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<!-- To view this file, download free mind mapping software FreeMind from http://freemind.sourceforge.net -->
<node CREATED="1371134273784" ID="ID_876026818" LINK="Eight%20Principles%20InteriorExterior.mm" MODIFIED="1440973809606" STYLE="bubble" TEXT="Review Test 1">
<node CREATED="1358176908354" MODIFIED="1440973809607" POSITION="right" TEXT="History">
<node CREATED="1358176962581" FOLDED="true" MODIFIED="1440973809608" TEXT="The term &apos;Ba Gang&apos; or Eight Principles is relatively recent in Chinese medicine">
<node CREATED="1358178395667" MODIFIED="1358178410422" TEXT="Orginally appear in this form in the 17th century"/>
<node CREATED="1358176997806" MODIFIED="1358177115718" TEXT="First appeared as eight principles (Ba Gang) in &apos;The Essential Comprehension of Medical Studies&apos; by Cheng Zong Ling">
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</node>
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<node CREATED="1371134481361" MODIFIED="1440973809609" POSITION="right" TEXT="Background">
<node CREATED="1358128990504" FOLDED="true" MODIFIED="1440973809609" TEXT="Involves discerning the underlying pattern of disharmony by considering all symptoms and signs">
<node CREATED="1358129041969" FOLDED="true" MODIFIED="1371134441172" TEXT="Signs">
<node CREATED="1358176619289" FOLDED="true" MODIFIED="1371134441171" TEXT="Objective evidence of disease or of a patient condition">
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<node CREATED="1358176642224" MODIFIED="1358176676686" TEXT="Ex) Fever, red rash, red tongue, rapid pulse"/>
</node>
</node>
<node CREATED="1358129050616" FOLDED="true" MODIFIED="1371134441174" TEXT="Symptoms">
<node CREATED="1358129636126" FOLDED="true" MODIFIED="1371134441174" TEXT="Concept of disease is different in Chinese medicine than in Western">
<node CREATED="1358129688230" FOLDED="true" MODIFIED="1371134441172" TEXT="Subjective measurement of disease">
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<node CREATED="1358176732710" MODIFIED="1358176779712" TEXT="Ex) Neck pain, hot sensation, nervousness, headache"/>
</node>
<node CREATED="1358129662308" FOLDED="true" MODIFIED="1371134441173" TEXT="In Chinese medicine a disease is essentially a symptom in Western medicine">
<node CREATED="1358129699816" FOLDED="true" MODIFIED="1371134441173" TEXT="Ex) Painful periods">
<node CREATED="1358129720859" MODIFIED="1358129733576" TEXT="Disease category in Chinese medicine"/>
<node CREATED="1358129734524" FOLDED="true" MODIFIED="1371134441172" TEXT="A symptom in Western medicine">
<node CREATED="1358129744260" MODIFIED="1358129824785" TEXT="Western medicine would perform differential diagnosis to determine the disease causing this symptom (such as Endometriosis)"/>
<node CREATED="1358129833276" MODIFIED="1358129853344" TEXT="Other example - diarrhea, constipation, abdominal pain"/>
</node>
</node>
</node>
</node>
</node>
<node CREATED="1358129055437" FOLDED="true" MODIFIED="1378306472857" TEXT="Syndromes (same as a pattern)">
<node CREATED="1358176806404" MODIFIED="1358176820417" TEXT="A set of symptoms and signs occuring together">
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<node CREATED="1358176829771" MODIFIED="1358176843070" TEXT="In TCM this is essentially the same as a a pattern"/>
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</node>
<node CREATED="1358130480994" FOLDED="true" MODIFIED="1440973809610" TEXT="One disease, many patterns; One pattern, many diseases">
<node CREATED="1358178781274" FOLDED="true" MODIFIED="1378306472863" TEXT="Tong Bing Yi Zhi, Yi Bing Tong Zhi">
<node CREATED="1358178819958" MODIFIED="1358178845674" TEXT="Same disease, different treatment; Different disease, same treatment"/>
</node>
<node CREATED="1358130614263" MODIFIED="1358130626880" TEXT="Fundamental principle in Chinese medicine"/>
<node CREATED="1358130638575" FOLDED="true" MODIFIED="1371134441188" TEXT="The same disease (painful periods, for instance) can manifest with different patterns and the same pattern may apply to many different diseases">
<node CREATED="1358130688358" FOLDED="true" MODIFIED="1371134441187" TEXT="Ex) Painful periods">
<node CREATED="1358130699704" FOLDED="true" MODIFIED="1371134441187" TEXT="Depending on the other signs and symptoms, can be seen in the following patterns">
<node CREATED="1358130748831" MODIFIED="1358130789543" TEXT="Qi stagnation, Blood stasis, Cold in the Uterus, Damp-Heat in the Uterus, etc.)"/>
</node>
</node>
<node CREATED="1358130794128" FOLDED="true" MODIFIED="1371134441188" TEXT="Also, one pattern can apply to multiple diseases">
<node CREATED="1358130821077" FOLDED="true" MODIFIED="1371134441187" TEXT="Ex) Liver-Qi stagnation may be the pattern for those complain of the following diseases">
<node CREATED="1358130846900" MODIFIED="1358130908706" TEXT="Painful periods, premenstrual syndrome, epigastric pain, abdominal pain, hypocondrial pain, back pain, etc."/>
</node>
</node>
</node>
<node CREATED="1358131907330" FOLDED="true" MODIFIED="1371134441192" TEXT="This same principle can correspond to relationships between Western disease and Chinese patterns">
<node CREATED="1358131947646" MODIFIED="1358131956610" TEXT="Ex) High Blood Pressure"/>
</node>
</node>
</node>
<node CREATED="1371134408046" MODIFIED="1440973809611" POSITION="right" TEXT="Eight Principles">
<node CREATED="1358122198319" MODIFIED="1440973809611" TEXT="Divided into internal/external, cold/heat, excess/deficiency (full/empty, repletion/vacuity), yin/yang">
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<node CREATED="1358126012801" MODIFIED="1440973809612" TEXT="Therefore, the 8 principles can aid in understanding the location and nature of pathological change, the course of the disease and the strength of the evil and right"/>
<node CREATED="1358177173923" MODIFIED="1440973809627" TEXT="Exterior/Interior describes the location of the disease">
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<node CREATED="1358177194086" ID="ID_1171486964" MODIFIED="1440973809628" TEXT="Hot/Cold describes the nature of the disease">
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<node CREATED="1358177215495" ID="ID_1390130333" MODIFIED="1440973809628" TEXT="Excess/Deficient (Xu/Shi) describes the presence or absence of pathogenic factors, and also the strength of the pathogen in relation to the strenght of the body">
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<node CREATED="1358177308674" FOLDED="true" MODIFIED="1440973809640" TEXT="Yin/Yang is a summation of the other 6 principles and describes the overall quality of the disease">
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<node CREATED="1358177666446" FOLDED="true" MODIFIED="1361148420420" TEXT="These two principles serve as the guiding concept of the eight principles">
<node CREATED="1358177709972" MODIFIED="1358177739877" TEXT="Exterior, heat, excess (repletion) are ascribed to yang"/>
<node CREATED="1358177744914" MODIFIED="1358177767758" TEXT="Interior, cold, and deficiency (vacuity) are ascribed to yin"/>
</node>
</node>
<node CREATED="1358177810906" FOLDED="true" MODIFIED="1440973809641" TEXT="When used clinically, these principles are combined together and cannot be seperated">
<node CREATED="1358177843550" MODIFIED="1358177916043" TEXT="For instance, when differenctiating exterior and interior, it is necessary to combine this with hot and cold and vacuity and repletion"/>
<node CREATED="1358122211207" FOLDED="true" MODIFIED="1361148420420" TEXT="However, 8 Priciples should not be seen as &apos;either-or&apos;">
<node CREATED="1358123364896" FOLDED="true" MODIFIED="1361148420420" TEXT="Patterns can be mix">
<node CREATED="1358123372745" MODIFIED="1358123383777" TEXT="Exterior-Interior"/>
<node CREATED="1358123384180" MODIFIED="1358123394788" TEXT="Hot-Cold"/>
<node CREATED="1358123400359" MODIFIED="1358125924140" TEXT="Excess-Deficient, Full-Empty, Repletion-Vacuity"/>
</node>
<node CREATED="1358123489419" MODIFIED="1358123528852" TEXT="The purpose of the 8 principles is to understand the disharmonies genesis and nature"/>
</node>
<node CREATED="1358123540425" FOLDED="true" MODIFIED="1358178065946" TEXT="Not every condition needs to have all four characteristic">
<node CREATED="1358123580935" FOLDED="true" MODIFIED="1358178065946" TEXT="Ex) Blood deficiency">
<node CREATED="1358123590244" MODIFIED="1358123620564" TEXT="Can have heat signs with blood deficiency"/>
<node CREATED="1358123621019" MODIFIED="1358123647280" TEXT="However, it might not be a hot or cold condition"/>
<node CREATED="1358123653066" MODIFIED="1358123706127" TEXT="Blood deficiency can often lead to wind, so there might exist an excess/deficient condition"/>
</node>
</node>
<node CREATED="1358122315218" MODIFIED="1358122415126" TEXT="8 Principles allows the practitioner to identify the location and nature of the disharmony, as well as establish the priciple of treatment"/>
<node CREATED="1358123784691" FOLDED="true" MODIFIED="1361148420420" TEXT="Although the 8 principles is the foundation of all other diagnostic methods, it is often implicit to the identification of patterns according to Internal Organs or Qi, Blood, and Body Fluids">
<node CREATED="1358123890615" FOLDED="true" MODIFIED="1358178065947" TEXT="Ex) Spleen Yang Deficiency with Dampness">
<node CREATED="1358123919390" MODIFIED="1358123948869" TEXT="Tiredness/Fatigue"/>
<node CREATED="1358123955837" MODIFIED="1358123968237" TEXT="Loose stool"/>
<node CREATED="1358123968820" MODIFIED="1358123979057" TEXT="Poor appetite"/>
<node CREATED="1358123982904" MODIFIED="1358123988202" TEXT="A feeling of cold"/>
<node CREATED="1358123994355" MODIFIED="1358123999287" TEXT="Cold limbs"/>
<node CREATED="1358124003540" MODIFIED="1358124011754" TEXT="Abdominal fullness"/>
<node CREATED="1358124014698" MODIFIED="1358124021535" TEXT="A feeling of heaviness"/>
<node CREATED="1358124025426" MODIFIED="1358124055049" TEXT="P: Soggy, T: sticky tongue coating"/>
<node CREATED="1358124056959" MODIFIED="1358124109541" TEXT="According to differentiation of patterns according to internal organs this would be classified as Spleen Yang Deficiency with Dampness"/>
<node CREATED="1358124119594" FOLDED="true" MODIFIED="1358178065947" TEXT="8 principles are implicit in this pattern">
<node CREATED="1358124150280" MODIFIED="1358124294026" TEXT="This pattern is internal, cold (deficient or empty cold), mixed excess/deficient, Yin (Yang deficiency)"/>
</node>
</node>
</node>
</node>
</node>
</node>
<node CREATED="1371134303513" ID="ID_694111411" MODIFIED="1444681124888" POSITION="right" TEXT="Interior/Exterior">
<node CREATED="1371134637907" ID="ID_1172842104" MODIFIED="1440973809642" TEXT="Exterior">
<node CREATED="1358721470167" ID="ID_1523097227" MODIFIED="1440973809642" TEXT="Comprises the skin, muscles and channels"/>
<node CREATED="1358721544985" ID="ID_862784624" MODIFIED="1440973809643" TEXT="Caused by an invasion of pathogenic factors (by nature an excess/shi pattern)">
<font ITALIC="true" NAME="SansSerif" SIZE="12"/>
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<node CREATED="1358721525732" ID="ID_344023138" MODIFIED="1442205706408" TEXT="Clinical manifestations of exterior patterns">
<node CREATED="1358721579491" ID="ID_101279504" MODIFIED="1440973809644" TEXT="Two types">
<node CREATED="1358721608646" ID="ID_1288325263" MODIFIED="1442206085803" TEXT="Those that affect the speace between the skin and muscles and have an acute onset">
<node CREATED="1358721749105" MODIFIED="1371134737799" TEXT="Fever and aversion to cold (chills) occuring simultaneously indicates a pathogenic factor in the exterior"/>
<node CREATED="1358721926360" ID="ID_1180574575" MODIFIED="1442206090563" TEXT="Other general signs and symptoms">
<node CREATED="1358721941176" FOLDED="true" MODIFIED="1369930013243" TEXT="Aching body and headache">
<node CREATED="1358732093268" MODIFIED="1358740451921" TEXT="Pathogens block the qi (contructive and defensive) and without free movement there is pain"/>
</node>
<node CREATED="1358721950541" MODIFIED="1358721953921" TEXT="Stiff neck"/>
<node CREATED="1358721954515" FOLDED="true" MODIFIED="1369930013243" TEXT="Floating pulse">
<node CREATED="1358732181762" MODIFIED="1358732214474" TEXT="The wei qi and the pathogen battle in the exterior and the pulse is floating"/>
</node>
<node CREATED="1358731779214" FOLDED="true" MODIFIED="1369930013244" TEXT="Often accompanied by">
<node CREATED="1358731830402" MODIFIED="1358731835012" TEXT="Nasal congestion"/>
<node CREATED="1358731837037" MODIFIED="1358731840395" TEXT="Runny nose"/>
<node CREATED="1358731847488" MODIFIED="1358731852769" TEXT="Itching or pain of the throat"/>
<node CREATED="1358731901921" FOLDED="true" MODIFIED="1369930013244" TEXT="Analysis">
<node CREATED="1358731912492" MODIFIED="1358731966345" TEXT="Lung governs skin and hair, nose is the orifice of the lungs, throat is the passageway of Lung qi"/>
<node CREATED="1358731967129" MODIFIED="1358732033746" TEXT="Pathogenic factors (due to the six excesses) blocks the lungs function of diffusing and downbearing"/>
<node CREATED="1358732034299" MODIFIED="1358732070588" TEXT="Result is nasal congestion, cough, and scratchy or sore throat"/>
</node>
</node>
<node CREATED="1358721970951" MODIFIED="1358721987318" TEXT="Onset is acute and correct treatment will bring swift results"/>
</node>
<node CREATED="1358721723802" FOLDED="true" MODIFIED="1371138399274" TEXT="Other signs and symptoms vary according to nature of pathogen">
<node CREATED="1358721770738" FOLDED="true" MODIFIED="1371685429175" TEXT="Cold or hot, excess or deficient">
<node CREATED="1358724049076" FOLDED="true" MODIFIED="1371685429175" TEXT="Cold/Hot">
<node CREATED="1358722026283" FOLDED="true" MODIFIED="1371685429175" TEXT="Cold (Wind-Cold)">
<node CREATED="1358722094238" MODIFIED="1358722098262" TEXT="Slight fever"/>
<node CREATED="1358722098816" MODIFIED="1358722105728" TEXT="Pronounced aversion to cold"/>
<node CREATED="1358722107205" MODIFIED="1358722115931" TEXT="Severe body aches and stiff neck"/>
<node CREATED="1358722116423" MODIFIED="1358722126857" TEXT="No sweating - cold contracts pores"/>
<node CREATED="1358722127853" MODIFIED="1358722131299" TEXT="No thirst"/>
<node CREATED="1358722137727" MODIFIED="1358739247550" TEXT="Floating-tight pulse or floating-forceful pulse"/>
<node CREATED="1358722149630" MODIFIED="1358722154601" TEXT="Thin white tongue coating"/>
</node>
<node CREATED="1358722069358" FOLDED="true" MODIFIED="1371685429175" TEXT="Heat (Wind-Heat)">
<node CREATED="1358723648038" MODIFIED="1358723650919" TEXT="Fever"/>
<node CREATED="1358723654530" MODIFIED="1358723658432" TEXT="Aversion to cold"/>
<node CREATED="1358723723695" MODIFIED="1358723732589" TEXT="Body aches not so pronounced"/>
<node CREATED="1358723662715" MODIFIED="1358723665794" TEXT="Slight sweating"/>
<node CREATED="1358723668879" MODIFIED="1358723671005" TEXT="Thirst"/>
<node CREATED="1358723673452" MODIFIED="1358723679779" TEXT="Floating-rapid pulse"/>
<node CREATED="1358723682943" MODIFIED="1358723921513" TEXT="Thin white or yellow tongue coating"/>
<node CREATED="1358723694092" MODIFIED="1358723717876" TEXT="Sometimes a redness of the tongue sides and front"/>
</node>
<node CREATED="1358723739923" FOLDED="true" MODIFIED="1361148420421" TEXT="Main features to differentiate hot vs cold exterior patterns">
<node CREATED="1358723757276" MODIFIED="1358723780723" TEXT="Thirst or absence"/>
<node CREATED="1358723955031" MODIFIED="1358723964205" TEXT="Yellow or white tongue coating"/>
<node CREATED="1358723781250" MODIFIED="1358723983903" TEXT="rapid or tight pulse"/>
<node CREATED="1358724000593" MODIFIED="1358724006867" TEXT="Fever or slight to no fever"/>
</node>
</node>
<node CREATED="1358724075975" FOLDED="true" MODIFIED="1371685429175" TEXT="Strength of evil vs right">
<node CREATED="1358724154754" FOLDED="true" MODIFIED="1371685429175" TEXT="Empty (Deficient)">
<node CREATED="1358724180770" MODIFIED="1358724190658" TEXT="Tendency towards qi or blood deficiency"/>
<node CREATED="1358724201547" MODIFIED="1358724237944" TEXT="Exterior pattern will have an empty (deficient) character (Note: still an excess condition)"/>
<node CREATED="1358724243453" MODIFIED="1358724267970" TEXT="Decribed as an exterior pattern from WInd-Cold with a preavlence towards Wind"/>
<node CREATED="1358724361982" FOLDED="true" MODIFIED="1371685429175" TEXT="Clinical manifestations">
<node CREATED="1358724369510" FOLDED="true" MODIFIED="1358740357067" TEXT="Slight or no fever">
<node CREATED="1358724379902" MODIFIED="1358724396169" TEXT="Less of a battle between the wei qi and the pathogen"/>
</node>
<node CREATED="1358724398383" FOLDED="true" MODIFIED="1359332879509" TEXT="Sweating">
<node CREATED="1358724403340" MODIFIED="1358724417396" TEXT="Wei qi unable to keep pores open"/>
</node>
<node CREATED="1358724421710" MODIFIED="1358724431171" TEXT="Aversion to wind"/>
<node CREATED="1358724431669" MODIFIED="1358724435126" TEXT="Slight body aches"/>
<node CREATED="1358724441941" MODIFIED="1358724450033" TEXT="Floating-slow pulse "/>
<node CREATED="1358724450845" MODIFIED="1358724459652" TEXT="Thin white tongue coating"/>
</node>
</node>
<node CREATED="1358724149640" FOLDED="true" MODIFIED="1361148420422" TEXT="Full (Excess)">
<node CREATED="1358724290478" MODIFIED="1358724337523" TEXT="Patients qi is relatively intact and strong"/>
<node CREATED="1358724469470" MODIFIED="1358724480900" TEXT="Battle between wei qi and pathogen much stronger"/>
<node CREATED="1358724481371" FOLDED="true" MODIFIED="1361148420422" TEXT="Clinical manifestations">
<node CREATED="1358724487700" MODIFIED="1358724496739" TEXT="Fever"/>
<node CREATED="1358724497291" MODIFIED="1358724500496" TEXT="No sweating"/>
<node CREATED="1358724508521" MODIFIED="1358724512309" TEXT="Severe body aches"/>
<node CREATED="1358724521297" MODIFIED="1358724524914" TEXT="Aversion to cold"/>
<node CREATED="1358724528236" MODIFIED="1358724534754" TEXT="Floating-tight pulse"/>
<node CREATED="1358724537936" MODIFIED="1358724542419" TEXT="Thin white tongue coating"/>
</node>
</node>
</node>
<node CREATED="1358741157879" FOLDED="true" MODIFIED="1371137391322" TEXT="Diferentiation (CAM Table 9, pg 287)">
<node CREATED="1358741172459" FOLDED="true" MODIFIED="1371137391322" TEXT="Common signs and symptoms">
<node CREATED="1358741181196" FOLDED="true" MODIFIED="1371137391322" TEXT="Chills and fever, headache and general aching, floating pulse, thin white tongue coating">
<node CREATED="1358741221384" FOLDED="true" MODIFIED="1371134766750" TEXT="Exterior cold">
<node CREATED="1358741227589" MODIFIED="1358741247871" TEXT="Severe chills, mild fever"/>
<node CREATED="1358741248302" MODIFIED="1358741257730" TEXT="No sweating"/>
<node CREATED="1358741258307" MODIFIED="1358741270278" TEXT="Absence of thirst"/>
<node CREATED="1358741270839" MODIFIED="1358741286064" TEXT="Floating-tight pulse"/>
</node>
<node CREATED="1358741289430" FOLDED="true" MODIFIED="1369930013245" TEXT="Exterior heat">
<node CREATED="1358741298686" MODIFIED="1358741306287" TEXT="Mild chills, severe fever"/>
<node CREATED="1358741308369" MODIFIED="1358741316361" TEXT="No sweating or sweating"/>
<node CREATED="1358741318879" MODIFIED="1358741321548" TEXT="Thirst"/>
<node CREATED="1358741327889" MODIFIED="1358741334701" TEXT="May be yellow tongue coating"/>
<node CREATED="1358741337804" MODIFIED="1358741343205" TEXT="Floating-rapid pulse"/>
</node>
<node CREATED="1358741345047" FOLDED="true" MODIFIED="1369930013245" TEXT="Exterior deficiency">
<node CREATED="1358741351631" MODIFIED="1358741355400" TEXT="Sweating"/>
</node>
<node CREATED="1358741357803" FOLDED="true" MODIFIED="1369930013245" TEXT="Exterior excess">
<node CREATED="1358741362781" MODIFIED="1358741369340" TEXT="No sweating"/>
</node>
</node>
</node>
</node>
</node>
</node>
</node>
<node CREATED="1358721644693" ID="ID_1137811702" MODIFIED="1440973809645" TEXT="Those that affect the channels and have a slower onset">
<node CREATED="1358721664811" ID="ID_422532392" MODIFIED="1440973809645" TEXT="Painful obstruction syndrome (Bi Syndrome)">
<font ITALIC="true" NAME="SansSerif" SIZE="12"/>
<node CREATED="1358778522799" ID="ID_1075049681" MODIFIED="1440973809646" TEXT="Causes qi and blood stagnation">
<font ITALIC="true" NAME="SansSerif" SIZE="12"/>
</node>
</node>
<node CREATED="1358734803451" ID="ID_202960413" MODIFIED="1440973809646" TEXT="Pathogenic factors block the circulation of qi in the channels and joints"/>
<node CREATED="1358734854383" ID="ID_642625571" MODIFIED="1442233845402" TEXT="Pathogenic factors include">
<node CREATED="1358734870978" FOLDED="true" MODIFIED="1371137391324" TEXT="Wind">
<node CREATED="1358734926015" MODIFIED="1358783692945" TEXT="Wind is migratory in nature so pain moves from joint to joint"/>
<node CREATED="1358783611034" MODIFIED="1358783678557" TEXT="Usually combines with another pathogenic factor such as cold, damp, heat"/>
<node CREATED="1358783679887" MODIFIED="1358783767836" TEXT="Wind is a yang pathogenic factor and has the characteristic of upward and outward movement, therefore usually affects the upward parts of body (face, head, neck, UE)"/>
</node>
<node CREATED="1358734863106" FOLDED="true" MODIFIED="1371137391324" TEXT="Cold">
<node CREATED="1358734885404" MODIFIED="1358734892929" TEXT="Often only one joint affected"/>
<node CREATED="1358734893533" MODIFIED="1358783889265" TEXT="Pain is severe as cold is characterized by stagnation and contraction, also limitation of movement"/>
<node CREATED="1358734903062" MODIFIED="1358734918888" TEXT="Pain is relieved by application of heat"/>
<node CREATED="1358783979088" MODIFIED="1358783994845" TEXT="Characterized by no sweating, can cause a transition to heat"/>
</node>
<node CREATED="1358734867255" FOLDED="true" MODIFIED="1371137391325" TEXT="Dampness">
<node CREATED="1358734941183" MODIFIED="1358734949372" TEXT="Involves swelling of the joint"/>
<node CREATED="1358784024060" MODIFIED="1358784125999" TEXT="Characterized by pain and soreness with a heavy sensation, numbness of the limbs, often affects the lower body"/>
</node>
<node CREATED="1358734874237" FOLDED="true" MODIFIED="1371137391325" TEXT="Heat">
<node CREATED="1358734958349" MODIFIED="1358784181568" TEXT="Pain is severe, joints are swollen and hot"/>
<node CREATED="1358734963212" MODIFIED="1358784247236" TEXT="Characterized by pain with a burning sensation and redness"/>
<node CREATED="1358784247817" MODIFIED="1358784288804" TEXT="Often affects the upper parts of the body and is often seen in acute inflammation of joints and muscles in the upper body"/>
<node CREATED="1358784296680" MODIFIED="1358784326742" TEXT="When combined with damp, can affect the lower body (hip, knee, ankle and foot"/>
</node>
</node>
<node CREATED="1359332933552" FOLDED="true" ID="ID_833071348" MODIFIED="1440973809648" TEXT="More information">
<node CREATED="1359333019855" FOLDED="true" MODIFIED="1361148420423" TEXT="POS is acute or chronic pain and stiffness in the musculoskeletal system">
<node CREATED="1359333054922" FOLDED="true" MODIFIED="1361148420422" TEXT="May also be">
<node CREATED="1359333093133" MODIFIED="1359333095703" TEXT="Swelling"/>
<node CREATED="1359333096224" MODIFIED="1359333099128" TEXT="Numbness"/>
<node CREATED="1359333099694" MODIFIED="1359333102632" TEXT="Parasthesia"/>
<node CREATED="1359333103199" MODIFIED="1359333109808" TEXT="Decreased ROM"/>
</node>
<node CREATED="1359334577409" FOLDED="true" MODIFIED="1361148420423" TEXT="POS is located in the musculoskeletal system">
<node CREATED="1359334598861" MODIFIED="1359334608504" TEXT="POS is primarily an external disorder"/>
<node CREATED="1359334614848" MODIFIED="1359334636916" TEXT="Musculoskeletal system is considered external relative to the organ system"/>
<node CREATED="1359334646615" FOLDED="true" MODIFIED="1361148420422" TEXT="Linked through the channels">
<node CREATED="1359334682173" FOLDED="true" MODIFIED="1359339483987" TEXT="Integrity of qi and blood flow through the channel network and musculoskeletal system is influenced by the function of the internal organs">
<node CREATED="1359336079466" MODIFIED="1359336146456" TEXT="Any organ system can influence the volume and quality of qi and blood in the channels and its ability to circulate freely"/>
<node CREATED="1359336148063" MODIFIED="1359336221781" TEXT="Organ systems that have a direct effect on the manufacture and distribution of qi and blood are especially relevant"/>
</node>
<node CREATED="1359336235877" MODIFIED="1359336317851" TEXT="Imbalance in any organ system can also affect the integrity of qi and blood distribution through the related channel and tissues under its control"/>
</node>
</node>
</node>
<node CREATED="1359333448339" FOLDED="true" MODIFIED="1361148420423" TEXT="Traditionally focused on the bones and joints">
<node CREATED="1359333472467" MODIFIED="1359333496084" TEXT="Similar to Western orthopedic model"/>
<node CREATED="1359333496522" MODIFIED="1359333530084" TEXT="Concerned with what would be diagnosed biomedically as inflammatory and degenerative joint disease"/>
<node CREATED="1359333538593" MODIFIED="1359333598520" TEXT="Since it deals with pain, there is a tendency to use it with all kinds of musculoskeletal pain"/>
<node CREATED="1359333653285" FOLDED="true" MODIFIED="1359339513483" TEXT="All musculoskeletal pain can be technically classified as painful obstruction, but the painful obstruction model may not be able to effectively treat all musculoskeletal pain">
<node CREATED="1359333759754" FOLDED="true" MODIFIED="1359339511999" TEXT="Two ways of seeing pain">
<node CREATED="1359333779156" FOLDED="true" MODIFIED="1359339483973" TEXT="Constitutional (Chinese) model">
<node CREATED="1359333805993" MODIFIED="1359333986765" TEXT="Based on the relationship between pathogenic invasion, organ sytem function and local pathology of the joints and soft tissues"/>
<node CREATED="1359333880628" MODIFIED="1359333914698" TEXT="Understands how the interior and exterior, and distant parts of the body are linked through the channel system"/>
<node CREATED="1359333924071" MODIFIED="1359333944713" TEXT="More concerned with systemic dysfucntion at the expense of local percision"/>
<node CREATED="1359333952918" MODIFIED="1359333964095" TEXT="Areas are treated rather than specific tissues"/>
</node>
<node CREATED="1359333767199" FOLDED="true" MODIFIED="1359339483974" TEXT="Anatomical (Western) model">
<node CREATED="1359333972580" MODIFIED="1359334026594" TEXT="Based on the understanding of the structure, function and biomechanics of the components of the musculoskeletal system"/>
<node CREATED="1359334027014" MODIFIED="1359334058374" TEXT="Advantages are precision with which it is possible to identify and treat a pain causing structure"/>
<node CREATED="1359334061811" MODIFIED="1359334096871" TEXT="Misses the relationship between the function of the organism as a whole and pathology of a specific part"/>
</node>
<node CREATED="1359334154401" MODIFIED="1359334182180" TEXT="Combination of the two increased results and facilitates an understanding of when to use which tools"/>
</node>
</node>
</node>
<node CREATED="1359334196461" FOLDED="true" MODIFIED="1371134844440" TEXT="Pathology of POS">
<node CREATED="1359334203314" FOLDED="true" MODIFIED="1361148420423" TEXT="Qi and Blood stasis is at the root of all pain">
<node CREATED="1359334271209" FOLDED="true" MODIFIED="1361148420423" TEXT="Caused by">
<node CREATED="1359334274887" MODIFIED="1359334300477" TEXT="Physical blockage from scarring, trauma or other structural issues"/>
<node CREATED="1359334301140" MODIFIED="1359334325202" TEXT="Pathogenic factors obstructing the channels"/>
<node CREATED="1359334329176" MODIFIED="1359334366438" TEXT="Poor or sluggish qi and blood flow from weak Lung or Heart qi"/>
<node CREATED="1359334370251" MODIFIED="1359334413279" TEXT="Blood or Yin deficiency not nourishing the tendons"/>
<node CREATED="1359341711111" MODIFIED="1359341711111" TEXT=""/>
</node>
<node CREATED="1359334439082" FOLDED="true" MODIFIED="1361148420423" TEXT="Treatment">
<node CREATED="1359334442534" MODIFIED="1359334454353" TEXT="Remove obstruction"/>
<node CREATED="1359334456634" MODIFIED="1359334469336" TEXT="Stimulate the local circulation of qi and blood"/>
<node CREATED="1359334470034" MODIFIED="1359334480165" TEXT="Tonify and organ deficiency"/>
<node CREATED="1359334490931" MODIFIED="1359334495045" TEXT="Relieve pain"/>
</node>
</node>
</node>
<node CREATED="1359336398989" FOLDED="true" MODIFIED="1371134851868" TEXT="POS involves the exterior, interior or both">
<node CREATED="1359336432487" FOLDED="true" MODIFIED="1361148420423" TEXT="Purely exterior">
<node CREATED="1359336446042" MODIFIED="1359336457160" TEXT="Confined to the musculoskeletal system"/>
<node CREATED="1359336457782" MODIFIED="1359336473675" TEXT="Internal organ system is not involved"/>
<node CREATED="1359336474195" MODIFIED="1359336486697" TEXT="Result of trauma or pathogenic invasion"/>
<node CREATED="1359336493937" MODIFIED="1359336543333" TEXT="Treatment is predominantly local, aimed at removing the obstruction and correcting qi and blood flow through the channels and tissues"/>
</node>
<node CREATED="1359336547573" FOLDED="true" MODIFIED="1361148420424" TEXT="External condition with internal organ dysfunction">
<node CREATED="1359336598274" MODIFIED="1359336629768" TEXT="Main symptoms are external, but there is an organ system imbalance or weakness"/>
<node CREATED="1359336638333" FOLDED="true" MODIFIED="1361148420424" TEXT="Can occur two ways">
<node CREATED="1359336647046" FOLDED="true" MODIFIED="1359339483998" TEXT="Unresolved pathogen may linger in the tissues, eventually impacting the organs">
<node CREATED="1359336687850" MODIFIED="1359336706843" TEXT="Ex) persistant damp pathogen may deplete the Spleen"/>
<node CREATED="1359336707311" MODIFIED="1359336729546" TEXT="Ex) Chronic cold may drain Kidney yang"/>
<node CREATED="1359336734905" MODIFIED="1359336759109" TEXT="Ex) Unresolved heat may damage Kidney and Liver yin"/>
</node>
<node CREATED="1359337039629" MODIFIED="1359337098512" TEXT="Internal organ system problem can predispose the tissues and regions of the body controlled by it to invasion by pathogenic factors or damage from overuse"/>
</node>
<node CREATED="1359337111584" FOLDED="true" MODIFIED="1359339483999" TEXT="Treatment is both local and systemic">
<node CREATED="1359337134071" MODIFIED="1359337158085" TEXT="Herbs might play a prominent role"/>
</node>
</node>
<node CREATED="1359337161532" FOLDED="true" MODIFIED="1361148420424" TEXT="Internal organ problem with symptoms externally">
<node CREATED="1359337191888" MODIFIED="1359337220781" TEXT="Main problem is in the internal organs"/>
<node CREATED="1359337226213" FOLDED="true" MODIFIED="1361148420424" TEXT="Symptoms are reflected in the external pathways and tissues related to the affected system">
<node CREATED="1359337317734" MODIFIED="1359337349210" TEXT="Ex) Dull lower back pain and aching weak knees of Kidney deficiency"/>
<node CREATED="1359337349685" MODIFIED="1359337387875" TEXT="Ex) Hip, shoulder and TMJ pain from Gallbladder dysfunction"/>
</node>
<node CREATED="1359337257328" MODIFIED="1359337311855" TEXT="Treatment is aimed at the organ system, herbs might be the primary modality."/>
</node>
</node>
</node>
</node>
</node>
</node>
</node>
<node CREATED="1371134654505" ID="ID_1862063315" MODIFIED="1444681128013" TEXT="Interior">
<node CREATED="1358735003419" MODIFIED="1358735348311" TEXT="Affects the internal organs"/>
<node CREATED="1358735378448" FOLDED="true" MODIFIED="1371685429178" TEXT="Etiology">
<font ITALIC="true" NAME="SansSerif" SIZE="12"/>
<node CREATED="1358741520974" MODIFIED="1358741613615" TEXT="Transmission of pathogenic factor from exterior to the interior to invade the zang-fu"/>
<node CREATED="1358741599558" MODIFIED="1358741647337" TEXT="Direct attack on zang-fu of exogenous pathogenic factors"/>
<node CREATED="1358741648365" MODIFIED="1358741683190" TEXT="Diet, stress, emotions all of which affect the zang-fu directly"/>
<node CREATED="1358735433458" MODIFIED="1358741687861" TEXT="Wrong treatment"/>
</node>
<node CREATED="1358735026452" ID="ID_205810966" MODIFIED="1444681130542" TEXT="Differentiated based on the location of the pathogen or based on deficiency of qi, blood, yin or yang, not on etiology">
<node CREATED="1358735129378" FOLDED="true" MODIFIED="1378306472864" TEXT="Disease caused by an invasion of pathogen penetrating into interior">
<node CREATED="1358735619421" FOLDED="true" MODIFIED="1371134105138" TEXT="Half interior half exterior">
<node CREATED="1358735632259" FOLDED="true" MODIFIED="1371134105138" TEXT="Involves the shaoyang channels and organs (shaoyang pattern wind-heat invasion)">
<node CREATED="1358735648120" MODIFIED="1358735668211" TEXT="Hallmark sign is alternating chills and fever"/>
<node CREATED="1358735670392" FOLDED="true" MODIFIED="1371134105138" TEXT="Other signs">
<node CREATED="1358735675325" MODIFIED="1358735683869" TEXT="Hypochondrial pain"/>
<node CREATED="1358735705926" MODIFIED="1358735709884" TEXT="Fullness in chest"/>
<node CREATED="1358735716962" MODIFIED="1358735722882" TEXT="Irritability"/>
<node CREATED="1358735723446" MODIFIED="1358735730717" TEXT="Nausea"/>
<node CREATED="1358735740251" MODIFIED="1358735743288" TEXT="Poor appetite"/>
<node CREATED="1358735747969" MODIFIED="1358735753858" TEXT="Bitter taste in the mouth"/>
<node CREATED="1358735758889" MODIFIED="1358735761158" TEXT="Dry throat"/>
<node CREATED="1358735762713" MODIFIED="1358740339857" TEXT="Blurry vision"/>
<node CREATED="1358740663891" MODIFIED="1358778795110" TEXT="Floating, tight, rapid pulse (wiry-fine pulse)"/>
<node CREATED="1358740683025" MODIFIED="1358740689275" TEXT="Thick yellow tongue coating"/>
</node>
<node CREATED="1358778891709" FOLDED="true" MODIFIED="1371134105138" TEXT="Analysis">
<node CREATED="1358778899532" MODIFIED="1358778949919" TEXT="The pathogenic factor oscillates between Taiyang and Yangming (exterior and interior)"/>
<node CREATED="1358778950680" MODIFIED="1358779001890" TEXT="When it is in taiyang there is aversion to cold, when in yangming there is fever"/>
<node CREATED="1358779002541" MODIFIED="1358779018926" TEXT="Other signs are typical of the gall bladder channel"/>
<node CREATED="1358779033951" MODIFIED="1358779043979" TEXT="Treatment  is to harmonize the shaoyang"/>
</node>
</node>
</node>
<node CREATED="1358739472626" FOLDED="true" MODIFIED="1378306472864" TEXT="Pathogen invades to the interior">
<node CREATED="1358739487255" FOLDED="true" MODIFIED="1378306472864" TEXT="Clinical manifestations">
<node CREATED="1358735185638" MODIFIED="1358739528716" TEXT="Dissappearance of aversion to cold and the onset of aversion to heat (high fever)"/>
<node CREATED="1358739534196" MODIFIED="1358739537158" TEXT="Sweating"/>
<node CREATED="1358739539817" MODIFIED="1358739542101" TEXT="Thirst"/>
<node CREATED="1358739543154" MODIFIED="1358739561844" TEXT="Yellow-red urine"/>
<node CREATED="1358739562879" MODIFIED="1358739572242" TEXT="Dry-bound stool (constipation)"/>
<node CREATED="1358739577402" MODIFIED="1358739583543" TEXT="Yellow tongue coating"/>
<node CREATED="1358739584090" MODIFIED="1358739595717" TEXT="Rapid and forceful pulse"/>
<node CREATED="1358779092437" FOLDED="true" MODIFIED="1359332879519" TEXT="Analysis">
<node CREATED="1358779106485" MODIFIED="1358779131940" TEXT="The pathogen has transformed into the interior of the yangming and transformed to heat"/>
<node CREATED="1358779132468" MODIFIED="1358779174343" TEXT="This is a Full-Hot condition and is characterized by the 4 bigs (big fever, sweating, thirst, pulse)"/>
<node CREATED="1358779189473" MODIFIED="1358779204122" TEXT="Can develop directly from taiyang or from shaoyang"/>
</node>
</node>
</node>
</node>
<node CREATED="1358739598995" ID="ID_1904092476" MODIFIED="1444681133832" TEXT="Disease already in the interior">
<node CREATED="1358739629783" ID="ID_678672936" MODIFIED="1444681136628" TEXT="Causes a disruption in function of the zang-fu with complex manifestations">
<node CREATED="1358777905296" FOLDED="true" ID="ID_1428355477" MODIFIED="1371134105139" TEXT="See identification of disease by zang-fu pattern">
<node CREATED="1358777933443" MODIFIED="1358777958609" TEXT="Heart disease there are palpitations and insomnia"/>
<node CREATED="1358777959136" MODIFIED="1358777990803" TEXT="Liver disease there is dissiness and hypochondrial pain"/>
<node CREATED="1358777998105" MODIFIED="1358778031362" TEXT="Spleen and Stomach disease there is poor appetite, nausea/vomiting and loose stool"/>
<node CREATED="1358778036212" MODIFIED="1358778052515" TEXT="Lung disease there is cough and SOB"/>
<node CREATED="1358778053042" MODIFIED="1358778129755" TEXT="Kidney and Urinray Bladder disease there is seminal emission, enuresis, or painful, burning urination"/>
</node>
<node CREATED="1358739277348" ID="ID_832443990" MODIFIED="1444681139343" TEXT="Differentiation generalization)">
<node CREATED="1358739283525" ID="ID_453439835" MODIFIED="1444681141346" TEXT="Internal Cold">
<node CREATED="1358779286328" MODIFIED="1358779293838" TEXT="Chills, cold limbs"/>
<node CREATED="1358779295820" MODIFIED="1358779302674" TEXT="No thirst"/>
<node CREATED="1358779303159" MODIFIED="1358779306694" TEXT="Loose stool"/>
<node CREATED="1358779310741" MODIFIED="1358779416337" TEXT="T: White coat, pale body"/>
<node CREATED="1358779325740" MODIFIED="1358779353767" TEXT="P: Deep, slow"/>
</node>
<node CREATED="1358739304037" ID="ID_1367471946" MODIFIED="1444681143832" TEXT="Internal Heat">
<node CREATED="1358779370945" MODIFIED="1358779376874" TEXT="High fever"/>
<node CREATED="1358779377991" MODIFIED="1358779384550" TEXT="Thirst"/>
<node CREATED="1358779385039" MODIFIED="1358779389120" TEXT="Irritability"/>
<node CREATED="1358779389650" MODIFIED="1358779392929" TEXT="Constipation"/>
<node CREATED="1358779397581" MODIFIED="1358779409899" TEXT="T: Yellow coat, red body"/>
<node CREATED="1358779432222" MODIFIED="1358779437494" TEXT="P: Rapid, full"/>
</node>
<node CREATED="1358739317472" FOLDED="true" MODIFIED="1378306472865" TEXT="Internal Deficiency">
<node CREATED="1358779470152" MODIFIED="1358779475718" TEXT="Fatigue, apathy"/>
<node CREATED="1358779476236" MODIFIED="1358779480993" TEXT="Weakness"/>
<node CREATED="1358779487354" MODIFIED="1358779488816" TEXT="SOB"/>
<node CREATED="1358779494025" MODIFIED="1358779497058" TEXT="Palpitations"/>
<node CREATED="1358779497619" MODIFIED="1358779504134" TEXT="Dizziness"/>
<node CREATED="1358779505309" MODIFIED="1358779525934" TEXT="T: Thin, white coat, pale body"/>
<node CREATED="1358779533877" MODIFIED="1358779539993" TEXT="P: Deep, deficient"/>
</node>
<node CREATED="1358739332107" FOLDED="true" MODIFIED="1378306472866" TEXT="Internal Excess">
<node CREATED="1358779563093" MODIFIED="1358779567383" TEXT="Heavy breathing"/>
<node CREATED="1358779568248" MODIFIED="1358779575836" TEXT="Irritability"/>
<node CREATED="1358779576574" MODIFIED="1358779582958" TEXT="Chest fullness"/>
<node CREATED="1358779587182" MODIFIED="1358779591561" TEXT="Abdominal distention"/>
<node CREATED="1358779595543" MODIFIED="1358779598507" TEXT="Palpitations"/>
<node CREATED="1358779603640" MODIFIED="1358779620620" TEXT="T: thick coating, rough body"/>
<node CREATED="1358779625939" MODIFIED="1358779631122" TEXT="P: Deep, shi"/>
</node>
</node>
</node>
</node>
</node>
</node>
<node CREATED="1358739811083" FOLDED="true" MODIFIED="1440973809649" TEXT="Differentiating Exterior and interior patterns">
<node CREATED="1358739827814" FOLDED="true" MODIFIED="1371685429190" TEXT="Fever">
<node CREATED="1358739856210" FOLDED="true" MODIFIED="1371685429189" TEXT="Exterior">
<node CREATED="1358739954539" MODIFIED="1358739974164" TEXT="Aversion to cold or wind seen simultaneously with fever"/>
</node>
<node CREATED="1358739977559" FOLDED="true" MODIFIED="1371685429190" TEXT="Interior">
<node CREATED="1358739981843" MODIFIED="1358739989479" TEXT="Cold without fever"/>
<node CREATED="1358739991275" MODIFIED="1358739995400" TEXT="Fever without cold"/>
<node CREATED="1358739998643" MODIFIED="1358740005385" TEXT="Neither fever or cold"/>
</node>
</node>
<node CREATED="1358739906004" FOLDED="true" MODIFIED="1371685429191" TEXT="Tongue">
<node CREATED="1358740038528" FOLDED="true" MODIFIED="1371685429190" TEXT="Exterior">
<node CREATED="1358740013032" MODIFIED="1358740032176" TEXT="Usually thin white coat"/>
</node>
<node CREATED="1358740044951" FOLDED="true" MODIFIED="1371685429191" TEXT="Interior">
<node CREATED="1358740051640" MODIFIED="1358740053640" TEXT="Varies"/>
</node>
</node>
<node CREATED="1358740056215" FOLDED="true" MODIFIED="1371685429192" TEXT="Pulse">
<node CREATED="1358740062043" FOLDED="true" MODIFIED="1371685429191" TEXT="Exterior">
<node CREATED="1358740065415" MODIFIED="1358740067277" TEXT="Floating"/>
</node>
<node CREATED="1358740069301" FOLDED="true" MODIFIED="1371685429191" TEXT="Interior">
<node CREATED="1358740074939" MODIFIED="1358740080444" TEXT="Not floating"/>
</node>
</node>
</node>
</node>
</node>
</map>
