Six Stages Flashcards by JC TCM

Who created the 6 Stages Diagnosis?
What book did he write ?

Zhang Zhong Jing
Book “Shang Han Lun”

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Tai Yang Channel Stage:
What are the two patterns or divisions ?

Wind invasion
Cold invasion

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What are the clinical manifestations of Tai Yang windinvasion?

What is the treatment principle ?

Slight fever
headache and stiff neck
Floating pulse slow xu
slight sweating, aversion to wind but only slight aversion to cold

TP: release exterior, expel wind and cold, HARMONIZE YING AND WEI

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Choose Acu Points to treat Tai Yang wind invasion?

BL 12 ( cup)
LU 7
LI 4
GB 20 wind pool
TE 5 yang wei
ST 36
GV 16 palace of wind

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Is Tai Yang wind invasion, a deficiency of Ying Qi or Wei Qi?

Ying Qi

Deficient nutritive Qi can not hold sweat in the space between skin and muscles—> sweating occurs

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What are the clinical manifestations of Tai Yang cold invasion?

Slight fever
headache and stiff neck
Floating pulse tight zhi
NO sweating, aversion to cold, runny nose with white discharge

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Compare
Tai yang WIND VS Tai yang COLD

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Name Acu Points to treat Tai Yang cold invasion?

BL 12 ( cup)
LU 7
LI 4
GB 20
TE 5
Moxa

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Tai Yang Organ stage:
What are the two patterns?

Accumulation of water + heat on BL (qi level)
Accumulation of blood heat in LJ and BL ( xue level)

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Pathology

Accumulation of Water

Impaired Bladder function of Qi transformation. Water is not transported properly leading to retention of urine, thirst, vomiting after drinking.
Even though is a floating pulse the pathogen has gotten a bit deeper causing heat!

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Key Symptoms

Accumulation of Water

⚡️Retention of urine
⚡️vomiting of fluids soon after drinking or Thirst that persists after drinking

P: FLOATING /RAPID

Other symptoms: TAI YANG symptoms : fever, aversion to cold

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Acu Points

Tai Yang Fu:
Accumulation of Water

7 points

CV 9
CV 3
ST 28
LU 7
BL 22
BL 39 Lower he-sea TE
BL 64

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Key Symptoms

Accumulation of Blood

Think BL infection

⚡️Fullness / Tightness / distention in hypogastric region ( lower abdomen)
⚡️Mental restlessness
⚡️Red/Purple Tongue - no coat

Other Symptoms:
hematuria, jaundice, mind effected

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Acu Points

Tai Yang Fu:
Accumulation of Blood

CV 3
ST 28
BL 22
KI 14 ( move LJ energy, brake xue yu)
SP 10
LR 3
SP 6 ( cools xue, nourishes yin fluids)

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Compare

Tai Yang Organ Syndroms:
Water VS Blood
Accumulation

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Yang Ming stage:
What are the two patterns?
What two organs are involved?
What are the western pathologies?

PATHOGEN HAS ENTERED THE INT!
And has transformed into either heat or fire !

Yang Ming channel (heat)
Yang Ming Fu (fire)

Organs involved:
Stomach
Large intestine

Western pathologies:
Bronchitis
Pneumonia
Crohn’s
Colitis
Ulcer

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What are some of the clinical manifestations of Yang Ming channel heat?

ST heat QI LEVEL

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Big fever
big thirst
big sweat
big pulse
red face, feeling of heat, irritable delirium.

Key: there is a real fever and NO aversion to cold

What is the tongue like for Yang Ming Channel heat VS Organ Fire?

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Channel:
Tongue is red with yellow coat

Organ:
Tongue is red with THICK DRY yellow coat

What are some Acu points used to help clear Yang Ming Channel heat?

TP: clear heat ( diaphoreses)

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LI 11
GV 14
PC 3 ( water point)
ST 44 (water point)
ST 43

What are some of the clinical manifestations of Yang Ming Organ Fire?

Deeper and more drying than Ch. Level

QI LEVEL Intestine dry

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⚡️4 BIGS
⚡️Constipation, dry stools

What pattern in the Yang Ming stage begins to damage body fluids:

Channel Heat?
Or
Organ Fire?

What levels do they correspond?

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Organ fire

Channel heat : intestine dry QI LEVEL

Organ fire: ST heat QI LEVEL

What are some acupoints used to drain Organ fire?

Must purge bowels to clear heat!

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LI 11
GV 14
PC3
ST 44
ST 43
ST 25
SP 15
ST 37
SP6

Shao Yang Stage:
What organs are involved?
What is the pattern called?
What are the western pathologies?
In what level is it found?

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TE + GB
Shao Yang
Malaria, any illness that ebbs and flows.

QI LEVEL : GB/ BL heat

What are the clinical manifestations of Shao Yang Stage?

PF oscillates between Tai yang and yang Ming. There for half Int. Half ext.

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⚡️Alternating chills and fever
Either aversion to cold ( tai yang) or feeling of heat ( yang Ming)

GB ch. Symptoms:
Bitter taste
Dry throat, blurred vision
Lack of appetite
Lack desire to drink
Hypochondriac fulness
Irritability, nausea, vomiting
⚡️Pulse: WIRY and thready

What are some acupoints used to treat Shao Yang Stage?

TE5 + GB41 yang wei mai TE6 GV 13 ( treats Malaria)

What is unique about the tongue in a Shao Yang stage?

Unilateral, thin, white coat It always starts with an EPI! Etiology is important!

Tai Yin Stage: What organs are involved? What is the pattern?

SPLEEN ( LUNG) SP Yang xu with cold

What are the clinical manifestations of Tai Yin stage ? What does the tongue and pulse look like?

Abdominal fullness, lack of appetite, feeling cold, ⚡️vomiting clear fluids absence of thirst fatigue . Tongue: sticky, white Pulse: deep, weak, slow

What are some acupuncture points used to treat Tai Yin Stage?

CV 12 BL 20 ST 30 ST 25 SP6 SP3 MOXA

What are the two patterns of the Shao Yin stage? What organs are involved? Heat and cold penetrate deeper

Organs: KIDNEYS ( HT) Patterns: Kidney Yang deficiency with empty cold Kidney Yin deficiency with empty heat

What are the symptoms of KD Yang xu with empty cold? **SHAO YIN cold transformation**

Chills, feeling of cold,listlessness, desire to sleep, cold limbs, no thirst, frequent pale, urination ⚡️lying with body curls up ⚡️Cockscrow diarrhea YANG XU PULSE AND TONGUE Deep, weak, slow Pale wet

What acupuncture points are used to treat kidney Yang deficiency with empty cold?

BL 23 CV 4 Ming men MOxa CV 6 CV 8 KD7 tonify Yang KD3 Moxa

What are the symptoms KD YIN Xu with empty heat? **SHAO YIN Heat Transformation**

Feeling a heat in the evening ⚡️insomnia ( difficulty to stay asleep) dry mouth throat at night dark urine night sweat YIN XU TONGUE AND PULSE Red, no coat Thready, rapid, deep

What are some acupuncture points used to treat kidney yin deficiency with empty heat ?

CV 4 CV 6 KD 6 Tonify yin KD 3 tonify yin and Yang

What is the pattern associated with Jue Yin stage? What organs are involved? What acu points ? Sometimes seen in round worm infestation This is the end of life stage

Pattern: heat above cold below Organs: LR and PC Points: LR3, LI4, SP4, PC6

What are the western pathologies associated with Jue Yin Stage?

Various stages of degenerative disease, example: HIV and Cancer

What are some clinical manifestations of Jue Yin Stage?

Heat above, [thirst, feeling of energy rising, pain and sensation of heat in heart, Regent, hunger] Cold below [cold limbs, vomiting] LOA

What are some acupuncture points used to treat Jue Yin Stage?

LR3 LI 4 SP 4 +PC6

Of the 6 stages, what is the only EXTERIOR Stage?

Tai Yang

Who came up with the six channel syndrome differentiation? How does the PF enter the body? Is it a cold or hot invasion ?

Zhang Zhongshan Jin Through the skin Cold invasion

Six Stages Flashcards

(40 cards)