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Winter 2013 / FCM 1 > Bowels & Viscera > Flashcards

Bowels & Viscera Flashcards

1
Q

Bowel & visceral pattern identification

A
  • correlation of information derived from 4 examinations w doctrine of visceral manifestation to determine what bowels or viscera are affected by disease
  • identify morbid changes in their qi-blood & yin-yang aspects
  • identify affected organ –> based on physiopathological characteristic
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2
Q

HEART (bowel & visceral pattern identification)

A
  • opens into tongue and has its fullness in the blood vessels
  • symptoms: heart palpitations, interrupted pulses, derangement of heart spirit
  • located in chest, surrounded by pericardium
  • governs blood and vessels, stores spirit, opens at tongue (reddening of tip of tongue signals disease)
  • associated channel connects to small intestine (corresponding exterior organ)
  • governs sweat, and speech, and bloom in face
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3
Q

LUNG (bowel & visceral pattern identification)

A
  • connected with surface & governs qi
  • diffuses, depurates, and bears downward
  • opens into nose and has its fullness in blood vessels
  • *symptoms: cough, panting, insecurity of defensive exterior
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4
Q

SPLEEN / stomach & intestines

bowel & visceral pattern identification

A
  • governs movement & transformation of food
  • stomach governs digestion
  • intestines govern conveyance & transformation of waste
  • *symptoms: vomiting, abdominal distention & fullness, diarrhea
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5
Q

LIVER (bowel & visceral pattern identification)

A
  • connected with surface & governs qi
  • diffuses, depurates, and bears downward
  • connects with throat, opens into nose (outer orifices of Lung, by which great qi/air enters) and has its fullness in blood vessels
  • symptoms: cough, panting, insecurity of defensive exterior
  • lung is interior and is connected by its channel to the large intestine, which is the corresponding exterior organ
  • governs qi → responsible for breathing and production of true qi
  • regulate waterway → lung’s qi’s action in regards to water metabolism governs skin and body hair → nourishes skin & hair and protects the exterior against invading evils
  • closely related to heart, spleen,, kidney
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6
Q

KIDNEY (bowel & visceral pattern identification)

A
  • governs water, stores essence, governs bones & engenders marrow
  • opens into ears and the two yin (anus & genitals) & has fullness in bones
  • *symptoms: water swelling, urinary block, enuresis, seminal emission, limp aching lumbus & knees, sluggish movement
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7
Q

YIN-YANG & QI-BLOOD (bowel & visceral pattern identification)

A
  • once affected bowel or viscus has been identified, relative states of yin, yang, qi, & blood can be determined from 8 principle and qi-blood pattern identification
  • HEART & LIVER: ALL 4 aspects
  • LUNG: pathologies of yin & qi
  • SPLEEN: disorders of qi & yang
  • KIDNEY: pathologies of yin-yang & essential qi
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8
Q

BOWELS & VISCERA

A
  • organs of chest & abdomen
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9
Q

what are the 5 viscera?

A
  1. heart
  2. lung
  3. spleen
  4. liver
  5. kidney
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10
Q

what is the 6th viscus in channel theory?

A

pericardium

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11
Q

what are the 6 bowels?

A
  1. stomach
  2. small intestine
  3. large intestine
  4. gallbladder
  5. bladder
  6. triple burner
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12
Q

function of viscera

A

to produce and store essence

“The so-called five viscera store essential qi and do not discharge waste. Thus, they are filled, but are not full.”

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13
Q

function of bowels

A

to decompose food and convey waste

“The six bowels process and convey matter, and do not store. Thus, they are filled, but are not full.”

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14
Q

Extraordinary Organs

A 
Brain
Bones
Marrow
Blood vessels
Uterus
Gallbladder (also a bowel)
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15
Q

Why is gallbladder classed also as extraordinary organs?

A

Since the bile it produces is considered as “clear fluids” rather than waste

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16
Q

Heart & kidney interact

A
  • Heart connects with lower burner through kidney
  • Kidney connects with upper burner through heart
  • 2 organs interdependent & counterbalance each other
  • if relationship upset -> insomnia, profuse dreaming, lumbar pain, dream emissions
16
Q

LUNG & HEART

A
  • heart governs the blood & vessels & lung faces the hundred vessels
  • complementary nature of heart’s function of governing blood & lung’s function of governing qi
  • blood passes through the lung before being distributed around the body
17
Q

LUNG & SPLEEN

A
  • spleen is source of phlegm formation & lung is the receptacle that holds phlegm
  • damp qi arising when spleen qi is vacuous and fails to move and transform fluids properly gathers and forms into phlegm, which collect in lung
18
Q

LUNG & KIDNEY

A
  • kidney governs water & lung is upper source of water
  • lung controls movement of water down to the kidney
  • lung governs qi and kidney is the root of qi
  • if kidney essential qi is insufficient, it is incapable of ensuring the absorption of qi through the lung → results in respiratory insufficiency characterized by shortness of breath and rapid breathing at the slightest exertion
  • mutually engendering (qi & water)
19
Q

SPLEEN

A
  • governs movement & transformation of grains and water and distribution of its essence
  • “spleen qi flows through to the mouth. If the stomach and spleen are functioning normally, the individual has a good appetite and normal taste in the mouth.”
  • plays an important role in formation of qi & blood
  • assimilate nutrients from food in stomach to make qi, blood, and fluids
  • stomach responsible for initial decomposition of “grain and water” → spleen extracts essence (nutrients) of food and dispatches it to other organs to reach all parts of body
  • spleen “moves the fluid of the stomach” → drink enters stomach, where it is churned and its essential qi is strained off → is carried to spleen and further distributed by spleen qi → passes up to lung, which regulates the waterways down to the bladder → water essence is distributed to 4 parts, passing through the 5 channels
  • digestion, assimilation, distribution of nutrients
  • source of blood and qi formation
  • engenders and contains blood
  • governs flesh and limbs
20
Q

Pathologies of spleen

A
  • if upset digestion and assimilation → abdominal distention, diarrhea, nutritional disorder
  • if distributive function is impaired → improper movement of fluids → internal dampness, phlegm, rheum, or water swelling
  • spleen vacuity dampness
  • spleen vacuity phlegm
  • spleen vacuity diarrhea
  • spleen vacuity water swelling
  • spleen failing to manage the blood → bleeding that occurs in qi and blood vacuity patterns stemming from impairment of splenic movement and transformation, also flooding and spotting due to heart-spleen vacuity and blood in stool due to qi vacuity
  • emaciation, wilting weakness f limbs with the loss of their use
  • disease of spleen & stomach often reflected in changes in appetite and changes in taste in the mouth (blandness, sweetness, sliminess)

Winter 2013 / FCM 1 (3 decks)

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