Patterns Flashcards
Hierarchy of patterns (4 Levels)
CF
TCM- Basic deficiency
Pathogens- wind, cold, stagnation, phlegm, heat, fire, damp, dryness
Channels- injury
One pattern….
Many diseases
One disease…
Many patterns
Examples of patterns
Qi Deficient
Qi Stagnation
Qi Sinking
Blood Deficient
Blood Stagnation
Shen disturbed
Jing Deficient
Patterns are a mix of… (6)
E.O.S.Y.P.F
1) Element
2) Organs
3) Substance
4) Yin/ Yang and
5) Pathogenic factor
6) Full (Shi) Empty (Xu)
Signs and Symptoms
We ask about?
Symptoms
Sign and symptoms
We observe/ Sense
Signs
Signs are non verbal
Examples
Touch- Temperature/ flesh quality
See- skin dryness/ face colour
Hear- voice
Smell- odour
Non- verbal signs of Qi xu?
See- colour- pale/ slouching- sinking
Hear- voice,- weak/ quiet
Touch- Muscles soft/ cold
Smell- associated with element
Qi Xu- questions you might ask
- Do you have lots of energy or do you generally feel tired? (Tiredness & both transforming/transporting)
- Do you have a normal diet or is it poor, erratic or …?
(Gu qi) - Are your bowel movements loose and frequent or well formed and once/twice a day? Do you ever have undigested food in your stools? (Transforming)
- Do any of your symptoms get worse as you go through the day and/or expend energy? (Enough qi/energy for the day)
- Do you ever have the sensation of things dropping down or prolapses? (Raising)
- When you feel tired, is it a heaviness that inclines you to sit, slump and not want to move? (Raising & Damp)
- Do you feel the cold a lot, hug radiators, wear thermal underwear in the summer, etc.? (Warming)
- Do you have any bleeding which is dribbling as opposed to gushing? (Holding in)
Basic heart syndromes (4)
Heart Qi Deficiency
Heart Yang Deficiency
Heart Yin Deficiency
Heart Blood Deficiency
Organ main functions
Heart/ Liver- Blood (heavy periods, mood swings, Liver deficiency
Spleen/ Lung/ Kidney- Qi (Asthma, Lung Qi problems with breathing in and out)
Spleen/ Lung/ Kidney- Body fluids
Kidney- Jing
Heart- Shen
Heart Blood Deficiency- symptoms
Trouble getting to sleep- Shen is residing in blood so has no home
Short term memory problems
Palpitations
Heart Qi Deficiency- symptoms
Not enough energy
Tired
Mild palpitations
Heart Yang deficiency- Symptoms
Cold
Listless
No energy
Palpitations
worst when cold
Heart Yin Deficiency- Symptoms
Hot in afternoon
Mild agitation
Palpitations
Disturbed Shen- Symptoms
Metal illness, Bipolar, Manic
Obstructed Shen- Symptom’s
obscured by phlegm fire,
epileptic seizures
mania and psychosis
Confused speech
Deficient Shen- symptoms
Dull in eyes
No joy
vague anxiety,
poor memory,
cloudy thinking,
slight irritability,
unease, and
difficulty sleeping (especially falling asleep or going back to sleep if you wake up)
Treatment
When there is deficiency…
strengthen or tonify the Organ or a Substance: Empty
Treatment
When there is a Pathogenic Factor
clear out (eliminate) the pathogen (Wind, Damp, Cold, Heat, Fire, Phlegm, Blood Stagnation) Full
