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HT/KD TCM Path
| Question | Answer |
|---|---|
| HT Location | situated in thorax above diaphragm, surrounded by pericardium |
| HT Functions | Circulates blood, Controls vessels, Houses Spirit, Rules spiritual activity |
| HT Role | Emperor; governs vital activity of human body |
| HT Characteristics | Opens into tongue, Manifested in face, body tissue is vessels, body fluid is sweat |
| HT Element/Emotion | Fire/Joy |
| HT Deficiency types | Chronic impairments, congenital deficiency, emotional irritants to damage HT qi and yang and consume HT blood and yin |
| HT Excessive types | Phlegm obstruction, Fire disturbance, Cold accumulation, Blood Stagnation, Qi Congestion |
| HT common sxs | Palpitations, Restlessness, Chest pain, insomnia, excessive dreaming, poor memory, delirium |
| Heart Qi | Regulates rate and rhythm (left ventricular function) |
| Heart Blood | Nourishing (coronary artery) |
| Heart Yin | more calming, peaceful (pulmonary artery) |
| Heart Yang | more energetic, hyperfunction (right ventricular function) |
| Excessive heat in SI refer to | Hyperactivity of HT fire |
| Deficient cold in SI refer to | SP Yang Deficiency |
| Stagnation of SI Qi refer to | Cold accumulating in LV meridians |
| HT Qi Xu sxs (3) | Palpitations (fast), Shortness of breath, Spontaneous sweating; worse w/ physical exertion, |
| HT Yang Xu = | Qi Xu + Cold + Blood Stasis |
| HT Yang Xu sxs (3) | Palpitations (slow), Chest Pain, Cold extremities; weak/deep slow pulse |
| HT Yang Collapse sxs (5) | Sudden/profuse cold sweating, Chest Pain, Cyanosis, Cold Limbs, Disorientation/coma; short/weak/fading pulse, short tongue |
| HT Yang Collapse in WM | MI d/t CHD, CHF, R/L Ventricular failure |
| HT Qi/Yang Xu Tx | Reinforce HT Qi and warm HT Yang |
| HT Qi/Yang Xu Etiology (3) | Prolonged illness/sever disease; Congenital deficiency, Old age |
| HT Blood/Yin Xu Etiology (3) | Blood production problem d/t SP Qi Xu, Blood Loss d/t hemorrhage, Blood Consumption d/t overthinking/worrying, Heat |
| HT Blood sxs (4) | Palpitations (slow), Insomnia, Excessive dreaming, Poor memory; dizziness, sallow face, pale lips |
| HT Yin Xu sxs (4) | Palpitations (fast), Insomnia, Excessive dreaming, Poor memory; five center sensations, afternoon fever, night sweats, flush face |
| HT Yin Xu in WM | Perimenopause (irritability, impatience, insomnia) |
| HT Blood/Yin Xu Tx | Nourish HT Blood/Yin to reinforce the spirit, whole foods diet, blood/yin tonices |
| Hyperactivity of HT Fire Etiology (3) | Mental stress/depression, Exogenic pathogenic factors turning to fire, poor diet (inflammatory diet-coffee/alcohol/smoking/spicy foods) |
| Hyperactivity of HT Fire sxs (4) | Mental restlessness, insomnia, ulceration/pain of mouth/tongue, hot/deep/hesitant/painful yellow urine (bleeding); red face, thirst, body feels warm |
| Hyperactivity of HT Fire Tx | Reducing the Heart Fire via urination and/or BM, drink lots of water |
| HT Blood Stagnation Etiology (4) | Heart Qi and Yang Xu, Smoking cigarettes, Obesity, High Blood Pressure |
| HT Blood Stagnation Triggers (5) | Physical Exertion, Mental Stress, Cold Weather, Excessive Eating, Excessive Sexual Activity |
| HT Blood Stagnation sxs (1) | Intermittent Chest Pain (stabbing/stuffy referring to shoulder/arm, palpitations, cyanosis of face, lips, nails, cold limbs, spontaneous sweating, thready/hesitant/missed-beat, fading pulse |
| HT Blood Stagnation Tx | Reinforcing the HT Yang to move circulation |
| HT Blood in WM | Angina (stable/unstable), MI, |
| Phlegm Misting the HT/Fire Disturbing the HT Etiology | Mental depression resulting in retardation of qi circulation and inability of qi to disperse accumulation of body fluid leading to phlegm |
| Phlegm Misting HT sxs | Depression type (cold, yin, downward direction); depressed/negative mood, poor self esteem/concentration, apathy/hopeless/suicidal, introverted, staring at walls, sleepy, insomnia, low libido, poor appetite/weight gain, loss of consciousness |
| Phlegm Fire Disturbing HT sxs | Manic Type (heat/fire, yang, upward direction), restless/irritable/anxious, offensive/over-confident/extroverted, violent, insomnia/excessive dreams, high libido/energy, big appetite/cravings/weight loss, red face, thirst, constipation/concentrated urine |
| Phlegm Misting the HT/Fire Disturbing the HT Tx | Clear HT and resolve phlegm |
| KD element/emotion | water/fear |
| KD opens...controls...manufactures...manifests... | ears, bones, bone marrow, head hair |
| KD body fluid | thick saliva |
| KD two yins | anus and genitals |
| KD functions | Stores essence, receive qi, dominate human development/reproduction, dominate water meatbolism |
| Essence types(2) | vital substance (DNA/genes), sexual substance (sperm/egg) |
| KD Yang Xu | Failure of vital gate fire |
| KD Yang Xu Etiology | Constitutional Yang Xu, KD weakness in old age, Prolonged illness, or excessive sexual activity |
| KD Yang Xu Sxs | LBP/Weak Knees, Cold aversion, cold limbs, PAD |
| KD Yang Xu T/P | T: pale, flabby w/ white coat; P:deep/weak |
| KD Yang Xu Sexual/GI sxs | Impotence/Infertility, Undigested food/Diarrhea(5am), pitting edema, abd. distention, |
| KD Yang Xu Tx | Warm and reinforce KD Yang |
| KD Yin Xu Etiology (6) | Prolonged illness, Congenital, Excessive sex, Warm/dry medications, Blood Xu, Over-Emotions |
| KD Yin Xu Sxs | LBP/Weak knee joints, Dizziness/Tinnitus, Insomnia w/ excessive dreams (fantasy-nocturnal emissions), yin xu sxs |
| KD Yin Xu Sexual Sxs | Abnormal frequent erection, premature ejaculation, nocturnal emissions, fantasy dreaming (too much thinking); Oligomenorrhea/Amenorrhea, Vaginal Dryness, pain during intercourse leading to low libido |
| KD Yin Xu T/P | T: Dry red w/ little or no coating P: Thready and rapid |
| KD Yin Xu Tx | Nourish KD Yin and Clear deficient heat (estrogen, tofu) |
| KD Yin Xu in WM | Menopause |
| KD Jing Xu Etiology | Congenital inheritance, Deficiency of Acquired nutrition, Excessive sexual activity, prolonged illness |
| KD Jing Xu Adult Sxs | Teeth (loose/loss), Hair (gray/loss), Bones (osteoporosis/arthritis), Sexual Fxn (amenorrhea/infertility/impotence), Brain (senile/dementia) |
| KD Jing Xu Children Sxs | 5 Slows (Standing, Walking, Teething, Hairing, Speaking), 5 Soft (Head/Fontanelles, Neck (unable to lift head), Hands (weak grip), Feet (flop/drag), Muscle weakness) |
| KD Jing Xu in WM | Alzheimers, Premature, Cerebral Palsy, Autism |
| KD Jing Xu T/P | T: Small; P: Thready, weak |
| KD Jing Xu Tx | Tonify KD essence |
| KD Qi Insecurity | Failure to perform function of regulation of discharge of urine and semen |
| KD Qi Insecurity Etiology | Senile debilitation, Juvenile mal-development of KD Qi, Damage from sexual intemperance, Prolonged illness |
| KD Qi Insecurity Sxs | PFADS, lbp/weak knees, poor hearing, frequent dribbling/incontinence, enuresis, nocturia, seminal emission/efflux, premature ejaculation, clear leukorrhagia, miscarriage |
| KD Qi Insecurity in WM | Bladder prolapse, Benign Prostatic Hypertrophy |
| KD Qi Insecurity T/P | T: pale w/ white coat; P: deep/weak |
| KD Qi Insecurity Tx | Securing KD Qi to regulate semen and urine metabolism |
| KD Fail to Grasp Qi | Failure to hold down qi sent down by LU in respiration |
| KD Fail to Grasp Qi Etiology | Prolonged cough/asthma, LU Xu, damaged KD, other chronic diseases |
| KD Fail to Grasp Qi Sxs | More exhalation/less inhalation, prolonged cough/asthma; SOB d/t exertion, lbp/weak knees, s.sweating, lassitude, lower voice |
| KD Fail to Grasp Qi T/P | T: pale w/ white coat; P: deep/weak |
| KD Fail to Grasp Qi Acute Sxs | Dyspnea, profuse cold sweat, cold extremities, blue face, tachypnea; floating/big pulse w/o root |
| KD Fail to Grasp Qi w/ Yin Xu sxs | Flush face, irritation, dry throat/mouth; red tongue, thready/rapid pulse |
| KD Fail to Grasp Qi in WM | Emphysema, COPD, Asthma |
Created by:
phdinh33
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