SP & ST Patterns Flashcards
these s/sx are which pattern, how do you Tx?
- fatigue, lack of strength*
- low voice/lazy speech
- low appetite
- abdominal distention
- loose stools*
- pale tongue, scalloped edges, white coat
- weak, deficient pulse
SP Qi Vacuity
TX: Boost the Qi, Tonify the SP
SP 3, ST 36, Ren 6, Ren 12
these s/sx are which pattern, how do you Tx?
- bright white facial complexion
- physical cold, cold limbs
- bland taste in mouth
- no thirst
- abdominal distention
- low appetite
- loose stools, diarrhea
- may have edema
- may have clear, thin vaginal discharge
- pale tongue, puffy, white wet coat
- deep, slow, weak, or forcelss pulse
SP Yang Vacuity
TX: Warm the Center, Dispel Cold, Boost SP
Moxa Ren 8, ST 25, SP 15, UB 20, UB 23, Du 20
these s/sx are which pattern, how do you Tx?
- sagging distention in stomach/abdomen
- bearing-down sensation
- distention after eating
- enduring diarrhea
- prolapse of organs (rectum, stomach, uterus, hemorrhoids, etc)
- may have edema/rheum build-up
- weak pulse
- pale, scalloped tongue
Center Qi Fall
TX: Fortify SP, Boost Center Qi, Upbear Yang
SP 6, UB 20, UB 23, ST 36, Du 4
If prolapse: Du 20
If water-rheum: SP 9, Ren 9
Note: SP Qi Vacuity could lead to Center Qi Fall
these s/sx are which pattern, how do you Tx?
- low appetite
- full after small amount food, or full almost right away
- trouble digesting, therefore bloated & uncomfortable after eating
- dry, chapped lips; dry mouth
- complexion lacks luster
- difficulty gaining weight
- wasted, emaciated
- either sluggish bowels (aka constipated) or loose bowels
- weak limbs, lack of strength
- hot feet/hands, five center heat
- yellow urine
- red tongue, little or no coat
- fine, rapid pulse
SP Yin Vacuity
TX: Strengthen SP, Harmonize Center, Nourish Fluids, Restore Yin
SP 3, KD 3 (and/or SP 2, KD 2), ST 36, Ren 4
these s/sx are which pattern, how do you Tx?
- poor appetite
- fatigue, tiredness
- pale, sallow complexion
- loose stools
- tendency towards obesity
- sticky taste/sensation in mouth
- dull, frontal H/A*
- excessive vaginal discharge
- abdominal distention
- weakness of limbs
- poor digestion
- nausea
- feeling of heaviness
- pale, scalloped, greasy tongue coat
- SOGGY pulse*
SP Vacuity with Damp Encumbrance
TX: Boost SP Qi, Resolve Dampness
Ren 12, ST 36, SP 3, SP 6, UB 20, UB 21, SP 9, Ren 9
Note: soggy pulse indicates vacuous condition
these s/sx are which pattern, how do you Tx?
- short duration/acute onset
- fullness in epigastrium/abdomen
- heaviness of body, head
- poor appetite, no thirst
- loose stool, diarrhea
- cold sensation in epigastrium
- bland/sweet taste in mouth, slimy sensation
- scanty urination
- dull white complexion
- excessive white vaginal discharge
- fatigue
- nausea
- edema
- pale tongue, sticky white coat (swollen but no tooth marks)
- slow, SLIPPERY pulse*
Cold Damp Encumbering SP
Note: slippery pulse indicates replete condition
TX: ?
these s/sx are which pattern, how do you Tx?
- all/any of the SP Qi Vacuity s/sx*
- bruises
- blood spots under skin*
- blood in urine, stools, menorrhagia, metrorrhagia
- sallow complexion
- SOB
- pale tongue
- fine pulse
SP Not Controlling Blood (aka SP Not Managing Blood)
TX: Tonify SP Qi, Stop Bleeding
SP 10, UB 17, SP 1 (moxa)
these s/sx are which pattern, how do you Tx?
- bright yellow body & eyes*
- bitter taste in mouth
- nausea, low appetite
- distention of abdomen
- heavy & fatigued limbs
- yellow urine, sloppy stools*
- red tongue, greasy yellow coat
- rapid, slippery pulse
Damp Heat Brewing In SP
TX: Clear Heat, Disinhibit Damp
GB 34, SP 9, SP 6, ST 44, LI 11
these s/sx are which pattern, how do you Tx?
- discomfort or dull pain in epigastrium*
- pain worse after bowel movement
- pain better after eating, with pressure
- no appetite
- preference for warm food/drinks
- vomiting of clear fluid
- loose stools
- no thirst
- cold limbs
- fatigue
- pale, swollen tongue
- deep, weak pulse
ST Vacuity Cold
TX: Warm Middle Burner, Tonify SP/ST
ST 36, Ren 12, UB 20, UB 21, Ren 6 (moxa on ginger)
these s/sx are which pattern, how do you Tx?
- sudden onset of severe abdominal pain*
- feeling of cold, preferring warmth
- vomiting of clear fluid
- preference for warm fluids
- feeling worse after drinking cold, can vomit after drinking cold*
- no thirst
- thick white tongue coat
- deep, slow tight pulse
ST Repletion Cold
TX: Expel Cold, Warm ST, Stimulate Descending of ST Qi
PC 6, ST 21 (moxa), SP 4, Ren 12, ST 34
these s/sx are which pattern, how do you Tx?
- no appetite
- fullness & distention of epigastrium
- nausea/vomiting
- relief by vomiting*
- foul breath
- acid regurgitation
- belching
- thick tongue coat, white or yellow
- full, slippery pulse
Food Stagnating in ST
TX: Stimulate Descending of ST Qi, Remove/Resolve Food Stagnation
Ren 12, Ren 13, Ren 10, ST 21, ST 44, SP 4
these s/sx are which pattern, how do you Tx?
- hungry, but can only eat small amount (bc not enough moisture)
- thirst, but only crave small sips
- feeling of fullness after eating
- burning stomach
- epigastric pain
- acid reflux
- hiccups
- swelling/pain in gums
- nausea
- dry mouth & tongue
- no appetite
- constipation
- red, peeled tongue in center, or rootless coat
- empty pulse, maybe rapid
ST Yin Vacuity
TX: Nourish ST Yin, Supplement/Engender Fluids
Ren 12, ST 36, SP 6, SP 3, ST 44
these s/sx are which pattern, how do you Tx?
- scorching pain of stomach*
- pain that refuses pressure
- thirst with preference for cold fluids
- acid regurgitation
- very hungry*
- swelling and pain of gums
- bad breath
- scorched lips
- yellow urine
- bound stools
- red tongue, yellow dry coat
- rapid pulse, flooding in right guan
ST Heat/Fire
TX: Drain Fire, Clear ST
ST 44, ST 34, ST 21, Ren 12, Ren 13, LI 11, LI 4
these s/sx are which pattern, how do you Tx?
- nausea
- belching
- hiccough
- vomiting
- difficulty swallowing
- no change in tongue
- wiry or tight pulse
ST Qi Ascending Counterflow
TX: Subdue Rebellious Qi, Stimulate Descending of ST Qi
Ren 13, Ren 10, PC 6, SP 4
how can you tell the difference between SP Yin Vacuity & ST Yin Vacuity?
ST Yin Vacuity: can happen very quickly & may not be a long term thing; could be a febrile disease, since high fever would first damage ST
SP Yin Vacuity: more of a long process; result of long-term internal depletion; someone who has a long history of SP Qi Vacuity (poor T&T) or chronic illness
