Acu Tx Post Midterm #2

Front 1

causes of low back pain (3)

Back 1

--invasion by pathogenic cold and damp
--def of kd qi
--trauma due to sprain or contusion

Front 2

low back pain: cold damp sx

Back 2

exposure to cold/damp/rainy days, heavy sensation/stiff muscles in dorsolumbar, limitation of back movement, pain down buttocks and legs, cold feeling in low back
white sticky tongue
deep/weak or deep/slow pulse

Front 3

low back pain: kd def sx

Back 3

insiduous onset and soreness, lassitude, weak loins and knees agrivated by fatigue and better w/ rest

Front 4

low back pain: kd yang def

Back 4

cramp-like sensations in lower abdomen, pallor, normal taste in mouth, cold limbs, pale tongue
pale tongue
deep thready or deep slow pulse

Front 5

low back pain: kd yin def

Back 5

irritiability, insomnia, dry mouth/throat, flushed face, feverish sensation in chest, palms, soles
red tongue proper w/ scanty coat
thready/weak or thready/rapid pulse

Front 6

low back pain: trauma sx

Back 6

history of lumbar sprain, rigidity and pain in low back fixed in one area, aggrivated by pressure and turning body
pink or dark purplish tongue
string taut hesitant pulse

Front 7

low back pain: cold damp tx princ

Back 7

promote circulation of qi and disperse pathogenic factors
ub 23, du 3, ub40, ub 25, ub 26

Front 8

low back pain: kd def tx princ

Back 8

strengthen kd and activate qi circulation
ub23, du3, ub40, ub52, kd3

Front 9

low back pain: trauma tx princ

Back 9

promote circulation of qi and blood to stop pain
ub23, du3, ub40, du26, yaotongxue, ashi

Front 10

causes of bi syndrome (4)

Back 10

--meridian invasion by wind, cold, damp
--weakness of body and def yang qi
--dysfunction of pores and weak defensive yang
--exuberant yang qi in body gives rise to heat bi (so can long term wind, cold, and damp bi)

Front 11

bi/wei: wandering bi sx

Back 11

wandering pain in joints, esp. wrists, elbows, knees, and ankles; limitation of movement, chills and fever
thin sticky tongue coating
superficial/tight or superficial/slow pulse

Front 12

bi/wei: painful bi sx

Back 12

severe stabbing pain in joints better with warmth and aggravated by cold, fixed localization but no local redness and hotness
thin white tongue coat
string taut and tense pulse

Front 13

bi/wei: fixed bi sx

Back 13

numbness and heavy sensation in limbs, soreness and fixed pain of joints, aggravated on cloudy/rainy days
white sticky tongue coat
string taut and tense pulse

Front 14

bi/wei: heat bi

Back 14

arthralgia involving one or several joints, local redness, swelling and excruciating pain w/ limitation of movement acc. by fever and thirst
yellow tongue coat
rolling, rapid pulse

Front 15

types of bi

Back 15

xing bi (wind)
tong bi (cold)
zhao bi (damp)
re bi (heat)

Front 16

causes of wei syndrome (4)

Back 16

--burning heat in LU
--damp heat
--def of yin in LV and KD
--trauma

Front 17

wei: heat in LU sx

Back 17

lower limb flacidity w/ motor impairment by cough, fever, irratibilty, thirst, scanty brownish urine
red tongue w/ yellow coat
thready/rapid or rolling/rapid pulse

Front 18

wei: damp heat

Back 18

flaccid or slightly swollen legs, hot to touch, general heaviness, sensation of fullness in chest/epigastrium, painful urination, hot and brownish urine
yellow sticky tongue coat
soft and rapid pulse

Front 19

types of bi

Back 19

pi bi (skin)
ji bi (muscle)
jin bi (tendon)
mai bi (vessel)
gu bi (bones)

Front 20

wei: def of LV and KD yin

Back 20

muscular flacidity in lower limbs w/ motor impairment combined w/ soreness, weakness of lumbar region, seminal emissions, prospermia, leukorrhea, dizziness, blurred vision
red tongue
thready rapid pulse

Front 21

wei: trauma sx

Back 21

flaccid paralytic limbs, incontinence, relaxed or hesitant pulse, pink/dark purplish tongue w/ thin white coat

Front 22

wei: LU heat and damp heat tx princ

Back 22

reducing method to dissapate heat
LU heat: lu5, ub13
damp heat: ub20, sp9

Front 23

wei: trauma sx

Back 23

flaccid paralytic limbs, incontinence, relaxed or hesitant pulse, pink/dark purplish tongue w/ thin white coat

Front 24

wei: LU heat and damp heat tx princ

Back 24

reducing method to dissapate heat
LU heat: lu5, ub13
damp heat: ub20, sp9

Front 25

wei: trauma tx princ

Back 25

puncture the point on affected side with even movement
huatuojiaji pts at level of spinal injury

Front 26

wei: LV and KD yin def tx princ

Back 26

reinforcing method should be applied

ub18, ub23

Front 27

wei: upper limb tx princ

Back 27

li15
li11
li4
sj5

Front 28

wei: lower limb tx princ

Back 28

st31
gb30
gb34
st41
gb39

Front 29

wind stroke causes (3)

Back 29

attack on zang fu organs:
--tense syndrome
--flaccid syndrome
attack on meridians and collaterals

Front 30

wind stroke: tense sx

Back 30

falling down in fit w/ LOC, tight closed hands, clenched jaws, flushed face, coarse breathing, rattling of throat, urine retention, constipation
red tongue w/ yellow or grey coat
string taut rolling forceful pulse

Front 31

wind stroke: flaccid sx

Back 31

falling down w/ LOC and mouth open/eyes closed, snoring but feeble breathing, flaccid paralysis of limbs
pulse is fading or big and gloating

Front 32

wind stroke: attack of meridian sx

Back 32

--in one only meridians are involved
--in other, the affected zang fu are restored but there is stagnation of blood and qi in the meridians and collaterals

Front 33

wind stroke: tense tx princ

Back 33

promote resucuitation, reduce wind, resolve phlegm
du20, du26, st40, lv3, kd1, jing wells
clenched jaws: st7, st6, li4
stiff tongue/aphasia: du15, ren23, ht5

Front 34

wind stroke: flaccid tx princ

Back 34

restore yang from collapse
ren8, ren6, ren4

Front 35

wind stroke: attack on meridian tx princ

Back 35

remove obstruction from meridians and collaterals and reduce wind

du20, ub7, du16

lower limbs: gb30, gb34, st36, st41
upper limbs: li15, li11, sj5, li4