TCM year 1 Flashcards

1
Q

Tai Yang

A

Greatest Yang

12pm

Summer

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2
Q

Shao Yin

A

Lesser Yin

6pm

Autumn

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3
Q

Tai Yin

A

Greatest Yin

12am

Winter

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4
Q

Shao Yang

A

Lesser Yang

6am

Spring

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5
Q

Yin (in relation to the body)

A

Chest/abdomen

Below Waist

Body

Interior (organs)

The Zang

Blood/fluids

Ying Qi

Substance

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6
Q

Yang (in relation to the body)

A

Back

Above waist

Head

Exterior (Muscles/skin)

The Fu

Qi

Wei Qi

Energy

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7
Q

Four Principles of Yin and Yang

A

Opposition of Yin and Yang

Interdependence of Yin and Yang

Mutual consuming of Yin and Yang

Intertransformation of Yin and Yang

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8
Q

Yin signs and symptoms

A

Slowly evolving

Fatigue, drowsiness

Pulse: slow, weak, deep

Shallow, quiet respiration

Quiet person

moves slowly

Dull (headaches)

Over-weight

Internal illness

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9
Q

Yang signs and symptoms

A

Rapidly evolving

Restlessness, insomnia

Pulse: rapid, strong, above Qi depth

Coarse, loud breathing

Loud person

Rapid movement

Pounding (headaches)

Underweight

Musculo-skeletal problem

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10
Q

Cold signs and symptoms

A

Chilliness

Sensation of feeling cold

Feels cold to touch

Pale face

Withdrawn

Slow

Clear abundant urine

Loose stools

Pulse: slow

Pale tongue, white coat

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11
Q

Hot signs and symptoms

A

Fever

Sensation of feeling hot

Hot to touch

Red face, red eyes

Restlessness

Active mind

Scanty, dark urine

Constipation

Pulse: Rapid

Red tongue, yellow coat

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12
Q

Full Heat (Excess heat) - signs and symptoms

A

Red face

Desire to drink cold drinks

Bitter taste

Hot all day

High fever

Mind: restless and agitated

Bowels: constipated

Bleeding: profuse

Sleep: dream disturbed

Pulse: full, robust pounding, rapid, overflowing

Tongue: red with yellow coat

Treatment method: clear heat

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13
Q

Empty heat (Yin Xu) - Signs and symptoms

A

Malar flush

Desire to drink in small sips

No bitter taste

Hot in the afternoon or evening

Low-grade fever in the afternoon

Mind: anxious and fidgety

Dry stools, no abdominal pain

Slight

Waking up frequently during the night

Pulse: Rapid, empty, tight

Tongue: red and peeled

Nourish Yin, clear empty heat

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14
Q

Full cold (signs and symptoms)

A

Face: bright white

Pain: sharp, worse on pressure

Pulse: full, deep, tight

Tongue: thick white coating

Treatment: Expel cold

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15
Q

Empty cold ( Yand Xu, signs and symptoms

A

Face: dull white

Pain: dull, better on pressure

Pulse: weak, slow, deep

Tongue: thin white coating or normal

Treatment: Tonify or warm Yang

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16
Q

What are the 8 principles?

A

Yin/Yang
Cold/Hot
Deficient/Excess
Internal/External

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17
Q

Full heat

A

The presence of Excess heat in the body

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18
Q

Empty Heat

A

An under-active cooling system on the body (Yin deficiency)

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19
Q

Empty cold

A

An under-active heating system in the body (Yang deficiency)

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20
Q

Full cold

A

The presence of extra cold in the body.

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21
Q

Red tongue, yellow coating

A

Full Heat

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22
Q

Red and peeled tongue

A

Empty Heat

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23
Q

Yang

A

Exterior, Hot, Excess

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24
Q

Yin

A

Interior, Cold, Deficiency

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25
Exterior Patterns
Wind-cold/wind-heat invading the Wei Qi level OR Channel patterns: - Stagnation of Qi and Blood -Bi Syndrome (invasion of pathogenic factors) - Phlegm in the channels -Local Qi and Blood
26
Interior patterns
Patterns affecting the Zang Fu
27
Excess patterns
The body's Zheng Qi (Vitality) remains relatively intact. Excess patterns of fundamental substances are stagnant Qi, stagnant blood and heat in the Blood. Excess patterns involving pathogenetic factors are wind, cold, Damp, heat and phlegm (or combinations of)
28
Deficient patterns
Zheng Qi (vitality) is depleted. Deficiency in fundamental substances Deficiency in function of the Zang Fu Yin Xu and Yang Xu Main patterns: deficient Qi, blood, yang, yin
29
Qi Xu
Pale face Weak voice Slight sweat Slight breathlessness Tiredness Lack of appetite Loose stools
30
Yang Xu
Pale face Weak voice Slight sweat Slight breathlessness Tiredness Lack of appetite Loose watery stools Chilliness cold limbs/abdomen Better with warmth/ warm drinks Frequent, pale urinanation
31
Blood Xu
Scanty periods Insomnia Dry hair Apathy Poor memory Numbness Dry Skin Dry nails
32
Yin Xu
Scanty periods Insomnia Dry hair Restlessness, agitation Low grade fever Heat sensations in the afternoon Dry throat at night Night sweats Emaciation
33
Xu
Deficient Empty Reducing insufficiency of substance or function Loss of vital energy/depleted
34
Shi
Excess Full Strengthening increase or invasion of something Prominence of a pathogenic factor
35
Manifestations of deficiency
Tiredness A pale complexion Palpitations Shortness of breath Spontaneous sweating Night sweating Feelings of heat in the palms, soles and chest - five palm heat Cold limbs/aversion to cold A weak or deep pulse
36
Signs of Qi Xu (Common with Lung and Spleen pathology)
Pale face Weak voice Slight sweat Slight breathlessness Tiredness Lack of appetite Loose stools Tongue: Pale Pulse: weak/lacking resilience or substance/ reduced pounding/ flooding deficient wave
37
Signs of Yang Xu (Insufficent warming and consolidation)
Pale face Weak voice Slight sweat Palpitations Slight breathlessness Tiredness Lack of appetite Loose watery stools Chilliness Cold limbs/abdomen Better with warmth/warm drinks Frequent, pale urination Tongue: swollen, possibly tender, wet Pulse: Deep or Slow
38
Signs of Blood Xu (Common with Heart, Spleen and Liver pathology)
Sallow and pale complexion Scanty periods Insomnia Dry hair Apathy Vague anxiety Poor memory Numbness Muscle spasms Dry skin Dry nails Tongue: pale, dry, can be orange tinged - especially on the sides Pulse: thin, reduced substance at blood depth
39
Signs of Yin Xu (Insufficient nourishing, functions of qi, blood, fluids)
Scanty periods Insomnia Dry hair Emotional upset and anxiety Restlessness, agitation Palpitations Low-grade fever Heat in palms and soles Heat sensation in the afternoon/nights Dry throat at night Night sweats Emaciation Malar Flush Tongue: Dry, red, lacks coating Pulse: Tight, rapid or absent - reduced substance at organ depth depending on how it has developed.
40
Excess
Either invasion of: wind cold summer heat damp dryness fire Or one of the following has accumulated internally: Phlegm Damp Food Stagnation Blood stagnation Qi stagnation Excess heat Excess cold
41
Common manifestations of excess
Abdominal pain which is worse for pressure A voice which is deeper than usual A full and forceful pulse Some types of indigestion Difficult urination
42
Qi disharmonies
Qi deficiency Qi stagnation Qi Sinking Rebellious Qi
43
Blood disharmonies
Blood deficiency Blood heat Blood stasis
44
Deficiency: weakening of the substance or function of:
Yin Yan Qi Blood Jing/Essence Body fluids Zangfu Channels
45
Internal Damp: clinical manifestations
Feeling of heaviness in the body, head or limbs Muzzy head Lethargy No appetite Stuffiness of chest or epigastrium Sticky taste in the mouth Difficult urination Cloudy urine White, sticky vaginal discharge Oozing skin diseases Pulse: Slippery Tongue: Greasy coat
46
Heat in the Blood: Clinical Manifestations
Feeling of heat Skin diseases with red eruptions dry mouth bleeding hardening of the arteries Pulse: Blood continuum Tongue: possibly red
47
Blood Stagnation: Clinical manifestations
Dark or bluish green complexion Purple lips Stabbing or burning pain (of fixed location) Abdominal masses that do not move Purple nails Bleeding with dark blood and dark clots Pulse: Choppy Tongue: Dark Purple
48
Sheng Cycle (generative/parent and child relationship) Mutual promotion
Wood fuels fire Fire creates Earth from below Earth generates/creates metal through the pressure and gravitational force on the minerals within the ground Metal vitalises, charges water (trace elements) also metal condenses water. It is synonymous with air element in other traditions. Clouds/water droplets form in the air and are descended via metal element Water feeds/generates wood
49
5 Transporting points - Yin channels
Jing-well - Wood Ying Spring - Fire Shu - Stream - Earth Jing - River - Metal He-Sea - Water
50
Wood/Spring - nature
Upwards outwards energy, yang in ascension Germination, growth Time of planning Life stirs, animals wake from hibernation, plants break through the ground, the blueprint of the seed is put into action. Vision - animals become inquisitive, plants grow toward the sun, we look towards the future, plan what we are going to do this year? Dreaming can become more vivid and we plan, the next iteration of ourselves. Wind, East, Green, Birth, Sour, Rancid
51
Summer/Fire - nature
Maturation, flowers are blooming, relationships are blooming, expressive, social energy. Warmth pulls us out and together. The most Yang time of the year. More energy/Yang/warmth and more time in the day/sunlight: Time and energy for doing/carrying/manifesting/creating, a creative time. More energy, more passion, more enthusiasm more life. Heat, South, Red, Growth, Bitter, Scorched
52
Later Summer/Earth - nature
Indian summer, plan comes to fruition, maturity, fruits at their fullest - harvest time. Abundance of food, grain stores at their fullest, still warm and days still relatively long but the doing time of summer is slowing down as the hard work is done. Time of nourishment and nurturing. Earth element is transformational, it is the transitional period between each season and sometimes put in the centre of the diagram. This is the most Earth of all the transitions, the Earth within the Earth. Dampness, Centre, Yellow, Maturity, sweet, fragrant
53
Autumn/Metal - nature
Autumn cuts in and invites us to slow down. Yang is descending, returning to Yin. Animals slow down and retreat Reflective period. Stripping back. Clarity. Air becomes clear, sharp. Dreaming peaks again as we reflect and let go of the year. The trees let go of their leaves and a rotting down of the leaves and plants into the Earth to remineralise the soil. Dryness, West, White, Withdrawal, Pungent, rotten
54
Winter/Water - nature
Trees are now back to their bones - skeletal Constriction, colder, shorter days, most yin Animals are in hibernation Return to dao, timeless. A meditative time - to let the experience of the year and the growth settle in and integrate as we turn our past into wisdom which we store in our kidneys Season invites us to be still to go from doing to being Not a time for planning and wasting energy on the imagination of the future. To be in the moment and the moment about to happen to know we have enough for this moment and to be prepared for the next. Cold, North, blue-black, dormancy, salty, Putrid
55
Wood - correspondances
Anger/frustration Eyes Tendons Liver Large Intestine Sour Shouting Rancid Wind Manifests - Nails
56
Fire - Correspondances
Joy Tongue Blood Vessels Heart/Paricarium Small intestine/ Sanjiao Bitter Laughing Scorched Heat Manifests - Complexion
57
Earth - correspondances
Worry Mouth Muscles Spleen Stomach Sweet Singing Fragrant Dampness Manifests - Lips
58
Metal - Correspondances
Grief Nose Skin Lung Large intestine Pungent Crying Rotten Dryness Manifests - Skin
59
Water - correspondances
Fear Ears Bones Kidney Bladder Salty Groaning Putrid Cold Manifests - Head hair
60
Sheng cycle - Zangfu
In health, the way in which one organ nourishes another - mother/son A deficiency in mother can lead to a weakness in son (Treatment: If liver is weak can strengthen Kidney. If Lung is weak can tonify Spleen) Mother affecting the son: Excess heat in Liver can lead to excess heat in the heart. Disharmony can be transmitted in the opposite direction - A weakness in the Liver can drain the Kidney and make them weak too.
61
Ke cycle - Zangfu
Water aspect of the Kidney helps to cool the fire aspect of the heart. Lung helps to control the Liver and prevent Liver Qi from rising. Liver assists the functioning of the stomach by assisting the smooth movement of Qi Disharmony - one organ may overact on another. Imbalanced Liver can invade the ST & SP 'Wood invading Earth' or 'Wood overacting on Earth'. - treatment: promoting earth and restraining wood. Weakened organs may fail to exert their controlling function (LU is weak, Liver Qi may rise up uncontrolled). Disharmony can also be in the opposite direction - Insulting/violating sequence. - Qi stagnation or excessive heat in the Liver can be transmitted to the Lungs 'Wood overacting on Metal'.
62
Wood - Mother and Child points
Mother - LIV 8 Child - LIV 2
63
Fire (Pericardium channel) - Mother and Child points
Mother - P 8 Child P 7
64
Fire (Heart channel) - Mother and Child points
Mother - HE 9 Child - HE 7
65
Earth - Mother and Child points
Mother - SP 2 Child - SP 5
66
Metal - Mother and Child points
Mother - LU 9 Child - LU 5
67
Water - Mother and Child points
Mother - KID 7 Child - KID 1
68
5 Transporting points - Yang channels
Jing-well - Metal Ying Spring - Water Shu - Stream - Wood Jing - River - Fire He-Sea - Earth
69
San Bao
The three treasures Jing Qi Shen
70
Functions of Jing
Growth and development Marrow Kidney foundation Constitutional Strength
71
Functions of Qi
Movement (transporting, raising): Involuntary (breathing & heartbeat), voluntary, mental action, growth and development, natural rhythm and flow. Defence (protecting) Transformation Containment (holding) Warming
72
Zhen Qi
True Qi Qi in the organs, channels, surface tissues and skin (divided into Wei Qi and Ying Qi)
73
Wei Qi
Protective Qi Flows in the skin and the surface tissues. Defends against attack by external pathogenic factors. Warms and helps to nourish the skin and muscles. Controls the pores and regulates sweating and body temperature.
74
Ying Qi
Nutritive Qi Nourishes the organs and tissues of the body. Closely related to blood. Flows in the channels and the blood vessels
75
Zheng Qi
Upright or antipathogenic Qi Normal Qi, in contrast with the Qi of a disease causing factor (Xie Qi)
76
Zong Qi
Qi of the chest/gathering Qi Helps with the rhythmic movements of breathing and heartbeat, regulates the pulse and gives strength to the voice
77
Yuan Qi
Jing in the form of Qi Dynamic and rarified form of Jing originating in the Kidneys. Foundation of vitality and stamina Circulates the channels and stimulates the functioning of all the organs. Acts as a catalyst in the formation of Zhen Qi and blood
78
Functions of blood
Nourishment - nourishes the tissues and organs - eyes, hair, especially the skin. Muscles, bones, organs etc. Moistening - ensures that tissues do not dry out. Anchoring - material foundation that anchors the spirit, giving a feeling of stability, happiness and peacefulness and enabling sleep.
79
Relationship between Qi and Blood
Qi generates blood Qi moves blood Qi holds blood in place "Blood is the mother of Qi and Qi is the commander of Blood"
80
Functions of Body Fluids
Nourish and Moisten Support the Blood - fluid component of Blood and help keep Blood Fluid and flowing.
81
Phlegm: Clinical Manifestations
LU: Coughing up phlegm, wheezing HE: 'Mists the mind' causing epilepsy or mental illness Channels: numbness (eg. after stroke) Under the skin: Lumps, swollen lymph nodes, swollen thyroid, lipomas In the joints: nodules and bone deformities in rheumatoid arthritis GB and KID: stones (caused by heat further condensing phlegm) Other signs: dizziness and muzzy head, blurred vision, vomiting, greasy tongue coating, Pulse: Slippery or wiry.
82
Functions of the Heart
Governs the Blood (Makes blood, circulates blood) Dominates the Blood vessels Houses the Shen (spirit) Manifests in the complexion Opens into the tongue Maintains joy Spirit aspect: Shen - encompassing all 5 aspects of the soul
83
Shen - Disturbed
The mind is restless, irrational and confused with manic behaviour, delusions and incoherent speech
84
Shen - Deficiency (ie. deficient heart blood)
The eyes lack lustre, thought can be muddled, there can be a dull apathy with a lack of lust for life. Certain types of insomnia can arise.
85
Functions of the Kidneys
Stores Jing (Dominates reproduction, growth and development) Produces Marrow (fills up the brain, dominates bones, manufactures Blood) Maintains Fire of Ming Men Dominates water Controls reception of Qi Opens into the ear Strengthens the will Forms the root of Yin and Yang Dominates the Lower Jiao Spirit aspect: Zhi
86
Functions of the Pericardium
Protects the Heart from Exterior Heat Supports the Functions of the heart Governs the centre of the chest
87
Functions of the Spleen
Governs transportation and transformation Contains blood (ie. holds Blood in place) Dominates the muscles/flesh Opens into the mouth - manifests in the lips Controls raising of the Qi Maintains lightness Spirit aspect: Yi (consciousness of possibilities)
88
Functions of the Lung
Governs respiration and rules Qi Disperses and descends Regulates water passages Dominates skin and body hair Opens into the nose Maintains our connectedness Spirit aspect: Po (corporeal soul)
89
Role of the organs in relation to Body Fluids
LUNG - Descends/disperses/regulates SPLEEN - Transforms/Transports KIDNEY - Steams fluids/catalyses their transformation BLADDER - Opens and closes to eliminate fluids SAN JIAO - Co-ordination and transportation of fluids.
90
Functions of the Liver
Stores the Blood Rules flowing and spreading Dominates the tendons Manifests in the nails Opens into the eyes Maintains capacity for control Sprit Aspect: Hun (non-corporeal soul)
91