pathomechanisms of fu organs Flashcards

1
Q

The stomach has an interior-exterior relationship with which organ

A

the spleen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what organ governs the reception of food and therefore is responsible for appetite

A

the stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what organ governs the downbearing of turbid

A

the stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

why is the stomach an organ susceptible to counterflow?

A

because the action of the stomach is downward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the two possible vacuity patterns we can see with the stomach

A

stomach vacuity cold and stomach yin xu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the four possible repletion patters we can see with the stomach

A

stomach repletion cold, food stagnation, stomach heat, and stomach qi ascending (counterflow)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how can one get excess cold in the stomach

A

by excess consumption of cold, raw foods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is an example of excess cold in the stomach

A

wind-cold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the liver invading the stomach could lead to_

A

stomach qi xu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

vacuity cold in the stomach is characterized by_

A

gradual onset, pronounced vacuity signs, fewer cold signs, longer duration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

excess cold in the stomach is characterized by_

A

sudden onset, pronounced cold signs, fewer vacuity signs, shorter duration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are some of the signs and symptoms of vacuity cold in the stomach

A

stomach pain, vomiting (clear, cold, sour fluid), belching, acid upflow
general: aversion to cold, lack of warmth in the extremities, pale, enlarged tongue, soggy pulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are some signs and symptoms of excess cold in the stomach

A

acute cold pain (ex: cramping), glomus and distention, nausea and vomiting, cold limbs and body (more cold), pale tongue with white fur, sunken tight pulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

in what instance would one feel better or worse when/after vomiting?

A

with vacuity cold in the stomach, one would feel worse when vomiting
with excess cold in the stomach, one would feel better when vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

symptoms are worsened by exposure to cold, and relieved by eating or applying heat or pressure in what circumstance?

A

vacuity cold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

syptoms are worsened with pressure, exposure to cold, and relieved by exposure to warmth in what circumstance?

A

excess cold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is stomach yin vacuity

A

insufficiency of the yin humor of the stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what are some of the causes of stomach yin vacuity

A
  • intense stomach heat (ie: overconsumption of greasy, spicy foods, liver fire)
  • damp-heat injuring the stomach/spleen
  • damage to liquid due to externally contracted febrile disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what are some of the signs and symptoms of stomach yin xu

A

dry lips and mouth, strong thirst, reduced food intake, dry/crimson area in center of tongue (may be peeled), rapid/fine pulse
*we do not see general yin deficiency signs here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what are some signs and symptoms of food stagnation

A

aversion to food, nausea, vomiting (putrid smelling), belching, foul smelling stool and flatus, relief of discomfort with passing stool or flatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are some causes of stomach heat

A

evil heat entering the interior, overindulgence of hot, spicy, greasy foods or alchohol, liver fire invading the stomach
*also can be generated during pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are some signs and symptoms of stomach heat

A
  • heat affecting the functino of intake/receiving (ie: rapid metabolism, rapid digestion and hungering)
  • heat affecting the stomach downbearing (ie: pain, burning sensation in the stomach, vomiting, insatiable hunger, hard stool)
  • stomach heat results in upper body signs (ie: bad breath, painful, swollen, bleeding gums)
  • general signs of stomach heat (ie: bitter taste in mouth, dry mouth, red tongue with yellow dry coat, rapid, slippery pulse)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

a chief sign of impaired harmonious downbearing of the stomach is_

A

stomach qi ascending counterflow (ie: nausea, vomiting, belching, hiccough)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what causes stomach qi counterflow?

A

anything that impairs harmonious downbearing of stomach qi (ie: cold, heat, phlegm, food stagnation, damp-turbidity)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what are the three patterns of the small intestine

A
  • small intestine qi pain (replete cold) (mounting-repleted cold in SI)
  • small intestine replete heat
  • small intestine vacuity cold
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what are the causes of repletion heat in the small intestine

A
  • a pathology of the SP or ST passing to SI via hot, spicy, greasy foods
  • heart-fire draining to SI (ex: emotional excess)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what are the signs and symptoms of repletion heat in the small intestine

A

vexation, mouth sores, rough/painful urination, reddish urine (ie: UTI), abdominal pain, yellow tongue fur, rapid/slippery pulse

28
Q

what is the cause of small intestine qi mounting (repletion cold)

A

caused by small intestine vacuity and invasion of wind-cold, or cold invading the abdomen

29
Q

what is SI repletion cold charcterized by

A

characterized by qi-stagnation due to cold (ie: twisting pain in abdomen, testicles or lower back, tight/slow pulse, likes warmth and no pressure, abdomen feels cold to the touch)

30
Q

small intestine vacuity cold is usually seen with _

A

spleen qi or yang vacuity

31
Q

signs and symptoms of small intestine vacuity cold are a result of an interruption of the small intestine’s function of:

A

separation of pure from tubid

32
Q

what are some signs and syptoms of vacuity cold in the small intestine

A
  • dull pain in lower abdomen (relieved by pressure and warmth)
  • rumbling intestines
  • frequent, inhibited urination
  • pale tongue with white fur
  • weak moderate pulse
  • disruption in urination and digestion
33
Q

what are the two vacuity patterns that can exist for the LI

A
  • vacuity cold
  • humor depletion
34
Q

what are the three repletion patters that can exist for the LI

A
  • damp-heat
  • heat-bind
  • cold-bind
35
Q

what are the main causes why LI can misfunction

A
  • ST and LU not descending
  • accumulation of heat which damages the body fluid = dry stool
  • yang, qi, blood, or yin deficiency = dry stool and constipation
36
Q

what are the main causes of diarrhea

A
  • cold damp accumulating in the middle jiao
  • damp heat accumulating in the middle jiao
  • SP yang vacuity (diarrhea with undigested food)
37
Q

what are the two main causes of large intestine vacuity cold

A

spleen yang deficiency and kidney yang deficiency

38
Q

what are the causes of spleen yang deficiency affecting the LI

A

improper diet, chronic illness, emotional strain, overstrain, KD yang deficiency

39
Q

what are the signs and symptoms of spleen yang deficiency affecting the LI

A

thin diarrhea, reduced food intake, cold limbs, aching lumbus, aversion to cold, thin tongue fur, fine sunken pulse

40
Q

what are some causes of kidney yang deficiency affecting the LI

A

spleen yang xu, heart yang xu, lung yang xu, congenital deficiencies, aquired deficiency, overexertion, chronic disease, old age

41
Q

what are the signs and sx of kidney yang deficiency affecting the LI

A

(many same signs and sx as spleen yang deficiency) thin diarrhea, reduced food intake, cold limbs, aching lumbus, aversion to cold, thin tongue fur, fine sunken pulse

42
Q

what are the cuases of large intestine humor depletion

A
  • damage to liquids (short-term due to febrile disease)
  • postpartum blood vacuity
  • liquid depletion in the elderly
  • long term, severe illness (depletes yin/humor
43
Q

what are some signs and symptoms of large intestine humor depletion

A

dry, hard stool, difficult defecation, generally weak state of health, no abdominal distention or pain

44
Q

what are the causes of damp-heat pouring down to LI

A
  • weak spleen + heat in the stomach (usual cause)
  • dampness obstructing the intestines leading to heat
45
Q

what are the signs and symptoms of large intestine damp-heat

A

abdominal pain, diarrhea with ungratifying defecation, foul smelling stool, gas, dysentery (frequent with blood and pus), tenesmus (urgent need to defecate but inability to)

46
Q

what is large intestine heat bind

A

constipation/dry stool caused by heat in the intestines

47
Q

what are the signs and sx of LI heat bind

A

abdominal pain that does not like pressure, dry yellow tongue fur, sunken full pulse

48
Q

what is large intestine cold bind

A

constipation due to cold qi in the intestines

49
Q

what are the signs and sx of LI cold bind

A

dull abdominal pain, bland taste in mouth, white tongue with scanty fur, wiry, sunken pulse

50
Q

what is the main function of the gall bladder

A

store and secrete bile

51
Q

which organ governs decision making

A

gall bladder

52
Q

GB disharmony may result in_? In relation to GB’s role in decision making

A

difficulty making decisions or maintaining balanced judgement in stressful situations

53
Q

fear, anxiety, indecision, insomnia, tinnitus, dizziness, visual disturbance are possible feelings of _

A

GB vacuity

54
Q

what enables the movement of bile

A

the liver qi’s free coursing

55
Q

what two possibilities can exist which would impede on the movement of bile

A
  • damp heat in middle jiao that suppresses the LV and GB
  • emotional disturbances
56
Q

when there is a disruption of the movement of bile what may this lead to?

A

digestion problems and decresed function of the SP and ST

57
Q

in extreme causes, when bile leaks out from GB, what does this cause?

A

jaundice

58
Q

what are some signs and symptoms of insecurity of gall bladder qi

A

vacuity vexation (result of yin xu due to heat damage), insomnia, easily frightened, bitter taste in the mouth, frequent sighing, doubt and suspicion

59
Q

when replete heat invades the gall bladder, what are some signs and symptoms one may experience

A

headache on both sides of the heat, painful canthii (corners of the eye), dizziness, tinnitus, bitter taste in mouth, dry throat, vexation, agitation, irascibility, fullness and pain in chest and ribside, alternating fever and aversion to cold (shao yang disorder), wiry rapid and forcefull pulse, tongue is red with yellow fur

60
Q

what is the cause of liver-gall bladder damp-heat

A
  • impairment of liver’s free coursing function:
    ~internal damp heat (excessive consumption of fatty, greasy, or sweet food, and alcohol
    ~external attack of damp-heat
61
Q

what are some signs and symptoms of liver-gall bladder damp heat

A

alternating hot/cold, bitter taste in mouth, rib-side pain, abdominal pain and distention, aversion to food, vomiting, yellowing of skin, yellow urine, tongue fur is yellow and slimy, pulse is rapid and wiry
*if heat is more pronounced: stool is dry, damp = sloppy

62
Q

most vacuity patterns of the bladder are due to_

A

kidney qi xu

63
Q

if the _____ is deficient, it is unable to transform fluids to turn it into urine

A

kidney

64
Q

what are some signs and symptoms of UB vacuity

A

frequent urination, dribbling incontinence, enuresis

65
Q

most repletion patters of the bladder are due to _

A

damp heat pouring down

66
Q

what are some signs and symptoms of UB repletion patterns

A

short frequent voidings of urine, reddish urine, pain upon urination, stones, pus, bloody urine, urinary block