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Internal Therapeutics > Edema > Flashcards

Edema Flashcards

1
Q

What are the TCM causes of edema other than internal injury (EPF’s)?

A
  1. Wind-damp/Wind-cold invasion of lungs leads to yang edema
  2. Toxic heat invading Lungs and Kidneys
  3. Water damp invading SP, KI and SJ
  4. Improper diet affecting SP leads to DH
  5. Long term illness leads to SP/ST failing of earth to control water
  6. Overstrain leads to Kidney mingmen fire decrease
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2
Q

What are some Western conditions that could cause edema?

A

Diabetes, hypertension, pregnancy, kidney disorders, injury and trauma

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3
Q

What are the four common categories of edema in Western medicine?

A
  1. Kidney disease
  2. Heart or cardiac disease
  3. Nutrient deficiency
  4. Endocrine disorders
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4
Q

What are the chief organs involved in edema?

A

LU, SP and KI. LV and SJ also involved

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5
Q

What is the main pathology of edema?

A

Root deficiency is spleen/kidney yang deficiency

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6
Q

If edema takes a long time to rebound after pushing it down it is?

A

Pitting edema

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7
Q

What are the most important differentiations to make about edema?

A

Need to make sure it is not cirrhosis causing abdominal fluid to be retained.

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8
Q

Yin edema qualities

A
  1. Spreads from bottom to the top
  2. Deficient and cold
  3. Symptoms like intolerance to cold, no thirst, scanty but not yellow urine, loose stool, listlessness, aggravated by overwork
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9
Q

Yang edema qualities

A
  1. Acute onset in 7 days
  2. Spreads from the top to bottom
  3. Excess heat syndrome
  4. Irritability, thirst, scanty yellow urine, constipation, red face or flushed face, rough breathing
  5. Usually affects young people with a strong constitution, slippery and forceful pulse
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10
Q

Edema spreading from centre to periphery is…

A

a good sign, good prediction for future.

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11
Q

Edema spreading from four limbs to centre is…

A

a bad sign.

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12
Q

Pulse deep but flooding…

A

curable

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13
Q

Pulse deep but faint and weak…

A

severe

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14
Q

Treatment for edema above the waist

A

Sweating

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15
Q

Treatment for edema below the waist

A

Promote urination (open the ghost door)

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16
Q

Water accumulating in abdomen and excess condition treatment

A

Ten Jujube formula to remove water

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17
Q

Treatment for yang edema

A
  • Yang edema caused by wind-damp so focus on sweating and promote urination to remove xie qi, focus on lung.
  • Hand tai yin and yangming meridians, reducing
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18
Q

Treatment for yin edema

A
  • Zang fu already damaged so need to warm and tonify spleen and kidney
  • Foot tai yin and yangming meridians, tonify plus moxa
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19
Q

Lung treatment

A

Disperse the lung

20
Q

Spleen treatment

A

Tonify earth to control water

21
Q

Kidney treatment

A

Tonify kidney and promote urination

22
Q

Water damp treatment

A

Promote urination

23
Q

Toxic heat treatment

A

Clear heat and remove toxin

24
Q

Primary treatment for edema

A

Regulate SJ, move qi, promote urination

25
Q

What are the four exits for water?

A

Urination, sweating, breathing, stool

26
Q

Wind edema progression

A

Sudden onset of edema on face and eyelids first, spreads downward, combines with exterior syndrome of fever and chills

27
Q

Damp edema signs

A

Zheng qi not yet damaged, no deficiency only excess

28
Q

Toxic edema source

A

Usually comes from skin infection. Usually damp-heat becoming worse and toxic.

29
Q

Points for yang edema

A

LU14, LI4, LI6 (Luo connecting)

30
Q

Edema on face and eyelid acupoint

A

DU26

31
Q

Points for yin edema

A

UB20, UB23, KI3, SP9

32
Q

Auricular remedies

A

LV, SP, KI, LU, subcortex, adrenal, urinary bladder, corresponding body points

33
Q

Plum blossom areas

A

Lumbosacral, low abdomen, medial side of thigh, tap from top down, mid to lateral

34
Q

Frozen needle, how and where

A

0 to -15, back she UB23, yuan source, retain needle 15-20 min

35
Q

Moxa points

A

DU14, UB23, DU4, Ren17, 12, 6, 2-3 pts each time, herbals aconite, ginger

36
Q

Hypertension

A

Four gates

37
Q

Insomnia

A

GB20, KI1

38
Q

Cold

A

GB14, GB12, LU7 to release exterior

39
Q

Sore throat

A

LI4, SI17

40
Q

Kidney failure

A

Huatuo T5 to T7

41
Q

Blood in urine

A

KI6, LV1

42
Q

Cough

A

LU5, LU9

43
Q

Nausea and vomiting indicates what? Points?

A

Kidney failure with edema. RN12, ST40

44
Q

White blood cell count elevated above 4000 to 11,000

A

Bacterial infection, cancer

45
Q

White blood cell count lowered

A

Viral infection

46
Q

Food remedy for edema

A

Red beans, green beans, winter melon

Internal Therapeutics (10 decks)

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