PCOM: FCM 1, Week 5, Blood & Body Fluids

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plecke Plus on October 20, 2011

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FCM 1

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PCOM: FCM 1, Week 5, Blood & Body Fluids

Two sources of Xue
Spleen and Stomach; bone marrow
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Definitions

Two sources of Xue Spleen and Stomach; bone marrow
Primary source of Xue Spleen and Stomach
process of formation of Xue in the spleen and stomach stomach "rots and ripens" food; spleen distills the gu qi; spleen qi raises the gu qi to the lungs; lung qi pushes the gu qi to the heart; gu qi combines with yuan qi in the heart to form xue
process of formation of xue in the bone marrow kidneys produce the bone marrow; the marrow directly produces the xue
3 functions of xue nourishes the body; moistens the body; foundation of the mind (xin)
where xue moistens the body organs, eyes, sinews, muscles, hair and nails
example of xue xu dry, brittle nails and hair
2 important concepts of xue as the foundation of the mind shen is very yang and must be rooted in the body; xue is very yin and is the anchor of the mind
pathologies related to xue as the anchor of the mind anxiety, insomnia, irritability; mind floats (more yang due to xue xu)
3 xue pathologies deficiency, stagnation, heat
xue xu - quality vs quantity quality (not quantity); not enough nourishment for the body
Xue xu is usually related to spleen qi xu - not able to extract gu qi
4 sign and symptoms of xue xu pallor - tongue, lips, complexion; mental - restlessness, poor memory (yang state, unanchored mind); dry eyes, floaters, dry/brittle hair and nails (moistening function); scanty menstruation, amenorrhea
xue stagnation blood must flow or it is stagnant
all pain is due to stagnation
severity of xue stagnation xue is more yin than qi and xue stagnation is more severe than qi stagnation
characteristics of xue stagnation more physical than energetic; pain is sharp, stabbing pain in a fixed location; closely related to the liver
pain from qi stagnation dull achy pain that moves around
4 signs and symptoms of xue stagnation sharp, stabbing pain; palpable masses; purple tongue or complexion - a dusky or bruise type color; menstruation - irregular, painful, purple flow with clots
characteristics of xue heat xue distributes heat in the body; if xue is too yang, it is excessively hot and the body can not cool properly
5 signs and symptoms of xue heat heat sensation/perception of heat; red skin disorders - red eruptions and mouth sores; bleeding issues; red tongue, rapid pulse; excessive blood loss during menstruation
heart's relationship to xue xue circulated in the blood vessels; the heart is where blood is produced
spleen's relationship to xue extracts the gu qi; spleen qi holds the blood in the vessels - prevents hemorrhaging
kidney's relationship to xue jing produces bone marrow and xue is produced by the bone marrow; yuan qi is produced in the kidneys
lung's relationship to xue sends gu qi to the heart; lung qi is infused into the vessels to push the xue
liver's relationship to xue stores the blood (when body is inactive, the blood is stored and revitalized in the kidneys); uterus also stores and releases xue (liver is closely related to uterus and menstrual function)
quote about the heart's important relationship to xue "The heart governs the blood"
quote about the spleen's important relationship to xue The spleen holds the xue"
quote about the liver's important relationship to xue "The liver stores the xue"
fluid physiology in TCM is described as a series of refinements of fluids by the organs
how organs refine fluids the pure and turbid aspects will be separated; the pure will rise and the turbid will descend
pure fluids from the stomach rise to the spleen
impure fluids from the stomach descend to the small intestine
pure fluids from the spleen rise to the lungs
impure fluids from the spleen descend back to the stomach
pure fluids form the lungs rise out to the skin as mist
impure fluids from the lungs descend to the kidneys
pure fluids from the kidneys rise to the lungs as steam and moisten all the organs on the way
impure fluids from the kidneys descend to the urinary bladder
pure fluids from the urinary bladder rise to the skin as sweat
impure fluids from the urinary bladder descend out of the body as urine
pure fluids from the small intestine rise to the urinary bladder
impure fluids from the small intestine descend to the large intestine
pure fluids from the large intestine rise to be reabsorbed into the body
impure fluids form the large intestine descend out of the body as the fluid component of feces
the #1 organ in fluid physiology the spleen
spleen's relationship to fluid physiology controls the TnT of Fluid physiology; the spleen is always treated in fluid physiology pathologies
lung's relationship to fluid physiology controls the dispersion of fluids to the skin and descending to the kidneys; they "regulate the water passages" are the point of 1st utility for fluids
kidney's relationship to fluid physiology steam fluids and sends them all over to moisten the organs (lungs are last); provide heat for spleen's TnT functions (therefore for all levels of FP)
san jiao's relationship to fluid physiology assists the spleen at all stages of TnT
TnT in the upper jiao "like a mist"
TnT in the middle jiao "like a muddy pool"
TnT in the lower jiao "like a drainage ditch"
organs FP TnT assisted by the upper jiao lungs
organs FP TnT assisted by the middle jiao spleen and stomach
organs FP TnT assisted by the lower jiao Small Intestine, Large intestine, kidneys, urinary bladder
Two types of body fluids Jin, Ye
description of Jin fluids clear and light; more yang (compared to Ye); circulates between the skin and muscles (with wei qi); closely related to the lungs and upper jiao
two functions of Jin moistens and somewhat nourishes the skin and muscles; becomes a component of blood when it is too thick
examples of Jin sweat, urine, tears, saliva
description of Ye heavy and dense; more yin (compared to Jin); circulates with the ying qi in the interior; closely related to the spleen and kidneys and middle and lower jiao
functions of Ye moistens the joints, spine, brain and bone marrow; nourishing fluids
examples of Ye cerebrospinal fluid, synovial fluid, ocular fluid
three pathologies of JinYe Xu, dampness and phlegm
JinYe xu may be dehydration; usually from sweating, diarrhea, and vomiting
symptoms of JinYe xu dry: skin, mouth, nose, cough, lips, tongue
chronic xu that leads to JinYe xu chronic yin xu or xue xu
definition of dampness an improper accumulation of fluids - it is always pathological
description of dampness fluids that stop moving become turbid and unusable; fluid should be TnT'ed and if not, they accumulate and dampness ensues
organs usually related to dampness spleen, lungs, and kidneys
examples of dampness hangover, puffiness/swelling; excessive mucus
definition of phlegm dampness that has congealed when fluids have been stagnant a long time
two types of phlegm substantial and insubstantial
substantial phlegm with form - can see or palpate it
examples of substantial phlegm sputum, nodules, palpable masses
insubstantial phlegm w/o form
examples of insubstantial phlegm numbness after wind-stroke; restless leg syndrome; phlegm obstructing the mind (heart orifices): mania, schizophrenia, bi-polar, seizures
kidneys relationship to JinYe TnT provides heat for the spleen which controls FP TnT

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