Self Assessment Questions chapter 3 The vital Substances Flashcards

1
Q

What does the ancient Chinese character for Qi portray and how does this relate to its nature?

A

One part portrays uncooked rice and another the steam deriving from its cooking. It refers to the dual nature of Qi, that is substantial (like rice) but it can be transformed into more subtle forms if energy (like vapour)

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2
Q

List four functions of Jing (Kidney Essence) (4)

A

1) Basis of Kidney Qi
2) Producer of marrow
3) it determines Growth, Reproduction, Development
4) Basis for constitutional strength

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3
Q

What are the three treasures, and what are their clinical significance?

A

Essence/ Qi/ Mind
(Jing/ Qi/ Shen)

They represent three different states if aggregation of Qi. From Essence being the densest to mind being the most rarefied and non- substantial

This highlights the close relationship existing in Chinese medicine between body and mind, the state of the Essence and Qi influences the mind and vice versa

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4
Q

List three functions of the Original Qi ( Yuan- Qi) (5)

A

1) It is the motive force of all physiological processes

2) It is the basis of Kidney- Qi

3) It facilitates the transformation of Qi

4) It facilitates the transformation of Blood

5) It comes out of the source points

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5
Q

Where does Food- Qi (Gu-Qi) derive from?

A

Stomach and Spleen

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6
Q

How is Gathering- Qi (Zong-Qi) formed?

A

It is formed from Food- Qi (Gu-Qi) combining with air in the lungs

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7
Q

How is True-Qi (Zhen-Qi) formed?

A

It’s is formed from Gathering- Qi (Zong-Qi) under the transforming action of Original Qi (Yuan- Qi)

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8
Q

Compare and contrast briefly Nutritive and Defensive Qi

A

Nutritive Qi- refined, circulates in the channels, nourishes

Defensive Qi- Coarse, circulates outside the channels, protects and warms

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9
Q

What is the Qi mechanism?

A

It’s is the complex movements of Qi all over the body, including ascending, descending, exiting and entering

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10
Q

List the physiological direction of Qi movement of the Heart, Lungs and Liver

A

Heart-Qi descends
Lung-Qi primarily descends
Liver-Qi flows in all directions

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11
Q

How is Blood formed

A

It is formed from Food Qi in the heart under the influence of Original Qi (Yuan Qi) and Essence

Kidney- essence (Jing)- original (yuan) Qi- heart

Kidney- Marrow- Bone Marrow- blood

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12
Q

What organs are mostly involved with Blood?

A

Heart- Governs Blood
Spleen- Makes blood
Liver- Stores Blood

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13
Q

What is the relationship between Qi and Blood

A

Qi is the commander of Blood
Blood is the mother of Qi

Qi moves blood
Blood nourishes Qi

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14
Q

Which organs are primarily involved in the transformation, transportation and Excretion of body fluids

A

Spleen- transforms and transports fluids

Lungs- makes fluids descend

Kidneys- transform and excrete fluids

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15
Q

Why is bleeding therapy contraindicated in people who are sweating and sweating contraindicated in people that are bleeding?

A

Blood and Body fluids (including sweat) have a relationship of mutual interchange, therefore depleting one might deplete the other

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16
Q

Why is a red tip of the tongue very common in patients suffering from emotional problems?

A

A red tip of the tongue indicates Heart- Heat. As all emotions affect the heart (as well as their relevant organ) because the heart houses the mind which ‘feels’ the emotions, the tip of the tongue becomes easily red when the person is affected by any emotion

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17
Q

3 types of Essence

A

Pre- Heaven Essence
- blending of sexual energies of man and woman at conception
- nourishes foetus
- Determines basic constitutional make- up strength and vitality
- what makes us unique

Post- heaven essence
- refined and extracted from food and fluids by stomach and spleen after birth

Kidney Essence
- derives from both pre and post heaven essence
-hereditary energy (pre heaven essence)
- replenished by food and fluids (post heaven essence

18
Q

Storage of Jing

A

Kidneys
8 Extra Meridians

19
Q

Distribution of Jing

A

To all the Yin organs

20
Q

Pathology of Jing

A

Jing deficiency

21
Q

Birth, growth, reproduction and development

Deficient Jing in children

A

Poor development and dullness, poor bone development, late onset of menstruation

22
Q

Birth, growth, reproduction and development

Jing deficiency in Adults

A

Miscarriages
Loose teeth
Premature grey hair
Baldness
Osteoporosis
Chronic poor health

23
Q

Birth, growth, reproduction and development

Jing impacting on Basis of Kidney- Qi

A

Poor sexual function
Impotence
Weakness of knees
Nocturnal emissions

24
Q

Birth, growth, reproduction and development

Jing unable to Produce good Marrow- issues- head

A

Poor concentration, poor memory, dizziness, tinnitus, feeling if emptiness of the head

25
Q

Birth, growth, reproduction and development

Jing impacting on Basis of constitution- low immunity

A

Chronic poor health
Constant colds
Always ill
Low energy and vitality

26
Q

General signs of Jing deficiency- mix

A

Mal- development of foetus
Poor mental and physical health
Weak constitution
Poor stamina
Late closure of fontanelle
Premature babies
Brittle bones
Late puberty
History of constant illness
Senility

27
Q

Types of Post- Heavenly Qi

A

Food- Gu Qi
Upright- Zheng Qi
Gathering- Zong Qi
Pathogenic- Xie Qi
Organ Qi and Channel Qi
True- Zhen Qi
Central- Zhong Qi
Defensive- Wei Qi
Nutritive- Ying Qi

28
Q

Functions of Qi (6)

A

Holding
Raising
Transporting
Transforming
Protecting
Warming

(Henry ran to the park whenever)

29
Q

Pathology of Qi (4)

A

Deficiency
Sinking
Stagnation
Rebellious

30
Q

Direction of Qi (each organ)

A

Lung- downwards
Liver- up and smoothly everywhere
Kidney- up grasps Qi from lungs
Spleen- upwards
Stomach- downwards
Heart fire- down to kidney water

31
Q

Functions of Blood

A

Nourishes
Moistens
House the mind (Shen)

32
Q

Main organs relating to blood

A

Heart- governs blood
Liver- stores blood
Spleen- makes blood

33
Q

Pathology of Blood

A

Deficiency
Blood heat
Blood stagnation

34
Q

Body fluids (Jin- Ye) production and transportation

A

Lung—————————(UB like mist)
|. |
Stomach/ Spleen | |
|. | MBMuddy pool. |
Small intestine——|. | |
|——Kidney
| |
|. |
Large intestine |——Bladder (LB)
|. |

35
Q

Functions of Body fluids (Jin)

A

Jin

Nature: clear, light, thin and watery
Organ- under control of lungs
Function- moisten and nourish the skin and muscles
Manifest as: sweat, tears, saliva and mucus

36
Q

Functions of Body fluids (ye)

A

Ye
Nature- turbid, heavy, dense, and slow moving
Organ- under control of the spleen and kidneys, middle and lower burner
Function- moisten the joint, spine, brain and bone marrow

37
Q

Main organs related to body fluids

A

Lung
Spleen
Kidney

Other organs
Triple burner, bladder, stomach

38
Q

Pathology of body fluids

A

Deficiency of body fluids- dryness
Accumulation of body fluids- Phlegm, damp, or Oedema

39
Q

Functions of Shen (mind)

A

Sleep
Memory
Thinking
Consciousness
Spirit- moves hun, po, zhi, yi

40
Q

Pathology of Shen- Dirty, Dan, obstructed

A

Deficient Shen
Disturbed Shen
Obstructed Shen

41
Q

What are the vital substances (5)

A

Body fluids
Blood
Jing (essence)
Qi
Shen (mind)