6 Warps of Diagnosis YANG Flashcards
Forms that the HEAT with form of YANG BRIGHTNESS ORGAN (4)
1) DISTENTION / GLOMUS: subjective - it’s bloating, sensation of obstruction, heaviness (ZHI SHI) 2) FULLNESS: Objective - visible distention appreciated with palpation (HOU PO) 3) DRYNESS: Subjective - Dry stool accumulated & palpable, dry tongue (MANG XIAO) 4) REPLETION: Subjective - Painful formed heat resulting in constipation, worse with pressure (DA HUANG)
LESSER YANG DISEASE Patho-Mechanism
No Organ Involvement - The pathogen is NEITHER in the exterior nor the interior
6 CHANNEL, 6 WARP , 6 STAGES……describes disease changes in terms of
COLD and Heat
When an evil enters the Greater Yang the person can have
pain on back of head and neck lower back & spine are stiff
GREATER YANG CHANNEL DISEASE MAIN SIGNS:
1) AVERSION TO WIND OR COLD 2) HEADACHE & PAINFUL STIFF NAPE OF NECK 3) FLOATING PULSE
GREATER YANG CHANNEL DISEASES 2 MAIN CATEGORIES
1) Greater Yang Wind Strike 2) Greater Yang Cold Damage
GREATER YANG WIND STRIKE S/SX (1-5)
1) Heat effusiion 2) Aversion to wind 3) SPONTANEOUS SWEATING 4) Noisy Nose 5) Dry Retching
GREATER YANG WIND STRIKE: TONGUE & PULSE
Tongue: normal? Pulse: Floating & Moderate
GREATER YANG WIND STRIKE: Treatment
HARMONIZE CONSTRUCTION & DEFENSE
GREATER YANG COLD DAMAGE S/SX (1-6)
1) Aversion to COLD 2) Heat Effusion 3) Headache 4) Soreness & pain of the limbs & body 5) LACK OF SWEATING 6) Panting
GREATER YANG COLD DAMAGE: TREATMENT
1) Release exterior 2) Promote sweat 3) diffuse lung 4) calm wheeze (the panting I guess)
GREATER YANG COLD DAMAGE: TONGUE & PULSE
TONGUE: normal ? PULSE: FLOATING & TIGHT
GREATER YANG BOWEL PATTERNS: 2 main ones
1) Greater yang water amassment 2) Greater yang blooed amassment
GREATER YANG WATER AMASSMENT: s/sx
1) HEAT EFFUSION 2) AVERSION TO COLD 3) FULLNESS IN THE LESSER ABDOMEN 4) INHIBITED URINATION 5) Thirst 6) Vomiting immediately after the intake of fluids
GREATER YANG WATER AMASSMENT: tongue & pulse
Tongue: normal? Pulse: Floating or Floating & RAPID
GREATER YANG WATER AMASSMENT: treatment
Release the Exterior Transform Qi Disinhibit urine
GREATER YANG WATER AMASSMENT: s/sx
1) Tense & bound lower abdomen or 2) Fullness & distention of the lower abdomen 3) UN-INHIBITED URINE (urine flow is normal) 4) Mania or mania-like signs 5) Black stool or lacquer colored stool 6) Forgetfulness
GREATER YANG WATER AMASSMENT: tongue & pulse
Tongue: normal? Pulse: Sinking rough OR sinking bound
GREATER YANG WATER AMASSMENT: treatment
Expel stasis, discharge HEAT
When an evil enters the YANG MING (Yang brightness, brilliance) the person can have
1) REM: Yang Ming rules the flesh 2) it’s vessels line the nose on bothe sides & enclose the eyes 3) the body is hot, eyes are painful and nose is dry 4) person cant lie down
YANG MING general s/sx
1) Generalized Heat Effusion 2) No aversion to cold but AVERSION TO HEAT 3) Spontaneous sweating
YANG MING tongue & pulse
Tongue: ? Pulse: Large
YANG MING Disease 2 Major types
1) Yang Ming CHANNEL disease 2) Yang Ming BOWEL disease
YANG MING (Brightness) CHANNEL DISEASE s/sx
1) GREAT GENERALIZED HEAT EFFUSION (heat, fever) 2) GREAT SWEATING 3) GREAT THIRST DESIRING COLD FLUIDS 4) Heart vexation & agitation 5) Rough Breathing resembling panting 6) Red facial complexion [ALSO BIG PULSE - THIS IS THE 4 BIGS]
YANG MING (Brightness) CHANNEL DISEASE: Tongue & Pulse
Tongue: DRY, YELLOW COAT Pulse: SURGING, LARGE
YANG MING (Brightness) CHANNEL DISEASE: Treatment
1) Clear heat, drain fire or 2) Clear heat, resolve yang brightness
YANG MING (Brightness) BOWEL DISEASE s/sx
1) Late afternoon tidal heat effusion 2) DRIZZLY SWEATING OF THE EXTREMETIES 3) DISTENTION FULLNESS & PAIN IN THE NAVEL & ABDOMEN 4) Pain refusing pressure 5) BOUND STOOL 6) Clouding of the spirit & delirious speech 7) Manic derangement & insomnia
YANG MING (Brightness) BOWEL DISEASE: Pulse & Tongue
Tongue: YELLOW THICK DRY TONGUE COAT or prickly, scorched black dry coat Pulse: SLIPPERY RAPID pulse or sinking replete
YANG MING (Brightness) BOWEL DISEASE:
Clear heat Purge accumulation
Su wen: Yang Ming Brilliance
rules the GB its vessels follow the flanks & enclose the ears chest & flanks have pain and ears are “deaf”
Lesser Yang Disease: S/Sx
1) Bitter taste in the mouth 2) Dry throat 3) Vertigo 4) ALTERNATING HEAT (EFFUSION) & AVERSION TO COLD 5) BITTER FULLNESS IN THE CHEST & RIB-SIDE 6) Nausea & lack of desire to eat or drink 7) Heart vexation & desire to retch
Lesser Yang Disease: S/Sx: tongue & pulse
tongue: ?? pulse: WIRY
Lesser Yang Disease: TREATMENT PLAN
Harmonize the lesser yang
Passage & Change between the 6 warps (levels, 6 channels)
Passage of the evil from channel to another: 1) SEQUENTIAL passage (an evil passes through the channels) 2) SKIPPING passage (a COLD DAMAGE evils skips “a level”) 3) an evil moves directly from EXTERIOR to INTERIOR passage
Shifting between the 6 channels (warps, levels)
1) DIRECT STRIKE by evil (zhi zhong) 2) COMBINATION disease (he bing) 3) DRAGOVER disease (bing bing)
EXTERIOR REPLETION COMPLICATED BY INTERNAL HEAT: S/SX
1) Aversion to cold 2) Fever 3) Painful Body 4) Lack of sweat 5) Vexation & agitation
EXTERIOR REPLETION COMPLICATED BY INTERNAL HEAT: Tongue & Pulse
Tongue: yellow coat Pulse: Floating & tight
EXTERIOR REPLETION COMPLICATED BY INTERNAL HEAT: Treatment Plan
Release exterior cold, clear internal heat
LUNG HEAT PANTING COUGH: S/SX
1) Fever 2) Sweating 3) Panting 4) Cough 5) Thirst
LUNG HEAT PANTING COUGH: tongue & pulse
tongue: yellow coat pulse: rapid
LUNG HEAT PANTING COUGH: treatment plan
1) Clear heat, 2) diffuse lung, 3) downbear lung qi 4) stop panting
DAMP HEAT JAUNDICE: S/SX
1) Fresh yellow skin & eyes, yellow-red & scant urine 2) Fever, thirst, sweat 3) Heart vexation 4) Stomach-duct glomus, nausea & vomit 5) Bound stools
DAMP HEAT JAUNDICE: tongue & pulse
tongue: yellow & slimy coat pulse: wiry & rapid OR slippery & rapid
DAMP HEAT JAUNDICE: treatment plan
Clear & resolve damp - heat
LESSER YANG & GREATER YANG: S/SX
1) Slight aversion to wind & cold 2) Headache or dizziness 3) Neck stiffness 4) Vexing soreness of the joints of the 4 limbs 5) Propping binding or hardness below the heart
LESSER YANG & GREATER YANG: tongue & pulse
tongue: white coat pulse: floating OR wiry
LESSER YANG & GREATER YANG: treatment plan
Release exterior, harmonize & resolve
LESSER YANG & YANG BRIGHTNESS: s/sx
1) alternating fever & aversion to cold 2) bitterness & fullness in the chest & rib-side, bitter taste in mouth 3) tenseness & pain / harness & glomus in the upper abdomen 4) Bound stools, tidal fever or diarrhea
LESSER YANG & YANG BRIGHTNESS: tongue & pulse
tongue: dry, yellow or thick white coat pulse: wiry, forceful
LESSER YANG & YANG BRIGHTNESS: treatment
Harmonize & resolve the lesser yang, purge accumulation (bowels)
