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144 Cards in this Set
- Front
- Back
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Luo Zhen-Neck Px Etiology/Pathogenesis (4)
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1. bad sleep position restricts flow Qi & Blood in C&C causing Px and Stiffness2. Trauma damage C&C restricting Qi & Blood flow causing Px 3. Emotional Stress stagnates Qi and blood causing stiffness and Px 4. Exogenous Pathos W/C into C&C restricts flow of Qi and Blood causes stiffness and px
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Luo Zhen Qi Stag Blood Stasis Sx
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recent onset stiffness and fixed Px of neck. Mild to severe Px possibly sharp stabbing worse at night, heat makes better, tilting/twisting to affected side makes better, local tender cords
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Luo Zhen Qi Stag Blood Stasis T&P
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normal color thin white coat/wiry pulse
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Luo Zhen Qi Stag Blood Stasis Tx Principles
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Move Qi, Quicken blood, soothe soft tissues, harmonize and open C&C, stop Px
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Luo Zhen Qi Stag Blood Stasis Formulas (2)
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Sheng Tong Zhu yu Tang , Du Huo Ji Sheng Tang Jia Jian
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Luo Zhen Qi Stag Blood Stasis Pts
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BL17, BL18, Sp10, 4 gates
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Luo Zhen W/C Invasion Sx
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stiff, fixed Px, mild to severe. Px worse w cold, better w heat. AVERSION to W/C, slight fevere and HA
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Luo Zhen W/C T&P
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normal color thin white coat/wiry or floating tight pulse
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Luo Zhen W/C Tx Principles
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Expel Wind, Scatter Cold, Soothe Soft Tissues, Harmonize and open C&C, stop Pain
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Luo Zhen W/C Formula (all neck probs)
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Ge Gen Tang
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Luo Zhen W/C Pts
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GV14, BL12, GB20, LI4, TB5 MOXA!!
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Luo Zhen LV Qi Stag Sx
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stiff, muscle spasm, tension aching px on one or both sides and/or occipital, temporal regions of head. Mild to mod Px related to emotional state, tightness chest and sighing
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Luo Zhen LV Qi StagT&P
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normal or purplish w thin white coat, wiry pulse
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Luo Zhen LV Qi Stag Tx Principles
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Course the LV, Rectify Qi, Soothe and nourish soft tissues, Open C&C, Stop Px
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Luo Zhen LV Qi Stag Formula?
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Xiao Yao San Jia Wei
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What herbs are added to Xiao Yao San to make Xiao Yao San Jie Wei?
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Ge Gen, Yan Hu Suo
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Luo Zhen LV Qi Stag Pts?
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LV3, GB20, PC6, BL18, GB41
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General Luo Zhen Pts
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GV14, GV15, GV16, Jia Ji, BL10, GB20, GB21, SI16
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Distal Luo Zhen Pts
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SI3, BL60, BL62, GB39, Luo Zhen, Lu7, TB5, SI3+BL62, TB5+GB41
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Other Tx for Luo Zhen?
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plum blossom, zhu scalp
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define Sprain
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stretching or tearing of a ligament, jnts forced beyond normal ROM, Px, inflammation, bruising, inability to move that limb
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Define Grade I Sprain
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tearing w no joint instability
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Define Grade II Sprain
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partial tear of lig, bruising, moderate Px and swelling, difficult weight bearing
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Define Grade III Sprain
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complete tear or rupture of Ligament, PX, swelling and bruising usually severe. Unable to bear weight. Immobilization maybe surgery required
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Define Strain
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stretch or tear of Muskulotendinous structure. Usually a stretch beyond normal and then required to contract. Px, spasm, loss of strength, limited ROM
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Grade I strain
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mild, only a few muscle fibers affected
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Grade II strain
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moderate strain, 3-6 weeks heal
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Grade III Strain
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complete rupture of muscle, rolls up like window shade. Surgery required
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Niu Shang- Strains and Sprains 1. pathogenesis
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trauma, causes local stagnation qi and blood with symptoms of Px and restricted mvmt
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Niu Shang- Strains and Sprains 2. pathogenesis
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Overuse causes stag Qi and Blood causes undernourishment to C&C
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Niu Shang- Strains and Sprains 3. Pathogenesis
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Exogenous, W/C/D take advantage of local deficiency invade and exacerbate Qi and Blood Stag
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Nie Shang- Strains and Sprains 4. Pathogenesis
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Chronic Illness, aging, LV/KI Xu leads to Qi and Blood Essence decline resulting in lack of nourishment to sinews
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Niu Shang as Qi and Blood Stag Sx
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local Px, swelling, bruising w restricted ROM.
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Niu Shang as Qi and Blood Stag Tx Principles
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Move Qi, quicken blood, soothe sinews, open C&C relieve px
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Niu Shang Qi and Blood Stag Formula
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Sheng Tong Zhu Yu Tang
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Niu Shang w LV/KI Xu Sx
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local px, sweeling, poss. Bruising w restricted ROM in ELDERLY, chronic symptoms worse w cold drafts or overuse
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Niu Shang w LV/KI Xu Tx Principles
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supplement LV/KI, dispel W/D, quicken blood, Open C&C, relieve Px
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Niu Shang w LV/KI Xu Formula
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Liu Wei Di Huang Wan Jia Wei
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Local pts shldr
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LI15, TB14, SI10, SI9, Jian Qian
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Local pts Elbow
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LI11, Lu5, Pc3, HT3, LI10, TB10, SI8
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Local Pts Wrist
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LI5, TB4, PC7, LI4, TB5
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local pts fingers
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ba xie, LI4, LI3, TB3, Si Feng
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Local Hip Pts
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GB30, GB29, GB34, ST31, Huan Zhong
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Local Sacral Pts
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BL32, BL27, BL28
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Local Low Back Pts
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BL23, BL27, BL28
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Local Knee Pts
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ST35, Nei Xi Yan, ST34, BL40, GB33, LV8, GB34, Sp9, KI10, SP10, He Ding
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Local Ankle Pts
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BL60, KI3, ST41, GB40, SP5, KI6
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local toe pts
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Ba Feng, ST44, Sp3
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Local Spine Pts
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GV14, GV12, GV3, Jia Ji
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Local Neck pts
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GB20, BL10, BL11, Jia ji
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Distal Pts for Niu Shang
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based on channel affectd= SI3+BL62, GB41+TB5 hip issues, Lu7+KI6
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Qi Stag Blood Stasis Pts
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Sp10, BL17, 4 gates
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Low Back Pain Red Flags
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weight loss, fever, Hx Cancer, over 50yo with swollen glands in groin, neurological Sx, writhing in pain c/b visceral, unrelenting Px c/b tumors
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Low Back Px Physical Tests
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Flexion >60° ok, Extension >25° ok, Lateral Bend >25° ok, rotation, Schober's Test(mark back at L5 and L4 have Pt bend over less than 5mm increase between marks is bad)
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Low Back Px Pathogenesis (3)
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1. EPI, dampness key, C-D and D-H obstruct Qi and Blood 2. trauma, overuse obstruct flow of Qi and Blood, 3. Constitutional Vacuity, aging, chronic illness,
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LBP Excess description
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acute, obstruction by exogenous Pattern or trauma
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LBP Defic description
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gradual onset, usually KI Xu
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General Tx Principles?
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expel pathos, open C&C, decrease Px, or supplement KI if defic, or for mixed Tx root and branch simultaneously w supplementation
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LBP as Cold Damp Sx
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mild to severe cold pain with heaviness and decreased ROM. Px better w exercise and heat, worse w rest and cold and dampness. Cold predominates then Px is severe and muscles stiffer and more contracted. Damp Predom swelling and numbness possible
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LBP as Cold Damp T&P
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white greasy/ deep, tight or deep slow pulse
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LBP as Cold Damp Tx Principles
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Dispel Cold, Elim Damp, Warm and Open C&C relieve Px
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LBP as Cold Damp Formula
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Gan Jiang Ling Zhu Tang Jia Wei
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LBP as Cold Damp Pts
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BL40, GV3, Sp9, MOXA!!
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LBP as Damp Heat Sx
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mild to severe LBP w heat in the area, possible heaviness, Px worse in hot damp
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LBP T&P
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red w yellow greasy coat/soft slippery and rapid pulse
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LBP Tx Principles
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Clr Heat, Elim Damp, Open C&C, relieve Px
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LBP Damp Heat Formula
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Si Miao Wan
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LBP Damp Heat Pts
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BL40, Sp9, BL28, LI11
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LBP Qi Stag Blood Stasis Sx
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severe, fixed, stabbing Px, maybe better w light mvmt, Px worse w rest, pressure and at night. Decreased ROM, noticeable spasm, possible Hx of injury
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LBP Qi Stag Blood Stasis T&P
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dark, purplish, may have stasis macules/choppy pulse
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LBP Qi Stag Blood Stasis Tx Principles
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Quicken the blood, transform stasis, move Qi, relieve pain
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LBP Qi Stag Blood Stasis Formula
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Sheng Tong Zhu Yu Tang
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LBP Qi Stag Blood Stasis Pts
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BL40, Sp10, Sp6, BL17, BL32, GV26 acute sprain
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LBP Ki YANG Xu Sx
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gradual onset, long Hx dull achy Px worse w exertion better w pressure and rest, possibly cold in LB
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LBP Ki Yang Xu Secondary Sx
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cold extremities, pale CXN, nocturia, low libido, sore/weak knees, lower bod edema
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LBP Ki Yang Xu T&P
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pale thin white coat/ deep thin and weak pulse
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LBP KI Yang Xu Tx Principles
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Warm and supplement Ki yang, relieve Px
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LBP Ki Yang Xu Formula
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You Gui Wan (restore the right)
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LBP KI Xu Pts
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KI3, BL23, GV3, GV4, CV4, CV6, BL52 Moxa
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LBP Ki YIN Xu Sx
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gradual onset, long Hx dull achy Px worse w exertion better w pressure and rest
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LBP Ki Yin Xu Secondary Sx
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insomnia, malar flush, 5 center heat, dry throat, sore/weak knees
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LBP Ki Yin Xu T&P
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red w scanty coat/thin rapid pulse
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LBP Ki Yin Xu Tx Principles
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Nourish Ki Yin, relieve Px
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LBP Ki Yin Xu Formula
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Zuo Gui Wan (restore the left)
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LBP KI Xu Pts
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KI3, BL23, GV3, GV4, CV4, CV6, BL52 Moxa
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LBP Qi and Blood KI/LV Xu Formula
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Du Huo Ji Sheng Tang
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LBP Local points
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BL23, GV3, Jia Ji, BL25, BL26, BL30, BL32, BL54, GV4, Shi Qi Zhui Xia, Yao Yan, GB25, GB30
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LBP Distal Pts
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BL40, BL60, BL57, BL58, SI3, BL62, KI3, Yao Tong, GB34
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What are some red flags for sciatica?
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unexplained fever w back Px, back Px after a severe blow or fall, redness or swelling in back, weakness or numbness in buttocks, thigh or knee, burning or blood w urine, incontinence
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Name two orthopedic tests for Sciatica
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Valsalva, Straight Leg Raise, Bragard's (add dorsiflex), Lindner's (add chin to chest)
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Local Sciatica Pts
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BL23, BL24, Jia Jia, BL32, BL54, GB30, Huan Zhong, Ashi
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Distal Pts sciatica
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BL40, BL60, BL57, BL58, GB34, GB35, GB39, SI3, BL62 or BL60
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explain basic pathogenesis for Wei Zheng
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lack of nourishment and moisture to sinews
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Wei Zheng External Heat Pathogenesis
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external heat or prolonged febrile DZ cause Lu heat which injures fluids and impairs D&D, nourishment not sent to sinews and muscle, extremities become weak and flaccid
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Wei Zheng exposure to damp bad diet Pathogenesis
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exposure to damp/bad diet result in accum of dampness in sinews and muscles, transforms into damp Heat, obstructs flow Qi and Blood, consumes BF, sinews and muscles lose nourishment
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wei Zheng Weak Constitution SP/ST Vacuity Pathogenesis
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inefficient rotting and ripening, T&T, result in Qi, Blood, BF, Essence Vacuity (Qi Xu impairs circ, blood and BF Xu fail to nourish and moisten sinews)
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Wei Zheng Weak Constitution LV/KI Vacuity Pathogenesis
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LV governs Sinews, stores Blood to nourish sinews, KI governs bones and stores essence that produces marrow to nourish. If LV/KI vacuous unable to support their tissues
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Wei Zheng vs. Bi Zheng
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Bi Zheng= soreness, Px, heaviness, reduced ROM, or difficult mvmt joints and muscles. No FLACCIDITY present in Bi Zheng. Wei Zheng= usually deficiency/vacuity and heat more than cold
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Wei Zheng vs. Zong Feng (Wind Stroke)
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Wei Zheng= atrophy syndrome, flaccidity, pattern is random and pain NOT a common symptom, Wind Stroke= flaccidity and atrophy are sequelae here however, UNILATERAL and accompanied by numbness of limbs and facial paralysis
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Describe Wei Zheng Excess
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acute onset, rapid progression, immobility and mass lost occur quickly
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Describe Wei Zheng Deficiency
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gradual onset, slow progression, lower extremities most often affected
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Wei Zheng Lung Heat injuring BF Sx
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EPI, fever, thirst dry cough, rapidly developing flaccidity and immobility of extremities, Muscular atrophy and dry skin
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Wei Zheng Lung Heat secondary Sx
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irritability, thirst, cough, scanty sput, scanty urine, dry stools
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Wei Zheng Lung Heat T&P
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red, yellow coat/thin and rapid pulse
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Wei Zheng Lu Heat Tx Principles
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Clr Heat, Moisten Dryness, Nourish Lu, Generate Fluids
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Wei Zheng Lung Heat Injury BF Formula
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Qing Zao Jiu Fei Tang (dryness clearing, Lu rescuing decoction)
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Wei Zheng Lung Heat Pts
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Lu5, BL13
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Wei Zheng Invasion Damp-Heat Sx
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heaviness, weakness, flaccid extremities, occasional numbness, swelling in extremities, generally lower
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Wei Zheng Invasion Damp-Heat Secondary Sx
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possible fever, stifling in chest and epigast, dark scanty urine
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Wei Zheng Invasion Damp-Heat T&P
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red, yellow GREASY coat/soft and rapid pulse
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Wei Zheng Invasion Damp Heat Tx Principles
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Clr Heat, Elim Damp
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Wei Zheng Invasion Damp-Heat Formula
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Jia Wei Er Miao San (supplemented Mysterious Two Powder)
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Wei Zheng Damp Heat Pts
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Sp9, BL20
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Wei Zheng SP/ST Qi Vacuity Sx
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gradual onset flaccidity and weakness limbs, progresses to muscle atrophy, Fatigue, Lassitude, SOB
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Wei Zheng SP/ST Qi Vacuity Secondary Sx
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poor appetite, loose stools, sallow CXN, ab distention, facial puffiness
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Wei Zheng Sp/ST Qi Vacuity T&P
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pale w/ thin white coat/ thin and weak pulse
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Wei Zheng Sp/ST Qi Vacuity Tx Principles
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Supplement SP/ST, boost Qi
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Wei Zheng Sp/ST Qi Vacuity Formula
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Shen Ling Bai Zhu San
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Wei Zheng Sp/ST Qi Xu Pts
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CV6, Sp6, ST36, BL20, BL21
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Wei Zhen LV/KI Yin Xu Sx
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gradual onset flaccidity and weakness limbs, progresses to muscle atrophy, SORE LOW BACK & KNEES
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Wei Zheng LV/KI Yin Xu Secondary SX
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dizziness and vertigo, hair loss, tinnitus, dry throat, fatigue, seminal emission, irreg. menses
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Wei Zheng LV/KI Yin Xu T&P
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red w scanty coat/ thin and rapid pulse
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Wei Zheng LV/KI Yin Xu Tx Principles
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Supplement LV/KI, Nourish Yin, Clr Heat
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Wei Zheng LV/KI Yin Xu Formula
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Hu Qian Wan (hidden tiger pill)
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Wei Zheng LV/KI Yin Xu Pts
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Sp6, CV4, KI3, BL23, BL18, LV3
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Wei Zheng Blood Stasis Sx
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CHRONIC flaccidity and weakness w atrophy, numbness, dark colored skin, muscle Px possible, blood vessels visible on skin surface, Very immobilized, no Qi and no Blood moving
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Wei Zheng Blood Stasis T&P
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purple w thin white coat/ choppy pulse
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Wei Zheng Blood Stasis Tx Principles
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Move Qi, Quicken the blood, elim stasis, open C&C
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Wei Zheng Blood Stasis Formula
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Sheng Yu Tang w Modification (sage-like healing decoction)
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Wei Zheng Blood Stasis Pts
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CV6, Sp6, Sp10, BL40, BL17
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How Needle for Wei Zheng?
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Lots of needles and primarily the yang channels (YangMing particularly full) cuz full of Qi & Blood, row needling maybe for Px and paralysis
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Why the Yang Ming channels specifically?
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YangMing organs here refer to Sp/St cuz source of Qi, Blood, Essence and BF, they send vital substance to Lu for dissemination, also supply LV/KI w blood and essence to nourish sinew and bone
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In general Pts for Wei Zheng upper Limbs
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LI15, LI11, LI4, TB5, Jia Ji, Yang Ming Channel, Pai Ci=row needling
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In General Pts for Wei Zheng Lower Limbs
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ST31, ST34, ST35, ST41, GB30, GB39, Jia Ji, YangMing and pai Ci
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Hu Ma Ren and E Jiao do what for Lu?
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Nourish Yin Fluids, Moisten lug
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Mai Men Dong and Shi Gao do what for Lu Heat?
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they clr heat together
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Xing Ren and Pi Pa Ye do what for Lu Heat?
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stop cough, diffuse lug Qi, Moisten Lu
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Han Fang Ji does what for invasion damp heat?
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removes Wind Damp from Body
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Shu Di Huang and Gui Ban do what for LV/KI Yin Xu?
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tone essence, clr heat
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Zhi Mu and Huang Bai do what in LV/KI Yin Xu?
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heat clearers
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Hu Gu/Gui Ban substitute do what for LV/KI Yin Xu?
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remove Wind Damp
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Tao Ren and Hong Hua do what for blood stasis?
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Systemic blood movers
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Huai Niu Xi does what for Blood stasis?
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nourish LV/KI descend blood from upper part of body
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Ren Shen and Huang Qi do what for blood Stasis?
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Tone the Qi
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