Complicated syndromes of the ZF Flashcards
Disharmony between HT and KD is a result of _________ illness, ______ exertion, and excessive ______ activity consuming HT and KD Yin
Prolonged Illness
Mental exertion
sexual activity
Significant _________ trauma may obstruct Qi which leads to _____ fire
Emotional trauma
Heart fire
Heart Fire becomes hyperactive in the _____ jiao and fails to diffuse down to harmonize the ______
Upper jiao
Kidney
Disturbance between Heart and Kidney is also between Fire and Water, ___ and ____
Yin and Yang
How does deficient Kidney have any impact on the mind?
Deficient kidney yin unable to rise to heart to contain
heart fire = hyperactivity disturbing mind
Excessive HT fire consumes Kidney ____ and sea of ______
Jing and Marrow
Symptoms of Ht and KD disturbance
Mental restlessness Insomnia Dizziness Tinnitus Palpitations Poor memory Dry throat Sore lumbar Tidal fever Night sweats Nocturnal spermatorrhea T:Red C: Scanty or peeled P: Thready and rapid
Deficiency of Lung and Kidney is typically caused by _________ cough weakening both organs and symptoms are worse on ________
Prolonged cough, worse on exertion
Over exertion and emotional stress weakens ______ qi,
and may also weaken ______ receiving qi decended from ____
Kidney
Kidney
Lung
____ is the commander of QI
Lung
______ is the root of QI
Kidney
All these symptoms are ____ on exertion
Worse Asthma shortness of breath, m ore inhaling than exhaling low voice cold limbs blue complexion spontaneous sweating incontinence when coughing T:Pale C: Thin P: Weak
Injury of lung results in Kidney xu, why??
Lungs disperse yin fluid down to the kidney, so injury of
lung results in kidney yin deficiency
________ and ______ exhaustion consume kidney yin and
prevent it nourishing the lung
overwork and mental exhaustion
Lung xu results in _______
Dryness
Deficiency of ___ gives false heat
Yin
Symptoms of Lung and Kidney Yin xu
Cough with scanty or no sputum Blood tinged Dry mouth and throat Sore and weak LB and knees Tidal fever Nocturnal emission Night sweats Malar flush T: Red C: Peeled P: Thready and Rapid
Liver and Kidney Yin xu is usually due to significant _________ trauma. Physical and mental ________ consuming Yin Blood
Emotional
Overwork
Prolonged illness consumes ___
Yin
Yin Blood xu deprives the ____ of nourishment and produces endogenous heat
Head
Liver and Kidney Yin xu will affect the regular flow within _____ and ___ extraordinary meridians
Chong and Ren
Symptom of Liver and Kidney Yin xu
Dizziness Blurred vision Dry throat Tinnitus 5 palm sweats Sore and weak lumbar and knees malar flush night sweats nocturnal emission scanty menses flow T Red C scanty P Thready
SP and KD yang XU will give diarrhea at this time of day
Morning- Cockcrow Diarrhea
Spleen is our ___ to ___ yang
Day to Day
Kidney is our _______ yang
Reserve
Illness will initially draw from ______ yang and if prolonged it will then consume ______ yang
Spleen
Kidney
It is also possible that ______ yang deficiency will fail to warm ______ and that will cause ______ yang XU
Kidney
Spleen
Spleen yang xu
Spleen and Kidney Yang xu symptoms
Pallor Cold limbs Sore weak lumbar and knees loose stool diarrhea at dawn facial puffiness and limb odema T Pale, swollen and weak looking C Thin and white P Deep and weak
Lung and Spleen Qi xu is usually caused by prolonged _____ causing ____ qi xu which leads to ______ qi xu
Cough
Lung xu causes SP xu
____ qi xu may result from ______ qi xu, since the ______ is the source of qi for the lung
Lung qi xu
Spleen qi xu
spleen is qi for the lung
Generally qi deficiency implies hypofunction of ZF,
T/F?
T
Essential fluids not being distributed appropriately and
fatigue.
Symptoms of Lung and Sp qi xu
General fatigue cough with profuse white thin sputum poor appetite loose stool facial and feet odema T Pale C White P weak
Imbalance between Liver and Spleen affects the ______ jiao
Middle
imbalance between LV ad SP usually occurs due to _____ affected by mental depression or irritation
Liver
Spleen can become weakened by _________ eating habits, ________ and ______ exhaustion
Irregular eating
mental and physical exhaustion
_____ invades ______ and imbalances both organs
LV invades SP
Symptoms of LV and SP imbalance
Costal and hypochondriac distention, fullness and pain mental depress irritability poor appetite abdominal distention loose stool T swollen, red on edges C thin P Wiry and taut
Disharmony between LV and ST is the same aetiology as _____ and ______
Liver and spleen
Both patterns result in hyperactive liver fire impairing __________ function of stomach
descending function of ST
Symptoms of LV and ST disharmony
Costal/hypochondriac/epigastric distention pain Belching Acid reflux empty and uncomfortable sensation in ST mental depression irritable
How would a disharmony between HT and SP occur?
Weakness of spleen qi fails to provide material source of
qi & blood production, leading to insufficient volume to
nourish heart blood.
Symptoms of Ht and SP disharmony
Shallow complexion lethargy palpitations poor memory insomnia dream disturbed sleep reduced appetite abdominal distention loose stool irregular mensturation T Pale C thin and white P Thready and weak
What is the first organ to be affected by Liver fire flaring up
Lung
Liver fire flaring upward and invades the lung and impairs
its descending function
Mental depression obstructs _____ qi which causes it to
turn to ____ and impairs the livers ability to govern free
flow of qi
Liver qi
Fire
Symptoms of Liver invading Lung
Costal and hypochondriac burning pain Cough Hemoptysis ( spitting blood that comes from the lung or bronchial tubes ) Short temper irritable restlessness heat sensation in the chest bitter taste dizziness red eyes T red c thin yellow P Wiry taut and rapid
SJ syndrome differentiation Theory,
Pathological changes due to damp heat are described in
reference to the ___ ____
San Jiao
Pathological changes due to invasion of external
pathogens are diagnosed using ___ qi, __, ____ and ___
theory
Wei, qi, Ying, Xue
Damp heat in the Upper Jiao is the _____ stage of Illness
Early
Pathogens invade through the ____, ____ and ____
Lung skin and hair
Damp always affects ______ & _______
SP and ST
How is Wei qi restricted?
Invasion of pathogenic damp in the muscles & body surface which
restricts Wei qi and blocks spleen qi
Symptoms of Heat in the upper jiao
Severe aversion to cold Mild fever or absence of fever Heavy, muzzy “cotton wool” sensation in head Heaviness in limbs & trunk Chest oppression No thirst Dull facial expression Epigastric fullness & distension Poor appetite Borborygmus Loose stool C White and sticky P Soft and slow
Damp heat in the Middle Jiao is the ______ stage of heat syndrome
Middle
Middle Jiiao heat will mainly affect these two organs
Sp and ST
Obstruction of the middle jiao can effect upper and lower as well
T/F
T
May result from transmission of damp heat from upper Jiao down to
middle or invasion of pathogenic summer heat & damp
Diet does not affect the San Jiao
T/F
F
Diet rich in fatty, fried and spicy foods may also generate damp heat in
middle jiao
Symptoms of heat in the middle jiao
Recurrent fever, cooled but unresolved by sweating
Fever more pronounced in afternoon
Heaviness to limbs & trunk
Chest & epigastrium fullness & distension
Nausea
Vomiting
Thirst but no desire to drink
scanty, dark yellow urine
Loose but hesitant stool
Mental cloudiness
C sticky & white with yellow tinge P soft & rapid
Damp heat in the lower jiao prevents ____ _____ from rising
Body fluid
retained damp heat in the _______ affects its ability to control urine
Bladder
Does damp heat block Large Intestine Qi?
Yes
