NMT150 Wk9 TCM Heart & SI Differentials PDF

NMT150: NATUROPATHIC THERAPEUTICS I TRADITIONAL CHINESE MEDICINE (TCM) WEEK 9 T C M H E A R T, S M A L L I N T E S T I N E , P E R I C A R D I U M , T R I P L E WA R M E R D IF F E R E N T IA L S Author: Dr. Neemez Kassam, M.Sc, ND, R.Ac FIRE ELEMENT Heart & Small Intestine, Pericardium & Triple War...

NMT150: NATUROPATHIC THERAPEUTICS I TRADITIONAL CHINESE MEDICINE (TCM) WEEK 9 T C M H E A R T, S M A L L I N T E S T I N E , P E R I C A R D I U M , T R I P L E WA R M E R D IF F E R E N T IA L S Author: Dr. Neemez Kassam, M.Sc, ND, R.Ac FIRE ELEMENT Heart & Small Intestine, Pericardium & Triple Warmer · Sweat can be abnormal when ie heart is compromised Sweat is the secretion Joy is the emotion Scorched (burnt) is the odor Bitter and sharp are the flavors Lack of joy is also normal EXCEPT when things that used to make you joyful do not anymore (depression) Emotional sound is Laughter and Talkative Illness sound is Belching Sense is Taste and Speech Season is Summer ↳ Heart controls the tongue speech impediments Climate is Hot related to heart (ask Heart: 11am – 1pm, SI: 1 – when they started and are there any things 3pm related to it ie mental symptoms) HEART FUNCTIONS Governs Blood Pumping of blood through the body - Controls the blood vessels Depends on Heart Qi and blood - Manifests in the Complexion Control of blood and vessels Thin skin in face allows for true color to show through - HEART FUNCTIONS House the Shen (Mind) Shen: ability to think & discriminate Gives self value/worth Incorporates all 5 of the mental-spiritual aspects CHun, Po, Zhi, Yi, Shen 3 Opens into the tongue Speech difficulties and taste problems - - Controls Sweat Questionable function of the Heart since the Lungs control this area - - Upper burner Ch en Sple Stomach fire can damage the heart Liver - both can store blood; heart stores for more mental/ emotional purposes & liver for physical ie muscles, menstrual functioning Liver qi stagnation can damage heart ↳ Ie angina, myocardial infarction Spleen sends up Qi to produce blood or send blood out Kidneys in lower burner —> provides an anchor HEART QI DEFICIENCY Causes E ** 3 Poor constitution Prolonged illnesses or severe diseases Congenital deficiency or senility Palpitations Weak and chronic SOB, worse on exertion Low and/or hoarse voice Fatigue Spontaneous sweating Dizziness Pale face Watery or thin/clear sputum Catches colds easily Tongue Pale tongue with a thin, white coating Pulses Weak or empty pulses Same as lung qi deficiency G Left hand for heart pulse HEART YANG DEFICIENCY Tongue Causes Pale, swollen with a white, smooth or wet coating Same as for Qi deficiency &(2) Heart Qi Deficiency plus Pulses Weak and deep, often slow Chills Cold limbs Chest pain Bright-pale face Heart Yang Collapse occurs in severe cases of Yang Deficiency and the key sxs are cyanosis of the lips and a hidden pulse % Without these cold symptoms it would be Qi deficiency Lack of oxygen & circulation Hidden pulse - hard to palpate to have the Qi deficiency symptoms first, then D Have add chills to the picture —> yang deficiency in that specific organ A * Liver or heart are only ones capable of having blood deficiency * HEART BLOOD DEFICIENCY Chronic, weak, intermittent Anemic: Intake Absorption Utilization Loss Causes E Prolonged illness Hemorrhage Poor production of blood Emotional issues disturbing the mind Palpitations Insomnia Excessive dreams Poor memory Dizziness Anxiety Easily startled Is Pale lips More yang activity Can’t remember the dreams 3 Dull-pale complexion Tongue Pale and thin with a thin, white coat Pulses Weak and thready If you have to think a lot before you do actions ie with anxiety —> uses more sources ie blood Can also be due to meditating more be thin from side to ↳Can side or length wise Very thin pulse - lack of substance HEART YIN DEFICIENCY Causes Lack of substance (yin def) So Same as Heart Blood Deficiency Heart Blood Deficiency plus Malar flush Low-grade or afternoon fever Dry mouth and throat 5 centre heat sensation Night sweats Insomnia Seen postmenopausal & premenstrually Tongue Red body with little or no coat Red tip with red papules Deep midline crack extending to tip maybe bifurcating the tip Pulse Rapid and thready HEART FIRE Causes E Comes because of SI Excess!! Mental Depression External pathogens turning to heat inside the body Interior heat excess Palpitations Strong, rapid, constant Thirst Mouth and tongue ulcers Mental restlessness Agitated 23 Insomnia Get barely any sleep Red face Dark urine or blood in urine Bitter taste in the mouth only in the morning Tongue Red with a redder tip Pulses Full and rapid pulse Note: phlegm considered more yang type of dampness (thinner) Dampness more yin in nature (thicker) PHLEGM-FIRE HARASSING THE HEART Causes E Mental depression Phlegm accumulation in the body Mental restlessness Palpitations Bitter taste in the morning Dream-disturbed sleep Easily startled Incoherent speech or AphasiaA Muttering to oneself* Mental confusion or depression A Irrational behavior * Tendency to hit or scold people Uncontrolled laughter, crying, shouting A Tongue ? Red with a yellow sticky coat Pulses Wiry and slippery * Aggressive symptoms 3 Disrupting flow of qi Introversion Phlegm affecting functions of mind PHLEGM MISTING THE MIND Causes [ · Congenital in children Phlegm accumulation in the body Mental confusion Unconsciousness Lethargic stupor Vomiting Rattling sound in throat Aphasia. Staring at walls Muttering to oneself Introverted manner Depression Tongue Thick, sticky coat maybe with a swollen body Pulses Slippery often slow No heat! No redness or yellow coat Generally happens first, then heart blood stagnation can occur HEART QI STAGNATION Causes Poor appetite Emotions S Worry, stress, anxiety Suppressed or excessive Palpitations Distention or heaviness in chest - Lump in throat - Slight SOB Sighing -D Weak and cold limbs - Pale complexion - Slightly purple lips Tongue 3 Slightly purple on the sides in the anterior 1/3 Pulses Empty but overflowing in left cun HEART VESSEL OBSTRUCTED Causes Emotions Excessive dairy & greasy foods Excess physical work Palpitations SOB with inability to lay down Depression Mental restlessness Heaviness in chest Sharp stabbing pain in chest that may radiate to shoulder Worse cold, better heat Feeling of heaviness Dislike of speaking Tongue Purple sides, swollen with sticky coat Pulses Wiry, choppy, knotted Acute - call 911!! HEART BLOOD STAGNATION Causes Insufficiency of Heart blood and yang Mental irritation Exposure to cold Palpitations Stabbing pain in the heart region May radiate to the left arm or shoulder Heart attack Feeling of constriction in the chest Cyanosis of the lips and nails Tongue Dark purple or dark purple spots on the tongue Pulses Thready and hesitant or with missed-beats LUNG HEART Cough Asthma Breathing Palpitations Insomnia Memory Qi Def Weak Weak Weak Weak, during activity None Weak Blood Def - - - Weak, during rest Mild Weak Yin Def Dry Dry Weak Moderate, during rest Moderate Weak Heat/Fire Yellow Yellow Rapid Rapid, all the time Severe Over active SMALL INTESTINE FUNCTIONS Separates “pure” from “turbid” Communicates with the stomach, spleen, bladder and large intestine FULL-HEAT IN THE SI Causes Excessive anxiety What differentiates b/n heart fire & full heat in SI Scanty and dark urine Painful urination Mental restlessness Blood in the urine Tongue ulcers Tongue Pain in the throat Red with a redder tip and a yellow Deafness coat Uncomfortable feeling in the chest Pulses Abdominal pain Rapid and full Thirst E SI QI PAIN Borborygmi Intestinal sounds Excessive consumption of cold and Flatulence * raw foods Abdominal pain relieved by * Factors which cause Liver Qi * passing wind stagnation Pain in the testis A Lower abdominal twisting pain Tongue * which may extend to the back Causes Abdominal distention * Dislikes pressure on abdomen White coating Pulses Deep and wiry Spleen yang deficiency more so what this issue would be SI DEFICIENT & COLD Causes Excessive consumption of cold and raw foods Abdominal pain Desire for hot drinks Likes pressure on abdomen Borborygmi Diarrhea Pale and copious urine Tongue Pale body with white coating Pulses Deep, slow and weak