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FCM 2 > Qi, Blood, Fluid, Phlegm Pathology > Flashcards

Qi, Blood, Fluid, Phlegm Pathology Flashcards

1
Q

What are the basic patterns of Qi pathology?

A

Qi vacuity and qi stagnation

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2
Q

What are the secondary patterns of Qi pathology?

A

Qi fall (sinking qi) and Qi Counter-flow (rebellious qi)

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3
Q

What are the signs and symptoms of Qi vacuity?

A

Signs & Symptoms

  • Fatigue
  • Physical weakness
  • Poor appetite
  • Loose stools
  • Weak voice
  • Spontaneous sweating
  • Shortness of breath
  • Pulse: weak/forceless, empty/soft, fine
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4
Q

What aggravates Qi vacuity?

A

Aggravated by poor diet, overwork, stress, and debility of one organ affects the other

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5
Q

How is Qi vacuity treated? What organs are involved?

A

Treatment:

  • Tonify Qi

Organs Involved:

  • Spleen/Lungs
  • Heart
  • Kidneys
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6
Q

What are the signs and symptoms of Qi Fall/Sinking Qi?

A

Signs & Symptoms:

  • Sensation of Downbearing (prolapsed organ)
  • Fatigue, listlessness
  • Mental depression
  • Poor appetite
  • Especially downward falling: diarrhea, frequent urination, heavy continuous menstral bleeding, poor concentration
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7
Q

How is Sinkng Qi/Qi Fall treated? What organs are involved?

A

Treatment:

  • Tonify Qi
  • Raise Qi

Organs Involved:

  • Spleen
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8
Q

What are the signs and symptoms of Qi Stagnation?

A

Signs & Symptoms:

  • Pain
  • Distention/bloating and oppression
  • Possibly: mood swings, frequent sighing, irritability, depression
  • Tongue - possibly red
  • Pulse - wiry
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9
Q

How is Qi stagnation treated? What organs are involved?

A

Treatment:

  • Move Qi

Organs Involved:

  • Spleen/Stomach
  • Liver/Gallbladder
  • Large Intestines
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10
Q

What are the signs and symptoms of rebellious qi or counterflow qi?

A

Signs & Symptoms:

  • Counterflow - burping, vomiting, coughing
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11
Q

How is rebellious Qi treated? What organs are involved?

A

Treatment:

  • Rectify qi, reverse counterflow, often clear heat

Organs Involved:

  • Stomach
  • Spleen
  • Lungs
  • Heart
  • Kidneys
  • Liver
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12
Q

What are the basic patterns of blood pathology?

A

Blood vacuity, blood statsis and blood heat

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13
Q

What is a secondary pattern of blood pathology?

A

Secondary pattern of blood pathology is bleeding

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14
Q

What are the signs & symptoms of blood vacuity?

A

Signs & Symptoms:

  • Pale complextion and lips
  • dizzy, blurred vision, floaters
  • poor memory & concentration
  • insomnia
  • depression
  • anxiety
  • palpitations
  • numbness
  • Tongue: pale
  • Pulse: thin, rough
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15
Q

What is the treatment for blood vacuity? What organs are involved?

A

Treatment:

  • ​Nourish the blood

Organs involved:

  • heart
  • liver
  • uterus
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16
Q

What are the signs & symptoms of blood stasis?

A

Signs & Symptoms:

  • Pain, Fixed location, sharp, stabbing, constant
  • Masses & Swelling - hard and fixed
  • Bleeding: Obstruction causes blood to flow out of channels
  • Dry, lusterless skin with red of purple macules, varicose veins
  • Dark complexion
  • Tongue - dusky/purpse with stasis macules
  • Pulse- rough
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17
Q

How is blood stasis treated? What organs are involved?

A

Treatment:

  • Move the blood

Organs Involved:

  • Liver
  • Heart
  • Lungs
  • Stomach
  • Intestines
  • Uterus
18
Q

What are the signs and symptoms of blood heat?

A

Signs & Symptoms:

  • Sensations of heat
  • thirst
  • Red skin eruptions
  • Vexation
  • Bleeding
  • Tongue - Red or crimson
  • Pulse - Rapid
19
Q

How do you treat blood heat? What organs are involved?

A

Treatment:

  • Cool the blood

Organs involved:

  • Heart
  • Liver
  • Large Intestines
20
Q

What are the basic fluid pathologies?

A
  • Insufficiency of fluids
  • Retention of fluids
21
Q

What are the signs & symptoms of insufficiency of fluids?

A

Signs & Symptoms:

  • Dry mouth
  • Dry nose
  • Dry tongue
  • Dry skin
  • Dry lips
  • Dry tongue
22
Q

What is the treatment for insufficiency of fluids? What organs are involved?

A

Treatment:

  • Moisten

Organs Involved:

  • Lungs
  • Stomach
  • Kidney
  • Large Intestines
23
Q

What are the signs and symptoms of fluid retention?

A

Signs & Symptoms:​

  • Accumulations and swellings between skin & muscles
    *
24
Q

What is the treatment for fluid retention and the organs involved?

A

Treatment:

  • Diffuse the lung, transform dampness, disinhibit dampness

Organs Involved:

  • Lungs
  • Spleen
  • Kidneys
25
Q

What is the difference between phlegm and rheum?

A

Phlegm is relatively thick, viscous and sticky. Rheum is thin and watery

26
Q

What is substantial phlegm?

A

Substantial phlegm has form and can be seen as sputum coughed out of lungs

27
Q

What is insubstantial phlegm?

A

Insubstantial phlegm presents:

  • Under the skin: lumps and swellings (lymph nodes, ganglion cysts)
  • In channels: not visible, but with symptoms of weakness, numbness, and paralysis (stroke, diabetes, MS)
  • In the joints: bone deformities and growths (untransformed fluids collect in joints and form malformations)
  • Gallbladder/Kidney Stones - due to steaming/brewing of phlegm by head in the KD/GB over a long period of time
  • Misting the heart/mind: interferes with the heart function of housing the Shen. (confusion, depression, anxiety, mental illness, palpitations, epilepsy)
  • Plum Pit Qi or Qi Phlegm: sensations of a swelling or of something caught in the throat that cannot be coughed up or swallowed. Oppressions in the chest and diaphragm
28
Q

What are the basic patterns of phlegm?

A

Basic patterns of phlegm are:

  • Damp Phlegm
  • Cold Phlegm
  • Heat Phlegm
  • Wind Phlegm
  • Dry Phlegm
29
Q

What are the signs and symptoms of Damp Phlegm? How is it treated?

A

Signs & Symptoms of Damp Phlegm:

  • Oppression of the stomach and chest
  • Heaviness and fatigue
  • Poor appetite and sensation of fullness
  • Coughing up of white copious phlegm that is easy to expectorate
  • Thin, sloppy stools
  • Tongue: Puffy, pale, greasy white coat
  • Pulse: Soggy

Treatment:

  • Dry Damp, Transform Phlegm
30
Q

What are the signs and symptoms of Cold Phlegm? What is the treatment?

A

Signs & Symptoms of Cold Phlegm:

  • Physical cold, aversion to cold, prefers warm
  • Coughing of thin, white or clear phlegm
  • Loose stools
  • Excess urination
  • Tongue: pale greasy white coat
  • Pulse: slow, slippery, deep

Treatment:

  • Warm and Transform phlegm
31
Q

What are the signs and symptoms of Heat Phlegm? What is the treatment?

A

Signs & Symptoms of Heat Phlegm:

  • Fever
  • Coughing up yellow phlegm that is thick and difficult to expectorate
  • Sore throat
  • Chest pain
  • Vexation
  • Dark Yellow Urine
  • Constipation
  • Tongue- red
  • Pulse - Rapid, slippery

Treatment:

  • Clear heat, transform phlegm
32
Q

What are the signs and symptoms of Wind Phlegm? How is it treated?

A

Signs & Symptoms of Wind Phlegm:

  • Gurgling in the throat
  • Dizziness, Numbness
  • Hypertonicity or in extreme circumstances paralysis
  • Clouding of the spirit
  • Convulsions
  • Deviated mouth
  • Inhibited speech, stiff tongue
  • Tongue - White, slimy coat
  • Pulse - Thin, slippery, rapid

Treatment:

  • Dispel wind
  • Eliminate phlegm
  • Free networks
  • Harmonize construction
33
Q

What are the signs and symptoms of dry phlegm? How is it treated?

A

Signs & Symptoms of Dry Phlegm:

  • Dry cough with scanty phlegm that is difficult to expectorate and may be blood streaked
  • Chest Pain
  • Dry nose and throat
  • Thirst
  • Dry stools and dark urine
  • Tongue - red with a dry coat
  • Pulse - thin, slippery, rapid

Treatment:

  • Moisten dryness and transform phlegm
34
Q

Phlegm by Location: Phlegm Turbidity Harassing the Upper Body

A

Signs & Symptoms:

  • Dizziness, disturbance of vision, distention of the head and heavy headedness
  • Insomnia
  • Oppression in the chest
  • Retching and nausea
  • Little thought of food and drink
  • Nontransformation of ingested food
  • Tongue - slimy fur (yellow or white)
  • Pulse - Slippery and may also be string like

Treatment:

  • Transform phlegm, fortify the spleen, calm the liver, extinguish wind
35
Q

Phlegm confounding the orfices of the heart

A

Signs & Symptoms:

  • Coma or mental derangement
  • Seen in externally contracted febrile diseases
  • Wind stroke
  • Mental disorders
  • Tongue - fur is thick and slimy
  • Pulse - slippery and string like

Treatment:

  • Sweep phlegm and open the orfices
36
Q

Phlegm lodged in the channels or limbs

A

Signs & Symptoms:

  • In the channels: presents with goiters and phlegm nodules, all of which are relatively soft to the touch.
  • In the limbs: presents with numbness or pain in the upper or lower limbs
  • Tongue - white and slimy fur
  • Pulse - slippery

Treatment:

  • Disperse phlegm and soften hardness
37
Q

Phlegm lodged in the chest and rib side

A

Signs & Symptoms:

  • Composed of stubborn phlegm and accumulated rheum that forms an “afflux pouch” palpable collection of fluid
  • Marked by pain in the chest and rib-side
  • Cough, panting, and pain experienced when turning over in bed as well as expectoration of white phlegm and drool
  • May be distention in the chest and rib side. Swellin in the face
  • Pulse - sunken and string like

​Treatment:

  • Transform rheum and expel phlegm
38
Q

What are the basic patterns of phlegm-rheum accumulation?

A
  • Propping rheum
  • Suspended rheum
  • Phlegm rheum
  • Spillage rheum
39
Q

What are the signs and symptoms of propping rheum? How is it treated?

A

Signs & Symptoms:

  • Water below the heart
  • Cough and copious phlegm
  • Inability to lie flat
  • Facial edema
  • Tongue - swollen with a sticky white coat
  • Pulse - Wiry, Slippery

Treatment:

  • Drain lung, expel phlegm
40
Q

What are the signs & symptoms of suspended rheum? How is it treated?

A

Signs & Symptoms of Suspended Rheum:

  • Water in the chest and rib side with local pain and cough with copious phlegm
  • Tongue - swollen, moist, sticky coat
  • Pulse - Deep, wiry

Treatment:

  • ​Expel water rheum
41
Q

What are the signs and symptoms of Phlegm-Rheum? How is it treated?

A

Signs & Symptoms of Phlegm Rheum:

  • Denotes war in the intestines with general emaciation and the sound of gurgling water in the intestines
  • Tongue - pale, swollen, with a moist sticky white coat
  • Pulse - wiry, slippery

Treatment:

  • Warm and transform phlegm-rheum
42
Q

What are the signs & symptoms of spillage rheum? How is it treated?

A

Signs & Symptoms of Spillage Rheum:

  • Water in the limbs marked by heavy, painful, swollen limbs
  • Tongue - swollen with a sticky white coat
  • Pulse - Tight or wiry

Treatment:

  • Warm yang, disinhibit water, resolve exterior, transform rheum

FCM 2 (4 decks)

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