Random questions Flashcards
(19 cards)
The general components, methods and steps in constructing a diagnosis.
What are the two key issues which are related to diagnosis & identify patterns?
(1) NATURE (excess, deficiency, heat or cold, wind/summerheat/fire)
(2) LOCATION of disorder (meridian/organ/interior/exterior, qi/blood, taiyang/shaoyang/yangming).
Complete diagnosis includes which two parts?
(1) NAME OF DISEASE (depression, lin, LBP) and
2) PATTERN/MAJOR PATHOLOGY (nature and location
General treatment principles:
- Regulate & Balance Yin & Yang
- Tx the root of the disease (chronic)
- Reinforce the right qi/correct the qi & eliminate the evil qi
- Tx according to seasons, weather conditions, geography region, individual conditions (man, women, age, family hx, lifestyle, constitution)
- Acute conditions tx manifestation
- Simultaneously tx root & manifestation for deficient patient
Why do we need to tonify & disperse for exterior patterns with deficiency (common cold)?
- In acute disorders the general principle of treating regardless of the condition of the patient is to first expel the pathogen using diaphoresis.
- There are some special cases, however, where simultaneous support of Zheng Qi & expulsion of the pathogens is required. Patients in this category show obvious deficiency of Qi, Blood, Yin, or Yang. These patterns are seen more in immunocompromised patients, the frail or the elderly, and postpartum or pregnant women.
- When patients with an obvious underlying deficiency catch a cold, the use of diaphoretic herbs has to be tempered with caution, as excess sweating can disperse qi and damage fluids. This is particularly so in the case of the elderly and seriously debilitated (however do not make the mistake of assuming that all elderly patients are deficient and thus in need of tonification). In debilitated patients, diaphoretics are combined with herbs to supplement the underlying deficiency. Be aware that diagnosis can be difficult in patients with significant deficiency—if a patient’s qi or yang is deficient to the point where it is unable to mount an adequate defense against an invading pathogen, the characteristic signs and symptoms may be muted or absent. Often patients in this situation only experience exacerbations of pre-existing symptoms.
General principles of treating WHEEZING
- During acute attacks when evil qi is strong, the treatment is aimed at manifestation of the disease. During remissions from wheezing, treatment in between episodes is aimed at the root of the disease.
Simultaneous treatment of the root and manifestation for the cases of excess with deficiency.
- Excess patterns: eliminate the evil qi (wind, heat, cold, phlegm) from Lungs, redirect Lung qi downward and calms the wheezing.
- Deficiency patterns: supplement Lung, Kidney, Spleen, and stop wheezing.
(Tonify Kidney is very important in treating deficiency types of wheezing)
Common Ingredients that Calm Wheezing (11)
- Ma Huang
- Chen Xiang
- Su Zi
- Xing Ren
- Sang Bai Pi
- Ting Li Zi
- Bai Guo
- Di Long
- Ge Jie
- Dong Chong Xia Cao
- He (Hu) Tao Ren
WHEEZING
excellent to calm the wheezing, use for exterior wind-cold; wind-cold transform to heat; can use for heat pattern but add a cold herb like Shi Gao
Ma Huang
WHEEZING
descend the qi for any pattern but best for qi stagnation patient, like LIV qi attack the LU leading to wheezing (very expensive)
Chen Xiang
WHEEZING
descend the qi down for wide-use, also transforms phlegm, best for patients with phlegm
Su Zi
WHEEZING
good combo with Ma Huang; also widely used, moistening nature; good for sticky phlegm that needs to be moistened; also good for patients with constipation
Xing Ren
WHEEZING
cold ingredient, for best for heat or water retention
Sang Bai Pi
WHEEZING
patient can’t lie down flat b/c water in LU; drains water to calm wheezing
Ting Li Zi
WHEEZING
for constraint; prevent leaking of LU qi
Bai Guo
WHEEZING
directly reduce spasm and transform phlegm
Di Long
WHEEZING
tonify KID & grasp the qi; KID too weak, often seen with elderly, asthma; popularly used in winter
Ge Jie
WHEEZING
(expensive) tonify KID, SP, LU, help grasp the qi & boost the immune system; lots of fakes on the market so buyer beware
Dong Chong Xia Cao
WHEEZING
walnuts, tonify KID to grasp the qi
He (Hu) Tao Ren
SINUSITIS & NASAL CONGESTION
Open Nasal Passage Ingredients (4)
a. Cang Er Zi
b. Xin Yi Hua
c. E Bu Shi Cao
d. Shi Cang Pu
SINUSITIS & NASAL CONGESTION Relieve HA (6)
a. Chuan Xiong (unblock vessels in nose)
b. Bai Zhi (forehead pressure, eyeballs; popular, warm to help move)
c. Gao Ben (warm, vertex)
d. Xi Xin (quite warm; used mostly for wind-cold pattern; release HA around eyes or behind eyes; low dose; no more than 3g in raw herbal)
e. Man Jing Zi (cold; best for wind-heat)
f. Ju Hua (cold, for wind-heat)
