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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
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
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
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
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
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
Blood Heat TX: Stop Bleeding
28
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
Bleeding Pattern TX: Stop Bleeding! Note: not really a pattern, so important to diagnose the cause and address it
29
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 -
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
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
Qi Stagnation & Blood Stasis TX: Rectify Qi, Invigorate Blood, Dispel Stasis
31
how do you Tx Qi Vacuity Blood Loss Pattern?
TX: Tonify Qi, Stop Bleeding
32
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
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
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
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
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
Collection & Stagnation of Body Fluids
35
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*
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
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
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
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
Phlegm-Heat TX: Clear Heat, Transform Phlegm
38
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
Phlegm-Cold TX: Warm & Transform Cold Phlegm
39
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
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
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
Phlegm Rheum TX: Warm & Transform Phlegm-Rheum
41
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
Suspended Rheum TX: Expel Water Rheum Note: glomus means lack of communication between upper & middle jiaos
42
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
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
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
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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