NMT150 TCM Synchronous Lecture 10 PDF

NMT150: NATUROPATHIC THERAPEUTICS I T RA DIT ION AL CHIN ES E M ED ICIN E (TCM ) L ECT URE 10 T C M P E R I C A R D I U M A N D T R I P L E WA R M E R D I F F E R E N T I A L S P UL SE CHA RTIN G A ND TON GUE D IAGN OS IS Author: Neemez Kassam, M.Sc., N.D., R.Ac. FIRE ELEMENT Heart & Small Intest...

NMT150: NATUROPATHIC THERAPEUTICS I T RA DIT ION AL CHIN ES E M ED ICIN E (TCM ) L ECT URE 10 T C M P E R I C A R D I U M A N D T R I P L E WA R M E R D I F F E R E N T I A L S P UL SE CHA RTIN G A ND TON GUE D IAGN OS IS Author: Neemez Kassam, M.Sc., N.D., R.Ac. FIRE ELEMENT Heart & Small Intestine, Emotional sound is Laughter Pericardium & Triple Warmer and Talkative Sweat is the secretion Illness sound is Belching Sense is Taste and Speech Joy is the emotion Season is Summer Scorched (burnt) is the odor Climate is Hot Bitter and sharp are the flavors Heart: 11am – 1pm, SI: 1 – 3pm PERICARDIUM FUNCTIONS Protects the Heart Especially from external pathogens Governs Blood and houses the Shen Like the Heart Stimulate or Calm the Mind PERICARDIUM HEAT Causes Tongue Wind-heat invasion Red and dry without coating Goes into Nutritive Qi level Pulses Fever at night Thready and rapid Mental confusion Incoherent speech or aphasia Delerium Hot body with cold hands and feet Macules PERICARDIUM BLOOD DEFICIENCY Causes Poor memory Emotional strain Easily startled Sadness and grief Dull-pain complexion Feeling of stuffiness and discomfort in chest Pale lips Cold hands Dull-ache in chest Scanty periods Mild SOB Amenorrhea Palpitations Anxiety Tongue Pale, thin, slightly dry Insomnia Pulses Dizziness Choppy or thready Left cun position Dream-disturbed sleep PERICARDIUM FIRE Causes Feeling of heat Emotional strain Insomnia Excess intake of hot foods Dream-disturbed sleep Palpitations Red face Tightness and heat in the chest Bitter taste Mild chest ache Heavy periods Rapid breathing Thirst Tongue Red with redder and swollen tip Mouth and tongue ulcers May have red dots and yellow coat Mental restlessness Pulses Full, rapid Agitated May overflow PHLEGM-FIRE HARASSING PERICARDIUM Causes Insomnia Emotional strain Dream-disturbed sleep Excess intake of hot foods Agitation Palpitations Incoherent speech Feeling of oppression and heat in the chest Mental confusion Chest Pain Irrational behaviour Tachypnea Uncontrolled laughter or crying Thirst Red face Tongue Bitter taste Red, swollen with yellow, dry sticky coat Phlegm production in throat Deep crack in Heart Rattling sound in throat Pulses Mental restlessness Full, rapid, slippery or Rapid, full, wiry PERICARDIUM QI STAGNATION Causes Irritability Emotional strain Poor appetite Weak and cold limbs Feeling of distention and pain in the chest Slightly purple lips Tightness of chest Pale complexion Mild SOB Sighing Tongue Mildly pale-purple on sides at front Feeling of lump in throat Pulses Palpitations Empty Depression May overflow in left cun position BLOOD STASIS IN PERICARDIUM Causes Cyanosis of the lips and nails Emotional strain Cold hands Painful periods with dark clots Palpitations Stabbing or pricking pain in the chest Tongue May radiate to inner aspect of left Purple everywhere arm or shoulder Or only on sides at front Feeling of oppression or constriction Pulses of the chest Choppy, wiry or knotted SOB TRIPLE WARMER FUNCTIONS Mobilizes Original Qi Controls Transportation and Penetration of Qi Moves Qi in its desired direction Controls Water Passages and excretion of fluids Transforms, transports, and excretes fluids PULSE CHARTING Intensity Can use scales with ranges from 0-10 Best practice is 0-3 (or 0-5 scales) As you gain more experience, larger scales are more common 0 = no pulse felt 1 = weak 2 = moderate 3 = strong PULSE CHARTING You should note any characteristics palpated for each location Wiry in Liver or Thready in Heart Can me more precise: Thready in mid level of Heart PULSE CHARTING Sup Mid Deep Deep Mid Sup Thready Heart 2 1 1 2 2 2 Lung Wiry Slippery Liver 2 2 1 1 1 1 Spleen Kidney 1 1 1 1 1 1 Kidney Yin Yang Rate: 72 bpm TONGUE CHARTING Always chart what you see Use natural light whenever possible Change angles to get different views Clothing around the neck and upper chest can affect tongue colour If taking pictures, have patient sign a release TONGUE CHARTING No universally accepted charted method Should be clear if another practitioner reads your chart Include as much detail as possible NORM AL REFERENCES Liangyue, Deng et al. Chinese Acupuncture and Moxibustion. Beijing, China: Foreign Languages Press, 1996. Maciocia, Giovanni. The Foundations of Chinese Medicine. 3ed. Philadelphia, PA: Elsevier Ltd, 2015. Tyme. Student Manual on the Fundamentals of Traditional Oriental Medicine. San Diego, CA: Living Earth Enterprises, 1997. Kaptchuk, Ted. The Web That Has No Weaver. Chicago, IL: Congdon & Weed, Inc, 1983.