Shared Flashcard Set

Details

Shang Han Lun/ Wen Bing Diagnosis
CH 1 (Tai Yang channel disorders)
24
Health Care
Graduate
04/04/2011

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Cards

Term
Tai Yang Zhong Feng Pattern- Wind Cold Exterior Deficient Pattern
Definition
disharmony btwn ying and wei

fever, spontaneous sweating, aversion to wind/cold,HA, nasal congestion w clear discharge, possible retching, superficial and moderate, superficial and weak pulse

expels wind from muscle layer, harmonize ying and wei
Term
Gui Zhi Tang Pattern w wheezing
Definition
wind cold deficient pattern w Lu Qi constraint and rebellion leading to coughing and wheezing

fever, aversion to wind, intermittent sweating, wheezing, coughing and wheezing

fever, aversion to wind, intermittent sweating, wheezing, coughing w white sputum, thin and white sputum, thin and white tongue coating, superficial and moderate pulse

expel wind from muscle layer, descend rebellious Qi downward, calms wheezing
Term
Gui Zhi Tang pattern w stiffness in neck and upper back
Definition
wind cold deficient pattern w tai yang channel Qi and fluid contraint

fever, aversion to wind or cold, spontaneous sweating, thin and white tongue coating, superficial and moderate pulse

expel wind from muscle layer, raise fluid upward, spread sinew
Term
Gui Zhi Tang pattern w body ache due to ying qi injury
Definition
excessive diaphoresis causing qi and yin deficiency w disharmony btwn ying and wei

body ache, limb spasms, dry mouth w slight desire for beverage, tender and red tongue w dry coating, deep, slow pulse

harmonize ying qi and wei qi, augments qi and nourish blood
Term
Gui Zhi Tang pattern w yang xu and constant sweating
Definition
yang qi and fluids injury after excessive diaphoresis, but exterior syndrome has not been released yet
tai yang and shao yin disorder marked by constant sweating, urinary difficulty, spasms in the limbs, limited movement of joints

pale complexion, HA, sl fever, constant sweating, fatigue, aversion to wind and cold, cold fingers, spasmodic pain in limbs and limited movement of joints, frequent and difficult urination w scanty urine, pale tongue, superficial and deficient pulse

harmonize ying and wei, stabilize exterior and support yang
Term
Tai Yang Shang Han Pattern-wind cold exterior excess pattern
Definition
WC pathogen attacks exterior, causes ying qi and wei qi obstruction, Lu qi blockage

chills and fever w out sweating, head and neck pain and stiffness, general body ache and joint pain, wheezing and coughing, no thirst, thin and white coating, superficial and tight pulse
Term
Ma Huang Tang Pattern w stiffness in neck and upper back
Definition
tai yang and shang han disorder (exterior WC excess pattern marked by stiffness in neck and upper back

stiffness in upper back and neck, HA, body ache, fever and chills w out sweating, possibly watery diarrhea, white and yellow tongue coating, superficial, tight pulse

induce sweating, release exterior, raise fluid, spread channels
Term
Ma Huang Tang Pattern w diarrhea
Definition
tai yang + yang ming channels disorder marked by diarrhea

induce sweating, release exterior, raise fluid to stop diarrhea
Term
Ma Huang Tang Pattern w vomiting
Definition
Tai yang + yang ming channels disorder marked by vomiting

induce sweating, release exterior, descend rebellion, stop vomiting
Term
Ma Huang Tang Pattern w interior heat and irritability
Definition
taiyang channel disorder + yang ming channel disorder. exterior excess cold w interior excess heat, more exterior cold than interior heat

chills and fever are severe, severe HA and body ache, dry mouth, irritability, restless extremities, no sweating, wheezing, labored breathing, loud voice, red tongue w thin and white coating, superficial, tight, forceful pulse

release exterior WC, clear interior constrained heat
Term
Ma Huang Tang Pattern w congested fluid and cough, wheezing
Definition
WC pathogen constrained in exterior, w cold congested fluids in interior or flow over to exterior

chills and fever, coughing and wheezing, possible retching, vomit, saliva, diarrhea, skin edema, abdominal fullness, NO SWEATING

release exterior, disperse cold, eliminate congested fluids, descend rebellion
Term
water accumulation pattern
Definition
exterior WC pathogen attacking w interior wind damp accumulation in UB organ

HA, fever, chills, irritability, thirst w desire to drink, immediately vomit and drinking, difficult, scanty urination, abdominal tenseness, white tongue coating, superficial

unblock yang, strengthen Qi to transform fluid, promote urination
Term
Blood accumulation pattern
Definition
taiyang channel disorder has not been released yet, evil heat sinking into LJ leading to blood stasis and heat accum in lower abdomen

lower abdominal tenseness, pain w smooth urination, severe cases there could be night fever, severe irritability and delirium seems like manic behavior, dry tongue w yellow coating, deep forceful and choppy pulse
Term
Tai yang changed syndrome- constraint heat in Lu pattern
Definition
taiyang +yang ming channels disorder-WC transforms into heat, leading to Lu heat constraint

HA, fever, sweating or no sweating, no chills or sl chills, coughing, wheezing, SOB, nasal flaring, irritability, thirst, dark and scanty urine, constipation, red and dry lips, red and dry tongue, yellow coating, superficial and rapid pulse

open up Lu Qi, clear constrained heat
Term
Evil heat causing diarrhea pattern
Definition
taiyang + yangming channels disorder-exteriro heat sinks into interior yangming channel that causes diarrhea

fever, DIARRHEA characterized by foul smelling stool and burning sensation around anus, accomp w sensation of irritability and heat in chest and epigastrium, thirst, wheezing w sweating

release exterior, and clear heat
Term
Heart yang deficiency causing palpitation pattern
Definition
excessive sweating leading to Ht yang xu characterized by palpitation relieved by pressing the chest

warm and unblock Ht yang
Term
Ht yang xu w running piglet syndrome
Definition
constitutional Ht yang xu, then attacked by cold, cold water retention causing Qi rebellion, leading to running piglet syndrome

palpitation, feeling seems like Qi rush upward from lower abdomen to chest and throat, possible abdominal muscle is hardening like board by palpitation, cold hands and feet, pale tongue and white coating, wiry pulse

warm and unblock Ht yang, descend and subdue rebellion
Term
Ht yin and yang both deficiency pattern
Definition
irregular pulse w palpitation d/t Ht yin, blood, qi xu and yang obstruction

dizziness, throbbing palpitation, stifling sensation in chest, SOB, irritability, insomnia, constipation, possible red cheeks, dry mouth and throat, possible spontaneous sweating, shinyor pale or pale and withered tongue w out coating-knotted or intermittent irregular pulses-may be chronic coughing w threadlike blood in sputum, excessive saliva

nourish yin and blood, augments Qi, unblock yang, restore pulse
Term
Sp deficiency causing congested fluid pattern
Definition
Sp yang deficiency w water retention, Qi rebellion marked by epigastric fullness, rebellious sensation rush upward to chest, dizziness and vertigo when getting up

rebellious qi rush upward to chest, distention and fullness in chest and hypochondrium, palpitation, dizziness, bland tast in mouth, urinary difficulty, loose stool, intermittent chills, pale complexion and lips, pale, puffy, and moist tongue, thing, white, and moist coat, deep, tight, wiry pulse

warm yang, strengthen sp, promote urination
Term
Sp deficiency causing palpitation and abdominal pain pattern
Definition
consumptive deficient syndrome d/t MJ yang xu and Ht-Sp Qi blood xu

abdominal spasmodic pain relieved by warmth and pressure, loose stool, palpitation, irritability, possible soreness in extremities or spermatorrhea, hot sensation in hands and feet, dry throat and mouth w desire for warm beverage
pale tongue w white and moist coating and wiry moderate and choppy pulse

warms MJ, strengthen Sp, regulates and tonifies Qi and blood
Term
both yin and yang deficiency pattern
Definition
aversion to cold and muscle spasmodic pain d/t yin and yang both deficiency, relieved by warmth

tonifies yang and nourishes yin
Term
yin and yang changed pattern
Definition
MJ yang xu and Lu xu cold

cold extremities, absence of thirst, dry throat, irritability, vomiting

warm MJ, restore yang
Term
yin and blood xu causing muscle spasmodic pain
Definition
muscle spasmodic pain d/t yin and blood xu

irritability, sl chills, spasms of calf muscle. also may be cramps in hands, abdominal pain

nourish blood, preserve yin, soften Lv, moderates spasms
Term
wind damp invading muscle pattern
Definition
wei yang xu, wind cold damp pathogens, attacking marked by body ache, difficult to change position, irritability

aversion to wind and cold w sweating, possible fever, body ache w irritability, difficult to change position, no vomiting, no thirst, loose stool, urinary difficulty, white moist, or greasy tongue coating, superficial, weak pulse when press hard

expels wind, eliminate dampness, supports yang, disperse cold
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