Complicated syndromes of the ZF

Question 1

Disharmony between HT and KD is a result of _________ illness, ______ exertion, and excessive ______ activity consuming HT and KD Yin

Answer 1

Prolonged Illness
Mental exertion
sexual activity

Question 2

Significant _________ trauma may obstruct Qi which leads to _____ fire

Answer 2

Emotional trauma

Heart fire

Question 3

Heart Fire becomes hyperactive in the _____ jiao and fails to diffuse down to harmonize the ______

Answer 3

Upper jiao

Kidney

Question 4

Disturbance between Heart and Kidney is also between Fire and Water, ___ and ____

Answer 4

Yin and Yang

Question 5

How does deficient Kidney have any impact on the mind?

Answer 5

Deficient kidney yin unable to rise to heart to contain

heart fire = hyperactivity disturbing mind

Question 6

Excessive HT fire consumes Kidney ____ and sea of ______

Answer 6

Jing and Marrow

Question 7

Symptoms of Ht and KD disturbance

Answer 7

Mental restlessness
Insomnia
Dizziness
Tinnitus
Palpitations
Poor memory
Dry throat
Sore lumbar
Tidal fever
Night sweats
Nocturnal spermatorrhea
T:Red C: Scanty or peeled
P: Thready and rapid

Question 8

Deficiency of Lung and Kidney is typically caused by _________ cough weakening both organs and symptoms are worse on ________

Answer 8

Prolonged cough, worse on exertion

Question 9

Over exertion and emotional stress weakens ______ qi,

and may also weaken ______ receiving qi decended from ____

Answer 9

Kidney
Kidney
Lung

Question 10

____ is the commander of QI

Answer 10

Lung

Question 11

______ is the root of QI

Answer 11

Kidney

Question 12

All these symptoms are ____ on exertion

Answer 12

Worse
Asthma
shortness of breath, m ore inhaling than exhaling
low voice
cold limbs
blue complexion
spontaneous sweating
incontinence when coughing
T:Pale C: Thin
P: Weak

Question 13

Injury of lung results in Kidney xu, why??

Answer 13

Lungs disperse yin fluid down to the kidney, so injury of

lung results in kidney yin deficiency

Question 14

________ and ______ exhaustion consume kidney yin and

prevent it nourishing the lung

Answer 14

overwork and mental exhaustion

Question 15

Lung xu results in _______

Answer 15

Dryness

Question 16

Deficiency of ___ gives false heat

Answer 16

Yin

Question 17

Symptoms of Lung and Kidney Yin xu

Answer 17

Cough with scanty or no sputum
Blood tinged
Dry mouth and throat
Sore and weak LB and knees
Tidal fever
Nocturnal emission
Night sweats
Malar flush
T: Red C: Peeled
P: Thready and Rapid

Question 18

Liver and Kidney Yin xu is usually due to significant _________ trauma. Physical and mental ________ consuming Yin Blood

Answer 18

Emotional

Overwork

Question 19

Prolonged illness consumes ___

Answer 19

Yin

Question 20

Yin Blood xu deprives the ____ of nourishment and produces endogenous heat

Answer 20

Head

Question 21

Liver and Kidney Yin xu will affect the regular flow within _____ and ___ extraordinary meridians

Answer 21

Chong and Ren

Question 22

Symptom of Liver and Kidney Yin xu

Answer 22

Dizziness
Blurred vision
Dry throat
Tinnitus
5 palm sweats
Sore and weak lumbar and knees
malar flush
night sweats
nocturnal emission
scanty menses flow
T Red C scanty
P Thready

Question 23

SP and KD yang XU will give diarrhea at this time of day

Answer 23

Morning- Cockcrow Diarrhea

Question 24

Spleen is our ___ to ___ yang

Answer 24

Day to Day

Question 25

Kidney is our _______ yang

Answer 25

Reserve

Question 26

Illness will initially draw from ______ yang and if prolonged it will then consume ______ yang

Answer 26

Spleen | Kidney

Question 27

It is also possible that ______ yang deficiency will fail to warm ______ and that will cause ______ yang XU

Answer 27

Kidney Spleen Spleen yang xu

Question 28

Spleen and Kidney Yang xu symptoms

Answer 28

``` Pallor Cold limbs Sore weak lumbar and knees loose stool diarrhea at dawn facial puffiness and limb odema T Pale, swollen and weak looking C Thin and white P Deep and weak ```

Question 29

Lung and Spleen Qi xu is usually caused by prolonged _____ causing ____ qi xu which leads to ______ qi xu

Answer 29

Cough | Lung xu causes SP xu

Question 30

____ qi xu may result from ______ qi xu, since the ______ is the source of qi for the lung

Answer 30

Lung qi xu Spleen qi xu spleen is qi for the lung

Question 31

Generally qi deficiency implies hypofunction of ZF, | T/F?

Answer 31

T Essential fluids not being distributed appropriately and fatigue.

Question 32

Symptoms of Lung and Sp qi xu

Answer 32

``` General fatigue cough with profuse white thin sputum poor appetite loose stool facial and feet odema T Pale C White P weak ```

Question 33

Imbalance between Liver and Spleen affects the ______ jiao

Answer 33

Middle

Question 34

imbalance between LV ad SP usually occurs due to _____ affected by mental depression or irritation

Answer 34

Liver

Question 35

Spleen can become weakened by _________ eating habits, ________ and ______ exhaustion

Answer 35

Irregular eating | mental and physical exhaustion

Question 36

_____ invades ______ and imbalances both organs

Answer 36

LV invades SP

Question 37

Symptoms of LV and SP imbalance

Answer 37

``` Costal and hypochondriac distention, fullness and pain mental depress irritability poor appetite abdominal distention loose stool T swollen, red on edges C thin P Wiry and taut ```

Question 38

Disharmony between LV and ST is the same aetiology as _____ and ______

Answer 38

Liver and spleen

Question 39

Both patterns result in hyperactive liver fire impairing __________ function of stomach

Answer 39

descending function of ST

Question 40

Symptoms of LV and ST disharmony

Answer 40

``` Costal/hypochondriac/epigastric distention pain Belching Acid reflux empty and uncomfortable sensation in ST mental depression irritable ```

Question 41

How would a disharmony between HT and SP occur?

Answer 41

Weakness of spleen qi fails to provide material source of qi & blood production, leading to insufficient volume to nourish heart blood.

Question 42

Symptoms of Ht and SP disharmony

Answer 42

``` Shallow complexion lethargy palpitations poor memory insomnia dream disturbed sleep reduced appetite abdominal distention loose stool irregular mensturation T Pale C thin and white P Thready and weak ```

Question 43

What is the first organ to be affected by Liver fire flaring up

Answer 43

Lung Liver fire flaring upward and invades the lung and impairs its descending function

Question 44

Mental depression obstructs _____ qi which causes it to turn to ____ and impairs the livers ability to govern free flow of qi

Answer 44

Liver qi | Fire

Question 45

Symptoms of Liver invading Lung

Answer 45

``` Costal and hypochondriac burning pain Cough Hemoptysis ( spitting blood that comes from the lung or bronchial tubes ) Short temper irritable restlessness heat sensation in the chest bitter taste dizziness red eyes T red c thin yellow P Wiry taut and rapid ```

Question 46

SJ syndrome differentiation Theory, Pathological changes due to damp heat are described in reference to the ___ ____

Answer 46

San Jiao

Question 47

Pathological changes due to invasion of external pathogens are diagnosed using ___ qi, __, ____ and ___ theory

Answer 47

Wei, qi, Ying, Xue

Question 48

Damp heat in the Upper Jiao is the _____ stage of Illness

Answer 48

Early

Question 49

Pathogens invade through the ____, ____ and ____

Answer 49

Lung skin and hair

Question 50

Damp always affects ______ & _______

Answer 50

SP and ST

Question 51

How is Wei qi restricted?

Answer 51

Invasion of pathogenic damp in the muscles & body surface which restricts Wei qi and blocks spleen qi

Question 52

Symptoms of Heat in the upper jiao

Answer 52

``` Severe aversion to cold Mild fever or absence of fever Heavy, muzzy “cotton wool” sensation in head Heaviness in limbs & trunk Chest oppression No thirst Dull facial expression Epigastric fullness & distension Poor appetite Borborygmus Loose stool C White and sticky P Soft and slow ```

Question 53

Damp heat in the Middle Jiao is the ______ stage of heat syndrome

Answer 53

Middle

Question 54

Middle Jiiao heat will mainly affect these two organs

Answer 54

Sp and ST

Question 55

Obstruction of the middle jiao can effect upper and lower as well T/F

Answer 55

T May result from transmission of damp heat from upper Jiao down to middle or invasion of pathogenic summer heat & damp

Question 56

Diet does not affect the San Jiao | T/F

Answer 56

F Diet rich in fatty, fried and spicy foods may also generate damp heat in middle jiao

Question 57

Symptoms of heat in the middle jiao

Answer 57

Recurrent fever, cooled but unresolved by sweating Fever more pronounced in afternoon Heaviness to limbs & trunk Chest & epigastrium fullness & distension Nausea Vomiting Thirst but no desire to drink scanty, dark yellow urine Loose but hesitant stool Mental cloudiness C sticky & white with yellow tinge P soft & rapid

Question 58

Damp heat in the lower jiao prevents ____ _____ from rising

Answer 58

Body fluid

Question 59

retained damp heat in the _______ affects its ability to control urine

Answer 59

Bladder

Question 60

Does damp heat block Large Intestine Qi?

Answer 60

Yes