1. Continuing Medical Education Programs Dr. Anika Niambi Al-Shura, Lecturer Copyright 2014 Niambi Wellness. All rights reserved

2. Health Communications in TCM Cardiology Integrative Anatomy and Patho-physiology in TCM Cardiology Integrative Examination in Cardiovascular Disease Integrative Diagnosing of Cardiovascular Diseases Integrative Study of Hematology in Cardiology Integrative Hyperlipidemia Treatments in Cardiovascular Disease Integrative Cardiovascular Clinical Therapies Copyright 2014 Niambi Wellness. All rights reserved Level 1 Course Titles

3. Niambi Wellness continuing medical education programs presents Copyright 2014 Niambi Wellness. All rights reserved

4. Integrative Study of Hematology in Cardiology Copyright 2014 Niambi Wellness. All rights reserved

5. This course is approved by the following agencies: National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for 9 PDA points and Florida State Board of Acupuncture for 10 CEUs. The companion textbook: Hematology in Traditional Chinese Medicine Cardiology must be ordered at www.elsevier.com Copyright 2014 Niambi Wellness. All rights reserved

7. This course briefly covers the basic sciences of blood and immune system from the Western medicine and Traditional Chinese Medicine perspectives. The focus is on laboratory values for diagnosing and monitoring cardiovascular diseases. Copyright 2014 Niambi Wellness. All rights reserved Course Description

8. Course Objectives Understand the 5 parts of blood and blood development, genetic blood disorders found in cardiovascular diseases, essence, qi and blood, the immune system including the TCM 6 stages and 4 levels. Learn the laboratory results and values used for diagnosing and management. Copyright 2014 Niambi Wellness. All rights reserved

10. Course Modules Copyright 2014 Niambi Wellness. All rights reserved

11. Module 1: Basic Anatomy and Physiology Module 2: Red Blood Cells Module 3: Integrative Immune System Copyright 2014 Niambi Wellness. All rights reserved

13. Module 1 Basic Anatomy and Physiology Copyright 2014 Niambi Wellness. All rights reserved

14. Chapter 1: Biomedicine Perspectives of Blood and Lymph Chapter 2: Qi and Blood Contents Copyright 2014 Niambi Wellness. All rights reserved

16. Chapter 1: Clinical Significance Copyright 2014 Niambi Wellness. All rights reserved

17. Part 1: Blood Part 2: Lymphatic System Contents Copyright 2014 Niambi Wellness. All rights reserved

19. Part 1:Blood Copyright 2014 Niambi Wellness. All rights reserved

20. Blood carries and delivers oxygen, hormones, and other nutrients to cells and helps maintain the body temperature and the immune system. Copyright 2014 Niambi Wellness. All rights reserved

21. It also removes waste products and carbon dioxide. The components of blood include plasma, erythrocytes, thrombocytes, leukocytes, and lymphocytes. Copyright 2014 Niambi Wellness. All rights reserved

23. Plasma Copyright 2014 Niambi Wellness. All rights reserved

24. Plasma is the yellowish clear fluid component which makes up about 55% of blood. Copyright 2014 Niambi Wellness. All rights reserved

25. Erythrocytes Copyright 2014 Niambi Wellness. All rights reserved

26. Erythrocytes are the red blood cells, and they make up about 50% of blood volume, and 3 million cells are continuously produced per second from stem cells located in the bone marrow. Copyright 2014 Niambi Wellness. All rights reserved

27. Erythrocytes move and deliver oxygen and other plasma components to all cells, tissues, and organs and carry carbon dioxide and other waste products to the relevant deposit centers of the body. Copyright 2014 Niambi Wellness. All rights reserved

28. Thrombocytes Copyright 2014 Niambi Wellness. All rights reserved

29. Thrombocytes are also called platelets and are cell fragments which circulate within the blood with a life span of about 10 days. Copyright 2014 Niambi Wellness. All rights reserved

30. Generally, they are useful in cases of injury and will adhere at the site of a wound or to the walls of damaged vessels to release chemicals which clot and close the wound or vessel. Copyright 2014 Niambi Wellness. All rights reserved

31. Leukocytes Copyright 2014 Niambi Wellness. All rights reserved

32. Leukocytes are white blood cells which make up 0.51% of blood,liver, spleen, liver, and lymph nodes. Copyright 2014 Niambi Wellness. All rights reserved

33. They are produced in bone marrow from stem cells and the thymus gland and have a life span of about 2036 hours. Copyright 2014 Niambi Wellness. All rights reserved

34. Lymphocytes Copyright 2014 Niambi Wellness. All rights reserved

35. Lymphocytes are white blood cells which also make up about 0.51% of circulating blood. Copyright 2014 Niambi Wellness. All rights reserved

36. Lymphocytes are white blood cells which also make up about 0.51% of circulating blood. They are produced in the stem cells in bone marrow and function to produce antibodies to pathogenic antigens such as bacteria, viruses, and parasites. Copyright 2014 Niambi Wellness. All rights reserved

38. Part 2:Lymphatic System Copyright 2014 Niambi Wellness. All rights reserved

39. The functions of the lymphatic system are to assist the immune system by stimulating an immune response, removal of interstitial fluid from tissues, and transporting of white blood cells. Copyright 2014 Niambi Wellness. All rights reserved

40. The lymphatic system lacks a pumping mechanism such as in the cardiovascular system. Copyright 2014 Niambi Wellness. All rights reserved

41. The flow and movement depends on respiratory movement, skeletal muscle movement, and smooth muscle contraction in vessel walls. Copyright 2014 Niambi Wellness. All rights reserved

43. Part 3:Genetics Copyright 2014 Niambi Wellness. All rights reserved

44. Thalassemia and hereditary hemochromatosis are genetic blood disorders which contribute to cardiovascular complications. Copyright 2014 Niambi Wellness. All rights reserved

45. Thalassemia is a genetic blood disorder in which the body makes an abnormal form of hemoglobin, which destroys erythrocytes causing anemia. Copyright 2014 Niambi Wellness. All rights reserved

46. Hereditary hemochromatosis is a mutation of the C282Y and H63D genes which primarily affects males. Copyright 2014 Niambi Wellness. All rights reserved

47. Part 1:Textbook Answer Copyright 2014 Niambi Wellness. All rights reserved

48. #1 protein #2 antibodies #3 lipids #4 vitamins and minerals #5 clotting factors #6 hormones #7 sugars #8 enzymes #9 saline solution Copyright 2014 Niambi Wellness. All rights reserved Answer block

49. #10 clotting is coagulated blood and clumping is agglutinated blood which is still fluid #11 Factors 8 and 9 #12 The immune system #13 The benefit is immunity to future invasion of the same kind of pathogen. Copyright 2014 Niambi Wellness. All rights reserved Answer block

50. #14 They are covered in endothelium, which are overlapping cells that prevent fluid from leaking out. #15 cervical nodes #16 axillary nodes #17 inguinal nodes Copyright 2014 Niambi Wellness. All rights reserved Answer block

51. #18 heart and liver failure Copyright 2014 Niambi Wellness. All rights reserved Answer block

52. Copyright 2014 Niambi Wellness. All rights reserved

53. Chapter 2: Qi and Blood Copyright 2014 Niambi Wellness. All rights reserved

54. Part 1: Qi Part 2: Blood Part 3: Answers to textbook questions Contents Copyright 2014 Niambi Wellness. All rights reserved

56. Part 1:Qi Copyright 2014 Niambi Wellness. All rights reserved

57. Qi represents the basic energy which animates regular life processes and is created partially from acquired essence. Copyright 2014 Niambi Wellness. All rights reserved

58. It moistens the skin surface to allow antipathogenic qi remain on active duty, helps maintain body temperature, internal blood circulation, and secretion of body fluids. Copyright 2014 Niambi Wellness. All rights reserved

60. Part 2: Blood Copyright 2014 Niambi Wellness. All rights reserved

61. In Chinese medicine, blood is a yin substance. Proper generation and circulation is contingent upon the: Smoothness of the vessels Temperature Quality Cooperation between the zang viscera Copyright 2014 Niambi Wellness. All rights reserved

63. Part 3: Answers to Textbook Questions Copyright 2014 Niambi Wellness. All rights reserved

64. #1 innate essence is congenital, while acquired essence comes from nutrition and water #2 pectoral qi, nutritive qi and defensive qi #3 primordial qi, controlling qi and propelling qi Copyright 2014 Niambi Wellness. All rights reserved Answer block

65. Copyright 2014 Niambi Wellness. All rights reserved

66. Module 1 Review Questions

67. Complete the Module 1 review interactive practice quiz. Copyright 2014 Niambi Wellness. All rights reserved

68. Please continue on to Module 2 Copyright 2014 Niambi Wellness. All rights reserved