Diabetes Flashcards

0
Q

Upper jiao Tongue and Pulse

A

T: red tongue with thin yellow coating

P: Rapid

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1
Q

Upper jiao Signs and Symptoms

A

Excessive thirst

Dry throat and mouth, dry cough, excessive urination

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2
Q

Upper Jiao POT

A

Clear heat
Moisten the dryness
Nourish body fluids to stop thirst

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3
Q

Upper Jiao Chief Pathology

A

Injury of body fluids by lung heat

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4
Q

Upper Jiao Points

A

LU 10
LU 5
LI 11

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5
Q

Middle Jiao chief pathologies

A

1) Stomach fire

2) Spleen and stomach qi deficiency

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6
Q

Middle Jiao Stomach Fire Signs and Symptoms

A

Excessive appetite or propensity to hunger

Thirst with preference for cold drinks, dry lips, frequent urination, halitosis, emaciation, constipation

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7
Q

Middle Jiao Stomach Heat Tongue and Pulse

A

T: Pale

P: slipper rapid full

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8
Q

Middle Jiao Stomach Fire POT

A

Clear stomach heat

Moisten the dryness

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9
Q

Middle Jiao Stomach Fire Points

A

St 25

St 44

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10
Q

What are the two types of diabetes?

A

1) insulin insufficient

2) insulin resistant

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11
Q

What it the etiology for diabetes?

A

1) emotions
2) diet
3) excessive sexual activity
4) yin xu
5) depleting mingmen fire

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12
Q

What are the 4 main clinical features for diabetes?

A

1) polyuria (excessive urine)
2) polyphagia (excessive hunger)
3) polydopsia (excessive thirst)
4) weight loss

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13
Q

What are the 2 major complications for diabetes?

A

1) skin infections

2) edema

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14
Q

What is the Chief Pathology for diabetes?

A

yin xu with xu fire flare up

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15
Q

What are the 5 patterns for diabetes?

A

1) injury of BF by LU heat
2) ST fire
3) SP/ST Qi xu
4) KID yin xu with xu fire flare up
5) yin and yang xu

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16
Q

What are the LOWER JIAO pathologies?

A

1) KID yin xu with xu fire flare up

2) yin and yang xu

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17
Q

What are the basic points for diabetes?

A

UB-20/23
ST-36
SP-6
Jiaji T6-T8

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18
Q

How can you diagnose diabetes?

A

blood test

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19
Q

Name one basic point to use for

1) upper jiao
2) middle jiao
3) lower jiao

A

1) LU-11
2) RN-12
3) KID-3

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20
Q

What are the organs involved in Diabetes?

A

LU, SP, ST, LIV, KID, UB

21
Q

What is the Chinese name for diabetes?

A

XIAO KE

22
Q

How can you differentiate the location of the pathology?

A

upper= thirst
middle= hunger
lower=urination

23
Q

Differentiate excess and deficiency:

A

SHI= thirst, preference for cold drinks, hunger, irritability, loose stool, frequent/dark urination, weight loss, rapid pulse

XU= hot flash, malar flush, night sweating, 5 palm heat, THIN/rapid pulse

24
Q

What are the alternative treatments for diabetes?

A

1) plumblossom needle= T6-T12/L1-L5 (5-10min)
2) auricular= pancreas, endochrine, ST, thirst pt, corresponding organs
3) moxa= with ginger can expell heat and toxins
4) tx/prevent complications: skin infections (clear heat, release toxin)
edema (avoid cold herbs, tonify SP, dispell damp)

25
Q

What are the education tips for diabetes?

A

1) reg. emotions
2) reg. sexual activity
3) reg. diet (avoid- junk food, refined sugar, alcohol, smoking, include- snacks, complex carbs)
4) reduce weight

26
Q

Spleen and Stomach Qi Deficiency Signs and Symptoms

A

Excessive appetite or propensity to hunger with no desire to eat
Emaciation, SOB, fatigue, listlessness, loose stools, edema

27
Q

Spleen and Stomach Qi Deficiency Tongue and Pulse

A

T: Pale
P: Weak

28
Q

Spleen and Stomach Qi Deficiency POT

A

Tonify spleen and stomach Qi

29
Q

Spleen and Stomach Qi Deficiency Points

A

UB 21
UB 20
Ren 12

30
Q

Kidney Yin Deficiency with deficient fire flaring up Signs and Symptoms

A

Excessive urination, turbid urine
Dry mouth and throat, low back pain, weakness of the legs, restlessness, nocturnal emissions, insomnia, afternoon fever, night sweat

31
Q

Kidney Yin Deficiency with deficient fire flaring up

Tongue and Pulse

A

T: Red with little coating
P: Thready and Rapid

32
Q

Kidney Yin Deficiency with deficient fire flaring up

POT

A

Nourish kidney yin to check deficiency fire

33
Q

Kidney Yin Deficiency with deficient fire flaring up

Points

A

Ren 4
Kid 3
Kid 7

34
Q

Yin and Yang Deficiency Signs and Symptoms

A

Frequent and excessive urination, with clear or turbid urine
Thirst with no desire to drink, dark and withered complexion, dry and withered ear, edema, maybe scanty urine, early morning diarrhea, weakness and soreness of the lumbar and knees, intolerance to cold, cold limbs, impotence, early ejaculation

35
Q

Yin and Yang Deficiency

Tongue and Pulse

A

T: Pale and tender
P: Deep and thready

36
Q

Yin and Yang Deficiency POT

A

Tonify both Yin and Yang

37
Q

Yin and Yang Deficiency Points

A

Ren 4
Du 4
Kid 3

38
Q

Diabetes basic points

A
UB 20
UB 23
St 36
Sp 6
Jiaji T6-T8
39
Q

Organs Involved

A
Kid
Bladder
Spleen
Stomach
Liver
Lung
40
Q

Chief Pathology

A

Yin Deficiency with Deficiency fire flaring up

41
Q

Clinical Features

A
Weight loss
Polyuria (frequent urination)
Polydipsia (frequent thirst)
Polyphasia (eat frequently)
Fatigue
Weakness
Frequent skin infection
Poor circulation
42
Q

Etiology

A

Upper Jiao:
Emotions –> heat —> BF
Diet —> Damp heat

Middle Jiao:
St Yin Deficiency—–> kidney yin deficiency
Sp Qi Deficiency —-> kidney yin deficiency
( both due to excess sexual activity)

Lower Jiao:
Yin Deficiency —> Dryness.
Decline Mingman Fire

43
Q

Definition

A

“Wasting and thirsting disease”
Characterized by persistent hyperglycaemia

  1. Insufficient insulin production 10-15%
  2. Insensitive to insulin ( resistance) 85-10%
44
Q

Complications

A
  1. Skin infection —-> Carbuncles

2. Edema (Drink too much water, overuse cold herbs)

45
Q

Patterns

A

Upper —–> Injury to BF by lung heat = Thirst

Middle —-> St fire = Appetite and hunger
—-> Sp/St Qi Deficiency = Appetite and
No desire to eat
Low —-> Kidney Yin deficiency with deficiency fire
Flaring up = Urination (turbid)
—>Yin and Yang Deficiency=Clear or turbid urine

46
Q

Diagnosis

A

Blood Test

Diabetes thirst: Thirst:

  • Disease - Normal
  • Eat a lot
  • Freq Urination
  • Thirst with no reason
47
Q

Pattern Differentiation

A
  1. Location - upper —> drink lots/Thirst
    - Mid —-> Eat lots
    - Low —> Frequent urination
  2. Excess: Deficiency:
    Heat/fire - yang ppl Deficiency Fire- yin pl
    Eat lots Hot flash
    Irritability Night sweat
    Loose stools Malar flush
    Thirst, drink cold water
    Weight loss P: Thin, rapid
    Frequent urination

P: Rapid

48
Q

Treatment

A

Points: Upper —> lung 11
Middle —> Ren 12
Lower —> Kid 3

Plum blossom - 5-10 min
T6-T12, LI 5

Auricular - Pancreas, endocrine, SJ, corresponding
Organs

Moxa - Ren 4 (yang deficiency)
Can expel heat and toxins with ginger

Herbs

49
Q

Education

A
  1. Regulate emotions
  2. Diet - Refined sugar
    - Junk food
    - Snack between meals
    - Complex carbs
    - Eliminate alcohol
  3. Regulate sexual activity
50
Q

POT

A
  1. Nourish Yin, clear deficiency fire
  2. Acute and early stage treat lung
    Chronic and late stage treat Sp/St, Kid/UB
  3. Jiaos - upper: clear lung heat, nourish kidney yin
    - Mid: Clear St fire, tonify Sp Qi
    - Low: Nourish Kid yin, warm yang
  4. Treat/prevent complications
    Skin= clear heat, release toxins
    Edema = avoid cold herbs, tonify Sp, dispel
    Dampness