Bi-syndrome Flashcards
Is Bi-syndrome a pathology or disease?
disease
What does “bi” mean?
closed
blocked
define Bi-syndrome
obstruction of Qi and blood in meridians and collaterals by EPFs manifested by soreness, pain, numbness, heavy body/limbs/joints/muscles, limitation of movement/
What are the 3 EPFs of Bi-syndrome?
1) wind
2) damp
3) cold
What is the characteristic of BI that is dominated by cold?
painful BI
What is the characteristic of BI dominated by damp?
Fixed BI
What is the characteristic of BI dominated by wind?
wandering BI
Bi syndrome classified by etiology:
1) cold
2) wind
3) damp
4) heat
Bi syndrome classified by manifestion?
1) wandering
2) fixed
3) painful
4) swelling, red
Bi syndrome classified by 5 zang and 5 tissues?
1) LU= skin
2) SP= muscle
3) LIV= tendon
4) HT= vessels
5) KID= bone
Bi-syndrome: rheumatic arthritis VS rheumatoid arthritits:
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
Give examples of neuralgia Bi-syndrome:
1) fibromalagia
2) osteoarthritis
3) trigeminal neuralgia
4) intercostal neuralgia (shingles)
5) sciatica, disc hernia
6) frozen shoulder
What are the 4 corresponding western diseases for Bi-syndrome?
1) rheumatic diseases
2) Neuralgia
3) Peripheral vascular diseases
4) sequelae of trauma
How can you differentiate between Bi-syndrome and Wei syndrome?
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
How can you differentiate Bi-syndrome and Wind-stoke?
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
Swelling of joint in BI-syndrome is from?
water, fluid retention
deformity of joint in BI-syndrome is from?
phlegm/blood stg
What are the BI-syndrome patterns?
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
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
LIV/KID xu (BI-syndrome)
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
Wind-damp-heat (Bi-syndrome)
Wandering pain in joints, limitation of movement, fever and chills
T-thin, white
P-superficial, tight, moderate
Wind-BI
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
Cold-BI
Numbness, heavy sensation of limbs, sore fixed pain, swelling joints, aggravated by cloudy/rainy days
T- white, thick, wet, sticky
P-soft, slippery
DAMP-BI
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
Stagnation of Phlegm and blood (bi-syndrome)
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
Wind-Cold-Damp (Bi-syndrome)
Basic points for Bi-syndrome?
GB-39
GB-34
UB-11
points for Wind-cold-damp BI?
ashi, GB-39, GB-34 , UB-11
points for Wind-damp-heat BI?
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)
points for STG phlegm/blood BI?
ST-28, ST-36, SP-6, SP-9 (remove dampness)
LI-11, LI-4, DU-14 (clear heat)
points for LIV/KID xu?
St-36, UB-17, UB-18, UB-20, SP-6 (tonify Qi/blood)
K-3, UB-18, UB-23 (tonify KID/LIV)
points for Heat BI?
LI-11, DU-14, LI-4
points for Cold-BI?
UB-23, DU-3, DU-4, RN-4, RN-6
Damp-BI points?
ST-28, ST-36, SP-6, SP-9
Wind-BI points?
GB-20, GB-3, UB-12, DU-16, SJ-5, SP-10
POT for LIV/KID xu BI?
Tonify LIV/KID
POT for Stg phlegm and blood?
eliminate phlegm, remove blood stasis
POT for Winf-Cold-damp BI?
disperse wind and cold, eliminate damp
POT for Wind-damp-heat BI?
Disperse wind, clear heat, eliminate damp
what is the needle technique for painful BI?
moxa, long retention, deep needle
what is the needle technique for fixed BI?
moxa, warming needle, cupping, plumblossom
What is the needle technique for wandering BI?
plumblossom needle, reduce, shallow, short retention
technique for muscle/skin BI?
shallow
technique for bone BI?
deep insertion
technique for vessel BI?
bleeding technique
Alternative remedies for BI-syndrome?
1) moxa
2) bleeding
3) plumblossom
4) cupping/bleeding cupping
5) auricular (local body part), shen men, subcortex, sympathetic, (corresponding organ)
6) herbs
What are the 7 alternative needling techniques?
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
describe successive needling:
for wandering BI
1) insert needle at pain point
2) insert 2nd needle in line with 1st needle
describe restorative needling:
tendon/muscle BI (relaxaa0
1) insert needle at pain point and move in/out in 4 directions
describe uniform needling:
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
describe superficial needling:
Cold-BI
1) insert needle perpendicularly deep
2) insert 4 needles in 4 directions Obliquely-superficial toward 1st needle
describe short thrust needling:
Bone BI
1) insert needle perpendicularly until you hit the bone, then gently stimulate
describe shallow needling:
tendon, muscle, cold-Bi (muscular spasms, numbness)
1) insert 2 needles beside pain point shallowly toward pain spot
describe muscle needling:
Muscle BI (cramping pain, muscle spasm)
1) insert needle at pain point (thrust to get Qi)
2) insert 2 needles at muscle attachments
Education/prevention for BI syndrome?
1) herbal wine/acu/moxa (prevent)
2) avoid EPFs
3) diet- avoid fat
4) reg. exercise
5) reduce sexual activity (maintain Jing)
what is the most common arthritis in north america?
Osteoarthritis
what is the SECOND most common arthritis in north america?
rheumatoid arthritis
