Herbs Flashcards

1
Q

Shi Gao Functions & Indications (4)

A
  • 1. Clears heat & drains fire:
    • Vents L& St (flu, pneumonia, Covid) High fever without chills; irritability; big thirst; profuse sweating; red dry tongue with yellow fur; flooding, rapid pulse (The “4 Bigs”)
  • 2. Clears excessive heat from the Lungs:
    • Cough & wheeze with fever and thick, viscous yellow sputum
  • 3. Clears blazing Stomach Channel Fire:
    • Headache, toothache, painful gums
  • 4. Topical:
    • Eczema, burns & ulcerated sores (duan form)
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2
Q

Shi Gao

Temp & Taste

A
  • Cold - to balance yang pathogen / heat
  • Sweet - to support Qi
  • Spicy / Acid - to move and circulate
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3
Q

Shi Gao

Channels Entered

A

Stomach - Clears Yang Ming channel

Lungs - Clears upper burner, organ heat

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4
Q

Shi Gao

A

Gypsum

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5
Q

Herb that:

CLEARS HEAT AND DRAINS FIRE

A

Shi Gao

Gypsum

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6
Q

What are the 4 Bigs and which of the 4 levels do we see them in, Six Stages?

A

Big Fever

Big Thirst

Big Sweat

Big Pulse

Qi Level - Interior Heat

Yang Ming - The Brightness (Sun at High Noon)

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7
Q

Which of the Levels do Herbs that Clear Heat and Cool Blood treat?

A

Ying Level - Nutritive

Xue Level - Blood

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8
Q

Herb that

Clears Heat and Drains Blood

A

Sheng di Huang

Rehmannia Glutinosae Radix

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9
Q

Sheng Di Huang

A

Rehmannia Radix

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10
Q

Sheng Di Huang temperature and taste

A
  • Cold
  • Sweet
  • Bitter
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11
Q

Sheng Di Huang channels entered

A
  • Heart
  • Kidney
  • Liver

Heart/Liver - Blood

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12
Q

Sheng Di Huang functions and indications (2)

A
    1. Clears heat and cools blood
      * Ying/Blood level febrile diseases with high fever, scarlet red tongue, hemorrhage & rashes
  • 2. Nourishes Yin and Generates Fluid
    • ​Dry mouth, low grade fever, constipation, throat pain due to yin deficiency, wasting and thirsting disorder
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13
Q

Herb that

Clears Heat and Dries Dampness

A

Huang Qin

Scutellariae (Baicalensis) Radix

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14
Q

Huang Qin

A

Scutellariae Radix

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15
Q

Huang Qin

temperature and taste

A

COLD

Bitter

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16
Q

HUANG QIN

channels entered

A
  • Lung (Toxicity in lungs)
  • Gall Bladder (Shao Yang)
  • Stomach
  • Large Intestine
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17
Q

Huang Qin

functions and indications (5)

A
  • 1. Clears Heat and Dries Dampness
    • For DH patterns of jaundice, dysentery, Lin urinary syndrome, skin
  • 2. Clears Heat & Resolves Toxicity, esp. in the Lung:
    • fever, irritability, thirst, cough with thick yellow sputum, hot sores
  • 3. Clears Heat & Stops Bleeding:
    • vomit, cough, nosebleed, BM
  • 4. Clears heat, calms the fetus:
    • restless fetus due to heat
  • 5. Sedates Liver Yang & Harmonizes the Shao Yang:
    • headache, red eyes/face, irritable, bitter taste
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18
Q

What is Lin Syndrome?

A

Urinary dysfunction “strangury”:

painful, hot, burning often frequent, urgent urination. Can be like a UTI

(urinary tract infection)

Can also have blood, cloudy urine, or stones/sand

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19
Q

What are the Shao Yang channels?

What symptoms would you see in Shao Yang Syndrome?

A

San Jiao - Gall Bladder (Lesser Yang)

If Yang cannot go into storage the HEAT stays, but if there is no Yang inside, the patient feels COLD

  • Alternating Fever and Chills
  • Bitter taste in the mouth
  • Fullness in Chest & Rib side
  • Dry Throat
  • Dizzy vision
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20
Q

Herb that

CLEARS HEAT & RESOLVES TOXIN

A

Jin Yin Hua

Lonicerae japonica Flos

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21
Q

What are signs and sypmtoms that you would see with a Toxin (Du)?

A
  • Sudden onset
  • Broad, fierce, extreme and hot nature
  • Red, Swollen, Burning
  • Pus
  • Fever
  • Lethargy / Sick feeling

“Itis”

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22
Q

Jin Yin Hua

A

Lonicerae japonicae Flos

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23
Q

JIN YIN HUA

Temperature and Taste

A

Sweet - easy on digestion

Cold - to clear heat

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24
Q

Jin Yin Hua

Channels Entered

A

Large Intestine / Stomach - Clear Yang Ming toxin

Lung - clears skin/exterior/Lungs

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25
Q

Jin Yin Hua

Functions & Indications (3)

A
  • 1. Clears heat, relieves fire toxicity
    • Hot, painful sores & sweelings, esp breast, throat, eyes, or intestines; expels pus
  • 2. Vents/disperses external wind-heat
    • Fever, sore throat, headache; also summerheat
  • 3. Clears damp-heat from lower burner
    • Dysenteric disorders or painful urinary dysfunction
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26
Q

Herb that

CLEARS HEAT FROM VACUITY

A

Qing Hao

Artemisae annuae Herba

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27
Q

What are the symptoms that would be seen in a vacuity heat pattern?

A
  • Dryness/lack of yin moisture (mouth, skin, hair, etc.) + Steaming bones
  • Tidal/afternoon/pm fevers
  • Night sweats
  • Five center heat
  • Red tongue, small, thin or scant fur, cracks in body Thin, rapid pulse
  • Increased libido, agitation, restlessness
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28
Q

Qing Hao

A

Artemisiae annuae Herba

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29
Q

Qing Hao

Temp and Taste

A

COLD - to balance Yang heat

Bitter - to downbear, drain, and dry heat

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30
Q

Qing Hao

channels entered

A

Kidney & Liver - Channels of yin

Gall Bladder - Harmonizes Shao Yang

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31
Q

Qing Hao

Functions and Indications

A
  • 1. Clears fever from Deficiency:
    • fever from vacuity or as sequelae of febrile disease with steaming bones
  • 2. Clears Summerheat:
    • febrile in summer
  • 3. Cools the Blood and Stops bleeding:
    • rashes, epistaxis
  • 4. Checks malarial disorders and resolves heat:
    • alternating fever/chill; Shao yang syndrome
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32
Q

What are the 3 categories of Downward Draining herbs?

A

Purgatives - constipation due to accumulation of excess pathogens - eat or cold

Moist Laxatives - Often nuts or seeds, lubricate the intestines. mild.

Harsh Expellants (cathartics) - very strong to induce pronounced diarrhea

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33
Q

What do purgatives purge? How do they do this?

A

They purge accumulation of excess pathogens - either hot or cold by draining/urine/stool.

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34
Q

Downward draining herb

PURGATIVE

A

Da Huang

Rhei Radix et Rhizoma

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35
Q

Da Huang

A

Rhei Radix et Rhizoma

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36
Q

Da Huang

Temp and taste

A

COLD to balance heat

Bitter to drain heat

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37
Q

Da Huang

channels entered

A

Stomach & Large Intestine - Yang Ming organs

Heart & Liver - Blood Organs

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38
Q

Da Huang

Functions & Indications (5)

A
  • 1. Drains heat and purges accumulation: Yang Ming Organ disease:
    • 4 Bigs + Constipation
  • 2. Drains fire and toxin
    • Hot infected eyes, throat, intestins
  • 3. Clears Heat, transforms damp, promotes urination
    • Edema, UTI, jaundice, hot dysenteric disorders
  • 4. Drains heat from the blood
    • Blood in stool, vomit, nosebleed; chao tan to stop bleeding topically
  • 5. Invigorates Blood & dispels Blood Stasis
    • Amenorrhea, masses, trauma due to excess heat
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39
Q

What is important about decocting Da Huang?

A

Cooking herb more than 10 minutes will reduce its purgative effect; cook longer for other functions

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40
Q

What is the difference in symptoms between Yang Ming Channel and Yang Ming Organ diseases?

A

Yang Ming organ disease impacts the Stomach and Large Intestine Organs - heat in the orgains -> constipation

(Double check this answer)

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41
Q

What types of patients do Moist Laxatives treat?

A

Weaker patients - especially Elderly

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42
Q

Downward draining herb that is a

MOIST LAXATIVE

A

Huo Ma Ren

Cannabis sativa Semen

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43
Q

HUO MA REN

A

Cannabis sativa Semen

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44
Q

Huo Ma Ren

Temp and taste

A

Neutral temperature (one of the few - can be used in hot or cold)

Sweet taste

(very gentle, can be used by most but must be crushed before decocting and toxic at a high dose)

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45
Q

Huo Ma Ren

channels entered

A

Large Intestine

Spleen

Stomach

(SliP n’ S-LI-de)

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46
Q

Huo Ma Ren

Functions and Indications (3)

A
    1. Nourishes and moistens intestins
      * constipation in elderly or weakened, e.g. post-febrile, post partum
    1. Nourishes the yin
      * mildly supplements yin
    1. Clears heat and promotes healing of sores
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47
Q

What is the application of Harsh Expellants?

A

Severe presentation / excessive stagnation of fluids (pathogenic) in the thoracic or abdominal cavities due to poor water metabolism (e.g. pleurisy or ascites)

EMERGENCIES ONLY.

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48
Q

Downward draining herb that is a

HARSH EXPELLANT / CATHARTIC

A

Gan Sui

*gan sway*

Euphorbiae kansui Radix

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49
Q

Gan Sui

A

Euphorbiae Kansui Radix

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50
Q

Gan Sui

temperature and taste

A

COLD

Bitter

Sweet

TOXIC

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51
Q

Gan Sui

Channels Entered

A

Lung

Kidney

Large Intestine

(Lunch Kid Lies)

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52
Q

Gan Sui

Functions & Indications (3)

A
    1. Drain water downward and drive out mucus
      * Severe accumulation in chest or abdomen
    1. Drive out phlegm
    1. Clears heat and reduces swelling (topical)

DO NOT USE IN PREGNANCY, LONG TERM, OR WITH ANY TYPE OF DEFICIENCY.

VERY LITTLE DOSE .5 - 1.5g

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53
Q

What are the 5 Lin?

A
  1. Qi Lin/Re Lin (Hot type)
  2. Shi Lin/Sha Lin (Stone/Sand)
  3. Gao Lin (cloudy/milky/unctuous)
  4. Xue Lin (bloody)
  5. Lao Lin (Taxation fatigue)
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54
Q

What are the signs and symptoms of Dampness?

A
  • Fatigue, tired, “heaviness” (head/body/limbs)
  • Achy, sluggish (slows circulation), Fixed Bi syndrome
  • Secretions/excretions: mucus, wet eczema, leukorrhea, edema
  • Poor appetite, fullness in chest & abdomen, or “wrapped” head
  • Urinary dysfunction: The 5 Lin Syndromes
  • Pulse: soggy, slippery, soft; Tongue: swollen, wet, slimy fur
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55
Q

Which two organ are considered Tai Yin? What is the fucntion of Tai Yin organs and how does the pathological dampness result?

A

Greater Yin - Lung and Spleen

Lung mists like a cloud raining downward (depurative)
Spleen transforms and transports

If the Tai Yin cannot absorb (from Food/Air) then there is leakage which leads to fluids that are heavy, descending, sticky - not functional (Tan - Yin - pathological fluids)

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56
Q

Herb that

DRAINS DAMPNESS

A

Fu Ling

Poria

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57
Q

What are the different types of Fu Ling?

A

Fu Ling - Just the white part/largest part

Fu Shen - the innermost, quiets the spirit

Fu Ling Pi - just the bark/outer layer

Chi Fu Ling - red part under the skin

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58
Q

Fu Ling

A

Poria

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59
Q

Fu Ling

Temperature and Taste

A

Neutral temperature

Sweet - strengthens spleen

Bland - leaches out dampness

60
Q

Fu Ling

Channels Entered

A

Heart - Spirit

Spleen - Tai Yin

Lung - Tai Yin

Kidney

61
Q

Fu Ling

Functions & Indications (4)

A
  • 1. Promotes urination & leaches out dampness
    • Urinary difficulty, diarrhea or edema
  • 2. Strengthens the Spleen & Harmonizes the middle jiao
    • Loss of appetite, diarrhea
  • 3. Strengthens Spleen and transforms phlegm
    • muzzy headache, dizziness, thick greasy tongue coating
  • 4. Quiets the heart and calms the spirit
    • ​palpitations, insomnia or forgetfulness
62
Q

Where do aromatic herbs that transform dampness primarily work? What is their nature (properties)?

A

They primarily work in the middle burner
The are acrid, warm, aromatic

  • most enter Sp/St
63
Q

AROMATIC

Herb that

TRANSFORMS DAMPNESS

A

Hou Po

Magnoliae Officinalis Cortex

64
Q

Hou Po

A

Magnoliae Officinalis Cortex

65
Q

Hou Po

Temperature and Taste

A

WARM

Bitter

Arid/Spicy

66
Q

Hou Po

Channels Entered

A

Spleen

Stomach

Lung

Large Intestine

67
Q

Hou Po

Functions & Indications (3)

A
  • 1. Promotes the Movement of Qi in the Middle Burner and resolves stagnation
    • Qi of food stagenation in the center with chest/abdomen fullness and distention
  • 2. Promotes the Movement of Qi Downward, Dries dampness and Transforms Phlegm
    • Distention, bloating, fullness, nausea, diarrhea, turbit and greasy tongue fur
  • 3. Directs Qi Downward, Reduces Phlegm, Calms Wheezing
68
Q
A
69
Q

What are the 4 types of Bi Syndrome and their symptoms

A
  1. Wind-Bi – Aka Moving Bi
  2. Cold Bi -- Stagnating, painful, relieved by heat
  3. Heat Bi -- Hot, red, inflamed, relieved by cold
  4. Damp Bi – Fixed, heavy aching, maybe swollen

Usually one or two dominate a Wind-Cold-Damp or Wind-Heat-Damp pattern

Remember – these are like the evils (minus dry/summerheat)

70
Q

Herb that

DISPELS WIND-DAMP

A

Du Huo

Angelicae Pubescentis Radix

71
Q

Du Huo

A

Angelicae Pubescentis Radix

72
Q

Du Huo

Temperature and Taste

A

Warm

Bitter

Acrid

73
Q

Du Huo

Channels Entered

A

Kidney

Bladder

74
Q

Du Huo

Functions & Indications

A
  • 1. Dispels wind-dampness and alleviates pain
    • for wind-cold-damp impediment (lower back and legs); acute or chronic conditions
  • 2. Disperses wind-cold-damp and releases exterior
    • for exterior wind-cold together with dampness, very achy head and body
  • 3. Used for lesser yin (shaoyin) stage headache involving teeth, cheeks, and toothache
    • Can use alone as mouthwash for toothache (but disgusting)
75
Q

What are the common causes (etiologies) of phlegm?

A
  • Pathogens Congested in Lungs
  • Spleen Transform and Transport is Blocked
  • Kidney Yang and Qi doesn’t transform fluids
  • Heat scorches fluids
76
Q

List some signs and symptoms of Phlegm in the Lung

A

Visible expectorant - note the color
Can be HEARD in the cough/wheeze (Asthma, Bronchitis(, chest pain, Shortness of breath

77
Q

List some signs and symptoms of Phlegm in the Middle Burner

A

Spleen and stomach weakness - nausea, vomiing, poor appetite
With cough wheeze, sinus congestion

78
Q

List some signs and symptoms of Phlegm in the Channels

A

Scrofula, goiter, lipomas, palpable soft lumps

79
Q

List some signs and symptoms of Phlegm Obstructing Heart Orificies

A

Wind-stroke, coma, seizures, mania

80
Q

List the 7 types of phlegm. Which ones are visible/tangible? Which ones are invisible/intangible?

A

Visible:

  • Damp-Phlegm
  • Cold-Phlegm
  • Phlegm-Heat

Invisible:

  • Wind-Phlegm
  • Phlegm Turbidity Harassing the Upper Body
  • Phlegm confounding the Heart Orifices
  • Phlegm Lodged in the channels or Limbs
81
Q

Herb that

COOLS AND TRANSFORMS PHLEGM-HEAT

A

Gua Lou

Trichosanthis Fructus

82
Q

Gua Lou

A

Trichosanthis Fructus

83
Q

Gua Lou

Temperature and Taste

A

Cold

Sweet

84
Q

Gua Lou

Channels Entered

A

Lung

Liver

Stomach

85
Q

Gua Lou

Functions and Indications

A
  • 1. Cools and Transforms Phlegm-Heat
    • Cough or wheezing due to hot-phlegm (thick yellow) in the Lungs
  • 2. Unbinds the Chest
    • Stifling pain or pressure in the chest or diaphragm from Qi stagnation
  • 3. Reduces absecesses and Dissipates Nodules
    • Lung, breast, or intestinal absesses
86
Q

WARM

herb that

TRANSFORMS PHLEGM-COLD

A

(Zhi) Ban Xia

Pinelliae Rhizoma (Prep)

87
Q

(Zhi) Ban Xia

A

Pinelliae Rhizoma Prep

88
Q

(Zhi) Ban Xia

Temperature and Taste

A

Warm

Acrid

(Toxic if not prepared)

89
Q

(Zhi) Ban Xia

Channels entered

A

Lung

Spleen
Stomach

90
Q

(Zhi) Ban Xia

Functions and Indications

A
  • 1. Dries dampness, transforms phlegm, descends rebellious qi
    • cough with copious white sputum
  • 2. Directs rebellious Qi downward and stops vomiting
    • nausea and vomiting due to many causes (esp when ginger treated)
91
Q

Herb that

RELIEVES COUGHING & WHEEZE

A

Xing Ren

Armeniaca Semen

92
Q

Xing Ren

A

Armeniaca Semen

93
Q

Xing Ren

Temperature and Taste

A

Slightly Warm

Bitter

Slightly Toxic

94
Q

Xing Ren

Channels Entered

A

Large Intestine

*Lung*

95
Q

Xing Ren

Functions and Indications

A
  • 1. Stops cough and calms wheezing
    • used broadly for many types of coughs, esp. dry types
  • 2. Moistens intestines and unblocks bowels

TOXIC WARNING -

  • 10-20 kernals children
  • 40-60 for adults
  • 50-120 can be fatal.

(Amygdalin, which separates into hydrocyanic acid…)

96
Q

Herb that

RELIEVES FOOD STAGNATION

A

Shan Zha

Crataegi Fructus

97
Q

Shan Zha

A

Crataegi Fructus

98
Q

Shan Zha

Temperature and Taste

A

Slightly Warm

Sweet

Sour

99
Q

Shan Zha

Channels Entered

A

Liver

Spleen

Stomach

100
Q

Shan Zha

Functions and Indications

A
  • 1. Reduces food stagnation and transforms accumulation
    • ​due to meat or greasy foods with abdominal pain
  • 2. Transforms Blood Stasis and Dissipates Clumps
    • ​for post-partum abdominal pain
  • 3. Stops Diarrhea (Char, Chao Tan)
101
Q
A
102
Q

What are the ways that Qi can become stagnant?

A
  • Emotional constraint
  • Excessive thinking or brooding
  • Excess heat or cold
  • Damp or phlegm
  • Trauma
  • Improper diet
103
Q

What are the primary organs we discussed in class where Qi stagnates?

A

Lungs

Sp/St

Liver

Lungs and Spleen form Qi (Gu/Da) and Liver governs the smooth movement of Qi

104
Q

What are the main symptoms of Lung Qi Stagnation (Disordered Qi in the Lung)

A
  • Chest pain, Stifling sensation
  • Pressure, Fullness, Distention
  • SOB, Tightness,
  • Cough, wheeze
105
Q

What are the main symptoms of Sp/St Qi Stagnation (Disordered Qi in the Sp/St)

A

Any disruption of normal upbearing of Spleen and downbearing of Stomah will result in reversal of Qi dynamic - Spleen cannot rise so turbidity cannot descend which manifests as:

Epigastric & abdominal fullness, distention, bloating, and pain; Belching, gas, hiccup, reflux, nausea, vomiting, loss of appetite, constipation, or diarrhea.

106
Q

What are the main symptoms of Liver Qi Stagnation (Disordered Qi in the Liver)

A

Liver governs dredging & draining, spreading & smoothing. Disruption in Liver qi leads to:

Stifling sensation in the chest, flanks, rib side, depression, irritability, hernia, swollen, tender breasts, irregular menses, PMS

107
Q

What are the properties of Herbs that Regulate the Qi?

A

Aromatic
Warm
Acrid & Bitter

(Promote movement, disperse, or drain downward)
Usually used in combination to treat pathogen causing the stagnation

108
Q

What are the Functions of Chen Pi?

What are the cautions?

A
  1. Regulates the Qi, Adjusts the Middle, and Relieves the Diaphragm: epigastric/abdominal bloating, distention, fullness, belching, nausea, vomiting
  2. Dries Dampness and Transforms Phlegm: cough/stifling in chest/diaphragm w/viscous sputum. Turbid damp in the center: distention, poor appetite, fatigue, loose bm, thick greasy fur
  3. Helps prevent Stagnation: used with tonic herbs

Caution: Excess heat, dry cough

109
Q

List the primary organs that influence the movement of Blood

A

Heart - governs the blood and the vessels

Liver - store the blood

Spleen - manages the blood / contains it in the vessels

110
Q

List the 3 main pathologies of the Blood and the main manifestation of each.

A

Blood Vacuity: Poor production or not being managed by Spleen, mainly pallor (pale) or DRYNESS due to poor nourishment

Blood Stasis: Smooth flow imparied by either stasis by cold, heat, qi stagnation, or vacuity of blood causing FIXED SHARP PAIN, bruising, purplish tissues

Blood Heat: Heat +/- toxin entering the blood causing rashes and bleeding

111
Q

List the 3 pathologies of Bleeding and explain how each results in bleeding and how the blood appears in order to distinguish each from the other causes of bleeding.

A

1. Spleen Qi Failing to Contain (manage) blood in vessels - Pale, watery, more chronic bleeding, under skin, in urine, menses - caused by deficiency,

2. Reckless movement of Hot Blood leaving the vessels by either Excess or Vacuity Heat — Heat speeds things up, Bright Red, Gushy

3. Blood Stasis blocks normal path forcing blood to detour out of vessels — Dark purple, sticky, clotty

112
Q

What are the main properties of herbs that invigorate the blood?

A

Acrid, bitter, and warming to MOVE blood

113
Q

What are the main cautions for Invigorate the Blood Herbs?

A
  • caution w/ pregnant patients,
  • easy to bleed,
  • or those on blood thinners
114
Q

What are the functions and indications for San Qi (Notoginseng Radix)

What are the contraindications?

A
  1. Stops Bleeding and Transforms Blood Stasis: internal and external bleeding (breaks up stasis)
  2. Reduces Swelling and Alleviates Pain: Trauma, swelling & pain due to injury.

Also, chest, abdominal, and joint pain with blood stasis, sores & abscesses.

Caution in Pregnancy

115
Q

What is Yunnan Bai Yao (patent) used for?

A

“Yun Nan (Province) White Medicine”

  • Stop Bleeding and Stop Pain due to Blood Stasis
  • Topical for bleeding from wounds
  • Internal for GI bleeding, Coughing blood, nosebleeds, Sports Injuries,
  • Gynecological

Includes San Qi

116
Q

What are the causes of Blood Stasis.

A
  • Externally contracted disorders, often cold types
  • Congealing by Warm Pathogen
  • Damp & Phlegm obstruction
  • Traumatic injury
117
Q

List some signs and symptoms of Blood Stasis.

A
  • Pain: general or localized, usually stabbing
  • Numbness in the limbs
  • Masses or lumps that are hard and fixed
  • Traumatic bleeding induced masses
  • Bleeding dark purple, clotted blood
  • Dark purple stasis spots on skin or membranes
118
Q

What are the 4 strengths of Herbs that Invigorate blood

A
  1. Harmonize the blood herbs
  2. Promote the Movement of Blood
  3. Dispel Blood Stasis
  4. Break up Stasis (Harshest)
119
Q

What are the functions and indications for Chuan Xiong (rhizoma)?

Cautions?

A
  1. Invigorates the Blood and Promotes the Movement of Qi: GYN, fixed pain
  2. Expels Wind and Alleviates Pain: external wind disorders with headache, dizziness or painful obstruction; also skin problems caused by wind.

“When treating wind, harmonize the blood”

Caution: Pregnancy, easy to bleed, fire from yin vacuity

120
Q

With what organs are yin channel pathologies associated?

A

Spleen / Stomach (Middle burner)
Kidneys (Ming men fire - Heart Imperial fire pivots at the Shao Yang)

121
Q

What are the primary etiologies for Cold Patterns?

A

Yin Evils entering from Exterior (Cold Pathogen) or

Insufficiency of body Yang-Qi (no fire)

122
Q

What are the primary signs and symptoms of a cold pattern?

A

Aversion to cold, preference for heat
Pale Face
Prefer quiet and stillness
Pain syndrome
Clear discharges

  • If in Sp/St: Epigastric/Abdominal pain, vomiting, diarrhea (undigested food)
  • Kidney: Cold Body, profuse and clear urine, watery diarrhea

Yang collapse: frigid extremities, profuse clammy sweating, very faint pulse, racing ht, loss of conscious

Tongue: Pale, moise white fur, often flabby or swollen
Pulse: Slow, feeble (deficiency) or tight (excess)

123
Q

What are the main cautions for herbs that warm the interior?

A
  • Avoid in heat syndromes, yin vacuity, dryness or blood loss
  • Avoid large or long-term dosing
  • Avoid in pregnancy
124
Q

What are the functions and indications for Fu Zi?

What are the cautions?

A
  1. Revives Yang and Rescues from rebellion: for devastated Yang with s/sx of diarrhea with undigested food, chills, cold limbs, faint pulse. Assists Ht Yang and tonifies Kidney Yang in shock like separation of Yin and Yang
  2. Warms the Fire and Assists the Yang: Any weakness of Ht/Sp/K Yang
  3. Disperses Cold, Warms the Channels, and Alleviates Pain: for WCD Bi Syndrome

Cautions:

  • TOXIC, do not take raw, must decoct 30-60 min even in prep
  • Yin Deficiency
  • True Heat/False Cold syndromes
  • Pregnancy
125
Q

What 5 “substances” get tonified?

A
  • Qi,
  • Blood,
  • Yin,
  • Yang
  • Jing (though Jing is primarily Tonified with the others)
126
Q

What are the main properties of Yang in the body?

A
  • Warming
  • Activating
  • Metabolizing
  • Growing
127
Q

What are the primary organs primarily effected by yang vacuity?

A

Spleen
Kidney - Ming-Men

128
Q

What are the signs and symptoms of Yang Vacuity?

A
  • Intolerance to cold, but can be warmed
  • Cold Limbs
  • Weakness & lethargy
  • Fatigue
  • Withdrawal
  • Slowness

Spleen/Kidney + Weak Low back & knees that are better with warmth/worse with cold (Bone - Bi syndrome)
Tinnitus & Hearing Loss, Tooth & Hair Loss, Weak Urine Stream, Enuresis, Nocturia, Claer and copious
Dribbling, Wheezing w/ difficult to inhale (not grasping qi from Lung)
Leakin clear fluids (sweat, urin, sperm, Luekorrhea, rhinorrhea) w cold symptoms
Daybreak diarrhea w/ undigested food, watery, frequent, constipation, impotence, infertility

Pulse: Weak, deep, slow
Tongue: Pale, flabby, large, white coated, moist

129
Q

What are the functions and indications for Lu Rong?

What are the cautions?

A
  1. Tonifies the Kidney & Fortifies the Yang: fatigue, impotence, cold limbs, dizzy, tinnitus, weak & sore low back and knees, frequent, copious & clear urination
  2. Warms the Yang, Regulates the Chong & Ren Mai, and Stabilizes the Dai Mai: Vaginal discharge or uterine bleeding, and infertility due to a cold womb.
  3. Tonifies the Du Mai, Augments the Jing Essence & Blood, and Strengthens the Sinews and Bones: 5 lates, skeletal deformities, non healing fractures & ulcerations
  4. Tonifies & Nourishes the Qi & Blood: yin boils (chronic non healing)

Don’t use with ANY heat!

130
Q

What is a special function of Lu Rong?

A

One of the only herbs to enter the extra channels (Chong, Ren Mai, Dai Mai) - very often used in menstruation and fertility.

131
Q

What are the 3 main organs that influence Qi?

A

Lung, Spleen, Kidney (make the Qi)

132
Q

List signs & symptoms for each of those 3 associated with Qi Vacuity.

A

Lung: Shortness of breath, weak voice, weak cough, disinclination to speak or breath easily, spontaneous sweat, easily catch cold, aversion to wind, all worsen with activity

Spleen: Poor appetite, indegestion (easily bloat, full quickly, adom distention, pain, nausea vomiting) gas, sweet cravings, prolapse, diarrhea, chronic spotting, bruise easily, sallowness, weak limbs

(Heart: Shortness of Breath, Palpitation)

Kidney: Incontinence, frequent urination, leukorrhea, spermatorrhea

133
Q

List 5 Actions of Qi in the body.

A
  1. Moving
  2. Warming
  3. Protecting
  4. Transforming
  5. Holding/Containing
134
Q

What are some Ginseng General Properties

A

Calms, stabilizes and nourishes - main active ingredient is aponin glycosides - adaptogen
Only qi tonic that helps with sleep - aids motivation, focus, and resolve
Lung tonic for sadness - allows lungs to receive and process grief

135
Q

What are the main cautions for the use of Ren Shen?

A

Cautions – Exterior pathogen, fire signs, stimulants, some patients it can cause hypertension

Also be careful with sourcing and potential estrogenic effects for those with cancers that may be sped up

136
Q

What are the functions and indications for Ren Shen?

A
  1. Powerfully Tonifies the Source Qi: Collapsed Qi (Shock) + Fu Zi also hemorrhage used alone to rescue Qi as “Du Shen Tang” 30g dose
  2. Strengthens the Spleen and Tonifies the Stomach: Fatigue…
  3. Tonifies the Lung and Augments the Qi: SOB, K not grasp
  4. Generates Fluids and Stops Thirst: post febrile/diabetes
  5. Benefits the Heart and Calms the Spirit: anxiety, insomnia (One of the ontly Qi tonics to do this)
137
Q

Which are the main zang-fu involved in the formation of Blood?

A

Liver - Stores blood at rest, essential to quality
Heart - Governs the circulation, if it can’t pump there is stagnation
Spleen - weak spleen Qi cannot produce quality blood (w/ Lung & Kidney)

138
Q

Name the 3 pathologies of the Blood, the main symptoms of each, AND the category of herbs used to treat each.

A

Blood Vacuity - Herbs that Nourish Blood / Tonify Blood
D/t underproduction by spleen qi, poor storage by liver, inadequat circulation by heart, blood loss (usually co-exists with Qi vacuity)
PALE face, skin, nails, lips, under eyelids, almost orange-pale tongue, fatigue, numbness, constipation, flaters, blurred vision, dry eyes, early gray, scanty/absent menses, insuffeicient lactation, blood dryness can stir win causing itchy dry skin, dizziness, palpitations, poor memory, insomnia. Pulse Thin, Thready

Blood Stasis - Invigorate Blood herbs
Blood not flowing, stuck or sluggish, fixed stabbing sever pain, dark clotty bledding, masses, dark dusky nails, skin, tongue purplse, choppy pulse

Blood Heat - Clear Heat, Cool Blood Herbs
Heat toxins, febrile diseases at blood level, liver or heart heat agitation, Profuse bright red bleeding, skin eruptions/rashs, fever, delirisum, scarlet tongue, fast pules

139
Q

What are the main properties of herbs that nourish the Blood?

A

Sweet and warm

140
Q

What are the main cautions for the use of herbs that nourish Blood?

A

Tend to be cloying, hard to digest, so must combine with herbs that build qi and digestives

Caution with Excess & Stagnation unless caused by vacuity
Dampness & phlegm
Very Weak Spleen
Acute Hemorrhage (use Du Shen Tang)

141
Q

What are the functions for Shu De Huang?

A
  1. Tonifies the Blood: All GYN with Blood Def – pale, dizzy, palpitations, insomnia, irregular menses, uterine bleeding. Best when deficiency without excessive stagnation
  2. Nourishes the Yin: Lv/Kid yin def with weak low back, knees, tinnitus, tidal fever, night sweats, emissions
  3. Strongly Enriches Yin & Relieves Lower Burner Wasting & Thirsting
  4. Nourishes the Blood & Tonifies the Jing-Essence: benefits the marrow. For delayed development, premature aging, graying of hair, impotence and memory loss.
142
Q

What are the differences between Sheng Di Huang and Shu Di Huang?

A

Shu is the prepared version, it is even stickier, stronger and more nourishing
It is warm where Sheng is Cooler to cool the blood as well (vacuity heat/heat)

143
Q

Define Yin and list some ways it can be damaged.

A

Substance, nourishment, moisture, cooling

Damaged by:
long-term illness, febrile disease or long term imbalanced lifestyle
Imblance uses up reserves, medicine damages (fertility, antihistamines, asthma meds)
Smoking, sexual intermperance, chronic stress and anxiety, aging

144
Q

What are the main signs and symptoms of Yin vacuity?

A

DRYNESS of body tissues (Skin, hair, eyes, membranes, sinews, GI

Vauity heat patterns - night sweats etc.

145
Q

Please list the main symptoms of Yin vacuity in each of the following organs: Lung, Heart, Stomach, Spleen, Liver, and Kidney.

A

Lung - dry cough, scant difficult to expectorate sputum, hoarse voice, dry throat and skin (related to dry bm, LI dryness)

Heart - Insomnia, palpitations, unfocused, vacuity heat - more in calm spirit category

Stomach - needs moisture, dry mouth/throat, dry bm, thirst, reduced appetite or quickly satiated, dry retching, geographic or peeled tongue, often after febrile disease

Spleen - dry lips, transverse small tongue cracks, poor digestion

Liver - dry eyes, blurred vision, nigh blindness, floaters, irritable, scanty menses if not storiing blood (if yang rises def heat sx - tinnitus, insomnia, malar flush, if internal wind - dizzy)

Kidney - basal yin/water organ, scant dark urine, low back pain, tinnitus, increased libido w/ premature or insufficient funciton (i.e. infertility) + all vacuity heat signs and symptoms (Lv/Kidney yin often co-exist in presentation, H/Kid often mis-communicate causing insomnia and agitation)

146
Q

What are the functions for Mai Men Dong? Cautions?

A
  1. Moistens the Lungs and Nourishes the Yin: dry, hacking cough or thick difficult to expectorate sputum, or with blood due to pathogenic warm-dryness
  2. Augments the Stomach Yin & Generates Fluids: dry tongue and mouth
  3. Moistens the Intestines: dry bm
  4. Clears the Heart & Eliminates irritability: heat pathogen at ying level or vacuity heat disturbing the shen, esp. at night

Weak middle burner - loose bm, turbid phlegm, wc cough