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Internal theraputics 1 > Abdominal masses > Flashcards

Abdominal masses Flashcards

0
Q

Clinical Feature

A

Poor appetite
Fatigue
Nausea

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1
Q

Differentiate Ji and ju

A

JI: Blood stagnation
Fixed, real masses
Fu organs

JU: Qi Stagnation
Moving, comes and goes
Zang organs

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2
Q

Corresponding western diagnosis

A 
Kidney cysts
Cirrhosis 
Malaria
Jaundice
Tumor
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3
Q

Etiology

A

Emotional frustration
Diet -phlegm
EPF
Long term illness

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4
Q

Chief Pathology

A

Qi and Blood Stasis

Stagnation damages Zheng Qi and turns to deficiency

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5
Q

Main organs

A

Liver

Spleen

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6
Q

Complications

A

1) Edema

2) skin infections

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7
Q

Basic Points

A

St 36
SP 6
Ren 4

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8
Q

POT for Ji

A

Early: Remove Xie Qi

Mid: remove xie Qi and tonify Zheng Qi

Late: Tonify Zheng Qi

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9
Q

Basic POT

A

JU—> soothe liver, regulate Qi, promote BM

JI—> Remove blood stagnation (early,mid,late)

  • must determine what stage*
    Late stage patient too weak to remove stagnation and surgery required so only tonify patient first
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10
Q

Differentiation JI

A

Early—> small, soft, Zheng Qi not damaged (excess)

Mid—> Harder, Zheng Qi slightly damaged
(Mixed pattern of excess and deficiency)

Late—> large, hardest, Zheng damaged
( Deficency)

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11
Q

Alternative Tx

A

Herbs –> bitter, strengthen SP/ST

Integrate western and Chinese medicine for best results

Acup tx for Tumor –> Improve/prolong life quality
Cancer–> Treat pain, side effects

Points: 
Life Quality: St36, SP 6, Ren 4 ( tonify Zheng Qi)
Lu cancer: Lu 5, Pc 6, Lu 10
Stomach Intestinal: LI11, LI 10, SJ 5
Liver: Liv 6, Dannanxue 
Breast: St 16/18, HT 1
Esophagus: Ren 14/15/17/23
SP/Kid yang Deficency: UB 20/23, Ren 6, du 4 (warming needle)
PAIN:
Jiaji, ashi, LI 4, ST 36
Liv: GB 34, Liv 13/14, GB 24
Lung: Lu 6, Lu 5, Lu 9
Breast: Ren 18/19
Brain: Liv 2, DU 1, yin tang, du 21

Moderate electro stimulation (distal points)

SIDE EFFECTS:
St 36, Sp 6
Decreased WBC: UB 17/20/23
Improve immune system: Pc 6, Ren 4
Gastrointestinal: Pc 6, Ren 12, Sp 10
Mouth sores/dry mouth: Kid 6, Lu 7, Ren 23
Diarrhea/constipation: St 25, SJ 6, ST 21, UB 25
( warming needle)

Auricular:
Occipital, brain, kidney, corresponding organ

Abdominal Moxa

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12
Q

Education

A

Qi gong

Reg stress

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13
Q

Excess Patterns

A

Liver Qi stag
Retention food and phlegm
Qi stag with blood stasis
Accumulation of Qi and blood

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14
Q

Deficiency Patterns

A

deficiency with Blood stasis

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15
Q

Moveable abdominal masses which come and go, abdominal distension and abdominal pain that come and go with the mass

A

Liver Qi stag

16
Q

Hard, immovable mass and painful in the abdomen

A

Accumulation of Qi and blood

17
Q

Soft abdominal mass the might be strip-like, Abdominal distension or pain, aggravated by pressure

A

Retention of food and phlegm

18
Q

Soft but moveable mass

A

Qi stag with blood stasis

19
Q

Hard and painful abdominal masses

A

Deficiency with blood stasis

20
Q

Liver Qi stag points

A

Liv 3

Liv 14

21
Q

Liver Qi stag POT

A

Soothe the liver
Eliminate stagnation
Move Qi
Dissolve mass

22
Q

Liver Qi stag T and P

A

T: thin coating
P: wiry

23
Q

Retention food and phlegm points

A

St 40

Ren 12

24
Q

Retention food and phlegm T and P

A

T: greasy tongue coat

P: wiry and slippery

25
Q

Retention food and phlegm POT

A

Resolve food retention
Promote BM
Regulate Qi
Resolve phlegm

26
Q

Qi stag with Blood Stasis T and P

A

T: purple

P: wiry

27
Q

Qi stag with Blood Stasis Points

A

UB 17

SP 10

28
Q

Qi stag with Blood Stasis POT

A

Move blood and Qi
Circulate collaterals
Dissolve masses

29
Q

Accumulation of Qi and blood T and P

A

T: purple
P: thready and choppy

30
Q

Accumulation of Qi and blood POT

A 
Break blood
Eliminate stasis
Soften hardness
Dissolve masses
Regulate spleen and stomach
31
Q

Accumulation of Qi and blood Points

A

Sp 10
UB 17
Ashi

32
Q

Deficiency with Blood stasis T and P

A

T: pale and purple tongue with out coating
P: thready rapid or wiry thready

33
Q

Deficiency with Blood stasis POT

A

Strongly tonify Qi and blood

Move blood to eliminate stasis

34
Q

Deficiency with Blood stasis Points

A

UB 17

UB 20/23

Internal theraputics 1 (17 decks)

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