Edema Flashcards
western etiology
1) KID DZ (osmotic pressure decreases in blood vessel)
2) HT DZ (high pressure in veins push water out)
3) nutritive edema
4) endocrine disorder (hypothyroid)
what are the two types of edema?
yin
yang
What are the yin edema patterns
1) SP yang xu
2) KID yang xu
what are the yang edema patterns?
1) wind
2) damp
3) D-H
4) toxic
edema over the body, some sores, carbuncles, furuncles, scanty urine, red swollen painful throat, fever, aversion to cold
toxic (YANG) edema
toxic (YANG) edema points
UB-13/18/19/22, LI-4/6, SP-9, GB-34/39
chronic onset of pitting edema which is worse in lower body, sore/weak lumbar/knees, intolerance to cold, cold extremities, listlessness, scanty urine, palpitations, SOB, pale grayish face, dizziness, tinnitus, nocturnal emission, impotence, bloody gums
KID yang xu (Yin edema)
KID yang XU (yin edema) points
UB-20/23, RN-6/8/9, DU-4/20, KID-1
Sudden onset, appears on face/eyelids first, then spreads to extremities or even over whole body, aversion to cold, fever, scanty urine, red sore throat, cough, general aches
Wind edema (YANG)
Wind edema (YANG) points
UB-13/22/23, LI-4/6, LU-7, SP-9, GB-20
Edema over body, thin tight shiny skin, scanty dark urine, dry stool, distension in chest/epigastrium/ab, restlessness, dry mouth
D-H edema (YANG)
D-H edema (YANG) points
UB-13/18/19/22, LI-4/6, SP-9, GB-34, RN-9
Chronic onset of pitting edema, worse in lower body, distension in epigastrium/ab, poor appetite, loose stool, tiredness, cold extremities, yellowish face w/o luster, scanty clear urine
SP yang XU (YIN)
SP yang XU (YIN) points
UB-20/21/23, RN-6/9/12, ST-36, SP-8
slow onset of edema on whole body, deep depression when pressing the skin, scanty urine, heaviness of body, tired, oppression in chest, poor appetite, nausea
Damp edema (YANG)
Damp edema (YANG) points
UB-13/22, LI-4/6, SP-9, ST-44, LIV-3, SJ-9
Chinese etiology
1) EPF—> W-D-C-> LU-> yang edema
- –> toxic heat->LU/KID
- –> water damp-> SP/KID/SJ
2) internal injury—> diet (sweet)->SP->D-H
- –> illness/overstrain/sex->SP/ST (earth fail to control water) ->KID (mingmen fire decrease)
differentitate YIN VS YANG edema
YIN YANG
-chronic (SP/KID) -acute (LU/SP)
-lower body -upper body
-XU cold -SHI heat
-intolerance to cold, -irritability, thirst,
no thirst, scanty clear scanty yellow urine,
urine, loose stool, constipation, red
listlessness, face, coarse breath
aggravated by -young/middle aged
overwork -strong constitution
-XU/XU+SHI P= slippery/forceful
*yang QI (how much?) -SHI
-
POT above waist
promote sweating
POT below waist
promote urination
POT abdomen
strong herbs
POT yang
remove xie Qi, focus on LU, sweat
POT yin
warm/tonify SP/KID
POT LU edema
disperse water
basic POT
regulate SJ, move QI, promote urination
basic points
RN
back SHU
yang edema= yangming, H-taiyin, reduce
yin edema= yangming, F-taiyin, tonify, moxa
definition
retention of fluids under the skin which may occur around the eyes, face, limbs, ab
3 major organs involved in water metabolism
KID
LU
SP
….also SJ, LIV
alternative remedies
1) auricular- LIV, KID, SP, LU, subcortex, adrenal, UB, endocrine
2) frozen needle
3) warming needle
4) moxa (DU-4/14, UB-23, RN-6/12/17)
5) plumblossom needle
6) herbs
EDU
1) reg. diet (limit salt/cold/raw/sweet/fat/alcohol)
2) rest (avoid overstrain)
3) reg. emotions
4) no sex/pregnancy
prognosis
usually chronic
treatment usually takes 2-3 months
