Week 4 - Fluid Pattern ID Flashcards
Dryness patterns can be divided into _________
external wind-dryness
internal dryness / fluid deficiency
Describe symptoms of external wind-dryness
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
Why would a dryness pattern result in a thin pulse?
bloody nose?
fluid deficiency ~ blood deficiency
dry nasal passages creates cracks in mucous membranes
What is the treatment principle for external wind-dryness?
release exterior, expel dryness
What are causes of internal dryness?
lack of fluid intake
aging
Describe symptoms of internal dryness
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
Blood deficiency symptoms are similar to those of internal dryness except there is no vision impairment because ______
fluids do not have the nourishing function of blood
What is the treatment principle for internal dryness?
generate fluids, dispel dryness
What biomedical conditions are often associated with external wind-damp/wind-cold-damp?
GI flu, ST virus
Describe symptoms of external wind-damp/wind-cold-damp
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
Why does external dampness lead to digestive issues?
Dampness has an affinity for SP, ST organs
What is treatment principle for external wind-damp/wind-cold-damp?
What is the classic formula to treat this condiion?
resolve exterior, dispel dampness, regulate Qi in middle jiao
Huo Xiang Zheng Qi Tang
Describe symptoms of internal dampness
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
What is treatment principle for internal dampness?
strengthen SP, drain damp, promote urination
Why do patients w/ internal dampness tend to wake up with headache?
no movement during sleep leads to further stagnation
What are the 4 types of rheum?
support rheum
suspend rheum,
overflow rheum,
phlegm/rhuem
Describe symptoms of support rheum
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
What is treatment principle for support rheum?
warmly transform rheum, drain damp, promote urination
Describe symptoms of suspend rheum
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
Why does suspend rheum lead to fuzzy thought, dulled senses?
clear yang from SP is obstructed by rheum in middle jiao and not rising to the head
What is treatment principle for suspend rheum?
warmly transform rheum, drain damp, promote urination
Describe symptoms of overflow/spillage rheum
whole body edema, subcutaneous fluid throughout body, heavy head, heavy limbs, extremely poor appetite, fatigue, loose stool, diarrhea, mucus in stool,
What is treatment principle for overflow rheum?
strengthen SP, tonify Qi, transform rheum, drain damp, promote urination
Describe symptoms of phlegm/rheum
ascites, tight distended abdomen, damp signs, pulse - extremely slippery or wiry, thick greasy tongue coat
What is treatment principle for phlegm/rheum?
expel rheum from abdomen by purging bowels
Describe symptoms of visible phlegm
- 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
What is treatment principle for visible phlegm
Transform phlegm, drain damp, promote urination
Describe symptoms of wind-phlegm
stroke- one-sided paralysis, numbness, speech impairment
seizure - convulsion, neurological symptoms
pulse - very wiry or very slippery
tongue - thick greasy coat
What is treatment principle for wind-phlegm?
Sedate wind, expel phlegm, open orifices
Describe symptoms of phlegm misting orifices
psychosis, chronic congestion in LU, plum pit qi, heaviness in body
pulse - wiry or slippery
tongue - extremely thick greasy coat
What is treatment principle for phlegm misting orifices?
Transform phlegm, drain damp, open orifices, calm shen
