Basic Patterns for Fall FInal, Lumiere, Bastyr

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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

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Describe TCM Exogenous DDx of headache:

Wind cold Wind heat Wind damp

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Describe Endogenous TCM DDx of headache:

Liver yang rising Liver fire Phlegm damp Blood stagnation Qi and blood deficiency Kidney yin deficiency

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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

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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

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Tx principles of Wind cold headache:

Release the exterior Expel wind Dispel cold Relieve pain

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Tx principles of Wind heat headache:

Release the Expel wind heat Relive pain

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Tx principles of Wind damp headache:

Release the exterior Expel wind damp Relive pain

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Tx principles of Liver yang rising headache:

Soothe liver, move liver qi stagnation Descend yang Tonify yin Clear heat Relive pain

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Describe treatment of Liver fire headache?

Treated similarly to liver yang rising headache, with what important differences?

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Is liver fire headache shi or xu?

Shi

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Treatment principles of Phlegm damp headache?

Dispel damp Resolve phlegm Tonify stomach and spleen Raise the clear yang Relive pain

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Treatment principles of Blood stagnation headache:

Move qi and blood Relive pain

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Treatment principles of Qi and blood deficiency headache:

Tonify ST and SP qi Tonify KI qi Tonify blood Raise the clear yang

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Treatment principles Kidney deficiency headache:

Tonify KI qi Tonify ST and SP qi Raise the clear yang Relive pain

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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

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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

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Describe chronic fatigue:

Associated with illnesses and treatments such as chemotherapy Does not improve with rest or sleep

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Define Insomnia in TCM?

Shen dysfunction

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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

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TCM DDx of Insomnia?

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Tx principles of Lv Fire insomnia?

Clear heat from the heart Soothe liver Calm shen

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Tx Liver Blood Xu insomnia principles:

Tonify liver blood Soothe liver qi Reduce liver wind

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Tx principles of Phlegm heat disturbing the heart insomnia:

Clear heat from the heart Calm shen Transform phlegm Disperse damp

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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)

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Tx principles Heart and/or kidney yin deficiency insomnia:

Clear deficiency heat Calm shen Tonify kidney and heart yin

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Tx principles for Heart and spleen (qi and blood) deficiency insomnia

Tonify heart and spleen Tonify qi and blood Calm shen

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Tx principles Heart and gallbladder qi deficiency insomnia

Calm shen Tonify heart qi Tonify gallbladder qi Soothe liver

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Tx principles of (qi and blood) due to Restless organ syndrome:

Calm shen Tonify heart yin Tonify spleen qi Soothe liver

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PMS Types:

Type A: Anxiety Type C: Cravings Type H: Hyperhydration Type D - Depression

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According to Guy Abraham, MD who made the preceding categorizations, PMS has three generalized causal factors:

Diet Hormonal irregularity Stress

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Describe the 4 phase model of the menstrual cycle:

Phase 1: period Phase 2: post-period Phase 3: ovulation Phase 4: post-ovulation

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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

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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)

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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

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In general, when does yin change to yang?

At ovulation

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What do you think happens next in the cycle in terms of yin and yang?

Basal body temp drops

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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

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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

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Describe PMS and PMDD* in TCM:

Yin fails to completely transform to yang Resulting yang deficiency Reduced flow of qi and stagnation of fluids

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Primary cause of PMS and PMDD* in TCM:

Liver qi stagnation.

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What else could cause yin to fail to completely transform to yang?

Yin Xu, Blood Xu. Blood Stagnation,(uterine Fibroids), Yang xu, (Cold), Dampness

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Define PMDD:

* Premenstrual dysphoric disorder

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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

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Tx principles Liver qi stagnation PMS:

Move liver qi Soothe liver qi

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Tx principles Spleen and/or kidney yang deficiency PMS:

Tonify spleen qi and yang Tonify kidney qi and yang

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Tx principles HT and SP qi and blood deficiency PMS:

Tonify spleen qi Tonify heart qi and blood Calm shen

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Tx principles Phlegm fire harassing the heart PMS:

Clear heat Clear damp Transform phlegm Calm the shen

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Tx principles Liver blood deficiency PMS :

Harmonize liver Tonify blood Tonify spleen

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Tx principles Liver and kidney yin deficiency PMS:

Tonify liver yin Tonify kidney yin Soothe and move liver qi

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Created by: bastyr41

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