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TCMPathFinal
BodyFluids, Phlegm, LU, LI
| Question | Answer |
|---|---|
| Body Fluid | Normal fluids in body (saliva, CSF, gastric/intestinal juices, tears, sweat, nasal discharge, urine |
| Body Fluid Formation/Distribution (Mouth to Skin) | Water(Mouth)->ST->SP->LU->HT(blood circulation)->wei qi->Skin(sweat) |
| Body Fluid Formation/Distribution (Mouth to Urine) | Water (Mouth)->ST->SP->LU->KD->UB->Urine and ST->SI (Ye)->KD->UB->Urine |
| Body Fluid Formation/Distribution (Mouth to Stool) | Water (Mouth)->ST->SI->LI->Stool |
| LU affects water metabolism | regulate water passages by descending/dispersing |
| SP affects water metabolism | key organ in water metabolism by transforming/transporting function and separations. |
| KD affects water metabolism | dominates water metabolism |
| LV affects water metabolism | circulates qi which moves fluid |
| Upper Jiao | HT/LU:dominates descending/dispersing → “vapor-like fog” (sweat) |
| Middle Jiao | SP/ST:dominates digestion → “foamy” (fluid that moisturizes body/blood) |
| Lower Jiao | KD/LV:dominates separation of clear from turbid → “drainage ditch” (urine/stool) |
| San Jiao functions (2) | Circulate Yuan Qi and internal water passage circulation (irrigation) |
| Body Fluid functions | Moisten and nourish body |
| Jin | Mobile/Clear/Thin fluids distributed on skin/muscles/orifices/fills blood to moisten (LI dominates) |
| Ye | Thick/Heavy fluids stored in bone/joints/bowels/viscera/brain/marrow nourishes (SI dominates) |
| Jin Ye | Body Fluids made from Gu Qi of food. |
| Body Fluid as Mother of Qi | Carries Qi, Nourishes Qi |
| Qi as Commander of Body Fluid | Promotes body fluid, Moves body fluid, Controls body fluid |
| Blood and Body Fluid | Nourish each other and therefore Sweating can damage blood and bleeding can damage body fluids |
| Deficiency Type Pathologies | Deficiency |
| Excess Type Pathologies | Damp (thinner than water), Water (edema), Beverage Syndrome (thicker than water), Phlegm (more concentrated) |
| Damp | moisture, yin pathogenic factor → damage yang and qi, can be mixed with heat, ex. candida, HIV (damp heat) |
| Water | thin, pure liquid |
| Beverage | water mixed with components (Cold Damp) |
| Phlegm | thick, sticky, turbid, congealed/condensed water |
| Fluid Deficiency | Not enough fluid to moisten/nourish organs and tissues in body |
| Fluid Deficiency Etiology (2) | Fluid production problems (deficiency of SP/ST, dz limiting water/intake); Fluid loss (febrile illness, excessive sweating/bleeding/urination/vomiting/diarrhea, high metabolism) |
| Fluid Deficiency Manifestations | (Dryx5)Dry mouth/throat/cracked lips; Dry skin/stool, scanty urine |
| Fluid Deficiency Organs Affected | ST (dry mouth/throat/lips/tongue crack); LU (dry skin/cough); LI (dry/hard stool); KD (scanty urine) |
| Fluid Deficiency Tongue/Pulse | Dry/Red Tongue; Rapid/thready |
| Fluid Deficiency Tx | Nourishing yin (water) and replenish fluid |
| Fluid Deficiency Complications (4) | Blood Deficiency, Qi Deficiency, Yin Deficiency, Damaged Immune System |
| Damp Characteristics/Sxs | Heaviness/Sinks, Sticky, Stagnation, Yin (cold) pathogenic factor can damage Yang, Excess/Prolonged Dampness becomes Heat/Fire |
| Edema Syndrome | Subcutaneous retention of fluid leading to puffiness of head, face, eyelids, limbs, abdomen, even whole body. |
| Edema | Leaking of fluids from normal pathways from space between skin and muscles |
| Yang Edema Etiology | External and Internal pathogenic factors |
| External pathogenic factor for Edema | invasion of wind upon the lung resulting in dysfunction of LU dispersion (strep infxn-> acute nephritis) |
| Internal pathogenic factor for Edema (4) | Living in damp place/Wading through water/Drenched by rain/irregular food intake damaging SP transformation/transportation (acute allergic food reaction) |
| Yang Edema Manifestations | abrupt onset edema, puffy face/eyelids->anasarca, lustrous skin, scanty urine, aversion to cold/chills/fever/body ache/sore throat (wind heat invasion) |
| Yang Edema Tongue/Pulse | Thin white or yellow coating; floating/slippery and rapid pulse |
| Yang Edema Tx | Disperse LU and remove retained liquid; Diaphoretics/Diuretics/Purgatives |
| Yang Edema Summary | Acute/Abrupt, puffy/swollen face/eyelids/above waist, shiny skin, LU->SP, slippery/floating/rapid, thin white/yellow |
| Yin Edema Summary | Chronic/Insidious, pitting ankle/below waist, dim/rough skin, SP Qi->KD yang, deep/weak, pale, puffy, flabby |
| Yin Edema Etiology | Overstrain, Internal injury, indulgent sexual activity leading to weakness of SP and KD |
| Yin Edema in WM | Acute → Chronic Nephritis/Renal failure, CHF, Cirrhosis, Protien/B1 Deficiency |
| Yin Edema Manifestations | Insidious onset edema (esp. below waist), pitting, rough/dim skin, scanty urine, poor appetite, loose stool, ascites, fatigue, soreness/weakness of low back/legs, cold limbs (aversion to cold) |
| Yin Edema Tongue/Pulse | White moist coating and pale flabby tongue; Deep and weak pulse |
| Yin Edema Tx | Warm yang and remove the retained liquid (Diuretics/Purgatives), limit fluid intake, no sexual activity, |
| Beverage Syndrome | (aka Yin Syndrome) Water mixed with components. Dz resulting from thin and clear fluid retention between organs, meridians, and tissues. |
| Beverage Syndrome Etiology | Hypofunction or impairment of internal organs |
| Tan Yin | aka “Phlegm-like”, Location: Stomach, Intestines |
| Tan Yin Clinical Manifestations | abd. distention, prefers warm, splashing sound in upper abd, watery vomiting, no thirst/thirst but dislikes drinking, poor appetite/weight loss, dizziness; |
| Tan Yin T/P | Swollen w/ white/sticky tongue coating, slippery pulse |
| Tan Yin in WM | Pyloric Stenosis or GI Tract Obstruction |
| Tan Yin Diagnoses | SP Qi Xu, SP Yang Xu |
| Xuan Yin | aka “Hanging”, location: hypochondrium |
| Xuan Yin Manifestations | pain in chest/hypochondria, aggravated by cough/bringing up sputum/breathing/upper body movement, SOB |
| Xuan Yin T/P | Sticky, white tongue coating, deep/wiry pulse |
| Xuan Yin in WM | Pleural effusion mostly by CHF, Pleurisy, |
| Yi Yin | aka “Overflow”, location: limbs |
| Yi Yin Manifestations | Edema/pain/heaviness in limbs/joints, fever, aversion to cold, no sweating |
| Yi Yin T/P | Sticky, white tongue coating, wiry/tight pulse |
| Yi Yin in WM | Arthritic Effusion (fluid in joint cavity-water on knee) |
| Zhi Yin | aka “Branch out”, location: chest, diaphragm |
| Zhi Yin Manifestations | cough, asthma, dyspnea, foam-like sputum, fullness in chest, inability to lie flat, repeated occurrences of illness, worse in cold |
| Zhi Yin T/P | Sticky, white tongue coating, wiry/tight pulse |
| Zhi Yin in WM | Bronchiectasis from recurrent infection or cystic fibrosis |
| Yin Syndrome Tx | Warm Yang and Dissolve beverage in body |
| Substantial Phlegm | Visible, LU (sputum) |
| Nonsubstantial Phlegm | Invisible, Between organs/meridians, under skin (cysts, tumors, fibroids, stones, goiters, phlegm misting mind/HT, plum pit qi |
| Phlegm Syndrome | Thick, Turbid Fluid Retention between organs, meridans, and tissues. |
| Phlegm Syndrome Etiology | Invasion of External pathogenic factors, emotional disorders, impairments of internal organs |
| Phlegm Syndrome in LU | substantial: cough/asthma, expectorates viscous and turbid sputum |
| Phlegm Syndrome in SP | substantial: distention in abdomen, poor appetite, nausea/vomiting phlegm (mostly damp phlegm), excessive vaginal discharge |
| Phlegm Syndrome in LV | vertigo, “plum pit” throat, numbness of limbs, apoplexy (copious extravasation of blood: stroke, CVA), nodes/masses |
| Phlegm Syndrome in HT | mental confusion, coma, rattle in throat, epilepsy, depression, mania, schizophrenia |
| Phlegm Syndrome T/P | Sticky Tongue coating, Slippery Pulse |
| Phlegm Syndrome Tx | Strengthen SP and resolve the phlegm (LU contains phlegm, SP produces phlegm) |
| Types of Phlegm (5) | Phlegm Heat/Fire, Cold Phlegm, Damp Phlegm, Dry Phlegm, Wind Phlegm |
| Phlegm Heat Etiology | Internal/Eternal Heat or Emotions; Heat consumes Qi and Fluids → Phlegm |
| Phlegm Heat Manifestations | Yellow color phlegm and/or tongue coating |
| Phlegm Heat in WM | Lung infection |
| Cold Phlegm Etiogy | Internal/External Cold, Excess Yin Accumulation/Yang Xu; Cold and congestion of body fluids |
| Cold Phlegm Manifestations | White color phlegm and/or coating, slippery pulse |
| Cold Phlegm in WM | Seasonal Allergies |
| Damp Phlegm Etiology | SP Qi Xu, External Damp (esp late summer) |
| Damp Phlegm Manifestations | Sticky phlegm, heavy extremities, dizziness, vertigo, chest stiffness, excessive vaginal discharge; thick tongue coating, slippery pulse |
| Damp Phlegm in WM | Candida in GI and respiratory tract |
| Dry Phlegm Etiology | Pathogenic/External dryness, dries out fluid (esp in fall) |
| Dry Phlegm Manifestations | Glue-like phlegm, LU problems (dry cough or sputum, hard to expectorate, hemoptysis-severe) |
| Wind Phlegm Etiology | Liver Wind, Yin Xu, External Wind d/t internal LV dysfunction |
| Wind Phlegm Manifestations | Neurological sxs (stroke, seizure, numbness, paralysis) |
| LU aka (element) | ”Canopy” (metal), “Vigor's house”, “Qi's Master” |
| LU Spirit | Po (material body of moon-physiological function for instincts (breathing, seeing, etc)) |
| LU Functions (3) | Dominates Qi (Respiration), Dominate Dispersing (skin/wei qi +body hair/sweat), Dominate Descending (Regulate water passages-to KD) |
| Inhalation | LU descends qi + KD grasps qi |
| Exhalation | LU only |
| LU communicates with...opens into... and manifests in ... | Throat and Nose and Body Hair |
| LU Emotion | Grief/sadness |
| LU Deficiency | Qi and Yin, Body Fluid insufficiency |
| LU Excess | Wind cold, Wind heat, Wind dryness, Phlegm attacking |
| LU Qi Xu | Hypofunction of LU Qi d/t chronic cough or asthma (damages LU Qi) or insufficiency of production of Qi (SP/Earth → LU/Metal) |
| LU Qi Xu Manifestations | Feeble cough/asthma, SOB, Spontaneous sweating; low/weak voice, fatigue, cold aversion, catches cold easily, pale face |
| LU Qi Xu T/P | Pale/flabby tongue body w/ teeth marks and thin, white coating; weak pulse (esp. R side d/t angle) |
| LU Qi Xu Tx | Reinforce/Tonify LU and SP Qi (Probiotics/Lotus root), Exercise (Walk/Run/Tai Chi/Swimming) |
| LU Qi Xu in WM | COPD (Asthma, Bronchitis, Emhysema); Long term smokers; Immune Deficiency (recurrent colds/seasonal allergies) |
| LU Qi Xu P/C | Wei Qi Xu (recurrent exterior syndromes), SP Qi Xu, HT Qi Xu (CHF), KD Qi/Yang Xu (failure to grasp qi) |
| LU Qi Xu vs SP Qi Xu | S: Fatigue, Spontaneous Sweating; D: digestive sxs/bloating, loose stool, poor appetite |
| LU Qi Xu vs HT Qi Xu | S: SOB, chest stiffness; D:chest pain/arrythmia, tachycardia, palpitation, insomnia |
| LU Qi Xu vs KD Qi Xu | S: Asthma/Cough; D: More severe asthma/difficulty inhaling, LBP, weak knees, freq. urination, nocturia, sexual dysfunction |
| LU Yin Xu | LU Yin failing to nourish LU producing deficient fire on the interior |
| LU Yin Xu Etiology | prolonged cough (injures LU Yin), pathogenic factors (Heat/Dry attack LU), or KD Yin Xu |
| LU Yin Xu Manifestations | Dry Cough (no phlegm or little/glue-like phlegm), Blood tinged phlegm, Afternoon fever (low grade), Weight Loss; dry mouth/throat, malar flush, night sweats, 5 center heat sensation |
| LU Yin Xu T/P | Dry/red tongue body, dry, peeled coating; rapid/thready pulse |
| LU Yin Xu in WM | Pulmonary Tuberculosis, Lung Cancer, HIV/AIDS, COPD, Steroid use, Sjogrens Syndrome |
| LU Yin Xu Prognosis/Complications | LU Qi Xu, KD Yin Xu |
| LU Yin Xu vs LU Qi Xu | Dry/Weak Cough, Sticky/Thin Phlegm, Blood/No, Afternoon fever/SS, Restless/Fatigue, TB/COPD, Red-Dry-Peeled/Pale-Flabby-Teethmarked, Thready-Rapid Pulse/Weak Pulse |
| LU Yin Xu vs LU Heat | Low grade afternoon fever w/ heat sensations vs Higher fever w/o chills; dry or bloody cough vs productive, yellow cough; rapid/thready vs rapid/flooding |
| LU Yin Xu Tx | Nourish LU and KD Yin -Yin Tonic diet (Asian pear, duck, fresh water fish), Tai Chi |
| LU Cold etiology (2) | Wind Cold attacking body (exterior syndrome) or Cold pathogenic factor directly invades LU |
| LU Cold Sxs | Cough/Asthma (deep/strong/severe/productive [thin, white sputum]); feel cold/chills w/o fever, not thirsty, clear urination/loose stools, runny nose, headache, bodyache |
| LU Cold T/P | White coating; Tight/strong pulse |
| LU Cold in WM | Cold/Flu-sinusitis, Asthma attack, Environmental/Seasonal Allergies |
| LU Cold P/C | Can be cured; Acute cold becomes heat via 2ndary infection; Combine w/ Phlegm, Chronic LU Cold → LU Qi Xu |
| LU Cold DDX | Wind Cold, LU Qi Xu, LU Heat |
| LU Cold vs Wind Cold | Cough/asthma, chills/no fever, P:Strong/tense VS No resp. sx, chills/fever, P:floating/tense |
| LU Cold vs LU Qi Xu | Strong cough, cold sx, P: strong/tense, T: thin/white VS Weak cough, Big 5, P:weak, T:flabby |
| LU Cold Tx | Disperse LU and Eliminate Cold, Eat warm foods (ginger tea)/keep warm, gentle exercise |
| Wind Cold Sx | Chills (averse to wind/cold), Fever, Aches (H/A, Body, Joint) |
| Wind Cold T/P | Thin white coating; Superficial/floating and tense/tight |
| LU Heat Etiology | Wind heat attacking body (exterior syndrome) or Heat directly invading LU or pathogenic cold transforming into heat (secondary infection) |
| LU Heat Sxs (3) | Cough/Asthma (active, frequent, rapid, productive); Yellow/Green/Rusty (w/ blood) sticky sputum; Fever w/o chills; thirst, constipation, scanty/concentrated urine |
| Wind Heat Sxs (3) | Fever, Chills, Sore throat |
| LU Heat T/P | T: Yellow coating, red body; rapid/flooding |
| Wind Heat T/P | Yellow coating, red body; floating/superficial + rapid |
| LU Heat or Wind Heat in WM (3) | Pneumonia, Acute Bronchitis, Strep Throat, Acute tonsillitis |
| LU Heat P/C | Can be cured; Combine w/ phlegm, Heat damages Yin (LU Yin Xu), Heat consumes body fluids (Constipation) |
| LU Heat DDX | Wind Heat, LU Cold, LU Yin Xu, LU Dry |
| LU Heat vs Wind Heat | Fever/no chills, Resp. sx, P:Flooding VS Fever/chills, Sorethroat, P:Floating |
| LU Heat vs LU Cold | Fever/no chills, Yellow T, Heat Sx VS Chills/no fever, White T, Cold Sx |
| LU Heat Tx | Disperse LU and Eliminate Heat (via BM-increase water, fruits/veggies) |
| LU Dry Etiology | Pathogenic dryness invading body and consuming LU Yin or Pathogenic wind heat damaging body fluids → dryness (often seen in autumn) |
| LU Dry Sxs | Dry Cough w/ little sputum too sticky to cough out; dry nose/throat/tongue, chest pain |
| LU Dry T/P | T:Dry w/ thin coating; P:rapid/thready |
| LU Dry in WC | Cold/Flu, Seasonal/Fall Allergies, |
| LU Dry P/C | LU Heat (wei qi xu, pneumonia), LU Yin Xu, LI dryness (constipation) |
| LU Dry Tx | Clear LU and moisten dryness (increase water, pears, soups) |
| Heat Type Dry | Dry cough/no phlegm, Summer to Fall, Blood tinged phlegm, body feels dry, fever, nasal bleeding, SOB, T:Thin yellow, P:Rapid/thready |
| Cool Type Dry | Dry cough/no phlegm, Fall to Winter, No Blood, Less Dry, Chills, nasal obstruction, T:Thin white, P:Tight/tense |
| LU Phlegm Etiology | EPF Wind Cold Damp, Prolonged LU Heat/Cold (cough/asthma) damage DD fxn of water metabolism causing fluid accumulation, SP Qi Xu (poor TT) |
| LU Phlegm Sx | Productive Cough/Asthma, Thick/excessive/white/sticky sputum; cloudy mind/lethargy/laziness/heaviness |
| LU Phlegm T/P | T:Pale w/ sticky coating; P:Slippery/wiry |
| LU Phlegm in WM | Chronic Infection/Dz (ie. COPD), Food Allergy (esp. dairy) |
| LU Phlegm P/C | LU Qi Xu, SP Qi Xu, KD Qi Xu; Easier to catch cold/develop infection |
| LU Phlegm Types | Heat and Cold |
| LU Phlegm Heat | Yellow phlegm, more cough/asthma, Secondary infections (fever), yellow/sticky tongue |
| LU Phlegm Cold | White phlegm, more phlegm, related to food (allergies) |
| LU Phlegm Tx | Eliminate damp and transform phlegm (avoid dairy, ice cream, sugar, fatty/cold foods) |
| LU Phlegm vs LU Qi Xu | More phlegm, excess cough, sticky coating, slippery pulse VS Fatigue, Weak cough, flabby tongue, weak pulse |
| LI Fxns | Receive water (Reabsorption)/Dominate Jin Fluid and Make feces |
| Normal BM | Well formed/long, sinks, easily passed, yellow/brown, not too smelly, in LI time (5-7am) |
| Constipation | Stool too hard/dry, difficult to pass, less frequent |
| LI Damp Heat Etiology | EPF SU Heat, Damp and Toxic Heat invade ST/Intestine, irregular/unclean food intake, excessive raw/cold food (esp in SU and FA) |
| LI Damp Heat Sxs | Diarrhea (yellow/watery/smelly or bloody/white stools), internal heat (high fever, thirst, scanty urine, no sweat), GI (tenesmus, burning at anus, cramping abdominal pain, N/V) |
| LI Damp Heat T/P | T:Yellow/sticky; P:Rapid and rolling or rapid and soft |
| LI Damp Heat in WM | GI/Stomach Flu, Parasites, E. Coli/Food poisoning/Dysentery, Acute Crohns/UC |
| LI Damp Heat P/C | Body fluid deficiency/dehydration, Heat attack PC (unconsciousness), Yang collapse/shock → death, Damage to SP/ST/Intestines |
| LI Damp Heat vs SP Qi Xu | Acute, Heat sx vs Chronic, Weak, no fever |
| LI Damp Heat vs UB Damp Heat | GI tract vs UB Damp frequent, urgent, burning |
| LI Damp Heat Tx | Eliminate Damp in LI, Reinforce SP Qi, (Avoid rich/cold food) |
| LI Fluid Consumption Etiology | Elderly (menopausal women), Women after delivery, Late stage febrile/heat dz |
| LI Fluid Consumption Sx | Constipation w/ hard/dry stools; abdominal distention |
| LI Fluid Consumption T/P | T: Red body w/ yellow rough coating; P:Thready |
| LI Fluid Consumption Complications | Accumulation of toxins, SP/ST Damage, Qi/Yin Damage |
| LI Fluid Consumption Tx | Moisten Intestines, Drink water/fluids, Eat Pear/prunes/dry figs/hemp seed/fiber |
Created by:
phdinh33
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