Foundations & Diagnosis I (Week 1) Flashcards
In cycle
Yin within Yang
12pm - 6pm
Autum
In Cycle
Yang within Yang
6am - 12pm
Summer
Yang within Yin
- Time - Season - Pulse
time: Second half of the night
season: Spring
pulse: Rolling
Tense
Yang within Yang
-pulse
~Superficial ~Rapid ~Excess ~String-Taut ~Abrupt
Yin within Yang
-pulse
Surging
Yin within Yin
- time - pulse
time: first half of the night
pulse: Deep
Deficient
5 Aspects of Yin and Yang Relationship
- give example of each
- opposition
- Interdependence
- Inter-consuming-supporting
- Inter-transforming
- Infinite Divisibility
fire, light, sun, round, time, east, south, left, immaterial, energy is opposition yin or yang?
yang
water, darkness, moon, flat, space, west, north, right, material, matter is opposition of yin or yang?
yin
exterior, heat, excess, restless, acute, rapid changes, stretch out, red face, coarse breathing, thirst is what aspect of yin yang realtionship?
opposition of yang
interior, cold, deficiency, quiet, chronic, lingering disease, curl up, pale face, shallow breathing, not thirst is part of what 5 aspects of yin yang relationship?
opposition of yin
Yin and Yang cannot exist without the other
Interdependence of Yang
- Yin organs depend on the Yang organs to produce Qi and Blood.
- Yang organs depend on the Yin Organs for their nourishment deriving from Blood and Essence.
Example of Interdependence of Medicine
- Yin corresponds to nutrient substance, and Yang to functional activities.
- Without structure (Yin), the function (Yang) could not perform.
Interdependence of Nature
yin and yang are in a constant state of change for preserving the balance.
Mutual Consuming
- In summertime the weather is hot (Yang), and we sweat (Yin) more.
- When the external temperature is very cold (Yin), the body starts trembling (Yang).
Nature of Mutual-Consuming
Yin and Yang can change into one another.
Inter-transformation
- Day turns into night
- Excessive work (Yang) without rest induces extreme deficiency (Yin) of the bodies energies.
- Excessive jogging (Yang) induces a very slow (Yin) pulse.
- Excessive consumption of alcohol creates a pleasant euphoria (Yang) which is quickly followed by a hang-over (Yin).
Nature of Inter-Transformation
Comparison of Mutual-Consumption & Inter-transformation
Mutual Consumption= Quantitative Change (Balance & Homeostasis)
Inter-transformation= Qualitative Change (8 Principles)
Yin and Yang aspects can be further divided into Yin Yang
Infinite Divisibility
Yin remains inside to act as a guard for Yang, and Yang stays outside to act as a servant for Yin
Classic Source of Inter-Dependence (CAM)
Sheng
generating
Ko
controlling
Function of Sour
- generates fluids and yin
- astringent and can control perspiration and diarrhea
(yin)
Side-effects of Sour
*makes phlegm worse
yin
Side-effects of Bitter
*injures Spleen, injures Yin
yin
Side-Effects of Sweet
*creates Damp
yang
Functions of Pungent
- scatters
- used to expel pathogenic factors
(yang)
Side-Effects of Pungent
Injures Yin
Yang
Functions of Salty
- flows downward, softens hardness
- treat constipation and swelling
(yin)
Side-Effects of Salty
Injures Fluids
Yin
Precautions: Sour & Tissues
- sour taste goes to the nerves
* used sparingly if person suffers from chronic pain
Precautions: Sour & Organs
*if Spleen is diseased one should not eat SOUR foods
Precautions: Bitter & Tissues
- bitter taste goes to the bones
* excess of it should be avoided in bone disease
Precautions: Bitter & Organs
- if Lung is diseased one should not eat bitter foods
* bitter goes to the heart
Precautions: Sweet & Tissues
- sweet taste goes to the muscles
* excess of it can cause weakness of the muscles
Precautions: Sweet & Organs
*if Kidney is diseased one should NOT eat SWEET foods
Precautions: Pungent & Tissues
- pungent taste scatters Qi
* avoided in Qi Deficiency
Precautions: Pungent & Organs
*liver is diseased one should NOT eat PUNGENT foods
Precautions: Salty & Tissues
- salty taste can dry the blood
* avoided in Blood Xu
Precautions: Salty & Organs
*if heart is diseased one should NOT eat SALTY
Wood is nourished by what taste
Sweet
Metal is nourished by what taste
Sour
Water is nourished by what taste
Bitter
Fire is nourished by what taste
Pungent
Earth is nourished by what taste
Salty
Major Organ of: Jing (Essence)
Kidney
Major Organ of: Qi
Lung
Major Organ of: Blood
Liver
Major Organ of: Body Fluids
Spleen
Major Organ of: Shen (Spirit)
Heart
3 Treasures
- Shen (Spirit)
- Qi (Qi)
- Jing (Essence)
3 Levels that correspond to the 3 Treasures
- Heaven = Shen (yintang)
- Human = Qi (Ren17)
- Earth = Jing (Ren4)
3 Organs corresponding to 3 treasures
Shen = Heart Qi = Spleen/Stomach Jing = Kidney
2 Sources of Jing
- Pre-heaven
2. Post-heaven
Pre-heaven Essence Root is
Kidney
Post Heaven Essence Root is
Spleen and Stomach
Pre-heaven Essence Yin and Yang
- Yin- Kidney Essence
* Yang- Mingmen Fire (Fire of Life Gate)
Post-heaven Essence is stored in the….
Kidney
Draw out Jing
see page 9, HB Kim
Mingmen Fire and Essence: Ren
Ren4- nourishes pre-heaven essence
ren->pre-heaven essence->heart
Mingmen Fire and Essence: Du
*DU4- nourishes post-heaven essence
Du->post-heaven essence->heart
Mingmen Fire and Essence: Chong
*nourishes both Du and Ren
Ren Du
Ren1->Chong->heart
Age 14 (7x2)
*The dew of heaven (menstruation) arrives,
the REN channel begins to flow,
the CHONG channel is flourishing,
the periods come regularly and she can conceive
Age 21 (7x3)
*Kidney essence peaks,
the wisdom teeth come out and
growth is at its upmost
Age 28 (7x4)
*Tendons and bones become strong,
the hair grows longest and
the body is strong and flourishing.
Age 16 (8x2)
*Kidney energy is even more abundant,
the dew of Heaven (sperm) arrives,
the Essence is luxuriant and flowing,
Yin and Yang are harmonized and he can produce a child.
Age 24 (8x3)
*The kidney energy peaks,
tendons and bones are strong,
the wisdom teeth appear and
growth is at its peak.
Age 32 (8x4)
*Tendons and bones are at their strongest,
and the muscles are full and strong.
List the steps of Qi
Qing Qi (Air Qi) and Gu Qi (Food Qi) => Zong Qi (Gathering Qi)
zong qi + Yuan qi (original qi) -> Zhen Qi (true qi)
Zhen qi => makes Wei Qi (defensive qi) or Ying Qi (Nutritive Qi)
Qing Qi
Air Qi
Gu Qi
Food Qi
Zong Qi
- Pectoral Qi
* Gathering Qi
Yuan Qi
Original Qi
Zhen Qi
True Qi
Wei Qi
Defensive Qi
Ying Qi
Nutritive Qi
Zangfu Qi
Organ Qi
Zhong Qi
Central Qi
Zheng Qi
Upright Qi
Functions of Zong Qi
*Air Qi + Food Qi
*stored in the chest
*promotes Lung’s function of controlling respiration
*promotes Heart’s function of dominating the blood and vessels
~essentially controls qi of Lung and Heart~
what point supports Lung and Heart?
Lu 9
Functions of Yuan Qi
- Derived from congenital Essence
- Supplemented & nourished by Food Essence (post-heaven essence)
- takes root in the Kidneys
- spreads to the entire body via San Jiao!!
Functions of Zhen Qi
- Merdian Qi
* last stage of transformation of Qi
Functions of Wei Qi
- circulates outside the vessels
- protect the surface, defend the body against pathogens
- control opening and closing of the pores
- moistens the skin and hair
- readjusts body temperature, and warm-up zangfu organs
Very important function of wei qu
*Readjust the temperature & warm up the zang-fu organs
what is the circulation of wei qi?
50 times in 24 hours
How many times during the day does the wei qi circulate?
25 times: Taiyang => Shaoyang => Yangming
How many times during the night does the Wei Qi circulate?
25 times: K => H => Lu => Liv => Sp
(starts with kidney…follows controlling cycle)
Functions of Ying Qi
- Circulate in the vessels
* produce blood and to circulate with it
Functions of Zhong Qi
*True Qi of Spleen/Stomach
Functions of Zheng Qi
*Defensive Qi + Nutritive Qi + Kidney Essence
Functions of Qi according to CAM
- Promoting
- Warming
- Defensive
- Checking
- Activities of Qi
- Nourishing
Functions of Qi (Gio.)
- Transporting
- Warming
- Protecting
- Holding
- Transforming
- Rising
Direction of the Lung
Descending
Direction of the Liver
All directions (w/San Jiao)
Direction of the Stomach
Descending
Direction of the Spleen
Ascending
Direction of the Heart
Descending
Direction of the Kidneys
Kidney Water: Ascending
Kidney Qi: Descending
What organ(s) make Blood?
Heart, Spleen, Kidney
Two material sources of Blood
- Spleen/Stomach (post-heaven)
2. Kidney Essence (pre-heaven)
5 Functions of Blood
- Nourishes the body
- Circulates with Nutritive Qi
- Moistens the body
- Houses the Mind
- Determines menstruation
Heart _________ Blood
heart GOVERNS blood.
Spleen __________ Blood.
spleen MAKES blood
Liver __________ Blood
liver STORES blood
1st Organ to separate pure from impure
Spleen
Official that separates pure from impure
Small Intestine
San Jiao - Upper Burner
Mist
San Jiao - Middle Burner
Maceration Chamber
San Jiao - Lower Burner
Drainage Ditch
Jin (Fluid) is yin or yang?
yang
Ye (Liquids) is yin or yang?
yin
Clear, light and thin-watery is Jin or Ye?
*Jin (Character)
More turbid, heavy and dense Jin or Ye?
*Ye (character)
Jin (Fluid) Circulate…
*with defensive Qi on the Exterior
Ye (Liquids) Circulate….
*with Nutritive Qi in the Interior
Jin (Fluids) move…
*quickly
Ye (Liquids) move….
*relatively slowly
Jin (Fluid) is under the control of…
Lu (Upper Burner)
Ye (Fluids) is under the control of…
Spleen & Kidney (Middle/Lower Burner)
These are functions of:
* nourish skin and muscles * manifest as sweat, tears, saliva, and mucus * become a component of the fluid part of blood
Jin (Fluid)
These are functions of:
*moistens the joints, spine, brain, and bone marrow
*lubricate the orifices of the sense organs
(eyes, ears, nose and mouth)
Ye (Liquids)
Pathology Shen Disturbance
- speech is incoherent
- respiration is uneven, shallow
- SOB
Pathology of False Shen
- sudden revival before death due to floating up of Yang Qi
- from CHRONIC DISEASE where essence is exhausted
- yin and yang separates: indicates end of life
Name the Five Spirits
- Hun (Ethereal Soul)
- Shen (Mind)
- Yi (Intellect)
- Po (Corporeal Soul)
- Zhi (Will Power)
the Hun (Ethereal Soul) resides in the…
Liver
The Shen (Mind) resides in the….
Heart
The Yi (Intellect) resides in the…
Spleen
the Po (Corporeal Soul) resides in the…
Lung
the Zhi (Will Power) resides in the….
Kidney
Who is responsible for:
- plans, projects, life aims, sleep
- coming and going of the Shen’
The Hun (Ethereal Soul)
Who is responsible for: *feelings, sensations
the Po (Corporeal Soul)
Who is responsible for:
*consciousness, thinking, memory, affections, sleep
the Shen (Mind)
Who is responsible for:
*thinking, memory, concentration
the Yi (Intellect)
Door to the Ethereal Soul is what outer back-shu point?
UB-47
Mind Hall is the outer Back-Shu of
UB-44
Thought Shelter is the Outer Back-Shu of
UB-49
Door of the Corporeal Soul is the outer Back-Shu of
UB-42
Will Power Room is the outer Back-Shu of
UB-52
Functions of Profound influence on a person’s capability of planning his or her life by rooting and steadying the Ethereal Soul belong to
{controlling and creating structure}
Hun (Ethereal Soul)
Function of: a very soothing effect on the spirit and it nourishes Qi when this is dispersed by a prolonged period of sadness or greif.
(usually seen after trauma)
the Po (Corporeal Soul)
Filled, but never Full
Zang Organs
Full, but never Filled
Fu Organs
What Organ controls the Sinews and manifest in the Nails?
Liver
What Organ controls the Blood Vessels and manifest in the complexion?
Heart
What Organ manifest in the lips and controls the muscles and four limbs?
Spleen
What organ controls the Skin and manifest as Body Hair?
Lung
What organ Produces Marrow, Fills up the Braind, Controls Bone and manifest as Hair?
Kidneys
Function of the Heart
- circulates Blood
- Houses the Mind
- controls sweat
~>PC:protects the Heart
Functions of the Spleen
- Governs transformation and transportation
- controls the rising of Qi
- controls Blood
Functions of Lung
- Dominates Qi and controls Respiration
- Controls Dispersing and Descending
- REGULATES Water Passages
Functions of Kidney
- stores Essence and governs birth, growth, reproduction, and development
- GOVERNS water
- Controls the Reception of Qi
Functions of San Jiao
- OFFICIAL OF IRRIGATION
* carries Yuan Source Qi throughout the body
Functions of the Stomach
- controls transportation of Food Essence
- Controls the Descending of Qi
- Is the Origin of Fluids
Functions of the Urinary Bladder
*Controls certain emotions
What organ Regulates Menstruation?
Liver
What organ Regulate Blood volume in relation to rest and activity?
Liver
What organ moistens eyes and sinews?
Liver
What organ affects emotional states?
Liver
What organ affects digestion?
Liver
*Stagnation invades Stomach preventing movement of Qi, belching, sour regurgitation, nausea and vomiting, diarrhea
What Organ affects secretion of Bile
Liver
*stagnation obstructs bile flow => bitter taste, jaundice
What organ is nourished and moistened by Liver Blood?
Liver
Dreams of being angry relates to what organ?
Liver Excess
What organ is the source of life dreams?
Liver
*Hun (Ethereal Soul)
Dreams of fragrant mushrooms relates to what organ?
Deficient Liver
In Spring, dreams of lying under a tree without being able to get up is related to what organ?
Deficient Liver
Dreams of forest in the mountains relates to what Organ?
Deficient Liver
- stores blood, smoothen flow of Qi
- controls sinews, manifest in the nails
- opens into the eyes, controls tears
- houses the ethereal soul
- affected by anger
- dreams
Functions of the Liver
- governs Blood, controls the Blood Vessels
- manifest in complexion
- houses the mind (Shen)
- related to joy
- opens into the tongue, controls sweat
Functions of the Heart
Membrane wrapping around the Heart
Pericardium
As a channel this organ influences the Zong Qi (Gathering Qi)
Pericardium
Which organ Houses the Mind (with the heart)?
Pericardium
Relationship problems can cause what organ pathology?
Pericardium
Minister Fire Flares up to what organ(s) and flows down to what organ(s)?
- Flares up to Liver, Gall Bladder, Percardium
* Flows down to Kidney
This organ may affect menstruation?
Pericardium
*because it is related to Uterus Vessel
Pericardium as an organ is linked to the ________.
Heart
Pericardium as a channel is linked to the ___________.
San Jiao
What organ has a lifting effect to keep internal organs in place?
Spleen
What organ controls Saliva (Xian)?
Spleen
What organ controls Spittle (Tuo)?
Kidney
Definition of Salvia
thin and clear fluid
Definition of Spittle
Thick and turbid fluid
Saliva is released by _____.
Parotid Gland
Spittle is released by ________?
Maxillary gland and Sublingual Gland
Concentration, studying, MEMORIZING, schoolwork belong to what organ?
Spleen
clear thinking, LONG TERM memory (memory of distant events) belong to what organ?
Heart
nourishing the brain and influences SHORT TERM memory (memory of recent events) belongs to what organ?
Kidney
- governs transformation and transportation
- controls the ascending of Qi
- controls Blood
- controls the muscles and four limbs
- opens into the mouth and manifest in the lips
- controls saliva, Houses the Intellect (Yi)
Functions of Spleen
because Lung governs Qi, it therefore controls all _________.
(acupuncture) channels
- governs Qi and respirations
- controls channels and blood vessels
- control diffusing and descending of Qi and Body Fluids
- regulates all physiological activities
- regulates water passages
- controls the skin and the space between skin and muscles
- manifest in the body hair, opens into the nose
- control nasal mucus, Houses the Corporeal Soul (Po)
- affected by worry, greif, and sadness
Functions of Lung
what essence is inherited from parents?
Pre-natal Essence
What organ is stores POST-natal essence?
Kidney
Post-natal essence is replenished by _______?
Gu Qi + Air Qi
Kidney Influences what lower orifices?
- Urethra
- Spermatic duct
- Anus
- stores essence, produces marrow, Governs water
- controls reception of Qi
- opens into ears, manifest in the hair
- control spittle, controls the two lower orifices
- Houses Will-Power (Zhi)
- controls the Gate of Life (Minister Fire)
Functions of Kidney
Official of Liver
army’s General (from whom strategy is derived)
Official of Heart
Monarch (governs the Mind)
Official of Pericardium
Ambassador (from it joy and happiness derive)
Official of Spleen
Granary Official (five tastes are derived)
Official of Lung
Prime Minister (in charge of regulation)
Official of Kidney
Strong Official (from whom ingenuity is derived)
Official of Gall Bladder
Upright Official (makes decision)
Official of Small Intestine
Official in Charge of Receiving (being filled and transforming)
Official of San Jiao
Official in charge of Irrigation (controls Water Passages)
Official of Stomach
Official in charge of Food Storage (from whom 5 flavors are derived)
Official of Large Intestine
Official in charge of passage and conduction
Official of Urinary Bladder
District Capital
(stores fluids which are then excreted by the power of Qi tranformation)
What organ receives bile from Liver and STORES and EXCRETES it for digestion?
Gall Bladder
What organ is an extraordinary Yang organ?
Gall Bladder
Timid or fearful, no drive is ruled by what organ?
Gall Bladder
The Gall Bladder has what influence on sleep?
Quality and Length
Awakens early in the morning, unable to fall asleep again is the mental aspect of what organ?
Gall Bladder (usually wakens 3-5am)
- stores and excretes bile
- controls decisiveness, controls the sinews
- has a mental aspect
- Liver/Gall Bladder relationship
Functions of Gall Bladder
What organ receives food and drink from Stomach and separates clear and turbid?
Small Intestine
Mental aspect of Small Intestine
Discrimination and Judgement
Mental aspect of Gall Bladder
Courage to make decisions
- controls receiving and transforming
- separates fluids
- mental aspects
Functions of Small Intestines
What Qi is the transformation power of Qi in all Zang Fu organs?
Yuan Qi (San Jiao)
what organ is the Official of Irrigation?
San Jiao
The Wood nature of San Jiao along with the Gall Bladder assist ____.
The Liver in ensuring smooth flow of emotions
Fire nature of San Jiao long with Pericardium assists ________.
The Mind (Shen) and Hun (Ethereal Soul)
- mobilizes Yuan Qi (original qi)
- controls the transportation and penetration of Qi
- controls the water passages and the excretion
- as one of the 6 yang organ has form
- as a mobilizer of the original, Yuan Qi, has no form
- three divisions of the body
Functions of San Jiao
Upper Jiao of San Jiao it’s and (Fluids)
Fog (sweat)
Froth (Sweat) pertains to what Jiao
San Jiao’s Upper Jiao
Froth (Stomach Fluids) pertains to what Jiao?
San Jiao’s Middle Jiao
Ditch (Urine) pertains to what Jiao?
San Jiao’s Lower Burner
What organ easily suffers from Fire or Phlegm-Fire?
Stomach
- controls receiving
- controls the rotting and ripening of food
- controls the transportation of food essence
- controls the descending of Qi
- is the origin of Fluids
Functions of the Stomach
- controls passage and conduction
- transforms stools and reabsorbs Fluids
- has mental aspect and dreams
Functions of the Large Intestine
Dreams of open fields relates to what Organ?
Large Intestine
What organ would you see adults with feelings of jealously, suspicion, long-standing grudges?
Bladder
What organ would you see fears, anxieties or insecurities which leads to sinking of Urinary Bladder Qi in children?
Bladder
- removes water by Qi transformation
* has mental aspects and dream
Functions of Urinary Bladder
What organ would you dream of voyages?
Urinary Bladder
List the 5 Zang Organs.
- Liver
- Heart
- Spleen
- Lung
- Kidney
List the 6 Fu organs.
- Gall Bladder
- Small Intestines
- San Jiao
- Stomach
- Large Intestine
- Urinary Bladder
Definition of 6 Extra Ordinary Yang Organs
They function like a Yin organ, but have the shape of a Yang organ.
Name the 6 Extra Ordinary Yang Organs
- Uterus
- Brain
- Marrow
- Bones
- Blood Vessels
- Gall Bladder
What Extraordinary Yang oragn(s) relate(s) to Kidney Essence
Uterus, Brain, Bone, Marrow, Blood Vessels
What Extraordinary Yang organ(s) is(are) a yin + yang organ?
Gall Bladder
How does anger affect qi direction?
Anger rises up
How does fear affect Qi direction?
Fear declines or descends
How does Joy affect the speed of Qi?
Joy slows down qi
How does worry & pensiveness affect the speed of Qi?
Worry & pensiveness Stagnate or Knot qi
How does Sadness affect the amount of Qi?
sadness Consumes or Dissolves Qi
How does Shock affect the amount of Qi?
Shock Scatters or Deranges qi
Pensiveness and worry injure what organ?
Spleen
Pensiveness affects effects the area of the _____.
Spleen
Worry effects the area of the __________.
Lung and Spleen
What emotion would present with symptoms of poor appetite, epigastric discomfort, abdominal distention?
Pensiveness
! think Middle Jiao symptoms
What emotion would be present with discomfort in chest, breathlessness, tense shoulders, epigastric discomfort, abdominal distention?
Worry
! think MJ symptoms + chest issues
What are the 6 climates?
- Wind
- Fire
- Summer Heat
- Dampness
- Dryness
- Cold
What climate has the following characters:
- upward, outward dispersion
- rapid change
- constant movement
Wind
-> beginning of 100 diseases
What climate has the following characters:
- burning and upward direction
- consumes Yin Fluid
- disturbance of Blood
Fire
-> stirs up wind
What climate has the following characters:
- extreme heat
- upward direction, dispersion and consumes body fluids
Summer Heat
-> frequently combined with Damp
What climate has the following characters:
- viscosity and stagnation
- impairs yang and obstructs Qi circulation
Dampness
-> heaviness and turbidity
What climate has the following characters:
*consumes body fluids
Dryness
-> impairs the function of the Lung the “delicate” Zang
What climate has the following characters:
- consumes Yang Qi
- contraction and stagnation
Cold
Aversion to cold, fever, sore throat, sneezing, runny nose, occipital stiffness, floating pulse, stiffness ridigity, sudden muscle contraction, joint pain that moves from place to place (especially in the upper part of the body [Wind-Bi]) are all symptoms of what climate?
Wind (looks like W-C)
Aversion to heat, high fever, sweating, mental confusion, thirst, overflowing-rapid pulse, red tongue with yellow coating are all symptoms of what climate?
Fire (looks like 4 Bigs)
Aversion to cold, fever, sweating, headache, dark urine, thirst, floating-rapid pulse all belong to what climate?
Summer-Heat (looks like D-H)
Heavy limbs, dull ache of the muscles, pain, heaviness and swelling of the joints (esp. in the lower part of the body [Damp-Bi]) all are symptoms of what climate?
Dampness
Acute dry cough, aversion to cold, fever, dry mouth and nose are all symptoms of what climate?
Dryness
Stiffness, contraction of muscles, pain, and chillness, severe joint pain [Cold-Bi], sudden epigastric pain with vomiting (ST), sudden abdominal pain with diarrhea (LI), acute dysmenorrhea (Uterus) are all symptoms of what climate?
Cold
When clinical manifestations of the BIAO are few and mild you treat
Ben only (Root)
When BIAO produces severe symptoms/signs you treat
Ben & Biao
When BIAO symptoms are urgent; acute case you treat
Biao -> Ben
Ben means
Root
Biao means
Manifestation
Multiple BEN, each giving rise to different BIAO, treat ______.
Treat each Ben
One BEN giving rise to different BIAO treat __________.
Treat Ben
BEN coincides with BIAO, treat ___________.
Treat BEN/BIAO
What is the treatment principle for when there is a purely Xu pattern?
Tonify Zheng
When you have a purely Shi (excess) pattern the treatment principle is?
Expel Xie
What is the treatment:
When Interior (Xu) > Exterior (Shi)?
Tonify Zheng -> Expel Xie
What is the treatment:
When Exterior (Shi) > Interior (Xu)?
Expel Xie -> Tonify Zheng
What is the treatment:
When Xu + Shi?
Tonify Zheng + Expel Xie
Give an example of when you would Tonify Zheng -> Expel Xie?
*Very weak elderly person with Chronic Bronchitis (Xu) > Wind Cold (Shi)
Draw and label the infants index finger
- Gate of Wind
- Gate of Qi
- Gate of Life
(pg34-HBKim)
Exterior pathogenic factor and mild disease would be found where on the infants index finger?
Gate of Wind
Interior and rather more severe disease would be found where on the infants finger?
Gate of Qi
Serious and life threatening diseases would be found where on the infants index finger?
Gate of Life
Bluish Venules on an infants index finger indicate ________ pattern.
Cold pattern
Red venules on an infants finger indicates a ________ pattern.
Heat
Name the pattern: Whole face red
Excess Heat
Name the pattern: Red Cheekbones (malar flush) + tidal fever, night sweating
Deficiency Heat
Name the pattern: Dull white (whithered) face
Blood Deficiency
Name the pattern: Bright white (puffy, bloated appearance) face
Yang Xu
Name the pattern: Bluish white face
Excessive Cold
Name the pattern: Sallow yellow (pale-yellow without brightness)
Sp/St Xu or Blood Deficiency
Name the pattern: Smoky, dull yellow face
Damp-Heat (with prevalence of Damp)
Name the pattern: Dull-pale yellow
Cold-Damp in Spleen/Stomach
Name the pattern: Ash-like yellow complexion
Long-standing damp
Name the pattern: Entire Body bright organe
Yang Jaundice
Name the pattern: Entire body smoky dark yellow
Yin Jaundice
~yin= Spleen D-C
Name the pattern: Green color on the nose
Qi stagnation with abdominal pain
Name the pattern: Bluish-purple face & lips + intermittent pain in precordial region
Heart Blood Stasis
Name the pattern: Bluish purple face & lips + high fever, violent movement of limbs
Liver Wind (Infantile Convulsions)
Dull or clouded eyes indicates?
- Mind Disturbance
- weakened five organs
- emotional problem
Dull-white corners of the eyes indicates ______.
Heat
Pale white corners of the eyes indicates _______.
Blood Deficiency
Red sclera indicates __________ and the points are ______.
Lung Heat (Lu-5, Lu-10)
Yellow sclera indicates _______ and the points are _________.
Damp-Heat (Liv 2, GB34)
[Liv/GB D-H]-> more jaundice
Corner of the eye relates to what organ?
Heart
Upper eyelid relates to what organ?
Spleen
Lower eyelid corresponds to what organ?
Stomach
Sclera represents which organ?
Lung
Iris represents what organ?
Liver
Pupil corresponds to what organ?
Kidney
Name the pattern: Green or blue tip of the nose
- Abdominal pain from Spleen Cold OR
* Liver Qi stagnation
Name the pattern: Dry Nose
*Stomach Heat or Large Intestine Heat
Name the pattern: Dry Nose + Throbbing Headache
Liver Yang Rising
Name the pattern: Dry and black nose
Toxic Heat
Name the pattern: Dry and Black nose also greyish
Blood Stasis
Name the pattern: Clear watery discharge
Cold Patter
-> Lung Qi Xu, Yang Qi Xu, Lung & Kidney Xu
Name the pattern: Dry withered dark ear lobes
Kidney Qi exhaustion (usually from Kidney Yin)
Name the pattern: Swollen and painful gums
Stomach Heat
Name the pattern: Swollen, but not painful gums
Stomach Empty-Heat
Name the pattern: Pale Gums
Blood Deficiency
Name the pattern: Bright and very dry teeth
Heat in Yang Ming (febrile disease)
Name the pattern: Dry and greyish teeth
Empty-Heat from Kidney Yin Deficiency
Name the pattern: Acute pain, redness and swelling of throat
Invasion of Wind-Heat
Name the pattern: Chronic pain, redness and swelling of the throat
Stomach Heat
Name the pattern: Chronically sore and dry throat [worse at nigth] (not swollen or red)
Lung/Kidney Yin Deficiency with Empty Heat
Name the pattern: Pitting edema of the hands
Lung Yang Deficiency
Name the pattern: Pitting Edema of the feet
Kidney Yang Deficiency
Name the pattern: Pitting Edema of the four limbs
Spleen Yang Deficiency
Name the pattern: Non-pitting Edema
Qi Stagnation
Name the pattern: Edema of the four limbs (D-H or D-C)
Dampness
Name the pattern: Edema of the four limbs (non-pitting)
Qi Stagnation
Name the pattern: Acute Edema of the hands and face
{usually starts with the eyelids}
Wind-Water Invading Lung
Wind-Water invading Lung is yin or yang edema?
Yang edema
Name the pattern: Pitting Edema
Kidney Yang Xu
Name the pattern: Blue Purple color of the tongue
Blood Stasis due to Cold or Heat
Whats the tongue color:
Deficient type- cold syndrome caused by Yang Qi deficiency/
- Qi and Blood Deficiency
Pale tongue color
What is the tongue color:
Heat Syndrome - interior excess or deficiency
Red tongue color
Name the tongue color:
Extreme Heat:
Exogenous- Invasion of the Ying and Blood levels by pathogenic Heat
Endogenous- Yin Xu leading to Fire
Deep Red
Name the pattern: Blue Purple tongue
Blood Stasis due to Cold or Heat
Name the pattern: Deep Blue-Purple, dry and lusterless tongue
Blood Stasis due to Heat
Name the pattern: Pale purple, moist tongue
Blood Stasis due to Cold
Name the pattern: Purplish Spots on the tongue surface
Blood Stasis
Name the pattern: Swollen delicate in quality, pale in color, teethmarks
Spleen or Kidney Yang Xu producing harmful waters
Name the pattern: Swollen Deep Red in color, occupying the entire space of the mouth
Excessive Heat in Heart or Spleen
Name the pattern: Swollen Blue Purplish Dark tongue
Toxicosis
Name the pattern: Thin, pale tongue
Qi and Blood Xu
Name the pattern: Thin Deep Red, Dry tongue
Fire due to Yin Xu
Name the pattern: Cracked deep red tongue
Excess Heat
Name the pattern: Cracked pale tongue
Blood Deficiency
Name the pattern: Cracked tongue not deep and remain there all the time unchanged
Normal tongue
Name the pattern: Thorny Red tongue
Internal Accumulation of pathogenic heat
Name the pattern: Deviated tongue
Wind-stroke or early threatening signs of Wind-stroke