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22 Cards in this Set
- Front
- Back
Common Bi Zheng
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RA, OA, Frozen Shoulder, Gout, Sciatica
All affected by weather |
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Aetiology of BI Zheng
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1) Wind, Cold, Damp
2) Wind-Heat combined with Dampness, or 3) WIND, Cold, Damp transforms into Wind-Heat Dampness |
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Differentiation between Xing, Tong, Zhuo BI
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Xing - Wind- limited mvmt, moving pain
Tong - COLD- Severe pain, usually unilateral Zhuo- DAMP- heaviness/numbness pain fixed, aggravated by damp weather |
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Wind Dampness Heat Bi
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Pain, HEAT in joints, hot to touch, redness, swelling of joints, limitation of mvmt and severe PAIN
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Local Pts for Shoulder
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Jianyu li15, Jianliao sj14 , Naoshu si10
si10 - posterior of shoulder, depression inferior to scapular spine, superior to posterior axillary crease (above Jianzhen si9, which is one cun above ax crease) |
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Local Pts for Elbow and arm
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Quichi li11, Hegu li4, Tianjing?, Waiguan sj5, Chize lu5
li11 HE Sea earth pt LI, principal pt to reduce fever (+DU20, Li4), one of 13 ghost points for mania and epilepsy, lowers high blood pressure, skin disorders, itching of skin li4 - Yuansource LI- prim pt expel wind-cold/heat, release exterior, floating pulse, disorders of face and sense organs, relieves pain and spasm, promotes smooth flow of qi and blood to whole arm, painful obstruction and atrophy disorder of four limbs sj5 - LUO, expels exterior, particularly wind HEAT, temporal headaches due to LV Qi Stag or LV yang fire, distal pt for ear disorders, clears heat from head lu5 CHIZE, He sea water pt - clears Excess or Def Heat from LU, regulates LU and Heart, treats pain and restricted movt of shoulder, upper arm, elbow and hand, esp wandering pain vs Quze pc3 (ulnar side of biceps brachii), for palpitations, cardiac pain, febrile diseases, vexation, stomachache, vomit, cough, aching of elbow and arm |
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Local Pts for Wrist
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Yangchi, Waiguan, Yangxi, Guangu ??
Yangchi SJ4 - Yuansource Waiguan SJ5 - LUO Yangxi - Jing River fire pt Yanggu - si5 - JIngriver fire pt Wanggu si4 / triquetral bone/ Yanggu si5, |
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Spine
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Shuigou ?, Shenshu bl23, Yaoyangguan du3 (L4)
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HIP
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Huantiao, Juliao, Xuanzhong
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Thigh
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Zhibian, Chengfu, Yinlingquan
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Knee
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Dubi, Liangqiu, Yanglingquan
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Ankle
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Shenmai, Zhaohai, Kunlun, Qiuxu, Jiexi
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If due to Wind
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+Fengchi gb20, Geshu bl17, Xuehai sp10, Dazhui du20 If treat wind, must harmonize BLOOD first. Skin conditions, etc. Moxa on Dazhui
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If due to Cold
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+Shenshu bl23, Guanyuan r4, Dazhui, Fengmen bl12
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If due to Dampness
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+Dazhui, Geshu, Pishu, Zusanli, Yinlingquan
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Differentiate Sp 9, Sp6, Sp 10
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Sp 6 - Tonifies MJ, resolves Damp Sp9 Yinlingquan - main SP pt to resolve dampness, opens and moves water passages, local point sp10 - Xuehai main to move blood stasis and cool blood heat
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Atrophy main clinical patterns
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Heat in Lungs injuring Yin fluids, Invasion of Damp-Heat, St/SP Xu, LV/KD Xu, Blood stasis in channels
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Western equivalents
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progressive muscular atrophy, multiple sclerosis, multiple neuritis, acute myelitis
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Heat in Lungs injuring Yin fluid pts
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Quchi, Taiyuan, Shangjuxu st37
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Heat in Lung pathology
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Consume Yin fluids, muscles and tendons lack of nourishment
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Damp Heat invading pathology
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Damp Heat in western medicine: inflammation, virus, bacteria. TCM- Qi and Blood circulation obstructed
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ST/SP XU pathology MIDDLE JIAO XU
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Muscles and tendons lack of Qi/Blood nourishment
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