EM review Flashcards
acute pain
Any specific, sharp pain with rapid onset (last 3 days)
Usually very isolated, comes on quickly, and is limited in its duration.
Usually the result of a specific impact or traumatic event
subacute pain
(3 days to 3 weeks old) Fragile scar tissue forming (Your body is regenerating and developing new tissue)
Yellow, green and brown bruising
Range of motion increases as Inflammation decreases
chronic pain
(over three weeks old)
Pain with movement is dull or achy, not sharp, pain at the very end of a range of movement
Dull achey pain at rest, bruising is gone
signs of inflammation are gone
Scar tissue is maturing.
pain questions
primary site
radiations
nature of pain
severity
duration
frequency
time / situation of occurrence
better / worse for
associated phenomenon
dull pain
xu
strong pain
shi
burning
fire/heat
stuffy
xu
knife like
phlegm/blood stasis
moving/intermittent pain
wind or qi stag
pain better for pressure
xu
pain worse with pressure
shi
spinal problems TCM diagnosis
localized qi and blood stag
wry neck TCM diagnosis
exterior invasion of wind cold
whiplash TCM diagnosis
local qi and blood stasis, liver qi stag
empirical points for moving qi
r7, st36, lv3 + li4
empirical points for moving blood
sp10, sp6, bl17, bl15, ht7
stagnation always leads to
xu
allergic rhinitis causes
seasonal allergies, hayfever, dust, fungal spores and animals
presents as nasal congestion, watery nasal discharge, sneezing
wind cold rhinitis symptoms
only treat during an attack, sneezing, runny nose with profuse watery discharge, pale complexion, stuffed nose, slight headache, no thirst
BL12,13, + lg7
du23, gb20
wind heat rhinitis symptoms
sneezing, runny nose with white watery discharge, itchy throat, soft palate, itchy red eyes, slight thirst
bl12,13
li4 + li11
li20
lung and kidney defensive qi xu affecting du channel rhinitis
the root cause of all allergic rhinitis, treat at end of allergy season (aug, sept, oct)
only affects wei qi aspect of kidneys
du channel starts at kidneys and emerges at nose
lung and kidney defensive qi xu affecting du channel rhinitis symptoms
pale complexion, weak back, propensity to catching colds, generally weak immune
system, history of allergic rhinitis / asthma from childhood
Or: AR onset after the age of 40/50, tongue pale, pulse deep & weak
du4 + r4 with moxa
bl23 + kd3 + bl13 + du12
lg7 + lg9
du24 + du23
gb20
du14 with moxa
si3 + bl62
sinusitis symptoms
Swollen and infected mucosa, loss of taste & smell, purulent foul smelling nasal discharge, stuffed and blocked nose/face/head, throbbing frontal headache over maxillary or frontal sinuses, muzzy, heavy head, runny nose, sneezing
all sinusitis are excess patterns
st36 and bl20
lung heat sinusitis symptoms
Flushed face, tenderness over maxillary sinuses, feeling of heat, thirst, stuffed nose, thick yellow discharge, itchy nose & throat, itchy eyes, redness & swelling around the nose, tongue red coating sticky & yellow, pulse slippery & full on front right position
li20 + li11 + li4
lg7 + lg10 + gb20
bl12 + bl13 + du14
st2 + st8 + st40 + st44
wind heat sinusitis symptoms
stuffy nose, sticky, purulent yellow discharge, headache, loss of sense of smell, aversion to cold, fever, tongue red front, pulse floating & rapid
li11+ li4 + li20
du23 needled forwards towards end of nose
bl12 cupping
gb20
liver and gb heat sinusitis symptoms
yellow, sticky & foul smelling/tasting mucus, bloodshot eyes, red face, irritability, dry stool, reduced sense of smell, bitter taste, dry throat, full, pounding headache, tongue red, redder sides, coating sticky yellow, pulse wiry, slippery , rapid
i4 + lv3 + lv2
gb14/15 + gb18 + gb20 + gb37 + gb43
lg7
stomach and spleen damp heat sinusitis symptoms
sticky, yellow, foul smelling discharge, reduced sense of smell, red cheeks, frontal headache, chest & epigastric oppression, heaviness feeling in the head, full, muzzy headache, bitter taste & sticky sensation, coating sticky, yellow in centre, pulse slippery
st2 + st8 + st25 + st40
sp9 + sp5
sp10
sp6
lg7
tinnitus symptoms
sensation of hearing a noise without source, can be uni or bilateral, may be constant or intermittent, high pitched whistle, engine running, rushing water
sudden onset and worse for cupping hands over ears=full condition
gradual onset, better for cover = empty condition
liver and gb fire rising tinnitus
sudden onset, loud high pitched noise, related to emotional strain, headache, irritability, bitter taste, thirst, red face, dizziness, constipation, tongue red, redder sides, coating yellow, pulse wiry & rapid
lv2
sj17 + sj3 + sj5
gb2 + gb8 + gb20 + gb21 + gb43
phlegm fire rising upwards tinnitus
tinnitus that sounds like crickets, reduced hearing, chest oppression, productive cough, thirst, dizzy sensation in the head tongue red, swollen, coating sticky & yellow, pulse slippery, rapid
sj21 + sj5 + sj3
si19 + si5
gb2 + gb20
r9 + st40 + sp9
r12 + r10
bl20
kidney essence xu tinnitus
gradual onset tinnitus, intermittent low pitched watery sound, slight dizziness, emptiness in the head, poor memory, blurred vision, sore back and knees, poor memory, diminished libido or performance, tongue pale, or red & peeled (may present as kid yang or yin xu)
pulse deep & weak (kd yg xu) or floating & empty (kid yin xu)
kd2 + kd3 + r4 +bl23 + kd7
du4 with moxa
sp6
ht6 + kd7
lv3
upper jiao qi xu tinnitus
intermittent tinnitus with gradual onset, mild intensity, low pitched, tiredness, slight breathlessness, pale complexion, slight spontaneous sweating, tongue pale, teethmarks, pulse empty especially R front
r17+ bl13 +lg9
r6
do20 + sj16
si19
