Overview/Diagnosis Flashcards
What will determine to focus on root or branch?
Level of Pain
For severe pain focus your attention on the
meridians to stabilize the condition
When the severe episode of pain is over focus on
organ pathology
Traumatic injury would seem to be predominately _____ based but the energetic and psychological effects could disrupt the free flow of qi and thus negatively affect the _____ system.
meridian; organ
Longstanding injury will ultimately injure the _____.
root
Primary channels have a _____ flow of Qi.
Connecting channels a _____ flow of Qi.
vertical; horizontal
This channel fills the space between the skin and muscle _____ space.
Luo, Cou Li
These channels have _______ so when needling, keep in mind the depth of penetration.
multiple layers
Most Blood Stasis occurs in the _____ Connection channel which
lies beneath the ______ channel
deep; main
This channel doesn’t enter the _____ of the body. Because their net-like structure isn’t conducive to flow, they are prone to
_____ factors, stagnation occurs here often. This would allow pathogenic factors to enter the main channels.
large joints; pathogenic; main
We are using the term connecting channel differently than the channel branch from the Lou point. Here it is more of an _____
between the main meridians.
area
What allows us to treat one side of the body to effect the other?
Connecting Channel
These do not connect with the internal organ though the organs do influence them.
Sinew Channel
Are regions rather than channels
Sinew Channel
Muscle ache and stiffness are commonly associated with ______ issues.
Sinew Channel
Like myofascia, best represented as anatomy trains.
Sinew Channel
Some of the factors that can negatively affect a channel are ______.
EPF aka OPI (outside Pathogenic Influences)
migratory, convulsions, muscle twitching, dizziness, (differentiate between INT/EXT)
Wind
fixed, contracting, strong, penetrating pain (ice cream headache)
Cold
sluggish, congested, persistent, numbness, heavy, dull aching, swelling
DampNess
inflammatory conditions, seen as body’s response to injury
Heat/Fire
does not affect somatic system
DryNess
controls muscle, nourishes, shape and quality
SPLEEN
Spleen Qi or Yang Deficiency when weak cannot transform Qi & Blood as well as it should thus allowing damp to form. It can produce a _____, _____, _____ pain.
dull, achy, heavy
A Damp predominating OPI can damage the ______ .
SPLEEN
controls sinews, contractibility, neural control muscle
LIVER
LV relates to the sinews such as tendons but also the _____.
nerves
Twitching, flaccidity, paralysis, can be _____.
LV Wind
LV Blood also moistens the _____ and _____ thus _____ injuries are commonly due to LV Blood DEF
tendons; ligaments
overuse injuries
KD deficiency can flow into the other organs and is usually related to _____ and _____ problems
bone; joint
Bi means
blockage or obstruction
Bi manifests as
achiness, pain, soreness, numbness, heaviness, deep cold sensations or heat sensation often with redness
Along with Bi one can see
swelling, restricted range of motion, stiffness or difficulty moving affected muscles, tendons, and joints
Bi Syndrome is considered to be caused by
EPI (EPF, OPI)
EPF may enter the body through …
… sinew channels or any area exposed to wind, dampness, and either cold or heat.
After exposure the pathogen can move deeper into the body and become lodged in
the muscles, tendons, bones and joints, particularly if the wei qi is weak
Children and young adults are less frequently affected than the ______.
elderly
Exposure to adverse weather was the main cause of Bi-syndrome traditionally and is still a major factor today, but in modern times these (4) things ______ are risk factors too.
- diet
- fitness level or lack thereof
- stressful work conditions
- reactions to medications
Bi is a combination of _____, _____, _____ .
Wind, Cold, Damp
If it is just wind and cold then it’s not Bi-syndrome but …
… wind cold superficial syndrome not Bi
Physical trauma causes Qi & Blood stasis, longstanding stasis can allow _____.
Bi to develop
Bi syndrome has an insidious onset, characterized by a
progressive evolution, or by relapses on an irregular basis. Often directly related to degenerative processes.
The chief manifestation of painful obstruction are:
Pain Aching Numbness Heaviness Reduced range of motion
There are _____ main types of bi syndrome
4
WHAT KIND OF BI?
SX: Stiffness, wandering pain NOT in a fixed location, soreness in muscles and joints, can be NUMBNESS one day, DISTENDING the next, SHARP the next, usually the UPPER part of the body (head, neck extremities). Sweating due to open pores by the invading wind factor.
T: white thin coat
P: superficial, rapid, floating, slightly slow
Wandering (Wind) Bi, Feng Bi, Xing Bi, Circulating Bi
Points that expel WIND
GB-20, 21, GV-16, B-12, LI-4
Treatment Strategy for Wandering (Wind) Bi
Expel wind, also warm and dispel cold and dry dampness, move qi in the channels, nourish blood to extinguish wind.
Other useful points for Wandering Bi
TW-6, G-39, GV-14
WHAT KIND OF BI?
SX: Main factor is the pain is severe (if the pain is mild, it’s not cold/painful Bi). Muscles will be contracted, spasm. Pain is usually focused in JOINT or MUSCLE and can be SHARP or STABBING, (due to the blood being stagnated), better with warmth, worse with cold, decrease in PROM. Examples are acute torticollis, frozen shoulder. Skin pores are closed, no sweating, may have chill. Usually better in MID-DAY and worse in early morning (as pt. warms up they get better).
T: Pale, thin WC, thicker than Wandering Bi coat
P: Superficial, floating, tight and slow
PAINFUL BI (Cold) aka Han-Bi
Treatment Strategy for Painful (Cold) Bi
Warm and dispel cold, also expel wind and dry dampness, move qi in the channels, warm and tonify yang qi.
Acupuncture Strategy for Cold Bi
Disperse stagnation and invigorate blood, moxa, warming needle, heat lamps.
ST-36, CV-6, direct moxa to warm the channels.
Acupuncture Strategy for Wandering Bi
Reduce locally, don’t retain needles, distally eliminate windeduce locally, don’t retain needles, distally eliminate wind.
WHAT KIND OF BI?
SX: Feeling of HEAVINESS, swelling, skin numbness, fixed, damp weather makes it worse, lower part of body generally affected, tiredness in limbs, never sharp or acute, pain appears chronically, deep, dull. One must differentiate between damp and phlegm here. With DAMPNESS, the edema will be diffuse and soft to the touch, and the pain will not really be excruciating. PHLEGM can produce nodules and joint deformity and is a progression of dampness.
T: thick, sticky, white coat
P: soft, slowed, slippery
Fixed (Damp) Bi aka Shi-Bi
Treatment Strategy for Damp Bi
Expel and dry dampness, also expel wind and scatter cold, unblock the channels, strengthen spleen qi.
Acupuncture Strategy for Damp Bi
Invigorate SP and resolve Damp, release the exterior ST-36, SP-6, 9, ST-40, BL-20, 21, SP-5
WHAT KIND OF BI?
SX: Most likely the result from trauma but can also be a transformation from the other conditions. Joint swelling, redness, heat signs. It can also result as the battle between the defensive Qi and the OPI.
T: yellowish coating red,
P: Rapid, slippery
Hot or Febrile Bi
CONSIDER:
Cold is still present in some form in order for it to be classified as a Bi syndrome.
Treatment Strategy
Clear heat, also dispel wind and resolve dampness, unblock the channels and nourish yin.
Acupuncture Strategy
Eliminate Heat ST-43, LI-4, GV-14, LI-11
