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Z: Y3S1 - Internal IV > A: Long Bi > Flashcards

A: Long Bi Flashcards

0
Q

Why is San Jiao involved in Long Bi?

A

because its the water passages

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1
Q

Organs Involved in Long Bi?

A 
UB
K
Lu
Sp
SJ
Liver
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2
Q

What is Anuria?

A

No urine at all

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3
Q

What does Long Bi mean in English?

A

Retention of Urine

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4
Q

What is the parameter for urine quantity for Long Bi?

A

> 100mL per day

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5
Q

What are the three ways to discharge water from the body?

A

Urine
Lungs (breathing)
Skin (sweating)

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6
Q

What are the types of Long Bi?

A 
Damp Heat in UB
Retention of Heat in Lu
Liver Qi Stagnation
Blockage of Urinary Tract
Spleen Qi Sinking
Kidney Yang Xu
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7
Q

What are the two types of Xu Long Bi?

A

Spleen Qi Sinking

Kidney Yang Xu

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8
Q

What are the four types of Shi Long Bi?

A

Damp Heat in the UB
Retention of Heat in the Lu
Liver Qi Stagnation
Blockage of Urinary Tract

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9
Q

Scanty hot urine, difficult urination or complete blockage of urine. Distention and fullness of the lower abdomen, thirst but without desire to drink, bitter taste in the mouth, constipation. Red tongue with yellow greasy coating, deep and rapid pulse.

Dx?

A

Long Bi - Damp Heat in the UB

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10
Q

Difficult urination or complete blockage of urine, dry throat, thirst, cough, SOB, dyspnea. Red tongue with thin yellow coating, rapid pulse.
Dx?

A

Long Bi - Retention of Heat in the Lung

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11
Q

Dribbling urination or retention of urine, distention and fullness in the hypochondrium and lower abdomen, restlessness, anger. Tongue could be totally normal, or may have some stagnation signs. Wiry Pulse.
Dx?

A

Long Bi - Liver Qi Stagnation

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12
Q

Dribbling urination or complete blockage of urine. Distending pain in the lower abdomen, may have a traumatic injury or surgical operation on the lower abdomen. Dark purple tongue or purplish spots on the tongue. Pulse is thready and choppy.
Dx?

A

Long Bi- Blockage of Urinary Tract

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13
Q

Dribbling urination, dragging feeling in the lower abdomen, SOB, low voice, listlessness, fatigue, poor appetite, pale tongue, weak pulse.
Dx?

A

Long Bi - Spleen Qi Sinking

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14
Q

Dribbling urination or retention or urine, weak stream. Pallor, listlessness, cold and weakness of the lumbar and knees. Pale tongue, deep and thready pulse which is weak at the chi position.
Dx?

A

Kidney Yang Xu type of Long Bi

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15
Q

Damp Heat in UB

Tx?

A

Sp 9, Ren 3

+ Long Bi Basics: Sp 6/9, UB 28, Ren 3/4, UB 22

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16
Q

Basic Points for Long Bi?

A

SP 6/9, UB 28, Ren 3/4, UB 22

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17
Q

Retention of Heat in the Lung type Long Bi

Tx?

A

Lu 5

+ Long Bi Basics: Sp 6/9, UB 28, Ren 3/4, UB 22

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18
Q

Liver Qi Stagnation type of Long Bi

Tx?

A

Liver 2/3

+ Long Bi Basics: Sp 6/9, UB 28, Ren 3/4, UB 22

19
Q

Blockage of Urinary Tract type of Long Bi

Tx?

A

Sp 10

+ Long Bi Basics: Sp 6/9, Ren 3/4, UB 22/28

20
Q

Blockage of Urinary Tract type of Long Bi

Tx?

A

Sp 10

+ Long Bi Basics: Sp 6/9, Ren 3/4, UB 22/28

21
Q

Spleen Qi Sinking type of Long Bi

Tx?

A

UB 20, Ren 6

+ Long Bi Basics: Ren 3/4, Sp 6/9, UB 22/28

22
Q

Kidney Yang Xu type of Long Bi

Tx?

A

UB 23, K 10

+ Long Bi Basics: Ren 3/4, Sp 6/9, UB 22/28

23
Q

Damp Heat type of Long Bi

POT?

A

Clear heat, drain damp, open the water passages

24
Q

Retention of Heat in the Lung type of Long Bi

POT?

A

Clear heat from the lung to regulate water passages

25
Q

Liver Qi Stagnation type of Long Bi

POT?

A

Soothe the liver, regulate qi and open the water passages

26
Q

Blockage of Urinary Tract type of Long Bi

POT?

A

Promote circulation of Qi and blood to eliminate stagnation, open the water passages.

27
Q

Spleen Qi Sinking type of Long Bi

POT?

A

Tonify and raise spleen Qi, open the water passages

28
Q

Kidney yang xu type of Long Bi

POT?

A

Warm and tonify kidney yang Qi, open the water passages.

29
Q

Etiologies of Long Bi

A

Invasion of wind/damp/heat - damp heat, or Heat in Lung
Improper diet and overstrain- Damp Heat
Long Term Illness - weak constitution, heat in LJ, Yin Xu, Yang Xu
Blood/Phlegm stasis- blocks tract
Tumor/Stone - blocks tract
Turbid essence - blocks tract

30
Q

Types of Long Bi

A 
Damp Heat in UB
Retention of Heat in the Lung
Liver Qi Stagnation
Blockage of Urinary Tract
Spleen Qi Sinking
Kidney Yang Xu
31
Q

How to choose between Ren 3 or Ren 4 in Long Bi Basics?

A

3 is more for Excess, 4 is more for Xu (it’s Tonifying)

32
Q

Why choose Lung 5 for Retention of Heat in Lung type of Long Bi?

A

Clears Heat

or can also use Lung 10 (Ying Spring)

33
Q

When would you use moxa on Du 20 for Long Bi?

A

When you need to lift Clear Yang - such as with Spleen Qi Sinking

34
Q

When would we use moxa with salt in the belly button for Long Bi?

A

Kidney Yang Xu type of Long Bi

35
Q

How many points should be used on deficient patients?

A

Just a couple, but if it is acute, or very long term, 3-5 points

36
Q

Symptom treatment:

Irritability

A

Pc 6

37
Q

Long Bi, other remedies:

A

Moxa - esp Ren 8

38
Q

*Remember on test that moxa contraindicated to what?

A

heat

39
Q

Herbal External Remedy for Long Bi

A

Ren 8 and Ren 22, apply herbal patch

40
Q

Athsma - external herbal remedy:

A

herbal patch at Ren 22 - not too long!!!!
Ren 17
Du 13

41
Q

What can you mash up and make a paste out of and where do you apply it to help with Long Bi?

A

Green onions

Ren 8

42
Q

Liver Qi Stagnation

Herbal Remedy?

A

Can just get them to listen to running water to help them pee

The sound of running water soothes the liver

43
Q

Bad habits for Long Bi

A 
Excess Sex
Holding pee for long time
Excess damp spicy food
Untreated Lin Syndrome 
Untreated Edema
44
Q

3 Principals for Chronic Long Bi (or Prostatitis)

A
  1. Treat the Root FIRST, combined with some branch Tx (Kidney is a key organ, so Root is usually Kidney Yang Xu) - if we just promote urination over and over we won’t treat root. Usually low back pain, weak knees, Qi position usually very weak on both sides (deep, thin, weak), so need to Warm and Tonify Kidney Yang (Shen Qi Wan). Branch is the retention of water, which does need to be cleared.
  2. Dz and Pattern Tx together. Use seaweed to soften nodules, which could be blood stasis, phlegm, etc. Salt soften things
  3. Experience - we know that LJ Dz we treat upper and push down, but lift first so that it doesn’t do bad stuff.

Z: Y3S1 - Internal IV (17 decks)

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