Six Stages Flashcards
What are the 6 Stages?
TaiYang (Greater Yang) stag: invasion of Wind-Cold: channel pattern (W-C w/prevalence of Wind = Zhong Fend or W-C w/prevalence of Cold = Shang Han) OR Organ pattern (accumulation of Water or accumulation of Blood); YangMing (Bright Yang) stage: channel or organ; ShaoYang (Lesser Yang) stage; TaiYin (Greater Yin) stage; ShaoYin (Lesser Yin) stage (Cold transformation; Heat transformation; JueYin (Terminal Yin) stage.
What are the 3 essential signs of TaiYang (Greater Yang) Stage of 6 Stages?
- Aversion to Cold (d/t obstruction of space b/t skin and muscles by ext. W) 2. HA and stiff neck (usually occipital HA d/t obstruction of TaiYang channels) 3. Floating pulse, relatively large (d/t rush of Wei Qi to surface to meet and fight ext. W)
What are 2 features to pattern of Wind-Cold Invasion with prevalence of Wind (aka Attack of Wind) in 6 Stages?
- emphasis on Wind more than Cold 2. deficiency of Yin (Nutritive) Qi compared to Defensive (Wei) Qi
TaiYang Stage Wind-Cold with Prevalence of Wind: s/s and tx?
Slight aversion to cold, aversion to wind (both subjective), slight fever (objective - hot upon palpation), slight sweating (Ying Qi deficient, failing to hold sweat in), headache, stiff neck, sneezing (Lung Qi unable to diffuse in nose), Floating-Slow pulse (Wind contracts and slows down). Tx: release exterior, expel W and C, restore diffusing of LU Qi, harmonize Ying and Wei Qi. BL12 (cupping), LU7, LI4, GB20, TW5, ST36. Gui Zhi Tang.
TaiYang Stage Wind-Cold with Prevalence of Cold: s/s and tx?
Aversion to cold, slight fever, NO sweat (Cold contracts the pores), HA, stiff neck, sneezing, runny nose with white discharge (LU Qi unable to descend), breathlessness (same), Floating-Tight pulse. Tx: release exterior, expel W and C, restore diffusing and descending of LU Qi. BL12 (cupping), LU7, LI4, TW5, GB20, GV16. Moxa applicable. Ma Huang Tang.
Patient has floating pulse, HA, shivers, and aversion to Cold. Is it TaiYang stage with more Wind or Cold? What do you look for?
No sweat = Cold; slight sweat = Wind. Very achy = Cold; mild aches= Wind. Floating-Tight pulse = Cold; Floating-Slow pulse = Wind. And of course stronger aversion to cold = more Cold.
TaiYang Stage of 6 Stages has 2 organ patterns affecting the Bladder - what are these?
Accumulation of Water - Heat in BL at Qi level causing urinary retention; Accumulation of Blood - Heat in the BL at the Blood level causing blood un urine, fullness and urgency, plus mental changes.
TaiYang Stage Accumulation of Water: s/s and tx?
Aversion to cold, fever (d/t Wind on Exterior), retention of urine, slight thirst/thirst not relieved by drinking), vomiting of fluids soon after drinking (BL’s function of Qi transformation if impaired, water not transformed, accumulates in stomach), Floating-Rapid pulse. Tx: release exterior, promote BL’s function of Qi transformation, promote excretion of fluids. CV9, CV3, ST28, LU7, BL22, BL39, BL64. Wu Ling San.
TaiYang Stage Accumulation of Blood: s/s and tx?
Hypogastric distention, fullness and urgency (d/t Heat and stasis in lower burner and BL organ), blood in urine (pathogenic factor at Blood level), mental restlessness/mania (Blood houses Shen and Heat and stasis at Blood level disturbs Shen), Reddish-Purple tongue w/o coat, Deep-Fine-Rapid or Deep-Choppy pulse (blood vessels obstructed). Tx: invigorate Blood, eliminate stasis from Lower Burner, clear Heat from BL. CV3, KD14, ST28, BL39, BL22, SP10, LIV3, SP6. Tao He Cheng Qi Tang (Persica Conducting Qi Decoction).
The YangMing stage of 6 stages is equivalent to what pattern from the Eight-Principle point of view?
Interior Full-Hot
In 6 stages, how do you know when a pathogenic factor has moved from the TaiYang to YangMing stage?
Aversion to cold disappears, indicating that the pathogenic factor has become interior and transformed into Heat.
YangMing (Yang Brightness) Stage - channel pattern: s/s and tx?
4 Bigs: fever, sweat, thirst, pulse. (Thirst because Heat is in ST, source of fluids.) Also red face, feeling of heat, actual fever, irrtability, delirium. T: red w/yellow t.c. P: Overflowing-Rapid/Big-Rapid. Tx: clear ST Heat. LI11, GV14, PC3, ST44, ST43. Bai Hu Tang (White Tiger Decoction). Pungent-cold herbs to clear Heat outward.
YangMing (Yang Brightness) Stage - organ pattern: s/s and tx?
High fever worse in afternoon, profuse sweat esp. upper limbs (Fire flares upward), abdominal fullness and pain (Heat/Fire has dried body fluids leading to dried feces, constipation), dry stools, thirst, dark urine. T: red w/thich, dry yellow t.c. P: Deep-Full-Slipper-Rapid. Tx: drain Fire from ST and Intestines, move downward. LI11, GV14, PC3, ST44, ST43, ST25, SP15, ST37, SP6. Tiao Wei Cheng Qi Tang (Regulating the Stomach Conducting Qi Decoction). Bitter-Cold herbs to stimulate bowels, expel Fire.
ShaoYang (Lesser Yang) stage - s/s and tx?
Alternating chills/cold feeling and fever/hot feeling (pathogenic factor oscillating b/t TaiYang andYangMing) + GB s/s like bitter taste, dry throat, blurred vision, hypochondrial fullness/distention, irritability, nausea/vomiting. T: unilateral coating typically, thin white t.c. P: Wiry-Fine. Tx: harmonize ShaoYang (Lesser Yang). TW5, TW6, GB41, GV13. Xiao Chai Hu Tang (Small Bupleurum Decoction).
TaiYin (Greater Yin) stage - s/s and tx?
Abdominal fullness and vomiting (d/t Cold), feeling of cold, lack of appetite, diarrhea, no thirst, tiredness (d/t SP Yang deficiency). T: pale, sticky white t.c. P: Deep-Weak-Slow. Tx: tonify SP Yang, expel Cold. CV12, BL20, ST36, ST25, SP6. Moxa applicable. Li Zhong Tang (Regulating the Center Decoction).
