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Z: Y2S2 - External I > TMJ > Flashcards

TMJ Flashcards

0
Q

Etiology

A

Rain, water, damp —-> Wind cold damp invasion

Fractures/dislocation
Teeth Grinding —> Qi and Blood Stag
Prolonged Stress

Qi and Blood Stag. in Shoayang and Yangming Meridians

Illness
Congenital —-> Liver and Kidney Def.

Irregular Diet —> Qi and Blood Def.

Malnourishment of mm. region of Shaoyang and Yangming meridians

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1
Q

Definition

A

A disorder of the temporomandibular joint structure characterized by pain, muscle spasm, clicking of the joint and limitation in jaw movement.
Belongs to Bi Syndrome

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2
Q

Mm. Involved

A

Lateral Pterygoid mm.

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3
Q

Western Tx

A

SST- Stabilization Splint Therapy
Surgical
Physical Therapy- Cervical Postural Therapy
Medicine- NSAIDS, Analgesics

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4
Q

What are the 5 Meridians that go to the jaw?

A
  1. Foot Yangming
  2. Hand Yangming
  3. Hand Shaoyang
  4. Foot Shaoyang
  5. Hand Taiyang
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5
Q

TMJ Syndromes

A

Wind Cold Damp Invasion

Qi and Blood Stag.

Qi and Blood Deficiency

Liver and Kidney Deficiency

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6
Q

TCM Diagnosis

A

Stag of Qi and Blood

Malnourishment of mm. region

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7
Q

Who was Dr. Jinshen?

A

Discovered acup and neurotransmitters

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8
Q

Pattern Differentiation

A

Sinus Vs. TMJ

Upper Resp. Infection History Pain at TMJ Jt
Palpate for tenderness No pain bending forward
Maxillary tender/pain (St3)
Runny nose
Headache bending over

Toothache vs. TMJ

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9
Q

POT

A

Remove Stagnation in Shaoyang and Yangming Meridian

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10
Q

Tx

A

Local (Affected Side): St 6/7, GB 2/3, SI 18/19, SJ 17/21 Ashi

Distal (Bilaterally): *LI 4,SJ 3/5, GB 41, Sp 9

Main Prescription: ST 7, SI 19, SJ 17, LI 4 –>Warming needle/moxa
Try to use only around 3 points as to not cause a mm. spasm

EA - 15 Min
Auricular: Liver, Shenmen, kidney, jaw
Ear Seeds
Herbal: Put She Xiang(musk) on SI 18 & St 6 -10mg each for 48 hours

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11
Q

Atrophy Points

A

St 36

Pc 6

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12
Q

Headache radiating to Taiyang points

A

St 8
GB 8
Taiyang

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13
Q

If face is swollen, hypertrophy points

A

Distal: LI 4 reducing method

Local: St 4/5 gentle stimulation

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14
Q

Education

A 
Eat less hard food
Change unilateral chewing to bilateral chewing
See Dentist
Exercise to raise Zheng Qi
Regulate Diet
Tx Stomatic Diseases
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15
Q

Electro Acupuncture Points

A 
Gb 3
SI 19
St 6/7
SJ 17/21
LI 4 on diseased side

*Mixed wave ~ “Breaking skin” High to low constant

16
Q

Wind Cold Damp Points

A

SJ 5

GB 20

17
Q

Pain and soreness at TMJ, alleviated by warmth, aggravated by opening the mouth, especially chewing food, in some cases difficulty opening the mouth or clicking sound, could have temporal headache, worse in cold rainy weather or cold wet environment, no local redness and heat sensation, could have general joint pain

A

Wind Cold Damp Invasion

18
Q

Wind Cold Damp Invasion T & P

A

T: Thin and white
P: Wiry and tight

19
Q

Qi and Blood Stagnation Points

A

Liv 3

GB 41

20
Q

Qi and Blood Stag T and Pulse

A

P: Slight purple, thin and white
T: Wiry or choppy

21
Q

Pain and soreness at TMJ, alleviated by warmth, aggravated by opening the mouth, especially chewing food, in some cases difficulty opening the mouth or clicking sound, could have temporal headache, worse when experiencing stress or emotional disturbance, may have history of injury

A

Qi and Blood Stag.

22
Q

Qi and Blood Deficiency

A

Palpation, dizziness, abdominal distension, poor appetite, loose stool, fatigue

23
Q

Qi and Blood Deficiency T and P

A

T: Pale tongue with scallop, thin and white coat
P: Thready

24
Q

Qi and Blood Deficiency Points

A

UB 17/18
UB 20
Sp 10
St 36

25
Q

Liver and Kidney Deficiency Points

A 
Sp 6
GB 39
UB 18 (Yin and Blood)
UB 23
Du 4
Ren 4 (Yang and Qi)
Kid 3/6/7
26
Q

Liver and Kidney Deficiency T and P

A

T: Red and little coating
P: Deep and thready

27
Q

Loose teeth, dizziness, blurred vision, tinnitus, soreness and weakness of knees and lumbar, insomnia, dream disturbed sleep

A

Liver and Kidney Deficiency

28
Q

How do you needle SI 17?

A

Insert with needle open

29
Q

Cautions

A

Avoid Bruising
Use dry cotton balls to press on point to stop bleeding
Be careful if patient on blood thinners

30
Q

Herbal

A

Put She Xiang on SI 18 and St 6

(10mg) for 48 hours

Z: Y2S2 - External I (17 decks)

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