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70 Cards in this Set
- Front
- Back
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Insomnia as LV Depression Transforming into Fire Formula 1
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An Mian San
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Insomnia as LV Depression Transforming into Fire Formula 2
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Long Dan Xie Gan Tang
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Insomnia as Phlegm Fire Harassing the Interior Formula
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Huang Lian Wen Dan Tang
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Insomnia as Food Stag Formula
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Bao He Wan
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Insomnia as Yin Xu w/ Effulgent Fire Formula 1
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Huang Lian E Jiao Tang
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Insomnia as Yin Xu w/ Effulgent Fire Formula 2
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Tian Wan Bu Xin Dan
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Insomnia as LV/HT Blood Xu w/ Empty Heat Formula
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Suan Zao Ren Tang
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Insomnia as HT/Sp Xu Formula
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Gui Pi Tang
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Insomnia as HT/GB Qi Xu Formula
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An Shen Ding Zhi Wan
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Insomnia Etiology/Pathogenesis 1
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Emo Stress: frustration, anger, irritability, depression injures LV=LV Qi stag=generates heat or Fire disturbs HT Shen
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Insomnia Etiology/Pathogenesis 2
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Improper Diet: food stag=phlegm-heat in ST=ST Qi rebellion=phlegm heat harass HT Shen
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Insomnia Etiology/Pathogenesis 3
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`Pensiveness: excess rumination injures SP=Qi and Blood Xu=failure to nourish HT. Lack of blood=Shen has no home=insomnia
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HT/SP dual deficiency formula?
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Gui Pi Tang
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Insomnia Etiology/Pathogenesis 4a
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Congenital Xu/aging, etc= KI Yin Xu fails to nourish HT Yin=HT Yang hyper=empty fire agitates HT
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Insomnia Etiology/Pathogenesis 4b
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Constitutional Xu of HT and GB shows timidity anxiousness and indecisiveness. Sleep is light with panic, nightmares, palpitation wakings
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Insomnia Etiology/Pathogenesis 4c
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SP Qi Xu=Blood Xu=fails to nourish HT. Lack of blood=Shen has no home=insomnia
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Insomnia Diagnostic pointers (5)
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1. Primary or Secondary? 2. Diff falling asleep=Blood Xu 3. Falling asleep easily but frequent waking=Yin Xu 4. Waking early in morn or with a start=HT/GB Qi Xu 5. dreaming is normal DDS=abnormal
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LV Depression turning into fire treatment principles
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Soothe LV, Drain Fire, Calm Spirit
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LV Depression Symp
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insomnia, irritability, angry, nightmares, red/bloodshot eyes, ribside distention, thirst, constip, bitter taste, dark urine
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LV Depression T&P
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t=red/yellow coat, p= rapid, wiry
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Phlegm-Fire harassing Interior TX Principles
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Clear Heat, Transform Phlegm, Harmonize ST, Calm Spirit
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Phlegm-Fire harassing Interior Symp
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insomnia, chest fullness, copious phlegm, heavy head, aversion to eating, belch, acid regurge, vomits, distention, bitter taste, irritable, dizzi
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Phlegm Fire harassing Interior T&P
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t-yellow greasy coat, p=rapid, slippery
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Insomnia Food Stag Tx Principles
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Disperse food, elim stagnation, relieve px, calm spirit
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Insomnia Food Stag Symp
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insom w distending epigastric px worse w pressure, belching, regurge, halitosis, nausea, vom undigested food, px relieved after belching, complete evac of stool, loose, foul smelling, or constip
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Insomnia Food Stag T&P
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t= thick greasy coat p= slippery
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Insomnia Yin Xu Effulgent Fire Tx Principles
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NOURISH KI YIN, downbear HT Fire, Calm Spirit
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Insomnia yin Xu Effulgent Fire Symp
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insomnia, irritable, restless, dizzi, tinnitus, forgetful, PALPITATIONS, 5 center heat, dry mouth, night sweats, low back
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Insomnia Yin Xu Effulgent Fire T&P
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t= red, scanty or no coat p= rapid, thin
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Insomnia as LV/HT Blood Xu w/ Empty Heat Tx Principles
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Nourish LV and HT Blood, Clear Empty Heat, Calm Spirit
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Insomnia as LV/HT Blood Xu w/ Empty Heat Symp
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difficulty falling asleep, frequent vivid dreams, irritable, HA, Chest or Hypochondriac distention/Px, palps, night sweats, dry throat and mouth, dizzi
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Insomnia as LV/HT Blood Xu w Empty Heat T&P
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t=red p= wiry or thin, rapid
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HT/SP Xu Tx Principles
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Supplement HT and Sp to promo production Qi & Blood, Calm Spirit
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HT/SP Xu Symp
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Difficulty falling asleep, light sleep, frequent vivid dreams, palps, forgetfulness, dizzi, fatigue, poor appetite, pale cxn
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HT/SP Xu T&P
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t=pale with thin coat p=thin, weak
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HT/GB Qi Xu TX Principles
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Supplement Qi, Stop Fright, Calm Spirit, Stabilize the mind
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HT/GB Qi Xu Symp
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insomnia w light sleep, DDS, wake with a start, timidity, palps, easily frightened or startled, SOB, fatigue, copious Clear urine
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HT/GB Qi Xu T&P
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t= pale p= thin wiry
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Insomnia Basic Points (5)
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HT7, SP6, An Mian, KI6, BL62
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LV Fire insomnia Pts
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LV2, LV3, BL18
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Phlegm-Fire Pts
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ST40, ST44, ST36, CV12, Lu5
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Food Stag Pts
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Diamond Tx, CV10, ST21, Li Nei Ting, ST44
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HT/KI Yin Xu Pts
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BL15, BL23, KI3
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HT/LV Blood Xu Pts
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BL15, BL18, LV3
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HT/SP Xu Pts
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BL15, BL20, ST36, Sp3
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Xiong Bi- Chest Bi definition
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oppression in chest with chest Pain, mild are simple stuffiness and discomfort
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Xiong Bi Severe cases Symptoms
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crushing pain w/ SOB, dyspnea. Pain can radiate to left upper back or left shoulder and arm with SOB, dyspnea, diff breathing lying flat
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Xiong Bi Biomedical Ds
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Angina, Coronary artery Dz, Ischemic HT Dz, MI, Rheumatic HT Dz, Intercostal Neuralgia, Costochondritis, Bronchitis, Pneumonia, Pleurisy, Emphysema, Carcinoma
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Xiong Bi Etiology 1
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Invasion by Exogenous Cold which obstructs Yang Qi,(Pre-exist Yang Xu in chest creates succeptibility to invasion) so left with inadequate warming and circ of qi and blood = qi stag blood stasis, obstruction in chest=chest Pain
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Xiong Bi Etiology 2
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Improper Diet, impairs Sp/ST function leading to patho Dampness and phlegm accum. Phlegm blocks circ of qi and blood in the channels=chest Pain
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Xiong Bi Etiology 3
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Emo Stress: Sp affected by excess thought=inadequate production Qi and Blood. Insufficient Qi fails to circ blood. Deficient Blood fails to nourish HT. Also, anger and frustration causes LV Qi Stag leads to blood stasis=chest Px
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Xiong Bi Etiology 4
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Constitutional Xu: againg, decline KI, cause Chest Bi. KI Yang Qi foundation Yang for whole body. KI Yang declines=Heart Yang sluggish. Lack of HT Yang warming and poor circ in vessels=chest pain. KI Yin deteriorates= Heart Yin and Blood Xu=circ becomes sluggish cuz lack of yin=pain
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Xiong Bi deficiency or excess?
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akways both
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Xiong Bi deficiency of which organs?
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HT. Sp. KI
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Xiong Bi Branch manifestations+
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excess resulting from blood stasis, congealed cold, Qi stag and/or phlegm accum
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Most important factors in Chest Bi?
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Cold, blood stasis, phlegm=obstruction
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Other organs play into Xiong Bi?
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Lu.ST.LV
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Describe Xiong Bi as Phlegm Accumulation
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chest stuffiness/oppression w/ obesity, cough w copious sput, greasy tongue coat
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Describe Xiong Bi as Qi Stag
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chest stuffiness/oppression w/changes in severity depending on emo stress
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Describe Xiong Bi as HT Qi Xu
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Chest stuffiness/oppression w/ aggravation w exertion, SOB, fatigue, spontaneous sweats
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Describe Xiong Bi as Blood Stasis
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stabbing, throbbing, crushing pain, fixed location, purple tongue w/ petechiae and engorged sublinguals
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Describe Xiong Bi as Cold in the HT vessels
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Spasmodic pain, sudden onset excrutiating pain w/ cold limbs, suffocation feeling and optional aggravation by cold
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Describe Xiong Bi as Yang Xu w/ Empty Cold
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Spasmodic pain, aversion to cold, lying in fetal position, puffy, pale tongue
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Explain Xiong Bi becomes Zhen Xin Tong
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Zhen Xin Tong= True Cardiac Pain) critical, intense, prolonged chest pain, perspiration, cold extremities, pale complexion, faint and thin pulse, intermittent pulse, cyanotic lips, hands and feet
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Explain Xiong Bi causes arrythmias
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arrythmias=paroxysmal Xiong Bi may cause irregular pulse. Patho abstruct free flow heart yang qi impedes blood circ. Manifest as palps or intermittent pulse, skipping or knotted
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Explain Xiong Bi cold congested fluids overflow to HT(heart failure)
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extreme deficiency HT/KI Yang causes water to overflow into HT and further deplete HT Yang. Cough, wheeze, copious watery sput, palps and pitting edema
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Xiong Bi Differential Diag 1
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Xiong Bi=oppression, stabbing pain maybe radiating left shldr/arm, palps, SOB, cold limbs, perspiration, knotted, intermittent pulse. Mostly middle-aged and older w history HT Dz or hyperlipidemia
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Xiong Bi Differential Diag 2
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True Cardiac Px= critical and fatal, constant, severe, stabbing, profuse perspiration, clammy, cold extremities, pale CXN, faint, thin pulse knotted, intermittent, cyanotic lips, hands, feet
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Xiong Bi Differential Diag 3
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Wei Tong-Epigastric Px. Px in epigastrium. True Wei Tong= distending Px may sometimes radiate to back. Nausea, bleching, vomiting, acid regurge. Usually improper diet
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Xiong Bi Tx Principles
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root defic/branch excess= 1st treat branch=elim pathogenic factors then supplement Zheng Qi./Excess patterns=expel Cold, quicken blood to elim stasis, transform phlegm relieve Px/ Deficiency Patterns=warm/supplement Yang, nourish Yin or blood, relieve Px
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