비장변증 Flashcards

1
Q

다음은 무슨 증상인가
식욕부진 복부불편감, 피곤핍력, 면색위황, 변당

A

비기허

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2
Q

식욕부진 복부불편감, 피곤핍력, 면색위황, 변당 위하수, 탈항, 자궁하수, 담백설, 맥약, 복부추창감

A

비기하함

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3
Q

식욕부진 복부불편감, 피곤핍력, 면색위황, 변당, 추위, 변당, 사지냉 , 부종

A

비양허

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4
Q

식욕부진 복부불편감, 피곤핍력, 면색위황, 변당, 과소월경, 불면, 세맥, 담설,

A

비혈허

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5
Q

식욕부진 복부불편감, 피곤핍력, 면색위황, 변당 출혈 귀비탕, 담백설, 맥세 약, 출혈(자반, 월경과다, 혈뇨, 코피)

A

비불통혈 중요

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6
Q

식욕부진 복부불편감, 피곤핍력, 면색위황, 변당 위완부냉감 득온즉감 위완부장만, 증강, 오심, 부종

A

한습곤비

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7
Q

비가 허하면 무엇이 생기나

A

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8
Q

한습곤비 원인

A
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9
Q

입이 텁텁한 이유

A

입(비장에 이상이 생기면 입이텁텁 궤양등, 입술의 색 등) , pensiveness, dampness(비장이 수분처리하므로 비기가 허해지면 수분처리 능력도 하락함- 설사 소변안나옴 몸이 푸석등)

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10
Q

-비통혈 역할

A

(1)혈을 주관한다: 혈관 안에 있도록 잡아줌 비기허는 멍이 잘 듬, 혈관이 약해진 경우
비기허가 치료되면 멍이 잘 안듬
(2) (췌장이 아닌 비장역할) -오래된 불필요한 혈구세포를 없앰(간이 재활용해서 혈에 문제 생기므로 없애야 함)

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11
Q

면역력과 관련된 장기는 어디인가?

A

비장, 쉽게 파열됨
췌장과 비장을 묶어서 봐야 함, 왜냐하면 췌장이 소화에 특화되어 관여, 췌장(이자)의 역할은 (1) 단탄지의 소화효소의 분비 (2) 내분비 기능 호르몬 3가지 분비 (인슐린, 글루카곤 , ? )

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12
Q

변당과 식욕부진은 비에서 어떤 역할인가

A

식욕이 소화의 첫 단계, 변당은 소화의 마지막 단계 -비위는 특이점이 있는 장기인데 장-부 관계가 비-위여야 하는데 실 역할은 반대 비장 췌장이 없어도 살 수 있음(다른 장기는 없으면 살 수 없음)

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13
Q

다음 증상의 진단은

Poor appetite
Abdominal distention
Loose stools
Weak extremities
Tiredness and lassitude
Pale, sallow complexion
Tongue
Pale, may have teeth marks or swollen sides; thin white coat
Pulse
Deficient (Empty)

A

비기허

Poor appetite 입을 잘 못벌림 (태백-비장원혈, 공손혈 사용)
Abdominal distention(부풀어 오르는것-팽만) after eating
> 기체증상으로 보일 수 있는데, “식사 후”에 부풀어 오르기 때문에 기허로 보고 구분할것(시험예상)★★★★
Loose stools 변을 보았는데 형태가 유지되지 않고 풀어지는것
Weak extremities 사지가 모/두 양쪽이 힘이 없는 허증의 형태(실증의 형태는 갑자기 힘풀리는 등인데 허증은 점점 힘이 빠지는 것)
Tiredness and lassitude피곤과 무력
Pale, sallow complexion
Tongue
Pale, may have teeth marks or swollen sides; thin white coat
Pulse
Deficient (Empty) 허맥

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14
Q
A
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15
Q

다음 원인의 결과는

Poor or irregular eating habits 불규칙적 식사
Mental overexertion, worry, or pensiveness
Prolonged exposure to dampness in the surroundings 습한곳에서 생활
Chronic illness

A

비기허

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16
Q

다음 증상의 진단은

Poor appetite
Abdominal distention after eating
Loose or watery stools containing undigested food
Weak extremities
Tiredness and lassitude
Pale-bright complexion
Dull abdominal pain relieved by pressure and warmth
Cold limbs or feeling cold
Edema
Tongue
Pale, swollen, wet; thin white coat
Pulse
Deep-Weak

A

비양허

Poor appetite
Abdominal distention after eating
Loose or watery stools containing undigested food
Weak extremities
Tiredness and lassitude
Pale-bright complexion
Dull abdominal pain relieved by pressure and warmth 통증이 따뜻하면 좋아짐=한증
Cold limbs or feeling cold (한증의 증상)
Edema 부종
Tongue
Pale, swollen, wet; thin white coat
Pulse
Deep-Weak 깊은 허맥

17
Q

다음 원인의 결과

Develops from Spleen Qi deficiency and its causes
Excessive consumption of cold, raw food and drink; or greasy, sweet foods
Excessive use of cold-property herbs

A

비양허

18
Q

다음 증상의 진단

Poor appetite
Abdominal distention after eating
Loose stools
Weak extremities
Tiredness and lassitude
Pale, sallow complexion
Bearing down sensation in abdomen>
Prolapse of stomach, uterus, anus or vagina
Frequent and urgent urination 급
Tongue
Pale, may have teeth marks or swollen sides; thin white coat
Pulse
Weak pulse, especially in the right middle position

A

비기함

Poor appetite
Abdominal distention after eating
Loose stools
Weak extremities
Tiredness and lassitude
Pale, sallow complexion
Bearing down sensation(산모가 태아내려갈 때 느껴지는것) in abdomen>복부뿐만이 아니라 전신에 적용가능(언제나 누우려 하는 환자)
Prolapse of stomach, uterus, anus or vagina 전신의 장부하수: 위하수 자궁하수 탈항/치질/치핵, 안검하수도 해당 >비기가 약해서 비주승청이 안되면서 꺼짐
Frequent and urgent urination 급뇨 빈뇨, 보통 방광문제지만 남성노인 전립선비대시는 비기함으로 봄★★★★
Tongue
Pale, may have teeth marks or swollen sides; thin white coat
Pulse
Weak pulse, especially in the right middle position

19
Q

다음 원인의 결과

Develops from Spleen Qi deficiency and its causes
Standing for many hours each day if there is already a tendency
to Spleen Qi deficiency
Kidney Qi deficiency may be a concurrent or contributing pattern

A

비기함

20
Q

Poor appetite
Abdominal distention after eating
Loose stools
Weak extremities
Tiredness and lassitude
Pale, sallow complexion
Shortness of breath
Purpura
weak of the limb
Hemafecia, hematuria
Excessive uterine bleeding
Tongue
Pale, possibly teeth marks; thin white coat
Pulse
Thready or Weak

A

Spleen Qi Failing to Control Blood 비불통혈

Poor appetite
Abdominal distention after eating 식후 복부팽만감
Loose stools
Weak extremities
Tiredness and lassitude
Pale, sallow complexion
Shortness of breath
Purpura 자반
weak of the limb
Hemafecia, hematuria변혈, 요혈> 암을 의미하는 증상일수도, 통증없는 빈/요혈 4-50%(흑변,피섞인 소변)
Excessive uterine bleeding
Tongue
Pale, possibly teeth marks; thin white coat
Pulse
Thready or Weak

21
Q

Spleen Qi deficiency and all the causes of Spleen Qi deficiency

A

Spleen Qi Failing to Control Blood 비불통혈

22
Q

Poor appetite
Epigastric and abdominal fullness 상
Epigastric cold relieved by warmth
Heaviness of the head and body
Sweetish taste or bland-sticky taste
No thirst
Loose thin stools or diarrhea
Tiredness and lassitude
Nausea
Possibly hazy yellow skin
Tongue
Pale with a thick white greasy coating
Pulse
Rolling-Slow

A

Cold-Damp Invading Spleen 한습

Clinical Manifestations
Poor appetite
Epigastric and abdominal fullness 상복부의 답답한 느낌
Epigastric cold relieved by warmth
Heaviness of the head and body
Sweetish taste or bland-sticky taste
No thirst
Loose thin stools or diarrhea
Tiredness and lassitude
Nausea울렁거림
Possibly hazy yellow skin
Tongue
Pale with a thick white greasy coating
Pulse
Rolling-Slow

23
Q

External Cold-Dampness invades Spleen (wearing wet clothes after walking in the rain or perspiring heavily, living in chronically damp places)
Pre-existing Spleen Qi deficiency predisposes to invasion by Dampness

A

Cold-Damp Invading Spleen 한습

24
Q

Cold-Damp Invading Spleen 한습 치료방법

A

Transform Dampness, harmonize Middle Jiao and fortify the Spleen 중초와 비를 보함

25
Q

Poor appetite
Epigastric and abdominal fullness or pain
Heaviness of the head and body
Sweet-sticky or bitter taste
Thirst with no desire to drink
Nausea or vomiting
Loose stools with foul smell
Scanty dark urine 적고 진한 소변
Low-grade fever
Greasy sweat that does not relieve fever
Possibly yellow-orange skin and sclera
Tongue
Red with thick yellow greasy coating
Pulse
Rolling-Rapid

A

Damp-Heat Invading Spleen 습열

26
Q

다음의 결과

External Damp-Heat invades Spleen
Consumption of unclean or contaminated food
Pre-existing Spleen Qi deficiency leads to Dampness which combines with Internal Heat

A

Damp-Heat Invading Spleen 습열