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75 Cards in this Set

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