Edema Flashcards

1
Q

western etiology

A

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)

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2
Q

what are the two types of edema?

A

yin

yang

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3
Q

What are the yin edema patterns

A

1) SP yang xu

2) KID yang xu

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4
Q

what are the yang edema patterns?

A

1) wind
2) damp
3) D-H
4) toxic

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5
Q

edema over the body, some sores, carbuncles, furuncles, scanty urine, red swollen painful throat, fever, aversion to cold

A

toxic (YANG) edema

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6
Q

toxic (YANG) edema points

A

UB-13/18/19/22, LI-4/6, SP-9, GB-34/39

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7
Q

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

A

KID yang xu (Yin edema)

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8
Q

KID yang XU (yin edema) points

A

UB-20/23, RN-6/8/9, DU-4/20, KID-1

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9
Q

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

A

Wind edema (YANG)

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10
Q

Wind edema (YANG) points

A

UB-13/22/23, LI-4/6, LU-7, SP-9, GB-20

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11
Q

Edema over body, thin tight shiny skin, scanty dark urine, dry stool, distension in chest/epigastrium/ab, restlessness, dry mouth

A

D-H edema (YANG)

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12
Q

D-H edema (YANG) points

A

UB-13/18/19/22, LI-4/6, SP-9, GB-34, RN-9

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13
Q

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

A

SP yang XU (YIN)

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14
Q

SP yang XU (YIN) points

A

UB-20/21/23, RN-6/9/12, ST-36, SP-8

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15
Q

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

A

Damp edema (YANG)

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16
Q

Damp edema (YANG) points

A

UB-13/22, LI-4/6, SP-9, ST-44, LIV-3, SJ-9

17
Q

Chinese etiology

A

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)

18
Q

differentitate YIN VS YANG edema

A

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
-

19
Q

POT above waist

A

promote sweating

20
Q

POT below waist

A

promote urination

21
Q

POT abdomen

A

strong herbs

22
Q

POT yang

A

remove xie Qi, focus on LU, sweat

23
Q

POT yin

A

warm/tonify SP/KID

24
Q

POT LU edema

A

disperse water

25
Q

basic POT

A

regulate SJ, move QI, promote urination

26
Q

basic points

A

RN
back SHU
yang edema= yangming, H-taiyin, reduce
yin edema= yangming, F-taiyin, tonify, moxa

27
Q

definition

A

retention of fluids under the skin which may occur around the eyes, face, limbs, ab

28
Q

3 major organs involved in water metabolism

A

KID
LU
SP
….also SJ, LIV

29
Q

alternative remedies

A

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

30
Q

EDU

A

1) reg. diet (limit salt/cold/raw/sweet/fat/alcohol)
2) rest (avoid overstrain)
3) reg. emotions
4) no sex/pregnancy

31
Q

prognosis

A

usually chronic

treatment usually takes 2-3 months