final TCM and Bio conditions Flashcards by yoon yi

TCM dx of Red Eyes

Mu Chi

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epidemic qi in red eyes pattern is in boomed?

conjunctivitis caused by bacteria

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what are possible biomedical patterns of Mu Chi

conjunctivitis
subconjunctival hemorrhage
corneal abrasion
iritis
chemical injury

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near-sightedness in TCM? what is another biomedical name?

jin shi

myopia

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far-sightedness in TCM? what is another biomedical name?

yuan shi

hyperopia / presbyopia

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decreased vision in TCM? what is another biomedical name?

shi li jian tui

macular degeneration
diabetic retinopathy

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dropping upper eyelid in TCM and biomedical name?

shang bao xia chui

ptosis

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swollen eyelids in TCM and biomedical name?

mu bao zhong zhang

can be due to:
blephaspasm
allergy
contact dermatitis

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constitutional emptiness in TCM?

xu ruo

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damage from emptiness in TCM?

xu sun

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emptiness taxation in TCM?

xu lao

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deficiency of source qi in TCM?

yuan qi da kui

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five zang decrease and injury

wu sang sun shang

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prostatic hyperplasia in TCM?

qian lie xian zeng sheng zheng

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alzheimer’s disease in TCM?

lao nian xin chi dai

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psychological disorder in TCM?

lao nian xin jing shen bing

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FLESH

, the thin muscle of eyelid is dominated by which organ?

SP / ST

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blood

inner and outer canthus of eyes is dominated by?

HT / SI

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the whites of eye : sclera is dominated by?

LU / LI

ex: smokers gets yellowish sclera

or constipated and have acne, the whites of eyes get very red

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WIND

iris and cornea is dominated by

LR / GR

red more around pupil is LR heat

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Water

all tissues behind the eyeball is dominated by

KD / UB

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what are local points around the eyes?

ST 1, 2, 3
UB 1, 2
SJ 23
GB 1
taiyang

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which points benefit the eyes?

SI 6
GB 14
GB 16
GB 37

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which point clears heat from sensory orifices?

SI 3

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which points are used for eye puffiness?

yin yao | qiu hou

which point eliminates wind, benefits head and eyes, and clears sense organs

GB 20

which pt clears heat, release wind and exterior, benefits head and neck?

SJ 5

what Red Eyes (Mu Chi) pattern & tx principle for: sudden onset, turns red in sclera with hot tears rough sensation in eyes aversion to cold, HA, nasal congestion, discharge happens in early wind heat cold syndrome, HA, nasal congestion T: red, later yellow coat P: floating, rapid

externally contracted wind heat TX: course wind, clear heat

what Red Eyes (Mu Chi) pattern & tx principle for: conjunctivitis caused by bacteria LU and ST heat, bacteria infection, damaged qi floats to eyes and also causes stagnation sudden red eyes, mostly on whites, burning sensation, sticky discharge, difficult to open eyes in morning rough sensation in eyes T: red, sticky yellow coat P: slippery rapid strong pulse

epidemic qi TX: dispel wind, clear heat, remove toxicity

what Red Eyes (Mu Chi) pattern & tx principle for: heat evils like summer heat, smoky areas, burning things spicy food, alcohol —> blocks network vessels so causes redness and stasis eyes are slightly red, more on white parts of eye, some blood vessels tearing, slightly itchy, photophobia worse in evening, better with rest and when not in contact with evils

heat evils deep lying in network vessels TX: clear heat, dispel stasis

what Red Eyes (Mu Chi) pattern & tx principle for: LV insults SP/ST, creates dampness white part of eye gets red, the lines / iris around the pupil gets red (bc it corresponds to liver), alcohol also goes to LU white parts of eye corresponds to qi of LU, white part of eye becomes red when white part becomes brown - stasis dry eyes, itching (bc long term wind builds up) T: enlarged, greasy coat P: slippery and rapid

alcohol toxins brewing internally TX: clean up heat, eliminates/drain damp

what Red Eyes (Mu Chi) pattern & tx principle for: emotionally involvement damage SP and ST Liver connect with eyes red on iris , burning pain and refuse pressure on eye some may have hot tears severe case - vortex headache, hypochondriac area distention red face, short tempered, dry mouth, constipated tongue - purplish, with dark spots/petachia, yellow coating, can be dry if insulting SP and ST long term, it can be thicker yellow coating pulse - wiry, rapid, if involved SP and ST can be slippery GB 20, GB 1, UB 2, DU 20, LU 11 (clear heat, esp if bleed), LI 4, LV 2, if severe HA, use KD 1 dx: long dan xian gan tang- drain fire from LV and GB

exuberant LV / GB fire tx: clear heat, drain fire from LV/GB dx: long dan xian gan tang- drain fire from LV and GB

what pattern of Red Eyes (Mu Chi) and tx principal for: menopause, overwork, eye slightly red, maybe red on corner, the redness is not even the redness of eye becomes worse in evening weakness of knee, back severe cases - five center heat patient also dry mouth, dry throat, pulse is more thready and thin, weak, and rapid (bc of empty heat) tongue - red, with no coat or thin coat

yin vacuity of LV / KD tx: nourish water, moist wood, clear liver heat, drain empty fire dx: zhi bai di huang wan - clear heat, nourish yin, moist liver

which pattern under dropping eyelids (Shang Bao Xia Chui) & tx principle? what condition is in in WMD? mostly due to overtaxation • weak constitution • long term poor diet, poor lifestyle->>SP damage->>CenterQiFall • eyelids-the thinnest muscle in the body ◦ when tired, it doesn't have strength to keep eyes open - want to close and rest • gradual onset • related to everyday activity-++fatigue=—strength of eyelids • both eyes affected • sx ◦ typical presentation - better in the morning, worse towards the end of the day ◦ fatigue, weak ◦ cold hands and feet ◦ may have diarrhea • T-pale,enlarged body with white coating • P-weak,fine,deep 

Center qi fall WMD: ptosis, blephaspasm tx: raise yang qi, tonify qi & spleen • Formula-Bu Zhong Yi Qi Tang ◦ Huang Qi

which pattern under dropping eyelids (Shang Bao Xia Chui) & tx principle? ``` can affect one or both eyelids ◦ ptosis • sudden onset • sx. ◦ itchiness ◦ headache • T- red tongue (coating can be normal or not) • P-floating,rapid  ```

externally contracted wind ex Bell's palsy tx: dispel wind, open up channel

which pattern under drooping eyelids (shang bao xia chui) & tx principle? due to trauma->>local Qi and blood stasis • likely one sided swollen, drooping eyelids 

qi stagnation & blood stasis tx: move qi, invigorate blood

which pattern for swollen eyelids (mu bro zhong zhang) & tp? & WMD? • poor diet, addicted to spicy greasy food->>damagedLU/SP • early stage-swollen eyelids that varies per daily diet  • redness around the eyes  • hot tears  • photophobia, swollen eyelids * T- usually red  * P-rapid

accumulated heat in LU / SP tp: clear heat, change diet, dispel wind, release toxicity

which pattern for swollen eyelids (mu bao zhong zhang)? tp? * poor diet, lifestyle,emotions->>LU,SP heat->>damp heat  * long term LV Qi stagnation turned into fire->>stagnation->>damp heat * severe swelling in eyelids - * feeling of difficulty opening the eyes ◦ ie. cry for long time ->> puffy eyes the next day • loss of appetite • bitter taste in the mouth • vertex headache  • T- red with greasy coating  • P-rapid,wiry 

attack from LV fire and damp heat tp: drain LV fire, clear up heat, drain damp GB 34 & 43; LV 2 - great pt for draining heat

swelling in the upper eye lids in the morning that you wake up with, that goes away means?

LU & KD xu

swelling in the lower eyelids (i.e. elderly with swollen bags under eye)

SP, LU, KD

swollen eyelid (Mu Bao Zhong Zhang) pattern, tp? LU SP Qi gets weak from poor diet, overthinking, taxation, chronic disease, weakness of the constitution or grief  • swollen eyelids esp the bottom  • temporary relief with pressure  • no change of color  • no pain or pressure, or itchiness  • T-puffy, scalloped, swollen behind the tips with white coating; sometimes whole body can be purple due to bad LU Qi P-weak,slippery

qi vacuity of SP / LU tp: tonify qi, harmonize middle, drain damp SJ 5 + LI 4 = good combo to drain water

what is Ren 9 used for?

called Shuifen "water passage" regulates water passages and treats edema good for face or swollen lids for this reason harmonize intestines and dispel accumulation

what pattern for swollen eyelids (Mu Bao Zhong Zhang) & tp? weak constitution  • or someone who lives in damp cold area- ie. living in basement • or rice field worker • wake up with face puffy ◦ low part of the eyes • lower back px complain of cold; lower abdomen cold • cold hands and feet, feeling fatigue  • T-puffy,scalloped, large and very moist • P- deep weak

yang vacuity of SP and KD tp: warm and tonify the SP & KD

what pattern fro swollen eyes (Mu Bao Zhong Zhang) overthinking, ruminating, overeating • long term overthinking->>damaged SP  • Water retention - HT not working well with circulation • puffiness on both upper and lower lids,  • puffiness feels and looks soft; like water balloon • color is normal  • fatigue, insomnia, palpitation, poor memory  • T-puffy,pale,  • P-weak,fine,deep

heat and spleen qi deficiency tp: tonify SP, nourish HT

which pattern for near-sightedness / jin shi? TP? WMD? over reading, over thinking - which damage the heart; spend long time in dim light (yang qi burn out), exhausted puffy eye in morning heart palpitation, sleeps too much and feels tired even after waking up, cold hands, cold feet, profuse urination tongue - pale, puffy tip, swollen, white coating pulse - deep and weak and sometimes slow bc of yang qi def

heart yang vacuity myopia tp: tonify heart, boost qi, settle will

what points are good for HT yang def?

``` HT 7 UB 15 UB 20 PC 6 DU 20 ```

which pattern for near-sightedness / jin shi? TP? ``` excessive sexual activity age, over menopause happens gradually floaters complain of back and knee problems knee shows age men - impotence early urine dribbling urinating when coughing - muscle and tendon more yang def - more pale tongue if yin def - no coating on tongue pulse - depends ```

liver and kidney deficiency tp: nourish liver, tonify KD, nourish essence, brighten eyes

which pattern for far-sightedness (yuan shi)? tp? body overtaxed too much sexual activity grief - crying too much and become dry, burning yin patient difficult to see nearby, tinnitus, dizziness, low back problem, happens gradually, knees weak yin essence more dominant with bone dry mouth, throat, in severe cases teeth are loose and teeth falling out, more cavity tongue - dry, red, less coating or no coating pulse - thready, fine, rapid

yin essence def tp: nourish KD yin, boost essence

what is collect vision point, where is it located?

Zhen Guang points bt yu yao and UB 2 --> zhen gang 1 bt SJ 23 and yu yao --> zhen gang 2

which pattern for far-sightedness / yuan shi? tp? chronic disease - chronic liver or kidney disease over sexual activity over taxation empty heat becomes fire patient complains of severe eye dryness, burning sensation in eye, headaches red eye, more on inner canthus, tinnitus bc of empty heat, vertigo, dizziness low back pain, fatigue severe case - can have steaming bone (bone feels hot), night sweats, tongue - crimson, dark red, no coating pulse - thready, but wiry, rapid (bc of empty fire)

yin def causing empty fire to come up tp: nourish yin, downbear / drain fire

which pattern for far sightedness / yuan shi? tp? irregular meal (not enough blood and qi is built) trauma, postpartum, chronic fatigue, pale complexion, pale lips, dizziness, palpitation, insomnia, SOB for no reason poor appetite tongue - pale, puffy pulse - fine, weak

qi and blood def tp: boost blood and tonify qi

what pattern for farsightedness / yuan shi? tp? ``` age, elderly over 80, weak due to chronic disease (GI problems, KD or LV problems, etc) hard to treat eye degenerates rapidly alternating hot and cold complain of back, knee difficulty of walking incontinence tongue - depends on what dominates if yin def then red and small and pointy and dry; if yang def then tongue is pale and too big for their mouth ```

yin and yang def tp: support yang, nourish yin

what are 4 possible patterns for decreased vision / shi li jian tui?

1. turbid evils harassing above 2. qi stagnation and blood stasis 3. insufficiency of liver and kidney 4. dual deficiency of heart and spleen

what are the 6 extremes in TCM ?

``` 1. xue ji - blood def 2/ jin ji - sinew def 3. rou ji - flesh loss or weakness 4. gu ji - bone def 5. jing ji - essence def 6. qi ji - qi def ```

what are 7 injuries / qi shang?

1. overeating - damage SP 2. heavy lifting, sitting on wet floor - damage KD 3. cold drink damage LU 4. worry and sadness injures heart 5. wind, rain, cold, heat injures whole body 6. extreme anger damages liver 7. being frightened injures zhi and will

what organs dominates water?

KP SP LU

which pattern in urinary incontinence (prostatic hyperplasia / qian lie xian zing sheng zheng) ? tp? distension esp vagina, dripping, depression, emotional involvement - anger, worry, discontent - age spots on yang channel, dark facial complexion, yang there is more qi, but older people have less yang tongue - dry coating or can be yellow pulse: choppy, wiry

qi stagnation and blood stasis *elderly people it’s easy to get stasis, so short duration of qi stagnation, leads to blood stasis; when young it’s easier to recover from qi stagnation blood stasis TP: open blockage, flow urine, quicken blood, transform stasis

what point is good for promoting urination? where is it located?

UB 54 net to UB 19

which pattern in urinary incontinence (prostatic hyperplasia / qian lie xian zing shoeing zheng? tp? urine feeble stream, dribbling, and finally blocked complains of lower abd is painful to touch, bloating, women swelling and puffy, bc urine collecting tongue: dark, purple and puffy (bc water retention) pulse: thin, wiry, miss beats

stasis obstructing the bladder tp: dispel stasis, clear up water passkey

which pattern in urinary incontinence (prostatic hyperplasia / qian lie xian zeng sheng zheng ? tp? pts? frequent urination, but very little come out urgency warm during urination (like UTI), urine is more cloudy and have white and yellow cells lower abd distension, painful to touch, dry stool tongue: purple, coating is greasy and thick, sometimes yellow pulse: wiry, slippery

damp heat and stasis binding tp: clear heat, dispel dampness, quicken blood, open network vessel ``` pts: Ren 1, 3, 4 SP 9, 6 LV 2 St 44 UB 54 ST 28 ```

which pattern in urinary incontinence (prostatic hyperplasia/ qian lie xian zeng sheng zheng? tp? which point is called "Return" and can make urine happen? acks force of urination, later just dribbling back pains, knee feels cold, sometimes knee can be swollen, and weak four limbs weakness, and swelling, morning hand swelling, ankle swelling in afternoon face complexion is dull yang def makes cold, everything is frozen so stasis tongue: purple body, white coating, puffy pulse: deep, fine, sometimes you can’t fee it, so no root, can be slow

yang def and blood stasis tp: warm KD yang, quicken blood, transform blood stasis ST 29 / guilai

which ST point is good to use to unblock urine? where is it?

ST 28, shuidao, waterpassage 3 can inferior to umbilicus, 2 can lateral

which point is called water stream or man's middle, used for incontinence or acute lumbago pain?

DU 26

which organs are not fx in alzheimer's disease? in what ways?

SP/ST - impaired digestion LV - insufficient blood KD - no fire

which pattern in Alzheimer's disease / lao nan xin chi day? tp? what UB point? location? emotionally agitated and patient worries a lot excessive speech hypochondria distension pica dark complexion tongue- purple, thin white or yellow coating pulse: choppy or wiry

qi stagnation and blood stasis tp: quicken blood, transform stasis, tonify qi, resolve depression UB 47 - "spiritual gate hunmen, 3 cun lateral to midline, T9, level with UB 18 (LV)

which pattern in Alzheimer's disease / lao nian xin chi dai? tp? which UB pt? where? don’t talk, if you don’t give them food, they don’t eat, just sitting, no speech confusion, crying and laughing for no reason, can hear voices that are not there to do something eat strange food: grass, dirt, earth worms SOB, low voice (bc of qi def), lusterless, no spirit, face is dull and purple tongue: purple w/o coating, or thin yellow coating pulse: weak, wiry or choppy

qi def and blood stasis tp: tonify qi, up bear yang, quicken blood, open orifices UB 44 - spirit hall; shentang T 5, next to UB 15 (HT)

which pattern in Alzheimer's disease / lao nian xin chi dai? tp? emotional agitation, HA, sleep a lt rambling talk, tongue is too big bc of phlegm suicidal confusion, hear voices, tongue- purple, puffy, thick greasy coating pulse: wiry, slippery, rapid

phlegm and stasis obstruction tp: quicken blood, transform stasis, break up phlegm

which pattern for psychological disorders / lao nian xin jing shen bing? tp? agitated, restless, cry and laugh for no reason destroy things, and beating people tongue: purple, yellow or white coating, dry pulse: wiry, and choppy (may be hypertensive), can be rapid if emotionally agitated

liver fire mixed with stasis tp: drain fire, open bowel (usu very constipated bc of heat), quicken blood, dispel stasis

which pattern for psychological disorders / lao nian xin jing shen bing? tp? more depressed, sad heart palpitation, loss sleep, HA, severe case plum pit qi (obstruction sensation in throat), purple lips tongue: purple with petechia, coating is thick or thin pulse: wiry or choppy

qi stagnation and blods stasis tp: tonify qi, resolve depression, quicken blood and transform stasis

which pattern for psychological disorders / lao nian xin jing shen bing? tp? mental dullness disorder of speech big tongue, gurgle/muffled talking - whole mouth has lots of phlegm and saliva fullness on chest tongue: pruple, big, toothmarks, and wet, coating can be thick and greasy pulse: slippery

phlegm binding tp: quicken blood, resolve depression, transform phlegm, open orifices

which pattern for psychological disorders / lao nian xin jing shen bing? tp? bi syndrome spirit is dull, reaction is slow, no eye contact low voice lack self control, destroy things like punching window but they don't know why suicidal, fatigue bc of qi def. they don’t eat or drink, if you don’t give it to them tongue: pale purple, pulse: deep, choppy

qi def and blood stasis tp: tonify qi, settle spirit, quicken blood, nourish heart

pulse position of right chi guan cun characteristics in common?

LU SP KD yang & qi all water

pulse position of left chi guan cun

HT LV KD yin, essence bone

final TCM and Bio conditions Flashcards

(73 cards)