Fibrimyalgia

Question 1

-Pain in all four quadrants
-At least 3 months duration
-Tenderness or pain in at least 11 of 18 specific pressure pts
-Hypersensitive to odors, bright lights and loud noises,
HA and TMJ pain are common

Answer 1

How to Diagnosis fibromyalgia

Question 2

♦️Fibromyalgia Syndrome FMS
- Chronic, Widespread, Severe muscular aching pain,
Stiffness with Insomnia, Fatigue and Depression
- Accompanied by: Hand and foot Numbness,
Poor concentration, restless leg, mood changes,
Chest pain, IBS, dysmenorrhea, dizziness, anxiety,
HA, facial pain, irritable bladder
-Neither a rheumatic, inflammatory, progressive or
Degenerative disorder, however it is not solely a
Psychosomatic or psychiatric disorder…..
( it’s not all in the patient’s head)
-Does not result in any physical damage to body or tissue,
There is no one laboratory test or X-ray which can confirm
the diagnosis

♦️Etiology
-Unknown origin 40%, single trauma 15%,
Body mechanics 15%, Post Infection 10%,
Emotional Stress 10%, Auto-Immune 5%, other 5 %
- Dampness???

Answer 2

Test Question

Question 3

• Invasion of External Pathogens
  
  • Dampness
  • Wind
  • Cold
• Emotional Stress
• Irregular Diet
• Excessive

Answer 3

Fibromyalgia Etiology

Question 4

• Cou Li the space between the skin and the skin muscles
  
  • Cou: The Triple Warmer spaces
  • Li: “Patterns or grains” of the skin, connective tissue

*Luo or Connecting Channels
- The main channels are in the interior, their horizontal
branches are the Connecting channels

*Jing Ji or Muscle Channels
-Exterior, not connected to organs, originate at extremities,
Follow course of main channels

Answer 4

Fibromyalgia

Question 5

• Dampness
• Qi Stagnation
• Blood Stasis

Answer 5

Full

Question 6

• Spleen Qi or Yang Deficiency
• Spleen/ Kidney Yang Deficiency
• Liver Blood Deficiency
• Liver/Kidney Yin Deficiency

Answer 6

Empty

Question 7

• Acute, ache in Muscles, worse with Damp, heaviness
• T: Thick, Sticky coat,
• P: Slippery

CV 12( tonifying pt), CV 9, SP9, KD 7( Yang Pt of Body, good to
Metabolize water) BL 22, BL 22, LI 10 (Similar to ST 36
of arm) ST 36

Answer 7

Full Dampness

Question 8

-Dull ache, exertion worse, tired, loose stool, depressed
T: Pale, thin sticky-coat
P: Soggy
- CV9, SP 9, KD 7, BL 22 (TW), LI 10, ST 36, BL 20, BL 21,
GV 20, GV 24, CV 15.

Answer 8

Dampness with Underlying Spleen Deficiency

Question 9

• Muscle Pain, Heavy Limbs, Joint Pain, irritable, insomnia
  -T: Normal or red sides, sticky coat if severe
  -P: Wiry, Slippery
• GB 34( moves liver Qi )LV 3, CV 6, LI 10, ST 36, CV 9, SP 9,
  KD 7, BL 22 (TW), CV 12 ( Tonifying pt), BL 20, BL 21

Answer 9

Dampness, QI Stagnation, Spleen Qi Deficiency

Question 10

-Chronic, Muscle ache, heaviness, numb limb, scanty periods
Dizziness, blurred vision, dry hair
T: Pale and Thin
P: Choppy, Fine
- CV 12( tonifying pt), CV 9, SP 9, KD 7,( yang pt - good to
Metabolize water) BL 22 (TW), LV 8, SP 6, CV 4, LI 10, ST 36

Answer 10

Dampness with Liver Blood Deficiency

Question 11

(classic KD Yin Sx)
-Chronic elderly, heaviness, Dizziness, Backache, Dry eyes,
Night Sweating
-T: no coat
-P: Floating-Empty
-CV 12, CV 9, SP 9, BL 22, LV 8, ST 36, SP 6, CV 4, KD 3

Answer 11

Dampness with Liver and Kidney Yin Deficiency

Question 12

-Ache, Worse with damp, heaviness, numb limbs,
severe muscle pain, worse at night, Joint Pain,
mental restlessness
-GB 34, LV 3, CV 6, LI 10, ST 36, CV 9, SP 9, KD 7, BL 22,
CV 12, BL 20, BL 21, BL 17, SP 10, Ashi

Answer 12

Qi Stagnation Blood Stasis with Dampness