Bi syndrome

Question 1

general description of Bi syndrome

Answer 1

Bi syndrome is characterized by obstruction of qi and blood in meridians and collaterals due to invasion of pathogenic wind, cold, damp, and heat. It manifests as soreness; pain; numbness and heavy sensation of the limbs, muscles, tendons, joints or bones; swollen joints and limitation of movement.

Question 2

differentiation for Bi syndrome

Answer 2

1. wanderinf bi
2. painful bi
3. Fixed BI
4. heart bi

Question 3

wanderinf bi

Manifestation
tongue
Pulse
Treatment principle
points

Answer 3

Manifestations: Wandering pain and soreness of the body limbs, joints and muscles, limited movement of joints; chills and fever

T: thin white tongue coating
P: floating and wiry pulse.

Treatment principle: Dispel wind and cold, remove dampness and dredge collaterals

Acupoint selection: BL17, SP10, GB20, BL12, LR3 + local points

Question 4

Painful bi

Manifestation
tongue
Pulse
Treatment principle
Points

Answer 4

a. Manifestations: Severe stabbing and fixed pain in the joints, cold limbs and aversion to cold, alleviated by warmth and aggravated by cold, limited movement of joints
b. T: thin and white tongue coating
c. P: wiry and tense pulse
d. Treatment principle: Expel cold by warming the meridians, dispel wind and remove dampness.
e. Acupoint selection: BL23, REN4 + local points

Question 5

Fixed Bi

Manifestation
tongue
Pulse
Treatment principle
Points

Answer 5

a. Manifestations: Fixed pain and soreness, heavy sensation of the limbs and joints, aggravated in the bad weather; heavy sensation of the hands and feet
b. T: white greasy tongue coating
c. P: soft moderate pulse.
d. Treatment principle: Resolve dampness and activate blood movement, expel cold and dispel wind.
e. Acupoint selection: SP9, ST36, BL20 + local points

Question 6

Heart Bi

Manifestation
tongue
Pulse
Treatment principle
Points

Answer 6

a. Manifestations: Painful limbs and joints, local burning sensation with redness and swelling, pain becoming worse by touch and alleviated by cold
b. T: yellow or greasy tongue coating
c. P: slippery and rapid pulse.
d. Treatment principle: Clear heat and resolve dampness, dispel wind and regulate blood movement.
e. Acupoint selection: DU14, LI11, LI4 + local points

Question 7

Mandibular joint pain pts

Answer 7

ST7, SJ17, LI4

Question 8

Cervical vertebrae pain pts

Answer 8

GB20, GB12, BL10

Question 9

Shoulder pain pts

Answer 9

SJ14, LI15, SI10, Jian san zhen

Question 10

Elbow pain pts

Answer 10

LI10, LI11, LI12, SI8, LU5, SJ10

Question 11

wrist pain pts

Answer 11

SJ5, SJ4, LI5, SI4

Question 12

back and lumbar pain

Answer 12

DU12, DU26, DU3, BL23, BL40

Question 13

hip pain pts

Answer 13

GB30, GB29, GB39

Question 14

Knee pain pts

Answer 14

ST35, GB34, LR8, BL40, SP9, Heding

Question 15

Ankle pain pts

Answer 15

ST41, SP5, GB40, BL60, BL62, KI3