Chinese medical causes of disease
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| 5 external xie (excl. Fire) | Wind, Cold, Damp, Summer Heat, Dryness
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| 4 combined external xie | Wind-Cold, Wind-Damp, Wind-Heat, Damp-Heat
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| 3 Yang external xie | Wind, Heat, Dryness
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| 2 Yin external xie | Cold, Damp
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| Spearhead of disease | Wind
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| Wind behaviour | Arise quickly, change rapidly, move location swiftly, blow intermittently
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| Directions of Wind dispersion | Upward & outward
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| How Wind makes things move | Shake & sway
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| Nature of Wind symptoms | Change rapidly, move around, affect top part of body, itchy
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| Signs & symptoms of external Wind affecting Lungs | Aversion to cold, fever, sneezing, sore throat, occipital stiffness, floating pulse
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| Signs & symptoms of internal Wind affecting Liver | Tics, tremors, convulsions, dizziness, Wiry pulse
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| Functions impaired by Cold | Moving, warming
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| Cold causes pain by | Contracting tissues, obstructing circulation of Qi & Blood
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| Nature of Cold symptoms | Fixed, severe, gripping & contracting pain, better for warmth, worse for cold
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| 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
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| Signs & symptoms of Cold in Uterus | Pain, clots in menstrual blood, infertility
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| Can Cold affect the Large Intestine and Stomach? | Yes
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| External xie that impairs Yang & obstructs Qi circulation | Damp
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| Characterises Damp | Heaviness, dirtiness
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| 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
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| 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
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| External xie characterised by upward direction, dispersion & consumption of Body Fluids | Summer Heat
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| Only xie occuring in just one season | Summer Heat
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| Nature of Summer Heat symptoms | Hot, sudden onset, summertime only
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| Signs & symptoms of Summer Heat | Aversion to heat, sweating, dark scanty urine, headache, dry lips, thirst, Rapid pulse, Red tongue
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| Signs & symptoms of Summer Heat invading Pericardium | Clouding of the mind (delirium, slurred speech, unconsciousness)
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| External xie tending to injure Blood & Yin | Dryness
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| Nature of signs & symptoms of Dryness | Injures Blood, Yin & Body Fluids (esp. Dryness in face)
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| Environments in which symptoms of Dryness can occur | Dry weather, artifically dry environment (eg air conditioning)
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| 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
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| Direction characterising Fire | Upward
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| Fire injures | Blood & Yin
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| Fire depletes ? and affects ? | depletes Qi, affects Shen
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| Nature of Fire signs & symptoms | 'Big', intense, hot!, particularly affects head, redness, agistation, bleeding
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| 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
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| Xie internally generated / derived from other external xie | Fire
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| Wind-Cold symptoms | Aversion to cold & wind, fever, sneezing, clear & watery mucous, Floating Rapid pulse
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| Wind-Heat symptoms | Aversion to cold, fever, sore throat, yellow mucous, Floating Slippery pulse
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| Wind-Damp symptoms | Like Wind-Cold & Wind-heat + bodily heaviness, muzzy head, bloating, Floating Slippery pulse
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| Damp-Heat symptoms | Dirty foul-smelling thick discharges, painful swollen joints, purulent inflamations, sticky-yellow tongue coating, Slippery Rapid pulse
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| Weather in which Damp-Heat particularly arises | Humid
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| The 7 internal causes of disease | Anger, Joy, Worry, Over-thinking, Grief, Fear, Shock
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| Emotions become a cause of disease when they are | extremely intense, prolonged, not expressed/acknowledged
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| Do the emotions affect the Zangfu? | Yes
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| Do the Zangfu affect the emotions? | Yes
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| What does Anger do to Qi? | Anger makes Qi rise
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| Organ affected by Anger | Liver
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| Anger can include | Resentment, repressed anger, irritability, rage, bitterness, hatred, frustration, depression
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| What does Joy do to Qi? | Joy slows Qi down
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| Joy can include | TIGGERS!!!
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| Organ affected by Joy | Heart
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| Organ affected by lack of joy | Heart
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| What does Worry & Over-thing do to Qi? | Worry & Over-thinking knots Qi
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| Organ affected by Worry & Over-thinking | Spleen
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| Worry & Over-thinking can include | Overwork, too much studying, cogitation, worrying obsessively, continually mulling over something
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| What does Grief do to Qi? | Grief dissolves Qi
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| Organ affected by Grief | Lungs
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| Grief can include | Emptiness, longing, sorrow, regret, remorse, sense of loss
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| What does Fear do to Qi? | Fear makes Qi descend
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| Fear can include | Extreme fear, terror, anxiety
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| What does Shock do to Qi? | Shock scatters Qi
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| Organs affected by Shock | Heart & Kidney
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| Shock can include | Fright, sudden intense fear, emotional & physical trauma
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| The 8 Miscellaneous causes of disease | Constitution, Overwork & fatigue, Exercise, Diet, Sex, Trauma, Parasites & poisons, Wrong treatment
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| The 2 Secondary causes of disease | Blood stagnation, Phlegm
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| 2 factors affecting Constitution | Age of parents, shocks in pregnancy
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| 5 sorts of overwork & fatigue | Working while fatigued, heavy work, repitition in work, working long hours, dissatisfaction at work
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| 5 ways exercise causes disease | Insufficient exercise, exercising to point of exhaustion, exercising one area of body, exercising too much at young age, running
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| 8 ways diet causes disease | Malnutrition, over-eating, cold foods, hot foods, Phlegm-forming foods, hurried eating, eating in wrong conditions, insanitary food
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| 2 ways sex causes disease | Too much sex, sex when too young
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| 2 sources of physical trauma | Injury, operations
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