A: Edema, Lin Syndrome (Urination) Flashcards
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?
Wind (Yang) Edema
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?
Edema - Yang - Damp
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?
Damp-Heat Edema (Yang)
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?
Toxic Edema - yang
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?
Spleen Yang Xu Edema (Yin Edema)
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?
Yin Edema - Kidney Yang Xu
Wind Edema
POT?
Disperse wind to release the exterior, promote the lung’s function in regulating the water passage
Yang Edema - Damp
POT?
Resolve damp and strengthen the spleen to activate yang and promote urination.
Damp Heat Edema (Yang)
POT?
Drain damp heat to resolve edema
Toxic Edema - Yang
POT?
Disperse wind, clear toxic heat and eliminate damp by promoting urination.
Yin Edema - Spleen yang Xu
POT?
Warm and tonify the spleen yang to promote the transformation of water.
Kidney yang Xu type of Yin Edema
POT?
Warm and tonify the kidney yang to activate qi in the bladder and discharge the extra water in the body
Basic Edema Points:
UB 13, 18, 19, 22 Ren 9 St 36 LI 4, 6 (luo) Sp 9
Moxa Pts for Edema
(Yin Edema Only)
Du 4, 14
Ren 6, 12, 17
UB 23
Wind (Yang) Edema
Pts?
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
Damp (yang) Edema
Pts?
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
Damp-Heat Edema (Yang)
Pts?
GB 34
+Basic Edema Pts UB 13, 18, 19, 22, Ren 9, St 36, Sp 9, LI 4, 6
Toxic Edema - Yang
Pts?
GB 34, 39
+ Basic Edema Pts: UB 13, 18, 19, 22, Ren 9, Sp 9, St 36, LI 4,6
Yin Edema - Spleen Yang Xu
Pts?
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
Kidney Yang Xu - Yin Edema
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
Auricular Tx for Edema?
Liver, Spleen, Kidney, Lung, San Jiao, Sub cortex, Endocrine, Adrenal, Corresponding to body area pts too
What should you warn patients about with Edema?
It takes 2-3 months to treat
Sometimes water may come out with needles
They must take extra good care of themselves
What kind of technique for Yang Edema?
Reducing needle
No moxa
Technique for Yin Edema
Tonifying needles
YES moxa
Warming needle points for Yin Edema
Du 4, Du 14, UB 23, Ren 6, 12, 17
Frozen Needle Technique for Yang Edema
Pts?
UB 23, UB 46
Retain 10 minutes
How to Plumb Blossom for Edema
Gently - just till a little red
Tap from upper to lower
Use only for Yang
Points to add for insomnia:
GB 20, K 1
Pts to add for Edema with a cold
Du 14, Du 12, Lu 7
Pts to add for edema with sore throat
LI 4, SI 17
Points to add for edema with kidney failure:
Huato T5-T7
Points to add for edema with bloody urine
K 6, Liver 1
Points to add for Edema with a cough
Lu 5, Lu 9
Points to add for edema with raised WBC count (aka infection)
Ren 3