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Case Studies > CASE STUDIES - Final Exam > Flashcards

CASE STUDIES - Final Exam Flashcards

1
Q

Asthma Cause for Extrinsic, Allergic, Early Onset

A

WIND

Note: Phlegm is a result not a cause for Allergic Asthma

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2
Q

Asthma Cause for Non-Allergic, Late Onset

A

PHLEGM

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3
Q

Facial Paralysis following a Stroke

A
  • From damage to the Central Nervous System
  • Above the eye not affected
  • D/T Internal Wind
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4
Q

Peripheral Facial Paralysis (Bell’s Palsy)

A
  • D/T injury of peripheral nerves
  • Only able to move one eyebrow when trying to frown
  • D/T External Wind
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5
Q

COUGH Diagnosis

Sound

A

Weak sound = deficiency
Loud sound = excess
Barking cough = heat
Loose/rattling = phlegm

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6
Q

COUGH Diagnosis

Time of Day

A

Worse in late afternoon = Yin deficiency

Worse in the morning = usually phlegm

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7
Q

COUGH Diagnosis

Sputum

A

W/O sputum = deficiency or heat
Abundant = phlegm, Blood = Full or Empty heat
Yellow = heat, White = cold, Greenish = heat
White sticky = prev of dampness or phlegm over cold
White diluted = prevalence of cold over phlegm/damp
White very watery and frothy = phlegm-fluids

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8
Q

COUGH Pattern - Acute Ext

Wind-Cold: Sx

A

cough, sneezing, runny nose with white discharge, aversion to cold, chills, body aches, maybe slight increase in body temp, stiff neck, headache
Tongue: no evident change
Pulse: Floating-Tight

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9
Q

COUGH Pattern - Acute Ext

Wind-Cold: Tx

A

Lu 7- release ext, restores descending of Lung Qi, stops cough
Bl 12- expels exterior Wind, good to use cupping
Bl 13- releases exterior, restores descending of Lung Qi, use cupping
Li 4 & Ki 7- promotes sweating, releases exterior
Lu 6- stops acute cough

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10
Q

COUGH Pattern - Acute Ext

Wind-Heat: Sx

A

Dry cough, aversion to cold, chills, fever, sore throat, slight sweating, body aches, headache, runny nose with yellow discharge, sneezing, slight thirst and slightly dark urine
Tongue: slight Red sides and/or front part
Pulse: Floating-Rapid

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11
Q

COUGH Pattern - Acute Ext

Wind-Heat: Tx

A

Lu 7 – rel ext, expels Wind, restore desc of LU qi & stop cough
Li 4 & Li 11 – expels Wind-Heat
Bl 12 – releases exterior
Lu 11 – expels Wind-Heat, clear Heat from throat.
Du 14 – used if symptoms of Heat are pronounced
Lu 6 – xi-cleft point , stops acute cough

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12
Q

COUGH Pattern - Acute Ext

Wind-Dryness: Sx

A

Dry cough, dry itchy-sore throat, dry lips, dry mouth, soreness of the upper chest
Tongue: slightly red sides and/or front part
Pulse: Floating

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13
Q

COUGH Pattern - Acute Ext

Wind-Dryness: Tx

A

Lu 7 - release ext, expels Wind, restores descending of Lung Qi and stop cough.
Lu 9 – nourishes the Lung’s fluids
Ki 6 – promotes fluids
Sp 6 – promotes fluids

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14
Q

COUGH Pattern - Acute Interior

Lung-Heat: Sx

A

Barking cough, chest pain, breathlessness, fever, thirst, flaring of alae nasi, restlessness and feeling of heat
Tongue: Red with yellow coat
Pulse: Rapid and Overflowing

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15
Q

COUGH Pattern - Acute Interior

Lung-Heat: Tx

A

Lu 5 – clears LU-Heat and restores descending of LU Qi
Lu 1 – clears Lung-Heat, treats acute patterns of the LU
Du 14 & Li 11 - clears Heat
Lu 6 – xi-cleft, treats acute patterns of Lung, stops cough

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16
Q

COUGH Pattern - Acute Interior

Lung Phlegm Heat: Sx

A

Barking cough with expectoration of profuse sticky yellow sputum, fever, restlessness, thirst, feeling of heat and sensation of oppression in the chest
Tongue: Red w/sticky yellow coat
Pulse: Rapid and Slippery

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17
Q

COUGH Pattern - Acute Interior

Lung Phlegm Heat: Tx

A

Lu 5 – expels phlegm and clears Heat from Lungs
Lu 1 – front-mu of the Lung, clear LU-Heat, stop cough
Lu 6 – xi-cleft, acute cases, clear LU-Heat, stop cough
Ren 12, Ren 9, Sp 6 & St 40 – resolve phlegm
Du 14 & Li 11 – clear Heat
Sj 6 & Sp 15 – clear Heat, move downward

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18
Q

COUGH Pattern
Chronic/Full - Damp Phlegm:
Sx

A

Repeated attacks of cough, profuse expectoration of white sticky sputum, breathlessness, worse AM and after eating, feeling of oppression in the chest, nausea, poor appetite, tiredness, feeling of heaviness, loose stools
Tongue: Pale or normal, Swollen, sticky/thick white coat
Pulse: Slippery

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19
Q

COUGH Pattern
Chronic/Full - Damp Phlegm:
Tx

A

Lu 5 – res phlegm, restores descending of Lung Qi
Lu 1 – restores descending of Lung Qi
Ren 12, Bl 20 & St 36 – tonify Spleen to resolve Phlegm
Ren 9, St 40 & Sp 6 – resolve Dampness and Phlegm
BL 13 – Back-Shu of Lung, use for chronic patterns, restores descending Lung Qi.

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20
Q

COUGH Pattern
Chronic/Full - Phlegm-Heat:
Sx

A

Repeated attacks of a barking cough with profuse expectoration of yellow or blood-flecked purulent sputum, breathlessness, rattling sound in the throat, feeling of oppression in the chest, red face, feeling of heat, dry mouth, thirst, tiredness, loose stools
Tongue: Red, Swollen with sticky yellow coat
Pulse Slippery and Rapid

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21
Q

COUGH Pattern
Chronic/Full - Phlegm-Heat:
Tx

A

Du 14 & Li 11 – clear Heat
Lu 5 – res phlegm, restores descending of Lung Qi
Lu 1 – restores descending of Lung Qi
Ren 12, Bl 20, & St 36 – tonify Spleen to resolve Phlegm
Ren 9, St 40, & Sp 6 – resolve Dampness and Phlegm
BL 13 – Back-Shu of the Lung, use for chronic patt, restores descending of Lung Qi.

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22
Q

COUGH Pattern
Chronic/Full - Phlegm-Fluids:
Sx

A

Cough with a low sound, expectoration of watery diluted sputum, feeling of cold, feeling of oppression in the chest, tiredness, poor appetite and low spirit
Tongue: Pale, Swollen with sticky white coat
Pulse: Soggy

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23
Q

COUGH Pattern
Chronic/Full - Phlegm-Fluids:
Tx

A

Du 14 & Bl 23 – reinforce with moxa if Kidney Yang deficient
Bl 22 – promote transformj of fluids thus resolve phlegm
Lu 5 – res phlegm, restores descending of Lung Qi
Lu 1 – restores descending of Lung Qi
Ren 12, Bl 20, & St 36 – tonify Spleen to resolve Phlegm
Ren 9, St 40, & Sp 6 – resolve Dampness and Phlegm
BL 13 – Back-Shu of the Lung, use for chronic patt, restores descending of Lung Qi.

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24
Q

COUGH Pattern
Chronic/Full -
Liver-Fire insulting Lungs:
Sx

A

Sudden bouts of cough, red face often elicited by emotional stress, dry throat, a feeling of phlegm in the throat, expectoration on scanty phlegm, hypochondrial pain/distention, pain on coughing, bitter taste, dark urine, dry stools, irritability, and dry mouth
Tongue: Rapid with red sides, dry yellow coat
Pulse: Wiry Rapid

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25
Q

COUGH Pattern
Chronic/Full -
Liver-Fire insulting Lungs:
Tx

A

Liv 2 – drain Liver-Fire
Gb 34 – pacifies LV, eliminate stag form hypochondrial
Li 11 – clears heat
Lu 5 & Lu 1 – clear Lung-Heat, restores desc of Lung Qi
Ren 17 – subdues rebel Qi in chest, restores desc of Lu Qi
Gb 21 – subdues rebellious Qi and makes Qi descend

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26
Q

COUGH Pattern
Chronic/Empty -
Lung-Qi deficiency:
Sx

A

Slight cough with low sound, no phlegm, spontaneous sweating, easy catch cold, weak voice, tiredness
Tongue: Pale
Pulse: Empty

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27
Q

COUGH Pattern
Chronic/Empty -
Lung-Qi deficiency:
Tx

A

Lu 9 & Bl 13 – tonify Lung Qi and stop cough
Lu 7 – restores the descending Lung Qi
Bl 43 – nourishes LU Yin & specific for chronic LU probs
Ren 12, St 36 7 Sp 6 – tonify SP and LU (since LU channel starts in Middle Burner)

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28
Q

COUGH Pattern
Chronic/Empty -
Lung-Yin deficiency:
Sx

A

Dry cough in short bursts and low sound, scanty or no phlegm, blood-flecked sputum, dry throat, feeling of heat in evening, night sweats, thin body, extreme tiredness
Tongue: No coat, dry, if empty heat then also Red body
Pulse: Floating-Empty

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29
Q

COUGH Pattern
Chronic/Empty -
Lung-Yin deficiency:
Tx

A

Lu 9 & Lu 1 – nourish Lung-Yin
Lu 10 – clears Lung Empty-Heat
Ren 12, St 36 & Sp 6 – tonify Spleen to nourish Lung
Lu 7 & Ki 6 – open Ren Mai, benefit throat, nourish Lung-Yin, restores descending of Lung Qi, stop cough from Yin deficiency

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30
Q

COUGH Pattern
Chronic/Empty -
Lung-Dryness:
Sx

A

Dry cough with low sound, dry throat and mouth. Seen in people with predisposition to Lung deficiency who through work have to use voice a lot in this case there could also be Stomach Yin deficiency. Can also occur after invasion of Wind-Heat.
Tongue: Dry
Pulse: Floating –Empty

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31
Q

COUGH Pattern
Chronic/Empty -
Lung-Dryness:
Tx

A

Lu 9 & Lu 1 – nourish Lung-Yin
Lu 10 – clears LU Empty-Heat
Ren 12, St 36 & Sp 6 – tonify Spleen to nourish Lung
Lu 7 & Ki 6 – open Ren Mai, benefit throat, nourish Lung-Yin, restores descending of Lung Qi, stop cough from Yin deficiency

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32
Q

Xiao indicates

A

a wheezing sound that may resemble that of whistling, snoring or sawing. It is usually accompanied by breathlessness and an inability to breathe when lying down.

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33
Q

Xiao/Chuan - Excess
Wind Cold Invading the LU
Sx

A

Aversion to cold, shivering, fever, cough, breathlessness, a feeling of oppression of the chest, thin-white mucus, HA, no sweat
P: floating and tight

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34
Q

Xiao/Chuan - Excess
Wind Cold Invading the LU
Tx

A

Lu 7 releases the exterior, expels WC and restores Diffusing and Descending of Lung Qi
Lu 6 accumulation pt for acute Lung patterns to stop breathlessness
UB 12 and 13 with cupping to release the exterior
Dingchuan stops acute breathlessness

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35
Q

Xiao/Chuan -
Wind-Cold on the Exterior,
 Phlegm fluids in the Interior
Sx

A

Aversion to cold, fever, shivering, HA, no sweat, breathlessness, cough with profuse white-watery sputum, difficulty in lying down, swelling of the limbs.
T: sticky, white coat
P: floating

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36
Q

Xiao/Chuan -
Wind-Cold on the Exterior,
 Phlegm fluids in the Interior
Tx

A

Lu 7 release the exterior
Lu 6 and Dingchuan stops breathlessness
Lu 5 for phlegm in the lungs
Cup UB 12 and 13 to release the exterior
P 6 opens the chest
St 40 resolves phlegm and opens the chest
Ren 22 stimulates the descending of Lung Qi and resolves phlegm

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37
Q

Xiao/Chuan -
Cold on the Exterior, Heat in the Interior
Sx

A

Breathlessness, distension or pain in the chest, coarse breathing, runny nose, cough, vomiting of sticky phlegm, feeling of heat, cold limbs, irritability, aches, thirst.
T: red with a white or yellow coat
P: slippery and rapid

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38
Q

Xiao/Chuan -
Cold on the Exterior, Heat in the Interior
Tx

A 
Lu 7 restores the descending of Lung Qi
Lu 6 relieves breathlessness
Lu 10 and Lu 5 clear Lung Heat
Lu 1 clears Lu heat and relieves fullness in the chest, stops breathlessness
LI 11 clears Heat
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39
Q

Xiao/Chuan -
Phlegm Heat in the Lungs
Sx

A

Cough, breathlessness, pain in the chest, profuse sticky-yellow or blood tinged sputum, irritability, a feeling of oppression in the chest, feeling of heat, sweating, thirst, red face, dry throat, dark urine, constipation.
T: red with a sticky yellow coat
P: slippery and rapid

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40
Q

Xiao/Chuan -
Phlegm Heat in the Lungs
Tx

A 
Lu 5 clears lung heat
Lu 1 clears Lung heat and relieves fullness and pain in the chest
LI 11 clears heat
St 40 resolves phlegm
Du 14 clears heat
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41
Q

Xiao/Chuan -
Turbid Phlegm Heat in the Lungs
Sx

A

Breathlessness, difficulty breathing out, a feeling of oppression and fullness of the chest, cough with profuse sticky, white sputum, vomiting or nausea, sticky taste, no thirst
T: swollen with thick sticky white coat
P: slippery and excess

42
Q

Xiao/Chuan -
Turbid Phlegm Heat in the Lungs
Tx

A

Lu 5 and 7 expel damp phlegm from the Lungs and restore the descending of Lung Qi
Lu 1 relieves the feeling of oppression of the chest
P 6 relieves fullness in the chest
St 40, Sp 6, Ren 9 resolve phlegm
UB 13 stimulates the descending of Lung Qi
UB 20 tonifies the Spleen to resolve Phlegm

43
Q

Xiao/Chuan -
Lung Qi Obstructed
Sx

A

Sudden attacks of breathlessness precipitated by emotional problems, no wheezing sounds, feeling of suffocation or constriction in the throat, a feeling of oppression or pain in the chest, palps, restless sleep.
T: red sides, P: wiry

44
Q

Xiao/Chuan -
Lung Qi Obstructed
Tx

A

Liv 3 and LI 4 soothe the liver and relieve stagnation
Liv 14 relieves stagnation in the chest
Sp 4 and P6 in combo open the Chong, free the chest and subdue rebellious Qi in the chest
Lu 1, Ren 17 and Lu 7 restore the descending of Lung Qi free the chest, and relieves fullness
Ht 7 calms the mind
St 40 is used to resolve Qi Phlegm

45
Q

Xiao/Chuan -
Liver Fire Invading the Lungs
Sx

A

Attacks of breathlessness precipitated by emotional stress, a feeling of oppression of the chest, chest pain, dream disturbed sleep, short temper, thirst, bitter taste, dark urine, constipation, HA, red eyes and face

46
Q

Xiao/Chuan -
Liver Fire Invading the Lungs
Tx

A

Liv 2 drains Liv fire
Liver 14 soothes the Liver and relieves stag in the chest
Lu 7, Ren 17, and UB 13 restore the descending of Lung Qi
Lu 1 relieves fullness and pain in the chest
UB 18 drains Liver Fire

47
Q

Xiao/Chuan -
Lung Qi Deficiency
Sx

A

SOB, weak lung sounds, slight rattling sound in the throat, sweating, chilliness, pale face, weak voice, expectoration of scanty phlegm
T: Pale P: Weak, especially in the front right position

48
Q

Xiao/Chuan -
Lung Qi Deficiency
Tx

A

Lu 7 and 9 tonify the Lung
UB 13 and Du 12 tonify Lung Qi. Can use moxa
Ren 12 and Ren 6 tonify Qi in general. They are also crossing points on the Lu channel
St 36 tonifies St and Sp and helps the Lungs according to the principle of strengthening Earth to tonify Metal.

49
Q

Xiao/Chuan -
Lung Yin Deficiency
Sx

A

SOB, chronic breathlessness, sweating at night, dry throat, dry cough with scanty sputum, malar flush T: dry with no coat, red body with empty heat P: Floating, deficient, thready; rapid and weak in the right front position.

50
Q

Xiao/Chuan -
Lung Yin Deficiency
Tx

A

Lu 9 tonifies Lu yin
Lu 7 and K 6 opens the Ren to nourish Yin, descend Lu Qi and benefit the throat
UB 43 to nourish Lu Yin esp for chronic disease
Ren 4 nourishes Yin and strengthens KD’s grasping of Qi
UB 13 and Du 12 tonify Lu Qi

51
Q

Xiao/Chuan -
Lung & Kidney Deficiency
Sx

A

Chronic breathlessness, attacks brought on by exertion, difficulty inhaling, loss of weight, depression, edema of ankles, cold limbs, LBP, dizziness, weak knees.
T: Pale, swollen P: deep, weak, slow

52
Q

Xiao/Chuan -
Lung & Kidney Deficiency
Tx

A

UB 23 and K 7 tonify K yang
Du 4 tonifies the mingmen fire esp with moxa
K 25 local point for fullness chest and breathlessness
K 3 source point of Kidneys
Lu 7 stimulate the descending of Lung Qi

53
Q

Xiao/Chuan -
Lung & Kidney Yin Deficiency
Sx

A

Chronic breathlessness, difficulty breathing in, dry throat, dry cough, night sweats, malar flush T: no coat, cracks in the Lung area, dry, red body with empty heat P: floating, deficient

54
Q

Xiao/Chuan -
Lung & Kidney Yin Deficiency
Tx

A

Lu 9 and Ren 17 tonify Lu and promte desc of Lu Qi
St 36 and Ren 12 strengthen Earth to reinforce Metal
Sp 6 and Ren 4 nourish Yin
K 3 nourishes Kidney
Lu 7 and K 6 nourish K Yin, restore descending of Lu Qi, and benefit the throat. Opens the Ren which is ideal for this pattern of breathlessness
K 25 is local point for stimulating the Kidney’s grasping of Qi in chronic breathlessness from Kidney deficiency

55
Q

Xiao/Chuan -
Lung and Kidney Yang deficiency, Fluids overflowing to Heart and Lungs
Sx

A

Chronic breathlessness, cough with expectoration of white-watery sputum, a feeling of oppresion of the chest, palps, edema, scanty urine, chilliness
T: Pale, Swollen, Wet
P: Deep, weak, slow

56
Q

Xiao/Chuan -
Lung and Kidney Yang deficiency, Fluids overflowing to Heart and Lungs
Tx

A

Lu 7, LI 6 and Ren 17 to descend Lu Qi and open the Lung water passages to resolve edema
Ren 12, Ren 9, Ren 6 tonify Qi and resolve edema
K 7 and Sp 6 to tonify Kidneys and resolve edema
St 40 resolves Phlegm
P 6 opens the chest, relieves the feeling of oppression of the chest and tonifies Ht Yang
UB 20, UB 23 and UB 22 tonify Sp and K Yang, and stimulate the transformation of fluids in the lower jiao to resolve phlegm
UB 13 and 15 tonify Lu and Ht Yang

57
Q

Xiao/Chuan -
Lung, Heart, and Kidney Yang Deficiency, Fluids overflowing to the Heart
Sx

A

Chronic breathlessness, oppression and pain in the chest, nausea, cyanotic lips, purple face and nails, expectoration of white-watery sputum, difficulty in lying down, edema, chilliness, lower backache, weak knees, scanty but pale urine

58
Q

Xiao/Chuan -
Lung, Heart, and Kidney Yang Deficiency, Fluids overflowing to the Heart
Tx

A

Lu 7, LI 6 and Ren 17 stimulate the descending of Lung Qi and open the Lung’s Water passages to resolve edema
Ren 12, Ren 9 and Ren 6 tonify Qi and resolve edema
K 7 and Sp 6 tonify the Kidneys and resolve edema
St 40 resolves Phlegm
P 6 opens up the chest and tonifies Ht Yang
UB 20, 23 and 22, tonify Sp and K Yang and stimulate the transformj of fluids in the lower Jiao to resolove edema
UB 13 and 15 tonify Lu and Ht Yang
UB 17 and Sp 10 move blood and eliminate stasis

59
Q

Point for Acute Cough

A

LU-6

60
Q

Pathogenic Factors involved in

Asthma

A

In allergic asthma, the bronchospasm is caused by an allergic reaction due to a hypersensitivity called anaphylactic or type 1 reaction. This reaction activates a series of enzymes which lead to the release of certain chemical substances such as histamine, serotonin, prostaglandins among others. These chemicals will provoke acute bronchospasm, and a cascade of other reactions such as inflammation/swelling of the airways which then can cause the production of mucus which further narrows the airways. The mucus in this case is a result rather than the cause of the pathology.

61
Q

Western Drugs to treat Asthma

A

Antiallergic drugs
Bronchodilators
Corticosteroids
Leukotriene antagonists

62
Q

The 3 main Liver patterns affecting asthma

A

Liver Qi Stagnant, insulting Lungs
Liver Fire insulting the Lungs
Liver Yin deficiency

63
Q

Etiology - Atopic/Allergic Asthma

A

Repeated WC / WH Invasion
Irregular Diet
Weak Body Constitution

64
Q

Whooping Cough

A

Whooping cough – occurs in children mostly under 5, starts with ordinary cold with cough then a the characteristic “whoop” appears, cough comes in bouts, worse at night and very distressing, coughing bouts often ends in vomiting, child might get flushed or cyanosed and looks frightened, TCM diagnosis started with Wind-Heat/Wind-Cold then Lung Heat and late stage Stomach and Lung Yin deficiency

65
Q

Pleurisy

A

Pleurisy – inflammation of pleura, usually appearing after a upper respiratory infection, cough is unproductive and distressingly painful, chest pain and temperature raised, TCM diagnosis Lung Phlegm-Heat at Qi level

66
Q

Pneumonia

A

Pneumonia – inflammation of the lung alveoli, may begin abruptly with shivering, HA, high temp & breathlessness, at first, cough is short and unproductive, then develops scanty sputum with rust coloured and blood sputum, mostly accompanied by pleurisy giving pain, temperature is high, face flushed pulse and breath rapid, TCM diagnosis Lung Heat at Qi level

67
Q

Carcinoma of the bronchi

A

Carcinoma of the bronchi – most common cancer of all, most common in men between 40 and 55, dry cough, breathlessness and deep-seated thoracic pain, maybe some scanty blood flecked sputum, patient is weak and lacks appetite, TCM diagnosis Lung Yin deficiency late stage

68
Q

Tuberculosis of the lungs (TB)

A

Tuberculosis of the lungs (TB) – cough is dry or with scanty, blood flecked sputum, chest pain, SOB and night sweating, patient very tired/debilitated and may have low grade fever in afternoons, TCM diagnosis Lung Yin deficiency with Empty Heat

69
Q

Bronchiectasis

A

Bronchiectasis – permanent dilation of bronchi and bronchioles, alveoli become distended and filled with mucus, cough occurs more in morning with productive profuse purulent sputum with fruity odour, breath is offensive after bout of coughing, during acute episodes temperature increases, TCM diagnosis Turbid Phlegm in Lungs

70
Q

Tai Yang (1)

A

SI, UB
More Blood, Less Qi
Invasion of WC or WH
P: Floating & Rapid OR Floating & Tight OR Deep, Rapid & Thready OR Floating & Slow

71
Q

Yang Ming (2)

A

ST, LI
More Blood, More Qi
High Fever
P: Flooding & Rapid OR Deep, Full, Slippery & Rapid

72
Q

Tai Yin (4)

A

LU, SP
More Qi, Less Blood
SP Qi Deficiency
P: Deep, Weak, Slow

73
Q

Shao Yin (5)

A

KD, HT
More Qi, Less Blood
Cold Transformation (Yang Def) - P: Deep, Week, Slow
Heat Transformation (Yin Def) - P: Rapid & Thready

74
Q

Jue Yin (6)

A

LV, PC
Less Qi, More Blood
Yin/Yang Not Communicating (Heat above, Cold Below)
P: Wiry

75
Q

Shao Yang (3)

A

SJ, GB
Alt. Fever/Chills, Bitter Taste
P: Wiry, Thin

76
Q

INFLUENTIAL POINTS

ZANG SINEW
FU VESSELS
QI BONES
BLOOD MARROW

A 
ZANG: LV-13
FU: REN-12
QI: REN-17
BLOOD: BL-17
SINEW: GB-34
VESSELS: LU-9
BONES: BL-11
MARROW: GB-39
77
Q

COMMAND POINTS

A 
LU-7: Head & Nape
LI-4: Face & Mouth
PC-6: Chest & Lateral Costal Region
ST-36: Abdomen
BL-40: Back & Lumbar Region
DU-26: Resuscitation
78
Q

FX OF REN-12

A
  1. Transforming & Distributing the Essence of Food & Drink throughout the Body
  2. Tonify ST Qi, ST Yin & SP Qi to Resolve Phlegm
79
Q 
Identification of Pattern according to 4 levels - 
WEI LEVEL (Defensive Qi)
A

Wind Heat
Summer Heat
Dry Heat
Damp Heat

80
Q

EFP at YING Level

A

Chronic conditions at this level
People start to waste away, disease consumes weight and Body Fluids
Low-grade fever, Yin has contained Heat a little so that it isn’t as exuberant
Fever usually comes and goes
Herbs must be used

81
Q

EFP at Blood Level

A 
General fever, Reckless Blood
Extreme restlessness; irritability
Insomnia, Stuttering
Very dark skin eruptions
Tremors; convulsions; seizures
Less fluids allow Wind to enter vessels
82
Q

Identification of Pattern according to 4 levels -

QI LEVEL

A 
Lung Heat (Heat in Chest and Diaphragm)
Stomach Heat
Intestines Dry Heat
Gall Bladder Heat
Damp Heat in Stomach and Spleen
83
Q

Identification of Pattern according to 4 levels -

YING (NUTRITIVE) LEVEL

A

Heat in the Nutritive Qi Level

Heat in the Pericardium

84
Q

PULSE according to 4 LEVELS

A

Wei = floating, Rapid
Qi = Rapid, Full
Ying = Thin, Rapid
Blood (Heat) = Wiry, Rapid
Blood (Collapse of Yin/Empty Wind) = Rapid, Thready
Blood (Collapse of Yang) = Hidden, Slow, Scattered

85
Q

TX (points) for WC & WH

A

WC: LU-6 LU-7, UB-12

WH: LI-4, LI-11, SJ-5

86
Q

CHRONIC LBP - DISTAL POINTS

Men vs. Women

A

In MEN, needle SI-3 on LEFT and UB-62 on right.
In WOMEN, needle SI-3 on the RIGHT and UB-62 on the left and the REN channel points: Lu-7 on the left and K-6 on the right.
Remove needles in reverse order.

87
Q

CHRONIC LBP - DISTAL POINTS

A

SI-3, BL-40, BL-58, BL-59, BL-62

88
Q

PULSES according to Wei Levels

A

Wind Heat = Floating & Rapid
Summer Heat = Soggy & Rapid
Damp Heat = Soggy & Slow
Dry Heat = Floating & Rapid

89
Q

3 Organs involved in Xiao Pattern

A

Spleen
Lung
Stomach

90
Q

Tx for LV Yang Rising -

Reduce &/or Tonify?

A

Reduce AND Tonify

b/c it is excess and deficiency

91
Q

Tai Yang Pattern Sx

A

Aversion to Cold, Occipital HA, Neck ache

P: Floating, Tight

92
Q

Wind Cold enters through…

Wind Heat enter through…

A 
WC = Skin
WH = Nose, Mouth
93
Q

Chuan - dyspnea or breathlessness

Sounds

A 
Excess = breath in shallow/long, exhale is quick w/loud wheezing sounds, possible cough, P: Slippery or Tight/Full
Deficient = breathing is short & rapid, quick inhale w/low noise (labored breathing and cannot lie flat, mouth breathing), P: Weak
94
Q

Chuan - dyspnea or breathlessness

Etiology, Pathology, Patterns, Western Differentiation

A

Etiology: EPF, Diet, Emotions, Overwork, Chronic Illness
Pathology: SP, LU, K xu
Patterns: Excess & Deficiency
West Diff: LU cause Asthma, CB, emph, bronchial carcinoma, HT cause left HT failure, general anemia

95
Q

Xiao - wheeze

Sounds

A

Momphonic: wheezing composed of single sounds each time with it’s own pitch
Polyphonic: wheezing with different sounds with different pitches all starting and stopping at same time (short rapid wheezing respiration)

96
Q

Xiao - wheeze

Onset, Etiology, Pathology, Patterns, Western Differentiation

A

Onset: Late or intrinsic or non atopic bronchial hyperactivity
Etiology: EPT, Diet, Weak Constitution
Pathology: Hidden phlegm propelled by rebellious qi narrows the airways and causes wheezing
Patterns: Acute-CP, HP…Chronic-SP, LU, K xu
West Diff: Acute, chronic bronchitis, asthma

97
Q

Atopic or Allergic Asthma

Sounds

A

Momphonic: wheezing composed of single sounds each time with its own pitch
Polyphonic: wheezing with different sounds with different pitches all starting and stopping at same time (short rapid wheezing respiration)

98
Q

Atopic or Allergic Asthma

Onset, Etiology, Pathology, Patterns, Western Differentiation

A

Onset: Early or Extrinsic
Etiology: Atopy-Allergens or “Wind”, EPF not always the case, Weak Body Constitution
Pathology: LU & KD Wei Qi systems deficiency
Patterns: During attack - WC no sweat, WC sweat, WH…In btw attacks - LU & KD Wei Qi system xu

99
Q

Pathology for Allergic Asthma

A

LU & KD Wei Qi systems deficiency

100
Q

HA Better or Worse with or w/o activity & B4 Menses

A

Worse B4 Menses - LV Yang Rising or LV Qi Stag
Worse w/activity- Def Qi or Blood
Better w/activity-LV Yang Rising or Phlegm
Better w/rest or lying down- Def Qi or Blood
Worse lying down- Dampness or Phlegm

101
Q

Hoarseness may be from WC or WH…T/F?

A

TRUE…related obstruction of Lung’s Wei Qi portion by Wind

Case Studies (6 decks)

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