Internal Therapeutics Flashcards
Severe chills, mild fever, no sweating or with mild sweating, headache, general aching or soreness of limbs, nasal obstruction, sneezing, clear nasal discharge, itchy throat, coughing up thin white sputum, no thirst or slight thirst
Tongue normal, coating thin and white
Pulse superficial, tense and soft
Wind cold Common cold POT relieve the exterior with acrid-warm herbs GV 16, UB 12, GB 20, LU 7, LI 14 Ma huang tang, Gui zhi tang
Common Cold- pathology
Wind cold…..damp
Wind heat…..summer heat
Severe fever, mild chills, sweating, distending or pounding headache, nasal obstruction, white or sticky nasal discharge, congested and sore throat, coughing up white or sticky sputum, thirst or mild thirst
Red tongue tip
Coating thin, white, dry or thin yellow
Pulse … Superficial and rapid
Common Cold
Wind Heat
POT
Relieve the exterior
Acrid cool herbs
GV 14, LI 11, SJ 5, LI 4, LU 10, LU 11
Yin qiao San
Sang ju yin
Mild chills, fever, mild sweating, heavy sensation in head or whole body, cough with sticky sputum, dizziness, irritability,stuffiness in chest, poor appetite, no thirst, abdominal distension and pain, nausea, vomiting,diarrhea with foul smell
Tongue: red tip, thin or thick yellow sticky coating
Pulse:superficial,rapid, slippery or soft
Common Cold… Summer-Heat with Damp
Common Cold -Syndromes
Wind-Cold
Wind-Heat
Summer-Heat with Damp
Common Cold -Points
LI 4 (¥,entry, h.s.)
Heat: du 14, SJ 5 (£, yangwei)
Cold: GV 16, UB 12, GB 20, LU 7 (£, Ren)
Wind:LI 11 (tonification, hs, he sea)Lu 10 (yin spring) Lu11(jing well)
Damp: St 36 (he sea, hs), Sp 9 (he sea), CV 12
Cough Syndromes-Exogenous
Wind-Cold
Wind-Heat
Wind-Warm Dryness
Wind-Cool Dryness
Spasmodic cough, itchy throat
A little dilute white sputum, easy expectoration
Exterior wind-cold Sx
Wind-Cold Syndrome Cough
Exogenous
Paroxysmal cough, hoarse voice
Yellow or white sticky sputum
Exterior W-H Sx
Wind-Heat Cough, exogenous
Common Cold, Summer-Heat with Damp Tx
POT: Clear Summer-Heat and Remove Damp to Relieve the Exterior
GV 14, LI 4, SJ 5, ST 36, SP 9, CV 12
Wind Heat Cough Tx
Course wind, clear heat, depurate lung
GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1, LI 11, Du 14
Mulberry Leaf and Chrysanthemum decoction
Ephedra-prunus-gypsum-liquorice decoction
Severe dry cough, little sputum, difficult expectoration (May be blood), dry nose and lips, dry throat with pain
Ext W-H Sx
Wind Warm Dryness Syndrome Cough
Wind Warm Dryness Syndrome Cough Tx?
Course wind, clear lung, moisten dryness
GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1, K6
Wind-Cold Syndrome Cough
POT: course wind, dissipate cold, diffuse lung
GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1 & SJ 5
Stop cough powder, 3 unbinding decoction
Severe dry cough, little sputum, difficult expectoration (maybe blood), dry nose, dry lips, dry throat with pain
Exterior W-C Sx
Wind-Cool Dryness
Exogenous cough
Wind-Cool Dryness Cough Tx
Course wind, warm lung, moisten dryness
GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1, & K 6
Apricot kernel and perilla leaf powder
Exogenous Cough - Points
Exogenous Cough: GB 20, LI 4, Lu 7, Lu 5, UB 12, Lu 1
Cold: SJ 5
Heat: GV 14
Dry: K 6
Endogenous Cough Types
Retention of Phlegm-Damp in the Lung Retention of Phlegm-Heat in the Lung Retention of Cold-Fluid Phlegm in the Lung Liver Fire Burning Lung Lung Qi Xu Lung Yin Xu
Endogenous Cough -Points
Retention of Phlegm +…: Lu 5, Lu 7, St 40, Lu 1, UB 13, UB 20
+Heat: LI 11
+Cold Fluid: St 36, Sp 9
Liver Fire: Liv 2, Lu 10, Lu 8, UB 13, UB 18
Lung Xu:UB 13, Lu 9, Lu 7, Lu 1
If Lu Qi Xu: +UB 20
If Lu Yin Xu:+K 6, UB 43
Cough or heavy cough, heavy rattling sound
Copious sticky greasy/ v.thick white or grey sputum
Fullness in chest/epigastrum, nausea, poor appetite, general lassitude
Tongue normal to pale and puffy, with white greasy coating
Pulse slippery and soft
Retention of Phlegm-Damp in Lung
Exogenous Cough
Retention of Phlegm-Damp in Lung
Exogenous Cough
Tx ?
Lu 5, Lu 7, St 40, Lu1, UB 13, UB 20
Cough or heavy cough with rattling sound, yellow thin or thick, sticky sputum. Fevered sensation and or red face. Tongue red with yellow sticky coating, pulse slippery and fast.
Retention of Phlegm-Heat in the Lung
Endogenous Cough
Retention of Phlegm-Heat in the Lung Tx?
Lu 5, Lu 7, St 40, Lu 1, UB 13, UB 20, + LI 11
Clear Heat and Transform Phlegm Pill
Cough, copious clear or white, frothy, dilute sputum. Cold limbs, aversion to cold, often in winter. Tongue pale, puffy, slightly purple with white, slippery or sticky coating. Soft pulse.
Retention of Cold Fluid/Phlegm in the Lung
Endogenous Cough
Retention of Cold Fluid/Phlegm in the Lung Tx?
Lu 5, Lu7, St 40, Lu 1, UB 13, UB 20,
+ St 36, Sp 9
Irritating cough, no or small amount of sticky, difficult to expectorate sputum, red eyes and face, dry mouth and throat, hypochondriac pain, emotions easily change condition. Tongue red with thin dry yellow coat. Pulse wiry and rapid.
Liver Fire Burning Lung
Endogenous Cough
Liver Fire Burning Lung Tx?
Lv 2, Lu 10, Lu 8, UB 13, UB 18
Mulberry Leaf and Moutan Decoction to Drain The White
Cough and weak voice, SOB. Copious, clear dilute sputum difficult to expectorate due to low e-. Pallor, aversion to wind, sweating, vulnerable to colds, lassitude, dislike speech, fatigue. Tongue pale with scallops, normal coating. Weak pulse.
Lung Qi Xu
Endogenous Cough
Lung Qi Xu Tx?
UB 13, Lu 9, Lu7, Lu 1
+ UB 20
Warm Lung herbals, 6 Gentlemen with Auc and Amomum
Unproductive Cough, some sticky sputum which may have blood, Yin Xu Sx. Tongue red with little coat. Pulse threads and rapid.
Lung Yin Xu
Endogenous Cough
Lung Yin Xu Endogenous Cough Tx?
UB 13, Lu 9, Lu7, Lu 1, K 6, UB 43
Lilly Bulb Decoction to preserve Metal
Types of Athsma
Shi (exhalation):
Phlegm-Heat, Phlegm-Cold
Xu (inhalation issues):
Yin, Yang, Zong-Fu (Sp, K, Lu, Ht)
During Attack: Cold Phlegm Heat Phlegm Phlegm Damp Yin Xu with Phlegm Heat Yang Qi Xu with Phlegm Damp
During Remission:
Lung Xu
Spleen Xu
Kidney Xu
Asthmatic breathing, rattling in throat, difficult exhalation.
Mild cough with white, dilute, or frothy sputum
No thirst, pref hot drinks
Chills with fever, anhidrosis, headache, general aching.
Pale bluish complexion, tongue coating white and slippery, pulse wiry and tense, maybe superficial.
Cold Phlegm in the Lung
Asthma, attack phase
Cold Phlegm in the Lung
Asthma Attack
Tx?
POT: warm lung, dissipate cold, transform phlegm to relieve asthma
Dingchuan, UB 13, Lu 1, CV 17, CV 22, Lu 5, Lu 7, St 40
Xiao Qing Long Tang
Asthmatic breathing, rattling in throat, difficult exhalation.
Paroxysmal cough with thick yellow sputum, thirst for cold drinks, irritability, sweats, no chills (internal heat), possible exterior wind cold Sx , red face and tongue, thin, yellow sticky tongue coating, rapid or superficial rapid pulse
Phlegm Heat in the Lung
Asthma Attack
Phlegm Heat in the Lung
Asthma Attack
Tx?
Clear heat and facilitate the lung, transform phlegm to relieve asthma.
Dingchuan, UB 13, Lu1, CV 17, CV 22, Lu 5, Lu 7, St 40
+Lu 10 or LI 11
Asthmatic breathing, rattling in throat, difficult exhalation.
Cough with profuse white sticky sputum, gurgling throat, no thirst, thick sticky tongue coat, slippery pulse
Phlegm Damp in the Lung
Asthma Attack
Phlegm Damp in the Lung
Asthma Attack
Tx?
Expel phlegm, check upward flow of Qi to relieve asthma
Dingchuan, UB 13, Lu 1, CV 17, CV 22, Lu 5, Lu 7, St 40
+ Sp 9, CV 12
Inconsistent breathlessness, asthmatic breathing on exertion, or severe wheezing, esp. difficult inhalation, or continued asthma, rattling in throat. Cough maybe a little sticky sputum, dry mouth and throat, afternoon fever and night sweats, malar flush, deep red tongue with little or thin yellow sticky coating, threads and rapid pulse (Xu).
(Chronic or Xu)
Yin Xu with Phlegm Heat
Yin Xu with Phlegm Heat
Xu or Chronic Asthma
Tx?
Nourish Yin of Lung and Kidney, Clear Phlegm Heat
Dingchuan, UB 13, Lu 1, CV 17, CV 22, Lu 5, Lu 7, St 40
+ UB 43
Mai Men Dong Tang
Inconsistent breathlessness, asthmatic breathing on exertion, or severe wheezing, esp. difficult inhalation, or continued asthma, rattling in throat. Feeble cough with clear dilute sputum, no thirst, chills, cold limbs, spontaneous sweats, pale complexion with purple lips, pale, puffy or purple tongue with slippery coating, deep, thready pulse
Yang Qi Xu with Phlegm Damp
Asthma Attack
Chronic Xu
Yang Qi Xu with Phlegm Damp
Chronic or Xu
Asthma Attack
Tx?
Tonify Qi and Warm Yang, dispel Phlegm Damp
Dingchuan, UB 13, Lu 1, CV 17, CV 22, Lu 5, Lu 7, St 40
+ Lu 9, St 36, GV 4
Su Zi Jiang Qi Tang, Ren Shen Ge Jie San
Types of Seizure
Western Nomenclature
Petite Mal
Grande Mal
Focal
Psycho-motor
Epilepsy
Grand Mal Stages
- Aura
- Tonic -colonic
- Convulsion
- Drowsiness
Stages do Petit Mal Seizure
Xxxxxx
Focal Seizure
(Jackson Niel, Partial)
Stages
Spasm of face/hands/feat
Spreads
Lasts less than a minute
Psycho Motor Seizure
What is it?
Brief loss of Conciousness , judgement, Uncontrolled behaviour Abnormal acts No spasms Loss of memory of event
Seizures
Organs involved
Liver Spleen Heart Kidney (All yin organs)
Epilepsy Types
TCM
During: Liver Fire with Turbid Phlegm Liver Fire with Phlegm Heat After: Liver & Kidney Yin Xu Spleen & Stomach Xu Qi Xu with Blood Stasis
Epilepsy
During
TCM types
Liver Fire with Turbid Phlegm
Liver Fire with Phlegm Heat
Epilepsy
After Attack
TCM types
Liver & Kidney Yin Xu
Spleen & Stomach Xu
Qi Xu with Blood Stasis
Palpitations
Xu Types
Heart and Spleen Xu Qi and Blood Xu Heart Yang Xu Yin Xu with Empty Fire Heart Qi and Yin Xu
Palpitations
Shi Types
Disturbance of the Mind
Heart Blood Stagnation
Phlegm Fire Disturbs Heart
Retention of Harmful Fluid
Palpitations
Common Points
UB 14 + 15
Ren 14 + 17
H 7
Pc 6
Palpitations
Qi and Blood Xu
Tx
UB 14,15/Ren 14,17/ H 7/ P 6 UB 17 (Hui Meeting of Blood) UB 20 (Spleen) St 36 (Stomach = Qi, Sea of Water and Grain) Sp 6 (Yin/ Invigorates Blood) Ren 6 (Harmonizes blood, fosters original Qi) Sp 9 (Regulates Spleen and Resolves Damp)
Palpitations
Ht Yang Xu
Tx
UB 14,15/Ren 14,17/ H 7/ P 6 St 36 (St/Sp/Yang/Yin/Qi/He-Sea/Heat) Ren 8 (Yang Collapse/ Qi) Ren 4 (Yang/Qi)
Palpitations
Heart and Spleen Xu
Tx
UB 14,15/Ren 14,17/ H 7/ P 6 UB 17 (Hui Meeting pt of Blood) UB 20 (Spleen) St 36 (He Sea/Sp/St/Qi/Yin/Yang/Qi) Sp 9 (Sp/Damp/Blood (Sp)) Sp 6 (3 Leg Yin/Blood) Ren 6 (Harmonizes Blood/Original Qi)
Palpitations
Yin Xu with Empty Fire
Tx
UB 14,15/Ren 14,17/ H 7/ P 6 UB 23 (Kidney) Sp 6 (3 leg Yin, Invigorates Blood) K 3 (PV* K) H 8/ P 8/ Liv 2 (Ying Spring and Fire pts)
Palpitations, listlessness, short of breath, poor memory, insomnia, dizziness, blurred vision, sallow complexion, spontaneous sweating, pale tongue with thin white coat, thready pulse.
Dx?
POT?
Heart and Spleen Xu / Qi and Blood Xu
Tonify Qi and Blood, Calm the Mind
Palpitations, worse with movement, chills, cold limbs, pale complexion. Suffocation in the chest, SOB, pale and puffy tongue with thin white coat. Pulse is deep and thready.
Dx?
POT?
Heart Yang Xu
Warm the Heart Yang to calm the mind
Palpitations, worse with anger, restlessness. Insomnia, dizziness, tinnitus, malar flush, night sweats, feverish sensation of the five hearts, soreness in the lumbar. Tongue is red with a thin and yellow coating. Pulse is thready and rapid
Dx?
POT?
Palpitations,
Yin Xu with Empty Fire
Nourish Heart and Kidney Yin to Clear Empty Fire
Palpitations, fatigue. Suffocation in the chest, SOB, sallow complexion, spontaneous sweating or night sweats, afternoon fever. Tongue si red with only a little coating. Pulse is thready and rapid, or intermittent.
Dx?
POT?
Palpitations
Heart Qi and Yin Xu
Tonify Qi and Yin to Calm the Mind
Shi Types of Palpitations
Disturbance of the Mind
Heart Blood Stagnation
Phlegm Fire Disturbs Heart
Retention of Harmful Fluid
Palpitations:
Disturbance of the Mind
Tx?
UB 14,15/Ren 14,17/ H 7/ P 6
P5 (Jing River/ Spirit)
GB 40 (Liv/GB)
UB 19 (GB)
Palpitations:
Heart Blood Stagnation
Tx?
UB 14,15/Ren 14,17/ H 7/ P 6 P 4 (moves and cools blood) UB 17 (Hui * of Blood)
Palpitations
Phlegm Fire Disturbs Heart
Tx?
UB 14,15/Ren 14,17/ H 7/ P 6 H 8/Pc 8/ Liv 2 (Ying Spring, Fire) GB 34/40, UB 19 (Liv+GB Damp Heat/ Spreads Qi)(Liv = Mom o'Ht) H 5 (Heart Rhythm) St 40 (Luo/ Ht Phlegm) Sp 9 (Damp/Yin/ He-Sea) Sp 9
Palpitations:
Retention of Harmful Fluids
Tx?
UB 14,15/Ren 14,17/ H 7/ P 6
Ren 4,6,8,9 (move the fluid)
Sp 9 (damp)
Timid people are likely to have palpitations when they are frightened by strange noises, surprising objects, or dangerous environments. insomnia, dream disturbed sleep. Thin white coating on a regular tongue. Pulse is rapid or thready and wiry.
Dx?
POT?
Palpitations: Disturbance of the Mind
Relieve palpitations, nourish the Heart to calm the Mind
Palpitations, stabbing cardiac pain. Suffocation in the chest, purple complexion, purple lips and nails. Tongue is purple with echymosis. Pulse is choppy or knotted.
Dx?
POT?
Palpitations: Heart Blood Stagnation
Quicken Qi and Blood to Remove Blood Stasis
Palpitations, worse when frightened, suffocation in the chest, restlessness, dream disturbed sleep, dry and bitter taste in the mouth. Insomnia, constipation, scanty and yellow urine. Tongue is red with a yellow and sticky coating. Pulse is wiry and slippery.
Dx?
POT?
Palpitations: Phlegm Fire Disturbs Heart
Transform phlegm and clear heat, calm the mind.
Palpitations, scanty urine, oedema. Suffocation and fullness in the chest and epigastrium, thirst without desire to drink, chills, cold limbs, vertigo, nausea, vomiting. Tongue is pale and puffy with a slippery coating. Pulse is wiry and slippery or deep thready and slippery.
Dx?
POT?
Palpitations: Retention of Harmful Fluid
Tonify Heart Yang, Warm and Resolve the Retention of Fluid
Heart Fire
Points
H 8/ P 8/ Lv 2 (Ying Spring, Fire)
Phlegm Fire Points
P 5
Blood Stagnation
P 4
UB 17
Regulate Heart Rythm
H 5 (spirit too)
Yin Xu
Sp 6
K 13
UB 23
Ht Qi
Ht 5
SJ 5, LI 4
Clear Heat
Differential Dx for Chest Bi
Stomach Ache: (Palpate!/ Assosiated Sx - heartburn, diarrhea, etc, Inducing factors, age/gender)
Palpitations: (irregularity = chief complaint, not pain)
Pleurisy: X rays, breathing (no deep breathing, can’t lie flat)
Palpitations
Causes
lifestyle gender heredity BCP Blood Pressure high or low Vitamin C or E deficiency Viral Elderly
Chest Bi
Western Classifications
Coronary Artery Disease - Angina/ chest pain ( <15 minutes)
- Myocardial Infarct
Coronary Heart Disease
Lung Diseases
Heart Attack
What is the pain like?
Shoulder blade up to the teeth hurts deeply, sense of fear or horror.
Chest Bi
Causes
Stasis Types—-W-C-D Invasion
—-Emo(Liv/Sp)
Ph-H Types—–Diet (Sp—> ph damp)
—–Ph-D Constitution (Sp—-> Ph D)
—–Elderly (K/H Yin Xu)
K Yang Xu (from being Elderly)
Chest Bi
Shi Types
Heart Blood Stagnation
Retention of Turbid Phlegm in the Chest
Stagnation of Cold in the Chest
Chest Bi
Xu Types
Liver Kidney Heart Yin Xu
Spleen Kidney Heart Yang/ Qi Xu (esp w/ Turbid Phlegm)
Qi and Yin Xu (esp w/ Blood Stasis)
Chest Bi
All Types
Shi: ---H Bl Stag ---Ret. Turbid Ph in Chest ---Cold Stag in Chest Xu: ---Liv/K/H Yin Xu ---Sp/K/H Yang Qi Xu ---Qi + Yin Xu (esp with Blood Stasis)