Week 3 Patterns According to Pathogenic Factors Flashcards
All emotions affect the
Heart
Emotions transport to what?
Relevant organ
How do emotions become pathogenic?
long lasting
very intense
both
What does mental stimuli disturb?
Shen
Hun (Etherial)
Po (Corporeal)
Emotions affect
internal organs
Exterior wind affects
Exterior of the body, then internal organs
The hearts fear, anxiety, and pensiveness injure the
mind
The spleens worry injures the
intellect
The livers sadness and shock injure the
ethereal soul
The lungs excessive joy injures the
corporeal soul
they kidneys anger injures the
will power
Anger affects the
Liver
Joy affects the
Heart
Pensiveness affects the
Spleen
Worry affects the
Lungs
Fear affects the
Kidneys
How does the control cycle play into emotions
i.e. Joy (fire) counteracts worry and sadness of metal
Sadness affects
the lungs and heart
Worry affects
the lungs and spleen
Shock affects
the heart
How does anger effect qi
makes qi rise
How does joy effect qi
slows qi down
How does sadness effect qi
dissolves qi
How does worry effect qi
Knots qi
How does pensiveness effect qi
knots
How does shock effect qi
scatters qi
How does fear effect qi
Makes qi descend
All emotions agitate the _____ and has repercussions on _______
Heart
All other organs
First effect of emotional stress on the body
proper circulation and direction of qi
All emotions have a tendency to cause
some stagnation of qi
Qi stagnation can lead to
blood xu and heat/fire
Effects of emotional strain (5)
qi stag
blood stasis
heat
fire
phlegm
headache, dizziness, tinnitus, red face, stiff neck
Anger
Anger may cause which patterns
Liver qi stag (if anger is repressed), liver yang rising, liver fire
What other organs does anger affect
Stomach and intestines
Anger pulse
wiry
Which types of qi does joy bennefit
nutritive and wei
palpitations, over-excitability, insomnia, restlessness, red tongue tip
joy
sudden joy is akin to
shock
Sadness primarily affects the ______ and the _____ suffer in consequence
heart
lungs
What depletes lung qi
sadness
breathlessness, tiredness, feeling of discomfort in chest, depression or crying
sadness
in some cases what may deplete liver blood in women?
sadness
What affects the spleen and lungs
worry
uncomfortable feeling of the chest, sl. breathless, tensing shoulders, dry cough, weak voice, sighing, pale
worry in the lungs
poor appetite, slight epigas. discomfort, abdominal disten., tiredness, pale
worry in the spleen
OR
Pensiveness
Worry vs pensive
pensive is brooding, more wrapped up in the past than present or future
Fear depletes
kidney qi
nocturnal enuresis, incontinence, diarrhea
fear
In some cases: palpitations, insomnia, night sweats, dry mouth, malar flush
fear
Palpitations, breathlessness, insomnia, moving pulse
shock
Six climate factors
Wind
Cold
Summer Heat
Dampness
Dryness
Fire
Wind
Spring, Liver
Cold
Winter, Kidneys
Summer Heat
Summer, Heart
Dampness
Late Summer, Spleen
Dryness
Autumn, Lungs
Fire
Summer
What is primarily an independent factor and independent of the seasons?
Fire
How does climate cause disease?
Excess/ unseasonal
imbalance between climate and body qi
Six stages
Tai Yang (Greater)
Yang ming (bright)
shao yang (lesser)
tai yin (greater)
Shao yin (lesser)
Jue Yin (terminal)
Four Levels (Wen Bing)
Wei
Qi
Ying
Xue
External pathogenic factors invade the body through
skin, nose, mouth
Four degrees of aversion to cold?
- Aversion to wind
- Fear of cold
- Aversion to cold
- Shivers
goosebumps, likes to stay indoors
aversion to wind
feels cold, wants to stay in, covered, doesn’t alleviate the cold
aversion to cold
cold, wants to be indoors near heat source
fear of cold
extremely cold, shivers, covered, doesn’t warm them
shivers
The higher the fever the
stronger the pathogenic struggle
What determines the severity of a fever
Strength of upright qi and of pathogen
Fever (3)
- Hot feeling emanating from patients forehead and dorsum of hands
- Due to struggle between body’s qi and exterior pathogen
- Intensity is directly proportional to intensity of pathogen and body’s qi
Six pathogenic factors
- Wind
- Cold
- Summer Heat
- Dampness
- Dryness
- Fire
aversion to cold, fever, sore throat, sneeze, runny nose, occipital stiffness, floating pulse
wind invading wei level
stiffness, rigidity, contraction of muscles, sudden onnset
wind invading muscles and channels
pain that moves from join to joint, esp. upper body
wind invading the joints
stiffness, contractions, pain, chilliness
cold invading muscles
severe pain in joints
could invading joints, bi syndrome
sudden epigastric pain, vomit, sudden abdominal pain with diarrhea, acute dysmenorrhea
Cold invading stomach, intestines, or uterus
aversion to cold, fever, sweating, headache, dark urine, thirst, floating rapid pulse
summer heat
heaviness of limbs, dull aches in muscels
dampness invading muscles and sinews
heaviness and swelling of joint, esp. lower body
dampness invading the joints
acute urinary discomfort, acute vaginal discharge, acute skin disease with vesicles or papules, acute digestive upset
damp
acute dry cough, aversion to cold, fever, dry mouth and nose
dry
aversion to heat, high fever, sweating, mental confusion, thirst, overflowing rapid pulse, red tongue, yellow coat
fire
Shock (effect/Organ)
suspends qi/scatters in Heart and Kidney
depletes heart qi
Fear (effect/Organ)
depletes and descends kidney qi and essence
Sadness and grief (effect/Organ)
depelete lung qi
anger (effect/Organ)
stagnates/ raises qi in liver
Pensiveness (effect/Organ)
knots qi in spleen
aversion to cold, cough, runny nose, white watery, fever, severe occipital stiffness and ache, no sweat, no thirst, floating tight pulse, thin white coat
wind cold
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
wind heat
– 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
Wind dry
aversion to cold, fever, edema (face), swollen face and eyes, cough with profuse white sputum, sweat, no thirst, floating pulse.
wind wate
Tremors, tics, severe dizziness, vertigo, numbness, con visions, unconsciousness, opisthotonos, hemiplegia, deviation of mouth
Internal wind
Internal wind patterns
- Extreme heat (febrile) – give rise to liver wind, high fever, delirium, convulsions, coma, opisthotonos, often seen in meningitis
- Liver yang rising – severe dizziness, vertigo, headache, tremors, tics, irritability
- Liver fire – give rise to liver wind
- Liver blood and/or liver yin xu – numbness, dizziness, blurred vision, tics, slight tremors
- liver and kidney yin xu – dizziness, vertigo, slight tremors, most common in elderly
give rise to liver wind, high fever, delirium, convulsions, coma, opisthotonos, often seen in meningitis
internal wind - extreme heat (febrile)
severe dizziness, vertigo, headache, tremors, tics, irritability
Internal wind, liver yang rising
give rise to liver wind
Internal wind, liver fire
numbness, dizziness, blurred vision, tics, slight tremors
Internal wind, Liver blood and/or liver yin xu
dizziness, vertigo, slight tremors, most common in elderly
liver and kidney yin xu
Characteristics of cold
- Cold injures yin
- cold congeals blood
- Cold contracts
- Cold causes clear discharge
- Cold pertains to the kidneys
cold pertiants the the
kidneys
cold produces
clear discharge
cold congeals
blood
cold movement
constricts
cold injures
yin
external cold types (4)
- Cold, spearheaded by wind
- Cold invades the channels and joints
- Cold invades the muscles and sinews
- Cold invades the stomach, intestines, and uterus Cold
Acute cold
full
chronic cold
empty
intense pain from cold
full
dull pain from cold
empty
cold - tongue thick white
full
cold- tongue- empty white pale body
empty
Cold pulse tight full slow
full
could pulse weak deep slow
empty
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
Summer heat
Characteristics of summer heat
- Inures yin
- seasonal pathogenic factor
- Invades the top of the body
- scattering
- Has some interior heat
- harbors dampness
Summer heat injures
yin
What kind of pathogen is summer heat
seasonal
summer heat invades
top of body
nature of summer heat
scatters
summer heat has interior
heat
summer heat harbors
damp
Feeling of heaviness, poor appetite, feeling of fullness, sticky taste, urinary difficulty, vaginal discharge, sticky tongue coat, slippery or soggy pulse.
Damp
Characteristics of damp
- Heavy
- Dirty
- Sticky
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
external Damp in bladder
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
external Damp in stomach
acute watery diarrhea without smell, abdominal pain, feeling of heaviness, tongue with sticky white coat, slippery pulse
external damp in intestines
acute onset painful period, excess vaginal discharge, thick sticky white tongue coat at root, slippery pulse
external damp in uterus
acute hypochondrial pain, heaviness, bitter taste, tongue with sticky yellow coat on sides, slippery pulse
external damp in GB
achy swollen joints, feeling heavy, sudden onset
external damp in channels and joints
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
External Damp Heat at the Wie Qi level
epigastric and abdominal fullness and heaviness, nausea, vomiting, sticky taste, loose stool with mucus, sticky tongue coat, soggy pulse
Internal damp SP/ST
abdominal fullness and heaviness, loose stools with mucus, sticky coat on root of tongue, soggy pulse
Internal damp intestines
abdominal fullness and heaviness, vaginal discharge, mid-cycle pain and/or bleeding, painful period, sticky tongue coating on root, soggy pulse
Internal damp uterus
urinary difficulty with light or no pain, cloudy urine, sticky tongue coat on root of tongue, soggy pulse
Internal damp UB
hypochondrial full and pain, unilateral sticky tongue coat, soggy pulse
Internal damp GB
urinary difficulty and pain, cloudy urine, hypogastric fullness distension, vaginal discharge, genital sores and itching, sticky tongue coating on the root, soggy pulse
Internal damp LV
urinary difficulty and pain, cloudy urine, feeling of heaviness in back, backache, sticky tongue coating on root, soggy pulse
Internal damp KD
aching, swelling, heaviness in joints
Internal damp channels and joints
vesicles, papules, skin lesions oozing fluids, puffiness of skin
Internal damp skin
Damp Heat at the Qi Level
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
Interstitial cystitis due to damp heat in bladder is an example of
Acute episode of chronic damp
Dampness/ phlegm: interior/ exterior
Damp exterior or interior
Phlegm is interior
Internal damp originates from
impairment of spleen t&t body fluids
Phlegm originates from which organs
spleen, lungs, kidneys
What part of body does damp affect?
Lower body
What part of body does phlegm affect?
Middle and Upper
Damp in head causes
heaviness
phlegm in head causes
dizziness
What can mist the mind?
phlegm
What can be retained in the channels under the skin?
phlegm
What affects mostly internal organs, skin, and joints
damp
Internal damp comes from
spleen dysfunction
phlegm can originate from condensing acton of
fire and body fluids
What organs does damp affect
SP, ST, GB, UB, INT
What organs does phlegm affect
Lu, Ht, Kd, ST
______ is heavy, _______is sticky, dirty, and flowing down
phlegm, damp
What is associated with cold, heat, or wind
damp
What is associated with cold, damp, wind, dry, heat, qi, fluids
phlegm
Difference in pusle damp vs phlegm
both slippery, but damp can be soggy and phlegm can be wiry
Tongue damp vs phlegm
both sticky
phlegm- dry and rough
Tx for damp vs phlegm
damp- spleen, phlegm - ST
Acute or chronic
damp and phlegm
damp can be both, phlegm only chronic
External dryness characteristics (3)
- Yang pathogenic factor
- Injure blood or yin
- Related to autumn and lungs
What injures blood and yin
dry
Is dryness and yin or yang pathogen?
yang
What causes internal dry?
- Excess consumption of dry foods
- irregular eating which weakens stomach yin
- excessive use of voice which weakens lung yin
- excessive sexual activity in men which weakens kidney yin
- chronic menorrhagia in women which damages blood and liver and kidney yin
- Tobacco smoking which injures lung and kidney yin
dry mouth, dry tongue, cracks on tongue
Internal stomach dry
dry mouth and throat, dry cough, dry tongue, dry skin and horse voice
Internal lung dry
dry throat with desire to sip at night, scanty urination, dry tongue with cracks, dry menstrual blood in women, dry skin
Internal Kidney dry
Characteristics of fire (7)
- Blazes upwards
- Very drying
- Damages blood and Yin
- May cause bleeding
- Has potential to generate wind
- affects the mind
- Causes ulcers and swelling
WHat damages blood and Yin
fire
tongue ulcers, insomnia, agitation, mental restlessness, red tip to tongue
Heart fire
mouth ulcers, thirst, epigastric pain, thick, dry, dark-yellow tongue coat
stomach fire
Red, swollen and painful eyes, headaches, bitter taste, irritability, propensity to anger outbursts, tongue with red sides, wiry pulse
liver fire
cough with blood, expectoration of thick yellow sputum
lung fire
constipation with dry stool, abdominal pain
Intestinal fire
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
full fire
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
empty fire
Toxic heat characteristics (5)
- Swelling
- Redness
- Heat
- Pus
- Pain
Good prenatal constitution
- Broad forehead and glabella
- long and wide nose
- full cheeks
- strong lower jaw
- Long ears, long ear lobes
- well-proportioned eyes, nose, ears and mouth
- long philtrum
- normal complexion with luster
- firm muscles and skin
Weak constitution
- Eyes, nose, ears and mouth close together
- narrow forehead
- small space between eyebrows
- narrow nose, nostrils turned up and exposed
- Thin cheeks
- area between cheeks and front of ears narrow
- short and small ears that turn outward
- flat, sunken, low and narrow lower jaw
- flabby muscles and loose skin
- short philtrum
Overwork leads to
Yin Xu, especially Kidney yin xu
excess physical work injures what body parts
muscles and sinews (SP and LV)
repetitive physical work in one joint causes
qi stag
Excessive lifting injures
KD
Lack of exercise causes
qi stag and damp/phlegm
Excess sexual activity depletes
kidney essence
sexual activity should be regulated according to
age, health, season
sex during period can cause
blood stasis
Early sex in women can cause damag to
penetrating and directing vessel
Sexual desire depends on
the kidney yang and fire of the gate of life
insufficient eating leads to
qi and blood xu
overeating weakens
spleen leads to damp/phlegm
too much cold food weakens
spleen yang
too much sweet leads to
damp/phlegm
too much hot food leads to
heat
too much greasy food leads to
damp and phlegm
irregular eating affects
stomach yin
Trauma causes of disease
- light trauma causes qi stag
- severe trauma causes blood stag
- trauma is often concurrent cause of disease, overlapping with other causes
Cannabis uses causes
– weaken kidneys and Zhi (anxiety, lack of motivation)
Affect heart blood and Yi (poor memory, concentration)
Cocaine
formation of phlegm fire in heart
LSD
hear fire
ecstacy
weakens Kidneys and obstructs hears orifices
Worry (effect and organ)
knots lung and spleen qi
joy (effect and organ)
harasses heart/ shen
