Professional Documents
Culture Documents
Wasting/thirsting and consumptive disorders. Main etiology is yin and yang deficiencies with Interior heat. Common sx = drink, eat, and urinate too
much and have a thin body. Can describe diabetes, but thats not all. Often type 1 diabetes is more likely to have a thin body. Type 2 can have all
other sx depending on jiao affected. Huang jing, shi hu, tian hua fen, huang qi are commonly used in treatment of diabetes.
Upper Jiao (excessive thirst)
Organs: LU/ HT
Organs: ST
Organs: KI/LV
Sx:
Cun kou pulse at wrist is floating/slow
o Floating=LU/ wei qi too weak to be
rooted.
o Slow= HT insufficient nutrients/yin
essence
Dry mouth, thirst
Sx:
Fu Yang pulse. Taken at ST 41 or so.
o Floating=ST Qi too weak to be rooted
o Rapid=hyperactive ST heat
Frequent urination
Constipation
Sx:
Frequent urination
Thirst
RX: ???
Location:
LU, SP. Swelling all over the body,
especially the extremities.
Pathogenesis:
Spleen and Lung qi xu, failing to
transport/regulate water passages causing
water flooding in the superficial body.
Interior of the exterior
Location:
KI, SP, LU. Fullness in ab w/wheezing
Location:
LV, KI. Fullness in ab w/o wheezing
Pathogenesis:
SP/KI yang xu qi transform prob.
Water flows upward to LU which cant
regulate passage. = flooding.
Exterior of interior
Pathogenesis:
Ki yang xu + Lv qi yu = water trapped in
LJ.
Signs/Symptoms:
Acute, very sudden onset, face first,
then rapid spread all over.
Ext syn w/ aver wind
Joint pain
Wind attx LU so may have urticaria
(acute) or impetigo (chronic
w/necrosis)
Signs/symptoms:
Slow onset
Not related to exterior syndrome
more of an internal attack.
Swelling all over the body, especially
the extremities
Water floods superficially, not in deep
tissues
Can have difficult urination because
Sp qi cannot transport fluids, cant
warm urine in bladder
Can have thirst because SP/ST qi xu
fail to transport fluids, cant moisten
mouth
Might have hx of diarrhea/dysentery
Signs/symptoms:
Full ab
Wheezing
LU pulse wiry/tight (cold/cnstrx @
LU=fluids ingested stay in intestines
and cant be dispersed by LU.
Difficult urination b/c KI cant trx
fluids in bladder, cold inhib bladder
qi.
Deep pulse with heavy breathing and
wheezing
Signs/symptoms:
Full ab
No wheezing
Feel water in the belly and hardness
Treatment By Differentiation/Sx
Wind edema + heat
Over whole body, float pulse, thirst ,
possibly no high fever
Yue Bi Tang
Treatment By Differentiation/Sx
Skin edema + Heat
Edema, diff urine, deep pulse
Treatment By Differentiation/Sx
Ma Huang Fu Zi Tang
Treatment By Differentiation/Sx
??
Pathogenesis:
Exterior wind + interior water in conflict
causing flooding@ skin level
Exterior of the Exterior
Location:
SP, LU. Edema in 4 extremities and face.
Pathogenesis:
Water damp obstruction in Ying, Wei
Pathogenesis:
UJ/MJ yang qi xu, qi and blood xu
with cold.
Signs/symptoms:
Edema in extrems, face
Yellow sweating, stains white
clothing damp + heat like Hep A
No aversion to wind
P=deep, slow
Signs/symptoms:
Slow/choppy pulse in 1st
Feeble slow fu yang pulse
Cold limbs, chills d/t yang qi
obstrx.
Fullness in abdomen
Bone pain d/t blood obstruction
Signs/symptoms:
Pregnancy
Heavy sensation in body
Difficult urination
Chills
Dizziness
Treatment by diff/sx
Wei Obstrx + Ying Heat
Exterior xu + damp obstrx. Sx above.
Similar to wind edema.
Huang Qi Shao Gui Ku Jiu Tang
Treatment by diff/sx
Yang Xu + Yin Coagulation
Hardness in epigastria d/t water ret
Gui Zhi Qu Shao Yao Jia Ma
Huang Xi Xin Fu Zi Tang
Treatment
Food therapy works best. Winter melon
and wax melons
Spleen Qi Xu + Qi Obstruction
Zhi Zhu Tang
Qi Level Syndrome
Pregnancy Edema
Edema related to pregnancy
Gang Jing
Signs/Symptoms:
Rigidity throughout body (opisthotonos)
Fever
Sweating
No aversion to cold
P=deep and slow d/t BF insufficiency
Signs/Symptoms:
Trismus (jaw clench/spasms, cant open fully)
Fever
No sweating
Aversion to cold
Scanty urine d/t BF depletion
Qi rushes up to chest
Signs/Symptoms:
Fullness in the chest, retained internally
Trismus
Opisthotonos
Cramps in feet/legs
Grinding of teeth
Chest Bi
The most common pattern is chest Bi, obstruction, heart pain and shortness of breath. Yang xu of upper jiao with excess yin cold leading to chest
yang obstruction. Cun pulse will be weak due to UJ yang xu. Guan pulse will be wiry due to yin cold evil with fluid retention. The root is yang xu,
the branch is the yin cold. There are exceptions to this typical type shown below. All are still forms of chest bi.
Yang Xu + Yin Excess in UJ
Typical pattern
Qi Obstruction in Chest
Excess type
Signs/Symptoms:
Chest pain radiating to shoulder
Panting/dyspnea (SOB) and coughing
P: 1st = deep/slow, 2nd=wiry/tense
Signs/Symptoms:
Chest pain radiating to back
Cannot lie down and breathe
Signs/Symptoms:
Fullness in chest
Hypochondriac distention
Other patterns to recognize, but dont really have to memorize? They werent highlighted on the to know formula sheet, so might ignore.
Qi Obstruction in Chest
Water Retention > Qi Stagnation Qi Stagnation > Water Retention
Acute
Deficient type
Mild pattern
Mild pattern
Signs/Symptoms:
Not discussed in slides/class
Signs/Symptoms:
Not discussed in slides/class
Signs/Symptoms:
Slight damp accumulation
Signs/Symptoms:
Pain and damp leading to Bi
RX: Yi Yi Fu Zi San
Xin Tong
Location is the epigastriumThis is not chest bi, but will feel similar to the patient. Pain is in the heart and epigastrium are due to deficiency of yang
and excess of yin. This shows in the pulse, too.
Adverse Upflow of Qi
Cold Coagulation
Due to cold with water retention and coagulation
Signs/Symptoms:
Epigastric and heart pain
Fluid retention
Signs/Symptoms:
Severe pain from heart to chest and from chest to heart (?)
Pregnancy
Ab Pain
Mild
Severe
Fu Zi Tang
Bao Zu
Urinary Difficulty
PG Edema
Jiao Ai Tang
Restless Fetus
Restless Fetus
Know Post Partum ab pain due to interior cold with blood xu = Dang Gui Sheng Jiang Yang Rou Tang
Shi Syndromes
Humidity fever, heavy body, joint pain. Can be external due to damp heat or due to yang deficiency and Spleen deficiency. M/C Qs:
Exterior Damp Cold
Exterior Wind Damp
Excess type
See more below
Ma Huang Jia Zhu Tang
Excess type
See more below
Ma Xing Yi Gan Tang
Deficiency type
Deficiency type
Deficiency type
Ingredients:
Ma huang
Gui Zhi
Xing Ren
Gan Cao
Bai Zhu
Can add cang zhu also. Rx is based on Ma Huang Tang.
Ingredients:
Ma huang
Yi Yi Ren
Xing Ren
Gan Cao
Ingredients:
Fang ji
Gan Cao
Bai Zhu
Huang Qi
Sx:
Sx:
Fever from 3-5pm (Yangming time)
Worse sx with changes in humidity, rain
Sx:
Vexation
Heavy fixed pain
Both morning and night fevers
No sweating
Long term dampness conditions
Sweating
Aversion to wind
Heavy sensation
Dampness w/o pain
P: floating
Vomiting
Know the differences between these Rxs.
Xiao Ban Xia Tang
Treats vomiting, both hot and cold types. Can be used in low doses to treat morning
sickness.
Faster, stronger and warmer than Xiao Ban Xia Tang. This rx is powdered herb for
faster and more complete absorption. Better to disperse cold than Xiao Ban Xia Tang.