Bi Syndrome (Bi Zheng) Tx & Fx

Question 0

Bi Syndrome- Blood Stasis

Answer 0

Tx: invigorate blood, move qi, break up blood stasis and unblock channels
Fx: SHEN TONG ZHU YU TANG

Question 1

Bi Syndrome- Heat Dominant Bi

Answer 1

Tx: Clear heat, resolve toxin, remove obstruction from channels, expel wind, eliminate dampness, reduce pain
Fx: XUAN BI TANG or BAI HU JIA GUI ZHI TANG

Question 2

Bi Syndrome- Phlegm Obstruction

Answer 2

Tx: Transform and disperse phlegm, promote movement of qi, unblock the channels and network vessels
Fx: BAN XIA BAI ZHU TIAN MA TANG + YANG HE TANG

Question 3

Bi Syndrome: Bi w/ Depletion of Qi and Blood, LV/KD Xu

Answer 3

Tx: Supplement qi and blood, tonify LV/KD, expel W-C-D
Fx: DU HUO JI SHENG TANG

Question 4

Bi Syndrome- Wind Dominant Bi

Answer 4

Tx: Expel wind, remove obstructions from channels, scatter cold, resolve dampness
*expel wind is primary
Fx: XUAN BI DA JIN TANG

Question 5

Common warming ingredients for Bi Syndrome (know 6)

Answer 5

Qiang Huo, Du Huo, Fang Feng, Jiang Huang, Wei Ling Xian, Gui Zhi, Du Chang Qing, Lu Xiao Cao, Shen Jin Cao, Hai Feng Teng, Qing Feng Teng, Wu Jia Pi, Chan (Can) Sha, Song Jie, Lao He Cao, Lu lu Tong, Wu Shao She, Chuan Wu

Question 6

Common cooling ingredients for Bi Syndrome (Know 6):

Answer 6

Sang Zhi, Qin Jiao, Ge Gen, Han Fang Ji, Xi Xian Cao, Hai Tong Pi, Luo Shi Teng, Ren Dong Teng, Si Gua Lou, Chuan Shan Long

Question 7

Common ingredients for Bi Syndrome to Strengthen sinews and bones (Know 4)

Answer 7

Du Zhong, Xu Duan, Sang Ji Sheng, Gou Ji, Huai Niu Xi, Yin Yang Huo, Qian Nian Jian, Wu Jia Pi

Question 8

Bi Syndrome- Cold Dominant

Answer 8

Tx: WARM CHANNELS, SCATTER COLD, dispel wind, resolve dampness
Fx: FU ZI TANG

Question 9

Bi Syndrome- Dampness Dominant Bi

Answer 9

Tx: ELIMINATE DAMPNESS, unblock channels, dispel wind, scatter cold
Fx: YI YI REN TANG

Question 10

If it is not clear which EPF is stronger what formula would you use?

Answer 10

Fx: JUAN BI TANG

Question 11

Pathology of Bi Syndrome

Answer 11

P: wind, cold and dampness, or heat pathogens invade and lodge in the the muscles, joints, tendons, bones and obstruct the flow of qi and blood in channels and collaterals

Question 12

Etiology of Bi Syndrome

Answer 12

1. pre-existing or temporary deficiency of body’s qi and blood, weak constitution, and deficient wei qi
2. exposure to adverse or unreasonable weather (weather is stronger than YOU)
3. Prolonged living in damp environment, wading in water, exposure to wind after sweating
4. excessive physical activities or exercise, repetitive strin, overuse, poor posture, trauma

Question 13

General Principles of Tx: SPECIAL TXs for Wind, Cold, Damp and Heat dominant

Answer 13

Wind Bi- nourish blood to eliminate win
Cold Bi- warm and tonify the yang qi
Damp Bi- strengthen SP qi and unblock channels
Heat Bi- Tonify Yin, generate water

Question 14

Classifications of Patterns for Bi Syndrome:

Answer 14

1. W-C-D Bi
2. W-D-H Bi
3. Blood Stasis a/o Phlegm Bi
4. Qi, Blood, LV/KD Deficiency Bi

Question 15

Definition of Bi Syndrome

Answer 15

Musculoskeletal system disorder. MAIN SYMPTOM is PAIN in the muscles, tendons, bones and joints. may be ache, soreness, numbness, heaviness, cold sensation, redness, heat sensation, swelling or difficulty of movement in the effected areas. In some cases deformity at the joints