Midterm - Winter '16 Flashcards
What is etiology?
The study of the causes of disease
What are four categories of disease causing factors?
- Internal
- External
- Non-Internal/External
- Miscellaneous
Pathogens that invade the body from outside (the environment)
External Factors
What are the six exterior pathogenic factors?
- Wind
- Cold
- Damp
- Dryness
- Fire (Warmth, Heat)
- Summer-Heat
What are the six fundamentals of Six EPF’s?
- The Six Qi become the Six Evils when they are excessive or unseasonal, or the climate changes suddenly
- EPF’s can only invade if the Zheng-Qi is weak
- All EPF’s, when affecting the body, invade through the skin, nose or mouth
- Disease due to the Six EPF’s is closely related to seasonal changes in the weather and to living environment
- Each of the Six EPF’s may affect the body singly or in combination
- The Six EPF’s may, during the process of disease and under certain circumstances, transform into each other.
What is the season of Wind?
Spring
When can wind easily invade the body?
After sweating or while sleeping
What is the primary EPF in causing disease?
Wind
Which EPF does cold, damp, dryness and heat depend on to invade the body?
Wind
What is the leading causative factor of the “hundred diseases?”
Wind
Is Wind a yin or yang EPF?
Yang
What movements characterize Wind?
upward and outward dispersion
This EPF blows in gusts and is characterized by rapid changes.
Wind
This EPF is characterized by constant movement.
Wind
What is the season of Cold?
Winter
Is Cold a yin or yang EPF?
Yin (and consumes Yang-Qi)
Which EPF causes contraction and stagnation?
Cold
What is the season of Damp?
Late-Summer
Which EPF is characterized by heaviness and turbidity?
Damp
This EPF is characterized by viscosity/”stickiness,” lingering and stagnation.
Damp
Is Damp a yin or yang EPF?
Yin (impairs yang and obstructs Qi circulation)
This EPF tends to descend and easily resides in yin areas of the body.
Damp
What is the season of Dryness?
Autumn
Which EPF causes drying and consumes body-fluids?
Dryness
This EPF easily damages the Lung.
Dryness
What is the season of Heat?
Summer
Is Heat a yin or yang EPF?
Yang
This EPF is characterized by burning and upward direction.
Heat
This EPF often consumes yin/fluid.
Heat
This EPF affects the Liver and deprives sinews and vessels of nourishment, stirring Liver-wind.
Heat
Which EPF stirs up wind and disturbs blood?
Heat
What is the season of Summer-Heat?
Summer
This EPF is only seen in its own season.
Summer-Heat
Is Summer-Heat a yin or yang EPF?
Yang (extreme heat, transformed from fire)
Which EPF is characterized by upward direction, dispersion and consumption of body fluids?
Summer-Heat
Which EPF frequently combines with dampness?
Summer-Heat
Internal factors are the ________.
Emotions
What are the Seven Emotions?
- Joy
- Anger
- Worry
- Sadness
- Pensiveness
- Fear
- Fright
How does the Seven Emotions become disease causing factors?
when the Seven Emotions become….
sudden and severe, chronic, or the body’s ability to tolerate and self-regulate is impared
Which organ does the Seven Emotions affect?
Heart (and Shen)
Does the Seven Emotions directly or indirectly affect the organs?
Directly
True or False: The Seven Emotions can cause illness and/or aggravate existing illness.
True
What are the five miscellaneous factors of disease?
- Improper diet
- Overstrain, stress
- Lack of physical exercise
- Traumatic injury and insect or animal bites
- Incorrect medical treatment
This miscellaneous EPF stems from overeating and malnutrition.
Improper Diet
Overeating can damage which organs?
Stomach and Intestines
What are four ways that someone can be overindulgent in particular foods?
- One type of food
- Wrong types of foods
- Cold or raw foods and drinks
- Alcohol, sweet, greasy, rich
What are three ways that overstrain and stress can occur?
- Excessive physical labor
- Excessive mental labor
- Excessive sexual activity
How does excessive physical labor affect the body?
Consumes the Qi
How does excessive mental work affect the body?
Excessive mental activity consumes Heart-Blood and damages Spleen-Qi (Spleen governs pensiveness and heart stores Shen)
How does excessive sexual activity affect the body?
Excessive sexual activity consumes and damages Kidney essence (Kidney stores essence)
How does lack of exercise affect the body?
Causes impairment of Qi and Blood circulation and weakens the body
Negatively affects Spleen (Spleen governs the Four Limbs)
How does traumatic injuries, insect or animal bites affect the body?
Traumatic injuries tend to cause blood stagnation and insect or animal bites may result in toxcosis
Define Pathologically-Generated Etiological Factor
Pathological substances that are generated within the body through various pathogenic processes
What are two types of PGEF?
- Pathological water, dampness, phlegm, and rheum
2. Blood stasis
How does pathological water, dampness, phlegm and rheum occur?
When the body’s water-metabolism functions are impaired
What is the thickest fluid of the fluid PGEF’s?
Phlegm
What are the two fluid PGEF’s that are thinner than Phlegm?
Rheum and Water
Is pathological water, dampness, phlegm and rheum a yin or yang pathogen?
Yin (derived from fluids)
This PGEF is characterized by an obstruction of Qi-mechanism and impairs circulation of Qi and Blood
Pathological water, dampness, phlegm, and rheum
This PGEF results in illnesses that tend to be stubborn and “sticky,” and disease-course tends to be long
Pathological water, dampness, phlegm, and rheum
True or False: Pathological water, dampness, phlegm, and rheum easily disturbs the Shen.
True
Pathological water, dampness, phlegm and rheum presents itself with what characteristics on the tongue?
Slippery and greasy tongue coating
What is Blood Stasis?
Blood that has accumulated and stagnated and can no longer circulate normally
What are the four dysfunctions of Qi and Blood?
- Qi-xu causing blood-stasis
- Qi-stasis causing blood-stasis
- Blood-cold causing blood-stasis
- Blood-heat causing blood-stasis
Which PGEF is characterized by a fixed, sharp and stabbing pain with pain worse at night and with pressure?
Blood stasis
Which PGEF is characterized by a fixed, immobile mass that is purple, blue-green near the surface of the body?
Blood stasis
Blood stasis presents itself with what characteristics on the tongue?
Purple, dark tongue body often with stasis macules and with purple, distended sublingual veins
This is a treatment principle is the basic/fundamental principle which guides all treatment
Zhi Ze
What are the six principles behind Zhi Ze?
- Treat early and prevent change and development
- To treat disease one must search for the root
- Support Right and dispel Evil
- Treatment of Root and Branch
- Regulate Yin and Yang
- Treatment of disease according to climate and seasonal conditions, geographical location, and individual conditions
What are the three ways to support Right and dispel Evil (under Zhi Ze principle)?
- Tonify Right: when there is xu/emptiness
- Dispel Evil: when there is excess/fullness
- Both tonify Right and Evil: when there are both xu and excess
In what type of condition should the root be treated?
Moderate conditions, generally in more chronic conditions
In what type of condition should the branch be treated?
In acute conditions, generally in acute or emergency conditions
In what type of condition should the root and branch both be treated?
In mixed acute/chronic conditions, treat simultaneously
This is a treatment method that is specific and used to treat a specific condition
Zhi Fa
What are the four methods of examination?
- Wang/Visual Inspection
- Wen/Listening and Smelling
- Wen/Inquiry
- Qie/Palpation
Why does physical examination give us the information needed to understand the condition of the body?
Interior manifests in the exterior
What are the two basic conditions of Shen?
Spirited or Spiritless
Describe the characteristics of a Spirited Shen
strong, healthy body, well developed muscles, abundant energy, moist, and bright complexion
sufficient upright qi, strong function of zang-fu
mild disease, good prognosis
Describe the characteristics of a Spiritless Shen
thin, weak body, emaciated muscles, listless and fatigued, dull grey or excessively bright complexion
xu of upright qi, poor function of zang fu
severe disease, poor prognosis
Describe the characteristics of Spirited Eyes
sparkling, agile movement of eyeballs
Describe the characteristics of Spiritless Eyes
dull, lack of sparkle and spirit, slow movement of eyeballs or straight/blank staring
Describe the characteristics of a Spirited Mind
clear and sharp mind, active and appropriate responses to environment
Describe the characteristics of a Spiritless Mind
confused, not clear, agitated, abnormal response to environment
Describe the characteristics of Spirited Speech
calm, even, well-regulated breathing
correct, clear speech
Describe the characteristics of Spiritless Speech
faint, weak breath, panting
abnormal speech
What is False Shen?
When a patient suddenly goes from spiritless to spirited (separation of yin and yang, yin is exhausted and cannot restrain yang, the yang floats up and gives rise to false shen)
Critical sign, usually seen soon before death
What is a Clouded Shen?
When consciousness is obscured or lost
What is a Disordered Shen?
A disturbance in Shen (ie., mania, withdrawal, epilepsy, etc.)
Why does the face reflect the condition of the body?
The blood and qi of the 12 channels and 365 collaterals rises to the face and enters the orifices
Describe a normal complexion
slightly rosy
moist, sheen, lustrous