week 8

Appetite
and Poor Appetite

Wood-Earth Disharmony vs Liver Qi and Sp Qi Xu
LV Qi + Sp Qi Xu = LV Qi attack with stress, and Sp Qi Xu symptoms because of Sp Qi Xu
Wood-Earth = Earth problems because of Stress
Tong Xue Yao Fan = Painful Diarrhea Miracle Cure, = LV-Sp
- Sp = \/
- St = /\
- Wood /\ + Heat = St heat /\ Appetite

St Yin Xu
Hunger without appetite
Clamouring St = Bensky indeterminate gnawing hunger

Sp-St Yang Xu
Undigested food particles (with KD yang)
Cold Hands/Cold Nose
Dull abdominal pain with worse with cold

Sp-St Damp Heat
Loose Stools with stronger smell
Heavy feeling in limbs,
sticky fever,
dry mouth, no desire to drink
worse with alcohol, greasy food
- Food Stagnation - Dual pattern = food that is borderline bad, unclean food

Food Stagnation
Too much food, poor digestible food.
Digestion = all process of passing through body
Meaty foods, Oils, Nuts, Greasy Fried Fatty = hard to digest
Eating too fast
episodic.
Particular in babies/elderly
belching, ab distension, pain, poor appetite

Signs of strange food (raw rice, dirt, etc)
Signs of Chong, Malnutrition due to Chong

Taste
Lack of taste/tastes like cardboard = poor appetite
Sp-St Qi Xu,
When Earth is strong, the tongue can distinguish the 5 flavors
Suspect 1) Depression
2) Diabetes
Central Qi Vacuity + damp
Use Bai Kou Ren

Sour Taste, Acidic taste
LV-Sp with Heat

Bitter Taste
Lv-GB
Heart Fire
Shao Yang

Bland = earth/qi xu, cold, + lack of taste

Sweet Taste
Sp Damp Heat, more damp than heat

Salty
Kidney problem
Vacuity heat
Cold in UB - wu ling san

Greasy/slimy - Sp encumbered by Damp

Hot taste = yin vacuity, vacuity heat

metallic taste = ancient times peppery/acrid taste
Lung Heat - Huang Qin - small dose.

Foul Breath
1) Food Stagnation
2) ST heat
3) Lung Heat

Foul smell
Abcess

Absence of Thirst
With bland Taste = Cold

Thirst with dryness
Damp with deep lingering heat

Dry mouth - Statis, binds Wet
2 Blood Thirst = Heat leating to blood stasis.

Drinks
Thirst for Cold Drinks
Heat
- St Heat
Febrile Disease

Warm drinks
Yang Xu
- Damp obstruction
Water-Rhuem repletion

Drink then Vomit
Water-rhuem in the stomach/intestines

Vomit then desire to drink
St fluid damaged

Thirst with Polydypsia and Polyuria
Xiao Ke = Wasting and thirsting/wasting thirst
Diabetes/Diabetic disease
3 Stages
Upper/Middle/Lower
Manifestation is delayed for signs and symptoms
Upper = Increased Intake/Thirst Normal Appetite
Middle = Increased Intake/Thirst, Above Average Appetite
Lower = Late stage Diabetes
Upper Stage = Qi and Yin Dual Vacuity
Qi tonics = heating harms Yin, Yin tonics = slimy/damp harms Sp

2) Insufficient Jin Ye - abnormal sweating/liquid loss



Thirst with Little or No Drinking

Yin Xu- tidal fever, malar flush, night sweats
Damp-Heat - Sticky Fever, heavy sensation
Water-Rhuem in the LI = Thirst with no drinking
Blood stasis = Blood Thirst

Sleep
1)Time and Quantity of Sleep
When you go to bed is important.
Sun cycle lecture - Consider going to bed by 10, do deep sleep by the time the sun is on the other side of the world. Yang super charges Yin.
Wake up by Sunrise
2) Time to fall asleep
a) staying asleep
b) 15 minutes to fall asleep. not more not less
3) Somnolance
4) soundness, solidity
5) awoken by fever

Insomnia
Heart -Kidney
Heart Yin/Blood Xu
Ht-Sp Dual
Ht-GB Qi timidity
Ht-Fire
Phlegm Fire
Liver Fire
Liver blood w/ Heat
Food Stagnation
Retained Heat

2 types
1) can't fall asleep - typically replete - evil qi
2) staying asleep - typically vacuity - insufficient righteous qi
a) vivid dreams
Liver treasures blood - Shen/Hun
Hun turns inward when carried back tot he LV during sleep, and dreams
Shen goes to Heart (5 patterns)
Hun goes to Liver (3 patterns)
when not getting good results, think of stasis complicating the patterns.
Ht-Sp
Ask for loss of strength as a sign of Sp Qi Xu
Post prenial somnlence
loose stools

Ht-Kid - nightmare insomnia
steaming bone
trouble falling asleep, stays awake, then falls asleep only to wake up again
Replete above, vacuity below
E Jiao - Huang Lian

Ht-GB qi timidity
Waking in a fright/variations of
not wanting to sleep alone
look for hot phlegm
Wan Dan Tang

Liver-Fire
Long Dan Xie Gan Tang

Liver-Blood
Suan Zao Ren Tang