Six Stages Flashcards

1
Q

Who created the 6 Stages Diagnosis?
What book did he write ?

A

Zhang Zhong Jing
Book “Shang Han Lun”

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2
Q

Tai Yang Channel Stage:
What are the two patterns or divisions ?

A

Wind invasion
Cold invasion

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3
Q

What are the clinical manifestations of Tai Yang windinvasion?

What is the treatment principle ?

A

Slight fever
headache and stiff neck
Floating pulse slow xu
slight sweating, aversion to wind but only slight aversion to cold

TP: release exterior, expel wind and cold, HARMONIZE YING AND WEI

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4
Q

Choose Acu Points to treat Tai Yang wind invasion?

A

BL 12 ( cup)
LU 7
LI 4
GB 20 wind pool
TE 5 yang wei
ST 36
GV 16 palace of wind

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5
Q

Is Tai Yang wind invasion, a deficiency of Ying Qi or Wei Qi?

A

Ying Qi

Deficient nutritive Qi can not hold sweat in the space between skin and muscles—> sweating occurs

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6
Q

What are the clinical manifestations of Tai Yang cold invasion?

A

Slight fever
headache and stiff neck
Floating pulse tight zhi
NO sweating, aversion to cold, runny nose with white discharge

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7
Q

Compare
Tai yang WIND VS Tai yang COLD

A
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8
Q

Name Acu Points to treat Tai Yang cold invasion?

A

BL 12 ( cup)
LU 7
LI 4
GB 20
TE 5
Moxa

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9
Q

Tai Yang Organ stage:
What are the two patterns?

A
  1. Accumulation of water + heat on BL (qi level)
  2. Accumulation of blood heat in LJ and BL ( xue level)
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10
Q

Pathology

Accumulation of Water

A

Impaired Bladder function of Qi transformation. Water is not transported properly leading to retention of urine, thirst, vomiting after drinking.
Even though is a floating pulse the pathogen has gotten a bit deeper causing heat!

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11
Q

Key Symptoms

Accumulation of Water

A

⚡️Retention of urine
⚡️vomiting of fluids soon after drinking or Thirst that persists after drinking

P: FLOATING /RAPID

Other symptoms: TAI YANG symptoms : fever, aversion to cold

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12
Q

Acu Points

Tai Yang Fu:
Accumulation of Water

7 points

A

CV 9
CV 3
ST 28
LU 7
BL 22
BL 39 Lower he-sea TE
BL 64

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13
Q

Key Symptoms

Accumulation of Blood

Think BL infection

A

⚡️Fullness / Tightness / distention in hypogastric region ( lower abdomen)
⚡️Mental restlessness
⚡️Red/Purple Tongue - no coat

Other Symptoms:
hematuria, jaundice, mind effected

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14
Q

Acu Points

Tai Yang Fu:
Accumulation of Blood

A

CV 3
ST 28
BL 22
KI 14 ( move LJ energy, brake xue yu)
SP 10
LR 3
SP 6 ( cools xue, nourishes yin fluids)

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15
Q

Compare

Tai Yang Organ Syndroms:
Water VS Blood
Accumulation

A
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16
Q

Yang Ming stage:
What are the two patterns?
What two organs are involved?
What are the western pathologies?

PATHOGEN HAS ENTERED THE INT!
And has transformed into either heat or fire !

A

Yang Ming channel (heat)
Yang Ming Fu (fire)

Organs involved:
Stomach
Large intestine

Western pathologies:
Bronchitis
Pneumonia
Crohn’s
Colitis
Ulcer

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17
Q

What are some of the clinical manifestations of Yang Ming channel heat?

ST heat QI LEVEL

A

Big fever
big thirst
big sweat
big pulse
red face, feeling of heat, irritable delirium.

Key: there is a real fever and NO aversion to cold

18
Q

What is the tongue like for Yang Ming Channel heat VS Organ Fire?

A

Channel:
Tongue is red with yellow coat

Organ:
Tongue is red with THICK DRY yellow coat

19
Q

What are some Acu points used to help clear Yang Ming Channel heat?

TP: clear heat ( diaphoreses)

A

LI 11
GV 14
PC 3 ( water point)
ST 44 (water point)
ST 43

20
Q

What are some of the clinical manifestations of Yang Ming Organ Fire?

Deeper and more drying than Ch. Level

QI LEVEL Intestine dry

A

⚡️4 BIGS
⚡️Constipation, dry stools

21
Q

What pattern in the Yang Ming stage begins to damage body fluids:

Channel Heat?
Or
Organ Fire?

What levels do they correspond?

A

Organ fire

Channel heat : intestine dry QI LEVEL

Organ fire: ST heat QI LEVEL

22
Q

What are some acupoints used to drain Organ fire?

Must purge bowels to clear heat!

A

LI 11
GV 14
PC3
ST 44
ST 43
ST 25
SP 15
ST 37
SP6

23
Q

Shao Yang Stage:
What organs are involved?
What is the pattern called?
What are the western pathologies?
In what level is it found?

A

TE + GB
Shao Yang
Malaria, any illness that ebbs and flows.

QI LEVEL : GB/ BL heat

24
Q

What are the clinical manifestations of Shao Yang Stage?

PF oscillates between Tai yang and yang Ming. There for half Int. Half ext.

A

⚡️Alternating chills and fever
Either aversion to cold ( tai yang) or feeling of heat ( yang Ming)

GB ch. Symptoms:
Bitter taste
Dry throat, blurred vision
Lack of appetite
Lack desire to drink
Hypochondriac fulness
Irritability, nausea, vomiting
⚡️Pulse: WIRY and thready

25
Q

What are some acupoints used to treat Shao Yang Stage?

A

TE5 + GB41 yang wei mai
TE6
GV 13 ( treats Malaria)

26
Q

What is unique about the tongue in a Shao Yang stage?

A

Unilateral, thin, white coat

It always starts with an EPI! Etiology is important!

27
Q

Tai Yin Stage:
What organs are involved?
What is the pattern?

A

SPLEEN ( LUNG)

SP Yang xu with cold

28
Q

What are the clinical manifestations of Tai Yin stage ?
What does the tongue and pulse look like?

A

Abdominal fullness, lack of appetite, feeling cold,
⚡️vomiting clear fluids
absence of thirst fatigue .

Tongue: sticky, white
Pulse: deep, weak, slow

29
Q

What are some acupuncture points used to treat Tai Yin Stage?

A

CV 12
BL 20
ST 30
ST 25
SP6
SP3
MOXA

30
Q

What are the two patterns of the Shao Yin stage?
What organs are involved?

Heat and cold penetrate deeper

A

Organs: KIDNEYS ( HT)

Patterns:
Kidney Yang deficiency with empty cold

Kidney Yin deficiency with empty heat

31
Q

What are the symptoms of KD Yang xu with empty cold?

SHAO YIN cold transformation

A

Chills, feeling of cold,listlessness, desire to sleep, cold limbs, no thirst, frequent pale, urination
⚡️lying with body curls up
⚡️Cockscrow diarrhea

YANG XU PULSE AND TONGUE
Deep, weak, slow
Pale wet

32
Q

What acupuncture points are used to treat kidney Yang deficiency with empty cold?

A

BL 23
CV 4 Ming men MOxa
CV 6
CV 8
KD7 tonify Yang
KD3
Moxa

33
Q

What are the symptoms KD YIN Xu with empty heat?

SHAO YIN Heat Transformation

A

Feeling a heat in the evening
⚡️insomnia ( difficulty to stay asleep)
dry mouth
throat at night dark urine
night sweat

YIN XU TONGUE AND PULSE
Red, no coat
Thready, rapid, deep

34
Q

What are some acupuncture points used to treat kidney yin deficiency with empty heat ?

A

CV 4
CV 6
KD 6 Tonify yin
KD 3 tonify yin and Yang

35
Q

What is the pattern associated with Jue Yin stage?
What organs are involved?
What acu points ?

Sometimes seen in round worm infestation
This is the end of life stage

A

Pattern: heat above cold below
Organs: LR and PC
Points: LR3, LI4, SP4, PC6

36
Q

What are the western pathologies associated with Jue Yin Stage?

A

Various stages of degenerative disease, example: HIV and Cancer

37
Q

What are some clinical manifestations of Jue Yin Stage?

A

Heat above, [thirst, feeling of energy rising, pain and sensation of heat in heart, Regent, hunger]

Cold below [cold limbs, vomiting]
LOA

38
Q

What are some acupuncture points used to treat Jue Yin Stage?

A

LR3
LI 4
SP 4 +PC6

39
Q

Of the 6 stages, what is the only EXTERIOR Stage?

A

Tai Yang

40
Q

Who came up with the six channel syndrome differentiation?

How does the PF enter the body?

Is it a cold or hot invasion ? 

A

Zhang Zhongshan Jin

Through the skin

Cold invasion