PCOM: FCM 1, Week 5, Blood & Body Fluids
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Created by:
plecke Plus on October 20, 2011
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78 terms
Terms | 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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