Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Formulas, Diagnosis, Chinese Medical Nutrition > Diagnosis 2 > Flashcards

Diagnosis 2 Flashcards

(519 cards)

Start Studying
1
Q

Using + restoring qi

A

Using qi: work or exercise
Restoring qi: rest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Post-heaven Qi

A

Formed by SP/ST daily
Constantly replenished: quickly created, quickly used
Normally used for daily activities, esp. Yang post-heaven qi
Under normal circumstances: qi used by work = quickly restored by rest + diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Overwork + yin substances

A

If someone works beyond the capacity of post-Heaven qi to restore itself
–> Draws upon foundational yin substances –> signs of yin xu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

7 injuries to Zangfu

A

Overeating –> SP
Prolonged anger –> LIV
Lifting excess weights/sitting on damp ground –> KID
Exposure to cold/drinking cold liquids –> LU
Worry, sadness, pensiveness –> HT

Wind, cold, rain, summerheat –> Body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What did scholars believe to be the major cause of exhaustion?

A

SP, ST - Li Dong-Yuan
SP, LU, KID yin xu, LIV yin xu - Zhu Dan Xi
KID - Zhang Bie Jin
LU, SP, KID - Zhu Qi Shi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Etiology of chronic tiredness

A

Deficiency: qi, blood, yin
Excess: damp, phlegm, qi stag
–> Slippery, wiry, full/excess pulse = damp, phlegm (heavy), qi stag
–> Red tongue sides = severe qi stag

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

chronic tiredness, desire to lie down, poor appetite, loose stools

A

SP qi xu
+ cold = SP yang xu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

chronic tiredness, weak voice, easily catching colds

A

LU qi xu
+ cold = LU yang xu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

chronic tiredness, backache, lassitude, feeling cold, depression, frequent urination

A

KID yang xu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

chronic tiredness, slight depression, dizziness, scanty periods

A

LIV blood xu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

chronic tiredness, anxiety, insomnia, dry mouth at night, tongue w/o coat

A

KID yin xu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

chronic tiredness, body heaviness, head muzziness

A

damp retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

chronic tiredness, chest oppression, dizziness, head muzziness

A

phlegm retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

chronic tiredness, anxious + tense person, wiry pulse

A

LIV qi stag

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

short-term tiredness, alternating hot/cold, irritability, unilateral tongue coat, wiry pulse

A

Shaoyang pattern

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Chinese medicine + excess sexual activity

A

Depletes KID jing (sexual essence = manifestation of KID jing) when there isn´t enough time for the body to replenish

Ejaculation is approximately equivalent to childbirth or menorrhagia in terms of loss of essence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what marks ´excessive´ sexual activity?

A

results in marked fatigue afterwards:
dizziness, blurred vision, low back ache, weak knees, frequent urination
+ more in spring, summer
- less in fall, winter; qi and/or blood xu esp. KID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Recommended ejaculation by age, according to the classics

A

Age, in good health, in average health
15, 1/day, 2/day
20, 1/day, 2/day
30, 1/day, every other day
40, every 3 days, every 4 days
50, every 5 days, every 10 days
60, every 10 days, every 20 days
70, every 30 days, none

OR divide age in years by 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Tian Gui age

A

14 female-assigned
16 male-assigned

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

effect of too many childbirths in a short time

A

weakens Uterus, KID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Chinese medical perspective on period sex

A

Causes blood + qi stag by bringing upward qi motion when the direction needs to go down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Sexual activity too early: Chinese medical perspective

A

Damages Ren, Chong
Blood stasis
KID xu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Insufficient sexual activity: CM

A

Cause of disease, emotional stress
Sexual desire = Ming Men fire/Xiang Huo
Healthy appetite = abundant Ming Men
Desire builds, orgasmic release is normally a beneficial discharge of Yang qi that promotes free flow of qi; benefits HT PC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Effect of insufficient sexual activity: CM

A

Accumulated Minister Fire can –> Blood-heat, Blood or qi stag in LJ
–> Further stirs Ming Men, harasses Shen
–> LJ qi stag can lead to dysmenorrhea/gyn issues

  • N/A if there is no desire present. This refers to repressed sexuality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Unhappy sex life: Chinese Medicine
Lack of warmth/affection Inability to orgasm Deep unhappiness, anxiety = disease
26
Healthy sexual desire relates to which organ?
Reflects healthy KID energy
27
Deficient KID yang and sexuality
Lack of sexual desire Inability to enjoy sex Inability to orgasm
28
Severely deficient KID yin --> empty heat affects sexuality how?
Excess sexual desire, never satiated
29
LIV full-heat HT full-heat and sexuality
Excess sexual desire Vivid sexual dreams leading to nighttime orgasms/emission
30
What is one way to treat lack of sexual desire?
Strengthen KID yang
31
One way to dampen excess sexual desire
Nourish KID yin
32
What does healthy sexual desire reflect?
Strong KID energy
33
Benefits of sexual intercourse
Meeting of water + fire that can tonify partners´ respective Yin, Yang Beneficial exchange of energy + fluids from Ren + Du Spanning bridge of Ren + Du in the tongue/mouth mobilizes energy
34
Diagnosis of LIV qi depression: what formula would you think of
Chai Hu Shu Gan San
35
What does sleep reflect in CM?
State of Shen, Hun
36
Sleep questions in CM
Easy to fall asleep? Wake up at night? Dream excessively? = waking up at night, impacting the next day, nightmares, recurring dreams
37
In CM what determines sleep?
LIV, HT Blood + yin (other organs as well) * Yin time = Shen + Hun should be anchored in HT Blood, LIV Blood
38
Shen + Hun not anchored at night: potential causes
Insufficient Blood/yin to anchor PF (ex. heat) agitates these Spirits
39
Empty sleep disturbance
Shen + Hun float at night --> insomnia
40
What does difficulty falling asleep indicate?
Blood xu: HT, SP, LIV
41
What does difficulty staying asleep + tendency to wake up at night indicate?
Yin xu
42
Full patterns that correspond to waking up during the night?
Heat Fire Phlegm-fire Food retention
43
Full conditions w/ very restless sleep, heat, agitation, excess dreaming
LIV fire Phlegm-fire harassing HT HT fire Residual heat in the diaphragm
44
insomnia, propensity to angry outbursts, headaches, restless sleep, feeling of heat, agitation, excess dreaming red tongue w/ redder sides + dry yellow TC wiry rapid pulse
LIV fire
45
restless sleep insomnia dream-disturbed sleep sputum in throat red tongue w/ redder tip + sticky-yellow TC slippery-overflowing-rapid pulse
Phlegm-fire harassing the HT
46
restless sleep dream-disturbed sleep palpitations agitation red tongue w/ redder tip + yellow TC overflowing-rapid pulse
HT fire
47
acute insomnia after WH invasion --> restless sleep preferring to sleep propped-up inability to fall asleep mental restlessness diaphragm sense of oppression red points in front/center of tongue slightly rapid pulse
residual heat in the diaphragm
48
sleep: excess/ deficiency
empty: unable to fall asleep or stay asleep w/o red tongue, feeling of heat
49
insomnia w/ difficulty falling asleep palpitations pale tongue choppy or fine pulse
HT blood xu
50
insomnia w/ difficulty falling asleep palpitations tiredness pale tongue choppy pulse
SP + HT qi + blood xu
51
insomnia w/ difficulty falling asleep palpitations tongue w/o coat floating-empty pulse
HT yin xu
52
insomnia w/ difficulty falling asleep dreaming dizziness blurred vision pale tongue choppy or fine pulse
LIV blood xu
53
insomnia w/ difficulty falling asleep dreaming dizziness blurred vision dry eyes tongue w/o coat floating-empty pulse
LIV yin xu
54
insomnia w/ difficulty falling asleep dizziness tinnitus tongue w/o coat floating-empty pulse
HT + KID yin xu
55
insomnia waking up frequently during the night anxiety night sweats dizziness tinnitus red tongue w/o TC floating-empty + rapid pulse
HT + KID yin xu with HT empty-heat
56
Etiology of excess dreaming
Pathogenic factor ex. Fire, Phlegm-Fire or Yin deficiency empty-heat
57
Excess dreaming in CM
Pleasant or unpleasant dreaming that makes the sleeper restless or awakens them Nightmares, especially recurrent "Ye You" Hun wandering at night
58
Excess patterns of excess dreaming
LIV fire HT fire Phlegm-fire harassing HT ST phlegm-fire
59
excessive dreaming, nightmares, restless sleep, headaches, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse
LIV fire
60
excessive dreaming, restless sleep, palpitations, insomnia, Red tongue with redder tip and yellow coating, Overflowing-Rapid pulse
HT fire
61
excessive dreaming, restless sleep, insomnia, waking from nightmares, palpitations, agitation, sputum in throat, Red tongue with redder tip and a sticky-yellow coating, Slippery Overflowing-Rapid pulse
Phlegm-fire harassing HT
62
excessive agitated dreams, restless sleep, burning epigastric pain, insomnia, Red tongue with a sticky-yellow or dark-yellow (or even black) coating, Stomach crack with a rough, sticky-yellow coating inside it, Slippery-Rapid and slightly Overflowing pulse on the Right-Middle position
Phlegm-fire in ST
63
dream-disturbed sleep, insomnia, Red tongue with redder tip and without coating, Floating-Empty and Rapid pulse
HT-yin deficiency with empty-heat
64
dream-disturbed sleep, insomnia, blurred vision, dry eyes, Red tongue without coating, Floating-Empty and slightly Rapid pulse
LIV yin xu with empty heat
65
dream-disturbed sleep, palpitations, dizziness, tinnitus, Red tongue with redder tip without coating, mid-line Heart crack, Floating-Empty and Rapid pulse or Deep-Weak on both Rear positions and relatively Overflowing on both Front positions
HT- and KID-yin xu with empty-heat
66
excessive dreaming, waking easily from dreaming, absent-minded, emotionally unstable, anxiety and palpitations
HT and GB xu
67
Somnolence in CM
Dozing off frequently in the daytime or early evening Some Chinese books also add that the patient wakes up as they breathe out and then doze off again ‘Somnolence’ also includes some people's physiological need of sleeping a longer time than normal * not pathological if the person works long hours
68
Somnolence etiology
Deficiency: Qi and/or Yang Excess: ex. Phlegm, Damp
69
Most common cause of somnolence
Combined deficiency (SP, KID) and excess (damp, phlegm)
70
somnolence, desire to lie down, loose stools, Pale tongue, Weak pulse
SP yang xu
71
somnolence, listlessness, backache, dizziness, tinnitus, Pale-Swollen tongue, Deep-Weak pulse
KID yang xu
72
somnolence after eating, feeling of heaviness, sticky coating, Slippery pulse
Dampness
73
somnolence after eating and in the morning, muzziness of the head, dizziness, Swollen tongue with sticky coating, Slippery pulse
Phlegm
74
Shen and pre-natal essence relationship
Jing in KID is the biological foundation of Zhi Shen activity is founded on Jing + Qi Zhi: memory
75
Shen + post-natal essence
Harmonious ST + intestines --> Blood harmonized, Shen draws on refined essence of water + food
76
Shen + Essence
Both pre-natal (KID) and post-natal (SP) essence support Shen
77
7 emotional factors
Anger Joy Worry Sorrow Thought/pensiveness Fear Fright
78
Anger qi movement
LIV qi rises
79
Joy qi movement
HT qi slows, relaxes
80
Sorrow qi movement
LU, disperses/dissolves qi
81
Worry qi movement
LU, knots qi
82
Pensiveness qi movement
SP, qi knots
83
Fear qi movement
KID, qi descends
84
Fright qi movement
HT, KID - scatters qi
85
Fatigue in CM: definition
Abnormal weariness Inability to perform normal movements
86
Fatigue in CM etiology
Lassitude of spirit (lack of mental strength) Organs: SP, LU, LIV Deficiency: Qi, Blood, Yang Damp patterns
87
Emotional depression in CM might be:
Depressed LIV qi / Hun not moving freely Exacerbated by phlegm --> easily becomes fire
88
Depression vs despondency
Not the temporary response to adverse life events Mood is fixed and persists w/ changes in behavior, attitude etc
89
Depression clinical definition
Absence of an organic factor, normal bereavement, delusions or hallucinations in the absence of mood symptoms, schizophrenia, delusional/psychotic symptoms
90
Physical symptoms that cue for depression
Extreme tiredness Lack of motivation Feeling cold Complexion + eyes lacking luster, grey/green face Tongue w/ red tip + deep HT crack Voice low, lacking vitality FULL: wiry, wiry/slippery pulse EMPTY: Weak, choppy, short, lacks a 'wave'
91
Depression + Hun
Lack of Hun movement: LIV qi stag LIV blood + LIV qi xu SP, KID xu
92
Excess movement of Hun
Fire Phlegm-fire LIV blood and/or LIV yin xu
93
Depressed LIV qi (ganqi yu)
LIV qi stag + depression Anger, frustration, distention + pain in the chest/hypochondrium/lower belly, menstrual irregularities, sighing, plump pit qi, goiter/scrofula, distention/pain in breasts, menstrual pain, symptoms worse with bad moods T: thin white TC P: wiry Possible other symptoms: stomach duct pain, belching, vomiting, diarrhea, accumulation
94
Treatment of Ganqi Yu/ depressed LIV qi
Soothe the LIV, resolve depression RX Chai Hu Shu Gan San
95
Depressed LIV qi + LIV/SP disharmony: additional symptoms
distention fullness loose stool gas borborygmus withered complexion
96
Depressed LIV qi + LIV/ST disharmony: additional symptoms
distention belching acid regurgitation palpitations/"scurrying" pain in the ST duct
97
Depression, moodiness, irritability
LIV qi stag
98
Depression, irritability, red tongue
Stagnant LIV qi transforming into heat
99
Depression Moodiness Lump in the throat
LIV qi stag with Qi-phlegm
100
Depression Anxiety Agitation Expectorating phlegm Swollen tongue
Phlegm-fire harassing the Shen
101
Depression Agitation Purple tongue
HT blood stasis
102
Depression irritability Bitter taste Hypochondrial fullness
GB heat
103
Depression Anxiety Feeling stuffy in the chest after a WH invasion
Diaphragm heat
104
Full/Excess patterns of depression
LIV qi stag Stagnant LIV qi transforming to heat LIV qi stag + qi phlegm Phlegm-fire harassing the Mind HT blood stasis GB heat Diaphragm heat
105
Deficient depression patterns
SP- and HT-blood xu HT yang xu LIV blood xu KID- and HT-yin xu + HT empty heat KID yang xu
106
depression insomnia palpitations tiredness
SP- and HT-blood xu
107
depression palpitations cold hands
HT-yang xu
108
depression, no sense of direction sadness
LIV blood xu
109
depression anxiety night sweats palpitations red tongue w/o coat
KID- and HT-yin xu with HT empty heat
110
depression lack of motivation lack of willpower feeling cold frequent urination
KID-yang xu
111
Anxiety in CM
fear + worry (seven emotions)
112
Anxiety in CM etiology
DEFICIENCY: Blood, Yin EXCESS: Heat COMBO: Yin xu, empty heat
113
Shen + Hun lose "residence" in HT-blood + LIV-blood: etiology + effects
Etiology: blood, yin xu Results: anxiety, poor sleep
114
Pathogenic factors agitating Shen + Hun: which? Results?
PF: qi stag, Blood stasis, heat, phlegm-heat Results: Anxiety, insomnia
115
Physical cues of anxiety
Restless appearance Quivering voice Fidgeting FULL: speaking a lot EMPTY: quiet * may be preoccupied about needles
116
Cues of hidden anxiety/fear
Tongue with red tip, deep HT crack Wiry (full) or Floating-empty (empty) + rapid Eyes: 'unstable' or without control
117
Empty/deficient fear/anxiety patterns
HT-blood xu HT-yin xu LIV blood xu LIV yin xu KID yin xu HT- and GB-qi xu
118
Mild anxiety, insomnia, palpitations
HT blood xu
119
Anxiety that is worse in the evening Palpitations Night sweats
HT yin xu
120
Mild anxiety Depression Insomnia
LIV blood xu
121
Mild anxiety depression insomnia Tongue without coat
LIV yin xu
122
Anxiety that is worse in the evening Lack of willpower Dizziness Tinnitus
KID yin xu
123
Mild anxiety Insomnia Timidity
HT- and GB-qi xu
124
Excess fear/anxiety patterns
HT fire HT blood stasis Phlegm-fire harassing Shen LIV qi stag LIV fire LIV yang rising Rebellious qi of Chong/Penetrating Diaphragm-heat
125
Severe anxiety Palpitations Red tongue with coat
HT fire
126
Severe anxiety Palpitations Purple tongue
HT-blood stasis
127
Severe anxiety Manic behavior Swollen tongue
Phlegm-fire harassing the Shen
128
Anxiety depression irritability Hypochondrial distension
LIV qi stag
129
Severe anxiety Headache Thirst Red tongue Wiry pulse
LIV fire
130
Anxiety headache dizziness
LIV yang rising
131
anxiety panicky feeling throat constriction palpitations chest tightness abdominal fullness firm pulse
Chong vessel rebellious qi
132
anxiety stuffiness in region under the HT following WH invasion
diaphragm heat
133
anxiety that is worse in the evening palpitations red tongue without coat
HT yin xu with empty heat
134
anxiety that is *worse in the evening* *dizziness* *tinnitus* palpitations
KID- and HT-yin xu with HT empty heat
135
Irritability in CM
feeling annoyed frequently easily angered frustration = like anger but larger range of emotional states
136
Anger vs. Irritability
Anger: LIV Irritability: many organs
137
CM diagnoses and irritability
Qi stag Blood stasis LIV yang rising Blood xu Yin xu (with or without empty heat) Heat (incl. dampheat) Deficient heat
138
"I feel extremely irritable before my periods and take it out on my family" might be
LIV qi stag
139
"I feel this lump in my throat; I'm on edge and feel like bursting into tears" might be
LU qi stag
140
"I seethe with resentment" might be
LIV blood stasis
141
"My mind is constantly judging and I feel resentful" might be
HT-blood stasis
142
"I fly off the handle easily" might be
LIV yang rising
143
"I explode into a rage" might be
LIV fire
144
"I feel irritable, impatient and angry" might be
HT fire
145
"I feel frustrated, weepy, irritable" might be
LU heat
146
"I often feel angry and obsessive" might be
ST heat
147
"I feel lost, overwhelmed, on edge, can't cope" might be
LIV blood xu
148
"I feel helpless, unmotivated, on edge in the evening" might be
KID yin xu
149
"I feel sad, on edge, can't cope" might be
HT blood xu
150
"I feel hot and bothered" might be
KID yin xu with empty heat
151
"I feel sad, hot, bothered" might be
HT yin xu with empty-heat
152
"I feel heavy, yucky, and irritable" might be
Damp-heat
153
Worry vs Overthinking/pensiveness
Worry: LU Overthinking: SP (unable to empty the mind of repetitive thoughts, trivial things)
154
Overthinking in CM
Mostly empty Mixed: LU qi stag or Yin xu + empty-heat
155
Full worry
More intense and consuming vs lurking in the background (empty)
156
Worry Slightly obsessive thinking Slight depression Overthinking Pale tongue Empty pulse
HT- and SP-qi deficiency
157
Worry depression pale tongue empty pulse
LU qi xu
158
Worry mild irritability depression Lump in the throat Tongue slightly red on the sides in chest area Pulse very sl. tight on right-front position
LU qi stag
159
worry depression pale thin tongue choppy or fine pulse
HT blood xu
160
Worry which increases after the period Pale tongue Choppy or fine pulse
LIV blood xu
161
worry insomnia dream-disturbed sleep poor memory anxiety propensity be startled mental restlessness uneasiness feeling hot and bothered floating-empty pulse esp. on left-front position
HT yin xu
162
worry esp. in evening anxiety propensity to be startled mental restlessness uneasiness feeling hot and bothered red tongue, redder on the tip, no coat floating-empty + rapid pulse
HT yin xu with empty-heat
163
sadness vs lack of joy
sadness: LU weakness, pale complexion, weepy weak voice *full or empty quality of LU pulse* lack of joy: HT, lack of vitality from HT deficiency, flatness, lack of fire
164
sadness and ancestral/gathering/chest qi
depletes LU- and HT-qi --> may lead to qi stag in chest
165
slight tightness in the chest, sadness felt in the chest, sighing, slight palps
stagnation of chest qi
166
sadness crying depression pale tongue empty pulse
LU- and HT-qi xu
167
sadness crying mental confusion aimlessness pale tongue choppy or fine pulse
LIV blood xu
168
sadness crying depression pale thin tongue choppy or fine pulse
HT blood xu
169
sadness mild irritability depression tongue slightly red on the sides in chest area pulse very slightly tight on right-front position
LU qi stag
170
Grief in CM
like sadness, usually due to loss depletes LU and HT qi --> chest qi stag
171
normal joy in CM
power, complete body integration expansiveness urge to spread the limbs
172
Sudden extreme elation impacts
makes qi rise expands HT
173
excess joy
life characterized by excess stimulation/excitement hypomania, mania --> qi rising, may lead to HT fire
174
Excess joy diagnoses
HT fire HT empty heat Phlegm-fire harassing HT
175
Fan Zao
"vexation and restlessness" Fan (vexation) is due to Full Heat and pertains to the Lungs – yang state Zao (restlessness) is due to Empty Heat and pertains to the Kidneys – yin state
176
How modern patients might describe Fan Zao symptoms
Patients may also describe having ‘difficulty in concentration’, ‘not being able to focus on one thing for any length of time’ or ‘not being able to sit still and do nothing’. Symptoms may also includes restless legs
177
Mental restlessness diagnoses
Yin xu + empty heat Phlegm-heat in ST, HT HT Fire Lu Heat
178
Vague mental restlessness which *worsens in the evening,* restless legs, red tongue w/o coat, floating-empty rapid pulse
Yin xu + empty heat
179
mental restlessness, *mental confusion,* agitation, rash behavior, tendency to hit/scold people, shouting, depression, manic behavior, tongue red in the center with sticky-yellow coating and a ST/HT crack with a rough sticky-yellow coat within it, slippery-rapid pulse
Phlegm-heat in ST + HT
180
*pronounced mental restnessness* agitation red tongue w/ redder tip + yellow coat overflowing-rapid pulse
HT fire
181
mental restlessness *worry* red tongue yellow coat overflowing-rapid pulse
LU heat
182
Symptom that worsens after sex indicates what?
Qi xu Usually kidneys, also LIV HT
183
Tiredness after sexual activity, especially if accompanied by dizziness, backache, weak knees, etc
KID qi xu
184
What patterns are mostly behind impotence?
KID xu with backache, weak knees, dizziness, tinnitus, poor memory especially KID yang xu
185
What organs might you think of for impotence in young men?
KID (as usual) HT often involved
186
Impotence, dizziness, palpitations, choppy pulse
HT blood xu
187
impotence, palpitations, insomnia, dream-disturbed sleep, rapid-overflowing pulse
HT fire
188
impotence, heaviness in the scrotum, urethral discharge, sticky-yellow tongue coat
DH in LIV channel
189
Patterns for lack of libido
Usually Qi or yang xu (frequently KID) Severe SP, HT, LU qi xu HT xu (more than KID) Full: LIV qi stag
190
Patterns for premature ejaculation
Usually KID --> KID qi not firm Also HT patterns --> HT qi or HT blood xu
191
Tiredness + dizziness after ejaculation
KID xu
192
Nocturnal emissions indicates what?
KID xu
193
Nocturnal emission in ancient China
nighttime intercourse with ghosts that rob essence
194
Nocturnal emissions without sexual dreams
Pure deficiency, usually KID
195
Nocturnal emissions w/o sex dreams
usually due to heat (full or empty), generally HT - empty heat due to KID xu - full-heat often of LIV and/or HT
196
What is the CM root of sexual desire?
KID yang Minister fire --> patterns usually = KID or HT xu
197
Deficient minister fire can cause what?
Lack of sexual desire
198
LIV/HT fire and empty-heat from KID yin xu can lead to what?
excess sexual desire
199
What organ would you think of in regards to sexual arousal/orgasm in cycling people?
HT
200
Where does aroused physiological minister fire of the KID go?
HT PC --> flushed face, increased HT rate
201
CM pattern of low sexual desire?
deficient Minister Fire, KID yang
202
CM understanding of orgasm
Minister Fire which rose during sexual arousal --> suddenly discharged downwards by the HT
203
What organ would you think of in regards to cycling people unable to reach orgasm?
HT xu
204
Fire/Water Daoist sexual alchemy
Fire: flares up easily, easily extinguished Water: slow to boil, slow to cool down
205
Questions to ask about menses
Age of menarche Cycle Quantity of blood Color of blood Clots Pain PMS
206
What is breast milk derive from in CM?
Blood
207
Gyno questions
Childbirth Abortion Miscarriage Contraception Intrauterine coil HRT Pelvic inflammatory disease Gyn. surgical interventions
208
Menarche ages
10-16, mean 12.8 (younger in industrialized contexts) Early may indicate blood-heat Late (after ~16) may indicate Blood and/or KID xu or Cold in the Uterus
209
Early or late menstruation in CM
7 days (of ideal 28 day cycle)
210
Period always early
Qi xu Blood-heat Empty-heat in the blood from Blood/Yin xu
211
Period always late
Blood xu Blood stasis Cold stasis
212
Irregular period - sometimes late/early
LIV blood stasis SP xu KID xu
213
Periods that stop and start
Blood stasis
214
Periods that start/end with a brownish discharge
Blood stasis
215
Mid-cycle bleeding
Damp-heat (esp if there's also pain) Qi xu LIV- and KID-yin xu
216
Heavy menstrual bleeding that may come early with a flood, pale blood Pale tongue
Qi xu
217
Heavy menstrual bleeding, pale blood, irregular periods, backache, feeling cold, loose stools Pale wet tongue
SP- and KID-yang xu
218
Heavy menstrual bleeding, trickling after the proper time, irregular periods, infertility, dizziness, tinnitus, night-sweating No tongue coat
LIV- and KID-yin xu
219
Heavy menstrual bleeding, bright-red or dark-red blood, feeling of heat, mental restlessness, red face, thirst Red tongue with coat
Blood heat
220
Heavy menstrual bleeding, headaches, dizziness, tinnitus, irritability Red tongue with redder sides, yellow coat
LIV fire
221
Heavy menstrual bleeding, irregular periods, trickling after the proper time, infertility, dizziness, tinnitus, night-sweating, feeling of heat in the evening, five-palm heat Red tongue without coat
LIV- and KID-yin xu with blood empty heat
222
Heavy menstrual bleeding, painful periods with dark blood + dark clots, periods that start/stop
Blood stasis
223
Range of blood loss in menstruation
30-80ml
224
Heavy menstruation definition
Profuse Prolonged
225
Period duration in CM
4-5 days
226
General menstrual colors
Dark-red Beginning: lighter Middle: deep-red End: pinkish
227
Dark-red or bright-red blood
Blood heat
228
Pale menstural blood
Blood xu
229
Blackish, very dark menstruation
Blood stasis
230
Purplish menstrual blood
full-cold
231
Brownish + diluted menstruation
Empty-cold
232
Scarlet-red menstrual blood
empty-heat in BL
233
Clotted menses with dark dull clots
Blood stasis or Cold in the uterus
234
Clotted blood with dark but fresh-looking clots
Heat
235
Large menstrual clots
Blood stasis
236
Small dark clots but menstrual blood isn't dark
Cold in the uterus
237
Watery menstrual blood
Blood or Yin xu
238
Sticky menses
Dampness or Damp-Heat in the Uterus
239
Pain before the period
Qi stag or Blood stag *Blood stasis usually relieved by the onset of the period
240
Pain during the period
Blood-heat or blood stasis
241
Pain after the period
Blood deficiency
242
Severe stabbing period pain
Blood stasis
243
Severe cramping pain eased by application of heat
Cold stasis
244
Mild pain in menses
Blood-heat or Blood xu
245
Dragging feeling in the lower abdomen with mild pain
Qi sinking
246
Feeling of heaviness in the lower abdomen with pain
Damp-heat
247
Pain on ovulation
Damp-heat
248
Abdominal distension and pain before/during period Normal tongue or slightly red sides
LIV qi stag
249
Severe period pain alleviated by the passage of clots Purple sides
LIV blood stasis
250
Severe spastic cramp-like menstrual pain that is alleviated by the application of heat, small-stringy clots on bright red blood, feeling cold during period Pale tongue
Cold stag
251
Painful periods with a feeling of heaviness extending to the sacrum, mid-cycle pain, small-red clots Red tongue with sticky-yellow coat
Damp-heat
252
Painful periods, heavy periods, irritability, thirst, bitter taste Red tongue sides
Stagnant LIV qi turning to LIV fire
253
Dull menstrual pain towards the end of/after the period, pain relieved by pressure, scanty periods Pale tongue
Qi and Blood Xu
254
Dull period pain during/after the period, scanty bleeding, no clots Pale or slightly swollen on the sides (tongue)
SP-yang and LIV-blood xu
255
Dull period pain during/after the period, scanty period, backache, dizziness, tinnitus, night-sweating No tongue coat
LIV- and KID-yin xu
256
Most common cause of premenstrual tension
LIV qi stag
257
Irritability, depression, tendency to cry, abdominal/breast distension
LIV qi stag
258
Premenstrual tension w/ propensity to outbursts of anger, irritability and agitation
LIV-fire and/or HT fire
259
Premenstrual tension with mental confusion, premenstrual breast swelling + pain
Phlegm-Fire
260
Deficiency causes of premenstrual tension
LIV-blood xu LIV- and KID-yin xu SP- and KID-yang xu SP-Qi xu with dampness
261
Deficient premenstrual tension
With depression, crying, lack of motivation, only mild irritability
262
Weepiness, crying, depression, mild irritability
LIV-blood xu with secondary LIV-qi stag
263
Weepiness, crying, depression, lack of motivation, insomnia, PMS
LIV- and KID-yin xu
264
Weepiness, crying, depression, lack of motivation, tiredness, lassitude, PMS
SP- and KID-yang xu
265
Weepiness, tiredness, lassitude, feeling of heaviness, swollen breasts, PMS
SP-qi xu with dampness and secondary LIV-qi stag
266
Nausea or vomiting before the period
stagnant LIV-qi invading ST
267
Premenstrual constipation
stagnant LIV-qi invading intestines and SP
268
Headaches before the period
LIV-qi stag or LIV-yang rising
269
Distension of the breasts in PMS
LIV qi stag
270
Breasts become very swollen and painful = possibly
Phlegm with premenstrual problems, usually also qi stag
271
Acute breast pain may be:
toxic heat in the breast
272
Retention of water with edema before the period
SP-yang and/or KID-yang xu
273
Abnormal vaginal discharge is
*not* the normal transparent, egg white-like secretion of ovulation *increase in secretions mid-cycle and during pregnancy = normal
274
How do we differentiate vaginal discharge?
Color Consistency Smell
275
White vaginal secretions
Cold SP- or KID-yang xu OR exterior cold-damp
276
Yellow vaginal secretions
Heat usually DH in the LJ
277
Greenish vaginal secretions
DH in the LIV channel
278
Red and white vaginal secretions
DH
279
Yellow, red vaginal secretions with white pus after menopause
Toxic heat
280
Watery vaginal secretions
Cold-damp and/or Deficient condition
281
Thick vaginal secretions
DH and/or excess condition
282
Fishy-smelling vaginal secretions
Cold
283
Leathery-smelling vaginal discharge
Heat
284
Nausea/vomiting in pregnancy
Slight nausea in first 3 months = normal Persistent vomiting in the first 3 months + ongoing = pathological sign
285
Persistent vomiting in the first 3 months + ongoing in gestation
usually rebellious qi in the Penetrating/Chong vessel affecting ST channel * can occur against background of ST xu or ST heat
286
Edema during pregnancy
KID-yang xu
287
High blood pressure in pregnancy
KID xu with LIV-yang xu --> may herald preeclampsia (+headache, dizziness, blurred vision)
288
full eclampsia state with convulsions
LIV-wind from LIV- and KID- xu
289
What does it mean if symptoms get worse or better with pregnancy? (ex asthma, migraine, rheumatoid arthritis)
KID xu
290
Possible CM causes of infertility
Blood Xu KID xu Blood stasis Cold in the uterus Damp-phlegm
291
Nausea and heavy bleeding after labor
exhaustion of the Chong/Penetrating vessel
292
Sweating and fever after labor
exhaustion of qi and blood
293
postnatal depression
LIV-blood and HT-blood xu
294
Postnatal psychosis
stasis of blood in the uterus + HT
295
Breast milk not flowing (agalactia) after childbirth
Blood xu ST and SP xu LIV-qi stag
296
spontaneous flow of milk after childbirth
SP-qi xu ST-heat LIV-fire
297
Mastitis after childbirth
Toxic heat in ST channel
298
What channels pertain to the breasts?
ST + Penetrating channel (main tissues + lactiferous ducts) LIV channel (nipple) LIV/GB (lateral breast side) Penetrating vessel (connective tissues/membranes) Muscle channels of GB, HT, PC
299
Chong/Penetrating and breasts - relationship
Chong originates from uterus + connects to breasts Breast milk = transformed menstrual blood Chong = sea of blood = source of breast milk * many breast pathologies (lumps, menopause) - background of Chong disharmony = either deficiency or Blood stasis
300
Bile is what?
Gallbladder Qi
301
Zangfu involved in breast pathologies
PMS - typically LIV qi stag LU qi stag/sadness in the chest
302
pronounced breast distension, irritability, wiry pulse
LIV qi stag
303
yin xu pulse
superficial/floating rapid
304
slight breast distension, sadness, weak pulse
LU qi stag
305
swollen painful breasts, swollen tongue
LIV qi stag with phlegm
306
painful breasts, purple tongue
LIV blood stasis
307
mild breast distension, choppy pulse
LIV blood xu
308
relatively soft, movable, painless multiple breast lumps with distinct edges
Phlegm (fibrocystic disease)
309
single, movable, relatively hard breast lump with distinct edges
Phlegm with blood stasis (fibroadenoma)
310
Single, NOT movable, relatively hard breast lump with indistinct edges
Blood stasis (carcinoma)
311
breast pathology that is more common ages 20-30
fibroadenoma
312
breast pathology that is more common ages 30-50
fibrocystic conditions
313
breast pathologies more common ages 50+
carcinoma
314
Chinese medical understanding of menopause
natural decline of Kidney Essence
315
Menopausal symptoms etiology
can be both Kidney Yin and Yang xu LIV yang rising HT yin xu with empty heat Phlegm
316
Headaches in menopause
LIV yang rising
317
insomnia, anxiety, agitation, poor memory in menopause
HT yin xu + empty heat
318
Wood phase: age
birth to puberty/15/18+
319
Fire phase: age
15-30+ years
320
Earth phase: age
20-40/30-45+
321
What is wood's role in nature?
Controls earth by absorbing water (generating, balancing cycle)
322
Metal phase: age
40-60
323
Water phase: age
60+
324
Three causes of disease in early childhood
weak hereditary constitution irregular feeding climate
325
Main causes of older children's disease
Diet Climate Emotions Traumas
326
Skin problems in adolescence
aggravation of Blood xu with onset of menarche
327
Painful periods since their onset
invasion of Cold in the Uterus while the Uterus is vulnerable
328
Digestive problems later in life often have their root when?
early 20s
329
LU pulse is somewhat full Patient looks sad
Unexpressed sadness
330
Weak LU pulse without wave Eyes lack luster
Sadness
331
HT pulse overflowing HT tongue crack
shock
332
Choppy HT pulse Dull complexion Lusterless eyes Weak weepy voice
Long-standing sadness
333
Wiry pulse in all positions
Life situation causing frustration
334
Primary cause of disease in earth stage
Emotions Overwork! (leads to KID xu) Diet
335
Diagnostic questions for treating children
digestion respiration (kids are prone to wind invasions) earache sleep birthing parent's pregnancy, immunizations
336
Shaoyang L/R + formulas
LEFT - Taiyang opening - GUI ZHI TANG RIGHT - Yangming closing - DA CHAI HU TANG
337
baby cries a lot at night and vomits frequently
womb heat
338
premature cutting umbilical cord, induction, Caesarean can cause what from CM perspective?
LU xu
339
Lack of breast-feeding or too short breast-feeding in CM
ST xu ST food retention *children inherently have weak SP/ST
340
2 main causes of children's abdominal pain
retention of cold in the ST/intestine Intestinal qi stag
341
aversion to cold listless desire to sleep lying with the body curled up diarrhea with undigested food frequent pale urination pale tongue white coat weak pulse
Shaoyin cold
342
irritability, insomnia, dry mouth, dry throat, night sweats, dark urine, red tongue with little coat, thready rapid pulse
Shaoyin heat
343
History of repeated bouts of cough and wheezing in a child
residual PF (usually LU phlegm-heat) following invasions of external wind
344
chronic earache in kids
residual PF (usually DH in the GB channel)
345
chronic mucus in kids
residual pathogenic factor after repeated wind invasions + SP xu --> phlegm
346
disturbed sleep with loud crying in babies
food retention ST heat
347
disturbed sleep with quiet crying in babies
prenatal shock
348
disturbed sleep in older kids: common causes
LIV fire ST heat retention of food
349
slow development in children
congenital weakness of LIV KID postnatal: ST (walking), HT (speech)
350
how to diagnose children under 2
venules on the index fingers L index (boys) R (girls) rub finger towards the body
351
joint diagnosis on children
base crease Gate of Wind second crease Gate of Qi third crease Gate of Life
352
after rubbing the finger towards the body, venules appear only beyond the Gate of Wind
invasion by an exterior PF mild disease
353
Venules extending beyond the Gate of Qi
interior and more severe disease
354
venules beyond gate of life
serious life-threatening disease
355
bluish venules beyond the gate of life
Cold pattern
356
red venules beyond the gate of life
Heat pattern
357
Zhang Zhong-Jing lived when?
Han dynasty
358
When did the Shanghanlun become two books?
Song dynasty
359
What was cold damage referring to in the Shanghanlun?
Generic term for any acute, potentially epidemic, febrile illness
360
Types of injury from cold
attack of wind attack of cold damp-warmth heat disease warm disease
361
What method does the Shanghanlun present?
understanding anticipating treating the various transformations of exterior disease
362
What does the Shanghanlun provide in matching selections?
Clinical application of a group of symptoms -> corresponding formulas + modifications (according to change of the disease)
363
Ying Level characteristics
Shen disturbance "delirium" macular rashes PC heat PC 3,4,5 = SAM PC 3 - Severe sunstroke PC 4 - Arythmia, angina PC 5 - Malaria
364
Shang Han Lun is based on:
8 principle differentiation 6 syndrome identification Formula pattern ID
365
8 principles
hot/cold excess/deficiency exterior/interior yang/yin
366
Traditional order of Sanyin Sanyang
Taiyang Yangming Shaoyang Taiyin Shaoyin Jueyin
367
What does Taiyang progress to?
Yangming OR Shaoyang
368
What does Shaoyang progress to?
Yangming
369
SHL combo patterns
He Bing (combo disease) Usually Taiyang/Yangming or Taiyang/Shaoyang or all 3 Yang
370
Zhi Zhong / Direct strike
In debilitated patients, evils may go direct to Yin levels
371
Factors that determine the progression of disease
Relative strength of Zheng + Xie qi Appropriate or incorrect meds Patient constitution Presence/absence of other disease
372
Does 6 syndrome ID equate to acupuncture channels with the same name?
NO layer/depth format
373
chills fever aversion to cold/wind body heaviness joint pain skin diseases headache floating pulse
Taiyang syndrome (overview)
374
Symptoms in chest/abdomen Can affect any organ(s) Chest discomfort Pain/stiffness in rib sides Dry mouth Alternating C/F Bitter taste in mouth
Shaoyang syndrome
375
Disease characterized by internal excess heat Fever w/o chills Distended abdomen Irritability Easily emotional Constipation Rapid pulse
Yangming syndrome
376
Feeling of severe internal cold Chills Distended abdomen Occasional pain Diarrhea/loose stool
Taiyin syndrome
377
Drowsiness Chills Cold extremities Aversion to cold Joint/body pain Deep, constrained pulse
Shaoyin syndrome
378
Symptoms in chest/abdomen Can affect any organ(s) Increased symptoms of heat in the upper body Severe cold in lower limbs/abdomen Thirst Diff. urination Physical weakness Lethargy Deep/weak pulse
Jueyin syndrome
379
Taiyang channel differentiation
Wind attack Cold attack
380
Taiyang Fu differentiation
Acc. water Acc. blood
381
Yangming differentiation
Channel: ST heat Fu: Fire in ST + intestines
382
Shaoyin patterns
Cold transformation Heat transformation
383
8 SHL treatment methods
Sweat Vomiting Purge Harmonize Warm Clear Tonify Disperse
384
Essential Taiyang symptoms
Aversion to cold Headache/stiff neck Floating/superficial pulse
385
Slight aversion to cold, aversion to wind, slight fever, slight sweat, headache, stiff neck, sneezing, floating-slow pulse
Wind-attack (WC invasion wind prevalent)
386
Wind Attack treatment principle
Release exterior Expel WC restore diffusion of LU qi Harmonize Ying + Wei
387
Wind-attack formula
Gui zhi tang
388
AVersion to cold, slight fever, no sweat, headache, stiff neck, sneezing, runny nose w white discharge, breathlessness, floating-tight pulse
Cold attack
389
Diff. b/w wind-attack and cold-attack
WIND - slight sweat COLD - no sweat
390
Cold attack treatment principle
Release exterior Expel WC restore diffusion + descending of LU qi
391
Cold attack treatment
Ma Huang Tang MOXA
392
Common symptoms of Taiyang channel pathology
floating pulse headache shivers aversion to cold
393
Aversion to cold, fever, urine retention, slight thirst, vomiting fluids soon after drinking, floating-rapid pulse
Taiyang Fu/acc. water
394
What are symptoms of exterior wind in Taiyang Fu - water accumulation?
C/F floating pulse
395
Taiyang Fu water accumulation treatment principles
release exterior promote Bladder's function of qi transformation promote excretion of fluids
396
Taiyang Fu - water accumulation formula
WU LING SAN XIAO QING LONG TANG
397
Hypogastric distension, fullness and urgency Blood in urine Mental restlessness Red-purple tongue w/o coat Deep-fine-rapid OR deep-choppy pulse
Taiyang Fu acc. of blood
398
Taiyang Fu acc. blood treatment principle
Invigorate blood Eliminate LJ stasis Clear Bladder heat
399
Taiyang Fu acc. blood formula
TAO HE CHENG QI TANG
400
High fever, profuse sweat, intense thirst, red face, feeling of heat, irritability, delirium, Red tongue yellow coat Overflowing-rapid or Big-rapid pulse
Yangming Channel AKA Interior Full Heat
401
Yangming channel pattern
Heat WITHOUT Form (heat)
402
Yangming organ pattern
Heat WITH form (Fire)
403
4 bigs
thirst sweat fever (actual measurable fever) pulse Yangming CHANNEL
404
What is the sign that Taiyang has become Yangming?
End of aversion to cold Onset of aversion to heat
405
Yangming Channel pathology treatment principle
clear ST heat
406
Yangming Channel pathology formula
BAI HU TANG
407
High fever that worsens in afternoon, profuse sweat, sweating on limbs, abdominal fullness + pain, constipation, dry stool, thirst, dark urine Red tongue thick dry yellow coat Deep-full-slippery rapid pulse
Yangming Fu pathology
408
Yangming Fu treatment principle
drain Fire from ST and intestines move downward
409
Yangming Fu formula
TIAO WEI CHENG QI TANG DA CHENG QI TANG
410
what symptoms in Yangming channel pathology are not present in Yangming Fu?
profuse sweat overflowing pulse thin tongue coat
411
what symptoms in Yangming Fu pathology are not present in Yangming channel pathology?
constipation abdominal pain/fullness deep-full pulse thick TC
412
Common symptoms in both yangming patterns
fever no chills feeling of heat thirst red tongue w yellow coat
413
What makes GB "curious?"
only Fu that stores a clean fluid (bile is pure/precious)
414
Shaoyang elemental energies
Fire (SJ) - open waterways Wood (GB) - course qi Ministerial Fire
415
Alternating C/F, bitter taste, dry throat, blurred vision/balance issues, hypochondrial fullness/distension, no desire to eat/drink, irritability, nausea, vomiting, HT vexation, unilateral thin white TC, wiry-fine (string-taut) pulse
Shaoyang pathology
416
What is the PF doing in Shaoyang
bounces between exterior (Taiyang/chills) and interior (Yangming/fever)
417
These symptoms are typical of what channel? bitter taste, dry throat, blurred vision, hypochondrial fullness/distension, irritability, nausea/vomiting, unilateral TC
GB
418
Shaoyang pathology -> treatment principle
Harmonize Shaoyang
419
Shaoyang pathology formula
XIAO CHAI HU TANG DA CHAI HU TANG
420
Opening in SHL theory
Taiyang: motion up + out (back of body) Taiyin: opens yin processes to Yang
421
Pivot in SHL theory
Shaoyang: regulating in/out, up/down (side body) Shaoyin: regulates yin/yang HT-KID
422
Closing in SHL theory
Yangming: down/in (front body) Jueyin: prevents movement from being chaotic
423
3 hinges in SHL theory
eyes mouth throat * all affected by Shaoyang pathology
424
Taiyin - Yangming connection
SP/ST
425
How is the central location of the SP related to disease?
Interchange of qi from above + below Pi = obstruction
426
Taiyin elemental correspondency
Water Earth
427
causes of Taiyin pathology
patient w/ constitutional SP yang xu contracts WC/internal damage leads to WC progression of PF to taiyin
428
What characterizes Taiyin pathology
SP-yang xu + cold
429
Interior empty-cold is what SHL stage?
Taiyin
430
Abdominal fullness w periodic pain alleviated by pressure/warmth, feeling cold, vomiting, no appetite (can't get food down), DIARRHEA (severe/spontaneous), NO THIRST, tiredness, pale tongue w/ sticky white coat, Deep-weak-slow pulse (moderate/weak)
Taiyin pathology
431
Taiyin pathology treatment principle
Tonify SP yang expel cold
432
Taiyin pathology formula(s)
Moxa LI ZHONG TANG SI NI TANG
432
Taiyin pathology formula(s)
Moxa LI ZHONG TANG SI NI TANG
433
Shaoyin cold transformation
Kidney yang xu with empty-cold
434
Shaoyin heat transformation
Kidney yin with empty-heat
435
What SHL stage should you think of with these cardinal symptoms? Lying with body curled, listlessness, desire to sleep + cold signs
Shaoyin cold transformation
436
Chills, feeling cold, lying w/ body curled, listlessness, desire to sleep, cold limbs, diarrhea w undigested food, no thirst, frequent pale urination, pale wet tongue w white TC Deep-weak-slow pulse
Cold transformation
437
Cold transformation treatment principle
tonify KID-yang expel cold
438
Shaoyin cold transformation treatment (SHL)
Moxa SI NI TANG
439
Feeling of heat, irritability, insomnia, dry mouth/throat at night, dark urine, night sweats, red tongue w/o coat, Fine-rapid pulse
Shaoyin heat transformation
440
Shaoyin heat transformation SHL treatment
Nourish KID-yin Clear empty-heat
441
Shaoyin heat transformation formula(s)
Huang Lian E Jiao Tang
442
Where are cold/heat located in Jueyin?
Heat above Cold below
443
Persistent thirst, qi surging up to the heart, HT heat pain/vexation, hunger w/ no desire to eat, cold limbs, diarrhea, vomiting, vomiting roundworms, wiry pulse * may be alternating C/F * may be wood overacting on earth
Jueyin
444
Jueyin treatment prohibition
Purging
445
Jueyin treatment principle
Clear Heat above Expel cold below Harmonize LIV channel
446
Jueyin formula(s)
WU MEI WAN Gan Jiang Huang Qin Huang Lian Ren Shen Tang MA HUANG SHENG MA TANG
447
Vesicles vs. papules vs. macules
VESICLE: small, raised + filled with clear fluid *dampness* PAPULE: raised/elevated, palpable *usually Qi-level heat esp. LU ST* MACULE: flat + color change *Nutritive or Blood heat*
448
Timidity, a lack of courage, indecision, palpitations and insomnia (in particular, waking up in the early hours of the morning)
Wood not generating Fire Corresponds to the Internal Organ pattern of Deficient Gall Bladder or Deficient Liver • Manifests primarily on a psychological level: Hun not coming/going enough to provide sufficient movement to the Shen
449
Loose stools, chilliness and weakness of the limbs + accompanied by some Heart Yang symptoms • Palpitations, shortness of breath, tiredness, depression, spontaneous sweat, stuffiness in the chest, feeling cold, cold hands, bright pale face, slightly dark lips
Fire not generating Earth Spleen-Yang deficiency due to failure of the physiological Fire of the body in providing Heat to the Spleen to transform and transport
450
Phlegm in the chest, cough and tiredness
Earth not generating Metal Spleen deficiency --> phlegm formation, disrupting LU
451
Cough, breathlessness, loss of voice and asthma Difficulty inhaling, cold limbs, clear urination, lower backache
Metal not generating Water KID not receiving qi
452
Dizziness, blurred vision, headaches and vertigo
Water not generating Wood KID- and LIV-yin xu
453
Hypochondriac and epigastric pain, a feeling of distension, irritability, loose stools, poor appetite and greenish face
Wood overacting on Earth Greenish face --> Wood is the root of the problem LIV invading SP --> Xiao Yao San
454
Edema, difficult urination and a yellow face
Earth overacting on Water Spleen failing to transform and transport fluids which accumulate and obstruct the Kidney function of transformation and excretion of fluids
455
Edema of the ankles, backache, feeling cold, dizziness, expectoration of thin watery sputum, palpitations
Water overacting on Fire Kidney- Yang deficient Water overflowing to the Heart • Jin gui shen qi wan and wu ling san
456
Cough with profuse yellow sputum, a feeling of heat and a red face
Fire overacting on Metal Excess-Heat in the Lungs – Qian Jin wei Jing Tang
457
Tiredness, irritability, a feeling of distension, cough and a white face
Metal overacting on Wood Deficient descending Lung-Qi impairs the free flow of Liver-Qi
458
Cough, asthma and a feeling of distension of chest and hypochondrium Breathlessness, asthma, cough with yellow or blood tinged sputum, thirst, bitter taste, bloodshot eyes, scanty dark urine, constipation
Wood insulting Metal The Liver channel influences the chest and stagnant Liver-Qi or Liver-Fire can obstruct the chest and prevent Lung-Qi from descending --> Long Dan Xie Gan Tang
459
Palpitations, insomnia and breathlessness Slight cough, weak voice, dislike speaking, tendency to catch colds, tiredness, depression, listlessness, spontaneous sweat, sighing
Metal insulting Fire LU and HT-qi xu --> Sheng Mai San, Si Jun Zi Tang, Bu Fei Tang
460
Palpitations, mental restlessness, insomnia, dizziness, lower backache and night sweating, dream disturbed sleep, anxiety, poor memory, tinnitus, heat in the evening, dry throat at night, thirst/small sips, scanty dark urine, dry stools
Fire insulting Water HT/KID disharmony; Kidney-Yin deficiency with Heart Empty-Heat
461
Loose stools, edema, tiredness and weakness of the limbs
Water insulting Earth SP- and KID-yang xu Li Zhong Wan, Jin Gui Shen Qi Wan
462
Jaundice and hypochondriac pain and distension
Earth insulting Wood Spleen failing to transforming fluids, leading to Dampness • Dampness accumulates and obstructs the smooth flow of Liver-Qi, impeding the free flow of bile --> San Ren Tang
463
UJ contains and does
chest, heart, lungs disperses qi + distributes blood (transformed from digested food as refined vapor)
464
MJ contains and does
LIV, SP, ST, SI grinds, transports food as substantial refined/ripened "foam"
465
LJ contains and does
KID, UB, LI Separates clear/turbid + discharges the turbid
466
SanJiao and 4 levels
UJ: Wei, Qi, Ying MJ: Qi LJ: Blood
467
When do UJ patterns occur in warm disease?
Early: LU (gen mild), PC (very serious)
468
Fever, aversion to cold, headache, sore throat, slight sweating, runny nose with yellow discharge, swollen tonsils, body aches, slight thirst, tongue Red in the front or sides with a thin white coating, Floating-Rapid pulse
Wind-Heat in the Lungs’ Defensive (Wei) Qi portion = Wind-Heat at the Wei Qi Level of the Four Levels
469
WH in LU Wi qi: treatment principle, formulas
Treatment principle: release the Exterior, expel Wind-Heat, restore the diffusing and descending of Lung-Qi RX: Yin Qiao San and Sang Ju Yin
470
Fever, sweating, cough, breathlessness, thirst, feeling of oppression and pain of the chest, Red tongue with yellow coating, Rapid-Overflowing pulse May appear with Phlegm - expectoration of profuse sticky yellow sputum
Heat in the LU (Qi level)
471
Qi-level heat in the LU treatment, formulas
Treatment principle: clear Lung-Heat, resolve Phlegm, restore the descending of Lung-Qi Ma Xing Shi Gan Tang, Wu Hu Tang, Xie Bai San, Qing Qi Hua Tan Tang
472
Pathological progressions of qi-level heat in the LU
Vertical: ST excess heat, LI dry stool Transverse: PC
473
Aversion to cold, fever, slight sweating, head feels tight, wrapped in a bandage, heaviness and aching of the body, cough, difficult breathing, chest and epigastric distention, poor appetite, white and greasy tongue coat, soggy and moderate pulse
Combination Upper and Middle Burner pattern LU qi fails to descend/disseminate SP qi stag If not resolved --> MJ
474
High fever at night, a burning sensation of the epigastrium, cold limbs, delirium, aphasia, Deep-Red and Stiff tongue without coating, pulse Fine and Rapid
Wen Bing PC Heat in the Ying level UJ: PC (sanjiao differentiation)
475
Heat in the PC treatment, formulas
Treatment principle: clear Heat in the Pericardium, restore consciousness, promote fluids Qing Ying Tang 3 outcomes: Ø If resolved, antipathogenic qi is restored Ø Blockage of the pericardium may lead to yang collapse Ø Or the Disease may progress to the lower burner
476
Yang vs. Yin MJ patterns
More yang (heat) --> ST --> LI More yin (damp) --> SP
477
High fever that is worse in the afternoon, no aversion to cold, feeling of heat, intense thirst, profuse sweating, Red tongue with yellow coating, Overflowing-Rapid pulse
Heat in the Yangming Qi-level ST heat Direct attack of summerheat OR progression from LU Treatment principle: clear Stomach-Heat Bai Hu Tang
478
Yangming heat in ST outcomes
Ø If heat is cleared, the disease is successfully treated Ø It can progress to the Large Intestine Ø Or the heat can damage yin of the liver and kidney
479
Obstruction of qi in the Large Intestine by dry stool and heat with severe constipation Ø Fever in the afternoon (3-7pm), yangming peak Ø Constipation and concentrated urine Ø LI blockage and concentration of heat Ø Yellow, black, dry tongue coat Ø Submerged and excessive pulse Ø (interior dryness and heat from excess)
Heat in the Yangming (LI) Treatment principle: Clear Large Intestine heat through purging, nourish fluids Tiao Wei Cheng Qi Tang or Da Cheng Qi Tang
480
Pathological progression of Yangming heat in the LI
Ø The heat from this excess may disturb the heart shen and/or stir up liver wind Ø The may also transform into toxic heat, damaging the collaterals – bleeding, maculopapular rashes Ø Or the patterns may progress to the lower burner, damaging the liver and kidney
481
Fever, epigastric fullness, a feeling of heaviness of the body and head, nausea, vomiting, Red tongue with sticky yellow coating, Soggy and Rapid pulse
DH in the SP = Qi level SP/ST heat in 4 levels Treatment principle: clear Heat and resolve Dampness in the Spleen Lian Po Yin This pattern can be viewed as the pivot between upper and lower burner Ø If the heat or damp heat can discharged quickly via the stool or urine, the progress of the disease can be stopped
482
Where can patterns of the LJ show up?
KID LIV
483
Fever in the afternoon and evening, five-palm heat, dry mouth and throat, night sweating, deafness, lassitude, Deep-Red tongue without coating, Floating-Empty and Rapid pulse
Heat in the KID = Shaoyin heat transformation (SHL) Treatment principle: nourish Kidney-Yin, clear Empty-Heat Huang Lian E Jiao Tang, Xi Jiao Di Huang Tang
484
High fever at night, coma, convulsions, clenched teeth, Deep-Red tongue without coating, Wiry-Fine-Rapid pulse
LIV-heat stirring wind = Blood-level heat stirring wind (WenBing) Treatment principle: clear Heat, extinguish Wind, stop convulsions, restore consciousness Ling Jiao Gou Teng Tang
485
Low-grade fever, cold limbs, dry and black teeth, dry and cracked lips, convulsions, tremor of limbs, Deep-Red tongue without coating, Deep-Fine-Rapid pulse
LIV empty wind = Blood level, empty-wind agitating the interior Treatment principle: nourish Yin, extinguish Wind, stop convulsions Zhen Gan Xi Feng Tang, San Jia Fu Mai Tang, Da Ding Feng Zhu
486
San Jiao patterns that don't fit
Ø Summer-heat pathogens without dampness may attack the stomach in the middle burner in the early stage of summer-heat attacks Ø The early stages of damp-heat often affect the spleen Ø Summer-heat can directly attack the pericardium or liver Ø Lurking summer-heat can progress from the lower burner to the middle burner
487
Phlegm heat in the lung can lead to Large Intestine Qi stagnation, producing heat Ø Heat pathogen in the lungs impairs water producing capacity of the lungs Ø Kidney and Lung yin deficiency
LU-LI combo pattern
488
yangming (LI/ST) and the stomach collaterals connect to the heart – Severe heat in the LI can invade the PC Ø LI heat and PC heat
LI, ST combo pattern
489
LJ: extreme heat in the LI can damage Kidney yin Ø LI heat and Kidney yin deficiency
LI and KID combo pattern
490
Characteristics of warm diseases
Characterized by more intense Heat Ø They develop rapidly (rapid onset) Ø They have a strong tendency to injure Yin (severe ramifications) infectious, epidemic, seasonal and geographic Manifest with fever PF enters thru nose/mouth (externally contracted)
491
Wen-Bing external WH
They all manifest with fever Ø The pathogenic factor enters through the nose and mouth Ø Externally contracted pathogens, not the six qi
492
Wen Bing zangfu progression
LU --> yangming or PC Final stage: LIV damage and/or KID yin
493
Exterior Wen Bing patterns
Wind-heat Summer-heat Damp-heat Dry-heat
494
Fever (real, not just palpation), aversion to cold, headache, sore throat, slight sweating, runny nose with yellow discharge, swollen tonsils, body aches, slight thirst, tongue Red in the front or sides with a thin white coating, Floating-Rapid pulse
Wen Bing ext WH Release exterior, expel WH, restore diffusing and descending of LU qi RX: Yin qiao san, Sang ju yin
495
Fever, aversion to cold, sweating, headache, a feeling of heaviness, an uncomfortable sensation in the epigastrium, irritability, thirst, tongue Red in the front or sides with a white sticky coating, Soggy and Rapid pulse
Summer-heat (frequently combined with dampness) Release the exterior, expel summerheat, clear heat, promote fluids RX: Qing Luo Yin
496
Fever that is worse in the afternoon, body hot to touch, aversion to cold, SWOLLEN GLANDS, headache, a feeling of heaviness, a feeling of oppression of the epigastrium, sticky taste, thirst with no desire to drink, sticky white tongue coating, Soggy pulse
Damp-heat at the Wei qi level * sticky taste w/o desire to drink = typical DH * swollen glands (dampness) = distinctive for this pattern --> release exterior, resolve damp, clear heat Huo Xiang Zheng Qi San
497
Fever, slight aversion to cold, slight sweating, dry skin, nose, mouth and throat, dry cough, sore throat, Dry tongue with thin white coating, Floating-Rapid pulse
Dry-Heat at the Wei level --> Release exterior, clear Heat, promote fluids RX: Xing Su San, Sang Xing Tang
498
Fire vs. Heat
Ø Fire is more intense (intense thirst, high fever, intense feeling of heat) Ø Fire affects the Mind more (mental restlessness, delirium) Ø Fire dries up more (intense thirst, dry stools, constipation, very dry tongue coating) Ø Fire is at a deeper energetic layer than Heat Ø Fire has a deep pulse compared to Overflowing in Heat Ø Fire may cause bleeding Ø In acute febrile diseases in children, fire may cause internal Wind quickly
499
High fever, feeling of heat, no aversion to cold, thirst, cough with thin yellow sputum, shortness of breath, sweating, Red tongue with yellow coating, Slippery- Rapid pulse
Qi-level LU heat Treatment principle: clear Qi, clear Lung-Heat, resolve Phlegm, restore descending Lung-Qi RX: Ma Xing Shi Gan Tang, Xie Bai San, Qing Qi Hua Tan Tang, Wu Hu Tang
500
High fever that is worse in the afternoon, no aversion to cold, feeling of heat, intense thirst, profuse sweating, Red tongue with yellow coating, Overflowing-Rapid pulse
Qi-level ST heat = Yangming Jing in SHL Clear Qi, clear ST-heat RX: Bai Hu Tang
501
High fever that is higher in the afternoon, constipation, dry stools, burning in the anus, abdominal fullness and pain, irritability, delirium, Red tongue with thick yellow dry coating, Deep-Full-Rapid pulse
Qi-level Fire in the ST + intestines = Yangming Fu in SHL Drain fire, clear ST + intestines, move downward Tiao Wei Cheng Qi Tang
502
Alternating hot and cold feeling with a prevalence of heat, bitter taste, thirst, dry throat, hypochondrial pain, nausea, a feeling of fullness in the epigastrium, Red tongue with unilateral sticky yellow coating, Wiry- Rapid pulse
Qi-level GB heat = SHL Shaoyang stage + more heat + some damp Harmonize Shaoyang, clear GB heat Hao Qin Qing Dang Tang
503
Continuous fever which decreases after sweating but soon increases again, a feeling of heaviness of the body and head, a feeling of oppression of the chest and epigastrium, nausea, loose stools, Red tongue with sticky yellow tongue coating, Soggy-Rapid pulse
Qi-level SP/ST damp-heat Clear heat in SP/ST, resolve damp RX: Lian Po Yin
504
Distinctive diagnostic signs of the Ying/Nutritive level
Fever at night Deep red tongue w/o coat vs. Qi-level (red w/ thick coat)
505
Fever at night, dry mouth with no desire to drink, mental restlessness, insomnia, delirium, incoherent speech or aphasia, macules, Red tongue without coating, Fine-Rapid pulse
Nutritive level heat Clear nutritive Qi heat, promote fluids Qing Ying Tang
506
Fever at night, mental confusion, incoherent speech or aphasia, delirium, body hot, hands and feet cold, macules, Red tongue without coating, Fine-Rapid pulse
Ying-level heat in the PC = Nutritive level heat + more mental signs clear Nutritive Qi Heat, clear Pericardium-Heat, restore consciousness, promote fluids Qing Ying Tang
507
Xue level diagnostic signs
Definitive: MACULES Ø Yin deficiency Ø Bleeding Ø Heat --> Mind, causing delirium or coma Ø Internal Wind - convulsions and tremors Ø Collapse of Yin or Yang may occur
508
High fever, mental restlessness, manic behavior, dark macules, vomiting of blood, epistaxis, blood in stools, blood in urine, Dark-Red tongue without coating, Wiry-Rapid pulse
Heat agitating Blood (Xue level) Clear blood heat, stop bleeding Xi Jiao Di Huang Tang
509
High fever, fainting, twitching of limbs, convulsions, rigidity of neck, opisthotonos, eyeballs turning up, clenching of teeth, Dark-Red tongue without coating, Wiry-Rapid pulse
Heat stirring wind at the Xue level Full internal wind Clear blood-heat, extinguish wind Ling Jiao Gou Teng Tang
510
Low-grade fever, tremor of limbs, twitching, loss of weight, malar flush, listlessness, Dark-Red tongue without coating and Dry, Fine-Rapid pulse
Empty-wind agitating the interior (Xue level) Empty internal wind Clear blood-heat, nourish LIV- and KID-yin, extinguish wind RX: Zhen Gan Xi Feng Tang
511
Low-grade fever, night sweating, mental restlessness, dry mouth with desire to sip liquids, five-palm heat, malar flush, emaciation, Dark-Red and Dry tongue without coating, Fine- Rapid pulse Abundant perspiration, skin hot to the touch, hot limbs, a dry mouth with desire to drink cold liquids in small sips, retention of urine, constipation, a Floating-Empty and Rapid pulse and a Red-Peeled, Short and Dry tongue
Yin Collapse (Xue) Rescue Yin, restore consciousness Da Bu Yin Wan
512
Feeling cold, cold limbs, bright-white complexion, profuse sweating on the forehead, listlessness, Pale-Swollen and Short tongue, Hidden, Slow, Scattered pulse Chilliness, cold limbs, weak breathing, profuse sweating with an oily sweat, no thirst, frequent profuse urination or incontinence, loose stools or incontinence, a Minute-Deep pulse and a Pale-Wet-Swollen-Short tongue
Yang Collapse (Xue) Rescue Yang, restore consciousness Shen Fu Tang
513
Ø Acute onset Ø Thirst Ø Irritability Ø Insomnia Ø Sudden tiredness and lassitude Ø Weary limbs Ø Dark urine Ø Red tongue Ø Rapid pulse
Latent heat
514
Alternation of chills and fever, bitter taste, hypochondrial pain, red eyes, deafness, vomiting, a feeling of oppression of the diaphragm, Red tongue with unilateral yellow coating, Wiry pulse
Shaoyang latent heat
515
Fever, abdominal fullness and pain, constipation, Red tongue with dry brown coating, Deep-Full pulse, irritability, insomnia, sudden tiredness, weary limbs, dark urine
yangming Fu latent heat
516
A feeling of weariness of the limbs before the onset of other symptoms, insomnia, irritability, dry mouth and throat, scanty dark urination, headache, backache, tiredness, Red tongue, Rapid pulse
Shaoyin latent heat
517
Oily beads on forehead, dry mouth and teeth, irritability, delirium, scanty urine, blood in urine, Deep-Red tongue without coating, Fine-Rapid pulse
Ying level latent heat
518
Delirium, faint feeling, dry limbs, sweating, irritability, *macules,* blood in urine, epistaxis, Deep-Red tongue without coating, Fine-Rapid pulse
Xue level latent heat

Formulas, Diagnosis, Chinese Medical Nutrition (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions