TCM Theory I Final Flashcards
7 types of Qi Pathology
Qi deficiency Disorders of Qi Ji (Stagnation) Qi Rebellion Qi Sinking Disorder of Qi Ascending and Descending Blocked Qi Qi Exhaustion
Qi Deficiency Definition
Deficient Yuan Qi (Life Energy) and body function
Yuan Qi definition
Life Energy
Causes of Qi Definciency (5)
Constitutional Failure to nourish (malnutrition) Dysfunction of KD, SP, or LU Over work Chronic disease
Symptoms of Qi Deficiency
depressed spirit, weak voice, poor appetite, loose stools, tiredness, dizziness, spontaneous sweating, pale complexion, weak pulses, shortness of breath
Zang Fu Qi Deficiencies
Symptoms based on Organ
Wei Qi deficiencies
easy to get sick (UpQ Def)
4 types of Qi Deficiencies
Zang Fu
Meridians
Ying Qi
Wei Qi
Qi Deficiency can be divided into a deficiency of ______ or_____
Yin or Yang
Yin deficiency behaves as a _____ pattern
heat
Yang deficiency behaves as a _____ pattern
cold
Definition of Qi Stagnation (Qi Ji)
Anything that blocks the movement of Qi
Causes of Qi Stagnation (6)
Depressed emotion Phlegm or dampness Food Stagnation Heat Stagnation Blood Stagnation Qi Stagnation
Common Symptoms of Qi Stagnation (3)
Tightness: chest, abdomen
Fullness; stomach, abdomen
Pain: hypochondriac, meridians, etc
Qi Stagnation can cause what other disorders
Blood stagnation
Jin ye stagnation (dampness and phlegm)
Converting to Heat
Qi Rebellion Definition
Qi over ascending or failure in Descending (Abnormal upward movement)
Cause of Qi Rebellion (5)
Abnormal emotions Abnormal diet External evils Phlegm (blockage) Qi deficiency
Most common Qi Rebellion
ST and LU
5 types of Qi Rebellion
LU ST LV KD HT
Symptoms LU Qi Rebellion
cough, shortness of breath, urinary retention
Symptoms ST Qi Rebellion
Hiccups, nausea, vomiting, gassing
Symptoms LV Qi Rebellion
headache, red face/eyes, irritability
Severe LV Qi Rebellion can cause
hemoptysis, hematemesis and stroke
Symptoms KD Qi Rebellion
asthma, shortness of breath (KD fails to hold LU/Breath)
Symptoms of HT Qi Rebellion
mental restlessness, insomnia
Qi Rebellion can be because of both _____ and ______
excess and Deficiency
Qi Rebellion is mainly a _____ disorder but can also be caused by ______
excessive; deficiency
Qi Rebellion as deficient LU Qi
fails to descend
Qi Rebellion as deficient KD Qi
fails to grasp Qi
Qi Rebellion as Deficient ST Qi
fails to descend
Qi Sinking Definition
Qi Failure in ascending or over descending, also called Qi collapse. Abnormal Downward movement
Difference between Rebelling Qi and Sinking Qi
Rebelling Qi is Abnormal upward movement
Sinking Qi is abnormal downward movement
Qi Sinking Symptoms
Qi deficient symptoms plus a feeling of bearing down, mental depression, prolapse of organs
Causes of Qi Sinking
Qi deficiency, specially Spleen Qi
2 types of Qi Sinking
Qi failing to be transported upwards
Qi failing to lift
Qi failing to be transported upward symptoms
dizziness, tinnitus, and dim sighted
Qi failing to lift symptoms
prolapse of organs, depressed emotions, chronic diarrhea
Disorders of Qi Ascending/Descending in other organs
SP: Food Qi fail to ascend causes body Qi def and loose stools
HT: insomnia, anxiety, mental restlessness
KD: urinary retention, breathlessness
BL: Urinary retention
LI: constipation, abdominal distension
Pathology of Qi NOT ascending in Upper Orfices
Eyes: Blurred vision Ears: hardness of hearing Nose: diminished sense of smell Mouth: lack of taste Mind: Unclear thinking and poor memory
Pathology of Qi NOT descending in Upper Orfices
Eyes: Sticky eyelids, pain Ears: excessive wax Nose: blocked or runny nose Mouth: sticky taste/thick saliva Mind: heavy head and dizziness
Definition of Blocked Qi
causes clear orifice blockage and behaves as a syncope
Cause of Blocked Qi
emotional stimulation, external evils or phlegm blocked Qi Ji
Consequences of of Blocked Qi
spontaneous recovery
recovery by treatment
death
Definition Qi Exhuastion
Extreme Qi deficiency causing body function failure
Cause Qi Exhuastion
Too strong Evil Qi
Long term disease exhausts Upright Qi
Extreme bleeding/sweating
Qi exhaustion and Dying Yin/Yang Features
body function failure closed eyes open mouth paralyzed muscle and hands incontinence of urine and stoos
Blood Deficiency cause
All most always due to chronic issues
Bleeding
SP Qi deficiency causes malnutrition which effect blood generation
KD/marrow deficiency affects blood generation
Organs involved in Blood Deficiency
SP
LV
KD
Symptoms Blood deficiency
dull white complexion/pale lips
HT poor memory/insomnia
LV: dizzy/blurred vision/dry eyes
Menstruation: scanty or absent periods
Blood Stasis Definition
Blood circulates slowly, not smoothly, or stagnates. May involve whole body, one or more organs, meridians and tissues
Causes of Blood Stasis
Qi Stagnation or Deficiency Heat or Cold in the blood Blood deficiency Interior Cold Phlegm
General symptoms of Blood Stagnation
Dark complexion/lips/nails/bleeding
pain that is fixed and stabbing
masses that do not move
Definition heat in Blood
Heat invades Blood causing increased blood circulation, blood vessel dilation and bleeding.
Causes of heat in Blood
External heat or Li Qi invasion
Internal heat caused by emotion disorders
Internal heat/fire caused by Yin Deficiency
Symptoms of heat in Blood
feeling of heat, red face/eyes, red skin eruptions, thirst, bleeding, red tongue
Heat in Blood to Western medicine is
Autoimmune issues
Differentiation of causes of Bleeding
Heat in Blood: fresh red/dark Heavy
Blood stasis: Very dark/clots Scanty
Qi Def: Pale, heavy prolonged
Yin def: Bright, scanty
Normal relationship of Qi and Blood
Qi is the commander of Blood
Blood is the mother and carrier of Qi
Qi Stagnation causes Blood Stasis Chinese name
Qi Zhi Xue Yu
Qi Zhi Xue Yu facts
Qi Stagnation MAY cause Blood stasis
Blood stasis is ALWAYS accomp with Qi Stagnation
Hard to identify which one occurred first
Important to identify which is dominant
Organs that may involve Qi Zhi Xue Yu
Liver and Lung
Qi DEFICIENCY causes Blood Stasis Chinese name
Qi Xu Xue Yu
Qi Xu Xue Yu definition
blood circulates slowly or becomes stagnant in vessels caused by Qi deficiency and failure of promoting Blood
Qi Xu Xue Yu is seen in
heart qi deficiency and aged people
Qi Xu, Qi Zhi and Xue Yu usually
usually occur together
Qi Xu is
Qi deficiency
Qi Zhi is
Qi Stagnation
Xue Yu is
Blood stagnation
Bleeding caused by Qi Deficiency is mainly caused by
SP Qi Deficiency, and can involve LV, KD, LU and ST Qi deficiency as well
Nei Jing on Shi and Xu
Shi is Evil Qi Excess and Xu is Upright Qi depleted
Xu =
deficiency
Shi =
Excess
Varieties of Xu and Shi
Mixed Xu and Shi
Transformation of Xu and Shi
True or False Xu and Shi
Shi syndromes are usually seen
early or middle stage of diseases
Strong constitution
Xu Syndrome are usually seen
Weak constitution
Late stage of diseases caused by Ext Evils
Chronic disease
after severe vomiting, sweating etc
True excess and false deficiency is
Evil Qi block meridians causing Qi and Blood failure in nourishing skin and muscle
True deficiency and false excess is
Spleen deficiency causing constipation
yang escaping causing false heat (pull yang back)
It is _____ to answer if it is true or false Su and Shi
IMPORTANT
When upright Qi over comes Evil Qi
Disease is Cured
when Evil Qi overcomes Upright Qi
Disease becomes worse
Yin or Yang is exhaused
Struggle (stagnant) fight between Evil and Upright Qi
Acute becomes chronic
Chronic lasts longer
Definition Secondary Pathogen
products that are generated inside the body during other diseases which may affect body function and cause the original disease to become worse or a new disease
Secondary pathogens are also called
pathogenic products or internal visible excessive Evils
3 types of new diseases 2ndary pathogens can cause
body fluid accumulation
blood stasis
stones
Qi Ji
Movement of Qi
Ascending/Descending/exiting/entering
Classifications of Qi
Yuan Qi (original Qi) Zong Qi (Lung Qi, in chest,) Ying Qi (Nourishing Qi from food and water) Wei Qi (Defending Qi)
Formation of Blood
food essence from SP and ST goes to LU where it is turned into Blood through the effort of the HT and LU
Governs Qi and respiration
LU
Formation of Zong Qi
Food qi + Clean Qi
Governs the Water Passage
LU
Controlls channels and blood vessels
LU by promoting Qi and Blood circulation within vessels and channels and between muscles and skin
Special features of the LU
Canopy
Tender physiologically, pathologically
Qi is dispersing and descending
Likes moist, dislikes dry
LU is a canopy why
roof for all organs
upper source of Qi
upper source of body fluid
often first organ to be attacked
LU is tender why
when you inhale it becomes full, exhale empty, instantly
LU opens to
the nose
LU and emotions
sadness/grief
LU is the house of
Corporeal Soul
LU is related to _____ Season
Fall
LU is the zang of
Yin within Yang
LU smell/color/taste
putrid/white/pungent
LI main function
T&T wastes Governs Jin (fluids)
LU is Zang to what Fu
LI
SP main functions
Govern T&T
Holds Blood
What is the source of Essence, Qi, Blood and Jin Ye
Food Essence
Spleen is the ____ of Water mebatolism
center
What is the upper and lower source of body fluid
LU and KD
According to the SU Wen what is said about all dampness, edema and fullness?
All should be attributed to SP deficiency
Spleen holds blood because
SP Qi is ascending
Beng Lou
Abnormal bleeding from the Uterus
Spleen likes and dislikes
likes dry, dislikes moist
SP controls
muscles
Sp opens
into the mouth and manifests in the lips
SP is related to what season
all seasons and late summer
SP smell/color/taste/climate
fragrant/yellow/sweet/damp
What organ is the most important of the Yang Organs
ST
Su Wen saying about ST
It is the sea of water and grains and the great source of nourishment of the 6 yang organs
Function of ST
Controls receiving
Controls rotting and ripening of food
controls descending Qi
origin of fluids
HR Functions
Governs Blood and Controls the Blood Vessels
HR Blood houses the
Mind (Shen)
HR controls
Blood Vessels
HR is the _________ of the whole body
Emperor
HR opens to the
Tongue
HR related emotion
JOY
HR Season
Summer
HR Zang FU
HR SI
SI function
Accept and transform Gruel
Seperate clarity from turbidity
Governs Ye (body fluid)
Zang Fu of LV
LV GB
Function of LV
Master of Shu Xie (smooth flow of Qi)
regulates emotion
regulates ejaculation and ovulation
Stores Blood
Pre heaven for Women
Liver
Resolute organ
Liver
LV likes and dislikes
ascending and moving dislikes stagnation
Supports tendons and sinews
Liver
Source of Endurance
Liver
Nei Jing says all internal wind can be attributed to
Liver
Liver opens
into the eyes
Anger is related to
Liver
Liver season
Spring
Gall Bladder function
store and secretes bile
Governs decision making
is Extraordinary Fu
The Zangs open to what tissues
LV Tendons HT blood/vessels SP Flesh/muscles LU Skin KD Teeth, bone, marrow
extraordinary Fu’s
Uterus Brain Bone Marrow Vessels Gall Bladder
4 Seas
Sea of Qi
Sea of Blood
Sea of Food
Sea of Marrow
Sea of Qi points
DU14, DU15
Sea of Blood Points
BL11 ST37
Sea of Food Points
ST30 ST36
Sea of Marrow Points
DU20 DU16
Organ Interrelationships
Structurally related
inter-restricting and inter-dependent
behave as relationship of 5 elements
behave as relationship Qi/Essence/Blood/Y&Y
HT and LU Relationship
Reside in UB
Zong Qi key connection
Cooperate in making Blood
HR and SP relationship
Cooperate in making Blood
Cooperate to ensure normal Blood circulation
HR and LV relationship
VERY IMPORTANT
HR governs Blood circulation and LV Stores Blood
Regulates spirit and mental activities
HR and KD relationship
Yin and Yang
Fire and Water
Root of Mind and Essence
LU and SP Relationship
Cooperate in generating Qi
Cooperate in Body fluid Metabolism and Distribution
LU and LV Relationship
Not Close
Cooperate to ensure the body’s Qi normal movement
LU and KD relationship
Cooperate in body fluid distribution
cooperate in Breath
The Y&Y of LU and KD ______ each other
nourish
LV and SP Relationship
IMPORTANT
Cooperate in food digestion
Cooperate in Blood circulation
LV and KD Relationship
IMPORTANT
LV stores blood and KD stores Essence
LV Blood and KD Essence nourish each other
SP and KD relationship
VERY IMPORTANT
Represent Pre and Post heaven
cooperate in fluid metabolism
Uterus main fuctions
regulate menstruation
house fetus
Yin organs and Uterus
HR houses Shen and governs making/circulating Blood
LV stores Blood and governs Shu-Xie (emotion)
SP is the source of Qi & Blood and holds Blood
KD is the preheaven, stores Essence and governs reproduction
Nei Jing on Evil Qi and Upright Qi
When there is Evil Qi invading there must be deficiency of the Upright Qi
When the Upright Qi is sufficient, no Evil Qi can invade
6 internal evil Qis
seven emotions abnormal diet phlegm stagnant blood stones five internal evil qis
4 external evil Qis
6 external evil qi’s
external injuries
injuries caused by insects or animals
parasites
Opposition of Yin and Yang
cold hot
damp dry
slow rapid
soft hard
4 relationships of Yin and Yang
Opposition
Interdependence
Mutually consuming
Intertransformational
8 principles
yin/yang
exterior/interior
cold/heat
excessive/deficent
Nei Jing on Uterus
The gate of life (ming men) is the residence of the Mind and Essence and it is connected to the Original Qi: in men it houses the Sperm and in women the Uterus
Tian Gui
Vital substance generated with KD essence and KD Qi become full.
Tian Gui Function
promoting the development of reproductive organs
Tian Gui regulates and Promotes
ejaculation, female ovulation and menstruation
Function of Qi
Promoting Warming and cooling Defending Holding T&T Nourishing
Function of Blood
Nourishing and moistening the whole body
material basis for mental activity
Function of Jin Ye
Moisturizing and nourishing
As a component of Blood
Jin Ye is
body fluid
Constitution definition
The features of a individual’s body structure, function and spirit
Physical make up of an individual comprising inherited qualities modified by environment
Features of Constitution
body morphology/structure, function and psychological status
individualized and diversified
stable and changeable
continuous and predictable
Gender and Constitution
Male Yang KD is preheaven Qi most important
Female Yin LV is preheaven Blood most imprt
Yin/Yang and constitution
Balanced means everything is good
People with Yin and Yang blanced constitution usually
rarely invaded
quickly recover
have long life span
Yang Constitution usually
invaded by Yang evil Qi
invasion tends to be heat and excessive
yin Constitution
invaded by Yin Evil Qi
behave as cold and deficient
internal disease
Application of the Constitution Theory
Predicting the susceptibility of pathogens
Interpreting the mechanisms of pathogeneisis
Interpreting the pathological changes
Directing diagnosis
Directing Treatment
Directing maintenance of healthy
constitution and Treatment
Flavors and taste of herbs
does of medication
acupuncture procedures
8 misc causes of disease
improper diet maladjustment of work and rest excessive sex trauma parasites improper medications medicinal mistakes heritage factors
XU XU
disperse deficiency (mistake)
Shi Shi
Tonify Evil Qi (mistake)