Quiz 4 - Luo and Shang Han Lun Tai Yang Stage Flashcards
Where does each longitudinal Luo vessel separate from the primary meridian and take its own path?
At the Luo point
What do the Luo points reinforce via the transverse Luo vessels?
The connection between the Yin Yang channel pairs
What are the Luo vessels comprised of? Describe them…
Luo vessels are comprised of a network of arteries, veins, capillaries and lymphatic ducts.
The are tubelike and highly reticular.
They have a wide diameter with many branches that span Yin/Yang borders and connect paired channels.
Where does the Luo vessel network begin?
It begins at the Jing well and diverts from primary channel at Luo point.
What is the difference between Transverse Luo and Longitudinal Luo?
Longitudinal Luo: From Luo point, this is when Luo vessels takes its own path
Transverse Luo: From Luo point, this is when the Luo vessels connect with Yin/Yang pair
How many Longitudinal Luo Vessels are there?
There are 16:
12 regular channel meridians
2 extraordinary (Ren and Du)
2 great luo (ST and SP)
What are the functions of the Luo Vessels?
They nourish the body by supplying blood
Aid in blood production
Connect Yin/Yang pairs
Connect Interior/Exterior
Connect Left/Right sides
Act as a holding station for pathogens that the body is too weak to fight off during an external attack
What are clinical applications of Luo?
Treat disorders of Yin/Yang channel pair zang fu
Treat disorders in areas that the Longitudinal Luo reaches
Treat emotional upset because of its relationship with Blood
What is angiogenesis?
This is how primary channels bank pathology in Luo to ensure they do not enter the ZangFu
Angiogenesis is the creation of blood vessels…
What happens as a Luo vessel fills up?
More and more blood vessels are formed and more blood is used to contain the pathogens.
This results in a condition of Blood Stasis resulting in:
Throbbing, itching, numbness, tingling, varicose veins, bruises and discolorations
Luo points and vessels: LU 7
LU 7 goes down and scatters down to the thenar emminence and enters the palm at PC 8
Full: heat in the palms
Empty: frequent yawning and urination
Luo points and vessels: HT 5
Follows the primary meridian to Ren 17 and Ren 14 and to the root of the tongue Ren 23 and then to the eye
Full: Oppression in the chest, full/sticky feeling
Empty: Loss of speech
Luo points and vessels: PC 6
Follows the primary meridian to connect with Ren 17
Full: Heart pain
Empty: Chest oppression and/or rigidity or pain in the neck and head. The body is trying to prevent Heat and Wind from entering the head resulting in stroke
Luo points and vessels: SI 7
Goes through the elbow through the lateral tip of the shoulder where it spreads out and connects with LI 15
Full: Loose joints and elbow atrophy
Empty: Small itchy swellings that scab up and pebbly excrement
Luo points and vessels: LI 6
Goes up to shoulder at LI 15, then up the neck to the jaw and teeth; a branch divides on the cheek to enter the ear
Full: Toothache and acute deafness
Empty: Cavities or sensitive teeth and diaphragmatic numbness
Luo points and vessels: SJ 5
Goes up into the shoulder at LI 15, then to the middle of the breast before terminating at Ren 17
Full: Elbow dislocations and stiffness
Empty: Difficulty in bending arm due to weakness in elbow joint – weakness and pain in the body
Luo points and vessels: UB 58
Vessel wraps around and runs down the leg to KD 4 to join the KD Luo vessel
Full: Nasal congestion, headache, lumbago
Empty: Nose bleeds (body’s way of getting rid of EPF) and runny nose with clear fluid
Luo points and vessels: GB 37
Vessel runs down the lateral side of leg and disperses over dorsum of the foot
Full: Deficiencies of Yang due to inversion of Qi flow resulting in coldness of lower limbs and feet
Empty: Paralysis or inability to stand from a seated position
Luo points and vessels: ST 40
Vessel follows the ST primary channel up to the neck where one branch terminates at the throat, one branch at the nape of the neck and a third branch goes up in front of the ear to DU 20 before it terminates in the throat
Full: Loss of emotional control
Empty: Stiffness of the foot and lower leg atrophy
Luo points and vessels: SP 4
Vessels from dorsum of foot up the medio-anterior portion of leg to enter abdomen where it connects with intestines and Stomach
Full: Sharp pain in the middle of the intestines
Empty: intestinal drum-like swellings in the intestines, like due to asceities
Luo points and vessels: KD 4
Runs along primary KD channel up to KD 21 then internally to lumbar spine where it descends to genitals; simultaneously a branch runs superficially from KD 21 to genitals; another branch of KD luo vessels runs from Ren 17 to UB 1
Full: blockages of the lower orifices
Empty: pain in the genitals and lower back
Luo points and vessels: LV 5
Vessel goes up the leg and enters the genitals
Full: Abnormal sexual arousal/erection
Empty: cruel and unbearable itching often in the genital region, could be any and all STDs
Luo points and vessels: Ren 15
The vessel disperses over and into the abdominal region at this point
Full: abdominal pain and/or nodules and focal distention
Empty: abdominal itching
Luo points and vessels: Du 1
The vessel goes up the spine to DU 20 and descends along Bladder channel laterally until it reaches the lumbar spine
Full: Stiffness of spine due to blood deficiency in this area causing it to be poorly lubricated
Empty: Heaviness of the head with shaking as in Parkinson’s disease
Luo points and vessels: SP 21 - Great Luo of SP
Spreads into the breasts and ribs anteriorly and posteriorly from this point. This vessels controls entire network of Luo linking vessels and their blood. If this Luo vessel is affected, all Luos are affected.
Full: Diffused pain all over the body, as in fibromyalgia
Empty: Loosening of all joints with loss of strength
Luo points and vessels: ST 18 or LV 14 – Great Luo of ST
Starts in stomach and penetrates through diaphragm below left breast at chong mai
Full: rapid and irregular breathing; chest congestion
Empty: palpitations
What does Shan Han Za Bing Lun translate to? Written by Zhang Zhong Jing
Shan= Injury Han= Cold Za= Miscellaneous Bing= Disease Lun= Treatise
The Shan Han Za Bing Lun was was reorganized and edited by Wang Shu He. The resulting 2 books were:
Shan Han Lun
Jin Gui Yao Lue (Essential Prescriptions from the Golden Chamber)
What does the Jin Gui Yao Lue (Essential Prescriptions from the Golden Chamber) cover?
Obstetric and gynecological issues
Pediatrics
Diseases arising from Phlegm (first reference to disease arising from Phlegm)
What is Shan Han Lun pathogenesis?
Illness comes from constriction of Yang due to impinging external factors which have invaded the body
When the body is invaded by Shan Han (an epidemic), the Yang of the body tries to push out the cold via the most Yang channel of the body… the Tai Yang
According to Zhang disease is due to:
Shan Han (such as injury due to Cold) Zhong Feng (center Wind, such wind tends to affect the center of the body via the influence on the Wei Qi)
During Tai Yang stage illness what happens with the body reacts by getting tight at the shoulder blades?
This tightening gets rid of the basins between the clavicle and the spine of the scapula at ST 12… As a result the Yang meridians that runs through the supraclavicular fossa don’t dump EPF into the body (ST, LI, SI, SJ, GB)
What does the Tai Yang represent?
The onset of illness
What is chief etiology of disease?
Cold
Wind
What exterior terrain is the Tai Yang energetic associated with?
Skin 4 limbs Head Orifices Upper Respiratory Tract
What are problems that can arise at Tai Yang stage of illness?
- Dermatological issues
- Musculoskeletal issues
- Acute headaches
- Eye conditions
- Nasal conditions
- Cold sores in the mouth
- Upper respiratory tract infections (bronchitis)
What is primary form of Qi affecting Tai Yang disorders?
Wei Qi
What is strength of Wei Qi dependent on?
The health of Yang Qi which is the root
The health of Ying Qi which will covert over to Wei Qi when the body is in need
In case of Wind, the Tai Yang stage pathology usually lasts how many days?
Usually lasts 3-5 days
If severe as in the case of Cold, the Tai Yang stage pathology usually lasts how many days?
Usually lasts 7-10 days
Tai Yang stage signs and symptoms: Zhong Feng (Wind):
Aversion to Wind Relatively Mild Fever>Chills Aggravates or blocks movement Sweating Hives or urticaria Watery nasal discharge and/or sneezing Itchy or teary eyes Red eyes from Wei Qi being here Headaches (wind moves upward) Tickly throat Pulse: Floating and Rapid
Tai Yang stage signs and symptoms: Shan Han (Cold):
Aversion to Cold Relatively severe Chills>Fever Constrictive movement Little or no sweat Pale discoloration Stuffed up nose, thick discharge Tight chest inhibiting dispersing function of lung Body aches (cold moves downward) Coughing Pulse: Floating and Tight (Floating and Slow if it has gone deeper)
Treatment Principle for Tai Yang stage illness:
Release exterior by inducing sweat
Adjust balance between Wei Qi and Ying Qi
Nourish the fluids that make up for what is sweated out
Tai Yang Stage Tx Protocol: Step 1
Pour warming liniment on the back, shoulders and neck to excite Yang and invigorate Wei-Qi
• Gua-sha the neck, shoulder area and back for Wind (Zhong Feng)
• Cup the back and shoulders for Cold (Shan Han)
• Gua-sha or cup the chest for difficult breathing and fever
Tai Yang Stage Tx Protocol: Step 6
Needle SJ 2 to nourish fluids – SJ is responsible for movement of Qi and Water
Tai Yang Stage Tx Protocol: Step 7
Needle prophylactic points to prevent Tai Yang from moving deeper
Tai Yang –> Shao Yang = GB 40 and SJ 4
Tai Yang –> Yang Ming = ST 42 and LI 4
Tai Yang Stage Tx Protocol: Step 1
Pour warming liniment on the back, shoulders and neck to excite Yang and invigorate Wei-Qi
• Gua-sha the neck, shoulder area and back for Wind (Zhong Feng)
• Cup the back and shoulders for Cold (Shan Han)
• Gua-sha or cup the chest for difficult breathing and fever
Tai Yang Stage Tx Protocol: Step 6
Needle SJ 2 to nourish fluids – SJ is responsible for movement of Qi and Water
Tai Yang Stage Tx Protocol: Step 7
Needle prophylactic points to prevent Tai Yang from moving deeper
Tai Yang –> Shao Yang = GB 40 and SJ 4
Tai Yang –> Yang Ming = ST 42 and LI 4
Tai Yang Stage Tx Protocol: Step 8
Needle points appropriate for patient’s condition
Rebellious Qi:
ST 40 = Nausea and vomiting
HT 5 and PC 6 = palpitations
LU 7 = wheezing and coughing
If Cold enters the teeth and makes them chatter: SI 18
For severe chills: Ba Xie on webbing of fingers
For seizures or muscle spasms: Ba Feng on webbing of toes
For phlegm:
Easy to expectorate (wind condition) = LU 6
Hard to expectorate (cold condition) = LU 9
For 4 types of fluid stagnation: Edema = Moxa UB 28 Fluid in chest (pneumonia) = ST 12 and DU 14 Vertigo = DU 20 Spitting and coughing up phlegm = UB 13
