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
Name the tongue:
Exogenous -> Invasion of Pericardium by Heat
-> Retention of phlegm in the interior
-> Excessive pathogenic Heat consuming body fluids
Endogenous - Wind-Stroke or early signs of Wind-Stroke
Rigid Tongue Form
Name the tongue:
Extreme Qi & Blood Xu or Consumption of Yin Fluids
Flaccid tongue form
Name the tongue:
Qi and Blood Deficiency
Flaccid and Pale Tongue
Name the tongue:
Yin collapse
Flaccid, Deep Red tongue
Name the pattern: Thin tongue
Superficial portion / Deficiency of Anti-pathogenic Qi
Name the pattern: Thick tongue
Deeper progression / Retention of Damp, Food
Name the pattern: Dry tongue
- Consumption of body fluids,
* Excess Heat, or Yin Deficiency
Name the pattern: Excessive moisture, saliva dribbles (slippery) tongue
Harmful water and Damp
Name the pattern: Sticky (hard to grub greasy)
Retention of Damp, Phlegm, or Food
Name the pattern: Granular (coarse & soybean curds, easily scrubbed, pasty) tongue
- Excessive Yang Heat brings turbid Stomach Qi upwards
* Retention of Phlegm or Food
Name the pattern: Partially (geographic) Peeled tongue
- Consumption of Stomach Qi & Yin
* Kidney Yin
Name the pattern: Entire (Mirror, Glossy) tongue peeled
- Exhaustion of Stomach Yin
* Severe damage of Stomach Qi
Name the pattern: White thin tongue coating
Exterior Cold or Normal
Name the pattern: Thick white tongue coating
Interior Cold
Name the pattern: Yellow tongue coat
Interior Heat (deeper the yellow coat, more severe pathogenic heat is)
Name the pattern: Light yellow tongue coating
Mild Heat
Name the pattern: Deep Yellow tongue coat
Severe Heat
Name the pattern: Burnt yellow tongue coat
Accumulation of Heat
Name the pattern: Grey coating
Interior Heat, Cold or Damp
Name the pattern: Grey yellowish and dry tongue
Interior Excessive Heat
Name the pattern: Grey whitish and moist
->can develop to greyish or black
Retention of Cold or Damp
Name the tongue:
Extreme Interior condition
->Extreme Heat or Extreme Cold
(usually progression of Yellow or Grey)
Black
Name the pattern: tongue Black Yellowish & dry, possible with thorns
Extreme Heat
Name the pattern: Black, Pale and slippery tongue
Excessive Cold due to Yang Deficiency
What medicine would cause the tongue to be:
- Peeled in patches
- Black and hairy
Antibiotics
-> tends to injure Stomach Yin
What medicine would cause the tongue to be:
*Red and Swollen (after about one month of administration)
Corticosteroids
!! think Arnold…I am going to pump you up!!
What medicine would cause the tongue to be:
*Tongue tip to become red (after prolonged & continued use)
Bronchodilators
What medicine would cause the tongue to be:
*Peeled (reflecting Yin Xu)
Diuretics
!think- make you pee= lose fluids!!
What medicine would cause the tongue to be:
* red points * tongue body is thinner, peeled * (after prolonged use)
Anti-inflammatory
!think- take out inflammation!!
What medicine would cause the tongue to be:
*very thick brown or even black and dry coating
Anti-Neoplastics (Cytotoxic Drugs)
{Chemo drugs}
Name the pattern: Purple, Reddish, distended
- Extreme Heat with Blood Stasis
* Toxin from alcohol injuring in Heart
Name the pattern: Purple Bluish tongue
Blood Stasis from internal Cold
Name the pattern: Stiff Tongue
Blazing Heart Fire
Name the pattern: Stiff red, or dark red tongue
Exterior Heat invading Pericardium
Name the pattern: Stiff Red tongue
Heat injuring Body Fluids
Name the pattern: Stiff normal color tongue
Internal Wind
Name the pattern: Flaccid tongue with Pale body
Exhausted Qi and Blood
Name the pattern: Flaccid tongue with Red body
Extreme Heat injuring fluids
Name the pattern: Flaccid tongue, limp, and deep red
Kidney Yin Deficiency with Heat
Name the pattern: Long tongue
- Blazing Heart Fire
* Heart Phlegm Fire
Name the pattern: Short tongue, pale body
- Spleen Yang Xu
* Internal Cold
Name the pattern: Short tongue, red body
Heat stirring Liver Wind
Name the pattern: Short tongue, red body with coat
Body fluids insufficiency due to excess Heat
Name the pattern: Short tongue, red body without coat
Deficiency Heat
Name the pattern: Short tongue, pale with slippery coat
Spleen Yang Xu with Damp and Phlegm
Name the pattern: Horizontal tongue cracks
Yin Deficiency
Name the pattern: Tongue cracks like ice floes
Yin Deficiency from old age
Name the pattern: tongue cracks that are irregular
Stomach Yin Deficiency
Name the pattern: tongue Cracked Transverse on the Side
Spleen Qi/Yin Deficiency
Name the pattern: tongue crack vertical in center
Spleen Qi Xu
Name the pattern: tongue crack Long and Vertical reaching the tip
Heart, emotional disorders
Name the pattern: tongue crack Transverse behind tip
Prior Lung disease, present Lung Yin Xu
Name the pattern: tongue cracks Deep Central + small cracks
Kidney Yin Deficiency with Heat
Name the pattern: Numb tongue with Pale body
Heart Blood Deficiency
Name the pattern: Numb tongue with red or normal color body
Liver Wind
Name the pattern: Numb tongue with clipper coat
Wind-phlegm
Name the pattern: tongue tip rolled over
Excess Heat
Name the pattern: tongue tip rolled down
Deficiency Heat
Name the pattern: Slippery tongue, excessively wet with oily appearance
Yang Deficiency, Damp-Cold Internal or External Origin
Name the pattern: Slippery with white moisture tongue
Pathogen is beginning to go into the interior
Name the pattern: Slippery tongue, greasy moisture
Damp-Phlegm
Name the pattern: Slippery tongue, greasy and thick moisture
Damp-Phlegm Retention and Cold
Name the 8 principle ID: White and slightly slippery coating on the right side
Interior/Exterior presentation
from 8 principles
Name the 8 principle ID: Red tongue body with white coating on the tip only
interior/exterior (Half & Half)
Name the 8 principle ID: White coating on the tip and black/gray coating on the root
Interior/exterior (Half & Half)
Name the 8 principle ID: tongue body color and shape altered
Interior
List the 10 Asking Questions
- Feelings of Cold & Heat
- Sweating
- Head and Body
- Chest and Abdomen
- Ears and Eyes
- Food and Drink
- Sleep
- Stools and Urine
- Women’s Symptoms
- Children’s Symptoms
Name the diagnosis:
Simultaneous chills and fever (Chills>Fever)
Wind-Cold (Shang Han)
Name the diagnosis:
Simultaneous chills and fever (Fever>Chills)
Wind-Heat (Wen Bing)
Name the diagnosis:
Alternating chills and fever
- ShaoYang Syndrome (Shang Han)
* GB Heat (Wen Bing)
Name the diagnosis:
feelings of Cold hands, sweaty hand (maybe numbness)
Yang Deficiency of Heart or Lung
Name the diagnosis:
feelings of Cold Feet
Liver Blood Deficiency
Name the diagnosis:
feelings of Cold Feet + numbeness
Kidney Yang Xu
Name the diagnosis:
feelings of heat in the afternoon or evening
Empty Heat
Name the diagnosis:
low grade fever worse in the afternoon
Yin Deficiency
Name the diagnosis:
Constant low grade temperature
Damp-Heat
Name the diagnosis:
Fever in the middle of the night
- Yin Deficiency (adult)
* Food Retention (children)
Diagnosis:
Sweating
Wind-Heat or Wind-Cold
Diagnose:
No Sweating
Wind-Cold
Diagnose:
Interior, Deficiency Sweating
Yang or Yin Deficiency
Diagnose:
Interior, Excessive Sweating
Heat, Damp-Heat
Diagnose:
Sweating only on head
Stomach Heat or Damp-Heat
Diagnose:
Sweating oily sweat on forehead
Yang Collapse
Diagnose:
Sweating only on arms and legs
Stomach and Spleen Deficiency
Diagnose:
Sweating only on hands
Lung or Heart Qi Deficiency or nerves
Diagnose:
Whole Body Sweating
Lung Qi Deficiency
Diagnose:
Sweating on Five Palms (palms, soles, chest)
Yin Deficiency
Diagnose:
Sweating in day time
Yang Deficiency
Diagnose:
Sweating night time
Yin Deficiency, possibly Damp-Heat
Diagnose:
Profuse cold sweat during a severe illness
Yang Collapse
Diagnose:
Oily sweat on forehead, like pearls, not flowing
Danger of intermittent death (Severe Yang Collapse)
Diagnose: Headache at night
Blood Stasis
Diagnose: Headache to Nape of Neck
Tai Yang channels (Wind-Cold or Kidney Deficiency)
Diagnose: Headache to to Forehead
Yang Ming Channels (Stomach Heat or Kidney Deficiency)
Diagnose: Headache temples and sides
Shao Yang Channels (Exterior/Interior Wind or Liv&GB Fire)
Diagnose: Vertex Headache
Jue Yin Channel (usually from Liv Blood Deficiency)
Diagnose: Whole Head Headache
Exterior Wind-Cold
Diagnose: Heavy feeling Headache
Dampness or Phlegm
Diagnose: Headache hurting inside or brain
Kidney Deficiency
Diagnose: Headache Distending (throbbing)
Liver Yang Rising
Diagnose: Boring Headache
Blood Stasis
Diagnose: Headache with muzziness, heaviness
Dampness
Diagnose: Headache with muzziness, heaviness, dizziness
Phlegm
Diagnose: Headache with aversion to wind or cold
Exterior Invasion
Diagnose: Headache worse by cold
Cold pattern
Diagnose: Headache worse by heat
Heat pattern
Diagnose: Worse by fatigue (improved by rest)
Qi Deficiency
Diagnose: Headache worse by emotional tension
Liver Yang Rising
Diagnose: Dizziness with severe giddiness when everything seems to sway and loses the balance
Internal Wind
Diagnose: Dizziness with throbbing headache
Liver Yang Rising
Diagnose: Dizziness with feeling of heaviness and muzziness in head
Phlegm obstructing the head
Diagnose: Slight dizziness aggravated when tired
Blood Deficiency
Diagnose: Sudden Onset dizziness
Full pattern
Diagnose: Gradual Onset dizziness
Empty pattern
Diagnose: Bleeding gums, tiredness, poor appetite, loose stools
Spleen/Stomach Deficiency not holding Blood
Diagnose: Bleeding gums, inflamed gums, feeling of heat, thirst
Stomach excess Heat
Diagnose: Bleeding gums, dry mouth, desire to drink in small sips
Stomach Deficiency Heat
Diagnose: Bleeding gums, dizziness, tinnitus, night sweating, malar flush
Kidney Yin Deficiency with Empty Heat
Diagnose: Mouth ulcers that appear very frequently or are almost permanent
Full condition
Diagnose: Mouth ulcers that come and go
Empty condition
Diagnose: mouth ulcers, very painful, red rimmed ulcers on the gums
Stomach excess Heat
Diagnose: Mouth ulcers, pale rimmed ulcers on the gums
Stomach Deficiency Heat
Diagnose: Ulcers on the tip of the tongue
Heart Fire or Heart Deficiency Heat
Diagnose: Ulcers on the inside of cheeks
Stomach Heat
Diagnose: mouth ulcers in pregnancy
Disharmony of REN Vessel
Diagnose: mouth ulcers pale rimmed, aggravated by overwork
Kidney Yin or Original Qi Deficiency
Diagnose: Whole body pain, sudden onset + chills and fever
Exterior wind invasion
Diagnose: Pain all over + feeling of tiredness
Qi/Blood Deficiency
Diagnose: Postpartum whole body pain, dull
Blood Deficiency
Diagnose: Postpartum whole body pain, severe pain
Blood Stasis
Diagnose: pain in arms and shoulders only when walking
Liver Qi Stagnation
Diagnose: Pain in all muscles + hot sensations of the flesh
Stomach Heat
Diagnose: Whole body pain, dull ache of the limbs, heavy feeling
Damp Obstructing muscles
Diagnose: Joint pain wandering from Joint to joint
Wind
Diagnose: Joint pain, fixed and very painful
Cold
Diagnose: Joint pain, fixed with swelling and numbness
Dampness
Diagnose: Joint pain with swelling and redness of the joints
Damp-Heat
Diagnose: Joint pain, severe stabbing pain with ridigity
Blood Stasis
Diagnose: Backache, continuous, dull, better with rest
Kidney Deficiency
Diagnose: Backache, recent onset, severe with stiffness
Sprain causing Blood Stasis
Diagnose: Backache, severe pain, aggravated during cold/damp weather, alleviated by heat
Wind-Cold-Damp
Diagnose: Backache, boring pain with inability to turn the waist
Blood Satsis
Diagnose: Pain in the back extending up to the shoulders
Exterior Wind
Diagnose: Numbness of arms, legs, hands and feet on both sides
Blood Deficiency
Diagnose: Numbness of the the fingers (esp. the first three), elbow and arm on one side only
Wind-Phlegm, Before wind-stroke
Diagnose: More tingling that numbness (esp. in women)
Blood Deficiency
Diagnose: More numbness, often unilateral (esp. in elderly)
Wind
Diagnose: Numbness with feeling of heaviness
Phlegm
Diagnose: Numbness with swelling (esp. legs)
Damp or Damp-Heat
Diagnose: Numbness with pain
Qi and Blood Stagnation
Diagnose: Joint pain, dull ache with swelling and heaviness
Damp
Diagnose: stabbing chest pain
Heart Blood Stasis (usually Yang Xu -> Heart Blood Stasis)
Diagnose: Chest, cough with profuse yellow sputum
Lung Heat
Diagnose: Hypochondrium with feeling of distention
Liver Qi Stagnation
Diagnose: Hypochondrium stabbing pain
Liver Blood Stasis
Diagnose: Epigastric pain, dull, alleviated by eating
Deficiency pattern
Diagnose: Epigastric severe pain, aggravated by eating
Excess pattern
Diagnose: Epigastric dull pain (Deficiency patterns)
Stomach Qi Deficiency, Stomach Deficiency Cold
Diagnose: Epigastric pain, feeling of distension
Liver Qi Stagnation
Diagnose: Lower abdomen relieved by bowel movement
Excess
Organ relationship: Hypogastrium Damp-Heat
Urinary Bladder
Organ Relationship: Hypogastrium Liver Fire infusing downwards to Urinary Bladder
Liver -> Urinary Bladder
Diagnose: Sudden Onset Tinnitus
Excess (usually Liver Fire, Liver Yang Rising or Liver Wind)
Diagnose: Gradual Onset Tinnitus
Deficiency (usually Kidney Deficiency)
Diagnose: Tinnitus, aggravated by pressing with one’s hand on the ears
Excess
Diagnose: Tinnitus alleviated by pressing with one’s hand on the ears
Deficiency
Diagnose: Tinnitus with high pitch
- Liver Yang Rising, Liver Fire, or
* Liver Wind (like a whistle)
Diagnose: Tinnitus with low pitch (like rushing water)
Kidney Deficiency
Diagnose: Sudden onset deafness
Excess condition
(usually Liver Fire, Liver Yang Rising or Liver Wind)
Diagnose: Gradual Onset Deafness
Deficiency Condition
Diagnose: Deafness, chronic cases
- Kidney Deficiency, Heart Blood Deficiency
* Upper Jiao Qi Deficiency, Yang Qi Deficiency
Diagnose: Pain in the eyes like a needle with red eyes, associated with headaches
Toxic Heat in Heart Channel
Diagnose: Pain, swelling and redness of the eyes
Wind Heat or Liver Fire
Diagnose: Feeling of pressure in the eyes
Kidney Yin Deficiency
Diagnose: Blurred vision with floaters in the eyes
- Liver Blood Deficiency
* Liver/Kidney Yin Deficiency
Diagnose: Blurred vision, photophobia
- Liver Blood Deficiency
* Liver Yang Rising
Diagnose: Dry eyes
Kidney Yin Deficiency
Diagnose: a condition that is relieved by eating
Deficiency
Diagnose: a condition that is aggravated by eating
Excess
Diagnose: lack of appetite
Spleen Qi Deficiency
Diagnose: always being hungry
Stomach Heat
Diagnose: fullness and distension after eating
Food Stagnation
Diagnose: Preference for hot food (in terms of temperature)
Cold Pattern
Diagnose: Preference for cold food
Heat pattern
Diagnose: bitter taste (constant)
Excess heat in LIver
Diagnose: Bitter taste (in morning, insomnia)
Excess Heat in Heart
Diagnose: Sweet taste
Spleen Deficiency or Damp-Heat
Diagnose: Sour Taste
- Food Retention or
* Liver and Stomach Disharmony
Diagnose: Salty Taste
Kidney Yin Deficiency
Diagnose: Pungent taste
Lung Heat
Diagnose: Lack of Taste
Spleen Deficiency
Diagnose: Sour vomiting
Liver invade Stomach
Diagnose: bitter vomiting
Liver and Gall Bladder Heat
Diagnose: Clear watery vomiting
Cold in the Stomach with retention of fluids
Diagnose: vomiting soon after eating
Heat pattern
Diagnose: sudden vomiting with loud noise
Excess
Diagnose: vomiting slow in coming with weak noise
Deficiency
Diagnose: thirst with desire to drink large amounts of cold water
Excess Heat
Thirst with desire to sip liquids slowly, or sip warm liquids
Yin Deficiency (Stomach/Kidney)
Diagnose: absence of thirst
Cold pattern (Spleen/Stomach)
Diagnose: Thirst but with no desire to drink
Damp-Heat
Diagnose: Desire to drink cold liquids
Heat Pattern
Diagnose: Desire to drink warm liquids
Cold Pattern
Diagnose: Very restless sleep, fever, agitation and excessive dreaming
Excess pattern (Liver Pattern > Heart Pattern)
Diagnose: Not being able to fall or stay asleep
Deficiency Pattern
Diagnose: Not being able to fall asleep, but sleeping well after fall asleep
Heart Blood Deficiency
Diagnose: Not being able to fall asleep, dizziness, blurred vision
Liver Blood Deficiency
Diagnose: Waking up many time during the night
Heart/Kidney/Liver Yin Deficiency
Diagnose: Dream-disturbed sleep
Liver Fire or Heart Fire
Diagnose: Restless sleep with dreams
Food Retention
Diagnose: Waking up early in the morning and falling asleep again
Gall Bladder Deficiency
Diagnose: greater tendency to wake earlier as one grows older
Normal, this is due to physiological decline of Qi/Blood
Diagnose: Feeling sleepy after eating
Spleen Qi Deficiency
Diagnose: Lethargy and heaviness
Damp Retention
Diagnose: Lethargy and heaviness + diziness
Phlegm Retention
Diagnose: Extreme lethargy and lassitude with a feeling of cold
Kidney Yang Deficiency
Diagnose: Lethargic stupor with exterior Heat symptoms
Heat invading Pericardium
Diagnose: Lethargic stupor with rattling in throat
pulse- slippery; tongue- sticky coating
Phlegm misting the Mind
Diagnose: Aggravation of a condition after a bowel movement
Deficiency
Diagnose: Amelioration of a condition after a bowel movement
Excess
Diagnose: Acute constipation with thirst and dry yellow coating
Heat in Stomach and Large Intestine
Diagnose: Constipation with small, bitty stools like goat’s stool
Liver Qi Stagnation + Large Intestine Heat
Diagnose: Constipation with abdominal pain
- Excess or
* Deficiency Cold
Diagnose: Alternation of Constipation and diarrhea
Liver Qi Stagnation invading Spleen
Diagnose: Constipation with dry stools, dry mouth, desire to drink in small sips
Kidney/Stomach Yin Deficiency
Diagnose: Constipation in old people or women after childbirth
Blood Deficiency
Diagnose: Chronic Diarrhea
Spleen/Kidney Yang Deficiency
Diagnose: Cock Crow’s Diarrhea
Kidney Yang Deficiency
Diagnose: Loose stools with undigested food
Spleen Qi Deficiency
Diagnose: Slightly loose, but very frequent stools, cannot hold them easily
Spleen Qi Sinking
Diagnose: Diarrhea accompanied by abdominal pai, fullness, undigested food
Large Intestine Cold
Diagnose: Diarrhea with black or very dark stools
Blood Stasis
Diagnose: Diarrhea with mucus in the stools
Large Intestine Dampness
Diagnose: Diarrhea with mucus and blood in the stools
Large Intestine Damp Heat
Diagnose: Diarrhea: Blood->Stool, bright-red splashing in all directions
Large Intestine Damp-Heat
Diagnose: Blood -> Stool, turbid, anus feels heavy and painful
Blood Heat
Diagnose: Stools -> Blood, watery
Spleen unable to hold blood
Diagnose: Pain accompanying Diarrhea
Liver Involvement or Heat
Diagnose: Foul smelling diarrhea, burning sensation in the anus while passing stools
Heat
Diagnose: Diarrhea with Presence of foul smell
Heat
Diagnose: Diarrhea with absence of smell
Cold
Diagnose: Borborygmi with loose stools
Spleen Deficiency
Diagnose: Borborygmi with abdominal distension without loose stools
Liver Qi Stagnation
Diagnose: Diarrhea with Flatulence
Liver Qi Stagnation
Diagnose: Diarrhea with flatulence and foul smell
*Spleen Damp-Heat / Large Intestine Heat
Diagnose: Diarrhea without flatulence
Spleen Yang Deficiency
Diagnose: Enuresis or incontinence
Kidney Deficiency
Diagnose: Retention of urine
- UB Damp-Heat
* Lung Qi Deficiency
Diagnose: Difficulty in urination
- Urinary Bladder Damp-Heat
* Kidney Deficiency
Diagnose: Pain before urination
Qi Stagnation in Lower Jiao
Diagnose: Pain during urination
Urinary Bladder Damp-Heat
Diagnose: Pain after urination
Qi Deficiency
Diagnose: Pale urine
Cold pattern (usually UB/Kidney)
Diagnose: Dark urine
Heat Pattern
Diagnose: Turbid or cloudy urine
UB Dampness
Diagnose: Copious, clear and pale urination
Exterior Wind (pathogen has not penetrated
Diagnose: Dark urination during an exterior Wind-Heat or Wind-Cold
Exterior Wind -> Interior
Diagnose: Large amounts of urine
Kidney Yang Deficiency
Diagnose: Scant urination
Kidney Yin Deficiency
Diagnose: Periods always come early
- Blood Heat
* Qi Deficiency
Diagnose: Periods always late
- Blood Deficiency
* Blood or Cold Stagnation
Diagnose: Periods irregular
- Liver Qi or Blood Stagnation
* Spleen Deficiency
Diagnose: Heavy Periods
- Blood Heat
* Qi Deficiency
Diagnose: Scanty periods
- Blood Deficiency
* Blood or Cold Stagnation
Diagnose: Heavy and scanty periods
Yin Xu
Diagnose: dark red or bright red menstrual blood
Blood Heat
Diagnose: Pale menstrual Blood
Blood Deficiency
Diagnose: Purple or blackish menstrual blood
Blood or Cold Stagnation
Diagnose: Fresh red menstrual blood
Deficiency-Heat from Yin Deficiency
Diagnose: Menstrual blood congealed with clots
Blood or Cold Stagnation
Diagnose: Watery menstrual Blood
Blood or Yin Deficiency
Diagnose: Turbid menstrual Blood
Blood-Heat or Cold Stagnation
Diagnose: Pain before the periods
Qi or Blood Stagnation
Diagnose: Pain during the menses
Blood Heat or Cold Stagnation
Diagnose: Pain after the periods
Blood Deficiency
Diagnose: Pediatric abdominal pain
- Cold retention in Stomach/Large Intestine
* Qi Stagnation in Large Intestine
Diagnose: Pediatric chronic cough/wheezing, respiratory infection
Exterior Wind Residual -> Lung Phlegm Heat
Diagnose: Pediatric chronic earache
Exterior Wind Residual -> Damp-Heat in Gall Bladder
Diagnose: Pediatric chronic catarrh, runny/blocked nose, glue ear
Exterior Wind Residual-> Spleen Deficiency and Phlegm
Diagnose: Disturbed sleep in older children
Liver Fire, Stomach Heat, Food Retention
Diagnose: Pediatric Immunizations causing skin rash, insomnia, temporary character change
Latent Heat
Severe distention, mild pain and moving from place to place is what type of pain?
Distending
Diagnose: Distending Pain
Qi Stagnation, Fire Rising (headache)
Chest, Epigastric, hypochondriac, abdominal regions of pain are locations of what type of pain?
Distending
What type of pain is sharp in nature and fixed in location?
Prickling
Diagnose: Pricking pain
Blood Stasis
Chest, epigastric, hypochondriac, lower abdominal regions are locations of what type of pain?
Pricking
Heavy sensation defines what type of pain?
Weighty
Diagnose: Weighty pain
Damp blocking Qi and Blood
Head, four limbs and lumbar regions are all locations where you would fine what type of pain?
Weighty
What type of pain is referred to as Twisting pain?
Colicky
Diagnose: Colicky pain
Abrupt obstruction of the Qi by substantial pathogenic factors
What type of pain is spasmodic in nature and short in duration?
Pulling
Diagnose: Pulling pain
Liver Disorders, Liver Wind
What type of pain has burning sensations and preference for coolness?
Burning
Diagnose: Burning Pain
- Fire/Heat invading collaterals
* Yin Deficiency with empty heat
Hypochondriac regions on both sides, epigastric regions are the locations of which type of pain?
Burning
What type of pain has cold sensations and preference for warmth?
Cold
Diagnose: Cold Pain
- Excess cold blocking the collaterals
* Yang Qi Deficiency unable to warm Organs and Merdians
Head, lumbar, epigastric and abdominal regions are all locations of which type of pain?
Cold
What type of pain is not severe, bearable, lingering and may last for a long time?
Dull
Diagnose: Dull Pain
- Cold Symptoms
* Deficiency Type
What type of pain has a hollow sensation?
Hollow
Diagnose: Hollow Pain
- Blood Deficiency leading to emptiness of vessels
* Retardation of Blood circulation
Diagnose: Chronic tiredness, desire to lie down, poor memory, loose stools
Spleen Qi Deficiency
Diagnose: Chronic tiredness, desire to lie down, poor appetite, loose stools + cold symptoms
Spleen Yang Deficiency
Diagnose: Chronic tiredness, weak voice, propensity to catch cold
Lung Qi Deficiency
Diagnose: Chronic tiredness, weak voice, propensity to catch cold + cold symptoms
Lung Yang Deficiency
Diagnose: Chronic tiredness, slight depression, dizziness, scanty periods
Liver Blood Deficiency
Diagnose: Chronic tiredness, anxiety, insomnia, dry mouth at night, tongue without coating
Kidney Yin Deficiency
Diagnose: Chronic tiredness, anxiety, tenseness, wiry pulse
Liver Qi Stagnation
Diagnose: Short term tiredness, alternating cold and hot, irritability, unilateral coating on tongue, wiry pulse
Shao Yang Pattern
Diagnose: Impotence with feeling of cold, backache, weak knees (males)
Kidney Yang Deficiency
Diagnose: Impotence, palpitations, dizziness, choppy pulse (males)
Heart Blood Deficiency
Diagnose: Impotence, palpitations, insomnia, dream-disturbed sleep, rapid overflowing pulse (males)
Heart Fire
Diagnose: Impotence, heaviness of the scortum, urethral discharge (males)
Liver Damp Heat
Diagnose: Lack of Libido (males)
- Kidney Qi or Yang Deficiency
- Deficiency of Heart, Spleen, or Lung
- Liver Qi Stagnation
Diagnose: Premature Ejaculation (males)
- Kidney Qi not Firm
- Heart Qi Deficiency
- Heart Blood Deficiency
Diagnose: Ejaculation causing tiredness/Dizziness (males)
Kidney Deficiency
Diagnose: Lack of Libido or an inability to reach an orgasm (females)
Kidney Yang or Heart Deficiency
Diagnose: Excessive sexual desire (females)
- Liver/Heart Fire
* Kidney Yin Deficiency with empty Heat
Diagnose: Inability to reach orgasm (females)
Heart Deficiency
Diagnose: Orgasm causing headache (females)
- Rebellious Qi of Chong Vessel
* Heart Fire
Diagnose: Skin is hot and stays hot to touch
Wind Heat
Diagnose: Skin feels cool at first and then warms
Damp-Heat
Diagnose: Skin is cool, but hot at depths, to the bone
- Yin Xu with Empty Heat
* Steaming Bone Syndrome
Diagnose: Superficial Pulse
- Invasion of External Wind
* Yin Deficiency (interior conditions)
Diagnose: Yin/Yang of floating pulse
Excess
Diagnose: Deep Pulse
- Pathogenic factor in the Interior (Deep-Full)
* Yang Deficiency (Deep-weak)
Diagnose: Slow Pulse
- Cold Pattern
- Empty-Cold (Slow and Weak)
- Full-Cold (Slow and Full)
Diagnose: Rapid Pulse
- Heat Pattern
- Full Heat (Rapid and Full)
- Empty-Heat (Rapid and Floating-Empty)
Diagnose: Deficient Pulse
- Qi Deficiency
- Blood Xu
- Yin Xu (Xu and Superficial)
- Yang Xu (Xu and Deep)
Diagnose: Excess Pulse
- Full Pattern
- Full Heat (Full-Rapid)
- Full Cold (Full-Slow)
Diagnose: Surging Pulse
- Full Heat Consuming the fluids
- Qi Sinking
- Empty Heat (Surging-Empty)
Yin/Yang of surging pulse
Yin within yang
Diagnose: Thready Pulse
*Blood Deficiency
*Yin Deficiency
*Yang Deficiency (Thready-Deep)
*Qi Deficiency
{any xu really}
Diagnose: Rolling Pulse (Yang within Yin)
- Heat
- Phlegm
- Dampness
- Retention of food
- Pregnancy
Diagnose: Hesitant Pulse
- Blood Deficiency
- Blood Stasis
- Exhaustion of Body Fluids
Diagnose: String-Taut Pulse
- Liver Disharmony (Not liver Qi stagnation)
- Pain
- Phlegm
Diagnose: Tense Pulse
- Cold
- Exterior Cold (Tight-floating)
- Interior Full-Cold (Tight-Full-Deep)
- Interior Empty-Cold (Tight-Weak-Deep)
- Pain, esp. from cold
Yin/Yang of Tense pulse
Yang within Yin
Diagnose: Soft Pulse
- Dampness with Qi Xu
- Yin Deficiency
- Essence Deficiency
Diagnose: Weak Pulse
*Yang Deficiency (Weak-Deep)
*Blood Deficiency
*Yin Deficiency (Weak-Superficial)
{any xu}
Diagnose: Abrupt Pulse (Irregularly, irregular, slightly fast)
- Severe Heat
- Heart Qi Deficiency
- Heart Fire
Diagnose: Knotted Pulse (Irregularly, irregular, slow)
- Heart Blood Stasis
* Heart Blood Deficiency
Diagnose: Regularly Intermittent
- Serious problem with Internal Organs
- 4 beats of less call 911
- Heart problem in western medical sense
Name the following as True/False Heat and Cold: Pale and wet tongue
True Cold + False Heat
Name the following as True/False Heat and Cold: Strong body tongue, red, dry
True Heat + False Cold
Name the following as True/False Heat and Cold: Desire to drink warm fluids, body feels hot but he or she likes to be covered, pale urine
True Cold + False Heat
Name the following as True/False Heat and Cold: Desire to drink cold fluids; scanty-dark urine, cold limbs, but chest is hot
True Heat + False Cold
Name the formula for True Cold + False Heat
Si Ni Tang
Name the formula for True Heat + False Cold
Bai Hu Tang
What s/s are you mainly looking at when determining true/false heat and cold?
At the coverings, urine color, & tongue body
What type of deficiency has pale face, weak voice, slight sweating, slight shortness of breath, tiredness, loose stools, a poor appetite, and an empty pulse
Qi Deficiency
What type of deficiency has chilliness, a bright pale face, cold limbs, absence of thirst, a desire for hot drinks, loose stools, frequent pale urination, pale and wet tongue, with a weak pulse
Yang Deficiency
What deficiency has dull-pale face, pale lips, blurred vision, dry hair, tiredness, poor memory, numbness and tingling, insomnia, scanty periods, pale-thing tongue and fine or choppy pulse
Blood Deficiency
What type of deficiency has feeling of heat in the afternoon or evening, a dry throat at night, night sweating, a thin body, Red-peeled and dry tongue, floating-empty pulse
Yin Deficiency
Diagnose: Profuse cold sweat like pearls (or oily) coolness of the body, feeble breathing, listlessness
Yang Collapse
Diagnose: Sticky sweat, feverish of the body, warm hands and feet, irritabilty, restlessness
Yin Collapse
When looking at Yin/Yang collapse what symptom is the main symptom that will differentiate between the two?
Type of Sweat
Yang= cold sweat like pearls
Yin= Sticky sweat
What is the pathological Qi direction for: Belching, hiccup, nausea, vomiting? And this pertains to what organ?
Stomach Qi rebelling Upward
What is the pathological Qi direction for: diarrhea, prolpase? And this pertains to what organ?
Spleen Qi sinking (descending)
What is the pathological Qi direction for: Headache, dizziness, irritability? And this pertains to what organ?
Liver Rising (ascending)
What is the pathological Qi direction for: Belching,nausea, vomiting? And this pertains to what organ?
Liver’s relationship with the Stomach Rebelling horizontal
What is the pathological direction for: diarrhea? And this pertains to what organ?
Liver’s relationship with the Spleen rebelling horizontally
What is the pathological Qi direction for: dry stools? And this pertains to what organ?
Liver’s relationship with Large Intestines rebelling horizontally
What is the pathological Qi direction for: burning urination? And this pertains to what organ?
Liver rebelling downward
What is the pathological Qi direction for: cough, asthma? And this pertains to what organ?
Lung rebelling upward
What is the pathological Qi direction for: asthma (difficulty on exhalation)? And this pertains to what organ?
Kidney rebelling upward
What is the pathological Qi direction for: mental restlessness, insomnia? And this pertains to what organ?
Heart rebelling upward
Diagnose: “floaters in the eyes”, numbness of the limbs, cramps, scanty menstrual flow or amenorrhea
Liver Blood Deficiency
Diagnose: Palpitations, dream-disturbed sleep, poor memory, pallor, pale lips, anxiety, tendency to be startled
Heart Blood Deficiency
Diagnose: Dark menstrual blood with dark clots
Liver Blood Stasis
Diagnose: Purple lips, a stabbing or prickling pain in the chest, mental restlessness
Heart Blood Stasis
Diagnose: Feeling of oppression of the chest, coughing of dark blood
Lung Blood Stasis
Diagnose: Vomiting of the blood, dark blood in the stools
Stomach Blood Stasis (rule out upper GI Bleeding & Cancer)
Diagnose: Blood in the stools with bright red blood
Large Intestine Blood Stasis (diverticulitis, tumors, hemorrhoids)
Diagnose: Painful periods, dark menstrual blood with dark clots, abdominal masses
Blood Stasis in the Uterus
Qi Stagnation or Blood Stasis:
More distenstion than pain, moving pain, distending pain, feeling of fullness, abdominal masses appearing and disappearing, nothing appearing on the skin, face color may be unchanged, normal color or slightly purple tongue, only slightly string-taut pulse
Qi Stagnation
Qi Stagnation or Blood Stasis:
More pain that distension, fixed pain, boring or stabbing pain, fixed abdominal masses, may manifest with purple blotches or bruises on the skin, dark color or blusih green face, purple tongue and possibly with purple spots, string-taut hesitant pulse
Blood Stasis
Name the phlegm and corresponding formula:
Dizziness, nausea, vomiting, numbness of the limbs, coughing, coughing of phlegm, a rattling sound in the throat and aphasia
Wind Phlegm => Ban Xia Bai Zhu Tian Ma Tang
Name the phlegm and corresponding formula:
Expectoration of yellow-sticky phlegm, a red face, dry mouth and lips, restlessness, red tongue with sticky yellow coating, rapid-rolling pulse
Phlegm Heat => Ding Chuan Tang
Name the phlegm and corresponding formula:
Expectoration of white watery phlegm, a cold feeling in the limbs and back, nausea, pale tongue with white wet coating, deep rolling slow pulse
Cold Phlegm => Su Zi Jiang Qi Tang
(compare with Damp Phlegm)
Name the phlegm and corresponding formula:
Expectoration of very profuse phlegm, which is white and sticky, no appetite, no thirst, a feeling of oppression of chest and epigastrium, stick tongue coating, rolling pulse
Damp Phlegm => Er Chen Tang
Compare with Cold Phlegm
Name the phlegm and corresponding formula:
Non-substantial, feeling of swelling in the throat (but not actual swelling), a difficulty in swallowing and a feeling of oppression of the chest and epigastrium
Qi Phlegm => Ban Xia Ho Po Tang
Name the phlegm and corresponding formula:
Substantial phlegm characterized by very watery fluids
Phlegm Fluids => Tan Yin chart is needed (HB Kim 77)
Name the Tan-Yin, Phlegm Fluid = Rheum and location:
Splashing sound in the stomach..
! Key: Gurgling sound
Phlegm Fluid (Stomach and Intestines)
Name the Tan-Yin, Phlegm Fluid = Rheum and location:
Hypochondriac pain that is worse on coughing and breathing
! Key: Cough and rib cage pain
Suspended Fluids (Hypochondrium)
Name the Tan-Yin, Phlegm Fluid = Rheum and location:
Feeling of heaviness of the body, absence of sweating..
! Key: Pain, Deep Heaviness, puffy swelling
Flooding Fluids (Limbs)
aka- Spillage Rheum
Name the Tan-Yin, Phlegm Fluid = Rheum and location:
Cough, asthma, abundant white sputum..
! Key: Cough, panting, inability to lie flat
Propping Fluids (Above Diaphragm)
Name the climate of the skin: Aversion to cold, fever, sore throat, sneezing, runny nose, occipital stiffness, floating pulse (looks like W-C)
Wind
Name the climate of the channel: Stiffness, rigidity, sudden muscle contraction
Wind
Name the climate of the joint: joint pain that moves from place to place, esp. in the upper part of the body (Wind-Bi)
Wind
Name the climate: Aversion to heat, high fever, sweating, mental confusion, thirst, overflowing-rapid pulse, red tongue with yellow coating (4 Bigs)
Fire
Name the climate: aversion to cold, fever, sweating, headaches, dark urine, thirst, floating-rapid pulse (looks like W-H) ~no dampness~
Summer Heat
Diagnose: Jaundice and Hypochondriac pain and distension
Earth insulting Wood
What are the symptoms of water overacting on grandson, fire?
None, there are no such patterns, as Kidney cannot be in excess
Name the 5 Element Differentiation:
Timidity, lack of courage, indecision, palpitations and insomnia (particular, waking up early in the hour of the morning)
[looks like GB Xu]
Wood not generating son Fire
-> Liver/Gall Bladder not nourishing Heart
Name the 5 Element Differentiation:
Loose stools, chilliness and weakness of the limbs
[looks like Sp Xu]
Fire not generating son Earth
-> Mingmen fire not warming Spleen
Name the 5 Element Differentiation:
Phlegm in the chest, cough and tiredness
Earth not generating son Metal
-> Spleen Deficiency leading to Lung Phlegm
Name the 5 Element Differentiation:
Cough breathlessness, loos of voice and asthma [Lung s/s]
Metal not generating son Water
-> Kidney not receiving Lung Qi
Name the 5 Element Differentiation:
Dizziness, blurred vision, headache and vertigo [wood s/s]
Water not generating son Wood
-> Kidney Yin Deficiency leading to Liver Yin Deficiency
Name the 5 Element Differentiation:
Hypochondriac and epigastric pain, a feeling of distension, irritability, loose stools, poor appetite, greenish face color
Wood overacting on grandson Earth
-> Liver Qi Stagnation leading to Spleen Xu
Name the 5 Element Differentiation:
Cough with profuse yellow sputum, a feeling of heat and a red face
Fire overacting on grandson Metal
-> Excess heat in Lung
Name the 5 Element Differentiation:
Edema, difficult urination and a yellow face
Earth overacting on grandson Water
->Spleen Damp leading to Kidney Dysfunction
Name the 5 Element Differentiation:
Tiredness, irritability, a feeling of distension and a white face
Metal overacting on grandson Wood
Name the 4 Earth channels:
Lung, Large Insestine, Stomach, Spleen
Name the 4 Heaven Channels
Heart, Small Intestine, Urinary Bladder, Kidney
Name the 4 Human Channels
Pericardium, San Jiao, Gall Bladder, Liver
Name the channel with the pathological manifestation:
Cough, asthmatic breathing, anterior border of the medial aspect of the arm
Lung
Name the channel with the pathological manifestation:
Toothache, anterior border of the lateral aspect of the upper limbs, diarrhea and dysentery
Large Intestine
Name the channel with the pathological manifestation:
Hunger, deviation of the mouth
Stomach
Name the channel with the pathological manifestation:
Belching, jaundice, stiffness and pain in the root of the tongue
Spleen
Name the channel with the pathological manifestation:
Insomnia, thirst
Heart
compare with Pericardium
Name the channel with the pathological manifestation:
Yellow sclera, pain in the posterior border of the lateral aspect of the shoulder and arm
Small Intestine
Name the channel with the pathological manifestation:
Retention of urine, malaria,
Urinary Bladder
Name the channel with the pathological manifestation:
Impotence
Kidney
Name the channel with the pathological manifestation:
Mental restlessness, manic mental disorders
Pericardium
Name the channel with the pathological manifestation:
Deafness, tinnitus
San Jiao
Name the channel with the pathological manifestation:
Blurring vision, bitter taste in the mouth
Gall Bladder
Name the channel with the pathological manifestation:
Hernia, vertex headache
Liver
Name the following as True/False Heat and Cold: Pale and wet tongue
True Cold + False Heat
Name the following as True/False Heat and Cold: Strong body tongue, red, dry
True Heat + False Cold
Name the following as True/False Heat and Cold: Desire to drink warm fluids, body feels hot but he or she likes to be covered, pale urine
True Cold + False Heat
Name the following as True/False Heat and Cold: Desire to drink cold fluids; scanty-dark urine, cold limbs, but chest is hot
True Heat + False Cold
Name the formula for True Cold + False Heat
Si Ni Tang
Name the formula for True Heat + False Cold
Bai Hu Tang
What s/s are you mainly looking at when determining true/false heat and cold?
At the coverings, urine color, & tongue body
What type of deficiency has pale face, weak voice, slight sweating, slight shortness of breath, tiredness, loose stools, a poor appetite, and an empty pulse
Qi Deficiency
What type of deficiency has chilliness, a bright pale face, cold limbs, absence of thirst, a desire for hot drinks, loose stools, frequent pale urination, pale and wet tongue, with a weak pulse
Yang Deficiency
What deficiency has dull-pale face, pale lips, blurred vision, dry hair, tiredness, poor memory, numbness and tingling, insomnia, scanty periods, pale-thing tongue and fine or choppy pulse
Blood Deficiency
What type of deficiency has feeling of heat in the afternoon or evening, a dry throat at night, night sweating, a thin body, Red-peeled and dry tongue, floating-empty pulse
Yin Deficiency
Diagnose: Profuse cold sweat like pearls (or oily) coolness of the body, feeble breathing, listlessness
Yang Collapse
Diagnose: Sticky sweat, feverish of the body, warm hands and feet, irritabilty, restlessness
Yin Collapse
When looking at Yin/Yang collapse what symptom is the main symptom that will differentiate between the two?
Type of Sweat
Yang= cold sweat like pearls
Yin= Sticky sweat
What is the pathological Qi direction for: Belching, hiccup, nausea, vomiting? And this pertains to what organ?
Stomach Qi rebelling Upward
What is the pathological Qi direction for: diarrhea, prolpase? And this pertains to what organ?
Spleen Qi sinking (descending)
What is the pathological Qi direction for: Headache, dizziness, irritability? And this pertains to what organ?
Liver Rising (ascending)
What is the pathological Qi direction for: Belching,nausea, vomiting? And this pertains to what organ?
Liver’s relationship with the Stomach Rebelling horizontal
What is the pathological direction for: diarrhea? And this pertains to what organ?
Liver’s relationship with the Spleen rebelling horizontally
What is the pathological Qi direction for: dry stools? And this pertains to what organ?
Liver’s relationship with Large Intestines rebelling horizontally
What is the pathological Qi direction for: burning urination? And this pertains to what organ?
Liver rebelling downward
What is the pathological Qi direction for: cough, asthma? And this pertains to what organ?
Lung rebelling upward
What is the pathological Qi direction for: asthma (difficulty on exhalation)? And this pertains to what organ?
Kidney rebelling upward
What is the pathological Qi direction for: mental restlessness, insomnia? And this pertains to what organ?
Heart rebelling upward
Diagnose: “floaters in the eyes”, numbness of the limbs, cramps, scanty menstrual flow or amenorrhea
Liver Blood Deficiency
Diagnose: Palpitations, dream-disturbed sleep, poor memory, pallor, pale lips, anxiety, tendency to be startled
Heart Blood Deficiency
Diagnose: Dark menstrual blood with dark clots
Liver Blood Stasis
Diagnose: Purple lips, a stabbing or prickling pain in the chest, mental restlessness
Heart Blood Stasis
Diagnose: Feeling of oppression of the chest, coughing of dark blood
Lung Blood Stasis
Diagnose: Vomiting of the blood, dark blood in the stools
Stomach Blood Stasis (rule out upper GI Bleeding & Cancer)
Diagnose: Blood in the stools with bright red blood
Large Intestine Blood Stasis (diverticulitis, tumors, hemorrhoids)
Diagnose: Painful periods, dark menstrual blood with dark clots, abdominal masses
Blood Stasis in the Uterus
Qi Stagnation or Blood Stasis:
More distenstion than pain, moving pain, distending pain, feeling of fullness, abdominal masses appearing and disappearing, nothing appearing on the skin, face color may be unchanged, normal color or slightly purple tongue, only slightly string-taut pulse
Qi Stagnation
Qi Stagnation or Blood Stasis:
More pain that distension, fixed pain, boring or stabbing pain, fixed abdominal masses, may manifest with purple blotches or bruises on the skin, dark color or blusih green face, purple tongue and possibly with purple spots, string-taut hesitant pulse
Blood Stasis
What is the Point and Collateral Channel for:
Heat sensations in the wrist and palm, shortness of breath
Lung, Lu 7
What is the Point and Collateral Channel for:
Aphasia
Heart, H-5
What is the Point and Collateral Channel for:
Cardiac pain and mental restlessness
Pericardium, P-6
What is the Point and Collateral Channel for:
Toothache
Large Intestine, LI-6
What is the Point and Collateral Channel for:
Warts on the skin
Small Intestine, SI-7
What is the Point and Collateral Channel for:
Cubital
San Jiao, SJ-5
What is the Point and Collateral Channel for:
Sudden Hoarseness of voice, (epilepsy)
Stomach, ST-40
What is the Point and Collateral Channel for:
Nasal obstruction, watery nasal discharge
Urinary Bladder, UB-58
What is the Point and Collateral Channel for:
Coldness in the foot, paralysis of the lower limbs and inability to stand erect
Gall Bladder, GB-37
What is the Point and Collateral Channel for:
Cholera
Spleen, Sp-4
What is the Point and Collateral Channel for:
Retention of urine
Kidney, K-4
What is the Point and Collateral Channel for:
Priapism, pruritus in the pubic region, swelling of the testes and hernia
Liver, Liv-5
What is the Point and Collateral Channel for:
Distending pain and pruritus of the abdominal skin tissues
Ren, Ren-15
What is the Point and Collateral Channel for:
Stiffness of the spinal column
Du, Du-1
What is the Point and Collateral Channel for:
General aching and weakness of the joints of the four limbs
Major Spleen, Sp-21
Name the 8 Extra Vessel Channel for the pathological manifestation:
Hernia, Pain in the genital region
Ren
Name the 8 Extra Vessel Channel for the pathological manifestation:
Stiffness and pain in the spinal column, opisthotonus
Du
Name the 8 Extra Vessel Channel for the pathological manifestation:
Asthmatic Breathing
Chong
Name the 8 Extra Vessel Channel for the pathological manifestation:
Prolapse of the uterus, weakness and motor impairment of the lower limbs
Dai
Name the 8 Extra Vessel Channel for the pathological manifestation:
Insomnia, Eversion of the foot, (day time epilepsy)
Yang Qiao
Name the 8 Extra Vessel Channel for the pathological manifestation:
Lethargy, Inversion of the foot, (Night time epilepsy)
Yin Qiao
Name the 8 Extra Vessel Channel for the pathological manifestation:
Chest pain, cardiac pain and stomachache
Yin Wei
Name the 8 Extra Vessel Channel for the pathological manifestation:
Exterior symptoms such as chills and fever
Yang Wei
Shang Han Lun Acupuncture:
Tai Yang - Wind Attack (Wei Level)
Du, SI, UB
(Gui Zhi Tang)
Shang Han Lun Acupuncture:
Tai Yang - Cold Attack (Wei Level)
DU, SI, UB
Shang Han Lun Acupuncture:
YangMing - Channel Pattern, 4 Bigs (Qi Level)
LI, St, DU
(Bai Hu Tang)
Shang Han Lun Acupuncture:
YangMing - Organ Pattern (Qi Level)
Front Mu, Lower He Sea of Large Intestine, Stomach, and Spleen
(Cheng Qi Tang’s)
Shang Han Lun Acupuncture:
ShaoYin - Cold Pattern
Ren, K, Sp {Moxa + Needle}
Si Ni Tang, Jin Gui Shen Qi Wan, Zhen Wu Tang
Shan Han Lun Diagnosis and Formula:
Slight Sweating
TaiYang (open) - Wind Prevalence
*Gui Zhi Tang
Shan Han Lun Diagnosis and Formula:
Absence of sweating
Tai Yang (open) - Cold Prevalence
Shan Han Lun Diagnosis and Formula:
Retention of fluids, vomiting soon after eating, Floating-rapid pulse
Tai Yang (open)- Water Accumulation
* Wu Ling San
Shan Han Lun Diagnosis and Formula:
Hypogastric distension, fullness and urgency, blood in urine, reddish pulse tongue without coating, deep-fine-rapid or deep choppy pulse
TaiYang (open) - Blood Accumulation
*Tao He Cheng Qi Tang
Shan Han Lun Diagnosis and Formula:
4 Bigs, Red tongue with yellow coating, Overflowing-Rapid pulse
YangMing
*Bai Hu Tang
Shan Han Lun Diagnosis and Formula:
Constipation, red tongue with thick dry yellow coating, deep-full-slippery-rapid pulse (ST/LI Heat + constipation)
YangMing (Organ Pattern)
*Cheng Qi Tang's -> Da / Xiao / Tiao Wei
Shan Han Lun Diagnosis and Formula:
Alternating of shivers
ShaoYang (pivot)
*Xiao Chai Hu Tang
Shan Han Lun Diagnosis and Formula:
pale tongue with sticky white coating, deep-weak-slow pulse (Sp + St Yang Xu, MJ Xu)
Tai Yin (Close)
*Li Zhong Tang
Shan Han Lun Diagnosis and Formula:
Lying with body curled up (Kidney Yang Xu)
ShaoYin - Cold Transformation
*Si Ni Tang
Shan Han Lun Diagnosis and Formula:
A feeling of heat, irritability, insomnia, dry mouth and throat at night, dark urine, night sweating (Heart Yin Xu)
ShaoYang - Heat Transformation
*Huang Lian E Jiao Tang
Shan Han Lun Diagnosis and Formula:
Feeling of energy rising to the chest, pain and heat sensation in the heart region, cold limbs => heat in trunk; cold limbs
JueYin
Name the Wen Bing Lun Stage:
Fever, fluids not injured
Wei => Wind-heat (Exterior)
~TaiYang = Yin Qiao San
Name the Wen Bing Lun Stage:
High Fever
Qi Level (YangMing Channel Heat) {Interior}
~Bai Hu Tang
Name the Wen Bing Lun Stage:
Spots on the skin (PC Heat)
Ying-Nutritive Level
~Qing Hao Gui Zhi Tang
Name the Wen Bing Lun Stage:
Skin Eruptions
Xue Level = Blood Level {Interior}
In Wen Bing Lun what level is the fluids injured?
Once they reach interior => Qi, Ying, Xue
LI-4, LI-11, SJ-5, Du-14, UB-12, LU-11 treat what Wen Bing Lun wei level pattern?
Wind-Heat
Name Wen Bing Lung Wind-Heat Formula?
- Yin Qiao San
* Sang Ju Yin
What is the Wen Bing Diagnose for:
Fever, aversion to cold, headache, sore throat, slight sweating, runny nose with yellow discharge, swollen tonsils, body aches, slight thirst, red tongue, in the front or on the sides with thin white coatnig, floating-rapid pulse
Wind Heat (Wei Level)
What is the Wen Bing Diagnose for:
Fever, aversion to cold, no sweating, headache, a feeling of heaviness, an uncomfortable sensation in the abdomen, irritability, thirst, red tongue in the front or on the sides with a white sticky coating, soggy and rapid pulse
Summer Heat (Wei Level)
*Fever and chills (looks like D-H)
What is the Wen Bing Diagnose for:
Fever that is worse in the afternoon, body that is hot to touch, aversion to cold, swollen glands, headache, a feeling of heaviness, feeling of oppression of the epigastrium, sticky taste, thirst with no desire to drink sticky white tongue coating, soggy pulse
Damp-Heat (Wei Level)
*No fever and chills
What is the Wen Bing Diagnose for:
High fever, a feeling of heat, no aversion to cold, thirst, cough with thin yellow sputum, shortness of breath, sweating, red tongue with yellow coating, slippery-rapid pulse
Lung Heat (Qi Level) -> No damage to Yin!!
High fever that is worse in the afternoon, no aversion to cold, feeling of heat, intense thirst, profuse sweating, red tongue with yellow coating, overflowing-rapid pulse
Stomach Heat (Qi Level) -> Some Yin Damage!!
What is the Wen Bing Diagnose for:
High fever that is higher in the afternoon, constipation, dry stools, burning in the anus, abdominal fullness and pain, irritability, delirium, red tongue with thick yellow dry coating, deep-full-rapid pulse
Intestines Dry Heat (Qi Level) - Most Damage to Yin!!
What is the Wen Bing Diagnose for:
Low grade fever, tremor of the limbs, twitching, loss of weight, malar flush, listlessness, dark red tongue without coating and dry, fine-rapid pulse
Empty-Wind agitating in the Interior (Blood Level)
LI-4, LI-11, SJ-5, DU-14, DU-26, UB-40, P-9 is the acupuncture treatment for what Wen Bing Lung diagnosis?
Summer Heat
LI-4, LI-11, SP-9, SP-6, Ren-12 is the acupuncture treatment for what Wen Bing Lun diagnosis?
Damp-Heat
Name the Wen Bing Lun formula for Damp-Heat?
Huo Xiang Zheng Qi Tang
LU-5, LU-10, DU-14, LI-11, LU-1, UB-13 is the acupuncture treatment for what Wen Bing Lun Diagnosis?
Lung Heat (Chest/Diaphragm)
Name the formula for the Wen Bing Lun Diagnosis of Lung Heat.
Qing Qi Hua Tan Tang
ST-44, ST-34, ST-21, ST-43, LI-11, ST-25 is the acupuncture treatment for what Wen Bing Lun diagnosis?
Stomach Heat
Name the Wen Bing Lun formula for Stomach Heat.
Bai Hu Tang
LU-11, ST-25, SP-15, ST-37, ST-39 is the acupuncture treatment fro what Wen Bing Diagnosis?
Intestines Dry-Heat
Name the Wen Bing Lun formula for Intestines Dry Heat.
Tiao Wei Cheng Qi Tang
Name the Wen Bing point for PC Heat and spots on the skin
P-8
The most important point for the Wen Bing Diagnosis of Heat victorious stirring wind is _____.
Sp-10
Liv-3, Du-16, GB-20, SI-3, UB-62, Liv-8, K-6, K-3, Sp-6 is the Wen Bing Lun acupuncture treatment for what diagnosis?
Empty wind agitating in the interior
Name the Wen Bing Lun formula for Empty wind agitating in the interior as well as a better formula for a more chronic case
- Zhen Gan Xi Feng Tang (more acute)
* Tian Ma Gou Teng Yin
Name what Jiao has damp-heat:
Sever aversion to cold, mild or absence of fever, heavy sensation, head as if it were tightly wrapped by a cloth, heaviness of the limbs and trunk, a stifling sensation in the chest, absence of thirst, dull facial complexion, epigastric fullness and distension, poor appetite, borborygmus, loose stools
Damp-Heat in the Upper Jiao
s/s looks like Dampness w/NO heat signs
Name what Jiao has damp-heat:
Indistinct at the first touch of the skin, but becomes pronounced after being felt for a rather long time, fever which recurs after being reduced by sweating, or fever more pronounced in the afternoon, scanty and dark yellow urine, yellow tinge to tongue coating, soft and rapid pulse
Damp-Heat in Middle Jiao
start to see some heat symptoms
Name what Jiao has damp-heat:
Retention of urine, thirst with a desire to drink only a little, constipation, hardness and fullness in the lower abdomen, tongue sticky yellow or white coating, soft-rapid pulse
Damp-Heat in lower Jiao
looks like UB Damp-Heat
Name what the burner and diagnosis for:
Fever in the afternoon and evening, five-palm heat, dry mouth and throat, night sweating, deafness, lassitude
Lower Burner; Heat in Kidney
What is the formula name for Lower Burner Heat in the Kidney
Huang Lian E Jiao Tang
Name the burner and diagnosis for:
Dry and black teeth, dry and cracked lips
Lower Burner, Liver Empty Wind
Name the lower burner formula for Liver Empty Wind.
Zhen Gan Xi Feng Tang
