Bi syndrome, & Specific Areas Flashcards
Bi syndrome is defined by these 3 symptoms
Pain, soreness or numbness
Bi syndrome is caused by these 3 pathogens
Wind, cold, dampness
Bi syndrome is located in these 3 areas
muscles, joints and tendons
Bi syndrome is an obstruction of these…
Qi and Blood in the channels
In order for BS to occur there is already a deficiency in these two types if Qi
Nutritive and Wei
Pathogen invades, ___ becomes obstructed
QI
When qi is obstructed it is unable to circulate blood
T/F
T
When qi becomes obstructed it is unable to circulate blood, qi and blood become congealed causing the painful obstruction
Bi syndrome indicates the person is suffering fro Blood xu
T/F
F
Wind, cold and damp accumulate at which points
Stream, River and Luo
Stream points are a concentration point for _____ Qi
Defensive
River points
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
Luo, connecting channels are the ones that flow on the _____ of the body, governing ____ and ____
Surface of the body, governing muscles and sinews
Joints are the area where ___, ___, ____ and ___ converge
Qi blood Yin & Yang
Joints are most prone to weakness of ____ and ____ qi due to overwork, & strain
Ying and Wei
The only aetiological factor for BS is____
Climate
_____is the most frequently involved pathogen, and combines with the other 2.
Wind
Underlying deficiency of _____ and ___ leads to emptiness of the channels so they are more prone to invasion
Blood and Yin,
This is the typical picture in older people, or in chronic Bi syndrome cases
Pain that moves around the body from joint to joint is classified as
Wandering Bi syndrome
Wandering BS is due to ____ invasion
Wind
Damp Bi or Fixed BS is due to pathogenic ___
dampness
Fixed BS is characterized by 4 symptoms
soreness
swelling
heaviness and numbness
Fixed BS is worse in what type of weather
Damp
Cold Bi or aching bi syndrome is due to ____ invading the channels
Cold
There is ___ pain in the joint or muscle
Severe
With cold BS the person will have full mobility
T/F
F
They will have reduced mobility
Cold BS is better for _____
Warmth
Heat BS only occurs with long standing retention of ____ pathogen
External
When an exterior pathogen moves in, it turns to ____
Heat
Especially when there us a background of Yin xu
The 4 cardinal signs of inflammation are
pain, heat, swelling and redness
Heat BS will be painful to palpate and move
T/F
T
Is Bone Bi Syndrome
Chronic or Acute?
Chronic
Persistent obstruction of channels leads to retention of ____ _____
Body fluid
Over time body fluid condenses and turns into what?
Phlegm
Prolonged obstruction of the channels and joints causes _______ atrophy, ( a lack of qi to nourish the muscles ) swelling and deformity of joints
Muscular Atrophy
Repeated invasion of external pathogens will lead to ____ ______
Blood stasis, causing stiffness, constant and severe pain that originally started as intermittent pain triggered by environment
Chronic Bi Syndrome has a background of _____ & ______ XU
Liver and Kidney
_____ blood nourishes the tendons
Liver
______ nourishes bones, when deficient, phlegm builds in the joints and causes swelling
Kidneys
Treatments for Bi symptoms must ALWAYS include these points
- Points to expel the pathogen
- Points to nourish nutritive and wei qi
- local point
- distal point
- Appropriate influential points ie: tendons, blood, bones , qi
You can also choose distal points from corresponding channels
T/F
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).
These upper body parts correspond with which lower body parts
Shoulder
Elbow
Wrist
Hip
Knee
Ankle
Which point is the “Wind gate” invasion point
GB 20
Wind invasion of the Neck will have sudden onset, reduced mobility, stiffness often with the desire for warmth
Chronic neck pain has an underlying Liver pattern behind repeated invasions of ____
Wind
WOMEN=Liver blood xu
Men= Liver qi stagnation
Elderly=Liver wind or liver fire
The shoulder is typically obstructed by cold, injury ( blood stasis ) or repetitive use ( qi stag )
The distal points for the shoulder are ___ & ___
ST38
strong manipulation, while patient gently rotates shoulder
BLD58
This is the distal point for SI channel shoulder pain. Same method
: if a patient cannot put their arm behind their back, the ___ channel is affected.
SI
Therefore do not choose local points on LI channel for instance
Pain typically occurs on lateral side (LI), just above the Olecranon (SJ10) or between the Olecranon and medial epicondyle of humerus
Common causes are
exposure to damp-cold, or over exertion causing qi stagnation.
LU 5 governs the tendons of the ___
Arm
Knee pain due to KD xu will be triggered by climate
T/F
F
It will not be triggered by climate and there will be no swelling
______ 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
Kidney XU
Sciatica pain is felt at which part of the leg
Posterior and or lateral
Does Sciatica indicate an empty or full condition?
Full
Often Damp Cold obstructing the channels - bladder / GB May also be localized qi & blood stasis
Successful treatment for Sciatica relies on correctly identifying _______ involved and applying distal point theory
Channel
In TCM there are _ different syndromes involved in urinary disease
6
The typical pathogenic conditions are damp, heat, qi stagnation, qi deficiency and kidney deficiency
________ is the most frequent pathology in urinary disease
Dampness, also may combine with heat or cold
Qi stagnation affects _____ channel which governs the bladders ability to transform qi, along with the ___ ____ role of maintaining open water passages
Liver and SJ
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
Lung qi
Treatment for Heat P-U syndrome
Clear heat, drain damp, open water passages
Heat P-U will manifest with these symptoms
scanty, cloudy, dark urine with burning pain while urinating, along with constipation, sacral pain & thirst.
With Heat P-U there may also be symptoms of heart fire or liver fire
T/F
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)
Is Stone P-U a full or empty condition?
Full, When damp heat is retained for a long period it will condense the damp and form grit, sand or stones.
Where is the pain located with Stone P-U?
Hypogastric, sacral or renal areas, along iliac crest, down the groin.
Manifestations of Stone P-U pain
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.
Is Qi P-U a full or deficiency type syndrome?
Both
Is Qi P-U a full or deficiency type syndrome?
Both
The full condition of Qi P-U typically involves which organ?
Liver, Aggravated by significant or prolonged emotional stress, combined with long periods of sedentary behaviour
Qi P-U manifests as..
difficult & painful urination, lower abdominal pain and distension, irritability, feeling of full or irritable bladder
Empty Qi P-U is typically classified as …
SP qi sinking,
Tonify and lift qi
Qi P-U is aggravated by long periods of time standing in ____ and or ____ conditions
Damp or cold
Blood P-U
_____ is escaping the vessels into the urine and giving a burning sensation while urinating
Blood
Blood P-U can be a full or empty syndrome
T/F
T
Full type: liver fire
Empty type: kidney yin xu
Full type Blood P-U manifestations
Difficult urination, burning pain on urination, small clots or flecks of dark blood in urine Fullness and pain in lower jiao, mental restlessness
Manifestations of Blood P-U empty syndrome
Characterized by pale blood in urine, and only slight discomfort on urination rather than significant pain Sore back, depression, feeling of heat in evening
Full type Blood P-U has false heat
T/F
F, True heat
Full type: clear heat, cool blood, soothe liver, stop bleeding, open water passages.
Empty type Blood P-U has true heat
T/F
F
Empty type: clear empty heat, cool blood, nourish yin, stop bleeding, open water passages.
Cloudy P-U may develop from?
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
Is Cloudy P-U a full or empty syndrome?
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
Full type P-U manifestation
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
Empty type manifestations
Cloudy urine without sediment, slight difficulty urinating, tiredness, dizziness, lower back pain
Fatigue P-U syndrome is a _______ condition
Chronic
Fatigue P-U stems from a Kidney ____ deficiency
Yang
Manifestations of Fatigue P-U
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
In adults incontinence is all down to __________ patterns
Deficiency
Enuresis =
involuntary discharge of urine without realizing it, typically affects children during the nighttime
Incontinence
involuntary discharge but aware of it happening. Typically affects elderly people or those with neurological conditions.
Urgency
difficulty holding urine, and stress incontinence are all milder cases of the same aetiology
Lung Qi Xu
- frequent urge, inability to contain, dribbling, weak voice, short of breath
Spleen Qi Xu
urgency, frequent desire to go and unable to contain it, loose stool, tiredness
Kidney Yang Xu
frequent urination, nocturnal enuresis, slight dribbling, exhaustion, incontinence with age, weak back, feeling cold
Kidney Yin Xu
incontinence but scanty urine, dribbling, dark urine, night sweats, 5 palm sweats
