A: Edema, Lin Syndrome (Urination) Flashcards

0
Q

Sudden onset of swelling in the face and eyelids, which spreads to the extremities or even the whole body. Aversion to cold, has fever, red and sore throat, couch or general aches. Tongue coating is thin and white, pulse is superficial and slippery.
Dx?

A

Wind (Yang) Edema

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1
Q

Slow onset of edema on whole body - deep depression when pressing on the skin. Scanty urine, heaviness of body, tired, oppressed sensation in the in the chest, poor appetite, nausea. White and sticky tongue coating. Deep and moderate pulse.
Dx?

A

Edema - Yang - Damp

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2
Q

Edema over the body, thin tight and shiny skin. Scanty and dark urine, dry stool, distension in the chest, epigastrium and abdomen, restlessness, dry mouth. Yellow and sticky coating on the tongue. Deep and rapid or soft and rapid pulse.
Dx?

A

Damp-Heat Edema (Yang)

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3
Q

Edema over the whole body, some sores or carbuncles or furuncles. Scanty urine, red, swollen and painful throat, fever, aversion to cold. Red tongue with yellowish coating. Superficial and rapid or slippery and rapid pulse.
Dx?

A

Toxic Edema - yang

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4
Q

Chronic Onset of pitting edema which is worse on the lower body. Distension in the epigastrium, poor appetite, loose stool, tiredness, cold extremities, yellowish face without lustre, scanty but clear urine. Pale tongue with white sticky or slippery coating, deep and moderate or deep and weak pulse.
Dx?

A

Spleen Yang Xu Edema (Yin Edema)

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5
Q

Chronic onset of pitting edema which is worse on the lower body, especially the feet. Soreness and weakness in the lumbar region and knees, intolerance to cold, cold extremities, listlessness, scanty urine, palpitations, shortness of breath, pale or grayish face, or dizziness, tinnitus, nocturnal emission, impotence, bloody gums. Tongue is pale and puffy with white coating. Pulse is thin and deep or deep, slow, and weak.
Dx?

A

Yin Edema - Kidney Yang Xu

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6
Q

Wind Edema

POT?

A

Disperse wind to release the exterior, promote the lung’s function in regulating the water passage

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7
Q

Yang Edema - Damp

POT?

A

Resolve damp and strengthen the spleen to activate yang and promote urination.

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8
Q

Damp Heat Edema (Yang)

POT?

A

Drain damp heat to resolve edema

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9
Q

Toxic Edema - Yang

POT?

A

Disperse wind, clear toxic heat and eliminate damp by promoting urination.

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10
Q

Yin Edema - Spleen yang Xu

POT?

A

Warm and tonify the spleen yang to promote the transformation of water.

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11
Q

Kidney yang Xu type of Yin Edema

POT?

A

Warm and tonify the kidney yang to activate qi in the bladder and discharge the extra water in the body

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12
Q

Basic Edema Points:

A
UB 13, 18, 19, 22
Ren 9
St 36
LI 4, 6 (luo)
Sp 9
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13
Q

Moxa Pts for Edema

A

(Yin Edema Only)
Du 4, 14
Ren 6, 12, 17
UB 23

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14
Q

Wind (Yang) Edema

Pts?

A

UB 23, Lu 7, Sp 9, GB 20, Du 26

+ Basic Edema Pts UB 13, 18, 19, 22, Ren 9, St 36, Sp 9, LI 4, 6

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15
Q

Damp (yang) Edema

Pts?

A

St 44, Liver 3, SJ 9

+Edema Basics: UB 13, UB 18, UB 19, UB 22, Ren 9, St 36, Sp 9, LI 4, LI 6

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16
Q

Damp-Heat Edema (Yang)

Pts?

A

GB 34

+Basic Edema Pts UB 13, 18, 19, 22, Ren 9, St 36, Sp 9, LI 4, 6

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17
Q

Toxic Edema - Yang

Pts?

A

GB 34, 39

+ Basic Edema Pts: UB 13, 18, 19, 22, Ren 9, Sp 9, St 36, LI 4,6

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18
Q

Yin Edema - Spleen Yang Xu

Pts?

A

UB 20, 21, Ren 6, 12, Sp 8

+ basic Edema Pts UB 13, 18, 19, 22, Ren 9, Sp 9, St 36, LI 4, LI 6

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19
Q

Kidney Yang Xu - Yin Edema

A

UB 20, UB 23, Ren 6, 8, Du 4, 20, K 1

+ Basic Edema Pts UB 13, 18, 19, 22, Ren 9, SP 9, St 36, LI 4, LI 6

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20
Q

Auricular Tx for Edema?

A

Liver, Spleen, Kidney, Lung, San Jiao, Sub cortex, Endocrine, Adrenal, Corresponding to body area pts too

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21
Q

What should you warn patients about with Edema?

A

It takes 2-3 months to treat
Sometimes water may come out with needles
They must take extra good care of themselves

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22
Q

What kind of technique for Yang Edema?

A

Reducing needle

No moxa

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23
Q

Technique for Yin Edema

A

Tonifying needles

YES moxa

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24
Q

Warming needle points for Yin Edema

A

Du 4, Du 14, UB 23, Ren 6, 12, 17

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25
Q

Frozen Needle Technique for Yang Edema

Pts?

A

UB 23, UB 46

Retain 10 minutes

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26
Q

How to Plumb Blossom for Edema

A

Gently - just till a little red
Tap from upper to lower
Use only for Yang

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27
Q

Points to add for insomnia:

A

GB 20, K 1

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28
Q

Pts to add for Edema with a cold

A

Du 14, Du 12, Lu 7

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29
Q

Pts to add for edema with sore throat

A

LI 4, SI 17

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30
Q

Points to add for edema with kidney failure:

A

Huato T5-T7

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31
Q

Points to add for edema with bloody urine

A

K 6, Liver 1

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32
Q

Points to add for Edema with a cough

A

Lu 5, Lu 9

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33
Q

Points to add for edema with raised WBC count (aka infection)

A

Ren 3

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34
Q

Points to add to edema with nausea

A

Ren 12, St 40

35
Q

Types of Edema

A

Yang - wind, Damp, D-H, Toxic

Yin - Spleen Yang Xu, Kidney Yang Xu

36
Q

Types of Lin Syndrome

A
Heat
Stone
Lao
Gao - Shi
Gao-Xu
Qi - Shi
Qi - Xu
Blood - Shi
Blood - Xu
37
Q

Types of Lin Syndrome

A

Heat, Stone, Lao, Gao (X/S), Qi (X/S), Blood (X/Shi)

38
Q

Frequent scanty and difficult urination, burning pain on urination, dark urine with a strong smell, low back pain aggravated by pressure, fever, chills, bitter taste in the mouth, nausea, constipation, thirst. Yellow greasy coating on tongue. Pulse soft and rapid.
Dx?

A

Heat Lin

39
Q

Stone or sand in the urine, difficult and painful urination which may top suddenly. Unbearable colic pain in the lumbar and abdomen, blood in the urine, red tongue with thin yellow coating. Pulse is wiry or wiry and rapid.
Dx?

A

Stone Lin

40
Q

Difficult urination, coming on in bouts, no burning, frequency dribbling after micturition, often triggered by overwork. Soreness and weakness of the lumbar and knee, fatigue, depression, chills. Pale tongue and weak pulse.
Dx?

A

Lao Lin

41
Q

Organs for Excess types of Lin?

A

Spleen
Heart
Liver
UB

42
Q

Organ for Xu type of Lin?

A

Spleen
Kidney
UB

43
Q

Turbid or cloudy urine like rice soup, possibly with blood or sediment looking like cotton wool after some time, burning and painful and difficult urination. Red tongue with yellow greasy coating. Pulse is soft and rapid.
Dx?

A

Gao Lin - Shi

44
Q

Cloudy or turbid urine, slight difficulty in urination. Loss of weight, dizziness, fatigue, soreness and weakness of the lumbar and knees. Pale tongue with greasy coating. thready and weak pulse.
Dx?

A

Gao Lin - Xu

45
Q

Difficult and painful urination, distending pain in the lower abdomen, irritability. Deep wiry pulse.
Dx?

A

Qi Lin - Shi

46
Q

Difficult urination, weak stream, dribbling after micturition, dragging feeling in the lower abdomen, pale and puffy complexion. Pale tongue, weak and thready pulse.
Dx?

A

Qi Lin - Xu

47
Q

Difficult urination, burning pain on urination, blood in the urine which could take the form of small clots. Fullness and pain in the lower abdomen, restlessness. Red tip of the tongue with yellow coating. Rapid pulse.
Dx?

A

Blood Lin - Shi

48
Q

Pale blood in the urine, slight discomfort on urination, not much pain. Soreness and weakness of the lumbar and knees, fatigue, night sweats. Pale red tongue, thready and rapid pulse.
Dx?

A

Blood Lin - Xu

49
Q

Types of Lin Syndrome?

A

Heat, Stone, Lao, Goa (S/X), Qi (S/X), Blood (S/X)

50
Q

Basic points for Lin Syndrome?

A

UB 23, 28
Ren 3, 4
Spleen 6, 9

51
Q

Heat Lin

Tx?

A

LI 4, LI 11

+ Basics UB 23, 28, Ren 3, 4, Spleen 6, 9

52
Q

Stone Lin

Tx?

A

St 28, UB 39

+ Lin Basics UB 23, 28, Ren 3, 5, Sp 6, 9

53
Q

Lao Lin

Tx?

A

Du 20, Ren 6, St 36

+ Lin Basics UB 23, 28, Ren 3, 4, Spleen 6, 9

54
Q

Gao Lin - Shi

Tx?

A

K 6

+Lin Basics: UB 23, 28, Sp 6, 9, Ren 3, 4

55
Q

Gao Lin - Xu

Tx?

A

K 6

+Lin Basics: Sp 6,9, Ren 3, 4, UB 23, 28

56
Q

Qi Lin - Shi

Tx?

A

Liver 2

+Lin Basics: Sp 6, 9, UB 23, 28, Ren 3, 4

57
Q

Qi Lin - Xu

Tx?

A

Liver 2

+Lin Basics: Ren 3, 4, UB 23, 28, Sp 6, 9

58
Q

Blood Lin - Shi

Tx?

A

Sp 8, 10

+Lin Basics: Sp 6, 9, UB 23, 28, Ren 3, 4

59
Q

Blood Lin - Xu

Tx?

A

Sp 8, 10

+Lin Basics:Sp 6, 9, Ren 3, 4, UB 23, 28

60
Q

Basic Points for Lin Syndrome?

A

UB 23, 28
Ren 3, 4
Sp 6, 9

61
Q

Heat Lin

POT?

A

Clear heat, drain dampness, open the water passages

62
Q

Stone Lin

POT?

A

Clear heat, drain damp, open water passages, expel stones

63
Q

Lao Lin

POT?

A

Tonify the spleen and kidney, open the water passage

64
Q

Gao Lin - Shi

POT?

A

Drain dampness, clear heat, separate the clear from the turbid, open the water passages

65
Q

Gao Lin - Xu

POT?

A

Tonify Qi, strengthen the kidneys to consolidate the essence, separate the clear from the turbid.

66
Q

Qi Lin - Shi

POT?

A

Move Qi, eliminate stagnation, open the water passages

67
Q

Qi Lin - Xu

POT?

A

Tonify and raise the Qi, open the water passages

68
Q

Blood Lin - Shi

POT?

A

Clear heat, cool blood, stop bleeding, open the water passages

69
Q

Blood Lin - Xu

POT?

A

Nourish yin to clear deficient heat, cool blood to stop bleeding, open the water passages

70
Q

General Causes of Impotence

A
Excess Sex
Congenital
Overthinking/Worry/Anxiety
Fear/Fright
Irregular Diet (booze)
71
Q

Chief Organs in Impotence

A
Kidney (Qi, consolidates essence, damp heat in LJ)
Liver (Damp heat in LJ)
Heart
Spleen (Qi and Blood)
GB (fail to dominate the brave)
72
Q

Types of Impotence

A

Decline of Mingmen Fire
Ht & Sp Xu
Ht & Kidney Fright Injury
Damp Heat in LJ

73
Q

Impotence, nocturnal emission, ejaculation. Low back sore, listlessness, dizziness, blurred vision, pale and puffy complexion. Pale tongue with thin white coating. Pulse is deep and thready.
Dx?

A

Decline of Mingmen Fire type Impotence

74
Q

Impotence, listlessness, insomnia, dream disturbed sleep, pale complexion, pale tongue, thready pulse.
Dx?

A

Heart and Spleen Xu type Impotence

75
Q

Impotence, timidity, worry, suspicion, fatigue, palpitations, insomnia, pale blue tongue with thin greasy coating. Wiry and thready pulse.
Dx?

A

Injury of Ht and K by fright, causing Impotence

76
Q

Impotence, scanty yellow urine, soreness and weakness of the lower extremities, night sweats, red tongue with yellow greasy coating on the back. Deep slippery or soft slippery and rapid pulse.
Dx?

A

Damp Heat in the Lower Jiao causing Impotence

77
Q

Types of Impotence?

A

Decline of Mingmen Fire
Heart and Spleen Xu
Fright injures Ht and K
Damp Heat in LJ

78
Q

Decline of Mingmen Fire type Impotence

Tx?

A

UB 234, Du 4, K 3

+Impotence Basics: Ren 4, Sp 6

79
Q

Heart and Spleen Xu type Impotence

Tx?

A

UB 15, Ht 7, St 36, Ren 12

+Impotence Basics: Sp 6, Ren 4

80
Q

Injury of Heart and Kidney by fright type of Impotence

Tx?

A

Pc 6, Liver 3, Sishencong

+Impotence Basics: Sp 6, Ren 4

81
Q

What are the basic points for Impotence?

A

Ren 4

Sp 6

82
Q

Damp Heat in the Lower Jiao type of Impotence

Tx?

A

Baliao, Sp 9, Ren 3, Liver 5

+Impotence Basics Ren 4, Sp 6

83
Q

Yang Xu in General

Sx?

A
Listlessness
Lassitude
No Thirst
Loose stools
Clear Urine increased in volume
Chills
Cold Limbs
Spontaneous Sweating
Pale Tongue
Weak Pulse
84
Q

Qi Xu

General Sx?

A
Dizziness
Blurred Vision
Dislike Speaking
Lassitude
Spontaneous sweating, worse on exertion
Pale tongue
Xu pulse
85
Q

Blood Stagnation in General

Sx?

A
Fixed and stabbing pain
Mass Tumours
Hemorrhage
Purplish spots on the skin and tongue
Purplish lips
Dry or flaky skin
86
Q

Yin Xu

General Sx?

A
Afternoon fever
Malar Flush
5 Palm Heat
Night Sweats
Dry throat and mouth
Yellow Urine
Dry Stool
Red Tongue
Thready, rapid pulse