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ICTCM Summer 2015 > Acu 3 Chest blockage with heart pain, palpitations, and insomnia > Flashcards

Acu 3 Chest blockage with heart pain, palpitations, and insomnia Flashcards

1
Q

What is chest blockage with heart pain

A

Due to pathogens blocking the linking meridian of the heart which stagnates both the qi and the blood

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2
Q

Etiology of chest blockage

A
  1. Cold attacks and invades deeply
  2. Improper food
  3. Emotional stimulation
  4. Aging and deficiency
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3
Q

Signs and symptoms: pain in the heart and chest, fixed, gripping pain that gets worse at night, dark complexion, palpitations, purple tongue, blue sublinguals, shortness of breath, can’t lie down, deep and slow pulse (maybe)

A

Blood Stasis (Chest blockage with heart pain)

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4
Q

Blood Stasis (Chest blockage with heart pain) principle of treatment

A

Activate blood and transform coagulation, connect linking meridians and stop pain

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5
Q

Blood Stasis (Chest blockage with heart pain) meridians

A

PC, HT

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6
Q

Blood Stasis (Chest blockage with heart pain) points

A

Ren 14, UB 15: back shu and front mu of the heart to transform coagulated blood
HT 6, PC 4: xi cleft of the heart and pericardium to treat acute symptoms and relieve pain
Ren 17, UB 17: meeting point of qi and meeting point of blood, to promote flow and activate blood to expel coagulation and connect linking meridians
UB 14: back shu of pericardium

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7
Q

LU 11 and HT 9 for

A

purple dark tongue

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8
Q

Blood Stasis (Chest blockage with heart pain) techniques of treatment

A

sedation acupuncture

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9
Q

Signs and symptoms: pain in the heart and the chest as if shrinking and squeezing which attacks when cold, cold body and limbs, discomfort with palpitation, panting and unable to lie down in severe case, pale tongue, white and slippery coating, deep and fine or wiry and tight pulse

A

Cold congestion in the heart meridian (chest blockage with heart pain)

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10
Q

Cold congestion in the heart meridian (chest blockage with heart pain) principles of treatment

A

warm and disperse pathogens, soothe yang qi and open up blockage

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11
Q

Cold congestion in the heart meridian (chest blockage with heart pain) meridians

A

PC, HT, Ren

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12
Q

Cold congestion in the heart meridian (chest blockage with heart pain) points

A

UB 15, UB 14: assist heart yang and disperse cold pathogens (back shu of HT and PC)
PC 6: open chest
HT 5: luo of the heart to stop pain and activate blood
Ren 6, Ren 4: warm and disperse cold congestion

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13
Q

Cold congestion in the heart meridian (chest blockage with heart pain) techniques of treatment

A

sedation acupuncture

moxibustion

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14
Q

UB 13, UB 12 for

A

aversion to chills (with moxibustion)

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15
Q

Signs and symptoms: choking discomfort in the heart and chest as if under pressure of objects, shortness of breath, acute panting, obesity, heavy limbs, lumpy stomach, turbid and greasy phlegm with stick sensation in the mouth, turbid and greasy coating, slippery pulse, people look oily

A

Internal obstruction of turbid phlegm (chest blockage with heart pain)

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16
Q

Signs and symptoms: heart pain like burning, mental depression with dried mouth, phlegm, mostly yellowish and sticky, sticky constipation, red tongue, yellowish and greasy coating, slippery and rapid pulse

A

Phlegm heat (chest blockage with heart pain)

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17
Q

Internal obstruction of turbid phlegm (chest blockage with heart pain) principles of treatment

A

soothe yang and transform turbidity, expel phlegm and open up congestion

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18
Q

Internal obstruction of turbid phlegm (chest blockage with heart pain) meridians

A

PC, ST

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19
Q

Internal obstruction of turbid phlegm (chest blockage with heart pain) points

A

Ren 17: meeting point of qi, front mu of the PC, regulate the heart energy and stop pain
Ren 14, PC 4: front mu of the heart and xi cleft point of the PC to stimulate heart yang
LU 9, ST 40: meeting point of vessels and phlegm point to remove phlegm so the chest yang will expand and energy and blood will flow smoothly

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20
Q

ST 36 with Ren 12 for

A

bloating and poor appetite

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21
Q

ST 44 with LI 4 and SP 9

A

Turbid phlegm transforming into heat

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22
Q

Internal obstruction of turbid phlegm (chest blockage with heart pain) techniques of treatment

A

sedation acupuncture with moxibustion

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23
Q

Signs and symptoms: mild pain in the heart and chest with recurrent attacks, discomfort with acute breath, panting triggered by movements, palpitation with easy perspiration, worse after exertion, fatigue and too lazy to talk, pale complexion, pale tongue, toothmarks on tongue, thin and white coating, weak pulse

A

Deficiency and weakness of heart energy (chest blockage with heart pain)

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24
Q

Deficiency and weakness of heart energy (chest blockage with heart pain) principle of treatment

A

tonify the spleen, tonify qi, nourish the heart and relieve pain

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25
Q

Deficiency and weakness of heart energy (chest blockage with heart pain) meridians

A

PC, HT

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26
Q

Deficiency and weakness of heart energy (chest blockage with heart pain) points

A

Ren 17: meeting point of energy and the front mu of the PC, regulates the HT energy and stop pain
Ren 6: tonify the vital qi
ST 36: tonify and nourish acquired energy and benefit heart qi

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27
Q

Deficiency and weakness of heart energy (chest blockage with heart pain) techniques of treatment

A

tonification acupuncture with moxibustion

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28
Q

Signs and symptoms: mild pain in the heart and chest, dragging on and on without recovery, stubborn pain that comes and goes, palpitation and night sweats, mental depression and little sleep, lumbago with weak knees, ringing in the ears, dizziness, short breath and lack of power, red tongue, scanty coating, fine and rapid pulse

A

Heart and Kidney yin deficiency (chest blockage with heart pain)

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29
Q

Heart and Kidney yin deficiency (chest blockage with heart pain)`principles of treatment

A

water yin and benefit kidneys, nourish the heart and stop pain

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30
Q

Heart and Kidney yin deficiency (chest blockage with heart pain) meridians

A

HT, KD

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31
Q

Heart and Kidney yin deficiency (chest blockage with heart pain) points

A 
UB 15: heart back shu
PC 6: open the chest
KD 3: tonify kidney
UB 23: kidney back shu
HT 7: calm the shen, remove irritability
SP 6: norusih the blood and water yin (with SP 10)
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32
Q

ST 2 and KD 6 for

A

constipation

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33
Q

Heart and Kidney yin deficiency (chest blockage with heart pain) techniques of treatment

A

tonification acupuncture

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34
Q

Etiology of palpitation

A
  1. Deficiency of heart and gallbladder lead to prone to be scared
  2. Deficiency of both heart and spleen
  3. Yin deficiency of empty heat
  4. blood stasis of heart
  5. water attacks heart
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35
Q

Signs and symptoms: palpitation by fright and fear, palpitation with insecure feeling, shortness of breath, perspiration, mental fatigue and weakness, little sleep with many dreams, pale tongue, thin and white coating, weak and wiry pulse

A

HT/GB qi deficiency (causing palpitation)

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36
Q

HT/GB qi deficiency (causing palpitation) principle of treatment

A

benefit energy and secure the spirit

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37
Q

HT/GB qi deficiency (causing palpitation) meridians

A

HT PC

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38
Q

HT/GB qi deficiency (causing palpitation) points

A 
UB 15: back shu of the heart
Ren 14: front mu of the heart
UB 19: back shu of the gallbladder
PC 5 and HT 7: secure the spirit
GB 24: front mu of gallbladder
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39
Q

HT/GB qi deficiency (causing palpitation) techniques of treatment

A

tonification acupuncture

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40
Q

PC 7 is for

A

being vulnerable to shock

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41
Q

ST 36 and KD 7 is for

A

perspiration and SOB

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42
Q

Signs and symptoms: palpitations and insecure feelings, insomnia and forgetfulness, pale complexion, dizziness and weakness, shortness of breath and prone to perspiration, poor appetite with discomfort, light red tongue, thin and white coating, weak pulse

A

Heart blood and spleen qi deficiency (palpitations)

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43
Q

Heart blood and spleen qi deficiency (palpitations) principles of treatment

A

nourish blood and benefit qi, fix palpitation and secure the spirit

44
Q

Heart blood and spleen qi deficiency (palpitations) meridians

A

ST, back shu

45
Q

Heart blood and spleen qi deficiency (palpitations) points

A

UB 17: meeting point of blood to nourish blood and heart
UB 20 and ST 36: tonify qi and blood
UB 15
Ren 14

46
Q

Heart blood and spleen qi deficiency (palpitations) techniques of treatment

A

tonification acupuncture

47
Q

ST 37, ST 25 are good for

A

abdominal swelling and watery stools

48
Q

Signs and symptoms: palpitation with insecure feeling, intensified by excessive thoughts that fatigued the mind, irritable with heat, little sleep with many dreams, dizziness and vertigo, ringing in ears, dried mouth, hot sensation in cheeks, red tongue, thin and yellow coating, fine and wiry and rapid pulse

A

Yin deficiency with heat (palpitations)

49
Q

Yin deficiency with heat (palpitations) principle of treatment

A

water yin and bring down fire, nourish the heart and secure the spirit

50
Q

Yin deficiency with heat (palpitations) meridian

51
Q

Yin deficiency with heat (palpitations) points

A

UB 23 and KD 3: tonify kidney

HT 6 and HT 7: nourish the heart and secure the spirit to fix palpitations

52
Q

PC 8 and KD 1 for

A

hot sensations in the palms and hands and soles of the feet

53
Q

Yin deficiency with heat (palpitations) techniques of treatment

A

some neutral and some sedation acupuncture

54
Q

Signs and symptoms: severe palpitations, paroxysmal attack of discomfort and heart pain, or purple and dark face and lips, purple and dark tongue or bloody spots on the tongue, fine and slow pulse

A

heart blood coagulation and obstruction (palpitations)

55
Q

heart blood coagulation and obstruction (palpitations) principle of treatment

A

activate and transform coagulation, regulate energy and soothe linking meridians

56
Q

heart blood coagulation and obstruction (palpitations) meridians

A

Ren, UB, PC

57
Q

heart blood coagulation and obstruction (palpitations) points

A 
PC 6: open chest
Ren 17: front mu of PC
UB 15: back shu of heart
Ren 6: tonify qi, assist yang
SP 10, UB 17: activate blood and transform coagulation
58
Q

HT 7 is also good for

A

insomnia and forgetfulness

59
Q

KD 7 is also good for

A

SOB and palpitations

60
Q

heart blood coagulation and obstruction (palpitations) techniques of treatment

A

neutral acupuncture with moxibustion

61
Q

Signs and symptoms: severe and persistent palpitations, discomfort with severe panting, coughing out and vomiting of watery phlegm like bubbles, puffy face and swollen feet, unable to lie on back, vertigo, scanty urine, white and greasy or white and slippery coating, wiry and slippery and rapid pulse

A

Water energy invading the heart (palpitations)

62
Q

Water energy invading the heart (palpitations) principle of treatment

A

stimulate yang energy, transform qi and promote water flow

63
Q

Water energy invading the heart (palpitations) meridians

64
Q

Water energy invading the heart (palpitations) points

A

Ren 4, UB 23: stimulate kidney yang and promote flow of water energy
PC 6, HT 7: secure the heart and fix palpitation
SP 9: strengthen the spleen to transform water

65
Q

Water energy invading the heart (palpitations) technique of treatment

66
Q

Signs and symptoms: palpitation particularly severe on movements, discomfort and SOB, cold body and limbs, dizziness, pale complexion, fat tongue and white coating, deep and fine and slow pulse

A

Deficient and weak heart yang (palpitations)

67
Q

Deficient and weak heart yang (palpitations) principle of treatment

A

warm and tonify heart yang, secure the spirit and fix palpitations

68
Q

Deficient and weak heart yang (palpitations) meridians

69
Q

Deficient and weak heart yang (palpitations) points

A

UB 15, UB 14: back shu of heart and PC
PC 6, HT 7: secure the spirit and fix palpitation
Ren 4: stimulate yang energy

70
Q

ST 25 and SP 4 for

A

bloating and loose stools

71
Q

Deficient and weak heart yang (palpitations) techniques of treatment

A

tonification acupuncture, moxibustion

72
Q

Insomnia etiology

A
  1. Liver qi stagnation lead to heat
  2. Accumulation of phlegm heat
  3. Yin deficiency with empty heat
  4. Deficiency of both spleen and heart
  5. Deficiency of heart and gallbladder
73
Q

Signs and symptoms: irritable and unable to sleep, jumpiness and prone to anger, discomfort and pain in the costal region, headache with reddish face, pink eyes and bitter taste in the mouth, constipation with yellowish urine, red tongue, yellowish coating, wiry and rapid pulse, high pitched tinnitus

A

Liver qi stagnation turning into fire (insomnia)

74
Q

Liver qi stagnation turning into fire (insomnia) principle of treatment

A

calm the liver and bring down fire, relieve inhibition, secure the spirit

75
Q

Liver qi stagnation turning into fire (insomnia) meridians

76
Q

Liver qi stagnation turning into fire (insomnia) points

A

LV 2: calms the liver and brings down fire
GB 44: jing well to bring down GB fire
GB 20: regulates and adjusts the liver and GB to stop headache and dizziness
HT 7: secure the heart and calm the spirit, yuan source point of the heart

77
Q

SJ 7 and SJ 3 for

A

ringing in the ears

78
Q

Tai yang and LI 5 for

79
Q

Liver qi stagnation turning into fire (insomnia) techniques of treatment

80
Q

Signs and symptoms: insecure sleep, irritable and annoyed feeling, discomfort and feeling of lump in the stomach, bitter taste in the mouth with abundant phlegm, dizziness and vertigo, red tongue, yellowish and greasy coating, slippery or slippery and rapid pulse

A

Internal disturbances of phlegm heat (insomnia)

81
Q

Internal disturbances of phlegm heat (insomnia) principle of treatment

A

strengthen the spleen and transform phlegm, clear heat and secure the spirit

82
Q

Internal disturbances of phlegm heat (insomnia) meridians

83
Q

Internal disturbances of phlegm heat (insomnia) points

A

ST 44 and SP 4 to sedate heat in the spleen and stomach
ST 40: transform phlegm and harmonize the middle region
HT 7: secure the heart and calm the spirit

84
Q

Internal disturbances of phlegm heat (insomnia) techniques of treatment

A

sedation acupuncture

85
Q

Signs and symptoms: irritable and insomnia, or waking up frequently, hot sensation in the palms of hand and soles of foot, dizziness and ringing in the ears, palpitation and forgetfulness, red cheeks and tidal fever, dried mouth with scanty fluids, red tongue and scanty coating, fine and rapid pulse

A

Yin deficiency with heat (insomnia)

86
Q

Yin deficiency with heat (insomnia) principle of treatment

A

tonify qi and nourish the blood, secure the heart and calm the spirit

87
Q

Yin deficiency with heat (insomnia) points

A

PC 7: yuan source to bring down heart fire
KD 3: water kidney yin
HT 7, UB 15: secure the heart and calm the spirit

88
Q

GB 20 for

A

dizziness and vertigo

89
Q

SI 19 for

A

ringing in the ears

90
Q

UB 52 for

A

seminal emission

91
Q

Yin deficiency with heat (insomnia) techniques of treatment

A

sedation acupuncture

92
Q

Signs and symptoms: many dreams and waking up easily, light and unsound sleep, palpitations and forgetfulness, dizziness and vertigo, mental fatigue and weakness, poor complexion, pale tongue with thin coating, fine and weak pulse

A

HT blood and spleen qi deficiency (insomnia)

93
Q

HT blood and spleen qi deficiency (insomnia) principle of treatment

A

tonify the qi and nourish the blood, secure the heart and calm the spirit

94
Q

HT blood and spleen qi deficiency (insomnia) meridians

95
Q

HT blood and spleen qi deficiency (insomnia) points

A

UB 20, Sp 6: strengthen the spleen, benefit qi and nourish blood
UB 15, HT 7: nourish the heart, secure the spirit and fix palpitations

96
Q

UB 42 is good for

A

many dreams

97
Q

UB 52 and DU 20 is good for

A

forgetfulness

98
Q

HT blood and spleen qi deficiency (insomnia) techniques of treatment

A

tonification acupuncture and moxibustion

99
Q

Signs and symptoms: many dreams and waking up with panic feeling, palpitation, and easily in shock, pale tongue, thin coating, wiry and fine pulse

A

heart deficiency and frightened gallbladder (insomnia)

100
Q

heart deficiency and frightened gallbladder (insomnia) principle of treatment

A

tonify the heart and benefit the gallbladder, secure the spirit and fix will power

101
Q

heart deficiency and frightened gallbladder (insomnia) meridians

102
Q

heart deficiency and frightened gallbladder (insomnia) points

A 
UB 15: heart back shu
PC 7: calm the spirit, yuan source point
HT 7: calm the spirit, yuan source point
UB 19: GB back shu
GB 40: benefit the gallbladder and comfort to release shock
103
Q

Du 20 and St 36 is good for

A

mental and physical fatigue

104
Q

UB 43 is also good for

A

profuse perspiration

105
Q

heart deficiency and frightened gallbladder (insomnia) techniques of treatment

A

tonification acupuncture

ICTCM Summer 2015 (25 decks)

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