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Zang Fu 2 > ZF 2 Final > Flashcards

ZF 2 Final Flashcards

1
Q

What are the ID patterns of the 4 levels?

A

WEI
QI
YING
XUE

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2
Q

Within the 4 levels there is Wei level, what are the 4 types of heat and what is the most common?

A

wind heat (the most common)
damp heat
summerheat
dry heat

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3
Q

Out of the 4 levels what level is the Qi level and what are the are types of patterns within this level?

A

the pathogenic factor has moved from exterior to interior and transferred to heat, but it’s the most superficial of the interior layers.

there is the LU heat
stomach heat
ints. dry heat 
GB heat
and damp heat in the SP & ST
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4
Q

in the ying level, what are the 2 patterns?

A

Heat in the ying Qi level

& heat in the pericardium

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5
Q

Xue level patterns?

A

heat makes the blood move recklessly
heat stirs wind
empty wind agitating the interior
collapse of yin and collapse of yang

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6
Q

6 stages of Pattern ID: what are the different stages?

A

Greater Yang Taiyang (Exterior) (UB & SI)
Bright Yang Yangming (Qi level ST & INTS)
Lesser Yang Shaoyang (alt between interior/exterior) (GB&SJ)

Greater Yin Taiyin (interior def cold) (LU,SP)
Lesser Yin Shaoyin (most critical) (HT, KD)
Terminal Yin Jueyin (LV, PC)

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7
Q

With the Greater Yang stage (Taiyang) what are the 4 patterns?

A

Invasion of Wind Cold with prevalence of Wind

Invasion of Wind Cold with prevalence of Cold

Accumulation of Water

Accumulation of Blood

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8
Q

What are the s/sx of Taiyang wind cold attack with emphasis on wind?

A

sl. aversion to cold, aversion to WIND, sl fever, sl. sweating, headache & stiff neck, sneezing, floating slow pulse

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9
Q

what are the s/sx of Taiyang wind cold attack with emphasis on cold?

A

aversion to cold, sl fever, NO sweating, headache and stiff neck, sneezing runny nose with white discharge, breathlessness, floating tight pulse.

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10
Q

S/Sx of Accumulation of Water in the Taiyang level?

A

aversion to cold, fever, retention of urine, sl thirst, vomiting of fluids soon after drinking. Floating rapid pulse

(Although the Taiyang is not in the interior the pathogenic factor is in the UB while there’s still s/sx on the exterior in this pattern)

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11
Q

S/Sx of Accumulation of Blood in the Taiyang stage?

A

hypogastric distention, fullness & urgency, blood in urine, mental restlessness & reddish purple tongue w/ coat, deep fine rapid or deep & choppy pulse.

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12
Q

bright yang stage ( Yangming) is in what organs and what are the s/sx?

A

ST & L.I.

HIGH FEVER, profuse sweating, intense thirst, red face,, feeling of heat, irratability, delirium, red tongue w/ yellow coat. overflowing rapid pulse

(@ this stage the pathogen has transferred into the interior and transformed into heat - pattern is FULL HOT)

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13
Q

What are the 2 types in the Yangming stage?

A

Yangming channel pattern (4 BIGS)

Yangming organ pattern (interior heat in the ST & INTS. However, the heat is more intense & has injured the body fluids and caused dryness

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14
Q

Lesser Yang (Shaoyang stage) s/sx?

A

oscillating from exterior to interior

** it is important to note that the aversion to cold & feeling of heat alternate & are not simultaneous as in the Greater Yang pattern

alternation of shivers (or cold feeling) & fever (or feeling of heat), bitter taste, dry throat, blurred vision, hypochondriac fullness & distention, no desire to eat or drink, irritability, nausea, vomiting, unilateral thin white coating. Wiry - fine pulse

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15
Q

Greater Yin (Taiyin) stage s/sx? (1st stage of the yin patterns)

A

abdominal fullness, feeling cold, vomitting, no appetite, no thirst, diarrhea, tiredness, pale T, sticky white coat.
Deep- weak pulse

(this pattern is characterized by SP yang def with cold)

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16
Q

Lesser Yin Stage (Shaoyin) has how many patterns and what are they?

A

Cold transformation=
feeling cold, chills, lying w/ body curled up, desire to sleep, listlessness, cold limbs, diarrhea, no thirst, frequent pale urine. Pale wet Tongue with coat. Deep-slow-weak pulse

(the pathology of this pattern is essentially KD yang def w/cold)

Heat transformation=
feeling of heat, irritability, insomnia, feverish sensation in 5 center areas, nights sweats, dry mouth-throat, little coat red tongue, thready rapid pulse.

(KD yin def w empty heat)

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17
Q

Terminal Yin Stage or Jueyin s/sx?

A

persistent thirst, feeling of energy rising to the chest, pain & heat sensation in the heart region, hungry but no desire to eat, cold limbs, diarrhea, vomiting or vomit of roundworms, wiry pulse.

(this pattern is characterized by heat above and cold below)

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18
Q

What 4 bigs characterize the Yangming channel?

A

Big sweat, big thirst, big fever, big pulse

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19
Q

How does the pulse differ between the Bright Yang channel and the organ pattern?

A

The pulse in the channel pattern is overflowing and rapid or Big & rapid.

The organ pattern would have a deep -full -slippery-rapid, which represents the deeper location of the fire.

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20
Q

Which organ pattern does the greater Yin pattern most resemble?

A

SP yang deficiency

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21
Q

What tongue & pulse would you expect in the lesser Yin pattern?

A

pale wet tongue with white coating. Deep weak slow pulse. ( KD Yang def)

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22
Q

Give one symptom of each in the heat above and cold below of the terminal yin stage?

A

Heat above: thirst, feeling of energy rising in the chest, pain and heat sensation in the chest, hunger

Cold below: no desire to eat, vomiting, diarrhea, cold limbs

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23
Q

Who formulated and set down the theory for of ID patterns for the 4 levels and what was his book called?

A

Te Tian Shi

Study of Warm Dz (Wen Bing Lun) 18th century

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24
Q

Give the 5 special characteristics of warm dz?

A 
the all manifest with a fever
they enter through the nose and mouth
they are infectious 
the pathogenic factors are rapid
the pathogenic factor has a strong tendency to injure yn
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25
Q

Give 3 general s/sx of a pathogenic factor at the Qi level?

A

fever, thirst, feeling of heat, mental restlessness, red tongue with thick yellow coat and rapid full pulse

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26
Q

Give 2 general symptoms which differentiate Ying level from Qi level?

A

fever at night and a deep red tongue w/o coat

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27
Q

Which symptom is a definite sign that the heat has reached the blood level?

A

macules

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28
Q

What 3 pathogenic factors characterize an invasion of summer heat?

A

external wind, dampness and interior heat

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29
Q

How would you expect the tongue look with heat in the nutritive level

A

red without coating (heat has injure d the yin)

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30
Q

What are the 3 general symptoms which characterize heat in the blood level?

A

fever @ night, bleeding, internal wind

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31
Q

What are the 3 main patterns of Latent Heat and give their levels

A 
Lesser yang (Qi level)
Bright yang (Qi level)
Lesser Yin (blood level)
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32
Q

Which organ pattern corresponds to the pattern of wood not generating fire?

A

deficient gall bladder

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33
Q

Describe the symptoms and their pathology caused when earth does not generate metal?

A

PHL in the chest, cough and tiredness caused by a deficient SP, leading to the accumulation of PHL which obstructs the LU’s

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34
Q

Identify the clinical manifestations in terms of their 5 element sequence pattern: dizziness
blurred vision
headaches and vertigo

A

water not generating wood

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35
Q

If a patient has multiple symptoms involving the LU’s but has a yellow face?

A

in the earth element (the face color usually shows the origin of the disharmony

36
Q

Which internal organ pattern corresponds to the pattern of fire insulting water?

A

KD & HT are not harmonized. or KD or HT yin deficiency with empty heat

37
Q

Wood overacting on Earth?

A

LV & SP/ST disharmony

LV Qi stagnation w/ SP Qi def

38
Q

Water not generating wood?

A

KD yin def w/ LV yang rising

(low back/knee pain, tinnitus, seminal emissions, dizziness, blurred vision, vertigo, headache, irritability

39
Q

Water insulting earth?

A

KD & SP yang def

(pale complexion, cold limbs and body, chronic loose stools or cocks crow, watery stool w undigested particles, edema, difficult urination. pale tender tongue with slippery coat. deep slow weak pulse)

40
Q

How does identification of patterns according to the 3 Burners relate to that of the 4 levels?

A

The patterns of the middle burner are essentially the same as those of the Qi level and those of the lower burner are essentially as some of those of the blood level.The patterns of the of the upper burner occur at 3 depths: Wei, Qi and Ying.

41
Q

At which of the 4 levels is the pattern Heat in the LU’s?

A

@ the Qi level

42
Q

Give 3 examples of Heat in the pericardium

A

high fever @ night, a burning sensation of the epigastrium, cold limbs, delirium and aphasia

43
Q

You suspect a diagnosis of Heat in the bright Yang. The patient has a high fever, thirst, feels hot and has no aversion to cold. Do these s/sx support your diagnosis?

A

yes

44
Q

describe the tongue and pulse for the pattern Heat in the KD’s

A

Deep red tongue without coating. Floating empty pulse and rapid pulse

45
Q

What is Etiological pattern identification?

A

analysis of the s/sx and bodily
evidence of the disease as well as any
objective reasons in order to grasp the disease cause, differentiate the nature of the pattern
and determine the treatment method

46
Q

What are pathogenic factors?

A

（病因）
also cause of disease, are pathogens, etiological factors, or
causative factors, which refers to the reasons
for breaking up the state of relative balance in
the body and leading to development of
disease. Such as pathogenic wind, heat,
coldness, or blood stasis, phlegm, or parasite,
and trauma injury, etc.

47
Q

What are the primary pathogenic factors

A

Exopathogenic factors

Endopathogenic factors

48
Q

What are the secondary pathogenic factors?

A

PHL
Blood stasis
Stone

49
Q

In pathogenic factors that aren’t primary or secondary factors what are some other factors?

A

trauma injury, parasites, genetic factor, toxicity etc

50
Q

What are the differences between endopathogens and exopathogens

A

Endopathogens are the 7 emotions, improper diet, overstrain.

Exopathogens are 6 evils Qi & pestilence (fatal or epidemic dz)

51
Q

The conditions for six climatic factors to

transform into six pathogenic factors, what are they?

A

– Sudden or extremely, or appear in wrong season

– Antipathogenic qi insufficient

52
Q

pattern caused by wind,

wind attack s/sx?

A

wind, cold, heat, damp & dryness

53
Q

Wind Bi s/ sx according to Etiology Pattern ID

A

joint pain, goiter, arthritis

54
Q

Wind water according to Etiology Pattern ID s/sx

A

wind prevents the LU from opening the water passages to diffuse and descend fluids. Edema, swollen eyelids, superficial pulse

55
Q

wind blocks the collaterals according to Etiology Pattern ID s/sx

A

blocks Qi circulation, causing issues with muscle and tendons

56
Q

Cold Pattern according to Etiology Pattern ID s/sx and what season?

A

Winter or summer from AC’s

Yin pathogen damage yang Qi (could be exterior or ZF)

loose stools, afraid of or aversion to cold, cold limbs, and cold pain, joint stiffness, aching or pain, spasms in the limbs. tight or slow pulse

57
Q

cold attack of the exterior would have sweating or no sweating and what other 2 important symptoms?

A

No sweating, chills and fever

58
Q

cold attack in the interior would look like what?

A

and cold relieved by warmth, vomiting clear fluids, borborygmus & loose stools (Qi & dampness accumulate)
deep tight or wiry pulse

59
Q

cold bi looks like what?

Especially for elderly or someone who lives in a cold environment

A

joint pain, cramping, difficult bending or stretching

60
Q

Summerheat pattern s/sx? Is it internal or external? What season?

A

ALWAYS EXTERNAL, it cannot be internal

early summer (hot & humid) YANG Pathogen

high fever, irritability, surging pulse, red face and eyes, dizziness, blurred vision, restlessness or even coma, sweating, SOB, thirsty, red tongue, fatigue (dampness)
UNSURFACED FEVER

61
Q

what is a unsurfaced fever?

A

the longer you feel someones skin or forehead the more heat you feel. (this is the dampness holding back at first touch)

62
Q

wind rashes cause?

A

pathogenic wind lodged in interstitial

space

63
Q

Wind can combine and usually does with heat, cold, damp that attack the body surface, the defensive Qi rises up to fight the pathogens, LU Qi dispersing and descending function is impaired. What s/sx do you start to see?

A

ALL have chills and fever with a superficial pulse.

heat= sore throat, sweating, rapid pulse

cold= headache, cough w/ thin white sputum, body ache, tight pulse

damp= wrapped headache, body ache, heaviness, PHL & slippery pulse

64
Q

Summer Warm pathology and s/sx

A 
heat invade and transfer into the 
body rapidly, impair body fluids 
and qi, generate wind, Consume 
body fluids and impairs qi  
Acute onset with high fever, profuse 
sweating, irritability, restless, sever 
thirst, headache, or manic, coma, 
convulsion or even opisthotonus
65
Q

sun stroke cause and s/sx

A 
Long time exposure to sun with 
physical activities, or staying in a 
hot and poor ventilation place. 
Heat upward disturb Heart spirit, 
damage body fluids

Restlessness, irritability, vexation,
Sudden fever, profuse sweating,
thirst and hasty breathing, Fainting,
loss consciousness, and cold limbs

66
Q

damp is a yin type pathogen, what are it’s characteristics and s/sx?

A

impairs yang Qi and obstructs Qi circulation,

s/sx are Full sensation in the chest,
epigastric distention, difficult and
scanty urination, edema, poor
appetite, loose stool, etc

67
Q

Dampness that is heavy and stagnates can impair the SP what are the six?

A

Poor appetite, loose stool,

bloating snd distention

68
Q

If dampness is turbid and lingers, it is difficult to cure, recurrent or has a long course you would get s/sx that look like?

A

Eczema, osteoarthritis,
damp fever (intestinal
thyphoid), etc.

69
Q

What are the patterns caused by Dampness?

A 
Dampness attack body exterior 
Invade by dampness 
Damp-Bi  
Damp-warm 
Damp-rash (Eczema)
70
Q

Dampness attack

the exterior characteristics and s/sx?

A

External dampness invading suppress
defensive qi, obstruct the Lung qi,
impair the Spleen qi, and restrict the
yang qi ascending and outward

Aversion to cold, fever, wrapped and
heavy headache, suffocated sensation in
the chest, poor appetite, bloating, nausea,
no thirst, heavy and aching limbs, general
lassitude and heaviness, greasy coating,
superficial and slippery or soft pulse

71
Q

Invade by dampness characteristics s/sx?

A

Dampness obstruct qi circulation, clear
yang not able to ascend and reach out

Wrapped heavy headache, heavy and
aching limbs, general lassitude

72
Q

dampness Bi characteristics and s/sx?

A

Dampness obstruct channels and
collaterals, lodge in lower extremities
joints

Joint pain, numbness, stiffness with heavy
sensation, may have some degree of
swelling, worse in the low extremities

73
Q

Damp warm characteristics & s/sx?

A 
Damp-warm hidden in the qi level or 
in the middle burner, dampness and 
heat mixed and lock in each other, heat 
accumulates inside dampness, and 
dampness constraints the heat from 
radiating out and emitting to the 
surface

Un-surfaced fever, fever aggravated in the
afternoon, and not relieves after sweating,
it may linger for days or weeks. Bloating,
nausea, lassitude, heavy limbs, poor
appetite, sticky stool and incomplete
feeling after defecation.

74
Q

Damp rashes Eczema characteristics & s/sx?

A

Damp-heat accumulates on body
surface area, with attack by exterior
wind

Small, fluid-filled bumps that become
moist and ooze. And red, crusted, or open
lesions may appear on any area affected

75
Q

Dry pathogen characteristics and S/sx?

A 
Consumes body fluids   Dry mouth and lips, dry 
nose and throat, dry and 
chapped skin, scanty urine, 
and dry stool  
Apt impair lung, cause 
lung lost its dispersing 
and descending 
function  
Dry cough without phlegm, 
or with phlegm but difficult 
expectorate, or with blood 
stained sputum, or even 
with hasty breathing and 
chest distress or chest pain
76
Q

There are two pattern for Dryness which occurs during what season and is yang or yin?

A

Yang, Winter (heater high) or autumn dryness (early warm, late cool)

Warm dryness

Cool dryness

77
Q

Pathogenisis & S/sx of cool dryness?

A 
Cool dryness attack lung cause 
lung lost its dispersing and 
descending function 
Slight headache, aversion to cold, no 
sweating, cough with little sputum, 
itching throat, nasal congestion, dry 
nose and mouth, white coating, 
superficial pulse
78
Q

Warm dryness pathogenesis & s/sx?

A

Dryness heat attacks lung cause
lung lost its dispersing and
descending function

Fever with sweating, thirst, dry 
throat, cough with chest pain, or 
with little sticky bloody sputum, 
scanty urine and dry stool. Dry 
yellow coating, and superficial rapid 
pulse
79
Q

Excess Fire (yang pattern) different pathogenesis:

A

Fire in the Qi level

Fire in the Ying level

Fire in the Xue level

Fire disturb heart spirit

Fire exuberance stirring wind

80
Q

What do all fire pathogenesis have in common as far as s/sx?

A

red face, sweating, thirst and desire for cold drink, yellow urination, red tongue with yellow coat and rapid pulse

81
Q

Fire in the Qi level, what are the s/sx?

A

High fever worse between 3-5 pm,
sweating, thirst and desire for cold
drink, irritability, constipation,
surging pulse

82
Q

Fire in the Ying level

A

Fever worse in the evening, thirst but
no desire to drink, irritability,
insomnia, deep red or crimson
tongue, rapid pulse

83
Q

Fire in the blood level s/sx?

A

Various types of bleeding or macule

papule eruptions

84
Q

Fire disturb Heart spirit s/sx?

A

Irritability, uneasiness, Coma,

delirium

85
Q

Fire exuberance stirring

wind

A

Convulsion

86
Q

Heat Toxic / Fire or Heat accumulate in local area spoils and ulcerates the flesh

A

Boils, sores, skin ulcers, abscesses, with local

redness and sswelling

Zang Fu 2 (1 decks)

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