Bi Syndrome Flashcards

(39 cards)

0
Q

Manifestation of Bi Syndrome

A

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

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1
Q

Definition of Bi Syndrome

A

Painful obstruction syndrome

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

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2
Q

Chief Pathology of Bi Syndrome

A

Obstruction of the meridians

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3
Q

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

A

SnS of Bi Syndrome

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4
Q

SnS of Wei Syndrome

A

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

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5
Q

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

A

Western diseases associated with Wei Syndrome

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6
Q

Western diseases associated with Bi Syndrome

A

Rheumatic or Rheumatoid arthritis, osteoarthritis

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7
Q

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

A

Sns of Wind Stroke

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8
Q

Chief pathology of Wind Stroke

A

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

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9
Q

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.

A

Wind-Cold-Damp Bi

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10
Q

Tongue and Pulse of Wind Cold Damp Bi Syndrome?

A

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

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11
Q

POT Wind Cold Damp Bi

A

Disperse Wind, Warm cold and eliminate Dampness

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12
Q

SnS of Wind Damp Heat Bi

A

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

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13
Q

POT of Wind Damp Heat Bi

A

Disperse Wind, eliminate Damp and clear heat

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14
Q

Tongue and pulse of Wind, Damp Heat Bi?

A

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

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15
Q

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

A

SnS of stagnation of Phlegm and Blood

16
Q

Tongue and Pulse of Stagnation of Phlegm and blood

A

Body: Purple
Coat: White
Pulse: Thready, Choppy

17
Q

POT of Stagnation of Phlegm and blood

A

Eliminated phlegm, remove blood stasis

18
Q

Liver and Kidney Xu SnS

A

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)

19
Q

Tongue and Pulse of Liver Kidney Xu

A

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

20
Q

POT of Liver and Kidney Xu

A

Tonify Liver and Kidney

21
Q

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

A

4 different types of Bi Syndrome

22
Q

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

23
Q

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

24
Damp Bi
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
25
How would you educate your patient?
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
26
List the 7 needling techniques to treat Bi syndrome
Bao Ci, Hui Ci, Qi Ci, Yang Ci, Duan Ci, Fu Ci, He Gu Ci
27
Indication: cold Bi | Leave in needle and add 4 additional needles, obliquely towards the centre of the needle
Yang Ci/Superficial needling
28
Bone Bi, short thrusting needle | into the bone, lift, thrust every thrust touches the bone gently* till pain decreases
Duan Ci
29
Tendon, muscle and cold bi with muscular/spasm shallow needling indication: muscle numbness/atrophy
Fu Ci
30
Muscle Bi, muscle needling | Indications: wind, cold, muscular spasm, cramping, pain
He Gu Ci
31
Indication: wandering Bi syndrome | non localized wind/travelling pain
Bao Ci/Successive needling
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
Hu Ci/Restorative needling
33
Cold Bi, fixed on a small deep spot, apply warming moxa | Deep needling and insert 2 more needles
Qi Ci/Uniform needling
34
swelling in 1-2 joints, tingling in hands and feet, weight loss, nodule, stiff, joint deformity, blood test, physical exams, ESR RH increase
SnS for Rheumatoid Arthritis
35
POT for Rheumatoid Arthritis
Tonify Zheng Qi, remove Xie Qi, regulate Qi and blood, local and while body common
36
Limited ROM, stiff, pain, starts with one joints, will show deformities
SnS of Osteoarthritis
37
Joints which affects
Knees, lower back, hip, neck, weightbearing joints, MTP is most commonly used
38
Other remedies of treating Bi syndrome
Auricular acupuncture - Shen men, subcortex, sympathetic, corresponding organ Plum blossom: local joint, swelling and red moderate stimulation used in RA, Tender points: heavy stimulation