Menieres Disease Flashcards Preview

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Flashcards in Menieres Disease Deck (19):
1

definition:

chronic Dz of inner ear characterized by vertigo, tinnitus, hearing loss

2

etiology:

1) KID ess XU (sex, illness) ---> fail to nourish brain/yin xu leads to yang shi then disturbs clear orfice--->vertigo
2) LIV yang rising (stress, anger)--->LIV Qi stg--->fire---> dist. clear orfice
3) Qi/blood XU (diet, overthink, cold drugs)---> SP/ST weak--->D--->PH--->block MJ
4) Obsrtuction of trubid PH

3

Obstruction of turbid PH SX:

heavy head, chest tightness, vomit PH, nausea, loss appetite

4

QI/blood XU SX:

poor appetite, loose stool, palpitations, SOB, listlessness

5

KID ess XU SX:

low back/knee pain, dizziness, tinnitus

6

LIV yang rising SX:

irritability, anger, hypochondriac pain

7

patterns:

1) KID ess xu
2) LIV yang raising
3) Qi/blood xu
4) Obstruction of turbid PH

8

DX:

rule out: HTN, brain injury, other illness (common cold)

9

differentiate XU/SHI:

XU vs SHI
chronic/recurrent acute
long short
mild dizziness severe dizziness
SOB, listlessness vomit PH
palpitations
P=deep, thin, weak P=strong, wiry, rapid

10

POT

attack (SHI): transform PH/subdue yang, reduce, 1/day, use shaoyang/taiyang points

remission (XU): tonify KID ess/tonify Qi/blood, tonify

11

points:

GB-20/DU-20 (dizziness/vertigo)
SI-19 (dizziness, vertigo)
PC-6 (nausea)
LIV-3, SP-6, LI-4

12

KID ess XU points:

moxa RN-4/6
GB-39
UB-23/18/20/52

13

LIV yang rising points

taiyang, DU-23, SP-6, KID-1/7, LIV-8, UB-18/23

14

Qi/blood XU points

UB-20/21/17, ST-36, SP-6, RN-4/6

15

Obstruction of turbid PH points

ST-40, RN-12, yintang, ST-36, UB-20/21

16

ALT remedies:

1) moxa (DU-20)
2) auricular ( forehead, HT, KID, shenmen, inner ear, adrenal gland, subcortex, occipital)
3) scalp acu (dizziness, hearing lines)
4) herbs

17

point prescription protocols (2):

1) primary: PC-6, ST-36, LI-4, LIV-3, SP-6
secondary: DU-20, SI-19, ST-40, LU-7

2) primary: threading needle: DU-20--->DU-23/DU-20--->DU-17
secondary: HT-7 use 3 cun needle thread to elbow

18

EDU:

1) red rest during attack (quiet, prevent accident)
2) avoid rapid movement of head
3) limit fluid intake (drink less water)
4) low salt diet
5) reg. exercise (remission)
6) quit smoking/alcohol

19

chinese name:

Xuan Yun