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Winter 2014 / FCM 4 > Qi, Blood, Fluid Patterns > Flashcards

Qi, Blood, Fluid Patterns Flashcards

1
Q

what are the pathologies of Qi?

A

1) Qi Vacuity
2) Qi Collapse
3) Qi Desertion
4) Qi Stagnation
5) Qi Depression
6) Qi Counterflow

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2
Q

what are the pathologies of Blood?

A

1) Blood Vacuity
2) Blood Stasis
3) Blood Heat
4) Bleeding Pattern

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3
Q

what are the simultaneous Qi & Blood patterns?

A

1) Dual Vacuity of Qi & Blood
2) Qi Stagnation & Blood Stasis
3) Qi Vacuity Blood Loss pattern
4) Qi Deserting with Blood patern

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4
Q

what are pathologies of body fluids?

A

1) Insufficiency of Body Fluids

2) Collection & Stagnation of Body Fluids

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5
Q

what are the wind phlegm patterns?

A

1) Externally Contracted Disease

2) Internally Engendered Wind Phlegm

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6
Q

what are the phlegm patterns?

A

1) Phlegm Heat
2) Phlegm Cold
3) Phlegm Damp

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7
Q

what are the rheum patterns?

A

1) Phlegm Rheum
2) Suspended Rheum
3) Spillage Rheum
4) Propping Rheum

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8
Q

these s/sx are which pattern, how do you Tx?

  • fatigue, or general low energy
  • low appetite
  • low voice / disinclined to speak
  • weak limbs
  • loose stool or weak cough
  • spontaneous sweat
  • pale, scalloped tongue
  • deficient, weak pulse
A

Qi Vacuity

TX: Tonify, Boost, Support, Supplement

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9
Q

these s/sx indicate Qi Vacuity of which organ?

  • SOB
  • low voice
  • spontaneous sweat (during day)
A

LU

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10
Q

these s/sx indicate Qi Vacuity of which organ?

  • palpitations
A

HT

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11
Q

these s/sx indicate Qi Vacuity of which organ?

  • generalized body weakness
  • low appetite
  • loose stool
A

SP

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12
Q

these s/sx indicate Qi Vacuity of which organ?

  • dizziness, light-headed
  • holding problems, so leakage of urine, sperm, vaginal discharge
A

KD

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13
Q

these s/sx are which pattern, how do you Tx?

  • abdomen is sagging, distended
  • sore low back
  • prolapse of organs
  • herniated disc / disc prolapse
A

Qi Collapse

TX: Supplement the Qi

Du 20

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14
Q

these s/sx are which pattern, how do you Tx?

  • spirit is clouded, confusion
  • sweating
  • cold limbs
  • fainting, coma, collapsing, going into shock
  • shen may be gone (momentarily)
  • faint pulse
A

Qi Desertion

Note: this can happen when Qi Vacuity is very serious or enduring

TX: emergency situation: call 911, remove needles, elevate feet, use revival points like Du 26

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15
Q

these s/sx are which pattern, what are the causes, how do you Tx?

  • pain that comes & goes
  • wiry pulse
  • sighing, belching, flatulence
  • tendency to get very angry, but is open about it
  • wriy pulse
A

Qi Stagnation

Caused by the 6 stagnations: blood, phlegm, fire, cold, food, damp

TX: Resolve, Invigorate, Move

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16
Q

these s/sx are which pattern, what are the causes, how do you Tx?

  • anger that is more suppressed and passive-aggressive
  • constrained pulse
A

Qi Depression

Caused by Qi, Blood, Yin, or Yang Deficiency (not enough vitality underneath to move the Qi)

TX: Dredge

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17
Q

these s/sx are which pattern, how do you Tx?

  • coughing
  • vomiting, nausea
A

Qi Counterflow

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18
Q

these sx indicate Qi Counterflow of which organ? what is its normal direction?

  • belching
  • hiccough
  • nausea, vomiting
A

ST

Normal direction is downward

19
Q

these sx indicate Qi Counterflow of which organ? what is its normal direction?

  • diarrhea
  • prolapse
A

SP

Normal direction is upward

20
Q

these sx indicate Qi Counterflow of which organ? what is its normal direction?

  • headache, dizzy, irritable (excessively upward counterflow)
  • dry stool (horizontal counterflow to ST)
  • diarrhea (horizontal counterflow to SP)
  • burning urination (downward counterflow)
A

LV

Normal direction is upward

21
Q

these sx indicate Qi Counterflow of which organ? what is its normal direction?

  • cough
  • asthma
A

LU

Normal direction is downward

22
Q

these sx indicate Qi Counterflow of which organ? what is its normal direction?

  • asthma
A

KD

Normal direction is downward

23
Q

these sx indicate Qi Counterflow of which organ? what is its normal direction?

  • restlessness
  • insomnia
A

HT

Normal direction is downward

24
Q

what are the causes of Qi Counterflow? what is the TX?

A
  • external contraction of 6 evils
  • dietary irregularities
  • phlegm, which obstructs free flow of qi
  • shen damage

TX: Harmonize the organ

25
Q

these s/sx are which pattern, what are the causes, how do you Tx?

  • white-drained face, or pale complexion
  • pale lips & nails
  • dry, brittle skin, hair, nails
  • red & white striped conjunctiva
  • dizziness
  • flowery vision
  • heart palpitations
  • insomnia
  • numbness in hands, feet (though it can be anywhere)
  • amenorrhea, or pale, shortened periods
  • pale tongue
  • fine, thin pulse
A

Blood Vacuity

TX: Supplement the Blood

SP 6, SP 10, UB 20, LV 8

For HT Blood Xu: HT 7, PC 6

For LV Blood Xu: UB 18, GB 34, LV 3

For menstrual irregularities: SP 8, Ren 6, Sp 6, Ren 4, Sp 4, ST 29

Caused by: SP vacuity, insufficient nutrition, malnourishment, long term disease, bleeding or loss of blood, blood stasis, qi stagnation, qi vacuity

26
Q

these s/sx are which pattern, what are the causes, how do you Tx?

  • swelling & distention or creation of lumps
  • pain that refuses pressure
  • sharp, fixed pain*
  • blue-purple, dark complexion
  • dusky complexion
  • dry scaly skin
  • blood clots, dark bleeding
  • dysmenorrhea: really painful periods
  • spider veins or stasis marks anywhere
  • blue-purple lips
  • stasis macules on tongue, dark petechia
  • distention of SLV, purple or dark blue
  • fine, rough, choppy, bound, regularly interrupted pulse
A

Blood Stasis

TX: Invigorate, Resolve, or Move the Blood (Blood Stasis is a branch, so need to also diagnose and treat the root)

LV 2, UB 60, LV 3, SP 8, LI 11, SP 6, PC 6 to transform stasis

Caused by: cold, heat, Qi or Blood Deficiency, Qi Stagnation

27
Q

these s/sx are which pattern, how do you Tx?

  • fever, worse at night
  • heart vexation & agitation
  • maybe crazy behavior
  • bleeding
  • menses may come early, be deep red, be copious
  • red, crimson tongue
  • rapid pulse
A

Blood Heat

TX: Stop Bleeding

28
Q

these s/sx are which pattern, how do you Tx?

  • coughing blood (hemoptysis)
  • spitting blood
  • nosebleed (epistaxis)
  • blood in urine (hematuria)
  • blood in stool (hemafaecia)
  • flooding of menses
  • signs will vary because reason behind bleeding will vary
A

Bleeding Pattern

TX: Stop Bleeding!

Note: not really a pattern, so important to diagnose the cause and address it

29
Q

these s/sx are which pattern, how do you Tx?

  • SOB
  • lack of strength
  • exhaustion
  • anemia
  • lusterless facial complexion
  • pale-colored nails
  • dizzy head
  • ## palpitation
A

Dual Vacuity of Qi & Blood

TX: Supplement Qi & Blood

Supplement Qi: SP 6, ST 36, Ren 4, Ren 6

Supplement Blood: SP 10, UB 20, UB 17

30
Q

these s/sx are which pattern, how do you Tx?

  • absence of menstruation
  • stasis clots in menstrual blood
  • abdominal pain during menstruation
  • painful distention of breasts
  • chronic nephritis or ulcers
A

Qi Stagnation & Blood Stasis

TX: Rectify Qi, Invigorate Blood, Dispel Stasis

31
Q

how do you Tx Qi Vacuity Blood Loss Pattern?

A

TX: Tonify Qi, Stop Bleeding

32
Q

these s/sx are which pattern, what are the causes, how do you Tx?

  • sudden loss of a lot of blood
  • pale, white complexion; dull
  • cold of limbs
  • heavy sweating - sweat like pearls of oil in extreme
  • shen is dull, clouded
  • could have vexation and agitation, followed by clouding
  • pale white tongue
  • hollow pulse, or fine, weak and forceless, or faint/unable to feel
A

Qi Deserting with Blood pattern

TX: Supplement Qi, Secure the Desertion, Return the Yang, Rescue Counterflow

Emergency acupuncture tx: ST 36 moxa, Du 26, Du 20, KD 1

Stop Bleeding: SP 1, SP 10

Result of: major blood loss where original qi, deprived of support from blood, becomes vacuous and deserts

33
Q

these s/sx are which pattern, what are the causes, how do you Tx?

  • dry throat, dry lips
  • dry skin
  • emaciation of body
  • heart vexation
  • dry cough, hoarse voice
  • dry nose & eyes
  • scanty red urination
  • dry bound stools
  • dry tongue
  • rapid, fine pulse
A

Insufficiency of Body Fluids

TX: Increase & Supplement Fluids (depends on where there is dryness - e.g. in LU, in ST, in intestines)

Caused by: insufficient production of fluids, external contraction of heat/fire, loss of blood, vomiting, diarrhea, copious urination, incorrect treatment, old age, or weakness

34
Q

these s/sx are which pattern?

  • water swelling / puffiness in flesh or limbs
  • drum distention / ascites - water accumulating in abdomen
  • water-damp encumbering the SP: when fluids collect in middle jiao
A

Collection & Stagnation of Body Fluids

35
Q

these s/sx are which Wind Phlegm pattern, what is the etiology, how do you Tx?

  • aversion to wind/cold
  • fever
  • floating pulse
  • cough
  • phlegm with cough, easy to expectorate*
A

Externally Contracted Disease

TX: Resolve the Exterior, Diffuse the LU, Dispel the Pathogen

Etiology: contraction of W-C causing LU to lose its ability to diffuse, so phlegm affects LU

36
Q

these s/sx are which Wind Phlegm pattern, what is the etiology, how do you Tx?

  • acute condition
  • phlegm in throat
  • dizziness
  • numbness of skin, hands, feet
  • hypertonicity of limbs, or spasms (e.g. stroke patient)
  • deviated mouth, eyes
  • stiffness of tongue
  • severe cases: paralysis, clouding of spirit, convulsions, vomiting of phlegm
  • white, greasy tongue coat
  • string-like (wiry) and slippery pulse
A

Internally Engendered Wind Phlegm

TX: Subdue Wind, Transform Phlegm

Etiology: excess pattern but at root a deficiency condition; possibly long term SP vacuity resulting in formation of dampness, plus extra spark that makes dampness phlegm; could also be long term pathology or inappropriate treatment leading to SP deficiency

37
Q

these s/sx are which Phlegm pattern, how do you Tx?

  • fever
  • cough
  • yellow phlegm, thick, difficult to cough out*
  • chest pain
  • heart vexation
  • thirst*
  • yellow-red urine*
  • dry, bound stool
  • red tongue, greasy yellow coat
  • slippery, rapid pulse
A

Phlegm-Heat

TX: Clear Heat, Transform Phlegm

38
Q

these s/sx are which Phlegm pattern, how do you Tx?

  • physical cold, cold limbs
  • aversion to cold, preference for warmth
  • cough
  • clear, thin or white phlegm*
  • bland taste in mouth
  • no thirst
  • clear & copious urination*
  • loose stools
  • pale tongue with white greasy coat
  • deep slippery or deep slow pulse
A

Phlegm-Cold

TX: Warm & Transform Cold Phlegm

39
Q

these s/sx are which Phlegm pattern, how do you Tx?

  • fullness, oppression of chest & stomach*
  • generalized heaviness*
  • fatigue
  • low appetite
  • nausea
  • cough with copious phlegm, easy to spit*
  • clear urine
  • thin & loose stools
  • tenesmus
  • pale, puffy tongue, thick white greasy coat
  • soggy, moderate pulse
A

Phlegm-Damp

TX: Dry Dampness, Transform Phlegm

Note: No pattern of Dampness in LU, but “Phlegm-Damp” can affect LU. Dampness in LU is called “rheum.”

40
Q

these s/sx are which Rheum pattern, how do you Tx?

  • fullness & distention of chest, ribside, abdomen
  • SOB
  • vomiting of phlegm-drool
  • clear, thin phlegm
  • reduced appetite
  • borborygmus* (primary sign)
  • bland taste in mouth
  • no thirst
  • dizziness
  • palpitations
  • thin, loose stools
  • pale tongue, white greasy/shiny coat
  • string-like & slippery pulse
A

Phlegm Rheum

TX: Warm & Transform Phlegm-Rheum

41
Q

these s/sx are which Phlegm pattern, how do you Tx?

  • glomus (fullness) and distention of chest & ribside
  • cough with spittle that causes pain in ribs* (primary sign)
  • dry throat
  • SOB
  • rapid breathing
  • low appetite
  • loose stools
  • white shiny coat
  • deep, string-like pulse
A

Suspended Rheum

TX: Expel Water Rheum

Note: glomus means lack of communication between upper & middle jiaos

42
Q

these s/sx are which Phlegm pattern, how do you Tx?

  • deep heaviness & pain of limbs* (primary sign)
  • puffy swelling* (also primary sign)
  • a lot of water flooding downward
  • cough, panting
  • white phlegm
  • fever
  • cold body, no sweating
  • inhibited urination
  • white tongue coat
  • tight pulse
A

Spillage Rheum

TX: Warm the Yang, Disinhibit Water

KD 7, SP 9

Other names for this pattern could be: Tai Yang Bowel Water Amassment pattern and KD Yang Vacuity

43
Q

these s/sx are which Phlegm pattern, how do you Tx?

  • inability to lie flat* (primary sign)
  • coughing, panting*
  • chest fullness
  • stomach glomus
  • swollen appearance of face & eyes
  • swelling does not recover for a long time, worse in cold conditions
  • inhibited urination
  • white greasy tongue
  • string-like and slippery pulse, or string-like & tight
A

Propping Rheum

TX: Drain the LU, Expel Phlegm (if there is additional exterior patter: Resolve Exterior, Transform Rheum)

Other names for this pattern could be Water Qi Intimidating the HT (palpitations), and Cold Water Shooting Into LU (no palpitatios

Winter 2014 / FCM 4 (13 decks)

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