Lecture 3- tongue and pulse with TCM organs Flashcards
Triple warmer/ San Jiao/ triple burner
divides the body into 3 “burner” regions” and regulates the flow of Qi (energy) & fluids throughout the body
upper warmer
lungs and heart
middle warmer
stomach, spleen, liver, gallbladder
lower warmer
large intestine, small intestine, bladder, kidney, drainage ditch
TCM Tongue organ map for triple warmer
upper: top of the tongue where the heart & lungs
2. middle warmer: median of the tongue for stomach and spleen, lateral is the gallbladder and liver
3. lower warmer: back of the tongue for kidney, bladder, intestines
where do you put your middle finger when you palpate for pulse
styloid process ( the bony projections of the wrist on the posterior side)
middle finger at the styloid process
location of the triple warmer on the pulse
1 finger distal to the triple middle warmer styloid process
upper warmer
1 finger proximal to middle warmer(triple warmer of styloid process)
lower warmer
left hand organs
starting from most distal to the elbow
1. heart (cun)- upper warmer
2. liver (Guan)- middle warmer
3. Kidney (chi)- lower warmer
right hand organs
starting from most distal to elbow
1. lung (cun)- upper warmer
2. spleen (Guan)- middle warmer
3. Kidney (chi)- lower warmer
pulse diagnosis characteristics
Rate (below 60bpm, >90bpm)
rhythm (regular/ irregular)
size (long, short)
width (thin, thready, thick)
shape (wiry, soft, tense)
quality (chopped, rushing, slippery)
similar to diagnosis, gathering all symptoms and applying to a category
pattern differentiation
exterior and interior, heat and cold, excess and deficiency, yin and yang
the 8 principles
8 principles: where and what is the Exterior
skin, muscles, channels, Wei qi resides
-exterior patterns: invaded by exterior pathogenic factor
- slower onset: affecting channels
- acute onset: invasion of wind-cold/ wind-heat
8 principles: interior
internal organs, but once disease enters to interior it is now interior, therefore treating internal organ patterns
8 principles: characteristics of HEAT
feeling hot; fever, sweating, thirst
exterior patterns symptoms
fever andchills, aching body, stiff neck, floating pulse
What happens when Wei defensive Qi is present and able to fight it but there’s an excess bc of the presence of a pathogenic factor aka what happens when you get acute sick
pain worse with pressure, acute and onset, irritability, restlessness, strong voice
emptiness of the upright Qi and absence of pathogenic factor
(no pathogen present but also no presence of Qi/ decreased of Qi)
deficiency
deficiency with Sx: pale face, weak voice, slight sweating, slight SOB, fatigue, loose stool, poor appetite
Qi deficiency (AKA empty Qi)
circulates on the surface of the body to protect against external pathogens
Wei Qi
Nutritive Qi that nourishes and sustains the body’s organs and tissues
Ying Qi
gathering Qi that is responsible for inhalation and exhalation of breath + lung function
Zong Qi
body’s constitutional energy and vitality
Yuan Qi- true qi
Qi
vital life force or energy that flows throughout the body, supporting its functions and maintaining overall health
bright pale face, cold limbs, absences of thirst, desire for hot drinks, frequent pale urination
Empty yang (yang deficiency)–>could also be empty cold
heat in the afternoon, dry throat at night, night sweats
Empty Yin, yin deficiency
dull-pale face, pale lips, dry hair, blurred visions, tiredness, poor memory, insomnia, scanty periods
Blood deficiency (empty blood)
What are the external and internal factors that causes disease
-external factors: pathogens
-internal factors: stress, emotional problems that damage the organs
- organ impairment: diet, drugs, lifestyle, Rx, emotional factors, external pathogens
6 external pernicious (pathogenic) influence/ factors
- wind
- cold
- heat
- dampness
- dryness
- summer heat
wind pathogenic factor
Yang , acute onset
- lungs affected first (external wind)
-liver affected (internal wind)
-causes tremors, convulsions, stiffness, paralysis
when wind invades the muscles and channels it causes
stiffness, rigidity, contraction of muscles
when wind invades the joints it causes:
joint to joint pain , & in upper body
DDX: wind cold
sneezing, cough white discharge, body stiffness and aches
-pulses: floating, often no change from normal
-tongue: no change
DDX: wind heat
aversion to wind/heat, fever, sneezing, cough with yellow discharge, runny nose with yellow mucus, itchy, sore throat, swollen tonsils, red tonsils
-pulses: superficial but usually no change
- tongue: normal
internal wind
tremors, tics, itchiness, severe dizziness, vertigo,
severe: convulsions, unconsciousness, hemiplegia
deviation of mouth, tongue
injures yang, contracts and congeals (stagnation/ accumulation of pathological substances or energy in the body), causes CLEAR discharge
cold
sleepiness, severe localized pain, but improved by heat, white tongue coating and body discharges, slow pulse, craves warmth, feels cold, pale complexion, lacks thirst, loose stool, clear urine
cold
yang in nature, blazes upwards, drying (damages blood and yin) may cause bleeding, potential to generate wind when severe, affects the mind
heat
high fever, desires cold, aversion, heat sensation, redness- skin, face, eyes, thirst, constipation, dark urine, restlessness, irritability,
-bleeding Sx cough, vomit, gums, urine, stool, skin
- rapid anything- pulse, breathing rate
- yellow tongue coating (full heat) body discharges
heat
excess of yin, from damp environments, clothes, living, wading, diet, lack of movement, sticky and difficult to get rid of, heavy and slow
dampness
feelings of heaviness, pain, swollen/oozing, no appetite, bloating, made worse with food, cloudiness of discharges
-pulses: slippery
-tongue: sticky, coat and fat swollen tongue
dampness
very dry/ hot weather, internal heat, dry warming. foods, lack of fluid intake, not enough fruits/veggies, salty processes foods
-all Sx= dry
-internal dryness= Yin deficiency without heat signs or sX
dryness
yang in nature, like a heat stroke, combo of heat and damp, 1st aid situation
summer heat
Think of sweat and feeling hot in the summer
strong intolerance/ dislike
aversion
aversion(dislike) to heat, sweating/ no headache, dark urine, dry lips, feeling of heaviness, irritability, thirst, no thirst if severe
-pulse: rapid
-tongue: red on the sides and tip
- delirium, slurred speech and unconsciousness
summer heat
Full heat vs Empty heat:
what is FULL HEAT and common symptoms
- used to describe different patterns in the body
- EXCESS HEAT, intense heat syndromes from the accumulation of excess heat
what are some examples of FULL HEAT
ACUTE CONDITIONS infections: sore throat, inflammatory conditions like bronchitis, heatstroke
Full heat vs empty heat:
what is EMPTY HEAT
yin deficiencies
- lack of body’s cooling and nourishing properties
- chronic conditions or deficiencies in Yin, fluids. nutrition or vital substances
how does the symptoms presents itself in EMPTY HEAT
Yin deficiency: low grade fevers, night sweats, dry mouth, fltoatin-gempty, rapid pulse, no bitter taste, slight flush, anxiety, dry stools, waking up often
what are some examples of EMPTY HEAT
yin deficiency:
menopause: hot flashes, night sweats, empty yin
diabetics: excessive thirst and urination could be a lose of fluids
chronic inflammation: autoimmune diseases
how do the symptoms present itself in those with FULL HEAT
Acute
- high fevers, full-rapid pulse, strong thirst, redness of face and tongue, bitter taste
- tongue: red with yellow coating
how do you treat full heat and empty heat
full heat and empty heat represent different underlying patterns
full heat: clearing excess heat,
empty heat: nourishing and replenishing the body’s deficient substances, such as yin or fluids.
full cold vs empty cold: WHAT IS FULL COLD
EXCESS COLD,; ACUTE conditions with excessive accumulation and exposure to the cold
how does full cold symptoms present
severe chills, bright-white pale face, sharp pain and worse on pressure, pulse is full-tight-deep with thick white coating
how do you treat full cold
dispersing or warming the cold by removing person out of that environment
full cold vs empty cold: WHAT IS EMPTY COLD
yang deficiency, CHRONIC lack of body’s ability to warm and feeling of cold, lack of nourishing components to balance out the cold
how does empty cold symptoms presents itself
dull-white face, better on pressure, worse after bowel movement , weak-slow-deep pulse, thin white coating
how do you treat empty colds
nourishing yang organs and vital substances that provide warmth and balance
