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Formulas & Strategies > Ch 5: (4) Formulas that Clear Heat > Flashcards

Ch 5: (4) Formulas that Clear Heat Flashcards

1
Q

Key Symptoms of Xie Bai San?

A
  • Cough
  • Rapid breathing
  • Feverish
  • Red tongue with yellow coating
  • Rapid, thin pulse
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2
Q

Ingredients of Xie Bai San?

A
  • Sang Bai Pi - Mulberry root bark (30g)
  • Di Gu Pi - Cortex of Wolfberry Root, Lycium bark (30g)
  • Jing Mi - Nonglutinous rice (3g)
  • Gan Cao - Licorice (3g)
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3
Q

What is the function of Xie Bai San?

A
  • Clear heat in lungs
  • Stop cough and soothe asthma
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4
Q

Xie Bai San Indications?

A

Cough due to heat consuming yin in the lung

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5
Q

What is the order of pathogenesis for Xie Bai San syndrome?

A

Improper eating or constitution –>

Hidden heat in the lung –>

  1. consumes yin:
  2. Lung failing to descend –>

Upper perversion of lung qi

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6
Q

Hidden heat in lung consumes yin. What are the symptoms of this?

A
  • Hot sensation of skin
  • Afternoon fever
  • Thready and rapid pulse
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7
Q

Upper perversion of lung heat will cause what symptoms?

A

Cough or asthma

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8
Q

Action of Sang Bai Pi?

A

King herb

  • Reduce heat in lungs to stop cough and asthma
    *
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9
Q

Action of Di Gu Pi (Wolfberry root cortex)?

A

Deputy herb

  • Clear heat
  • Nourish yin
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10
Q

Actions of Jing Mi and Gan Cao?

A

Assistant/Messenger herbs

  • Promote qi to strengthen stomach
  • Harmonize decoction
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11
Q

Characteristics of Xie Bai San:

Use herbs that _____ with herbs that clear heat.

Use herbs that _____ with herbs that ______.

A

moisten; tonify; sedate

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12
Q

Xie Bai San clears hidden fire in the lung and resolves stagnated heat. What kind of person/constitution is it most suitable for?

A

Most suitable for children’s immature yin and immature yang. Constitution that gets easily cold or hot, easy to have excess or deficiency.

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13
Q

Characteristics of Xie Bai San:

This formula _______ _____ without _______ ___, sedates fire without _______ ______, nourish yin without keeping pathogens inside.

A

descends water;

damaging yin;

damaging stomach

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14
Q

Key symptoms for Ge Gen Qin Lian Tang?

A
  • Fever
  • Diarrhea
  • Yellow tongue coating
  • Rapid pulse
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15
Q

Ingredients of Ge Gen Qin Lian Tang?

A
  • Ge Gen - Kudzu root (15g)
  • Huang Qin - Scutellaria (9g)
  • Huang Lian - Coptis rhizome (9g)
  • Gan Cao (6g)
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16
Q

Functions of GGQLT?

A
  • Release the exterior
  • Clear heat from intestines
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17
Q

Indications of GGQLT?

A

Diarrhea or dysentery caused by dampness and heat (with or without exterior syndrome)

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18
Q

ZZJ designed GGQLT in response to what TCM doctor mistake?

A

Doctor sees a patient with Gui Zhi Tang syndrome but instead of using GZT they mistakenly purge. This causes inward invasion of exterior pathogens to the large intestine.

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19
Q

What causes the fever in GGQLT syndrome?

A

Remaining exterior pathogens from GZT syndrome that were not dispelled.

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20
Q

Inward invasion of exterior pathogens to the large intestine causes four types of heat disturbance. What are they?

A
  1. Heat in large intestine
  2. Heat disturbs the mind
  3. Heat consumes body fluid
  4. Intestinal heat impairing the lung
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21
Q

What symptoms are caused by heat in the large intestine?

A
  • Diarrhea or dysentery
  • Burning sensation of anus
  • Strong smelling stool
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22
Q

What symptoms are caused by heat disturbing the mind?

A
  • Irritability
  • Heat sensation in chest
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23
Q

Heat consumes body fluid causes what symptom?

24
Q

Intestinal heat impairs lung causes what symptom?

25
Q

Tongue and pulse in GGQLT syndrome?

A

Red tongue with yellow coating, rapid pulse.

or

Yellow and greasy coating, slippery and rapid pulse if there is a lot of damp

26
Q

Actions of Ge Gen?

A

King herb

  • Clear heat and release exterior
  • Ascend yang and stop diarrhea/dysentery
27
Q

Actions of Huang Qin, Huang Lian?

A
  • Clear heat
  • Dry dampness
  • Relieve toxins
  • Stop diarrhea/dysentery
28
Q

What are the characteristics of GGQLT combination?

A

Dispel exterior, clear interior.

Treat both exterior and interior at the same time, but mainly clears interior.

29
Q

Western conditions of GGQLT?

A
  • Acute enteritis
  • Acute dysentery

However in reality in the clinic we rarely use it to treat dysentery.

30
Q

If there is severe abdominal pain what herb would you add?

31
Q

If there is vomiting what herb would you add?

32
Q

If there is tenesmus what herbs would you add?

A

Mu Xiang - Aucklandia (Regulate Qi)

Bing Lang - Betel nut (Expel Parasites)

33
Q

Key symptoms for Bai Tou Weng Tang?

A
  • Abdominal pain
  • Diarrhea with mucous and blood in stool
  • Fever
  • Tenesmus
  • Red tongue with yellow coating
  • Rapid pulse
34
Q

Ingredients of Bai Tou Weng Tang?

A
  • Bai Tou Weng - Pulsatilla, Chinese Anemone root (15g)
  • Huang Lian - Coptis root (4-6g)
  • Huang Bai - Phellodendron (12g)
  • Qin Pi - Fraxinus bark (12g) Clear heat, dry dampness
35
Q

Indications of Bai Tou Weng Tang? Applicable to what Western diseases?

A

Acute dysentery due to toxic heat

Treats acute bacillary dysentery and amebic dysentery

36
Q

Functions of Bai Tou Weng Tang?

A
  • Clear heat and release toxins
  • Cool blood and relieve dysentery
37
Q

Pathogenesis for abdominal pain?

A

Retardation of circulation of qi and blood

38
Q

Pathogenesis of tenesmus?

A

Qi stagnation and downward attack by pathogenic heat in the intestines

39
Q

Pathogenesis of burning sensation around the anus?

A

Sign of downward attack by the pathogen

40
Q

Pathogenesis of bloody stool with pulse?

A

Excessive heat toxin in blood that drives blood out of vessels

41
Q

Pathogenesis of thirst?

A

Body fluids consumed by heat

42
Q

Pathogenesis of fever?

A

Excessive heat in the interior

43
Q

Actions of Bai Tou Weng?

A

King herb

  • Clear heat and cool blood
  • Relieve toxins and dysentery
44
Q

Actions of Huang Bai and Huang Lian?

A

Deputy herbs

  • Clear heat
  • Dry dampness
  • Release toxins and relieve dysentery
45
Q

Actions of Qin Pi?

A

Assistant herb

  • Astringent to reduce tenesmus
46
Q

Actions of Bai Tou Weng?

A

Clear heat and toxin, cool blood, stop dysentery

47
Q

Key symptoms of Qing Shu Yi Qi Tang

A
  • Fatigue
  • Shortness of breath
  • Sweating
  • Thirst
  • Deficiency of pulse
48
Q

Ingredients of Qing Shu Yi Qi Tang?

A

●Xi Yang Shen - American Ginseng (Tonify Yin)

●Xi Gua Pi - watermelon peel (Clear heat, drain fire)

●Huang Lian - Coptis (Clear heat, dry dampness)

●Zhi Mu - Anemarrhena (Clear heat, drain fire)

●He Geng/Lian geng - Lotus stem (Clear heat, relieve toxicity)

●Zhu Ye - Lopatherum Bamboo leaves (Clear heat, drain fire)

●Mai Men Dong - Ophiopogon (Tonify yin)

●Shi Hu - Dendrobium (Tonify yin)

●Jing Mi - Nonglutinous rice (Tonify qi)

●Gan Cao

49
Q

Indications of Qing Shu Yi Qi Tang?

A
  • Deficiency of both qi and yin due to attack by summer heat
50
Q

Functions of QSYQT?

A
  • Clear summer heat and promote qi
  • Replenish yin
  • Promote production of body fluids
51
Q

Summer heat creates which symptoms?

A
  • Fever
  • Irritability
  • Profuse sweating
52
Q

Summer heat damages qi and produces what symptoms?

A
  • Lassitude
  • Shortness of breath
53
Q

Summer heat damages body fluid to produce what symptoms?

54
Q

Actions of Xi Yang Shen?

A

King herb

  • Tonify Qi
  • Generate fluid
55
Q

Actions of Xi Gua Pi?

A

King herb

  • Clear summer heat
56
Q

Mai Dong, Shi Hu actions?

A

Deputies

  • Aid King herb to replenish yin, promote production of BF

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