Zang Fu Patterns: HT/SI Flashcards

Question

What are some Western diseases associated with Heart Yin Xu?

Answer 1

Arrhythmia Heart Disease Hyperthyroidism Menatl health disorders

Answer 2

Palpitations, irritability, insomnia, dreaming (heart signs) afternoon fever or low fever, malar flush, 5 palm heat, night sweats, dryness of throat (general yin xu sx) yellow urine, constipation, red tongue esp. the tip with little coating, thready and rapid pulse (heat signs) Palpitations Heart Yin Deficiency affecting Heart Qi Insomnia, wakes often, mental restlessness, easily startled, poor memory, anxiety Heart Blood Deficiency

Answer 3

POT: Tonify and nourish Heart Yin Nourish Kidney Yin Calm the Shen Px: *Bu xin dan* HT-7 (Shenmen) Tonifies Heart Blood and Heart Yin and calms the Shen P-6 (Neiguan) Calms the Shen REN-14 (Juque) Calms the Shen, especially where there is anxiety REN-15 (Jiuwei) Calms the Shen, especially where there is anxiety REN-4 (Guanyuan) Tonifies the Yin and Anchors the Shen HT-6 (Yinxi) Tonifies Heart Yin and stops night sweats SP-6 (SanYinjiao) Tonifies Yin and calms the Shen KI-7 (Fuliu) Tonifies the Kidneys, Stops night sweats with HT-6 KI-6 (Zhaohai) Tonifies Kidney Yin and improves sleep _Method:_ Tonify all points, Moxa where applicable

Answer 4

1. Mental depression, stress ---\> fire 2. Invasion of exogenous pathogenic fire through skin, lung into heart 3. Indulgence in greasy and strongly flavored food, alcoholic drink or smoking, hot foods like ginger, pepper, onion, chocolate ---\> fire 1-3 ---\> Hyperactivity of Heart Fire

Answer 5

Insomnia Recurrent sores of the mouth UTI's Mental Health problems eg. delirium, schizophrenia This pattern is common in clinic

Answer 6

Dysphoria with hot sensation in chest, insomnia (minor case of Fire), mania and delirium (major case) flushed face (whole face), thirst, yellow urine, constipation, rapid and forceful pulse [general internal heat] ulceration and pain of mouth and tongue (cankor sores, could also be from ST Fire), skin ulceration (toxic heat blocks Jing Luo), bitter taste in mouth after poor sleep (if during day it might be LV, deep red tip of tongue, yellow coat with possible midline crack [more specific HT Fire heat signs] hematemesis and epistaxis, swelling and burning pain Mental restlessness, agitation, impulsiveness, insomnia, and dream disturbed sleep Heat disturbing the Shen Blood in the urine or dark urine Heart Fire moving to the Small Intestine Bitter taste in the mouth Heart opens to the Tongue

Answer 7

Fire comes from heat, when heat goes to the extreme. Fire can also represent Yang, so it can be either pathological or physiological. Heat is _always_ pathological Can have yin deficiency that creates empty heat or empty fire.

Answer 8

Lung - use the term heat not fire, retention of heat. Spleen - often damp heat or just heat Liver - almost always use fire Heart - almost always use fire Kidney - do not use the term heat or fire, KI we *always tonify*, never reduce as it only has xu patterns and not excess patterns

Answer 9

_POT:_ Clear away fire from the heart _Px:_ Purging the Heart Decoction (Coptis- Huang Lian and Rhubarb) Chai Hu Long Gu Mu Li Wan (Bupleuri, Dragon Bone and Oyster Combo) Bitter foods clear heat, bitter melon HT-9 (Shaochong) Clears heart Fire HT-8 (Shaofu) Clears heart Fire HT-7 (Shenmen) Calms the Shen REN-15 (Jiuwei) Calms the Shen and clears Heat SP-6 (SanYinjiao) Nourishes Yin and cools Fire KI-6 (Zhaohai) Nourishes Yin and cools Fire SI-5 (Yanggu) Jing River/Fire Pt Clears Heat and reduces swelling SI-7 (Zhizheng) Luo Connecting Clears heat and releases exterior

Answer 10

1. Old age 2. Prolonged disease 3. Deficiency of Yang Qi in constitution 1-3 ---\> 4. Xu of Yang Qi fails to promote circulation 5. Overstrain 6. Invasion of cold 7. Emotional distress 5-7---\> 8. Stagnation of cold, accumulation of phlegm, hindrance of qi 4 & 8 ---\> Obstruction of Heart Vessels

Answer 11

Coronary heart disease Angina pectoris Myocardial infarction

Answer 12

1. Blood Stasis 2. Phlegm 3. Cold 4. Qi Stagnation

Answer 13

Palpitation, suffocating feeling and pain in chest radiating to shoulders, back and interior of forearm, attacks intermittently, stabbing pain, dark purple tongue with ecchymosis, petechiae; thready, unsmooth or knotted and intermittent pulse

Answer 14

Obesity with excessive phlegm, heaviness of body, severe suffocating pain, white sticky tongue coating, deep, smooth, slippery pulse

Answer 15

Sudden attacks of megalgia (severe pain) which can be relieved by warmth, aversion to cold, cold limbs, pale tongue, white tongue coating, deep and slow or deep and tense pulse Similar to Heart Yang Collapse

Answer 16

Distending pain and feelings of oppression in the chest, attacks often relate to emotional factors, pale red or purple red tongue, thin white tongue coating, taut, wiry pulse

Answer 17

_POT_: Regulate Blood, remove stasis, tonify and warm Heart Yang (or sedate Heart Fire or tonify Heart Blood), calm the Shen _Px:_ Zhi shi xie bai gui zi tang _Points_: DU26 P-6 (Neiguan) Regulates Heart Blood and opens the chest P-4 (Ximen) Xi Cleft Point, useful to stop Heart pain during acute attack HT-7 (Shenmen) Calms the Shen REN-17 (Shanzhong) Regulates Qi and Blood in the chest and stimulates the Zong Qi. If Heart Yang is Deficient, moxa can be used. BL-14 (JueYinshu) Regulates Blood BL-17 (Geshu) Regulates Blood SP-10 (Xuehai) Regulates Blood KI-25 (Shencang) Local point to move Qi and Blood in the chest area. Especially useful if Heart Yang Deficiency is associated with Kidney Yang Deficiency.

Answer 18

1. Emotional depression 2. External invasion of pathogenic dampness 1,2 ---\> Qi Stagnation ---\> Phlegm ---\> Accumulation of Phlegm in the Heart

Answer 19

There is both visible and invisible phlegm. Phlegm in TCM is highly conected with cholesterol, GB issues, gallstones, tumors

Answer 20

Epilepsy Depressive psychosis Bipolar Schizophrenia Coma

Answer 21

Sallow complexion (clear yang does not ascend to nourish face), fullness of epigastrium (turbid qi fails to descend), mental confusion, slurred speech, rattle in the throat (dyspnea), mental depression (stagnation of qi), abnormal behaviour Severe cases: sudden collapse, loss of consciousness, gurgling, upward staring eyes, convulsions (epilepsy), screaming white and sticky tongue coating, slippery pulse (excessive phlegm in the interior)

Answer 22

POT: Remove phlegm to induce resuscitation Px: Dao tan tang HT9 Shaochong (Lesser Hub) *Jing Well, Wood, Tonify Pt, Exit Pt;* Clears heart and spirit, Opens cardiac portals ST40 Fenglong (Abundant Bulge) Luo Connecting Pt of ST; Transform phlegm and dampness, Clear phlegm from heart, Fear d/t phlegm, Calm spirit BL15 Xinshu (Heart Shu) *Back Shu of Heart;* Calms spirt and Heart, Regulates blood and qi of Heart BL20 PiShu (Spleen Shu) Back Shu of Spleen; Regulates Spleen qi and assists T & T, Eliminates damp PC5 Jianshi (Intermediate Messenger) Jing River, Metal Pt; Transforms phlegm; Nourishes HT, Calms spirit RN12 Zhongwang (Middle Cavity) Front Mu ST, Meeting Pt Fu; Tonify SP/ST to transform phlegm DU14 Dazhui (Great hammer) Intersection of all Yang Meridians, Point of Sea of Qi; Clears brain and calms spirit; Frees up Yang (stimulates areas of body that are deficient in qi and yang)

Answer 23

1. Emotional depression ---\> 2. Qi Stagnation 3. Attack of exogenous pathogenic heat 1-3 ---\> Fire ---\> burn fluids into phlegm ---\> phlegm fire ascends to mist the mind

Answer 24

Schizophrenia OCD Anxiety "Neurosis" Menopausal syndromes

Answer 25

High fever, flushed face and red eyes, red tongue, yellow and sticky coating, rapid pulse (heat) course breathing; yellow, sticky, profuse sputum; fullness in chest, rattle in the throat, slippery pulse, (phlegm) incoherent speech, delirium, insomnia, irritability, dizziness and blurring of vision (clear yang fails to ascend), weeping and laughing without apparent reason, mania and restlessness, aggressive/violent behaviour

Answer 26

POT: Clear away fire to resolve the phlegm Px: *Meng shi gun tan wan* Vaporize Phlegm Pill (Lapis and Scute Formula) Points: P-5 Jianshi (Intermediate Messenger); *Jing River, Metal Pt;* Transforms phlegm, Calms spirit, Descends rebellious qi P-7 Daling (Great Mound); *Shu Stream, Earth, Yuan Source, Ghost Pt*; Clears heat from the Heart and calms the spirit; Unbinds the chest, Clears the nutritive level and cools blood HE-7 Shenmen (Spirit Gate); *Shu Stream, Earth, Yuan Source*; Calms spirit, Regulates and toniifies Heart HE-8 Shaofu (Lesser Palace); Ying Spring, Fire; Clears heat from Heart and SI, Calm Spirit, Regulate heart qi Ren-9 Shuifen (Water Separation); Regulates the water passages, Treats edema Ren-12 Zhongwan (Middle Cavity) *Front Mu of ST, Meeting Pt of Fu*; Tonify Sp/ST to transform phlegm, Harmonize MJ Ren-15 Jiuwei (Turtledove Tail) Luo Connecting of Ren; Regulates Heart and calms spirit BL-15 Xinshu (Heart Xu) Back Shu of Heart; Clears Heart fire, Tonifies and nourishes Heart; Regulates Heart qi, Calms spirit ST-40 Fenglong (Abundant Bulge) Luo Connecting of ST; Transforms phlegm and damp, Clears phlegm from heart and calms spirit BL-20 Pishu (Spleen Shu) Back Shu of Sp; Tonify Sp to transform phlegm G.B.-13 Benshen (Root Spirit); Meeting Pt for Arm Yang Sinew channels; Resolves phlegm, Eliminate wind G.B.-17 Zhengying (Upright Nutrition); Benefits head and alleviates pain; Pacifies ST; (Treats dizziness d/t phlegm fluid) Du-24 Shenting (Courtyard of the Spirit) Benefits brain and calms the spirit, Eliminates wind

Answer 27

1. Depression of seven emotions 2. Exopathic fire 3. Overeating of pungent food 1-3 ---\> Heart Heat ---\> Heat in heart shifting to SI

Answer 28

Irritability (heat in Heart disturbs mind) thirst, ulceration of the mouth and tongue, red tongue and yellow coating (heat) deep yellow urine, burning pain in the urethra, hesitant urination, red tongue and yellow coating (SI heat, SI relates to urine)

Answer 29

POT: Remove heat from the heart and SI Px: *Dao Chi San* Guide Out the Red Powder _Points:_ ``` SI 2 (Qiangu) Clears Small Intestine Heat, for burning urination from Small Intestine pattern ``` ``` SI 5 (Yanggu) Clears Small Intestine Heat and calms Shen, Gives clarity and sense of direction ``` ``` Ht 5 (Tongli) Clear Heat Fire ``` ``` Ht 8 (Shaofu) Clear Heat Fire ``` ``` ST 39 (Xiajuxu) Lower Sea point of Small Intestine, Stops abdominal pain ``` _Method_ Sedate all points. No moxa.

Answer 30

The Small Intestine Controls Receiving and Transforming Small Intestine receives food and fluids from the Stomach, after the Stomach has "rotted and ripened" and after the Spleen has extracted the food essences. It communicates with the Bladder, which excretes the impure fluids, and with the Large Intestine, which excretes the impure solid waste.

Answer 31

The SI transforms the digestate by separating the "pure" part of the food and fluids from the "impure". The pure part goes to the Spleen to form part of the essences of food and fluids, which the Spleen then transports all over the body. The impure or "dirty" part of the food is passed to the Large Intestine for excretion as stool.The impure part of the fluids are passed to the Bladder for excretion as urine.

Answer 32

The Small Intestine has close functional relationship with Bladder and influences urination. If Small Intestine function impaired, there may be excessive urination (Deficient Yang) or scanty urination (Heat).

Answer 33

in pathology: Heart Fire can be transmitted to Small Intestine, which then transmits it to the Bladder. Symptoms include thirst, bitter taste in the mouth, canker sores and burning urine or hematuria.

Answer 34

Any of the causes of Stagnation of Liver Qi may lead to this syndrome. It may be acute (Excess condition) or chronic, such as Deficiency of Spleen Qi with Liver Qi Stagnation. Excess Cold and raw food impair the Small Intestine's transformation function. 1. Mental depression 2. Suden mental irritation (anger) 3. EPF invasion 1-3 ---\> 4. Stagnation of Liver Qi ---\> Qi Stagnation in SI

Answer 35

Twisting pain in the lower abdomen that may radiate to the lower back, distention *Qi Stagnation* Pain is worse with pressure *Excess in nature* Borborygmus, flatulence (flatulence relieves pain) *Intestinal Qi Stagnation* Testicular pain *Qi Stagnates along channel (from Liver Qi Stagnation)* White tongue coating Deep and wiry pulse

Answer 36

POT: Harmonize Liver Move Qi in Lower Energizer

Answer 37

REN-6 (Qihai - Sea of Qi) *Move Qi in Lower Jiao* GB 34 (Yanglingquan -Yang Mound Spring)*Meeting point of Sinews, He Sea/Earth Pt, Heavenly Star -* *Stop pain* LIV-3 (Taichong- Great Rushing) *ShuStream/Earth Pt, Yuan Source, Heavenly Star - Moves Stagnant Liver Qi* LIV-13 (Zhangmen - Completion Gate) *Front Mu of SP, Meeting Point of Zang - Harmonize Liver, tonify Spleen (esp. good in chronic patterns)* ST-27 (Daju The Great) *Move Qi in lower abdomen, stop abdominal pain* ST-29 (Guilai - Return) ``` SP 6 (SanYinjiao) *Stop abdominal pain, Harmonize lower energizer* ``` ``` ST 39 (Xiajuxu) *Lower Sea point of Small Intestine. Point of Sea of Blood - Moves SI Qi and transforms stagnation, Stops abdominal pain* ``` _Method_ Sedate. Moxa with Cold signs. This pattern can progress to Small Intestine Qi Obstructed which is similar to appendicitis. Lan Wei Xue (the appendix point) can be added for this situation. When this pattern is acute, it is Excess in nature. When chronic, it is mixed Deficiency and Excess, with Liver Qi Stagnation (Excess) and Spleen Qi Deficiency (Deficiency).

Answer 38

This is similar to Small Intestine Qi Stagnation, but is always acute in nature. It is commonly caused by over-consumption of raw and cold foods which impair the Small Intestine's transformation function. While this pattern resembles appendicitis, it can occur without the presence of appendicitis.

Answer 39

Violent abdominal pain that is worse with pressure, constipation *Stagnation and obstruction in the Small Intestine* Vomiting, borborygmus, flatulence *Descending function of Stomach Qi is impaired* Thick white tongue coating Deep and wiry pulse

Answer 40

Remove obstruction from Lower energizer Move Qi of SI

Answer 41

``` ST 39 (Xiajuxu - Lower Great Void ) *Lower He Sea of SI, Sea of Blood Stop abdominal pain: move SI Qi* ``` Lanweixue (Extra point) *Use if appendicitis suspected* ``` Ren 6 (Qihai Sea of Qi) *Move Qi in lower burner, stop pain* ``` ``` GB 34 (Yanglingquan - Yang Mound Spring) *Meeting Point of Sinews, Heavenly Star, He Sea/Earth Pt Move Qi in lower burner, stop pain* ``` ``` ST 25 (Tianshu - Heaven's Pivot) Front Mu of LI *Stop abdominal pain* ``` ``` SP 6 (SanYinjiao Three Yin Intersection) *Harmonize Lower Energizer, Stop abdominal pain* ``` ``` Liv 3 (Taichong Great Rushing) Shu Stream/Earth, Yuan Source, Heavenly Star *Stop abdominal pain, promote smooth flow of Liver Qi* ``` Method Sedate. E-Stim applicable.

Answer 42

1. Excess consumption of Cold and Raw Food 2. Spleen Qi Xu - impair the Yang 3. KI Yang Xu ---\> Fail to promote Earth 1 ---\> SI Xu & Cold 2,3 ---\> SP Yang Xu

Answer 43

Abdominal Pain, relieved by warm and pressure *Cold obstructing Intestines* Borborygmus *Small Intestine Involvement* Diarrhea *Spleen Yang weak* Pale and copious urination, desire for warm liquids *Yang Deficiency* Tongue: Pale with a white coat Pulse: Deep, slow, and weak pulse

Answer 44

Warm and tonify SI and Spleen Disperse interior Cold

Answer 45

``` Ren 6 (Qihai - Sea of Qi) *Moxa to tonify Yang and stop diarrhea* ``` ``` ST 36 (Zusanli - Leg Three Miles) He Sea/Earth, Heavenly Star, Sea of Water and Grain, Command Pt Abdomen *Moxa to tonify Spleen Yang* ``` ``` ST 25 (Tianshu - Heaven's Pivot) Front Mu of LI *Stop diarrhea and abdominal pain* ``` ``` ST 39 (Xiajuxu - Lower Great Void) Lower He Sea of SI, Sea of Blood *Regulate & Harmonize Intestines, Stops abdominal pain* ``` ``` BL 20 (Pishu - Spleen Shu) Back Shu Pt of SP *Tonifies Spleen Qi* ``` ``` BL 27 (Xiaochangshu - SI Shu) Back Shu point of Small Intestine *Tonifies Small Intestine.* ``` Method: Tonify. Moxa applicable.