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ICTCM Year 4 > TCM Internal Medicine Test #3 > Flashcards

TCM Internal Medicine Test #3 Flashcards

1
Q

Ischemic Stroke

A

TIA is a temporary interruption of the blood flow to an area of the brain - a warning that a stroke may follow. A clot in an artery, a drop in blood pressure, or a change in heart rhythm or rate may all reduce blood flow to the brain and result in a TIA. Symptoms include vision problems, difficulty understanding words, difficulty speaking, unusual behaviors and thought processes,
loss of conciousness, seizures, dizziness, vertigo, trouble walking, weakness or numbness on one side of the body. Symptoms will go away after 10-20 min or beocme a full stroke.
MERIDIAN STROKE IN TCM

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2
Q

Hemorrhagic Stroke

A

Hemorrhagic stroke: intracerebral hemorrhage, SAH (subarachnoid hemorrhage). An artery in the brain leaks or bursts.Due to abnormalities of the blood vessels, high blood pressure, protein deposits along the blood vessels, traumatic brain injury. Blood irritates the brain tissues calling swelling which will destroy brain tissue. Subarachnoid hemorrhage is bleeding in the area between the brain. Caused by bleeding from an arteriovenous malformation, bleeding disorder, bleeding from a cerebral aneurysm, head injury, unknown cause, use of blood thinners, injury/trauma.
ZANG FU STROKE IN TCM

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3
Q

Two types of strokes in TCM

A

Closure and Collapse

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4
Q

Two types of closure strokes in TCM

A

Yin and Yang

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5
Q

Two types of meridian stroke in TCM

A

Excessive and deficient

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6
Q

Types of excessive stroke in TCM

A
  1. Liver yang
  2. Phlegm fire
  3. Wind phlegm
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7
Q

Stroke Location

A

Location: Brain (related to HT, LV, SP, KD)

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8
Q

Stroke Nature

A

Nature: excessive in symptoms, deficiency in root, upper excess and lower deficient.

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9
Q

Stroke pathological factors

A

Pathological factors: WIND, FIRE, PHLEGM

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10
Q

Stroke duration

A

Duration: acute stage (2 weeks to 1 month), recovery stage (2 weeks/1 momth to 6 months), sequela (more than 6 months)

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11
Q

Stroke key point of pathogenesis

A

Key point of pathogenesis: disorder of qi and blood, rebelling upward to attack the brain. Deficiency (qi), fire (liver and heart), phlegm (wind phlegm and phlegm damp), wind (liver wind), qi (rebellious qi), blood (blood stagnation).

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12
Q

Stroke Root

A

Root: liver, kidney yin deficiency or blood deiciency

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13
Q

Stroke symptoms

A

Main symptoms: sudden collapse, loss of consciousness, hemiplegia, slurred speech or speechless, deviation of the tongue and mouth (facial paralysis), numbness in half side of the body.

Other symptoms: headache, dizziness, vomiting, urinary and fecal incontinence, or urinary and fecal obstruction, irritability, cramping, profuse phlegm, hiccup.

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14
Q

Meridian stroke

A

Meridian stroke: 4 major symptoms: hemiplegia, deviation of the tongue and mouth (facial paralysis), slurred speech, numbness in half side of the body

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15
Q

Zang Fu Stroke

A

Zang Fu stroke: 5 major symptoms: loss of consciousness, hemiplegia, deviation of the tongue and mouth (facial paralysis), speechless, numbness in half side of the body

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16
Q

Difference between Meridian stroke and Facial Paralysis

A

MERIDIAN STROKE
1. Decreased consciousness or alertness, hemiplegia
2. Still able to close the eye on the affected side, wrinkle in the forehead
Blood clot blocks a blood vessel in the brain
Meridian stroke: no loss of consciousness

FACIAL PARALYSIS
1. NO decreased consciousness/alertness, hemiplegia
2. NOT able to close the eye on the affected side, as well as wrinkle in the forehead
Facial nerve becomes inflamed (peripheral facial paralysis, bell’s palsy)
Zang Fu stroke: sudden coma

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17
Q

Stroke pathomechanism

A 
REBELLIOUS QI AND BLOOD
OBSTRUCTION OF WIND, FIRE
PHLEGM, STASIS
 \+
TRIGGER FACTOR
CAUSES
OBSTRUCTION OF BRAIN
VESSEL OR BLOOD LEAKING
OUT OF VESSEL
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18
Q

Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), dizziness, distention headache, eyes and face red, irritability, easy to get angry, bitter taste in the mouth, dry throat, constipation, yellow urine, red or crimson tongue, yellow or dry yellow coating, wiry or rapid pulse.

A

SUDDEN HYPERACTIITY OF LIVER YANG - MERIDIAN STROKE

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19
Q

SUDDEN HYPERACTIVITY OF LIVER YANG - MERIDIAN STROKE TP

A

TP: calm liver, extinguish the wind, subdue the yang

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20
Q

SUDDEN HYPERACTIITY OF LIVER YANG - MERIDIAN STROKE formulaFormula

A

Formula *Tian Ma Gou Teng Yin

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21
Q

Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), dizziness, headache, chest stuffiness, epigastria fullness, nausea, vomiting phlegm, dark red greasy white coating, wiry slippery pulse

A

WIND PHLEGM OBSTRUCTING THE MERIDIANS - MERIDIAN STROKE

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22
Q

WIND PHLEGM OBSTRUCTING THE MERIDIANS - MERIDIAN STROKE TP

A

TP: resolve phlegm, extinguish wind, dredge collaterals

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23
Q

WIND PHLEGM OBSTRUCTING THE MERIDIANS - MERIDIAN STROKE formula

A

Formula: Hua Tan Tong Luo Tang (modified Ban Xia Bai Zhu Tian Ma Tang)

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24
Q

Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), abdominal bloating, constipation, dizziness, blurred vision, sticky taste in the mouth, profuse sputum, red face, irritability in the afternoon, red yellow greasy coating or dry yellow coating, slippery big pulse

A

PHLEGM HEAT IN THE FU ORGANS - MERIDIAN STROKE

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25
Q

PHLEGM HEAT IN THE FU ORGANS - MERIDIAN STROKE TP

A

TP: clear fu organ, purge heat, transform phlegm

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26
Q

PHLEGM HEAT IN THE FU ORGANS - MERIDIAN STROKE formula

A

Formula: Xing Lou Cheng Qi Tang

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27
Q

PHLEGM HEAT IN THE FU ORGANS - MERIDIAN STROKE pathogenesis

A

Pathogenesis: phlegm stasis transform into heat, binds with wind and phlegm, goes upward to disturb the meridians

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28
Q

Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), pale white face, shortness of breath, weakness, palpitation, spontaneous sweating, pale dark tongue with purplish spots, thin white or greasy coating, pulse is weak, moderate or thready and choppy

A

QI DEFICIENCY AND BLOOD STASIS - MERIDIAN STROKE

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29
Q

QI DEFICIENCY AND BLOOD STASIS - MERIDIAN STROKE TP

A

TP: tonify qi, invigorate blood, dredge channels

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30
Q

QI DEFICIENCY AND BLOOD STASIS - MERIDIAN STROKE formula

A

Formula: Bu Yang Huan Wu Tang (IMPORTANT FORMULA)

CONTAINS TAO HONG SI WU TANG

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31
Q

Symptoms: 4 major symptoms (hemiplegia, deviation of the tongue and mouth, slurred speech, numbness in half side of the body), palm/sole heat, irritability, insomnia, dizziness, ear ringing, red or dark red tongue with no coating, weak and wiry pulse

A

WIND STIRRING DUE TO YIN DEFICIENCY - MERIDIAN STROKE

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32
Q

WIND STIRRING DUE TO YIN DEFICIENCY - MERIDIAN STROKE TP

A

TP: nourish yin, subdue yang, calm down liver, extinguish wind

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33
Q

WIND STIRRING DUE TO YIN DEFICIENCY - MERIDIAN STROKE formula

A

Formula: *Zhen Gan Xi Feng Tang

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34
Q

Symptoms: 5 major symptoms (loss of consciousness, hemiplegia, deviation of the tongue, numbness in half side of the body), stiffness and spasm in the affected limb, squint or orthophoria of eyes, red face and eyes, red face and eyes, trismus, stiff neck, clenched fist, convulsions, red or crimson tongue with dry yellow or dark dry coating, wiry and rapid pulse

A

WIND FIRE OBSTRUCTING THE BRAIN ORIFICE - ZANG FU STROKE

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35
Q

Symptoms: 5 major symptoms (loss of consciousness, hemiplegia, deviation of the tongue, numbness in half side of the body), nasal sores, phlegm rattling sounds in the throat, stiffness and spasm in the affecting limb, squit or orthophoria of eyes, red face and eyes, heat in the neck and back, restlessness, constipation, red crimson tongue with dry yellow or greasy yellow coating, rapid slippery powerful pulse

A

PHLEGM FIRE OBSTRUCTING THE BRAIN’S ORIFICES - ZANG FU STROKE

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36
Q

Symptoms: 5 major symptoms (loss of consciousness, hemiplegia, deviation of the tongue, numbness in half side of the body), profuse phlegm and salivation, pale face, dark lips, cold limbs, dark pale tongue with white greasy coating, dee, slippery, moderate pulse

A

PHLEGM DAMPNESS MISTING THE BRAIN ORIFICE - ZANG FU STROKE

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37
Q

Symptoms: 5 major symptoms (loss of consciousness, hemiplegia, deviation of the tongue, numbness in half side of the body), closed eyes with open mouth, loose hands, nasal snore with faint breath, sweat, cold limbs, incontinence of urine and stool, pale purple tongue with curl, white greasy coating, faint pulse

A

COLLAPSE SYNDROME (Tuo Syndrome)

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38
Q

COLLAPSE SYNDROME (Tuo Syndrome) TP

A

TP: tonify qi, restore yang for resuscitation

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39
Q

COLLAPSE SYNDROME (Tuo Syndrome) formula

A

Formula: Shen Fu Tang

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40
Q

HEMIPLEGIA TP

A

TP: tonify qi, invigorate blood, dredge collaterals

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41
Q

HEMIPLEGIA formula

A

Formula: Bu Yang Huan Wu Tang

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42
Q

SLURRED SPEECH symptoms

A

Symptoms: slurred speech or speechless, stiffness of the tongue, deviation of tongue and mouth, angular salivation, half side of the body numbness, hemiplegia, dull tongue with greasy coating, slippery pulse

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43
Q

SLURRED SPEECH TP

A

TP: dispel wind, resolve phlegm, open the orifice, dredge collaterals

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44
Q

SLURRED SPEECH formula

A

Formula: Jie Yu Dan

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45
Q

DEVIATION OF EYES AND MOUTH symptoms

A

Symptoms: deviation of eyes and mouth, angular salivation, stiffness of the tongue, hemiplegia, slippery pulse

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46
Q

DEVIATION OF EYES AND MOUTH TP

A

TP: dispel wind, resolve phlegm, open the orifice, dredge collaterals

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47
Q

DEVIATION OF EYES AND MOUTH formula

A

Formula: Qian Zheng San`

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48
Q

Depressive syndrome clinical manifestations

A

Main clinical manifestations: emotional depression, mood swings, chest fullness and stuffiness, distending pain in the hypochondriac area, irritability with easy tears, foreign body sensation in the throat

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49
Q

Bipolar

A

Bipolar disorder (manic-depressive illness): cycling mood changes from extreme high sto extreme lows

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50
Q

Psychotic depression

A

Psychotic dperession: accompanied by some forms of psychosis, such as a break with reality, hallucinations, and delusions

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51
Q

Depression location

A

Location: Brain/spirit (related to LV, SP, HT)

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52
Q

Formula for stagnation causing depression

A

Yue Ju Wan

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53
Q

Depression basic principle

A

Basic principle: regulate qi to alleviate mental depression, cheer up, change to positive thinking

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54
Q

Symptoms: mental depression, frequent sighing, distending pain in the hypochondriac area, gastric fullness, belching, poor appetite, abdominal bloating, loose stool, irregular menstruation, pink tongue

A

LIVER QI STAGNATION depression

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55
Q

LIVER QI STAGNATION depression TP

A

TP: soothe liver to alleviate mental depression, regulate qi to have pleasent middle jiao (liver)

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56
Q

LIVER QI STAGNATION depression formula

A

Formula: Chai Hu Shu Gan San

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57
Q

Symptoms: restlessness, irritability, distention and fullness in the hypochodriac area, dry mouth with bitter taste, headache, red eyes, gastric discomfort with acid reflux, constipation, red tongue with thin

A

QI STAGNATION TRANSFORMING INTO FIRE depression

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58
Q

QI STAGNATION TRANSFORMING INTO FIRE depression TP

A

TP: clear liver, purge heat to alleviate mental depression, harmonize stomach

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59
Q

QI STAGNATION TRANSFORMING INTO FIRE depression formula

A

Formula: Dan Zhi Xiao Yao San

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60
Q

Symptoms: mental depression, foreign body sensation in the throat that cannot be swallowed or expectorated, chest stuffiness, distention and fullness in the hypochondriac region, pale red tongue with white greasy coating, wiry and slippery pulse

A

PHLEGM QI STAGNATION/PLUM PIT QI depression

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61
Q

PHLEGM QI STAGNATION/PLUM PIT QI depression TP

A

TP: move qi to alleviate mental depression, remove phlegm, dissipate accumulation

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62
Q

PHLEGM QI STAGNATION/PLUM PIT QI depression formula

A

Formula: Ban Xia Hou Po Tang

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63
Q

Symptoms: mental wandering, restlessness, skeptical and susceptible to fright, grief, moody, crying, frequent yawning and stretching, scolding, yelling, mostly female patients, being attacked by extreme emotional stimulation, pink tongue with wiry pulse

A

HEART MIND CONFUSION/ZANG ZAO DISORDER depression

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64
Q

HEART MIND CONFUSION/ZANG ZAO DISORDER depression TP

A

TP: use sweet moistening herbs to nourish the heart and calm the mind

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65
Q

HEART MIND CONFUSION/ZANG ZAO DISORDER depression formula

A

Formula: Gan Mai Da Zao Tang

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66
Q

Symptoms: too much thinking, skeptical, palpitations, timidity, dizziness, lassitude, insomnia, poor memory, poor appetite, shortness of breath, reluctance to talk, lusterless complexion, pale tongue with a thin white coating, thready and weak pulse

A

HEART AND SPLEEN DEFICIENCY depression

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67
Q

HEART AND SPLEEN DEFICIENCY depression formula

A

Formula: Gui Pi Tang

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68
Q

Symptoms: mood swings, dry eyes with photophobia, restlessness, irritability, hypochondriac distention, vertigo, tinnitus, blurred vision, headache with distention of eyes, red face and eyes, dry tongue with scanty coating, thready and rapid pulse

A

HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY

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69
Q

HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY depression TP

A

TP: nourish yin, clear heat, tonify liver and kidney

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70
Q

HYPERACTIVITY OF FIRE DUE TO YIN DEFICIENCY deprresion formula

A

Formula: Zi Shui Qing Gan Tang

Heart and kidney yin deficiency: Liu Wei Di Huang Wan + Tian Wang Bu Xin Dan

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71
Q

Depressive psychosis definition

A

Depressive psychosis: quiet, is characterized by mental depression, indifferent expression, dislike of talking or incoherent speech, mumbling to oneself, slow movement

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72
Q

Manic psychosis

A

Manic psychosis: excited, characterized by high mental exciteation, restlessness, wild, frenzied movement and speech, continuous talking, destroying things, hallucinations, violent behavior, mobilizing state

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73
Q

Location of psychosis

A

Location: Brain (spirit), related to LV, GB, SP, HT

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74
Q

Psychosis key of pathogenesis

A

Key point of pathogenesis: disturbance of the heart mind

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75
Q

Symptoms: mental depression, indifferent expression, dislike of talking, slow movements, upset, insomnia, suspiciousness, mumbling to oneself, incoherent speech, lazy talking, no care of daily routine, doesn’t clean oneself o rhome, dirty, poor appetite, loose stool

T: white greasy/yellow greasy/turbid greasy

P: wiry slippery/rapid slippery/soggy slippery

A

PHLEGM-QI STAGNATION psychosis

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76
Q

PHLEGM-QI STAGNATION psychosis TP

A

TP: soothe the liver to alleviate mental depression, remove phlegm to open the orifice

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77
Q

PHLEGM-QI STAGNATION psychosis formula

A

Formula: Shun Qi Dao Tan Tang + Yu Jin, Shi Chang Pu

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78
Q

Symptoms: mental fuzziness, disorientation, failure to tell the difference between dreams and realities, easily sad and crying, illogical speech, palpitations, easy to be frightened, pale face, lazy limbs, lassitude, reduced food intake

T: pale, puffy, teethmarks, thin white coating

P: weak thready

A

HEART AND SPLEEN DEFICIENCY psychosis

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79
Q

HEART AND SPLEEN DEFICIENCY psychosis TP

A

TP: tonify qi, boost spleen, nourish blood, calm the spirit

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80
Q

HEART AND SPLEEN DEFICIENCY psychosis formula

A

Formula: Yan Xin Tang or Dan Xi Xin Fa

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81
Q

Symptoms: sudden onset of agitation, frenzy, angry eyes, red eyes and face, continuous shouting and scolding, incoherence speaking, failure to recognize relatives, irritability, restlessness, destroying things, fighting people, weeping and laughing together, headache, insomnia, likes cold drinks, constipation, yellow urine

T: red, crimson, yellow greasy coating

P: slippery, wiry

A

UPWARD DISTURBANCE OF PHLEGM FIRE DISTURBS THE HEART MIND psychosis

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82
Q

UPWARD DISTURBANCE OF PHLEGM FIRE DISTURBS THE HEART MIND psychosis TP

A

TP: tranquilize the heart, remove phlegm, purge liver, clear heat

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83
Q

UPWARD DISTURBANCE OF PHLEGM FIRE DISTURBS THE HEART MIND psychosis formula

A

Formula: Sheng Tie Luo Yin or Yi Xue Xin Wu

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84
Q

Symptoms: anxiety, stress, restlessness, sometimes mania, irritability, insomnia, emaciation with red face, palpitation, forgetfulness, five center heat

T: mirror tongue

P: thready rapid

A

EXUBERANT FIRE DAMAGING YIN psychosis

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85
Q

EXUBERANT FIRE DAMAGING YIN psychosis TP

A

TP: nourish yin, subdue fire, tranquilize the spirit, anchor soul

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86
Q

EXUBERANT FIRE DAMAGING YIN psychosis formula

A

Formula: Er Yin Jian or An Shen Ding Zhi Wan

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87
Q

Symptoms: agitation, restlessness, anger, talkativeness, dark face without luster, chest/hypochondria fullness and pain, headache, palpitations, sluggishness, reluctance to talk, crazy delusion, painful period, dark purple period blood

T: dark, purplish tongue, purple spots

P: thready wiry, deep wiry

A

QI AND BLOOD STAGNATION psychosis

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88
Q

QI AND BLOOD STAGNATION psychosis TP

A

TP: transform the stasis, open the orifices, regulate qi and blood, remove phlegm

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89
Q

QI AND BLOOD STAGNATION psychosis formula

A

Formula: Dian Kuang Meng Xing Tang + Da Huang Zhe Chong Wan

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90
Q

Epilepsy location

A

Location: Brain (spirit), related to LV, SP, KD

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91
Q

Epilepsy key of pathogenesis

A

Key of pathogenesis: wind-phlegm-fire-blood stasis obstructing the heart mind orifice, chaotically flowing inside the meridians and collaterals

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92
Q

Symptoms: sudden collapse, unconsciousness, drooling, staring, convulsion of the four limbs, generally no weird shouting or weak, little sound, with or without consciousness, mental dizziness, dull-witted, not seeing, not hearing, not able to move and speak, could be more han 10 times per day, dull yellow face, cold limbs, half open eyes, profuse phlegm rattling sound in the throat. After attack: fatigue, weak and limp, recovery after a few days, general poor appetite, fatigue, nausea, chest oppression, spit out sputum, loose stool

Tongue: pale, white greasy coating

Pulse: deep, weak, thready

A

LIVER WIND WIHTH PHLEGM TURBIDITY OBSTRUCTING THE HEART MIND (YIN TYPE EPILEPSY)

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93
Q

LIVER WIND WIHTH PHLEGM TURBIDITY OBSTRUCTING THE HEART MIND (YIN TYPE EPILEPSY) TP

A

TP: Urgency-open the orifice awaken the spirit. 2nd step-warm the yang, dispel phlegm, extinguish wind, downbear qi

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94
Q

LIVER WIND WIHTH PHLEGM TURBIDITY OBSTRUCTING THE HEART MIND (YIN TYPE EPILEPSY) formula

A

Formula: Urgency-acupuncture and nasal insufflation (Chu Bi San, Tong Guan San), nasal feeding (Su He Xiang Wan).

2nd step-Ding Xian Wan/ Yi Xue Xin Wu

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95
Q

Symptoms: sudden collapse, unconsciousness, drooling, staring, convulsion of the four limbs, weird shouting, heavy rattling sound in the throat, red face, purplish red, then chagne to green purplish or pale purple lips. After attack: foul mouth smell, heavy breathing, irritability, constipation, yellow urine, generally bad temper, insomnia, bitter taste in the mouth, dry mouth. Premonitory symptoms: dizziness, distention headache, chest oppression, fatigue, yawning and stretching

Tongue: red, yellow greasy coating

Pulse: wiry, rapid slippery

A

LIVER FIRE WITH PHLEGM HEAT OBSTRUCTING THE HEART MIND (YANG TYPE EPILEPSY)

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96
Q

LIVER FIRE WITH PHLEGM HEAT OBSTRUCTING THE HEART MIND (YANG TYPE EPILEPSY) TP

A

TP: Urgency-open the orifice, awaken the spirit. 2nd step-clear liver, purge fire, dispel phlegm, extinguish wind

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97
Q

LIVER FIRE WITH PHLEGM HEAT OBSTRUCTING THE HEART MIND (YANG TYPE EPILEPSY) formula

A

Formula: Urgency-Acupuncture and nasal insufflation (Chu Bi San, Tong Guan San), nasal feeding (An Gong Niu Huang Wan).

2nd step-Long Dan Xie Gan Tang + Di Tan Tang

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98
Q

Symptoms: recurrent attack, fatigue, dizziness, pale face, poor appetite, loose stool. During attack: dull face, bright white face, cold limbs, vomiting saliva, low, weak sound.

Tongue: pale, white greasy coating

Pulse: soggy, slippery, or wiry, thready, slippery

A

EXUBERANT PHLEGM DUE TO SPLEEN DEFICIENCY remission stage epilepsy

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99
Q

EXUBERANT PHLEGM DUE TO SPLEEN DEFICIENCY remission stage epilepsy TP

A

TP: boost spleen, benefit qi, harmonize stomach, transform turbidity, regulate qi and blood

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100
Q

EXUBERANT PHLEGM DUE TO SPLEEN DEFICIENCY remission stage epilepsy formula

A

Formula: Liu Jun Zi Tang (Si Jun Zi Tang + Chen Pi, Ban Xia)

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101
Q

Symptoms: after attack: absent minded, dull face, dizziness, blurred vision. Other symptoms: dry eyes, dry dull ear, lower back soreness, forgetfulness, insomnia with dreams, dry stool

Tongue: red, no coating

Pulse: thready

A

LIVER AND KIDNEY DEFICIENCY remission stage epilepsy

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102
Q

LIVER AND KIDNEY DEFICIENCY remission stage epilepsy TP

A

TP: nourish liver and kidney, subdue yang, tranquilize the mind

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103
Q

LIVER AND KIDNEY DEFICIENCY remission stage epilepsy formula

A

Formula: Da Bu Yuan Jian

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104
Q

Stomachache location

A

Location: Stomach, closely related to liver and spleen

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105
Q

Stomachache key point of etiology

A

Key point of etiology: disharmony of stomach qi, obstruction causes pain, harmonize the stomach, stomach qi is not able to descend, stomach qi obstruction

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106
Q

Symptoms: history of catching cold, eating cold food, sudden onset of gastric pain, aversion to cold, preference for warmth, pain is alleviated by warmth but is aggravated by cold, absence of thirst, preference for warm drinks, pale tongue with thin white coating, wiry and tight pulse

A

PATHOGENIC COLD ATTACKING THE STOMACH stomachache

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107
Q

PATHOGENIC COLD ATTACKING THE STOMACH stomachache TP

A

TP: warm the stomach, dissipate cold, move qi, relieve pain

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108
Q

PATHOGENIC COLD ATTACKING THE STOMACH stomachache formula

A

Formula: Liang Fu Wan

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109
Q

Symptoms: history of overeating or over drinking, epigastric fullness and abdominal distention, unpressable, belching with acid regurgitation, vomiting with undigested food, putrefactive odor, pain that is relieved after vomiting, poor appetite, difficulty bowel movements, feel better after gas or bowel movement, thick greasy tongue coating, slippery pulse

A

FOOD STAGNATION stomachache

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110
Q

FOOD STAGNATION stomachache TP

A

TP: promote digestion, clear the obstruction

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111
Q

FOOD STAGNATION stomachache formula

A

Formula: Bao He Wan

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112
Q

Symptoms: gastric fullness and distention, the pain radiates to bilateral hypochondria, chest oppression, the pain is always triggered or getting worse by emotional factors, belching, feel better after gas or belching, sighing, difficulty bowel movements, thin tongue coating and wiry pulse

A

LIVER QI AFFECTING THE STOMACH stomachache

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113
Q

LIVER QI AFFECTING THE STOMACH stomachache TP

A

TP: soothe the liver, regulate the qi, harmonize the stomach

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114
Q

LIVER QI AFFECTING THE STOMACH stomachache formula

A

Formula: Chai Hu Shu Gan San

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115
Q

Symptoms: burning pain in the gastric area, severe pain with a sudden onset, acid regurgitation, restlessness, irritability, dry bitter taste in the mouth, red tongue with yellow coating, wiry or rapid pulse

A

STAGNANT HEAT IN THE LIVER AND STOMACH stomachache

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116
Q

STAGNANT HEAT IN THE LIVER AND STOMACH stomachache TP

A

TP: soothe the liver, clear heat, harmonize the stomach, relieve pain

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117
Q

STAGNANT HEAT IN THE LIVER AND STOMACH stomachache formula

A

Formula: Hua Gan Jian JIng Yue Quan Shu (or Dan Zhi Xiao Yao San)

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118
Q

Symptoms: gastric pain with a fixed position, tenderness, stabbing pain, needle pricking sensation, the pain is exacerbated by eating, pressing, pain is lasting for a long time, gets worse at night, or even hematemesis or melena, dark purple tongue with purple spots, choppy pulse

A

INTERNAL RETENTION OF STAGNANT BLOOD stomachache

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119
Q

INTERNAL RETENTION OF STAGNANT BLOOD stomachache TP

A

TP: resolve stasis, clear collaterals, regulate qi, harmonize the stomach

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120
Q

INTERNAL RETENTION OF STAGNANT BLOOD stomachache formula

A

Formula: *Shi Xiao San + Dan Shen Yin

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121
Q

Symptoms: gastric dull burning pain, hunger with no desire to eat, dry throat and mouth, five center heat, fatigue, thirst, dry stool, red tongue with dry coating, thready and rapid pulse

A

STOMACH YIN DEFICIENCY stomachache

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122
Q

STOMACH YIN DEFICIENCY stomachache TP

A

TP: nourish yin, reinforce the stomach, reelive pain

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123
Q

STOMACH YIN DEFICIENCY stomachache formula

A

Formula: Yi Guan Jian + Shao Yao Gan Cao Tang

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124
Q

Symptoms: gastric dull, non stop pain, a preference for warmth and pressure, pain gets worse on empty stomach, gets better after eating, the pain is exacerbated or triggered by over strain, catching cold, vomiting watery fluid, fatigue, poor appetite, lassitude of limbs, cold limbs, loose stool, pale tongue with white coating, weak or slow pulse

A

SPLEEN STOMACH DEFICIENCY COLD stomachache

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125
Q

SPLEEN STOMACH DEFICIENCY COLD stomachache TP

A

TP: warm the middle jiao, strengthen the spleen

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126
Q

SPLEEN STOMACH DEFICIENCY COLD stomachache formula

A

Formula: *Huang Qi Jian Zhong Tang

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127
Q

Dysphagia location

A

Location: Esophagus, stomach. Closely related to liver, spleen, and kidney.

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128
Q

Symptoms: discomfort in the throat, mild difficulty swallowing, chest-diaphragm distention or pain that gets worse with a depressed mood, or symptoms get better with a happy mood, belching, hiccup, vomit phlegm saliva, dry mouth and throat, red tongue with thin greasy tongue coating, wiry and slippery pulse

A

PHLEGM-QI STAGNATION dysphagia

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129
Q

PHLEGM-QI STAGNATION dysphagia TP

A

TP: promote qi flow, resolve phlegm, moisten dryness, descend qi

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130
Q

PHLEGM-QI STAGNATION dysphagia formula

A

Formula: Qi Ge San (Yi Xue Xin Wu)

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131
Q

Symptoms: choking and pain during swallowing food, inability to swallow solid food, vomiting immediately after eating food, chest and upper back burning pain, emaciation, dry skin, five center heat, dry mouth and throat, likes to drink cold drinks, dry stool, red tongue with dry cracks, thready and rapid pulse

A

HEAT ACCUMULATION DUE TO FLUIDS CONSUMPTION dysphagia

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132
Q

HEAT ACCUMULATION DUE TO FLUIDS CONSUMPTION dysphagia TP

A

TP: nourish yin fluids, clear heat

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133
Q

HEAT ACCUMULATION DUE TO FLUIDS CONSUMPTION dysphagia formula

A

Formula: Wu Zhi An Zhong Yin (five juice)

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134
Q

Symptoms: difficulty in swallowing food, pain in the chest and diaphragm, inability to swallow food or water, vomiting immediately after eating food, dark complexion, dry skin, severe emaciation, hard stool, red bean like vomitus, bloody stool, dark purplish tongue or red and dry tongue, thready and choppy pulse

A

INTERNAL ACCUMULATION OF STAGNANT BLOOD dysphagia

135
Q

INTERNAL ACCUMULATION OF STAGNANT BLOOD dysphagia TP

A

TP: resolve blood stasis, nourish yin and blood

136
Q

INTERNAL ACCUMULATION OF STAGNANT BLOOD dysphagia formula

A

Formula: Tong You Tang (Lan Shi Mi Chang)

137
Q

Symptoms: chronic dysphagia, bright pale complexion, fatigue, cold limbs, shortness of breath, edema of the face and feet, vomiting clear salivation, abdominal bloating, loose stool, pale tongue with white coating, weak pulse

A

QI DEFICIENCY AND YANG FAILURE dysphagia

138
Q

QI DEFICIENCY AND YANG FAILURE dysphagia TP

A

TP: warm and supplement the spleen and kidney, supplement qi and resuscitate yang

139
Q

QI DEFICIENCY AND YANG FAILURE dysphagia formula

A

Formula: Bu Qi Yun Pi Tang (warm the spleen) + You Gui Wan (warm the kidney)

140
Q

Vomiting location

A

Location: stomach, closely related to the liver, spleen

141
Q

Vomiting key point of etiology

A

Key point of etiology: stomach qi failing to descend, rebellious stomach qi

142
Q

Vomiting immediately after eating:

A

due to esophagus problem or emotional problem

143
Q

Vomiting 2-3 hours after eating:

A

chronic gastric disease

144
Q

Vomiting at longer time after eating:

A

vomit undigested food from yesterday is mostly due to avid regurgitation

145
Q

Projectile vomiting:

A

mostly related to the brain, central nervous disease, or infectious disease

146
Q

Non stop vomiting with emaciation:

A

could be stomach tumor

147
Q

Sour/putrefactive odor:

A

food retention

148
Q

Saliva/sputum:

A

phlegm obstruction

149
Q

Sour/green water:

A

liver qi attacking the stomach

150
Q

Yellow water, bitter taste:

A

gallbladder heat attacking the stomach

151
Q

Clear water:

A

stomach deficiency cold

152
Q

Little amount of sticky saliva:

A

stomach yin deficiency

153
Q

Symptoms: sudden vomiting, fever, aversion to cold, headache, general pain, chest tightness, gastric fullness, no desire to eat, white greasy tongue coating, soggy and slow pulse

A

PATHOGENIC FACTORS ATTACKING THE STOMACH vomiting

  • Cold damp attack
  • Turbidity qi attacking stomach causing rebellious stomach qi
154
Q

PATHOGENIC FACTORS ATTACKING THE STOMACH vomiting TP

A

TP: remove pathogenic factors to releive the superficies, resolve turbidity with aromatic herbs, downbear the rebellious qi, stop vomiting

155
Q

PATHOGENIC FACTORS ATTACKING THE STOMACH vomiting formula

A

Formula: Huo Xiang Zheng Qi San

156
Q

Symptoms: vomiting sour/putrefactive odor stuff, with acid reflux, gastric and abdominal distention and fullness, belching, no appetite, the symptoms become worse after eating food and become better after vomiting, loose stool, constipation, foul smelling stools, thick greasy tongue coating, slippery and excessive pulse

A

FOOD RETENTION vomiting

157
Q

FOOD RETENTION vomiting TP

A

TP: promote digestion and downbear stomach rebellious qi, stop vomiting

158
Q

FOOD RETENTION vomiting formula

A

Formula: Bao He Wan

159
Q

Symptoms: vomiting watery fluids, sputum and saliva, dizziness, palpitations, gastric fullness, poor appetite, or vomiting with borborygmi, white greasy tongue coating, slippery pulse

A

INTERNAL OBSTRUCTION OF PHLEGM FLUIDS vomiting

160
Q

INTERNAL OBSTRUCTION OF PHLEGM FLUIDS vomiting TP

A

TP: warm and resolve phlegm fluids and downbear stomach rebellious qi, stop vomiting

161
Q

INTERNAL OBSTRUCTION OF PHLEGM FLUIDS vomiting formula

A

Formula: Xiao Ban Xia Tang (harmonize stomach, downbear rebellious stomach qi) + Ling Gui Zhu Gan Tang (warm the spleen, resolve phlegm fluids)

162
Q

Symptoms: vomiting with acid reflux, frequent belching, chest and hypochondriac oppression and distention pain, discomfort, upset, symptoms become worse when upset (more acid reflux), red tongue edges with a thin greasy coating, wiry pulse

A

LIVER QI AFFECTING THE STOMACH vomiting

163
Q

LIVER QI AFFECTING THE STOMACH vomiting TP

A

TP: soothe the liver, regulate the stomach, downbear stomach rebellious qi, stop vomiting

164
Q

LIVER QI AFFECTING THE STOMACH vomiting formula

A

Formula: Ban Xia Hou Pou Tang + Zuo Jin Wan

165
Q

Symptoms: vomiting can be easily triggered by improper diet, loose stools, poor appetite, indigestion, abdominal stuffiness, tasteless in the mouth, no desire to drink, pale complexion, fatigue, pale tngue with thin white coating, soggy and weak pulse

A

DEFICIENCY COLD IN THE SPLEEN AND STOMACH vomiting

166
Q

DEFICIENCY COLD IN THE SPLEEN AND STOMACH vomiting TP

A

TP: warm the middle jiao, strengthen the spleen, downbear stomach rebellious qi, stop vomiting

167
Q

DEFICIENCY COLD IN THE SPLEEN AND STOMACH vomiting formula

A

Formula: Xiang Sha Liu Jun Zi Tang

168
Q

Symptoms: reuccrent vomiting, occasional dry retching, small amount of vomitus, or only vomit saliva, dry mouth and throat, upset stomach, hungry but no desire to eat, red dry tongue, thready rapid pulse

A

STOMACH YIN DEFICIENCY vomiting

169
Q

STOMACH YIN DEFICIENCY vomiting TP

A

TP: nourish stomach yin, downbear stomach rebellious qi, stop vomiting

170
Q

STOMACH YIN DEFICIENCY vomiting formula

A

Formula: Mai Men Dong Tang

171
Q

Diarrhea location

A

Location: Intestine, closely related to spleen, liver kidney

172
Q

Diarrhea key of etiology

A

Key point of etiology: excessive dampness due to dysfunction of the spleen

173
Q

Acute diarrhea

A

Acute: acute onset, urgent, short duration, frequent diarrhea

174
Q

Chronic diarrhea

A

Chronic: chronic onset, long duration, intermittent diarrhea

175
Q

Excessive type diarrhea

A

Excessive syndrome: acute onset, with severe abdominal pain that refuses to be pressed, pain is relieved after diarrhea

176
Q

Deficiency type diarrhea

A

Deficiency: chronic, recurrent diarrhea, mild abdominal pain, prefer warm and pressed, fatigue, cold limbs (defiicency in spleen and kidney)

177
Q

Cold type diarrhea

A

Cold: clear, watery stools with undigested food, abdomen prefer to be warm, aversion to cold, cold limbs

178
Q

Heat type diarrhea

A

Heat: yellow, brown sticky stools, foul smelling urgent purgation, burning sensation around the anus, yellow scanty urine

179
Q

Mild case diarrhea

A

Mild case, good prognosis: no frequent diarrhea, normal appetite, good energy

180
Q

Severe case diarrhea

A

Severe case, bad prognosis: frequent diarrhea, poor appetite, low energy, lose weight

181
Q

Symptoms: diarrhea with thin, clear, or watery stools, abdominal pain, bowel sounds, epigastric fullness, poor appetite, aversion to cold, fever, nasal stuffiness, headache, aching limbs, thin white or greasy white tongue coating, soggy and slow pulse

A

DIARRHEA DUE TO COLD AND DAMPNESS

182
Q

DIARRHEA DUE TO COLD AND DAMPNESS TP

A

TP: dissipate cold, relieve the superficies, resolve dampness with aromatic herbs, stop diarrhea

183
Q

DIARRHEA DUE TO COLD AND DAMPNESS formula

A

Formula: Huo Xiang Zheng Qi San

184
Q

Symptoms: diarrhea with abdominal pain, urgent or unsmooth bowel movement, yellow, brown, and foul smelling stools, burning sensation in the anus, thirsty, scanty yellow urine, red tongue with yellow greasy tongue coating, soggy rapid or slippery rapid pulse

A

DIARRHEA DUE TO DAMP HEAT

185
Q

DIARRHEA DUE TO DAMP HEAT TP

A

TP: clear heat, excrete dampness, stop diarrhea

186
Q

DIARRHEA DUE TO DAMP HEAT formula

A

Formula: Ge Gen Qin Lian Tang (clear heat, excrete dampness)

187
Q

Symptoms: abdominal pain, bowel sounds, foul smelling stools, pain is relieved after diarrhea, undigested food in stools, abdominal fullness, fetid eructation, poor appetite, dirty and thick greasy coating, slippery and big pulse

A

DIARRHEA DUE TO FOOD RETENTION

188
Q

DIARRHEA DUE TO FOOD RETENTION TP

A

TP: promote digestion, remove retention, stop diarrhea

189
Q

DIARRHEA DUE TO FOOD RETENTION formula

A

Formula: Bao He Wan

190
Q

Symptoms: abdominal pain with borborygmi, diarrhea when feeling pain, pain is relieved after diarrhea, diarrhea is always induced by depression, anger, or stress, fullness and distention in the chest and hypochondrium, bleching, poor appetite, frequent gas, thin and white or thin greasy tongue coating, thready and wiry pulse

A

LIVER QI AFFECTING THE SPLEEN diarrhea

191
Q

LIVER QI AFFECTING THE SPLEEN diarrhea TP

A

TP: soothe the liver, strengthen the spleen

192
Q

LIVER QI AFFECTING THE SPLEEN diarrhea formula

A

Formula: Tong Xie Yao Fang + Zhi Qiao, Wu Yao, Xu Xing Hua

193
Q

Symptoms: recurrent alternating loose stools and diarrhea, an increase of bowel movements, or diarrhea with undigested food whenever after eating improper food, poor appetite, abdominal fullness, pale complexion, fatigue, weak limbs, pale tongue white coating, thready and weak pulse

A

DEFICIENCY OF THE SPLEEN AND STOMACH diarrhea

194
Q

DEFICIENCY OF THE SPLEEN AND STOMACH diarrhea TP

A

TP: strengthen the spleen, benefit qi

195
Q

DEFICIENCY OF THE SPLEEN AND STOMACH diarrhea formula

A

Formula: Shen Ling Bai Zhu San

196
Q

Symptoms: diarrhea usually occurs at dawn upon abdominal pain, pain around the naval and lower abdomen, diarrhea with undigested food, bowel sounds, the patients may feel better after the diarrhea, abdomen prefer to be warm, cold limbs, soreness and weakness in the lumbar region and knee joints, pale tongue with white coating, deep and thready pulse

A

KIDNEY YANG DEFICIENCY diarrhea

197
Q

KIDNEY YANG DEFICIENCY diarrhea TP

A

TP: warm the kidney, strengthen the spleen, stop diarrhea

198
Q

KIDNEY YANG DEFICIENCY diarrhea formula

A

Formula: Si Shen Wan

199
Q

Dysentery location

A

Location: large intestine (closely related to spleen, liver, kidney).

200
Q

Dysentery key point of etiology

A

Key point of etiology: damp heat, epidemic toxin, cold damp accumulating in the intestine, causing qi and blood stagnation, mixing with toxin, and transforming into bloody pus

201
Q

Yin deficiency dysentery

A

Yin deficiency: sit on toilet but nothing coming out

202
Q

Qi deficiency dysentery

A

Qi defiicency: incontinence

203
Q

Damp more than heat dysentery

A

Damp more than heat: more white than red, qi level, better prognosis

204
Q

Heat more than damp dysentery

A

Heat more than damp: red more than white, blood level, worse prognosis

205
Q

Cold damp dysentery

A

Cold damp: pus is like nasal discharge, white

206
Q

Toxic heat dysentery

A

Toxic heat: fresh red blood color, green color

207
Q

Blood stagnation dysentery

A

Blood stagnation: purple/black blood and pus

208
Q

Symptoms: abdominal pain, tenesmus, stools containing bloody pus, more red than white, burning sensation in the anus, scanty/dark yellow urine, fever, aversion to cold, head and body pain, thirsty, red tongue with thin yellow greasy coating, floating big or rapid pulse

A

DAMP HEAT DYSENTERY

209
Q

DAMP HEAT DYSENTERY pathogenesis

A

Pathogenesis: damp heat accumulation in the intestine may cause impairment of collaterals, qi and blood stagnation and abnormal function of the intestine

210
Q

DAMP HEAT DYSENTERY TP

A

TP: clear heat, remove toxic substances, regulate qi, move blood (moving blood to get rid of bloody pus, regulating qi to relieve tenesmus)

211
Q

DAMP HEAT DYSENTERY formula

A

Formula: Shao Yao Tang

212
Q

Symptoms: sudden onset, bright purple bloody stools, severe abdominal pain, more severe tenesmus than damp heat dysentery, headache, restlessness, high fever, thrist, possibly coma, convulsions, dark red tongue with dry yellow coating, slippery rapid pulse

A

FULMINANT DYSENTERY amebic dysentery

213
Q

FULMINANT DYSENTERY pathogenesis

A

Pathogenesis: epidemic toxin may burn the intestine, consume qi and blood, mist the heart mind

214
Q

FULMINANT DYSENTERY TP

A

TP: clear heat, remove toxic substances, cool the blood, stop dysentery

215
Q

FULMINANT DYSENTERY formula

A

Formula: Bai Tou Weng Tang

216
Q

Symptoms: abdominal pain, tenesmus, stools containing more pus (white more than red), gastric fullness, heavy sensation in the head and body, pale tongue with white greasy coating, soggy and slow pulse

A

COLD DAMPNESS DYSENTERY

217
Q

COLD DAMPNESS DYSENTERY TP

A

TP: warm the middle jiao, dissipate cold, resolve dampness, promote digestion

218
Q

COLD DAMPNESS DYSENTERY formula

A

Formula: Wei Ling Tang (Ping Wei San + Wu Ling San)

219
Q

Symptoms: abdominal pain, tenesmus, stools containing bloody pus or sticky blood that is fresh red in color, burning pain around the navel or cramping pain below the navel, irritability, dry mouth, thirst, tongue is red and dry with no coating, pulse is thready and rapid

A

YIN DEFICIENCY DYSENTERY

220
Q

YIN DEFICIENCY DYSENTERY TP

A

TP: nourish yin and harmonize ying level, clear the intestine, stop dysentery

221
Q

YIN DEFICIENCY DYSENTERY formula

A

Formula: Zhu Che Wan

222
Q

Symptoms: dull abdominal pain, tenesmus, thin and clear stools containing pus, possibly fecal incontinence, poor appetite, fatigue, cold limbs, sore lower back, aversion to cold, rectal prolapse, pale tongue with white watery coating, deep and weak pulse

A

DEFICIENCY COLD DYSENTERY

223
Q

DEFICIENCY COLD DYSENTERY TP

A

TP: warm and tonify the kidney and spleen to strengthen functions in holding the bowel movement

224
Q

DEFICIENCY COLD DYSENTERY formula

A

Formula: Tao Hua Tang + Zhen Ren Yang Zang Tang

225
Q

Symptoms: intermittent and persistent dysentery, a reduced food intake, fatigue, aversion to cold, lassitude, prefer to lie down, pale tongue with greasy tongue coating, soggy and weak pulse

A

RECURRENT DYSENTERY

226
Q

RECURRENT DYSENTERY TP

A

TP: warm the middle jiao, clear the intestine, regulate qi and remove stagnation

227
Q

RECURRENT DYSENTERY formula

A

Formula: Lian Li Tang (Li Zhong Tang + Huang Lian)

228
Q

Abdominal pain location

A

Location: Abdomen (closely related to liver, gallbladder, spleen, kidney, pancreas, large intestine, small intestine, bladder)

229
Q

Abdominal pain key point of etiology

A

Key point of etiology: Obstruction of qi flow, obstruction causes pain, deficiency and cold of zang fu organs, malnutrition causes pain

230
Q

Symptoms: sudden onset of abdominal pain, relieved by warmth and exacerbated by cold, pain can be severe, non stop with mild tension of abdominal muscle, cold intolerance, prefer huddles up cold limbs, tastelessness in the mouth with no desire to drink, profuse and clear urination, bowel movements okay, white greasy tongue coating, deep and tight pulse

A

INTERNAL COLD RETENTION abdominal pain

231
Q

INTERNAL COLD RETENTION abdominal pain TP

A

TP: warm the middle jiao, dissipate cold, promote qi flow and stop pain

232
Q

INTERNAL COLD RETENTION abdominal pain formula

A

Formula: Liang Fu Wan (pungent hot and warm, dissipate cold in middle jiao) + Zheng Qi Tian Xiang San (regulate qi, stop pain)

233
Q

Symptoms: abdominal pain with tenderness, fullness, refuse to be pressed, pain is burning, gets better with cold, prefer cold drink, chest oppression, constipation, thirst, fever, sweat, yellow urine, yellow and dry tongue coating or yellow and greasy coating, slippery and rapid pulse

A

ACCUMULATION OF DAMP HEAT abdominal pain

234
Q

ACCUMULATION OF DAMP HEAT abdominal pain TP

A

TP: clear heat, purge the fu organ, promote qi and stop pain

235
Q

ACCUMULATION OF DAMP HEAT abdominal pain formula

A

Formula: Da Cheng Qi Tang

236
Q

Symptoms: abdominal distention, fullness and pain, tenderness, refuse to be pressed, fetid eructation, acid regurgitation, anorexia, diarrhea after abdominal pain, pain can be relieved by diarrhea or constipation, vomit undigested food, thick greasy tongue coating, slippery pulse

A

FOOD RETENTION abdominal pain

237
Q

FOOD RETENTION abdominal pain TP

A

TP: clear heat, purge the fu organ, promote qi and stop pain

238
Q

FOOD RETENTION abdominal pain formula

A

Formula: Zhi Shi Dao Zhi Wan

239
Q

Symptoms: abdominal distention, fullness and pain, pain without a fixed position, bloating, pain radiating to the costal regions, sometimes better, sometimes worse, feels better after gas or belching, feels worse during worrying, anger, or stress, thin white coating, wiry pulse

A

LIVER QI STAGNATION abdominal pain

240
Q

LIVER QI STAGNATION abdominal pain TP

A

TP: clear heat, purge the fu organ, promote qi and stop pain

241
Q

LIVER QI STAGNATION abdominal pain formula

A

Formula: Chai Hu Su Gan San

242
Q

Symptoms: severe and persistent needle pricking abdominal pain with a fixed position, refused to be pressed, lump in the abdomen, long duration, gets worse at night, dark purple tongue, thready and choppy pulse

A

INTERNAL RETENTION OF STAGNANT BLOOD abdominal pain

243
Q

INTERNAL RETENTION OF STAGNANT BLOOD abdominal pain TP

A

TP: clear heat, purge the fu organ, promote qi and stop pain

244
Q

INTERNAL RETENTION OF STAGNANT BLOOD abdominal pain formula

A

Formula: Shao Fu Zhu Yu Tang

245
Q

Symptoms: abdominal dull pain, on and off, prefer heat, dislike cold, prefer to be pressed, gets worse after hungry, overstrain, gets better after rest, fatigue, shortness of breath, cold limbs, cold intolerance, poor appetite, pale face, loose stools, pale tongue, thready and deep pulse

A

DEFICIENCY COLD IN THE MIDDLE JIAO abdominal pain

246
Q

DEFICIENCY COLD IN THE MIDDLE JIAO abdominal pain TP

A

TP: clear heat, purge the fu-organ, promote qi and stop pain

247
Q

DEFICIENCY COLD IN THE MIDDLE JIAO abdominal pain formula

A

Formula: Xiao Jian Zhong Tang

248
Q

Constipation location

A

Location: large intestine (closely related to lung, liver, spleen, and kidney)

249
Q

Constipation key point of etiology

A

Key point of etiology: dysfunction of the large intestine due to heat accumulation, qi stagnation, qi-blood-yin-yang deficiency, cold coagulation

250
Q

Symptoms: dry and hard stools, abdominal distention, bloating, dry mouth with foul breath, red face, general heat sensation, irritability, sweating, prefer cold drink, scanty yellow urine, red tongue with dry and yellow coating, slippery rapid pulse

A

HEAT CONSTIPATION

251
Q

HEAT CONSTIPATION TP

A

TP: clear heat, moisten the intestine

252
Q

HEAT CONSTIPATION formula

A

Formula: Ma Zi Ren Wan (purging but does not injure the healthy qi)

253
Q

Symptoms: dry and hard stools, difficult or unsmooth bowel movements, abdominal distention and pain, fullness and tightness in the chest and hypochondrium, frequent belching, or hiccup and gas, thin and white coating or thin and yellow coating, wiry or wiry and tight pulse

A

QI CONSTIPATION

254
Q

QI CONSTIPATION TP

A

TP: regulate qi and clear the obstruction

255
Q

QI CONSTIPATION formula

A

Formula: Liu Mo Tang

256
Q

Symptoms: difficult bowel movements, try hard but feels difficulty during bowel movements, fatigue after bowel movements, shortness of breath, sweating, pale face, lassitude, reluctance to talk, pale and puffy tongue, teeth marks, thin white coating, weak and thready pulse

A

QI DEFICIENCY constipation

257
Q

QI DEFICIENCY constipation TP

A

TP: supplement qi and moisten the intestines

258
Q

QI DEFICIENCY constipation formula

A

Formula: Huang Qi Tang

259
Q

Symptoms: dry and hard stool, difficulty bowel movement, pale face, dizziness, blurred vision, palpitations, shortness of breath, dry mouth, irritability, hot flash, night sweats, ear ringing, lower back and knee soreness, pale tongue or red with little coating, thready rapid pulse

A

BLOOD DEFICIENCY constipation

260
Q

BLOOD DEFICIENCY constipation TP

A

TP: nourish blood and moisten intestines

261
Q

BLOOD DEFICIENCY constipation formula

A

Formula: Run Chang Wan

262
Q

Symptoms: dry and hard stools like granules, dizziness, tinnitus, restlessness, insomnia, tidal fever, night sweat, lower back and knee sore, red tongue with no coating, thready and rapid pulse

A

YIN DEFICIENCY constipation

263
Q

YIN DEFICIENCY constipation TP

A

TP: nourish yin and promote bowel movements

264
Q

YIN DEFICIENCY constipation formula

A

Formula: Zeng Ye Tang

265
Q

Symptoms: difficult bowel movement, abdominal pain with a cold sensation, bright pale complexion, cold limbs, lower back and knee sore, prefer warm, dislike cold, profuse urine, pale tongue with white coating, deep and slow pulse

A

YANG DEFICIENCY constipation

266
Q

YANG DEFICIENCY constipation TP

A

TP: nourish blood and moisten the intestine

267
Q

YANG DEFICIENCY constipation formula

A

Formula: Ji Chuan Jian

268
Q

Hypochondriac pain location

A

Location: Liver, closely related to SP, ST, KD

269
Q

Hypochondriac pain key point of etiology

A

Key point of etiology: liver/gallbladder meridians have obstruction, obstruction causes pain or malnutrition causes pain

270
Q

Hypochondriac pain key point of pathogenesis

A

Key point of pathogenesis: emotional injuries (depression and anger), improper diet, external contraction of damp heat, chronic diseases or overexertion (liver yin deficiency), injuries

271
Q

Hypochondriac pain qi stagnation

A

Qi stagnation: mainly distending pain, wandering, not fixed, sometimes mild, sometimes severe, related to emotional changes

272
Q

Hypochondriac pain blood stagnation

A

Blood stagnation: stabbing, fixed persistent pain, refuses to be pressed, gets worse at night

273
Q

Hypochondriac pain damp heat

A

Damp heat: heavy pain, fixed region, persistent pain, sometimes gets severe, together with abdominal bloating, poor appetite, nausea, hates greasy food or jaundice, red tongue, greasy coating

274
Q

Hypochondriac pain yin deficiency

A

Yin deficiency: dull pain, persistent, prefer to be pressed, gets worse after overstrain, gets worse at night/when tired

275
Q

Symptoms: wandering distending pain in the hypochondriac region, or even the pain radiates to the chest, shoulder, upper back, the pain becomes worse when the patient is unhappy, chest oppression,
sighing, feels better after belching, poor appetite, abdominal fullness, bloating
Tongue: thin white coating
Pulse: wiry

A

LIVER QI STAGNATION hypochondriac pain

276
Q

LIVER QI STAGNATION hypochondriac pain TP

A

TP: soothe liver, regulate qi

277
Q

LIVER QI STAGNATION hypochondriac pain Formula

A

Formula: Chai Hu Shu Gan San

278
Q

Symptoms: obvious burning pain in the hypochondriac region, obvious tenderness (while being pressed), refused to be pressed or even the pain radiates to the shoulder and upper back
Other symptoms: poor appetite, nausea, dislike greasy food, bitter-dry mouth, abdominal bloating, scanty urine, jaundice
Tongue: yellow greasy coating
Pulse: wiry and slippery

A

DAMP HEAT IN THE LIVER/GALLBLADDER hypochondriac pain

279
Q

DAMP HEAT IN THE LIVER/GALLBLADDER hypochondriac pain TP

A

TP: clear heat and remove dampness, regulate qi, open collaterals

280
Q

DAMP HEAT IN THE LIVER/GALLBLADDER hypochondriac pain formula

A

Formula: Long Dan Xie Gan Tang

281
Q

Symptoms: stabbing pain in the hypochondriac region with a fixed position, tenderness, pain gets worse at night, dark dull facial complexion, possible masses in the costal space
Tongue: purple dark body
Pulse: wiry and deep

A

STAGNANT BLOOD OBSTRUCTING THE MERIDIANS hypochondriac pain

282
Q

STAGNANT BLOOD OBSTRUCTING THE MERIDIANS hypochondriac pain TP

A

TP: resolve stasis, clear the obstructed meridian

283
Q

STAGNANT BLOOD OBSTRUCTING THE MERIDIANS hypochondriac pain formula

A

Formula: Xue Fu Zhu Yu Tang

284
Q

Symptoms: dull and lingering pain in the hypochondriac region, pain gets worse with fatigue, restlessness, dry mouth and throat, irritability with hot sensation in the chest, dry eyes, dizziness, blurred vision
Tongue: red, little coating
Pulse: wiry, rapid, thready

A

MALNUTRITION OF THE LIVER MERIDIAN (LIVER YIN DEFICIENCY) hypochondriac pain

285
Q

MALNUTRITION OF THE LIVER MERIDIAN (LIVER YIN DEFICIENCY) hypochondriac pain TP

A

TP: nourish yin and liver, nourish blood, open the collaterals

286
Q

MALNUTRITION OF THE LIVER MERIDIAN (LIVER YIN DEFICIENCY) hypochondriac pain formula

A

Formula: Yi Guan Jian

287
Q

Jaundice location

A

Location: Liver and gallbladder, closely related to the spleen

288
Q

Jaundice key point of etiology

A

Key point of etiology: dampness and turbidity obstructing middle jiao, out spreading of bile

289
Q

Yang Jaundice

A 
Etiology:  Conversion of dampness into heat, heat and damp combine together		
Nature: Excessive, heat		
Condition: Acute, short duration		
Fever: Maybe		
Color: Bright yellow, fresh orange		
Other symptoms: Dry mouth, thirst, irritability, easily hungry, yellow scanty urine, constipation		
T + P: Red, yellow greasy; Wiry, rapid		
Prognosis: Good
290
Q

Yin Jaundice

A

Etiology: Conversion of dampness into old, cold and damp coagulating together
Nature: deficiency cold
Condition: chronic, long duration
Fever: no
Color: smokey yellow
Other symptoms: Epigastric, abdominal bloating, fear of cold, fatigue, tasteless, not thirsty
T + P: Pale, white greasy; Soggy, slow/ deep, slow
Prognosis: Takes a long time to recover

291
Q

Jaundice treatment principle

A

remove damp and promote diuresis

292
Q

Symptoms: orange like bright yellowness of the body skin and eyes, fever, thirst, restlessness, hypochondriac pain, dry and bitter taste in the mouth, nausea, vomiting, scanty dark yellow urine, constipation
Tongue: red, yellow greasy coating
Pulse: wiry and rapid

A

YANG JAUNDICE (MORE HEAT THAN DAMP)

293
Q

YANG JAUNDICE (MORE HEAT THAN DAMP) TP

A

TP: clear heat, relieve constipation, resolve dampness, withdraw jaundice

294
Q

YANG JAUNDICE (MORE HEAT THAN DAMP) formula

A

Formula: *Yin Chen Hao Tang (Yin Chen Hao 30g, Zhi Zi 15g, Da Huang 9g)

295
Q

Symptoms: yellow (not as bright as the heat type) of the body skin and yees, heaviness of the head, drowsiness, chest and gastric fullness, reduced appetite, nausea, loose stool
Tongue: red, thick greasy, mild yellow coating
Pulse: wiry and slippery

A

YANG JAUNDICE (MORE DAMP THAN HEAT)

296
Q

YANG JAUNDICE (MORE DAMP THAN HEAT) TP

A

TP: resolve turbid dampness, clear heat, withdraw jaundice

297
Q

YANG JAUNDICE (MORE DAMP THAN HEAT) formula

A

Formula: *Yin Chen Wu Ling San + Gan Lu Xiao Du Dan

298
Q

Symptoms: gray dark, smoky yellow body skin and eyes, gastric fullness, abdominal bloating, reduced appetite, fatigue, fear of cold, cold limbs, loose stool
Tongue: puffy tongue, white greasy coating
Pulse: soggy, slow

A

YIN JAUNDICE (COLD DAMPNESS OBSTRUCTING THE MIDDLE JIAO)

299
Q

YIN JAUNDICE (COLD DAMPNESS OBSTRUCTING THE MIDDLE JIAO) TP

A

TP: warm middle jiao, resolve dampness, strengthen the spleen, harmonize the stomach

300
Q

YIN JAUNDICE (COLD DAMPNESS OBSTRUCTING THE MIDDLE JIAO) formula

A

Formula: Yin Chen Zhu Fu Tang

301
Q

Symptoms: dull yellow body skin and eyes, dark complexion, hypochondriac stabbing/dull/lingering pain or mass, subcutaneous lines around the chest or abdomen, red palm in the liver area
Tongue: dark purple, purple spots on the tongue, white coating or no coating
Pulse: wiry, choppy, or thready, choppy

A

LIVER BLOOD STAGNATION JAUNDICE

302
Q

LIVER BLOOD STAGNATION JAUNDICE TP

A

TP: warm middle jiao, resolve dampness, strengthen the spleen, harmonize the stomach

303
Q

LIVER BLOOD STAGNATION JAUNDICE formula

A

Formula: Bie Jia Jian Wan

304
Q

Jaundice maintenance formulas

A

Maintenance after yellow withdrawing: liver depressed/qi stagnation: Xiao Yao San, Chai Hu Shu Gan San
Spleen deficiency: Xiang Sha Liu Jun Zi Tang

305
Q

Drum like distention etiology

A

Etiology: emotional disturbance, improper diet and over drinking, overstrain, infection of insect poison, secondary to other diseases such as liver function problems (jaundice etc)

306
Q

Drum like distention 3 major symptoms

A

3 major symptoms: 1) enlarged abdomen like a drum. 2) a sallow skin color. 3) exposure of bluish veins

307
Q

Drum like distention early stage

A

Early stage: enlarged abdomen like a drum, exposure of bluish vessels, abdomen fullness while percussion, water sounds or abdominal fullness while turning the body over; then the abdomen continues to get larger, soft while palpation, worse after eating, tympany sounds or shifting dullness sounds while percussion.

308
Q

Drum like distention further development stage

A

Further development stage: abdominal bulging, higher than the chest, more gulging at the sides of the abdomen in the supine position, feels like a water bag when palpation

309
Q

Drum like distention end stage

A

End stage: enlarged abdomen like a huge jar, bulging umbilicus, slim four limbs, squamous and dry sink, limb edema, sallow yellow skin, exposure of bluish veins on the abdomen, exposure of capillary veins on the neck and chest, liver palm.

310
Q

Drum like distention danger stage

A

Danger stage: enlarged and hard abdomen, dark black face, constipation or loose stool, scanty urine, anuria, vomiting blood, bloody stool, coma, death, convulsions.

311
Q

Which vein does drum like distention involve?

A

portal vein

312
Q

Which two syndromes does drum like distention involve in western terms?

A

portal vein hypertension, esophageal varicies

313
Q

Drum like distention location

A

LV, SP, KD

314
Q

Edema location

A

LU, SP, KD

315
Q

Sequence of edema for drum like distention

A

Ascites to lower limbs edema to whole body edema

316
Q

Sequence of edema for edema

A

Face to four limb edema to whole body edema to ascites

317
Q

Symptoms: drum like distention, sallow complexion, bluish veins, abdominal distention without palpable hardness, distention and pain below the hypochondriac region, poor appetite, bloating after eating, better after belching, mild lower limb edema
Tongue: white greasy coating
Pulse: wiry, thready

A

QI STAGNATION - DAMPNESS RETENTION drum like distention

318
Q

QI STAGNATION - DAMPNESS RETENTION drum like distention TP

A

TP: regulate liver qi, strengthen the spleen, remove dampness

319
Q

QI STAGNATION - DAMPNESS RETENTION drum like distention Formula

A

Formula: Chai Hu Su Gan San (liver qi attacking spleen) + Wei Ling Tang (remove dampness from spleen - Ping Wei San + Wu Ling Tang)

320
Q

Symptoms: drum like distention, sallow complexion, bluish veins, enlarged abdomen with fullness and distention, spleen yang deficiency symptoms, feeling of water sack upon palpation, epigastric and
abdominal stuffiness, feels better after warmth, fatigue, fear of cold, dislike to talk, scanty urine, loose stool
Tongue: white greasy coating
Pulse: slow

A

WATER DAMPNESS OBSTRUCTING THE SPLEEN drum like distention

321
Q

WATER DAMPNESS OBSTRUCTING THE SPLEEN drum like distention TP

A

TP: warm the middle jiao, strengthen the spleen, promote qi flow, induce diuresis

322
Q

WATER DAMPNESS OBSTRUCTING THE SPLEEN drum like distention formula

A

Formula: Shi Pi Yin

323
Q

Symptoms: drum like distention, sallow complexion, bluish veins, enlarged abdomen with fullness and hardness, epigastric and abdominal stuffiness, feverish sensation, bitter taste in the mouth, thirst without
desire to drink, jaundice, difficulty in urination, constipation or loose stool
Tongue: red tongue tip, yellow greasy coating, or grey/black moist coating
Pulse: wiry, rapid

A

DAMP HEAT ACCUMULATION drum like distention

324
Q

DAMP HEAT ACCUMULATION drum like distention TP

A

TP: clear heat, resolve dampness, induce diuresis, remove water retention

325
Q

DAMP HEAT ACCUMULATION drum like distention formula

A

Formula: Zhong Man Fen Xiao Wan + Yin Chen Hao Tang

326
Q

Symptoms: drum like distention, sallow complexion, bluish veins, gastric abdominal fullness and hardness, masses below the hypochondriac area with stabbing pain, dull and dark facial complexion, or
exposure of capilary nevus on the neck and chest, black stool, purple brown lips, squamous and dry skin, drinks water but does not want to swallow
Tongue: purple, dark, purple spots
Pulse: thready, choppy

A

LIVER/SPLEEN BLOOD STASIS drum like distention

327
Q

LIVER/SPLEEN BLOOD STASIS drum like distention TP

A

TP: circulate blood, resolve stasis, promote qi flow and induce diuresis

328
Q

LIVER/SPLEEN BLOOD STASIS drum like distention formula

A

Formula: Tiao Yang Yin

329
Q

Symptoms: drum like distention, sallow complexion, bluish veins, enlarged abdomen with fullness and distention, better in the morning but becomes worse in the afternoon, sallow and lusterless complexion,
spleen and kidney yang deficiency sympotms
Tongue: pale, puffy, teethmarks; thick greasy water coating
Pulse: deep, slow, wiry

A

SPLEEN/KIDNEY YANG DEFICIENCY drum like distention

330
Q

SPLEEN/KIDNEY YANG DEFICIENCY drum like distention TP

A

TP: warm and supplement the spleen and kidney, transform qi and induce diuresis

331
Q

SPLEEN/KIDNEY YANG DEFICIENCY drum like distention formula

A

Formula: Fu Zi Li Zhong Wan + Wu Ling San (for more spleen yang deficiency) or Ji Sheng Shen QI Wan + Niu Xi, Che Qian Zi (for more kidney yang deficiency)

332
Q

Symptoms: drum like distention, sallow complexion, bluish veins, enlarged abdomen with fullness and distention, or exposure of bluish veins on the abdomen, dark complexion, scanty urine, dry mouth and
throat, irritability, insomnia, teeth and nose bleeding
Tongue: crimson red, dry, no coating
Pulse: thready, rapid, wiry

A

LIVER/KIDNEY YIN DEFICIENCY drum like distention

333
Q

LIVER/KIDNEY YIN DEFICIENCY drum like distention TP

A

TP: nourish liver and kidney yin, cool the blood, remove stasis

334
Q

LIVER/KIDNEY YIN DEFICIENCY drum like distention formula

A

Formula: Be Xia Zhu Yu Tang + Yi Guan Jian

ICTCM Year 4 (12 decks)

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