Combined Patterns Flashcards

0
Q

Key S/S of what combined pattern?
**alternating diarrhea / constipation **(ie xiao yao san)

moodiness/anger
poor appetite, stomachache w/ stress. abdominal distention and pain, flatulence
stools sometimes dry and bitty, sometimes loose
fatigue/tired

T can be normal, could be teeth marks, puffy, sl. red on sides
P wiry on left, weak on right

A

Liver Qi Attacking the Spleen

face color is color of attacker
most s/s are in victim pathology

TP: supplement spleen, course liver rectify qi

T & P can be either or both

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1
Q

liver qi:
Lv 3, 13, 14
GB 34

SJ 6
P6 - Sp 4
Ren 6

St 25 - Sp 15

Supplement Spleen:
Sp 6
St 36
Ren 12

A

Liver Qi attacking Spleen

Liver 13 - big point for wood-earth disharmony (front mu of spleen)
St 25 - Sp 15 for excess and deficiency stool diarrhea/constipation
P6 - Sp 4 -harmonize chong- emotional and digestive problems

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2
Q
Key s/s for what combined pattern?
**epigastric*** nausea/vomit//hiccups/belching
feeling of oppression, dullness
sour regurgitation
weak limbs 

irritability, hypochondrial distention and pain

T normal, sl. red on sides
P wiry on left, weak on right OR wiry on both middle positions

A

Rebellious Liver Qi Invading the Stomach

aka Liver Attacks Stomach
aka wood-earth disharmony

wiry = liver qi
wiry in middle right = spleen stomach

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3
Q

best points for what combined pattern

Lv 14
Gb 34

St 36
St 21
St 19
Ren 13
Ren 10

St 34
Bl 21

A

Liver attacking stomach

tp: course liver, rectify qi, supplement stomach and restore descending fx of stomach

St 34 - xi cleft of stomach

liver attacks spleen look for lv 13
liver attacks stomach look for lv 14

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4
Q

key s/s for what combined pattern?

HA, dizziness, red face, bloodshot eyes, scanty dark urine, constipation, thirst, bittter taste, anger (need therapy)

breathlessness, asthma, feeling of fullness and distension in the chest and hypochondrium, coughing yellow sputum - could be blood tinged

T red, redder in sides, dry yellow coat
P wiry

A

Liver Fire Attacking the Lungs

subdue liver fire, rectify liver, direct lung qi down

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5
Q

best points for what combined pattern?

lv 2, 3, 14
lu 7, P 6
ren 17, ren 22
li 11

A

Liver Fire attacking lungs

rx: long dan xie gan tang - clear organ heat (liver fire)

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6
Q
key s/s for what combined pattern?
palpitations & loose stools (KEY)
insomnia
poor memory
fatigue, tiredness
anxiety
poor appetite
dizziness
pale lips
propensity to be startled
dull pale complexion
weak limbs and muscles
scanty periods

T: pale, thin
P: fine, (thin) choppy

A

spleen qi and heart blood deficiency

aka student syndrome
rx gui pi tang (if digestion is too poor to handle sticky herb long yan rou - you can use ba zhen tang or mix bu zhong yi qi tang w/si wu tang)

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7
Q

P6
Ht 7

B 20, Ren 12, St 36
Ren 4, Bl 17

Ren 14, 15

Sp 6

A

Sp Qi and Ht Blood Xu

P6 (all def heart patterns)
Ht 7 (for the blood)

B 20, Ren 12, St 36 (spleen qi xu)
Ren 4, Bl 17 (blood)

Ren 14, 15 (for the heart)

Sp 6 (Qi and fluids)

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8
Q

key s/s for what combined pattern
Worse on exertion, spontaneous daytime sweating

poor appetite, abdominal distention or discomfort after eating, post prandial fatigue, loose stools, weak limbs, fatigue

SOB, weak voice, dislikes speaking, weak cough, low voice, catch colds EZ

T Pale
P Empty/Weak

A

Spleen and Lung Qi Xu

Rx: si jun zi tang
P worse on right side

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9
Q
best points for what combined pattern?
Lu 9 
B 13
Lu 7
B 43 Du 12 

Ren 6
St 36

Ren 12
Sp 3, 6
B 20, 21

A

Spleen and Lung Qi Xu

Lu 9
B 13
Lu 7
B 43 Du 12 (key combo for chronic lung issues)

Ren 6 (gio go to qi point)
St 36 (cam go to qi point)

Ren 12
Sp 3, 6
B 20, 21

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10
Q

key s/s for what pattern?
feeling of oppression in abdomen and epigastric
nausea, lack of appetite, loose stools,
dry mouth with no desire to drink
sallow complexion, heavy sensations

hypogastric pain, bitter taste, irritability

T thick yellow coat, may have red sides
P slippery and wiry

A

obstruction of spleen by damp plus liver qi stagnation

s/s of
spleen qi xu
spleen damp obstruction (could be damp heat)
liver qi stagnation

supplement spleen, drain damp, move liver qi

Rx: Ping Wei San (for damp stuck in the middle) or
Huo Xiong Zheng Qi Tang

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11
Q

Best points for what combined pattern:

Ren 12, Sp 3, 6, 9, Bl 20

Lv 3, 13, 14, GB 34, GB 24

St 19

A

Spleen Damp Heat plus liver qi stagnation

GB 24 is front mu of GB
St 19 descend the damp down
Liv 13 key for wood-earth disharmony

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12
Q

key s/s for what combined pattern:
dull occipital or vertical HA* (key for this pattern)
scanty or no menstruation, could be delayed cycle
dizziness, tinnitus, hard of hearing, low back pain
insomnia (waking often), numb limbs
dry - eyes, throat, nails, hair, skin, vagina, stools, dry mouth at night
night sweats
nocturnal emissions, infertility

anxious, talk fast, wound up, red around lower eyes

T red no coat
P thready + rapid OR superficial + empty

A

Kidney and Liver Yin Xu

rx: zou gui wan (kidney yin xu)

michelle says can use tian wan bu xin dan if more insomnia
also for more heat use zhi bai di huang wan

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13
Q

insomnia

waking early\_\_\_\_\_\_
trouble falling asleep\_\_\_\_\_\_\_
waking often\_\_\_\_\_\_\_\_
dream disturbed\_\_\_\_\_\_\_
dream disturbed and wake up tired \_\_\_\_\_\_
A

waking early______gallbladder qi xu
trouble falling asleep_______blood xu and qi xu
waking often________yin xu
dream disturbed_______heat
dream disturbed and wake up tired _____food stagnation

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14
Q

best points for what combined pattern?

K 3, 6
Lv 8
Ren 4
Bl 23
Sp 6
Kd 13
B 10
A

Kidney and Liver Yin Xu

B 10 local for occipital HA which is a key sign
K 13 chong

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15
Q

Key s/s for what combined pattern?

dizzy, tinnitus, low back pain, nocturnal emissions with dreams, dry throat at night, dark scanty urine, dry stool,

thirst w/ desire to drink small sips, night sweats, 5 center heat, anxiety, poor memory

mental restlessness, insomnia, dream disturbed sleep, palpitations

T red w/redder tip w/ heart line crack
P floating + empty + rapid OR deep + weak

A

Heart and Kidney Not Harmonized

basically kidney yin xu with some emotional problems
b/c kidney yin fails to nourish heart so empty heart fire flares

16
Q

best points for what combined pattern?

H 5, 6, 7
B 15
K 3, 6, 9, 10
Sp 6
Ren 4, 15
Du 24
Yin Tang
A

heart kidney not harmonized

tonify kidneys, reduce heat, even on ren/du/yin tang)
K 3, 6, 9, 10 (kidney yin xu)

Ren 15 (heart yin)

17
Q

Key S/S for what combined pattern?
* cockcrow diarrhea & edema** (keys for this pattern)

cold limbs, low back pain, low libido, bright white complexion, impotence, premature ejaculation, low sperm count (thin and cold), low sex drive, clear abundant urine, infertility

fatigue, apathy, loose stools, poor appetite, depression, slight abdominal distention desire to lie down, curl up

T pale, wet, swollen w/toothmarks
P deep and weak

A

Kidney and Spleen Yang Deficiency

Rx: Li Zhong Wan
cocks crow diarrhea: si shen wan

18
Q

on state board tongue swollen with toothmarks is

A

yang xu

19
Q

on state board if the pulse is deep and weak it means…

A

yang xu

20
Q

best points for what pattern:

K 3, 7
Du 4, B 23, UB 52, Jing Gong
Ren 6 (qi)
Ren 4 (essence)

B 20, 21
Ren 12, St 36, Sp 3

Ren 9 (water)

Chronic Diarrhea
St 25 (front mu LI)
St 37 (lower he sea of LI)
B 25 (back shu of LI)
A

Kidney and Spleen Yang Xu