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NESA Int Med WASTING THIRSTING

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Question
Answer
What is wasting?   A serious depletion of the vital substances despite excessive consumption of food and water  
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What is thirsting?   Excessive thirst that is not relieved by drinking  
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What are the main s/s of wasting and thirsting?   Polydipsia, polyphagia; polyuria; weight loss and emaciation  
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What are the main biomedical causes of wasting and thirsting?   Diabetes mellitus and insipidus  
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What are the basic TCM pathologies of wasting and thirsting?   Deficiency of yin and fluids (root) and excess of heat and dryness (manifestation)  
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What are the sites of wasting and thirsting disease?   Lung, Stomach or Kidneys, one of which will be major  
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What are the crucial points in diagnosing wasting and thirsting disease?   1.Identify upper, middle or lower xiao 2.Identify the roots and manifestations  
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What are the general treatment principles for wasting and thirsting disease?   Clear heat, moisten dryness, nourish yin and generate fluids  
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What are the pattern, treatment principle and formula for upper xiao wasting and thirsting disease?   Lung heat with injury to fluids; Clear heat, moisten the Lung, generate fluids and relieve thirst with Xiao Ke Fang  
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What are the pattern, treatment principle and formula for middle xiao wasting and thirsting disease?   Profusion of Stomach fire; Clear the Stomach, drain fire, nourish yin and generate fluids with Yu Nu Jian  
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What are the patterns, treatment principles and formulas for lower xiao wasting and thirsting disease?   (1)Kidney yin xu=Nourish Kidney yin and moisten dryness with Liu Wei Di Huang Wan (2)Kidney yin and yang xu=Warm the yang, nourish yin and tonify and secure the Kidney with Jin Gui Shen Qi Wan  
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Which ingredients can be added to wasting and thirsting disease formulas if blood stasis is a component?   Dan Shen, Tao Ren, Hong Hua, Shan Zha  
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What are the common ingredients used in treatment of wasting and thirsting disease?   Tian Hua Fen, Shan Yao, Huang Jing, Zhi Mu, Sheng Di Huang, Ge Gen, Wu Wei Zi, Mai Men Dong, Huang Qi, Yu Zhu, Shi Hu, Sha Shen, Tian Men Dong  
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What are the main s/s of wasting and thirsting due to Lung heat with injury to fluids?   Irritability, frequent drinking, dry mouth and tongue, polyuria, gradual emaciation, T: red edges, thin yellow coat, P: rapid, flooding  
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What are the main s/s of wasting and thirsting due to profusion of Stomach fire?   Hunger, polyphagia, dry stool, emaciation, T: dry ytc, P: slippery, full, forceful  
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What are the main s/s of wasting and thirsting due to Kidney yin xu?   Polyuria w/turbid, cloudy or sweet urine, dry mouth and lips, 5-palm heat, T: red body, P: rapid, deep, thready  
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