Class 9 Flashcards
Eight Principles
Four Examinations (list):
Eight Principles
Four Examinations (list): Looking Feeling Asking Listening-smelling
Eight Principles
Four Pairs (List):
Eight Principles
Four Pairs (List): Yin; Yang Interior; Exterior Deficiency; Excess Cold; Heat
Eight Principles
Use in clinic:
Eight Principles
Use in clinic: eight patterns are not specific enough to be used alone clinically
Does not include organs, channels, evils, substances
Exterior-interior
Skin:
Exterior-interior
Skin: exterior
Exterior-interior
Flesh:
Exterior-interior
Flesh: exterior
Exterior-interior
Yang organs:
Exterior-interior
Yang organs: interior
Exterior-interior
Yin organs:
Exterior-interior
Yin organs: interior
Interior
Means:
Interior
Means: organs, bones, etc.
Interior
Interior excess:
Interior
Interior excess: means an evil is present
Interior
Interior deficiency:
Interior
Interior deficiency: means insufficient qi, blood, fluid, yin, yang (right qi)
Interior
Interior patterns may include:
Interior
Interior patterns may include:
Sensation of heat or heat conditions (fever) or sensation of cold or cold conditions (chills), but not both simultaneously
If fever and chills are simultaneous, it means it is an exterior pattern
Interior Excess Heat
Yang Excess - Too Much Yang Heat
Treatment principle:
Interior Excess Heat
Yang Excess - Too Much Yang Heat
Treatment principle: clear heat or drain
Interior Excess Heat
Yang Excess - Too Much Yang Heat
Heat evils; possible symptoms of yang excess:
Interior Excess Heat
Yang Excess - Too Much Yang Heat
Heat evils; possible symptoms of yang excess: Feverish feeling, no chills Sweating Thirst Full rapid pulse Red face, red tongue with yellow coat
Interior Deficiency Heat
Yin Deficiency - Insufficient Cooling
Yin deficiency is called:
Interior Deficiency Heat
Yin Deficiency - Insufficient Cooling
Yin deficiency is called:
Yin deficiency heat or
Deficiency heat
There is heat due to deficiency of yin
Deficiency versus Excess
In excess, the symptoms…
Deficiency versus Excess
In excess, the symptoms show all over the whole body because there is an overflow of one aspect
Deficiency versus Excess
In deficiency, the symptoms…
Deficiency versus Excess
In deficiency, the symptoms poke out in a few places but cannot show everywhere because it is due to a lack, not an overflow
Interior Deficiency Heat
Yin Deficiency - Insufficient Cooling
Possible symptoms of yin deficiency:
Interior Deficiency Heat
Yin Deficiency - Insufficient Cooling
Possible symptoms of yin deficiency:
Feeling of heat in the palms, soles, and chest
Dry mouth and throat, dark urine, dry stool
Afternoon fever, night sweating
Fine rapid pulse
Malar flush, red peeled tongue
Emaciation
Interior Deficiency Heat
Yin Deficiency - Insufficient Cooling
Treatment principle:
Interior Deficiency Heat
Yin Deficiency - Insufficient Cooling
Treatment principle:
Nourish yin and clear heat
Interior Excess Cold
Yin Excess - Too Much Yin Cold
Cold evil; possible symptoms of yin excess:
Interior Excess Cold
Yin Excess - Too Much Yin Cold
Cold evil; possible symptoms of yin excess: Chilliness, cold limbs No thirst, clear abundant urine Desires warm drinks Deep full tight pulse Pale face, pale tongue with think coat
Interior Excess Cold
Yin Excess - Too Much Yin Cold
Treatment principle:
Interior Excess Cold
Yin Excess - Too Much Yin Cold
Treatment principle:
Dissipate cold evil and warm coldness
Interior Deficiency Cold
Yang Deficiency - Insufficient Warming
Yang deficiency is called:
Interior Deficiency Cold
Yang Deficiency - Insufficient Warming
Yang deficiency is called:
Yang deficiency cold or
Deficiency cold
There is cold due to deficiency of yang
Interior Deficiency Cold
Yang Deficiency - Insufficient Warming
Possible symptoms of yang being insufficient:
Interior Deficiency Cold
Yang Deficiency - Insufficient Warming
Possible symptoms of yang being insufficient:
Chilliness, cold limbs
No thirst
Listlessness
Spontaneous sweating, loose stools, clear abundant urine
Deep slow weak pulse
Dull-pale face, pale tongue, thin white coat
Interior Deficiency Cold
Yang Deficiency - Insufficient Warming
Treatment Principle:
Interior Deficiency Cold
Yang Deficiency - Insufficient Warming
Treatment Principle:
Fortify yang and warm coldness
Exterior
Exterior (meaning):
Exterior
Exterior (meaning):
the skin, flesh, channels, defense qi, sometimes the lungs as they manage the exterior
Exterior
Most exterior of organs…
Exterior
Most exterior of organs are the lungs as they manage the defense qi and skin
Exterior
Most skin problems are…
Exterior
Most skin problems are actually interior
Exterior
Two types of exterior problems:
Exterior
Two types of exterior problems:
External invasion
Channel problems
Exterior
External Invasion (definition):
Exterior
External Invasion (definition): wind invades through the skin and pores and carries other evils with it
Exterior
Channel Problems (definition):
Exterior
Channel Problems (definition): The channels are still quite exterior when compared to the organs
External Invasion; Wind Attack
Symptoms:
External Invasion; Wind Attack
Symptoms: Acute onset, short duration Simultaneous fever and chills Floating pulse the rest of the symptoms vary depending on cold or hot, excess alone, or excess and deficiency combined
Simultaneous Fever and Chills
Chinese Term (for simultaneous fever and chills):
Simultaneous Fever and Chills
Chinese Term (for simultaneous fever and chills): Han Re (simply means heat and cold)
Simultaneous Fever and Chills
Fever (why/what cause):
Simultaneous Fever and Chills
Fever (why/what cause):
Fever comes from the defense qi fighting against the evil invader. The battle is hot
Simultaneous Fever and Chills
Chills (why/what cause):
Simultaneous Fever and Chills
Chills (why/what cause):
While defense is fighting the evil, it cannot take care of its other function of warming the surface. In addition, the patient feels vulnerable to attach, so he wants to stay covered up
Floating Pulse
Floating Pulse (describe):
Floating Pulse
Floating Pulse (describe): In a floating pulse, all the qi moves to the surface of the pulse because in the body, the battle is happening on the surface (the exterior)
External Invasion
Symptoms (general):
External Invasion
Symptoms (general):
Sweating or not (no sweating in cold, sweating in heat or deficiency of defense)
The pulse (besides being floating, rapid means heat, tight means cold)
The severity of body aches (cold has more body aches than heat)
External Invasion
Exterior Cold (symptoms):
External Invasion
Exterior Cold (symptoms): Slight fever, severe chills (cold is predominant) No thirst No sweating Thin white tongue coat Floating tight pulse Headache, muscle aches
External Invasion
Exterior Heat (symptoms):
External Invasion
Exterior Heat (symptoms): More fever, slight chills (heat is predominant) Thirst Thin yellow (or white) tongue coat Floating, rapid pulse Sore throat Sweating
External Invasion
```
Exterior Excess (definition):
not combined with deficiency
~~~
External Invasion
Exterior Excess (definition): (not combined with deficiency)
Same as exterior cold or exterior heat
External Invasion
Exterior Deficiency (types):
External Invasion
Exterior Deficiency (types): Deficiency of defense qi but no invasion at this time (pure deficiency) Deficiency of defense qi with wind evils invading (combined deficiency of defense and excess of wind evils)
External Invasion
Deficiency of defense qi but no invasion at this time (symptoms):
External Invasion
Deficiency of defense qi but no invasion at this time (symptoms):
Easy to catch cold
Sweats easily even when cold
External Invasion
Deficiency of defense qi with wind evils invading (symptoms):
External Invasion
Deficiency of defense qi with wind evils invading (symptoms): Slight or no fever Aversion to wind Slight body aches Floating pulse, thin tongue coat
Channel Problems
Bi-obstruction (definition):
Channel Problems
Bi-obstruction (definition):
Obstruction of the flow of qi-blood in the channels and the joints by an evil, causing pain
Channel Problems
Wind (symptoms):
Channel Problems
Wind (symptoms):
Pain moves from place to place
Channel Problems
Cold (symptoms):
Channel Problems
Cold (symptoms):
Severe fixed pain, better with heat
Channel Problems
Dampness (symptoms):
Channel Problems
Dampness (symptoms):
Lingering, swelling, heaviness, ache
Channel Problems
Heat (symptoms):
Channel Problems
Heat (symptoms):
Swollen, hot, red
Channel Problems
Fever and Chills:
Channel Problems
Fever and Chills:
There are often no fever or chills because the evil bypasses the defense exterior of the body
Deficiency
Deficiency (definition):
Deficiency
Deficiency (definition):
Some aspect of the body –yin, yang, qi, blood, fluids, etc.– is weak.
There is no evil (unless it is a combined pattern)
Deficiency
Deficiency (symptoms):
Deficiency
Deficiency (symptoms):
Weakness, listlessness, curling up, quietness, weak breathing, weak pulse, chronic condition, dull lingering pain which is better with pressure, slight sweating
Yang Deficiency
Yang Deficiency (symptoms):
Yang Deficiency
Yang Deficiency (symptoms): Symptoms of qi deficiency plus coldness and copious fluids There is insufficient yang to warm and activate the body
Symptoms are worse in the daytime, especially the morning
Yin Deficiency
Yin Deficiency (symptoms):
Yin Deficiency
Yin Deficiency (symptoms): There is insufficient yin to cool and nourish the body
Symptoms are worse in the afternoon, evening, or night
Excess
Excess (symptoms):
Excess
Excess (symptoms):
Acute conditions, strong pain worse with pressure. If the face is red, it is red all over; if sweating, it is profuse, course breathing, strong voice, thick tongue coat, strong pulse.
Yin evils damage yang; yang evils damage yin
The bodies right qi is still strong
Heat-Cold
The Nature of Disease
Heat (definition):
Heat-Cold
The Nature of Disease
Heat (definition):
Yang excess or yin deficiency
Heat-Cold
The Nature of Disease
Cold (definition):
Heat-Cold
The Nature of Disease
Cold (definition):
Yin excess or yang deficiency
Heat-Cold
Affect on the body:
Heat-Cold
Affect on the body:
A person can have both heat and cold at the same time, for example:
Cold on the interior and heat on the interior (or vice versa)
Heat above and cold below
True Cold-False Heat or True Heat-False Cold
Describe:
True Cold-False Heat or True Heat-False Cold
Describe:
Contradictory signs and symptoms in extreme conditions; contradictory symptoms arise because the weaker aspect has deserted to the exterior. Since it is on the exterior, it is visible
True Cold-False Heat or True Heat-False Cold
Treatment Principle:
True Cold-False Heat or True Heat-False Cold
Treatment Principle:
You should always treat what is true and avoid being misled by what is false
True Cold-False Heat
True Cold-False Heat (definition):
True Cold-False Heat
True Cold-False Heat (definition):
The interior is so cold that all the yang (heat) is pushed to the exterior
True Heat-False Cold
True Heat-False Cold (definition):
True Heat-False Cold
True Heat-False Cold (definition):
The interior is so hot that all the yin (cold) is pushed to the exterior
True Cold-False Heat or True Heat-False Cold
How to diagnose:
True Cold-False Heat or True Heat-False Cold
How to diagnose:
Careful examination, especially tongue and pulse are key.
This condition only happens in critical cases
Straight Treatment and Paradoxical Treatment
Straight Treatment (definition):
Straight Treatment and Paradoxical Treatment
Straight Treatment (definition): The principle of treatment whereby the mature and pathomechanism are addressed directly
Straight Treatment and Paradoxical Treatment
Paradoxical Treatment (definition):
Straight Treatment and Paradoxical Treatment
Paradoxical Treatment (definition): The non-routine principle of treating false signs with medicinals of the same nature
Yin-Yang
Yin Patterns (describe):
Yin-Yang
Yin Patterns (describe): Pattern of disease has more yin than yang
Excess of yin
Deficiency of yang
A predominance of coldness, deficiency, or interior conditions
Yin-Yang
Yang Patterns (describe):
Yin-Yang
Yang Patterns (describe): Pattern of disease has more yang than yin
Excess of yang
Deficiency of yin
A predominance of heat, excess, or exterior condition
Yin-Yang
Collapse of Yin (definition):
Yin-Yang
Collapse of Yin (definition):
An acute critical form of yin deficiency. Excessive yang pushes out the last remaining bit of yin, like a pot boiling dry.
Yin-Yang
Collapse of Yin (symptoms):
Yin-Yang
Collapse of Yin (symptoms): Abundant perspiration No loss of urine or stool Hot skin, hot limbs Floating deficient rapid pulse Red peeled short dry tongue
Yin-Yang
Collapse of Yang (definition):
Yin-Yang
Collapse of Yang (definition):
An acute form of yang deficiency. Excessive yin pushes out the last remaining bit of yang, like rising flood waters carry away things in its pass
Ying-Yang
Collapse of Yang (symptoms):
Ying-Yang
Collapse of Yang (symptoms): Chilliness, cold limbs Weak breathing Profuse, but cold sweating No thirst, frequent profuse urination or incontinence, loose stool or incontinence Minute deep pulse Pale wet swollen tongue
Yin-Yang
Collapse of Yin and Collapse of Yang and Death:
Yin-Yang
Collapse of Yin and Collapse of Yang and Death:
Both of these conditions are getting close to separation of yin and yang
From Diagnosis to Treatment
Four Examinations (list):
From Diagnosis to Treatment
Four Examinations (list): Asking Looking Feeling Listening and smelling
From Diagnosis to Treatment
Diagnosis (phrase/structure):
From Diagnosis to Treatment
Diagnosis (phrase/structure):
Eight principles plus organs and/or substances or evils, etc.
From Diagnosis to Treatment
Treatment Principle (describe):
From Diagnosis to Treatment
Treatment Principle (describe): Statement that includes what steps must be taken to rectify the pattern
From Diagnosis to Treatment
Treatment Principle and Diagnosis:
From Diagnosis to Treatment
Treatment Principle and Diagnosis:
Treatment almost always opposes the diagnosis. This is called, “straight treatment”
Unlike a “disease,” naming the pattern (diagnosis) implies what we must do to correct it, and therefore the treatment
From Diagnosis to Treatment
Steps to treatment (list):
From Diagnosis to Treatment
Steps to treatment (list):
Diagnosis
Treatment Principle
Treatment
From Diagnosis to Treatment
Determine the Treatment (key items):
From Diagnosis to Treatment
Determine the Treatment (key items):
We must take care of every part of the treatment principle, and cannoe have any action that is not part of the treatment principle
The herbal formula or point formula must treat all aspects. In addition, we should not include herbs or points that do other things
From Diagnosis to Treatment
Validity of Treatment:
From Diagnosis to Treatment
Validity of Treatment:
The treatment tests the validity of the diagnosis. If correct, the patient will improve. Without proper pattern diagnosis, the treatment principle and therefore the treatment will be wrong
TCM Methodology
TCM Methodology (list):
TCM Methodology
TCM Methodology (list):
Four examinations
Pattern Identification (Chinese diagnosis)
Treatment Principle
Formulation of treatment plan
Periodic assessment of results
Modification of treatment plan as the patients condition changes
