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NMT-TCM 1 > Lecture 3- tongue and pulse with TCM organs > Flashcards

Lecture 3- tongue and pulse with TCM organs Flashcards

1
Q

Triple warmer/ San Jiao/ triple burner

A

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

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2
Q

upper warmer

A

lungs and heart

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3
Q

middle warmer

A

stomach, spleen, liver, gallbladder

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4
Q

lower warmer

A

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

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5
Q

TCM Tongue organ map for triple warmer

A

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

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6
Q

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

A

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

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7
Q

middle finger at the styloid process

A

location of the triple warmer on the pulse

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8
Q

1 finger distal to the triple middle warmer styloid process

A

upper warmer

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9
Q

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

A

lower warmer

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10
Q

left hand organs

A

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

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11
Q

right hand organs

A

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

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12
Q

pulse diagnosis characteristics

A

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

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13
Q

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

A

pattern differentiation

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14
Q

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

A

the 8 principles

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15
Q

8 principles: where and what is the Exterior

A

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

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16
Q

8 principles: interior

A

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

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17
Q

8 principles: characteristics of HEAT

A

feeling hot; fever, sweating, thirst

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18
Q

exterior patterns symptoms

A

fever andchills, aching body, stiff neck, floating pulse

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19
Q

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

A

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

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20
Q

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

A

deficiency

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21
Q

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

A

Qi deficiency (AKA empty Qi)

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22
Q

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

A

Wei Qi

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23
Q

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

A

Ying Qi

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24
Q

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

A

Zong Qi

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25
Q

body’s constitutional energy and vitality

A

Yuan Qi- true qi

26
Q

Qi

A

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

27
Q

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

A

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

28
Q

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

A

Empty Yin, yin deficiency

29
Q

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

A

Blood deficiency (empty blood)

30
Q

What are the external and internal factors that causes disease

A

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

31
Q

6 external pernicious (pathogenic) influence/ factors

A
  1. wind
  2. cold
  3. heat
  4. dampness
  5. dryness
  6. summer heat
32
Q

wind pathogenic factor

A

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

33
Q

when wind invades the muscles and channels it causes

A

stiffness, rigidity, contraction of muscles

34
Q

when wind invades the joints it causes:

A

joint to joint pain , & in upper body

35
Q

DDX: wind cold

A

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

36
Q

DDX: wind heat

A

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

37
Q

internal wind

A

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

38
Q

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

A

cold

39
Q

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

A

cold

40
Q

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

A

heat

41
Q

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

A

heat

42
Q

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

A

dampness

43
Q

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

A

dampness

44
Q

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

A

dryness

45
Q

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

A

summer heat
Think of sweat and feeling hot in the summer

46
Q

strong intolerance/ dislike

A

aversion

47
Q

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

A

summer heat

48
Q

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

A
  • used to describe different patterns in the body
  • EXCESS HEAT, intense heat syndromes from the accumulation of excess heat
49
Q

what are some examples of FULL HEAT

A

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

50
Q

Full heat vs empty heat:
what is EMPTY HEAT

A

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

51
Q

how does the symptoms presents itself in EMPTY HEAT

A

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

52
Q

what are some examples of EMPTY HEAT

A

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

53
Q

how do the symptoms present itself in those with FULL HEAT

A

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

54
Q

how do you treat full heat and empty heat

A

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.

55
Q

full cold vs empty cold: WHAT IS FULL COLD

A

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

56
Q

how does full cold symptoms present

A

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

57
Q

how do you treat full cold

A

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

58
Q

full cold vs empty cold: WHAT IS EMPTY COLD

A

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

59
Q

how does empty cold symptoms presents itself

A

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

60
Q

how do you treat empty colds

A

nourishing yang organs and vital substances that provide warmth and balance

NMT-TCM 1 (4 decks)

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