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Internal theraputics 1 > Dysentery > Flashcards

Dysentery Flashcards

1
Q

Definition of Dysentry

A

A communicable disease of the Intestional tract caused by Bacillus Dysenteriae bacteria

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2
Q

Acute Dysentry

A

Sudden onset of paroxysmal abdominal pain, bloody/pus diarrhea, tenesmus, high fever. Chills, nausea, vomiting, general malaise, dehydration, electrolyte imbalance, acidosis, low blood pressure

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3
Q

Acidosis Definition

A

Surpass 7.35 PH level

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4
Q

Chronic Dysentry

A

Repeated attacks of bloody/pus diarrhea, tenesmus, no systemic conditions

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5
Q

Etiology and Pathology

A
  1. EPF: Damp-Heat, Cold-Damp and epidemic toxins
  2. Improper Diet: sweet, greasy, dirty food
  3. Sp/St deficiency: constitution
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6
Q

What TCM disease does Dystentry fall into?

A

Diarrhea

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7
Q

Damp Heat Dysentry Symtoms

A

Abdominal pain, tenesmus, mixing of pus and blood in stools, burning sensation in anus
Scanty yellow urine, chills, fever, thirst

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8
Q

Chief Organ Involved

A

Large Intestine

Secondary: spleen, stomach and kidney ( kidney yang not warming)

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9
Q

Damp Heat Dysentry Tongue/Pulse

A

Yellow greasy coating

Slippery and Rapid Pulse

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10
Q

5 Types of Dysentry

A
  1. Cold Damp Heat Dysentry
  2. Damp Heat Dysentry
  3. Intermittent Dysentry
  4. Food Resistant Dysentry
  5. Epidemic Toxin Dysentry
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11
Q

POT Damp Heat Dysentry

A

Clear the intestines, transform damp, regulate Qi, move blood

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12
Q

Damp Heat Dysentry Points

A

Du 14
St 36
LI 4

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13
Q

3 Main Symptoms of Dysentry

A

Abdominal Cramp
Bloody/Pus Stool
Tenesmus

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14
Q

Intermittent Dysentry Symptoms

A

Dysentry occurring on and off, difficult to cure

Lasstitude, aversion to cold, somnolence, anorexia

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15
Q

Intermittent Dysentry Tongue and Pulse

A

Pale tongue with sticky coating

Soft Pulse

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16
Q

POT for Intermittent Dysentry

A

Warm middle jiao, clear heat from intestine, regulate Qi to remove Stagnation

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17
Q

Intermittent Dysentry Points

A

UB 20
UB 21
RN 4
ST 36

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18
Q

Cold Damp Dysentry Symptoms

A

Difficult defecation, white mucus in stools, lingering abdominal pain, preference for warmth and aversion to cold
Fullness of chest and epigastrium, tastelessness in mouth, absence of thirst, heaviness of head and body

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19
Q

Cold Damp Dysentry Tongue and Pulse

A

Pale tongue with sticky coating

Soft Pulse

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20
Q

POT Cold Damp Dysentry

A

Warm the middle jiao to dispel cold, dry dampness and remove stagnation

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21
Q

Cold Damp Dysentry Points

A

SP 9

RN 12

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22
Q

Food Resistant Dysentry Symptoms

A

Frequent stools with blood and pus, total loss of appetite, nausea, vomiting
Fullness in chest and epigastrium, listlessness

23
Q

Food Resistant Dysentry Tongue and Pulse

A

Yellow and Greasy coating

Soft and Rapid Pulse

24
Q

POT for Food Resistant Dysentry

A

Clear damp heat, harmonize St to increase appetite

25
Q

Food Resistant Dysentry Points

A

RN 12

PC 6

26
Q

2 Seasons in which it occurs

A

Summer

Fall

27
Q

Disease Differntation

A

Diarrhea Vs Dysentry

DIARRHEA:

  1. Increased watery diarrhea
  2. No red/white stool
  3. No tenesmus
  4. Abdominal cramps with borborygmus
  5. Damp Retention with Spleen Deficiency

DYSENTRY:

  1. Little amount of stools
  2. Red/White stool
  3. Tenesmus
  4. Abdominal cramps with Tenesmus
  5. Stagnation of Qi and Blood in Intestional Tract
28
Q

Syndrome Differentiation

A
  1. Excess/Deficency
  2. Heat vs Cold
  3. Based on Stool appearance
29
Q

Excess vs. Deficiency

A

EXCESS:

  1. Acute
  2. Young people
  3. Strong Constitution
  4. Doesn’t like pressure
  5. Sharp pain
  6. Releieved after bowel movement

DEFICIENCY:

  1. Chronic
  2. Aging/Illness
  3. Weak constitution
  4. Likes pressure
  5. Dull and lingering pain
  6. Not releived after bowel movement
30
Q

Can’t hold it in

A

Qi Deficiency

31
Q

After bowel movement tenesmus becomes worse

A

Qi Sinking

32
Q

Rush to washroom but nothing comes out

A

Blood/Yin Deficiency

burning liquid so stool dry

33
Q

Heat vs. Cold

A

HEAT:

  1. Mixed pus and blood in stool
  2. sticky and smells strong
  3. Halitosis
  4. Thirsty-cold drink
  5. Scanty yellow urine
  6. Doesn’t like touch/pressure

COLD:

  1. White clear stool
  2. Less smelly
  3. Pale complexion
  4. Chills
  5. Dull/lingering abdominal pain
  6. Likes touch/pressure
  7. Tenesmus less severe
  8. Cold limbs/hands
34
Q

White stool with mucus
Or
More white then red

A

More dampness than heat

35
Q

White thin stool with clear mucus

A

Cold damp

36
Q

White thin stool with prolapse

A

Deficiency cold

37
Q

More red than white stool

A

More heat than damp

*Blood level-Severe

38
Q

Bright red/fresh blood

A

Severe heat

39
Q

Red and white

A

Dampness and heat equal

40
Q

Dark yellow, bad smell

A

Heat

41
Q

Light yellow, little smell

A

Cold Pattern

42
Q

Dark red, smelly

A

Heat

43
Q

Purple

A

Blood Stasis

44
Q

Purple and thin

A

Yang Deficiency

45
Q

Rainbow Stool

A

Excess: used astringent herbal to stop diarrhea too soon in treatment ( can’t release due Qi)

Deficiency: spleen/Kidney

46
Q

Treatment Principle

A

EXCESS:
Clear damp heat
Regulate Qi/Blood

DEFICIENCY:
Tonify Deficiency 
Warm middle jizo
Regulate Sp/St
*use astringent herbal
47
Q

Treatment

A

1.Points: ST 25, ST 37, LI 4, LI 11, Ren 6, Ren 12
2.Hand and foot yangmg meridian
3. Front mu and lower he-sea pts
4. Moxa for cold
Ren 8-Moxa with salt
Ren 4, Ren 6, St 36, UB 25 - moxa with garlic and ginger
5. Reduce or Tonify depending on syndrome
6. Auricular acupuncture
7. Warming needle
8. Bleeding: LI 11, ST 44, ST 37
9. Herbal

48
Q

Severe Tenesmus Point

A

UB 29

49
Q

Fullness in Epigastric Point

A

Ren 12

50
Q

Nausea/vomiting Point

A

Pc 6

St 44

51
Q

Food Retention Point

A

Ren 21

Sp 4

52
Q

Incontinence of Feces

A

Du 20

Du 1

53
Q

Education

A
  1. Prevent EPF invasion
  2. Regulate diet: eat clean, healthy food - avoid greasy, cold, raw foods
  3. Kill flies
  4. Eat garlic
  5. Regulate emotion
  6. Keep warm
  7. Isolate if they have Dysentry

Internal theraputics 1 (17 decks)

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