TCM Pathogenesis

Yang Pathogen
Apt to Attack and invade the Upper Part of the body
Migration - wandering
Change - disease is sudden and disease liable to change rapidly
Leading Pathogen, Apt to cause disease in combination with others Pathogenic factors
Apt to Move - abnormal movements or rigidity occurs in the body and limbs

Yin Pathogen
Tends to impair Yang Qi
Coagulative - causes constriction

Yang Pathogen, scorching in nature
Apt to impair body fluid and to exhaust Qi
Usually accompanied by Dampness

Yin Pathogen, tending to obstruct the functional activities of Qi and impair Spleen Yang
Heavy and turbid in nature
Heavy - heaviness of the body and head
Turbid - refers to secretion and excretion - eye secretions, mucus stools with pus and blood, turbid urine, yellow and white leukorrhea, turbid nasal discharge
Viscous and lingering
Tending to go downward, apt to attack the lower part of the body

Tending to impair the body fluid
Tending to impair the Lung

Yang Pathogen, tending to flare up
Tending to consume Qi and impair body fluid
Tending to promote production of Liver wind and accelerate circulation of blood (internal wind)
Accumulation liable to cause painful swelling on the body surface

Anger damages ___________
Anger causes Qi to rise

Fear damages the ___________
Fear causes the Qi to descend

Fright damages the ___________
Fright causes derangement of Qi

Joy damages the ___________
Joy causes Qi to slacken

Thought damages the ___________
Thought causes Qi to bind

Worry damages the ___________
Worry causes Qi depression

Sorrow damages the ___________
Sorrow causes Qi dispersing

Leads to Qi and Blood deficiency
Due to the deficiency of Qi and Blood, the patient may be susceptible to other diseases

Stomach inability to digest or absorb
Spleen's inability to transform and transport
Leading to retention of food and water

impair the Spleen and Stomach Yang Qi leading to internal cold - dampness

retention of Stomach heat leading to thirst
constipation
hemorrhoids

internal dampness
internal heat
retention of damp-heat

Qi: tiredness, shortness of breath, reduced appetite, loose stools, and mental fatigue

Spleen Qi deficiency: reduced appetite, loose stools, abdominal distention

Heat Qi/Blood deficiency: pale complexion, palpitation, shortness of breath, dream disturbed sleep, insomnia, poor memory

Liver Blood deficiency: dizziness, blurred vision

exhausts or impairs Kidney Essence: dizziness, tinnitus, back pain, weak knees, reduced sexual function

Slow down the circulation of Qi and Blood: may decline the Stomach and Spleen function: reduce the production of Qi and Blood

Manifests as loss of appetite, obesity, shortness of breath

More susceptible to other diseases

What does Physical injuries and Trauma cause?

What is the difference between stagnation and stasis?

What are the causes of Blood Stasis?

What happens when Anitpathogenic Factor = Pathogenic Factor?

What happens when Anitpathogenic Factor > Pathogenic Factor?

What happens when Antipathogenic Factor < Pathogenic Factor?

What is the meaning of "Deficient Cold"?

What is the meaning of "Deficient Heat"?

In cases of Excess Cold Syndromes, How is pain like?

In cases of Deficient Cold Syndromes, How is pain like?

What is tongue coating representative of?

What are signs of the tongue in Excess Heat Syndromes?
Coating Thickness?
Coating Color?
Body Color?

What are signs of the tongue in Excess Cold Syndromes?
Coating Thickness?
Coating Color?
Body Color?

What are signs of the tongue in Deficient Heat Syndromes?
Coating Thickness?
Coating Color?
Body Color?

What are signs of the tongue in Deficient Cold Syndromes?
Coating Thickness?
Coating Color?
Body Color?

How might pulse feel like in an Excess Cold Syndrome?
Rate?
Width?
Strength?

How might pulse feel like in an Excess Heat Syndrome?
Rate?
Width?
Strength?

How might pulse feel like in a Deficient Cold Syndrome?
Rate?
Width?
Strength?

How might pulse feel like in a Deficient Heat Syndrome?
Rate?
Width?
Strength?

Please draw the Qi Dynamic Chart

What is Wiry Pulse indicative of?

What is Slippery Pulse indicative of?

What is Blood Stasis indicative of?

Obstruction
Cause "hundred disease"
Long duration of disease
Tend to disturb the Shen
Thick-greasy Tongue coating & Sloippery Pulses

Insufficient Formation - cold impair Spleen T/T
Excessive Consumption - Heat, misused diuresis
Excessive Excretion - profuse sweating, urination, vomiting, diarrhea, hemorrhage

What is the relationship between Qi and Yang? Blood and Yin?

palpitations, shortness of breath, sweating, tiredness, feeble voice, unable to speak, unable to warm body & blood stagnation

malar flush, 5-palm heat, night sweating, palpitation, insomnia, poor memory, Empty blood vessels, coagulation of Blood

cough, asthma, no sweating, obstruction of water passages & accumulation of phlegm, overflow of fluid - edema, spontaneous sweating

dryness of LU system, produce empty-heat

cold limbs, diarrhea with undigested food, edema

pain or distention in the right hypochondrium & fullness of both hypochondria, distention or pain in: breast, lower abdomen, testis, irregular menstruation, headache, dizziness, red face and eyes, cough with blood, nosebleed, vomit with blood

malnourishment of tendons, eyes, dryness and internal Wind (itching, spasms), lower back pain, nocturnal emission, headache, dizziness, red face, red eyes, trembling / spasms / convulsions

What is the difference of Kidney Essence and Kidney Qi?

soreness / weak back, seminal emission, prolapse of uterus, miscarriage, habitual abortion, cough, shortness of breath, asthma, urination problems, diarrhea

malnourishment of lumbar region & bones, fails to
nourish the ears & eyes, empty bone and insufficient marrow, generate empty-heat, inability to warm Qi, Blood & body, declining Ming Men fire (impotence, leukorrhea, infertility), failure of Qi Hua Function (urination problems, edema, diarrhea)

What is the physiological function of the Heart?
Sensory Organ?
Body Tissue?
Manifestation?

What is the physiological function of the Lung?
Sensory Organ?
Body Tissue?
Manifestation?

What is the physiological function of the Spleen?
Sensory Organ?
Body Tissue?
Manifestation?

What is the physiological function of the Liver?
Sensory Organ?
Body Tissue?
Manifestation?

What is the physiological function of the Kidney?
Sensory Organ?
Body Tissue?
Manifestation?

What is the physiological function of the Stomach?

What is the physiological function of the Small Intestine?

What is the physiological function of the Large Intestine?

What is the physiological function of the Gallbladder?

What is the physiological function of the Urinary Bladder?

What is the physiological function of the San Jiao?

intense epigastrium pain, pain with pressure relief with warmth, aversion to cold, vomiting with clear fluid, no desire to eat, nausea, vomiting

burning sensation and pain in the epigastrium, nausea, vomiting, belching, sour regurgitation, constant hunger, thirst, constipation, insomnia

sharp, fixed pain in the epigastrium, pain worse after eating, pain on pressure and warmth, vomiting dark blood, bloody stools

no appetite, red tongue with coating shining like a mirror, distention and fullness in the epigastrium and abdomen, hiccups, thirst, dryness of the mouth and throat, constipation

abdominal distention, diarrhea containing undigested food, abdominal pain, abundant urination,
borborygumus

painful urination, scanty dark urine, possibly bloody urine, mental restlessness, tongue ulcers, thirst, insomnia

abdominal pain, urgency of defecation, diarrhea, or dysentery, with mucus and blood in stools,
offensive odor of stools, burning in anus

constipation (esp. chronic type), abdominal pain, high fever, great thirst, profuse sweating, irritable, Big Pulse (rapid & forceful)

inability to make decisions, hesitation, fear, restlessness, dream-disturbed sleep, and fright, hypochondriac pain, nausea, vomiting, bitter taste, thirst without desire to drink, distention and pain and
swollen scrotum, turbid vaginal discharge, dark yellow urine, thick sticky yellow coating, slippery and wiry pulse

frequent pale abundant urination, incontinence (trouble holding it), enuresis (bed-wetting), frequent and urgent urination, burning urination, or blood in the urine, sand urine (stones)

LU failing to regulate water passages
SP failing to T/T
KI & BL failing to send up fluids
SI & LI fail to transmit and absorb
LR & GB fail to discharge and disperse