Ch 7: Formulas that Tonify Qi Flashcards
What are the key symptoms for Si Jun Zi Tang?
- pale complexion
- poor appetite
- shortness of breath
- weak pulse
What are the ingredients of Si Jun Zi Tang?
Ren Shen/Dang Shen (9g)
Bai Zhu (9g)
Fu Ling (9g)
Zhi Gan Cao (6g)
What are the indications for Si Jun Zi Tang?
Deficiency of qi in the spleen and stomach, weak in ability to transform and transport
Functions of Si Jun Zi Tang?
Tonify Qi and strengthen spleen
What are the manifestations caused by general qi or lung qi deficiency?
- Pale face
- Weak voice
- Shortness of breath
- Pale tongue
- Thin white coating
- Weak, forceless pulse
What symptoms are caused by spleen qi deficiency and stomach disorder from Spleen failing to transform and transport?
- Weakness of extremeties
- Poor appetite
- Borborygmus
- Loose stool/diarrhea
- Nausea
- Vomiting
What are the actions of Ren Shen/Dang Shen?
King herb
- Tonify primary qi
- Tonify qi of SP/ST
- Promote production of qi
Bai Zhu actions?
Deputy
- Strengthen Ren Shen function to tonify spleen
- Eliminate dampness
- Stop diarrhea
Fu Ling actions?
Assistant
- Tonify spleen
- Eliminate dampness
- Stop diarrhea
Gan Cao actions?
Messenger
- Tonify middle jiao
- Harmonize stomach
- Harmonize decoction
Mainly use herbs that tonify qi combined with herbs that tonify ______
and eliminate ________.
spleen; dampness
Characteristics of Si Jun Zi Tang combo?
- Tonify and move at the same time
- Warm without drying to help spleen remove dampness
Western indications for Si Jun Zi Tang?
- Chronic gastritis
- Gastric and duodenal ulcers
- Stomachache
- Intestinal disorders and IBS
What is the modification of SJZT for SP/ST qi deficiency with stagnation?
Add Chen Pi to create Yi Gong San
What is the modification of SJZT for SP/ST Qi deficiency with phlegm damp?
Chen Pi and Ban Xia to creat Liu Jun Zi Tang
What is the modification of Liu Jun Zi Tang for SP/ST Qi Deficiency with phlegm and qi stagnation?
LJZT plus Mu Xiang and Sha Ren
What are the key symptoms for Bu Zhong Yi Qi Tang?
- Lassitude
- Shortness of breath
- Pale tongue
- Weak pulse
- Prolapse???
What are the ingredients of Bu Zhong Yi Qi Tang?
- Huang Qi (15-20g)
- Ren Shen (10g)
- Bai Zhu (9g)
- Gan Cao (5g)
- Chen Pi (6g)
- Dang Gui (5g)
- Sheng Ma (3g)
- Chai Hu (3g)
What are the indications of Bu Zhong Yi Qi Tang?
- Spleen and stomach qi deficiency
- Prolapse of internal organs due to sinking yang qi
- Fever due to qi deficiency
What are the functions of Bu Zhong Yi Qi Tang?
- Reinfroce the middle jiao
- Tonify qi
- Lift prolapse of internal organs
What symptoms are from general qi deficiency in BZYQT?
- Pale complexion
- Lassitude/fatigue
- Weak voice
- Spontaneous sweating
What symptoms are caused by spleen qi deficiency (impairment of T &T)?
- Poor appetite
- Loose stool
What is the pathogenesis of fever in BZYQT syndrome?
Yang qi sinking into the yin portion due to deficiency of spleen
What symptoms are caused by yang qi deficiency?
- Pale tongue
- Thin, white coating
- Weak and deficient pulse
If there is also sinking of yang qi (failing of SP/ST qi to keep organs in place) what symptoms will we see?
- Prolapse of an organ eg. rectum, uterus, stomach
- Prolonged diarrhea
- Chronic dysentery
- Same tongue and pulse: Pale tongue, thin white coating, weak and deficient pulse
Actions of Huang Qi?
King Herb
- Tonify qi
- Ascend yang
- Lift organs
Ren Shen, Bai Zhu, Gan Cao actions?
Deputies
- Strengthen spleen
- Tonify qi of spleen and stomach
Chen Pi (Ju Pi) actions?
Assistant
- Promotes qi
- Strengthens spleen and stomach
- Promotes dispersing of liver qi
Dang Gui action?
Assistant
- Nourish the blood
Sheng Ma and Chai Hu action?
Messenger
- Ascend yang qi
Characteristics of BZYQT combination:
- Combine tonify qi herbs with herbs that….
- Combine tonify qi herbs with moving qi herbs to…
- … ascend to tonify and ascend yang simultaneously
- … to prevent stagnation due to tonifying herbs
Western disease applicable to BZYQT?
- Anemia
- Chronic gastritis
- Chronic hepatitis
- Chronic enteritis
- Common cold with weak constitution
- Prolapse of viscera
Caution/Contraindications for BZYQT?
- C/I to yin deficiency with empty heat
- Fever due to excessive heat
- Yang decline syndrome?
Modification of BZYQT for abdominal pain?
Add Bai Shao (White Peony) - Tonify Blood
Calms and curbs Liver Yang, stops pain
Modification of BZYQT if there is headache?
Man Jing Zi (Chaste berry, Vitex) - Cool, Acrid Surface Releasing
Clears and benefits eyes and head
Chuan Xiong (Szechuan Lovage) - Regulate, Invigorate Blood
Movement of qi and dispel wind to stop pain
BZYQT modification for qi stagnation?
Mu Xiang (Aucklandia, Costus root) Regulate qi
Zhi Shi (unripe Bitter Orange) Regulate qi
BZYQT modification for deficiency patient with external pathogen invasion?
Zi Su Ye - (Perilla leaf)
Warm, Acrid Surface Releasing
BZYQT mod for prolapse?
Zhi Qiao (Zhi Ke) - Bitter Orange
Regulate Qi
What is unique about Sheng Mai San administration?
It is widely used in the ER for patients who have had shock and lost a lot of blood, low BP, fast heartrate. This is injected or put into an IV.
What does Sheng Mai mean?
Sheng - generate
Mai - pulse or life
What are the key symptoms for Sheng Mai San?
- Dry throat
- Fatigue
- SOB
- Red tongue
- Weak pulse
Note: These are qi and yin deficient signs, yet this formula is contraindicated for night sweating.
What western conditions is Sheng Mai San applicable to?
- Arrhythmia
- Cardiac failure
- Coma
- Neurasthenia
What are the ingredients of Sheng Mai San?
- Ren Shen - Ginseng
- Mai Men Dong - Ophiopogon
- Wu Wei Zi - Schisandra
What are the indications for Sheng Mai San?
- Deficiency of qi and yin manifested by profuse sweating, prolonged cough
Functions of Sheng Mai San?
- Tonify qi and generate body fluid
- Astringe yin and stop sweating
Pathogenesis of SOB, fatigue and low voice?
Qi deficiency of SP and LU
Pathogenesis of profuse sweating?
Qi deficiency failing to control pores in closing and opening
Pathogenesis for dry throat, dry cough without sputum, thirst?
Lack of body fluid
Lung yin deficiency
Pathogenesis of red tongue with scanty, dry coat and deficient pulse?
Deficiency of qi and yin
Actions of Ren Shen?
King herb
- Tonify qi
- Generate body fluid
Actions of Mai Men Dong?
Deputy
- Replenish yin
- Moisten dryness
- Clear heat
Actions of Wu Wei Zi (Schisandra fruit)?
Assistant
- Astringe and stop sweating
- Stop cough
Characteristics of Sheng Mai San combo: Combine herbs that tonify, moisten and astringe in order to…
… tonify qi, nourish yin, generate fluid and stop sweat.
What are cautions/contraindications for Sheng Mai San?
- Patient with external pathogen
- Patient with excessive heat without qi and yin damage
Why is Sheng Mai San not useful for night sweating? What formula is appropriate?
Empty heat is not a major symptom for Sheng Mai San syndrome. Choose Dang Gui Liu Huang Tang instead.
Modification of Sheng Mai San for pronounced yin deficiency?
Add:
Xuan Shen - Scrophularia, Ningpo Figwort Root
Sheng Di Huang - Rehmannia root
Clear Heat, Cool Blood category
Sheng Mai San mod for prolonged cough?
Add
Bai Bu - Stemona Root
Transform Phlegm, Cough/Wheezing
