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Flashcards in Post Midterm 4 Deck (83)
1

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

DIET: Too many raw/cold foods, ice drinks

EPF Cold: entering organs

CHILDBIRTH: open for long periods in hospitals

1

What are some signs and symptoms of internal cold?

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)

2

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

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

4

Why is fluid accumulation an issue with excess cold?

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

5

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

Ht, Kd, Sp (Lv)

6

HERBS THAT WARM INTERIOR/EXPEL COLD

What actions do these herbs promote?

1) Dispel interior pathogenic cold

2) Stimulate Yang Qi

7

Latin. Zhi Fu Zi

Aconiti Radix Lateralis Preparata

8

Category

Zhi Fu Zi

Herbs that Warm the Interior and Expel Cold

9

ZHI FU ZI

Channels

HT, KI, SP

10

Properties

Zhi Fu Zi

Acrid, Hot, Toxic

11

ZHI FU ZI

Dosage

3-15g;

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

12

contraindications

Zhi Fu Zi

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

13

Fx & Indications

Zhi Fu Zi

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]

14

Is Zhi Fu Zi toxic?

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

15

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

Heat, blood loss, yin deficiency, pregnancy

15

How is Zhi Fu Zi prepared?

Steamed

16

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

It treats the whole body systemically.

17

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

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.

18

Does Zhi Fu Zi directly tonify the Yang?

Yes, it tonifies KI+.

19

What do herbs that tonify the Qi primarily treat?

These primarily treat LU and SP.

20

What are some LU qi deficiency signs and symptoms?

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

21

What are some SP qi deficiency signs and symptoms?

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

22

What is the gate of vitality?

Ming Men of KI

23

Is it always good to tonify? Explain.

No.

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

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.