Fibromyalgia

Question 0

Diagnosis of Fibromyalgia?

Answer 0

Pain in all four quadrants
3 months duration
Tenderness or pain in at least 11-18 specific pressure points
Hypersensitive to odor, bright lights & loud noises (H/A & TMJ common)

Question 1

Chronic, widespread, severe musclar aching, pain & stiffness

Insomnia, fatigue & depression

Answer 1

Fibromyalgia (FMS)

Question 2

FMS aetiology?

Answer 2

Invasion of external pathogens (Damp, wind, cold)
Emotional stress
Irregular diet
Excessive physical work

Question 3

FMS patterns?

Answer 3

Excess: Dampness, Qi Stag., Blood Stasis

Empty: SP Qi or Yang def., SP/KD Yang def, LV blood def, LV/KD Yin def.

Question 4

Acute, ache in muscles, worse with damp, heaviness
T: Thick, sticky TC
P: Slippery

Answer 4

Full Dampness

Question 5

Dull ache, exertion worse, tired loose stools, depressed
T: Pale, thin sticky TC
P: Soggy

Answer 5

Dampness w/ underlying SP deficiency

Question 6

Muscle pain, heavy limbs, joint pain, irritable, insomnia
T: Normal or red sides, sticky TC (if severe)
P: wiry/slippery

Answer 6

Dampness, Qi stagnation, SP Qi deficiency

Question 7

Chronic muscle ache, heaviness, numb limbs, scanty periods, dizziness, blurred vision, dry hair
T: Pale & thin
P: Choppy, fine

Answer 7

Dampness w/ LV blood deficiency

Question 8

Chronic, elderly, heaviness, dizziness, backache,dry eyes, night sweating
T: No coat
P: Floating-empty

Answer 8

Dampness w/ LV & KD Yin deficiency

Question 9

Ache, worse with damp, heaviness, numb limbs, severe muscle pain worse at night, joint pain,mental restlessness

Answer 9

Qi stagnation, blood stasis w/ dampness