pathomechanisms of fu organs Flashcards Preview

Spring 2013 / FCM 2 > pathomechanisms of fu organs > Flashcards

Flashcards in pathomechanisms of fu organs Deck (66):
1

The stomach has an interior-exterior relationship with which organ

the spleen

2

what organ governs the reception of food and therefore is responsible for appetite

the stomach

3

what organ governs the downbearing of turbid

the stomach

4

why is the stomach an organ susceptible to counterflow?

because the action of the stomach is downward

5

what are the two possible vacuity patterns we can see with the stomach

stomach vacuity cold and stomach yin xu

6

what are the four possible repletion patters we can see with the stomach

stomach repletion cold, food stagnation, stomach heat, and stomach qi ascending (counterflow)

7

how can one get excess cold in the stomach

by excess consumption of cold, raw foods

8

what is an example of excess cold in the stomach

wind-cold

9

the liver invading the stomach could lead to_

stomach qi xu

10

vacuity cold in the stomach is characterized by_

gradual onset, pronounced vacuity signs, fewer cold signs, longer duration

11

excess cold in the stomach is characterized by_

sudden onset, pronounced cold signs, fewer vacuity signs, shorter duration

12

what are some of the signs and symptoms of vacuity cold in the stomach

stomach pain, vomiting (clear, cold, sour fluid), belching, acid upflow
general: aversion to cold, lack of warmth in the extremities, pale, enlarged tongue, soggy pulse

13

what are some signs and symptoms of excess cold in the stomach

acute cold pain (ex: cramping), glomus and distention, nausea and vomiting, cold limbs and body (more cold), pale tongue with white fur, sunken tight pulse

14

in what instance would one feel better or worse when/after vomiting?

with vacuity cold in the stomach, one would feel worse when vomiting
with excess cold in the stomach, one would feel better when vomiting

15

symptoms are worsened by exposure to cold, and relieved by eating or applying heat or pressure in what circumstance?

vacuity cold

16

syptoms are worsened with pressure, exposure to cold, and relieved by exposure to warmth in what circumstance?

excess cold

17

what is stomach yin vacuity

insufficiency of the yin humor of the stomach

18

what are some of the causes of stomach yin vacuity

- intense stomach heat (ie: overconsumption of greasy, spicy foods, liver fire)
- damp-heat injuring the stomach/spleen
- damage to liquid due to externally contracted febrile disease

19

what are some of the signs and symptoms of stomach yin xu

dry lips and mouth, strong thirst, reduced food intake, dry/crimson area in center of tongue (may be peeled), rapid/fine pulse
*we do not see general yin deficiency signs here

20

what are some signs and symptoms of food stagnation

aversion to food, nausea, vomiting (putrid smelling), belching, foul smelling stool and flatus, relief of discomfort with passing stool or flatus

21

what are some causes of stomach heat

evil heat entering the interior, overindulgence of hot, spicy, greasy foods or alchohol, liver fire invading the stomach
*also can be generated during pregnancy

22

what are some signs and symptoms of stomach heat

- heat affecting the functino of intake/receiving (ie: rapid metabolism, rapid digestion and hungering)
- heat affecting the stomach downbearing (ie: pain, burning sensation in the stomach, vomiting, insatiable hunger, hard stool)
- stomach heat results in upper body signs (ie: bad breath, painful, swollen, bleeding gums)
- general signs of stomach heat (ie: bitter taste in mouth, dry mouth, red tongue with yellow dry coat, rapid, slippery pulse)

23

a chief sign of impaired harmonious downbearing of the stomach is_

stomach qi ascending counterflow (ie: nausea, vomiting, belching, hiccough)

24

what causes stomach qi counterflow?

anything that impairs harmonious downbearing of stomach qi (ie: cold, heat, phlegm, food stagnation, damp-turbidity)

25

what are the three patterns of the small intestine

- small intestine qi pain (replete cold) (mounting-repleted cold in SI)
- small intestine replete heat
- small intestine vacuity cold

26

what are the causes of repletion heat in the small intestine

- a pathology of the SP or ST passing to SI via hot, spicy, greasy foods
- heart-fire draining to SI (ex: emotional excess)

27

what are the signs and symptoms of repletion heat in the small intestine

vexation, mouth sores, rough/painful urination, reddish urine (ie: UTI), abdominal pain, yellow tongue fur, rapid/slippery pulse

28

what is the cause of small intestine qi mounting (repletion cold)

caused by small intestine vacuity and invasion of wind-cold, or cold invading the abdomen

29

what is SI repletion cold charcterized by

characterized by qi-stagnation due to cold (ie: twisting pain in abdomen, testicles or lower back, tight/slow pulse, likes warmth and no pressure, abdomen feels cold to the touch)

30

small intestine vacuity cold is usually seen with _

spleen qi or yang vacuity

31

signs and symptoms of small intestine vacuity cold are a result of an interruption of the small intestine's function of:

separation of pure from tubid

32

what are some signs and syptoms of vacuity cold in the small intestine

- dull pain in lower abdomen (relieved by pressure and warmth)
- rumbling intestines
- frequent, inhibited urination
- pale tongue with white fur
- weak moderate pulse
- disruption in urination and digestion

33

what are the two vacuity patterns that can exist for the LI

- vacuity cold
- humor depletion

34

what are the three repletion patters that can exist for the LI

- damp-heat
- heat-bind
- cold-bind

35

what are the main causes why LI can misfunction

- ST and LU not descending
- accumulation of heat which damages the body fluid = dry stool
- yang, qi, blood, or yin deficiency = dry stool and constipation

36

what are the main causes of diarrhea

- cold damp accumulating in the middle jiao
- damp heat accumulating in the middle jiao
- SP yang vacuity (diarrhea with undigested food)

37

what are the two main causes of large intestine vacuity cold

spleen yang deficiency and kidney yang deficiency

38

what are the causes of spleen yang deficiency affecting the LI

improper diet, chronic illness, emotional strain, overstrain, KD yang deficiency

39

what are the signs and symptoms of spleen yang deficiency affecting the LI

thin diarrhea, reduced food intake, cold limbs, aching lumbus, aversion to cold, thin tongue fur, fine sunken pulse

40

what are some causes of kidney yang deficiency affecting the LI

spleen yang xu, heart yang xu, lung yang xu, congenital deficiencies, aquired deficiency, overexertion, chronic disease, old age

41

what are the signs and sx of kidney yang deficiency affecting the LI

(many same signs and sx as spleen yang deficiency) thin diarrhea, reduced food intake, cold limbs, aching lumbus, aversion to cold, thin tongue fur, fine sunken pulse

42

what are the cuases of large intestine humor depletion

- damage to liquids (short-term due to febrile disease)
- postpartum blood vacuity
- liquid depletion in the elderly
- long term, severe illness (depletes yin/humor

43

what are some signs and symptoms of large intestine humor depletion

dry, hard stool, difficult defecation, generally weak state of health, no abdominal distention or pain

44

what are the causes of damp-heat pouring down to LI

- weak spleen + heat in the stomach (usual cause)
- dampness obstructing the intestines leading to heat

45

what are the signs and symptoms of large intestine damp-heat

abdominal pain, diarrhea with ungratifying defecation, foul smelling stool, gas, dysentery (frequent with blood and pus), tenesmus (urgent need to defecate but inability to)

46

what is large intestine heat bind

constipation/dry stool caused by heat in the intestines

47

what are the signs and sx of LI heat bind

abdominal pain that does not like pressure, dry yellow tongue fur, sunken full pulse

48

what is large intestine cold bind

constipation due to cold qi in the intestines

49

what are the signs and sx of LI cold bind

dull abdominal pain, bland taste in mouth, white tongue with scanty fur, wiry, sunken pulse

50

what is the main function of the gall bladder

store and secrete bile

51

which organ governs decision making

gall bladder

52

GB disharmony may result in_? In relation to GB's role in decision making

difficulty making decisions or maintaining balanced judgement in stressful situations

53

fear, anxiety, indecision, insomnia, tinnitus, dizziness, visual disturbance are possible feelings of _

GB vacuity

54

what enables the movement of bile

the liver qi's free coursing

55

what two possibilities can exist which would impede on the movement of bile

- damp heat in middle jiao that suppresses the LV and GB
- emotional disturbances

56

when there is a disruption of the movement of bile what may this lead to?

digestion problems and decresed function of the SP and ST

57

in extreme causes, when bile leaks out from GB, what does this cause?

jaundice

58

what are some signs and symptoms of insecurity of gall bladder qi

vacuity vexation (result of yin xu due to heat damage), insomnia, easily frightened, bitter taste in the mouth, frequent sighing, doubt and suspicion

59

when replete heat invades the gall bladder, what are some signs and symptoms one may experience

headache on both sides of the heat, painful canthii (corners of the eye), dizziness, tinnitus, bitter taste in mouth, dry throat, vexation, agitation, irascibility, fullness and pain in chest and ribside, alternating fever and aversion to cold (shao yang disorder), wiry rapid and forcefull pulse, tongue is red with yellow fur

60

what is the cause of liver-gall bladder damp-heat

- impairment of liver's free coursing function:
~internal damp heat (excessive consumption of fatty, greasy, or sweet food, and alcohol
~external attack of damp-heat

61

what are some signs and symptoms of liver-gall bladder damp heat

alternating hot/cold, bitter taste in mouth, rib-side pain, abdominal pain and distention, aversion to food, vomiting, yellowing of skin, yellow urine, tongue fur is yellow and slimy, pulse is rapid and wiry
*if heat is more pronounced: stool is dry, damp = sloppy

62

most vacuity patterns of the bladder are due to_

kidney qi xu

63

if the _____ is deficient, it is unable to transform fluids to turn it into urine

kidney

64

what are some signs and symptoms of UB vacuity

frequent urination, dribbling incontinence, enuresis

65

most repletion patters of the bladder are due to _

damp heat pouring down

66

what are some signs and symptoms of UB repletion patterns

short frequent voidings of urine, reddish urine, pain upon urination, stones, pus, bloody urine, urinary block