Pathology & Diagnosis (Midterm)

Front 1

Zheng (Right) Qi

Back 1

-total integrity of the body (spirit) in its ability to resist Xie (evil)
-moral & martial undertones
-NOT identical to modern Western "Immunity" (not quite germs, another dimension to get illness)

-->If Right is STRONG=Evil cant Penetrate

-->The strong body resists disease (not identical to allopathy)

Hint 1

ZHENG remains strong:
[1.]-Qi needs to circulate (all about movement
[2.]-"Shen" (spirit) needs to peaceful/at rest
-if can't be peaceful/rest=body will not be strong; eventually will burn self out
[3.] Yin/Yang need to be balanced

Front 2

Xie (Evil) Qi

Back 2

-active disease-causing forces (mostly extremes of weather)
-moral & martial undertones
-similar to modern immune concept of "not-self"

-->If Right is WEAK=Evil Penetrates

Front 3

5 Principles of Yin & Yang

Back 3

[1.]-COMPLEMENTARY OPPOSITES & the Fundamental Poles of all "Whole" Phenomena

[2.]-SUBDIVIDE INFINITELY
-form inseparable holism (no pure yin/yang-all are mixtures)

[3.]-ROOTED IN ONE ANOTHER
-owe their very existence to each other since they cant exist separately
*Yin creates Yang=Yang creates Yin
*QI transforms Food to create Blood=Blood nourishes the Internal Organs that transform Food

[4.]-COUNTERBALANCE each other
-Decrease of Yin=Increase of Yang
-Decrease of Yang=Increase of Yin
-Increase of Yin=Decrease of Yang
-Increase of Yang=Increase of Yin

[5.]-TRANSFORM into each other
-When yin reaches a certain extreme, it transforms into yang & vice versa

Hint 3

-Antinodes=points of inter-transformation of yin & yang on a stationary wave

Front 4

5 PHASES
-Wood-

Back 4

DIRECTION: East
ZANG-ORGAN: Liver
FU-ORGAN: Gall-Bladder
MOTION: Ascending
SEASON: Spring/Sunrise
MYTHICAL BEAST: Bluish Dragon
COLOR: Blue
TISSUE: "Sinews" (jin)
EXTERIOR: Nails
SENSE ORGAN: Eyes
"SENSE": Vision
BODY FLUID: Tears
PORTAL: Eye Socket
EMOTION: Anger
EXTERNAL EVIL: Wind (internal)

Front 5

5 PHASES
-Metal-

Back 5

DIRECTION: West
ZANG-ORGAN: Lung
FU-ORGAN: Lg. Intestine
MOTION: Descending
SEASON: Fall/Sunset
MYTHICAL BEAST: White Tiger
COLOR: White
TISSUE: Skin
EXTERIOR: Body Hair
SENSE ORGAN: Nose
"SENSE": Smell
BODY FLUID: Mucus
PORTAL: Nostrils
EMOTION: Sorrow
EXTERNAL EVIL: Dry

Front 6

5 PHASES
-Fire-

Back 6

DIRECTION: South
ZANG-ORGAN: Heart (sovereign fire)/ Triple Burner (Minister Fire)
FU-ORGAN: Sm. Intestine (Soverign Fire)/Pericardium (Minister Fire)
MOTION: Upward
SEASON: Summer
MYTHICAL BEAST: Vermillion Bird
COLOR: Red
TISSUE: Vessels (mai)
EXTERIOR: Complexion
SENSE ORGAN: Tongue
"SENSE": Speech
BODY FLUID: Sweat
PORTAL: Ear
EMOTION: Joy
EXTERNAL EVIL: Heat

Front 7

5 PHASES
-Water-

Back 7

DIRECTION: North
ZANG-ORGAN: Kidney
FU-ORGAN: Urinary Bladder
MOTION: Downward
SEASON: Winter
MYTHICAL BEAST: Black Tortoise/Dark Warrior
COLOR: Black
TISSUE: Teeth & Bones
EXTERIOR: Head Hair
SENSE ORGAN: Ears
"SENSE": Hearing
BODY FLUID: "Spittle" (tuo)
PORTAL: ANus & Urethra
EMOTION: Fear
EXTERNAL EVIL: Cold

Front 8

5 PHASES
-Earth-

Back 8

DIRECTION: Middle/Center
ZANG-ORGAN: Spleen
FU-ORGAN: Stomach
MOTION: Centeral Pivot of Motion
SEASON: Late (mid) Summer
MYTHICAL BEAST: -
COLOR: Yellow
TISSUE: Flesh
EXTERIOR: Lips
SENSE ORGAN: Mouth
"SENSE": Taste
BODY FLUID: "Drool" (xian)
PORTAL: Mouth
EMOTION: Preoccupation
EXTERNAL EVIL: Damp

Front 9

Sheng Cycle

Back 9

-Engendering Cycle (generation cycle)=promotes growth;growth is continuous (never stops)

Hint 9

-->WOOD
-->FIRE
-->EARTH
-->METAL
-->WATER

Front 10

Ke Cycle

Back 10

-Restraining Cycle=inhibits growth;growth is being restrained

Hint 10

-->WOOD
-->EARTH
-->WATER
-->FIRE
-->METAL

Front 11

5 SUBSTANCES

Back 11

1. QI
2. BLOOD
3. FLUIDS
4. ESSENCE (jing)
5. SPIRIT

Hint 11

-They are all forms of "Substantial Liquid Matter"

-They are what they do. Substance pathologies are pathologies of "Function", NOT matter

-They represent different aspects of Zheng QI (right)
-sufficient=health
-insufficient="deficiency" (xu); deficiency of a substance=deficiency of its function

Front 12

5 FUNCTIONS OF QI

Back 12

1. Activation/Movement
2. Warmth
3. Defense
4. Transformation
5. Containment

"AWDeTraC"

Front 13

"Activation" Function of Qi:
DEFICIENCY SIGNS

Back 13

FUNCTION:
-walking/moving about
-speaking/talking
-heartbeat (organ movement)
-breathing (organ movement)

Hint 13

DEFICIENT QI: (not enough energy for activity/movement)
-fatigue
-weak voice
-skipped beats
-shortness of breath (sob)

Front 14

"Activation" Function of Qi:
STAGNATION SIGNS

Back 14

MOTION AFFECTED IN... (Blocked-no pain if qi moves freely)
-chest
-abdomen
-stomach
-liver (makes qi move smoothly)

Hint 14

STAGNANT QI...("Excess"-pain;non-motion of qi)
-chest pain
-abdominal pain
-nausea, vomit
-depression

Front 15

"Warming" Function of Qi:
DEFICIENCY SIGNS

Back 15

FUNCTION:
-warms body

Hint 15

DEFICIENT QI:
cold hands & feet

Front 16

"Defense" Function of Qi:
DEFICIENCY SIGNS

Back 16

FUNCTION:
-defends body from external evils (when have plenty of qi, can defend it)

Hint 16

DEFICIENT QI:
-external evils easily invade:
-frequent cold, flu's (resp. symptoms-wind gets in)

Front 17

"Transformation" Function of Qi:
DEFICIENCY SIGNS

Back 17

FUNCTION:
-transforms ingested food & water (occurs mainly in spleen & stomach)

Hint 17

DEFICIENT QI:
-poor indegestion
-loose stools or diarrhea
-"water swelling" (edema); ascites

Front 18

"Containment" Function of Qi:
DEFICIENCY SIGNS

Back 18

FUNCTION:
-urine
-stool
-sweat
-semen
-blood
-organs

Hint 18

DEFICIENT QI:
-incontinence
-severe prolonged diarrhea
-"spontaneous sweat"
-spermatorrhea
-hemorrage
-prolapse of the rectum/uterus

Front 19

"Containment" Function of Qi:
DEFICIENCY SIGNS

Back 19

FUNCTION:
-urine
-stool
-sweat
-semen
-blood
-organs

Hint 19

DEFICIENT QI:
-incontinence
-severe prolonged diarrhea
-"spontaneous sweat"
-spermatorrhea
-hemorrage
-prolapse of the rectum/uterus

Front 20

FUNCTIONS OF BLOOD

Back 20

[1.]-NOURISHES
[2.]-CIRCULATES-movement of qi
[3.]-(MOISTENS)-deep level of moisturing

Front 21

Blood Deficiency Signs

Back 21

FUNCTION:
-nourishes body mass
-nourishes skin
-nourishes uterus/mensus
-resists movement of qi

Hint 21

DEFICIENT BLOOD: (cant nourish body)
-emaciation
-pale, lusterless complexion
-weak, light, late menses; ammenorrhea
-dizziness, tremors

Front 22

Movement Functions of Blood

Back 22

IF BLOOD IS STATIC: (excess)
-bruises
-hard, fixed masses
-fixed stabbing pain
-passing of clots in menstrual blood

***PAIN (sharp/fixed/constant)
***FIXED MASSES (possibly tumors)

Front 23

FUNCTIONS OF FLUIDS (Jin Ye)

Back 23

[1.]-"JIN" LIQUID= light, superficial, visible fluids
-sweat/saliva

[2.]-"YA" HUMOR= deeper, heavier, invisible fluids
-hidden in organs

Front 24

Damage to Jin-Liquids

Back 24

Dry symptoms due to Damage to Liquids
-thirst
-dry mouth
dry tongue

**usually by fever causing

Front 25

FUNCTIONS OF FORMER HEAVEN ESSENCE (Xian Tian Zhi Jing) or KIDNEY ESSENCE

Back 25

[1.]-GROWTH, DEV., MATURATION
[2.]-FERTILITY

Front 26

Essence Deficiency Signs

Back 26

TIME AFFECTED:
-childhood
-adult life
-later life

Hint 26

DEFICIENT ESSENCE:
-physically/mentally retarted growth & development
-infertility
-premature aging; senility; dementia

Front 27

FUNCTIONS OF SPIRIT (Shen)

Back 27

[1.]-MAINTAINING CONSCIOUSNESS
[2.]-THINKING, FEELING, REMEMBERING

-Consciousness (shen)
-Spirit is centered in the Heart, NOT Brain!!!!!!
-A Healthy Spirit should be:
(1.) Peaceful
(2.) Alert-conscious fire needs to be alert

Hint 27

-Spirit depends on QI for Vitality
-Qi Deficiency=withdrawl/clouded spirit (stupor)
-Spirit depends on BLOOD to nourish its home, the "Heart"
-Blood Deficiency=vexation, insomnia; lack of blood to nourish the heart
-Spirit & Essence=Core of the body's constitution ("Essential Spirit"-jing-shen)
-Spirit is the most YANG of all the substances
-hidden in the most yin of the body

Front 28

Spirit Non-Peacefullness (bu an) Signs

Back 28

IF SPIRIT IS DISTURBED: (cant rest peacefully)
-vexation (restlessness/figity)
-insomnia
-mania (extreme behavior)

Front 29

Spirit Looses it's Liveliness

Back 29

IF SPIRIT IS DISTURBED:
-withdrawal
-clouding (stupor)

Front 30

FORMATION OF "ORIGINAL QI" (Yuan Qi)

Back 30

[1.]-Essence Qi: "Jing Qi"
-Kidney
-Parents
[2.]-Food & Water Qi: "Gu Qi"
-Spleen (St)
-Food
[3.]-Great Qi (Air); "Da Qi"
-Lung
-Air

Jing+Gu+Da=Original Qi (Yuan)

Hint 30

-Original Qi is the precursor for all other forms of Qi in the body
-All other QI forms are differentiations of Original Qi

Front 31

Other forms of QI....(made from original qi)

Back 31

ORGAN QI (Zang Fu Zhi Qi)
-deep in body, in the organs
-responsible for functional activity of organs
-"Sp/Liv/Lu/Ht/Ki. Qi"

Hint 31

CHANNEL QI (Jing Luo Zhi Qi)
-travels closer to the surface of the body, in the channels
-2 types:
1.Defense Qi (Wei Qi)
2.Construction Qi (Ying Qi)

Front 32

WEI QI vs. YING QI

Back 32

WEI QI:(defense)
-yang
-surface (mostly)
-defend form external ecils
-fiery, fierce, independant
-manages pores; pores kept shut as much as possible (closes pores)
-warms the skin

Hint 32

YING QI:(construction)
-yin
-interior (mostly)
-nourishes the body
-obedient (flows w/in channels)

Front 33

Origin or Wei Qi & Ying Qi

Back 33

-Both created from Essence of Grain & Water (jing qi)
-Both created by Spleen

Front 34

Wei Qi

Back 34

-Created in SPLEEN-->then sent to LUNG where its "Diffused" to the surface of the body
-repels external evils on surface
-Most defensive, combatice aspect of Zheng (right) Qi

Front 35

WEI QI FUNCTION/DYSFUNCTION

Back 35

FUNCTION:
-closes sweat ducts; keeps sweat from leaking out of body
-defends body from exterior evile

Hint 35

DYSFUNCTION:
-pores relax/open; spontaneous sweat occurs
-external evils; esp wind evil-which penetrate surface easily

Front 36

Ancestral Qi (Zong Qi)

Back 36

-"Gathering Qi"
-controls respiration (& by extension) heartbeat
-causes qi & blood to circulate throughout body

Front 37

True Qi (Zhen Qi)-"original"

Back 37

right qi

Front 38

BLOOD FORMATION

Back 38

-formed by spleen from refined essence extracted form food & liquid by the stomach

Hint 38

-Food/Liquid-->Stomach-->Spleen-->Blood-->Lung (circulated thoughout body)

Front 39

FLUID FORMATION
(jin-liquid & ye-humor-clear fluids)

Back 39

CLEAR FLUIDS (Qing):
-moisten the body
-clear, light, buoyant
-found in all body tissues
-actively circulate throughout body

-->Stomach (digests)
-->partially "transformed" digestate moves down to SI
-->bulk of clear fluids extracted from SI
-->digestate moves to LI where some of remaining clear fluids are extracted

**more evident in mouth/sweat

Hint 39

TURBID FLUIDS (Zhuo):
-waste product
-thick, heavy, turbid
-mostly isolated w/in bowels
-tend to move downward to be expelled (poop/pee)

-->Digestate from stomach moves down to SI to LI where it is expelled by body

Front 40

FORMATION OF ESSENCE

Back 40

FORMER HEAVEN ESSENCE:
(Xian Tian Zhi Jing)
-"Inherited Essence"; "Kidney Essence"; "Essential Qi"
-From Parents
-Inherited from birth
-difficult to supplement
-grows you "up"
--------------------------------------------
NOTES:
-Qi helps to transform Essence of Latter Heaven in the Spleen
-Blood & Essence work together

Hint 40

LATTER HEAVEN ESSENCE:
(Huo Tian Zhi Jing)
-"Acquired Essence", "Essence of Grain & Water"
-From Food
-acquired throughout lifetime
-easier to supplement
-grows you "out"

Front 41

TRIPLE BURNER

**need fire

Back 41

[1.]-specific areas of organ activity on the trunk
[2.]-"waterways"; transformational pathways of bodily pathways
[3.]-a system of disease pattern identification

Hint 41

[1.]-UPPER BURNER ("Mist")
-Ht/Lu
-Lu diffuse the wei qi & body fluid to the surface
[2.]-MIDDLE BURNER ("Foam")
-St/Sp
-strains the waste & distills the fluids
-
[3.]-LOWER BURNER ("Sluice")
-LI/SI/UB/Ki/Kiv;
-"Ming Men Hou" (kidney yang)
-drainage canal/pipe
-clear fluid is extracted from SI/LI & percolates into UB

Front 42

ZANG/FU ORGANS

Back 42

ZANG: (Liv, Ht, Lu, Ki, Pc)
-Yin
-"Solid"
-more internal (except lungs)
-store.transform vital substances
-normally contain clear fluids
-tend toward deficiency (except liver=excess)

Hint 42

FU: (GB, SI, TW, St, Li, UB)
-Yang
-"Hollow"
-more external
-decompose food & convey waste
-normally contains truebid fluid (except GB)
-tend toward excess

Front 43

HEART (Ht) FUNCTIONS

Back 43

-Spirit (Shen)
-Heartbeat & Pulses
-Speech

Hint 43

[1.] Governs the Spirit
[2.] Emotions
[3.] Governs Blood & Vessels (mai)
[4.] Opens into the Tongue
[5.] Ht Orifices
[6.] Yin & Yang in Ht Function

Front 44

LUNG (Lu) FUNCTIONS

Back 44

-1˚=Respiration
-2˚=Inhalation/Exhalation

Hint 44

[1.] Diffuses/Downbears “Qi”
[2.] Diffuses/Downbears “Fluids”
[3.] Governs Qi of whole body
[4.] Controls the Throat & Voice
[5.] Dry organ that needs moisture
[6.] Receptacle that stores Phlegm