Bi-Syndrome Flashcards
What is Bi Syndrome?
Bi Syndrome refers to painful obstruction syndrome, a condition caused by the invasion of Wind, Cold, Dampness or Heat into the meridians, muscles, joints, and bones, leading to pain, stiffness, numbness, and swelling or a hot sensation.
What does ‘Bi syndrome’ mean in Chinese?
Types of illness due to obstruction
What conditions are commonly associated with Bi Syndrome?
It is commonly associated with conditions like arthritis, rheumatism, and musculoskeletal disorders in TCM.
What are the diseases associated with Western Med?
Rheumatic arthritis, rheumatic fever, rheumatoid arthritis osteoarthritis, fibrositis, and neuralgia, fibromyalgia
What are the types of Bi syndrome?
Bi syndrome can be subdivided into 4: Wandering (Wind) Bi
Painful (Cold) Bi
Fixed (Damp) Bi
Heat Bi (Yang constitution or Yin Xu invaded by external Heat invasion, maybe Heat Toxins)
What factors characterize Bi syndrome types?
By their predominant pathogenic factors and symptoms.
What characterizes heat Bi syndrome?
Heat Bi syndrome is characterized by yang constitution, yin deficiency invaded by exogenous pathogens transforming into heat, or invasion by pathogenic heat in the joints.
What is the initial nature of Bi syndromes?
Bi syndromes is usually an excessive syndrome at first.
How does Bi syndromes change over time?
Later, Bi syndromes turns into a mixed deficiency and excess syndrome.
Where do evils remain in the body?
Evils remain in the tendons, joints, vessels, and muscles.
What is obstructed in the meridians?
Qi and blood are obstructed in the meridians.
The following are patterns of _____________.
Wandering Bi (Wind)
Painful Bi
Fixed Bi
Heat Bi
Bi syndrome
The following are S/sx of ______ Bi.
Pain of muscles and joints with limited movement, the pain is manifested as migrating, and can be accompanied by fever, aversion to wind, patient can have a hx of wind invasion
T: w/ thin, white coating
P: Floating
Wandering (Wind) Bi
The following are S/sx of ______ Bi.
Pain of muscles and joints with limited movement, pain is manifested as severe pain w/ fixed localization, severe stabbing pain, alleviated by warmth, aggravated by cold, no local redness or heat
T: white coating
P: Tight or Wiry
Painful (Cold) Bi
The following are S/sx of ______ Bi.
Pain of muscles and joints with limited movement, pain is manifest as soreness and pain, heavy sensation, swelling or numbness in limbs and joints, aggravated by or can be triggered by damp days
T: white, sticky coating
P: Soggy or Moderate
Fixed (Damp) Bi
The following are S/sx of ______ Bi.
Pain of muscles and joints with limited movement, pain manifests as fever, redness, swelling, burning/excruciating pain of one or several joints with limited movement, and can be accompanied by fever, aversion to wind, thirst, restlessness, (virus/bacteria infection and can also be Yin Xu w/ Heat Bi)
T: Dry + yellow coating
P: Rapid + Slippery
Heat Bi
What are the main points of treating Bi Syndrome?
Unblock meridians by using
Local + Distal Points
+ Ashi points
What are the supplementary points for treating Bi-syndrome patterns?
Wandering:
BL-17 + SP-10
Painful:
BL-23 + REN-4 + REN-8 (moxa)
Fixed:
SP-9 + ST-36
Heat:
LI-11 + DU-14 (bloodlet)
What are Ashi-points used for?
Ashi-points are used to activate qi and blood circulation in the local area.
What do Ashi-points help regulate?
Ashi-points help regulate ying (nutrient qi) and wei (defensive qi).
What obstructions do Ashi-points aim to remove?
Ashi-points aim to remove obstruction caused by wind, cold, damp, and heat from the channels and collaterals.
What types of points are used along with Ashi-points?
Local and distal points along the involved channel are used together with Ashi-points.
What are 2 alternative methods of treatment?
Cupping or Wet-cupping
E-Stim
Moxa for Cold + Damp Bi
“__________ will naturally be eliminated if the blood circulates smoothly”.
Wind
