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Internal Medicine > Palpitation, Chest Impediment + Insomnia > Flashcards

Palpitation, Chest Impediment + Insomnia Flashcards

Etiology, Pathogensis, Patterns, S/sx, Treatment Principles + Principle Points (62 cards)

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1
Q

2 main functions of the Heart

A

Heart governs the Blood
Houses the Shen

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2
Q

What are the clinical symptoms of the Palpitations?

A

The subjective feeling of uncertain heartbeat and nervousness that is even uncontrollable

Symptoms are always paroxysmal and can be induced by emotional fluctuation or overexertion.

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3
Q

What additional symptoms accompany Palpitations?

A

Insomnia, chest stuffiness, dizziness, and dyspnea.

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4
Q

What diseases can the symptoms be seen in according to Western medicine?

A

Coronary heart disease, rheumatic heart disease, hypertensive heart disease, anemia, and cardiac neurosis.

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5
Q

2 main etioligies of Palpitations

A

Disturbance of Mind + Spirit
(Excessive)

Insufficiency of Qi + Blood
(Deficiency)

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6
Q

The following are patterns of __________?

Blood stasis of Heart
Water Qi Intimidating Heart
HT + GB Xu
HT + SP Xu
Hyperactivity of the Fire due to Yin Xu

A

Palpitations

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7
Q

What are the causes of the excessive patterns of Palpitation due to disturbance of the Mind + Spirit?

A

Fright
Internal accumulation of Phlegm + Heat
Mental Depression + anger

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8
Q

The following is the pathogenesis of _____________ causing Defiecent patterns of Palpitations.

Persistent disease, weak constitution, loss of blood, and overthinking damaging the HT + SP’s ability to produce Blood to nourish the HT + Shen

A

Insufficiency of Qi + Blood

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9
Q

The following is the pathogenesis of _________ causing Palpitations.

Disharmony between HT + KI
HT Fire + KI Water is out of balance
Ki Water is unable to check HT Fire resulting in Fire flaring up disturbing the mind causing Palpitations

A

Hyperactivity of Fire due to Yin Xu

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10
Q

The following is the pathogenesis of ______ causing Palpitations.

Retention of harmful fluid due to depression of the HT Yang or due to
SP + KI Yang Xu disturbing the heart

A

Water-Qi intimidating HT

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11
Q

The following is the pathogenesis of _________ causing Palpitations.

The vessels of the HT are blocked

A

Blood Stasis of the Heart

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12
Q

The following S/sx are manifestations of Palpitations due to ________?

Palpitations, restlessness, terror/fright, oppression in chest, sudden pain in HT, SOB, lassitude
T: Dark purple w/ ecchymosis
P: Choppy

A

Blood Stasis of HT vessels

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13
Q

The following S/sx are manifestations of Palpitations due to ________?

Palpitations, restlessness, terror/fright, oppression in chest, inability to turn, expectoration of profuse, frothy sputum, cold body/lumbs
T: Pale w/ white slippery coating
P: Slippery + Rapid

A

Water-Qi Intimidating HT

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14
Q

The following S/sx are manifestations of Palpitations due to ________?

Palpitation provoked by fear, lassitude, insomnia, dreaminess, timid personality
SOB, low voice
T: Pale w/ thin coating
P: Wiry + Thready (Blood Xu)

A

HT + GB Xu

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15
Q

Why is the Gallbladder involved in Palpitation?

A

Gallbladder governs decision-making

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16
Q

The following S/sx are manifestations of Palpitations due to ________?

Palpitation, insomnia w/ dreaming
Dizziness, blurred vision (Blood can’t nourish), sallow complexion, loose stools,
lassitude & weakness, poor appetite
T: Pale
P: Thready + Weak

A

HT + SP Xu

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17
Q

The following S/sx are manifestations of Palpitations due to ________?

Palpitations, restlessness, insomnia, dizziness, blurred vision, tinnitus, soreness in lumbar + knees, dry mouth, dry throat
T: Red w/ scanty coating
P: Rapid + Thready

A

Hyperactivity of Fire Due to Yin Xu

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18
Q

Principal points for all patterns of Palpitations

A

PC-6: Luo-connecting + Unbinds chest + Regulates HT Qi + Calms Shen + Confluent of Yin LV
PC-4: Xi-cleft + Calms Shen
HT-7: Yuan source + Calms Shen + Regulates & tonifys HT Qi
BL-15: Back-shu of HT
REN-14: Front-fu of HT + soothes HT

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19
Q

Supplementary points for Palpitations due to HT + GB Xu

A

PC-6 + PC-4 + HT-7 + BL-15 + REN-14
AND

BL-19: Back-shu of GB
HT-5: Luo-connecting + Calms Shen + Regulates HT rhythm + ‘sudden’ disorders ir loss of voice

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20
Q

Supplementary points for Palpitations due to HT + SP Xu

A

PC-6 + PC-4 + HT-7 + BL-15 + REN-14
AND

BL-20: Back-shu of SP
ST-36: Tonifys Qi + Blood

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21
Q

Supplementary points for Palpitations due to Hyperactivity of Fire due to Yin Xu

A

PC-6 + PC-4 + HT-7 + BL-15 + REN-14
AND

BL-23: Back-shu of KI
KI-3: strengthen Ki Yin

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22
Q

Supplementary points for Palpitations due to Blood Stasis

A

PC-6 + PC-4 + HT-7 + BL-15 + REN-14
AND

REN-17: Sea of Qi + unbinds chest
BL-17: Back-shu of Blood + Activate Blood

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23
Q

Supplementary points for Palpitations due to Water Qi Intimidating HT

A

PC-6 + PC-4 + HT-7 + BL-15 + REN-14
AND

REN-6: Tonifys KI + fortifies Yang
REN-8: Warms Yang (moxa)

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24
Q

Supplementary points for Palpitations due to accompany S/sx

A

Susceptibility to fright PC-7: Yuan + clears heat disturbing HT + treat nightmares

Hydrosis (excessive sweating)
BL-43: Nourish Yin + Clears heat
Calms Shen

Reslessness + fever PC-8: Ying-spring + Clears Heat

Tinnitus SJ-3: Clears heat + benefits ears

Edema SP-9: Resolves dampness

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25
Water metabolism points
REN-9 + ST-28 + SP-9
26
Empirical points for any Ear Diseases
SJ-3
27
What is considered Insomnia?
Inability to have normal sleep including difficulty in falling asleep, inadequate sleep, difficulty staying asleep, or being awake all night in severe cases.
28
What is Chest Impediment referred to in TCM?
Xiong Bi
29
What is Chest Impediment considered in Western Med?
Coronary Atherosclerotic Cardiopathy, Myocardial Infarction and Pericarditis
30
2 main etiologies of Chest Impediment
Stagnation of Qi + Blood Stasis and Malnourishment (empty vessels)
31
What do the following cause in regards to Chest Impediment? External Evils staying in chest Emotions stress obstructing Qi in chest Improper diet impairing the SP + SP resulting in an accumulation of phlegm
All obstruct blood Causing stagnation of Qi + Blood Stasis in the chest
32
What do the following cause in regards to Chest Impediment? Exertion or blood loss injuring the HT + SP resulting in Qi + Blood Xu Multiply pregnancy or aged people resulting in KI Essence Xu which can't nourish the HT Yin
All cause insufficient blood in the vessels causing malnourishment or empty vessels
33
The following are patterns of ________? HT Yang Xu (Deficient Cold) Turbid-Phlegm Blood Stasis
Chest Impediment
34
The following S/sx are manifestations of Palpitations due to ________? Chest pain radiating to back, palpitations, oppression in chest, SOB, aversion to cold, cold limbs/body, aggravated by cold T: Pale + puffy P: Deep + Slow
HT Yang Xu
35
The following S/sx are manifestations of Palpitations due to ________? Pain + oppression in chest, pain radiating to back, dyspnea, SOB, cough w/ profuse stick sputum T: w/ white greasy coating P: Slippery + Slow
Turbid-Phlegm
36
The following S/sx are manifestations of Palpitations due to ________? Stabbing pain in chest, sudden severe pain radiating to back, oppression in chest, SOB, palpitations, cyanic lips T: Dark purple P: Choppy
Blood Stasis
37
Principal points for all patterns of Chest Impediment?
PC-6: Open chest + soothe chest Qi PC-4: Luo-connecting pt + Xi-cleft point + Dispels stasis BL-15: Back-shu of HT REN-14: Front-mu of HT REN-17: Hui-meeting of Qi + Unbinds chest
38
Supplementary points for Chest Impediment due to HT Yang Xu
PC-6 + PC-4 + BL-15 + + REN-14 + REN-17 and BL-13: Back-shu of LU BL-12: Wind Gate + Releases exterior REN-6: Boosts Yang Qi (moxa) REN-4: Fortifies Orginal Qi (moxa)
39
Supplementary points for Chest Impediment due to Turbid-Phlegm
PC-6 + PC-4 + BL-15 + + REN-14 + REN-17 and LU-9: Yuan + Tonifys LU + transforms phlegm ST-40: Resolves phlegm
40
Supplementary points for Chest Impediment due to Blood Stasis
PC-6 + PC-4 + BL-15 + + REN-14 + REN-17 and BL-17: Hui-meeting of Blood SP-6: Promotes flow of Qi + Invigorates Blood
41
Supplementary points for accompanying S/sx for Chest Impediment
Pain radiating to back, cupping on BL-13 + BL-15 SOB BL-23: Back-shu of KI (moxa) BL-24: Back-shu of Qi Blue lips- Bloodlet Jing-well LU-11 + HT-9 + PC-9
42
Which Zang organs are related to any disturbance of the Heart?
Heart governs Blood Spleen produces Blood Kidney provides Essence and Liver stores Blood
43
The following patterns are differentiation of __________? HT + SP Xu HT+ GB Xu Disharmony of HT Yang + KI Yin Liver Fire Disturbing Heart Disharmony of SP + ST generating Phlegm or Fire
Insomnia
44
The following S/sx are manifestations of Insomnia due to ________? Sleep w/ dreams, easily awaken, palpitations, amnesia, blurred vision, dizziness, pale complexion, lassitude, poor appetite T: Pale w/ white coating P: Thready + Weak
HT + SP Xu
45
What is the pathogenesis of Insomnia due to HT + SP Xu?
Anxiety or overthinking damages the HT + SP resulting in inadequate QI + Blood nourishing the Shen
46
The following S/sx are manifestations of Insomnia due to ________? Sleep w/ dreams, easily awaken, palpitations, susceptibility to terror fright T: Pale w/ white coating P: Wiry + Thready
HT + GB Xu
47
What is the pathogenesis of Insomnia due to HT + GB Xu?
Weak constitution, susceptibility to fright, difficulty making decisions
48
The following S/sx are manifestations of Insomnia due to ________? Insomnia, restlessness, alternating between awake + alseep, dizziness, tinnitus, seminal emission, night sweats, dry mouth + throat T: Red w/ scanty coating P: Rapid + Thready
Disharmony of HT Yang + KI Yin
49
What is the pathogenesis of Insomnia due to Disharmony of HT Yang + KI Yin
Anger, fear, terror or sexual over-indulgence impair the LR + KI Yin leading to Deficient Fire disturbing the HT
50
The following S/sx are manifestations of Insomnia due to ________? Restlessness, anxiety, irritability, dizziness, headache, fullness in chest + hypochondriac region T: Red w/ yellow coating P: Rapid + Wiry
Liver Fire Disturbing Heart
51
What is the pathogenesis of Insomnia due to Liver Fire Disturbing Heart
Anger or negative emotions causing LR stagnation resulting in fire flaming up to disturb Heart/Shen
52
The following S/sx are manifestations of Insomnia due to ________? Epigastric distension, belching w/ foul odor, acid reflux, restlessness T: Red w/ thick, greasy coating P: Rapid + Slippery
Disharmony of SP + ST generating Phlegm or Fire
53
What is the pathogenesis of Insomnia due to Disharmony of SP + ST generating Phlegm or Fire?
SP can't T&T resulting in ST being blocked or can't descend properly resulting in harmful products ie: phlegm, dampness and transforming into fire Stomach qi is blocked and can turn into fire as well
54
Main principal points for the treatment of insomnia?
HT-7: Yuan source + Calms Shen + Regulates & tonifys HT Qi PC-6: Luo connecting + Regulates HT + Calms Shen Sishencong: Smart point + Improves intelligence + Calms Shen KI-6: Confluent pt of Yin MV+ Closes the eyes + Nourish KI + clears Deficient Heat BL-62: Confluent pt of Yang MV + Ppens the eyes, Anmian: Invigorate brain marrow + Calm Shen
55
What is the Luo-Yuan combo to treat Insomina?
KI-6 + BL-62
56
What is the Empiric point for Insomnia?
Anmian
57
Supplementary points for Insomnia due to HT + SP Xu
HT-7 + PC-6 + Sishenchong + KI-6 + BL-62 + Anmian and BL-15: Back-shu of HT BL-20: Back shu of SP
58
Supplementary points for Insomnia due to HT+ GB Xu
HT-7 + PC-6 + Sishenchong + KI-6 + BL-62 + Anmian and BL-15: Back-shu of HT BL-19: Back-shu of GB
59
Supplementary points for Insomnia due to Disharmony of HT Yang + KI Yin
HT-7 + PC-6 + Sishenchong + KI-6 + BL-62 + Anmian and KI-3: Nourishes KI Yin + clears deficiency heat + tonifies KI Yang BL-15: Back-shu of HT
60
Supplementary points for Insomnia due to Liver Fire Disturbing Heart
HT-7 + PC-6 + Sishenchong + KI-6 + BL-62 + Anmian and LR-2: Ying-spring + Clear LR Fire GB-43: Ying-spring + Clears GB Heat
61
Supplementary points for Insomnia due to Disharmony of SP + ST generating Phlegm or Fire
HT-7 + PC-6 + Sishenchong + KI-6 + BL-62 + Anmian and SP-4: Fortifies Sp + harmonises MJ ST-36: Tonifys Qi + Blood ST-40: Resolves phlegm ST-44: Ying-spring + Clears ST Heat
62
Points for accompanying S/sx with Insomnia
Neurosis- ST-36 + REN-4 Seminal Emission- REN-4 + BL-52 Dream-disturbed sleep- BL-42 + ST-45 Dizziness + amnesia- Yintang + GB-20

Internal Medicine (34 decks)

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