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foundations final review > The Concept of 6 Evils/ Liu Yin > Flashcards

The Concept of 6 Evils/ Liu Yin Flashcards

1
Q

What are the 6 External Evils

A 
Wind
Cold
Heat
Summer heat
Dryness
Dampness
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2
Q

How do the 6 evils become excess

A

Overall, the equilibrium between the body and the environment breaks down.

-climate gets too strong, weather occurs unseasonably, weather change is too quick and violent, human being’s defend energy is absolutely or relatively weak.

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3
Q

When is wind predominant

A

spring

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4
Q

when is cold predominant

A

winter

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5
Q

when is dryness predominant

A

autumn

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6
Q

when is dampness predominant

A

long summer

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7
Q

T/F: the 6 evils can have solo or multiple attack/ the invasion can be conducted by one or more than one evils

A

True

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8
Q

T/F: the property of 6 evils can be transformed if the pathogens stay inside the body for long time/ during the invasion or retention, the property of pathogens can be changed.

A

True

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9
Q

The 6 evils invade the body through….

A

skin and five sense organs

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10
Q

Where does wind invade the body

A

through wind points (on back), through 5 sense organs, through skin

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11
Q

Wind is a yang pathogen and tends to……

A

open pores and attack yang areas

ex. common cold, allergies

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12
Q

Wind moves fast and changes quickly

A

examples: wandering symptoms, acute onset, symptoms run deeper quickly

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13
Q

Wind is a guide pathogen which causes many external pathogen related diseases. examples…

A

wind cold, wind heat, wind dampness

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14
Q

wind causes itching… ex…

A

itchy throat, eyes, nose, throat, skin

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15
Q

How do you tx external wind invasions

A

remove wind

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16
Q

Cold is a (blank) pathogen and tends to injure yang

A

yin

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17
Q

Cold causes (blank and blank)

A

blockages and coagulation

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18
Q

Cold- blockage of Qi manifestations

A

cold pain in abdomen due to cold foods

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19
Q

cold- blockage of blood manifestations

A

blood stagnation, cyanosis, purple lips when cold

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20
Q

Cold- contraction of muscle and ligaments ex

A

tension headache

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21
Q

cold- contraction of joint ex

A

joint arthritis

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22
Q

cold- contraction of channels ex

A

headache

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23
Q

Heat disease prior to the summer solstice is called (blank) and disease after the summer solstice is induced by (blank)

A

Wen Bing; Summer heat

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24
Q

SH is yang and tends to cause excessive…..

A

heat problems

Manifestations: very hot, restless, red face, forceful pulse

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25
Q

SH causes Qi to (blank) thereby consuming Qi and body fluids

A

rise and disperse
Manifestations: profuse sweating, thirst, scanty and painful urination, dehydration
If with Qi deficiency: SOB, soft voice, fatigue, pale face (heat exhaustion)

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26
Q

SH often combines with which other evil

A

Dampness
Manifestation: general heaviness, heavy headed, chest tightness and distending, nausea and even vomiting, decrease appetite, diarrhea

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27
Q

Dampness is predominant in which season

A

long summer

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28
Q

Which organ does dampness attack

A

Spleen

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29
Q

What are some characteristics of dampness

A

Dampness is heavy and turbid

Manifestations: heavy sensations (heavy head, joint aches, confusion, foggy and muggy sensation).

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30
Q

Describe Damp Turbid excretions

A

cloudy urine, sticky and loose stool; profuse vaginal discharge, diarrhea and dysentery, skin blisters with sticky fluids

31
Q

Dampness is Yin and tends to do what to Qi and Yang?

A

block the Qi and injure Yang
Manifestations: blocking middle jiao: gas, bloating, decreased appetite, abd distention, tenesmus

Can cause Yang Deficiency

32
Q

Disease due to dampness can become…

A

chronic

Ex: damp bi, skin problems, damp-warm diseases

33
Q

Dampness tends to DESCEND and attack which part of the body?

A

lower

Ex. profuse vaginal discharge, UTI, beriberi, edema

34
Q

Dryness tends to attack the body through which two orifices

A

mouth and nose

35
Q

Dryness is astringent and dry, therefore it tends to injure (blank)

A

body fluids

36
Q

Dryness attacks which organ system

A

Lungs

Manifestations: dry cough without mucus or with a little sticky mucus but is hard to come out, or cough out blood

37
Q

Heat and fire cab be seen in which seasons?

A

All - when the weather becomes hot, it creates heat and fire

38
Q

Heat is more generalized and superficial symptoms but less severe than fire; fire is much stronger than heat but is more localized.

A

For example, if a person has pharyngitis and toothache but wihtout fever, chills, then they are due to fire. The carbuncle is another disease typically due to fire

39
Q

Heat and Fire are Yang pathogens and make Qi….

A

Rise
Manifestations: yang sxs like high fever, aversion to heat, restless and thirst, profuse sweating, fast and forceful pulses

40
Q

Heat causes upward disturbance of mind

A

ex. insomnia, restlessness, tossing and turning, excessive motivation with increasing energy, mania, delirium

41
Q

Heat and fire causes Qi and body fluid ….

A

deficiency
Cause Qi def: SOB and fatigue
Body fluid deficiency: thirst desire for cold drinks, dry mouth and dry throat, scanty and hot urination, constipation

42
Q

Fire and heat can cause inner wind by….

A

exhausting LV Yin and body fluids and injuring the ligaments and tendons resulting in spasms, convulsions, tremor, shaking of extremities, upstaring eyes, stiff spine and neck

43
Q

Heat and fire injure small blood vessels causing…

A

bleeding

Manifestations: epistaxis, vomiting blood, bloody stool or urine, hum bleeding

44
Q

Heat and fire cause the erosion of muscle and sooner or later they cause swelling of muscle, higher skin temperature, pus and cause a lot of pain

A

.

45
Q

What is inner wind

A

characterized by a group of symptoms including convulsion, tremor, shaking of extremities, deviation of mouth and tongue, vibrating and tetanus, skin twitching and so on.

Since it is closely related to liver dysfunction it’s also referred to as liver wind

46
Q

What causes inner wind

A

often caused by the spasm of body tissues including tendon, sinew and ligaments due to the insufficiency of blood, body fluids in the local area

47
Q

what conditions can lead to the formation of inner wind

A

extreme heat, liver yang rising, yin deficiency, blood deficiency or blood dryness

48
Q

What are examples of inner wind due to extreme heat

A

seen with warm disease with symptoms like convulsion, tetanus, moving nostrils, up staring eyes with high fever, delirium and manie. The typical example is tonsilitis with pus

49
Q

What are examples of inner with due to liver yang rising

A

mostly seen in hypertension. It often has an emotion disorder with symptoms sudden fall down and loss of consciousness, deviation of mouth and tongue, stiff tongue, twitching of facial skin, shaking of extremities or hemiplegia. The typical example is wind stroke

50
Q

What is retention of phlegm and fluid (tan and yin)

A

defined as a group of symptoms characterized by water metabolism disorder caused by dysfunction of internal organs. Particularly by dysfunctions of SP, LU, and KD. The thicker part is called phlegm while the thinner part is the fluid retention

51
Q

Describe invisible phlegm

A

stays inside the body, such as diaphragm, brain, subcutaneous nodule, channels. The symptoms can be recognized as phlegm retention, Tongue and pulse help the confirmation.

52
Q

What causes phlegm

A

invasion of external pathogens, irregular diet, seven emotions disorders; dysfunction of SP, LU, KD

53
Q

The retention of fluid stays in gastrointestinal areas, hypochondriac area and skin area, while phlegm flows with the disorder of energy flow and spread through whole body to internal organs, bone, ligaments and even brain

A

.

54
Q

What are the 4 subtypes of fluid retention

A

Phlegm retention
Pleural effusion: fluid retention in the hypochondrium
Anasarca: generalized edema
Excessive: fluid retention at the hypochondrium and epigastrium

55
Q

Describe phlegm stagnated in the lungs

A

cough with mucus, asthma and wheezing

56
Q

describe phlegm blocks the heart

A

chest tightness, chest pain

57
Q

phlegm blocks the orifice of the heat

A

dull, wooden, incoherent speech

58
Q

phlegm fire harassing heart shen

A

mania, restlessness

59
Q

phlegm stays in stomach

A

nausea and vomiting, fullness in epigastriu,

60
Q

phlegm blocks channel, ligament and bones

A

nodules along channels, numbness of extremities, furuncles

61
Q

phlegm blocks head

A

dizziness, vertigo, confusion, foggy thinking

62
Q

phlegm stocks in throat

A

plum pit qi

63
Q

fluid retention in the intestines

A

noises in abdomen

64
Q

fluid retention in chest and hypochondriac area

A

chest distending, cough with chest pain

65
Q

fluid retention in chest and diaphragm

A

chest tightness, cough and dyspnea, could not lie dow, edema and puffy eyes and face

66
Q

fluid retention in skin

A

edema, without sweating, body aching and heaviness

67
Q

define blood stagnation

A

blood slows down and becomes congested

68
Q

define blood stasis

A

result of blood stagnation and indicates the blood flowing stopped or the blood comes out of blood vessel byt still stays inside the body

69
Q

What can cause blood stasis/stagnation

A

Qi deficiency, Qi stagnation; Cold in blood; heat in blood; traumatic event

70
Q

S/S of blood stasis/stagnation: Pain:

A

Pain: pricking pain, fixed and aversion to touch and worse at night

71
Q

S/S of blood stasis/stagnation: Masses or bruises

A

swelling of local area, bruise; tumor, cancer

72
Q

S/S of blood stasis/stagnation: bleeding

A

purple in color with purple clots

73
Q

Clinical findings with blood stagnation/stasis: Inspection:

A

cyanosis or darkness, scaly skin, thick and dry, purple lips and purple tongue body with purple spots’ the veins underneath is swollen and purple

74
Q

Clinical findings with blood stagnation/stasis: Pulse

A

thready, hesitant/choppy, deep wiry or knotted and/or intermittent pulses

foundations final review (7 decks)

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