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Internal Therapeutics > Lin Syndrome > Flashcards

Lin Syndrome Flashcards

1
Q

What is Lin syndrome?

A

A condition of urinary dysfunction characterized by frequency, scanty urine, pain, urgency and difficulty. Often combined with distention pain in the low abdomen. Sometimes the pain radiates to the lumbar region or groin.

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2
Q

What does Lin Syndrome correspond to in terms of Western diseases?

A

UTI, cystitis (infection of bladder), urethritis, pyelonephritis (kidney and bladder infection), kidney stones, UT tumour, blockage, necrosis, chyluria (lymph liquid)

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3
Q

What are the two main categories of Lin syndrome?

A
  1. Upward pathway - infection starts below and progresses upward, 80-90% are E.coli
  2. Downward pathway - usually from the blood, bacteria travel in bloodstream and get trapped in the kidney
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4
Q

What are the 6 classifications of Lin syndrome?

A
  1. Heat
  2. Qi
  3. Blood (xue)
  4. Shi
  5. Gao
  6. Lao
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5
Q

Heat symptoms

A

Burning sensation

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6
Q

Qi symptoms

A

Distention in low abdomen, unsmooth discharge

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7
Q

Blood

A

See blood in urine

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8
Q

Shi

A

Stones or even sand in urine

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9
Q

Gao

A

Urine is thick and cloudy, milky, maybe chyluria

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10
Q

Lao

A

Chronic, repeated attack, triggered by overwork

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11
Q

What is the chief pathology of lin syndrome?

A

Damp heat in the LJ

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12
Q

What are the primary organs?

A

Kidney and UB. Next most important are LU and SP. LV, HT and SJ also involved.

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13
Q

What are the two major differences between Long Bi and Lin syndrome?

A

1) Look at the total volume of the urine during the day, Long bi is significantly decreased while Lin syndrome is still normal. Less than 100ml is a serious problem because toxins will not come out.
2) Urgent and painful urination for Lin syndrome, with Long bi there is pain in low abdomen but not on urination

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14
Q

Pyelonephritis symptoms

A

Infection in the medulla. This is worse than a UTI as it could damage your kidney function. Infection in the renal cortex is just called nephritis. Tapping test. Check blood and urine.

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15
Q

Cystitis

A

Urgent, frequent painful urination, slight fever, chills, may have blood in the urine

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16
Q

Urethritis

A

Symptoms may be worse, more pain in low abdomen and on discharge, but the urine test may be normal

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17
Q

How do they diagnose a UTI?

A

Based on clinical evaluation, collect signs and symptoms then combine with lab test. Routine urine test or culture to let the bacteria grow. Most commonly it is E. coli. Use a cystogram to look inside and see what is going on.

Need to also be able to differentiate and diagnose kidney stones.

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18
Q

Chronic repeated attacks of lin syndrome will damage _______ qi and cause ____ and _____ deficiency

A

zheng; SP; KI

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19
Q

Zhen qi is _____, Xie qi is ______

A

ben; biao

20
Q

Recall the principles for treatment in terms of ben and biao.

A

If biao is urgent treat it first. If biao is not urgent treat ben. If both are urgent treat both.

21
Q

Caution with what kind of herbals for lin syndrome?

A

Warm, acrid herbals

22
Q

What is the function of acupuncture in lin syndrome treatment

A

Regulate qi, promote qi hua function to clear damp heat

23
Q

Meridians and basic points

A

Choose 3 foot yin meridian, back shu and front mu particularly KI and UB

24
Q

Front Mu of UB

A

Ren 3

25
Q

Back shu of UB

A

UB28

26
Q

Front Mu of KI

A

GB25

27
Q

Back shu of KI

A

UB23

28
Q

Auricular selection

A

KI, BL, occipital, adrenal gland, needle or ear seeeds

29
Q

Moxibustion which points?

A

UB23, UB28, UB32 Ren3, Ren4 for chronic UTI. Use moxa with ginger. Only use for deficient conditions.

30
Q

External herbal application

A

Bai fan

31
Q

Ba zheng san (Action and which condition is it used for?)

A
  • Clear damp heat from LJ, promote urination, very good formula for UTI
  • Used for Heat Lin
32
Q

Ba zhen tang

A

Tonify yin and blood

33
Q

Is pain from a stone worse in the kidney or in the bladder?

A

Kidney. Dull lingering to severe, sharp, radiating pain

34
Q

Elector points for upper stone (kidney)

A

UB23, UB28/ UB23, RN4

35
Q

Electro points for middle stone (ureter)

A

UB23, RN4/ ashi, RN4

36
Q

Electro points for lower stone (bladder)

A

ashi, RN4/ RN4, SP6

37
Q

Electro protocol

A

Dense disperse wave. Ask patient to drink 1L of water 30 minutes before treatment. Stimulate for half an hour. Try to increase intensity as much as comfortable.

38
Q

When is the best time to treat stones?

A

During an attack as you can help them push it out.

39
Q

Herbals for stone lin syndrome

A

Jin gian ciao/ Hai jin sha

40
Q

Herbal for Lao Lin syndrome? Properties.

A

Wu bi shan yao wan

  • Very neutral, can take it for a long time
  • Can inhibit appetite, good for diabetes
41
Q

POT of Lao Lin syndrome?

A
  • Tonify upper, middle and lower jiao

- Tonify SP/KI, open water passage

42
Q

Gao lin (excess condition) herbal

A

Cheng shi bi xie fen qing yin

  • Very good for chyluria
  • Belongs to clear damp category
43
Q

What food therapy could be used to clear damp

A

Celery and corn silk

44
Q

Education for Lin Syndrome

A
  • Personal hygiene
  • Try not to overeat sweet and fat foods
  • Regulate sex
  • Regulate emotions to prevent qi lin
  • Cranberry juice, lots of water
45
Q

During what times are women more susceptible to UTI’s

A

During or after the period, after labour

Internal Therapeutics (10 decks)

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