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FCM 4 AUDIT > Liver & Gallbladder Diagnosis. /. WOOD > Flashcards

Liver & Gallbladder Diagnosis. /. WOOD Flashcards

1
Q

ASCENDANT HYPERACTIVITY OF LIVER YANG

signs & symptoms

A

Vexation, agitation, irascibility

Red face

Headache

Dizziness tinitus

T: RED w yellow fur

P: string-like & rapid

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2
Q

ASCENDANT HYPERACTIVITY OF LIVER YANG

treatment principles

A

Enrich Yin

calm liver

subdue yang

POINTS:

  • KD 3
  • SP 6
  • SJ 3
  • LV 3
  • LV 8
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3
Q

Binding depression of liver qi

S/SX

A

Mental Depression

Sighs - usually loud, big

Chest Oppression

Rib-side pain

T:

P: STRING LIKE pulse

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4
Q

BINDING DEPRESSION OF LIVER QI

treatment principale

A

Course liver** & **Rectify Qi

Points:

  • LV 2
  • LV 3
  • LV 13
  • GB 40
  • GB 34
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5
Q

COLD STAGNATING IN THE LIVER VESSEL

signs & symptoms

A

lesser abdominal pain (aka pudendum or genitals)

testicular pain & restricted testicles

physical cold & cold limbs (relieved by warmth)

T: moist white tongue

P: deep, slow, or tight & wiry pulse

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6
Q

COLD STAGNATING IN THE LIVER VESSEL

treatment principle

A

warm liver and dissipate cold

  • Points:*
  • CV 3*
  • LV 5*
  • LV 1*
  • LV 3*
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7
Q

ETIOLOGY for liver patterns fall into 4 categories

A

1) Emotion - affect
2) Diet
3) Blood Loss
4) Exterior Evils

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8
Q

LIVER BLOOD VACUITY

s/sx

A

Dull rib-side pain

dizziness,

lusterless face,

dry thin, brittle nails

susceptibility to fear & fright

dry eyes, blurred vision,

diminished menses or menstrual block

P: string like & fine pulse

T: pale, white tongue

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9
Q

LIVER BLOOD VACUITY

treatment plan

A

Nourish blood** & **soothe liver

Points:

SP 10

PC 6

UB 17

KD 3

UB 23

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10
Q

LIVER FIRE FLAMING UPWARD

s/x

A

Red face & eyes

Bitter taste, dry mouth

Vexation, agitation

Headache, dizziness tinnitus

T: red tongue w/ yellow fur

P: string-like & rapid pulse

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11
Q

LIVER FIRE FLAMING UPWARD

treatment principles

A

Clear the liver & Drain the fire

points:

  • LV 2
  • LV 3
  • GB 41
  • UB 17
  • LI 4
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12
Q

LIVER FIRE INVADING THE LUNG

s/sx

A
  • liver fire flaming upward PLUS:*
  • c*ough w/ sticky, yellow sputum

hemoptysis (spitting up blood, blood tinged sputum)

scorching pain in the chest & rib-side

T: red tongue w/ yellow fur

P: string-like & rapid pulse

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13
Q

LIVER GALL BLADDER DAMP HEAT

s/sx

A

alternating heat & cold,

bitter taste

rib side pain

abdominal pain & distention

aversion to food

scant yellow urine yellow skin

t: yellow slimy fur
p: string-like & rapid pulse

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14
Q

LIVER GALL BLADDER DAMP HEAT

treatment

A

SP 6

SP 9

LV 3

GB 34

LV 8

GB 40

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15
Q

LIVER GALL BLADDER DAMP HEAT

treatment plan

A

clear heat and transform dampness

SP 6

SP 9

LV 3

GB 34

LV 8

GB 40

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16
Q

LIVER QI INVADING THE SPLEEN

s/sx

A

binding depression of liver qi **PLUS**

GLOMUS & FULLNESS AFTER EATING

SLOPPY DIARRHEA

T:

P: STRING LIKE pulse

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17
Q

LIVER QI INVADING THE SPLEEN

treatment

A

Harmonize the LIVER & SPLEEN

LV 13

LV 3

GB 34

REN 6

ST 25

SP 15

REN12

ST 36

SP 6

18
Q

LIVER QI INVADING THE STOMACH

S/SX

A

binding depression of liver qi plus:

N/V ?

Sour Vomit

stomach duct pain

low appetite

T:

P: STRING LIKE pulse

19
Q

LIVER QI INVADING THE STOMACH

treatment

A

Harmonize Liver & Stomach

REN 13

REN 10

REN 12

ST 36

ST 21

ST 34

PC 6

REN 17

LV 2

LV 14

20
Q

LIVER WIND STIRING INTERNALLY

signs & symptoms

A

severe dizziness, vertigo,

tremors [trembling lips, twitching flesh; if severe pulling of face & eyes;

inhibited speech/ unsteady gait

…shaking, dizzy, vision issues…

iron band sensation rigidity of neck

Sudden collapse, heliplegia, deviated tongue

tingling/numbness of limgs

P: stringlike

T: red w/dry fur

T: red & the tongue fur is dry

21
Q

LIVER WIND STIRING INTERNALLY

treatment principles

A

quell wind plus:

  • nourish yin,
  • nourish blood
  • downbear fire

points:

UB 18

LV 2

GB 20

KD 3

UB 23

KD 1

22
Q

LIVER YANG VACUITY

s/sx

A

Depression, unhappiness

Blurred vision

Rib side fullness or pain

hypertonicity below the ribs, w/withered sinews

lack of libido

T: pale white tongue fur

P: deep, fine,string like & slow or tight pulse.

23
Q

LIVER YANG VACUITY

treatment plan

A

Warm & Supplement the liver

Points:

LV 8

LV 3

HT 7

SJ 3

DU 20

UB 17

UB 18

24
Q

LIVER YIN VACUITY

s/sx

A

dizziness headache

dry & rough eyes, blurred vision

dull rib side pain

five center heat, night sweats, bitter taste

T: red tongue no coat or thin yellow fur

P: string like, fine & rapid pulse

25
Q

LIVER YIN VACUITY

treatment plan

A

enrich & supplement liver yin

Points:

LV 8

SP 6

REN 4

KD 6

LV 2

26
Q

LIVERs 4 aspects of free coursing:

A

1) qi, blood and fluids
2) emotions & spirit
3) digestive functions of ST and SP
4) Reproductive organs; semen & menses

27
Q

LIVERS main job/activity

A

Movement of qi. AKA free coursing

28
Q

points you can use for

LIVER FIRE FLAMING UPWARD

A

LV 2

LV 3

GB 41

UB 17

LI 4

29
Q

The LIVER stores

A

the BLOOD

30
Q

Treatment Principle for

BINDING DEPRESSION OF LIVER QI

A

You want to course the liver

&

Rectify Qi

31
Q

LIVER FIRE INVADING THE LUNG

Treatment plan

A

Clear heat & drain fire

moisten lung & transform phlegm

LV 2 LV 3

LV 14

REN 17

REN 22

PC 6 LU 7

LI 11

32
Q

GALL BLADDER FUNCTION

A

GB qi governs ASCENDING (it likes peace calm & quiet; doesnt like harassed & bothered)

GB IS MINISTER OF JUSTICE (governs decision making & judgement)

GB helps LIVER to course & discharge, regulating mental & emotional issues

33
Q

GALL BLADDER

etiologies

A

Digestive issues

difficulty making decisions

Tendency towards obesity

34
Q

GALL BLADDER

most likely patho changes

A

Bitter taste in mouth

Jaundice

Timidity & paranoia

35
Q

GALL BLADDER ( qi ) VACUITY

s/sx

A

anxiety, indecision

tendency to spook easily

blurred vision

restless sleep, dreaming, earling waking

tinnitus & poor hearing

t: pale tongue
p: thin & wiry or weak pulse

36
Q

GALL BLADDER ( qi ) VACUITY

treatment

A

Warm the gall bladder

Quiet the spirit

GB 40

LV 8

ST 36

SP 6

REN 4

UB 18

UB 19

UB 47

37
Q

GALL BLADDER HEAT

s/sx

A

Headache

Pain in canthi

alternating fever & cold

bitter taste, dry throat

Hypertoncity & pain below the ribs

insomnia

yellow urine & bound stool

t:

p: wiry & rapid pulse

38
Q

GALL BLADDER HEAT

treatment

A

Clear heat

soothe the gall bladder

gb 24

GB 34

DU 9

UB 19

LI 11

SJ 6

ST 9

GB 43

39
Q

DEPRESSED GALL BLADDER

& HARRASSING PHLEGM

s/sx

A

dizziness, cloudy vision

fright, palpitations, difficulty sleeping vexing heat

bitter taste w/ desire to vomit

t: red tongue w/thick yellow greasy coat
p: slippery & wiry pulse

40
Q

DEPRESSED GALL BLADDER & HARASSING PHLEGM

treatment

A

discharge heat

dispel phlegm

clear the gall bladder

harmonize stomach

GB 34

GB 24

SP 9

ST 19

REN 12

ST 40

LU 7

SJ 6 PC 6

LI 11

41
Q
A

FCM 4 AUDIT (11 decks)

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