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Foundations 2 > Four Levels > Flashcards

Four Levels Flashcards

1
Q

What is the theory of four levels based off of?

What is the name of the theory ?

Who came up with the 4 levels ?

A

All disease comes from or are Induced by wind heat

Name :Wen Bing Lun

Author : YE TIAN SHI

First system to explain epidemics ( SARS, COVID, measles, chicken pox, meningitis …)

Disease enters through nose and mouth

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2
Q

What are the five characteristics wind heat/ Wen Bin diseases have in common?

A

All have fever
Pathogenic factors, enter through nose and mouth
Infectious
Pathological developments are rapid
Strong tendency to injure yin

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3
Q

What are the four patterns in the Defensive WeiQi level?

Depends on the climate the person is in

A

Wind heat
Summer heat
Damp heat
Dry heat

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4
Q

What are the western pathologies associated with Defensive Wei Qi Level?

A

Acute upper respiratory tract infections
Flu
Pharyngitis
Laryngitis
Early stages of pneumonia

study note
Remember first:
all Wei Qi Level pathologies are associated with upper respiratory infections.

Cold/ Flu (entering through nose/mouth)
Then the pathogen moves down the respiratory tract:
Pharynx (Pharyngitis)
Larynx (Laryngitis)
Lung (Early stages of pneumonia)

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5
Q

What are three main symptoms for wind heat at the WeiQi level?
What will their tongue look like?
What will the pulse be?

Give four acupuncture points you would use.

A

Three main symptoms: sore throat, runny nose with yellow discharge, swollen tonsils

Tongue: read in the front or side, thin, white coat

Pulse: floating, rapid

Acupoints:
LI 4
LI 11
TE5
GV 14 ( with cups )
BL 12 ( with cups )
LU 11

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6
Q

What are three main symptoms of summer heat at WeiQi Level?
What would the tongue look like?
What would the pulse be?
Name a four acupoints used to treat.

A

headache, heavy, feeling, uncomfortable in abdomen

Tongue: red in front or side, white sticky coat

Pulse : soggy, rapid

Acu points:
LI for
LI 11
TE5
GV 14
GV 26
BL 40
PC 9

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7
Q

What are 4 main symptoms of damp heat at WeiQi Level?
What with the tongue look like?
What with the pulse be?
Give for acupoints you would use.

A

Fever worse in the afternoon, oppression in epigastrium, sticky taste thirst with no desire to drink
swollen glands

Tongue: sticky white coat
Pulse: soggy

Acupoints:
LI for
LI 11
TE 5
SP 6
LU 9
CV 12
ST 36

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8
Q

What are the 5 patterns in the
QI LEVEL?

A

•lung heat
•Stomach heat
(Yang Ming channel)
•Intestinal heat
(yang Ming organ)
•Gallbladder heat
( shao yang)
•Damp Heat in SP/ST

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9
Q

What are the 2 key symptoms for Qi Level LUNG heat? 🫁
What does the tongue look like?👅
What is the pulse?📈

A

Cough with thick yellow sputum
Shortness of breath

Tongue: yellow coat
Pulse: floating and rapid

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10
Q

What are some acupoints used to treat Qi level lung heat?

A

LU 5
LU 10
LI 11
GV 14
LU 1
BL 13

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11
Q

What are the 4️⃣ key symptoms for stomach heat (Yang Ming CHANNEL)?

A

Big fever
Big thirst
Big Pulse
Big sweat

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12
Q

What are the symptoms found in the intestinal heat (Yang Ming ORGAN), that differentiate from
channel heat🥵?

A

Constipation
Dry stools
Abdominal burning pain
T: dry coat
p: deep

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13
Q

What are some acupoints used to treat Yang Ming channel heat?
…
what additional points are added to treat, Yang Ming ORGAN heat?

A

ST 44
LI 11
ST 34
ST 21
ST 43
ST 25

Organ Heat:
SP15
ST37
ST 39

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14
Q

What are 3️⃣ key symptoms to identify GALLBLADDER heat on the Qi Level?

Same as Shao yang in 6 levels

A

⚡️Alternating hot and cold
⚡️Bitter taste
⚡️wiry pulse

Tongue:
red with ⚡️UNILATERAL, sticky yellow coat

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15
Q

Name 4️⃣ Accupoints to treat gallbladder heat at Qi Level?

A

GB 34 ( yuan)
GB 43 ( yin spring )
TE6
TE5

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16
Q

What are three key symptoms to identifying Damp Heat in SP and ST at the Qi Level?
TP: clear heat in st and sp, resolve dampness

A

⚡️Fever improves with sweating but RETURNS
⚡️Heaviness in the body and head
⚡️Oppression in the chest

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17
Q

Name a few acupoints to treat damp heat at the Qi level?

A

LI 11
SP9
GV 12
CV nine
ST 36
BL20
BL22

18
Q

What are the western pathologies associated Qi level (full heat)?

A

Crohn’s disease
Hepatitis
Peritonitis
Gastroenteritis

19
Q

The nututative Ying level is the stage where yin is deficient.
What are the two patterns at this level?
YIN FLUIDS ARE INJURED

A

Heat in the Ying Level
Heat in the pericardium

20
Q

What are the western pathologies associated with the nutritive Ying level?

A

Chronic advanced, febrile diseases, meningitis dehydration, renal failure

21
Q

What are the clinical manifestations of Heat in the Ying Level?

A

Fever at night
⚡️Dry mouth with no desire to drink
Mental restlessness
Insomnia
Delirium
Incoherent speech
Macules

22
Q

If a patient has Heat in the Ying Level and or Heat in the Pericardium, are the tongue and pulse different or the same?
Describe the tongue and pulse for these patterns?

A

Tongue and Pulse are the same

Tongue: red without coat
Pulse: rapid and wiry

23
Q

What is the KEY clinical manifestation of heat in the pericardium?

A

Hot body, cold hands and feet

24
Q

What are the four common acupoints used to treat nutritive Ying level patterns?

What 2 additional points are added for Heat in PC?

A

HT9
PC8
PC9
KI6

Heat in PC:
PC 3
Shixuan

25
Q

What are the four patterns at the blood level?

A

Heat, victorious, moving blood (excess)
Heat, victorious, stirring wind (excess)
Empty wind, agitating interior (deficient)
Collapse of Yin or Yang

26
Q

What is a vesicle?

A

Blister like spot with clear fluid – dampness

27
Q

What is a papule?

A

Red solid spot indicates heat at Qi level – especially lung and stomach

28
Q

What is Macule?

A

Spots under the skin – cannot be felt on palpation Dash heat at yang/blood level

29
Q

What are the key symptoms to look for in Heat Victorious Moving Blood?

A

Mental restlessness/manic
Bleeding disorders
macules

30
Q

What are three key symptoms to look for in Hear victorious Stirring Wind?

A

Eyeballs turning up
Opisthotonos
Fainting

31
Q

Name some acupoints used to treat heat, victorious, moving blood?

A

BL 17
SP 10
LI 11
HT 9
Shixuan
LR2
LR 5
SP4

32
Q

Name some acupoints to use for heat, victorious stirring wind?

A

LR 3
GV16
GB 20
BL 62
KD 6
SI 3
Shixuan
SP 10

33
Q

Name some acupoints used to treat empty wind, agitating interior?

A

LR 3
GB 20
GV 16
SI 3
BL 62
KD 6
KD 3
SP 6
LR 8

34
Q

Name some acupoints used to Rescue YIN and restore consciousness?

A

ST 36
KI 3
SP 6
CV 4
KI 6

35
Q

Name some acupoints to rescue, yang and restore consciousness?

A

ST 36
CV 6
GV 4
CV 8 Moxa

36
Q

What are three key symptoms for empty wind, agitating interior ?

A

Trimmer of limbs
Weight loss
Maller flash

37
Q

What type of sweat is present in collapse of YIN?

A

Sticky sweat

38
Q

What type of sweat is present in YANG collapse?

A

Oily Sweat

39
Q

What are the 4 levels in Wen bin?

A

Qi

Wei

YING

Blood

40
Q

What are the main symptoms of dry heat in the wei qi level?
What are the acupuncture points?

A

Dry skin, mouth, nose and sore throat

T: Thin white coat,
P: Floating and rapid

LI4
LI 11
TE5
SP6
LU9
CV 12
ST 36

Foundations 2 (3 decks)

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