NMT200 Week 1 TCM Elearn PDF

NMT200: NATUROPATHIC THERAPEUTICS II TRADITIONAL CHINESE MEDICINE (TCM) E-LEARNING WEEK 1 REVIEW G E N E R A L PAT H O LO G I E S O F D E F I C I E N C I E S A N D E XC E S S E S POINT PRESCRIPTIONS Author: Dr. Neemez Kassam, MSc, ND LECTURE OBJECTIVES Review general deficiency conditions: Qi, Bl...

NMT200: NATUROPATHIC THERAPEUTICS II TRADITIONAL CHINESE MEDICINE (TCM) E-LEARNING WEEK 1 REVIEW G E N E R A L PAT H O LO G I E S O F D E F I C I E N C I E S A N D E XC E S S E S POINT PRESCRIPTIONS Author: Dr. Neemez Kassam, MSc, ND LECTURE OBJECTIVES Review general deficiency conditions: Qi, Blood, Yin and Yang Review general excess conditions: Cold, Heat, Dampness, Stagnation Applying treatment principles to diagnosis Applying acupuncture points to diagnoses for treatment DEFICIENCY Characterized by Emptiness of the Upright Qi and the absence of a pathogenic factor 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 Decrease in Yin produces heat symptoms Red cheeks Dry stools Anxiety at night Night sweats Hot flushes 5 Centre Heat Thirst for cold drinks in sips Yin Yang YIN EXCESS Excess Yin produces cold symptoms Abdominal pain better with warmth Dysmenorrhea better with warmth Local pain better with heat Chills Yin Yang YANG DEFICIENCY Decrease of Yang produces cold symptoms Tired after bowel movement Low libido Edema Fatigue Yin Yang YANG EXCESS Excess Yang produces heat symptoms Feeling hot all day Red face Thirst for cold drinks (gulps) Yin Yang 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 & 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 the Qi stagnates in the meridians, the main symptoms are stiffness, heaviness, numbness or tingling of the limbs in the affected regions, or migrating pain in the limbs. BLOOD Formed from mainly 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 But blood is not complete (Blood) until it is sent to the Heart where Heart turns Blood red "Heart Governs Blood" BLOOD FUNCTIONS Nourishment & moisture: Movement of the eyes & 4 limbs Nourishes hair, sinews, bones & 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 Deep, stabbing pain EXCESS Characterized by the presence of a pathogenic factor while Upright Qi is relatively intact and actively fighting against the pathogenic factor Pain worse with pressure Pain that is acute in onset Irritability, restlessness Strong voice YIN EXCESS Excess Yin produces cold symptoms Abdominal pain better with warmth Dysmenorrhea better with warmth Local pain better with heat Chills YANG EXCESS Excess Yang produces heat symptoms Feeling hot all day Red face Thirst for cold drinks (gulps) COLD Feeling of cold Cold limbs Absence of thirst Full- or Empty-Cold? This time depends on Yin, if it is in Excess or Relative Excess of Yang  Comparison between Full-Cold and Empty-Cold Full-Cold Empty-Cold FULL- VS. Face Bright-white Dull-white EMPTY-COLD Pain Sharp, worse on pressure Dull, worse on pressure Better after bowel Worse after bowel Bowels movement movement Pulse Full-Tight-Deep Weak-Slow-Deep Tongue Thick white coating Thin white coating HEAT Feeling hot; fever Sweating Thirst Empty- vs. Full-Heat? All dependent on if it is a manifestation of Excess of Yang or if Yang is relatively in Excess  Comparison between Full-Heat and Empty-Heat Full-Heat Empty-Heat Face Whole face red Malar flush Thirst Desire to drink cold water Desire to drink in small sips Eyelid Red all over inside eyelid Thin red line inside eyelid Taste Bitter taste No bitter taste FULL-VS. Feeling of heat Fever All day High fever In the afternoon or evening Low-grade fever in the afternoon EMPTY-HEAT Mind Very restless and agitated Vague anxiety, fidgeting Bowels Constipation, abdominal pain Dry stools, no abdominal pain Bleeding Profuse Slight Waking frequently during the Sleep Dream-disturbed, very restless night or early morning Scarlet-red, not raised, painless Skin eruptions Red hot painful skin skin eruptions Pulse Full-Rapid-Overflowing Floating-Empty-Rapid Tongue Red with yellow coating Red and peeled Treatment Clear heat Nourish Yin, clear empty-heat method DAMPNESS Excess of Yin From damp environments: clothes, living, wading, diet, lack of movement Sticky and difficult to get rid of HEAVY & SLOW DAMPNESS Feeling of heaviness, pain or anything worse with damp, Anything swollen and/or oozing No appetite, bloating, made worse with food Cloudiness of discharges Pulses: Slippery Tongue: 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 (good), or descends Lung Qi (better) Lung deficiency + Qi deficiency Tonify Lung + tonify Qi Cough Caused by Lung Qi rebelling, or moving in the wrong direction Using ‘descends Lung Qi’ treats the cause of coughing vs ‘relieves coughing’ which tries to push the cough down Can use both principles together when sxs are acute 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 POINT PRESCRIPTIONS 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