NMT200 TCM week 1 review of Qi, Yin, Yang, and Blood
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Questions and Answers

Which symptom is associated with Empty Qi deficiency?

  • Frequent dark urination
  • Feeling hot all day
  • Dry throat at night
  • Pale face (correct)

    • What is a common symptom of Yang deficiency?

  • Thirst for cold drinks
  • Cold limbs (correct)
  • Red face
  • Tendency to sweat profusely

    • Which of the following conditions exhibits heat symptoms?

  • Yin deficiency (correct)
  • Dampness
  • Yang deficiency
  • Cold stagnation

    • What is a key characteristic of Empty Blood?

    <p>Blurred vision</p> Signup and view all the answers

    How does excess Yang typically manifest?

    <p>Feeling hot all day</p> Signup and view all the answers

    Which of the following describes a symptom of Yin excess?

    <p>Abdominal pain better with warmth</p> Signup and view all the answers

    What is the role of Qi in the body?

    <p>Promote growth and development</p> Signup and view all the answers

    Which of the following is NOT a characteristic of Yang excess?

    <p>Edema</p> Signup and view all the answers

    Which of the following symptoms is NOT associated with Qi deficiency?

    <p>Thirst for cold drinks</p> Signup and view all the answers

    What is a primary function of blood as described?

    <p>Nourishes hair, sinews, bones, and bowels</p> Signup and view all the answers

    Which condition is characterized by oppression or pain in the chest and coughing up dark, clotted blood?

    <p>Blood stasis</p> Signup and view all the answers

    What symptom would indicate an excess of Yang?

    <p>Feeling hot all day</p> Signup and view all the answers

    How is blood defined in relationship to Yuan Qi?

    <p>Blood is considered complete once in the heart.</p> Signup and view all the answers

    Which symptoms would suggest the presence of Full-Cold?

    <p>Sharp pain worsened by pressure</p> Signup and view all the answers

    Which condition is typically associated with a weak and slow pulse?

    <p>Empty-Cold</p> Signup and view all the answers

    What characterizes the symptoms of Yin excess?

    <p>Dysmenorrhea better with heat</p> Signup and view all the answers

    What indicates a Full-Heat condition regarding tongue appearance?

    <p>Red with yellow coating</p> Signup and view all the answers

    Which symptom is associated with Empty-Heat?

    <p>Vague anxiety and fidgeting</p> Signup and view all the answers

    What is the primary treatment principle for Lung Qi Deficiency?

    <p>Tonify Lung and tonify Qi</p> Signup and view all the answers

    Which of the following conditions is characterized by a feeling of heaviness and has symptoms that worsen with dampness?

    <p>Dampness</p> Signup and view all the answers

    What distinguishes the pulse of a Full-Heat condition?

    <p>Full, rapid, and overflowing</p> Signup and view all the answers

    How does the approach differ between primary and secondary treatment principles?

    <p>Primary is based on diagnosis while secondary is for symptom management</p> Signup and view all the answers

    Which characteristic is NOT associated with Empty-Heat?

    <p>High fever all day</p> Signup and view all the answers

    What treatment principle would be applied to relieve a cough caused by Lung Qi rebelling?

    <p>Descend Lung Qi</p> Signup and view all the answers

    What typical symptom is seen in a Full-Heat condition regarding thirst?

    <p>Desire to drink cold water</p> Signup and view all the answers

    Which pulse characteristic is associated with Dampness?

    <p>Slippery</p> Signup and view all the answers

    Study Notes

    General Pathologies of Deficiencies and Excesses

    • Deficiency: Characterized by emptiness of Upright Qi, and the absence of a pathogenic factor.
    • Excess: Characterized by the presence of a pathogenic factor, while the Upright Qi is relatively intact and actively fighting.
    • Empty Qi: Pale face, weak voice, slight sweating, slight shortness of breath, fatigue, loose stools, poor appetite
    • Empty Yang: Bright pale face, cold limbs, absence of thirst, desire for hot drinks, frequent pale urination
    • Empty Yin: Heat in the afternoon, dry throat at night, night sweats
    • Empty Blood: Dull-pale face, pale lips, dry hair, blurred vision, tiredness, poor memory, insomnia, scanty periods
    • Yin Deficiency: Produces heat symptoms like red cheeks, dry stools, anxiety at night, night sweats, hot flushes, thirst for cold drinks in sips.
    • Yin Excess: Produces cold symptoms like abdominal pain better with warmth, dysmenorrhea better with warmth, local pain better with warmth, chills.
    • Yang Deficiency: Produces cold symptoms like tired after bowel movements, low libido, edema, fatigue.
    • Yang Excess: Produces heat symptoms like feeling hot all day, red face, thirst for cold drinks (gulps).

    Qi 氣

    • “Qi is the root of the human body; the stem & leaves would dry up without a root” - Eight Problems of Classics on Medical Problems.

    Qi Functions

    • Promoting: Growth and development.
    • Warming: Warmth is maintained by readjusting Qi.
    • Defence: Wei Qi protects the body from exterior attacks.
    • Checking: Maintains homeostasis.
    • Nourishing: Ying Qi or Nutritive Qi.
    • Qi Hua: Function of the organs e.g. Lung Qi = Lung function.

    Qi Deficiency

    • Fatigue, insomnia, poor digestion, cold hands and feet, shortness of breath, little to no appetite, frequent infections, weak immune system.

    Stagnation

    • If Qi stagnates, the main symptoms are stiffness, heaviness, numbness, or tingling of the limbs, or migrating pain.

    Blood

    • Formed mainly from Food Qi.
    • Food Qi from the Spleen and Stomach rises to the chest where it is acted upon by Yuan Qi.
    • At this point it is known as blood.
    • Blood is not complete until it is sent to the Heart where Heart turns Blood red.
    • "Heart Governs Blood".

    Blood Functions

    • Nourishment & Moisture: Movement of the eyes and 4 limbs.
    • Nourishes: Hair, sinews, bones and bowels.
    • Foundation of mental activities: Houses the mind.
    • Circulates with Ying Qi.
    • Determines Menstruation.

    Blood Deficiency

    • Long cycles, short luteal phase, scanty menstrual blood, amenorrhea, fatigue, anxiety, insomnia, poor memory, cold hands and feet, abdomen, low back, floaters in eyes, slow recovery, pale.

    Blood Stasis

    • Oppression or pain in the chest, coughing up dark, clotted blood, purple color, deep, stabbing pain.

    Cold

    • Feeling of cold, cold limbs, absence of thirst.
    • Full-Cold: Bright-white face, sharp pain worse on pressure, better after bowel movement, full-tight-deep pulse, thick white coating on the tongue.
    • Empty-Cold: Dull-white face, dull pain worse on pressure, worse after bowel movement, weak-slow-deep pulse, thin white coating on the tongue..

    Heat

    • Feeling Hot, fever, sweating, thirst.
    • Full-Heat: Whole face red, desire to drink cold water, red eyelid all over inside eyelid, bitter taste, all day feeling of heat, high fever, very restless and agitated mind, constipation, abdominal pain, profuse bleeding, dream-disturbed sleep, red hot painful skin eruptions, full-rapid-overflowing pulse, red tongue with yellow coating.
    • Empty-Heat: Malar flush, desire to drink in small sips, thin red line inside eyelid, no bitter taste, afternoon or evening feeling of heat, low-grade fever in the afternoon, vague anxiety, fidgeting mind, dry stools, no abdominal pain, slight bleeding, waking frequently during the night or early morning, scarlet-red, not raised, painless skin eruptions, floating-empty-rapid pulse, red and peeled tongue.

    Dampness

    • Excess of Yin originating from damp environments: clothes, living, wading, diet, lack of movement.
    • Sticky and difficult to get rid of.
    • HEAVY & SLOW.

    Dampness Symptoms

    • Feeling of Heaviness, pain or anything worse with damp, anything swollen and/or oozing, no appetite, bloating, made worse with food, cloudiness of discharges, slippery pulses, sticky coat and/or fat, swollen tongue.

    Treatment Principle

    • Based on diagnosis(es).
    • Primary approach: Should have a treatment principle for each diagnosis.
    • Secondary approach: Creating a treatment principle for symptom management.

    Treatment Principle Example

    • Weak cough that is worse on exertion, difficult breathing, fatigue, weakness, and spontaneous sweating.
    • Dx: Lung Qi Deficiency
    • 1o Tx Principle: Tonify Lung, tonify Qi
    • 2o Tx principle: Relieves coughing, or descends Lung Qi.

    Point Prescriptions

    • Tonifies Lung Qi: Lung 1, Lung 9, UB 13, GV 12
    • Tonifies Qi: LI 4, LI 10, Ht 5, St 36, UB 17, UB 43, CV 6, CV 17.
    • Descends Lung Qi: Lu 1, Lu 2, Lu 5, Lu 7, Lu 8, Lu 11, LI 16, SI 15, SP, 19, SP 20, St 10, St 12, St 40, Kd 24, Kd 25, UB 11, UB 12, UB 13, UB 42, UB 45, GB 18, GB 21, GB 22, CV 14, CV 15, CV 17, CV 21, CV 22, Bailao.
    • Relieves Coughing: Lu 1, Lu 2, Lu 9, Lu 10, LI 13, LI 16, LI 18, SP 18, SP 19, SP 20, St 16, St 18, St 19, St 40, Kd 19, Kd 22, Kd 23, Kd 25, Kd 26, Kd 27, UB 11, UB 13, UB 42, UB 43, UB 44, CV 19, CV 20, CV 21, CV 22, CV 23, GV 10, Bailao, Dingchuan.

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    Description

    This quiz explores the concepts of deficiency and excess within Traditional Chinese Medicine. It covers symptoms associated with various conditions such as Empty Qi, Empty Yang, Empty Yin, and more. Test your understanding of how these pathologies affect health and wellness.

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