Stagnation & Accumulation of Fluids (Body Fluid Patterns)

Question 1

What are the categories of Stagnation & accumulation of fluids?

Answer 1

EDEMA (Yin & Yang Types)

PHLEGM-FLUID RETENTION (aka Turbidity)

Question 2

What kind of EDEMA is YANG EDEMA?

Answer 2

EXCESS

Question 3

Which of the six pathogenic factors can cause it?

Answer 3

WIND, WATER, DAMP

Question 4

What are the two main types of YANG EDEMA?

Answer 4

Wind-Water “fighting” the Lungs

Water-Damp Obstructing the Spleen

Question 5

What does WIND-WATER “FIGHTING” the LUNGS look like?

Answer 5

Swelling eyelids (1st) & Face (throat= W-H)
then..All over body abruptly 
Scanty urine
Skin is bright
Aversion to cold

Question 6

What are the key symptoms of WIND-WATER “FIGHTING” the LUNGS?

Answer 6

Abrupt swelling of eyelids, head & face

Question 7

What are the tongue & pulse of WIND-WATER “FIGHTING” the LUNGS?

Answer 7

TONGUE: RED (W-H)
Thin White coat (W-C)

PULSE: Superficial & Rapid (W-H)
Tight (W-C)

Question 8

What does WIND-DAMP OBSTRUCTING the SP look like?

Answer 8

Slow onset all over
Heavy limbs
drowsiness
no appetite (anorexia)
scanty urine (yellow if turns into heat)
fullness in epigastrium
nausea

Question 9

What are the TONGUE & PULSE of WIND-DAMP OBSTRUCTING the SP

Answer 9

TONGUE: White Greasy Coat
(red, yellow coat if turn to H)

PULSE: deep
(H- will be rapid & soft)

Question 10

What kind of EDEMA is YIN EDEMA?

Answer 10

DEFICIENT (XU)

aka PITTING EDEMA

Question 11

What is YIN EDEMA?

Answer 11

Deficient edema w/ deficient signs usually caused by xu of healthy qi after long illness or improper TX of YANG EDEMA.

THIS IS MORE SERIOUS THAN YANG EDEMA

Question 12

What does YIN EDEMA look like?

Answer 12

Pitting edema below lumbar region
Scanty urine
Fullness in epigastric & abdomen
No appetite
Loose stool
Heavy limbs & fatigue

Question 13

What are the key characteristics of YIN EDEMA?

Answer 13

Forms slowly
Starts below the lumbar region
Is PITTING
Often occurs FEET 1st
Then below WAIST if SEVERE

Question 14

What are the Complexion, tongue & pulse for YIN EDEMA?

Answer 14

COMPLEXION: sallow or pallor (pale/earthy/gray)

TONGUE: Pale w/ slippery coat

PULSE: deep

Question 15

What are the differences between YIN & YANG EDEMA?

Answer 15

YANG:
Acute
WInd PF
Upper body
Superficial pulse or deep strong
EXCESS nature

YIN:
Slow onset
Long illness/disease
lower body
deep, slow, weak pulse
DEFICIENCY nature

Question 16

What is PHLEGM-FLUID RETENTION? (turbidity)

Answer 16

Phlegm is dense & fluid (turbidity) is thin.
Both are pathological products of body fluids.

Phlegm that is retained over a long period of time can be it’s own cause of disease.

The main organ involved in dysfunction is SPLEEN.

Question 17

What are the two types of PHLEGM?

Answer 17

VISIBLE (substantial)

INVISIBLE (unsubstantial)

Question 18

What is VISIBLE PHLEGM?

Answer 18

Has “form” & can be seen as sputum or vomiting of phlegm, nodules, or rattling in throat

Question 19

What is INVISIBLE PHLEGM?

Answer 19

Is retained subcutaneously or in the channels, obstructs the orifices, goes to the joints, or to the KI as “stones”

Can cause insomnia, mania, dizziness, obstructed feeling in the throat

But NO VISIBLE PHLEGM

Question 20

What causes PHLEGM?

Answer 20

Weakness of SP/ST
Prolonged illness
Heat (fire due to emotions)

Question 21

What happens in the blood & various body parts, channels, & organ systems?

Answer 21

LUNGS: cough, rattle in throat, chest (visible phlegm)

STOMACH: masses, no appetite, nausea

HEART: (misting the heart orifice), coma, mania

MERIDIANS: (blood is blocked) numbness, bleeding, esp in limbs

LIMBS/BREAST- subcutaneous nodules

THROAT (invisible) feeling of obstruction

YANG ASCENSION- (blocks yang)- dizziness

Question 22

What are the TYPES OF PHLEGM?

Answer 22

DAMP-PHLEGM (profuse & easy to expectorate, chest fullness, no thirst- just LU)

HEAT-PHLEGM- (sticky, yellow, w/ chest fullness, nausea & heat signs- LU/ST/HT)

COLD-PHLEGM- (white watery phlegm, chest fullness, cold limbs, nausea- ST/LU)

WIND-PHLEGM- (dizziness, nausea, vomit, rattle in throat, aphasia, deviated tongue, wiry pulse, Wind-Stroke)

QI-PHLEGM- (invisible phlegm- obstructive feeling in throat form stag of Qi- LR)

PHLEGM FLUIDS..(turbidity)

Question 23

What are FLUID RETENTION PATTERNS?

Answer 23

There are six areas that turbid (cold) fluid can be retained:

Called TURBIDITY in the…
STOMACH= mid jiao Yang injury (food, drink, strain, over thinking)

INTESTINES=(cold-fluid) (same as ST)

LUNGS= (cold-fluid) usually Yang Xu of SP & KI & exposure to cold

CHEST (in general)= also (cold-fluid) mroe serious than just LU- Yang Xu failing to transform & transport fluids

HYPOCHONDRIA area= also cold-fluid (same as chest)

HEART (LU affects HT w/ palpitations & puffiness)