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T1 Lumiere, Fnl Patr

Basic Patterns for Fall FInal, Lumiere, Bastyr

QuestionAnswer
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
Created by: bastyr41 on 2011-11-23



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