CH10: Formulas that Open Orifice Flashcards

1
Q

What are the manifestations for Formulas that Open Orifice?

A

Excessive syndrome: loss of consciousness, clenched jaw, closed mouth, clenched fists, constipation, strong pulse

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2
Q

What is the precaution when delineating excssive vs deficient for Open Orifice patterns?

A

Only used for loss of consciousness due to excessive syndrome!!

They are not suitable for loss of consciousness due to deficiency syndrome.

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3
Q

What are the manifestations that would indicate loss of conscioussness due to obstruction of orifice, deficiency syndrome (Tuo syndrome)?

A
  • Cold sweat
  • Cold extremities
  • Feeble breathing
  • Incontinence of urine and bowel
  • Loose fists
  • Weak pulse
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4
Q

What is the formula that is given through IV in China for Tuo syndrome?

A

Sheng Mai San (Generate the Pulse Powder)

Formulas that generate Qi, simultaneous Lung Qi and Yin Xu

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5
Q

How to identify Yang vs Yin syndrome?

A

Yang syndrome is due to heat obstruction

Yin syndrome is due to cold or damp-phlegm obstruction

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6
Q

Subcategories of Formulas that Open Orifice?

A
  1. 1 Formulas that Cool and Open Orifice (For warm pathogens or toxins invading heart or pericardium leading to heat obstruction loss of consciousness)
  2. 2 Formulas that Warm and Open Orifice (For wind, cold attack, stroke, qi stagnation, phlegm obstruction leading to loss of consciousness)
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7
Q

Manifestations of Formulas that Cool and Open Orifice?

A
  • Coma (due to wind-stroke)
  • Convulsion
  • Delirium
  • Dry mouth
  • High fever
  • Profuse phlegm
  • Restlessness
  • Tongue: red or crimson
  • Pulse: rapid
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8
Q

Manifestations of Formulas that Warm and Open Orifice?

A
  • Closed teeth
  • Coma, sudden
  • Loss of consciousness
  • Tongue: white coating
  • Pulse: slow
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9
Q

An Gong Niu Huang Wan

A

Calm the Palace Pill with Cattle Gallstone

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10
Q

Functions of An Gong Niu Huang Wan?

A

Clear heat

Open orifices

Resolve phlegm

Detoxify

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11
Q

An Gong Niu Huang Wan

syndrome and indications (sn/sx)?

A

Heat obstructed in the Pericardium

  • Coma
  • Convulsion
  • Delirium
  • Dry mouth
  • High fever
  • Restlessness
  • Tongue: red or crimson
  • Pulse: rapid
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12
Q

Zhi Bao Dan

A

Greatest Treasure Special Pill

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13
Q

Zhi Bao Dan functions?

A

Clear heat

Open orifices

Resolve turbid and detoxify

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14
Q

Zhi Bao Dan syndrome and indications (sn/sx)?

A

Phlegm Heat Obstruction in the Pericardium

  • Coma
  • Delirium
  • Fever
  • Restlessness
  • Profuse phlegm
  • Tongue: red body with yellow, thick, greasy coating
  • Pulse: slippery and rapid
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15
Q

Zi Xue Dan

A

Purple Snow Special Pill

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16
Q

Zi Xue Dan functions?

A

Clear heat

Extinguish wind

Open orifice

Stop convulsion

17
Q

Zi Xue Dan

syndrome and indications (sn/sx)?

A

Wind induced by Heat Obstructed in Pericardium

  • Convulsions
  • Constipation
  • Coma
  • Delirium
  • Dry mouth and teeth
  • Nasal bleeding
  • Skin rashes
  • Vomiting with blood
  • Tongue: red or crimson body, dry and yellow tongue coating
  • Pulse: strong, wiry, rapid
18
Q

Su He Xiang Wan

A

Liquid Styrax Pill

19
Q

Su He Xiang Wan

functions?

A

Open orifice with fragrant herbs

Move Qi

Warm the interior

20
Q

Su He Xiang Wan

syndromes, indications (sn/sx)?

A

Cold obstruction syndrome (Yin Bi Syndrome)

  • Closed teeth
  • Coma (sudden)
  • Loss of consciousness
  • Lots of phlegm in throat (possible)
  • Tongue: white coating
  • Pulse: slow
21
Q

What are the Liang Kai San Bao, “Three Treasures” formulas that cool and open orifice?

Liang - cold or cool

Kai - open

San - three

Bao - treasure

A
  1. An Gong Niu Huang Wan
  2. Zi Xue Dan
  3. Zhi Bao Dan
22
Q

Similarities between the “Three Treasures” formulas?

A

Actions: All three clear heat and open the orifices

Indications: Heat block, Yang Bi, marked by fever and loss of consciousness

23
Q

Rank the three treasures based on

  1. cold nature to clear heat
  2. ability to resolve turbidity and open orifice
  3. abilit to extinguish wind and arrest convulsions?
A
  1. a) An Gong Niu Huang Wan is coldest to clear heat, resolve toxins.
    b) Zi Xue Dan is moderatedly cold.
    c) Zhi Bao Dan is least cold.
  2. a) Zhi Bao Dan is strongest to resolve turbidity and open orifice
    b) Zi Xue Dan is moderately stronge to resolve turbidity, open orifice.
  3. a) Zi Xue Dan is strongest to extinguish wind and arrest convulsions
24
Q

List the main indications of each of the Three Treasures formulas.

A

An Gong Niu Huang Wan: Excessive heat, High fever

Zi Xue Dan: Convulsion, Stirring of Wind, Syncope

Zhi Bao Dan: Coma, Excessive phlegm