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T1 Lumiere, Fnl Patr
Basic Patterns for Fall FInal, Lumiere, Bastyr
Question | Answer |
---|---|
TCM DDx Headache: | Exogenous patterns - Wind cold - Wind heat Wind damp - Endogenous patterns - Liver yang rising - Liver fire - Phlegm damp - Blood stagnation - Qi and blood deficiency - Kidney yin deficiency |
Describe TCM Exogenous DDx of headache: | Wind cold Wind heat Wind damp |
Describe Endogenous TCM DDx of headache: | Liver yang rising Liver fire Phlegm damp Blood stagnation Qi and blood deficiency Kidney yin deficiency |
3 Qualities of Insomnia in TCM | Over-stimulation and/or agitation from heat Constrained by qi and/or blood stagnation Not anchored by sufficient blood, yin, or jing |
TCM DDx of Insomnia? | Liver fire Liver blood deficiency Phlegm heat disturbing the heart Heart and/or kidney yin deficiency Heart and spleen qi and blood deficiency Heart and gallbladder qi deficiency Stomach Heat Restless organ syndrome |
Tx principles of Wind cold headache: | Release the exterior Expel wind Dispel cold Relieve pain |
Tx principles of Wind heat headache: | Release the Expel wind heat Relive pain |
Tx principles of Wind damp headache: | Release the exterior Expel wind damp Relive pain |
Tx principles of Liver yang rising headache: | Soothe liver, move liver qi stagnation Descend yang Tonify yin Clear heat Relive pain |
Describe treatment of Liver fire headache? | Treated similarly to liver yang rising headache, with what important differences? |
Is liver fire headache shi or xu? | Shi |
Treatment principles of Phlegm damp headache? | Dispel damp Resolve phlegm Tonify stomach and spleen Raise the clear yang Relive pain |
Treatment principles of Blood stagnation headache: | Move qi and blood Relive pain |
Treatment principles of Qi and blood deficiency headache: | Tonify ST and SP qi Tonify KI qi Tonify blood Raise the clear yang |
Treatment principles Kidney deficiency headache: | Tonify KI qi Tonify ST and SP qi Raise the clear yang Relive pain |
What are the general types of insomnia? | Difficulty falling asleep Waking a lot during the night Waking too early and not being able to get back to sleep Waking feeling unrefreshed |
DDX of normal sleeping patterns: | Normal drowsiness present Early in am or Mid-afternoon If sleepy at other times then probably not getting enough sleep If tired but can’t fall asleep during the day then likely suffering from fatigue |
Describe chronic fatigue: | Associated with illnesses and treatments such as chemotherapy Does not improve with rest or sleep |
Define Insomnia in TCM? | Shen dysfunction |
3 Qualities of Insomnia in TCM | Overstimulation and/or agitation from heat Constrained by qi and/or blood stagnation Not anchored by sufficient blood, yin, or jing |
TCM DDx of Insomnia? | Liver fire Liver blood deficiency Phlegm heat disturbing the heart Heart and/or kidney yin deficiency Heart and spleen qi and blood deficiency Heart and gallbladder qi deficiency Stomach Heat Restless organ syndrome |
Tx principles of Lv Fire insomnia? | Clear heat from the heart Soothe liver Calm shen |
Tx Liver Blood Xu insomnia principles: | Tonify liver blood Soothe liver qi Reduce liver wind |
Tx principles of Phlegm heat disturbing the heart insomnia: | Clear heat from the heart Calm shen Transform phlegm Disperse damp |
Main points and methods for Phlegm heat disturbing the heart insomnia: | ST 44, SP 4, SP 9, ST 40, HT 7, HT 8, PC 6, Ren 12, bleeding ghost points (3 max. per session) |
Tx principles Heart and/or kidney yin deficiency insomnia: | Clear deficiency heat Calm shen Tonify kidney and heart yin |
Tx principles for Heart and spleen (qi and blood) deficiency insomnia | Tonify heart and spleen Tonify qi and blood Calm shen |
Tx principles Heart and gallbladder qi deficiency insomnia | Calm shen Tonify heart qi Tonify gallbladder qi Soothe liver |
Tx principles of (qi and blood) due to Restless organ syndrome: | Calm shen Tonify heart yin Tonify spleen qi Soothe liver |
PMS Types: | Type A: Anxiety Type C: Cravings Type H: Hyperhydration Type D - Depression |
According to Guy Abraham, MD who made the preceding categorizations, PMS has three generalized causal factors: | Diet Hormonal irregularity Stress |
Describe the 4 phase model of the menstrual cycle: | Phase 1: period Phase 2: post-period Phase 3: ovulation Phase 4: post-ovulation |
Describe how the 4 phase model relates to Yin and Yang: | Yin half of cycle, phases 1 and 2 Yang half, Phases 3 and 4 |
Describe Phase 1 of Menstruation in TCM: | Phase 1, period The chong empties Endometrial lining is shed Best time of cycle to regulate blood and qi (in cases of blood and/or qi stagnation) |
Describe Phase 2 of Menstruation in TCM: | Phase 2: post-period Yin and blood re-fill ren and chong Endometrial lining proliferates Follicles ripen From day 5 to ovulation best time to tonify blood and yin |
In general, when does yin change to yang? | At ovulation |
What do you think happens next in the cycle in terms of yin and yang? | Basal body temp drops |
Describe Phase 3 of menstruation cycle: | Phase 3: ovulation Chong and ren are completely filled Yin transforms to yang Egg bursts from ripened follicle Egg moves towards uterus Regulate qi and blood |
Describe Phase 4 of menstruation cycle: | Phase 4: post-ovulation Progesterone rises along with BBT, cervical fluid dries At end of phase w/o fertilization, estrogen and progesterone levels sharply drop, along w/ BBT Warm yang if implantation desired Regulate qi and blood |
Describe PMS and PMDD* in TCM: | Yin fails to completely transform to yang Resulting yang deficiency Reduced flow of qi and stagnation of fluids |
Primary cause of PMS and PMDD* in TCM: | Liver qi stagnation. |
What else could cause yin to fail to completely transform to yang? | Yin Xu, Blood Xu. Blood Stagnation,(uterine Fibroids), Yang xu, (Cold), Dampness |
Define PMDD: | * Premenstrual dysphoric disorder |
DDSx of PMS/PMDD patterns: | Liver qi stagnation (may lead to liver fire rising) Spleen and kidney yang deficiency Heart and spleen qi and/or blood deficiency Phlegm heat harassing the heart Liver blood deficiency Liver and kidney yin deficiency |
Tx principles Liver qi stagnation PMS: | Move liver qi Soothe liver qi |
Tx principles Spleen and/or kidney yang deficiency PMS: | Tonify spleen qi and yang Tonify kidney qi and yang |
Tx principles HT and SP qi and blood deficiency PMS: | Tonify spleen qi Tonify heart qi and blood Calm shen |
Tx principles Phlegm fire harassing the heart PMS: | Clear heat Clear damp Transform phlegm Calm the shen |
Tx principles Liver blood deficiency PMS : | Harmonize liver Tonify blood Tonify spleen |
Tx principles Liver and kidney yin deficiency PMS: | Tonify liver yin Tonify kidney yin Soothe and move liver qi |