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Benchmark Review. Foundations, Diagnostics 2 March 2013. Foundations Overview. Recognizing Syndromes. Etiology Origin or cause of a disease Pathology What is wrong, out of balance Disease mechanisms What happens as a result of the etiology. Disease vs. Differentiation. Disease
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Benchmark Review Foundations, Diagnostics 2 March 2013
Recognizing Syndromes • Etiology • Origin or cause of a disease • Pathology • What is wrong, out of balance • Disease mechanisms • What happens as a result of the etiology
Disease vs. Differentiation • Disease • The chief complaint – headache, coughing and sneezing, back pain, etc. • Differentiation • The TCM thing causing the disease Example: client comes in with a headache across the forehead which you determine comes from wind heat affecting the Yangming channel. The headache is the disease. Wind-heat affecting the Yangming channel is the differentiation.
What to know • Know the Five Element diagram thoroughly! • Understand the application of the generating/control sequence. Know the normal sequences and the pathological sequences. • Understand the application of Five Element Theory in: • Physiology • Pathology • Diagnosis • Treatment
Where to get the info Foundations 1, Classes 4-5 See the highlighted parts
Five Element TheoryWu Xin – Body * PC and SJ are also associated with fire, but not on this chart.
Normal: • Generating • Controlling • Pathological: • Overacting Mother to child but very domineering • InsultingChild to mother – like a mouthy kid • Over-controlling / Over-checkingRight direction, but too much control • Counter-checkingWrong direction of control
What to know • Origins of the theory • Yin yang correspondences • Concepts of yin and yang • Four aspects of yin/yang theory • Yin/yang channel distribution • How to apply yin/yang theory
Where to get the info Foundations 1, Classes 2-3 See the highlighted parts
Yin and Yang correspondences *only above the equator!
Concepts of Yin Yang • Tworelated things/phenomenon that have opposite, but complimentary qualities • Two related aspects of one thing • Yin and yang are relative, not absolute and can be changed.
Four aspects of Yin and Yang • Yin and Yang opposition and balance • Interdependence • Mutual consumption • Intertransformation
Yin yang channel distribution Hand yang meets foot yang at the head and face Hand and foot yins meet at the chest
Yin Yang theory in pathology • Excess – too much of something • Yang Excess • Know causes, what the Yang pathogens are, mechanism, and symptoms • Excessive heat symptoms • Yin Excess • Know causes, what the Yang pathogens are, mechanism, and symptoms • Excessive cold symptoms…cannot be relieved by warming
Deficiencies – too little of something • Yang Deficiency • Know etiology, mechanism, symptoms • “Deficient cold” which can be alleviated by warming • Yin Deficiency • Know etiology, mechanism, symptoms • “Deficient heat” “Relatively too much”
General Meridian and Collateral stuff Class 6, Foundations 2…. Forgot to highlight, but know the gist of this.
What to know • Basic Zang Fu Theory • Concept of the theory, the categories, functions of yin and yang organs • Specific stuff • General intro for each organ, physiological functions, the officials, associated tissues and their interrelationships
Where to get the info Foundations 1 • Class 6 (basic info) • Classes 7-11 (specific zangfu info) • Organs, functions • Officials, tissues • Interrelationships See the highlighted parts
Heart - What to know • Most important organ in the body • Official: Ruler, emperor, monarch • Physiological functions • Governs blood • Controls blood vessels • Manifests in complexion • Houses the shen • Related to/controls Joy • Opens to tongue • Controls sweating • Controls dreaming • Loathes heat • Controls speech
Small Intestine - What to know • Functions • Control receiving and transporting of digested food • Separates fluids – pure from turbid • Relationship to the Heart
Where to get the info Foundations 1, Class 7 See the highlighted parts
Liver - What to know • General • Most import organ for women • Location is middle jiao • Functions • Blood • Stores blood, regulates blood in relation to rest and activity • Regulates menstruation • Moistens/nourishes eyes and sinews • In charge of biorhythms
Liver - What to know (con’t) • Functions (cont’d) • Qi – ensures smooth flow • Governs flow • Affects emotional state • Affects digestion • Affects secretion of bile
Gallbladder - What to know • Functions • Stores/secretes bile • Controls decisiveness • Controls sinews • Relationship to the Liver
Where to get the info Foundations 1, Class 8 See the highlighted parts
Lung - What to know • Functions • Governs Qi and respiration • Respiration • Qi – transformation and transportation • Controls channels and blood vessels • Governs dispersing/descending • Regulates water passage – upper source of water in the body • Opens to the nose • Controls skin and hair • Houses the Po (corporeal soul)
Large Intestine - What to know • Functions • Receive digested food from Sp/St • Reabsorb body fluids and send them to the Spleen • Move the bowels (descending qi again) and get rid of the stool. • Relationship to the Lung • Descending fnx of Lu qi helps bowels move • LI reabsorbs fluids to moisten the Lu
Where to get the info Foundations 1, Class 9 See the highlighted parts
Spleen - What to know • Located in MJ • Functions • Governs transformation/transportation • Controls ascending of Qi • Raise clear Yang upwards • Controls blood • Controls muscles/4 limbs • Houses intellect and thoughts • Root of post-heaven Qi • Origin of birth/development • Dislikes cold/aversion to damp
Stomach - What to know • Functions • Controls receiving of food • Rots/ripens food • Controls transportation of food essence to Sp • Controls descent of Qi • Likes wet/cold • Relationship of Spleen to Stomach
Functions • Controls receiving of food • Rots/ripens food • Controls transportation of food essence to Sp • Controls descent of Qi • Likes wet/cold • Relationship of Spleen to Stomach • See page 4 of class 10 notes
Where to get the info Foundations 1, Class 10 See the highlighted parts
Kidney - What to know • General • Located in lower ab, both sides of spine • Know the landmarks along the Kidney channel (pg 1 of class notes) • Kidney qi ascends and channel connects with spine
Kidney - What to know • Functions • Stores essence • Governs birth, growth, reproduction, development • Produces marrow, fills the brain, governs bones • Governs water, including open/close of Bladder • Controls reception of Qi • Opens to ears • Manifests on the hair • Opens to 2 lower orifices • Houses willpower • Dreams about water • Gate of vitality – Mingmen Kidneys have no excess!!!
Bladder - What to know • Functions • Receive and store Body Fluids • Discharge urine with the help of the Kidney Bladder is prone to excess
Where to get the info Foundations 1, Class 11 See the highlighted parts
Basic Constituents or Essential Substances • Essence • Qi • Blood • Body Fluids