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Internal Medicine > Bi syndrome, & Specific Areas > Flashcards

Bi syndrome, & Specific Areas Flashcards

1
Q

Bi syndrome is defined by these 3 symptoms

A

Pain, soreness or numbness

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2
Q

Bi syndrome is caused by these 3 pathogens

A

Wind, cold, dampness

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3
Q

Bi syndrome is located in these 3 areas

A

muscles, joints and tendons

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4
Q

Bi syndrome is an obstruction of these…

A

Qi and Blood in the channels

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5
Q

In order for BS to occur there is already a deficiency in these two types if Qi

A

Nutritive and Wei

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6
Q

Pathogen invades, ___ becomes obstructed

A

QI

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7
Q

When qi is obstructed it is unable to circulate blood

T/F

A

T

When qi becomes obstructed it is unable to circulate blood, qi and blood become congealed causing the painful obstruction

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8
Q

Bi syndrome indicates the person is suffering fro Blood xu

T/F

A

F

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9
Q

Wind, cold and damp accumulate at which points

A

Stream, River and Luo

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10
Q

Stream points are a concentration point for _____ Qi

A

Defensive

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11
Q

River points

A

routes the pathogenic factor towards the joints and sinews in order to keep it fairly superficial and contain it to prevent deeper penetration into the internal organs

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12
Q

Luo, connecting channels are the ones that flow on the _____ of the body, governing ____ and ____

A

Surface of the body, governing muscles and sinews

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13
Q

Joints are the area where ___, ___, ____ and ___ converge

A

Qi blood Yin & Yang

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14
Q

Joints are most prone to weakness of ____ and ____ qi due to overwork, & strain

A

Ying and Wei

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15
Q

The only aetiological factor for BS is____

A

Climate

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16
Q

_____is the most frequently involved pathogen, and combines with the other 2.

A

Wind

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17
Q

Underlying deficiency of _____ and ___ leads to emptiness of the channels so they are more prone to invasion

A

Blood and Yin,

This is the typical picture in older people, or in chronic Bi syndrome cases

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18
Q

Pain that moves around the body from joint to joint is classified as

A

Wandering Bi syndrome

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19
Q

Wandering BS is due to ____ invasion

A

Wind

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20
Q

Damp Bi or Fixed BS is due to pathogenic ___

A

dampness

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21
Q

Fixed BS is characterized by 4 symptoms

A

soreness

swelling

heaviness and numbness

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22
Q

Fixed BS is worse in what type of weather

A

Damp

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23
Q

Cold Bi or aching bi syndrome is due to ____ invading the channels

A

Cold

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24
Q

There is ___ pain in the joint or muscle

A

Severe

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25
Q

With cold BS the person will have full mobility

T/F

A

F

They will have reduced mobility

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26
Q

Cold BS is better for _____

A

Warmth

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27
Q

Heat BS only occurs with long standing retention of ____ pathogen

A

External

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28
Q

When an exterior pathogen moves in, it turns to ____

A

Heat

Especially when there us a background of Yin xu

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29
Q

The 4 cardinal signs of inflammation are

A

pain, heat, swelling and redness

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30
Q

Heat BS will be painful to palpate and move

T/F

A

T

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31
Q

Is Bone Bi Syndrome

Chronic or Acute?

A

Chronic

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32
Q

Persistent obstruction of channels leads to retention of ____ _____

A

Body fluid

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33
Q

Over time body fluid condenses and turns into what?

A

Phlegm

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34
Q

Prolonged obstruction of the channels and joints causes _______ atrophy, ( a lack of qi to nourish the muscles ) swelling and deformity of joints

A

Muscular Atrophy

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35
Q

Repeated invasion of external pathogens will lead to ____ ______

A

Blood stasis, causing stiffness, constant and severe pain that originally started as intermittent pain triggered by environment

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36
Q

Chronic Bi Syndrome has a background of _____ & ______ XU

A

Liver and Kidney

37
Q

_____ blood nourishes the tendons

A

Liver

38
Q

______ nourishes bones, when deficient, phlegm builds in the joints and causes swelling

A

Kidneys

39
Q

Treatments for Bi symptoms must ALWAYS include these points

A
  • Points to expel the pathogen
  • Points to nourish nutritive and wei qi
  • local point
  • distal point
    • Appropriate influential points ie: tendons, blood, bones , qi
40
Q

You can also choose distal points from corresponding channels

T/F

A

T

Ie: wrist pain that occurs along the San Jiao channel (Lesser Yang) you can choose a distal point on the corresponding Lesser Yang channel (GB).

41
Q

These upper body parts correspond with which lower body parts

Shoulder

Elbow

Wrist

A

Hip

Knee

Ankle

42
Q

Which point is the “Wind gate” invasion point

A

GB 20

Wind invasion of the Neck will have sudden onset, reduced mobility, stiffness often with the desire for warmth

43
Q

Chronic neck pain has an underlying Liver pattern behind repeated invasions of ____

A

Wind

WOMEN=Liver blood xu

Men= Liver qi stagnation

Elderly=Liver wind or liver fire

44
Q

The shoulder is typically obstructed by cold, injury ( blood stasis ) or repetitive use ( qi stag )

The distal points for the shoulder are ___ & ___

A

ST38

strong manipulation, while patient gently rotates shoulder

BLD58

This is the distal point for SI channel shoulder pain. Same method

45
Q

: if a patient cannot put their arm behind their back, the ___ channel is affected.

A

SI

Therefore do not choose local points on LI channel for instance

46
Q

Pain typically occurs on lateral side (LI), just above the Olecranon (SJ10) or between the Olecranon and medial epicondyle of humerus

Common causes are

A

exposure to damp-cold, or over exertion causing qi stagnation.

47
Q

LU 5 governs the tendons of the ___

A

Arm

48
Q

Knee pain due to KD xu will be triggered by climate

T/F

A

F

It will not be triggered by climate and there will be no swelling

49
Q

______ XU causes Lower back pain that is dull and comes after exertion, or sexual activity It is better for rest, but not significantly better for heat despite there being a cold sensation to the lumbar

A

Kidney XU

50
Q

Sciatica pain is felt at which part of the leg

A

Posterior and or lateral

51
Q

Does Sciatica indicate an empty or full condition?

A

Full

Often Damp Cold obstructing the channels - bladder / GB May also be localized qi & blood stasis

52
Q

Successful treatment for Sciatica relies on correctly identifying _______ involved and applying distal point theory

A

Channel

53
Q

In TCM there are _ different syndromes involved in urinary disease

A

6

The typical pathogenic conditions are damp, heat, qi stagnation, qi deficiency and kidney deficiency

54
Q

________ is the most frequent pathology in urinary disease

A

Dampness, also may combine with heat or cold

55
Q

Qi stagnation affects _____ channel which governs the bladders ability to transform qi, along with the ___ ____ role of maintaining open water passages

A

Liver and SJ

56
Q

Qi deficiency p-u syndrome refers to spleen qi sinking (dribbling, incontinence, frequent urination); or occasionally ____ qi deficiency unable to descend to kidneys and bladder. This will present as urinary retention, most commonly seen in elderly

A

Lung qi

57
Q

Treatment for Heat P-U syndrome

A

Clear heat, drain damp, open water passages

58
Q

Heat P-U will manifest with these symptoms

A

scanty, cloudy, dark urine with burning pain while urinating, along with constipation, sacral pain & thirst.

59
Q

With Heat P-U there may also be symptoms of heart fire or liver fire

T/F

A

True

Heart Fire may travel via the SI channel to the bladder (both SI and bladder are Greater Yang channels but HT & SI are paired meridians)

60
Q

Is Stone P-U a full or empty condition?

A

Full, When damp heat is retained for a long period it will condense the damp and form grit, sand or stones.

61
Q

Where is the pain located with Stone P-U?

A

Hypogastric, sacral or renal areas, along iliac crest, down the groin.

62
Q

Manifestations of Stone P-U pain

A

difficulty passing urine, blood in the urine, dark urine with burning pain. Pain will be very intense, colicky in nature, coming and going in waves.

63
Q

Is Qi P-U a full or deficiency type syndrome?

A

Both

63
Q

Is Qi P-U a full or deficiency type syndrome?

A

Both

64
Q

The full condition of Qi P-U typically involves which organ?

A

Liver, Aggravated by significant or prolonged emotional stress, combined with long periods of sedentary behaviour

65
Q

Qi P-U manifests as..

A

difficult & painful urination, lower abdominal pain and distension, irritability, feeling of full or irritable bladder

66
Q

Empty Qi P-U is typically classified as …

A

SP qi sinking,

Tonify and lift qi

67
Q

Qi P-U is aggravated by long periods of time standing in ____ and or ____ conditions

A

Damp or cold

68
Q

Blood P-U

_____ is escaping the vessels into the urine and giving a burning sensation while urinating

A

Blood

69
Q

Blood P-U can be a full or empty syndrome

T/F

A

T

Full type: liver fire

Empty type: kidney yin xu

70
Q

Full type Blood P-U manifestations

A

Difficult urination, burning pain on urination, small clots or flecks of dark blood in urine Fullness and pain in lower jiao, mental restlessness

71
Q

Manifestations of Blood P-U empty syndrome

A

Characterized by pale blood in urine, and only slight discomfort on urination rather than significant pain Sore back, depression, feeling of heat in evening

72
Q

Full type Blood P-U has false heat

T/F

A

F, True heat

Full type: clear heat, cool blood, soothe liver, stop bleeding, open water passages.

73
Q

Empty type Blood P-U has true heat

T/F

A

F

Empty type: clear empty heat, cool blood, nourish yin, stop bleeding, open water passages.

74
Q

Cloudy P-U may develop from?

A

May develop from diet in excessive damp-creating produce, especially beer. Can also be caused by kidney qi xu unable to provide sufficient vital qi to separate clear from turbid

75
Q

Is Cloudy P-U a full or empty syndrome?

A

Both

Full type: drain damp, clear heat, separate clear from turbid, open water passages

Empty type: Tonify qi, Tonify kidney, separate clear from turbid, drain damp, open water passages

76
Q

Full type P-U manifestation

A

Cloudy urine with sediment - may look like oil patches on the surface, like rice grains or like strings of cotton wool. The more formed the sediment, the more long standing the condition. Difficult urination, possible sweet or yeasty odor

77
Q

Empty type manifestations

A

Cloudy urine without sediment, slight difficulty urinating, tiredness, dizziness, lower back pain

78
Q

Fatigue P-U syndrome is a _______ condition

A

Chronic

79
Q

Fatigue P-U stems from a Kidney ____ deficiency

A

Yang

80
Q

Manifestations of Fatigue P-U

A

Intermittent difficulty urinating, worse for exertion. NO burning pain Frequent urge to urinate, dribbling after micturition, dragging sensation in lower abdomen, exhaustion, sore back, feels cold easily, prone to depression

81
Q

In adults incontinence is all down to __________ patterns

A

Deficiency

82
Q

Enuresis =

A

involuntary discharge of urine without realizing it, typically affects children during the nighttime

83
Q

Incontinence

A

involuntary discharge but aware of it happening. Typically affects elderly people or those with neurological conditions.

84
Q

Urgency

A

difficulty holding urine, and stress incontinence are all milder cases of the same aetiology

85
Q

Lung Qi Xu

A
  • frequent urge, inability to contain, dribbling, weak voice, short of breath
86
Q

Spleen Qi Xu

A

urgency, frequent desire to go and unable to contain it, loose stool, tiredness

87
Q

Kidney Yang Xu

A

frequent urination, nocturnal enuresis, slight dribbling, exhaustion, incontinence with age, weak back, feeling cold

88
Q

Kidney Yin Xu

A

incontinence but scanty urine, dribbling, dark urine, night sweats, 5 palm sweats

Internal Medicine (17 decks)

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