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Z: Y2S2 - External I > Bi-syndrome > Flashcards

Bi-syndrome Flashcards

0
Q

Is Bi-syndrome a pathology or disease?

A

disease

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1
Q

What does “bi” mean?

A

closed

blocked

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2
Q

define Bi-syndrome

A

obstruction of Qi and blood in meridians and collaterals by EPFs manifested by soreness, pain, numbness, heavy body/limbs/joints/muscles, limitation of movement/

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3
Q

What are the 3 EPFs of Bi-syndrome?

A

1) wind
2) damp
3) cold

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4
Q

What is the characteristic of BI that is dominated by cold?

A

painful BI

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5
Q

What is the characteristic of BI dominated by damp?

A

Fixed BI

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6
Q

What is the characteristic of BI dominated by wind?

A

wandering BI

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7
Q

Bi syndrome classified by etiology:

A

1) cold
2) wind
3) damp
4) heat

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8
Q

Bi syndrome classified by manifestion?

A

1) wandering
2) fixed
3) painful
4) swelling, red

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9
Q

Bi syndrome classified by 5 zang and 5 tissues?

A

1) LU= skin
2) SP= muscle
3) LIV= tendon
4) HT= vessels
5) KID= bone

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10
Q

Bi-syndrome: rheumatic arthritis VS rheumatoid arthritits:

A

RHEUMATIC RHEUMATOID
bacteria infection immune response
rheumatic fever genetic/constitution
big joints–>small small joints–>big
affect HT/KID “morning stiffness”
“diamond” shaped joints/deviated joints

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11
Q

Give examples of neuralgia Bi-syndrome:

A

1) fibromalagia
2) osteoarthritis
3) trigeminal neuralgia
4) intercostal neuralgia (shingles)
5) sciatica, disc hernia
6) frozen shoulder

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12
Q

What are the 4 corresponding western diseases for Bi-syndrome?

A

1) rheumatic diseases
2) Neuralgia
3) Peripheral vascular diseases
4) sequelae of trauma

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13
Q

How can you differentiate between Bi-syndrome and Wei syndrome?

A

BI WEI
obstruction of meridians xu jing/blood/yin
painful muscles/joints weak limbs
weather changes no change in weather
no muscle atrophy muscle atrophy
all over body usually lower limbs

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14
Q

How can you differentiate Bi-syndrome and Wind-stoke?

A

BI W-stroke
obstruction of meridians disorder of qi/blood/yin/yang/zangfu
painful muscle/joints/limbs sudden collapse
weather changes deviated M+E
limitation of movement limitation ROM due to paralysis
slurred speech
loss consciousness

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15
Q

Swelling of joint in BI-syndrome is from?

A

water, fluid retention

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16
Q

deformity of joint in BI-syndrome is from?

A

phlegm/blood stg

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17
Q

What are the BI-syndrome patterns?

A

1) Wind-cold-damp
2) Wind-damp-heat
3) Stagnation of phlegm and blood
4) LIV/KID su

1) Wind
2) Cold
3) Damp
4) Heat

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18
Q

Wandering/fixed pain, pain in joints/muscles that is aggravated by overstrain/stress, alleviated by rest, sore/weak lumbar/knees, low fever, emaciation, SOB, listlessness
T-red, scanty/thin coat
P-thready, rapid, slow

A

LIV/KID xu (BI-syndrome)

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19
Q

Acute onset, wandering/fixed, severe burning pain in joints, limited movement gone after swelling disappears, red swollen joints, warm to touch, fever, restlessness, dark yellow urine
T-red tip, yellow sticky coat
P-slippery, rapid

A

Wind-damp-heat (Bi-syndrome)

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20
Q

Wandering pain in joints, limitation of movement, fever and chills
T-thin, white
P-superficial, tight, moderate

A

Wind-BI

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21
Q

severe pain in joints, alleviated by warmth, aggravated by cold, fixed/local pain, limitation of movement, cold limbs, no sweat
T- pale, thin white
P-wiry, tight

A

Cold-BI

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22
Q

Numbness, heavy sensation of limbs, sore fixed pain, swelling joints, aggravated by cloudy/rainy days
T- white, thick, wet, sticky
P-soft, slippery

A

DAMP-BI

23
Q

Swelling, rigidity, deformity and restricted movement of the joints, pain in the fixed joints is intermittent, worse in early morning/night/cloudy rainy days, better with movement
T- purple, white coat
P-thready, choppy

A

Stagnation of Phlegm and blood (bi-syndrome)

24
Q

Wandering or fixed pain in joints/muscles, aggravated by damp-cold weather, alleviated by warmth, sensitive to weather changes, intermittent, cold sensation, mobility OK
T- white sticky coat
P-wiry, tight

A

Wind-Cold-Damp (Bi-syndrome)

25
Q

Basic points for Bi-syndrome?

A

GB-39
GB-34
UB-11

26
Q

points for Wind-cold-damp BI?

A

ashi, GB-39, GB-34 , UB-11

27
Q

points for Wind-damp-heat BI?

A

GB-20, GB-31, UB-12, DU-16, SJ-5, SP-10 (disperse wind)

UB-23, DU-3, DU-4, RN-4, RN-6 (disperse cold)

28
Q

points for STG phlegm/blood BI?

A

ST-28, ST-36, SP-6, SP-9 (remove dampness)

LI-11, LI-4, DU-14 (clear heat)

29
Q

points for LIV/KID xu?

A

St-36, UB-17, UB-18, UB-20, SP-6 (tonify Qi/blood)

K-3, UB-18, UB-23 (tonify KID/LIV)

30
Q

points for Heat BI?

A

LI-11, DU-14, LI-4

31
Q

points for Cold-BI?

A

UB-23, DU-3, DU-4, RN-4, RN-6

32
Q

Damp-BI points?

A

ST-28, ST-36, SP-6, SP-9

33
Q

Wind-BI points?

A

GB-20, GB-3, UB-12, DU-16, SJ-5, SP-10

34
Q

POT for LIV/KID xu BI?

A

Tonify LIV/KID

35
Q

POT for Stg phlegm and blood?

A

eliminate phlegm, remove blood stasis

36
Q

POT for Winf-Cold-damp BI?

A

disperse wind and cold, eliminate damp

37
Q

POT for Wind-damp-heat BI?

A

Disperse wind, clear heat, eliminate damp

38
Q

what is the needle technique for painful BI?

A

moxa, long retention, deep needle

39
Q

what is the needle technique for fixed BI?

A

moxa, warming needle, cupping, plumblossom

40
Q

What is the needle technique for wandering BI?

A

plumblossom needle, reduce, shallow, short retention

41
Q

technique for muscle/skin BI?

A

shallow

42
Q

technique for bone BI?

A

deep insertion

43
Q

technique for vessel BI?

A

bleeding technique

44
Q

Alternative remedies for BI-syndrome?

A

1) moxa
2) bleeding
3) plumblossom
4) cupping/bleeding cupping
5) auricular (local body part), shen men, subcortex, sympathetic, (corresponding organ)
6) herbs

45
Q

What are the 7 alternative needling techniques?

A

1) successive needling (Bao Ci)= wandering BI
2) restorative needling (Hui Ci)= tendon/muscle BI
3) uniform needling (Qi Ci)= Cold-BI
4) Superficial needling (Yang Ci)= Cold-BI
5) Short thrust needling (Duan Ci)= Bone BI
6) Shallow needling (Fu Ci)= tendon, muscle, Cold-BI
7) Muscle needling (He Gu Ci) = Muscle-BI

46
Q

describe successive needling:

A

for wandering BI

1) insert needle at pain point
2) insert 2nd needle in line with 1st needle

47
Q

describe restorative needling:

A

tendon/muscle BI (relaxaa0

1) insert needle at pain point and move in/out in 4 directions

48
Q

describe uniform needling:

A

Cold-BI (fixed, small, deep location)

1) insert needle at pain point (thrust to get Qi)
2) insert 2 more needles obliquely toward 1st needle

49
Q

describe superficial needling:

A

Cold-BI

1) insert needle perpendicularly deep
2) insert 4 needles in 4 directions Obliquely-superficial toward 1st needle

50
Q

describe short thrust needling:

A

Bone BI

1) insert needle perpendicularly until you hit the bone, then gently stimulate

51
Q

describe shallow needling:

A

tendon, muscle, cold-Bi (muscular spasms, numbness)

1) insert 2 needles beside pain point shallowly toward pain spot

52
Q

describe muscle needling:

A

Muscle BI (cramping pain, muscle spasm)

1) insert needle at pain point (thrust to get Qi)
2) insert 2 needles at muscle attachments

53
Q

Education/prevention for BI syndrome?

A

1) herbal wine/acu/moxa (prevent)
2) avoid EPFs
3) diet- avoid fat
4) reg. exercise
5) reduce sexual activity (maintain Jing)

54
Q

what is the most common arthritis in north america?

A

Osteoarthritis

55
Q

what is the SECOND most common arthritis in north america?

A

rheumatoid arthritis

Z: Y2S2 - External I (17 decks)

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