qi blood and fluids Flashcards
Signs
These include fatigued spirit and lack of strength, a low voice, laziness in speaking, qi timidity, shortness of breath, dizziness, spontaneous sweating, torpid intake, a pale, fat and tender tongue and a vacuous and forceless pulse. If the pattern is serious and causing qi desertion, this will result in clouded spirit, sweating, limb reversal and a faint pulse verging on expiry.
- QI VACUITY PATTERN
Signs
Generally there are the manifestations of qi vacuity but, in addition, the abdominal area has a sagging and distended sensation, or the lumbus is sore and painful. Simultaneously this will be accompanied by prolapse of the rectum, the uterus or other internal organ.
Qi fall pattern
These include distention and pain of a given location, with the distention being stronger than the pain; the pain is sometimes mild and some- times heavy, sometimes appearing and sometimes stopping. The location of the distention and pain is generally not fixed, but there can also be pain caused by internal movement at a fixed location. The distention can be diminished by sighing, belching or flatulence.
QI STAGNATION PATTERN
Qi counterflow often has a relationship to the lung, liver and stomach, hence the manifestations of signs also differ according to the viscera relationship. When lung qi rises counterflow, this results in panting, hasty breathing and cough. When stomach qi rises counterflow, this results in nausea and vomiting, belching and hiccups. When liver qi rises counterflow, this results in headache and dizziness, or in serious cases there can be vomiting of blood, nosebleeds, etc. Besides these, there is kidney vacuity causing an inability to grasp qi, which results in qi counterflow pant- ing, and there is often shortness of breath, sweat- ing and more severe panting caused by activity, and soreness of the lumbus and knees, etc.
QI COUNTERFLOW PATTERN
Signs
These include a white face without luster, or a withered yellow face, pale lips and nails, dizzinessness, flowery vision, heart palpitations, insomnia and numbness of the hands and feet; in women there may be abnormal menstrual periods (dim- inished menses, menstrual block or delayed menstruation). There also is a pale tongue and a fine and weak pulse.
BLOOD VACUITY PATTERN
These include swelling and distention of a or the creation of concretion and accumu- lation glomus lumps, piercing pain that refuses pressure and is in a fixed location, a green-blue purplish skin color, a dark and dusky facial complexion, carapace-like skin (i.e. skin that has lost its rich moisture and is rough and dry like scales or a shell), green-blue-purple lips and tongue or stasis macules on the tongue, possibly distended and purple veins under the tongue and a fine and rough, bound, or regularly interrupted pulse. Blood stasis can often be ac- companied by qi stagnation signs, or there may be bleeding. The blood is generally dark purple, or there are blood clots.
BLOOD STASIS PATTERN
These include fever, with more severe fever at night, heart vexation, agitation and harassment as if the person is crazy, and possibly bleeding (with women’s menses arriving early, a deep red menstrual color, and a copious amount), a red- crimson tongue and a rapid pulse.
BLOOD HEAT PATTERN
The reasons for a bleeding pattern include anything that can cause the blood to seep out of the blood vessels. Because the reasons for bleeding are many, and the locations can vary, the signs also will vary. Some possibilities are coughing blood, spitting blood, vomiting blood, nosebleeds, blood in the urine, blood in the stools, flooding and spotting (menstrual), external trauma, etc. The causes of these, their patterns and treatment all vary. One differ- entiation is the color of the blood; this differ- entiates vacuity and repletion. If there is repletion, the color of the blood is deep red; if there is vacuity cold, the color of the blood is pale red. If there is accompanying blood stasis, the color of the blood is dark purple or accompanied by clots. Copious, acute bleeding can have the critical pattern of qi following the blood and deserting.
BLEEDING PATTERN
Signs
These are the qi vacuity signs and blood vacuity signs
DUAL VACUITY OF QI AND BLOOD
QI STAGNATION AND BLOOD STASIS sings
QI STAGNATION AND BLOOD STASIS
QI VACUITY BLOOD LOSS PATTERN
sings
QI VACUITY BLOOD LOSS PATTERN
These are sudden loss of copious amounts of blood accompanied by a pale white complexion without luster, reverting cold of the four limbs, a large amount of sweating and dripping (in extreme cases the sweat will emerge like pearls of oil), abstracted spirit-essence, an indifferent expression, possibly at the outset vexation and agitation and then clouded spirit, a pale white tongue and a scallion stalk pulse, or a fine, and forceless pulse, or a faint pulse verging on expiry.
QI DESERTING WITH THE BLOOD PATTERN