Bi Syndrome

Question 1

♦️External Factors– WIND, COLD, DAMP, HEAT
♦️Excessive Physical Exercise
-Overwork
-Childbirth
-Trauma
-Emotional Stress
-Internal Imbalance: Blood Stasis, Retention of Dampness
and Phlegm, Injury to Qi and Blood or
Anti Pathogenic Factor (Wei Qi)

Answer 1

Bi Syndrome etiology ( remember)

Question 2

“Bi means Obstruction….
- it is due to a DEFICIENCY of Yin and Wei Qi
and …. to the Space Between the skin being open,
allowing Wind-Cold Dampness to ride the Deficiency.

-Qi becomes Obstructed by Pathogenic Factors,
it cannot Circulate, It Stagnates, Qi and Blood Congeal
and Painful Obstruction Syndrome develops.”

• An Ancient, Universal Disease that affects everyone at
  one time or another.

Answer 2

Bi Syndrome

Question 3

-Migratory Characteristic of WIND, pain moves from joint

To joint

Answer 3

Xing Bi … WIND-Predominant (migratory) testQues

Question 4

• Fixed and Congealing quality of Cold prevails
• Severe, Fixed Pain, Aggravated by Exposure to Cold
• Reduced Mobility of Joints

Answer 4

Tong Bi….COLD-PREDOMINANT Afflictive or Very Painful ( testQues)

Question 5

• Lingering Nature of Dampness prevails
• Fixed Pain, Swelling of Extremities
• Numbness of muscles and skin

Answer 5

Zhuo Bi…DAMP-PREDOMINANT ( Lodged). (test Ques)

Question 6

-Heat, Redness, Pain and Swelling of Joints
-Fever, Thirst
-Yellow Tongue Coat
-Rapid Pulse
-Existing Problems turn into Heat
( hot to touch….if hot, pulse is cold…)
(pulse fast and flooding = Heat)

Answer 6

Re Bi…..HOT-PAINFUL OBSTRUCTION ( Febrile). test Ques

Question 7

🔹ACCORDING To Depth of Disease
-Skin Painful Obstruction
*Pathogenic Factors OBSTRUCT the superficial aspects
of the body, common Sx reduced or sensation lost.
-Muscle Painful Obstruction
*Pathogenic Factors PENETRATE the muscle layer, soreness
Muscle aches, stiffness and deeper numbness or
Paresthesia.
-Vessel Painful Obstruction
*Changing from a Qi level to Blood level disorder,
Purplish dark areas and the pain will be a cold type.
Severe cases: Gangrene may set in
May have aching along the whole channel
-Sinew Painful Obstruction
*Deep level penetrating, inflexibility, stiffness, spasms, pain
-Bone Painful Obstruction
*Deepest Penetration, bone weakness and deformity

Answer 7

Bi Syndrome…( How deep in the Body)

Question 8

-Chronic, Develops from any of the other four types
-Persistent obstruction leads to ACCUMULATION OF BODY
FLUIDS TURNING INTO PHLEGM, More Stagnation
-Extreme Forms of Phlegm:
*Muscular atrophy, Swelling, Deformity, of Joints Bones..
( RA..Swelling, Osteo……Bone Deformity)
*Leads to Blood stasis, compelling existing Stagnation

Answer 8

Bone Bi…(If left untreated, becomes a chronic condition)

Question 9

• Deficiency of Qi and Blood
• Phlegm in Joints, bone deformities
• Stasis of Blood
• Liver and Kidney Deficiency

Answer 9

Pre-Existing Factors

Question 10

Heart Painful Obstruction
- Palpations, anxiety, a heavy stifling sensation in the chest

Lung Painful Obstruction
- Wheezing, Stifling sensation in the chest, SOB, Sx worse
on exertion

Spleen Painful Obstruction
- Weakness of limbs, hiccups, vomiting, nausea and anorexia
( spleen related to muscles)
Liver Painful Obstruction (LV stores blood moves Qi)
- Stifling sensation in the Costal and Hypochondriac regions
- Some feel a mass in Epigastrium
- Poor sleep with a tendency to wake with a start

Kidney Painful Obstruction
- Muscular Weakness or atrophy of the limbs and weakness
of the spinal column
- Difficulty standing for long periods or walking
- Some so weak, that they are reluctant to get up.

Answer 10

Bi Syndrome

According to Disorders of the Yin Organs

Question 11

♦️The More Distal a point is along the Meridian,
the Further up the Channel is its Influence ♦️
- GB 34 affects the Shoulder
- GB 39 affects the Neck

♦️Distal points of Related Channels can be used according
to Correspondence of Joints in upper and lower limbs
( shoulder = Hip, Elbow = a Knee, Wrist=Ankle)
( Taiyang, Taiyin) ( BL and LU relationship)

Answer 11

Use of Distal Points ( test Ques)

Question 12

• Wind Bi…..could be Acute
  
  • BL 12, GB 31, GB 39, GV 14, TW 6, BL 17, BL 18
• Cold Bi…..could be acute
  
  • ST 36, CV 4 moxa, CV 6, SI 5, BL 10, GV 14, GV 3, BL 23
    ( CV 4 for Cold, CV 3 more for Heat)
• Damp Bi ( Want to drain)
  
  • SP 9, SP 6, GB 34, ST 36, BL 20
• Hot Bi ( Clear Heat)
  
  • LI 4, LI 11, GV 14
• Bone Bi
  
  • BL 11, GB 39 ( Tonify KD, related to bone)
    (BL 11 Shu pt for Bone)

(Wind Bi and Cold Bi could be Acute..All the rest Chronic)

Answer 12

Point Prescription ( Bi Syndrome)