160 NCCAOM Formulas Flashcards

Question

**Qing Ying Tang** Clear the Nutritive Level Decoction _CLEAR HEAT_ *Clear Blood Heat*

Answer 1

**Heat entering the Nutritive (Ying) Level** High fever that worsens at night, severe irritability, restlessness T: Dry, _Scarlet_ P: _Thin_, Rapid ***Note:*** Depending on the level the Heat has reached, the patient may be thirsty, delirious or have some faint and indistinct erythema (red skin)

Answer 2

**Heat entering the _Blood Level_** Ying Level S/S **+** Bleeding (hematemesis, epistaxis, hematochezia, melena, hematuria, erythema +/- rahses) T: Dry, Scarlet Tongue w/ _Prickles_ P: Thin, Rapid ***Note:*** Patients may become delirious Substitute Shui Niu Jiao for Xi Jiao 10:1 Substitute Shui Niu Jiao (8-10x more)

Answer 3

**Fire-Toxin from Excess heat in Triple Jiao** High fever, irritability, dry mouth & throat, incoherent speech, dark urine, constipation, insomnia, hematemesis, epistaxis, erythema or skin purpura (_Blood Heat_), dysenteric disorders or juandice d/t _Damp-Heat_, carbuncles, boils & sores d/t _Toxic Heat_ T: Red w/ Yellow Coat P: Full, Rapid ***Note:*** For _Toxic-heat_ (carbuncles, boils), _Blood-Heat_ (epistaxis, erythema), or _Damp-Heat_ (dysentery, jaundice)

Answer 4

**1) Excess heat in the Triple Jiao** Fever, flushed face, red eyes, irritability, dark urine, constipation T: Red w/ Greasy Yellow Coat P: Full, Rapid **2) Heart Fire or Damp-Heat** HT Fire causing epistaxis or hematemesis; Damp-Heat causing jaundice ***Vs. Huang Lian Jie Du Tang*** Both address heat in 3 Jiao HLJDT= Fire Toxin (3 Huangs + Zhi Zi) XXT= Shi Heat (Huang Lian, Huang Qin, Da Huang)

Answer 5

**Epidemic Toxin w/ Wind-Heat & Damp-Phlegm** Strong fever & chills, redness, swelling & burning pain of the head & face, thirst T: Red w/ Powdery-White or Yellow Coat P: Floating, Full, Rapid ***Note:*** this is called _Massive Febrile Disorder of the Head_ (Da Tou Wen) **MUMPS**, Swollen Glands, etc. d/t Toxic-Heat

Answer 6

**Heat & Clumping in the Diaphragm (UJ + MJ)** irritability, sensation of heat in chest, constipation, fever, red face, sore throat, nosebleeds, oral ulcerations T: Yellow or White Coat P: Rapid, Slippery ***Note:*** Relatively _weak purgative_. Also Tx _Skin Disorders_

Answer 7

**Severe Fire in the Qi/Blood Levels** Intense fever, strong thirst, dry heaves, severe & stabbing HA, extreme irritability, rash, epistaxis T: Dark-Red Tongue, Dark & Scorched Lips P: Submerged & Thin OR Floating, Rapid, Large ***Note:*** Severe cases may present w/ delirious speech, rashes, & epistaxis

Answer 8

**Heat Lodged in the Lung** fever w/ or w/o sweating, thirst, coughing & wheezing, labored breathing, difficult to expectorate sputum, _nasal flaring & pain_ T: Yellow Coat P: Slippery, Rapid ***Note:*** W/ or W/O Wind-Heat or Wind-Cold ***VS.* Bai Hu Tang** Both= Qi Level heat (fever, thirst) MXSGT= Heat lodged in lung (wheeze, cough, etc) BHT= Yangming Channel (4 bigs)

Answer 9

**Constrained Lung Heat causing Wheezing** Skin feels hot to touch, coughing & wheezing, sore throat (sl), dry mouth, little or difficult to expectorate sputum, symptoms worse in late afternoon T: Red w/ Yellow Coat P: Thin, Rapid ***Note:*** derived from pediatric text, formula clears heat w/o damaging Yin, which reflects belief that child's Yin Qi is not fully developed

Answer 10

**Smoldering Fire in the SP/ST** mouth ulcers, bad breath, dry mouth, thirst, irritability, frequent hunger, tongue thrusting in infants and children T: Red & Dry P: Rapid ***Note:*** also for _Tongue Thrusting_ & _Yellow of the Sclera_

Answer 11

**Stomach Heat Accumulation** _Toothache_ that _extends to head_, facial swelling, bleeding & sores of gums, swollen & painful mouth, fever, bad breath T: Red P: Slippery, Rapid, Large ***Vs. Xie Huang San*** QWS: ST Fire, Blood heat (toothache, bleeding gums) XHS: SP/ST Smoldering Fire (mouth ulcers, halitosis)

Answer 12

**Stomach Heat w/ Yin Xu** toothache, _loose teeth_, bleeding gums, frontal headache, irritability, fever, thirst T: Red w/ Yellow Coat P: Floating, Slippery, Empty, Large ***Note:*** Also for _Wasting & Thirsting_ Syndrome

Answer 13

**1) Heat in the HT Channel** Irritability w/ sensation of heat in chest, thirst w/ a desire for cold beverages, red face, possibly sores around the mouth T: Red P: Rapid **2) HT Fire Transferring to the SI** Dark, scanty, rough & painful urination, possibly hematuria

Answer 14

**1) Liver Fire Blazing** HA, dizziness, _red & sore eyes_, short _temper_, dark urine, _hypochondriac_ pain, _bitter_ taste in mouth T: Red w/ Yellow Coat P: _Wiry_, Rapid **2) LR/GB Damp-Heat Invading Downward** Difficult & painful urination w/ a _sensation of heat in urethra_, _swollen_ & _pruritic external genitalia_, foul smelling leukorrhea T: Red w/ Greasy Yellow Coat P: Slippery, Wiry, Rapid, Full

Answer 15

**LR Fire Burning ST Causing LR & ST Disharmony** Acid regurgitation, belching, vomiting, indeterminate gnawing hunger, epigastric focal distention, dry mouth T: Red w/ Yellow Coat P: Wiry, Rapid ***Note:*** Also for _Hernial Disorders_ ***Dui Yao Fx***: Huang Lian, Wu Zhu Yu

Answer 16

**LI Damp-Heat w/ Qi & Blood Stagnation causing Dysentery** Abdominal pain, _difficult defecation_, _diarrhea_ w/ _equal parts_ _pus & blood_, _tenesmus_, _burning anus_, scanty & dark urine, heavy sensation in the body, fever, no thirst T: Greasy, Slightly Yellow Coat P: Slippery, Rapid ***Note:*** This is _Early Stage Dysenteric Disorder_ ***Vs.* Bai Tou Weng Tang** * *Both*= Dysentery, T: Yellow Coat, P: Rapid * *SYT*= LI Damp-Heat + Qi/Xue Stag, T: Greasy, P: Slippery * *BTWT:* Toxic-Heat in ST & Intestine, T: Red, P: Wiry

Answer 17

**Dysentery d/t Toxic-Heat in the ST & Intestine** Abdominal pain, tenesmus, burning sensation around the anus, diarrhea containing more blood than pus, thirst T: Red w/ Yellow Coat P: Wiry, Rapid ***Note:*** Also for _Acute_ _Damp-Heat_ _Eye_ _Disorders_ ***Vs.* Shao Yao Tang** * *Both*= Dysentery, T: Yellow Coat, P: Rapid * *SYT*= LI Damp-Heat + Qi/Xue Stag, T: Greasy, P: Slippery * *BTWT*: Toxic-Heat in ST & Intestine, T: Red, P: Wiry

Answer 18

**Yin Xu w/ Heat @ Ying Level** (*late stage febrile disease*) _Night fever_ and _morning coolness_ w/ an _absence of sweating_ as fever recedes, emaciation w/ _no loss of appetite_ T: Red w/ Little Coat P: Thin, Rapid ***Note:*** Also for _advanced stages_ of various _infectious diseases_ ***Vs.* Liu Wei Di Huang Wan** * *Both=* Yin Xu, T: Red w/ Little Coat, P: Thin, Rapid * *QHBJT=* Hidden heat; vent heat; night fever + morning coolness * *LWDHW=* KD Yin Xu; Nourish KD; lumbargo, 5 palm heat

Answer 19

**KD/LR Yin Xu causing _Steaming Bone_ Disorder** Afternoon tidal fever or unremitting chronic low-grade fever, sensation of heat in bones but flesh not warm to touch, irritability, insomnia, lethargy, red lips, dark-red cheeks, night sweats, thirst, dry throat, emaciation T: Red w/ little coat P: Thin, Rapid ***Vs.* Qing Hao Bie Jia Tang + Qin Jiao Bie Jia Tang** * *All=* Tx Xu-Heat by nourish yin, clear heat * *QHBJT*= Nourish Yin = Clear Heat * *QJBJT=* Nourish Blood + Expel Wind * *QGS=* Clear Heat \> Nourish Yin

Answer 20

**Yin Xu w/ Empty-Heat causing night sweats** Fever, night sweats, red face, dry mouth & parched lips, irritability, dry stools, dark & scanty urine T: Red, Dry P: Rapid ***Note:*** Also for _LU Consumption_, _Steaming Bone_, or _Chronic Nosebleeds (epistaxis)_ Dang Gui + 6 Huang (Sheng Di Huang, Shu Di Huang, Huang Lian/Qin/Bai/Qi)

Answer 21

**Exterior Cold w/ Interior Damp contacted in Summer** _Chills & fever_ w/ chills predominant, _aversion to cold_ w/ skin _warm to touch_, absence of sweating, sensation of heaviness in head, HA, abdominal pain, _vomiting_, _diarrhea_, stifling sensation in chest T: White, Greasy Coat P: Floating ***Note:*** Also for any presentation of _Exterior Cold + Interior Damp_, regardless of season, especially when accompanied by _vomiting + diarrhea_

Answer 22

**Summer-Heat w/ Interior Damp** fever, sweating, thirst, irritability, urinary difficulty T: Thin, Yellow, Greasy Coat P: Soggy, Rapid ***Note:*** Also for _Painful Urinary Dysfunction_ **Dui-Yao FX:** Hua Shi + Gan Cao (6:1)

Answer 23

**1) Deficiency-Cold of the SP/ST** Diarrhea w/ watery stool, nausea & vomiting, no particular thirst, loss of appetite, abdominal pain relieved by warmth & pressure, fatigue, abdominal distention T: Pale w/ White Coat P: Deep, Thin **2) Middle Jiao Deficiency-Cold** ***Note:*** Also for chronic bleeding, chronic infantile convulsions, profuse salivation after chronic illness, & painful obstruction of the chest; _Equally tonifies & dispels cold_

Answer 24

**1) ST (Yangming) Deficiency-Cold causing _Rebellious Qi_** vomiting immediately after eating, indeterminate gnawing hunger, acid regurgitation w/ or w/o epigastric pain T: White Slippery Coat (*_not_* red body) P: Thin & Slow or Wiry **2) LR (Jueyin) Deficiency-Cold** Dry heaves or spitting of clear fluids w/ _HA @ vertex_ **3) KD (Shaoyin) Deficiency-Cold** _vomiting & diarrhea_ w/ cold hands & feet, _agitation_ _so severe_ _patient wants to die_ ***Vs.*** **Si Ni Tang** * Both= Cold limbs, vomiting, diarrhea* * SNT=* constant desire to sleep * WZYT=* irritability, severe mental agitation

Answer 25

**SP Yang Xu w/ Cold causing Abdominal Pain** Spasmodic abdominal pain that diminishes w/ warmth & pressure, lusterless complexion T: Pale w/ White coat P: Thin, Wiry & Moderate

Answer 26

**Middle Jiao Yang Xu** (Ben) **+ Vigorous Yin-Cold** (Biao) _Excrutiating epigastric & abdominal pain_ to point that patient _cannot tolerate being touched_, _strong_ sensation of _cold_ in epigastrium, _severe_ _vomiting_ to the point of being _unable to eat_, borborygmus T: Slippery, White Coat P: Thin & Tight _OR_ Slow & Wiry _OR_ Hidden (severe) ***Note:*** Focused on dispelling Cold ***Vs. Li Zhong Wan*** * Both=* abdominal pain d/t MJ Xu-Cold * DJZT=* severe pain aggravated by touch * LZW=* pain alleviated by warmth & touch

Answer 27

**1) KD Yang Xu w/ Cold-Evil in Shaoyin Stage** _extremely cold extremities_, aversion to cold, _constant desire to sleep_, _sleeping w/ knees drawn up_, vomiting, diarrhea w/ _undigested food_, abdominal pain & cold, lack of thirst T: Pale w/ White Slippery Coat P: Deep & Thin OR Minute **2)Yang Collapse** _Profuse cold sweating_, cold limbs, _sudden fainting_ P: Minute **3) False Heat + True Cold** flushed face, irritability, desire for warm drinks, loose stools

Answer 28

**Concurrent _Shaoyang_ w/ _Yangming_ syndromes** _intermittent chills & fever_, _continuous vomiting_, fullness & pain in epigastrium, _burning diarrhea_ *or* _no bowel movements_, _bitter taste_ in mouth, nausea & vomiting, slight irritability T: Yellow Coat P: Wiry, Full ***Note:*** Also known as **Heat Excess in ST & GB**

Answer 29

**Incompletely Resolved Exterior w/ Interior Excess Heat** Fever, sweating, thirst, dysenteric diarrhea w/ especially foul-smelling stools, burning sensation around anus T: Red w/ Yellow Coat P: Wiry, Full ***Note:*** Focuses on the interior aspect of the disorder

Answer 30

**SP/ST Qi Deficiency** Pallid complexion, low & soft voice, reduced appetite, loose stools, weakness in the limbs T: Pale P: Thin, Weak ***Note:*** This is the primary formula for _SP/ST Qi Xu_. It also _helps the SP process Dampness_

Answer 31

**SP Qi Xu & Damp causing Diarrhea** Loose stool or diarrhea, weakness, SOB, reduced appetite, weight loss, distention & stifling sensation in chest & epigastrium, pallid & wan complexion T: Pale w/ White Coat P: Thin, Moderate, or Empty ***Note:*** Also for _chronic cough w/ copious sputum d/t LU/SP Xu_

Answer 32

**1) SP/ST Qi Xu causing Intermittent (Qi xu) Fever** Intermittent fever that worsens on exertion, spontaneous sweating, aversion to cold, thirst for warm beverages, SOB, laconic speech, tendency to curl up, weak limbs, shiny & pale complexion, loose & watery stools T: Pale w/ Thin White Coat P: Empty (generally) + Rootless @ Right Middle **2) SP Qi Sinking** prolapse of the recum or uterus, chronic diarrhea, chronic dysenteric disorders, incontinence or bleeding disorders (SP fail control blood) ***Associated Formulas*** * **Ju Yuan Jian**: QI Xu leading to severe blood loss (shi menstruation, uterine bleeding) * **Tiao Zhong Yi Qi Tang**: SP Qi Xu + Damp (heaviness, distention, diarrhea, hypersomnia)

Answer 33

**Concurrent Qi & Yin Xu, primarily of _LU_** SOB, weakness, spontaneous sweating, dry mouth & tongue, chronic cough w/ sparse sputum that is difficult to expectorate T: Pale-Red w/ Dry Thin Coat P: Empty, Rapid, &/Or Thin ***Note:*** Suitable for treating _Summer-Heat thirst & fluid depletion_. Also applied to _Coronary Heart Disease_ or _Qi-Deficiency Anemia_. ***Vs. Yu Ping Feng San*** * *Both=* LU Xu: spontaneous sweating * *SMS:=* LU QI/Yin Xu: SOB, dry mouth * *YPFS=* Wei Qi xu: aversion to wind ***Vs. Bei Mu Gua Lou San*** * *Both=* Dry Cough * *SMS=* LU Qi/Yin Xu: P: Thin, Rapid + Weak * *BMGLS=* Dryness attack LU: P: Thin, Rapid + Strong

Answer 34

**Blood Deficiency + Blood Stasis** Dizziness, blurred vision, lusterless complexion & nails, general muscle tightness, irregular menstruation w/ little flow or amenorrhea, periumbilical or lower abdominal pain; also menorrhagia (abn. uterine), hard abdominal masses w/ recurrent pain, restless fetus disorder, or lochioschesis (retention) w/ firm & painful abdomen & sporadic chills & fever T: Pale P: Thin, Wiry _OR_ Thin, Choppy ***Note:*** This FX focuses on _LR Xue Xu_ rather than HT Xue Xu (Gui Pi Tang) ***Associated Fx:*** **Tao Hong Si Wu Tang** (+Tao Ren, Hong Hua) Menstrual symptoms

Answer 35

**Blood & Qi Deficiency w/ Floating Yang** Sensation of heat in muscles, red face, irritability, thirst w/ desire to drink warm beverages, loss of appetite, emaciation T: Pale P: Surging, Big, Empty ***Note:*** Also for fever/HA d/t _Acute Blood Loss_ or _Yin-Type Ulcers_

Answer 36

**Blood Deficiency w/ Injury to the Fluids** Spasms of the calf muscles, irritability, slight chills T: Pale, No Coat P: Thin ***Note:*** Also for _Spasmodic Pain_ in other parts of the body, particularly the _abdomen_

Answer 37

**Qi & Xue Deficiency** Pallid or sallow complexion, palpitations w/ anxiety, laconic speech, easily-fatigued extremities, light-headedness &/or vertigo, loss of appetite, emaciation T: Pale P: Thin, Weak _OR_ Large, Empty, W/o Strength ***Composition*** * **Si Jun Zi Tang** (Qi Xu) * Ren Shen, Bai Zhu, Fu Ling, Zhi Gan Cao * **Si Wu Tang** (Xue Xu) * Shu Di Huang, Dang Gui, Bai Shao, Chuan Xiong * **+** Sheng Jiang, Da Zao ***Associated Fx*** * **Shi Quan Da Bu Tang** (+Huang Qi, Rou Gui) * +Warm yang

Answer 38

**Qi & Blood Deficiency w/ _Mild Deficiency-Cold_** Qi & Blood xu in consumptive disorders w/ coughing, reduced appetite, spermatorrhea & weakness of the lower extremities; sores that refuse to heal, or continuous spotting from uterine bleeding T: Pale, Dusky w/ Thin, White Coat P: Thin, Weak, Deep, Possibly Slow ***Note:*** Applicable in conditions of weakness of the circulatory system or digestive system, anemia, hypothyroidism, post-surgery, post-illness or other deficiency conditions * **Ba Zhen Tang=** * **Si Jun Zi Tang + Si Wu Tang** * **Shi Quan Da Bu Tang=** * **Ba Zhen Tang + Rou Gui + Huang Qi**

Answer 39

**1) SP Qi & HT Blood Deficiency causing _Insomnia_** Forgetfullness, palpitations w/ or w/o anxiety, insomnia, dream-disturbed sleep, anxiety, phobias, feverishness, withdrawal, reduced appetite, pallid and wan complexion T: Pale w/ Thin Coat P: Thin, Weak **2)** **SP Qi not Controlling Blood** Early periods w/ copious pale blood or prolonged almost continuous periods w/ little flow, leukorrhea, bloody stool, subcutaneous bleeding ***Vs. Bu Zhong Yi Qi Tang*** * *Both=* SP Qi Xu * *GPT=* * Sp Qi & HT Xue Xu (Insomnia) * SP Not Control Xue (Chronic Bleeding) * *BZYQT=* * Qi Xu (Low Fever/Qi Xu Fever) * Sp Qi Sinking (Organ Prolapse

Answer 40

**Qi & Blood Deficiency causing Irregular Pulse** Palpitations w/ anxiety, irritability, insomnia, loss of appetite, emaciation, SOB, constipation, dry mouth & throat T: Pale, Shiny P: Consistently Irregular _OR_ Slow-Irregular _OR_ Thin & Weak ***Comparison Qi & Xue Tonification*** * **Gui Pi Tang**: Tonify Qi \> Xue * **Ba Zhen Tang:** Tonify Qi = Xue * **Zhi Gan Cao Tang**: Tonify Qi \< Xue

Answer 41

**Qi & Blood Deficiency w/ Unsecured Chong & Ren** Restless fetus, tendency to miscarriage, malpositioned fetus, and difficult delivery ***Note:*** Also considered a _prophylactic against miscarriage & difficult delivery_ **Tai Shan Pan Shi San=** * **Ba Zhen Tang** * **- Fu Ling** * **+ Huang Qin, Sha Ren, Huang Qi, Xu Duan**

Answer 42

**KD & LR Yin Deficiency** Soreness & weakness of the lower back, light-headedness, vertigo, tinnitus, diminished hearing, dry mouth & throat, irritability, night sweats, spontaneous & nocturnal emissions, hot palms & soles, toothache, Wasting & Thirsting syndrome T: Red w/ Little Coat P: Thin, Rapid ***Note:*** This well balanced formula contains _3 tonifying herbs_ & _3 sedating herbs_ * KD: Tonify Shu Di Huang, Sedate Ze Xie * LR: Tonify Shan Zhu Yu, Sedate Mu Dan Pi * SP: Tonify Shan Yao, Sedate Fu Ling ***Modifications:*** * **Qi Ju Di Huang Wan**: LR: Eye Disorders * +Gou Qi Zi, Ju Hua * **Zhi Bai Di Huang Wan**: KD: Xu-Heat * +Zhi Mu, Huang Bai * **Mai Wei Di Huang Wan**: LU: Dry Cough * +Mai Men Dong, Wu Wei Zi

Answer 43

**KD Yin & Essence Deficiency** Lower back soreness, spontaneous emissions, night sweats, dry mouth & throat, irritability, thirst w/ desire to drink T: Red & Dry w/ Peeled Coat P: Thin, Rapid ***Note:*** Focuses on _deficiency_, indicated for cases _w/o signs of Fire_ ***ZGY=*** Modified **Liu Wei Di Huang Wan** Z for Zoe, She's a Yin Girl

Answer 44

**Severe KD & LR Yin & Essence Deficiency w/ Empty Heat** Afternoon tidal fever, night sweats, spontaneous emission, irritability, sensation of heat & pain in knees & legs sometimes w/ weakness, soreness & weakness of lower back T: Red, Dry P: Rapid & Full in Proximal Position (Chi) ***Note:*** Focuses more on _descending deficiency Fire_, _less on tonifying_

Answer 45

**LR & KD Yin Deficiency w/ Mild LR Qi Stagnation** Hypochondriac & chest pain, epigastric & abdominal distention, acid regurgitation, soreness & weakness of the lower back, dry mouth & throat, irritability T: Red, Dry P: Thin, Weak _OR_ Empty, Wiry ***Note:*** Commony used for _Chronic Hepatitis_

Answer 46

**KD & LR Yin Deficiency** Weakenss & soreness of the lower back & knees, dizziness & blurred vision, insomnia & dream disturbed sleep, premature graying or loss of hair, dry mouth & throat, irritability T: Red, Dry P: Thin, Rapid ***Note:*** Focuses on _Bleeding Disorders_ or _Premature Graying_

Answer 47

**Internal Dryness of the Lung** Cough w/ blood-streaked sputum, wheezing, dry & sore throat, hot palms & soles, night sweats T: Dry, Red w/ Little Coat P: Thin, Rapid ***Note:*** Focuses on _Nourishing Yin_

Answer 48

**KD Yang Deficiency** Cold & Pain of the lower back & legs, tenseness of the lower abdomen, irritability to the point of difficulty to lie down, breathing most comfortable while leaning against something, T: Pale, Swollen w/ Thin, White, Moist Coat P: Empty or Weak, Deep & Minute @ proximal ***Note:*** Applicable for various disorders including _Diabetes_, _Hypothyroidism_, _Chronic Nephritis_, _General Debility & Weakness_, _Edema_, _Bronchial Asthma_

Answer 49

**KD Yang & Essence Deficiency w/ Blood Deficiency** Exhaustion from long-term illness, coolness of the extremities, impotence, spermatorrhea, aching & weakness of the lower back & knees, fatigue, aversion to cold T: Pale, Swollen P: Thin, Weak, especially @ proximal ***Note:*** May also manifest as _infertility_, _loose stools w/ undigested food particles_, _incontinence_, _edema of the legs_ ***YGW=*** modified **Jin Gui Shen Qi Wan**

Answer 50

**KD Yin & Yang Deficiency w/ Empty-Fire** Menopausal symptoms, especially _hypertension_, fatigue, aversion to cold, lower back pain, weakness of the legs T: Pale, Swollen P: Thin, Weak, especially @ proximal ***Note:*****Er Xian Tang** is a complex formula that is also used for _Essential Hypertension_ and _other disorders unrelated to menopause_

Answer 51

**Unstable Protective (Wei) Qi w/ Injury to HT Yin** Spontaneous sweating that worsens at night, easily startled, SOB, irritability, general debility, lethargy T: Pale-Red P: Thin, Weak ***Note:*** Stops sweating _w/o any tonifying action_

Answer 52

**SP & KD Yang Xu causing _Unremitting Diarrhea_** Unremitting diarrhea which may contain pus & blood, mild & persistent abdominal pain better w/ local pressure or warmth, lethargy, wan complexion, reduced appetite, soreness of the lower back T: Pale P: Thin, Slow ***Note:*** Treats both _manifestation & root_

Answer 53

**SP & KD yang Xu causing _Daybreak Diarrhea_** Diarrhea which occurs just before sunrise, lack of interest in food & inability to digest what is eaten, soreness of lower back w/ cold limbs, fatigue, lethargy, abdominal pain T: Pale w/ Thin White coat P: Deep, Slow, Weak ***Note:*** Applicable for _Chronic Colitis_, _Chronic Dysentery_, _Tuberculosis of the Colon_, _Allergic Colitis_ ***Vs.* Li Zhong Wan** * *BOTH*= Chronic diarrhea d/t Yang Xu * *SSW*= Tonify SP & KD Yang + Astringent * *LZW*= Tonify SP Yang ONLY

Answer 54

**Spermatorrhea d/t KD Deficiency** Chronic spermatorrhea, impotence, frequent urination to the point of incontinence, fatigue & weakness, sore & weak limbs, lower back pain, tinnitus T: Pale P: Thin, Weak ***Note:*** Has been use to treat _Myasthenia Gravis_

Answer 55

**Qi Deficiency of the KD & HT** Frequent urination, gray & cloudy urine sometimes accompanied by spermatorrhea, disorientation, forgetfulness T: Pale P: Thin, Weak, Slow ***Note:*** _Incontinence_ characterized by being _aware_ of the _urge to urinate_, but _unable to suppress it_

Answer 56

**KD Deficiency leading to Instability of Chong & Ren** Restless Fetus Disorder & in severe cases vaginal bleeding during pregnancy or miscarriage, frequent urination to the point of incontinence, dizziness, tinnitus, weak legs T: Slippery Coat P: Weak, Deep ***Note:*** Also used as a _preventative measure_

Answer 57

**Constrained LR Fire Injuring the Chong & Ren causing *_Beng Lou_* Syndrome** Continuous menstruation or uterine bleeding that alternates between trickling & gushing w/ very red blood & possibly purple clots, sensation of heat & irritability in the chest, abdominal pain, dark urine T: Red P: Rapid, Wiry ***Note:*** The Yin Xu of this condition is overshadowed by the Heat; "_Deficient Yin & Beligerent Yang_" ***Vs.* Wen Jing Tang** * *Both*: Continuous menstruation or uterine bleeding * *GJW*= LR Fire causing Yin Xu Heat * *WJT*= Xu Cold + Blood Stasis

Answer 58

**Leukorrhea d/t Dai & SP Xu w/ Damp & Qi Stagnation** Profuse, thin, white or pale-yellow vaginal discharge, loose stools, fatigue, shiny or pale face T: Pale w/ White coat P: Soggy, Weak ***Note:*** Also for _Edema during menstruation or pregnancy_

Answer 59

**HT & KD Yin Deficiency w/ Empty-Fire** Irritability, palpitations w/ anxiety, fatigue, insomnia w/ very restless sleep, inability to think or concentrate for even short periods of time, nocturnal emissions, forgetfulness, dry stools, mouth or tongue sores, low grade fever, night sweats T: Red w/ Little coat P: Thin, Rapid ***Note:*** This Fx is good for _elderly patients_ w/ _sleeping difficulties_ accompanied by _dry-stool constipation_ ***Comparison INSOMNIA Fx*** * **Suan Zao Ren Tang** * LR Xue Xu & HT Yin Xu * T: Red, P: Wiry, Thin, Rapid * **Tian Wang Bu Xin Dan** * HT & KD Yin Xu w/ Heat * T: Red, No Coat, P: Thin, Rapid * **Gui Pi Tang** * SP Qi & HT Xue Xu * T: Pale, P: Thin, Weak

Answer 60

**LR Blood & HT Yin Xu w/ Empty Heat** insability to sleep, palpitations, anxiety, irritability, night sweats, dizziness & vertigo, dry throat & mouth T: Red & Dry P: Wiry, Thin, Rapid ***Note***: Sometimes given _1/2 hour before bed_ w/ _another Fx_ during _day to address root_ of problem

Answer 61

**Fire from Yin Deficiency affecting Spirit** Irritability w/ sensation of heat in chest, insomnia, palpitations w/ anxiety T: Red w/ Dry Yellow coat P: Thin, Rapid ***Note:*** Shang Han Lun uses this FX for _heat transformation patterns_ in the _Shaoyin_ _level_ ***SHL Shao Yin HEAT pattern*** Feeling of Heat, irritability, insomnia, dry mouth & throat, dark urine, night sweating, T: Red w/o coat, P: Thin, Rapid (*FX*: **Huang Lian E Jiao Tang**) ***SHL Shao Yin COLD pattern*** Chills, feeling of cold, lying w/ body curled, listlessness, desire to sleep, cold limbs, diarrhea, absence of thirst, frequent pale urination, T: pale, wet, white coat, P: deep, weak, slow (*FX:* **Si Ni Tang**)

Answer 62

**HT Yin Xu w/ LR Qi Stagnation causing _Restless Organ_** **(*Zang Zao*) disorder** Disorientation, frequent attacks of melancholy, crying spells, inability to control oneself, irritability, palpitations w/ anxiety, restless sleep sometimes w/ night sweats, frequent bouts of yawning, abnormal behavior & speech in severe case T: Red w/ Sparse coat P: Thin, Rapid ***Note:*** _Restless Organ Disorder_ (***Zang Zao***) is an emotional condition that is generally d/t excessive worry, anxiety, or pensiveness. This condition is characterized by HT Blood (Yin) Xu & LR Qi Stagnation. ***Vs. Xiao Yao San*** * *BOTH=* LR Qi Stagnation causing depression * *GMDZT=* HT Yin Xu * Melancholy, T: Red, no coat, P: Thin, Rapid * *XYS=* LR Xue & SP Qi Xu * Irregular menses, T: Pale-Red, P: Wiry, Empty

Answer 63

**Six Stagnations of Qi, Blood, Phlegm, Damp, Fire & Food** Focal distention & stifling sensation in chest & abdomen, fixed pain in hypochondria, belching, acid regurgitation, mild cough w/ copious sputum, reduced appetite, indigestion T: Red Purple w/ Yellow Greasy coat P: Wiry, Slippery, Rapid ***Note:*** Six stagnations arise from LR Qi Stagnation affecting the function of the SP **Qi**: Xiang Fu, **Xue:** Chuan Xiong, **Damp/Phlegm**: Cang Zhu, **Heat:** Zhi Zi, **Food**: Shen Qu ***Comparison LR Qi Stag. Fx's****:* * ***All***= LR Qi Stagnation: Pain/Distention, P: Wiry * **Si Ni San**: LR/SP Disharmony * Cold Extremities * **Xiao Yao San**: LR Xue/SP Qi Xu * Irregular menstruation, P: Empty/Wiry * **Yue Ju Wan**: All Six Stagnations * Pain, Indigestion, Vomiting

Answer 64

**LR Qi Stagnation causing Pain** Flank pain, stifling sensation in chest, sighing, easilty angered, belching, abdominal distention & fullness, alternating chills & fever P: Wiry T: Normal ***Note:*** Also treats various types of _Abdominal pain_, _dysmenorrhea_, and _back pain_ ***CHSGS=Modified Si Ni San*** **Si Ni San** (Chai Hu, Bai Shao, Zhi Ke, Zhi Gan Cao) **+** Xiang Fu, Chuan Xiong, Chen Pi

Answer 65

**LR Qi & Phlegm Stagnation Lodging in the Throat causing _Plum-Pit Syndrome_** Feeling of something caught in the throat that can be neither swallowed nor ejected, stifling sensation in chest & hypochondria, possible coughing or vomiting T: Moist or Greasy White Coat P: Wiry, Slippery ***Note:*** This FX addresses the _branch more than the root_; although LR Qi Stagnation is the indication, _no herbs_ in this FX specifically _address LR Qi_

Answer 66

**LR Qi Stagnation w/ ST Cold causing Pain** Epigastric pain, stifling sensation in the chest, hypochondriac pain, menstrual pain T: White Coat P: Wiry & possibly Tight or Slow ***Note:*** Problems improve w/ local appllication of heat ***Dui Yao Fx:*** Gao Liang Jiang + Xiang Fu

Answer 67

**Pain d/t LR Stagnation w/ Heat** Intermittent epigastric & hypochondriac pain or menstrual pain, irritability T: Red w/ Yellow Coat P: Wiry or Rapid ***Note:*** Pain is aggravated by ingesting hot food or beverages ***Dui Yao Fx:*** Chuan Lian Zi + Yan Hu Suo

Answer 68

**Cold Invading the LR Channel causing Qi Stagnation** Lower abdominal pain radiating to the testicles T: Pale w/ White Coat P: Slow _OR_ Wiry ***Note:*** Also for _Hypochondriac_ or _Menstrual Pain_

Answer 69

**Cold from LR & KD Deficiency** Lower abdominal pain that is sharp & localized & increases w/ local application of cold T: Pale esp. @ Sides & Root P: Deep, Tight ***Note:*** A Form of _Hernial Disorder_. Also for _Swollen & Painful Scrotum_

Answer 70

**LU Cold-Phlegm w/ KD Yang Deficiency** (Excess above, Deficiency below) Coughing & wheezing w/ copious, watery, clear sputum; stifling sensation in the chest & diaphragm, dyspnea, SOB, labored inhalation but smooth exhalation, possible weakness of low back & legs, edema in the extremities, fatigue T: White, Greasy/Slippery Coat P: Slippery, Weak ***Note:*** This Fx can relieve _Wheezing_, _Cough_, & _Phlegm_ in _Asthma_, _Bronchial Asthma_, or _Chronic Bronchitis_ patients ***Vs.* Ding Chuan Tang** SZJQT: LU Phelgm Cold w/ KD Yang Xu DCT: Exterior Wind-Cold w/ Interior Phlegm-Heat

Answer 71

**Internal LU Phlegm heat w/ External Wind-Cold causing _Rebellious LU Qi_** Coughing & wheezing w/ copious thick, yellow sputum, labored breathing, possibly simultaneous fever & chills T: Greasy, Yellow Coat P: Slippery & Rapid ***Note:*** Most commony ***Ding Chuan Tang*** is used to treat _acute manifestations_ of _chronic conditions_ such as _bronchial asthma_ ***Vs. Ma Xing Shi Gan Tang*** * *Both=* Tx coughing, wheezing, dyspnea * T: Red, Yellow Coating, P: Rapid, Slippery * *DCT=* Thick yellow sputum, T: Greasy * LU Phlegm-Heat (LU-5) * MXSGT= High fever, nasal flaring, T: Dry coat * LU Heat (LU-10)

Answer 72

**Rebellious ST Qi d/t ST Xu w/ Damp-Phlegm** Hard epigastric focal distention, hiccough, belching, vomiting T: White Slippery coat P: Wiry, Deficient ***Note:*** Also for _coughing & wheezing_

Answer 73

**Rebellious ST Qi d/t ST Deficiency w/ Heat** Hiccough, nausea, dry heaves, retching, belching, vomiting T: Tender, Red P: Empty, Rapid ***Note:*** Also for _vomiting d/t debility_ after a _prolonged illness_ or _post-surger_ ***Vs. Li Zhong Wan*** * Both=* Rebellious ST QI d/t ST Xu, P: Weak * JPZRT=* HEAT, T: Red, P: Rapid * LZW=* COLD, T: Pale, P: Deep, Slow

Answer 74

**Rebellious ST Qi d/t ST Deficiency-Cold** Hiccough, belching, vomiting, stifling sensation in the epigastrium, focal distention of the chest T: Pale w/ White Coat P: Submerged, Slow ***Note:*** Focuses _directing rebellious Qi downward_ and _warming the Middle jiao_

Answer 75

**Accumulation of Blood Stasis & Heat in Lower Jiao** Acute lower abdominal pain, incontinence of urine, night time feverishness, delirious speech, irritability, restlessness, thirst, dysmenorrhea or amenorrhea, possible manic behavior T: Purple w/ Thin Yellow coat P: Submerged, Full, Choppy ***Note:*** For various disorders which involve _accumulation of Heat & Blood_ leading to _clumping_, such as _traumatic injury_ or _gynecological disorders_ **Modification of Tiao Wei cheng Qi Tang** * TWCQT (Da Huang, Mang Xiao, Gan Cao) * Yangming Fu level * THCQT (TWCQT+ Tao Ren, Gui Zhi) * Taiyang Fu level

Answer 76

**Blood Stasis w/ Qi Stagnation in the Chest** Chest & hypochondriac pain, chronic stubborn & piercing HA, chronic incessant hiccough, choking sensation when drinking, depression, warm sensation in chest, palpitations, insomnia, restless sleep, irritability, mood swings, evening tidal fever, dark or purplish lips, complexion or sclera T: Dark-Red w/ Dark Spots on Sides P: Choppy, Wiry, Tight ***Note:*** Xue Fu Zhu Yu Tang may be used for _strange_ or _unexplainable symptoms_ since "_Peculiar diseases arise from stasis_ **Xue Fu Zhu Yu Tang=** **Tao Hong Si Wu Tang + Si Ni San**

Answer 77

**Hemiplegia d/t Qi & Blood Stagnation in the Channels w/ Qi Deficiency** Sequelae of WInd-Stroke including hemiplegia & atrophy of the lower limbs, facial paralysis, slurred speech, drooling, dry stool, frequent urination or urinary incontinence T: White Coat P: Moderate ***Note:*** Also for _atrophy disorders_

Answer 78

**Blood Stasis & Qi Stagnation in the Trunk d/t _Trauma_** severe pain in the chest, hypochondria, or flanks T: Dark w/ Stasis Spots P: Wiry ***Note:*** Also treats various other disorders d/t Blood Stasis in the chest

Answer 79

**Chong & Ren Mai Deficiency-Cold w/ Blood Stasis causing Irregular Menstruation** Mild persistent uterine bleeding, irregular menstruation, extended or continuous menstrual flow, bleeding between periods, lower abdominal pain, distention, infertility, dry lips & mouth, low-grade fever at dusk, warm palms & soles T: Dusky (pale-purple) w/ thin coat P: Deep, Slow, Thin, Choppy, Wiry ***Note:*** This is one of the _most important_ formulas for _female infertility_. Currently ***Wen Jing Tang*** is also used for _impotence_ or _seminal insufficiency_ ***Vs.* Gu Jing Wan** * Both=* Continuous menstruation or uterine bleeding * GJW=* LR Fire causing Yin Xu Heat * WJT=* Xu Cold & Xue Stasis

Answer 80

**Blood & Cold Stagnation causing Postpartum Lochial Retention** Retention of lochia accompanied by cold & pain in the lower abdomen T: Pale-Purple or Pale w/ Purple Spots P: Thin, Choppy, Deep ***Note:*** Should _only_ be used by patients w/ _Blood Stasis, Blood Deficiency, & Cold_

Answer 81

**Blood Stasis in the Uterus during Pregnancy** Restless fetus; persistent mild uterine bleeding of purple or dark blood during pregnancy; abdominal pain that increases w/ pressure T: Purple w/ Dark Spots & White or Yellow Coat P: Choppy ***Note:*** Also for various conditions of _Blood Stasis in the Uterus_ such as _Immobile Masses in the Lower Abdomen_ w/ pain & tenderness, _Abdominal Spasms & Tension_, _Amenorrhea w/ Abdominal Distention & Pain_, _Retention of Lochia_ ***Comparison Fx Xue Stasis*** * **All=** Blood Stasis, T: Purple, P: Choppy * **Tao He Cheng Qi Tang** * +Heat Accumulation * in Lower Abdomen * Lower Abdominal Pain * **Xue Fu Zhu Yu Tang** * +Qi Stagnation * in Chest * Chest Pain, Palpitations * **Gui Zhi Fu Ling Wan** * \* * in Uterus * Masses, Pregnant Bleeding * **Wen Jing Tang** * +Deficiency Cold * in Chong/Ren * Irregular Menses, Infertility

Answer 82

**Blood Stasis in the Lower Abdomen causing Pain** Irregular menses, dysmenorrhea, retention of lochia, postpartum, abdominal pain, acute, colicky pain in the lower abdomen, severe pain in the middle of the abdomen, epigastric pain T: Purple P: Deep, Choppy ***Note:*** Particularly useful for _Blood Stasis in the LR channel_; Modified version treats _Angina Pectoris_ ***Dui Yao Fx***= Wu Ling Zhi + Pu Huang

Answer 83

**Blood & Qi Stagnation in the Upper/Middle Jiao causing _Chest Pain_** Epigastric pain that may radiate upward into the chest T: Purple P: Choppy ***Note:*** Particularly useful for _epigastric, flank, or menstrual pain_ in _women_; Modified version treats _Angina Pectoris_

Answer 84

**Acute Bleeding d/t LR & ST Fire w/ Blood Heat** Vomiting blood, spitting blood or coughing blood, bright in color, and of relatively acute onset T: Red P: Rapid ***Note:*** Often used in patients w/ _Tuberculosis_

Answer 85

**Heat causing Urinary Bleeding** Blood in the urine usually w/ urinary frequency, urgency, burning & pain; thirst, irritability, bleeding that is profuse, bright in color & of relatively acute onset T: Red w/ Thin yellow Coat P: Forceful, Rapid ***Note:*** Well-rounded Fx for treating _Blood_ in the _Urine d/t Shi Heat_

Answer 86

**Rectal Bleeding d/t LI Wind-Heat or Damp-Heat Toxin** Bleeding from the rectum during defecation, blood in the stool or bleeding hemorrhoids, bleeding that is profuse, bright in color, and of relatively acute onset T: Red P: Wiry or Soggy, Rapid ***Note:*** Combines _stabilizing_ & _dissipating_ ingredients

Answer 87

**Uterine Bleeding d/t Chong & Ren Deficiency-Cold w/ Blood Deficiency** Abdominal pain w/ pale, thin uterine bleeding, long unremitting bleeding T: Pale P: Thin, Weak ***Note:*** Especially useful for _Restless Fetus disorder_

Answer 88

**Headache from Exterior Wind** HA in _any_ part of the head, fever & chills, dizziness, nasal congestion T: Thin White Coat P: Floating ***Note:*** Depending on the modifications, can be used for either _Wind-Cold_ or _Wind-Heat_ disorders

Answer 89

**Wind causing Nasal Congestion or Discharge** Copious, purulent & foul-smelling nasal discharge, nasal obstruction, dizziness, frontal HA T: Normal or Yellow Coat P: Floating, Rapid ***Note:*** _Profuse Nasal Discharge_ is known as ***Bi Yuan***

Answer 90

**Wind-Phlegm Obstruction w/ Blood Stasis in the Channels & Collaterals** Chronic pain, weakness & numbness after wind-stroke, esp. in the lower extremities T: White, Moist Coat P: Wiry, Slippery ***Note:*** Also for _Acute Wind-Cold-Damp Bi_ syndrome w/ _fixed or migrating pain_ in the _bones or joints_ and _reduced ROM_ ***Vs.* Du Huo Ji Sheng Tang** * Both=* Wind-Cold-Damp Bi Syndrome * XHLD=* Acute Bi: Shi (Wind-Phelgm + Xue Stasis) * DHJST=* Chronic Bi: Xu (LR/KD & Qi/Xue xu)

Answer 91

**Wind-Damp-heat in the Skin causing Pruritis** Weepy, Itchy, Red skin lesions over a large part of the body T: Yellow or White Coat P: Full, Floating, Rapid ***Note:*** This Fx is suitable for _Acute_ or _Subacute_ Conditions; it's _not_ _suitable_ for _Chronic_ conditions, and must be _combined or modified_ _in order to_ _treat the root_

Answer 92

**Heat form Excess in the LR Channel generating Internal Wind** Persistently high fever, irritability, dizziness, spasms of the extremities, convulsion & loss of consciousness T: Deep Red, Dry _OR_ Burnt w/ Prickles P: Wiry, Rapid ***Note:*** This presentation is a form of _Tetanic Collapse_. Focuses on _extinguishing Wind_ & _stopping spasms_

Answer 93

**LR Yang Rising & Internal Wind d/t LR & KD Yin Xu** Severe dizziness & vertigo, disorientation, sudden loss of consciousness, motor dysfunction of the limbs & trunk or facial paralysis, flushed face as if intoxicated T: Red w/ Little coat P: Wiry, Long, Full ***Note:*** These symptoms are a _precursor to Wind-Stroke_. This FX _treats_ _both_ the _ben & biao_ ***Vs.* Tian Ma Gou Teng Yin** * Both=* LR Yang Rising w/ Internal Wind * ZGXFT=* 50% Shi + 50% Xu, Tonify to Tx S/S * TMGTY=* 90% Shi + 10% Xu, Sedate to Tx S/S

Answer 94

**1) LR Yang Rising** (90% Shi, 10% Xu) HA, dizziness, vertigo, tinnitus, blurred vision, sensation of heat rushing to head, insomnia, dream disturbed sleep T: Red w/ Yellow Coat P: Wiry, Rapid **2)** **LR Yang Rising causing Internal Wind** Numbness, twitching, spasms, or hemiplegia ***Note:*** One of the _most frequently_ _used Fx_ for _Hypertension_

Answer 95

**Cool-Dryness** Cough, dry throat, Chills w/o sweating, watery sputum, stuffy nose T: Dry w/ White Coat P: Wiry ***Note:*** For relatively _superficial conditions_ ***Vs. Sang Xing Tang*** * XSS=* **Cool**-Dryness; Chiefs: Xing Ren, Zi Su Ye * SXT=* **Warm**-Dryness; Chiefs: Sang Ye, Xing Ren

Answer 96

**Warm-Dryness** Fever, hacking cough or cough w/ scanty sticky sputum, dry throat T: Red w/ White coat P: Floating, Rapid ***Note:*** May also have _coughing of blood_

Answer 97

**Dryness attacking the Lung** Fever, hacking cough, wheezing, dry throat, sensation of fullness in the chest, hypochondriac pain, irritability T: Dry P: Empty, Big, Rapid ***Note:*** Also for _Acute-Onset Hemiplegia_ ***VS.Sang Xing Tang*** * Both=* Treat Warm-Dryness affecting the LU * QZJFT=* For _Severe_ cases * SXT=* For _Mild_ cases

Answer 98

**LU & ST Qi & Yin Deficiency** Coughing & spitting of saliva, wheezing, SOB, dry & uncomfortable sensation in throat T: Dry, Red w/ Little coat P: Empty, Rapid ***Note:*** Also for _Belching_ or _Vomiting_ from _Stomach Yin Xu_

Answer 99

**Damp-Cold Stagnation in the SP & ST** distention & fullness in the epigastrium & abdomen, loss of taste & appetite, heavy sensation in limbs, loose stool or diarrhea, easily fatigued, increased desire to sleep, nausea & vomiting, belching, acid regurgitation T: Swollen w/ Thick, Greasy, White Coat P: Moderate, Slippery ***Note:*** Formula is bitter, acrid, warm & dry, therefore _contraindicated_ for _Blood or Yin Xu_ ***Vs. Li Zhong Wan*** * PWS=* _SHI_ Cold-_Damp_; Chief: Cang Zhu * LZW=* _XU_ Cold; Chief: Gan Jiang

Answer 100

**Damp Stagnation in the Middle Jiao + External Wind-Cold** Fever & chills, HA, sensation of fulness & stifling oppression in chest, pain in epigastrium & abdomen, nausea & vomiting, borborygums, diarrhea, loss of taste T: White, Greasy coat P: Moderate, Soggy ***Note:*** Used for _Intestinal Flu_ ***Vs. Ping Wei San*** * Both=* Internal Damp * PWS=* _Interior_ Cold * HXZQS=* _Exterior_ Wind-Cold

Answer 101

**Jaundice d/t LR + GB Damp-Heat** Jaundice the color of a fresh tangerine, slight distention of abdomen, urinary difficulty, heavy sensation in body, fever, no thirst T: Greasy, Yellow Coat P: Slippery or Soggy ***Note:*** Also for _Sweating_ from the _head only_

Answer 102

**Damp-Heat clumping in the Lower Jiao (UB)** Dark, turbid, scanty, difficult & painful urination; a dry mouth & throat; possibly urinary retention, lower abdominal distention & pain T: Yellow Greasy Coat P: Slippery, Rapid ***Note:*** Commonly used for _Blood Lin_ or _Heat Lin_ ***Vs. Long Dan Xie Gan Tang*** * *Both=* TX Acute Lin Syndrome * *BZS=* UB Damp-Heat * *LDXGT=* LR/GB Damp-Heat ***Vs. Zhu Ling Tang*** * *Both=* TX Lin Syndrome * *BZS=* Acute Lin * *ZLT=* Chronic Lin

Answer 103

**Damp-Heat lodging in the Lower Jiao** For a variety of disorders, including lower back & leg pain, weakness or atrophy of lower extremities, vaginal discharge, & Damp sores on the lower extremities, heavy sensation in body, fever, no thirst T: Greasy, Yellow Coat P: Slippery or Soggy ***Dui Yao Fx:*** Huang Bai + Cang Zhu

Answer 104

**1) Water-Damp retention marked by edema & difficult urination** Edema, generalized sensation of heaviness, diarrhea, urinary difficulty, possibly vomiting T: Thick, White or Greasy P: Slippery **2) Taiyang Fu Syndrome** Also for _UB water accumulation_ w/ possible external _Wind-Cold_, HA, fever, irritability, strong thirst but w/ vomiting immediately after drinking, urinary difficulty P: Floating **3) Taiyin Syndrome** Throbbing pulsations just below umbilicus, vomiting frothy saliva, vertigo, SOB, coughing ***Comparison Taiyang Fu Blood vs. Water Accum.*** * Water Accumulation:* Wu Ling San * Blood Accumulation:* Tao He Cheng Qi Tang

Answer 105

**Water & heat retention in UB w/ Yin Injury** Urinary difficulty, fever, thirst w/ desire to drink, diarrhea, cough, nausea, irritability, insomnia T: Red w/ Dry Yellow Coat P: Thin, Rapid ***Note:*** also for _diarrhea_ in _infants_ from _Damp-Heat_ and _Injury to Yin_ ***Vs. Wu Ling San*** * *Both=* Water accumulation in Lower Jiao * *WLS=* Possible external Wind-Cold * T: Pale, P: Slippery or Superficial * *ZLT=* Heat accumulation, Injury to Yin * T: Red, Yellow Coat, P: Thin, Rapid

Answer 106

**SP Qi Deficiency w/ Shi Damp causing _skin edema_** (Pi Shui Syndrome) Generalized edema w/ a sensation of heaviness, distention & fullness in epigastrium & abdomen, labored & heavy breathing, urinary difficulty T: White, Greasy Coat P: Deep, Moderate ***Note:*** Also for generalized _Edema during pregnancy_ ***Water Accumulation FX's*** * **Wu Ling San** * Dysfunction of UB Qi transformation * Ze Xie, Fu Ling, Zhu Ling, Bai Zhu, Gui Zhi * **Zhu Ling Tang** * Heat accumulation causing Yin Xu * Zhu Ling, Fu Ling, Ze Xie, Hua Shi, E Jiao * **Wu Pi San** * SP Qi xu causing Skin Edema * Sang Bai Pi, Sheng Jiang Pi, Fu Ling Pi, Chen Pi, Da Fu Pi * **Zhen Wu Tang** * KD/SP Yang Xu causing edema/pain * Fu Zi, Bai Zhu, Fu Ling, Sheng Jiang, Bai Shao

Answer 107

**LU Damp-Phlegm or Phlegm-Fluid** **(Tan Yin Syndrome)** Cough w/ copious sputum, fullness in chest & hypochondrium, palpitations, SOB, dizziness, vertigo T: Pale & Swollen w/ White, Slippery Coat P: Wiry or Soggy ***Note:*** Focuses on _harmonizing fluids & qi dynamic_. For any conditions marked by _cold_ in the _Lower Jiao_ leading to _thin mucus_ throughout the _Triple Jiao_

Answer 108

**1) KD & SP Yang Xu causing Water Retention** abdominal pain aggravated by cold, urinary difficulty, deep aching & heaviness in extremities, generalized edema, loose stools, dizziness, heavy sensation in head, palpitations, coughing, vomiting T: Pale/Purple Swollen w/ Teeth Marks, White Slippery Coat P: Deep, Thin, Weak **2) Overuse of diaphoresis in Taiyang syndrome causing palpitation & shivering** fever, palpitation in epigastrium, dizziness, shivering & trembling w/ an unsteady appearance ***Comparison*** ***KD Yang FX's*** * **Zhen Wu Tang**: * KD/_SP_ Yang Xu causing _Water Edema & Pain_ * **Si Ni Tang**: * KD Yang Xu w/ _Cold Evil in Shao Yin_ or _Yang Collapse_ * **Si Shen Wan** * KD/_SP_ Yang Xu causing _Daybreak Diarrhea_

Answer 109

**_Yin Edema_ d/t SP/KD Yang Xu** Generalized edema that is _more severe below the waist_, cold extremities, chest & abdominal fullness & distention, loss of appetite, scanty urination, liquidy unformed stools T: Thick, Greasy Coat P: Submerged, Slow, Thin ***Vs. Zhen Wu Tang*** * *Both=* Yin Edema d/t KD/SP Yang Xu * *SPY=* Focuses on SP * *ZWT=* Focuses on KD

Answer 110

**Cloudy Urination d/t KD Yang Xu-Cold** Frequent urination, turbid urine w/ a milky or rice water appearance, & dense or greasy quality T: Pale w/ White coat P: Submerged ***Note:*** _Cloudy Painful Urinary Dysfunction_ aka *GAO LIN*

Answer 111

**Acute Bi Syndrome d/t Wind-Damp in the Channel & Muscle Layer** Heavy, painful head, generalized sensation of heaviness, generalized joint pain, difficulty in moving the spine, chills, mild fever T: White Coat P: Floating ***Note:*** The aim is to produce only a _mild sweat_

Answer 112

**Acute Bi Syndrome d/t Wind-Cold-Damp** _Joint pain_ that increases w/ cold & diminishes w/ warmth, possibly accompanied by sensation of heaviness & numbness in the limbs T: Thick White Coat P: Floating ***Note:*** This is an _important_ formula for treating relatively _Early-Stage Painful Obstruction_

Answer 113

**Chronic Bi Syndrome d/t Wind-Cold-Damp w/ LR & KD Xu & Qi & Blood Xu** Heavy & painful sensation at fixed locations in the _lower back_ and _lower extremities_ accompanied by weakness & stiffness, aversion to cold & attraction to warmth, palpitations, SOB, possible paresthesias or numbness T: Pale w/ White Coat P: Thin, Weak, Slow ***Vs. Xiao Huo Luo Dan*** * *Both=* Wind-Cold-Damp Bi Syndrome * *DHJST=* _Chronic Bi: XU_ (LR/KD & QI/Xue Xu) * *XHLD=* _Acute Bi: SHI_ (WInd-Phlegm + Xue Stasis)

Answer 114

**Recurrent Painful Obstruction w/ Localized Heat** Swollen & painful joints that are warm to the touch & worsen at night, especially in the lower extremities, chills, absence of sweating, weight loss T: White Greasy Coat P: WIry, Slippery ***Note:*** Originally for _Pan-Arthralgia_

Answer 115

**Damp-Phlegm Syndrome in the Middle Jiao or LU** Cough w/ copious sputum that is easy to expectorate, focal distention & stifling sensation in the chest, palpitations, nausea or vomiting T: Swollen, Thick White Greasy Coat P: Slippery ***Note:*** Three approaches used here for treating Phlegm including _transforming phlegm_, _moving qi_, & _strengthening SP_ ***Comparison Phlegm FX (T:Greasy, P: Slippery)*** * **Er Chen Tang** * Damp-Phlegm * T: White coat * Cough, Copious Sputum * **Wen Dan Tang** * Phlegm-heat * T: Yellow coat, P: Wiry, Rapid * Insomnia, Anxiety * **Ban Xia Bai Zhu Tian Ma Tang** * Wind-Phlegm * T: White Coat, P: Wiry * Dizziness, HA

Answer 116

**GB & ST Disharmony w/ Phlegm-Heat** Dizziness, vertigo, nausea or vomiting, insomnia, palpitations, anxiety, indeterminate gnawing hunger, seizures accompanied by copious sputum, focal distetnion of the chest, bitter taste in the mouth, slight thirst T: Greasy Yellow Coat P: Rapid & Slippery or Wiry ***Note:*** Also used for _Phlegm Heat_ manifesting as _HT conditions_ such as _Mania_, _Depression_, _Schizophrenia_, _Insomnia_, _Palpitations_, or _Fright_

Answer 117

**LU Phelgm-Heat causing _Cough_** Sensation of fullness in chest, nausea, bitter taste in mouth, coughing of yellow viscous sputum T: Greasy, Yellow Coat P: Slippery, Rapid

Answer 118

**LU Dry-Phlegm causing _Cough_** Cough w/ deep-seated sputum that is difficult to expectorate, wheezing, dry & sore throat T: Red & Dry w/ Little Coat P: Rapid & Thin, but Strong

Answer 119

**LU Phlegm-Cold w/ Qi Stagnation** Wheezing, focal distention in the chest, loss of appetite, digestive difficulty T: White, Greasy Coat P: Slippery ***Note:*** Commonly used in the _elderly_

Answer 120

**Internal Wind-Phlegm rising upward causing _Dizziness/Vertigo_** Dizziness, vertigo, HA, nausea, vomiting, stifling sensation in the chest, copious sputum T: White Greasy Coat P: Wiry, Slippery ***Note:*** May be used for _Meniere's Disease_ ***Vs. Tian Ma Gou Teng Yin*** * *Both=* Dizziness, HA, Vertigo, P: Wiry * *BXBZTMT=* Wind-Phlegm Rising * T: Greasy White, P: Wiry, Slippery * *TMGTY=* LR Yang Rising * T: Red, Yellow Coat, P: Wiry, Rapid

Answer 121

**External Wind attacking the LU causing Cough** Coughing & itchy throat, w/ or w/o slight chills or fever T: Thin, White Coat P: Moderate, Floating ***Note:*** _Acute Bronchitis_ & _Upper Respiratory Tract Infections_ ***Vs. Sang Ju Yin*** * *Both=* Cough w/ Exterior Condition * *ZSS=* Wind Attacking the LU (itchy throat) * *SJY=* WInd-Heat (fever/chills, red eyes)

Answer 122

**Food Retention in the Middle Jiao** Focal distention & fullness in the chest & epigastrium, abdomnial distention w/ occasional pain, rotten smelling belching, acid regurgitation, nausea & vomiting, aversion to food, possibly diarrhea T: Yellow Greasy Coat P: Slippery

Answer 123

**Toxic-heat from Externally Contracted Heat** Localized erythema, swelling, heat & pain accompanied by chills T: Red w/ Yellow Coat P: Rapid ***Note:*** Esp. for _deep-rooted_ & _hard lesions_; Focuses on relieving toxicity

Answer 124

**Yin-Type localized Swelling d/t Blood & Yang Deficiency** Localized painful swelling that blends into surrounding tissue w/ no head, no heat, & no chagne in texture or color T: Very Pale P: Submerged, Thin, Forceless ***Note:*** Also for _internal_ problems from _Blood Deficiency_ _w/_ _Cold causing stagnation_

Answer 125

**Lung Abscesses from Toxic-Heat obstructing the LU** Cough w/ foul-smelling sputum which may be streaked w/ blood, slight fever, mild chest pain, dry & scaly skin T: Red w/ Greasy Coat P: Slippery, Rapid ***Note:*** Also for _eye disorders_ d/t _Upward Blazing of Toxic Heat_

Answer 126

Du QI Wan Gan Cao Xie Xin Tang QI Ju Di Huang Wan Shao Fu Zhu Yu Tang Shen Tong Zhu Yu Tang You Gui Yin Yu Ping Feng San Zuo Gui Yin