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Causes of disease
Chinese medical causes of disease
| Question | Answer |
|---|---|
| 5 external xie (excl. Fire) | Wind, Cold, Damp, Summer Heat, Dryness |
| 4 combined external xie | Wind-Cold, Wind-Damp, Wind-Heat, Damp-Heat |
| 3 Yang external xie | Wind, Heat, Dryness |
| 2 Yin external xie | Cold, Damp |
| Spearhead of disease | Wind |
| Wind behaviour | Arise quickly, change rapidly, move location swiftly, blow intermittently |
| Directions of Wind dispersion | Upward & outward |
| How Wind makes things move | Shake & sway |
| Nature of Wind symptoms | Change rapidly, move around, affect top part of body, itchy |
| Signs & symptoms of external Wind affecting Lungs | Aversion to cold, fever, sneezing, sore throat, occipital stiffness, floating pulse |
| Signs & symptoms of internal Wind affecting Liver | Tics, tremors, convulsions, dizziness, Wiry pulse |
| Functions impaired by Cold | Moving, warming |
| Cold causes pain by | Contracting tissues, obstructing circulation of Qi & Blood |
| Nature of Cold symptoms | Fixed, severe, gripping & contracting pain, better for warmth, worse for cold |
| General signs & symptoms of Cold | Aversion to cold, cold limbs, contraction of tendons, thin watery clear fluid discharges, pale tongue, white coat, Slow / Tight pulse |
| Signs & symptoms of Cold in Uterus | Pain, clots in menstrual blood, infertility |
| Can Cold affect the Large Intestine and Stomach? | Yes |
| External xie that impairs Yang & obstructs Qi circulation | Damp |
| Characterises Damp | Heaviness, dirtiness |
| Nature of Damp symptoms | Sticky, lingering, heavy, worse in damp environment, worse for lack of movement, slow to arise & leave, causes swelling & bloating, worse for Damp-forming foods |
| Examples of Damp signs & symptoms | Heavy limbs, heavy & muzzy head, no appetite, bloating, stuffy feeling in epigastrium/chest, recurrent dirty discharges/secretions, Swollen tongue body, sticky tongue coat, Slippery pulse |
| External xie characterised by upward direction, dispersion & consumption of Body Fluids | Summer Heat |
| Only xie occuring in just one season | Summer Heat |
| Nature of Summer Heat symptoms | Hot, sudden onset, summertime only |
| Signs & symptoms of Summer Heat | Aversion to heat, sweating, dark scanty urine, headache, dry lips, thirst, Rapid pulse, Red tongue |
| Signs & symptoms of Summer Heat invading Pericardium | Clouding of the mind (delirium, slurred speech, unconsciousness) |
| External xie tending to injure Blood & Yin | Dryness |
| Nature of signs & symptoms of Dryness | Injures Blood, Yin & Body Fluids (esp. Dryness in face) |
| Environments in which symptoms of Dryness can occur | Dry weather, artifically dry environment (eg air conditioning) |
| Example signs & symptoms of Dryness | Acute dry cough, dry throat, dry mouth, dry nose, dry lips, dry skin, dry stools, scanty urination, Floating pulse, Dry tongue coat & body |
| Direction characterising Fire | Upward |
| Fire injures | Blood & Yin |
| Fire depletes ? and affects ? | depletes Qi, affects Shen |
| Nature of Fire signs & symptoms | 'Big', intense, hot!, particularly affects head, redness, agistation, bleeding |
| Example Fire signs & symptoms | Easily feels hot, likes cool, red/flushed, intense thirst, bitter taste, dark scanty urine, sore throat, red inflamed eyes, mania, 'reckless' haemorrhage, Full Overflowing pulse, Red tongue, Yellow tongue coat |
| Xie internally generated / derived from other external xie | Fire |
| Wind-Cold symptoms | Aversion to cold & wind, fever, sneezing, clear & watery mucous, Floating Rapid pulse |
| Wind-Heat symptoms | Aversion to cold, fever, sore throat, yellow mucous, Floating Slippery pulse |
| Wind-Damp symptoms | Like Wind-Cold & Wind-heat + bodily heaviness, muzzy head, bloating, Floating Slippery pulse |
| Damp-Heat symptoms | Dirty foul-smelling thick discharges, painful swollen joints, purulent inflamations, sticky-yellow tongue coating, Slippery Rapid pulse |
| Weather in which Damp-Heat particularly arises | Humid |
| The 7 internal causes of disease | Anger, Joy, Worry, Over-thinking, Grief, Fear, Shock |
| Emotions become a cause of disease when they are | extremely intense, prolonged, not expressed/acknowledged |
| Do the emotions affect the Zangfu? | Yes |
| Do the Zangfu affect the emotions? | Yes |
| What does Anger do to Qi? | Anger makes Qi rise |
| Organ affected by Anger | Liver |
| Anger can include | Resentment, repressed anger, irritability, rage, bitterness, hatred, frustration, depression |
| What does Joy do to Qi? | Joy slows Qi down |
| Joy can include | TIGGERS!!! |
| Organ affected by Joy | Heart |
| Organ affected by lack of joy | Heart |
| What does Worry & Over-thing do to Qi? | Worry & Over-thinking knots Qi |
| Organ affected by Worry & Over-thinking | Spleen |
| Worry & Over-thinking can include | Overwork, too much studying, cogitation, worrying obsessively, continually mulling over something |
| What does Grief do to Qi? | Grief dissolves Qi |
| Organ affected by Grief | Lungs |
| Grief can include | Emptiness, longing, sorrow, regret, remorse, sense of loss |
| What does Fear do to Qi? | Fear makes Qi descend |
| Fear can include | Extreme fear, terror, anxiety |
| What does Shock do to Qi? | Shock scatters Qi |
| Organs affected by Shock | Heart & Kidney |
| Shock can include | Fright, sudden intense fear, emotional & physical trauma |
| The 8 Miscellaneous causes of disease | Constitution, Overwork & fatigue, Exercise, Diet, Sex, Trauma, Parasites & poisons, Wrong treatment |
| The 2 Secondary causes of disease | Blood stagnation, Phlegm |
| 2 factors affecting Constitution | Age of parents, shocks in pregnancy |
| 5 sorts of overwork & fatigue | Working while fatigued, heavy work, repitition in work, working long hours, dissatisfaction at work |
| 5 ways exercise causes disease | Insufficient exercise, exercising to point of exhaustion, exercising one area of body, exercising too much at young age, running |
| 8 ways diet causes disease | Malnutrition, over-eating, cold foods, hot foods, Phlegm-forming foods, hurried eating, eating in wrong conditions, insanitary food |
| 2 ways sex causes disease | Too much sex, sex when too young |
| 2 sources of physical trauma | Injury, operations |