Bi Patterns

Question 1

wind dominant

Answer 1

manifest: roving px in the joints & limbs, px of indetermiinate location, difficulty in flexion and extension of joints, averson to cold and in some cases fever
T: thin white coat
P: wiry, floating
Tx: dispel wind, clear connections, dissipate cold, dispel damp
main pts: UB12, UB17, SP10

Question 2

px of shoulder joint

Answer 2

LI15, SJ14, SI10

Question 3

px of scapular region

Answer 3

SI11, SI12, SI14, UB43

Question 4

px of elbow

Answer 4

LI11, LU5, LI4, SJ10, SJ5

Question 5

px of wrist

Answer 5

SJ4, LI5, SJ5, GB12,

Question 6

stiffness of fingers

Answer 6

SI5, LI4, SI3

Question 7

numbness and pain of fingers

Answer 7

SI3, LI3, BaXie

Question 8

px of lumbar region

Answer 8

GV26, GV12, GV3

Question 9

px of hip joint

Answer 9

GB30, GB29, GB39

Question 10

px of thigh

Answer 10

UB54, UB36, GB34

Question 11

px of knee joint

Answer 11

ST35, GB34, ST34, GB33, SP9, XiYan

Question 12

px of ankle

Answer 12

UB62, KD6, ST41, UB60, GB40, SP5

Question 13

numbness and px of calf

Answer 13

UB57, UB58

Question 14

numbness and px of toes

Answer 14

SP4, UB65, Ba Feng

Question 15

general px over entire body

Answer 15

SI3, UB62, SP21, LI15, LI11, LI4, SJ4, GB30, GB34, GB39, ST41

Question 16

cold dominant bi

Answer 16

manifest: severe px of joints & limbs, px of fixed location accompanied by sensation of cold, decrease in px w/ application of heat, increase in px uppon exposure to cold, w/o redness or feverishness, of joints, w/ difficulty moving the affected parts
T: thin white coat
P: tight, wiry
Tx: dissipate cold, warm the connections, dispel wind, dispel damp
main pts: UB23, CV4

Question 17

dampness dominant bi

Answer 17

manifest: heaviness and aching of joints and limbs, distention and swelling in some cases, pain of fixed location, local numbness or loss of sensation, w/ symptoms often increasing during overcast or rainy weather
T: white slimy coating
P: soft, tardy
Tx: dispel dampness, clear the connections, dispel wind, dissipated cold
main pts: UB20, ST36, SP9

Question 18

heat dominant bi

Answer 18

manifest: severe px, local heat, redness and swelling, difficulty of movement affecting one or more of the joints accompanied by fever, sore throat, thirst, irritability & dark scanty urine
T: yellow coat
P: rapid, slippery
Tx: drain ehat, clear the connections, dispel wind, dispel dampness
main pts: GV14, LI11

Question 19

bi w/ blood stasis & phlegm-turbidity

Answer 19

manifest: blocked channels, connections and joints; swelling, stiffness and deformity of the joints, incessant px & complete immobility
T: dark or purple w/ white slimy coat
P: deep, rough or deep, slippery
Tx: dispel stasis, transform phlegm, free the connections, relieve px
-use herbs

Question 20

bi w/ depletion of qi & blood, kd & lv vacuity

Answer 20

manifest: aching px in lower back and nknees, difficulty in the flexion and extention of joints, numbness or loss of sensationin affecte areas, palpitations & SOB, in some cases aversion to cold and symptoms relieved by warmth
T: pale w/ white coat
P: weak, thready
Tx: supplement qi and blood, benefit lv & kd, dispel wind, cold & damp
-use herbs

Question 21

bi w/ heart vacuity

Answer 21

manifest: palpitation, oppression in chest, SOB, edema, aggravation of symptoms w/ pysical activity, lusterless complexion and some cases cyanosis
T: pale
P: rapid, forceless or intermittent
tx: boost qi, nourish heart, warm yang, restore the pulse
-use herbs

Question 22

alternative therapeutic methods

Answer 22

auricular: tender spots association to affected parts, sympathetic, shen men
plum blossom: affected area or close to affected joints, nerve originations