MindMap Gallery Bulging丨Traditional Chinese Medicine Practitioner Examination
This mind map serves the purpose of the Traditional Chinese Medicine Practitioner Examination. The content is the test points of each detailed rule of "Traditional Chinese Medicine Internal Medicine" - "bulging". You can search the public account "Yilin Xuelu", which can be found in the article of the same name. The article also contains interesting memories of syndrome differentiation and prescription selection.
Edited at 2024-02-14 11:24:18This is a flowchart illustrating the process of archiving monthly failure analysis reports and tracking the implementation of improvement measures. The diagram is structured into five main steps, each with specific tasks and sub-tasks.Monthly Report Collection & Organization: This step involves collecting failure analysis reports from various departments, reviewing them for completeness, and categorizing them by product, failure mode, and severity. Root Cause Analysis & Statistics: Here, the focus is on categorizing causes, analyzing trends, identifying root causes, and compiling statistics on high-frequency failure modes and key components. Improvement Measure Formulation & Assignment: This step includes formulating improvement measures, assigning responsibilities, and setting timelines for implementation.Measure Implementation Tracking & Verification: It involves tracking the progress of implementation, verifying effectiveness, and confirming issue closure.Knowledge Base Update & Monthly Report Output: The final step covers archiving reports, updating the knowledge base, and compiling monthly summaries.This template can be easily reused and adapted using tools like EdrawMind to suit different organizational needs.
This is a timeline infographic detailing the annual product certification acquisition countdown process, structured into four sequential phases. The first phase, Certification Planning & Initiation, encompasses goal setting, timeline planning, resource preparation, defining specific certification objectives such as CCC/CE/FCC, formulating an annual plan with key milestones, and allocating necessary budget, personnel, and sample resources. Following this, the Application & Testing Phase involves material submission, coordination with certification agencies, core testing procedures, preparation of technical documents, application forms, and samples, selection of the appropriate certification agency, and execution of critical safety, EMC, and RF tests. The subsequent Rectification & Acquisition Phase focuses on addressing and rectifying any identified issues, re-verification processes, acquisition of the certificate, analysis of test issues, implementation of necessary fixes, and modification of samples for supplemental testing. Finally, the Countdown Monitoring phase emphasizes tracking progress, managing risks, monitoring remaining days and key milestones, managing time, technical, and cost risks, and maintaining effective internal and external communication throughout the process. This comprehensive template can be readily reused and adapted using tools like EdrawMind to meet diverse organizational requirements.
This is a flowchart detailing the weekly update and review plan for technical documents. The process is divided into six main stages, each with specific tasks and responsibilities. It begins with Weekly Planning, where the document scope is defined, update objectives are set, and schedules are arranged. Next, Document Updates involve maintaining various documents such as hardware design documents, test specifications, and BOM tables, alongside version control and archiving. Internal Review Preparation follows, focusing on compiling review materials, identifying participants, and setting agendas. The Review Meeting stage includes document examination, problem discussion, decision recording, and responsibility allocation. After the meeting, Review Feedback Processing takes place, involving issue tracking, document modification, quality checks, and closure verification. Finally, Output Deliverables are prepared, including official release versions, release notifications, review reports, and plans for the next week. This structured approach ensures systematic and efficient management of technical documents, and the template can be easily adapted using tools like EdrawMind.
This is a flowchart illustrating the process of archiving monthly failure analysis reports and tracking the implementation of improvement measures. The diagram is structured into five main steps, each with specific tasks and sub-tasks.Monthly Report Collection & Organization: This step involves collecting failure analysis reports from various departments, reviewing them for completeness, and categorizing them by product, failure mode, and severity. Root Cause Analysis & Statistics: Here, the focus is on categorizing causes, analyzing trends, identifying root causes, and compiling statistics on high-frequency failure modes and key components. Improvement Measure Formulation & Assignment: This step includes formulating improvement measures, assigning responsibilities, and setting timelines for implementation.Measure Implementation Tracking & Verification: It involves tracking the progress of implementation, verifying effectiveness, and confirming issue closure.Knowledge Base Update & Monthly Report Output: The final step covers archiving reports, updating the knowledge base, and compiling monthly summaries.This template can be easily reused and adapted using tools like EdrawMind to suit different organizational needs.
This is a timeline infographic detailing the annual product certification acquisition countdown process, structured into four sequential phases. The first phase, Certification Planning & Initiation, encompasses goal setting, timeline planning, resource preparation, defining specific certification objectives such as CCC/CE/FCC, formulating an annual plan with key milestones, and allocating necessary budget, personnel, and sample resources. Following this, the Application & Testing Phase involves material submission, coordination with certification agencies, core testing procedures, preparation of technical documents, application forms, and samples, selection of the appropriate certification agency, and execution of critical safety, EMC, and RF tests. The subsequent Rectification & Acquisition Phase focuses on addressing and rectifying any identified issues, re-verification processes, acquisition of the certificate, analysis of test issues, implementation of necessary fixes, and modification of samples for supplemental testing. Finally, the Countdown Monitoring phase emphasizes tracking progress, managing risks, monitoring remaining days and key milestones, managing time, technical, and cost risks, and maintaining effective internal and external communication throughout the process. This comprehensive template can be readily reused and adapted using tools like EdrawMind to meet diverse organizational requirements.
This is a flowchart detailing the weekly update and review plan for technical documents. The process is divided into six main stages, each with specific tasks and responsibilities. It begins with Weekly Planning, where the document scope is defined, update objectives are set, and schedules are arranged. Next, Document Updates involve maintaining various documents such as hardware design documents, test specifications, and BOM tables, alongside version control and archiving. Internal Review Preparation follows, focusing on compiling review materials, identifying participants, and setting agendas. The Review Meeting stage includes document examination, problem discussion, decision recording, and responsibility allocation. After the meeting, Review Feedback Processing takes place, involving issue tracking, document modification, quality checks, and closure verification. Finally, Output Deliverables are prepared, including official release versions, release notifications, review reports, and plans for the next week. This structured approach ensures systematic and efficient management of technical documents, and the template can be easily adapted using tools like EdrawMind.
bulging (cirrhosis and ascites)
Overview
The abdomen is distended and taut as a drum, the skin is pale yellow, and the veins are exposed
Cause and pathogenesis
Cause
Immoderate drinking and eating, emotional irritation, insect infection, and subsequent illness
Pathogenesis
The functions of the liver, spleen, and kidneys are damaged, and Qi stagnation, blood stasis, and water stagnation occur in the abdomen.
sick position
Liver and spleen, then kidney
Pathological factors
Qi stagnation, blood stasis, water dampness
Pathological properties
False and true
Diagnosis and Differential Diagnosis
Main symptoms
The abdomen feels distended at first, especially after eating, and then the abdomen swells like a drum. In severe cases, the veins on the abdominal wall are exposed and the umbilical hole protrudes.
Often accompanied by fatigue, anorexia, oliguria, epistaxis, epistaxis, skin purpura and other bleeding phenomena; Pale complexion, jaundice, bright red palms, red threads on the face, neck and chest, blood moles and crab claws may be seen
Edema
Pathogenesis: Lung, spleen, and kidney dysfunction; generalized edema of limbs (or eyelids, head and face/or lower limbs first) Bloating: damage to the liver, spleen, and kidneys; mainly abdominal distension
Full stomach (stomach fullness)
The abdomen was full and full in all patients; stomachache: the location of the disease was the epigastrium; no distension; soft when pressed. Bloating: distension covering the entire abdomen; when pressed, the abdominal skin becomes tight, the skin becomes pale yellow, and the veins are exposed
Syndrome differentiation and treatment
Key points of syndrome differentiation
The first step is to differentiate between deficiency and excess, the second step is to differentiate between the severity of qi, blood and water, and the third step is to differentiate between excessive cold and heat.
Qi (qi stagnation)
Abdominal distension feels like a drum when percussed, and may also be mixed with water and gas, and may be turbid when percussed.
blood (blood stasis)
Abdominal distension that persists for a long time, tingling pain in both flanks, red palms, dark purple tongue, thin and astringent pulse
water(water wet)
The abdomen is distended like a frog's belly, and when pressed it feels like a bag filled with water, and even the skin of the umbilical cord is shiny.
Treatment principles
Standard and actual
According to the partial excess of qi, blood and water, use methods to promote qi, activate blood circulation, remove dampness and diuretic respectively. Or temporarily use the method of attacking and expelling, combined with soothing the liver and strengthening the spleen.
Mainly virtual
According to the difference of yin and yang, the methods of warming and nourishing the spleen and kidneys or nourishing the liver and kidneys are adopted respectively. At the same time, it cooperates with promoting qi, activating blood and diuresis
Apply both attack and supplement Replenish deficiency without forgetting reality Purging excess without forgetting deficiency
Classification of syndrome and treatment
Qi stagnation and dampness
Soothes the liver and regulates qi, nourishes the spleen and removes dampness
Bupleurum Shugan Powder combined with Weiling Decoction
Abdominal distension is not firm, fullness under the ribs, qi stagnation syndrome, stringy pulse
Water-dampness trapped spleen
Warming the spleen, promoting qi and diuresis
Shipi Yin
Abdomen distension and fullness, like water in a bag Cold syndrome White and greasy coating, slow pulse
water heat accumulation
Clear away heat and promote dampness, conquer water and expel water
Zhongmanfen Xiaowan and Yinchenhao Decoction
Big, firm and full abdomen, no desire to drink when thirsty, yellow face, eyes, and skin. Heat syndrome: yellow and greasy fur, rapid pulse.
Blood stasis and water retention
Promotes blood circulation and removes blood stasis, promotes qi and diuresis
Adjusting the nutrition drink
The abdomen is firm and full, dry mouth and no desire to drink. Blood stasis syndrome: dark purple tongue with purple spots, and astringent pulse.
Yang deficiency and water excess
Warming and nourishing the spleen and kidneys, transforming qi and diluting water
Fuzi Liling Decoction or Jisheng Shenqi Pills
Abdomen is distended and full, wide in the morning and anxious in the evening. Yang deficiency syndrome. Fat tongue with white and slippery coating.
Yin deficiency and water stop
Nourishes the kidneys and softens the liver, nourishes yin and diuresis
Liuwei Dihuang Pills and Yiguan Jian
Abdomen distention, Yin deficiency, red tongue, less fluid, thin and rapid pulse
bulging syndrome
Heavy bleeding
Clear heat, cool blood, activate blood circulation and stop bleeding
Rhinoceros Rehmannia Soup
Sudden vomiting a large amount of blood and bloody stools
After heavy bleeding
Strengthen the body and strengthen the body, replenish qi and absorb blood
Dushen soup with cornus meat
After heavy bleeding, I sweat like oil, my limbs feel cold, and my pulse is weak and rapid.
coma
Phlegm-heat
Clear away heat and eliminate phlegm, rejuvenate one's ideas and relieve wind
Angong Niuhuang Pills and Longdan Xiegan Decoction
Coma, limbs twitching and trembling, red tongue with yellow coating, slippery and rapid pulse
phlegm
Resolving phlegm, clearing turbidity and resuscitation
Styraxiang Pills and Calamus and Turmeric Soup
Sleepiness while lying still, incoherent speech, indifferent expression, thick and greasy tongue coating