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پاورپوینت کامل Chinese Herbal Medicine and Medical Acupuncture in Family Practice 117 اسلاید در PowerPoint

اسلاید ۴: Pattern Recognition

اسلاید ۵: Pattern Recognition – DiagnosesWestern MedicinePremenstrual SyndromeHypertensionDepressionMigraineCongestive Heart FailurePneumoniaDiabetesChronic Fatigue SyndromeEczemaAsthmaAnginaPleurisyDysmenorrheaChinese MedicineLiver Qi StagnationLiver Blood DeficiencyLiver Blood StagnationKidney Yin DeficiencyKidney Yang DeficiencyLung Qi DeficiencySpleen Qi DeficiencyPhlegm Heat misting theHeart and Mind’s OrificesWind Cold (or Heat) InvasionLatent Wind Heat Heart Yin DeficiencyHeart Qi Deficiency

اسلاید ۶: Physiology Of Chinese Medicine

اسلاید ۷: The Three TreasuresJing (Essence) – derived from the KidneyShen and Qi are derived from JingInherited from parents – Genetics/Constitution Determines growth, sexual maturation, conception, pregnancy, brain/cognitive functionQi – derived from Spleen (food) and Lung (air)Replenished day-to-dayNutrition and air quality importantShen (Mind) – housed in the HeartCreativity, Drive, Vision, and Intelligence

اسلاید ۸: QiRiceVaporQi

اسلاید ۹: Lost in TranslationQi (Character with vapor rising above cooking rice)Early 1900s – Soulie de Mourant- Qi = “energy” and Jing = “meridian”Simplified translation of complicated terms“Life Force” made up of air and food transformed by body into blood and body fluidsNei Jing written during 3rd – ۱st Century BCEChinese physicians & cadaver dissectionsUsing needles of glass, metal and bone to influence neurovascular system

اسلاید ۱۰: TCM Qi PhysiologyStomach separates pure from impure Qi of foodPure Qi to SpleenImpure to Small Intestine (process repeats again)Spleen sends Food Qi to LungLung combines it with pure Qi extracted from airFood/Air Qi “heated” by Yuan Qi (ancestral pilot light) provided by Kidney to make “Nutritive Qi”In Heart to make BloodIn Meridians

اسلاید ۱۱: TCM Qi Physiology

اسلاید ۱۲: Blood Physiology (Dense, material form of Qi)

اسلاید ۱۳: Blood DeficiencyCauses: Hemorrhage, low dietary protein, constitutionDeficiency or stagnation of QiFatigue, brain fog, dizziness, dry skin, dry hair, brittle nails, pale tongue, irregular and very light menses, pale complexion, trouble falling asleep, anemia, headache, aپاورپوینت کامل Chinese Herbal Medicine and Medical Acupuncture in Family Practice 117 اسلاید در PowerPointiety

اسلاید ۱۴: Blood StagnationCaused by Blood Deficiency or Qi StagnationDark/dusky tongue, purple sublingual veinsChronic stabbing painMusculoskeletalPleurisy, AnginaDegenerative disc disease, spinal stenosisBlood moving herbs are anti-inflammatoryGynecologicalPainful and heavy menstrual periodsLarge dark clots

اسلاید ۱۵: MeridiansAcupuncture points linked together in lines called “meridians”Qi circulates through meridiansMeridians named for associated OrganKidney, Heart, Small Intestine, BladderLiver, Pericardium, Triple Energizer, GallbladderSpleen, Lung, Large Intestine, Stomach

اسلاید ۱۶: Meridians

اسلاید ۱۷: ۹۱% of Acupuncture Points share this Histology

اسلاید ۱۸: fMRI StudyNeedle placed in foot Acupuncture point associated visionfMRI shows stimulation of visual cortex

اسلاید ۱۹: fMRI StudyAuditory Complex stimulated by needle placed in AP point on the leg associated with hearing

اسلاید ۲۰: Acupuncture ModelsMeridian-based: Japanese, Vietnamese, French EnergeticsTraditional Chinese Medicine (“TCM”)Eight Principles (Yin/Yang, Damp/Dry, Cold/Heat, Interior/Exterior)Zhang-Fu organ pairings blends Yin-Yang and 5 ElementFive Element (Korean) Wood, Fire, Earth, Metal and WaterDifferent schools of thought regarding etiology of disease (Kidney versus Spleen/Stomach)Neuroanatomical – CraigPENS, osteopuncture

اسلاید ۲۱: Meridian-Based AcupunctureBlockage in meridian flow produces diseaseTherapeutic action of “unblocking” meridian flow (Relieving Stagnation)PainAsthmaHeavy, Painful, or Irregular Menstrual Periods

اسلاید ۲۲: French Energetics Acupuncture Principal Meridian TreatmentYin TonificationChronic Symptoms (or cold, deficient) Balance needles so that more are on Yin meridiansTonify Yin Meridian by twirling, applying heat via Moxibustion, or low frequency electrical stimulationYang DispersalAcute Symptoms (or heat, excess, spasm)Balance needles so that more are on Yang meridiansDisperse Yang Meridian by leaving needles alone, cooling with alcohol pads, or medium to high frequency electrical stimulation

اسلاید ۲۳: Principal MeridiansShao YinKidney, Heart Jue YinLiver, PericardiumTai YinSpleen, Lung Tai YangSmall Intestine, BladderShao YangTriple Heater, GallbladderYang MingLarge Intestine, Stomach

اسلاید ۲۴: French Energetics Acupuncture Principal Meridian TreatmentHow do you chose the Principal MeridianLocation of clinical problem (ex: pain)Meridian associated with function of problematic organ system (ex: diarrhea)Constitution of the patientCentral low back pain in patient with Wood-Fire as principal meridian systemAnger/frustration/irritabilityConsider Jue Yin – Shao Yang (LR-PC-TH-GB) instead of Shao Yin – Tai Yang (KI-HT-SI-BL)

اسلاید ۲۵: Pattern RecognitionFive ElementsInterconnections between Patterns and SystemsTCM Eight Principles

اسلاید ۲۶: Eight Principles

اسلاید ۲۷: Eight Principles – PolaritiesYangLightSunActivityEnergyExpansionHotFireHardExcitementQiYinDarknessMoon RestMatterContractionColdWaterSoftInhibition Blood

اسلاید ۲۸: Yin & Yang Deficiency and ExcessYin DeficiencyYang will appear in excess with heat, dryness, thirst, back pain, stiffness insomnia, loss of willpower to follow through with action. This is Empty Heat compared to Full Heat (tonify rather than disperse).Yang DeficiencyYin will appear in excess with cold, fluid retention, chills, back pain, daytime fatigue, low libido, loss of willpower to initiate action. This is Empty Cold (tonify rather than disperse).Yang ExcessYang appears in excess with Full Heat – migraines, pressure, bloating, mania, hypertension, anger, insomnia, fever. Full Heat (disperse rather than tonify).Yin ExcessYin appears in excess with Full Cold – usually due to Wind Cold invasion. Stiffness, contraction of tendons, chilliness, severe menstrual or abdominal pain, fluid retention and watery-loose discharges including stools.

اسلاید ۲۹: External Pathogenic FactorsWindColdSummer HeatDampDrynessFire

اسلاید ۳۰: External Pathogenic Factors WindRapid onsetWind Cold to Wind HeatSymptoms & signs change rapidly and move from place to place in bodyEnters neck to respiratory tractCirculates between skin and musclesWarms musclesAversion to cold or to windChills/myalgiasFurther warmed by bodyFever, rigors, rash/hivesWind in the SkinEczema, dermatitis, itchingChronic allergic rhinitisDry/Wind plus Yin DefUpper respiratory infection signsChills, cold intolerance, sore throat, clear nasal drainage that warms to yellow/thickInternal Wind (neurologic)Stroke, seizures, tremor, headaches, hypertension, paresthesias/neuropathy

اسلاید ۳۱: External Pathogenic Factors ColdUsually enters via Wind Cold invasionDirect channel invasionBi SyndromePainful Obstruction SyndromeArthritis without hot/red jointsWind-Damp-ColdContracts muscles/tendonsChronic, dull pain (abdomen, pelvis, joints) better with heatInternal Cold (from Yang Def)Consumes Spleen YangChilliness, dull pain, prefer warm liquids, cold limbs, no thirst, fatigueHeart Yang DeficiencyStuffy pain in chest, palpitationsLung Qi DeficiencyCatch every cold, sweats, cough with thin white mucusSpleen Yang DeficiencyDiarrhea/loose stools, low appetiteKidney Yang DeficiencyFrequent pale profuse urination, low back pain, cold feet/knees, erectile dysfunction, white vaginal discharge

اسلاید ۳۲: External Pathogenic Factors Summer HeatSpecific to hot weatherAversion to heat, sweating, headache, dark scant urine, dry lips, thirst, rapid pulseSevere Summer HeatInvades PericardiumDelirium, slurred speech, loss of consciousness“Heat Exhaustion” or “Heat Stroke” in western med

اسلاید ۳۳: External Pathogenic Factors DampDamp weatherWearing damp clothingSitting on damp groundConsuming damp dietRefined sugars, dairyExcessive raw veg/fruitAscends legsSymptoms depend on where damp settlesPelvis – vaginal dischargeGI – loose stoolsBladder – urinary frequency or burningHeaviness of limbs/headTired, fullness of chest or abdomen, muscles sore/weakDirtiness/clouded colorClouded urine, thick discharge (vaginal or skin)StickinessSticky tongue coating, sticky taste, Slippery/wet pulseWith HeatFever, sticky yellow tongue coatPhlegm Chronic Damp (with Fire)

اسلاید ۳۴: External Pathogenic Factors DrynessVery dry weatherArtificially dry, centrally heated buildingsDry skin/mouth, throat, lips, tongue, stools, and scanty urinationInjures YangLung Qi Deficiency as Allergic RhinitisSpecific to Dry/Wind exposure in IdahoChronic Dry/Wind exposure in population with Yin Deficiency (due to overwork/hectic lifestyles)

اسلاید ۳۵: External Pathogenic Factors FireExtreme form of HeatQuickly becomes Internal pathogenic factorFever, thirst, bitter taste, sweating, constipation (dry), ulcers, bleeding gums, canker sores, delirium, scanty dark urine, headache, dizziness, irritability, red face, Tongue red with dry yellow coat

اسلاید ۳۶: Five ElementsSystem of Correspondences Fire WoodWaterMetalEarth

اسلاید ۳۷: Homeostasis Sheng – Ke CycleControlling or Dampening InfluenceSupporting or Augmenting InfluenceSystem Self-Correction (in the short term)

اسلاید ۳۸: Five Element AcupunctureImbalance between Elements causes DiseaseExampleChronic overw