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.