6 divisions Flashcards

Question

What is a tai yang attack of wind?

Answer 1

Invasion of Wind-Cold with a prevalence of Wind (Tai Yang Zhong Feng Syndrome) There is an emphasis on Wind symptoms. Wind attacks the body, Wind tends to affect the muscles. Protective Qi is not strong enough to push the pathogen out and the balance between Protective Qi and Nutritive Qi is lost.

Answer 2

``` Characteristic symptoms are: Aversion to Wind Mild aversion to Cold Sneezing Caused by the impairment of dispersing of Lung Qi in the nose, an example of ‘Rebellious Qi’. Slight fever Slight sweating Occipital Headache and stiff neck Qi is obstructed in the Tai Yang Channels of the head and neck – Bladder and Small Intestine Superficial pulse ```

Answer 3

Invasion of Wind-Cold with a prevalence of Cold (Tai Yang Shang Han Syndrome) There is an emphasis on Cold symptoms. Cold attacks the body. Cold tends to manifest in the skin. Cold contracts the pores. There is stagnation, a tightness, in the space between the skin & muscles.

Answer 4

``` Characteristic symptoms are: Aversion to Cold Sneezing Fever No sweating Headache and stiff neck Runny nose, clear/white discharge Runny nose with a white discharge is due to the impaired descending action of Lung Qi, which is then unable to transform fluids in the Upper Jiao, especially the nose. Superficial, tight pulse ```

Answer 5

A significant difference between Wind Attack and Cold Attack is that in Wind Attack slight sweating is present whereas in Cold Attack no sweating is present. Lack of sweat in a Cold Attack reflects the Wind and Cold pathogens affecting both the muscles and the skin, causes contracture of the pores and therefore no sweating.

Answer 6

The general Treatment Principle for Tai Yang stage of disease is to release the exterior/induce sweating. More specifically the Treatment Principle with both channel patterns is to release the exterior, expel the Wind & Cold, restore the dispersing & descending of Lung Qi, harmonise the Nutritive Qi (Ying Qi) and Defensive Qi (Wei Qi).

Answer 7

Taiyang Bladder organ syndromes are classified into: Water Accumulation and Blood Accumulation syndromes

Answer 8

The pathogenic factor is in the Bladder organ. There are still symptoms of the Wind being on the exterior, together with symptoms due to the Bladder not transforming Qi & not separating & ascending fluids. This gives rise to the following signs & symptoms: Retention of urine Thirst not relieved by drinking Vomiting after drinking

Answer 9

There is both stasis & accumulation of Heat in the Bladder. This gives rise to the following signs & symptoms: Blood in the urine Distension in the hypogastrium Urinary urgency Mental restlessness

Answer 10

Water Accumulation The Treatment Principle is to release the exterior, promote the Bladder function of Qi transformation and promote the excretion of fluids. Blood Accumulation The Treatment Principle is to invigorate Blood, eliminate stasis from the Lower Burner & clear Heat from the Bladder.

Answer 11

When the pathogenic factor reaches Yang Ming it has become Internal and the Cold has transformed into intense Heat. This pattern can develop from Tai Yang or from Shao Yang. Yang Ming has the closing dynamics. The closing enables Heat to accumulate and intensify within the body. This intense Heat is necessary for the function of digestion. The closing allows the body to maintain this essential Heat, it also seals and contains the Heat, and moves it downward to enable drainage.

Answer 12

This pattern is Yang/Internal/Full/Hot

Answer 13

At the Yang Ming stage both the Zheng Qi and the Xie Qi are strong. As the pathogenic factor invades the interior of the body the excess pathogenic Cold is transformed to intense Heat within the body. Yang Ming fevers are therefore more severe than fevers in the Tai Yang stage. In the Yang Ming syndrome, there are no chills.

Answer 14

Channel pattern There is Heat which is intense and although this is in the interior it is projected towards the exterior of the body. Organ pattern This involves the related Zang Fu (Stomach and Large Intestine organs). The Heat is even more intense and has injured the body fluid leading to dryness.

Answer 15

Yang Ming channel pattern is characterised by Heat. This pattern presents with what is known as “the 4 Bigs”. *Big thirst, *big sweating, *big fever & *big pulse. Pathogenic Heat spreads in the channel, steams Jin-Ye and causes Fluid deficiency. The Heat is in the Stomach, the origin of Fluids -> intense thirst. The internal fever gives a strong feeling of Heat with no aversion to Cold. (Aversion to Cold is characteristic of Tai Yang disease). There is what could be described as an aversion to Heat in Yang Ming disease

Answer 16

Symptoms - the Four Big’s Big thirst, (with a preference for cold drinks) due to consumption of body fluids by the Heat. Big sweating interior Excess Heat is forcing fluids out. Big fever this indicates Interior Excess Heat. Big pulse strong pathogenic and anti-pathogenic factors.

Answer 17

Red face Irritability Profuse sweating Red tongue with thin, yellow moss

Answer 18

The Treatment Principle for Yang Ming channel pattern is to clear Stomach Heat.

Answer 19

Characterised by Fire (intense Heat) in the Stomach & Intestines. It is at a deeper energetic level than the Heat of the Yang Ming channel pattern. The intense Heat injures body fluids which leads to dryness.

Answer 20

``` Constipation with dry stools Abdominal fullness & pain Dark, scanty urine Deep, full, rapid, slippery pulse The tongue moss is thick, yellow & dry ```

Answer 21

The Treatment Principle for Yang Ming organ pattern is to drain Fire from the Stomach & Large Intestine and to promote downwards movement.

Answer 22

CONSTIPATION This is the main distinguishing symptom of the Organ pattern. It is due to interior Heat consuming fluids. ABDOMINAL DISTENTION The Yang Ming Organ pattern will have abdominal bloating, or in more severe cases abdominal masses. This is due to the Heat drying the fluids, causing Qi Stagnation in the organs.

Answer 23

The Tai Yang stage involves pathogenic Wind and Cold on the Exterior of the body which need to be released. The Yang Ming stage involves pathogenic Heat in the Interior which needs to be cleared from the Stomach or drained through the bowels. In between these two stages is Shao Yang where the pathogen is between Internal and External.

Answer 24

The Shao Yang symptoms include both chills and fever, but they do not occur simultaneously, these symptoms alternate from one to the other. The related channels of Shao Yang are the Three Heater and Gallbladder.

Answer 25

Shao Yang is referred to as being half-exterior and half-interior. It is the pivot that enables communication between the external Tai Yang and the internal Yang Ming. It regulates the demands and conditions of the external world with the requirements of the internal being.

Answer 26

Pathogenic factors invade Shao Yang and contend with anti-pathogenic Qi (body Qi). There is a struggle in the area between the exterior and the interior. Due to the struggle the pathogenic factor moves between the exterior & interior; it moves between Tai Yang & Yang Ming.

Answer 27

This pattern is Yang/half exterior, half interior/Full.

Answer 28

Gall Bladder channel and its element partner the Liver . Bitter taste in mouth indicates an excess GB condition, Heat disrupting the flow of bile. Blurred vision the Liver, which opens to the eyes, is affected. Nausea, vomiting, bloating, poor appetite, and stomach-ache an excess Liver condition can easily attack the Spleen and Stomach, which govern digestion. Pain in the hypochondriac region this is the region of the Liver/GB so as the Meridian flow is disturbed, so is this

Answer 29

The Treatment Principle is to harmonise Shao Yang. This means to disperse the Exterior and clear the Interior.

Answer 30

``` Tai Yin (Greater Yin) Shao Yin (Lesser Yin) Jue Yin (Terminal Yin) ```

Answer 31

Tai Yin opens to the exterior. | It opens the internal, Yin processes of the body to the more Yang systems and processes.

Answer 32

This enables the absorption of nourishment, from external sources, to be used internally for physiological purposes of development, strengthening and healing. When the opening mechanism of Tai Yin is not functioning properly, it can manifest as weakness and a tendency to withdraw and try to avoid external interactions, both physical and emotional.

Answer 33

The opening of this Division is essential not only for receiving from the Yang systems of the body, but also for providing the Yang Divisions with the substances of Qi, Blood and body fluids that are produced in Tai Yin.

Answer 34

When the opening mechanism of Tai Yin is not functioning properly, it can manifest as weakness and a tendency to withdraw and try to avoid external interactions, both physical and emotional.

Answer 35

Lung and spleen channel. It is the first of the yin channels and the pathogen has started to move into the interior of the body. If the pathogen is strong enough, it can bypass the exterior and immediately invade Tai Yin. In all cases, the Spleen will be deficient and there will be internal Cold and Dampness present.

Answer 36

Tai Yin diseases are mostly due to pathogenic Cold directly attacking the middle jiao of a constitutionally weak patient, thus damaging the Yang of the Spleen. When the middle jiao is weak and attacked by pathogenic Cold, the functions of transformation & transportation become abnormal causing retention of Cold-Damp in the interior.

Answer 37

The nature of Tai Yin disease is Empty and Cold (Yang deficiency) of the middle jiao together with retention of Cold-Damp. This pattern is Yin/Internal/Empty & Full/Cold

Answer 38

``` Abdominal fullness from the Spleen not being able to transform and transport. Abdominal pain alleviated by warmth and pressure. Feeling of cold Vomiting Stomach Qi may be obstructed and can rebel producing vomiting. Lack of thirst & appetite Diarrhoea Tiredness Pale tongue with sticky, white moss Deep, weak, slow pulse ```

Answer 39

The Treatment Principle is to tonify Spleen Yang and expel the Cold

Answer 40

Shao Yin is classified as a pivot. | It regulates the Yin and Yang forces of the body which maintaining the fundamental balance.

Answer 41

Shao Yin syndrome affects the Kidneys and the Heart.

Answer 42

One involves a deficiency of Yang Qi and Cold, and the other involves a deficiency of Yin and Heat. Both involve a serious disruption of the body’s basic Yin and Yang balance.

Answer 43

Shao Yin syndromes of Cold transformation. Shao Yin syndromes of Heat transformation. These two patterns are essentially Kidney Yang deficiency with Empty-Cold and Kidney Yin deficiency with Empty-Heat.

Answer 44

``` Chills Feeling cold - the person may lie curled up or prefer many blankets. Cold limbs Listlessness, tendency to sleep Diarrhoea with undigested food Frequent, pale urination Tongue: pale & wet with white moss. Pulse: deep, weak & slow. ```

Answer 45

Treatment Principle – tonify Kidney Yang & expel Cold.

Answer 46

``` Feeling of heat Irritability Insomnia Scanty, dark urine Dry mouth & throat at night Night sweats Tongue: red without moss. Pulse: thready, rapid. ```

Answer 47

Nourish Kidney Yin & clear Empty-Heat

Answer 48

Jue Yin is classified as a closing. The closing of Jue Yin maintains the motion of the energy cycle and prevents movement from becoming chaotic, and as a result dangerous and destructive. It is the last (terminal) stage of penetration of pathogenic energy.

Answer 49

At this stage of disease there is weakness of Zheng Qi. This disease condition is complex. It is characterised by Heat above, Cold below. The Yin and Yang are unable to communicate with each other, which makes the Yang rise and the Yin sink down. This presents with Hot symptoms in the upper Jiao and Cold symptoms in the lower Jiao.

Answer 50

``` Heat above, Cold below Characteristic signs & symptoms: Heat above: Thirst Hunger Heat sensation in the chest & of energy rising Cold below: Cold limbs No real desire to eat Vomiting ```

Answer 51

The Treatment Principle for Jue Yin stage of disease is to clear Heat above, expel Cold below, harmonise the Liver channel.