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Spring 2013 / Herbs 1 > WK13 - Syndromes, S/Sx > Flashcards

WK13 - Syndromes, S/Sx Flashcards

0
Q

Review: What is the function of the Heart?

A
  • governs Blood
  • regulates pulses & vessels
  • manifests in the face: complexion, color, luster
  • opens at the tongue & controls speech
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1
Q

How does the Shen relate to the Heart? How is the Pericardium involved?

A
  • the Heart houses the Shen (or Spirit, or Mind)

- “spiritual” disorders are related to the Heart, whereas the “physiological heart” is more about the Pericardium

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2
Q

How is the quality of Shen reflected?

A

reflected in:

  • the face & eyes
  • mental clarity, rational function of mental processes & consciousness
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3
Q

What emotion can damage the Heart?

A

Excess Joy can damage the Heart – e.g. anxiety, mania

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4
Q

What are some pathologies of Shen? (in TCM lingo)

A
  • Fire
  • Phlegm
  • Blood Stasis
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5
Q

What are some disorders of the Shen? (how does it manifest in symptoms)

A
  • Insomnia
  • Anxiety
  • Restlessness
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6
Q

The Shen is controlled by Kidney Water. What happens if there is no Kidney water?

A

if no Kidney water cooling the Ming Men Fire, then KD Fire flares up, affecting the Heart

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7
Q

What are some Sleep Issues?

A
  • heavy, vivid disturbing dreams: more HT / LV agitation (also called “wandering Hun” since the LV houses the Hun at rest)
  • nightmares: more HT / GB Deficiency
  • sleep can also be disturbed by Food Stagnation and/or alcohol consumption
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8
Q

What are 2 types of Insomnia?

A

1) Blood / Yin Deficiency Insomnia

2) Heart Fire Type Insomnia

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9
Q

What are some signs & symptoms of Blood / Yin Deficiency Insomnia?

A
  • palpitations, anxiety, forgetfulness, poor memory, poor concentration, disorientation, insomnia, restlessness, panic attacks
  • tongue: pale or red, maybe red tip (Heart area)
  • pulse: thin, weak, maybe rapid (indicating heat)
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10
Q

How do you treat Blood / Yin Deficiency Insomnia?

A
  • nourish and enrich Blood & Yin of HT & LV with seeds and nuts
  • patient’s Yin time is too short, so encourage them to sleep more
  • use more neutral herbs to cool
  • avoid agitating with warm herbs
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11
Q

What are some signs & symptoms of Heart Fire Type Insomnia?

A
  • manic behavior, bad temper, severe agitation
  • tongue: red, esp. at tip
  • pulse: fast & full, esp. at Left cun mai
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12
Q

How do you treat Heart Fire Type Insomnia?

A
  • treatment: Sedate Heart and Calm the Spirit, Clear Fire
  • use herbs that are sweet & cold, to clear heat
  • toxic, heavy metals & minerals can settle spirit (caution for long term use due to toxicity & difficulty digesting; nourishing group better for long term)
  • time of ingestion important if used for sleep: 30-60 minutes before bed
  • pt’s yin time too late, so encourage them to go to bed earlier
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13
Q

What is an herb we learned to Anchor, Settle and Calm the Spirit? What are its key characteristics?

A

Long Gu - Fossilia Ossis Mastodi:

  • calms with heaviness
  • binds with astringency
  • secures the normal qi (aka zheng qi)
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14
Q

What is an herb we learned to Nourish the Heart and Calm the Spirit? What are its key characteristics?

A

Suan Zao Ren - Ziziphi Spinosae Semen (Sour Jujube):

  • nourishes the HT Yin & LV Blood
  • promotes sleep
  • inhibits sweating (sweat is fluid of the HT)
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15
Q

What is the difference between herbs that Anchor, Settle and Calm the Spirit, and herbs that Nourish the Heart and Calm the Spirit? Which category is milder?

A
  • Herbs that Anchor, Settle and Calm the Spirit tend to be heavy (minerals, shells, bone); settle ascending HT & LV Yang; treat rebellious Qi; and may injure the ST Qi with long term use
  • Herbs that Nourish and Calm the Spirit tend to be sweet & nourishing; nourish the HT & LV Blood; are used most commonly for general malaise, palpitations, irritability, and insomnia; and are mild with few side effects
  • Herbs that Nourish and Calm the Spirit are milder
16
Q

What is the main formula for Insomnia? What are its main actions?

A

Suan Zao Ren Tang (Sour Jujube Decoction):

  • nourishes the blood
  • calms the spirit
  • clears heat
  • eliminates irritability
17
Q

What are the ingredients in Suan Zao Ren Tang? What is the chief herb?

A
  • Suan Zao Ren (Nourish the Heart and Calm the Spirit – chief herb)
  • Fu Ling (Drain Damp – goes to HT channel)
  • Zhi Mu (Clear Heat, Drain Fire – generates fluids)
  • Chuan Xiong (Invigorate the Blood – goes to GB, LV, PC channels)
  • Gan Cao (Tonify Qi – envoy)
18
Q

What are some characteristics of Wind?

A
  • swift, changeable, rapid, violent, impetuous

- irregular movement characteristic of all Wind diseases (“moves still & stops moveable”)

19
Q

What are some causes of Internal Wind?

A
  • LV and/or KD Yin Deficiency
  • Ascending LV Yang
  • Blood Deficiency
  • High fevers (which leads to fluid deficiency)
20
Q

How does LV and/or KD Yin Deficiency cause Internal Wind? Is this an acute or chronic condition? What is the treatment?

A
  • LV / KD Yin Deficiency means that Yin is not anchoring Yang, and this stirs Internal Wind
  • usu. a long term deficiency or more severe (e.g. wind stroke, which is a biomedical stroke)
  • treatment: nourish LV & KD, Calm Yang, Extinguish Wind
21
Q

What are signs & symptoms of Internal Wind due to LV and/or KD Yin Deficiency?

A
  • headache, dizzy, blurred vision, tinnitus, irritability, twitching (all signs of not enough Yin)
  • possibly nausea, vomiting, palpitations, anxiety
  • more severe wind-stroke pattern: tremors, unconsciousness, spasms, paralysis, hemiplegia, aphrasia
22
Q

How does Blood Deficiency stir Internal Wind? Is this a milder or more severe form of Internal Wind? What is the treatment?

A
  • Blood Deficiency cannot anchor Qi (just as Yin anchors Yang)
  • therefore Qi is unsettled and restless
  • usu. milder movement disorders from lack of nourishment to head & sinews
  • treatment: Extinguish Wind and Nourish Blood
23
Q

What are signs & symptoms of Internal Wind due to Blood Deficiency?

A

dizziness, tremors, tics, twitches, numbness, blurred vision, pallor (blood not getting to areas, usu. extremities)

24
Q

How does Heat create Internal Wind? Is this an acute or chronic condition? What is the treatment?

A
  • Exterior Heat or internal LV Fire can lead to Interior Wind if left untreated
  • more sudden and violent – but not usu. long term (bc LV Fire excess burns out and everything moves up as Wind)
  • treatment: Clear Heat, extinguish Wind, stop spasm
25
Q

What are signs & symptoms of Internal Wind due to Heat?

A

fever induced seizures & convulsions (fright wind in children)

26
Q

What are some diseases treated by herbs that Extinguish Wind and Stop Tremors?

A
  • Parkinson’s, Menieres Disease, Stroke, Hypertension, Epilepsy, Bells Palsy
  • emotional, neurological, drug-induced, blood sugar, thyroid, fever, head injury, circulatory, infections
27
Q

What are some indications for herbs that Extinguish Wind and Stop Tremors?

A
  • dizziness, headache
  • tremors, convulsions, tremors
  • shaking head, shakiness
  • deviated tongue
    (think movement)
28
Q

What is an herb we learned to Extinguish Wind and Stop Tremors? What are its key characteristics?

A

Gou Teng - Uncariae Ramulus cum Uncis:

  • drains LV Heat
  • settles LV Wind
29
Q

What are the 7 orifices of the head that we treat with Aromatic Substances that Open the Orifices? What is the function of these orifices?

A
  • eyes, nose, ears, mouth

- these portals give consciousness and clarity to the Shen

30
Q

Orifices can be blocked, causing what disorders?

A
  • clouded spirit-mind (Jing-Shen)

- reversal, also called ‘veiled orificies’, delirium, and/or sudden clouding reversal (syncope, stupor, coma)

31
Q

What are some conditions of blocked orifices?

A
  • wind-fright (infantile convulsions usu. seen in febrile diseases) like encephalitis, meningitis, pneumonia, uremia, septicemia
  • epilepsy & seizure disorders
  • wind-stroke (CVA), angina, Coronary Heart Disease
  • Summerheat stroke
  • febrile disease on the Ying level affecting the PC
32
Q

What do Aromatic Substances that Open the Orifices treat?

A
  • Bi Zheng (closed / locked up disorder)
  • Turbid Phlegm veiling the sensory orifices (Heat & Wind)
  • actions: opens the sensory orifices and awakens the spirit
33
Q

What are some indications for use of Aromatic Substances that Open the Orifices?

A

coma, lock jaw, clenched fists, rigid limbs, forceful pulse

extreme condition, for which a modern patient should go to hospital

35
Q

What is an herb we learned that is an Aromatic Substance that Opens the Orifices? What are its key characteristics?

A

She Xiang - Moschus (Deer Musk):

  • intensely aromatic to open all the orifices and awaken the spirit
  • stops pain
  • unblocks the channels & collaterals by invigorating the blood
36
Q

Herbs that Treat Parasites are primarily used for what?

A

primarily treat intestinal parasites like roundworms, tapeworms & hookworms

(herbs are matched to parasite & although weaker than modern anti-parasitic meds they are less toxic & have longer effect. therefore a patient with parasites might take antibiotics in short term and supplement afterward with herbs.)

37
Q

What are the signs & symptoms of a patient with parasites?

A
  • can be no pain or para-umbilical pain
  • vomiting
  • change in appetite or deranged appetite (e.g. pica)
  • itching rectum, nose, ears
  • if prolonged: fatigue & emaciation with distended abdomen
38
Q

What is an herb we learned to Expel Parasites? What are its key characteristics?

A

Da Suan - Allii Sativi Bulbus (Garlic Bulb):

  • kills parasites
  • transforms meat & Food Stagnation
  • unblocks accumulations
  • promotes qi movement
  • expels Cold-Dampness
41
Q

What are the 2 types of disorders treated by Aromatic Substances that Open the Orifices?

A
  • Heat Closed Disorders (due to Heat)

- Cold Closed Disorders (due to Cold +/- Phlegm)

Spring 2013 / Herbs 1 (49 decks)

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