Zang Fu organs Flashcards
S/S: Lustrous bright yellow skin and sclera, fever, thirst, scant dark yel.urin, heavi. of the body, full. in the abd, stuffi. of the chest, nausea.
T: yellow, sticky tongue coating
P: string-taut, rapid
Jaundice:
a) Yang jaundice:
Pts: Sp 9, S 36, B 18, B 19, Du 9
specific: Liv 3, G 34
S/S: Sallow skin, heavi of the body, weak, loss of appet., epig. stuffin, lassitude, aversion to cold, abs of thirst
T: pale tongue, thick, white tongue coating
P: deep, slow
Jaundice: Yin Jaundice:
Pts: Sp 9, S 36, B 18, B 19, Du 9
specific: Moxa to B 2O, B 48-warming cold-damp
S/S: Infreq./difficult defeca fr every 3 to 5 days, or even longer.
i) In accumul. of heat: fever, dire thirst, foul breath.
ii) In qi stag: full and dist pain in the abd and hypochond regions, freq. belching, loss of appet
T: heat accum: yellow, dry tongue coating. qi stag: thin sticky tongue coating
P: heat accum: rolling and forceful. qi stag: string-taut
Constipation: a) excess type:
Pts: B 25 (back shu), S 25 (front mu), SJ 6, K 6
Accumul. of heat: LI 11, LI 4
Stag. of qi: Ren 12, Liv 3
S/S:
i) qi/bld xu: Pale and lustreless complex, lips and nails, dizzi and palp., lassitude, SOB;
ii) agglom of cold: pain and cold sens. in the abd, pref. for warmth and avers to cold.
T: qi/bld xu: pale tongue with thin coating.
agglom of cold: pale tongue with white and moist coating
P: qi/bld xu: thready and weak.
agglom of cold: deep slow
Constipation: b) Xu type
Points: B 25, S 25, SJ 6, K 6
Qi/bld xu: B 20, B 21, S 36
Agglom of cold: Moxa to Ren 8 and Ren 6
S/S: onset is slow, with dist and draggling sens of rectum during defecation, returning to nl after the bowel mvt. If sustained w/o proper tx, recur may happen by overstrain, the prolapsed rectum fails to return spontan w/o the aid of the hand.
At times, lassitude, weak of limbs, sallow complex, dizzi and palp.
T: pale with white coating
P: thready and feeble/weak
Prolapse of rectum:
Pts: Du 20- moxa
B 25
Du 1, 20, S 36-lifting pts
S/S: Abrupt onset of edema with “puffy face and eyelids” and then anasarca, lustrous skin, accomp by C/F, thirst, cough, asthma and reduced urine output
T: TWC
P: superficial or rolling, rapid
Edema: 1) Yang type: wind
Pt:
above the lumbus: L 7-luo pt, LI 4
below the lumbus: LI 6-imp. pt-luo pt, Sp 9, B 39
S/S: Insid onset, at first on pedis dorsum or eyelids, then whole body, esp bel the lumbar, accomp. by sallow complex, avers to cold, cold limbs, sore. of the back and loins, gen. weakness, epig. fullness, abd. distension, loss of appet, loose stools
T: pale tongue, white coating
P: deep, thready
Edema: 2) Yin type: yin edema is a yang xu
Points: B 20, B 23, (K 7 *imp!)-acu and moxa
Ren 9, Ren 4 yuan pt-moxa
S 36
Suppl. points:
Facial puffi: Du 26
pedis dorsum: G 41, Sp 5
S/S: Invol mictur during sleep w/dreams, once in sev nights in mild cases, or sev times a night in severe cases; sallow complex, loss of appet, and weakness in the prolonged cases.
T: pale tongue, white coating
P: thready pulse weak at the chi region
Nocturnal enuresis: Points:
B 23, B 28, Ren 3, Sp 6, Liv 1-moxa
Suppl. points:
Enuresis with dreams: H 7
Loss of appetite: B 20, S 36
S/S: Occ presence of calculi in the urine, dysuria, dark yel turbid urine, or sudden interrup of urin, unbearable pricking pain during urin., pain of the lumbus and abd, or presence of blood in the urine.
T: normal coat
P:
Urination Disturbance: a) dysuria from calculi: Stone Lin. Points:
B 28, Ren 3, Sp 9
*specific: B 39- stone pt
S/S: Difficult and hesitant urination, fullness and pain of the lower abdomen
T: TWC
P: deep, string-taut
Urination Disturbance: b) dysuria from qi dysfxn: Qi Lin. Points:
B 28, Ren 3, Sp 9
*specific: Liv 2
S/S: Hematuria with pain and urgency of micturition, burning sensation and pricking pain in urination.
T: TYC
P: rapid, forceful
Urination Disturbance: c) painful urination w/blood: Blood Lin. Points:
B 28, Ren 3, Sp 9
*specific: Sp 10, Sp 6
S/S: Cloudy urine with milky or creamy appear, urethral burning pain in urination. Dx: K yin xu
T: red tongue proper, sticky coating
P: thready, rapid
Urination Disturbance: d) dysuria w/milky urine: Gao Lin. Points:
B 28, Ren 3, Sp 9
*specific: B 23, K 6
S/S: Difficulty in urination with dribbling of urine, occurring “off and on,” exacerbated after overwork, and usually refractory to treatment.
T:
P: weak
Urination Disturbance: e) dysuria from overstrain: Lao Lin. Points:
B 28, Ren 3, Sp 9
*specific: Du 20, Ren 6, S 36-prolapse pts
S/S: Scanty hot urine or retention of urine, distention and fullness of the lower abd, thirst but without desire to drink, constip
T: red tongue with yellow coating
P: rapid
Retention of Urine: a) Accumulation of heat in the bladder: Points:
B 28, Ren 3, Sp 6
B 39
S/S: Dribbling urination, attenuating in force of the urine discharge, pallor, listlessness, chilliness below the lumbus, weakness of the loins and knees
T: pale tongue
P: deep, thready pulse weak at the chi region
Retention of Urine: b) decline of Mingmen fire: Points:
Du 4, B 23-reinforce
Du 20, Ren 4-moxa
SJ 4-yuan pt, reinforce
S/S: Dribbling urination or retention of urine, distention and dull pain in the lower abd
T: purplish spots on the tongue
P: hesitant, rapid
Retention of Urine: c) damage of the qi of the meridian: Points: Ren 3 Sp 6-prom qi/bld S 28-water pt, K 5-xi-cleft (Qi-St 27, water-St 28, Blood-St 29)
S/S: Failure of penis in erect, or wk erect, pallor, cold extrem, dizzi, listless, sore/weak of the loins/knees, freq urin. If Ht/Sp qi is damaged, palp and insomnia may be present.
T: pale tongue with white coating.
P: deep, thread
Impotence: a) decline of Mingmen fire: Points:
Ren 4, Du 4, B 23, K 3 (yuan pt)
Suppl. points:
B 15,H 7, Sp 6
S/S: Inability of the penis to erect, complic with bitter taste in the mouth, thirst, hot and dark red urine, sore. and weak. of the lower extremities.
T: yellow, sticky tongue coating
P: soft, rapid
Impotence: b) downward flowing of D-H: Points:
Ren 3 (local?), SJ 3,
Sp 6, Sp 9 (damp), S 36
Our own pts: gb 34, St 40, L 5, Ren 12, Du 24
S/S: nocturnal emissions plus: dizzi, palp, listless, lassitude and scanty yellow urine.
T: red tongue
P: thready, rapid
(appx) Seminal Emission: a) Nocturnal emission: Points:
H 7, B 15, K 3, B 52-essence pt
(others: du 4, K 12, b 23, b 52, jing gong)
S/S: frequent spermatorrhea at day or night, particularly if there is a desire for sex, pallor, lassitude, listlessness
T: pale tongue
P: deep, thready, weak
appx: Seminal Emission: b) Spermatorrhea: Points: B 23, Sp 6, Ren 4, Ren 6 K 12
S/S: itching of the throat, thin and white sputum, aversion to cold, fever, no sweat, headache, nasal obstruction and discharge
T: TWC
P: superficial/floating
Cough: a) Invasion by exogenous patho. factors: i) Wind-cold type:
Points:
Lu 7, LI 4, B 13
suppl. LI-11, pain/swell throat. Du-14, SJ-5, fever, avers to cold
S/S: Cough with yellow, thick sputum, choking cough, thirst, sore throat, fever, or headache, aversion to wind, sweating.
T: TYC
P: superficial and rapid
Cough: a) Invasion by exogenous pathogenic factors: ii) W-H type:
Points:
L 7, LI 4, B 13
Suppl. pts: LI-11, Du-14, SJ-5
S/S: cough with profuse, white and sticky sputum, stuffiness and depression of the chest, loss of appetite.
T: white, sticky tongue coating
P: rolling
Cough: b) Internal injury: i) Blockage of the lung by phlegm: Points: B-13 Ren-12 L-5 S-36, S-40
S/S: Dry cough without sputum or with scanty sputum, dryness of the nose and throat, sore throat, spit blood or even cough blood, aft fever, malar flush.
T: red tongue, thin coating
P: thready and rapid
Cough: b) Internal injury: ii) Dryness of Lung w/Yin Xu: Points:
B-13, L-1
L-7, K-6
L-6, acute lung conditions + B-17, comb to stop bleeding.
S/S: cough w/thin sputum, rapid breathing, chills, fever, HA, no sweat, early stage, no thirst.
T: TWC
P: float, tense
Asthma: 1)Excess types: i) WC type
Pts:
B-12, 13
Du-14, L-7, LI-4
S/S: rapid/short breathing, strong/coarse voice, cough w/thick yellow sputum, sensat. of chest stuffiness, fever, restless, dry mouth
T: thick, yellow or sticky coat
P: rolling, rapid
Asthma: 1)Excess types: ii) Phlegm-heat type:
Pts:L-5, S-40, B-13
Ren-22, *Dingchuan=pacify breathing
S/S: short, rapid breathing, feeble voice, weak and low sound cough, sweat on exert.
T: pale
P: deficient
Asthma: 2) Deficient types: i) Lung Xu
pts: B-13, L-9
S-36, Sp-3
S/S: dyspnea w/exert, after longstand asthma, severe wheezing, indrawing neck, short breath, lassit, weak, sweating cold limbs
T: pale
P: deep, thready
Asthma: 2) Deficient types: ii) Kidney Xu:
pts: K-3, B-23, B-13
Ren-17, Ren-6 Imp
+/- moxa Du-12 & B-43, +/- moxa Ren-12 & B-20