WEEK 6 Class 11 : Eight Principles Flashcards
What is Bian Zheng?
Pattern Identification / syndrome identification
SOAP
TCM Treatment
S Subjective Symtoms (pain, tingling, etc.)
O Objective (swelling, redness, lump, red eyes etc.)
A Assesment (Find disease / location and pattern)
P Plan
How to differentiate a pattern?
FIND
- Nature of disease (hot/ cold or def/excess)
- Location (tissues? Meridian? organs?)
- Course and direction of disease development (how and when…. onset and how long, etc.)
Not just “liver problem” - we need to know what is happening with Liver. Qi stagnation? Excess? Def pattern? etc.
Methods to Differentiate patterns
8 principles (Bā Gang Biàn Zhèng) -> General guiding principle
Causative Factors (Bing Yin Biàn Zhèng) -> external/ internal pathogenic factors
Internal Organs (most important) (Zàng Fû Biàn Zhèng)
Qi Blood and Body Fluids
4 Levels (Wei, Qi, Ying, Blood)
Six Channels (Liù Jīng Biàn Zhèng)
San Jiao Biàn Zhèng
5 Elements
12 Meridians (if pain is along the meridian we may look at the organ)
8 principles (Bā Gang Biàn Zhèng)
- Yin / Yang
(general guiding principles, but too vague on its own) - Interior / Exterior
(roughly where the problem is, externally generated or internally generated) - Cold / Heat
(nature of temperature.) Ex. Is the heat def or excess? - Deficiency / Excess
Relative strength of pathogenic factor and upright Qi, Course of the disease
What is Upright Qi?
” Zhēn Qì “
Upright, True Qi.
This is the body’s energy, and the body’s ability to cope with disease.
If upright Qi is weak, pathogenic factors can invade. (Weak immunity.) People who always get sick have weak Defensive / Wei Qi and Zhen Qi.
Yin / Yang pattern differentiation used for
nature and location, general
too general. need more info
Cold / Heat
nature
Deficiency / Excess
nature
Yang Yin basic nature
int/ext. temp, def/ex
yang : exterior, heat and excess
yin : interior, cold, def
(It mostly refers back to heat, temperature)
A person has fever and feels hot, that’s Yang.
If person feels cold, that’s a Yin syndrome.
Yin and Yang to specific organs
Yin def. and Yang def. can specify the status of the energy of the organ.
Yin syndromes / patterns show these symtoms
No “shen”, sallow skin, pale, inhibition, hypo-activity, quiescence (being quiet or dormant)
Yang or Qi deficiency (They feel cold, empty cold.)
Retention of excess cold pathogen / excess cold / may retain phlegm
Yang syndrome
- hyper, easily agitated, bright complexion
- Yang or Qi hyperactive
- accumulation of yang pathogenic factors (heat), dryness, wind can also be a heat factor
Clinical characteristics of Yin pattern
Yang Def. or too much Yin.
Insufficiency of body’s ability
Slow metabolism, body shut down
Cold gong into the interior (someone who is exposed to too much cold may not want to talk, may shut down)
Diet can affect Yin (both cold food in nature and cold food in temperature. May have digestive issues.) Consumes Yang.
Too much YIn:
May have phlegm, thick coating on tongue, gain weight, feel heavy.
Old age: We tend to have more Yin patterns. Less movement.
Weak constitution. Not enough Yang or Qi. Genetic Yin pattern.
*Yin patterns tend to be seen as Empty cold pattern (Yang def.)
Symptoms and Signs (S&S for Yin pattern)
- cold body and limbs, pale tongue with moist white covering, pale white or dark and somber complexion, withered essence/spirit, S.hortness Of B.reath, no desire to speak, bland taste in mouth, lack of thirst, desire for warm fluids, cleat and long urine, loose stools, and deep, slow and forceless pulse
