Biblioteca - Four level pattern - Miami Acupuntura

ACUPUNTURA Y MASAJE TERAPÉUTICO

Four Levels patterns

IDENTIFICATION OF PATTERNS ACCORDING TO THE FOUR LEVELS:

Describes penetration and transformation of Wind Heat

Warm Diseases have special characteristics

*Manifest with fever

*Pathogen enters through nose and mouth

*Infectious

*Rapid development

*Strong tendency to injure Yin

Four Levels (Si Fen)

Defensive Level (Wei Fen)

Qi Level (Qi Fen)

Nutritive Level (Ying Fen)

Blood Level (Xue Fen)

Defensive Level -- Wei Fen

Beginning stage of pathogen invasion

Only exterior level of the four

 

Four different patterns according to nature of Pathogenic Factor

Wind Heat

Summer Heat

Damp Heat

Dry Heat

Qi Level -- Qi Fen

Beginning of interiorization of pathogen

Interior Full Heat pattern involving various organs

Some patterns may correspond to Yang Ming or Shao Yang patterns in Shang Han Lun

Patterns within Qi Level:

Lung Heat  (Heat in the Chest and Diaphragm)

Stomach Heat

Large Intestine Heat

Gallbladder Heat

Spleen-Stomach Damp-Heat

Nutritive Level -- Ying Fen

Heat begins to enter the Yin-Blood level

Signs of injury to Yin -- Fever at night, peeled tongue coat

Increasing signs of shen disturbance -- Pericardium may be affected

HEAT IN THE PERICARDIUM

Blood Level -- Xue Fen

Deepest level

Heat causes blood to move frenetically and bleeding results

Skin eruptions (may begin in Ying level also)

Yin is increasingly consumed

More severe mental signs including coma

Heat stirs internal Wind -- seizures, convulsions

Collapse may result

Different patterns reflect these manifestations

HEAT VICTORIOUS MOVING BLOOD

HEAT VICTORIOUS STIRRING WIND

EMPTY WIND AGITATING INTERIOR

COLLAPSE OF YIN

COLLAPSE OF YANG

LATENT HEAT

Latent Heat occurs when an external pathogenic factor penetrates the body without causing apparent symptoms at the time.

It settles deep in the body and 'incubates', turning into Interior Heat, later emerging to cause Heat symptoms

Usually pre-existing Kidney Deficiency which allows the pathogen to enter without symptoms.

General symptoms of Latent Heat emerging:

Acute onset, thirst, irritability, insomnia, sudden tiredness and lassitude, weary limbs, dark urine, red tongue, rapid pulse

Latent Heat can manifest at the Qi or Blood level

At Qi Level: Lesser-Yang Type, Bright Yang Type

At Blood Level: Lesser-Yin Type

Qi Level Latent Heat

Lesser-Yang Type: Clinical Manifestations same as 6 stages pattern

Bright Yang Channel Type: "4 Bigs", same as 6 stages pattern

Bright Yang Organ Type: Clinical Manifestations same as 6 stages pattern

Blood Level Latent Heat

Lesser-Yin Type:

Weary limbs before onset of other symptoms, insomnia, irritability, dry mouth and throat, scanty dark urine, headache, backache, tiredness; Possibly also delirium, blood in urine, epistaxis, macules.

Deep-red tongue without coating and Fine-Rapid pulse.