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ICTCM Summer 2015 > Acu 3 Wind stroke, bi syndrome, wei syndrome, pain in the hypochondriac region > Flashcards

Acu 3 Wind stroke, bi syndrome, wei syndrome, pain in the hypochondriac region Flashcards

1
Q

signs and symptoms: sudden wind stroke, hemiplegia, stiff tongue and slurred speech, deviation of mouth and tongue, dizziness and headache, red face and pink eyes, irritable and angsty, bitter taste and dry throat, constipation and dark yellow urine, red or deep rd tongue with yellow or dry coating, wiry and powerful pulse

A

Abrupt uprising of liver yang (emotional and weather triggers) - wind stroke

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2
Q

Abrupt uprising of liver yang (wind stroke) principles

A

sedate and calm the livery yang, soothe and free meridians (Du, PC, GB)

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3
Q

Abrupt uprising of liver yang (wind stroke) points

A

“DU 26: belongs to the brain, wake up
PC6: harmonize and wake up
SP6: soothe and free meridians and nourish the yin of liver and kidney (these three organs related to wind stroke)
LV3: sedate and calm down uprising liver yang, clear and sedate heat
LI11, HT1, SJ5, GB30, GB34: soothe and dredge meridians”

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4
Q

Abrupt uprising of liver yang (wind stroke) techniques

A

sedation acupuncture with bleeding on jin jin yu ye

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5
Q

signs and symptoms: hemiplegia, deviation of mouth and tongue, wind stroke, stiff tongue and slurred speech, numbness of limbs and stiff hands and feet, dizziness and blurred vision, white and greasy or yellow and greasy coating, wiry and slippery pulse

A

Wind phlegm blocking meridians (liver wind - not too common)

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6
Q

Wind phlegm blocking meridians (wind stroke) principles

A

dispel dampness and phlegm, soothe and free meridians (DU, SP, GB)

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7
Q

Wind phlegm blocking meridians (wind stroke) points

A

“Du26, SP6, PC6: treat wind stroke

ST36, SP9, ST40: strengthen spleen and transform phlegm”

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8
Q

Wind phlegm blocking meridians (wind stroke) techniques

A

sedation acupuncture with bleeding on jin jin yu ye

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9
Q

signs and symptoms: hemiplegia, wind stroke, stiff tongue and slurred speech, deviation of mouth and tongue, sticky feeling inside the mouth, profuse phlegm and bloating and constipation, red tongue with yellow and greasy or grey and black coating, slippery and big pulse

A

Phlegm heat and excess of fu organs (LI) - most common

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10
Q

Phlegm heat and excess of fu organs (wind stroke) principles

A

soothe fu organs and clear heat, dredge and free meridians (DU, ST, GB)

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11
Q

Phlegm heat and excess of fu organs (wind stroke) points

A

“Du26, PC6, Sp6, GB30, GB31, GB34, HT1, LI11, SJ5

ST37, ST40: treat constipation, dredge fu organs and clear heat”

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12
Q

Phlegm heat and excess of fu organs (wind stroke) techniques

A

sedation

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13
Q

signs and symptoms: very weak patient, wind stroke, hemiplegia, weakness of limbs, numbness on one side of the body, stiff tongue and slurred speech, edema of hands and feet, pale complexion, SOB, tired, palpitations and spontaneous sweating, pale and dark tongue, think and white or white and greasy coating, thin and slow or thin and choppy pulse

A

Qi deficiency and blood stasis (suffered for long term weakness) - wind stroke

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14
Q

Qi deficiency and blood stasis (wind stroke) principles

A

strengthen spleen and kidney, soothe and dredge meridians (DU, ST, KD)

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15
Q

Qi deficiency and blood stasis (wind stroke) points

A

“Du26, SP6, PC6, HT1, LI11, SJ5
Ren6, UB23, ST36: benefit qi and blood circulation, especially with moxibustion
Du14: meeting point o all yang meridians, it assists to tone up yang qi and stop sweating”

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16
Q

Qi deficiency and blood stasis (wind stroke) techniques

A

“neutral acupuncture with moxibustion

”

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17
Q

signs and symptoms: wind stroke, hemiplegia, numbness of limbs, stiff tongue and slurred speech, restless and insomnia, tinnitus and dizziness, spasm or tremor of hands and feet, red tongue with scanty or without coating, thin and wiry or rapid pulse

A

Yin deficiency leads to wind (skinny patient with longstanding liver yin deficiency) wind stroke

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18
Q

Yin deficiency leads to wind (wind stroke) principles

A

nourish yin and drive uprising yang, eliminate wind and dredge meridians (DU, KD, LV)

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19
Q

Yin deficiency leads to wind (wind stroke) points

A

“Du26, Sp6, HT1, LI11, GB30, GB34
UB23, KD3: nourish kidney yin
LV3: drive uprising offing and wind to treat dizziness and tinnitus
HT7, PC7, UB23, KD3: nourish kidney yin, harmonize and connect heart and kidney to treat restlessness and insomnia
“

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20
Q

Yin deficiency leads to wind (wind stroke) techniques

A

tonfication

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21
Q

signs and symptoms: wind stroke, falling down in a fit with LOC, stare straight or obliquely, red face and pink eyes, stiffness and tight body, clenched jaws, stiff neck, tightly closed and stiff hands, even spasms, opisthotonus, red or deep red tongue, yellow and dry or burned black coating, wiry and rapid pulse

A

Liver wind and heat blocking cavity (wind stroke)

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22
Q

Liver wind and heat blocking cavity (wind stroke) principles

A

open cavity and wake up spirit, clear heat from liver and eliminate wind (Du, PC)

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23
Q

Liver wind and heat blocking cavity (wind stroke) points

A

“Du26: enters the brain, wake up the spirit
Shi Xuan: soothe and regulate qi and blood of 12 meridians to open the gates and free cavities
PC6: luo point of PC to body guard the heart, regulate the spirit and open the cavity
LV3, GB20: clear liver heat and eliminate wind”

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24
Q

Liver wind and heat blocking cavity (wind stroke) technique

A

sedation acupuncture, bleeding on shi xuan

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25
Q

signs and symptoms: wind stroke, falling down in a fit with LOC, failure of speaking, irritable and unpeaceful, stiff limbs, profuse phlegm and hoarse of breath, stare straightly, snore and hot body, constipation, red tongue with yellow and greasy coating, rapid and powerful pulse

A

phlegm heat blocking the cavity (wind stroke)

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26
Q

phlegm heat blocking the cavity (wind stroke) principles

A

open the cavity and wake up the spirit, eliminate phlegm and clear heat (DU, PC, ST)

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27
Q

phlegm heat blocking the cavity (wind stroke) points

A

“DU 26, PC6
Shi Xuan: open the gates and cavities, clear heat
ST40: transform phlegm and clear heat
Ren22: assist transformation of phlegm”

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28
Q

phlegm heat blocking the cavity (wind stroke) techniques

A

sedation

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29
Q

signs and symptoms: wind stroke, falling down in a fit with LOC, lethargy, hemiplegia, flabby limbs, dark and lusterless complexion, profuse phlegm and heavy breath, icy cold limbs, pale and purple tongue with white and greasy coating, deep and slippery or slow pulse

A

Phlegm and dampness blocking the cavity (wind stroke)

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30
Q

Phlegm and dampness blocking the cavity (wind stroke) principles

A

open cavity and wake up the spirit, eliminate phlegm and extinguish wind (DU, PC, ST)

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31
Q

Phlegm and dampness blocking the cavity (wind stroke) points

A

“ST36, SP6: strengthen spleen and stomach to warm and transform phlegm
ST40: transform phlegm
Ren6: soothe yang qi to treat cold limbs, assist spleen in transforming phlegm
“

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32
Q

Phlegm and dampness blocking the cavity (wind stroke) techniques

A

neutral acupuncture with moxibustion

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33
Q

signs and symptoms: unconscious and pale complexion, serious yang xu, enlarged pupils, flaccid paralysis of limbs, incontinence of urine and stools, harsh and SOB, profuse sweats and cols limbs, purple or shrinked tongue, white and greasy coating, scattered or minute pulse

A

flaccid syndrome (wind stroke)

34
Q

flaccid syndrome (wind stroke) principles

A

rescue yang qi and solidify (Ren, DU)

35
Q

flaccid syndrome (wind stroke) points

A

“Du25: hypotension
Ren4: meeting point of ren and three yin meridians
Ren8: navel is the root of life where original qi connects with
ST36: nourish qi and blood
Ren26, PC6: open cavity and wake up spirit”

36
Q

flaccid syndrome (wind stroke) techniques

A

“acupuncture-moxibustion

”

37
Q

signs and symptoms: wandering pain in the joints, unfixed location, limitation of movements, unbearable numbness and pain when move, aversion to wind and fever, thin and white or light yellow tongue, coating, floating and wiry pulse

A

Wandering bi (wind)

38
Q

Wandering bi (wind) techniques

A

sedation acupuncture

39
Q

Wandering bi (wind) points

A

“GB20: yang linking in charge of superficial region of whole body
Du14: controls yang qi of whole body
UB17, SP10: remove blood stasis and disperse wind”

40
Q

Wandering bi (wind) principles

A

disperse wind and soothe meridians, dispel cold and eliminate dampness (Du, local)

41
Q

signs and symptoms: severe and stabbing pain int he joints, alleviated by warmth and aggravated by cold, better in the daytime and worse at night, fixed location but no local redness and hotness, white and slippery tongue coating, wiry and tight pulse

A

Painful bi (cold)

42
Q

Painful bi (cold) principles

A

warm meridians and dispel cold, disperse wind and eliminate dampness (UB, DU, ashi)

43
Q

Painful bi (cold) points

A

“UB23, Ren4: warm kidney yang
Du14: inspires yang qi to dispel cold
UB12: disperse wind”

44
Q

Painful bi (cold) techniques

A

tonification acupuncture with moxibustion

45
Q

signs and symptoms: numbness and heavy sensation of the limbs, soreness and fixed pain of the joints, even with edema, aggravated on cloudy and rainy days, white and greasy tongue coating, soft and slow pulse

A

fixed bi (damp)

46
Q

fixed bi (damp) principles

A

eliminate dampness and soothe meridians, disperse wind and dispel cold (SP, DU)

47
Q

fixed bi (damp) points

A

“DU14: disperse wind cold
UB17: activate blood circulation and soothe meridians
SP9, ST36, UB20: strengthen spleen and transform dampness, dredge the meridians and stop pain”

48
Q

fixed bi (damp) techniques

A

neutral acupuncture with moxibustion

49
Q

signs and symptoms: “abrupt break up, red and swollen, hot and burning pain of joints, unbearable pain which rejects touch, limiting of movement become better with cold, usually with fever and aversion to wind, profuse sweats, irritable and thirsty, red tongue with yellow coating, slippery and rapid pulse
“

A

heat bi

50
Q

heat bi principles

A

clear heat and eliminate dampness, disperse wind and activate blood flowing (Du, LI)

51
Q

heat bi points

A

“Du14: clear heat and disperse wind

LI11, LI4: clear heat and receive superficial syndrome,d disperse wind and release Bi”

52
Q

heat bi techniques

A

sedation acupuncture with bleeding on Du 14

53
Q

signs and symptoms: fever and profuse sweats, sudden break up of muscular flaccidity of the lower limbs with motor impairment,d ry skin, irritable and thirsty, coughing and dry throat, constipation, scanty and dark urine, red tongue with yellow coating, thin and rapid pulse

A

Burning heat of the lung injures the body fluid (wei syndrome)

54
Q

Burning heat of the lung injures the body fluid (wei syndrome) principles

A

clear heat and moisten dryness, benefit qi and nourish fluid (LI, LU)

55
Q

Burning heat of the lung injures the body fluid (wei syndrome) points

A

“Hua Tuo Jia Ji: regulate yin and yang, activate flowing of qi and blood, harmonize organs
LI11, ST39: clear heat and save fluid
LU9: tonify lung qi and distribute fluid”

56
Q

Burning heat of the lung injures the body fluid (wei syndrome) techniques

A

sedation and tonification acupuncture

57
Q

signs and symptoms: gradual flaccidity of limbs, especially legs, numbness and limitation, or fever, dark and burning pain of urine, red tongue with yellow greasy coating, soft and rapid pulse, gunsmith bowel movements

A

Invasion of damp heat (wei syndrome)

58
Q

Invasion of damp heat (wei syndrome) principles

A

clear heat and transform dampness, soothe meridians and tonify tendons (SP, ST)

59
Q

Invasion of damp heat (wei syndrome) points

A

“Hua Tuo Jia Ji: regulate yin and yang, activate flowing of qi and blood, harmonize organs
Sp9: strengthen spleen and transform dampness
LI11, LI4: clear heat from yang ming meridians
Ren3: clear heat from the bladder, eliminate heat from urine
parallel puncture along stomach meridian: ST31-ST41 to flow qi and blood”

60
Q

Invasion of damp heat (wei syndrome) techniques

A

sedation acupuncture

61
Q

signs and symptoms: severe malnutrition, gradual break up flaccidity of legs, sometimes better and sometimes worse, even atrophy of muscles, lack of spirit, SOB, spontaneous sweats, poor appetite and loose stools, pale complexion, pale tongue with white coating, thin and slow pulse

A

Deficiency of spleen and stomach (wei syndrome)

62
Q

Deficiency of spleen and stomach (wei syndrome) principles

A

tonify spleen and stomach, nourish and moisten tendons (SP, ST)

63
Q

Deficiency of spleen and stomach (wei syndrome) points

A

“Hua tuo Jia Ji: soothe du mai, inspire yang qi
Ren6, SP9: strengthen qi and reinforce spleen
Parallel puncture along stomach meridian ST31-41: soothe and regulate qi and blood, nourish and moisten tendons”

64
Q

Deficiency of spleen and stomach (wei syndrome) techniques

A

tonification

65
Q

signs and symptoms: chronic flaccidity of limbs, muscular atrophy, skinny and win rapped bones, soreness and weakness of the lower back and knees, dizziness and tinnitus, incontinence of urine and stools, deep red tongue with scanty coating, thin and rapid pulse

A

deficiency of kidney essence and liver blood (wei syndrome)

66
Q

deficiency of kidney essence and liver blood (wei syndrome) principles

A

benefit and solidify the root, fill essence, reinforce marrow (KD, ST)

67
Q

deficiency of kidney essence and liver blood (wei syndrome) points

A

“Hua Tuo Jia Ji: regulate yin and yang, activate flowing of qi and blood, harmonize organs
Ren4, KD3, UB23, SP6: nourish and tonify liver and kidney to maintain plenty of essence and blood, nourish the bones and tendons
Parallel along yang ming meridians (LI15-LI4, ST31-ST41): regulate and soothe flowing of qi and blood to meridians to nourish muscles”

68
Q

deficiency of kidney essence and liver blood (wei syndrome) techniques

A

tonification acupuncture

69
Q

signs and symptoms: flaccid four limbs, numbness, scales on skin, pain and spasm sometimes, dark purple tongue with thin and white coating, thin and choppy pulse

A

blood stasis (wei syndrome)

70
Q

blood stasis (wei syndrome) principles

A

Activate flowing of qi and blood, dredge meridians (SP, UB)

71
Q

blood stasis (wei syndrome) points

A

“UB40, Sp6, SP10: remove blood stasis and dredge meridians
Ren6: strengthen qi and activate blood circulation

”

72
Q

blood stasis (wei syndrome) techniques

A

Neutral acupuncture with bleeding on UB40

73
Q

signs and symptoms: pain in the coastal region characterized by swollen pain, wandering pain, pain fluctuating with emotional conditions, discomfort with swelling, poor appetite, frequent belching, thin coating, wiry pulse

A

pain in the hypochondriac region - liver qi stagnation

74
Q

signs and symptoms: prickling pain, with pain in fixed region, worse at night, lump below the costal region, purple and dark tongue, deep and retarded pulse

A

pain in the hypochondriac region - blood stasis

75
Q

signs and symptoms: nausea and vomiting, yellowish and greasy coating, wiry and slippery and rapid pulse, hot makes it worse, heavy greasy food makes it worse

A

pain in the hypochondriac region - damp heat in the LV/GB

76
Q

pain in the hypochondriac region principles

A

soothe the liver and benefit the gallbladder, connect the linking meridians and stop pain (LV, GB)

77
Q

pain in the hypochondriac region points

A

“LB14, LV3, GB34, SJ6: the liver and gallbladder form a superficial-deep relationship with each other, their meridians distribute throughout the costal and ribs region so these three points together soothe and sedate meridian energy of the LV and GB to make erngy and blood flow smoothly
ST36: harmonize the stomach and bring down energy to eliminate lumpy fullness”

78
Q

pain in the hypochondriac region techniques

A

sedation acupuncture

79
Q

signs and symptoms: mild pain in the costal and ribs region, dragging on and on, fatigue, dried mouth and throat, mental depression with heat, dizziness and vertigo, red tongue with scanty coating, fine and wiry and rapid pulse

A

Deficiency syndrome (liver yin and blood xu) - pain in the hypochondriac region

80
Q

Deficiency syndrome (liver yin and blood xu) - pain in the hypochondriac region - principles

A

nourish yin and soften up the liver (LV, back shu)

81
Q

Deficiency syndrome (liver yin and blood xu) - pain in the hypochondriac region - points

A

“UB18, UB23: benefit yin of the liver and kidney
LV14: front mu of the liver, regulate liver energy
LV2: sedate deficient heat in the meridians
ST36, SP6: support and assist the spleen and stomach as the source of production and transformation”

82
Q

Deficiency syndrome (liver yin and blood xu) - pain in the hypochondriac region - techniques

A

tonification and sedation acupuncture

ICTCM Summer 2015 (25 decks)

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