Diabetes

Question 0

Upper jiao Tongue and Pulse

Answer 0

T: red tongue with thin yellow coating

P: Rapid

Question 1

Upper jiao Signs and Symptoms

Answer 1

Excessive thirst

Dry throat and mouth, dry cough, excessive urination

Question 2

Upper Jiao POT

Answer 2

Clear heat
Moisten the dryness
Nourish body fluids to stop thirst

Question 3

Upper Jiao Chief Pathology

Answer 3

Injury of body fluids by lung heat

Question 4

Upper Jiao Points

Answer 4

LU 10
LU 5
LI 11

Question 5

Middle Jiao chief pathologies

Answer 5

1) Stomach fire

2) Spleen and stomach qi deficiency

Question 6

Middle Jiao Stomach Fire Signs and Symptoms

Answer 6

Excessive appetite or propensity to hunger

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

Question 7

Middle Jiao Stomach Heat Tongue and Pulse

Answer 7

T: Pale

P: slipper rapid full

Question 8

Middle Jiao Stomach Fire POT

Answer 8

Clear stomach heat

Moisten the dryness

Question 9

Middle Jiao Stomach Fire Points

Answer 9

St 25

St 44

Question 10

What are the two types of diabetes?

Answer 10

1) insulin insufficient

2) insulin resistant

Question 11

What it the etiology for diabetes?

Answer 11

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

Question 12

What are the 4 main clinical features for diabetes?

Answer 12

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

Question 13

What are the 2 major complications for diabetes?

Answer 13

1) skin infections

2) edema

Question 14

What is the Chief Pathology for diabetes?

Answer 14

yin xu with xu fire flare up

Question 15

What are the 5 patterns for diabetes?

Answer 15

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

Question 16

What are the LOWER JIAO pathologies?

Answer 16

1) KID yin xu with xu fire flare up

2) yin and yang xu

Question 17

What are the basic points for diabetes?

Answer 17

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

Question 18

How can you diagnose diabetes?

Answer 18

blood test

Question 19

Name one basic point to use for

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

Answer 19

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

Question 20

What are the organs involved in Diabetes?

Answer 20

LU, SP, ST, LIV, KID, UB

Question 21

What is the Chinese name for diabetes?

Answer 21

XIAO KE

Question 22

How can you differentiate the location of the pathology?

Answer 22

upper= thirst
middle= hunger
lower=urination

Question 23

Differentiate excess and deficiency:

Answer 23

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

Question 24

What are the alternative treatments for diabetes?

Answer 24

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)

Question 25

What are the education tips for diabetes?

Answer 25

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

Question 26

Spleen and Stomach Qi Deficiency Signs and Symptoms

Answer 26

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

Question 27

Spleen and Stomach Qi Deficiency Tongue and Pulse

Answer 27

T: Pale P: Weak

Question 28

Spleen and Stomach Qi Deficiency POT

Answer 28

Tonify spleen and stomach Qi

Question 29

Spleen and Stomach Qi Deficiency Points

Answer 29

UB 21 UB 20 Ren 12

Question 30

Kidney Yin Deficiency with deficient fire flaring up Signs and Symptoms

Answer 30

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

Question 31

Kidney Yin Deficiency with deficient fire flaring up | Tongue and Pulse

Answer 31

T: Red with little coating P: Thready and Rapid

Question 32

Kidney Yin Deficiency with deficient fire flaring up | POT

Answer 32

Nourish kidney yin to check deficiency fire

Question 33

Kidney Yin Deficiency with deficient fire flaring up | Points

Answer 33

Ren 4 Kid 3 Kid 7

Question 34

Yin and Yang Deficiency Signs and Symptoms

Answer 34

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

Question 35

Yin and Yang Deficiency | Tongue and Pulse

Answer 35

T: Pale and tender P: Deep and thready

Question 36

Yin and Yang Deficiency POT

Answer 36

Tonify both Yin and Yang

Question 37

Yin and Yang Deficiency Points

Answer 37

Ren 4 Du 4 Kid 3

Question 38

Diabetes basic points

Answer 38

``` UB 20 UB 23 St 36 Sp 6 Jiaji T6-T8 ```

Question 39

Organs Involved

Answer 39

``` Kid Bladder Spleen Stomach Liver Lung ```

Question 40

Chief Pathology

Answer 40

Yin Deficiency with Deficiency fire flaring up

Question 41

Clinical Features

Answer 41

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

Question 42

Etiology

Answer 42

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

Question 43

Definition

Answer 43

"Wasting and thirsting disease" Characterized by persistent hyperglycaemia 1. Insufficient insulin production 10-15% 2. Insensitive to insulin ( resistance) 85-10%

Question 44

Complications

Answer 44

1. Skin infection ----> Carbuncles | 2. Edema (Drink too much water, overuse cold herbs)

Question 45

Patterns

Answer 45

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

Question 46

Diagnosis

Answer 46

Blood Test Diabetes thirst: Thirst: - Disease - Normal - Eat a lot - Freq Urination - Thirst with no reason

Question 47

Pattern Differentiation

Answer 47

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

Question 48

Treatment

Answer 48

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

Question 49

Education

Answer 49

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

Question 50

POT

Answer 50

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