CAP I Quiz 3 Review
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What are the patterns of Headache?
- External: invasion of wind / cold / damp / heat in the channels and collaterals in the head
- Internal: Liver Yang, Damp / Phlegm in the interior, Blood Def / Stasis
What are common points used for any type of Headache?
What are some triggers for Migraine?
- Family history
- Altered sleep patterns
- Oral Contraceptives
- Caffeine withdrawal
What are red flags for Headache?
Intracranial Pressure (excruciating headachce, projectile vomiting)
This Chinese term generally refers to blurred vision and vertigo.
Dizziness / Xuan Yun / 眩晕
What are the patterns for Dizziness?
- Liver Yang (Hypertension)
- Qi and Blood Def (Hypotension)
- KI Essence Def (Atherosclerosis / Vertebrobasilar Ischemia)
- Phlegm-Damp obstructing Middle Jiao (Meniere's)
What are major points used for Hypertension?
What are red flags for Hypertension?
160/120 or greater - Send to Hospital
This syndrome is due to emotional depression and Qi Stagnation?
Depressive / Yu / 鬱
What are the patterns for Yu Syndrome (Depression)?
- LR Qi Stag
- Qi Stagnation leading to Fire
- Phlegm Qi Stag (Plum Pit Qi)
- Blood Def (Zang Organ dryness)
What points are used to treat Yu Syndrome (Depression)?
- *all reducing
What are points used to treat Plum Pit Qi (Mei He Qi)?
- Due to Phlegm Qi Stag
What are points used to treat Zang Zuo (Zang-organ dryness)?
- Due to Blood Def
- BL-15, 17
What are the patterns for Wind Stroke?
- Attacking the Zang-Fu (obstructive-type, collapse-type)
- Attacking the Channels and Collaterals
What body and scalp points are used to treat Wind Stroke where the E-stim machine can be used?
- LI-17, SJ-9, ST-31, 36
- Motor, Speech Zone
- *if not E-Stim then manipulate 200x per minute
What points are used to treat Post-Stroke Hemiplegia?
- Upper Limbs: LI-4, 11, 15, SJ-5, 9
- Lower Limbs: GB-30, 31, 32, 34, ST-36
What is the pattern for Facial Paralysis?
- Hypofunction of channels and collaterals → wind-cold invasion → Qi obstruction of channels
- *All due to wind attack
- *no E-stim in the local region
What is the special Join Puncture technique for the eyebrow region?
- *All towards Yu Yao (extra point)
What is the special Join Puncture technique for mouth / jaw region?
ST-7 → ST-6 → ST-4 → ST-6
Which LI-4 do you needle for Facial Paralysis?
- Opposite of the affected side
- *with ST-44
Where is the location of Qian Zheng 牵正 (extra point)?
- in the depression in the posterior aspect of the mandible and between the anterior aspect of the ear
This refers to severe pain that may be paroxysmal (sudden), temporal or burning in the facial region. It mostly affects one side of the face in the lateral aspect of the forehead, superior maxillary bone or inferior maxillary bone, but rarely affects both sides.
Trigeminal Neuralgia / Facial Pain
What are the patterns of Trigeminal Neuralgia / Facial Pain?
- Excess Heat in LR & ST
- Yin Def leading to Fire
What are major points to treat Trigeminal Neuralgia?
- GB-3 & ST-7
- *if patient is guarding, the LI-4 & LR-3 with lifting and thrusting
Which points can are related to the three branches of the trigeminal nerve?
- Ophthalmic: BL-2, GB-14, ST-8, GB-8, SJ-3
- Maxillary: ST-2, SI-18, Tai Yang, LI-20
- Mandibular: CV-24, ST-5, 6, 43, SJ-17,
This term refers to the channels and collaterals being blocked and the tendons malnourished during middle adulthood. It is related to Parkinsonism.
Chan (顫) Syndrome / Tremors
What are the patterns for Chan (顫) / Tremor Syndrome?
- Qi & Blood Stagnation
- LR & KI Yin Def
- Insufficient Qi and Blood
What are points used to treat Chan (顫) / Tremor Syndrome?
What are the Scalp zones used to treat Chan (顫) / Tremor Syndrome?
- Tremor Control
- *Connect to E-stim for 20 minutes
This term refers to a subjective symptom, painful sensation either on one side or both. Hepatopathy, biliary disorders, intercostal neuralgia are also included in the condition.
Hypochondriac Pain 脅痛
What are the patterns for Hypochondriac Pain 脅痛?
- LR Qi Stag
- Damp-Heat retention in LR & GB
- Blood Stasis
- LR Yin Def
This type of Jaundice has an abrupt onset and very short duration. Symptoms associated are yellow sclera and skin that is yellow-orange.
Yang Type Jaundice
This type of Jaundice has a slow onset over a long duration. Symptoms associated are yellow sclera and skin that appears gray-dark / smoky.
What is the best point for Yin or Yang type Jaundice?
What are key differences between each type of Gu (臌)Syndrome / Drum Distension?
- Qi Stag - easy rebounding after applying pressure
- Water Distension - slow rebounding after applying pressure
- Blood Distension - Visible vessels surrounding umbilicus
What are the key differences between each type of Hernia 疝?
- Cold - pain extending to scrotum
- Heat - enlargement of scrotum
- Fox - herniation visible while standing, not visible while laying down
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