Lecture 3- tongue and pulse with TCM organs

Question 1

Triple warmer/ San Jiao/ triple burner

Answer 1

divides the body into 3 “burner” regions” and regulates the flow of Qi (energy) & fluids throughout the body

Question 2

upper warmer

Answer 2

lungs and heart

Question 3

middle warmer

Answer 3

stomach, spleen, liver, gallbladder

Question 4

lower warmer

Answer 4

large intestine, small intestine, bladder, kidney, drainage ditch

Question 5

TCM Tongue organ map for triple warmer

Answer 5

upper: top of the tongue where the heart & lungs
2. middle warmer: median of the tongue for stomach and spleen, lateral is the gallbladder and liver
3. lower warmer: back of the tongue for kidney, bladder, intestines

Question 6

where do you put your middle finger when you palpate for pulse

Answer 6

styloid process ( the bony projections of the wrist on the posterior side)

Question 7

middle finger at the styloid process

Answer 7

location of the triple warmer on the pulse

Question 8

1 finger distal to the triple middle warmer styloid process

Answer 8

upper warmer

Question 9

1 finger proximal to middle warmer(triple warmer of styloid process)

Answer 9

lower warmer

Question 10

left hand organs

Answer 10

starting from most distal to the elbow
1. heart (cun)- upper warmer
2. liver (Guan)- middle warmer
3. Kidney (chi)- lower warmer

Question 11

right hand organs

Answer 11

starting from most distal to elbow
1. lung (cun)- upper warmer
2. spleen (Guan)- middle warmer
3. Kidney (chi)- lower warmer

Question 12

pulse diagnosis characteristics

Answer 12

Rate (below 60bpm, >90bpm)
rhythm (regular/ irregular)
size (long, short)
width (thin, thready, thick)
shape (wiry, soft, tense)
quality (chopped, rushing, slippery)

Question 13

similar to diagnosis, gathering all symptoms and applying to a category

Answer 13

pattern differentiation

Question 14

exterior and interior, heat and cold, excess and deficiency, yin and yang

Answer 14

the 8 principles

Question 15

8 principles: where and what is the Exterior

Answer 15

skin, muscles, channels, Wei qi resides
-exterior patterns: invaded by exterior pathogenic factor
- slower onset: affecting channels
- acute onset: invasion of wind-cold/ wind-heat

Question 16

8 principles: interior

Answer 16

internal organs, but once disease enters to interior it is now interior, therefore treating internal organ patterns

Question 17

8 principles: characteristics of HEAT

Answer 17

feeling hot; fever, sweating, thirst

Question 18

exterior patterns symptoms

Answer 18

fever andchills, aching body, stiff neck, floating pulse

Question 19

What happens when Wei defensive Qi is present and able to fight it but there’s an excess bc of the presence of a pathogenic factor aka what happens when you get acute sick

Answer 19

pain worse with pressure, acute and onset, irritability, restlessness, strong voice

Question 20

emptiness of the upright Qi and absence of pathogenic factor
(no pathogen present but also no presence of Qi/ decreased of Qi)

Answer 20

deficiency

Question 21

deficiency with Sx: pale face, weak voice, slight sweating, slight SOB, fatigue, loose stool, poor appetite

Answer 21

Qi deficiency (AKA empty Qi)

Question 22

circulates on the surface of the body to protect against external pathogens

Answer 22

Wei Qi

Question 23

Nutritive Qi that nourishes and sustains the body’s organs and tissues

Answer 23

Ying Qi

Question 24

gathering Qi that is responsible for inhalation and exhalation of breath + lung function

Answer 24

Zong Qi

Question 25

body's constitutional energy and vitality

Answer 25

Yuan Qi- true qi

Question 26

Qi

Answer 26

vital life force or energy that flows throughout the body, supporting its functions and maintaining overall health

Question 27

bright pale face, cold limbs, absences of thirst, desire for hot drinks, frequent pale urination

Answer 27

Empty yang (yang deficiency)-->could also be empty cold

Question 28

heat in the afternoon, dry throat at night, night sweats

Answer 28

Empty Yin, yin deficiency

Question 29

dull-pale face, pale lips, dry hair, blurred visions, tiredness, poor memory, insomnia, scanty periods

Answer 29

Blood deficiency (empty blood)

Question 30

What are the external and internal factors that causes disease

Answer 30

-external factors: pathogens -internal factors: stress, emotional problems that damage the organs - organ impairment: diet, drugs, lifestyle, Rx, emotional factors, external pathogens

Question 31

6 external pernicious (pathogenic) influence/ factors

Answer 31

1. wind 2. cold 3. heat 4. dampness 5. dryness 6. summer heat

Question 32

wind pathogenic factor

Answer 32

Yang , acute onset - lungs affected first (external wind) -liver affected (internal wind) -causes tremors, convulsions, stiffness, paralysis

Question 33

when wind invades the muscles and channels it causes

Answer 33

stiffness, rigidity, contraction of muscles

Question 34

when wind invades the joints it causes:

Answer 34

joint to joint pain , & in upper body

Question 35

DDX: wind cold

Answer 35

sneezing, cough white discharge, body stiffness and aches -pulses: floating, often no change from normal -tongue: no change

Question 36

DDX: wind heat

Answer 36

aversion to wind/heat, fever, sneezing, cough with yellow discharge, runny nose with yellow mucus, itchy, sore throat, swollen tonsils, red tonsils -pulses: superficial but usually no change - tongue: normal

Question 37

internal wind

Answer 37

tremors, tics, itchiness, severe dizziness, vertigo, severe: convulsions, unconsciousness, hemiplegia deviation of mouth, tongue

Question 38

injures yang, contracts and congeals (stagnation/ accumulation of pathological substances or energy in the body), causes CLEAR discharge

Answer 38

cold

Question 39

sleepiness, severe localized pain, but improved by heat, white tongue coating and body discharges, slow pulse, craves warmth, feels cold, pale complexion, lacks thirst, loose stool, clear urine

Answer 39

cold

Question 40

yang in nature, blazes upwards, drying (damages blood and yin) may cause bleeding, potential to generate wind when severe, affects the mind

Answer 40

heat

Question 41

high fever, desires cold, aversion, heat sensation, redness- skin, face, eyes, thirst, constipation, dark urine, restlessness, irritability, -bleeding Sx cough, vomit, gums, urine, stool, skin - rapid anything- pulse, breathing rate - yellow tongue coating (full heat) body discharges

Answer 41

heat

Question 42

excess of yin, from damp environments, clothes, living, wading, diet, lack of movement, sticky and difficult to get rid of, heavy and slow

Answer 42

dampness

Question 43

feelings of heaviness, pain, swollen/oozing, no appetite, bloating, made worse with food, cloudiness of discharges -pulses: slippery -tongue: sticky, coat and fat swollen tongue

Answer 43

dampness

Question 44

very dry/ hot weather, internal heat, dry warming. foods, lack of fluid intake, not enough fruits/veggies, salty processes foods -all Sx= dry -internal dryness= Yin deficiency without heat signs or sX

Answer 44

dryness

Question 45

yang in nature, like a heat stroke, combo of heat and damp, 1st aid situation

Answer 45

summer heat Think of sweat and feeling hot in the summer

Question 46

strong intolerance/ dislike

Answer 46

aversion

Question 47

aversion(dislike) to heat, sweating/ no headache, dark urine, dry lips, feeling of heaviness, irritability, thirst, no thirst if severe -pulse: rapid -tongue: red on the sides and tip - delirium, slurred speech and unconsciousness

Answer 47

summer heat

Question 48

Full heat vs Empty heat: what is FULL HEAT and common symptoms

Answer 48

- used to describe different patterns in the body - EXCESS HEAT, intense heat syndromes from the accumulation of excess heat

Question 49

what are some examples of FULL HEAT

Answer 49

ACUTE CONDITIONS infections: sore throat, inflammatory conditions like bronchitis, heatstroke

Question 50

Full heat vs empty heat: what is EMPTY HEAT

Answer 50

yin deficiencies - lack of body's cooling and nourishing properties - chronic conditions or deficiencies in Yin, fluids. nutrition or vital substances

Question 51

how does the symptoms presents itself in EMPTY HEAT

Answer 51

Yin deficiency: low grade fevers, night sweats, dry mouth, fltoatin-gempty, rapid pulse, no bitter taste, slight flush, anxiety, dry stools, waking up often

Question 52

what are some examples of EMPTY HEAT

Answer 52

yin deficiency: menopause: hot flashes, night sweats, empty yin diabetics: excessive thirst and urination could be a lose of fluids chronic inflammation: autoimmune diseases

Question 53

how do the symptoms present itself in those with FULL HEAT

Answer 53

Acute - high fevers, full-rapid pulse, strong thirst, redness of face and tongue, bitter taste - tongue: red with yellow coating

Question 54

how do you treat full heat and empty heat

Answer 54

full heat and empty heat represent different underlying patterns full heat: clearing excess heat, empty heat: nourishing and replenishing the body's deficient substances, such as yin or fluids.

Question 55

full cold vs empty cold: WHAT IS FULL COLD

Answer 55

EXCESS COLD,; ACUTE conditions with excessive accumulation and exposure to the cold

Question 56

how does full cold symptoms present

Answer 56

severe chills, bright-white pale face, sharp pain and worse on pressure, pulse is full-tight-deep with thick white coating

Question 57

how do you treat full cold

Answer 57

dispersing or warming the cold by removing person out of that environment

Question 58

full cold vs empty cold: WHAT IS EMPTY COLD

Answer 58

yang deficiency, CHRONIC lack of body's ability to warm and feeling of cold, lack of nourishing components to balance out the cold

Question 59

how does empty cold symptoms presents itself

Answer 59

dull-white face, better on pressure, worse after bowel movement , weak-slow-deep pulse, thin white coating

Question 60

how do you treat empty colds

Answer 60

nourishing yang organs and vital substances that provide warmth and balance