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Formulas & Strategies > Ch 7: Formulas that Tonify Qi > Flashcards

Ch 7: Formulas that Tonify Qi Flashcards

1
Q

What are the key symptoms for Si Jun Zi Tang?

A
  • pale complexion
  • poor appetite
  • shortness of breath
  • weak pulse
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2
Q

What are the ingredients of Si Jun Zi Tang?

A

Ren Shen/Dang Shen (9g)

Bai Zhu (9g)

Fu Ling (9g)

Zhi Gan Cao (6g)

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3
Q

What are the indications for Si Jun Zi Tang?

A

Deficiency of qi in the spleen and stomach, weak in ability to transform and transport

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4
Q

Functions of Si Jun Zi Tang?

A

Tonify Qi and strengthen spleen

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5
Q

What are the manifestations caused by general qi or lung qi deficiency?

A
  • Pale face
  • Weak voice
  • Shortness of breath
  • Pale tongue
  • Thin white coating
  • Weak, forceless pulse
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6
Q

What symptoms are caused by spleen qi deficiency and stomach disorder from Spleen failing to transform and transport?

A
  • Weakness of extremeties
  • Poor appetite
  • Borborygmus
  • Loose stool/diarrhea
  • Nausea
  • Vomiting
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7
Q

What are the actions of Ren Shen/Dang Shen?

A

King herb

  • Tonify primary qi
  • Tonify qi of SP/ST
  • Promote production of qi
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8
Q

Bai Zhu actions?

A

Deputy

  • Strengthen Ren Shen function to tonify spleen
  • Eliminate dampness
  • Stop diarrhea
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9
Q

Fu Ling actions?

A

Assistant

  • Tonify spleen
  • Eliminate dampness
  • Stop diarrhea
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10
Q

Gan Cao actions?

A

Messenger

  • Tonify middle jiao
  • Harmonize stomach
  • Harmonize decoction
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11
Q

Mainly use herbs that tonify qi combined with herbs that tonify ______

and eliminate ________.

A

spleen; dampness

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12
Q

Characteristics of Si Jun Zi Tang combo?

A
  • Tonify and move at the same time
  • Warm without drying to help spleen remove dampness
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13
Q

Western indications for Si Jun Zi Tang?

A
  • Chronic gastritis
  • Gastric and duodenal ulcers
  • Stomachache
  • Intestinal disorders and IBS
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14
Q

What is the modification of SJZT for SP/ST qi deficiency with stagnation?

A

Add Chen Pi to create Yi Gong San

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15
Q

What is the modification of SJZT for SP/ST Qi deficiency with phlegm damp?

A

Chen Pi and Ban Xia to creat Liu Jun Zi Tang

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16
Q

What is the modification of Liu Jun Zi Tang for SP/ST Qi Deficiency with phlegm and qi stagnation?

A

LJZT plus Mu Xiang and Sha Ren

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17
Q

What are the key symptoms for Bu Zhong Yi Qi Tang?

A
  • Lassitude
  • Shortness of breath
  • Pale tongue
  • Weak pulse
  • Prolapse???
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18
Q

What are the ingredients of Bu Zhong Yi Qi Tang?

A
  • 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)
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19
Q

What are the indications of Bu Zhong Yi Qi Tang?

A
  • Spleen and stomach qi deficiency
  • Prolapse of internal organs due to sinking yang qi
  • Fever due to qi deficiency
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20
Q

What are the functions of Bu Zhong Yi Qi Tang?

A
  • Reinfroce the middle jiao
  • Tonify qi
  • Lift prolapse of internal organs
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21
Q

What symptoms are from general qi deficiency in BZYQT?

A
  • Pale complexion
  • Lassitude/fatigue
  • Weak voice
  • Spontaneous sweating
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22
Q

What symptoms are caused by spleen qi deficiency (impairment of T &T)?

A
  • Poor appetite
  • Loose stool
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23
Q

What is the pathogenesis of fever in BZYQT syndrome?

A

Yang qi sinking into the yin portion due to deficiency of spleen

24
Q

What symptoms are caused by yang qi deficiency?

A
  • Pale tongue
  • Thin, white coating
  • Weak and deficient pulse
25
Q

If there is also sinking of yang qi (failing of SP/ST qi to keep organs in place) what symptoms will we see?

A
  • 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
26
Q

Actions of Huang Qi?

A

King Herb

  • Tonify qi
  • Ascend yang
  • Lift organs
27
Q

Ren Shen, Bai Zhu, Gan Cao actions?

A

Deputies

  • Strengthen spleen
  • Tonify qi of spleen and stomach
28
Q

Chen Pi (Ju Pi) actions?

A

Assistant

  • Promotes qi
  • Strengthens spleen and stomach
  • Promotes dispersing of liver qi
29
Q

Dang Gui action?

A

Assistant

  • Nourish the blood
30
Q

Sheng Ma and Chai Hu action?

A

Messenger

  • Ascend yang qi
31
Q

Characteristics of BZYQT combination:

  1. Combine tonify qi herbs with herbs that….
  2. Combine tonify qi herbs with moving qi herbs to…
A
  1. … ascend to tonify and ascend yang simultaneously
  2. … to prevent stagnation due to tonifying herbs
32
Q

Western disease applicable to BZYQT?

A
  • Anemia
  • Chronic gastritis
  • Chronic hepatitis
  • Chronic enteritis
  • Common cold with weak constitution
  • Prolapse of viscera
33
Q

Caution/Contraindications for BZYQT?

A
  • C/I to yin deficiency with empty heat
  • Fever due to excessive heat
  • Yang decline syndrome?
34
Q

Modification of BZYQT for abdominal pain?

A

Add Bai Shao (White Peony) - Tonify Blood

Calms and curbs Liver Yang, stops pain

35
Q

Modification of BZYQT if there is headache?

A

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

36
Q

BZYQT modification for qi stagnation?

A

Mu Xiang (Aucklandia, Costus root) Regulate qi

Zhi Shi (unripe Bitter Orange) Regulate qi

37
Q

BZYQT modification for deficiency patient with external pathogen invasion?

A

Zi Su Ye - (Perilla leaf)

Warm, Acrid Surface Releasing

38
Q

BZYQT mod for prolapse?

A

Zhi Qiao (Zhi Ke) - Bitter Orange

Regulate Qi

39
Q

What is unique about Sheng Mai San administration?

A

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.

40
Q

What does Sheng Mai mean?

A

Sheng - generate

Mai - pulse or life

41
Q

What are the key symptoms for Sheng Mai San?

A
  • Dry throat
  • Fatigue
  • SOB
  • Red tongue
  • Weak pulse

Note: These are qi and yin deficient signs, yet this formula is contraindicated for night sweating.

42
Q

What western conditions is Sheng Mai San applicable to?

A
  • Arrhythmia
  • Cardiac failure
  • Coma
  • Neurasthenia
43
Q

What are the ingredients of Sheng Mai San?

A
  1. Ren Shen - Ginseng
  2. Mai Men Dong - Ophiopogon
  3. Wu Wei Zi - Schisandra
44
Q

What are the indications for Sheng Mai San?

A
  • Deficiency of qi and yin manifested by profuse sweating, prolonged cough
45
Q

Functions of Sheng Mai San?

A
  • Tonify qi and generate body fluid
  • Astringe yin and stop sweating
46
Q

Pathogenesis of SOB, fatigue and low voice?

A

Qi deficiency of SP and LU

47
Q

Pathogenesis of profuse sweating?

A

Qi deficiency failing to control pores in closing and opening

48
Q

Pathogenesis for dry throat, dry cough without sputum, thirst?

A

Lack of body fluid

Lung yin deficiency

49
Q

Pathogenesis of red tongue with scanty, dry coat and deficient pulse?

A

Deficiency of qi and yin

50
Q

Actions of Ren Shen?

A

King herb

  • Tonify qi
  • Generate body fluid
51
Q

Actions of Mai Men Dong?

A

Deputy

  • Replenish yin
  • Moisten dryness
  • Clear heat
52
Q

Actions of Wu Wei Zi (Schisandra fruit)?

A

Assistant

  • Astringe and stop sweating
  • Stop cough
53
Q

Characteristics of Sheng Mai San combo: Combine herbs that tonify, moisten and astringe in order to…

A

… tonify qi, nourish yin, generate fluid and stop sweat.

54
Q

What are cautions/contraindications for Sheng Mai San?

A
  • Patient with external pathogen
  • Patient with excessive heat without qi and yin damage
55
Q

Why is Sheng Mai San not useful for night sweating? What formula is appropriate?

A

Empty heat is not a major symptom for Sheng Mai San syndrome. Choose Dang Gui Liu Huang Tang instead.

56
Q

Modification of Sheng Mai San for pronounced yin deficiency?

A

Add:

Xuan Shen - Scrophularia, Ningpo Figwort Root

Sheng Di Huang - Rehmannia root

Clear Heat, Cool Blood category

57
Q

Sheng Mai San mod for prolonged cough?

A

Add

Bai Bu - Stemona Root

Transform Phlegm, Cough/Wheezing

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