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Z: Y2S3 - External II > Pre-Midterm > Flashcards

Pre-Midterm Flashcards

0
Q

Sudden onset, wry mouth and eye, incomplete closure of eye on affected side. Aversion to wind-cold, mild fever, facial muscle tightness which is alleviated by warmth. Tongue coating is thin and white.
Dx?
What should the pulse be?

A

Bell’s Palsy
W-C Syndrome
pulse should be superficial and tight or superficial and moderate

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1
Q

Sniffing issues/ shallow naso-labial groove

Add Pts?

A

Bitong

LI 20

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2
Q

Drooling

Add Pts?

A

St 4, 6

Ren 23, 24

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3
Q

Eyebrow Issues

Add Pts?

A

UB 2

SJ 23

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4
Q

Deviation of Philtrum

Add Pts?

A

Du 26

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5
Q

Issues closing Eyes

Add Pts?

A

UB 1, 2
GB 1
SJ 23
Eyaow (?)

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6
Q

Loss of Taste

Add Pts?

A

Yangming Meridian

Ren 23

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7
Q

Headache (rear)

Add Pts?

A

GB 20, Du 20

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8
Q

Can’t bear teeth

Add Pts?

A

St 3

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9
Q

Tennitus/Deafness

Add Pts?

A

GB 2

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10
Q

Mastoid Pain

Add Pts:

A

SJ 5, 17
St 9
Ashi

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11
Q

Reverse Deviation of Mouth

Add Pts?

A

SI 18

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12
Q

Sudden Onset, Wry mouth and eye, incomplete closure of eye on affected side. Bitter taste in mouth, dry or sore throat, burning pain in the mastoid region or ear, facial muscle weakness or flaccid. Fever with mild chills. Tongue has red tip, and thin yellow coating.
Dx?
What should the pulse be?

A

Bell’s Palsy
W-H
Superficial and rapid or wiry and rapid

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13
Q

Types of Bell’s Palsy:

A

W-C
W-H
Phlegm / Blood Stasis

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14
Q

Prolonged wry mouth and eye, stiffness and numbness of the face, facial contractions. Dull and dark face, heaviness in the head. . Reveresed mouth deviation/ spasm/ slobbering. Dark or purple tongue with white and sticky coating.
Dx?
Pulse expected?

A

Bell’s Palsy
Ph/Bl Stasis
Slippery or wiry and choppy

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15
Q

Is electro good for Bell’s Palsy?

A

Yes! Excellent.
Mild stim early on, then later do stronger stim.
GB 14, 21, St 4-6 threaded, LI 20, etc.

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16
Q

Is cupping good for Bell’s Palsy?

A

Yes - flash cupping after acupuncture for gentle stimulation and warmth.

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17
Q

Types of Facial Paralysis

A 
Bell's Palsy (W-C/ W-H/ Ph+Bl Stasis) (7th/Facial Nerve)
Central Paralysis (Injury of Cerebral Hemisphere)
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18
Q

Difference b/w Bell’s Palsy and Central Paralysis

A

Bell’s Palsy
= 7th (facial) nerve, can’t wrinkle forehead

Central Paralysis
= Injury of cerebral hemisphere/ brainstem, can still close eyelid, or can mostly close it.

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19
Q

DDx for Bell’s Palsy

A

Hemiplegia

Central Paralysis

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20
Q

Bell’s Palsy
W-C
Tx?

A

GB 20
LI 4
SJ 17 (moxa)
Xiao Xu Ming Tang

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21
Q

W-H Bell’s Palsy

Tx?

A

SJ 5
LI 11
St 44
Yin qiao san

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22
Q

Phlegm/Blood Stasis Bell’s Palsy

Tx?

A

St 40
SJ 10 (moxa)
Tia hong si wu tang

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23
Q

W-C Bell’s Palsy

Pulse?

A

Superficial and tight

or superficial and moderate

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24
Q

W-H Bell’s Palsy

Pulse?

A

Superficial and Rapid

or Wiry and Rapid

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25
Q

Phlegm/Blood Stasis Bell’s Palsy

Pulse?

A

Slippery or Wiry

and Choppy

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26
Q

What is the long term version of Bell’s Palsy?

A

Phlegm/Blood Stasis
(reversed mouth deviation, contractions, slobbering)
from liver yin and blood Xu failing to nourish tendons

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27
Q

Facial Spasm

definition

A

Involuntary contraction of the facial muscles

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28
Q

Types of Interior Wind

A

Yin or Yang Xu
Blood or Qi Xu
Extreme Heat stirring wind
Liver Yang Rising

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29
Q

Majority of Facial Spasms caused by?

A

Interior Wind

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30
Q

Organs involved in Facial Muscular Spasms?

A

Liver
Spleen
Stomach
Kidney

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31
Q

Causes of Facial Muscular Spasm

A

W-C in Shaoyang and Yang Ming
Blood Xu –> Wind
Yin Xu–> Hyperactive Yang

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32
Q

Where do facial spasms generally start?

A

Orbicular muscle of eye

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33
Q

Difference b/w Facial Muscular Spasm and Facial Paralysis

A

No pain

Movement as opposed to lack of movement

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34
Q

DDx of Facial Muscular Spasm

A

Neurothenia (weak nerve)

Lack of Sleep (eye only, not long term usually)

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35
Q

Facial Muscular Spasm

Tx?

A 
Local
GB 20
Du 14
Ashi (muscle spasm centre, not necessarily painful)
Sj 17
St 2,4,6,7
SI 18
Taiyang
St 2

Distal
LI 4
St 36
SJ 5 if it’s SJ related

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36
Q

Facial Spasm

POT?

A

Extinguish Wind

Relieve the Spasm

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37
Q

Irritability and Insomnia

Add pts:

A

Anmian
H7
UB 15
UB 23

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38
Q

Types of Fascial Muscular Spasm

A

W-C
Sp-St Xu
Liver Yang Rising (due to Yin Xu)

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39
Q

Facial Muscular Spasm
W-C
Tx?

A

GB 20
Du 14
LI 4

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40
Q

Facial Muscular Spasm
Sp-St Xu
Tx?

A 
St 36
Ren 12
UB 17, 20, 21
Sp 6
if damp add:
Sp 9
St 40
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41
Q

Facial Muscular Spasm
Liver Yang Rising (Yin Xu)
Tx?

A 
GB 20
Du 20
Liver 3, 8 (He-Sea)
K 3, 7
Sp 6
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42
Q

Sp 9, St 40

Good for what?

A

Damp

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43
Q

Trigeminal Neuralgia

Definition?

A

Clinical syndrome characterized by sudden, lightning like paroxysms of pain in the distribution of one or more division of the Trigeminal nerve due to primary and secondary injuries. Falls into Facial pain or Temporal Headache category in TCM

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44
Q 
Cranial Nerves
# 5
A

Trigeminal

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45
Q 
Cranial Nerves
#7
A

Facial

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46
Q 
Cranial Nerves
#1
A

Olfactory

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47
Q 
Cranial Nerves
#2
A

Optic

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48
Q 
Cranial Nerves
#10
A

Vagus

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49
Q 
Cranial Nerves
#4
A

Trochlear

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50
Q 
Cranial Nerves
#3
A

Oculomotor

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51
Q 
Trigeminal Nerves
#1, 2, 3?
A 
#1 - Opthalmic Nerve
#2 - Maxillary Nerve
#3 - Mandibular
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52
Q

Which are the main meridians that Trigeminal Neuralgia affects

A

Yangming and Shaoyang

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53
Q

TCM name for Trigeminal Neuralgia

A

Facial Pain or Severe Headache

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54
Q

Excess type of Trigeminal Neuralgia

A

less frequent
very severe pain
distending or burning pain
contracting or spasming pain

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55
Q

Types of Parkinson’s Disease

TCM

A

Liver and Kidney Xu
Qi and Blood Xu
Retention of Phlegm and Damp
Qi and Blood Stasis

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56
Q

Thready, Wiry and Rapid Pulse

Which type of Parkinson’s?

A

Liver and Kidney Xu

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57
Q

Deep and Thready pulse

Which type of Parkinson’s?

A

Qi and Blood Xu

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58
Q

Wiry and Slippery Pulse

Which type of Parkinson’s?

A

Retention of Phlegm and Damp

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59
Q

Thready, wiry and Choppy pulse

Which type of Parkinsons’?

A

Qi and Blood Stasis

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60
Q

Muscular Stiffness, hand and foot or lower jaw trembling, aching pain, and numbness of the four limbs which is worse after rest and better after movement, instability in walking. Blurred vision, spiritless eyes or dark circles under the eyes, low back pain, tinnitus, possible difficulty swallowing, constipation. Red quivering tongue with little coating. Pulse Thready, wiry, and rapid
Dx?

A

Parkinson’s

Liver and Kidney Xu

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61
Q

Parkinson’s
Liver and Kidney Xu
Specific Points for Tx?

A

K 3
Sp 6
Liv 3
LI 4

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62
Q

Parkinson’s General Points?

A 
Si sen cong
Du 20, 16
Yintang
Taiyang (for headache)
Du 14, SI 3 (trauma)
UB 13 (sweating)
UB 20, Ren 6
LI 11, St 44 (oily skin)
St 21, Ren 12 (Abdominal Distension)
St 25, Ren 6 (Constipation)
Ren 23, 24 (dry mouth)
Ren 22,23, St 40 (drooling)
UB 10 (stiff neck)
GB 37 (blurred vision)
Ren 23 (difficulty swallowing)
SJ 5, UB 57 (numbness of four limbs)
UB 62, K 6 (unstable walking)
GB 20 (dizziness), 2 (tinnitus), 34
H7 Pc 7 (disturbed sleep)
UB 52 excessive urine
Liv 3 + LI 4 (four gates)
K 3
Sp 6
GB 13
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63
Q

Scalp Acupuncture for Parkinson’s

A

Motor Line
Sensory Line
Dizziness Line
Chorea and Trauma Line

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64
Q

Yangming

Meridians?

A

Large Intestine

Stomach

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65
Q

Taiyang

meridians?

A

Small Intestine

Urinary Bladder

66
Q

Shaoyang

meridians?

A

San Jiao

Gall Bladder

67
Q

Taiyin

meridians?

A

Lung

Spleen

68
Q

Shaoyin

meridians?

A

Heart

Kidney

69
Q

Jueyin

meridians?

A

Pericardium

Liver

70
Q

Large Intestine and Stomach make up which pair?

A

Yangming

71
Q

Small Intestine and Urinary Bladder make up….

A

Taiyang

72
Q

Lung and Spleen make up the ….

A

Taiyin

73
Q

Heart and Kidney make up the …..

A

Shaoyin

74
Q

Pericardium and Liver make up the ….

A

Jueyin

75
Q

San Jiao and Gallbladder make up the…

A

Shaoyang

76
Q

Lung pairs with ____ to make the —yin

A

Spleen

Taiyin

77
Q

Heart pairs with ___ to make the —yin

A

Kidney

Shaoyin

78
Q

Pericardium pairs with ____ to make the —yin

A

Liver

Jueyin

79
Q

Stomach pairs with _____ to make the ——— (pair) (not 5 elements)

A

Large Intestine

Yangming

80
Q

Urinary Bladder pairs with _____ to make the ——- pair (not 5 elements)

A

Small Intestine

Taiyang

81
Q

Gallbladder pairs with _____ to make the —- pair (not 5 elements)

A

San Jiao

Shaoyang

82
Q

Trigeminal Neuralgia

Types?

A 
W-C
W-H
D-H in Liver and Gallbladder
Stomach Fire Flaring Up
------------------
Deficiency Fire Flaring Up
Qi and Blood Xu
---------------------
W-Ph Obstruction
Blood Stasis
83
Q

General Points for Trigeminal Neuralgia?

A 
St 7
LI 3
LI 4, Liv 3
SJ 3, 5
St 44
84
Q

Points to add for Heat in Yangming (re:Trigeminal Neuralgia)

A

St 44, LI 2

85
Q

Points to add when V1 (Opthalmic) involved in Trigeminal?

A 
Yuyao
UB 2
GB 14
Sj 23
St 8
UB 2 (pointed down)
--choose 2 only--
86
Q

Points to add if V2 (Maxillary) involved in Trigeminal Neuralgia?

A 
St 2
St 3
St 7
LI 20
SI 18
87
Q

Points to add if V3 (Mandibular) involved in Trigeminal Neuralgia?

A

St 4
St 5
St 6

88
Q

Auricular for Trigeminal Neuralgia?

A 
Exterior ear/nose
occipital
Sympathetic
Liver
Stomach
Large Intestine
Gallbladder
--3-4 points each time--
89
Q

Acute onset, severe contracting pain in face, which is alleviated by warmth and aggravated by wind-cold. Aversion to wind and cold, headache, running nose. Tongue has a thin white coating.
What will the pulse be?
Dx?
POT?

A

Dx: Trigeminal Neuralgia
W-C
Pulse: Floating and Tight
POT: Disperse the wind and cold to stop pain.

90
Q

Tx for Trigeminal Neuralgia W-C type?

A

LI 4, GB 20, SJ 5, Du 16

+ General T.N. Points: St 7, 4 gates, SJ 3 & 5, St 44, LI 3

Chuan Xiong Cha Tiao San herbal formula

91
Q

Paroxysmal Burning Pain, referred to the corner of the head, frequently precipitated by emotional frustration. Irritability, redness of face and eyes, bitter taste in mouth. Tongue has a red tip and edge, yellow and sticky coating.
Pulse?
Dx?
POT?

A

Wiry and Rapid Pulse
Damp Heat in the Liver and Gallbladder, from Trigeminal Neuralgia
Remove Damp-Heat from Liver and Gallbladder to stop Pain

92
Q

Trigeminal Neuralgia
Damp Heat in the Liver and GB type
Tx?

A

GB 20, Liver 3, Liver 5, Yin-Spring Points

+General T.N. Points: St 7, 4 gates, SJ 3 & 5, St 44, LI 3

Long Dan Xie Gan Tang herbal formula

93
Q

Burning pain on the face, cheek and gum which is aggravated by heat. Redness of the face and eyes, dryness of the mouth, halitosis, constipation, dark yellow urine. Red tongue with yellow coating.
Dx?
Pulse?

A

Trigeminal Neuralgia
Stomach Fire Flaring Up
Pulse = Slippery and Rapid or Flooding

94
Q

Trigeminal Neuralgia - Flaring up of Stomach Fire
POT?
Tx?

A

Clear stomach fire to stop pain.

St 44, LI 11

+ General T.N. Points: St 7, 4 gates, SJ 3 & 5, St 44, LI 3

Herbals: Qing Wei San

95
Q

Dull or distending pain in face, tic or numbness of the face, aggravated by anger. Insomnia, poor memory, soreness and weakness in the lumbar region and yin Xu. Tongue is red with little or no coating.
Dx?
Pulse?

A

Dx: Trigeminal Neuralgia, Flaring up of Xu Fire

Pulse: Thready and Rapid

96
Q

Trigeminal Neuralgia- Flaring up of Xu Fire
POT?
Tx?

A

Nourish Yin to Clear Deficient Heat

K 3, K 7, Sp 6
+ General T.N. Points: St 7, Liv3/LI 4, SJ 3 & 5, St 44, LI 3

Zhi bai di huang wan

97
Q

Dull pain or numbness of the face, heaviness and cloudiness in the head, stuffy sensationin the chest, too much sputum, numbness of the face. Puffy tongue with wite and sticky coating.
Dx?
Pulse?

A

Trigeminal Neuralgia
Obstruction by Wind-Phlegm

Pulse will be Wiry and Slippery

98
Q

Trigeminal Neuralgia - Obstruction by Wind-Phlegm
POT?
Tx?

A

Disperse wind phlegm, remove blockage to stop pain.

St 40, GB 20
+ General T.N. Points: St 7, Liv3/LI 4, SJ 3 & 5, St 44, LI 3

Ban xia bai zhu tian ma tang

99
Q

Reccurrent, fixed stabbing pain in face, severe at night, numbness after the pain. Dull face Drk and purple tongue with petechiae and thin white coating.
Tx?
Pulse?

A

Trigeminal Neuralgia
Blood Stasis

Pulse will be Wiry and Tight or Choppy

100
Q

Trigeminal Neuralgia
Blood Stasis
POT?
Tx?

A

Quicken blood to stop pain

Sp 10, UB 17
+General T.N. Points: St 7, Liv3/LI 4, SJ 3 & 5, St 44, LI 3

Tong qiao huo xue tang

101
Q

Recurrent dull or hollow pain in face, severe upon standing, mild when lying down, aggravated by overwork. Pale face, fatigue, SOB, poor appetite. Pale tongue with white coating.
Dx?
Pulse?

A

Trigeminal Neuralgia
Qi and Blood Xu

Pulse will be Thready

102
Q

Trigeminal Neuralgia
Qi and Blood Xu
POT?
Tx?

A

Tonify Qi and Blood to Nourish the Head

St 36, Ren 6, Sp 6
+ General T.N. Points: St 7, Liv3/LI 4, SJ 3 & 5, St 44, LI 3

Bu zhong yi qi tang + si wu tang

103
Q

Acute onset, severe contracting pain on face which is allieviated by cold and aggravated by wind and heat. Aversion to heat, headache. Heat signs.
Dx?

A

Trigeminal neuralgia

W-H

104
Q

Spasms and contractures of the extremities, trembling of the limbs and stiffness of the neck and back, difficulty moving. Pale complexion, fatigue, lassitude of the spirit, lack of strength, fear of cold. Disinclination to speak, spontaneous perspirations, dizziness, loose stools, possible edema. Tongue is pale and puffy with a thin white coating.
Dx?
Pulse?

A

Parkinson’s - Qi and Blood Xu

Pulse will be deep and thready

105
Q

Parkinsons - Qi and Blood Xu
POT?
Tx?

A

Supplement the QI and Blood (easier on the Yang surface), extinguish wind and free the flow of the network vessels.

UB 17, UB 20, St 36
+ General Parkinson’s Points: Si sen cong, Du 20, Yintang, Du 16, GB 13, GB 20, GB 34, Liv 3/LI 4, K 3, Sp 6

Gui pi tang

106
Q

Parkinson’s

Types?

A

Liver and Kidney Xu
Qi and Blood Xu
Retention of Phlegm and Damp
Qi and Blood Stasis

107
Q

Meniere’s

Types?

A

Liver Yang Rising
Phlegm Retention
Kidney Essence Xu
Qi and Blood (Heart and Spleen) Xu

108
Q

Hemorrhoid

TCM Types?

A

Dry Heat
Damp Heat
Qi and Blood Stasis
Sinking of Qi

109
Q

Hemorroid

Western Types?

A

1, 2, 3 degree

110
Q

Prolapse of the Rectum

Types?

A

Qi and Blood Xu/Sinking

Damp Heat

111
Q

Inhibited movement of the hands and feet or restless shaking. Heavy headedness, chills, cold limbs, poor appetite, gas, bloating, loose stools. Pale and puffy tongue with white and greasy coating.
Dx?
Pulse?

A

Parkinson’s – Retention of Phlegm and Damp

Pulse would be Wiry and Slippery

112
Q

Parkinson’s
Retention of Phlegm and Damp
Tx?
POT?

A

Transform Phlegm, remove damp to strengthen the spleen.

Ren 12, St 40, GB 20
+ General Points for Parkinson’s: Si sen Cong, Du 20, Yintang, Du 16, GB 16, GB 20, GB 34, Four Gates, K 3, Sp 6

Herbal: Ban xia bai zhu, tian ma tang.

113
Q

Head, lower jaw, hand and foot shaking, especially at rest and at night, inhibited bending and stretching. Fixed pain and numbness in the body and/or limbs. Purplish, dark tongue or purple spots.
Dx?
Pulse?

A

Parkinson’s - Qi and Blood Stasis

Pulse should be Thready, wiry, and choppy.

114
Q

Parkinson’s
Qi and Blood Stasis
Tx?
POT?

A

Quicken the blood and free the flow of the network vessels, check the liver to extinguish wind.

General Prescription works best
Si sen Cong, Du 20, Yintang, Du 16, GB 16, GB 20, *GB 34, *Four Gates, K 3, *Sp 6

115
Q

Distending headache, dizziness, heat in face, irritability and anger, recurrent vertigo, tinitus, hearing loss. Vertigo aggravated by changing position. Nausea, vomiting, perspiration, fainting.
Dx?

A

Meniere’s Dz
“Xuan Yun”

Liver yang Rising type

116
Q

Vertigo, tinnitus, hearing loss, balance issues, vomiting, perspiration, nausea, fainting, heavy tight headache, chest tightness, extreme nausea.
Dx?

A

Phlegm Retention type of Meniere’s Dz (“Xuan Yun”)

117
Q

Xuan Yun/Meniere’s Dz
Liver Yang Rising
Tx?

A

4 Gates, Taiyang, Du 23, Sp 6, UB 18, UB 23, Liver 8 (He-Sea), K 7

+ General Meniere’s Pts: GB 20, GB 39, SI 19 (ears and lymph), PC 6, Moxa Du 20, Sp 6, St 40, 4 Gates

118
Q

Xuan Yun/Meniere’s Dz
Phlegm Retention type
Tx?

A

St 40, Ren 12, St 36, Yintang, UB 20/21

+ General Meniere’s Pts: GB 20, GB 39, SI 19 (ears and lymph), PC 6, Moxa Du 20, Sp 6, St 40, 4 Gates

119
Q

Vertigo, tinnitus, hearing loss, nausea, vomiting, perspiration, fainting, accompanied by low back pain, weak knees, patient is older than 50.
Dx?

A

Meniere’s Disease / Xuan Yun

Kidney Essence Xu Type

120
Q

Meniere’s Dz/Xuan Yun
Kidney Essence Xu type
Tx?

A

K 3, GB 39 (marrow), UB 23, UB 52 (residence of the will), Sp 6

+ General Meniere’s Pts: GB 20, GB 39, SI 19 (ears and lymph), PC 6, Moxa Du 20, Sp 6, St 40, 4 Gates

121
Q

Reccurrent vertigo and balance issues, tinnitus, hearing loss, Sx aggravated by change in position, nausea, vomiting, perspiration, fainting. Palpitations, pale complexion, loose stools.
Dx?

A

Meniere’s Dz (Xuan Yun)

Qi and Blood (Heart and Spleen) Xu

122
Q

Meniere’s Dz / Xuan Yun
Qi and Blood (Heart and Spleen) Xu
Tx?

A

Du 20, UB 20/21, UB 17/18, St 36, Sp 6

+ General Meniere’s Pts: GB 20, GB 39, SI 19 (ears and lymph), PC 6, Moxa Du 20, Sp 6, St 40, 4 Gates

123
Q

Common Sx:
Tinnitus
Tx?

A

Gb 2, SJ 17, SI 19

124
Q

Common Sx
Vomiting
Tx?

A

P 6

Ren 12

125
Q

Insomnia

add pts?

A

Anmian
H 7
Sp 6

126
Q

Vertex Headache

add points?

A

Du 20, K 1

127
Q

Temple Headache

Add Points?

A

Thread Taiyang to St 8

128
Q

Low back Pain

add points?

A

UB 23/35/52

129
Q

Irritability

add points?

A

Yintang

P 6

130
Q

5 Common Sx of Haemorrhoids?

A 
Blood
Prolapse
Mucus
Pain
Itching
Constipation
131
Q

Types of Hemorroids?

A

Dry Heat
Damp Heat
Qi and Blood Stasis
Sinking of Qi

132
Q

Piles which possibly protrude beyond the anus, difficult defecation of dry stools, explosive discharge of fresh red blood from the anus. Constipation with dry stools, abdominal distention, a dry mouth, thirst, dark yellow urine. Red tongue with little fluids, dry yellow fur.
Dx?

A

Dry Heat type Hemorroids

133
Q

Dry Heat type Hemorroids

Tx?

A

St 44, K 6, SJ 6, LI 11

+ General Points for Hemorroids: Du 1, UB 57, UB 35, Er Bai, UB 32, Yaoqi, and if bleeding Lu 6

134
Q

Swollen, severely painful hemorrhoids, protrusion which looks dull red in colour and is ulcerated. Anal discharge of turbid blood. Difficult defecation, a hot burning, sagging, distended feeling in the anus, especially during defecation, itchy anus, tenesmus, abdominal distension, poor appetite, heavy body, fatigue, yellow greasy coating on the tongue.
Dx?

A

Damp Heat type Hemorroids.

135
Q

Damp Heat type Hemorroids:
Tx?
Pulse?

A

Slippery, rapid

Sp 9, St 37

+ General Points for Hemorroids: Du 1, UB 57, UB 35, Er Bai, UB 32, Yaoqi, and if bleeding Lu 6

136
Q

Protruding hemorrhoids when defecating, discharge of blood, sagging, distended and painful anus, dark, swollen, mixed hemorrhoids which are comparatively large with severe pain. Difficult deffication, abdominal distention and fullness. A dark, purple tongue.
Dx?
Pulse?

A

Pulse would be wiry or choppy

Qi and Blood Stasis type of Hemorroids

137
Q

Qi and Blood Stasis type of Hemorroids:

Tx?

A

Sp 6, SJ 6, UB 25

+ General Points for Hemorroids: Du 1, UB 57, UB 35, Er Bai, UB 32, Yaoqi, and if bleeding Lu 6

138
Q

Protruding hemorrhoids when defecating or walking, coughing, sneezing, or standing for a long time. Non returning piles unless helped by hands or by lying flat. Discharge of a large or small amount of pale coloured blood. Forceless defecation, enduring diarrhea or frequent defecation, fatigue, lassitude of the spirit, a lustreless facial complexion. Pale tongue.
Dx?
Pulse?

A

Pulse would be thready and weak.

Dx: Sinking of Qi type of Hemorroids.

139
Q

Sinking of Qi type of Hemorroids:

Tx?

A

Du 20, St 36, Ren 6

+ General Points for Hemorroids: Du 1, UB 57, UB 35, Er Bai, UB 32, Yaoqi, and if bleeding Lu 6

140
Q

Types of Prolapsed Rectum?

A

Qi and Blood Xu

Damp Heat

141
Q

Slow onset, start with distending and dragging sensation of rectum during defecation, and returning to normal after the bowel movement. It is sustained without proper treatment, recurrence may happen by overstrain and the prolapsed rectum fails to return spontaneously without aid. Sallow complexion, fatigue, SOB, palpitations, dizziness. Tongue is pale with thin white coating.
Dx?
Pulse?

A

Qi and Blood Xu/Sinking type of Rectal Prolapse

Pulse should be soft and thin.

142
Q

Tx for
Qi and Blood Xu/sinking
Rectal Prolapse?

A

St 36, Ren 6, UB 20, UB 23, UB 24

+ general points: Du 20 moxa, Du 1, UB 25/57

daily for 12 days

143
Q

Usually seen in acute dysentery or inflamed hemorrhoids, prolapse of rectum with bearing down sensation around the anus, tenesmus. Red and swollen anus with burning pain and itching. Red tongue with yellow and greasy coating. Soft or slippery pulse.
Tx?

A

LI 11, Sp 9, UB 39

+ general points: Du 20 moxa, Du 1, UB 25/57

Tx Daily for 12 days.

144
Q

Types of Acne (TCM)

A

Lu / St Heat
D-H in MJ ——–>(alcohol, smoking, spicy damp food)
Blood Stasis
Chong / Ren Disharmony
———->(affects both men and women because it’s about hormones)

145
Q

Important Tx notes with Bell’s Palsy

A
  1. Tell them it will get worse for the first couple of weeks whether or not it’s getting treated.
  2. Early - less local points and more distal points
  3. Late - more local and less distal
  4. Tx very gently for early stage Bell’s Palsy!
146
Q

Red face with red lesions which feel hot and may be painful, and there are nodules, papuals. Strong appetite, bad breath, thirst with a desire for cold drinks, dry stool or constipation. Scanty yellow urine. Red tongue with yellow coating.
Pulse?
Dx?

A

Depressive heat in the lung and stomach, either Xu or Shi

Pulse will be Slippery and rapid.

147
Q

Depressive heat in the lung and stomach type of Acne
POT?
Tx?

A

Clear heat from the Lung and Stomach

LU 11, LU 5, St 44
+ General Acne: LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi

Pi pa qing fei yin

148
Q

Red and painful lesions with pustules on the top, itching, yellowish watery discharge, oily skin, strong appetite, bad breath, scanty dark yellow urine. Red tongue with thick yellow greasy coating.
Dx?
Pulse?

A

Pulse: Slippery rapid or soft rapid

Dx: Acne from Damp Heat in the Middle Jiao

149
Q

Damp Heat in Middle Jiao type Acne
POT?
Tx?

A

POT: Clear damp heat from middle jiao, and strengthen the spleen

St 25, Sp 9
+ General Acne: LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi

Wu wei xiao du yin

150
Q

Enduring purple scars or nodular papules. Possible painful menstruation with clots. A dark, purple tongue and/or purple spots.
Pulse?
Dx?

A

Blood Stasis type Acne

Pulse for Blood Stasis type Acne will be wiry and choppy.

151
Q

Blood Stasis Type Acne
POT?
Tx?

A

POT: Quicken the pulse to remove blood stasis

Tx: Du 14, UB 17, UB 40, Sp 10
+ General Acne: LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi

152
Q

Acne fluctuates as the cycle of the menstruation, worse before the periods and better after. Irregular and painful menstruation, moody, breasts are tender. Tongue is dark and purple.
Dx? Pulse?

A

Pulse will be thready

Dx: Disharmony between Chong and Ren causing Acne

153
Q

Acne from Disharmony of Chong and Ren
POT?
Tx?

A

Soothe liver, regulate Qi. Harmonize Chong and Ren.

Sp 10, Sp 6
+ General Acne: LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi

Dan zhi xiao yao san

154
Q

General Points for Acne

A

LI 11, SI 4, St 36, Sp 6, Sp 10, UB 13, Ashi

155
Q

Needling methods for Acne

A

usually heat, so reducing method

156
Q

Auricular for Acne

A 
Lu
LI
Sp
Endocrine
Adrenal
Ear Apex bleeding - good to start with this
157
Q

Can you use bleeding cupping for acne?

A

Yes, very good

158
Q

Acne Education

A

0 - spicy/oily food, smoking, alcohol, coffee, black tea
^ veggies, fruit, green tea, herbal tea, sunshine, fresh air
0- stress, emo, make up, cosmetics
^ BM daily (acne is heat flaring up, so let toxins come out below)
^ wash face gently with plain water or herbal wash 3x per day
^ lots of water and clean fluids to relieve bowels
0 - PICKING! NONE! Don’t do it!!!!

159
Q

Urticaria Types

A

W-C/ W-H
D-H in St/LI
Qi and Blood Xu
Chong/Ren Disharmony

160
Q

Urticaria - what is it?

A

Hives/ wheels

generally from allergens or toxins - food, drugs, pets, etc.

Histamine mediated response

161
Q

Do the hives with Urticaria move?

A

Yes! And they itch.

They move from location to location, and get bigger or smaller. The small can merge into the big, etc. May come in singles or crops. Change and move quickly.

162
Q

Sudden onset, red or pale red patches, unbearable ithing, worse with exposure to W-C/W-H. Chills, fever, body aching, thirst, agitation. Tongue is red bodied sometimes (not always), with a white or slightly yellow coating.
Dx? Pulse?

A

Urticaria (hives) from Invasion of Wind.

Pulse will be Superficial, tight, and rapid.

163
Q

Urticaria - Invasion of Wind

Tx? POT?

A

POT - Disperse W-C/W-H, harmonize the ying and wei using the yang meridians - Du, Taiyang, Yangming, Shaoyang)

Du 14, LI 4, UB 12, LI 11

Z: Y2S3 - External II (2 decks)

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