GoldenChamber2.ppt-CatsTCMNotes.ppt

Golden Chamber 2 Chapter 14 On Pulse Syndrome Complex and Treatment of Edema Concept: edema caused by qi failing to transform. Classification: Feng Shui (Wind-edema), Pi Shui(skin-edema), Zheng Shui (Zheng-edema), Shi Shui (Stone-edema), Huang Han (Yellow-sweat) 【1】 Five Zang Shui ( five Zang edema) 【13】 【14】 【15】 【16】 【17】 Five Zang Edema 【13】 Heart edema 【14】 Liver edema 【15】 Lu edema 【16】 SP edema 【17】 K edema Feng Shui (Wind-edema) Location: LU Exterior syndrome: aversion to wind, joints pain Edema: face swollen first or severer Degree: acute onset, fast development Pathogenesis: Wind from exterior, water from interior. ? Wind water conflict and flood in skin “The exterior of the exterior” Pi Shui(skin-edema) Zangfu: LU, SP Not related to an exterior syndrome Swelling all over body, especially extremities Degree: slow onset Pathogenesis: SP LU qi deficency, fail to transport and regulate water passage, water flood in superficial body “Interior of the exterior” type water retention. Zheng Shui (Zheng-edema) Ki, SP, LU Fullness in abdomen with wheezing Pathogenesis: SP K yang deficiency ?qi transforming dysfunction ? flow upward to disturb LU Shi Shui (Stone-edema) Zangfu: Liv, K Fullness in abdomen without wheezing K yand deficiency, Liv qi stagnation ? water isolated in lower jiao Huang Han (Yellow-sweat) Zang fu: SP LU Edema in four extremities and face, yellow sweating, deep slow pulse, no aversion to wind Pathogenesis: water dampness obstructed in Ying and Wei (from Golden Chamber description). Causes and pathogenesis 【2】 Wind and Water Co-attack Wind attack Lu Acute stage with excess wind ?urticaria Chronic stage ?rotten blood and flesh ?impetigo Excess water ? edema in exterior 【12】 SP deficiency fail to “Trans” After disease with diarrhea or dysentery Thirst ?SP ST qi and fluid damaged Difficult urination ?SP qi deficiency fail to transport fluid 【9】 LU fail to regulate water passage, K deficiency leads to flooding Cun Kou pulse wiry and tight