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10.1 Channel probs
Channel Problems and Joint Pain
Question | Answer |
---|---|
An exterior problem affects ... | ... the channels |
An interior problem affects ... | ... the organs |
Where can channel problems manifest? | 1) in the joints - 2) along the channel - 3) in the sense organ or orifice of channel - 4) can be connected to the organ |
What are the general symptoms of a channel problem? | Pain, numbness, tingling or aching along the channel |
Are Full symptoms alleviated by activity or inactivity? | Activity |
What is the pain like with a Full condition? | Intense |
what is the pain like with an Empty condition? | Dull, aching |
What 4 aetiologies/pathologies are involved with channel problems? | 1) EPF invasion - 2) Overuse - 3) Trauma/injury - 4) Problem with the associated organ. |
What does an invasion of EPF cause? | Stagnation of Qi and Blood |
What does overuse cause? | Stagnation of Qi and Blood |
What does trauma/injury cause? | Local stagnation of Qi and Blood |
What is Wind Bi also known as? | Wandering Bi |
What is Cold Bi also known as? | Painful Bi |
What is Damp Bi also known as? | Fixed Bi |
What is Hot Bi also known as? | Febrile Bi |
From what substance does Bony Bi arise? | Phlegm |
The soreness/pain migrates and may involve more than one joint at the same time. What's the Bi Syndrome? | Wind Bi |
The pain is severe and there is limitation of movement. The pain is alleviated by heat. What's the Bi Syndrome? | Cold Bi |
The pain is fixed but is more of a numbness/stiffness than outright pain. What's the Bi Syndrome? | Damp Bi |
The pain is acute in onset and manifests in hot, painful and swollen joints. What's the Bi Syndrome? | Hot Bi |
There is muscular atrophy and deformity. What's the Bi Syndrome? | Bony Bi |
There is sudden, fixed and sever pain with rigidity of the area. What's the problem? | Qi and Blood Stagnation |
A dull ache in the joint and there is numbness and atrophy. Is the problem better with rest or movement? | Rest |
What's the aetiology of Qi and Blood Xu? | 1) overuse, or 2) underlying organ problem |
What causes Qi and Blood Stagnation? | Injury/trauma |
What is the pathology of Hot Bi? | EP Heat in the channel |
What is the aetiology of Hot Bi? | An invasion of EP wind/cold/damp blocks channels causing Heat. |
What is the pathology of Bony Bi? | Phlegm obstructs the channels and joints |
What is the aetiology of Bony Bi? | Retention of body fluids, forming Phlegm |
What is the pathology of Damp Bi? | Invasion of EP Damp in the channels |
What is the aetiology of Damp Bi? | External or Internal Damp |
What is the pathology of Wind Bi? | Symptoms due to EP Wind in the channels |
What is the aetiology of Wind Bi? | Invasion of EP Wind |
What is the pathology of Cold Bi? | Symptoms due to EP Cold in channels |
What is the aetiology of Cold Bi? | Invasion of EP Cold |
In what circumstances do you treat the Channel only? | When there is an external cause, ie overuse, injury, EPF |
In what circumstances do you treat both the Channel and the Organ? | When there is an external and internal cause, eg overuse, injury, EPF resulting from Internal weakness |
In what circumstances do you treat the Organ only? | When there is only an Internal cause |
When treating channel problems/joint pain, should you use mainly Yin or mainly Yang channels? | Yang |
What needle technique/s should you use for a Full condition? | Reduction or Even |
What needle technique should you use for an Empty condition? | Tonification |
For Channel problems, should you use thicker or thinner gauge needles? | Thicker |
For Organ problems, should you use thicker or thinner gauge needles? | Thinner |
In what way does Moxibustion help a joint/muscle problem? | To warm a Cold condition and to move Qi |
How does Cupping help a joint/muscle problem? | Clears obstructions caused by PFs or muscle spasms |
When should you employ Bleeding? | When Blood Stagnation causes congested veins or a dark, swollen area |
What will the pulse quality be for Wind Bi? | Rapid, floating, wiry |
What will the pulse quality be for Cold Bi? | Wiry or tight |
What will the pulse quality be for Damp Bi? | Slow, slippery, deep |
What will the pulse quality be for Hot Bi? | Rapid, slippery |
What will the pulse quality be for Bony Bi? | Variable [sorry] |
What will the pulse quality be for Qi and Blood Stagnation? | Choppy or wiry |
What will the pulse quality be for Qi and Blood Deficiency? | Deficient |
What would be the treatment principles for Wind Bi? | Expel Wind, clear blockage from Channel |
What would be the treatment principles for Cold Bi? | Scatter Cold, warm Channels |
What would be the treatment principles for Damp Bi? | Resolve Damp, clear blockage from Channel, tonify Spleen |
What would be the treatment principles for Hot Bi? | Clear Damp-Heat and Wind, free the Channels |
What would be the treatment principles for Bony Bi? | Clear Phlegm from the Channels |
What would be the treatment principles for Qi and Blood Stagnation? | Activate Blood and Qi, remove Pain |
What would be the treatment principles for Qi and Blood Deficiency? | Tonify Qi and Blood, support underlying deficiency |