TCM Internal Medicine Final Flashcards
Edema location
Location: LU, SP, KD
Edema root
Root: KD
Edema key point of etiology
Key point of etiology: lung failing to disperse, spleen failing to transform and transport, kidney failing to control urine and stool discharge, impairment of qi transformation of san jiao, impairment of qi
Yang Edema
Causes: Exterior (wind, sore, water damp) Tendency: Acute Region: Obvious head and face Skin Color: Bright, shiny Pitting: No Other symptoms: Irritability, thirsty, scanty yellow urine, constipation Nature: Excess, heat Duration: Short
Yin Edema
Causes: Interior (KD failing to transform, SP not T&T) Tendency: Chronic Region: More in the lower limbs Skin color: Dull, loose Pitting: Yes Other symptoms: Little urine, loose stool, fatigue, cold, lack of thirst Nature: Deficiency, cold Duration: Long
Wind Edema
Wind edema: mainly in the head and face, aversion to wind, headache
Damp Edema
Damp edema: edema is mainly in the lower limbs, poor appetite, heavy body
Heat Edema
Heat edema: together with sore throat, scanty hot yellow urine
Toxic Sore Edema
Toxic sore edema: sore, carbuncles on the skin
Lung Edema
Lung: severe edema, with dyspnea, wheezing, can’t lie flat
Spleen Edema
Spleen: chronic edema, poor appetite, weak four limbs, heavy body, greasy tongue coating
Kidney Edema
Kidney: edema on and off, lower back, knee soreness, ear ringing, blurred vision
Heart Edema
Heart: obvious lower limb edema, palpitations, fearful throbbing, chest oppression, irritability, can’t lie flat
Upper body edema
Upper body edema: promote sweat (open pores)
Middle body edema
Middle body edema: middle fullness, excessive (purgation to eradicate dumps the turbidity to eliminate accumulated waste fluid)
Lower body edema
Lower body edema: diuresis, promote urination
Symptoms: edema starts from the eyelids and then spreads to the four limbs and all over the body then rapidly spreads, soreness of joints, dysuria, lustrous and bright skin in the swelling area, pitting after
pressure, can include either wind heat or wind cold signs, if there is severe edema there is a deep pulse
WIND WATER COMBATTING edema
WIND WATER COMBATTING edema TP
TP: dispel wind, clear heat, promote the dispersing function of the lung and induce diuresis
WIND WATER COMBATTING edema formula
Formula: Yue Bi Jia Zhu Wan
Symptoms: edema of eyelids and then spread all over the body, skin sores and even ulcerations, or a swelling and sore throat, pyogenic tonsillitis, tight and bright skin color in the swelling area, scanty urine
with dark yellow color, aversion to wind, fever, dry and bitter mouth, red tongue with yellow greasy coating, superfiical and rapid pulse or slippery and rapid pulse
TOXIC DAMPNESS ATTACKING THE LUNG AND SPLEEN edema
TOXIC DAMPNESS ATTACKING THE LUNG AND SPLEEN edema TP
TP: promote the dispersing function of lung, remove toxic substances, resolve dampness, relieve edema
TOXIC DAMPNESS ATTACKING THE LUNG AND SPLEEN edema formula
Formula: Ma Huang Lian Qiao Chi Xiao Dou Tang + Wu Wei Xiao Du Yin
Symptoms: general edema, especially in the lower limbs, pitting after pressure, cannot restore spontaneously, scanty urine, heaviness of the body with weak limbs, chest stuffiness, abdominal fullness,
poor appetite, abdominal distention, nausea, vomiting, pale swollen tongue with white greasy watery coating, deep or moderate pulse.
WATER DAMPNESS ATTACKING THE SPLEEN edema
WATER DAMPNESS ATTACKING THE SPLEEN edema TP
TP: strengthen the spleen, resolve dampness, activate yang, induce diuresis.
WATER DAMPNESS ATTACKING THE SPLEEN edema formula
Formula: Wu Pi Yin (remove dampness) + Wei Ling Tang (Wu Ling San + Ping Wei San)
Symptoms: general edema, tight and bright color skin in the swelling area, or severe edema, chest stuffiness, abdominal fullness, restlessness with thirst, dry stool, dark yellow urine, yellow greasy or watery
tongue coating, deep rapid or slippery rapid pulse
ACCUMULATION OF DAMP HEAT edema
ACCUMULATION OF DAMP HEAT edema TP
TP: clear heat, resolve dampness, relieve edema
ACCUMULATION OF DAMP HEAT edema formula
Formula: Shu Zao Yin Zi
Symptoms: general edema, especially below the low back, pitting after pressure, cannot restore spontaneously, edema gets worse with fatigue, chest stuffiness, abdominal fullness, poor appetite, loose stool,
lassitude, heaviness of the body and limbs, a sallow complexion, scanty urine, pale tongue with white greasy slippery coating, deep and slow or slippery deep weak pulse.
SPLEEN YANG DEFICIENCY edema
SPLEEN YANG DEFICIENCY edema TP
TP: warm and activate spleen yang, induce diuresis and resolve dampness
SPLEEN YANG DEFICIENCY edema formula
Formula: Shi Pi Yin
Symptoms: persistent and recurrent edema, facial puffiness, and general edema, especially below the low back, pitting after pressure, decreased or adversely increased urine, lower back and knee soreness,
fear of cold, lassitude, pale puffy tongue, deep thready and slow pulse
KIDNEY QI DEFICIENCY edema
KIDNEY QI DEFICIENCY edema TP
TP: warm the kidney yang, activate the qi, induce diuresis
KIDNEY QI DEFICIENCY edema formula
Formula: Ji Sheng Shen Qi Wan + Zhen Wu Tang
Stranguria location
Location: KD, BL, also related to LV, Sp
Stranguria key point of etiology
Key point of etiology: damp heat accumulation in the lower jiao, abnormal function of the bladder’s qi transformation
Stranguria trigger factors
History/trigger factor: overstrain, emotional disturbance, external contraction of damp heat
Heat type stranguria
Heat type stranguria: difficulty urination, bloating, pain, fever, hot burning urination, acute
Stone type stranguria
Stone type stranguria: there is a stone in the urinary tract, severe colic pain that suddenly stops after urination/passing of stone
Bloody type stranguria
Bloody type stranguria: blood in the urine (excess and deficiency type)
Qi type stranguria
Qi type stranguria: lots of lower abdomen bloating, dribbling, difficulty urinating
Chyluria/Gao type stranguria
Chyluria/gao type stranguria: protein in the urine, milky/cloudy
Overstrain/Lao type stranguria
Overstrian/lao type stranguria: chronic, gets worse after physical work
Symptoms: frequent, urgent and painful urination, dark yellow urine, burning sensation during urination, contracture and distending pain in the lower abdomen, the pain radiates to the lumbar region adn
abdomen, aversion to cold, feverish, bitter taste in the mouth, nausea, vomiting, constipation, greasy yellow tongue coating, slippery and rapid pulse
HEAT STRANGURIA
HEAT STRANGURIA TP
TP: clear heat, resolve dampness, stop stranguria
HEAT STRANGURIA formula
Formula: Ba Zheng San (induce diuresis for treating stranguria)
Symptoms: frequent, urgent, painful urination with stone, bloody urine, sudden interrupted micturition, severe colic pain in the lumbar region and abdomen, pain radiates to the bilateral areas of the abdomen,
perineum, and medial aspect of the femur, nausea and vomiting, red tongue with thin yellow coating, wiry rapid pulse
STONE STRANGURIA
STONE STRANGURIA TP
TP: clear heat, remove dampness and stone, stop stranguria
STONE STRANGURIA formula
Formula: Shi Wei San
Symptoms: bloody stranguria, frequent urgent painful, difficult urination with hot senstaion, bloody dark red urine, urine containing blood clots
BLOODY STRANGURIA (Excess type)`
BLOODY STRANGURIA (Excess type) TP
TP: clear heat, induce diuresis, cool the blood, stop bleeding
BLOODY STRANGURIA (Excess type) formula
Formula: Xiao Ji Yin Zi
Symptoms: difficulty and dribbling urination with distention, fullness, and pain in the lower abdomen
QI STAGNATION STRANGURIA (Excess type)
QI STAGNATION STRANGURIA (Excess type) TP
TP: benefit qi, invigorate qi, open urethra
QI STAGNATION STRANGURIA (Excess type) formula
Formula: Chen Xiang San
Symptoms: dribbling urination with a downbearing sensation in the lower abdomen
QI STAGNATION STRANGURIA (Deficiency type)
QI STAGNATION STRANGURIA (Deficiency type) TP
TP: tonify middle qi, stop stranguria
QI STAGNATION STRANGURIA (Deficiency type) formula
Formula: *Bu Zhong Yi Qi Tang
Urine Retention location
Location: BL, SJ, KD, closely related to LU, SP, LV
Urine retention key point of etiology
Key point of etiology: abnormal function of bladder’s qi transformation (qi transformation is not able to reach bladder)
Symptoms: urine retention, or extremely scanty urine with a burning sensation, distention and fullness in the lower abdomen, sticky mouth with a bitter taste, thirst with no desire to drink, constipation,
red tongue with a greasy yellow coating, rapid pulse
DAMP HEAT IN THE URINARY BLADDER urinary retention
DAMP HEAT IN THE URINARY BLADDER urinary retention TP
TP: soothe the liver, regulate qi, promote diuresis
DAMP HEAT IN THE URINARY BLADDER urinary retention formula
Formula: Chen Xiang San
Symptoms: urine retention, or thready like urine, distention, fullness, pain in the lower abdomen, dark purple tongue with ecchymosis, choppy pulse
URETHRAL BLOCKAGE urinary retention
URETHRAL BLOCKAGE urinary retention TP
TP: resolve stasis, dissipate masses, regulate water passageways
URETHRAL BLOCKAGE urinary retention formula
Formula: Dai Di Dang Tang
Symptoms: urine retention with desire to urinate, difficult urination with scanty urine, down bearing sensation and fullness in the lower abdomen, lassitude, low voice, shortness of breath after physical
exertion, pale tongue, weak thready pulse
QI STINKING IN THE MIDDLE JIAO urinary retention
QI STINKING IN THE MIDDLE JIAO urinary retention TP
TP: lift up qi and promote diuresis
QI STINKING IN THE MIDDLE JIAO urinary retention formula
Formula: Bu Zhong Yi Qi Tang + Chun Ze Tang
Symptoms: urine retention or dribbling urination, acraturesis, bright pale complexion, lassitude, lumbar soreness, cold intolerance, cold limbs, pale tongue with a white coating, deep thready pulse
KIDNEY YANG FAILURE urinary retention
KIDNEY YANG FAILURE urinary retention TP
TP: warm and tonify the kidney, promote diuresis
KIDNEY YANG FAILURE urinary retention formula
Formula: Ji Sheng Shen Qi Wan
Nocturnal emission
Nocturnal emission: an ejaculation of semen experienced during sleep with dreams
Spermatorrhea
Spermatorrhea: an ejaculation of semen experienced without erotic dreams or even during waking up
Seminal emission location
Location: KD, LV, HT
Seminal emission key point of etiology
Key point of etiology: semen gate is not firm due to kidney failing to store and hold essence; heart-liver fire/kidney fire/damp heat descending down to disturb the semen house (essence chamber)
Seminal emission with dreams
With dreams: related to the heart, usually has palpitations and insomnia
Seminal emission without dreams
Without dreams: related to the kidney, with lower back and knee soreness
Symptoms: nocturnal emission, strong sexual desire, poor sleep with too many dreams, restlessness, general feverish sensation, dizziness, blurred vision, bitter taste in the mouth, hypochondriac pain,
scanty and dark yellow urine, red tongue with thin yellow coating, rapid and thready pulse
FIRE HYPERACTIVITY, DISHARMONY BETWEEN KIDNEY AND HEART seminal emission
FIRE HYPERACTIVITY, DISHARMONY BETWEEN KIDNEY AND HEART seminal emission TP
TP: clear heart fire, calm the spirit, nourish kidney yin
FIRE HYPERACTIVITY, DISHARMONY BETWEEN KIDNEY AND HEART seminal emission formula
Formula: Huang Lian Qing Xi Yin (clear heart fire) and San Cai Feng Sui Dan (connects the heart and kidney)
Symptoms: occasional nocturnal emission, dark yellow urine with burning sensation, bitter taste, greasy taste in the mouth, difficult defecation, red tongue with yellow greasy coating, rapid and soft and soggy
pulse
DOWNBEAR FLOW OF DAMP HEAT seminal emission
DOWNBEAR FLOW OF DAMP HEAT seminal emission TP
TP: clear heat, remove dampness
DOWNBEAR FLOW OF DAMP HEAT seminal emission formula
Formula: Cheng Shi Bi Xie Fen Qing Yin