Hypertension

Question 0

clinical feature:

Answer 0

asymptomatic in early stage, angry, irritable, red face, poor concentration, fatigue, HT/KID damage

Question 1

normal BP:

Answer 1

140-90/60-90 mmHg

Question 2

etiology:

Answer 2

1) stress—>LIV Qi stg—>LIV yang raising
2) diet—>PH-D–>SP/ST xu
3) age—>KID xu—>LIV yang raising

Question 3

stages:

Answer 3

1) BP > 140/90
2) 1)+ enlargement of L ventricle/enlarged artery or vein in retinal fundus/ protein in urine
3) 1)+ stroke from clots in brain/ HT failure/ KID failure/ occular blood vessel bursting

Question 4

patterns:

Answer 4

1) LIV-fire flare up
2) LIV yang raising
3) retention of PH-D
4) yin/yang xu

Question 5

basic points:

Answer 5

GB-20, LI-11, ST-36, LIV-3

Question 6

main manifestations:

Answer 6

hypertension, fluctuation in early stage and consistence in middle/late stage, dizziness, headache, palpitations, insomnia

Question 7

dizziness, blurred vision, tinnitus, restlessness, insomnia, dream-sleep, numb limbs, sore/weak lumbar/knees

Answer 7

LIV yang raising

Question 8

LIV yang raising T/P

Answer 8

T= red

P=wiry, thready, rapid

Question 9

chest tightness, fullness in epigastric region, palpitations, dizziness, nausea, vomit, numb limbs, clumsy movement

Answer 9

Retention of PH-D

Question 10

Retention of PH-D T/P

Answer 10

T= thick sticky coat
P= wiry, slippery, soft

Question 11

headache, restlessness, irritability, stiff neck, red face/eyes, thirsty, constipation

Answer 11

LIV fire flare up

Question 12

LIV fire flare up T/P

Answer 12

T= red, yellow coat
P= wiry, strong, rapid

Question 13

dizziness, SOB, tinnitus, listlessness, fatigue, withered complexion, numb limbs, weak lower limbs, freq. urination esp. at night

Answer 13

yin/yang xu

Question 14

yin/yang xu T/P

Answer 14

T= pale
P= deep thready

Question 15

St-40, PC-6

Answer 15

retention of PH-D

Question 16

RN-6, RN-4 (moxa)

Answer 16

yin/yang xu

Question 17

LIV-2, taiyang

Answer 17

LIV fire flare up

Question 18

K-3, SP-6, HT-7

Answer 18

LIV yang raising

Question 19

alternative remedies

Answer 19

1) auricular (subcortex, low BP, endocrine, shenmen)
2) bleed ear apex, HT, LIV yang
3) plumblossom (UB, scrum, ashi)
4) bleeding (DU-14, PC-3, UB-40, taiyang)
5) magnet (LI-11, PC-6, ST-36, LU-9)
6) herbs
7) moxa (ST-36, GB-31)

Question 20

education:

Answer 20

1) reg. emotions/stress
2) avoid overstrain
3) reg. diet (meat, salt, greasy)
4) quit smoking/alcohol
5) reg. exercise

Question 21

CAUTION

Answer 21

*avoid strong stimulation for patients with heart conditions