Zangfu Flashcards
1
Q
What are the 10 types of Chinese Pattern Discrimination?
A
- Eight principles pattern discrimination
- Five phases pattern discrimination
- Qi and Blood “ “
- Fluid and Humour “ “
- Viscera and Bowel “ “
- Channel and Network Vessel “ “
- Disease cause “ “
- Six Divisions “ “
- Four Divisions “ “
- Three Burners “ “
2
Q
What are the eight methods of treating?
A
- sweating
- ejecting/vomiting
- Precipitation/Downward draining
- Clearing
- Dispersing/Reducing
- Harmonizing
- Warming
- Tonifying
3
Q
What is meant by sweating (han fu)?
A
usually part of “Jie Biao” or “resolve exterior” meaning to free the exterior of evils
4
Q
How do you induce sweating?
A
dispersing the Lung qi, regulating interaction between Ying and Wei, open the pores to release obstruction and pathogenic influences
5
Q
What is Ejecting (tu fu)?
A
inducing vomiting or coughing in order to eject evils or obstruction; vomiting to remove food stagnation, etc.; coughing to clear the throat or Lung of phlegm
6
Q
What is Precipitation (xia fa)?
A
Inducing of defecation in order to purge or expel repletion evils or accumulations
7
Q
Why use Precipitation?
A
purge heat accumulations, warm the yang and guide out accumulations, moisten the intestines and unblock bowels, drive out excess water
8
Q
What is clearing (qing fa)?
A
method used to address heat; clear heat and drain fire to eliminate heat
9
Q
What could Clearing (qing fa) also indicate?
A
“cooling dryness” or eliminating warm dryness in Warm disease
10
Q
What are examples of when to use Clearing method?
A
Clear heat from Qi level, Clear heat from Ying and Cool Blood, Clear heat from organs, Clear heat and relieve toxicity
11
Q
When is dispersing (xiao fa) applied?
A
applied to break up clumping or accumulations in the body
12
Q
What are some examples of when Dispersing (xiao fa) is used?
A
Qi stagnation, static blood, concretions, conglomerations, lump glomus, food accumulations, edema, calculi, phlegm nodules, abscess, parasites, etc.
13
Q
When is harmonizing (he fa) applied?
A
applied in order to adjust or regulate functions within the body; re-establish correct relationships between levels or organs (harmonize Ying and Wei; Lr and Sp; Ht and Kd,etc)
14
Q
What is Warming (wen fa)?
A
use of hot or warm medicine to address cold conditions
15
Q
What is the function of Warming (wen fa) method?
A
warms and opens channels, removes cold from channels and facilitates movement, restoring function of Yang qi, warm channels and disperse cold, warm middle and disperse cold, return or rescue yang qi
16
Q
What is Tonifying (bu fu)?
A
most generic term for the technique of treating vacuity
17
Q
What are the Eight Principles?
A
Exterior, Interior, Hot, Cold, Repletion, Vacuity, Yang, Yin
18
Q
What does Exterior/Interior describe?
A
location of disease
19
Q
What does Heat/Cold describe?
A
Nature of disease, what affectations can be expected, clarifies the indication of cooling or warming therapies or medicinals
20
Q
What does repletion/vacuity describe?
A
the relative strength of the Right qi
21
Q
In a repletion condition the focus of the treatment will be on _______ pathogenic qi
A
dispelling or draining
22
Q
In a vacuity condition the focus will be on _______ the Right Qi.
A
restoring or supplementing
23
Q
What does Yin/Yang describe?
A
they are general principles that describe relationships, typically used to classify or compare the other six principles
24
Q
Yin typically describes…
A
Interior, Cold, Vacuity, Dampness
25
Yang typically describes.....
Exterior, Heat, Repletion, Wind
26
What are combined patterns?
combinations of two or more of the unpaired principles or the principles of Exterior vs. Interior
27
What are some examples of combined patterns?
Exterior + Cold; Interior + Heat; Repletion + Heat; Vacuity + Cold; Interior Heat with Exterior Cold
28
What are conversion patterns?
refer to the change of a pattern displaying qualities of one principle into a pattern displaying qualities of its opposite
29
What are some examples of conversion patterns?
Cold turning into heat, Exterior turning into Interior, Vacuity turning into repletion
30
What are complex patterns?
those which simultaneously display signs of both Cold and Heat together or Repletion and Vacuity together
31
Is simultaneous appearance of Interior and Exterior symptoms is considered a complex pattern?
No, it is considered a combined pattern
32
Exterior patterns are generally at the level of the....
body hair, skin, flesh, or superficial channels
33
Exterior patterns usually indicate that a disease is in.....
the initial stages and/or relatively mild
34
Why are there often Lung symptoms with Exterior patterns?
Lung rules the exterior and wei qi.
35
What is the general presentation of Exterior patterns?
relatively acute onset, aversion to cold and/or wind, fever, headache, pain in the limbs or joints, floating pulse
36
What are the four types of Exterior Patterns?
Exterior Cold, Exterior Heat, Exterior Repletion, Exterior Vacuity
37
Signs of Exterior Cold
more chills than fever (aversion to cold or wind), often with body aches; in particular of the head, neck and shoulders; typically lack of sweating; stuffiness of the nose with thin, white or clear discharge; thin white tongue coat; floating and tight pulse
38
Signs of Exterior Heat
Fever more pronounced than chills; possible body aches; in partcular severe headache and/or sore throat; may have sweats; yellow or green nasal discharge or sputum; slight thirst; thin yellow tongue coat; floating and rapid pulse
39
Exterior Repletion or Vacuity describe...
the state of the wei qi
40
Exterior Repletion is characterized by....
lack of sweating and tight pulse due to contraction/obstruction of the Cou Li "interstices" (usually by Cold)
41
Exterior Vacuity is characterized by...
sweating which still fails to release the pathogen and a Floating and Forceless (or Moderate) pulse due to underlying vacuity leading to disharmony between ying qi and wei qi
42
What does Jie Biao mean?
Resolving the Exterior
43
What is the classical treatment to release pathogens from the exterior?
Han Fa or Sweating
44
What does Shu Biao mean?
coursing the exterior usually involves milder sweating
45
What is diaphoresis induced with?
Acrid Flavors
46
What type of herbs release Exterior Cold?
Acrid-warm
47
ma huang
"hemp yellow" is an acrid-warm herb
48
zi su ye
"perilla leaf" is an acrid-warm herb
49
jing jie
is an acrid-warm herb
50
qiang huo
is an acrid-warm herb
51
ma huang tang
"ephedra Decoction" is a formula for releasing Exterior Cold
52
jing fang bai du san
"Schizonepeta and Ledebouriella Powder to Overcome Pathogenic Influences" is a formula for releasing Exterior Cold
53
Exterior Heat is released with...
Acrid-Cold effusing herbs
54
bo he
Herba Menthae Haplocalycis is an acrid-cold herb
55
sang ye
folium mori albae is an acrid-cold herb
56
niu bang zi
"cattle burdock" fructus Arctii Lappae is an acrid-cold herb
57
yin qiao san
"honeysuckle and Forsythia Powder" is a formula for releasing Exterior Heat
58
sang ju yin
"Mulberry Leaf and Chyrsanthemum Decoction" us a formula for releasing Exterior Heat
59
Exterior Patterns are treated with Acupuncture points that:
"expel wind"; "Releases the exterior"; "Adjust sweating"; points that strengthen the dispersing of the Lung
60
What channels are often treated with exterior patterns?
Taiyang, Hand Taiyin, Hand Yangming, Hand Shaoyang
61
What are some examples of points to use for Exterior Patterns?
Lu-7, LI-4, LI-11, SJ-5, UB-12, UB-11, UB-13, GV-16
62
What type of patterns are associated with diseases that have penetrated deeper or are more severe (relative to Exterior patterns)?
Interior Patterns
63
Interior Patterns are typically divided into what four stages?
1. Accumulation of Internal Heat
2. Vacuity of Yin with Empty Heat
3. Accumulation of Internal Cold
4. Yang Qi Vacuity
64
What are some signs of Accumulation of Internal Heat?
Fever, Redness of the Face, Sensation of Heat in the Limbs, Profuse Sweating, Thirst with Strong Desire to Drink, Dry Stools, Scanty Yellow Urine, Irritability or Agitation, Red Tongue with Yellow Coat, Full, Rolling, or Surging Pulse (forceful;possibly rapid)
65
Fever, Redness of the Face, Sensation of Heat in the Limbs, Profuse Sweating, Thirst with Strong Desire to Drink, Dry Stools, Scanty Yellow Urine, Irritability or Agitation, Red Tongue with Yellow Coat, Full, Rolling, or Surging Pulse (forceful;possibly rapid) are all signs of what?
Accumulation of Internal Heat
66
What are some signs of Vacuity Yin with Empty Heat?
Hot Flashes or Night Sweats, Red of Cheeks with pallor of the rest of the face, 5-hearts Heat, Dry Stool, Scanty Yellow Urine, Irritability or Restlessness, Thirst without Desire to drink, Red Tongue with Little or no Coat, Thin and Rapid Pulse
67
Hot Flashes or Night Sweats, Red of Cheeks with pallor of the rest of the face, 5-hearts Heat, Dry Stool, Scanty Yellow Urine, Irritability or Restlessness, Thirst without Desire to drink, Red Tongue with Little or no Coat, Thin and Rapid Pulse are signs of what?
Vacuity of Yin with Empty Heat
68
What are some signs of Accumulation of Internal Cold?
Aversion to Cold, Cold Limbs, Absence of Sweats, Lack of Thirst; Clear, Copious urine, Abdominal discomfort; Thick, white, tongue coat; Deep, Slow pulse (likely with force)
69
Aversion to Cold, Cold Limbs, Absence of Sweats, Lack of Thirst; Clear, Copious urine, Abdominal discomfort; Thick, white, tongue coat; Deep, Slow pulse (likely with force) are signs of what?
Accumulation of Internal Cold
70
What are some signs of Yang Qi Vacuity?
Aversion to Cold, Cold Limbs, Spontaneous sweats, Lack of Thirst; clear, copious urine, abdominal discomfort, loose stools; pale, puffy face and tongue; thick, white tongue coat; deep, slow pulse (without force); possibly weak or soggy pulse
71
Aversion to Cold, Cold Limbs, Spontaneous sweats, Lack of Thirst; clear, copious urine, abdominal discomfort, loose stools; pale, puffy face and tongue; thick, white tongue coat; deep, slow pulse (without force); possibly weak or soggy pulse are signs of what?
Yang Qi Vacuity
72
What are the basic principles of treatment of Interior Patterns?
Treat Cold with Heat (usually)
Treat Heat with Cold (usually)
Dispel Pathogens
Supplement or Nourish Vacuity
73
You usually treat Cold with...
Heat
74
You usually treat Heat with...
Cold
75
You dispel...
pathogens
76
You supplement or Nourish....
Vacuity
77
A patient suffering from acute illness characterized by aversion to cold with chills and fever, a lack of sweating, pain in the neck and shoulders, headache, a floating, tight pulse, and a pale red tongue with a thin white coat would be best treated with which formula?
Jing Fang Bai Du San "Schizonepeta and Ledebouriella Powder to Overcome Pathogenic Influences"
78
A patient suffering from a pattern characterized by alternating chills/fever, alternating constipation/diarrhea, fullness of the chest or rib-side, bitter taste in the mouth, and great vexation or irritability would most likely present with which pulse image?
Bowstring (wiry)
79
According to the Differentiation by the "8 Principles", a patient suffering from illness characterized by aversion to wind with slight chills, low fever with slight sweating, a relatively forceless, floating pulse, and a pale red tongue with a thin white coat has a presentation most consistent with...
Exterior Vacuity
80
According to Differentiation by the "Eight Principles," a patient suffering from illness characterized by fever, profuse sweating, thirst with strong desire to drink, irritability, a red tongue with a thick yellow coat, and a surging pulse has a presentation most consistent with....
Accumulation of Internal Excess Heat
81
According to Differentiation by the "Eight Principles," a patient suffering from illness characterized by heat in the five palms/hearts, thirst with little desire to drink, irritability, a dry red tongue with no coat, and a thin, rapid pulse has a presentation most consistent with...
Yin Vacuity with Empty Heat
82
According to Differentiation of Disease by Pathogenic Factors, a patient suffering from acute illness characterized by aversion to wind with slight chills, fever with slight sweating, sore and swollen throat, floating, rapid pulse, and a pale red tongue with thin yellow coat has a presentation most consistent with...
Invasion of Wind Heat
83
According to Differentiation of Disease by Pathogenic Factors, what signs and symptoms would be most characteristic of a pattern of Stirring of Internal Wind due to Vacuity of Blood?
Tingling, numbness, and/or tremors of the extremities
84
Tingling, numbness, and/or tremors of the extremities are signs and symptoms characteristic of what pattern?
Stirring of Internal Wind due to Vacuity of Blood
85
According to Differentiation of Disease by Pathogenic Factors, a patient presenting with fever, irritability; bleeding (coughing blood, nose bleeds, bleeding gums, etc); bruises on the skin; or red, painful bleeding rashes is displaying symptoms/signs of what pathology associated with fire?
Fire Agitating the Blood out of the Vessels
86
According to Differentiation of Disease by Pathogenic Factors, a patient suffering from a pattern characterized by scanty, burning, urination with reddish yellow appearance, burning pain in the lower abdomen, a red tongue with a greasy yellow and a slippery pulse has a presentation most consistent with...
Accumulation of Damp Heat with Heat being predominate
87
According to Differentiation of Disease by Pathogenic Factors, a patient presenting with chills; itchy skin rash; floating moderate pulse is displaying signs/symptoms of what pathology associated with wind?
Wind lodged in the exterior impairing ying and Wei Harmony
88
According to Differentiation of Disease by Pathogenic Factors, a patient presenting with heaviness of the limbs and body; tightness of the chest; fullness or bloat of the abdomen; nausea; and stools with mucus is displaying symptoms/signs of what pathology associated with dampness?
Damp accumulating in Middle Jiao
89
According to Differentiation of Disease by Pathogenic Factors, a patient presenting with flushed face; irritability/vexation; and a flooding rapid pulse or rolling rapid pulse is displaying symptoms/signs of what pathology associated with Fire?
Fire ascending/Stirring upward
90
According to Differentiation of Disease by Pathogenic Factors, a patient presenting with heaviness in the head; dull pain of the whole body; and/or weeping skin rashes is displaying signs/symptoms of what pathology associated with dampness?
Dampness accumulating in the Exterior and the Luo
91
What is the Earth point on the Yangming channel indicated to strongly clear heat and commonly applied for most all types of feverish conditions or issues of the skin?
Quchi LI-11
92
According to Differentiation of Disease by Pathogenic Factors, a patient presenting with cough; nasal congestion; sneezing; itchy throat; and a floating pulse is displaying symptoms/signs of what pathology associated with wind?
Wind Obstructing the Lung
93
What is the Fire point of the Shaoyang channel indicated to strongly clear heat of the "three heated spaces"?
Zhigou SJ-6
94
According to Differentiation of Disease by Pathogenic Factors, a patient suffering from sour smelling, losse stool with undigested food; abdominal pain relieved by stool or passing gas; sour regurgitation, anorexia, and epigastric distension and who has a slippery pulse has a presentation most consistent with what pattern?
Food Retention/Stagnation
95
According to Differentiation of Disease by Pathogenic Factors, a patient presenting with chills; pain of the head, neck and shoulder; stuffy nose; lack of sweat; thin, white tongue coat; fixed pain in the joints; and a tight pulse is displaying signs/symptoms of what pathology associated with Cold?
Cold obstructing the exterior and the Luo
96
According to Differentiation of Disease by Pathogenic Factors, a patient presenting with fever; sore throat; and/or painful, swollen, and red joints is displaying signs/symptoms of what pathology associated with Fire?
Fire Attacking the Exterior
97
What point on the Taiyin Channel is the "food hole" indicated to treat Food Stagnation/Accumulation patterns?
Shidou SP-17
98
According to Differentiation of Disease by Pathogenic Factors, a patient suffering from dull, diffuse pain that migrates between the knees and elbows accompanied by occasional numbness in the hands or feet, a pale red tongue with a thin white coat and a bowstring (wiry) pulse has a presentation most consistent with....
Xing Bi - Moving or "Windy BI"
99
A patient suffering from a pattern of Qi Vacuity would be most likely to present with a pulse described as what?
A Forceless or "Empty" Pulse
100
According to Differentiation by Patterns of Qi and Blood, a patient suffering from fatigue in the morning that gets better in the afternoon, distension in the abdomen that is often relieved by passing gas, and a sensation of oppression in the chest when under stress has a presentation most consistent with....
A Pattern of Qi Stagnation
101
According to Differentiation by Patterns of Qi and Blood, a patient suffering from fatigue, low voice, shortness of breath, dizziness, a bearing down sensation, and a prolapse of the bladder has a presentation most consistent with....
Qi Fall
102
A patient suffering from a pattern of Blood Vacuity would be most likely to present with a pulse described as what?
A Thin or "Fine" Pulse
103
What formula would be most appropriate to apply in the case of a patient suffering from a pattern of Blood Vacuity?
Si Wu Tang "Four-Substance Decoction"
104
What point was discusse din class as being commonly used to boost the qi in cases of vacuity for people who feel "so tired they don't want to live"?
Qi Hai CV-6
105
What formula would be most appropriate to apply in the case of a patient suffering from a pattern of Qi Fall?
Bu Zhong Yi Qi Tang "Tonify the Middle and Boost the Qi Decoction"
