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117 Cards in this Set
- Front
- Back
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itchy throat, cough w/ thin white sputum, fever, HA, nasal obstruction/discharge.
P-superficial T-thin white coat dx? rx? |
-cough, WC type
-lu7, li4, ub13 |
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hesitant urination, fullness/pain lower abdomen
t-thin white coat p-deep wiry? |
-dysuria caused by qi dysfx
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etiology & pathology for epilepsy?
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1. fear & fright
2. dysfx of lv in smooth flow of qi 3. irregular food intake damage sp/st |
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lv 1 for nocturnal enuresis?
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pt is used according to meridian theory
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itchy throat, cough w/ thin white sputum, fever, HA, nasal obstruction/discharge.
P-superficial T-thin white coat dx? rx? |
-cough, WC type
-lu7, li4, ub13 |
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hesitant urination, fullness/pain lower abdomen
t-thin white coat p-deep wiry? |
-dysuria caused by qi dysfx
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etiology & pathology for epilepsy?
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1. fear & fright
2. dysfx of lv in smooth flow of qi 3. irregular food intake damage sp/st |
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lv 1 for nocturnal enuresis?
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pt is used according to meridian theory
lv meridian is around goes around the genitals |
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Melancholia etiology?
4. |
1. depression of the qi in the lv-lv qi goes up to attack mind
2. transformation of depressed qi into F-F leading to disharmony of organs 3. stagn. of P-disorder of sp/st cause fire 4. insufficiency of bld |
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depression of the qi in the lv Melancholia s/s?
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mental depression, distress of the chest, hypochondriac pain, abdominal distension, vomiting, belching, anorexia or abdominal pain, abnormal bowl movement
t-thin sticky coat p-string taut |
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transformation of depressed qi into F Melancholia s/s?
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HA, dryness, bitter taste in mouth, irritability, distress of the chest, hypochoncriac distention, acid regurgitation, constipation, red eyes, tinnitus
t-red, yellow coat p-string taut, rapid |
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stagn. of P Melancholia s/s?
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plum pit qi hard to spit out or swallow
t-thin sticky coat p-string taut, rolling |
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insufficiency of bld Melancholia s/s?
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grief w/out reasons, capricious joy or anger, suspicions, liability to get frightened, palpitation, irriability, insomnia, sudden distress of the chest, hiccup, sudden aphonia, convulsions, loss of consciousness in severe cases
t-white coat p-string taut, thready |
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Melancholia tx P?
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-soothe the liver, strengthen sp & harmonize st, dispel the fire from the lv & strengthen the st fx, soothe the lv, remove the depression, regulate the flow of qi & resolve P, nourish bld, soothe the lv & refresh & tranquilize the mind
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depression of the qi in the lv Melancholia?
rx 6 |
ub15, ren17, ren12, st36, sp4, lv3
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ransformation of depressed qi into F Melancholia?
rx 5 |
ren13, te6, gb34, lv2, gb34
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stagn. of P Melancholia?
rx 5 |
ren12, ren17, pc6, st40, lv3
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insufficiency of bld Melancholia?
tx P rx |
-nourish bld, soothe lv, refresh & tranquilize the mind
-ren14, ht7, sp6, lv3 |
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Melancholia supplementary pts?
1. distress of chest 2 2. hiccup 2 3. sudden aphonia-loss of voice 2 4. convulsion 2 5. loss of consciousness 2 |
1. pc6, ren17
2. sp4, ren22 3. ht5, ren23 4. li4, gb34 5. du26, kd1 |
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HA etiology?
3 |
1. HA due to invasion of pathogenic W into the meridians and collaterals
2. HA due to upsurge of lv yang 3. HA du to xu of qi & Bld |
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HA due to invasion of pathogenic W into the meridians and collaterals s/s?
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HA occures on exposure to W. pain may extend to the nape of neck/back regions. it is viole boring & fixed pan
t-thing white coat p-string taut *head wind |
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HA due to upsurge of lv yang s/s?
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HA, blurred vision, severe pain on the bilateral sides of the head, irritability, hot temper, flushed face, bitter taste in mouth
t-reddened w/ yellow coat p-string taut, rapid |
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HA du to xu of qi & Bld s/s?
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lingering HA, dizziness, blurred vision, lassitude, lusterless face, pain relieved by warmth & aggravated by cold, overstrain or mental stress
p-weak, thready t-pale w/ thin white coat |
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HA due to invasion of pathogenic W into the meridians and collaterals?
tx P rx 1. occipital 3 2. frontal 5 3. temporal 4 4. parietal 4 5. heavy belt 4 5. inside 5 |
-dispel W, remove the obstruction in the meridians & collaterals, regulate the qi & bld & check the pain
1. gb20, ub60, si3 2. st8, yintang, du23, li4, st44 3. taiyang, gb8, te5, gb41 4. du20, si3, ub67, lv3, 5. gb20, ub10, sp3, lu7 5. du30, du16, si3, ub67, kd3 |
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HA due to upsurge of lv yang?
tx P rx 5 |
-pacify the lv yang
-gb20, du20, gb5, gb43, lv2 |
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HA du to xu of qi & Bld?
tx P rx 6 |
-tonify & regulate the circulation of the qi & bld promoting the clear qi to ascend & the turbid qi to descend
-du20, ren6, ub28, ub20, ub23, st26 |
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tapping HA tx?
main 2ndary |
-along L1-S4 (lumbar)
-gb20, taiyang, gb14 |
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Yang HA?
1. taiyang 2. yangming 3. shaoyang |
-more severe than yin
1. occipital 2. frontal 3. temporal |
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Yin HA?
1. jueying 2. taiyin 3. shaoyin |
-less pain than yang, longer last
1. parietal 2. heavy belt 3. inside |
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Facial pain etiology?
3 |
1. invasion by pathogenic W&C
2. excessive F in the lv & st 3. xu of yin & shi F |
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Facial pain due to invasion by pathogenic W&C s/s?
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abrupt onset of pain occurs like an elctric shock. pain is cutting, boring, intolerable, transient & parosysmal. each attack lasts a few seconds-1 or 2 min. It may recur several times a day. Tender points can be found on the supraobital foreman,infraorbital forman, cheek foreman, lateral side of ala nasi, angle of the mouth, nasolalabial groove, where pressure induces the stack of pain. The pain is often accompanied by local spasm, running nose, lacrimation, salivation, or by ext.
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Facial pain due to excessive F in the lv & st s/s?
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similar to attack by W&C accompanied by irritability, hot temper, thirst, constipation
t-yellow dry coat p-string taut, rapid |
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Facial pain due to xu of yin & shi F s/s?
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insidious pain, emaciation, malar flus, soreness in the lumbar region, lassitude, pain aggravated by fatigue
t-reddened, no coat p-thready, rapid |
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Facial pain due to invasion by pathogenic W&C?
tx p |
promote the circulation of qi and bld in the diseased area
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Facial pain due to excessive F in the lv & st?
tx P |
bring down the fire w/ reducing method
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Facial pain due to xu of yin & shi F?
tx P |
nourish the yin to dissipate the F
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Facial pain Rx?
1. supraorbital region 4 2. mandibular region 5 3. maxillary region 4 |
1. gb14, taiyang, ub2, te5
2. st7, st6, st5, jiachengjiang, li5 3. st2, si18, li20, li4 |
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Facial pain supplementary pts?
1. invasion by W&C 2. shi F in lv & st 2 3. xu of yin & shi F 2 |
1. gb20
2. lv3, st44 3. kd6, sp6 |
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deviation of eye & mouth etiology?
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deviation of eye/mouth is due to paralysis of the facial muscles caused by the attack of pathogenic W & C on yangming & shaoyang meridians, which leads to malnutrition of muscle of regions of the meridians
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deviation of eye & mouth?
tx P rx 8 |
-eliminate W & remove the obstruction of meridians
-te17, gb14, taiyang, si18, st7, st4, st6, li4 |
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deviation of eye & mouth s/s?
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sudden onset, usually right after waking up, incomplete closure of the eye in the affected side, drooping of teh angle of mouth salivation & inability to frown, raise the eyebrow, close the eye, blow out the check, show the teeth or whistle, & in some cases pain in the mastiod region or HA
t-thin white coat p-superficial tense or superficial slow |
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deviation of eye & mouth supplementary pts?
1. HA 2. difficulty frowning/raise eyebrow 3. incomplete closure of eye 5 4. difficult sniffling 1 |
1. gb20
2. ub2, te23 3. ub2, ub1, gb1, yuyao, te23 4. li20 |
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deviation of eye & mouth supplementary pts?
1. deviation of philtrum 2. inability to show teeth 3. tinnitus/deafness 4. tenderness at mastoid region 2 |
1. du26
2. st3 3. gb2 4. gb12, te5 |
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deviation of eye & mouth long standing cases?
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-warming needle or moxa
taiyang, st6, st4, st3, st7, -cupping tx affected side w/ small cups every 3-5 days -if healthy side is stiff needle local pts on both sides |
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pain in hypochondriac region etiology?
2 |
1. stagnation of qi
2. xu type-poor health |
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pain in hypochondriac region shi types?
2 |
1. stagnation of qi
2. stagnation of bld |
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pain in hypochondriac region stagnation of qi s/s?
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distending pian in the coastal & hypochondriac region, stifling sensation in the chest, sighing, poor appetite, bitter taste in mouth
t-thing white coat p-string aut *severity of the symptoms varies with the changes of emotional state |
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pain in hypochondriac region stagnation of bld s/s?
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fixed stabbing pain in the hypochondriac region, intensified by pressure and at night
t-dark purplish proper p-deep, hesitant |
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pain in hypochondriac region xu type s/s?
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dull pain lingering in the coastal & hypochondriac area, dryness of the mouth, irritability, dizziness, blurring of vision
t-red, little coat p-rapid or weak, thready |
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pain in hypochondriac region shi type?
tx p rx 3 supplementary pt 1. stagn, qi 2 2. stagn. bld 2 |
-remove the stagnation of lv qi & the obstruction in the collaterals
-lv14, te6, gb34 1. lv3, gb40 2. ub17, ub8 |
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pain in hypochondriac region xu type?
tx p rx |
-nourish essence & bld, invigorate circulation of qi, relieve pain
-lv14, ub18, ub23, st36, sp6, lv3 |
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other tx of pain in hypochondriac region?
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-huatuojiaji pts
-cutaneous needling tap over affected area, then apply cupping |
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empirical pt pain in hypochondriac region?
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te6
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low back pain etiology?
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1. invasion by pathogenic C & D
2. xu of kd qi 3. trauma due to spain or contusion |
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CD low back pain s/s?
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after exposure to to C&D, aggravated by in rainy days, heavy sensation & stiffness of muscles in dosolumbar region, limitation of extension & flexion of the back, pain radiating downward to buttock & lower limbs, cold feelings of affected area
t-white sticky coat p-deep, slow, weak |
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kd xu low back pain s/s?
2 kinds? |
insidious onset of protracted pain & soreness accompained by lassitude & weakness of the loins & knees, aggraved by fatique, better with bed rest
kd yang xu-cramp in abdomen, pallor, normal taste in mouth, C limbs t-pale, p-deep, thready or slow kd yin xu-irritability, insomnia, dry mouth/throat, flused fase, feverish in chest palms soles, t-red, scanty coat, p-thready weak or thready rapid |
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trauma low back pain s/s?
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history of sprain of the lumbar region, ridigity & pain of lower back which is generally fixed in a certain area, aggravated by pressure & by turning body
t-pink or dark purplish p-string taut, hesitant |
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low back pain tx
1. invasion by pathogenic C & D 2. xu of kd qi 3. trauma due to spain or contusion rx 3 |
1. promote the circulation of qi & disperse the pathogenic factors
2. strengthen the kd & activate the qi circulation 3. promote the circulation fo qi & bld to stop pain -ub23, du3,, ub40 |
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low back pain supplementary pts?
1. CD 2 2. xu of kd yin 2 3. trauma 3 |
1. ub25, 26
2. ub52, kd3 3. du26, yaotongxue, ashi pt |
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low back pain other tx?
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tx the corresponding huatuojijai pts
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bi syndromes etiology?
2 |
1. attack of pathogenic factors on individuals w/ weakened body resistance-obstruction of qi & bld due to:
a) invasion of the meridians & collaterals by pathogenic W, C & D b) general weakness of the body w/ xu of yang qi c) dysfx of the pores & weakness of defensive yang 2. body constitution |
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bi syndromes d&d?
4 |
1. xing bi/wandering bi-W
2. tong bi/painful bi-C 3. zhao bi/fixed bi-D 4. re bi/heat bi-H |
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wandering bi syndromes s/s?
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wandering pain in joints-esp wrist/elbows/knees/ankles, limitation of movement, chills, fever
t-thin sticky coat p-superficial & tight or superficial & slow |
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painful bi syndromes s/s?
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severe stabbing pain in joints, alleviated by warmth, aggravated by C, fixed localization but no local redness/hotness
t-thin white coat p-string taut, tense |
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fixed bi syndromes s/s?
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numbness, heavy sensation of limbs, soreness & fixed pain of the joints, aggravated by cloudy/rainy weather
t-white sticky coat p-soft |
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H bi syndromes s/s?
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arthralgia involving one or several joints, local redness, swelling, excruciating pain w/ limitation of movement, accompanied by fever/thirst
t-yellow coat p-rolling, rapid |
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bi syndromes d&d by locality of diseased area?
5 |
1. ji bi/muscles bi-soreness/pain of muscles
2. jin bi/tendon bi-soreness/pain of of tendons/muscles 3. mei bi/vessel bi-pain due to blockage of vessel 4. gu bi/bone bi-soreness, heaviness, pain of joints, which fail to perform their fx of lifting, extension, flexion-severe 5. pi bi/skin bi-skin only |
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bi syndromes tx P?
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-ahshi pts together w/ the local & distal pot along the yang meridians to eliminate, W, C, D
-H w/ acupuncture, moxa |
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bi syndrome rx?
1. shoulder pain 4 2. scapula pain 4 3. elbow pain 5 4. wrist pain 4 5. finger stiffness 3 6. finger pain/numbness 3 |
1. li15, sj14, si9, si10
2. si11, si12, si14, ub43 3. li11, lu5, sj10, sj5, li4 4. sj4, li5, si5, sj5 5. si5, li4, si3 6. si3, li3, baxie |
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bi syndrome rx?
1. lumbar region/back pain 2 2. hip joint pain 3 3. knee joint pain 5 4. leg numbness/pain 4 5. toes 3 6. general pain 12 |
1. du26, du12
2. gb30, ub36, gb34 3. heding, st35, medial xiyan, gb34, sp9 4. ub57, gb40, ub60, kd3 5. sp4, ub65, bafeng 6. si3, ub62, sp21, ub17, li15, li11, li4, sj4, gb30, gb34, gb39, st41 |
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bi syndrome supplementary pts?
1. wandering bi, vessel bi 2 2. painful bi 2 3. fixed bi 2 4. H bi 2 5. tendon bi 1 6. bone bi 2 |
1. ub17, sp10
2. ub23, ren4 3. st36, li11 4. du14, li11 5. gb34 6. ub11, gb39 |
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jian san zhen?
tx pts |
-shoulder bi/pain
-lli15, sj14, si9 |
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wei syndrome etiology?
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1. burning H in lu -shi H in lu after illness will exhaust body flds
2. DH-D transformed into H, also shi intake of greasy food 3. xu of yin in lv & kd-prolonged illness, shi sex 4. trauma |
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wei syndrome?
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characterized by flaccidity or atrophy of the limbs w/ motor impairment.
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**pts for general pain?
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ub62, sp21, si3. ub17, li15, li11, li4, sj4, gb30, gb34, gb39, st41
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H in lu wei syndrome s/s?
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muscular flaccidity of the lower limbs w/ motor impairment accompanied by fever, cough, irritability, thirst, scanty brownish urine
t-reddened w/ yellow coat p-thready, rapid or rolling, rapid |
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DH wei syndrome s/s?
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flaccid or sl. swollen legs, little hot sensation on touch, general heaviness, sensation of fullness in chest/epigastric region, painful urination, hot/brownish urine
t-yellow sticky coat p-soft, rapid |
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xu of yin in lv & kd wei syndrome s/s?
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muscular flaccidity of the lower limbs w/ motor impairment combined w/ soreness/weakness of the lumbar region, seminal emission, prospermia, leukorrhoea, dizziness, burred vision
t-red p-thready, rapid |
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trauma wei syndrome s/s?
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history of trauma, flaccid paralytic limbs, maybe accompanied w/ incontinence of urine/feces
t-pink/dark purple w/ thin white coat p-relaxed or hesitant |
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wei syndrome?
tx P main 1. H in lu 2. DH 3. xu of yin of lv & kd 4. trauma |
-main pts are selected from the yangming meridians to promote circulation of qi in the meridians and to nourish the tendons & bones
1&2. reduce to dissipate H 3. reinforcing method 4. puncture pt on affected side w/ even movement |
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wei syndrome?
rx 1. upper limb 4 2. lower limb 5 |
1. li15, li11, li4, sj5
2. st31, gb30, gb34, st41, gb39 |
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wei syndrome supplementary pt?
1. H in lu 2 2. DH 2 3. xu of yin in lv & kd 2 4. trauma 1 5. incontinence of feces2 6. incontinence of urine 2 |
1. lu5, ub13
2. ub20, sp9 3. ub18, ub23 4. huatuojiaji at level of injury 5. ub25, ub32 6. ren3, sp6 |
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wind stroke etiology?
2 |
1. attack on the zang-fu organs
a) tense syndrome-shi syndrome results from disturbance of the mind by PH or collection fo shi F in the ht & lv besides dysfx of the meridians & collaterals b) flaccid syndrome-xu syndrome results from the xu of the primary qi or collapse of the kd yang, which fails to nourish the mind, meridians, collaterals 2. attack on the meridians/collaterals-patho factors cause dysfx |
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attack on the zang-fu organs wind stroke tense syndrome s/s?
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falling down in a fit w/ loss of consciousness, tightly closed hands & clenched jaws, flushed face, coarse breathing, rattling in the throat, retention of urine, constipation
t-red, thick yellow coat or grey coat p-string taut, rolling, forcefull |
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attack on the zang-fu organs wind stroke flaccid syndrome?
*severe |
falling down in a fit, sudden loss of consciousness w/ mouth agape & eyes closed, snoring, feeble breath, flaccid paralysis of limbs, incontinence of urine
t-flaccid p-thready, weak *severe cases-C limbs, flushing of face, fading or big gloating pulse |
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attack on the meridians/collaterals wind stroke s/s?
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2 categories
1. only meridians involved 2. after wind stroke the fx of the affected zang-fu organs have been restored, yet there exists stagn of qi & bld in the meridians & collaterals |
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attack on the zang-fu organs wind stroke tense syndrome?
tx p rx 6 supplementary pts 1. clenched jaw 3 2. aphasia, stiffness of tongue 3 |
-promote resuscitation, reduce W & F & resolve P
-du20, du26, st40, lv3, kd1, jing wells on fingers (lu11, ht9, pc9, li1, sj1, si1) 1. st7, st6, li4 2. du15, ren23, ht5 |
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attack on the zang-fu organs wind stroke flaccid syndrome?
tx p rx |
-restore yang from collapse
-ren8, ren6 (indirect moxa w/ salt), ren4 |
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ttack on the meridians/collaterals wind stroke?
tx p rx 3 1. lower limbs 4 2. upper limbs 4 |
-remove obstruction from teh meridians & collaterals & reduce the W
-du20, ub7, du16 1. gb30, gb34, st36, st41 2. li15, li11, sj5, li4 |
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wind stroke supplementary pts?
1. upward disturbance of W yang 4 2. shi F in ht & lv 3 3. deviated mouth 2 |
1. reduce-gb20 & lv3, reinforce-kd3 & sp6
2. reduce-pc7 & lv2, reinforce-kd3 3. st4, st6 |
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prevent attack of wind stroke?
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frequent moxa on st36 & gb39
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scalp for wind stroke?
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ms7
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syncope?
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fainting, pallor, cold limbs, loss of consciousness
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syncope etiology?
2 |
1. xu type-general xu of primary qi-no clear yang ascending, greif, fright, profuse bleeding
2. shi type-emotional disturbances leading to deranged flow of qi and bld, rushes to ht & mind |
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xu syncope s/s?
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feeble breathing w/ mouth agape, spontanous sweating, pallor, cold limbs
p-deep, thready |
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shi syncope s/s?
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coarse breathing, rigid limbs, clenched jaws
p-deep, shi type |
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wind stroke vs. syncope vs. epilepsy?
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*syncope manifested by sudden loss of consciousness should be distinguised from wind stoke & epilepsy
-WS:loss of consiousness is complicated by hemiplegia & deviated mouth, usually there are sequelae after restoration to consciousness -E: loss of consciousness is accompained by convulsions experctoration of frothy saliva or yelling. when the consciousness is regained the pt becomes normal again as usual -S: includes simple fainting, postural hypotension, hypoglycemia, hysteria |
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xu syncope?
tx p rx 5 |
-promote resuscitation, reinforce qi & invigorate yang
-du26, du20, pc6, ren6, st36 |
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shi syncope?
tx p rx 6 |
-promote resuscitation & regulate the flow of qi
-du26, li4, pc9, pc8, , kd1, lv3 |
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sunstroke etiology?
2 |
1. mild type
2. severe type |
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mild sunstroke s/s?
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HA, dizziness, profuse sweating, hot skin, coarse breathing, dry mouth, dire thirst
t-dry p-superficial, large, rapid |
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severe sunstroke s/s?
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HA, dire thirst, SOB at first & then collapse, loss of consciousness, sweating
p-deep, forceless |
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mild sunstroke?
tx p rx 4 |
-eliminate SH
-du14, pc6, li11, ub40, |
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severe sunstroke?
tx pr rx 5 |
-promote resuscitation, dispel SH
-du26, du20, shixuan, pc3, ub40 |
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other tx sunstroke?
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ghu sha spine, neck, intercostal, shoulder regions, cubital/axilla fossae until purple red color appears
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Common Cold etiology?
2 |
1. WC
2. WH |
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WC Common Cold s/s?
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chills, fever, anhidrosis, HA, soreness, pain of limbs, nasal obstruction, running nose, itching of throat, cough, hoarse voice, profuse thin sputum
t-thin white coat p-superficial, tense |
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WH Common Cold?
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fever, sweating, slight aversion to W, pain & distending sensation of the head, cough w/ yellow thick sputum, congested & sore throat, thirst
t-thin white/yellow coat p-superficial, rapid |
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WC Common Cold?
tx p rx 5 |
-eliminate WC & relieve ext. s/s
-du16, ub12, gb20, lu7, li4 |
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WH Common Cold?
tx p rx 6 |
-eliminate WH
-du14, li11, sj5, li4, lu10, lu11 |
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prevent Common Cold?
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moxa daily ub12 or st36
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malaria etiology?
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-caused by malarial pestilential factor together with invasion of pathogenic overstrain & stress & irregular body resistance
-invasion of shaoyang meridian by pathogenic factors caused by ying-wei disharmony |
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malaria s/s?
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paroxysms of shivering chills & high fever w/ general hot sensation, preceded by yawning & lassitude, stifling feeling in chest, hypochondriac region, bitter taste, dry mouth, dire thirst. at end of the paroxysm the pt will break out in profuse perspiration & fever will subside w/ the body felt cool
t-thin, sticky, yellow coat p-string taut, rapid |
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chronic cases malaria?
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masses in the hypochondraic region -splenomegaly is usually found
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malaria?
tx p rx 6 |
-reducing is applied to the pts of the du & shaoyang meridians to regulate the du meridian & to harmonize the shaoyang meridians
-du14, du13, si3, pc5, sj2, gb41 |
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malaria?
supplementary pts 1. high fever 2. w/ splengomegaly 2 3. high fever w/ delirium/mental confusion |
1. li11
2. lv13, pigen 3. prick 12 jing wells |
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malaria rx cao yi?
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-moxa ub20
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