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75 Cards in this Set
- Front
- Back
Explain basic pathogenesis for Bi Zheng
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at root is deficiency, deficient Zheng Qi, then trauma, overuse, or systemic xu causes lack of nourishment. Allows W/C/D or W/D/H to invase. "San Qi"
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Explain 2 possible pathogeneses for HEAT Bi
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W/C/D changes into heat depending on one's constitution. OR W/D/H Invasion
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name 3 main complicating factors in chronic Bi Zheng
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1. Phlegm Accum and Blood Stasis 2. Qi and Blood Xu 3. LV/KI Xu
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ID 5 tissue Bi Zheng and symptoms
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1. MUSCLE= sore, heavy, fatigue, palp tenderness, dampness, digestive issues 2. Sinew= stiff, inflexible, spasm 3. Bone= stiff, Px, Deformity
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ID 3 Stages of Bi Zheng
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1. Superficial= acute w mild symptoms 2. Intermediate= Tissue Stage chronic/recurrent, relatively severe symptoms 3. Deep=Internal Organs, very severe, chronic issues
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Bi Zheng vs. Wei Zheng=
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Bi= excess, EPI, joints, muscles Wei= atrophy, weakness, lower extremities usually, weak constitutions
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Define BI Zheng
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Exogenous pathogens obstruct flow of Qi and Blood
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Common Symptoms of Bi Zheng
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Pain, stiffness, heaviness, numbness, decreased ROM, redness, swelling, joint deformity
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Tissues Bi Zheng Affects?
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Muscles, Tendons, Bones and Joints
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Underlying Cause of Bi Zheng
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Vacuous Zheng Qi + San Bi
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What is the defining factor in determining if someone has a "Bi" Syndrome?
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Always worse w/ weather changes
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List the complicating factors that worsen the Bi Syndrome
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Phlegm Accum w/ blood stasis, Qi and Blood Xu, LV/KI Xu (these then are chronic Bi)
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Symptoms of Wandering Bi?
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pain that migrates jnt to jnt, sore and aching, less severe px than C/D or D/H
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Symptoms of Painful Bi?
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SEVERE, excrutiating pain in affected joints w/ limited ROM
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Symptoms of Fixed Bi?
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heavy aching, possible swelling and numbness in jnts and limbs
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Symptoms of Heat Bi?
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red, swollen, painful jnts warm to the touch
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Which of the 5 tissue types are most affected by "Bi"?
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Muscle Bi, Sinew Bi, Bone Bi
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Name Muscle Bi Symptoms
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muscle soreness, aching, stiffness, numbness, weakness, heaviness, fatigue spontaneous sweats, poor digestion
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Name Sinew Bi Symptoms
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joint Px w/ stiffness, inflexibility, spasms of tendons
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Name Bone Bi Symptoms
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stiff, painful, swollen, deformed joints
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List treatment principles for Bi Zheng
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Expel Wind, Scatter Cold, Elim Damp, Clr Heat, Open C&C, Stop Pain
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Treatment Principles for Wind Bi
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expel wind while nourishing blood
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Treatment Principles for Cold Bi
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Scatter cold while fortifying Yang (warmth can unblock cold)
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Treatment Principles for Damp Bi
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dry and drain damp and tone Spleen
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Treatment Principles for Heat Bi
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Clr Heat, etc depending on other pathos present
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Chronic Bi Treatment Principles
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Tone underlying deficiencies, elim pathos, stop pain
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W/c/d Symptoms T&P
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sore, aching, pain, intermittent or moves around, possible aversion to wind, fever, slight limit ROM, T=thin, white coat P= wiry or floating wiry
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W/c/d Treatment Principles
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Expel WIND, scatter cold, elim damp, Open C&C, stop Px
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W/c/d Formula
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Juan Bi Tang
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W/c/d Symptoms T&P
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SEVERE, FIXED Px worse w/ cold better w/ warmth, jnt stiffness, diff or limited ROM, possible EPI symp. T=thin, white coat P= floating, tight, slippery, WIRY/Tight most common
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w/C/d Treatment Principles
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SCATTER COLD, warm the C&C, expel wind, elim damp, relieve Px
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w/C/d Formula
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Wu Tou Tang
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w/c/D Symptoms T&P
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heavy, sore, fixed, aching in jnts and limbs, worse with cloudy/rainy weather, swelling and numbness in area, diff mvmt and decreased ROM T= GREASY WHITE P= slippery, slow, wiry tight common
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w/c/D Treatment Principles
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Elim Damp, Open C&C, expel Wind, Scatter Cold, Relieve Px
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w/c/D Formula
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Yi Yi Ren Tang
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w/d/H Symptoms
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severe Px, local heat, redness, swelling, pain worse w/ heat relieved by cold diff mvmt or ROM (aversion to heat, sore throat, thirst, irritability, dark, scanty urine) T= red w/ yellow possible greasy coat P= rapid, slippery, soft and rapid
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w/d/H Treatment principles
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Clr Heat, Open C&C, Expel Wind, Elim Damp, Relieve Px
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w/d/H Formula
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Bai Hu Jia Gui Zhi Tang
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Phlegm Accum/Blood Stasis Symptoms
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chronic Bi Zheng w/ swollen, stiff jnts, incessant pain w/ deformity and subcutaneous nodules T= dark purple w/ white greasy coat P= thin, choppy, slippery, deep
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Phlegm Accum/ Blood Stasis Treatment Principles
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Transform Phlegm, Move Blood, Dispel Stasis, Open C&C, Stop Px
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Phlegm Accum/Blood Stasis Formula
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Shen Tong Zhu yu Tang
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Qi and Blood Vacuity Bi Zheng Symptoms
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chronic, aching pain in jnts worse at night, better w/ mvmt. Diff mvmt limited ROM, possible numbness or loss of sensation (fatigue, SOB, pale, palps, spont sweats) T= pale , thin white coat P+ thin, weak
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Qi and Blood Vacuity Treatment Principles
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Boost Qi, Nourish Blood, Expel Wind, Elim Damp, Scatter Cold, Stop pain
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Qi and Blood Vacuity Formula
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Huang Qi Gui Zhi Wu Wu Tang
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Qi and Blood KI/LV Xu Symptoms
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chronic aching pain in joints, low back and knees, diff mvmt w/ limited ROM, possible aversion to cold, symps relieved by warmth, numbness or decreased sensation,fatigue, SOB T= pale w white coat P= weak, thin
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Qi and Blood KI/LV Xu Treatment Principles
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Supplement Qi and Blood, nourish LV and KI, Expel Wind, Scatter Cold, Elim Dampness
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Qi and Blood Xu KI/LV Formula
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Du Huo Ji Sheng Tang
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List two guiding herbs and where they go in Du Huo Ji Sheng Tang
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Du Huo goes down, Qiang Huo goes upper bod, Du Zhong is a yang tonic, Niu Xi Mvs Blood down and nourishes LV/KI, Dang Shen and Fu Ling Sp Qi and decrease damp
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General Wind Pts (5)
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BL12, BL17, Sp10, GB31, LI4
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General Cold Pts (3)
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MOXA GV4, CV4, BL23
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General Damp Pts (4)
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Sp9, Sp6, ST36, BL20
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Local Shlder Px Pts (5)
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LI15, TB14, SI10, SI9, Jian Qian
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Local Elbow Px Pts (7)
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LI11, Lu5, PC3, HT3, LI10, TB10, SI8
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Local Wrist Px Pts (5)
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LI5, TB4, Pc7, LI4, TB5
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Local Finger Px Pts (5)
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Ba Xie, LI4, LI3, TB3, Si Feng
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Local Hip Px Pts (5)
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GB30, GB29, GB34, ST31, Huan Zhong
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Bi Zheng Pts for Sacrum (3)
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BL23, BL27, BL28
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Bi Zheng Pts for Low Back (3)
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BL23, BL27, BL28
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Bi Zheng Pts for Knee (11)
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ST35, Nei Xi Yan, ST34, BL40, GB33, LV8, GB34, Sp9, KI10, Sp10, He Ding
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Bi Zheng Pts for Ankle (6)
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BL60, KI3, ST41, GB40, Sp5, KI6
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Bi Zheng Pts for Toes (3)
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Ba Feng, ST44, Sp3
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Bi Zheng pts for Spine (4)
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GV14, GV12, GV3, Jia ji
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Bi Zheng pts for Neck (4)
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GB20, BL10, BL11, Jia Ji
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W/D/Heat Bi Zheng Pts
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GV14, LI11 and local
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Phlegm Pts
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ST40, SP9, Sp6, CV12, CV9, BL20
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Blood Pts
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SP10, BL17, BL11, GB39, Sp6
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Zheng Xu w/ Xie Obst Qi and Blood Xu Pts
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CV4, CV6, Sp6, ST36, BL20, BL17 and local
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Zheng Xu w/ Xie Obst LV/KI Xu
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BL18, BL23, GV4, KI3, LV3, Sp6 and local
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Ear Acu for Bi Zheng?
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affected parts, symp, shen men
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plum blossom where?
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swelling and distention significant
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Herbal Modifications upper extremity
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Qiang Huo, Bai Zhi, JIANG HUANG,
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Herbal Mods Lower Extremity
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Du Huo, Niu Xi, Mu Gua
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Herbal Mods Low Back/Spine
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Du Zhong, Yin Yang Huo, Ba Ji Tian, Xu Duan (all tone yang)
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Herbal Mods for Heat Bi
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Shi Gao, Zhi Mu, Lian Qiao
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Herbal Mods for Chronic Bi w spasmodic Px and contracture
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Quan Xie, Wu Gong (scorpion and centipede)
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