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deanne's - CMMF2 (chinese materia medica & formula 2) > case studies - jing's GOLD! (Fx choice) > Flashcards

case studies - jing's GOLD! (Fx choice) Flashcards

1
Q

cold extremities *d. 2
due

  1. SP yang def
    px = slow, weak, deep (*not taught)
  2. LR overact SP
    px = taught
A
  1. SP yang def
    - *Li zhong /wan __[int warm]
    (Regulate the Middle Pill)
  2. LR overact SP
    - `Si ni /san __[harmon.- LR+SP]
    (fridgid extremities powder)
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2
Q

scanty painful urine *d. 2

due

  1. HT Heat effecting SI
  2. DH in LJ
HT ss
- irrit
- mouth/ton ulcers
- insom
tx= yel only (*not greasy)

DH ss
- LR dis
px= slippery
tx= greasy

A
  1. HT Heat effecting SI
    = *Dao chi /san __[cl-Heat]
    (Powder for Promoting Diuresis)
  2. DH in LJ
    = *Long Dan xie gan /tang __[cl-Heat]
    (Decoction of Gentianae for Purging Liver Fire)
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3
Q

nausea/vom

due
LR Heat -> rebel. ST qi
> ST qi fails to desc.

A

*zuo jin /wan __[cl-Heat - in Zang Fu]

Left Metal Pill

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4
Q

painful diarrhoea (dysentery)

due
LR H -> SP

pathogenesis
LR H -> sp tt impaired -> c. diarrhoea

A

`tong xie yao feng__ [harmon.-LR+SP]

Powder for Painful Diarrhoea

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5
Q

spont. sweat

due
wei qi def

A

*yu ping feng /san __[astringent]

jade windscreen powder

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6
Q

night sweat

due
yin def w def Heat
px = thready, rapid

A

*Liu wei di huang /wan_[ton- yin]
(Six Ingredient Pill with Rehmannia OR Rehmannia Six Pill)

***“clinically” we don’t use for night sweats
instead

Zhi bai di huang /wan__ton categ - yin??
=> strongest for night sweats!
TPx = ton yin to clear def

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7
Q

excessive yel thick vag. dis.

smelly
itchy
tx = red bod, greasy thick coat
px = slippery, rapid

A

*long dan xie gan /tang__[cl-Heat]
(Decoction of Gentianae for Purging Liver Fire)

for=> LR fire and ***DH -LJ

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8
Q

HA (distending)

red eyes/face
short temper
bitter taste
tx= red bod, yel coat
px= string taut, rapid
***
sim to tx and px of excv yel thick smelly vag dis
but
greasy coat 
slippery
A

HA due
LR yang upsurge

Tian Ma gou teng __[extin. Wind - endo.]
(Gastrodia & Uncaria Decoction)

pathgen
age 55+&raquo_space;> ki yin def > lr yin def

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9
Q

warm EPFs

alt. chills/fever
bitter taste
severe constipation

due
shao yang synd.
and
yang ming synd.

tai yang synd. (stage 1)
- The Tai Yang syndrome corresponds to the initial invasion of the external Cold Evil through the pores and interstices of the skin.

Shao Yang (stage 2) 
- The Tai Yang stage involves Evil pathogens (Cold, Wind) on the exterior of the body which need to be released or "sweated out." The Yang Ming stage involves pathogenic Heat in the Interior which need to be purged through the bowels. In between these two stages is the Shao Yang syndrome where the pathogen is between Internal and External.
Yang Ming (stage 3) diseases exhibit 
- As the pathogenic factor invades the interior of the body in the Yang Ming stage, both the Zheng (Upright) Qi and the Evil (Xie) Qi are strong, turning the excess pathogen in to heat within the body. Yang Ming fevers are therefore more severe than fevers in the Tai Yang stage. In the Yang Ming Syndrome, there are no chills. 
(2 stages of yang ming)
A

`Da chai hu /tang_ [treat ext/int sim.]

Major Bupleurum Decoction

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10
Q

insomnia *d. 2

  1. pale face/nails
    = insom due - bld def

pathogenesis
diet/worry&raquo_space;> sp tt imp. ->bld def -> HT bld def => insom.

2. 
night sweat
dry mouth
palp
5 palm heat
tx =  no coat
px = thready, rapid

= insom. due - KI yin def w heat and HT yin def (insom)

pathogenesis
age 50+&raquo_space;> KI yin def -> HT yin def => insom.
and
KI yin def -> def heat

A
  1. insom. (due- bld def) warm Fx

= *Gui pi /tang (w) __[ton- repl. bld]
(Restore the Spleen Decoction)

  1. insom. (due - ki yin def w heat + HT yin def) cold Fx

= *tian wang bu xin dan (c)__ [shen calm]
(Emperor of Heaven’s Special Pill to Tonify the Heart)

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11
Q

SP qi def + DH

diarr
sp qi def
DH

A

*sheng ling bai zhu /san__[ton- qi]

Ginseng, Poria & Atractylodes Macrocephala Powder

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12
Q

DH type diarrhoea

most imp to least imp Fx *3

A
  1. *huang lian jie du /tang__[cl-Heat]
    (Decoction of Coptidis for Detoxification)
  2. *ge gen huang qin lian /tang__[treat ext/int sim.]
    (Kudzu, Coptis & Scutellaria Decoction)
  3. `bai tou weng /tang __[cl-Heat]
    (Decoction of Pulsatillae) *(wh hair old man)
    => more dysentry w pus
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13
Q

Day break Diarrhoea *d. 2

KI yang def
Sp yang def

A

*Si shen /wan__[astringent]
(Four Miracle Pill)

*** only treats SYMPTOMS.
have to add herbs to treat CAUSE
1. ki yang def
2. sp yang def

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14
Q

irreg Pulse

A

`zhi gang cao /tang__[ton - repl bld]

Honey Fried Licorice Decoction

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15
Q

alt chills/fever

due
shao yang synd

explainatin
catch cold day 3/4

***vs
tai yang synd - Fx
1. yin qiao [w,s]
2. sang zhu [w]

A

*xiao chai hu /tang__[harmon.- shao yang]

Decoction of Bupleurum for Regulating Shaoyang

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16
Q

tai yang synd - Fx *2

stage 1 cold/flu

WC or WH enter through
-pores
-interstices
skin

*not on exam
just general knowledge

A
  1. yin qiao /san __[rel ext - WH]
    (Honeysuckle & Forsythia Powder)
  2. sang zhu yin /wan__ [rel ext - WH]
    (Mulberry Leaf & Chrysanthemum Decoction)
17
Q

Def Heat herbs * 6

A
  1. di gu pi
  2. huang bai
  3. qin jiao
  4. sheng di huang /c (*vs shu di = make yin def heat WORSE!)
  5. zhi mu
  6. mu dan pi
18
Q

DDx

for which type
- Dang gui
to use

head =
tail =
both =

A
19
Q

DDx

for which type
- shao yao
to use

bai shao =
chi shao =

A

bai shao = bld def

chi shao = bld STAG

20
Q

sour taste function *2

A
  1. astrigent
    and
  2. gen. bod. fluids!!
21
Q

SP qi def

Fx

A

*si jun zi /tang __[ton - qi]

Four Gentleman Decoction

22
Q

SP yang def

Fx

A

*li zhong /wan__[int warm]

Regulate the Middle Pill

23
Q

HA (distending)

red eyes/face
short temper
bitter taste
tx= red bod, yel coat
px= forceful, rapid
***
sim to tx and px of excv yel thick smelly vag dis
but
greasy coat 
slippery
A

HA caused by
LR heat/fire

long dan xie gan /tang__ [cl. Heat]
(Decoction of Gentianae for Purging Liver Fire)
for=> **LR fire and/or DH -LJ

pathgenesis
1. dep > lr qi stag > lr heat

*
if HA c. by LR heat directly
delete 3 diaretic herbs (for => DH)

deanne's - CMMF2 (chinese materia medica & formula 2) (25 decks)

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