects

Answer 37

Knees, lower back, hip, neck, weightbearing joints, MTP is most commonly used

Question 38

Other remedies of treating Bi syndrome

Answer 38

Auricular acupuncture - Shen men, subcortex, sympathetic, corresponding organ
Plum blossom: local joint, swelling and red moderate stimulation used in RA, Tender points: heavy stimulation