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62 Cards in this Set

  • Front
  • Back
What are the external causes of disease?
Wind
Cold
Dryness
Dampness
Summer-Heat
Fire

These are weather or climates, also related to seasons and elements.
If px has sensation of fever and chills. What is the cause of the disease that he has?
Exterior illness
Which penetrates and carries other evils along with it?
Wind
What season and element is Wind associated with?
Spring, wood
What kind of evil is Wind invasion? How does it attack the body?
Yang evil, damages yin and blood

Invades after sweating (pores are open)
or while sleeping (defense qi goes inward)
or vacuity of defense.
What are the characteristics of Wind evil?
- Wind sways the tops of trees
Yang evil moves upward and outward. First affects upper body and surface of the body (skin and defensive exterior)

- Wind comes and goes quickly, changes rapidly, moves swiftly, blows intermittently.

- Constant movement (dizziness, vertigo, convulsions, tremors, spasms, tingling, numbness)
- Or inappropriate lack of movement (rigidity, paralysis, stiffness, etc).
How does external wind invade and what are the symptoms?
Invades through skin, interfeeres with defense qi and pores.
Causes abnormalities in sweating.

Symptoms:
aversion to wind or cold, fever or feeling of heat; sneezing, coughing, runny nose, stiff neck, headache, itchy throat

Floating pulse
What is the treatment principle if there is wind invasion?
Dispel wind from the exterior (release the exterior).
What happens when exterior wind invades the channels?
facial paralysis
joint stiffness and pain that wanders (bi patterns)
What is the treatment principle when wind invades the channels?
Dispel wind from the channels
What is interior wind and what is the tx principle?
Interior wind is always due to the liver: convulsions, wind-stroke, etc.

Treatment principle: pacify (or subdue) wind.
What is the season and element associated with cold? Which organ is affected?
Winter
Water
Kidneys
What kind of evil is cold?
Yin evil
Easily damages yang qi
Px feels cold in various areas, has aversion to cold, feels better with heat, likes to eat or drink cold foods. No thirst, pale. What is the most likely cause of disease?
Cold invasion
Which congeals and contracts?
Cold
Px has severe pain, spasms, no sweating, and stiffness, and an aversion to cold. What is this due to?
Cold invasion
- Cold congeals, stagnates and contracts
- Circulation of qi and blood is obstructed
What are the characteristics of cold?
Low temp

Slows down activity (fxns decline like river freezing over)
- fluids not transformed
- watery fluids and slow pulse

Congeals, stagnates and contracts
- obstructs circulation of qi and blood
- severe pain, spasms, no sweating, stiffness
What season and element is associated with Dampness? What organ is affected?
Late Summer
Earth
Spleen
What kind of evil is Dampness?
Yin evil, impairs yang.
What are the characteristics of Dampness?
Heavy and moves downward
- affects lower body, i.e. legs and lower burner
- feeling of heaviness

Turbid, sticky, stagnant, thick, clammy, dirty, and causes persistent diseases
- Chronic diseases
- fixed location
- turbid discharges

Obstructs qi circulation
Px has dull ache, swelling, lingering pain in the knees. What is it most likely due to?
Dampness in the channels and joints
What is the cause of interior dampness?
Spleen vacuity leading to poor transportation and transformation.
Fluids accumulate and becomes dampness and digestion is disturbed.
What are the characteristics of exterior dampness?
Aching of the whole body, possibly acute digestive upset.
What is the season and element associated with Dryness? What organ does it affect?
Autumn
Metal
Lungs
What kind of evil is Dryness?
Yang evil, affects yin and blood
Px has constipation, scant urine, and has a dry cough and dry nose. what is the cause?
Dryness
Px has fever, thirst, has aversion to heat, redness and a rapid pulse. What is the cause?
Fire
burning hot, rapid changes
What are the characteristics of Fire invasion?
Burning hot, moves upward, distrurbs spirit (headache, red eyes, delirium, agitation, coma, mania)

Consumes yin fluids

Can stir up internal wind (High fever, coma, convulsions)

Can disturb blood (bleedings, skin diseases)

Other evils can transform to heat or fire in the body.
What are the characteristics of Summerheat?
Hi temp, upward movement, consumes body fluids and damages qi

Severe summerheat: sunstroke, sudden collapse, coma, disturbed consciousness, delirium, slurred speech

Frequently combines with dampness.
Px has loose stools, has nausea and dizziness, lassitude, soggy pulse, and thick slimy tongue coat. what is the evil invading this person?
Summerheat combined with dampness.
Which emotion causes the qi to slacken?
Joy (move slowly or relax)

Excessive joy scatters the spirit
Anger damages which organ?
Liver
Which emotion causes qi to rise? What organ does it affect?
Anger
Liver
Which emotion causes qi to disperse? What organ does it affect?
Sorrow (disperses, dissolves, scatters)

Lungs
- sorrow leads to lung qi vacuity: breathlessness, fatigue, crying, sighing
What organ is affected by thought? How does it affect the qi and the body?
Spleen
- weakens fxn Spleen and causes fatigue, loss appetite, loose stools, phlegm

Causes qi to bind (knot)
What organ is affected by anxiety? What does it do to qi?
Damages Lungs and Spleen
- Spleen: fatigue, loss appetite, loose stools
- Lung qi binding: breathlessness, stiff shoulders and neck

Excessive thinking and anxiety leads to qi binding
What emotion causes the qi to descend? What organ does it affect?
Fear
Kidneys
- depletes Kidney qi causing bed wetting, incontinence
What emotion causes qi to be chaotic?
Fright causes derangement of qi
What organ is affected by fright? What are the symptoms?
Kidneys and heart

Palpitations, breathlessness, insomnia, night sweating, dry mouth, dizziness, tinnitus
What are neither external nor internal causes of disease?
Improper diet
Improper work and rest
Sexual taxation
Trauma
Improper medical treatment
Parasites and toxins
What are the two aspects of preventing what is not ill?
I) prevention for those who are not ill

II) guarding against progression of disease in those who are already ill.
What is Prevention for those who are not ill?
Taking good care of the body:

- Increasing the ability of right qi to resist evil (increase and strengthen the constitution)

-Avoiding invasion and harm from disease evils. Pay attention to hygiene and avoid environmental, water, and food contamination
How do you increase the ability of right qi to resist evil?
Increase and strengthen the constitution:

- regulation and containment of essence-spirit

- exercising the body makes the blood circulatea nd joints move smoothly

- daily diet

- refraining from excessive activity or rest

- suitable herbal prevention
Regulation and containment of essence-spirit
- essence-spirit: life force, vitality, body and mind, kidneys and heart

- emotional stimulation can result in internal vacuity of right qi, making body more prone to evil qi attack

- ease of mind and cheerful essence-spirit can regulate qi mechanism and is beneficial for health; strengthens the ability of right qi to resist evil, and prevent disease before it occurs
How do you guard against progression in someone who is already ill?
- Early diagnosis and treatment

- According to the shift in the pattern of illness, first safeguard the site that has not yet received evil.
What are the five behaviors?
Sitting quietly
Reading
Appreciating nature
Discussing ideas with good friends
Teaching children or juniors
What are the ten pleasures?
Studying the meaning of the classics
Learning calligraphy
Calming the mind and sitting quietly
Chatting with beneficial friends
Drinking a little until half intoxicated
Watering flowers and cultivating bamboo
Listening to qin and enjoying cranes
Burning incense and brewing tea
Climbing the city walls and viewing the mtns
Telling fables adn playing chess
What are the six always?
Always be peaceful in mind (do not covet, don't worry, few desires)

Always be kind hearted

Always uphold justice

Always be cheerful

Always be pleasant

Always be contented
What is a channel?
Main pathways of qi-blood

12 main channels

Homes to its own organ, nets with its paired organ. Connects bowels and viscera, limbs and joints
Network of qi and blood by which the whole body is nourished.
What are network vessels?
Branches of the channels that enmesh the body.

Smaller branches ensuring the supply of qi and blood to all localities.

Can ordinarily be seen (unlike the twelve channels that lie deeply between the divisions of the flesh.
What are the other types of channels in the body?
- 12 Cutaneous Regions
- 12 Channel Sinews
- 12 Channel Divergences
What are the Twelve Cutaneous Regions?
Areas of the skin lying on and corresponding to each of the twelve channels.
What are the Twelve Channel Sinews?
Sinews following the path of the channels, together filling the entire surface of the body.

Morbidity of the channel sinews includes impediment (bi), hypertonicity, and slackening.
What are the Twelve Channel Divergences?
Branches of each of the 12 channels that reach deeper parts of the body and then return to the primary channel.

They have the function of complementing the main pathways by providing a link between the yin and yang channels.
What are the different network vessels?
- 15 diverging network vessels
- Grandchild network vessels
- Floating or superficial network vessels (aka blood network vessels)
What are the 15 diverging network vessels (bie luo)?
The larger network vessels of the 12 regular channels, du and ren, as well as the great network vessel of the spleen.
What are grandchild network vessels (sun luo)?
Any of the finer branches of the network vessels.
What are floating or superficial network vessels (fu luo)?
Aka blood network vessels

Small branches of the network vessels in the surface of the body. These are actual blood vessels.
Which one governs qi?
Channels govern qi
Which one governs blood?
Vessels
What are the Eight Extraordinary Vessels?
- do not home to any organs
- have no interior-exterior relationships
- function is to supplement the insufficiency of the other channels

Includes:
Du (governing), ren (controlling or conception), chong (thoroughfare), dai (girdling), yang and yin qiao (yang and yin springing), yang and yin wei (yang and yin linking).
What are the three types of points?
- jing xue: channel point

- jingwai qixue: non-channel point, aka extraordinary point

- ashi xue: ouch point, sensetive on pressure. Could be a channel point, a non-channel point, or neither.