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Formulas & Strategies > CH6: Formulas that Warm the Interior, Dispel Cold > Flashcards

CH6: Formulas that Warm the Interior, Dispel Cold Flashcards

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1
Q

Functions of formulas that warm interio and dispel cold?

A
  • Warm the interior
  • Assist yang
  • Dispel cold
  • Open meridians
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2
Q

Indications for Wen Li Ji (formulas taht warm interior, dispel cold)?

A
  • Interior cold syndrome, including deficiency cold in middle jiao, Yin excess and Yang declining, yang collapse, cold stagnation in meridian
  • Major symptoms: chills, no fever, preferring warmth, bland mouth, no thirst, profuse clear urine, pale tongue, white coating, deep slow pulse
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3
Q

Precautions for Wen Li Ji?

A
  1. Contraindicated to excessive heat, yin xu, loss of blood, summer time
  2. Often used in combination with herbs that tonify yang
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4
Q

Subcategory 6.1 “Formulas to warm middle jiao, dispel cold” Indications?

A

Deficiency cold in spleen and stomach

  • Abdominal bloating
  • Acid regurgitation
  • Appetite poor
  • Cold extremities
  • Diarrhea
  • Fatigue/lassitude
  • N/V, nausea and vomiting
  • Pain in stomach
  • Pulse: deep thin or deep slow
  • Thirst absent
  • Tongue: white slippery coating
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5
Q

Li Zhong Tang

A

Decoction to regulate the middle jiao (spleen and stomach)

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6
Q

Ingredients for Li Zhong Tang?

A
  1. Gan Jiang 9g
  2. Ren Shen 9g
  3. Bai Zhu 9g
  4. Gan Cao 9g
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7
Q

Functions of Li Zhong Tang?

A
  • Warm the middle jiao, dispel cold
  • Tonify qi and strengthen the spleen
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8
Q

Indications for Li Zhong Tang?

A

Weakness and coldness of spleen and stomach including:

  1. stomach and intestine disorders
  2. loss of blood due to spleen yang deficiency
  3. infantile convulsions
  4. cough with thin phlegm
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9
Q

Manifestation and Pathogenesis for gastric region or abdominal pain with no thirst?

A

Yang deficiency, coldness produced in the interior

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10
Q

Manifestation/Pathogenesis for

diarrhea, vomiting, poor appetite

A

Deficiency cold in middle jiao

Disorder of spleen and stomach in transportation and transformation

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11
Q

Manifestation/Pathogenesis for

cold limbs?

A

Deficiency of spleen yang which cannot warm the limbs

Note: not severe cold limbs, does not go above elbows or knees

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12
Q

Manifestation/Pathogenesis for

pale tongue, deep forceless slow pulse?

A

Yang deficiency

Retention of phlegm and dampness in the interior

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13
Q

Actions of Gan Jiang?

A

King

Warm the middle jiao and dispel coldness

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14
Q

Actions of Ren Shen?

A

Deputy

Tonify qi of spleen

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15
Q

Actions of Bai Zhu?

A

Asisstant

Tonify spleen

Dry dampness

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16
Q

Actions of Gan Cao?

A

Harmonize

Tonify qi in SP/ST

Strengthen spleen to resolve dampness

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17
Q

Characteristics of herbal combination?

(Three methods)

A
  1. Warm interior
  2. Tonify deficiency
  3. Dry dampness

All at same time. Mainly warming!

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18
Q

What are the key symptoms ot look for?

A
  1. Coldness, limbs, intolerance to cold
  2. Diarrhea
  3. Pain
  4. Vomiting
  5. Tongue: pale
  6. Pulse: deep and thready
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19
Q

Western medical disease?

A
  1. Angina
  2. Blood in stool
  3. Chronic diarrhea
  4. Indigestion
  5. Ulcer: gastric/duodenal
  6. Uterine bleeding
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20
Q

What are the precautions for Li Zhong Tang?

A

Not suitable for:

  1. Damp heat in middle jiao
  2. Yin deficiency of Stoamch
  3. External invasion, EPI
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21
Q

What is a modification for severe yang deficiency?

A

Fu Zi

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22
Q

What is the modification for loss of blood due to yang deficiency cold?

A
  • Ai Ye (folium artimesia, Mugwort)
  • E Jiao (donkey hide glue)
  • Lu Jiao Jiao (deer horn glue)
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23
Q

Modification for Leucorrhea due to dampness flowing downward caused by weakness of spleen?

A
  1. Lu Jiao Shuang (Lu Rong, degelatinated deer antler powder)
  2. Shan Yao (Chinese yam)
  3. Tu Si Zi (Chinese dodder seed, cuscuta)
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24
Q

What are the modification added for long term diarrhea?

A
  1. Chao Yi Yi Ren (Job’s tears, Coix seed)
  2. Fu Ling
  3. Qian Shi
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25
Wu Zhu Yu Tang
Decoction of evodia fruits combination
26
Ingredients of Wu Zhu Yu Tang?
1. Wu Zhu Yu 9g 2. Sheng Jiang 18g 3. Ren Shen 6g 4. Da Zao 12 pcs
27
Functions of Wu Zhu Yu Tang?
1. Warm and tonify spleen and stomach 2. Descend qi stop vomiting
28
Main indications of Wu Zhu Yu Tang?
1. Vomiting due to weakness and coldness in spleen/stomach and rebellious qi 2. Vertex headache of Jueyin Liver meridian
29
Manifestation/Pathogenesis for vomiting right after intake of food, acid regurgitation, stifling sensation/pain/fullness in epigastric region
Weakness and coldness of spleen and stomach leading to upward perversion of stomach qi
30
Manifestation/Pathogenesis for retching or vomiting with saliva?
Upward rebellion of stomach qi and harmful water
31
Manifestation/Pathogenesis for vertex headache?
Upward attack of Liver Qi affected by weakness and coldness of spleen/stomach
32
Manifestation/Pathogenesis for vomting, diarrhea?
Weakness, coldness of spleen/stomach leading to diarrhea due ot internal retention of fluid and dampness Dysfunction of spleen and stomach in ascending and descending
33
Manifestation/Pathogenesis for cold limbs?
Excessive cold leading to yang deficiency which cannot warm the limbs
34
Manifestation/Pathogenesis for irritability?
Excess cold leading to a struggle between yin and yang
35
Manifestation/Pathogenesis for pale tongue with white and watery coating, slow pulse?
Cold, retention of dampness and turbid phlegm fluid
36
Actions of Wu Zhu Yu?
King 1. Warm stomach and liver 2. Stop vomiting 3. Descend rebellion 4. Stop pain
37
Actions of Sheng Jiang?
Deputy 1. Dispel cold 2. Conduct rebellious qi downward 3. Relieve vomiting
38
Actions of Ren Shen?
Assistant 1. Tonify qi of spleen and stomach
39
Actions of Da Zao?
Messenger Harmonize and tonify qi of spleen/stomach
40
Characteristics of Wu Zhu Yu Tang combination?
Warm middle herbs combined with descending and stop vomiting herbs
41
Key symptoms for choosing Wu Zhu Yu Tang?
1. Cold limbs 2. No thirst 3. Vomiting/retching 4. Tongue: pale, slippery coating 5. Pulse: thready slow
42
Western diseases?
1. Acute and chronic gastritis 2. Meniere's syndrome (disorder of the inner ear leading to vertigo) 3. Migraines 4. Neurotic headache?
43
Precautions/contraindications for Wu Zhu Yu Tang?
DO NOT USE FOR: Headache due to Liver Yang rising Vomiting due to Heat in Stomach
44
Modification for severe headache?
1. Chuan Lian Zi (Fructus Toosendan, Sichuan Chinaberry) *Herbs that regulate Qi* 2. Chuan Xiong (Lovage rhizome) *Herbs that Invigorate Blood*
45
Xiao Jian Zhong Tang
Minor decoction to restore normal function of middle jiao
46
Xiao Jian Zhong Tang Ingredients?
1. Bai Shao 18g 2. Yi Tang 30g 3. Gui Zhi 9g 4. Sheng Jiang 9g 5. Dao Zao 12 pcs 6. Gan Cao 6g
47
Xiao Jian Zhong Tang functions?
* Warm and tonify middle jiao * Dispel cold and stop pain, gastric pain
48
Main indications for Xiao Jian Zhong Tang?
Abdominal pain due to weakness and coldness in spleen and stomach
49
Manifestations and Pathogenesis for paroxysmal pain in epigastric region, relieved by warmth and pressure?
1. Weakness and coldness in spleen and stomach 2. Pathogenic cold blocking meridians and collaterals which gives rise to pain
50
Manifestations and Pathogenesis for palpitations, restlessness, pale tongue with thin white coating?
Signs of deficiency and cold
51
Manifestations and pathogenesis for thready and weak pulse, lassitude?
deficiency
52
Actions of Bai Shao and Yi Tang?
King Herbs 1. Tonify blood 2. Tonify qi 3. Relax muscle and stop pain
53
Actions of Gui Zhi?
Deputy 1. Warm spleen and stomach 2. Dispel cold 3. Promote circulation of meridians and collaterals
54
Actions of Sheng Jiang and Da Zao?
Assistant and Messenger ## Footnote Tonify and strengthen spleen and stomach for production of qi and blood
55
Characteristics of combination?
Warming, tonifying and drying methods used together, but major action is warming to dispel cold and strengthen spleen
56
Key symptoms for Xiao Jian Zhong Tang?
1. Abdominal pain better with warmth and pressure 2. Palpitation 3. Weak pule
57
Western diseases?
* Gastric and duodenal ulcers * Palpitations due to blood deficiency which cannot nourish the heart
58
Precautions for Xiao Jian Zhong Tang?
DO NOT USE FOR 1. Fullness of epigastric region due to stagnation 2. Yin deficiency leading to stomach pain
59
If Dang Gui is added to Xiao Jian Zhong Tang, what will that help with?
* Severe blood deficiency * Post partum abdominal pain with shortness of breath and dizziness
60
If Huang Qi is added it Creates Huang Qi Jian Zhong Tang. What is this modification for?
Severe Qi Deficiency
61
Subcategory 6.2 Formulas that Reverse Yang, arrest Yang Collapse Indications and manifestations?
Decline or collapse of Yang 1. Aversion to cold 2. Cold extremities 3. Diarrhea 4. Poor spirit 5. Profuse sweating 6. Pulse: faint and thin
62
Si Ni Tang?
Decoction to treat cold limbs
63
Ingredients of Si Ni Tang?
1. Fu Zi 5-10g 2. Gan Jiang 6-9g 3. Gan Cao 6g
64
Functions of Si Ni Tang?
Restore Yang Arrest Yang from Collapse
65
Manifestations and pathogenesis of cold limbs, intolerance to cold, sleeping curled up?
Yang deficiency fails to warm the limbs
66
Manifestations and pathogenesis of fatigue and sleepiness?
Yang Deficiency
67
Manifestation and pathogenesis of vomiting, diarrhea, abdominal pain, indigestion?
Decline of yang of the spleen
68
Manifestations and pathogenesis for no thirst?
Deficiency of yang causing dampness
69
Manifestations and pathogenesis of pale tongue with white coating, thready and forceless pulse?
Signs of excess yin for pale tongue with white coating Signs of declined yang in thready and forceless pulse
70
Action of Fu Zi?
King Restore Yang Dispel Cold
71
Actions of Gan Jiang?
Deputy Warm spleen and stomach Dispel internal coldness
72
Gan Cao Actions?
Messenger Harmonize actions of other herbs Promote Qi Circulation
73
Characteristics of herbal combination
Simple combination with focused effect. Very pungent and very hot herbal combination to rescue Yang. Simultaneously combined with sweet harm herb to harmonize and slow down the bitter, hot, pungent property. Allows decoction strength to last longer.
74
Key symptoms for Si Ni Tang?
* Cold limbs * Poor spirit * Sleepiness * Indistinct weak pulse
75
Western diseases for Si Ni Tang?
1. Acute gastritis 2. Diarrhea 3. Eema due to Yang deficiency 4. Heart attack 5. Heart failure 6. Profuse sweating 7. Shock
76
Precautions and Contraindications for Si Ni Tang?
For patients with Yang or Qi Collpase this is an emergency condition. Emergency care with conventional medicine is essential!! Call 911
77
What can be added to Si Ni Tang if there are more cold symptoms?
Increase amount of Fu Zi and Gan Jiang
78
What modifications can be made for deficiency body constitution?
Add * Huang Qi * Ren Shen
79
Herbs to add for Spleen Deficiency?
* Bai Zhu (White Atractylodis rhizome) *Tonify Qi* * Shan Yao (Chinese Yam) *Tonify Qi*
80
Herbs to add for abdominal pain?
* Bai Shao (White Peony Root) *Tonify Blood* * Gan Cao (Licorice Root) *Tonify Qi*
81
Subcategory 6.3 Formulas that Warm Meridian, Dispel Cold What are the indiations and manifestations?
Cold stagnation in the meridian * Cold extremities * Joint pain * Numbness of extremities * Yin type sores
82
Dang Gui Si Ni Tang
Decoction of Chinese Angelica combination to treat cold limbs
83
Ingredients? (Just know Chief and Deputy)
1. Dang Gui 9g (Chief) 2. Gui Zhi 6g (Chief) 3. Bai Shao 9g (Deputy) 4. Xi Xin 1.5g (Deputy) 5. Tong Cao 3g 6. Da Zao 20 pcs 7. Gan Cao 6g
84
Function of Si Ni Tang?
* Warm meridians and dispel cold * Nourish the blood
85
Indications for Si Ni Tang?
Cold hands and feet caused by deficiency of blood and qi
86
Manifestation and pathogenesis for cold limbs, cold pain?
Deficiency of blood unable to warm limbs Invasion of exogenous pathogenic cold slowing circulation of blood and blocking vessels
87
Manifestation and pathogenesis for pale tongue with white coating, deep thready and fading pulse?
Signs of blood deficiency and cold syndrome
88
Actions of Dang Gui, Gui Zhi?
King * Tonify blood * Move blood * Open meridian * Warm meridian
89
Bai Shao, Xi Xin actions?
Deputy * Nourish and invigorate blood * Dispel cold from meridians
90
Tong Cao actions?
Assistant * Circulate and remove blood stagnation * Warm meridians * Dispel cold
91
Da Zao, Gan Cao actions?
Messengers * Harmonize decoction * Tonify middle jiao Qi
92
Characteristics of combination for Dang Gui Si Ni Tang?
Combo of warm yang and dispel cold **with** nourish blood and open meridians. Warms yang without generating too much heat. Tonifies witout creating stagnation.
93
Key symptoms for Dang Gui Si Ni Tang?
Cold hands and feet Pale tongue with white coating Thin and weak pulse
94
Western diseases?
* Chronic rheumatoid arthritis * Dysmennorrhea * Frostbite * Raynaud's * Thromboangitis
95
What herbs could be added to Dang Gui Si Ni Tang for dysmenorrhea?
1. Wu Yao (Lindera root) *Regulate Qi* 2. Xiao Hui Xiang (Fennel fruit) *Warm interior, Expel Cold*
96

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