final TCM and Bio conditions Flashcards
TCM dx of Red Eyes
Mu Chi
epidemic qi in red eyes pattern is in boomed?
conjunctivitis caused by bacteria
what are possible biomedical patterns of Mu Chi
conjunctivitis subconjunctival hemorrhage corneal abrasion iritis chemical injury
near-sightedness in TCM? what is another biomedical name?
jin shi
myopia
far-sightedness in TCM? what is another biomedical name?
yuan shi
hyperopia / presbyopia
decreased vision in TCM? what is another biomedical name?
shi li jian tui
macular degeneration
diabetic retinopathy
dropping upper eyelid in TCM and biomedical name?
shang bao xia chui
ptosis
swollen eyelids in TCM and biomedical name?
mu bao zhong zhang
can be due to:
blephaspasm
allergy
contact dermatitis
constitutional emptiness in TCM?
xu ruo
damage from emptiness in TCM?
xu sun
emptiness taxation in TCM?
xu lao
deficiency of source qi in TCM?
yuan qi da kui
five zang decrease and injury
wu sang sun shang
prostatic hyperplasia in TCM?
qian lie xian zeng sheng zheng
alzheimer’s disease in TCM?
lao nian xin chi dai
psychological disorder in TCM?
lao nian xin jing shen bing
FLESH
, the thin muscle of eyelid is dominated by which organ?
SP / ST
blood
inner and outer canthus of eyes is dominated by?
HT / SI
QI
the whites of eye : sclera is dominated by?
LU / LI
ex: smokers gets yellowish sclera
or constipated and have acne, the whites of eyes get very red
WIND
iris and cornea is dominated by
LR / GR
red more around pupil is LR heat
Water
all tissues behind the eyeball is dominated by
KD / UB
what are local points around the eyes?
ST 1, 2, 3 UB 1, 2 SJ 23 GB 1 taiyang
which points benefit the eyes?
SI 6
GB 14
GB 16
GB 37
which point clears heat from sensory orifices?
SI 3
which points are used for eye puffiness?
yin yao
qiu hou
which point eliminates wind, benefits head and eyes, and clears sense organs
GB 20
which pt clears heat, release wind and exterior, benefits head and neck?
SJ 5
what Red Eyes (Mu Chi) pattern & tx principle for:
sudden onset, turns red in sclera with hot tears
rough sensation in eyes
aversion to cold, HA, nasal congestion, discharge
happens in early wind heat cold syndrome, HA, nasal congestion
T: red, later yellow coat
P: floating, rapid
externally contracted wind heat
TX: course wind, clear heat
what Red Eyes (Mu Chi) pattern & tx principle for:
conjunctivitis caused by bacteria
LU and ST heat, bacteria infection, damaged qi floats to eyes and also causes stagnation
sudden red eyes, mostly on whites, burning sensation, sticky discharge, difficult to open eyes in morning
rough sensation in eyes
T: red, sticky yellow coat
P: slippery rapid strong pulse
epidemic qi
TX: dispel wind, clear heat, remove toxicity
what Red Eyes (Mu Chi) pattern & tx principle for:
heat evils like summer heat, smoky areas, burning things
spicy food, alcohol —> blocks network vessels so causes redness and stasis
eyes are slightly red, more on white parts of eye, some blood vessels
tearing, slightly itchy, photophobia
worse in evening, better with rest and when not in contact with evils
heat evils deep lying in network vessels
TX: clear heat, dispel stasis
what Red Eyes (Mu Chi) pattern & tx principle for:
LV insults SP/ST, creates dampness
white part of eye gets red, the lines / iris around the pupil gets red (bc it corresponds to liver), alcohol also goes to LU
white parts of eye corresponds to qi of LU, white part of eye becomes red when white part becomes brown - stasis
dry eyes, itching (bc long term wind builds up)
T: enlarged, greasy coat
P: slippery and rapid
alcohol toxins brewing internally
TX: clean up heat, eliminates/drain damp
what Red Eyes (Mu Chi) pattern & tx principle for:
emotionally involvement
damage SP and ST
Liver connect with eyes
red on iris , burning pain and refuse pressure on eye
some may have hot tears
severe case - vortex headache, hypochondriac area distention
red face, short tempered, dry mouth, constipated
tongue - purplish, with dark spots/petachia, yellow coating, can be dry
if insulting SP and ST long term, it can be thicker yellow coating
pulse - wiry, rapid, if involved SP and ST can be slippery
GB 20, GB 1, UB 2, DU 20, LU 11 (clear heat, esp if bleed), LI 4, LV 2,
if severe HA, use KD 1
dx: long dan xian gan tang- drain fire from LV and GB
exuberant LV / GB fire
tx: clear heat, drain fire from LV/GB
dx: long dan xian gan tang- drain fire from LV and GB
what pattern of Red Eyes (Mu Chi) and tx principal for:
menopause, overwork,
eye slightly red, maybe red on corner, the redness is not even
the redness of eye becomes worse in evening
weakness of knee, back
severe cases - five center heat
patient also dry mouth, dry throat,
pulse is more thready and thin, weak, and rapid (bc of empty heat)
tongue - red, with no coat or thin coat
yin vacuity of LV / KD
tx: nourish water, moist wood, clear liver heat, drain empty fire
dx: zhi bai di huang wan - clear heat, nourish yin, moist liver
which pattern under dropping eyelids (Shang Bao Xia Chui) & tx principle?
what condition is in in WMD?
mostly due to overtaxation
• weak constitution
• long term poor diet, poor lifestyle-»SP damage-»CenterQiFall • eyelids-the thinnest muscle in the body
◦ when tired, it doesn’t have strength to keep eyes open - want to close and rest • gradual onset
• related to everyday activity-++fatigue=—strength of eyelids • both eyes affected
• sx
◦ typical presentation - better in the morning, worse towards the end of the day ◦ fatigue, weak
◦ cold hands and feet
◦ may have diarrhea
• T-pale,enlarged body with white coating • P-weak,fine,deep
Center qi fall
WMD: ptosis, blephaspasm
tx: raise yang qi, tonify qi & spleen
• Formula-Bu Zhong Yi Qi Tang ◦ Huang Qi
which pattern under dropping eyelids (Shang Bao Xia Chui) & tx principle?
can affect one or both eyelids ◦ ptosis • sudden onset • sx. ◦ itchiness ◦ headache • T- red tongue (coating can be normal or not) • P-floating,rapid
externally contracted wind
ex Bell’s palsy
tx: dispel wind, open up channel
which pattern under drooping eyelids (shang bao xia chui) & tx principle?
due to trauma-»local Qi and blood stasis • likely one sided swollen, drooping eyelids
qi stagnation & blood stasis
tx: move qi, invigorate blood
which pattern for swollen eyelids (mu bro zhong zhang) & tp? & WMD?
• poor diet, addicted to spicy greasy food-»damagedLU/SP
• early stage-swollen eyelids that varies per daily diet
• redness around the eyes
• hot tears
• photophobia, swollen eyelids
- T- usually red
- P-rapid
accumulated heat in LU / SP
tp: clear heat, change diet, dispel wind, release toxicity
which pattern for swollen eyelids (mu bao zhong zhang)? tp?
- poor diet, lifestyle,emotions-»LU,SP heat-»damp heat
- long term LV Qi stagnation turned into fire-»stagnation-»damp heat
- severe swelling in eyelids -
- feeling of difficulty opening the eyes
◦ ie. cry for long time -» puffy eyes the next day
• loss of appetite
• bitter taste in the mouth
• vertex headache
• T- red with greasy coating
• P-rapid,wiry
attack from LV fire and damp heat
tp: drain LV fire, clear up heat, drain damp
GB 34 & 43; LV 2 - great pt for draining heat
swelling in the upper eye lids in the morning that you wake up with, that goes away means?
LU & KD xu
swelling in the lower eyelids (i.e. elderly with swollen bags under eye)
SP, LU, KD
swollen eyelid (Mu Bao Zhong Zhang) pattern, tp?
LU SP Qi gets weak from poor diet, overthinking, taxation, chronic disease, weakness of the constitution or grief
• swollen eyelids esp the bottom
• temporary relief with pressure
• no change of color
• no pain or pressure, or itchiness
• T-puffy, scalloped, swollen behind the tips with white coating; sometimes whole body can be purple due to bad LU Qi
P-weak,slippery
qi vacuity of SP / LU
tp: tonify qi, harmonize middle, drain damp
SJ 5 + LI 4 = good combo to drain water
what is Ren 9 used for?
called Shuifen “water passage”
regulates water passages and treats edema
good for face or swollen lids for this reason
harmonize intestines and dispel accumulation
what pattern for swollen eyelids (Mu Bao Zhong Zhang) & tp?
weak constitution
• or someone who lives in damp cold area- ie. living in basement
• or rice field worker
• wake up with face puffy
◦ low part of the eyes
• lower back px
complain of cold; lower abdomen cold
• cold hands and feet, feeling fatigue
• T-puffy,scalloped, large and very moist
• P- deep weak
yang vacuity of SP and KD
tp: warm and tonify the SP & KD
what pattern fro swollen eyes (Mu Bao Zhong Zhang)
overthinking, ruminating, overeating
• long term overthinking-»damaged SP
• Water retention - HT not working well with circulation
• puffiness on both upper and lower lids,
• puffiness feels and looks soft; like water balloon
• color is normal
• fatigue, insomnia, palpitation, poor memory
• T-puffy,pale,
• P-weak,fine,deep
heat and spleen qi deficiency
tp: tonify SP, nourish HT
which pattern for near-sightedness / jin shi?
TP?
WMD?
over reading, over thinking - which damage the heart; spend long time in dim light (yang qi burn out), exhausted
puffy eye in morning heart palpitation, sleeps too much and feels tired even after waking up, cold hands, cold feet, profuse urination
tongue - pale, puffy tip, swollen, white coating
pulse - deep and weak and sometimes slow bc of yang qi def
heart yang vacuity
myopia
tp: tonify heart, boost qi, settle will
what points are good for HT yang def?
HT 7 UB 15 UB 20 PC 6 DU 20
which pattern for near-sightedness / jin shi?
TP?
excessive sexual activity age, over menopause happens gradually floaters complain of back and knee problems knee shows age men - impotence early urine dribbling urinating when coughing - muscle and tendon more yang def - more pale tongue if yin def - no coating on tongue pulse - depends
liver and kidney deficiency
tp: nourish liver, tonify KD, nourish essence, brighten eyes
which pattern for far-sightedness (yuan shi)?
tp?
body overtaxed
too much sexual activity
grief - crying too much and become dry, burning yin
patient difficult to see nearby, tinnitus, dizziness, low back problem, happens gradually,
knees weak
yin essence more dominant with bone
dry mouth, throat, in severe cases teeth are loose and teeth falling out, more cavity
tongue - dry, red, less coating or no coating
pulse - thready, fine, rapid
yin essence def
tp: nourish KD yin, boost essence
what is collect vision point, where is it located?
Zhen Guang points
bt yu yao and UB 2 –> zhen gang 1
bt SJ 23 and yu yao –> zhen gang 2
which pattern for far-sightedness / yuan shi?
tp?
chronic disease - chronic liver or kidney disease
over sexual activity
over taxation
empty heat becomes fire
patient complains of severe eye dryness, burning sensation in eye, headaches
red eye, more on inner canthus, tinnitus bc of empty heat, vertigo, dizziness
low back pain, fatigue
severe case - can have steaming bone (bone feels hot), night sweats,
tongue - crimson, dark red, no coating
pulse - thready, but wiry, rapid (bc of empty fire)
yin def causing empty fire to come up
tp: nourish yin, downbear / drain fire
which pattern for far sightedness / yuan shi? tp?
irregular meal (not enough blood and qi is built)
trauma, postpartum,
chronic fatigue, pale complexion, pale lips, dizziness, palpitation, insomnia, SOB for no reason
poor appetite
tongue - pale, puffy
pulse - fine, weak
qi and blood def
tp: boost blood and tonify qi
what pattern for farsightedness / yuan shi? tp?
age, elderly over 80, weak due to chronic disease (GI problems, KD or LV problems, etc) hard to treat eye degenerates rapidly alternating hot and cold complain of back, knee difficulty of walking incontinence tongue - depends on what dominates if yin def then red and small and pointy and dry; if yang def then tongue is pale and too big for their mouth
yin and yang def
tp: support yang, nourish yin
what are 4 possible patterns for decreased vision / shi li jian tui?
- turbid evils harassing above
- qi stagnation and blood stasis
- insufficiency of liver and kidney
- dual deficiency of heart and spleen
what are the 6 extremes in TCM ?
1. xue ji - blood def 2/ jin ji - sinew def 3. rou ji - flesh loss or weakness 4. gu ji - bone def 5. jing ji - essence def 6. qi ji - qi def
what are 7 injuries / qi shang?
- overeating - damage SP
- heavy lifting, sitting on wet floor - damage KD
- cold drink damage LU
- worry and sadness injures heart
- wind, rain, cold, heat injures whole body
- extreme anger damages liver
- being frightened injures zhi and will
what organs dominates water?
KP
SP
LU
which pattern in urinary incontinence (prostatic hyperplasia / qian lie xian zing sheng zheng) ? tp?
distension esp vagina, dripping,
depression, emotional involvement - anger, worry, discontent
- age spots on yang channel, dark facial complexion, yang there is more qi, but older people have less yang
tongue - dry coating or can be yellow
pulse: choppy, wiry
qi stagnation and blood stasis
*elderly people it’s easy to get stasis, so short duration of qi stagnation, leads to blood stasis; when young it’s easier to recover from qi stagnation
blood stasis
TP: open blockage, flow urine, quicken blood, transform stasis
what point is good for promoting urination? where is it located?
UB 54
net to UB 19
which pattern in urinary incontinence (prostatic hyperplasia / qian lie xian zing shoeing zheng? tp?
urine feeble stream, dribbling, and finally blocked
complains of lower abd is painful to touch, bloating,
women swelling and puffy, bc urine collecting
tongue: dark, purple and puffy (bc water retention)
pulse: thin, wiry, miss beats
stasis obstructing the bladder
tp: dispel stasis, clear up water passkey
which pattern in urinary incontinence (prostatic hyperplasia / qian lie xian zeng sheng zheng ?
tp? pts?
frequent urination, but very little come out
urgency
warm during urination (like UTI), urine is more cloudy and have white and yellow cells
lower abd distension, painful to touch, dry stool
tongue: purple, coating is greasy and thick, sometimes yellow
pulse: wiry, slippery
damp heat and stasis binding
tp: clear heat, dispel dampness, quicken blood, open network vessel
pts: Ren 1, 3, 4 SP 9, 6 LV 2 St 44 UB 54 ST 28
which pattern in urinary incontinence (prostatic hyperplasia/ qian lie xian zeng sheng zheng?
tp? which point is called “Return” and can make urine happen?
acks force of urination, later just dribbling
back pains, knee feels cold, sometimes knee can be swollen, and weak
four limbs weakness, and swelling, morning hand swelling, ankle swelling in afternoon
face complexion is dull
yang def makes cold, everything is frozen so stasis
tongue: purple body, white coating, puffy
pulse: deep, fine, sometimes you can’t fee it, so no root, can be slow
yang def and blood stasis
tp: warm KD yang, quicken blood, transform blood stasis
ST 29 / guilai
which ST point is good to use to unblock urine? where is it?
ST 28, shuidao, waterpassage
3 can inferior to umbilicus, 2 can lateral
which point is called water stream or man’s middle,
used for incontinence or acute lumbago pain?
DU 26
which organs are not fx in alzheimer’s disease? in what ways?
SP/ST - impaired digestion
LV - insufficient blood
KD - no fire
which pattern in Alzheimer’s disease / lao nan xin chi day?
tp? what UB point? location?
emotionally agitated and patient worries a lot
excessive speech
hypochondria distension
pica
dark complexion
tongue- purple, thin white or yellow coating
pulse: choppy or wiry
qi stagnation and blood stasis
tp: quicken blood, transform stasis, tonify qi, resolve depression
UB 47 - “spiritual gate
hunmen, 3 cun lateral to midline, T9, level with UB 18 (LV)
which pattern in Alzheimer’s disease / lao nian xin chi dai?
tp? which UB pt? where?
don’t talk, if you don’t give them food, they don’t eat, just sitting, no speech
confusion, crying and laughing for no reason,
can hear voices that are not there to do something
eat strange food: grass, dirt, earth worms
SOB, low voice (bc of qi def),
lusterless, no spirit, face is dull and purple
tongue: purple w/o coating, or thin yellow coating
pulse: weak, wiry or choppy
qi def and blood stasis
tp: tonify qi, up bear yang, quicken blood, open orifices
UB 44 - spirit hall; shentang
T 5, next to UB 15 (HT)
which pattern in Alzheimer’s disease / lao nian xin chi dai?
tp?
emotional agitation, HA, sleep a lt
rambling talk, tongue is too big bc of phlegm
suicidal
confusion, hear voices,
tongue- purple, puffy, thick greasy coating
pulse: wiry, slippery, rapid
phlegm and stasis obstruction
tp: quicken blood, transform stasis, break up phlegm
which pattern for psychological disorders / lao nian xin jing shen bing?
tp?
agitated, restless, cry and laugh for no reason
destroy things, and beating people
tongue: purple, yellow or white coating, dry
pulse: wiry, and choppy (may be hypertensive), can be rapid if emotionally agitated
liver fire mixed with stasis
tp: drain fire, open bowel (usu very constipated bc of heat), quicken blood, dispel stasis
which pattern for psychological disorders / lao nian xin jing shen bing?
tp?
more depressed, sad
heart palpitation, loss sleep, HA,
severe case plum pit qi (obstruction sensation in throat), purple lips
tongue: purple with petechia, coating is thick or thin
pulse: wiry or choppy
qi stagnation and blods stasis
tp: tonify qi, resolve depression, quicken blood and transform stasis
which pattern for psychological disorders / lao nian xin jing shen bing?
tp?
mental dullness
disorder of speech
big tongue, gurgle/muffled talking - whole mouth has lots of phlegm and saliva
fullness on chest
tongue: pruple, big, toothmarks, and wet, coating can be thick and greasy
pulse: slippery
phlegm binding
tp: quicken blood, resolve depression, transform phlegm, open orifices
which pattern for psychological disorders / lao nian xin jing shen bing?
tp?
bi syndrome
spirit is dull, reaction is slow, no eye contact
low voice
lack self control, destroy things like punching window but they don’t know why
suicidal, fatigue bc of qi def.
they don’t eat or drink, if you don’t give it to them
tongue: pale purple,
pulse: deep, choppy
qi def and blood stasis
tp: tonify qi, settle spirit, quicken blood, nourish heart
pulse position of right
chi
guan
cun
characteristics in common?
LU
SP
KD yang & qi
all water
pulse position of left
chi
guan
cun
HT
LV
KD yin, essence bone
