Quiz 4 week 9

Question 1

胸痹⼼中痞，留氣結在胸，胸滿，脅下逆搶⼼

Answer 1

Chest bind glomus in heart, depressed qi knotted in chest, chest fullness, below the ribside reversal hitting the heart,
枳實薤白桂枝湯主之；⼈參湯亦主之

Question 2

枳實薤白桂枝湯主之；⼈參湯亦主之

Answer 2

ZhǐShí XieBai GuiZhi Tang rules;

RenShen Tang also rules

Question 3

胸痹，胸中氣塞，短氣，

Answer 3

Chest bind, qi blockage in chest center; SOB

茯苓杏仁甘草湯主之；橘枳薑湯亦主之

Question 4

茯苓杏仁甘草湯主之；橘枳薑湯亦主之

Answer 4

FuLing XingRen GanCao Tang rules;

Jú Zhǐ Jiāng Tāng also rules

Question 5

病者腹滿，按之不痛為虛，痛者為實，可下之；舌黃未下者，下之黃自去

Answer 5

Dz Person Abd Full, Press no pain means deficient, pain means excess, can purge;
Tongue yellow not yet purge, if purge - yellow spontaneously goes away

Question 6

腹滿時減，復如故，此為寒，當與溫藥

Answer 6

Abd fullness periodically reduced, again like before, this means cold, undertake give warm medicine

Question 7

病腹滿，發熱⼗日，脈浮⽽數，飲食如故，

Answer 7

Abd Full Dz, Fever 10 days, Px floating & rapid, drinking eating like before
厚朴七物湯主之

Question 8

厚朴七物湯主之

Answer 8

HòuPo Qī Wù Tang

Question 9

腹中寒氣，雷鳴切痛，胸脅逆滿，嘔吐，

Answer 9

Inside Abd Cold Qi, thunderous rumbling & cutting pain, chest-ribside reversal fullness, nausea vomiting,
附⼦粳米湯主之

Question 10

附⼦粳米湯主之

Answer 10

FuZi JingMi Tang

Question 11

痛⽽閉者，

Answer 11

Pain & Obstruction,

厚朴三物湯主之

Question 12

厚朴三物湯主之

Answer 12

HòuPo Sān Wù Tang

Question 13

腹滿不減，減不⾜⾔，當須下之，

Answer 13

Abd Fullness not reduced, if reduced not enough to say, undertake must purge,
宜⼤承氣湯

Question 14

宜⼤承氣湯

Answer 14

give Da ChengQi Tang

Question 15

⼼胸中⼤寒痛，嘔不能飲食，腹中寒，上衝皮起，出見有頭足，上下痛而不可觸近，

Answer 15

In HT Chest big cold pain, nausea unable to drink & eat, in abdomen cold, upward rush skin raised, come out showing there is head & foot (like in movie alien – its heightened intestinal peristalsis), above below pain & unable to touch near ((b/c so painful due to cold. Acute but chronic situation),
⼤建中湯主之

Question 16

⼤建中湯主之

Answer 16

Da Jian Zhong Tang.

Question 17

脅下偏痛，發熱，其脈緊弦，此寒也，以溫藥下之，

Answer 17

Below ribside one-side pain, heat effusion, pulse tight wiry, this is cold, use warm medicinals to purge,
宜大黃附子湯

Question 18

宜大黃附子湯

Answer 18

give DaHuang FuZi Tang

Question 19

腹痛，脈弦而緊，弦則衛氣不行，即惡寒，緊則不欲食，邪正相搏，即為寒疝。

寒疝繞臍痛，若發則白汗出，手足厥冷，其脈沉緊者，

Answer 19

Abdominal pain, pulse wiry & tight, wiry then defensive Qi doesn’t move, then aversion to cold, tight then don’t desire eating, evil &
righteous mutually clash, that’s called cold hernia. Cold hernia pain surrounding navel, if ‘triggered’ then white sweat emits. Hand Feet reversal cold, Px deep tight,
大烏頭煎主之

Question 20

大烏頭煎主之

Answer 20

Da WuTou Jian rules it

Question 21

寒疝腹中痛，逆冷，⼿手⾜足不仁，若身疼痛，灸刺諸藥不能治，

Answer 21

In cold hernia pain in abdomen, reveral cold, hand feet not benevolent (numb/tingling), body ache & pain, moxa needle medicinals
unable to treat,
抵當烏頭桂枝湯主之

Question 22

抵當烏頭桂枝湯主之

Answer 22

DiDang WuTou GuiZhi Tang rules it

Question 23

脈數⽽而滑者，實也，此有宿食，下之愈，

Answer 23

Px rapid & slippery, indicates repletion, this is stagnant food, purge then recovery,
宜大承氣湯

Question 24

宜大承氣湯

Answer 24

give Da ChengQi Tang

Question 25

下利不欲食者，有宿食也，當下之，

Answer 25

Diarrhea no desire to eat, there is stagnant food, undertake purge, 宜大承氣湯

Question 26

宜大承氣湯

Answer 26

give Da ChengQi Tang.