Edema (Shui Zhong) Tx & Fx

Question 0

Characteristics of YANG TYPE EDEMA:

Answer 0

from the outside, acute and rapid onset, wind/damp disturbs SP, SP fails to transform water, SP function is damaged
wind or damp water invading the body ->LU fails to diffuse and downbear, water cannot go to the skin, little or no pitting skin swollen and tight, bright color, accompanied by Yang pattern i.e. Heat

Question 1

Characteristics of YIN TYPE EDEMA:

Answer 1

gradual onset, skin is loose, pitting, dull in color, usually d/t SP and KD Qi Xu, turbid yin goes downward, poor functioning of SP that fails to descend turbid fluids, from inside, from lower part of the body to the upper body, combined w/ deficiency

Question 2

General Tx Strategies YANG TYPES:

Answer 2

• diaphoresis, release the XT and reg. LU qi to promote LU function
• Promote urination- leach out dampness through the urine
• Eliminate the evil qi (water, damp, heat, damp-heat toxin)

Question 3

General Tx strategies YIN TYPE EDEMA:

Answer 3

• Strengthen SP to transform damp
• warm the SP and KD Yang
• promote urination
• edema in upper body- use diaphoresis
• edema in lower body- diuresis (promote urination)

Question 4

Yang Edema: W-Cold Obstructing the LUs

Answer 4

Tx: expel wind, release the XT, facilitate movm’t of LU qi and remove water
Fx: MA HUANG JIA ZHU TANG

Question 5

Yang Edema: W-Heat Obstructing the LUs

Answer 5

Tx: expel wind, release the XT, facilitate movem’t of LU Qi, remove water
Fx: YUE BI JIA ZHU TANG

Question 6

Yang Edema: Invasion by Damp-Heat Toxin

Answer 6

Tx: diffuse LUs, clear heat, resolve toxicity eliminate dampness, reduce edema
Fx: MA HUANG LIAN QIAO CHI XIAO DOU TANG +WU WEI XIAO DU YIN

Question 7

Yang Edema: Inundation by Water-Dampness (SP Damp)

Answer 7

Tx: Fortify the SP, transform dampness, facilitate the flow of Yang qi, and promote urination
Fx: WU PI YIN + WEI LING TANG

Question 8

Yin Edema: SP Yang Xu

Answer 8

Tx: warm the yang, strengthen the SP, eliminate dampness, and promote urination
Fx: SHI PI YIN (Bolster the SP Drink)

Question 9

Yin Edema: KD Yang Xu

Answer 9

Tx: warm the KD Yang, promote urination
Fx: JI SHENG SHEN QI WAN + ZHEN WU TANG