- chronic - zang - sense organs

Final Flashcards by Melanie Stein

Syndrome Differentiation

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Treatment Principle

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Fang

Acupuncture Perscription

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Xue

Point Selection

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Shu

Techniques

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What are the four mechanisms of Acupuncture Therapy

Regulate Qi and Shen
Harmonizing Yin and Yang
Strengthening Body Resistance and Remvoving Pathogenic Factors
Dredge Meridians and Collaterals, Regulate Qi and Blood

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What book recorded points about 160, perscription about 200 and perscriptiion of single point and multiple points

Neijing

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What book recorded the principle of treatment and prescriptions of different diseases?

Zhenjiu Jaying

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What Was collected about 360 perscriptions of acupuncture before Tag Dynasty, 13 ghost points for manic depression

Perscriptions worth of Thousand Gold (Sun Si Miao)

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Why select local points?

tenderness + Ashi

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Review the symptomatic points

pg16

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Treat distal then local for?

acute

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Select local then distal

Chronic

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Use this for fullness of upper abdomen

Jing-Well

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Use this For body heat/fever

Ying-Spring

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Use this for heavy body and articulatory pain

Shu-Stream

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Use this for Asthma, cough, alternating chills/fever

Jing-River

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Use this for contra-movement of qi and diarrhea

He-Sea

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Back shu

chronic
zang
sense organs

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Front mu

more acute, fu organs

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yuan Source points

Internal zangfu organ disease

-Tx the meridian

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What is the Yin/Wei Linking point

PC 6

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What is the chong point

Sp4

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What points are used in combination to treat problems of the ST,Ht,chest, diaphragm

PC6/Sp4

-Yin linking/chong meridian

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What is the Yin Qiao/Heal point

Kd 6

What is the CV confluent point

Lu 7

What points are used in combination to treat lung, chest, diaphragm, throat

Lu 7 Kd6

What is the GV confluent point

SI 3

What is the Yang heel point

UB62

What two points treat the neck, inner cants, ear and shoulder

SI 3/UB62

What is the Dai confluent point

Gb41

What is the Yang linking confluent point

Tb 5

What 2 points treat the neck, outer cants, ear shoulder and cheek

GB 41 | Tb5

What are the 8 influential points

When do you use Xi-Cleft Points

acute/pain

When do you use Lower he-sea points

disease of fu

Name this disease and treatment principle: - Asthma - Acute - Averse cold, no sweat/thirst, SOB wheezing -Floating tight pulse

Excess Type Asthma -Disperse Lu Qi and Expel cold to relieve asthma

``` What Disease do these point treat? Lu7 BL 12 BL 13 Dingchuan CV 17 ```

Excess Type Asthma

What point would you add to excess type asthma if they had allergic asthma

Sifengxue

Li 11 Li 4 Gv 14 External Heat or External Cold?

External Heat

Li4 | Kd7

Support or stop sweating

Li4 Li 11 WindHeat or Wind cold?

Clear wind and heat in the upper jiao

Li4 Lr3 What does this treat? Stagnation, excess, deficiency?

Open and through gate Create movement for stagnation

Pc8 St36 Stagnation or deficiency of what channels?

Disperse depressed stagnation and regulate Sp and Stomach Pc8 opens the chest

Bl11 Bl10 Stiffness where?

Stiff neck, back, occipital headache

Bl11 | Influential point of what?

Influential point of bone

Lu11 Li1 Li4 Clears Hot or cold?

Clear heat and relieve sore throat

cv12

food and qi stagnation

Patient Presents with : chills, fever, no sweat/thirst - Treatment Principle - Points?

Disperse Lung qi and Cold ``` Li4 Gb20 Bl12 Bl13(specifically if cough present) Lu7 ```

Patient presents with aversion to wind, sore throat, fever, sweating 1. Treatment Principle 2. Main Points

Lu5: clears heat as water point Gv14: meeting point of all yang Li4 Li11 Lu10: ying spring/relieves heat, fire point Tb5: tx 500 diseases, relieves exterior, transforms heat

Patient presents with aversion to wind, sore throat, fever, sweating What if they also have Sore throat/dysphagia?

Li1:jing well Lu11: jing well Kd6: goes to throat

Patient presents with recessive fever, heaviness and a cold 1. Treatment principle 2. points

Clear summer heat and eliminate damp Li4 Cv12 Lu6: xi cleft, goes deeper for damp Tb6: damp heat St36

Patient presents with recessive fever, heaviness and a cold Also has severe heat Add what point

Gv14: meeting point of the yang

Patient presents with aversion to cold, fever, fatigue, they may not want to talk, sweaty What is the treatment principle? Points?

Tonify qi and release the exterior ``` Li 4 Gb20 Bl13 St 36 Cv 6 ```

Patient presents with frequent cough, yellow phlegm, thirsty, yellow tongue Treatment Principle Points

Disperse lung qi and clear heat ``` Bl13: relieve exterior Lu5: disperse lung qi Li4: GV14 Li 11 ```

Patient presents with harsh cough, white phlegm, chills, feverish cough Treatment principle points

Disperse lug qi and reliever exterior zheng Bl13 Lu7 Li 4 Bl12

patient presents with cough with profuse sputum Treatment Principle Points

Tonify Spleen and resolve phlegm ``` Bl 13 Lu 9 Bl20 Sp3 St 40 Li4 ```

Patient has a paroxysmal cough with sticky phlegm

reduce liver fire and clear lu ``` Bl13 Lu5 Gb34 Bl18 Lr3 ```

Patient has: Cough with yellow phlegm, warm, sweat, phlegmy wheezing, rapid SOB, thirsty, constipation, Tongue: red body, yellow greasy coat, pulse is rapid 1. Treatment principle 2. Points

Clear lung and resolve phlegm ``` Lu1 Bl13 Lu5 St 40 Dingchuan Li11 Gv14 ```

SOB, shallow breathing, clear phlegm, weak voice, nocturia, low back pain Tongue: pale, tender, flabby, thin coat

regulate and tonify lung and kidney ``` Bl13 Bl43 Lu9 Kd3 Bl23 Cv6 Cv17 Dingchuan ```

Spontaneous sweating, SOB pale tongue thready and weak pulse

Spontaneous sweating of deficiency Strengthen superficial resistance to stop sweating ``` Lu1 Bl13 Lu9 Bl43 St36 ```

Night sweating, palpitations, insomnia, lusterless complexion and lassitude with a thready pulse Nourish the blood to stop sweating

``` Deficiency of the heart H7 Pc6 Bl17 Li4 Kd7 ```

Night sweats, yin deficiency symptoms red tongue w/ no coat pulse is thready and rapid

Empty fire due to yin xue Nourish the yin ``` Pc7 Kd3 Ht6 Lv3 Li4 Kd 7 ```

Frequent belching, vomiting (mb acid or undigested food), foul breath, loose stool with foul odor, poor appetite Tongue: think coat Pulse: slippery and forceful

Food Stagnation/Retention Promote digestion and remove stagnated food ``` Cv12 St 36 Pc6 Sp4 Cv10 Cv21 ```

``` Vomiting w/ increased emotionality Frequent belching Acid reflux, Irritability Tongue: Dusky with thin greasy coat Pulse: Wiry and slippery ```

Attack on the stomach and liver qi ``` Disperse stagnated Lv qi and regulate stomach to stop vomiting Cv12 St 36 Pc 6 Sp4 Gb34 Lv3 ```

Fatigue, vomitting after eating, bloating, heaviness of body weakness pale sallow complexion Tongue: scalloped pale tongue Pulse: thin weak

Deficiency of sp and st Strengthen sp and regulate st to stop vomiting ``` Cv12 St36 Pc6 Sp4 Bl20 Lv13 ```

Vomiting with sudden onset

external invasion Expel the pathogen to harmonize the stomach ``` Cv12 St36 Pc6 Sp4 Bl20 Li4 ``` must determine if hot or cold

Patient presents with Acute diarrhea and abdominal pain 1. Treatment principle 2. Point perscription

Regulate the stomach and intestines ``` Cv12 St 25 St 36 Sp9 St 37 Li4 ```

Patient presents with Acute diarrhea and abdominal pain Also is foul smelling, burning and pulse is rapid tongue red What point would you add

Due to damp heat St 44

Patient Presents with sticky undigested food and fou order, tongue is thick white or yellow and the pulse is slippery and forceful 1. Treatment principle 2. Point perscription

Food Rentention: Promote digestion and remove rentention of food to stop diarrhea ``` St 25 St 36 Cv12 St 37 Lineiting ```

Patient presents with pain preceeding diarrhea, belching, tongue is dusky w/ thin white coat and wiry pulse Could also see mental emotional irritability

Liver qi attacking the spleen Sooth the liver qi and strengthen the spleen to stop diarrhea ``` Cv12 St 25 St 36 Lv3 Bl18 (Lv shu) Gb34 ```

Patient presents with loose stool, poor appetite, heaviness, fatigue, sallow complexion, weak pulse and pale scalloped tongue iwth a thin white coat

Tonify and regulate Spleen and Kidney ``` Cv12 Bl20 Lv13 St25 St 36 Sp3 Bl23 GV4 Cv4 Kd3 St 36 ```

Patient presents with loose stool, poor appetite, heaviness, fatigue, sallow complexion, weak pulse and pale scalloped tongue iwth a thin white coat What would tell you the kidneys are involvedy what poins

edema, frequent clear uniation slow week pulse, diarrhea is early in the morning ? Cv 4 Gv4

Patient presents with loose stool, poor appetite, heaviness, fatigue, sallow complexion, weak pulse and pale scalloped tongue iwth a thin white coat What points if due to chronic

spleen deficiency Bl25 Cv6 Cv9 St 25

Constipation with dry and hard stools, scanty dark urine, red face, warm sensation, bloated abdomenal pain, dry or mouth, bad breath

``` Open the blockage and free movement of the bowles Clear heat and moisten the intestines Bl 25 St 25 St37 Tb6 ``` Li4 Li11 St44

Constipation with belching, flatulence, fullness in the chest, hypo-chondrium, distenton, pain in abdomen, reduced appetite, alternating constipation and diarrhea Related to emotional change Tongue: thing white coat Pulse: wiry

``` Open the blockage and free movement of the bowles Soothe liver and regulate Qi Bl 25 St 25 St37 Tb6 ``` Cv 12 Lv 2 Cv 6 Gb 34

Stools are not dry but passing them with great efforts, even sweating, sob, tired after BM, pale face, low energy tongue: pale with thin white coat pulse: weak

Open the blockage and free movement of the bowles Constipation due to qi and blood deficiency ``` Tonify qi and nourish blood Bl 25 St 25 St37 Tb6 ``` ``` Bl20 Bl21 Cv4 Sp6 St36 ```

difficulty passing stools, clear coious urine, pale face, cold extremeties, cold pain in the lower abdomen or lower back, intolerance to cold Tongue: pale with white coat Pulse: deep and slow

``` Open theblockage and free movement of the bowels Tonify kidney and warm yang Bl 25 St 25 St37 Tb6 ``` Cv 6 Cv8 Bl23 Cv4

stomach pain better warm, cold sensation tongue: pale and wet pulse: slow and weak maybe tight

Warm Zhong-jiao and eliminate cold ``` Cv 12 Pc 6 St 36 Lv 13 Bl20 Vl21 ```

Pain aggravated by eating, fulness and distension

Remove stagnated food and regulate the stomach Cv 12 PC6 St36 Cv11: pain/bloating

Pain radiates to epigastric/hypochondriac region, better with belching and passing gas

Remove stagnation of Liver qi, harmonize stomach ``` Cv 12 Pc6 St36 Lv3 Lv14 Gb34 ```

Pain radiates to epigastric/hypochondriac region, better with belching and passing gas Add what with epigastric and abdominal distention?

Bl20 | Sp4

Pain radiates to epigastric/hypochondriac region, better with belching and passing gas add what if acid reflux and belching present

Bl 18 Bl19 Gb40

Yang Shui

Edema will start from the upper part of the body extending downwards. Causative factor most often external, disrupting the LU ability to descend and disperse, the water pathways are obstructed.

Yin Shui

1. Edema will start from lower body then gradually spread to the upper portions of the body. Yin shui is more related to internal organs (internal causative factor is the body’s yangqi – SP no longer have normal transportation and transformation, – KD yangxu, failure of the kidney in transporting water a. Pitting edema is present

Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat Tongue: White wet coat, greasy Pulse: floating/tight

Yang Shui: relieve the exterior and promote diuresis LI4, LI6, LU7, BL13, SP9, BL22

Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat Tongue: White wet coat, greasy Pulse: floating/tight Facial edema is also present

GV26, GV21

.Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat Tongue: White wet coat, greasy Pulse: floating/tight Full and oppressed sensation in the chest:

PC6 (good for stomach and chest, chong mai), KI6(yin chiao mai goes to diaphragm and throat)

.Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat Tongue: White wet coat, greasy Pulse: floating/tight SOB

i. LU7, LU5 (he sea, treats the internal organ, treats reversed flow, so here the water pathogen obstructs the lung so it does not have a normal function of qi, the qi is going up)

.Edema Starts on face, skin luster, scanty urine, chills/fever/no sweat Tongue: White wet coat, greasy Pulse: floating/tight Sore Throat

Lu11

Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin Tongue: Flabby, scalloping, pale, thin white coat pulse: deep, weak

Warm yang to induce diuresis (for yin shui): CV6, CV9, BL20, BL23, ST36 warms the middle jiao, KI3

Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin Tongue: Flabby, scalloping, pale, thin white coat pulse: deep, weak With edema on upper limbs

Li6

Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin Tongue: Flabby, scalloping, pale, thin white coat pulse: deep, weak Edema on lower limbs

Sp 9

Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin Tongue: Flabby, scalloping, pale, thin white coat pulse: deep, weak Edema on foot

Gb41

Edema begins in lower part of body, moves upward, pitting edema, sallow or dark skin Tongue: Flabby, scalloping, pale, thin white coat pulse: deep, weak Diarrhea

ST25

Diabetes with i. Thirsty, dry mouth and tongue ii. Frequent urination iii. Tongue: Red tip, thin yellow coat iv. Pulse: big, rapid

Clear away lung heat and moisten dryness LU10, BL13, LU9, LI4, BL15, Yishu

Middle xiao – big appetite, excessive eating Thirsty, frequent urination Tongue: red, dry yellow coat Pulse: slippery, rapid

Clear away stomach heat and nourish yin: BL20, BL21, Yishu, ST44, SP6, LI11

Middle xiao – big appetite, excessive eating Thirsty, frequent urination Tongue: red, dry yellow coat Pulse: slippery, rapid Gastric upset, easy hungry

CV12, PC6

Middle xiao – big appetite, excessive eating Thirsty, frequent urination Tongue: red, dry yellow coat Pulse: slippery, rapidi. Constipation

+ ST25, ST37

``` Lower xiao – frequent urination Dry mouth, thirst Dizziness, vertigo, restlessness, low back/knee soreness Tongue: Red body, less coating Pulse: Deep, thready, rapid ```

Reinforce the kidney and nourish yin: BL23, BL18, Yishu, KI3, LR3, SP6

``` Lower xiao – frequent urination Dry mouth, thirst Dizziness, vertigo, restlessness, low back/knee soreness Tongue: Red body, less coating Pulse: Deep, thready, rapid ``` Blurred Vision

GB37

``` Lower xiao – frequent urination Dry mouth, thirst Dizziness, vertigo, restlessness, low back/knee soreness Tongue: Red body, less coating Pulse: Deep, thready, rapid ``` Dizziness:

add GV23, Taiyang

``` Lower xiao – frequent urination Dry mouth, thirst Dizziness, vertigo, restlessness, low back/knee soreness Tongue: Red body, less coating Pulse: Deep, thready, rapid ``` Deficiency of yang:

+ GV4, CV4 (moxa)

Xiaoke General symptoms of diabetes: excessive eating, frequent urination, thirst Patient has still lost weight

Prescription for Xiaoke: BL13, BL20, BL23, Yishu, ST36, KI3

Xiaoke General symptoms of diabetes: excessive eating, frequent urination, thirst Patient has still lost weight Thirst:

+ LU11, LU10, BL17

Xiaoke General symptoms of diabetes: excessive eating, frequent urination, thirst Patient has still lost weight i. Excessive eating and hunger:

+ BL20, BL21, CV12

Xiaoke General symptoms of diabetes: excessive eating, frequent urination, thirst Patient has still lost weight Frequent urination:

+ CV4, KD7, KD5

Final Flashcards

(107 cards)