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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
Food Resistant Dysentry Points
RN 12 | PC 6
26
2 Seasons in which it occurs
Summer | Fall
27
Disease Differntation
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
Syndrome Differentiation
1. Excess/Deficency 2. Heat vs Cold 3. Based on Stool appearance
29
Excess vs. Deficiency
EXCESS: 1. Acute 2. Young people 3. Strong Constitution 4. Doesn't like pressure 5. Sharp pain 5. 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
Can't hold it in
Qi Deficiency
31
After bowel movement tenesmus becomes worse
Qi Sinking
32
Rush to washroom but nothing comes out
Blood/Yin Deficiency | burning liquid so stool dry
33
Heat vs. Cold
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
White stool with mucus Or More white then red
More dampness than heat
35
White thin stool with clear mucus
Cold damp
36
White thin stool with prolapse
Deficiency cold
37
More red than white stool
More heat than damp | *Blood level-Severe
38
Bright red/fresh blood
Severe heat
39
Red and white
Dampness and heat equal
40
Dark yellow, bad smell
Heat
41
Light yellow, little smell
Cold Pattern
42
Dark red, smelly
Heat
43
Purple
Blood Stasis
44
Purple and thin
Yang Deficiency
45
Rainbow Stool
Excess: used astringent herbal to stop diarrhea too soon in treatment ( can't release due Qi) Deficiency: spleen/Kidney
46
Treatment Principle
EXCESS: Clear damp heat Regulate Qi/Blood ``` DEFICIENCY: Tonify Deficiency Warm middle jizo Regulate Sp/St *use astringent herbal ```
47
Treatment
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
Severe Tenesmus Point
UB 29
49
Fullness in Epigastric Point
Ren 12
50
Nausea/vomiting Point
Pc 6 | St 44
51
Food Retention Point
Ren 21 | Sp 4
52
Incontinence of Feces
Du 20 | Du 1
53
Education
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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