Transcript Pathogenisis - CatsTCMNotes

Pathogenesis
Violet Song
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Why
How
19 items of pathogenesis
(mentioned by the Yellow Emperor)
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Compare
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Symptoms/Zheng
Syndrome/Zheng/paten
Disease/Bing
(Body sign)
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• 1.代则气衰
• If the pulse is intermittent, this means that
the qi is collapsing.
• --17 THE METHODS OF PULSE EXAMINATION
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• Dai Mai (Regularly intermittent)
• Jie Mai (Irregularly intermittent)
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• Case 1
• Female 21
• The patient has oppressed chest, dizzy, fatigue after a
common cold since 1 year before.
• The symptoms getting worse this week because of
common cold attack. She’s been treated in hospital as
viral myocarditis. But the symptoms remain still.
• HR: 42/min
• Hospital suggestion: heart pacer, but she refused
• She has the above symptoms accompanied with short
of breath after activities, palpitation, aversion to cold
• T-swollen tongue body with thin white coating
• P-slow with regularly /irregularly intermittent pulse (Jie
& Dai)
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• DD: Qi and blood deficiency leads to pulse disconnection
• Zhi Gan Cao Tang modi
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Zhi Gan Cao 15, Huang Qi 30, Dang Shen 10,
Dan Shen 30,
Rou Gui 6,
Dang Gui 10
Suan Zao Ren 10, Gui Zhi 10, Mai Dong 10
Da Zao 12 pc,
Sheng Jiang 10
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• Soak the herbs in water for 20min and
then add 10 drops of liquor
• After 5 bags of formula, she felt symptoms
obviously relived. HR:45/min
• Pulse getting regular
– + Fu Zi 15
• After another 5 bags, HR: 60/min
• Total: 32 bags
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• 2.诸风掉眩皆属于肝
• Symptoms of tremors and shaking of
the limbs, dizziness, and vertigo are
usually caused by wind and associated
with the liver
• --74 ESSENTIALS OF DISEASE AND THERAPY
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• Male 35
• The patient has trembling hands and worse
on the right hand. He even can’t spell
normally, nor handle a cup. He was
diagnosed as Writer' s cramp syndrome.
• Distention in epigastrium, bad sleep with
dreams, normal stools
• P- wiry slow on right pulse, wiry thin on left
side
• T-red tongue body with thin yellow coating
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• Liv GB heat with phlegm
• Chai Qin Wen Dan Tang
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Cu Chai Hu 8,
Huang Qin 12,
Chen Pi 6,
Ban Xia 10,
Chao Zhi Shi 10, Shi Chang Pu 12,
Yuan Zhi 12,
Gou Teng 12,
Mu Li 20,
Zhi Gan Cao 6
Qing Pi 6
Fu Ling 15,
Tian Ma 10
Long Gu 20
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• After 5 bags treatment, his sleep and
epigastric distention get better, trembling
hands relieved a bit.
• P-wiry slow
• T-thin white coating
– + Si Gua Luo 10, Sheng Di Huang 12
• His trembling hands were controlled after
taking 7 bags of formula.
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• 3.诸湿肿满接属于脾
• Symptoms of edema, bloating, and
distension are usually caused by
dampness and associated with the spleen
• --74 ESSENTIALS OF DISEASE AND THERAPY
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• Case 4
• Female 60
• The patient has edema in face and limbs, the
edema area sunken while pressing it.
• Epigastric and abdominal distention, upset in
epigastrium, dry mouth without desire for
water, poor appetite, once defecation in 2
days
• P-deep slow
• T-thin white greasy coating
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• DD: SP yang deficiency with water retention
• Shi Pi Yin modi
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Fu Ling 15,
Cao Guo 10,
Zhi Fu Pian 8,
Zhi Gan Cao 6
Bai Zhu 10,
Mu Xiang 5,
Hou Po 8,
Mu Gua 10
Da Fu Pi 12
Sha Ren 6
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• After 5 bags treatment, his epigastric and
abdominal distention has cured, no dry
mouth, but still with upset in epigastrium
and poor appetite
– Take Cao Guo, Zhi Fu Pian, Da Fu Pi, Hou Po
out, add Chao Zhi Ke 10, Chen Pi 6, Su Geng
8, He Ye 10
• All the symptoms been solved after 5 bags
formula.
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• 4.诸气膹郁，皆属于肺
• Symptoms of rapid, labored breathing,
chest tightness, and obstruction are
caused by dryness and related to the
lungs
• --74 ESSENTIALS OF DISEASE AND THERAPY
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• Case 5
• Male 6
• The patient has cough for 2 months with little
phlegm.
• The hospital give him diagnose of bronchitis
and prescribed anti-inflammation drugs but
without effects.
• Normal stools, appetite
• T-normal
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• DD: LU qi fail to disperse, with bit body fluid injury
• San Ao Tang modi
– Ma Huang Rong 3,
– Tian Hua Fen 8,
– Wu Wei Zi 6,
Xing Ren 8,
Qian Hu 8,
Jie Geng 6
Gan Cao 4
Fang Feng 3
• The patient recovered after 3 bags formula
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• 5.诸病水液，澄彻清冷，皆属于寒
• Symptoms of chills and diarrhea with clear
and watery stools are usually caused by
cold
• --74 ESSENTIALS OF DISEASE AND THERAPY
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• Case 10
• Female 39
• The patient has lumber region pain for 4 years,
fatigue, short of breath, bad sleep with dreams
• Large quantity of watery leucorrhea, swollen eye
lids, normal urine and stools
• T- Dark swollen tongue body with thin white
coating
• P-deep slow
• Urine test: clear
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• DD: Cold damp accumulation
• Shen Zhuo Tang
– Fu Ling 15,
Gui Zhi 10,
Chao Bai Zhu 10
– Gan Jiang 8, Zhi Gan Cao 6, Chao Suan Zao Ren 15
– Ban Xia 10,
Xing Ren 10,
Yi Yi Ren 15
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• After taking 4 bags of formula, her
lumbago, leucorrhea, swollen eye lids all
get better, but still has dreamy sleep,
swollen tongue body
• + Huo Xiang 10, Cao Guo 10, He Hua Pi
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• After 5 bags, cured
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