Post Midterm 4 Flashcards

1
Q

Internal Cold can be Excess. What could create this situation?

A

DIET: Too many raw/cold foods, ice drinks

EPF Cold: entering organs

CHILDBIRTH: open for long periods in hospitals

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1
Q

What are some signs and symptoms of internal cold?

A

GENERAL: Aversion to cold, white facial complexion, pale tongue, glossy coat, slow pulse

PAIN: Bi, abdomen, epigastric

FLUID ACCUMULATION: damp phlegm, clear profuse urine, watery diarrhea (Sp) with undigested food (Kd)

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2
Q

Internal Cold can be from Deficiency. What in the patient is deficient to create this situation?

A

Yang is Deficient, Kidney is Deficient which in turn leads to a Deficient Spleen.

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4
Q

Why is fluid accumulation an issue with excess cold?

A

Deficient Yang leads to excess Yin. This causes Cold to congeal, leading to Qi Stagnation. This disrupts the metabolism of H2O.

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5
Q

What channels do they tend to direct towards? What 6 channel pair is most affected?

A

Ht, Kd, Sp (Lv)

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6
Q

HERBS THAT WARM INTERIOR/EXPEL COLD

What actions do these herbs promote?

A

1) Dispel interior pathogenic cold

2) Stimulate Yang Qi

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7
Q

Latin. Zhi Fu Zi

A

Aconiti Radix Lateralis Preparata

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8
Q

Category

Zhi Fu Zi

A

Herbs that Warm the Interior and Expel Cold

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9
Q

ZHI FU ZI

Channels

A

HT, KI, SP

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10
Q

Properties

Zhi Fu Zi

A

Acrid, Hot, Toxic

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11
Q

ZHI FU ZI

Dosage

A

3-15g;

BOIL 30-60 min before adding other herbs to REDUCE TOXICITY

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12
Q

contraindications

Zhi Fu Zi

A

People with yin deficiency and abundant yang
People with true heat and false cold
Pregnancy

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13
Q

Fx & Indications

Zhi Fu Zi

A

Revive devastated yang qi
Tonifies the fire at the gate of vitality [Ming Men]
Guides the actions of other herbs into all 12 channels
Expels cold-damp painful obstruction [KI yang deficiency]

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14
Q

Is Zhi Fu Zi toxic?

A

Yes, therefore it needs to be prepared at all times.

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15
Q

What are some general contraindications for Herbs that Warms the Interior and Expel Cold?

A

Heat, blood loss, yin deficiency, pregnancy

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15
Q

How is Zhi Fu Zi prepared?

A

Steamed

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16
Q

Why is it said to guide the actions of other herbs into the 12 channels?

A

It treats the whole body systemically.

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17
Q

It is contraindicated in situations of True Heat and False Cold. What does this mean?

A

When a body feels cold but tongue and pulse of a person show heat signs. It is so when there’s only enough yang to be distributed to organs but not enough yang for the rest of the body such as limbs.

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18
Q

Does Zhi Fu Zi directly tonify the Yang?

A

Yes, it tonifies KI+.

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19
Q

What do herbs that tonify the Qi primarily treat?

A

These primarily treat LU and SP.

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20
Q

What are some LU qi deficiency signs and symptoms?

A

SOB, shallow breathing, dyspnea on exertion, weak voice, pale complexion, spontaneous sweating.

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21
Q

What are some SP qi deficiency signs and symptoms?

A

Fatigue, lethargy, weak limbs, lack of appetite, abdominal distention, loose stools, general edema, prolapse

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22
Q

What is the gate of vitality?

A

Ming Men of KI

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23
Q

Is it always good to tonify? Explain.

A

No.

CAUTION: tonifying with presence of EPF can trap it in the body.
Tonifying herbs can feed and increase cancers, tumors, nodules, fibroids, etc.

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24
What is the difference between Bai Ren Shen and Hong Shen?
BAI REN SHEN: White Ginseng - sun dried - mildly warm - generates fluid/alleviates thirst - Best w/ Qi Xu & Yin/Jin Ye Xu HONG SHEN: Red Ginseng - steamed and dried - Warmer - Tonifies Yuan Qi - Best w/ Qi/Yang Xu
25
Which is warmer? Bai Ren Shen and Hong Shen?
Hong Shen from Korea
26
Which is better to generate fluids? Bai Ren Shen or Hong Shen?
Bai Ren Shen
27
Which can tonify the Yuan Qi? Bai Ren Shen or Hong Shen?
Hong Shen
28
Which is best for Qi deficiency with Yin deficiency? Bai Ren Shen or Hong Shen?
Bai Ren Shen because it generates fluids and alleviates thirst.
29
Which is better for Qi deficiency with Yang deficiency?
Hong Shen because it tonifies Yuan Qi.
30
Latin Ren Shen
Ginseng radix
31
Category Ren Shen
Herbs that tonify Qi
32
Properties Ren Shen
Sweet, slightly bitter, slightly warm
33
REN SHEN Channels
LU, SP (Tai Yin)
34
Caution/Contraindications Ren Shen
EPF must first be cleared or will get trapped in body Underlying stagnation must 1st be dealt w/ MUST be a deficiency condition (proper Dx) Steaming bone disorder. Bleeding due to heat. Ascendant LV yang or any condition due to fire from constraint. Not good with high doses of caffeine or other stimulants.
35
REN SHEN Dosage
3-9g
36
Fx & Indications Ren Shen
Powerfully tonifies the primal qi of the five organs. Nourishes the yin. Revives from collapse, stops heavy bleeding.
37
In most cases, should Ren Shen be used when a person has a common cold? Why?
Not right away. EPF must 1st be cleared. Afterwards, Ren Shen can help rebuild qi and fluids that have been injured by high fever and profuse sweating.
38
Ren Shen can tonify qi and generate fluids. What are two situations, discussed in class, where Ren Shen would be appropriate to use?
After giving birth After running marathon
39
Latin Dang Shen
Codonopsitis Radix
40
Category Dang Shen
Herbs that tonify qi
41
Properties Dang Shen
Sweet, neutral
42
DANG SHEN Channel
Lu, Sp
43
Contraindications Dang Shen
Caution with EPF
44
DANG SHEN Dosage
6-9g Up to 30g can be used if needed
45
Fx & Indications Dang Shen
Tonifies middle burner Augments the SP and LU qi Also used with herbs that release the ext or drain downward when the presentation includes significant qi deficiency
46
Dang Shen can be substituted for Ren Shen. Why? What do you have to change in terms of dosage?
Similar tonifying properties but does not generate fluids like Ren Shen. But Dang Shen is much cheaper. Dosage: 3x more Dang Shen needed
47
Latin Tai Zi Shen
Pseudostellariae Radix
48
TAI ZI SHEN Channels
Lu, Sp
49
TAI ZI SHEN Properties
Sweet, Slightly Bitter, Neutral
50
TAI ZI SHEN Dosage
9-30g
51
TAI ZI SHEN Latin
Pseudostellariae Radix
52
TAI ZI SHEN Key Characteristic
Tonifies Qi & Yin, but weaker than Ren Shen or Dang Shen
53
TAI ZI SHEN Contraindications
None
54
TAI ZI SHEN What is it often used to treat.
Oncology & unrelenting fever or summer heat in children.
55
TAI ZI SHEN means "prince." What age group does this herb treat?
Pediatric It is also called "Ginseng Jr." because it has similar, but much milder properties than Ren Shen.
56
BAI ZHU Latin
Attractylodis Macrocephalae Rhizoma
57
BAI ZHU Properties
Bitter, Sweet, Warm
58
BAI ZHU Channels
Sp, St
59
BAI ZHU Dosage
6-15g
60
BAI ZHU Key Characteristicis
Tonifies SP Dries Dampness Quiets the fetus
61
BAI ZHU Contraindications
Internal Heat from Yin def Thirst from exhausted fl. (bc Bai Zhu is drying)
62
GAN CAO Latin
Glycyrrizae Radix
63
BAI ZHU Describe this Fx: Tonifies Sp & augments Qi
For Sp/St Def with s/s like: diarrhea, fatigue, sallow complexion, lack of appetite
64
BAI ZHU Describe this Fx: Dries dampness & promotes H2O metabolism
For failure of Sp to T/T, leading to fluid accumulation affecting digestion, edema & reduced urination Also, auxilary herb for Bi
65
BAI ZHU Describe this Fx: Stabilizes exterior & stops sweating
Used in Yu Ping Feng San (Jade Screen Powder) to strengthen Wei Qi. Also for spontaneous sweating d/t Qi def.
66
BAI ZHU Describe this Fx: Calms the fetus
For restless fetus d/o, especially when d/t SP DEFICIENCY.
67
BAI ZHU How does it stop sweating?
By strengthening the exterior
68
GAN CAO Channels
All 12 channels (but primarily Lu, Sp, St)
69
GAN CAO Properties
Sweet, Neutral Dry Fried: Sweet, Warm
70
GAN CAO Dosage
1.5-9g/15-30g 1.5-3g: Envoy 6-9g: tonify Sp, Lu 12g+: Ht Qi tonic
71
GAN CAO Key Characteristics
Tonify Sp Qi Moisten Lu Moderates urgency/toxicity Drains Fire
72
GAN CAO Contraindications
Distention/fullness of chest/ab, vomiting from excess damp Use Bai Zhu instead
73
SI JUN ZI TANG What 4 herbs are in this decoction?
Ren Shen - chief Bai Zhu - depty Fu Ling - assistant Zhi Gan Cao
74
GAN CAO How is it prepared to moisten the Lu?
Honey Fried - makes it Sweet & Warm
75
GAN CAO Describe Fx: Tonifies Sp & augments Qi
For Sp def w/ s.o.b., lassitude, loose stool Also, Qi/Bld def w irregular pulse and/or palpitations
76
GAN CAO Describe Fx: Moistens Lu
For cough/wheezing Bc it is Neutral, can be used for Hot or Cold in LU for productive or non-productive cougs
77
GAN CAO Describe Fx: Moderates spasm & alleviates px
For pxful spasm of abdomen and legs when combined with Bai Shao in preparations like Shao Yao Gan Cao Tang.
78
GAN CAO Describe Fx: Clears Heat & resolves Fire toxicity
Used unprepared for carbuncles, sores & sore throat d/t FIRE TOXIN. Can be taken internally or applied topically Gan Cao is often used as an antidote for a variety of TOXIC substances.
79
GAN CAO Describe Fx: Moderates & harmonizes characteristics of other herbs
It is used as an ENVOY in almost every formula. It moderates hot/cold & mitigates harsh properties of other herbs And since it enters all 12 channels, GAN CAO can lead other herbs into the channels
80
SI JUN ZI TANG Action
Tonifies Qi & strengthens Sp
81
SI JUN ZI TANG This is the basic formula to __________ __________.
Tonify Qi
82
TAI ZI SHEN Is this herb as strong as Ren Shen?
No, it is fairly weak. But it generates Fluid without increasing heat.