Quiz 2 Pattern to Rx Flashcards by L von Miller

Hypochondriac Pain: Blood Stasis

Fu Yuan Huo Xue Tang (UJ)
Ge Xia Zhu Yu Tang (LJ)

Sx: pain fixed and stabbing - worse at night (might be cancer)

ing: FYHXT: dang gui, tao ren, hong hua, shan jia, da huang, tian hua fen, chai hu, gan cao

GXZYT: dang gui, chuan xiong, tao ren, wu ling zhi, mu dan pi, wu yao, yan hu suo, zhi ke

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Hypochondriac Pain: Damp Heat in LV/GB

Long Dan Xie Gan Tang
-used for 1000 yrs

Sx: acute condition - can be blood stasis or qi stagnation type pain or combo of both.

Damp heat Sx: bitter taste, jaundice, fullness, nausea vomiting, possible dry stools

ing: long dan cao, huang qin, zhi zi, mu tong, che qian zi, ze xie, chai hu, sheng di huang, dang gui, gan cao

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Hypochondriac Pain: Insufficiency of LV Yin

Yi Guan Jian

Sx: dull pain, comes and goes, increases w fatigue/over exertion and decreases with relaxation

sheng di huang, gou qi zi, sha shen, mai men dong, dang gui, chuan lian zi

modifications: blurred vision, dizziness add JU HUA.
chuan lian zi is slightly toxic - can sub Mei Gua Hua, Fo Sou or Xiang Yuan to move liver and not dry

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Headache: ext Wind Cold

Chuan Xiong Cha Tiao San

wind cold invasion blocking the channels causing stagnation of qi and blood. HA is NOT distending

bo he, chuan xiong, bai zhi, quiang huo, xi xin, jing jie, fang feng, gan cao (Lu Cha - green tea - can lower Bo He amount if using Lu Cha)

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Headache: ext Wind Heat

Xiong Zhi Shi Gao Tang
- not in any books!

HA is distending

Chuan Xiong, Bai Zhi, shi gao, Ju hua
modification: add Bo He, more lifting

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Headache: ext Wind Damp

Qiang Huo Sheng Shi Tang

HA w heavy sensation - like wet towel binding head

qiang huo, du huo, gao ben, fange feng, chuan xiong, man jing qi, zhi gan cao

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Headache: LV Heat

Tian Ma Gou Teng Yin

HA w emotional stress, irritabiliyt, insomnia
if moving to LV Fire -> mauybe dizzy, flush face, red eyes

tian ma, gou teng, shi jue ming, zhi zi, huang qin, yi mu cao, chuan niu xi, du zhong, sang ji sheng, ye jiao teng, fu shen

modification: sub ze lan for yi mu cao (benefit the mother) if male patient

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Headache: KD Def

Da Bu Yuan Jian

HA w empty sensations, ha is very close to Shao Yin HA - may also have dizziness plus DK def sx

ren shen, shan yao, shu di huang, shan zhu yu, dang gui, du zhong, gou qi zi, zhi gan cao

to tonify yuan qi you need to tonify qi, blod, yin, yang, jing - this Rx is not too warming - different approach to KD Yang def.

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Headache: KD Def w ext WC

Ma Huang Fu Zi Xi Xin Tang

ha w very thin pulse and KD def Sx

Ma Huang, Fu Zi, Xi XIn *** all herbs banned

tai yang + shao yin combination - common combo pattern

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Headache: Blood Deficiency

Si Wu Tang

HA w palpitations and blood def Sx

Shu DI Huang, Bai Shao, Dang Gui, Chuan Xiong
modifications: need HA specific herb: Ju Hua to raise to UJ and clear WH; Man Jing Zi - HA esp behind the eyes

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Headache: Damp Phlegm

Ban Xia Bai Zhu Tian Ma Tang

HA w heavy sensations

Er Chen Tang plus Tian Ma and Bai Zhu and 3 Amigos: Ban Xia, Tian Ma, Bai Zhu, Ju Hong, Fu Ling, Gan CAl, Sheng Jiang, Da Zao

modification: increase sheng Jiang if vomiting/nausea

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Headache: Blood Stasis

Tong Qiao Huo Xue Tang

HA w stabbing fixed pain - maybe history of trauma to head or tumor

chi shao, chuan xiong, tao ren, hong hua, cong bai, da zao, sheng jiang, (she xiang - no longer used, increase cong bai doseage)

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Dizziness and Vertigo: arrogant LV Yang / LV Yang Rising

Tian Ma Gou Teng Yin

Dizziness and Vertigo with HA - worse w emotional stress and anger.

Tian Ma, Gou Teng, Shi Jue Ming, Zhi Zi, Huang Qin, Yi Mu Cao, CHuan Niu Xi, Du ZHong, Sang Ji SHeng, Ye Jiao Teng, Fu Shen

modification: underlying KD/LV def add Du ZHong Sang Ji Sheng

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Dizziness and Vertigo: exhaustion of Qi and Blood Deficinecy

Ba Zhen Tang

dizziness vertigo WORSE after exertion - no irritability.
Qi def Sx + Bld Def Sx

Ren Shen, Bai Zhu, Fu Ling, Gan Cao +
shu di, bai shao, dang gui, chuan xiong

if INSOMNIA: Gui Pi Tang (Si Jun Zi Tang + Dang Gui Bu Xue Tang + Suan Zao Ren, Long Yan Rou, Yuan Zhi + Mu Xiang)

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Dizziness and Vertigo: Insufficiency of LV/KD Yin

Zuo Gui wan
Zuo Gui Yin
You GUi Wan (KD Yang)

Dizziness/Vertigo w KD Def Sx

ZGW: more KD Yin def Sx
Shu Di, shan zhu yu, shan yao, fu ling, gou qi zi, gan cao, tu si zi, lu jiao jiao, gui ban, jiao, chuan niu xi

YGW: more KD Yang def Sx
shu di, shan xhu yu, shan yao, go qi zi, gan cao, du zhong, fu zi, rou gui, tu si zi, dang gui, lu jiao jiao

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Dizziness and Vertigo: Phlegm Turbidity

Ban Xia Bai Zhu Tian Ma Tang

dizziness w HA

er chen tang plus Tian Ma, Bai zhu and 3 amigos: ban xia, tian ma, bai zhu, ju hong, fu ling, gan cao, sheng jiang, da zao

modification: if coat a little yellow add HUANG LIAN or HUANG QIN (3-6g)

Hypochondriac Pain: LV Qi Stagnation

Chai Hu Shu Gan Tang

distending pain - not fixed - worse w stress/emotions

chai hu, xiang fu, chen pi, zhi ke, bai shao, chuan xiong, gan cao

if no hypo pain - only emotional stress, use: XIAO YAO SAN

CHSGT: Si Ni San + qi + blood movers (Xiang Fu, chuan xiong) Si Ni San regulates LV Qi with cold extremities.

Chai Hu + Bai Shao - dui yao to soothe LV

Wind Stroke: Yang Closed Syndrome

Ling Yang Gou Teng Tang
An Gong Niu Huang Wan
Zhi Bao Dan

sudden LOC + falling down. HEAT condition, closed hands, locked jaw, flushed face, coarse breath (phlegm), no urino, constipation (orifices closed)

LYGTT: ling yang jiao, gou teng, sang ye, ju hua, bai shao, sheng di, chuan bei mu, zhu ru, fu shen, gan cao

AGNHW:acute condition, only half herbs still available to use - Niu Huang, she xiang, huang lian, huang qin, zhi zi, xiong huang, bing pian, yu jiu, zhu sha zhen zhu

ZBD: clears heat and opens orifices- Rx now modified to exclude toxic.endangered substances - shui niu jiao, niu huang, dai mao, bing pian, she xiang, an xi xiang, zhu sha, hu po, xiong huang

Wind Stroke: Yin Closed Syndrome

Su He Xiang Wan
Di Tan Tang

sudden LOC + falling down - NO HEAT Sx- hands and feet very cold, phlegm white, incontinence of urine and feces

SHXW: similar to An Gong Niu Huang Wan but with NO heat clearing herbs - used in emergency conditions: su he xiang, she xiang, bing pian, an xi xiang, mu xiang, tan xiang, chen xiang, ru xiang, ding xiang, xiang fu, bi ba, shui niu jiao, zhu sha, bai zhu, he zi

DTT: modification for Su He Xiang Wan - Er Chen Tang + open orifices and qi regulating herbs - ban xia, chan pi, fu ling, zhu ru, shi chang pu, dan nan xing, zhi shi

Wind Stroke: Abandonment Syndrome

Shen Fu Tang + Sheng Mai San

sudden LOC + Falling down - mouth open, no lock jaw, hands open and soft - no tension - def sweat, incontinence. TRUE COLD FALSE HEAT - flush face and cold body - this is severe

ren shen, fu zi , mai men dong, wu wei zi

Wind Stroke: Stroke of the Channels due to Wind Pathogens entering the Emptiness of the Channels

Da Qin Jiao Tang

hemiplegia w numbness, deviated mouth/eyes, slurred speech, phlegm, excess saliva, aversion to cold

qin jiao, gan cao, chuan xiong, dang gui, bai shao, xi xin, qiang huo, fang feng, huang qin, shi gao, bai zhi, bai zhu, sheng di, shu di, fu ling, du huo.

complex condition = complex formula

has Si Wu Tang to nourish blood

Wind Stroke: Deficiency of LVKD Yin w/ Turbulent Wind Yang

LV/KD yin w Sudden LV Yang Rising

Zhen Gan Xi Feng Tang

elderly population - Hemiplegia w dizziness, tinnitus, blurred vision, insomnia, achy back/knee

Huai Niu Xi, Dai Zhe Shi, Long Gu, Mu Li, Gui Ban, Xuan Shen, Tian Men Dong, Bai Shao, yin chen, chuan lian zi, mai ya, gan cao

very important formula

Wind Stroke: Stroke Sequelae

Bu Yang Huan Wu Tang
Qian Zheng San

Hemiplegia - often wi Qi Def (soft musculature, pale face) + Bld Stasis (pale, purple, deviated tongue) Sx

BYHWT: huang qi, dang gui, chuan xiong, chi shao, tao ren, hong hua, di long
caution: most stroke patients have HTN - moderate Huang Qi Dose if needed - use raw herbs to regulate HQ dose

QZS: bai fu zi, bai jiang can, quan xie - must use powder! Modification: add Huang Qi and Dang Gui to ton qi + bld
Tao Ren and Hong Hua to move bld.

Use heating pad and topical herbs on face

Headache herbs:

Qiang Huo - goes to the Tai Yang
pain along the UB channel, back of the neck but aslo along UB1 and UB2

Bai Zhi - goes to Yang Ming
frontal HA, along ST channel in face

Chai Hu - goes to Shao Yang
temporal headache along GB channel

Ge Gen - goes to Tai Yin
headache with a heavey (damp) sensation + digestive deficiency and deficiency cold condition

Xi Xin - goes to Shao Yin
cold sensation plus KD deficiency signs

Wu Zhu Yu - goes to Jue Yin
more vertex pain

Atrophy: LU Heat

Qing Zao Jiu Fei Tang Sx: fever, chills w sudden limb weakness and dry Sx from LU lobes being wilted. ``` Sang Ye Shi Gao Mai Men Dong E Jiao Hei Zhi Ma XIng Ren Pi Pa Ye Ren Shen Gan Cao ``` Modification: add CHuan Bei Mu for Phlegm pattern can move deeper to cause LV/KD Deficiency

Atrophy: Damp Heat

Er Miao San Sx: atrophy more severe in lower legs/ankles with heavy body, swelling limbs, numbness, heat sensation, fever, scanty urine Huang Bai Cang Zhu modifications: chuan Niu Xi - San Miao San for leg edema above plus Yi Yi Ren - Si Miao San - for Damp Mu Gua for numbness Mu Tong, or Ze Xie to promote urination Hua Shi for summer heat, heart heat Sx

Atrophy: SP/ST Def

Bu Zhong Yi Qi Tang or Shen Ling Bai Du San Sx: Atrophy with muscle shrinkage - almost no muscle and Qi Def Sx. to lift the QI: BZYQT huang qi, ren shen, bai zhu, gan cao, dang gui, chen pi, sheng ma, chai hu to support the muscles: SLBDS ren shen, bai zhu, fu ling, gan cao (si jun zi tang) + shan yao, lian zi, bai bian dou, yi yi ren (edibles to ton SP) + jie geng, sha ren, chen pi

Atrophy: KD/LV Def

Hu Qian Wan Sx: weak legs, double vision, ptosis, difficulty swallowing and other KD/LV def Sx huang bai, zhi mu, shu di, gui ban, bai shao, hu gu, shuo yang, gan jiang, chen pi Rx still used as pill form - modified

Diarrhea: Damp Cold

Huo Xiang Zheng Qi San Sx: Diarrhea w abdo pain, borborygmous, fullness huo xiang, hou po, chen pi, zi su ye, bai zhi, ban xia, da fu pi, bai zhu works on 2 levels: WC invasion and Dampness modifications: add herbs to clear heat bc damp stag can turn into heat. Huang Lian or Huang Qin

Diarrhea: Damp Heat

Ge Gen Huang Qin Huang Lian tang - common in hot/tropical weather - Shan Hang Lu Rx, still used Sx: Diarrhea w abdo pain, tenesmus, heat Sx ge gen, huang qin, haung lian, gan cao Modification: need to add eliminate damp herbs: Ze Xie or Fu Ling to promo urino

Diarrhea: Damp Heat with more damp than heat

Ping Wei San - song dynasty 1000 yo, still used - can cause constipation if used too long cang zhu, hou po, chen pi, gan cao, sheng jiang, da zao vs Er Chen Tang - ECT is more upper jiao, PWS is more damp in MJ

Diarrhea: Food Stagnation

Bao He Wan diarrhea w fullness, bad breath, smelly stool (rotten food smell) - no appetite and history of overeating shan zha, shen qu, lai fu zi, mai yua, chen pi, ban xia, fu ling, lian qiao need to move accumulation not astringe diarrhea

Diarrhea: Food Stagnation with Damp heat

Zhi Shi Dao Zhi Wan still more damp than heat (if mostly damp heat - use Ge Gen Huang Lian Tang) da huang, ze xie, fu ling, shen qu, bai zhu, zhi shi, haung qin, huang lian

Diarrhea: LV Qi Invading the SP

Tong Xie Yao Fang - pain diarrhea important formula LV Qi stagnation - worse w emotional stress bai zhu, bai shao, chen pi, fang feng ton sp, soothe lv, reg qi, lift clear qi

Diarrhea: SP Qi Deficiency

Shen Ling Bai Zhu San diarrhea + sp qi def sx ren shen, bai zhu, fu ling, gan cao (si jun zi tang) shan yao, bai bian dou, liand zi, yi yi ren (foods to ton sp) sha ren , jie geng, chen pi (move and regulate qi) modifications: if more COLD Sx, pattern moving from SP Xu to Yang Xu: use Li Zhong Wan or Fu Zi Li Zhong Wan if sinking syndrome/prolapse: Bu Zhong Yi Qi Tang

Diarrhea: KD Yang Def

Si Shen Wan plus Li Zhong Wan chronic diarrhea - early morning or upon waking not useful diarrhea (like food stag diarrhea) - need to astringe bu gu zhi, wu zhu yu, rou dou kou, wu wei zi, sheng jiang, da cao (Si Shen Wan) Gan Jiang, Ren Shen, Bai ZHu, Gan Cao (Li Zhong Wan

Migraine

no classic Rx complex pattern: Bld Stasis + Wind or LV Stag + Wind or Damp Tian Ma, Chuan Xiong, Bai Zhi, Gao Ben Quan Xue/Di Long if severe Long Dan Cao/Zhi Zi/Huang Qin if heat