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Internal Therapeutics 2 > Chest Bi > Flashcards

Chest Bi Flashcards

0
Q

Syndromes

A

Excess:

Heart Blood Stag
Retention of Turbid Phlegm in the Chest
Stagnation of Cold in the Chest

Def. (Remission)

Heart and Kidney Yin Def
Qi and Yin Def
Yang Qi Def - Mixed

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1
Q

Etiology

A

All block Cardiac Vessels

Invasion of Wind/cold/Damp -> Qi Stag and Blood Stasis

Emotional Frustration -> Liv: Qi Stag
-> Sp: Phlegm Damp

Irregular Diet - > Spleen Phlegm Damp

Phlegm Damp Constitution -> Phlegm Damp –> Phlegm Heat

Elderly -> Heart/Kid Yin Def. –> Flare up of Heart Fire –> Phlegm Heat
-> Kid Yang Def –> Heart Yang Def –> Blood Stasis
Interior Cold
Retention of Water

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2
Q

Fixed stabbing pain in the chest thats worse at night, pain may radiate to the shoulder, upper back or left arm, suffocation in chest

A

Heart Blood Stagnation

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3
Q

Sudden Attack of Severe pain thats relieved by warmth and aggravated by cold, chills and cold in limbs, palpations, pale complexion

A

Stagnation of Cold in the Chest

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4
Q

Oppression and intermittent pain in the chest, SOB, palpitations, lumbar soreness, chills, cold limbs, Edema, pale complexion and lips

A

Yang Qi Def

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5
Q

Suffocation and pain in chest, SOB with large amount of sputum, nausea, cough, asthma, overweight, heaviness of body, likes to eat oily/greasy foods

A

Retention of Turbid Phlegm in the Chest

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6
Q

Oppression and intermittent pain in the chest, dizziness, tinnitus, dry throat, 5 palm heat, insomnia, restlessness, palpitations, lumbar soreness

A

Heart and Kidney Yin Def

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7
Q

Oppression and pain in chest, palpitations, SOB, dizziness, fatigue, insomnia, sallow complexion

A

Qi and Yin Def

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8
Q

Retention of Turbid Phlegm in the Chest T and P

A

T: Thick, sticky and turbid
P: Soft and Moderate

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9
Q

Retention of Turbid Phlegm in the Chest POT

A

Disperse obstruction of chest yang

Promote circulation of Qi to expel phlegm

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10
Q

Retention of Turbid Phlegm in the Chest Points

A

St 40
Sp 9
Gb 34

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11
Q

Heart Blood Stag T and P

A

T: Dark purple with ecchymoses
P: Wiry, choppy or intermittent

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12
Q

Heart and Blood Stag POT

A

Quicken Qi and Blood to remove Blood stasis

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13
Q

Heart Blood Stag Points

A

Liv 3
Li 4
Sp 10
UB 17

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14
Q

Stagnation of Cold in the Chest T and P

A

T: White and slippery or white and sticky
P: Deep and slow

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15
Q

Stagnation of Cold in the Chest POT

A

Circulate the chest yang

Dissipate pathogenic cold

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16
Q

Stagnation of Cold in the Chest Points

A

Moxa at Ren 17
Pc 8
K 1

17
Q

Chest Bi Basic Points

A

Ren 14/17 or UB 14/15
Pc 4/6
Hrt 6/7

18
Q

Heart and Kidney Yin Def. T and P

A

T: Red or dark purple
P: Thready and wiry or thready and rapid

19
Q

Heart and Kidney Yin Def. POT

A

Nourish Yin
Move Blood
Calm the mind

20
Q

Heart and Kidney Yin Def. Points

A

K 6 or Sp 6

21
Q

Qi and Yin Def. T and P

A

T: Tender red
P: Thready or knotted

22
Q

Qi and Yin def. POT

A

Tonify Qi and Blood

Move Blood in the collaterals

23
Q

Qi and Yin Def. Points

A

St 36 or Ren 6

K 6 or Sp 6

24
Yang Qi Def T and P
T: Dark purple with white tongue coating P: Deep thready or intermittent
25
Yang Qi Def POT
Tonify Qi Warm yang Move blood in the collaterols
26
Yang Qi Def Points
Du 4 Ren 4-8 Moxa
27
Tests
EKG - Needs to be happening during an attack | Q and R base line will be raised indicating a heartattack
28
Main Organ and Correlating Organs
Main Organ: Heart Related to: Liver, Spleen, Stomach, Kidney,Lung(Pulmonary Circulation)
29
Corresponding Western Diseases
Coronary Heart Disease Angina Heart Attack
30
Main Symptoms
Chest pain: crushing pain deep inside with emotional pain Fatigue Radiating pain to left arm/shoulder/neck/upper back(PC/Hrt Meridian) Palpitations Edema- Heart/Kid yang Def fail to heat water and water retention forms Cough/dyspnea Knotted/Intermittent pulse - Heart yang Def. not moving blood properly
31
Chief Pathology
Root Deficient - Heart yin and Heart Yang, sometimes kidney Branch Excess- Phlegm, blood stasis, Qi stag, cold damp (Xie Qi)
32
Disease Differentiation
* Chest pain L or R * 1. Chest Bi Vs. Stomachache Chest-Sternal LOCATION Epigastric Region Heart Disease/High BP MEDICAL HISTORY Digestive symps Palpitation,knotted pulse ASSC. SYMPTOMS Diarrhea/Constipation * If patient complains of chest pain or stomachache palpate for tender spots and get them to show you the exact area of pain. ALWAYS MISDIAGNOSED! 2. Chest Bi Vs. Pleurisy PAINFUL BREATHING 3. Chest Bi Vs. Palpitations Chest pain CHIEF COMPLAINT Palpitations
33
Pattern Differentiation
In acute stage separate the Biao and Ben ie. severe pain alleviated by warmth, aggravated by cold
34
POT
Look at Biao and Ben During attack Biao is dominate - if phlegm transform phlegm etc. In Remission its Ben
35
Tx
1. Basic Points: Ren 14/17 or UB 14/15 - Front mu/Back shu combo Pc 4/6 Hrt 6/7 2. Moxa Ren 17 to warm chest yang, Pc 6, UB 14/15, St 36 Choose 2-3 pts for 20 min 3. Jiaji T4-T5 - Around heart and Pc back shu 4. Palpate Backshu/Du points on upper back for tender spots or places of color changes and needle those reactive spots 5. Palpate around Kid 22 on the left and needle tender pts 6. Auricular: Hrt, Sm Int, Shenmen, Sub Cortex, Sympathtic, Kid, Liv spleen, Chest, endocrine 3-4 points and leave for 3-5 days, AVOID lots of stimulation with seeds 7: Herbal: Garlic for warming yang and opening chest She Xiang Bao Xin Wan - During attack
36
Main types of points to needle
Front Mu Back Shu Yuan Source XiCleft
37
Acute Chest Pain Points
Pc 6 and Hrt 5 Will cause a conduction of Qi to the heart and symptoms will be greatly relieved * Hard to send Qi up the body but if you do there will be a huge difference * Needling pain shouldn't last more than 2 days if its a healing crisis
38
Education
Keep Warm - prevent EPF especially in the winter Regulate Emotion - Worry, joy, anger Reg Diet - Don't overeat, avoid damp greasy food No Smoking Avoid Overwork/Overthinking Moderate Alcohol intake - some alcohol is good :) Seniors - Moderate exercise like Qi Gong/Tai Chi to increase heart muscle strength and increase circulation
39
Random Info
* Weather affects the heart especially cold so winter is the worst * Exercise helps move Qi and Blood causing a decrease in Stagnation * Overweight people are more of a phlegm constitution, shiny/oily skin * Invisible phlegm - cholesterol * Sore throat in the elderly can be an initial sign of a heartattack!
40
Differentiation of a mild or severe heart attack
Mild: Chest Tightness Pain Palpitation ``` Severe: Pain Increased - shooting to arm and neck Can't sleep Cold Sweating Cold Limbs Purple lips/hands ```
41
Def
Partial Blockage of the Cardiac Vessels - Myocardial Infarction * Medical History Important! * Nitroglycerin * Will usually die within 30 min

Internal Therapeutics 2 (19 decks)

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