NMT150 Wk10 TCM - PC_TW Differentials PDF

NMT150: NATUROPATHIC THERAPEUTICS I TRADITIONAL CHINESE MEDICINE (TCM) LECTURE 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 DIFFERENTIALS P U L S E C H A RT I N G A N D T O N G U E D I A G N O S I S Author: Neemez Kassam, M.Sc., N.D., R.Ac. FIRE ELEMENT Heart & Small Intestine, Perica...

NMT150: NATUROPATHIC THERAPEUTICS I TRADITIONAL CHINESE MEDICINE (TCM) LECTURE 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 DIFFERENTIALS P U L S E C H A RT I N G A N D T O N G U E D I A G N O S I S Author: Neemez Kassam, M.Sc., N.D., R.Ac. FIRE ELEMENT Heart & Small Intestine, Pericardium & Triple Warmer Emotional sound is Laughter and Talkative Sweat is the secretion Illness sound is Belching Joy is the emotion Scorched (burnt) is the odor Sense is Taste and Speech Bitter and sharp are the flavors Season is Summer Climate is Hot Heart: 11am – 1pm, SI: 1 – 3pm PERICARDIUM FUNCTIONS Protects the Heart Especially from external pathogens Governs Blood and houses the Shen Like the Heart Loading… Stimulate or Calm the Mind & Externally derive condition from external pathogens PERICARDIUM HEAT Tongue Red and dry without coating Causes Wind-heat invasion & Pulses Thready and rapid Goes into Nutritive Qi level Fever at night Mental confusion Incoherent speech or aphasia - Need to rule out ie stroke —> refer out Similar to phlegm fire (aggressive)/misting the mind (introverted) Delerium Hot body with cold hands and * feet Macules * Fairly acute PERICARDIUM BLOOD DEFICIENCY Poor memory Causes Emotional strain Sadness and grief Feeling of stuffiness and discomfort in chest Dull-ache in chest Mild SOB Palpitations Anxiety Insomnia Dizziness Dream-disturbed sleep Easily startled Dull-pain complexion Pale lips Cold hands Scanty periods Linked to liver Amenorrhea Loading… 3 Tongue Pale, thin, slightly dry Pulses Choppy or thready Left cun position PERICARDIUM FIRE Causes Emotional strain Excess intake of hot foods Feeling of heat Insomnia Dream-disturbed sleep Palpitations Red face Bitter taste Heavy periods * Tightness and heat in the chest Mild chest ache Rapid breathing Thirst Mouth and tongue ulcers Indicates more PC fire rather than heart fire Tongue Red with redder and swollen tip May have red dots and yellow coat Pulses Full, rapid May overflow PHLEGM-FIRE HARASSING PERICARDIUM Causes Emotional strain Excess intake of hot foods Palpitations Feeling of oppression and heat in the chest Chest Pain Tachypnea Thirst Red face Bitter taste Phlegm production in throat Rattling sound in throat Insomnia Dream-disturbed sleep Agitation Incoherent speech Mental confusion Irrational behaviour Uncontrolled laughter or crying Tongue Red, swollen with yellow, dry sticky coat Deep crack in Heart Pulses Full, rapid, slippery or rapid, full, wiry Full, rapid, slippery or PERICARDIUM QI STAGNATION Causes Emotional strain Irritability Poor appetite Weak and cold limbs Feeling of distention and pain in Slightly purple lips the chest Pale complexion Tightness of chest Mild SOB Tongue Sighing Mildly pale-purple on sides at Feeling of lump in throat front Palpitations Pulses Depression Empty May overflow in left cun Position position BLOOD STASIS IN PERICARDIUM Causes Emotional strain Palpitations Stabbing or pricking pain in the chest May radiate to inner aspect of left arm or shoulder Feeling of oppression or constriction of the chest SOB Cyanosis of the lips and nails Cold hands Painful periods with dark clots Tongue Purple everywhere Or only on sides at front Pulses Choppy, wiry or knotted 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 Loading… 3 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 Heart Liver Kidney Yin Mid Deep Thready 2 1 1 2 Wiry 2 1 Rate: 72 bpm 1 1 1 Deep Mid 2 2 1 Slippery 1 1 1 Sup 2 1 1 Lung Spleen Kidney Yang 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 NORMAL Heat, or yin def Peeled coating Ulceration - - No coating! Sign of yin deficiency Deep crack > - Absence of coating at tip Loading… 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.