Theory Iii Swac

Front 1

introduction tcm diagnostic


Signs and symptoms are grouped together
Patterns can be arranged

Back 1

tcm is primarily based on a system of pattern discrimination
.form a pattern which then indicates a particular course of treatments
according to a number of a method.
.

Front 2

10 types of chinese pattern discrimination

Back 2

8 principles patterns
5 phases pattern
Qi & Blood pattern
Fluid & Humor discrimination

Front 3

what makes a pattern

Only information gathered through the 4 examinations is germane in making a Chinese pattern discrimination

Back 3

1. signs and symptoms
2.Tongue Signs
3. Pulse Signs

Front 4

Fundamental Strategy of Treatment:

Back 4

1.Regulation of Yin and Yang
2.strengthen what is right and expel what is pathogenic.
3. Distinguish the root from the branch
4. Consideration:
A. Climate or Seasonal Change
B. Geographical Location
C. Patient Physical consitution

Front 5

8 Methods of Treatment

Back 5

1. sweating -hun fa
2. ejecting/vomiting- tu fa
3. precipitation/downward draining- xia fa
4. Clearing - qing fa
5. Dispersing/reducing
6. Harmonizing - he fa
7. Warming- wen fa
8. Tonifying - bu fa

Front 6

Sweating:

Back 6

1. Part of Jie Biao resolve exterior, free exterior of evils.
2. Induce sweating by dispersing the lung qi.
3. regulating interaction between ying and wei
4. open the pores to release obstruction and pathogenic influences
5. related methods: resolving - Jie, Outhrusting Tou discharging xie dispelling - qu

Front 7

1. Ejecting:
2. Precipitation - xia fa

Back 7

1. Inducing vomiting or coughing in order to eject evils or obstruction.
2. Vomiting to remove food stagnaton etc.
3. Coughing to clear the throat or Lung of phlegm etc.
4. Summary of treatment methods.
5A..inducing of defecation in order to purge or expel repletion or accumlations
6.B. Purge heat accumulations.
7. C. Warm yang and guide out accumulations
8.D. Moisten intestines andunblock bowels
9.E. Drive out excess water

Front 8

Clearing:

Back 8

1. method used to address heat
2.Clear Heat drain fire to eliminate heat
3.cooling dryness or eliminating warm, dryness in warm disease
4.clear heat Qi level
5. Clear heat ying and cool blood
6. Clear heat from organs
7. Clear heat relieve toxicity
8 . treatment method.

Front 9

Dispersing:

Back 9

1. break up clumping or accumlations in the body.
2.Qi statgnation, static Blood, concretions, conglomerations, lumps, glomus,food accumulation, edema calculi, phlegm, nodules, abscess, parasites etc.
3.Eliminate food stagnation
4. transform phlegm
5 Kill parasites
6. redce sores and absesses

Front 10

Tonifying:

Back 10

treating vacuity, both yang and yin methods that are named with different terms
1. Boost--yi enhance or benefit or augmen
2. Foerify - jian make healthy or strengthen.
3. Nourish (yang)
4 .Enrich (zi)
5. Emoliate (rou)

Front 11

1Harmonizing:
A. Warming

Back 11

1. regulate or adjust functions within the human body.
2. Harmonize Ying & Wei, Liv & Sp, Ht & KD ect.
3. Used when other methods canot me used. Like sweating, or ejection.
4.Clearing, warming or supplemental can not be appied treatment methods
A. Warms and open channels
B. Removes cold from channels and facilitates movement
C. Restoring fuction of Yang Qi
D. Warm channels disperse cold
E. Warm Middle disperse cold
F. return or rescue Yang Qi

Front 12

8 Principles:
1. exterior/interior

Back 12

1. Location of desease
2. penetrate move from exterior to interior
3. less significant for internal damage etc.

Front 13

Hot/ Cold

Back 13

1. Decribes nature of disease
2. what affectations can be expected
3.clarify Cooling and warming therapies or medicinals

Front 14

Repletion or Vacuity

Back 14

1. Describe strength of the Right Qi.
2. In repletion condititon the focus of treatment will be on dispelling or draining pathogenic qi
3. Vacuity: will be restoring or supplementing the Right Qi.

Front 15

Yang or Yin

Back 15

Principles that describe relationships, classify the other 6 principles.
1.Yin- Interior, cold, vacuity, dampness
2. Yang- Exterior, Heat, repletion, wind

Front 16

1.Combined patterns
2.Conversion patterns
3.Complex patterns

Back 16

1. ex. Exterior + Cold; Interior + heat.
2. Cold turning into heat.
3. appearance of interior and exterior symptoms is simultaneous considered a combided pattern

Front 17

1. Exterior:
2. General presentations of Exterior patterns

Back 17

1. level of body: hair, skin, flesh or superficial channels.
2. if not expelled it inters the Lou.
3. the pathology of Exterior Patterns is one of obstruction of the dispersing profusion of wei qi. This causes a pathogen to lodged in the exterior where the yang qi attempts to expel them.
Because the lung rules the exterior and the wei qi, there often Lung symptoms.
1. Acute onset, adversion to cold or wind.
Adversion to cold or wind.
Pain in Limbs
Pluse: Floating
Exterior Patterns:
4 types:
Cold.Heat,Repletion,vacuity

Front 18

Pulse:

Back 18

Cold: Floating and tight pulse, Tongue: Thin white tongue coat.
Heat: Floating and Rapid pulse, Tongue: Floating and Rapid.
Repletion: lack of sweating and tight pulse usually by cold.
vacuity: sweating Floating pluse and Forceless, D/T disharmany between ying qi and wei qi.
Sweating to release pathogens- Han fu.
Shu Bido mild sweating

Front 19

Herbs
Formula: Wind Cold

Back 19

Ma Huang,
Zi Su Ye
Jing JIE
Qiang Hou
Formulas: Ma Huang Tang
JING FANG BAI DU SAN

Front 20

Points

Back 20

Lung 7, LI 4, LI 11, SJ 5, UB 12 UB 11, UB 13, GV,16

Front 21

Herbs wind heat

Back 21

Be he, sang ye, niu bang zi,
Formula Yin Qiao san,
San, San Ju Yin

Front 22

Interior Patterns

Back 22

1.1. Associated with (internal weakness) deseases that have penetrated deeper or more severe
2.May present in different ways
depending on the nature of the pathogen
3.often the largest stage of illness or lingering pathology.

Front 23

4 types:

Back 23

1. Accumulation of internal heat.
2. Vacuity of Yin with Empty Heat.
3. Accumulations of interior cold
4.Yang Qi Vacuity

Front 24

Accumulation of Internal Heat
Full heat Excess Heat not Wind Heat

Back 24

Fever, redness in face, sinsation of heat in limbs, Profuce sweating, thirst with strong desire to drink, dry stools, Scanty yellow urine, Irrability or agition, Pulse: full rolling, surgering pulse. Tongue: Red tongue with yellow coat.

Front 25

Vacuity of yin with empty heat

Back 25

Hot flashes, night sweats, red cheeks with pallor of the rest of the face, malor flush, 5 hearts heat, dry stool, scanty yellow urine, irritability or agitation, Thirst without desire to drink, Red Tongue with little or no coat, Pulse: Thin and rapid pulse.

Front 26

Accumulation of internal cold
Excess cold

Back 26

Adversion to cold, Cold limbs, Absence of sweat, Lack of thirst clear copious urine, abdominal discomfort, pale face, pale tongue,Thick, white tongue coat. Pulse: Deep Slow pulse (likely with force)

Front 27

Yang Qi Vacuity

Back 27

Adversion to cold, cold limbs,spontaneous sweats, lack of thirst, (fluids nnot circulating), clear copious urine,loose stools,pale puffy face and tongue,
thick,white,tongue coat,Pluse: Deep slow, pulse with out force, possibly weat or soggy

Front 28

Treatment on pattern

Back 28

many permutation of internal disease, no single formula or points. treat cold with heat or cold, dispel pathogens, supplement or nourish vacuity, clear differentiation is most important.

Front 29

Exterior/interior- shao yang 6 stages

Back 29

this pattern do not fit the classic presentation of either pattern. Can not be treated with normal methods to release exterior patterns, nor with tonification.
bitter tast in mouth, vexation bowstring pluse

Front 30

formula and herbs. patterns must be treated by harmonization.

Back 30

xiao chai hu tang
xiao chai hu tang classical
Chai Hu, Huang Qin,Ban Xia, Ren Shen, Da Zao, Zhi Gan Cao, Sheng jiang- fresh ginger

Front 31

points- Shao yang channel treatmetnt of GB Fu, or harmonization of the spleen and liver Zang

Back 31

Bl 19, GB 34, GB 40, Du 14, GB 24, LR 14, Lu 1, LR 3 SP 6, CV 6,
also Xiao yao san,

Front 32

Exterior heat herbs
Interior heat

Back 32

Yin qial sin
huang lian jie da tang

Front 33

Heat and Damp

Back 33

Heat:Higher fever, pain Bloating, distention and oppression, pulse: slippery and rapid, Red tongue with thick, yellow greasy or dry coat

Front 34

Damp:

Back 34

Damp: low grade fever, bloating distention, and oppression, thirst without desire for fluids, pusle soggy,not always rapid, red tongue with greasy white or slightly yellow coatWorse with pressure on belly..

Front 35

Tongue:

Back 35

red with a greasy yellow coat
Pulse rapid, and slippery or wiry.

Front 36

points

Back 36

st 23, st 40, st 44, sp 9, LI 11, SJ 6,
LR/GB LR 2, LR 14, GB 24, GB 34
ST/LI LI 4, St 25, St 37,
UB CV 3 Ub 28, St 28, st 39

Front 37

herbs

Back 37

Lr/gb long din xie gin tang
st/li Gan lu xial du din
ub ba zheng sin

Front 38

summer heat with dampness

Back 38

sensations in the head heavy and sore limbs, coucj, runny nose,nasal congestion, nausea, little or not sweat, scanty urine, thirst with little desire to drink

Front 39

tongue,pulse, herbal

Back 39

pale red with greasy yellow coat, Pusle; soggy and rapid
TX principle: Clear Heat Drain Damp harmonize Ying and wei
Xiang ru sin