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TCM Final12.07

TCM Final

Brain: location skull and connects with the spinal marrow
Brain is... the sea of marrow
Head is... the residence of intelligence
Brain's functions(2) 1.Controls mental and thinking activities 2.Dominates vision, hearing, smelling, speaking
Brain closely related to which organs (4) 1.Heart: Consciousness, thinking, memory, sleep 2.Liver: Emotions (anger) 3.Kidney: Congenital Jing (mental retardation) 4.Gall Bladder (decision making)
Uterus location lower abdomen
Function Produces menses and pregnancy
Tian Gui is...(2) ...a substance to induce sexual maturity and fertility ...another term for menses
Chong Mai is... the sea of blood (meridian)
Ren Mai governs... the uterus and fetus (meridian)
Uterus closely Heart: Controls blood Liver: Storage of blood Spleen: Manufacture and storage of essence
Heart & Lung (2x3) Heart controls blood Lung dominates Qi -Qi and blood are interdependent -Blood circulation -Breathing
Heart & Spleen (3x2) Heart controls blood Spleen is the source of producing Qi and blood Spleen controls blood -Blood formation -Blood circulation
Heart & Liver (2x1, 2x2) Heart controls blood Liver stores blood -Heart blood and liver blood Heart houses shen Liver maintains the free flow of Qi -Emotion, sleep -Heart Yin, Liver Yin
Heart & Kidney (3x3) Heart fire - descends to kidney Kidney water - ascends to heart Harmony of heart and kidney -Disharmony between heart and kidney Heart Yin and Kidney Yin Heart Yang and Kidney Yang
Lung & Spleen (2x2) Lung dominates Qi, controls respiration, dispersing/descending, regulates water passages Spleen governs transformation and transportation -Formation of Qi -Body fluid transportation and metabolism
Lung & Liver (2x2) Lung Qi descends Liver Qi ascends -Ascending/Descending of Qi -Invasion of the lung by liver fire: wood counteracting on metal (five elements)
Lung & Kidney (2x3) Lung dominates Qi, controls respiration, dispersing/descending, regulates water passages Kidney regulates water metabolism, receives Qi -Water metabolism -Breathing -Lung Yin and Kidney Yin
Liver & Spleen (2x3) Liver stores blood, maintains the free flow of Qi Spleen controls blood, source of producing Qi and blood -Digestion -Qi movement -Blood circulation
Liver & Kidney (4x2) "Essence and blood have the same source" "Liver and kidney have the same origin" Liver stores blood Kidney stores Jing -Jing and blood -Kidney Yin and Liver Yin
Spleen & Kidney (2x2) Spleen is the aquired root Kidney is the congenital root -Acquired root and congenital root -Kidney Yang and Spleen Yang
Heart & Small Intestine (2) -Heart fire transmits to small intestine -Small intestine heat ascends and affects the heart
Lung & Large Intestine -Dysfunction of lung Qi descending (difficult bowel movement) -Excessive heat in large intestine, constipation (dysfunction of lung Qi descending)
Spleen governs & Stomach receives... Transportation and Food
Spleen/Stomach Qi prefers Sp-ascends, dryness St-descends, moistness
Liver & Gallbladder (2) Dysfunction of liver maintaining free flow of Qi (bile excretion problem) Liver and gallbladder diseases may happen at same time
Kidney & Urinary bladder (2) Kidney Qi deficiency (urination problem) Urination problem is related to both
Relationship among fu organs (3) 1. Functions: receiving, digestion, absorption, excretion 2. "Fu organs are favorable when they are unblocked" 3. "Treatment to remove obstruction in diseases of them plays the same role as the reinforcing method"
Heart functions (2) 1. Controls the blood 2. Houses the Shen
Lung Functions (3) 1. Dominates Qi and controls respiration 2.Dominates dispersing/descending 3.Regulates water passages
Spleen Functions (3) 1. Governs transformation and transportation 2. Spleen Qi Ascending 3. Controls blood
Liver Functions (2) 1. Maintains free flow of Qi 2. Stores blood
Kidney Functions (3) 1. Stores Jing 2. Regulates water metabolism 3. Receives Qi
3 Categories able to cause disease in TCM 1.Exterior factors (6+1) 2.Interior factors (7) 3.Neither exterior or interior factors (7...)
Exterior factors (6+1) Wind, Cold, Summer heat, damp, dryness, fire Li Qi
Extreme climatic changes w/ weak bodily resistance can cause ... disease (by 6 exterior pathogens aka 6 Yin)
4 Characteristics of 6 Exterior Pathogens 1.They are related to seasonal climate and residential environments 2.They may affect the body singly or in combination 3.Under certain conditions, they may transform into each other 4.They usually invade the superficial areas of the body (mouth/nose)
5 Internal pathogens Internal wind, cold, dampness, dryness, fire -caused by Zang Fu dysfunction
Wind relations (4) Spring, Yang, Wood, Liver
1/4: Wind is... Primary exterior pathogen in causing disease
2/4: Wind is Yang pathogen and is characterized by... Upward and outward dispersion -easily invades the upper part and exterior area of the body -affects pores opening and closing
3/4: Wind is apt to... migrate and change -Migratory symptoms -Rapid changes and abrupt onset of disease
4/4: Wind constantly... moves -Movement symptoms: convulsion, tremor, opisthotonos, etc...
Cold relates to... (3) Winter, Yin, Water
1/3: Cold is a... Yin pathogen and tends to impair Yang Qi
2/3: Cold is characterized by... Stagnation: impairs Qi and blood circulation
3/3: Cold is characterized by... Contraction: Impairs pores opening/closing; contraction at tendons, meridians
Summer Heat relates to...(3) Summer, Yang, Fire
1/3: Summer heat is... a yang pathogen and extreme heat (high fever, thirst, profuse sweating)
2/3: Summer heat is... characterized by an upward direction, dispersion and impairing body fluid (excessive sweating)
3/3: Summer heat is... accompanied by dampness (heavy sensations, poor appetite, loose stools)
Damp relations (4) Late summer, Yin, Earth, Spleen
1/4: Damp is...(2) Heavy: heavy sensation in body and joints Turbid: excretion and secretion; turbid urine, loose stools, purulent leuchorrhoea (white/yellow vaginal discharge)
2/4: Damp is...(2) Viscous: sticky, slimy and greasy feature; greasy coating, difficult urination Lingering: has a long course
3/4: Damp tends... to go downward (turbid urine, diarrhea, edema)
4/4: Damp is a... and tends to... Yin pathogen; obstruct Qi movement: distress at chest, abdomen distension, difficult urination Impair Yang Qi: impair spleen transportation, spleen Yang Qi deficiency
Dryness relates to...(4) Autumn, Yang, Metal, Long term disease impairing Jing/blood/body fluid
1/2: Dryness impairs... body fluid (dry nose, mouth, throat, dry, or cracked skin, oliguria, constipation)
2/2: Dryness tends to impair... Lung: delicate organ (easily invades mouth and nose), preferring moisture to dryness
Fire relates to... (4) Heat, Yang, Fire (element, Excess Qi/emotion
1/5: Fire is a... Yang pathogen and tends to burn and flare up (high fever, flushed face, aversion to heat, desire for cool, constipation, dark scanty urine)
2/5: Fire tends to impair... the body fluid and consume Qi (thirst w/ desire to drink, dry mouth/throat, constipation, dark scanty urine, fatigue
3/5: Fire tends to... and disturb... stir up wind (high fever, coma, convulsion, neck rigidity, opisthotonos) blood (speeds up blood circulation and can cause bleeding, bloody stool
4/5: Fire tends to... cause carbuncles and sores (local redness, swelling, heat and pain, suppuration, ulceration)
5/5: Fire tends to... irritate the Shen(insomnia, mania, restlessness, unconsciousness)
Li Qi is ... an epidemic pathogen (highly infectious, communicable)
Li Qi (4) -invades the human body via mouth/nose -has sudden onset (severe conditions of illness) -Similar manifestation, strong infectivity, and epidemicity -covers many of the infectious diseases in Western medicine
Interior factors (7 emotions+1) Joy, anger, worry, thinking, grief, fear, fright + Qi Qing
Qi Qing Sudden and violent onset or long-term persistent emotional stimuli beyond the body's ability to adapt and endure to cause disease (7 interior pathogens)
Zang relations to emotions Heart-Joy Lung-Grief Liver-Anger Spleen-Worry, Thinking Kidney-Fear, Fright
7 emotions affect the... Zang Fu Qi Ji (Qi movement)
Zang Fu Qi Ji Anger causes Qi to rise up Joy causes it to move slowly Grief consumes it Fright causes derangement Worry causes stagnation
1) Improper Diet (2) -Overeating and malnutrition -Intake of unclean food (cold, sweets, greasy foods easy to cause damp status)
7 emotions can directly affect which Internal Zang? (3) Heart, Liver, Spleen
2) Overstrain (3) Physical overstrain: over-exertion results in Qi exhaustion Mental overstrain: impairs the heart blood and spleen Qi Sexual overstrain: injures the kidney Jing
2) Lack of physical activity causes...(2) Qi stagnation and blood stasis
3) Traumatic injuries (broken bone), insect/wild animal bites lead to...(3) -Qi and blood stagnation -Bleeding -Toxins in the body
4) Phlegm and blood stasis are...and can become... -pathological products of Zang Fu dysfunction -pathogenic by blocking Qi movement and further affecting the Zang Fu or tissue's normal functions.
Phlegm is... abnormal accumulation of body fluid (water retention)
Substantial phlegm is... sputum
Non-substantial phlegm is...(4) dizziness, chest tightness,subcutaneous nodules, overweight...
Formation of phlegm by dysfunction of...(3) Lung, spleen, and kidney -exterior pathogenic invasion, 7 interior emotions, improper diet
Characteristics of phlegm (5) -Wide range of signs and symptoms -Accumulation in channels affecting Qi movement/blood circulation -Accumulation in the Zang Fu affects Zang Fu function and Qi movement -Tongue coating thick and greasy -Pulse may be slippery
Blood stasis is (3) -impaired blood circulation (slow movement) -blood stagnation (clots) -blood outside the vessels (bleeds)
Formation of blood stasis d/t impaired blood circulation (4) -Qi deficiency -Qi stagnation -Cold in the blood (constriction) -Heat in the blood (thick)
Blood stasis d/t blood outside vessels (bleeding) -Injury -Qi deficiency -Heat in blood -Blood stasis
Blood stasis characteristics (5) -Pain (stabbing, fixed, pressure) -Color (cyanosis) -Bleeding (dark/purple color) -Skin (dark complexion, dry skin) -Tongue (purple color/spots)
Zheng Qi Bodily functional activities and bodily resistance (Zheng Qi deficiency allows disease)
Xie Qi Various kinds of pathologic factors (pathogens)
Excess syndrome Excess Xie Qi (hyperactivity of pathogenic facor causes excess)
Deficiency syndrome Deficiency of Zheng Qi (consumption of essential Qi causes deficiency)
Yin Yang Imbalance (6) -Excess Yin/Yang -Deficient Yin/Yang -Yin Yang impairing each other -Resistance between Yin Yang -Exhausted Yin or Yang -Yin Yang separating
Abnormal Qi Movement normal: ascending, descending, exiting, entering abnormal: affects function of Zang Fu, channels, Yin Yang, Qi and blood
Pathogenesis (3) -Zheng Qi/Xie Qi Conflict -Yin Yang imbalance -Qi movement abnormal
Treatment Principles (3) Search for Ben (primary cause) -Tonify and drain -Treatment in accordance with seasonal conditions, local conditions, and the physique of an individual
Acute treatment First treat Biao, then Ben
Chronic treatment Treat Ben
Created by: phdinh33