Week 3 Patterns According to Pathogenic Factors Flashcards

1
Q

All emotions affect the

A

Heart

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2
Q

Emotions transport to what?

A

Relevant organ

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3
Q

How do emotions become pathogenic?

A

long lasting
very intense
both

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4
Q

What does mental stimuli disturb?

A

Shen
Hun (Etherial)
Po (Corporeal)

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5
Q

Emotions affect

A

internal organs

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6
Q

Exterior wind affects

A

Exterior of the body, then internal organs

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7
Q

The hearts fear, anxiety, and pensiveness injure the

A

mind

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8
Q

The spleens worry injures the

A

intellect

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9
Q

The livers sadness and shock injure the

A

ethereal soul

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10
Q

The lungs excessive joy injures the

A

corporeal soul

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11
Q

they kidneys anger injures the

A

will power

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12
Q

Anger affects the

A

Liver

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13
Q

Joy affects the

A

Heart

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14
Q

Pensiveness affects the

A

Spleen

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15
Q

Worry affects the

A

Lungs

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16
Q

Fear affects the

A

Kidneys

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17
Q

How does the control cycle play into emotions

A

i.e. Joy (fire) counteracts worry and sadness of metal

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18
Q

Sadness affects

A

the lungs and heart

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19
Q

Worry affects

A

the lungs and spleen

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20
Q

Shock affects

A

the heart

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21
Q

How does anger effect qi

A

makes qi rise

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22
Q

How does joy effect qi

A

slows qi down

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23
Q

How does sadness effect qi

A

dissolves qi

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24
Q

How does worry effect qi

A

Knots qi

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25
Q

How does pensiveness effect qi

A

knots

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26
Q

How does shock effect qi

A

scatters qi

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27
Q

How does fear effect qi

A

Makes qi descend

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28
Q

All emotions agitate the _____ and has repercussions on _______

A

Heart
All other organs

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29
Q

First effect of emotional stress on the body

A

proper circulation and direction of qi

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30
Q

All emotions have a tendency to cause

A

some stagnation of qi

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31
Q

Qi stagnation can lead to

A

blood xu and heat/fire

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32
Q

Effects of emotional strain (5)

A

qi stag
blood stasis
heat
fire
phlegm

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33
Q

headache, dizziness, tinnitus, red face, stiff neck

A

Anger

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34
Q

Anger may cause which patterns

A

Liver qi stag (if anger is repressed), liver yang rising, liver fire

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35
Q

What other organs does anger affect

A

Stomach and intestines

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36
Q

Anger pulse

A

wiry

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37
Q

Which types of qi does joy bennefit

A

nutritive and wei

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38
Q

palpitations, over-excitability, insomnia, restlessness, red tongue tip

A

joy

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39
Q

sudden joy is akin to

A

shock

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40
Q

Sadness primarily affects the ______ and the _____ suffer in consequence

A

heart
lungs

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41
Q

What depletes lung qi

A

sadness

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42
Q

breathlessness, tiredness, feeling of discomfort in chest, depression or crying

A

sadness

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43
Q

in some cases what may deplete liver blood in women?

A

sadness

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44
Q

What affects the spleen and lungs

A

worry

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45
Q

uncomfortable feeling of the chest, sl. breathless, tensing shoulders, dry cough, weak voice, sighing, pale

A

worry in the lungs

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46
Q

poor appetite, slight epigas. discomfort, abdominal disten., tiredness, pale

A

worry in the spleen
OR
Pensiveness

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47
Q

Worry vs pensive

A

pensive is brooding, more wrapped up in the past than present or future

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48
Q

Fear depletes

A

kidney qi

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49
Q

nocturnal enuresis, incontinence, diarrhea

A

fear

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50
Q

In some cases: palpitations, insomnia, night sweats, dry mouth, malar flush

A

fear

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51
Q

Palpitations, breathlessness, insomnia, moving pulse

A

shock

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52
Q

Six climate factors

A

Wind
Cold
Summer Heat
Dampness
Dryness
Fire

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53
Q

Wind

A

Spring, Liver

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54
Q

Cold

A

Winter, Kidneys

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55
Q

Summer Heat

A

Summer, Heart

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56
Q

Dampness

A

Late Summer, Spleen

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57
Q

Dryness

A

Autumn, Lungs

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58
Q

Fire

A

Summer

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59
Q

What is primarily an independent factor and independent of the seasons?

A

Fire

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60
Q

How does climate cause disease?

A

Excess/ unseasonal
imbalance between climate and body qi

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61
Q

Six stages

A

Tai Yang (Greater)
Yang ming (bright)
shao yang (lesser)
tai yin (greater)
Shao yin (lesser)
Jue Yin (terminal)

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62
Q

Four Levels (Wen Bing)

A

Wei
Qi
Ying
Xue

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63
Q

External pathogenic factors invade the body through

A

skin, nose, mouth

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64
Q

Four degrees of aversion to cold?

A
  1. Aversion to wind
  2. Fear of cold
  3. Aversion to cold
  4. Shivers
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65
Q

goosebumps, likes to stay indoors

A

aversion to wind

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66
Q

feels cold, wants to stay in, covered, doesn’t alleviate the cold

A

aversion to cold

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67
Q

cold, wants to be indoors near heat source

A

fear of cold

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68
Q

extremely cold, shivers, covered, doesn’t warm them

A

shivers

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69
Q

The higher the fever the

A

stronger the pathogenic struggle

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70
Q

What determines the severity of a fever

A

Strength of upright qi and of pathogen

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71
Q

Fever (3)

A
  1. Hot feeling emanating from patients forehead and dorsum of hands
  2. Due to struggle between body’s qi and exterior pathogen
  3. Intensity is directly proportional to intensity of pathogen and body’s qi
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72
Q

Six pathogenic factors

A
  1. Wind
  2. Cold
  3. Summer Heat
  4. Dampness
  5. Dryness
  6. Fire
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73
Q

aversion to cold, fever, sore throat, sneeze, runny nose, occipital stiffness, floating pulse

A

wind invading wei level

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74
Q

stiffness, rigidity, contraction of muscles, sudden onnset

A

wind invading muscles and channels

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75
Q

pain that moves from join to joint, esp. upper body

A

wind invading the joints

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76
Q

stiffness, contractions, pain, chilliness

A

cold invading muscles

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77
Q

severe pain in joints

A

could invading joints, bi syndrome

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78
Q

sudden epigastric pain, vomit, sudden abdominal pain with diarrhea, acute dysmenorrhea

A

Cold invading stomach, intestines, or uterus

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79
Q

aversion to cold, fever, sweating, headache, dark urine, thirst, floating rapid pulse

A

summer heat

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80
Q

heaviness of limbs, dull aches in muscels

A

dampness invading muscles and sinews

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81
Q

heaviness and swelling of joint, esp. lower body

A

dampness invading the joints

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82
Q

acute urinary discomfort, acute vaginal discharge, acute skin disease with vesicles or papules, acute digestive upset

A

damp

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83
Q

acute dry cough, aversion to cold, fever, dry mouth and nose

A

dry

84
Q

aversion to heat, high fever, sweating, mental confusion, thirst, overflowing rapid pulse, red tongue, yellow coat

A

fire

85
Q

Shock (effect/Organ)

A

suspends qi/scatters in Heart and Kidney
depletes heart qi

86
Q

Fear (effect/Organ)

A

depletes and descends kidney qi and essence

87
Q

Sadness and grief (effect/Organ)

A

depelete lung qi

88
Q

anger (effect/Organ)

A

stagnates/ raises qi in liver

89
Q

Pensiveness (effect/Organ)

A

knots qi in spleen

90
Q

aversion to cold, cough, runny nose, white watery, fever, severe occipital stiffness and ache, no sweat, no thirst, floating tight pulse, thin white coat

A

wind cold

91
Q

aversion to cold, fever, sneezing, cough, runny nose, slight yellow mucus, occipital headache and stiffness, slight sweat, itchy throat, sore throat, swollen tonsils, thirst, floating rapid pulse, red tip/ sides, thin white coat

A

wind heat

92
Q

– fever, slight aversion to cold, slight sweat, dry skin, nose, mouth and throat, dry cough, sore throat, dry tongue, thin white coat, floating-rapid pulse

A

Wind dry

93
Q

aversion to cold, fever, edema (face), swollen face and eyes, cough with profuse white sputum, sweat, no thirst, floating pulse.

A

wind wate

94
Q

Tremors, tics, severe dizziness, vertigo, numbness, con visions, unconsciousness, opisthotonos, hemiplegia, deviation of mouth

A

Internal wind

95
Q

Internal wind patterns

A
  1. Extreme heat (febrile) – give rise to liver wind, high fever, delirium, convulsions, coma, opisthotonos, often seen in meningitis
  2. Liver yang rising – severe dizziness, vertigo, headache, tremors, tics, irritability
  3. Liver fire – give rise to liver wind
  4. Liver blood and/or liver yin xu – numbness, dizziness, blurred vision, tics, slight tremors
  5. liver and kidney yin xu – dizziness, vertigo, slight tremors, most common in elderly
96
Q

give rise to liver wind, high fever, delirium, convulsions, coma, opisthotonos, often seen in meningitis

A

internal wind - extreme heat (febrile)

97
Q

severe dizziness, vertigo, headache, tremors, tics, irritability

A

Internal wind, liver yang rising

98
Q

give rise to liver wind

A

Internal wind, liver fire

99
Q

numbness, dizziness, blurred vision, tics, slight tremors

A

Internal wind, Liver blood and/or liver yin xu

100
Q

dizziness, vertigo, slight tremors, most common in elderly

A

liver and kidney yin xu

101
Q

Characteristics of cold

A
  1. Cold injures yin
  2. cold congeals blood
  3. Cold contracts
  4. Cold causes clear discharge
  5. Cold pertains to the kidneys
102
Q

cold pertiants the the

A

kidneys

103
Q

cold produces

A

clear discharge

104
Q

cold congeals

A

blood

105
Q

cold movement

A

constricts

106
Q

cold injures

A

yin

107
Q

external cold types (4)

A
  1. Cold, spearheaded by wind
  2. Cold invades the channels and joints
  3. Cold invades the muscles and sinews
  4. Cold invades the stomach, intestines, and uterus Cold
108
Q

Acute cold

A

full

109
Q

chronic cold

A

empty

110
Q

intense pain from cold

A

full

111
Q

dull pain from cold

A

empty

112
Q

cold - tongue thick white

A

full

113
Q

cold- tongue- empty white pale body

A

empty

114
Q

Cold pulse tight full slow

A

full

115
Q

could pulse weak deep slow

A

empty

116
Q

Fever, aversion to cold, sweating, headache, feeling of heaviness, uncomfortable sensation in epigastrium, irritability, thirst, tongue red in front or sides with white sticky coat, soggy rapid pulse

A

Summer heat

117
Q

Characteristics of summer heat

A
  1. Inures yin
  2. seasonal pathogenic factor
  3. Invades the top of the body
  4. scattering
  5. Has some interior heat
  6. harbors dampness
118
Q

Summer heat injures

A

yin

119
Q

What kind of pathogen is summer heat

A

seasonal

120
Q

summer heat invades

A

top of body

121
Q

nature of summer heat

A

scatters

122
Q

summer heat has interior

A

heat

123
Q

summer heat harbors

A

damp

124
Q

Feeling of heaviness, poor appetite, feeling of fullness, sticky taste, urinary difficulty, vaginal discharge, sticky tongue coat, slippery or soggy pulse.

A

Damp

125
Q

Characteristics of damp

A
  1. Heavy
  2. Dirty
  3. Sticky
126
Q

difficult and painful urination, acute onset, scanty/ frequent, cloudy urine, feeling of heaviness in lover abdomen, tongue with thick sticky coat at root, pulse slippery on left rear

A

external Damp in bladder

127
Q

Acute onset of vomit and/or watery diarrhea without smell, epigastric pain, feeling of stuffiness of epigastrium, cold limbs, no appetite, white, thick, sticky tongue coat, slippery pulse

A

external Damp in stomach

128
Q

acute watery diarrhea without smell, abdominal pain, feeling of heaviness, tongue with sticky white coat, slippery pulse

A

external damp in intestines

129
Q

acute onset painful period, excess vaginal discharge, thick sticky white tongue coat at root, slippery pulse

A

external damp in uterus

130
Q

acute hypochondrial pain, heaviness, bitter taste, tongue with sticky yellow coat on sides, slippery pulse

A

external damp in GB

131
Q

achy swollen joints, feeling heavy, sudden onset

A

external damp in channels and joints

132
Q

aversion to cold, fever, body hot to touch, swollen glands, fiver high in afternoon, headache as wrapped, feeling of oppression in chest and epigastrium, sticky taste, no thirst, tongue with white sticky coat, pulse soggy

A

External Damp Heat at the Wie Qi level

133
Q

epigastric and abdominal fullness and heaviness, nausea, vomiting, sticky taste, loose stool with mucus, sticky tongue coat, soggy pulse

A

Internal damp SP/ST

134
Q

abdominal fullness and heaviness, loose stools with mucus, sticky coat on root of tongue, soggy pulse

A

Internal damp intestines

135
Q

abdominal fullness and heaviness, vaginal discharge, mid-cycle pain and/or bleeding, painful period, sticky tongue coating on root, soggy pulse

A

Internal damp uterus

136
Q

urinary difficulty with light or no pain, cloudy urine, sticky tongue coat on root of tongue, soggy pulse

A

Internal damp UB

137
Q

hypochondrial full and pain, unilateral sticky tongue coat, soggy pulse

A

Internal damp GB

138
Q

urinary difficulty and pain, cloudy urine, hypogastric fullness distension, vaginal discharge, genital sores and itching, sticky tongue coating on the root, soggy pulse

A

Internal damp LV

139
Q

urinary difficulty and pain, cloudy urine, feeling of heaviness in back, backache, sticky tongue coating on root, soggy pulse

A

Internal damp KD

140
Q

aching, swelling, heaviness in joints

A

Internal damp channels and joints

141
Q

vesicles, papules, skin lesions oozing fluids, puffiness of skin

A

Internal damp skin

142
Q

Damp Heat at the Qi Level

A

Acute attacks of dampness can only exist at the qi level because they are of an exterior origin. Chronic damp can give rise to occasional acute flare ups

143
Q

Interstitial cystitis due to damp heat in bladder is an example of

A

Acute episode of chronic damp

144
Q

Dampness/ phlegm: interior/ exterior

A

Damp exterior or interior
Phlegm is interior

145
Q

Internal damp originates from

A

impairment of spleen t&t body fluids

146
Q

Phlegm originates from which organs

A

spleen, lungs, kidneys

147
Q

What part of body does damp affect?

A

Lower body

148
Q

What part of body does phlegm affect?

A

Middle and Upper

149
Q

Damp in head causes

A

heaviness

150
Q

phlegm in head causes

A

dizziness

151
Q

What can mist the mind?

A

phlegm

152
Q

What can be retained in the channels under the skin?

A

phlegm

153
Q

What affects mostly internal organs, skin, and joints

A

damp

154
Q

Internal damp comes from

A

spleen dysfunction

155
Q

phlegm can originate from condensing acton of

A

fire and body fluids

156
Q

What organs does damp affect

A

SP, ST, GB, UB, INT

157
Q

What organs does phlegm affect

A

Lu, Ht, Kd, ST

158
Q

______ is heavy, _______is sticky, dirty, and flowing down

A

phlegm, damp

159
Q

What is associated with cold, heat, or wind

A

damp

160
Q

What is associated with cold, damp, wind, dry, heat, qi, fluids

A

phlegm

161
Q

Difference in pusle damp vs phlegm

A

both slippery, but damp can be soggy and phlegm can be wiry

162
Q

Tongue damp vs phlegm

A

both sticky
phlegm- dry and rough

163
Q

Tx for damp vs phlegm

A

damp- spleen, phlegm - ST

164
Q

Acute or chronic
damp and phlegm

A

damp can be both, phlegm only chronic

165
Q

External dryness characteristics (3)

A
  1. Yang pathogenic factor
  2. Injure blood or yin
  3. Related to autumn and lungs
166
Q

What injures blood and yin

A

dry

167
Q

Is dryness and yin or yang pathogen?

A

yang

168
Q

What causes internal dry?

A
  1. Excess consumption of dry foods
  2. irregular eating which weakens stomach yin
  3. excessive use of voice which weakens lung yin
  4. excessive sexual activity in men which weakens kidney yin
  5. chronic menorrhagia in women which damages blood and liver and kidney yin
  6. Tobacco smoking which injures lung and kidney yin
169
Q

dry mouth, dry tongue, cracks on tongue

A

Internal stomach dry

170
Q

dry mouth and throat, dry cough, dry tongue, dry skin and horse voice

A

Internal lung dry

171
Q

dry throat with desire to sip at night, scanty urination, dry tongue with cracks, dry menstrual blood in women, dry skin

A

Internal Kidney dry

172
Q

Characteristics of fire (7)

A
  1. Blazes upwards
  2. Very drying
  3. Damages blood and Yin
  4. May cause bleeding
  5. Has potential to generate wind
  6. affects the mind
  7. Causes ulcers and swelling
173
Q

WHat damages blood and Yin

A

fire

174
Q

tongue ulcers, insomnia, agitation, mental restlessness, red tip to tongue

A

Heart fire

175
Q

mouth ulcers, thirst, epigastric pain, thick, dry, dark-yellow tongue coat

A

stomach fire

176
Q

Red, swollen and painful eyes, headaches, bitter taste, irritability, propensity to anger outbursts, tongue with red sides, wiry pulse

A

liver fire

177
Q

cough with blood, expectoration of thick yellow sputum

A

lung fire

178
Q

constipation with dry stool, abdominal pain

A

Intestinal fire

179
Q

Red face and eyes, constipation, scanty dark urine, macules (dark purple), bleeding, feeling of heat is constant, intense thirst constant, dry mouth constant, bitter taste, intense agitation, red tongue with dry dark yellow coat, full deep rapid pulse

A

full fire

180
Q

Night sweat, heat in chest, palms, soles, red cheeks, afternoon heat, heat in evening, thirst in evening, want for small sips, dry mouth at night, vague mild restlessness in evening, red tongue no coat, floating empty rapid pulse

A

empty fire

181
Q

Toxic heat characteristics (5)

A
  1. Swelling
  2. Redness
  3. Heat
  4. Pus
  5. Pain
182
Q

Good prenatal constitution

A
  1. Broad forehead and glabella
  2. long and wide nose
  3. full cheeks
  4. strong lower jaw
  5. Long ears, long ear lobes
  6. well-proportioned eyes, nose, ears and mouth
  7. long philtrum
  8. normal complexion with luster
  9. firm muscles and skin
183
Q

Weak constitution

A
  1. Eyes, nose, ears and mouth close together
  2. narrow forehead
  3. small space between eyebrows
  4. narrow nose, nostrils turned up and exposed
  5. Thin cheeks
  6. area between cheeks and front of ears narrow
  7. short and small ears that turn outward
  8. flat, sunken, low and narrow lower jaw
  9. flabby muscles and loose skin
  10. short philtrum
184
Q

Overwork leads to

A

Yin Xu, especially Kidney yin xu

185
Q

excess physical work injures what body parts

A

muscles and sinews (SP and LV)

186
Q

repetitive physical work in one joint causes

A

qi stag

187
Q

Excessive lifting injures

A

KD

188
Q

Lack of exercise causes

A

qi stag and damp/phlegm

189
Q

Excess sexual activity depletes

A

kidney essence

190
Q

sexual activity should be regulated according to

A

age, health, season

191
Q

sex during period can cause

A

blood stasis

192
Q

Early sex in women can cause damag to

A

penetrating and directing vessel

193
Q

Sexual desire depends on

A

the kidney yang and fire of the gate of life

194
Q

insufficient eating leads to

A

qi and blood xu

195
Q

overeating weakens

A

spleen leads to damp/phlegm

196
Q

too much cold food weakens

A

spleen yang

197
Q

too much sweet leads to

A

damp/phlegm

198
Q

too much hot food leads to

A

heat

199
Q

too much greasy food leads to

A

damp and phlegm

200
Q

irregular eating affects

A

stomach yin

201
Q

Trauma causes of disease

A
  1. light trauma causes qi stag
  2. severe trauma causes blood stag
  3. trauma is often concurrent cause of disease, overlapping with other causes
202
Q

Cannabis uses causes

A

– weaken kidneys and Zhi (anxiety, lack of motivation)
Affect heart blood and Yi (poor memory, concentration)

203
Q

Cocaine

A

formation of phlegm fire in heart

204
Q

LSD

A

hear fire

205
Q

ecstacy

A

weakens Kidneys and obstructs hears orifices

206
Q

Worry (effect and organ)

A

knots lung and spleen qi

207
Q

joy (effect and organ)

A

harasses heart/ shen