NMT350 final exam > TCM > Flashcards

TCM Flashcards

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1
Q

Bi syndrome is

A

painful obstruction syndrome

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2
Q

types of bi syndrome

A
  1. wind (wandering)
  2. damp (fixed)
  3. cold (painful)
  4. heat* (occurs if any of the above turn into heat in the body)
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3
Q

causes of bi syndrome

A

External pathogens
* Wind
* Damp
* Cold
Excessive physical exercise
Overwork
Childbirth
Trauma
Emotional strain

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4
Q

only _____ are effected in bi syndrome

A

Only the channels are affected, not the internal organs

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5
Q

chronic cases of bi syndrome include internal disorders like

A
  • Qi and Blood deficiency
  • Phlegm/dampness
  • Blood Stasis
  • Kidney and Liver deficiency
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6
Q

wind/ wandering bi

A

Soreness and pain of muscles and joints

Limited movement

Wandering pain from joint to joint

Floating and rapid pulse in acute cases

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7
Q

damp/ fixed bi

A

Pain, soreness, and swelling of muscles and joints

Feeling of heaviness and numbness

Fixed location of pain

Worse in damp environments

Slow and slippery pulse in acute cases

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8
Q

cold/painful bi

A

Severely painful in a muscle or joint

Limited movement

Usually unilateral

Tight pulse in acute cases

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9
Q

bi syndrome treatment

A

Expel pathogenic factors in the channels

Eliminate local stagnation of Qi and Blood in the channels

Expel Wind
* Nourish Blood (Liver)

Scatter Cold
* Tonify Fire (Kidney Yang/Moxa)

Resolve Dampness
* Tonify Qi (Spleen)

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10
Q

distal points for bi syndrome

A

Found distal to the elbows and knees

Can use the same channel or associated Yang pair
* LI  ST, TW  GB, SI  UB

Can use Yang channels according to joints
* Shoulder  Hip, Elbow  Knee, Wrist  Ankle

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11
Q

local points for bi syndrome

A

Also known as Ah Shi (tender) points

Can occur on a channel or not

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12
Q

chronic bi

A
  • Qi and Blood deficiency
  • Phlegm/dampness
  • Blood Stasis
  • Kidney and Liver deficiency
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13
Q

key acu points for bi syndromes

A

wind/wander: UB17
damp/fixed: UB20
cold/pain: GV14
heat: GV14

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14
Q

5 direct moxa cones in summertime for bi syndrome

A

LI11
ST36
UB23
UB43

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15
Q

what causes heat bi

A

Heat Bi arises from internal heat and Yin deficiency internally

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16
Q

3 mental emotional problems in tcm

A

Mind Obstructed vs Unsettled vs Weakened

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17
Q

mind obstructed causes and symptoms

A

Causes:
Phlegm or Blood stasis
Severe Qi stagnation in mild cases

Symptoms:
Confused
Irrational
Lack of insight

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18
Q

mind unsettled causes and symptoms

A

Causes:
Qi stagnation, Blood stasis, or Fire
Blood or Yin deficiency in mild cases

Symptoms:
Insomnia
Agitation
Mental restlessness
Over-active mind

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19
Q

mind weakened causes and symptoms

A

Causes:
Qi deficiency, but may also be Blood, Yin, or Yang

Symptoms:
Depression
Melancholy
Metal exhaustion
Physical exhaustion

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20
Q

treatment for mind problems

A
  1. Nourish the Heart and calm the Mind
  2. Clear pathogenic factors and calm the Mind
  3. Clear pathogenic factors, nourish Heart and calm the Mind
  4. Resolve phlegm, open the orifices, and calm the Mind
  5. Sink and calm the Mind
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21
Q

causes of thyroid disorders

A

Emotions
* Anger, worry, pensiveness

Diet
* Dampness/phlegm
* Spleen/Stomach dysfunction

Environment
* Low iodine locations

Constitution
* Female more at risk through connections between Liver, menses, uterus and CV/PV

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22
Q

goitre/ying - 4 types

A
  • Stone (Shi) Ying
  • Exhaustion (Tu) Ying
  • Worry (Yu) Ying
  • Qi (Qi) Ying
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23
Q

3 diagnosis for goitre

A

Qi Stagnation
Phlegm accumulation
Blood Stasis

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24
Q

treat goitre as

A

a mass or accumulation

Uses local points to address any local signs and sxs

HT, LR, LU, ST, CV

Local points
LI 17, LI 18, ST 9, ST 10, ST 11, CV 22, CV 23, SI 17

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25
hypothyroidism and hyperthyroidimfrom
hypothyroidism: 1. spleen and kidney yang deficiency 2. qi and blood deficiency 3. liver and kidney yin deficiency hyperthyroidism: 1. liver qi stagnation 2. heat in liver, stomach and heart 3. liver and kidney yin deficiency
26
points for tremors, neck etc in thryoid
LI4 + LR3
27
thryoid problems
Generally, hypothyroidism is most related to Yang deficiency, while excess is related to Fire excess or significant Yin deficiency
28
uterus in TCM
Zi Bao = Baby’s Container 1 of the 6 ‘Extra Yang Organs’ * Yang shape (hollow) and Yin function (storage) Includes uterus, fallopian tubes, and ovaries Connected to Kidneys (Bao Luo) and Heart (Bao Mai)
29
Menstrual phase of cycle
Menstrual * Day 1-4 (1-3) * Liver Blood and Penetrating Vessel (Chong mai) Treatment Principle * Invigorate Blood
30
follicular phase of menses
Post Menstrual (Follicular) * Day 5-13 (4-12) * Liver Blood, Kidneys, and Conception Vessel (Ren mai) Treatment Principle * Nourish Blood, tonify Kidneys
31
mid cycle/ ovulation in menses
Mid-Cycle (Ovulation) * Day 14 (13-14) * Kidneys (Yin and Yang), Conception (Ren), and Penetrating (Chong) Vessels Treatment Principle * Tonify Kidneys, Strengthen GV, CV, and PV * Resolve Dampness and tonify Spleen, if necessary
32
pre-mesnutral/ luteal phase in menses
Pre-Menstrual (Luteal) * Day 15-end (Day 25-end = Pre Menstrual) * 1st half: Kidney Yang and Governing Vessel (Du mai) * 2nd half: Liver Qi and Blood, and Penetrating Vessel (Chong mai) Treatment Principle * Move Qi, invigorate Blood, warm the Uterus * Expel Cold and resolve Dampness, if necessary
33
tian gui
Refers to menstrual blood, ova, and sperm Formed from Essence and nourished by Blood Matures at age 14 and 16, for ova and sperm, respectively Considered different than Liver Blood and more like Heavenly water
34
tian Guin (menstrual blood, ova and sperm) is produced by
essence Kidney Yang is necessary for the formation of Tian Gui In men, Tian Gui forms sperm * Requires 16 years to crystallize and mature In women, Tian Gui forms menstrual blood * Requires 14 years to crystallize and mature
35
blood and essence
blood supplements essence essence produces blood
36
form menstrual blood and sperm
qi --> fluids --> blood --> tian giu (acted on by Chong ren) --> turn into sperm (blood within water) or menstural blood (water within blood)
37
motive force (dong qi)
between REN1 (CV1), REN4 (CV4) and DU4 (minister fire) all within penetrating and governing and directing vessel
38
liver function in menses
Stores Blood which is the basis for menstrual blood and Tian Gui Liver Blood deficiency → Poor Tian Gui production Liver Qi Stagnation → menstrual irregularities Liver Blood deficiency can cause secondary Liver Qi stagnation Tonifying Liver, Kidneys and Spleen will help generate Blood
39
spleen function in menses
Produces Blood which is stored by the Liver * Uses post-natal Qi from food to produce Blood To tonify Blood: Focus on Spleen and Heart before puberty, Liver and Kidney after puberty Spleen’s function of raising Qi keeps the Uterus in place A deficiency of Spleen’s function of containing Blood may lead to menorrhagia or urination disorders
40
spleen and liver in menses
spleen makes blood, liver store blood
41
heart function in menses
Connected to the Uterus via the Uterus Vessel (Bao Mai) Heart Yang helps to form Tian Gui Controls the crossover from Yang to Yin (menses), and Yin to Yang (ovulation) during the menstrual cycle * Descending of Heart Qi to Uterus promotes shedding of the lining at menses and the release of ova from the ovary at ovulation Loss of Blood with pregnancy can lead to emotional concerns with the Heart * Post-partum disorders
42
lungs in menses
Govern Qi with Spleen Qi and can lead to prolapse or menorrhagia Can be affected by grief or sadness
43
stomach link to uterus
Connected to Uterus via Penetrating Vessel (PV) and passes through ST 30 * Can be linked to morning sickness through this connection
44
stomach qi and link to breast milk and breastfeeding
1. Through Gu Qi extraction and supplementing menstrual Blood with the PV 2. The meridian runs through the breasts
45
penetrating vessel (chong mai) impact on menses
Sea of Blood which supplies and influences Blood in the Uterus Regulates the Uterus and menses along with the Conception Vessel (CV) Empty PV: amenorrhea, scanty periods, or delayed periods Stagnant PV: dysmenorrhea Related to Blood and body hair
46
penetrating vessel (chong mai) points
Sea of Blood points: UB 11, ST 37, ST 39
47
CONCEPTION VESSEL (REN MAI)
Closely related to the entire reproductive system including internal and external genitalia Connected to Yin, Essence, and Fluids: “Sea of Yin Channels” * Can be used to manage Yin in menopause and post-menopause Regulates physiological hormonal control * Puberty, conception, pregnancy, childbirth, menopause
48
regulates physiological hormonal control
conception vessel (ren mai)
49
penetrating vessel vs conception vessel
PV controls Qi * Can tonify and nourish * Use for menstrual irregularities CV controls Blood * Moves Qi and Blood, and removes obstructions * Use for conception, fertility, menarche, pregnancy, and menopause
50
penetrating vessel controls ____ and convection vessel controls _____
PV: qi CV: blood
51
governing vessel (du mai)
Influences Kidney Yang (Ming Men) volumes with menses and in the pre-menstrual phase * Decreased activity in menstrual, and post-menstrual phases * Increased activity in late ovulation, and pre-menstrual phases
52
when is governing vessel (du mai) most and least active
* Decreased activity in menstrual, and post-menstrual phases * Increased activity in late ovulation, and pre-menstrual phases
53
belt (girdle) vessel (dai mai)
Only horizontally running meridian * Can regulate Liver Qi movement * Can regulate ascending and descending functions of Spleen and Kidney Deficiency of BV is linked to CV, while excess of BV is linked to PV A ‘loose’ belt can lead to organ prolapse, infertility, miscarriage, or restless fetus
54
yin stepping vessel (yin qiao mai)
Related to excesses in the lower burner in women * Fibroids, masses, endometriosis May also be used for excesses in the external genitalia
55
uterus
is an ‘Extra Yang’ organ that contains Tian Gui which is created from Essence and Blood
56
yin or yang for estrogen and progesterone
Yin is synonymous with estrogen, and Yang is synonymous with progesterone
57
follicular phase is higher in ___ and luteal phase is higher in ____
yin ; yang
58
yin into yang
ovulation
59
follicular phase action
tonfiy yin and blood
60
luteal pahse action
tonify yang
61
menstrual phase action
move qi and blood
62
menopause occurs when
when the Conception Vessel becomes deficient, and the Penetrating Vessel becomes dry
63
what is responsible for menopause
Kidney Essence decline is responsible for Menopause * Kidney Yin and Yang deficiency
64
causes of making menopause more difficult
Emotional Stress Overwork/Too many children close together Irregular Diet Poor diet Excessive tea, coffee, or alcohol Smoking
65
kidney yin defieicny in menopasue
Nourish Kidney Yin, Subdue Yang, calm the mind, clear Heart empty-heat
66
kidney yang defieicny in menopause
Tonify and warm Kidneys, tonify Yang, warm the Centre, strengthen the Spleen use moxa
67
menopause acu points for kidney yin and yang deficient
LU 7 (R) + KD 6 (L)
68
kidney and liver yin deifeincy with liver yang rising in menopause
Nourish Kidney and Liver Yin, subdue Liver Yang, calm the mind, settle the Ethereal Soul (Hun)
69
kidney and heart not harmonized in menopause
* Nourish Kidney Yin, calm the mind, clear empty-heat Herbal formula * Tian Wan Bu Xin Dan * Yang Xin Tang
70
accumulation of phlegm and stagnation of qi in menpause
Resolve phlegm , pacify the Liver, eliminate stagnation, free the connecting channels
71
blood stasis in menopause
Invigorate Blood, eliminate stasis, calm the mind, open the mind’s orifices, move Qi and eliminate stagnation Herbal Formula * Gui Zhi Fu Ling Wan * Sheng Hua Tang
72
reducing risk factors in menopause
Eliminate smoking Reduce coffee, tea, and alcohol to moderate consumption Reduce stress and overwork Reduce or limit greasy and dairy foods Manage emotions Eat plenty of vegetable and whole grains Eat plenty of protein Include exercises to increase muscle mass
NMT350 final exam
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