Lecture 7 & 8 Zang Pathomechanism Flashcards
HT is susceptible to disorders of?
Qi, Blood, Yin, or Yang
Lung is susceptible to pathologies of?
why?
yin and qi
bc LU governs skin and qi, diffuses, and downbears, therefore cough, panting, weak defense qi are seen as LU disorder
SP, ST, and Intestines are prone to disorders of…?
prone to disorders of Qi and Yang
SP: governs T & T
ST: ingestion
Intestines - movt and transformation of waste
vomiting, abdominal distention, fullness, and diarrhea are associated with disease of the …?
SP, ST, Intestines
Liver is susceptible to diseases of
Yin, Yang, Qi, and Blood
Liver governs free coursing and stores blood, LV yang is prone to upbearing.
Therefore, ribside pain, blood loss dizziness, and spasms indicated Liver disease
Disease that include palpitation, interrupted pulses, and derangement of shen are ascribed to which organ?
HT
kidney disease may include disorders of …?
yin, yang, or essential qi
KD governs water, stores essence, governs bones and engenders marrow, therefore, water-swelling, urinary block, enuresis, seminal emission, limp, painful lumbus and knees and sluggish movt are all associated with KD disease
some symptoms of KD yin def
-mild heat signs such as tidal fever, malar flush, 5 center heat, night sweating
weak voice, tiredness, poor appetite, loose stools, pale face, pale tongue, empty pulse are signs of?
qi def (qi xu)
what is organ pattern of SOB, weak voice
LUNG qi def (xu)
what is organ pattern tiredness, poor appetite, loose stools?
Spleen qi def (xu)
what are some things to consider in organ pattern ID according to Macioca?
- in practice, not all patterns will present as they do in the text (mixed patterns, fewer symptoms - generally advanced case presentation)
- Do not try to fit symptoms in to “patterns” aim to understand the eitiology of the disease in front of you
- no correlation b/t Eastern Pattern ID and Western Disease Diagnosis
- changes to tongue and pulse may be the only clinical manifestations of a pattern
what are the main fx of HT?
- governs blood*
- engender blood
- commands blood vessels
- houses the shen*
- emotion is joy
- maintains sleep
- manifest in face complexion*
- opens into tongue
- controls speech
- controls sweat* (actual formation of sweat is related to HT qi, bc sweat is an off shoot of blood)
which organ is “like an emperor and is the source of spirit light”?
Heart
what causes HT qi (yang xu)?
Wisman:
- vacuity of Zong qi peventing it from entering the HT
- cater qi intimidating the HT (KD Yang vacuity)
- wind-cold damp settling in HT
- damp turbidity or static blood obstructing the HT and vessels
Macioca:
- emotional problems (particularly sadness or grief)
- blood loss
what are the signs and symptoms of HT Qi Def?
palpitations shortness of breath (SOB) on exertion pale face spontaneous sweating tiredness possible depression pulse is weak, fine, and slow, interrupted (W) pulse is empty, maybe overflowing in left cun (HT) position (GM)
what are signs and symptoms of HT Yang DEF
all sings of HT Qi xu and:
pronounced cold signs
dark, gray, qing, or purple facial complexion
signs of static blood
in advances cases (HT yang collapse) - profuse, streaming perspiration, swelling of limbs, clouded spirit and faint pulse Cyanosis of lips, bluish tongue, coma* (*GM)
pathomechanism same as HT qi xu, also KD Yang xu
What are the etiology of HT BLOOD XU and HT YIN XU?
Wiseman:
- enduring illness causing damage to yin-blood
- fire as a result of “excess of the 5 minds (fear, anger, worry, joy, pensiveness)
- HT Blood xu often occurs with Sp vacuity
- HT Yin xu often with KD Yin Xu
Macioca: Blood -diet-poor nourishment (SP qi xu) -emotional stress -severe blood loss
Yin
the above plus:
overwork
external heat injuring yin
what are the signs and symptoms of HT BLOOD DEF
- pale, white facial complexion, lusterless
- pale tongue
- fine pulse
- palpitation
- dizziness
- poor memory
- insomnia
- profuse dreaming
- emotional disturbance
GM adds:
- propensity to be startled
- pale lips
- thin tongue
- choppy or fine pulse
what are signs and symptoms of HT YIN DEF
signs of HT BLOOD DEF plus: (signs of def heat) vexing heat in the 5 centers upbearing fire night sweats tongue that is red pulse is fine and rapid
GM adds:
dry mouth and throat
fidgetiness
tongue with no coat
what is the etiology of HT FIRE?
Wiseman:
often concurrent with LV Fire or KD yin vacuity
(without KID YIN, which is water, balancing the fire, the fire will become too strong)
Macioca:
emotional stress: anxiety, constant worry
Diet: hot spicy, alcohol
What are the signs and symptoms of HT FIRE?
GM (Wiseman is similar) palpitations (if HT is involved, we see this) thirst mouth and tongue ulcers restlessness and agitation insomnia with dream-disturbed sleep red face, red tongue (redder tip) dark urine or blood in urine bitter taste pulse is full, rapid, overflowing
HT impediment is caused by?
- stoppage in the vessels (ex. cardiac plaque, heart attack, etc.)
- blood stasis: inadequate blood movt as a result of qi or yang def
- phlegm turbidity impeding flow
what are the signs and symptoms of HT impediment?
gripping heart pain, green-blue facial complexion (or purple, which is the blood stasis), faint, fine pulse (due to severe obstruction)
which organ holds the office of prime minister and is the issuer of management and regulation?
LUNG
what are the main functions of LU?
- governs qi and respiration
- controls diffusing and descending of qi and body fluid
- regulates water passages
- controls channels and blood vessels (rules 100 vessels)
- *assists heart in circulation of blood in the blood vessels
- *circulates qi in the channels
- control the skin and space bt skin and muscles (cou li space/ interstices)
- manifests in body hair
- opens into nose
- houses the Po
- *emotion is grief
what are LUNG patterns of disase?
Wiseman
-Non diffusion of LU qi (attributed to external evil invading the LU, or heat evil or cold rheum congesting the LU)
-impaired depurative downbearing of LU qi
(attributed to heat caused by transformation of exterior cold, or by brewing phlegm-damp)
-lung qi vacuity
-lung yin vacuity
Macioca: -LU qi def -LU yin def -LU dryness -invasion of LU by wind cold, heat, or water -LU heat -damp-phlegm in LU -cold-phelgm in LU -phlegm-heat in LU dry-phlegm in LU Phlegm-fluids obstructing the LU LU - HT Qi def
what are the signs and symptoms of LU pattern of NON DIFFUSION of LUNG Qi?
- initial stage of Wind-heat, or wind-cold invasion
- cough, itchy throat, loss of voice
- evil heat congesting the LU: high fever, flaring of nostrils, rapid panting, rough breathing, thick sticky yellow phlegm sometimes containing pus or blood
- tongue is red or crimson with yellow fur
- pulse is slippery and rapid
what are the signs and symptoms of LU pattern of impaired depurative downbearing of LU qi (attributed to heat caused by transformation of exterior cold, or by brewing phlegm-damp)?
- caused by dry-heat: cough (counterflow), dry cough, dry throat, loss of voice
- caused by phlegm-damp: cough (counterflow), thick, sticky phlegm, chest oppression. Tongue fur is slimy, pulse is slippery
what are the causes of LU qi xu?
chronic illness emotional stress result of exterior attach (w/h or w/c) spleen and kidney def overexertion
Sign and symptoms of LU qi def
general physical weakness, weak voice, cough, shortness of breath
tongue is pale
pulse is empty and weak
maybe: weakened defense so susceptible to invasion from external pathogens and spontaneous sweating (weakness of exterior)
Causes of LU YIN XU?
- pathogenic dry heat (or lingering lung heat over time)
- accumulation of phlegm and fire
- emotional stress
- smoking (contributing factor)
- *KD Yin Xu (contributing factor)
signs and symptoms of LU yin xu?
emaciation cough with dry or little phlegm dry mouth and throat hoarse voice perhapse blood flecked sputem
if KD-LU yin def
red cheeks, tidal fever, night sweats, sore low back, seminal emission
tongue: red
pulse: fine
