Qi, Blood, Fluid - Midterm

Question 1

Describe Qi Deficiency (Def)

Answer 1

Etiology:
Old age, weak body, malnutrition, chronic illness

Symptoms:
SOB, fatigue, weak voice, worse after physical activity, spontaneous sweat

Question 2

Describe Qi Sinking (Def)

Answer 2

Etiology:
Old age, weak body, chronic illness

Symptoms:
Qi Def symptoms & organ prolapse (ST, BL, anus, uterus), vaginal discharge, chronic diarrhea

Question 3

Describe Qi Stagnation (Excess)

Answer 3

Etiology:
Bad diet, emotional disharmony, extreme cold/heat

Symptoms:
Feeling of distention and oppression moving pain in chest and hypochondriac region. Pain and distention relieved by belching, passing wind, sighing. Sx worse after stress, worry, anger.
T: normal / P: wiry

Question 4

Describe Qi Reversion/Rebellious (Excess)

Answer 4

Etiology: Emotional disharmony, phlegm, cold, fluid/food retention

Symptoms:
LU: cough, wheezing, asthma
ST: belching, nausea, vomit
LV: chest and hypochondriac distention moving pain, anger, irritability

Question 5

Describe Blood Deficiency (Def)

Answer 5

Etiology:
Heavy blood loss, ST & SP def, chronic illness

Symptoms:
Pale dull complexion, pale: lips, eyelids, nails, blurry vision, dizziness, insomnia, palpitation

Question 6

Describe Blood Stasis (Excess)

Answer 6

Etiology:
Injury, Qi Def & Stag, Cold coagulate in BV

Symptoms:
Fixed stabbing pain worse at night, may have lump on body that appear cyanotic, purpleish: nails, lips, tongue with bleeding
T: purple / P: thready, choppy

Question 7

Describe Blood Heat (Excess)

Answer 7

Etiology:
Ext heat pathogen attack, Internal heat from overeating spicy food and yin def, emotions stagnate internally turning into heat

Symptoms:
Red face, irritable, thirsty, fever, all bleeding sx, advanced mens, heavy bleeding
T: dark red/crimson / P: rapid

Question 8

Describe Blood Cold (Excess)

Answer 8

Etiology:
Ext cold attack body, yang def

Symptoms:
Whole body pain, pain in hands and feet alleviated by warmth, body is dull blueish purpleish complexion. delayed mens with dark purple blood and blood clots
T: light/dull purple with white coat / P: deep, slow, choppy

Question 9

Describe the Concept of Body Fluids

Answer 9

Moisten, cooling, distribute

Question 10

Describe Fluid Deficiency (Def)

Answer 10

Etiology:
Loss of BF, insufficient fluid regeneration

Symptoms:
Dry mouth, throat, dry & cracked lips, hollow/sunken eyes, dry skin without luster, thirst with desire to drink , dry stool, scanty urine
T: dry with no/scanty coat / P: thready, rapid

LU dryness: dry cough with sticky scanty sputum, hard to expectorate
ST dryness: ST dull pain, hungry but no desire to eat
LI dryness: constipation, foul mouth smell

Question 11

Describe Fluid Retention (Excess) and Water Retention (Excess)

Answer 11

Pathogenesis for Fluid
Thin and clear fluid accumulate in tissue, meridians, organs

Pathogenesis for Water
Internal retained water which flows to the muscles and stays in the abdominal cavity leading to edema

Etiology:
Declined fx of the zangfu organs

Question 12

Describe Yang Edema (Excess)

Answer 12

Pathogenesis:
Ext pathogenic wind attack disrupting LU fx to D&D = wind & water combating

Symptoms:
Bright white skin , starts at the head and face, acute onset

Question 13

Describe Yin Edema (Excess)

Answer 13

Pathogenesis:
Chronic SP & KD deficiency resulting in dysfx of fluid circulation

Symptoms:
Edema starts on the feet and ankles, dull sallow complexion without luster, slow onset