Review face
Review Eye map
Jokes = to entertain Steve, not the class.
1)Inferility
2) Heat harassing the portals
3) Pre-cordial pain
4) Loss of strength of arms
5) Insomnia (inner canthus = heart area)
6) Intercranial Tumor
7) Cause
8) Blood Vacuity
9) Sp
10) Heart
11) Bi
12) Phlegm
13)Frequent Dark Urine
14) Food Stag
15) Blood Xu
16) Straitened Sp
17) Kid Yin
18) Lu-Sp Qi Xu
19) Lu-Qi
Case Studies... Don't forget to state the "Stop" part
Stop Diarrhea, Stop Sweat, Free Flow of Stools
Patterns don't have to involve Organs
Qi = Supplement, Fortify, Boost
Blood = Nourish
Yin = Enrich
Yang - Warm, Warm/Invigorate
Dampheat in LI, Clear Heat, Drain Damp, Stop Diarrhea
Sp qi Xu, Fortify Sp, Stop Diarrhea
Water-Rheum in the Intestines, Fortify Sp, Free Yang, Transform Phlegm
Lu-Sp Qi Xu, Supplement LU Qi, Fortify Sp, Free Flow of Stools
(part 2 incomplete)
Liver Fire, Drain Fire
Thursday, October 25, 2007
Thursday, October 18, 2007
Side Notes
Treatment Principles, precise
Example:
Disease = Constipation
Pattern: Liver Qi Stagnation
Principle: Move Liver Qi, Free Stools.
Principle is Main action for the pattern + specific actions for the disease.
Add in immediate resolutions.
Stop -
Bleeding
Coughing
Sweating
Vomiting
Diarrhea
Urination
Pain
Constipation (free)
Example:
Disease = Constipation
Pattern: Liver Qi Stagnation
Principle: Move Liver Qi, Free Stools.
Principle is Main action for the pattern + specific actions for the disease.
Add in immediate resolutions.
Stop -
Bleeding
Coughing
Sweating
Vomiting
Diarrhea
Urination
Pain
Constipation (free)
week 7
Diarrhea
Wind Cold
Sudden onset
Wind = Invasion, exterior, Centered by change
Cold = Constrain, Constrict, Congeal, Clear fluids,
Cold vs Heat, Palative vs Provocative
No Smell, or Strong Fishy Smell
Tx Principle: Resolve the Ext, Warm the Intestines
Use Ge Gen, Zi Su ye
Cold Damp
Sudden Onset
Cold, Clear, Damp/Wet, No Smell, Heavy Body, Fatigue, Poor Appetite..-> Sp Damp
Tx Warm and Scatter Cold, Dispel Damp/Disinhibit
Zhi Zhong Ju
Damp Heat
Sudden Onset
Frequent, Urgent Burning, Painful.
Explosive, Foul Smell, burning anus
Yellow color
Tenesmus
Generalized signs, Sticky fever, Dry Mouth, little thirst, sticky stool
Food Stagnation
Sudden Onset
Ab-pain
Borborygmus
Undigested food, unbearably bad smell, rotten eggs.
After bowel movement, feels better.
lactose intolerance = food stagnation
Liver Qi - Diarrhea, Emotions
Sudden onset, but predictable
Stress, Story of Diarrhea on first dates.
Kidney Yang Xu (Sp-Kd Yang Xu)
Older, Bright White, Weak, Low back pain, Poor flesh tone, puts on weight
Cold Feet, maybe Kidneys
Swill Diarrhea = Food in it, Due to Lack of Fire
5th Watch, 5 Am, Cock's Crow Diarrhea,
Insidious onset
Tx Astringe Intestines, + Supplement Kidney/Sp
Phlegm (Rhuem/Water Rhuem) in Intestines (and St/aka Yang Ming)
Enduring
Clear and Watery
Borborygmus
Vomit clear fluids, possibly triggered by cold drinks
Possible sloshly sound in the abdomen
Tx Warm and transform fluids
Constipation
Yang Ming - Lots of Qi, Lots of Blood... pathogens Transform Heat, becomes Exuberant Heat
becomes 4 bigs
Qi Division - Middle Jiao - no bowel movements for 5-8 days
Heat Binding the Stools.. Scorching the stools itself.
Glomus (focal distension) Fullness, Pain, dryness,
Tongue - Red, Thick dry, yellow, old looking
Da Cheng Qi Tang - Hospital useage
Possible Diarrhea with circumfulence
Dry Heat in St-Inst
Dry, Bound Stools, Heat,
Dark urine, frequent urination
Sores around Mouth/tongue
Red complexion,
Dry Earth/metal with heat.
Tx Moisten + purge heat
Ma Zi Ren Wan
Too much baked food, not enough liquids, too much fried foods.
Liver Fire/GB Fire
Enduring Lv Qi Stag + Depressive Heat + Yin Xu
Dizzines, vertigo, irrascible, constipation
Tx Drain Fire, Free the stool
Use Lu Hui, Lv2, SJ6,
Sp/Lu Qi Xu
Pale, bright white complexion
sweat easily
struggles to defecate
not much discomfort
constipation
frequent desire to defecate, but not much
poor zhong qi
Yang Xu
Dark complexion
flatulance
constipation
frequent voiding,
long, clear urine,
frequent nocturia
terminal dribbling
cold limbs, likes warmth, fear cold
tx Warm the Yang, or Warm and Invigorate
1) Fu zi, Rou Gui, Gan Jiang, 2) Ro Song Rong
LV-Sp
Spleen qi weak + emotional = LV getting stuck, unable to discharge LI
All organs relies on the LV to discharge and course for their own Qi Ji.
Desire to defecate..
Belches a lot.
Bad breath
Tx principle, Move Qi. Abduct Stagnation, Free Stools.
Chen pi
6 milled ingredients, liu
Wind Cold
Sudden onset
Wind = Invasion, exterior, Centered by change
Cold = Constrain, Constrict, Congeal, Clear fluids,
Cold vs Heat, Palative vs Provocative
No Smell, or Strong Fishy Smell
Tx Principle: Resolve the Ext, Warm the Intestines
Use Ge Gen, Zi Su ye
Cold Damp
Sudden Onset
Cold, Clear, Damp/Wet, No Smell, Heavy Body, Fatigue, Poor Appetite..-> Sp Damp
Tx Warm and Scatter Cold, Dispel Damp/Disinhibit
Zhi Zhong Ju
Damp Heat
Sudden Onset
Frequent, Urgent Burning, Painful.
Explosive, Foul Smell, burning anus
Yellow color
Tenesmus
Generalized signs, Sticky fever, Dry Mouth, little thirst, sticky stool
Food Stagnation
Sudden Onset
Ab-pain
Borborygmus
Undigested food, unbearably bad smell, rotten eggs.
After bowel movement, feels better.
lactose intolerance = food stagnation
Liver Qi - Diarrhea, Emotions
Sudden onset, but predictable
Stress, Story of Diarrhea on first dates.
Kidney Yang Xu (Sp-Kd Yang Xu)
Older, Bright White, Weak, Low back pain, Poor flesh tone, puts on weight
Cold Feet, maybe Kidneys
Swill Diarrhea = Food in it, Due to Lack of Fire
5th Watch, 5 Am, Cock's Crow Diarrhea,
Insidious onset
Tx Astringe Intestines, + Supplement Kidney/Sp
Phlegm (Rhuem/Water Rhuem) in Intestines (and St/aka Yang Ming)
Enduring
Clear and Watery
Borborygmus
Vomit clear fluids, possibly triggered by cold drinks
Possible sloshly sound in the abdomen
Tx Warm and transform fluids
Constipation
Yang Ming - Lots of Qi, Lots of Blood... pathogens Transform Heat, becomes Exuberant Heat
becomes 4 bigs
Qi Division - Middle Jiao - no bowel movements for 5-8 days
Heat Binding the Stools.. Scorching the stools itself.
Glomus (focal distension) Fullness, Pain, dryness,
Tongue - Red, Thick dry, yellow, old looking
Da Cheng Qi Tang - Hospital useage
Possible Diarrhea with circumfulence
Dry Heat in St-Inst
Dry, Bound Stools, Heat,
Dark urine, frequent urination
Sores around Mouth/tongue
Red complexion,
Dry Earth/metal with heat.
Tx Moisten + purge heat
Ma Zi Ren Wan
Too much baked food, not enough liquids, too much fried foods.
Liver Fire/GB Fire
Enduring Lv Qi Stag + Depressive Heat + Yin Xu
Dizzines, vertigo, irrascible, constipation
Tx Drain Fire, Free the stool
Use Lu Hui, Lv2, SJ6,
Sp/Lu Qi Xu
Pale, bright white complexion
sweat easily
struggles to defecate
not much discomfort
constipation
frequent desire to defecate, but not much
poor zhong qi
Yang Xu
Dark complexion
flatulance
constipation
frequent voiding,
long, clear urine,
frequent nocturia
terminal dribbling
cold limbs, likes warmth, fear cold
tx Warm the Yang, or Warm and Invigorate
1) Fu zi, Rou Gui, Gan Jiang, 2) Ro Song Rong
LV-Sp
Spleen qi weak + emotional = LV getting stuck, unable to discharge LI
All organs relies on the LV to discharge and course for their own Qi Ji.
Desire to defecate..
Belches a lot.
Bad breath
Tx principle, Move Qi. Abduct Stagnation, Free Stools.
Chen pi
6 milled ingredients, liu
Thursday, October 11, 2007
Week 6
Painful Urination
1 UB Damp Heat
Frequent Urgent Burning Painful
Damp from SP Xu, Heat from LV
External Invasion = Hygene or disease
thick yellow greasy tongue coat, slipper rapid pulse
sticky fever, heaviness in limbs
Tx Clear Heat, Disinhibit Damp
scanty dark, urine reddish like food dye
2 Exuberant HT Fire
Blazing LV Fire... causing HT Fire
Palpitations, bitter taste, red prickles on tongue
Sores on the tongue, heat scorches the blood, causing puss
Tx Drain HT fire through Urination: Use Chi Dao San Guide Red Down Formula
HT fire potential sure sign is the HT crack
3 Kidney Yin Xu, Xu Re
Low back and knees weak and sore, + Vacuity Heat signs
Xu Re in KD leads to UB heat.
4 LV Qi Stagnation
6 Depressions
5 Blood Stasis
6 Depressions
Case example
Disease = Freq Urination
Pattern = Liv Qi stag
Tx principle = Course LV, Recitfy the Qi, eliminate damp, disinhibit damp
LV 3, Ren 3, UB 32,
Frequent Urination
UB Damp Heat
LV Qi Stagnation
Straitened Spleen ( Dry Heat ST or Intestines [Yang Ming]) + Sp Yin Xu
Blood stasis
Blood stasis inhibits the Qi Dynamic, and the Qi Dynamic is what voids the bladder, and blood stasis will stop urination.
Kidney Yin Xu
Kidney Qi Xu, Not Securing Front Yin
Stool
Color
Food will change color of stool. Salts will make it darker, Beets can dye red. Blueberries turn purple.
Stable diet, stable color.
dark with yellow = heat binding in the intestines
black tar like stool = melanoma = far bleeding from anus.
Red and white = dysentery (10x a day diarrhea)
SHOULD BE baby turd brown. ideally clean getaway.
in the morning, around sunrise (LI time)
Feeling
Should be able to relax, and comes out quickly with 1 breath
Burning = heat
unsmooth feeling, like sticky, difficult to discharge, = damp
pebbly, hard "tips" is from incomplete movements due to damp. (ungratifying)
stickiness + heat + smell = damp heat.
LV attacking = IBS
Tenesmus
Ab. pain w/ uneasy passage of feces
- urgent desire to defecate w/ heavy sensation in the rectum, possible delayed bowel movement
- TCM mechanisms evils combine with and obstruct the free flow of qi and blood, congesting and stagnating the intestines - this affects the conveynce and conducting
- a)internal urgency b) heavy sensations (burning sensation, explosive diarrhea, foul smell)
- Evils = A) damp heat (burning sensation, explosive diarrhea, foul smell)
B) epidemic toxins (heavy, sagging sensation, red and pus)
C) cold damp
Heat in the LI
Dry and Dark, water can be yellow
Blood Vacuity
Extremely Dry and Hard
Body fluid insufficiency
Extremely Dry and Hard
SP/ST vacuity
loose stools, shapeless (breaks up in water, cloudy water)
Damp Heat in the LI
Front part dry, hard pebbles, + soft, shapeless rear part.
Lv-Sp Disharmony
Possibly irregular, alternating diarrhea and constipation, relates to stress.
Sp-Kd yang vacuity
Undigested food, less smell, maybe fishy/clammy.
Food stagnation
Undigested food, rotten, foul smell.
If there is pus, sign of pus. Bai jiang sao
Go to MD.
Dysentery
Blood and Pus, Red and White, 10x a day.
Diarrhea vs loose stools
Urgency, consistency, thin, possible liquid
Damp Heat
Rich, spicy, thick, greasy, fried foods + alcohol = irritation of damp heat
More Heat = Dry bound
More Damp = Diarrhea
GB 34 = DampHeat in Lower Jiao
with ST 25 Alarm point
more Heat = LI-11 ST 44?
Huang Lian
Hou Po
Ban Shao
Mu Xiang
Food stagnation
poorly digested food, putrid belching, acid regurgitation, st distention, pain, poor appetite, nausea, loose fowl smelling food.
food stagnation = hard to digest foods, or hasty eating.
Tx principles: Abduct food stagnation (UFP [undigested food particles] Adbudction)
ST 21, Ren 12/10,
"you're right if it works" - multiple ways to treat same problem
Ji Nei Jing
Shang Jiang,
Shan Ja
LV-SP disharmony
Sp fails to upbear the clear qi + sp fail to circulate the body fluids, acomlinating in damp peculating down.
Lv-3 with Sp 6
+ st 36
ST 25,
Tong She
1 UB Damp Heat
Frequent Urgent Burning Painful
Damp from SP Xu, Heat from LV
External Invasion = Hygene or disease
thick yellow greasy tongue coat, slipper rapid pulse
sticky fever, heaviness in limbs
Tx Clear Heat, Disinhibit Damp
scanty dark, urine reddish like food dye
2 Exuberant HT Fire
Blazing LV Fire... causing HT Fire
Palpitations, bitter taste, red prickles on tongue
Sores on the tongue, heat scorches the blood, causing puss
Tx Drain HT fire through Urination: Use Chi Dao San Guide Red Down Formula
HT fire potential sure sign is the HT crack
3 Kidney Yin Xu, Xu Re
Low back and knees weak and sore, + Vacuity Heat signs
Xu Re in KD leads to UB heat.
4 LV Qi Stagnation
6 Depressions
5 Blood Stasis
6 Depressions
Case example
Disease = Freq Urination
Pattern = Liv Qi stag
Tx principle = Course LV, Recitfy the Qi, eliminate damp, disinhibit damp
LV 3, Ren 3, UB 32,
Frequent Urination
UB Damp Heat
LV Qi Stagnation
Straitened Spleen ( Dry Heat ST or Intestines [Yang Ming]) + Sp Yin Xu
Blood stasis
Blood stasis inhibits the Qi Dynamic, and the Qi Dynamic is what voids the bladder, and blood stasis will stop urination.
Kidney Yin Xu
Kidney Qi Xu, Not Securing Front Yin
Stool
Color
Food will change color of stool. Salts will make it darker, Beets can dye red. Blueberries turn purple.
Stable diet, stable color.
dark with yellow = heat binding in the intestines
black tar like stool = melanoma = far bleeding from anus.
Red and white = dysentery (10x a day diarrhea)
SHOULD BE baby turd brown. ideally clean getaway.
in the morning, around sunrise (LI time)
Feeling
Should be able to relax, and comes out quickly with 1 breath
Burning = heat
unsmooth feeling, like sticky, difficult to discharge, = damp
pebbly, hard "tips" is from incomplete movements due to damp. (ungratifying)
stickiness + heat + smell = damp heat.
LV attacking = IBS
Tenesmus
Ab. pain w/ uneasy passage of feces
- urgent desire to defecate w/ heavy sensation in the rectum, possible delayed bowel movement
- TCM mechanisms evils combine with and obstruct the free flow of qi and blood, congesting and stagnating the intestines - this affects the conveynce and conducting
- a)internal urgency b) heavy sensations (burning sensation, explosive diarrhea, foul smell)
- Evils = A) damp heat (burning sensation, explosive diarrhea, foul smell)
B) epidemic toxins (heavy, sagging sensation, red and pus)
C) cold damp
Heat in the LI
Dry and Dark, water can be yellow
Blood Vacuity
Extremely Dry and Hard
Body fluid insufficiency
Extremely Dry and Hard
SP/ST vacuity
loose stools, shapeless (breaks up in water, cloudy water)
Damp Heat in the LI
Front part dry, hard pebbles, + soft, shapeless rear part.
Lv-Sp Disharmony
Possibly irregular, alternating diarrhea and constipation, relates to stress.
Sp-Kd yang vacuity
Undigested food, less smell, maybe fishy/clammy.
Food stagnation
Undigested food, rotten, foul smell.
If there is pus, sign of pus. Bai jiang sao
Go to MD.
Dysentery
Blood and Pus, Red and White, 10x a day.
Diarrhea vs loose stools
Urgency, consistency, thin, possible liquid
Damp Heat
Rich, spicy, thick, greasy, fried foods + alcohol = irritation of damp heat
More Heat = Dry bound
More Damp = Diarrhea
GB 34 = DampHeat in Lower Jiao
with ST 25 Alarm point
more Heat = LI-11 ST 44?
Huang Lian
Hou Po
Ban Shao
Mu Xiang
Food stagnation
poorly digested food, putrid belching, acid regurgitation, st distention, pain, poor appetite, nausea, loose fowl smelling food.
food stagnation = hard to digest foods, or hasty eating.
Tx principles: Abduct food stagnation (UFP [undigested food particles] Adbudction)
ST 21, Ren 12/10,
"you're right if it works" - multiple ways to treat same problem
Ji Nei Jing
Shang Jiang,
Shan Ja
LV-SP disharmony
Sp fails to upbear the clear qi + sp fail to circulate the body fluids, acomlinating in damp peculating down.
Lv-3 with Sp 6
+ st 36
ST 25,
Tong She
Thursday, October 4, 2007
Week 5
Formulas takes half a life time to understand,
from the multiple levels of understanding
Respiratory issues in TCM can be a class by itself.
Wheezing IS a sound of phlegm
Panting, hasty panting, tuan, rapid and shallow.
Possible to have panting without wheezing, but wheezing has to be with panting
Short of breath, easily winded, is also part of panting.
Zong Qi is Lung/Heart Qi combo, + throat qi, + others
Lack of Zhong Qi would be disinclination to speak
Replete Heat, heavy respiration
Deficient = faint resperation, slow, shallow.
Lungs governs the exhale
KD governs the inhale
Bowel Sounds
Thunder-like sounds = wind cold damp.
Vacuity = low volume sounds
Water Rheum - ST/Intestines (Yang Ming)= Water sounds Rhuem is thicker than water, thus traps water.
If Yang Ming is weak, then bowel sounds + feeling like hunger. = Vacuity Cold
Wind = Bowel sounds + diarrhea maybe flatulance
Damp = Sounds + distension
Cold = High pitch, grey whales sound + spasms, ab pain.
Sighing
Both voluntary and involuntary
Classic
Breath - Sudden in/out = rib side distension, = LV Qi Stagnation
Hiccups/Hiccough
Acute = Replete Heat or Cold
Enduring = Go see Doctor.
Heat binding the stool leads to hiccups Purge LI with Da Huang
Vacuity Hiccups = Sp Yang Xu
Loudest hiccups = Food Stagnation/ possible heat binding the stool, do both.
Eructation (Belching)
Replete/Vacuity
Replete = Longer belches
Food stagnation transforming heat/bad breath + distention + acid regurgitation
Vacuity = Shorter belches
Sp Qi Xu = leads to no smell, no taste
LV Qi = LV attack St = Stress, frequent, loud and clear belches
Speech
1 Zong Qi
2 Heart
Taciturn = disinclination to speak
Vacuity/Cold = disclined = quite volume
LV Qi
Replete (heat) = Chatter
Disinclined = Xu = Qi Xu
OR LV Qi = Pissed off so not to talk
High Fever = Heart unable to house the Spirit = Incoherent Speech
Heat agitation = Phelgm Fire harassing the portals = unintentional/mistaken
Voice
1 Zong Qi
2 Lung Qi
Volume = Replete/Vacuity
Coarseness = Wind Cold
Complete loss of voice = aphonia = Stroke or Wind Cold/Wind Damp
Vomiting and Nausea
Replete/Vacuity
Differentiate
Urination
Frequency
Hot or Cold = KD Qi governs front Yin
Quantity
Hot or Cold = Totalness
Color
Hot or Cold
from the multiple levels of understanding
Respiratory issues in TCM can be a class by itself.
Wheezing IS a sound of phlegm
Panting, hasty panting, tuan, rapid and shallow.
Possible to have panting without wheezing, but wheezing has to be with panting
Short of breath, easily winded, is also part of panting.
Zong Qi is Lung/Heart Qi combo, + throat qi, + others
Lack of Zhong Qi would be disinclination to speak
Replete Heat, heavy respiration
Deficient = faint resperation, slow, shallow.
Lungs governs the exhale
KD governs the inhale
Bowel Sounds
Thunder-like sounds = wind cold damp.
Vacuity = low volume sounds
Water Rheum - ST/Intestines (Yang Ming)= Water sounds Rhuem is thicker than water, thus traps water.
If Yang Ming is weak, then bowel sounds + feeling like hunger. = Vacuity Cold
Wind = Bowel sounds + diarrhea maybe flatulance
Damp = Sounds + distension
Cold = High pitch, grey whales sound + spasms, ab pain.
Sighing
Both voluntary and involuntary
Classic
Breath - Sudden in/out = rib side distension, = LV Qi Stagnation
Hiccups/Hiccough
Acute = Replete Heat or Cold
Enduring = Go see Doctor.
Heat binding the stool leads to hiccups Purge LI with Da Huang
Vacuity Hiccups = Sp Yang Xu
Loudest hiccups = Food Stagnation/ possible heat binding the stool, do both.
Eructation (Belching)
Replete/Vacuity
Replete = Longer belches
Food stagnation transforming heat/bad breath + distention + acid regurgitation
Vacuity = Shorter belches
Sp Qi Xu = leads to no smell, no taste
LV Qi = LV attack St = Stress, frequent, loud and clear belches
Speech
1 Zong Qi
2 Heart
Taciturn = disinclination to speak
Vacuity/Cold = disclined = quite volume
LV Qi
Replete (heat) = Chatter
Disinclined = Xu = Qi Xu
OR LV Qi = Pissed off so not to talk
High Fever = Heart unable to house the Spirit = Incoherent Speech
Heat agitation = Phelgm Fire harassing the portals = unintentional/mistaken
Voice
1 Zong Qi
2 Lung Qi
Volume = Replete/Vacuity
Coarseness = Wind Cold
Complete loss of voice = aphonia = Stroke or Wind Cold/Wind Damp
Vomiting and Nausea
Replete/Vacuity
Differentiate
Urination
Frequency
Hot or Cold = KD Qi governs front Yin
Quantity
Hot or Cold = Totalness
Color
Hot or Cold
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