Week 4 - Fluid Pattern ID

Question 1

Dryness patterns can be divided into _________

Answer 1

external wind-dryness

internal dryness / fluid deficiency

Question 2

Describe symptoms of external wind-dryness

Answer 2

floating, thin pulse, simultaneous fever & chills, sneezing w/ very little sticky sputum, bloody nose, blood clots in nasal discharge, dry lips, dry mouth, dry throat, thirst w/ no preference for cold, dry cough w/ sticky clear phlegm, tongue w/ tip dryer than rest of tongue

Question 3

Why would a dryness pattern result in a thin pulse?

bloody nose?

Answer 3

fluid deficiency ~ blood deficiency

dry nasal passages creates cracks in mucous membranes

Question 4

What is the treatment principle for external wind-dryness?

Answer 4

release exterior, expel dryness

Question 5

What are causes of internal dryness?

Answer 5

lack of fluid intake

aging

Question 6

Describe symptoms of internal dryness

Answer 6

dry skin, dry hair, dry eyes, dry nails, thirst w/ no preference for cold, dry throat, weak-dry cough, chronic constipation w/ soft stool, vaginal dryness, scanty urine but not dark, thin dry tongue w/ thin dry coat, thin pulse

Question 7

Blood deficiency symptoms are similar to those of internal dryness except there is no vision impairment because ______

Answer 7

fluids do not have the nourishing function of blood

Question 8

What is the treatment principle for internal dryness?

Answer 8

generate fluids, dispel dryness

Question 9

What biomedical conditions are often associated with external wind-damp/wind-cold-damp?

Answer 9

GI flu, ST virus

Question 10

Describe symptoms of external wind-damp/wind-cold-damp

Answer 10

floating slippery pulse, simultaneous chills & fever, thick greasy tongue coat, nausea/vomiting, diarrhea, sudden turmoil syndrome, sneezing/coughing w/ profuse phlegm or mucus, overwhelming fatigue, digestive issues

Question 11

Why does external dampness lead to digestive issues?

Answer 11

Dampness has an affinity for SP, ST organs

Question 12

What is treatment principle for external wind-damp/wind-cold-damp?
What is the classic formula to treat this condiion?

Answer 12

resolve exterior, dispel dampness, regulate Qi in middle jiao

Huo Xiang Zheng Qi Tang

Question 13

Describe symptoms of internal dampness

Answer 13

heavy distending headache, tendency to wake up w/ headache, worse w/ humid weather, chronic low-grade nausea, chronic mild dizziness, heaviness of head, limbs, whole body, loose stools w/ mucus, borborygmus, epigastric distention, poor appetite, thirst w/ no desire to drink,, turbid urine, yeast infection, slippery pulse, thick greasy tongue coat

Question 14

What is treatment principle for internal dampness?

Answer 14

strengthen SP, drain damp, promote urination

Question 15

Why do patients w/ internal dampness tend to wake up with headache?

Answer 15

no movement during sleep leads to further stagnation

Question 16

What are the 4 types of rheum?

Answer 16

support rheum
suspend rheum,
overflow rheum,
phlegm/rhuem

Question 17

Describe symptoms of support rheum

Answer 17

phlegm in LU makes it difficult to lay down on bed - head must be “supported”
pneumonia, pleural affusion, pulmonary edema, cystic fibrosis, chronic cough, phlegmy productive cough, other damp signs

Question 18

What is treatment principle for support rheum?

Answer 18

warmly transform rheum, drain damp, promote urination

Question 19

Describe symptoms of suspend rheum

Answer 19

fullness in area of diaphragm, increase in discomfort/pain when turning the trunk, cough, phlegmy productive cough, heaviness, distention in chest/epigastric area, chronic nausea, dulled senses, fuzzy thought

Question 20

Why does suspend rheum lead to fuzzy thought, dulled senses?

Answer 20

clear yang from SP is obstructed by rheum in middle jiao and not rising to the head

Question 21

What is treatment principle for suspend rheum?

Answer 21

warmly transform rheum, drain damp, promote urination

Question 22

Describe symptoms of overflow/spillage rheum

Answer 22

whole body edema, subcutaneous fluid throughout body, heavy head, heavy limbs, extremely poor appetite, fatigue, loose stool, diarrhea, mucus in stool,

Question 23

What is treatment principle for overflow rheum?

Answer 23

strengthen SP, tonify Qi, transform rheum, drain damp, promote urination

Question 24

Describe symptoms of phlegm/rheum

Answer 24

ascites, tight distended abdomen, damp signs, pulse - extremely slippery or wiry, thick greasy tongue coat

Question 25

What is treatment principle for phlegm/rheum?

Answer 25

expel rheum from abdomen by purging bowels

Question 26

Describe symptoms of visible phlegm

Answer 26

• discharge from body - nose, LU, vagina, mucus in stool
• phlegm mass - cancerous tumor, ovarian cyst, cystic acne, subcutaneous cyst
• swollen organs, glands - swollen thyroid, swollen prostate, KD stones, GB stones
  pulse - slippery or wiry
  thick greasy tongue coat

Question 27

What is treatment principle for visible phlegm

Answer 27

Transform phlegm, drain damp, promote urination

Question 28

Describe symptoms of wind-phlegm

Answer 28

stroke- one-sided paralysis, numbness, speech impairment

seizure - convulsion, neurological symptoms

pulse - very wiry or very slippery
tongue - thick greasy coat

Question 29

What is treatment principle for wind-phlegm?

Answer 29

Sedate wind, expel phlegm, open orifices

Question 30

Describe symptoms of phlegm misting orifices

Answer 30

psychosis, chronic congestion in LU, plum pit qi, heaviness in body

pulse - wiry or slippery
tongue - extremely thick greasy coat

Question 31

What is treatment principle for phlegm misting orifices?

Answer 31

Transform phlegm, drain damp, open orifices, calm shen