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ATD1 > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

What are the three stages of LU Dz

A
  1. rebellious qi (ex. asthma, cough, bronchitis)
  2. distention of LU Qi (ex. emphysema)
  3. Xue Level (ex. pulmonary heart dz xue stasis blocking the heart)

From Qi–> blood level;
From LU–> HT

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2
Q

In terms of Wei Qi, what are the functions of the SP, KD, LU

A

SP is the source of wei qi
KD is the root of wei qi
LU disperses wei qi (ascends & descends)

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3
Q

Allergic rhinitis vs. the common cold

  1. generalized/localized
  2. Wei Qi affected
  3. Where are the symptoms
A
  1. Common cold more generalized with heachache, body aches, chills & fever, more wei and ying qi disorder
  2. allergy- more localized into 5 sense organs; wei qi stuck/congested
  3. symptoms of head and face in both
  4. Wei Qi affected in both
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4
Q

Allergic Rhinitis vs Common Cold

Similarities:
Mechanisms:
Symptoms:
Family Hx:
Associated Disease
A

Similarities: Mechanism- related to wei qi
Symptoms: head and face
Mechanism: Allergy: local wei qi congestion and general wei qi deficiency
Cold: ying/wei disharmony
Symptoms: Allergy: 5 sense organs
Cold: head and body
Family History: Allergy: Yes
Cold: No
Associated Disease: Allergy: atopic dermatitis; asthma
Cold: none

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5
Q

Seasonal Tx of Symptom: Invasion of Wind Cold

  • S/S
  • Tongue
  • Pulse
A

S/s: acute stage/onset; runny nose with loose, watery white discharge; nasal congestion; itchy nose and eyes; sneezing (esp. in am); NO thirst, red eyes, or chills

T: Normal, thin white coat
P: superficial, tight

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6
Q

Tx for Wind Cold Invasion

A

Remove wind cold, regulate wei qi

Points: (local) LI20, Bitong, Yintang, UB7 + LI4, LU7, GB20, UB12, UB13 (moxa ok)

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7
Q

Seasonal Tx of Symptoms: Invasion of wind heat:
S/S:
T:
P:

A

S/S: acute onset; more congestion; sneezing, red water eyes, runny nose with sticky yellow discharge, sore or scratchy throat with thirst or slight thirst (sore throat always says heat), “hay fever”, dry lips with burning sensation

T: red or red tip with thin yellow coat
P: superficial, fast

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8
Q

Seasonal Tx of Cause/Root: LU/SP/KD Qi Xu

A

Wei Qi system disorder

*KD qi xu: chronic sob, weak back/knees, frequent urination, pale face, fatigue, weak and deep pulse in rear position

  • Wei Qi SOURCE from Gu Qi (SP)
  • Wei Qi SPREAD by LU
  • KD is ROOT of Wei Qi

SP is the mother of LU; LU is the mother of KD
SP controls KD…. be sure to tonify the SP

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9
Q

Tx for W-H Invasion

A

Remove W-H; Regulate Wei Qi

- (local)LI20, Bitong, Yin Tang, UB7; + LI4, LI11, SJ5, DU14, UB12, UB13, GB20

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10
Q

TX for SP/LU/KD Xu

A

Tonify SP;LU;KD

LU Qi Xu: UB13, R17, LU9, ST36
SP Qi Xu: UB20, 21, ST36, SP6, R12, R8
KD Qi Xu: UB23, K3, R4, R6

Also: LI10; UB52; DU4

(ST36+LI10= strengthen immune system; KD: don’t needle during acute stages)

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11
Q

Perennial Allergic Rhinitis- Year round allergies: Tx

A

Combination of Xu and Shi

Tx Xu and Shi at same time: pick 50% from symptomatic tx and 50% from cause/root tx

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12
Q

Asthma due to Wind cold invasion
s/s:
T:
P:

A

EXCESS condition; will cause ACUTE attack of chronic condition; Also d/t WH, W-dryness, W-Dampness

S/S: Acute onset; dyspnea, wheezing, cough with chest tightness, rapid and short breathing *chills, aversion to cold, slight fever, headaches, general aching, no thirst, no sweating, cough with white thin sputum
T: Normal with thin white or greasy white coat
P: Floating/Superficial &tight

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13
Q

Asthma due to Phlegm Heat
S/S:
T:
P:

A

EXCESS condition; *most common asthma pattern; usually refers to acute attack

  • smokers and alcohol drinkers
  • may derive from W-C turning into heat

S/S: Acute onset, dyspnea and wheezing, cough with profuse sticky thick yellow sputum, sensation of stuffiness in the chest, tightness (oppression); rough breath; strong and coarse voice; thirst with desire for cold drinks; dry mouth, bitter taste, bad breath; may have fever, nausea, and vomiting; Dark yellow urine; constipaiton

T: red or scarlet or no change with thick greasy yellow coat
P: rapid and slippery or wiry
*if severe may have purple lips or tongue

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14
Q

TX for Asthma due to Phlegm Heat

A

Resolve phlegm, clear heat, soothe asthma, descend lu qi

Points: (basic points) UB13, R17, R22, Ding Chuan + LI4, LI11, SJ5, P6, ST40, SP9, R12, DU14

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15
Q

Tx for Asthma due to Wind Cold

A

Eliminate W-C, Regulate (descend) LU Qi

UB13, R17, R22, Ding Chuan + LI4, LU7, UB12, GB20
- May use SMOKELESS moxa

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16
Q

Asthma due to LU Qi Xu

S/S:
T:
P:

A

DEFICIENCY condition; usually seen with prolonged and protracted cough that causes LU Qi Xu. CHRONIC condition

S/S: chronic onset, SOB and rapid breathing, difficulty inhaling, more exhale than inhale, wheezing and dyspnea, soft or weak voice, low/weak cough, pale face; fatigue, spontaneous sweat; easily catches colds

T: Pale with thin white or greasy white coat (if phlegm)
P: Deep and weak, weaker on R (1st [cun] position)

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17
Q

TX for Asthma due to LU Qi Xu

A

Tonify LU Qi to strengthen Wei Qi

UB13, R17, R22, Ding Chuan + LU9 (yuan), UB43, ST36, SP6, UB20, UB21 (if LU Qi Xu, SP is mother of LU- use to tonify MJ to tonify LU Qi); LI10 (ST36 of the arm)

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18
Q

Asthma due to KD Qi Xu
S/S:
T:
P:

A

DEFICIENCY condition; KD failing to grasp Qi (KD=root of breath); More Xu than LU Xu; symptoms of asthma are more severe.

S/S: chronic onset; severe wheezing and dyspnea, difficulty inhaling- inhaling with help of chest muscle: upon inhalation, obvious depress above clavicle, shrugs shoulders (more exhale than inhale); SOB, soft voice, fatigue; pale face, cold limbs; weakness/lassitude, esp of lower back and knees; incontinence of urine and stool; profuse, frequent urination, enuresis (in children)
T: pale, swollen, w/ teeth marks; thin white or white greasy coat
P: deep and weak

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19
Q

Alternative treatments for Asthma

A

Mid Summer Moxa: BL12/BL13/BL20/BL23/BL43

Plum Blossom needle- acute attacks

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20
Q

Common Cold due to WinD cold Invasion
S/S
T:
P:

A

EXCESS & ACUTE Condition

S/S: acute onset, chills, aversion to cold, slight fever, no sweat, no thirst, stiff neck; general body aches; headaches (taiyang); sneezing w/watery white nasal discharge and drainage; cough with profuse, loose, white mucous; constipation
T: normal with thin white coat
P: superficial; tight

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21
Q

WC Excess vs WC Xu

A

Wind Cold Excess: no sweat, cold predominates
Wind Cold Xu: sweating, imbalance between ying qi and wei qi; floating and soft pulse possible, not tight, perhap not even floating; not enough qi

Points: LI4, LU7, GB20, UB12, UB13, SJ17, Taiyang + ST36, BL20, BL21, LI10

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22
Q

Common Cold Wind Cold Invasion Tx

A

Remove External Pathogenic Wind-Cold, Regulate Wei & Ying Qi

Points: LI4, LU7, GB20, UB12, UB13, SJ17, Taiyang (Add moxa and/or cupping); Gua Sha DU14-DU16

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23
Q

Common Cold Due to Wind Heat Invasion
S/S:
T:
P:

A

EXCESS & ACUTE condition (may be W-C turning into heat)
S/S: acute onset- wei qi level; high fever; slight aversion to cold; SORE THROAT; cough with yellow mucous;thirst or slight thirst; skin rash; red congestion of eyes and throat; may have headaches (whole head); slight aversion to heat and wind; slight sweat

T: normal and/or with red tip with thin yellow coat
P: superficial; rapid

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24
Q

Cold due to W-H Tx:

A

remove wind-heat and regulate wei and ying qi

LI4, LU7, GB20, UB12, UB13, SJ17, Taiyang + SJ5, LI11, DU14;
High Fever: prick LU11, LI1; LU10 (for sore throat)

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25
Q

Cold due to wind damp invasion
S/S
P:
T:

A

EXCESS & ACUTE condition; Stomach Flu

S/S: Acute onset; chills, aversion to cold and slight fever; heaviness of whole body; joint pain; heaviness of the head (as if wrapped in a towel); foggy sensation; decreased appetite; nausea, vomit; distending sensation of epigastrium; abdomen; loose stool or diarrhea

T:Normal (D-C) or red tip (D-H) or swollen with greasy, think or thick; white or yellow coat
P: soft (floating, big w/o strength) or superficial and slippery

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26
Q

Cold due to Wind damp Tx

A

Remove wind-damp; regulate middle jiao

Points from yin meridians are okay to use- because damp has origins in SP and the pathogen is already inside. It will not drive deeper

LI4, P6, R12, ST25, ST36, ST40, SP9, SP6, UB12, UB20, UB21; Yintang, ST8- Damp Headaches

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27
Q

Cold due to Summer heat invasion
S/S
P:
T:

A

EXCESS condition

S/S: fever, slight chills or aversion to cold; GREAT profuse sweating, rough breath distending sensation in chest; nausea, vomit (esp in am); decreased appetite; great thirst; desire for cold drinks or no desire; restlessness; irritable; tossing and turning; BM is normal, constipated or loose; urine is scanty, yellow

T: red or scarlet with thick or greasy coat; yellow
P: forceful/full (or slippery) & rapid; overflowing in the HT position

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28
Q

Difference between Heat and Summer Heat

A

1- summer heat attacks the HT and PC directly- as a result there are more emotional/mental sx
2- there is more dampness w/ S-H
3- any heat after the summer solstice day is considered S-H

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29
Q

Combination of External pathogens and body deficiencies. W-H, W-C, W-D plus one or more of: Qi, Blood, Yin, Yang Xu. Remove external pathogen as specified for invasion plus:

Qi Xu points

A

Ren 17, LU9, UB13, 20, 23; ST36, LI10 (primarily w-d + pale face, sob, easy to catch cold, sweats easily, etc.)

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30
Q

Combination of External pathogens and body deficiencies. W-H, W-C, W-D plus one or more of: Qi, Blood, Yin, Yang Xu. Remove external pathogen as specified for invasion plus:

Xue Xu Points:

A

LV8; ST36; UB17; SP10, 6; UB20, 23

31
Q

Combination of External pathogens and body deficiencies. W-H, W-C, W-D plus one or more of: Qi, Blood, Yin, Yang Xu. Remove external pathogen as specified for invasion plus:

Yin Xu

A

yin tonifying-

UB43; Kd3, 7; SP6; UB52
(w-h or w-dry with yin xu sx: night sweats, hot flash, low grade fever, 5 palm heat, dry throat, dry cough, fever w/ sl alversion to w or cold; t: red, cracks, peeled coat; P: thin, rapid

32
Q

Combination of External pathogens and body deficiencies. W-H, W-C, W-D plus one or more of: Qi, Blood, Yin, Yang Xu. Remove external pathogen as specified for invasion plus:

Yang Xu Points

A

Warm Yang, remove pathogen

UB23; DU4; Ren4, 6 with moxa (if w-c: moxa all points)

(w-c or w-d + cold extremities, chronic diarrhea, morning diarrhea, premature ejaculation, edema; T: pale, swollen, teeth marks, white coat; P: deep, weak, slow)

33
Q

Epistaxis due to wind heat or Summer heat in LU
Sx:
T:
P:

A

ACUTE (dryness + heat)

S/S: fresh red color, often in right nostril; cough or dry cough; yellow sticky mucous; thirsty with desire for drinks; constipaiton; dark yellow urine;

W-H/S-H sx: slight fever, desire for cold drinks, (SH restlessness, tossing and turning, irritability), hx of common cold; burning sensation in chest

T: red, redder tip with thin yellow coat
P: floating, fast (slippery, stronger in right front)

34
Q

Accumulation of Heat in Yang Ming
Sx:
T:
P:

A

ACUTE- severe/violent bleeding with large amts of blood (may arise from: w-h/s-h or hx of irregular diet)
Yangming= more qi and xu

Sx: acute onset; related to irregular diet, fresh red or dark red blood; primarily from right nostril
- w/ other YM H sx: 4 bigs; bad breath; toothache; gum bleeding; constipation; dark yellow urination; burning pain in stomach, much acid reflux
T: red or scarlet with thick, yellow/brown, dry rough coat
P: rapid, forceful, slippery

35
Q

Epistaxis due to WH or SH Tx

A

Remove WH, SH; Cool Blood; Stop Bleeding

(basic) LI4, LI11, SJ5, LU6, LI20 + DU15, GB20, UB12, UB13
SH: HT8, P8

(look for red spots between scaps–prick to bleed)

36
Q

Epistaxis d.t accumulation of heat in Yangming TX

A

Remove heat from YM, Cool Blood, Stop Bleeding

(basic) LI4, LI11, SJ5, LU6, LI20 + foot YM points: ST44,45; SJ6; UB40; SP10; SP6, SP1 (blood let)
* ST 44 is more for internal heat, not W-H- according to Dr. Wu)

37
Q

Epistaxis d/t liver fire flaring up (hyperactivity of LV, LV counter checking LU)

Sx:
T:
P:

A

ACUTE
Left Nostril- liver
Right nostril- lung

Sx: acute onset; closely related to hx of emotional disorder; sticky, fresh red nasal bleeding esp left nostri; anger, irritability; red eyes, burning hypochonriac pain; dizziness, tinnitus (thundering, loud); insomnia, tossing and turning; severe headache
T: red, redder on sides with yellow coat
P: wiry, fast

38
Q

Epistaxis d/t LV fire flaring up Tx

A

Remove LV fire, cool blood, stop bleeding

basic) LI4, LI11, SJ5, LU6, LI20 + Lv2,3,5; SJ5; GB41,43 (sedate UB18, 19

39
Q

LV & KD Yin Xu, or LU Yin Xu, with Xu Heat/Fire

A

EXCESS sx with XU root: excess above; xu below
CHRONIC

Sx: chronic onset related to overworking, occurs esp at night or too much sex; off/on bleeding, small amount, fresh red, watery blood; Usually left nostril (if LU yin xu: right nostril)
Yin Xu Sx: hot flashes, malar flush, 5 palm heat, low grade fever, tinnitus, dizziness, vertigo, weakness of lowerback and knees, night vision problems, nocturnal emissions
Insomnia, bleed worse at night or after working dry cough; steaming bone syndrome

T: red or scarlet or thin and small with cracks with yellow, less or mapped coat
P: thin, fast and weak

40
Q

LV & Kd Yin Xu or LU yin Xu with Xu heat/fire

A

Nourish yin, remove empty heat, stop bleeding

(basic) LI4, LI11, SJ5, LU6, LI20 + LU7, KD1 (moxa), KD6; KD3, SP6; KD7, UB52, 43

41
Q

pharyngitis d/t W-H invasion

A

Acute

Sx: slight chills, high fever, sweating; thirst for cold drinks; hoarseness of voice, dryness; sensation of burning heat & soreness of the throat; congestion of the retropharyngeal wall

T: red with red tip and thin yellow coat
P: floating/superficial, rapid

42
Q

pharyngitis d/t W-H invasion TX

A

Remove W-H, benefit the throat

(acute basic) LU5, LU10, LU11, LI4, LI11, Ren23, SJ1, SJ3, SJ16, SI16, SI17 (SJ is good to remove heat b/c shaoyang is pivot; also good to remove swelling of lymph nodes/tonsils)
+ UB12, 13, DU14, GB20, SJ5
Gua Sha between Ren 22 & 23 (light stimulation: downwards or back and forth)

43
Q

pharyngitis d/t accumulation of heat in LU & ST

A

Acute; Can arise form W-H type or irregular diet

Sx: thirst for cold drinks; distinct sore throat; difficulty swallowing, thick sputum; If from LU- high fever; if from ST- bad breath, toothache, bleeding gum; Constipation; dark yellow urination

T: red with thick yellow coat, or dry
P: fast, slippery; could be forceful (ST heat)

44
Q

Chronic Pharyngitis d/t Yin Xu

A

Chronic inflammation of pharyngeal mucous membrane and submucosal lymphoid tissues often d/t ongoing tx of acute pharyngitis or repeated occurrence of URT infections; related to hight dust environment

Sx:dry throat, on and off sore throat, itchy; cough; feeling of foreign obstruction; prefers to sip water at night; hoarseness of voice; sx are worse after overworking at night; yin xu sx- hot flash, low grade fever, 5 palm heat, restlessness

T: red, thin, small with cracks with less coat, or thin yellow; or mapped
P: thin & rapid

45
Q

Tx for pharyngitis due to accumulation of heat in LU & ST

A

remove heat form LU or ST, benefit the throat

(acute basic) LU5, LU10, LU11, LI4, LI11, Ren23, SJ1, SJ3, SJ16, SI16, SI17 (SJ is good to remove heat b/c shaoyang is pivot; also good to remove swelling of lymph nodes/tonsils); PC3
Blood letting: LU11; LI1

ST heat: ST44, 45; SJ6
LU heat: LU5, 7, LI6, LI7

46
Q

Tx for chronic pharyngitis d/t yin xu

A

Nourish yin, remove empty heat; benefit the throat

(basic chronic)LU7, KD6 + KD3, SP6; KD1 (moxa); UB43, 52

47
Q

Chronic Pharyngitis due to yang xu

A

Yang Xu- retention of water; if fills in throat– throat problems:hoarseness, lose of voice, less pain; may also have edema in lower body

Sx: hoarseness, slight sore throat or dull pain; may lose voice; yang xu sx: cold limbs, pale face, cold pain in low back/knees, impotence, edema on low extremities

T: pale, swollen teeth marks with wet moist coat
P: deep, weak, slow

48
Q

Tx for chronic pharyngitis d/t yang xu

A

Warm KD Yang; promote urination; remove swelling

(basic chronic) LU7 + KD6; KD3; R4; DU4; UB23 w/ moxa

If swelling/edema are severe: R3, ST28, UB28

49
Q

Tinnitus & Deafness d/t LV & GB fire flaring- LV yang rising

A

Acute, Excess (often seen in teens and military)

Acute; related to emotional disorder; loud thundering noise in ears or high pitch; LV fire sx: anger, irritability, bitter taste, thirst, hypochondriac pain, etc) or LV yang rising sx: throbbing headaches, hypertension, dizziness, vertigo, irritability, anger, tossing and turning, insomnia; pressure around the ears

T: red with red sides and a yellow coat
P: wiry & Fast

50
Q

tx of Tinnitus & Deafness d/t LV & GB fire flaring- LV yang rising

A

Remove LV/GB fire; subdue lv yang, benefit the ears

basic) SI19, GB2, SJ21, SJ17; SJ3, SJ5, GB41 + GB40, 43, 20; LV2, 3, 5; UB18, 19 (sedate

51
Q

Tinnitus & Deafness d/t phlegm fire flaring up

A

acute, excess

Sx: acute onset; loud and noisy ringing, like crickets; pressure or sharp pain in/around the ears- combined with ear ache or eat infection (yellow sticky discharge): ear infx or allergy related; turbid fluid inside; swimmers eat; heaviness of head, foggy; tightness of chest & profuse mucous; N&V; cough with yellow sputum; profuse vaginal discharge; constipation; dark yellow urnine

T: red with yellow greasy thin or thick coat
P: slippery, wiry, fast

52
Q

Tx for Tinnitus & deafness d/t phlegm fire

A

Remove phlegm fire; benefit the ears

(basic) SI19, GB2, SJ21, SJ17; SJ3, SJ5, GB41 + R17,12; ST39,40; SP9; LI4,11; GB43

53
Q

Tinnitus & Deafness d/t traumatic accident w/ xue stagnation (blockage of channels around the ears)

A

Acute, Excess

Sx:clear hx of traumatic accident; concussion, followed by ringing or deafness; dizziness, fixed headache; ringing worse at night

T: purple w/ purple spots
P: hesitant/choppy

54
Q

Tx of Tinnitus & Deafness d/t traumatic accident w/ xue stagnation

A

Promote circulation, remove xue stasis; open channels to benefit the ears

(basic) SI19, GB2, SJ21, SJ17; SJ3, SJ5, GB41 + UB17, 40; SP10; SI3, UB62 (open DU/Yang Qiao to move qi)

55
Q

Tinnitus & Deafness due to KD Xu: Yin, Essence or Yang

A

Chronic, Xu

Sx: intermittent ringing: high pitch (like whistle); gradually leads to deafness
KD Essence Xu: dizziness, vertigo, weakness of lower back and knee joints, hair loss
KD Yin Xu: hot flask, night swats, palm heat, low grade fever, steaming bone, night emissions, red tongue body, small and thin in size, cracks less coat; thing and fast pulse
KD Yang Xu: edema from lower extremities, cold extremities, pale face, fatigue, cold pain on the lower back, water retention in ears
T: swollen, pale, teeth marks, moist & wet coat; pulse deep, weak and slow
- Old age: KD yin xu–> live yang rising–> tinnitus or KD essence Xu–> deafness

56
Q

Tx of Tinnitus & Deafness due to KD Xu: Yin, Essence or Yang

A

Strengthen Lower back; Tonify KD; Benefit Ear

(basic) SI19, GB2, SJ21, SJ17; SJ3, SJ5, GB41 +

KD Essence Xu: KD3, SP6, GB39; DU15, DU16
KD Yin Xu: basic + Essence + KD6, 1; UB43, 52
KD yang Xu: basic + essence + UB23, DU4, R4,6

57
Q

Tinnitus & Deafness due to Zong Qi Xu or Upper Jiao Xu

Zong Qi is in charge of skin sensations and fx of 5 sense organs

A

Chronic

Sx: may or may not have ringing in ears; decreased hearing until it progresses to deafness
Zong Qi xu: pale face, fatigue/tired, soft voice; palpitations, spontaneous sweat; poor appetite; SOB; numbness of extremities

T:pale, swollen with thin white coat
P: deep & weak esp on R side (in LU & SP)

58
Q

Tx of Tinnitus & Deafness due to Zong Qi Xu or Upper Jiao Xu

A

Tonify Zong Qi, benefit ears; sharpen 5 sense organs

(basic) SI19, GB2, SJ21, SJ17; SJ3, SJ5, GB41 + R17, UB13, UB20, UB21, ST36, LU9

59
Q

Tinnitus & Deafness d/t HT Xue Xu

A

Chronic, Deficiency
* Heart houses She: narrow definition: memory and concentration; Broad: includes facial complexion, speech, tongue movement, eye movement, and 5 sense organs

Brain houses shen: therefore memory related to HT xue and KD essence; HT xue (short therm), KD essence (long term)

Sx: rining; high pitched, not loud, off/on, worse after overworking; deafness; floaters, blurred vision; dizziness, poor memory & concentration, palpitation; scanty, light menses; fatigue; pale nails

T: pale, thin, small with white coat
P: thin, weak

60
Q

Tx of Tinnitus & Deafness d/t HT Xue Xu

A

Nourish HT Xue; benefit ears and Shen

(basic) SI19, GB2, SJ21, SJ17; SJ3, SJ5, GB41 + LV8, UB15,17, R14, ST36, SP6

61
Q

HTN d/t liver fire

A

Sx: HTN, severe headaches, red eyes, red face, dry mouth, bitter taste in mouth, vertigo, constipation

T: red on sides with yellow dry coat
P: wiry, rapid

62
Q

Tx of HTN d/t liver fire

A

Purge LV Fire

(Basic) LI4, LI11, ST36, ST9, GB20, P6, GB41 + SJ5 (dai) + DU20, LV2; UB18, KD3

63
Q

HTN d/t Upward disturbance of W-Phlegm

A

Sx: HTN, headaches, dizziness, severe vertigo, N&V, turbid mucous disturbing head; thoracic oppression

T: white, greasy coat
P: wiry, slippery

64
Q

Tx of HTN d/t upward disturbance of W- Phlegm

A

Strengthen SP; Dispel Phlegm; Extinguish wind

(Basic) LI4, LI11, ST36, ST9, GB20, P6, GB41 + P5, R17, SP2,3; ST40, UB20

65
Q

HTN d/t excessive LV yang rising

A

Sx: HTN, throbbing headache, dizziness, vertigo, irritability, restlessness
*more spirit related, deeper than LV Fire

T: scarlet or dark red with yellow or cracked coat
P: wiry or slippery

66
Q

tx of HTN d/t excessive LV yang rising

A

Subdue LV yang

(Basic) LI4, LI11, ST36, ST9, GB20, P6, GB41 + DU20, 16; GB20, LV3 + SJ5; SP6

67
Q

HTN d/t LV & KD yin xu with LV yang rising (relatively too much yang)

A

Sx: hypertension, dizziness, vertigo, dry eyes, blurred vision, night sweats; numbness of limbs, trembling hands; tinnitus

T: red with thin yellow coat
P: thready, rapid

68
Q

Tx of HTN d/t LV & KD yin xu with LV yang rising

A

Nourish LV & KD yin; calm LV yang

(Basic) LI4, LI11, ST36, ST9, GB20, P6, GB41 + LV3, 14; KD 3,7,10; Taiyang; UB18

69
Q

HTN d/t KD yang xu

A

Failure to promote urination –> edema–> blood volume increases

Sx: HTN; cold limbs; cold sensation or aversion to cold; sore/weak low back, knees; impotence; dizziness; vertigo; w/ edema in the face and lower extremities; retention of urination; pale and lustrous face (water retention)

T: pale swollen w/ teeth marks and moist coat
P: deep, weak, slow

70
Q

Tx of HTN d/t KD yang xu

A

Warm KD yang; promote urination

(Basic) LI4, LI11, ST36, ST9, GB20, P6, GB41 + R3, UB28, ST28; Moxa Ren4, 6; UB23, DU4; UB22, 40, 60

71
Q

Congestive Heart Failure/Palpitations d/t HT Qi Xu with Retention of Xue Stasis

A

Chronic, Deficiency + Excess

Sx: chronic off/on sx; fatigue, exhaustion; SOB; soft voice; spontaneous sweating; all sx worse on exertion; pale face; palpiations; cyanosis; chest tightness or suffocating feelign or dull pain in chest

T: purple or pale with purple w/ thin white coat; distended veins
P: weak, deep, or hesitant

72
Q

Tx of Congestive Heart Failure/Palpitations d/t HT Qi Xu with Retention of Xue Stasis

A

Tonify HT (&LU) Qi/ Zong Qi, Promote xue circulation, remove xue stasis

(basic) R14,17; UB 14,15; P6; SJ5 + UB17, 40, SP10, HT7

OR:
R14, R17, P6, UB14, UB15, UB17, UB40, LV8; SI3 + UB62 (circulate qi, open du); LU7; KD6

73
Q

CHF/Palpitations d/t HT & KD Yang Xu with Retention of Water

A

Deficiency + Excess, Chronic

Sx: can arise from HT qi xu with retention of xue stasis; palpitations (bradycardic); cold extremities, cold sensation in knees, low back and between scapulas (HT Yang xu); impotence, scanty and difficult urination, or profuse and frequent urination; retention of urines of incontinence of urine; edema in whole body especially in lower extremities

T: Pale, swollen body with teeth marks and a white, wet, moist coat (d/t phlegm)
P: very deep, weak and slow or deep, slippery w/o strength

74
Q

Tx of CHF/Palpitations d/t HT & KD Yang Xu with Retention of Water

A

Warm HT and KD yang; promote urination; remove edema

(basic) R14,17; UB 14,15; P6; SJ5 + UB17, 40, SP10, HT7 + R4, 6; DU4, UB23, DU9 w/ moxa

If edema is severe: R3; UB28; ST28; R9; KD2; UB63 (to promote urination)

ATD1 (2 decks)

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