Distinguishing Characteristics of each CA Rx Flashcards

Question

Wu Zhu Yu Tang | Evodia Decoction

Answer 1

**Warm Interior - Middle Burner** **Vomiting immediately after eating**; indeterminate gnawing hunger; dry heaves; spitting of clear fluids; vertex h/a; agitation so severe patient wants to die

Answer 2

**Warm Interior - Middle Burner** **Intermittent spasmodic** abd. pn better w/ warmth and pressure

Answer 3

**Warm Interior - Middle Burner** **Excruciating** Epigastric & Abd. pn so bad that **patient cannot tolerate being touched** Root: Middle burner yang xu Branch: Yin cold King = Sichuan Pepper/ Hua Jiao

Answer 4

**Warm Interior - Yang Collapse** Constant desire to sleep curled up in a ball | **True Cold + False Heat**

Answer 5

**Tonify Qi** General (LU & SP) Qi Xu ## Footnote SJZT + Er Chen Tang = LJZT SJZT + Er Chen Tang + Mu Xiang + Sha Ren = Xiang Sha LJZT XSLJZT + Ping Wei San = Xiang Sha Yang Wei San

Answer 6

**Tonify Qi** Loose stools, diarrhea, weak extremities, weight loss, stifling sensation in the chest and epigastrium Kings = SJZT

Answer 7

**Tonify Qi** Intermittent Fever, **Prolapse of organs, spontaneous sweats**, possible bleeding disorder

Answer 8

**Tonify Qi** Frequent Recurring Colds/ Prone to W-C attacks; **spontaneous sweating d/t Wei Qi Xu**; Balance betw. tonifying Wei Qi w/o trapping Evil Qi in body; chasing out Evil Qi w/o depleting Wei Qi

Answer 9

**Tonify Qi** **SOB**, spontaneous sweat w/ **chronic cough with sparse sputum difficult to expectorate**; **LU Qi & Yin Xu**

Answer 10

**Tonify Blood** Classic Blood Xu Rx

Answer 11

**Tonify Blood** Hot sensations in the muscles yet desire to drink warm beverages; **Major Qi & Blood Xu d/t overexertion** 5:1 Ratio Huang Qi:Dang Gui Good for things like massive post-partum blood loss; Yang will begin to separate bc blood not holding Yang in vessels so you will see **False Heat**

Answer 12

**Tonify Qi and Blood** Blood and Qi Xu concurrent; SWT + SJZT put together

Answer 13

**Tonify Qi and Blood** Qi & Blood Xu w/ Deficiency Cold; Qi & Blood Xu in consumptive disorders; Sores that refuse to heal; SWT + SJZT + Ren Shen + Rou Gui

Answer 14

**Tonify Qi and Blood** Chronic bleeding disorders, palps, forgetfulness, insomnia, reduced appetite, wan complexion Good for students - SP Qi Xu d/t worry, fatigue, overwork

Answer 15

**Tonify Yin** KD Yin Xu s/s + hot palms and soles, chronic dry and sore throat, Xiao Ke - wasting and thirsting 3 Tonify Herbs - Shu Di; Shan Zhu Yu; Shan Yao 3 Sedating Herbs - Ze Xie; Mu Dan Pi; Fu Ling

Answer 16

**Tonify Yin** **(More Severe) KD Yin Xu and Essence Depletion** w/ spontaneous and nocturnal emissions, spontaneous and night sweats ## Footnote Clinically: Zuo Gui Yin tonifies Yin FAST Zuo Gui Wan tonifies Yin AGGRESSIVELY LWDHW is a balanced Yin Tonic for LT use

Answer 17

**Tonify Yin** Cough w/ **blood-streaked sputum**, hot palms and soles, night sweats (LU & KD)

Answer 18

**Tonify Yang** **Urinary difficulty** w/ edema or incontinence; **irritability** to point of having difficulty lying down; **breathing most comfortably while leaning** against something Contains LWDHW + Fu Zi + Gui Zhi (for Yang Xu) ## Footnote Clinically: Jin Gui Shen Qi Wan = Balanced Yang Tonic for LT use You Gui Wan = Tonifies Yang Immediately/ Aggressively

Answer 19

**Tonify Yang** Spermatorrhea, incontinence, edema of lower limbs, impotence, **exhaustion after long illness** Tonifies Yang QUICKLY and AGGRESSIVELY

Answer 20

**Stabilize and Bind: Intestines** **Cock's Crow** Diarrhea ## Footnote Si Shen Wan = Tonifies KD + SP; Warming and Astringing Li Zhong Wan = Tonifies SP ONLY; Warming and TONIFYING

Answer 21

**Stabilize and Bind: Essence** Chronic spermatorrhea; impotence

Answer 22

**Stabilize and Bind: Womb** Continuous menstrual trickle and gushing red blood with clots/ menorrhagia (**Beng Lou Syndrome**)

Answer 23

**Stabilize and Bind: Womb** Profuse **vaginal discharge** white or yellow

Answer 24

**Calm Spirit: Heart Deficiency** Irritability, insomnia, night sweats, vertigo, dizziness, palps - like HT7 - calming, but not sedating Clinically: Wood not generating Fire (LV Blood Xu leading to HT Yin Xu)

Answer 25

**Calm Spirit: Heart Deficiency** **YIN FIRE**: Irritability w/ sensation of heat in the chest, insomnia, palpitations, anxiety

Answer 26

**Calm Spirit: Heart Deficiency** Crying for no reason, inability to control oneself, as if under influence of a ghost, irritability, can't sleep/ disturbed sleep - like PC7 - stronger sedating/calming capability

Answer 27

**Regulate Qi: Qi Stagnation** Rx to move six stagnations: Blood Phlegm/ Damp Qi Heat Food

Answer 28

**Regulate Qi: Qi Stagnation** Feeling of something caught in throat (plum-pit Qi) - cannot be swallowed or ejected

Answer 29

**Regulate Qi: Rebellious Qi** SOB marked by **labored inhalation and smooth exhalation**, watery copious sputum Excess Cold-Phlegm Above; KD Yang Xu Below

Answer 30

**Regulate Qi: Rebellious Qi** **Hiccough**, nausea, dry heaves, retching Contains Er Chen Tang

Answer 31

**Regulate Blood: Blood Stasis** Blood stasis in the LJ; amenorrhea or dysmenorrhea in women; manic behavior ACUTE Lower abd. pn d/t blood stasis w/ sl. heat (hence thin yellow coat on tongue) This Rx = Tiao Wei CQT + Tao Ren + Gui Zhi ## Footnote Blood Stasis in General Blood Stag + LQS = XFZYT Blood Stag + Def Cold in LJ; Uterus; Chong; Ren = Wen Jing Tang or GZFLW Blood Stag + Heat in LJ = Tao He CQT

Answer 32

**Regulate Blood: Blood Stasis** Blood stasis in the **chest** This Rx = THSWT + SNS

Answer 33

**Regulate Blood: Blood Stasis** Mild, persistent uterine bleeding w/ **early or late periods cold in the abdomen and infertility** Contains Wu Zhu Yu + Gui Zhi so it's for [Def] COLD RESEMBLES Yin Xu, but the dryness fr this condition is from Blood Stasis

Answer 34

**Regulate Blood: Blood Stasis** Retention of Lochia

Answer 35

**Regulate Blood: Blood Stasis** Mild persistent uterine bleeding w/ **purple or dark blood/ blood stasis**; Classic Rx for **Uterine Fibroids/ Ovarian Cysts**

Answer 36

**Regulate Blood: Blood Stasis** **Abd. pn** that **radiates upward** w/ S/Sx of blood stasis and Qi Stagnation Biomed: Pancreatitis, Cholecystitis, chronic gastritis

Answer 37

**Regulate Blood: Stop Bleeding** **Bright red rectal bleeding**; bright red or dark red bleeding **hemorrhoids**

Answer 38

**Regulate Blood: Stop Bleeding** Abd. pn w/ **uterine bleeding d/t cold** Contains SWT + E Jiao + Ai Ye ## Footnote Uterus Bleeding in General Blood Xu + Cold = Jiao Ai Tang Blood Stag + Cold = Wen Jing Tang Alt. Trickling, Flooding d/t HEAT = Gu Jing Wan

Answer 39

**Expel External Wind** Key Word is CHANNELS Pn, weak and numb lower extremities w/ wind-stroke, migrating or fixed bone or joint pn Kings = Cao Wu + Chuan Wu (together = Wu Tou) which warms CHANNELS Tian Nan Xing clears phlegm in CHANNELS Ru Xiang/ Mo Yao increases blood flow in CHANNELS Di Long opens CHANNELS Rx for WDC Bi/ pn in bones/ joints

Answer 40

**Expel External Wind** Weepy, itchy skin lesions over a large part of the body; good for **poison oak**

Answer 41

**Expel Internal Wind** Progressive motor dysfxn of the body or facial asymmetry that occurs over a period of a few hours to a few days ## Footnote Internal Wind ZGXFT - 50/50 excess/deficiency LV Wind d/t LV/KD Yin Xu causing blood congestion in brain; **progressive motor dysfxn; LOC** TWBXD - 90/10 excess/deficiency LYR [causing internal LV Wind] - Sedation Rx for CVA **numbness, twitching, hemiplagia**

Answer 42

**Expel Internal Wind** H/A, dizziness, vertigo, tinnitus, blurred vision, insomnia, DDS + **Shaking or tremors of head and hands, Hemiplagia**

Answer 43

**Treat Exterior Dryness** **Chills** w/o sweat but **w/ cough and watery sputum**

Answer 44

**Treat Interior Dryness** Cough, SOB, spitting of saliva, hot palps and soles (LU & ST), thirst, dry throat, dry heaves

Answer 45

**Expel Dampness: Damp Turbidity** Gastric/ abd. indigestion, fullness, Inc. desire to sleep w/ heavy sensations in the limbs Contains Cang Zhu - one of driest herbs in pharmacopia

Answer 46

**Expel Dampness: Damp Turbidity** Stomach Flu, **Traveler's Diarrhea**, Food Poisoning, **Good for sea sickness; similar to Curing Pills** Contains Ping Wei San w/o Cang Zhu

Answer 47

**Expel Dampness: Damp-Heat** UTI w/ dark, turbid, scanty, difficult, painful urination Used generally for Lin Syndromes

Answer 48

**Expel Dampness: Water Irregularity** Throbbing pulsations just below umbilicus, vomiting frothy saliva, vomiting after drinking

Answer 49

**Expel Dampness: Water Irregularity** **Chronic UTI** w/ irritability or insomnia; urinary difficulty w/ **thirst w/ desire to drink**

Answer 50

**Expel Dampness: Water Irregularity** **Pregnancy edema/ pre-eclampsia**; Edema all over body; puffy palpable; heaviness in limbs; okay to use w/** HTN & Proteinurea **

Answer 51

**Expel Dampness: Cold-Damp** Abd. pn aggravated by cold, sweating not reduced by fever, palps in the epigastrium, feeling unstable as if about to fall Think of Jack and Rose - Rose is shivering w/ palps; Jack has COLD yang Xu; water retention Can be used for Congestive HT Failure; Pitting Edema

Answer 52

**Expel Dampness: Wind-Damp** Heaviness in body, stiffness in neck, shoulders, upper back -** Painful W-D Bi**

Answer 53

**Dissolve Phlegm: Damp-Phlegm** **Cough** w/ copious white sputum **easily expectorated** palps, dizziness, nausea Think of Wet T-Shirts drying in the sun * Sun is Ban Xia --> warm and dry * Wind is Ju Hong/ Chen Pi --> revives Qi Flow * Dripping is Fu Ling --> dampness draining down * Fabric Softener is Zhi Gan Cao --> harmonizes to make sure the shirt doesn't get too stiff ## Footnote Ban Xia King Rx * Er Chen Tang: Damp-Phlegm * Wen Dan Tang: Phlegm-Heat * Ban Xia Bai Zhu Tian Ma Tang: Wind-Phlegm

Answer 54

**Dissolve Phlegm: Damp-Phlegm** Hot-Phlegm; Psychological disorders Dizziness, vertigo, gnawing hunger, strange/ unusual dreams, seizures, seizures w/ copious sputum

Answer 55

**Dissolve Phlegm: Hot-Phlegm** Phlegm-heat w/ **cough w/ copious, viscous sputum** that is difficult to expectorate

Answer 56

**Dissolve Phlegm: Dry-Phlegm** **Cough w/ deep-seated sputum** that is difficult to expectorate ## Footnote Uses Chuan Bei Mu which is more moistening Dry-Phlegm than Zhe BM which is for Phlegm-Heat Kind of like ECT subs out Ban Xia for 3 moistening herbs

Answer 57

**Dissolve Phlegm: Wind-Phlegm** Dizziness, vertigo, copious sputum, stifling sensation in chest Good for Meniere's Disease

Answer 58

**Dissolve Phlegm: Wind-Phlegm** Post-acute-cough with/without fever and chills, itchy throat

Answer 59

**Digestif - Food Retention** **Food Stag Rx**; rotten smelling belches