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65 Cards in this Set
- Front
- Back
How does the Heart Govern the Blood?
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Transformation of food qi takes place in the heart
circulates blood to all tissues |
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what forms the physical basis of the mind?
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jing and qi
jing/qi nourish blood blood nourished shen |
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HT opens to the ____ to control ____ and _____
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HT opens to the tongue to control taste and speech
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how does the HT control sweat?
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ht governs blood withch has a mutual interchange with body fluids- BFs can enter the blood vessels and change into blood
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SI and UB are both _____
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Tai yang
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What provides the qi for the separation functions of the SI
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KD yang provides qi and heat to the SI for its function
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The SI transports clean to the ____
Turbid is transported to the __________ |
Clean is transported to the SP
Turbid to the LI and UB |
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What HT pathologies are likely to affect the SI
what are the s/s? |
HT Fire - causes UTI, bitter taste, tongue ulcers, dark scanty or bloody urine
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which HT pathology causes a full pulse?
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phlgm fire agitating
full/slippery/rapid (full heat in SI-rapid/flooding/wiry esp left front) |
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HT Fire Blazing causes the pulse to be _______
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rapid
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HT yin xu causes the pulse to be _________
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thready and rapid
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what HT pathologies cause a midline crack down the center of the tongue all the way to the tip?
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HT Yin Xu
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xs sweating or vomiting or a loss of blood along with chronic illness and sadness is likely to cause _____
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HT Qi Xu
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a thready and weak pulse will occur under what conditions?
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Ht Qi xu
Deep thready weak or knotted- yang xu |
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typical s/s of ht qi xu include:
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palpitations, sob, sweating, pallor, fatigue, listless, easily frightned
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what are some major differences in s/s between HT Yang Xu and Ht Yang Collapse
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Yang Xu-difficulty falling asleep, bright white face, spontaneous sweat,
Yang Collapse-cyanosis of lips, possible coma, sob with weak shallow breathing, profuse sweating, XU- P-deep/thready/weak or knotted T-pale/moist/swollen Collapse- P-hidden/minute/knotted T-pale/bluish purple |
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what is the tx principle for HT yang collapse
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rescue yang, restore consciousness, stop sweating
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what is the tx for heart yang xu
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tonify and warm heart yang
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your px complains of palpiations, forgetfulness, dizziness and has lots of dreams at night. her comlexion is dull and pale. her tongue is pale and also thin. her pulse is fine/weak. what is the likely diagnosis?
what is the tx principle? |
HT blood xu
tonify ht blood and calm the shen |
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which ht syndromes are likely to have a midline crack down the tongue.
how are they different? |
QI Xu- pale w midline crack and swelling on each side in severe cases
Yin xu-red, no coat, red swollen tip w points and midline crack to the tip |
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your px is constipated, had dry mouth, wakes up frequently and has difficulty falling asleep in addition to palpitations. her pulse is thready and rapid. What is the likely diagnosis and tx principle?
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ht yin xu
tonify ht yin, calm shen, nourish kd if necessary |
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what are some causes of HT yin xu?
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long term anxiety, worry, busy life damages yin
exterior heat(summer heat dryness fire) LV/KD fire, KD/LU/SP/ST yin xu Diet acrid hot herbs incorrect tx |
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This HT Pattern can cause mouth ulcers, red face, dark and bloody urine, and a bitter taste
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Ht Fire Blazing
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What are some major differences btwn fire blazing and phlgm fire agitating?
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Fire Blazing- mouth/tongue ulcesr, dark or bloody urine, bitter taste, thirst
Phlgm Fire-incoherent speech, rash behavior, uncontrollable laugh/cry, yellow urine, constipation, aphasia or coma both have palpitations, mental restlessnessm agitation, insomnia, red face |
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the tongue for fire blazing is _____
the tongue for phgm fire agitating is _____ |
Fire blazing - red/yellow coat
Phlgm Fire- red/yellow GREASY coat |
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pusle for fire blzaing is ___
Phlgm fire pulse is ____ |
fire blazing - rapid
phlgm fire - Full/slippery/rapid |
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what is the tx for fire blazing?
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clear heart, drain firem calm shen
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what is the tx for phlgm fire agitating?
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clear fire, transform phlgm, calm shen
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what are some likley causes of fire blazing?
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aftermath of a febrile disease, diet, alcohol, xs warm and tonifying herbs, constant worry, depression, qi stag, lv fire, anger resentment, frustration
stag + time = heat |
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what are some causes of phlgm fire agitating?
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qi stag, extreme emotional/anger problems causes fire
diet, alcohol febrile disease Heat entering PC exterior heat causing interior phlgm fire |
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your px seem dull and lethargic, and has a rattlign sound in the throat, and is mentally confused. the tongue is pale with a thick greasy white coat and a slippery tongue
what is the diagnosis and tx? |
phlgm misting
resolve phlgm, open orifices, restore consciousnesss if necessary |
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phlgm fire tongue is ___
phlgm misting tongue is ___ |
red, yelow greasy coat-phglm fire
pale, thick white greasy coat-phlgm misting |
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this ht pattern may be constitutional in children
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phlgm misting the heart
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whart are some causes of phlgm misting the heart
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constitution, cold/raw food, severe emotional problems, long term anxiety
7emotions cause qi stag and T/T problems causeing damp and transformation into phlgm |
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what is the main deficiency behind ht blood stagnation
what are the other causes |
heart yang xu
emotions (anxiety, grief, resentment, anger) causing qi/blood stag, xs cold |
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a px with blood stag will have a ___ tongue and a __ pulse
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purple tongue
knotted/choppy or irregular pulse |
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this heart pattern may or may not have palpitations as a sign or symptom
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phlgm misting
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your px comes to you with pain the in the heart region that is radiating down the left arm. he also has cold hands and cyanosis of the lips and nails
after dialing 911 you diagnos the px with ___. what is a potential tx? |
ht blood stag
regulated blood, remove stasis, warm heart yang, calm shen |
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a ying/wei disharmony causes ___
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ht qi stag
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what is the main deficiency that causes ht qi stag
what are the other causes? |
qi xu
7 emotions stagnate ht qi, disharmony of qi/blood |
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a px comes to you complaining of sorrow for no reason and fears light. you notice that she yawns frequently and with investigation you find out that she has insomnia and bouts of hysteria of anger and joy
what is the likely diagnosis and tx? |
ht qi stag
tonify ht qi and calm the shen |
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a pulse that is deep/weak or deep/choppy is most related to _______
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ht qi stag
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the tongue of ht qi stag is
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pale and possible dusky
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what causes irregularity of the ht pulse?
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qi, blood, yin, heat, phlgm cause the mvt of the ht qi to not be smoooth ** any qi stag **
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what are some typical s/s and tongue that come with irregular heart pulse?
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palpitations, sob , fatigue with desire to sleep, dizzy, pale complexion qi xu s/s
pale tongue |
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your px has a ht pulse that skips beats, what is the TX?
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tonify qi
nourish blood nourish yin warm heart yang |
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HT fire can cause what SI pattern?
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full heat in the SI
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taking on too many projects and pushing yourself in many directions can cause ____
acupuncture is helpful in what ways? |
full heat in the SI
acupucnture - restores productivity, creativity, imaginative and artistic qualities |
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mental restlessness, red face, tongue ulcers, pain in throat, feeling of heat in chest, abdominal pain, thirst, scanty dark bloody or difficult urination are all symptoms of ____
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full heat in SI
*Ab pain is key differentition esp from ht fire* |
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a px with full heat in si has a ____ tongue and
___ pulse |
tongue- red, redder swollen tip, yellow coat
P-rapid/flooding or wiry esp in left front position |
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the primary cause of SI Qi pain is ___
the primary cause of SI Qi tied is ___ |
si qi pain- LV Qi stag invating SP/ST, cold/raw food
si qi tied-exposure to cold water in winter, heavy lifting/hernia. xs cold/raw food |
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what is the pulse difference between si qi pain and si qi tied?
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both are deep/wiry
si qi pain is especially noticable in the rear position |
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what is the difference in tongues between si qi pain and si qi tied
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si qi pain - white coat
si qi tied- thick greasy white |
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what is the difference in tx principle between si qi pain and si qi tied
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si qi pain - harmonize the LV, smooth the flow of qi in the LJ
si qi tied- move qi, stop pain, remove obstruction |
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what s/s differentiate si qi pain/tied
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SI qi pain- lo abd twisting pain extending to low back, ab pain relieved by gas, pain in testes
SI qi tied- violent severe abd pain, worse with cold/better with heat, constipation, vomit both-dislike pressure, borborygmus, flatulance |
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t/f herbs and acupuncture are used for treatment of worm infestation
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f-herbs only
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what are the general s/s of worm infestation?
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ab pain, distention, bad taste in mouth, sallow complexion
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these worms cause a desire to eat stange objects like dirt, wax and uncooked rice
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hookworms
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____ cause itchy anus especially at night
____causes constant hunger |
itchy anus- pinworms
hunger- tapeworms |
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what s/s ar likely to occur with roundworms?
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ab pain, cold limbs, vomiting round worms
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sp yang xu (often caused by xs raw/cold food) causes the impairment of this organ and causes ____
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SI deficiency cold
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what are some distinguishing s/s of SI xu cold?
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dull abd pain, desire for hot liquids and pressure, borborygmus, diarrhea, pale/copius urine
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a pale tongue with white coat is characteristic of ______
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SI xu cold
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what is the pulse of si xu cold?
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deep slow weak
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what is the tx principle for si xu cold?
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warm/tonify SI SP and expel cold
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