Flashcards in WK4 - Syndromes: S/Sx Deck (18):
Herbs that Release the Exterior are broken down into what 2 categories?
- Warm Acrid: treats Wind Cold
- Cool Acrid: treats Wind Heat
What are the most common EPF's treated with Release the Exterior herbs?
What is the most superficial of the Six Channels?
Tai Yang (UB, SI)
What is the most superficial Zang organ?
Why do so many Release the Exterior herbs go to the LU channel?
- bc of Lung's relation to Wei Qi & pores
- Lung disperses Qi & descends liquid, and Release the Exterior herbs restore these functions
What are the general s/s and characteristics of a Wind Cold Excess pattern? What is the pulse?
- aversion to cold; put on extra clothes and don't feel better
- fever & chills (with chills predominant)
- floating tight pulse
- tongue: normal body; thin white coat
- no sweat (bc pores are on lockdown)
- contraction of Qi and Blood not circulating well
- general ache & body pain; headache
- clear or white secretions
- no thirst
What functions should the herbs used to treat Wind Cold Excess have, and why?
- use strong herbs to open the pores and let the evils out (bc patient is strong/excess, OK to use strong herbs)
- induce sweating to let the pathogenic influence out of the body
What are the general s/s and characteristics of a Wind Cold Deficiency pattern? What is the pulse?
Because patient is Deficient, the patient's Wei Qi is not as strong as in Excess pattern so the s/s appear less severe:
- aversion to wind
- chills & fever
- chills predominant; fever less strong than in Excess pattern
- pain and aches (but less severe than Excess pattern)
- pathogen may go deeper into the muscle layer
- floating & moderate (weak) pulse
- tongue: body normal, thin white coat- clear or white secretions
- sweating (pores open with loss of fluid & mild sweat)
- disharmony of yin and yang (ying and wei), leading to fluid loss
- edema (bc not enough yang to transform fluids)
- Yang Shui or Yang Edema
What functions should the herbs used to treat Wind Cold Deficiency have, and why?
- herbs that are not as strong because the patient is weaker and you don't want to disperse and sweat too much
- herbs that stabilize the exterior to dispel the pathogen
- herbs that Harmonize Ying and Wei (to fix the functional problem that allowed this to be a deficiency instead of an excess to begin with)
What is Yang Shui (Yang Edema)? On what part of the body does it manifest first?
- Yang Edema (or Yang Shui) is facial edema due to Lung Qi Dysfunction
- first manifests as swelling in the upper eye area
- if unresolved, will travel down the body
What patterns do Warm Acrid Release the Exterior herbs treat? Give examples of herbs that could be used.
- Wind Cold Excess: Ma Huang
- Wind Cold Deficiency: Gui Zhi
What patterns do Cool Acrid Release the Exterior herbs treat? Give examples of herbs that could be used.
- Wind Heat & Summerheat: Bo He
- Shao Yang disorder: Chai Hu
What are the general characteristics of a Wind Heat pattern? (not SX)
- Wind Heat goes to the Wei level (the most superficial of the 4 levels)
- caused by heat entering through the mouth & nose (whereas Tai Yang syndromes enter through pores)
What are the signs & symptoms of a Wind Heat pattern? What is the pulse?
- fever & mild chills (with fever predominant) (mild compared to Wind Cold chills)
- more sweat (therefore less need to induce sweating)
- swollen red painful throat (sore throat assoc. with wind heat)
- thirst & dry throat & cough
- headache & body aches
- yellow secretions
- red eye (pink eye, conjunctivitis)
- measles / rashes
What category herbs are used to treat Exterior Wind Heat Patterns, and why?
Cool Acrid herbs because they induce sweating, but not as profusely as Warm Acrid herbs
What are the Shao Yang channels?
- SJ & GB channels
- SJ: controls waterway & heat
- GB: pathogenic wind cold goes to GB (usu. enters body at GB 20 at the occiput) and creates stasis
What are some typical signs & symptoms of Shao Yang disorder?
Shao Yang is 1/2 external & 1/2 internal (where pathogen starts to go deeper):
- alternating fever & chills
- dry throat
- dizziness, irritability
- sensation of fullness in the chest & hypochondria (difficulty taking a deep breath)
- heartburn, bitter or sour taste in mouth
- nausea & vomiting, reduced appetite