TCM tongue and pulse with TCM organs Flashcards

1
Q

Name the organs of the Upper, middle, and lower burners.

A

Upper: Lungs, heart

Middle: Stomach, spleen, liver, gallbladder

Lower: Large intestine, small intestine, bladder, kidney

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2
Q

Name the organs associated with each section of the tongue:

A

1) Kidney, Bladder, Intestines
2) gallbladder
3) Stomach, spleen
4) Liver
5) Lungs
6) Heart

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3
Q

What organ is the swelling associated with?

A

Gallbladder

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4
Q

What organ is affected based on this tongue?

A

Stomach cracks

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5
Q

What organ is affected?

A

Chest areas of the tongue

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6
Q

Fill in the blanks:

A

1) Lung (front inch)
2) Spleen (middle gate)
3) Kidney (rear foot)

4) Heart (front inch)
5) Liver (middle gate)
6) Kidney (rear foot)

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7
Q

What is used to diagnose pulse?

A

Speed: below 60 bpm or over 90 bpm
Rhythm: regular or irregular
Size: long or short
Width: thin, thready, thick
Shape: wiry, soft, tense
Quality: choppy, rushing, slippery

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8
Q

What are the eight principles?

A

yin-yang, heat-cold, internal-external, excess-deficiency

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9
Q

What are the vital substances?

A

Qi, blood, body fluids, essence

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10
Q

What are the zhang-fu organs?

A

5 yin-6 yang, & 6 extraordinary organs

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11
Q

What are the 6 stages?

A

Tai yang, Yang Ming, Shao yin, Jue Yin

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12
Q

What are the four levels?

A

Wei, Qi, Ying, Blood

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13
Q

What is the exterior comprised of?

A

-Skin, muscles, and channels space between skin and muscles where the Wei Qi and sweat are located and first invaded by external pathogens.

Patterns include: Aversion to cold, fever, aching body, stiff neck, and floating pulse

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14
Q

What is the interior comprised of?

A

When the internal organs are affected. Treating the internal organs pattern.

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15
Q

Empty heat vs. Full heat

A
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16
Q

Empty cold vs. Full cold

17
Q

What are signs of excess?

A

Characterized by the presence of pathogenic factors with upright Qi is relatively intact and actively fighting against the pathogen
-pain is worse with pressure
-Pain that is acute in onset
-irritability, restlessness
-strong voice

18
Q

What are signs of deficiency?

A

Characterized by the emptiness of upright Qi and the absence of a pathogenic factor
-Empty Qi: Pale face, weak voice, slight sweating, slight shortness of breath, fatigue, loose stools, poor appetite
-Empty yang: Bright pale face, cold limbs, absence of thirst, desire for hot drinks, frequent pale urination
-Empty yin: heat in the afternoon, dry throat at night, night sweats
-Empty blood: Dull-pale face, pale lips, dry hair, blurred vision, tiredness, poor memory, insomnia, scanty periods

19
Q

What are causes of disease?

A

Disease can be caused by internal or external factors
-External factors are thought of as pathogens that attack the body from the outside
-Internal factors are often from stress and emotional factors that can damage individual organ systems, and from organ impairment which leads to a lack of functioning
-Organ impairment can be caused by diet, drugs, alcohol, medication, overwork, emotional factors, or external pathogens that penetrate into the interior and begin to damage organ systems

20
Q

What are the six pathogenic factors?

A

-wind
-cold
-heat
-dampness
-dryness
-summer heat

21
Q

Describe wind:

A

-Yang in nature
-usually used as a source for other factors to enter
-Arises quickly and changes rapidly
-Moves around
-Lungs are affected first(external wind)
-Liver affected for internal wind
-Causes tremors or convulsions, stiffness, paralysis

22
Q

What happens when wind invades the muscles and channels?

A

Stiffness, rigidity, and contraction of the muscles with sudden onset

23
Q

What happens when wind invades the joints?

A

Pain that moves from joint to joint, especially the upper part of the body

24
Q

DDX: Wind Cold

A

-aversion to cold/wind
-chills
-sneezing
-cough white discharge
-runny nose w/ white discharge
-body stiffness and aches
-Pulses: maybe floating, but often no change from normal
-Tongue: no change from normal

25
DDX: wind heat
-Aversion to wind/heat -fever -sneezing -cough w/ yellow discharge -runny nose w/ yellow mucus -itchy and/or sore throat -swollen tonsils, red back of throat Pulses: maybe superficial, but usually no change Tongue: no change from normal
26
Internal wind:
-Tremors, tics -Itchy-lung involved as well because of skin -severe dizziness, vertigo -Severe cases: convulsions, unconsciousness, hemiplegia -Deviation of mouth/tongue
27
Cold:
-Injures Yang -Contracts and congeals -Causes clear discharge -sleepiness -severe localized pain improved by heat: excess or deficiency? -White tongue coating and body discharges -slow pulse -craves warmth, aversion to cold, feels cold -pale complexion -lack of thirst -loose stool -clear and profuse urine: not heat -day or night (any at night too much depending on age)
28
Heat:
-yang in nature -blazes upwards -drying-damages blood and yin -may cause bleeding -potential to generate wind when severe -affects the mind -high fever, desires cold, aversion to heat, heat sensation -redness: skin, face, eyes, & complexion -thirst -constipation (complicated) or foul smelling diarrhea; foul smelling discharge -scanty, dark yellow urine -restlessness, irritability -Bleeding symptoms: cough, vomit, nose, gums, urine, stool, skin Rapid anything: including pulse, breathing rate Yellow tongue coating (full heat) and other body discharge, red tongue body
29
Dampness:
-Excess of yin -From damp environments: clothes, living, wading, diet -Lack of environment -Sticky and difficult to get rid of -Heavy & slow -Feeling of heaviness, pain or anything worse with damp -Anything swollen and/or oozing -No appetite, bloating, made worse w/ food -Cloudiness of discharges Pulses: Slippery Tongue: Sticky coat and/or fat, swollen tongue
30
Dryness:
-Usually from very dry and/or hot weather, internal heat, dry warming foods and/or herbs, lack of fluid intake, not enough fruit and veggies, salty processed food -All symptoms are Dry -Internal dryness is a form of yin deficiency w/o heat signs or symptoms -Can result from heat too
31
Summer heat:
-yang in nature -only in the summer -like a heat stroke -combo of heat and damp -usually only encounter in 1st aid situation -aversion to heat -sweating/no -Headache -scanty dark urine -dry lips -feeling of heaviness -irritability -thirst, no thirst if severe -Pulses: Rapid - Tongue: red on the sides & tip May see delirium, slurred speech & unconsciousness