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Formulas & Strategies > CH11: Formulas that Regulate Qi > Flashcards

CH11: Formulas that Regulate Qi Flashcards

1
Q

Overall general functions and indications for “Herbs that Regulate Qi”?

A

Fx: Move Qi or descending Qi

Ix: Qi Stagnation or Rebellious Qi

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2
Q

Characteristics and precautions for Herbs that Regulate Qi?

A

These herbs are fragrant, pungent and dry which easily damages body fluids and Qi, therefore do not overdose.

Do not use for cases of Qi Deficiency! Do not use for yin deficiency either or excessive Fire.

Do not use with weak, elderly or pregnant people.

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3
Q

General syndromes, sn/sx (indications) for the following:

  1. 1 Formulas that Move Qi
  2. 2 Formulas that Descend Qi
A
  1. 1 Use for Qi Stagnation, often seen as Liver Qi Stagnation or Spleen/Stomach Qi Stagnation
  2. 2 Descend qi to soothe asthma or descend qi to stop vomiting
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4
Q

Yue Ju Wan

A

Escape Restraint Pill

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5
Q

Yue Ju Wan ingredients?

A
  1. Xiang Fu (Cyperus, Nutgrass rhizome) Regulate Qi, Neutral
  2. Chuan Xiong (Loveage root) Invigorate Blood, Warm
  3. Cang Zhu (Atractylodes) Transform Damp, Warm
  4. Shen Qu (leavened bread) Remove Food Stagnation, Warm
  5. Zhi Zi (Gardenia seeds) Clear Heat, Drain Fire, Cold

All of these are 6-10g

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6
Q

Yue Ju Wan

functions and indications?

A

Fx: Move Qi stagnation, promote Qi flow

Ix: Yu Syndrome which involves 6 types of stagnation of qi, blood, phlegm, fire, damp and food

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7
Q

What is the main pathogenesis for Yu Syndrome? Main etiology?

A

Px: Qi Stagnation. All other Yu is caused by that.

Main Etiology: Emotional instability, improper eating

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8
Q

Who is the doctor who came up with Yu Syndrome?

A

Dr. Zhu Dan Xi

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9
Q

Yue Ju Wan

Mx, Px for stifling sensation, fullness in chest and hypochondrium, distention and fullness in epigastric and abdominal region?

A

Qi Stagnation

Blood Stagnation

Liver Depression

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10
Q

Yue Ju Wan

Mx, Px of acid regurgitation, vomting?

A

Dysfunction of stomach in descending caused by attack of Liver Fire

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11
Q

Yue Ju Wan

Mx, Px of indigestion?

A

Qi Stagnation

Retention of food

Accumulation of damp and phlegm in stomach

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12
Q

Yue Ju Wan

Mx, Px of thick greasy coating, taut slippery pulse?

A

Qi Stagnation

Stagnation of food, damp, phlegm, fire

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13
Q

What are the key symptoms which would indicate that this formula is applicable?

A
  • Distending pain in gastric regions
  • Indigestion
  • Stifling sensation in chest and diaphragm
  • Greasy tongue coating
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14
Q

What is the chief herb for Yue Ju Wan (on EXAM)? What are its actions?

A

Chief

Xiang Fu (Nutgrass) - Promote Qi flow of Liver, remove stagnation

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15
Q

What are the deputies and assistants for Yue Ju Wan and what are their actions?

(Do not have to memorize perfectly)

A

Deputies/Assistants

  • Chuan Xiong (Loveage) - Invigorate blood, Promote Qi flow
  • Cang Zhu (Atractylodes) - Dry dampness, Strengthen SP/ST
  • Shen Qu (medicated leavened) - Harmonize ST for digestion
  • Zhi Zi (Gardenia seeds) - Clear heat and conduct fire downward
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16
Q

What are the characteristics of combination for Yue Ju Wan? What is the main emphasis?

A

Five herbs to treat six stagnations, using different methods at once.

Emphasis is on moving Qi to treat the root.

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17
Q

Western indications for Yue Ju Wan?

A
  • Chronic gastritis
  • Cholecystitis
  • Duodenal/Gastric ulcer
  • Irregular menses
  • Intercostal neuralgia
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18
Q

Gua Luo Xie Bai Bai Jiu Tang

A

Trichosanthes fruit, Chinese chive and Wine decoction

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19
Q

Gua Luo Xie Bai Bai Jiu Tang ingredients?

(Easy and on EXAM)

A
  1. Gua Lou (Trichosathes fruit) Transform Phlegm, Cool
  2. Xie Bai (Chinese chive) Regulate Qi, Warm
  3. Bai Jiu (White wine) Move Yang, Neutral
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20
Q

GLXBBJT functions?

A
  • Promote Yang Qi and remove stagnation
  • Move Qi and remove phlegm
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21
Q

GLXBBJT main indication? Etiology?

A

Chest Bi or chest pain

Etiology: Obstruction of phlegm, Qi Stagnation, Yang Qi Depression

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22
Q

GLXBBJT Mx, Px of…

Chest pain radiating to the back

Pain worse with cold

Stifling sensation in chest

Shortness of breath

A

Dysfunction of Yang in chest which cannot distribute Qi and body fluids leading to phlegm and Qi stagnation

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23
Q

GLXBBJT

Mx, Px of

White greasy coating

Pale tongue

Deep, wiry pulse

A
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24
Q

Signs of cold phlegm in the interior, mainly in the chest

A
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25
Q

Herbs and actions for GLXBBJT?

A

Chief: Gua Lou - Resolve phlegm

Deputy: Xie Bai - Ease chest and remove stagnation

Assistant/Envoy: Bai Jiu - Promote Qi, activate Blood and Yang Qi

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26
Q

GLXBBJT

Characteristics of combo?

A

Gua Lou and Xie Bai combine to move qi and resolve phlegm.

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27
Q

GLXBBJT

What are the key symptoms?

A

Chest Bi due Qi Stagnation, Phlegm Obstruction with Yang Qi Suppression

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28
Q

GLXBBJT

Western diseases?

A
  • Angina
  • Coronary heart disease
  • Costal neuralgia
  • Costal inflammation
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29
Q

If GLXBBJT is the basic formula for chest bi, what could be added if there is chest bi with more phlegm?

A

Ban Xia

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30
Q

GLXBBJT

If there is chest bi from qi stagnation but also rebellious qi from the middle jiao to the chest, how would you modify the formula?

EXAM

A

Take away Bai Jiu

Add

  • Zhi Shi (Unripe bitter orange) Regulate Qi, Cool
  • Hou Po (Magnolia Bark) Transform Damp, Warm
  • Gui Zhi (Cinnamon twig) Warm, Acrid Surface Releasing
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31
Q

Liang Fu Wan

Name and ingredients?

A

Galangal and Cyperus Pill

  1. Gao Liang Jiang (Galangal) 9g Warm Interior, Expel Cold
  2. Xiang Fu (Cyperus, Nutgrass) 9g Regulate Qi, Neutral
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32
Q

Liang Fu Wan functions?

A

Move Qi and soothe Liver

Dispel Cold and stop pain

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33
Q

Liang Fu Wan indications?

(EXAM)

A

Qi Stagnation, Cold Stagnation

  • Epigastric, abdominal, hypochondriac pain
  • Dysmenorrhea
  • Tongue: Pale body, white coat
  • Pulse: deep, wiry

In notes we have: treat stomachache, abdominal pain casued by cold stagnation

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34
Q

Actions of the herbs in Liang Fu Wan?

A
  • Gao Liang Jiang - Warm middle jiao, dispel cold
  • Xiang Fu - Move Qi in Liver, stop pain
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35
Q

Jin Ling Zi San

name and ingredients?

(EXAM)

A

Golden Bell Powder

  1. Chuan Lian Zi (Toosendan fruit) 9g Regulate Qi, Cold, Sl. Toxic
  2. Yan Hu Suo (Corydalis rhizome) 9g Regulate and Invigorate Blood, Warm
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36
Q

Jin Ling Zi San

functions and indications?

(EXAM)

A

Functions:

  • Soothe Liver, sedate heat
  • Activate blood to stop pain

Indications: (Syndromes)

  • Liver Qi Stagnation turns to Fire
  • Stagnation of Qi and Blood in Liver
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37
Q

Jin Ling Zi San

Actions of herbs?

(EXAM)

A
  • Yan Hu Suo (Corydalis) - Invigorate blood, promote Qi flow to stop pain
  • Chuan Lian Zi (Toosendan) - Promote Qi flow in liver, Stop pain, Reduce heat
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38
Q

Chai Hu Shu Gan San

name and first four ingredients (don’t have to memorize)

A

Bupleurum Powder to Spread the Liver

  1. Chen Pi (Aged Tangerine Peel) 6g - Regulate Qi, Warm
  2. Chai Hu (Bupleurum) 6g - Cool, Acrid Surface Releasing
  3. Chuan Xiong (Loveage root) 5g Regulate Qi
  4. Xiang Fu (Cyperus) 5g Regulate Qi
39
Q

Chai Hu Shu Gan San

functions?

A

Soothe the Liver

Resolve depression

Move qi to stop pain

40
Q

Chai Hu Shu Gan San

indications?

A

Liver Qi Stagnation

  • Abdominal pain and bloating
  • Chills and fever
  • Hypochondriac pain
  • Sighing a lot
  • Wiry pulse
41
Q

Compare similarities and differences of Chai Hu Shu Gan San and Jin Ling Zi San?

A

Similar: Both spread the Liver Qi, move qi to stop pain

Different:

Jin Ling Zi San works to sedate heat while soothing Liver as it has Chuan Lian Zi which is cold.

Chai Hu Shu Gan San is a better choice for Liver Qi Stagnation (without heat) where there is more pain.

42
Q

Jin Ling Zi San

What are the important signs, particularly for Liver Fire?

A

Bitter taste

Thirst

Other Heat signs eg. red tongue with yellow coating, wiry and rapid pulse

43
Q

Ban Xia Hou Po Tang

A

Pinellia and Magnolia Bark Decoction

  1. Ban Xia (Pinellia) 12g Transform Phlegm, Warm, Toxic
  2. Hou Po (Magnolia Bark) 9g Transform damp, Aromatic, Warm
44
Q

Ban Xia Hou Po Tang

functions?

A

Move Qi to dispel stagnation

Descend rebellious Qi

Resolve phlegm

45
Q

Ban Xia Hou Po Tang

indications?

A
  • Plum Pit Qi (cannot swallow or spit out phlegm)
  • Cough and/or vomiting
  • Fullness in chest and diaphragm
  • Tongue: White and moist/greasy coat
  • Pulse: wiry or slow, slippery
46
Q

Hou Po Wen Zhong Tang

A

Magnolia Bark Decoction for Warming the Middle

47
Q

Hou Po Wen Zhong Tang

functions?

A

Move Qi, Warm interior

Dry dampness, Resolve fullness

48
Q

Hou Po Wen Zhong Tang

indications?

A

Cold Damp Qi Stagnation syndrome

  • Full pain in stomach and abdomen
  • No desire to eat
  • Tongue: white and greasy coat
  • Pulse: wiry and deep
49
Q

Tian Tai Wu Yao San

Wu Yao - stop pain

A

Top Quality Lindera Powder

50
Q

Tian Tai Wu Yao San

first four ingredients (don’t have to know)

A
  1. Wu Yao (Lindera Root) 12g Regulate Qi, Warm, Acrid
  2. Mu Xiang (Aucklandia) 6g Regulate Qi, Warm, Acrid and Bitter
  3. Xiao Hui Xiang (Fennel fruit) 6g Warm Interior, Expel Cold
  4. Qing Pi (Green tangerine peel) 6g Regulate Qi, Warm, Acrid and Bitter
51
Q

Tian Tai Wu Ya San

functions?

A

Move Qi and soothe Liver

Dispel Cold and stop pain

52
Q

Tian Tai Wu Yao San

Indications?

A
  • Distending pain
  • Hernia of small intestine
  • Pain in lower abdomen radiating to testicle
  • Tongue: white coating
  • Pulse: wiry

Note: this formula is used for excess cold, very strong pain, patient will be in agony.

53
Q

Nuan Gan Jian

A

Warm Liver Decoction

Gan Jian - warm, tonify

54
Q

Nuan Gan Jian

first four ingredients (don’t have to know)

A
  1. Dang Gui (Angelica) 9g Tonify Blood (Warm, Sweet, Acrid, Bitter)
  2. Gou Qi Zi (Goji) 9g Tonify Blood and Yin (Sweet, Neutral)
  3. Xiao Hui Xiang (Fennel) Warm Interior, Expel Cold (Acrid)
  4. Rou Gui (Cinnamon bark) 6g Warm Interior, Expel Cold (Acrid, Sweet)
55
Q

Nuang Gan Jian

Functions?

A

Warm and tonify Liver and Kidney

Move Qi and stop pain

56
Q

Nuan Gan Jian

Indications (syndrome, sn/sx)

A

Deficient cold of Liver and Kidney

  • Aversion to cold
  • Cold pain in testicles
  • Pain in lower abdomen
  • Tongue: pale with white coating
  • Pulse: deep and slow
57
Q

What are the similarities between Tian Tai Wu Yao San and Nuan Gan Jian?

A

Both warm Liver, dispel Cold, move Qi and stop pain.

Both can treat hernia, cold pain in testicles, pain in lower abdomen.

58
Q

What are the differences between TTWYS and NGJ?

A

TTWYS is for excess cold, strong pain, patient in agony. It can only be used short term.

NGJ is for deficiency cold of Liver and Kidney. It can be used for a long time to tonify.

59
Q

What formulas treat asthma that we learned before?

A
  1. Ma Huang Tang (Release exterior wind cold)
  2. Xiao Qing Long Tang (Release ext. resolve phlegm, soothe asthma)
  3. Ma Xing Shi Gan Tang (Clear heat, soothe asthma, release exterior)
  4. Da Qing Long Tang (treat very severe wind cold, modification of MXSGT with more Ma Huang to release exterior more strongly)
  5. Yin Qiao San (treats wind heat attacking the lungs)
60
Q

Su Zi Jiang Qi Tang

A

Perilla fruit decoction for descending Qi

61
Q

Su Zi Jiang Qi Tang

ingredients?

A
  1. Su Zi (Perilla seed) 9g Transform Phlegm, Stop Cough (Warm, Acrid)
  2. Hou Po (Magnolia Bark) 3g Aromatic Dispel Damp (Warm, Bitter, Acrid)
  3. Ban Xia (Pinellia root) 9g Transform Phlegm, Stop Cough (Warm, Toxic, Acrid)
  4. Qian Hu (Hogfennel root) 3g Transform Phlegm, Stop Cough (Cold, Bitter, Acrid)
  5. Rou Gui (Cinnamon Bark) 4.5g Warm Interior, Expel Cold (Hot, Acrid, Sweet)
  6. Dang Gui (Angelica) 4.5g Tonify Blood (Warm, Sweet, Acrid, Bitter)
  7. Sheng Jiang (Fresh Ginger) 9g Release the Exterior (Sl. Warm, Acrid)
  8. Zi Su Ye (Perilla Leaf) 9g Release the Exterior (Warm, Acrid)
  9. Gan Cao (LIcorice) 6g Tonify Qi (Neutral, Sweet)
  10. Da Zao (Chinese date) 3pc Tonify Qi (Neutral -Warm, Sweet)
62
Q

Su Zi Jiang Qi Tang

functions?

A

Descend Qi and soothe asthma

Resolve phlegm and stop cough

63
Q

Su Zi Jiang Qi Tang

indications?

A

Cough or asthma due to Phlegm-fluid Blocking the Lungs and deficiency of Kidney in receiveing Qi

Upper excess and lower deficiency but mainly upper excess.

64
Q

Su Zi Jiang Qi Tang

Mx, Px of wheezing?

A

Deficiency of kidney which fails to receive Qi

65
Q

SZJQT

Mx, Px of

cough with profuse sputum

shortness of breath

stifling sensation in chest?

A

Deficiency of Kidney fails to dominate water metabolism.

Fluid retention turns to phlegm.

Obstruction of Lung.

Lung fails to disperse and descend.

66
Q

SZJQT

Mx, Px of

edema in face and lower limbs?

A

Interior accumulation of phlegm and fluid

67
Q

SZJQT

Mx, Px of

soreness and weakness of lumbar and knees

A

Kidney Deficiency

68
Q

SZJQT

Mx, Px of

white greasy or slippery coating, slippery pulse?

A

Phlegm fluid retention

69
Q

SZJQT

Chief herb and actions?

A

Chief: Su Zi

Descend Qi and soothe asthma

Resolve Phlegm and stop cough

70
Q

SZJQT

Deputy herbs and actions?

A

Deputies: Hou Po, Ban Xia, Qian Hu

Resolve phlegm and stop cough

Relieve asthma

  • Hou Po moves qi and resolves phlegm
  • Ban Xia resolves phlegm
71
Q

SZJQT

Special Assistant

Rou Gui

A

Warm Kidney

Dispel Cold

Revive Qi

Relieve asthma

72
Q

Special Assistant

Dang Gui

A

Nourish blood

Tonify Liver

Prevent other herbs from damaging blood and Yin

73
Q

SZJQT

other assistants?

A

Sheng Jiang, Zi Su Ye

Dispel Cold

Vent the Lung

74
Q

Su Zi Jiang Qi Tang

Combine herbs that _____ and remove ______with herbs that _____ and ______ the Kidney to treat both excess and deficiency, root and branch at the same time.

How does this formula warm without damaging yin?

A

descend; phlegm, warm; tonify

The combination of herbs that dispel are combined with herbs that moisten to warm without damaging Yin.

75
Q

Key Symptoms for Su Zi Jiang Qi Tang?

A
  • Excess in upper jiao
  • Deficiency in lower jiao
  • Cough or wheezing
  • Stifling sensation in chest
  • White, thin profuse sputum
  • Tongue: white slippery coating
76
Q

SZJQT

Western disease?

A

Asthma

Bronchitis

Emphysema

77
Q

Ding Chuan Tang

ingredients?

A
  1. Yin Xing (aka Bai Guo, Ginkgo seeds) 9g Stabilize and Bind (Neutral, Astringent)
  2. Ma Huang (Ephedra) 9g Release Exterior (Warm, Acrid)
  3. Su Zi (Perilla seeds) 6g Transform Phlegm, Stop cough (Warm, Acrid)
  4. Xing Ren (Apricot seeds) 4.5g Transform Phlegm, Stop Cough (Warm, Bitter, Toxic)
  5. Ban Xia (Pinellia root) 9g Transform Phlegm, Stop Cough (Warm, Acrid, Toxic)
  6. Kuan Dong Hua (Coltsfoot flower) 9g Transform Phlegm, Stop Cough (Warm, Acrid)
  7. Sang Bai Pi (Mulberry root bark) 9g Transform Phlegm, Stop Cough (Cold, Sweet)
  8. Huang Qin (Scutelleria) 5g Clear Heat, Purge Fire (Cold, Bitter)
  9. Gan Cao (Licorice) 3g Tonify Qi
78
Q

Ding Chuan Tang

indications?

A

Asthma due to invasion of external cold and existence of heat phlegm in the interior

79
Q

Ding Chuan Tang

functions?

A

Promote Lung Qi in dispersing and descending

Clear heat, resolve phlegm, soothe asthma

80
Q

Ding Chuan Tang

Mx, Px of

stifling sensation in chest

cough with yellow sticky sputum?

A

Dysfunction of lung in descending

Obstruction of Chest from phlegm

81
Q

Ding Chuan Tang

Mx, Px of

chills and fever?

A

EPI of wind cold

82
Q

Ding Chuan Tang

Mx, Px of

rapid respiration?

A

Phlegm heat obstruction in chest

83
Q

Ding Chuan Tang

Mx, Px of

yellow sticky coating, red tongue body

slippery and rapid pulse

A

Heat in the interior

84
Q

Ding Chuan Tang

Chief herbs?

A

Ma Huang, Bai Guo

Vent the lung, astringe Lung Qi

Dispel EPI wind cold

Soothe asthma

Resolve phlegm

85
Q

Ding Chuan Tang

Deputy herbs and actions?

A

Su Zi, Xing Ren, Ban Xia, Kuan Dong Hua

Descend Qi

Resolve phlegm

Soothe asthma

86
Q

Ding Chuan Tang

Assistant herbs and actions?

A

Sang Bai Pi, Huang Qin

Clear heat from lung

Stop cough

Soothe asthma

87
Q

Compare Ding Chuan Tang and Xiao Qing Long Tang

A

Xiao Qing Long Tang disperses Cold and releases the exterior. It treats exterior wind cold invasion with interior phlegm fluid retention. It does not deal with interior heat.

Ding Chuan Tang treats asthma from invasion of external cold with interior phlegm heat obstruction.

88
Q

Ding Chuan Tang Characteristics of Combination

_____ and dispel herbs combined with ______ and ______ herbs. Also dispel and ______ combination.

A

Open; clearing, descending, astringe

Dispel, clear, descend, astringe all together.

89
Q

Key Symptoms for Ding Chuan Tang?

A
  • Asthma d/t wind cold
  • Cough with yellow mucus
  • Interior accumulation of heat-phlegm
  • Slight aversion to wind or cold
  • Tongue: red with yellow coating
  • Pulse: slippery and rapid
90
Q

Ding Chuan Tang western diseases

A

Ashma

Bronchitis

91
Q

Compare Su Zi Jiang Qi Tang and Ding Chuan Tang

A

Both can descend qi and soothe asthma.

Both treat cough and asthma due to phlegm.

92
Q

What are the differences between Su Zi Jiang Qi Tang and Ding Chuan Tang in terms of herbs and actions?

A

SZJQT:

  • Su Zi descends Qi, soothes asthma
  • Rou Gui warms kidney to grasp Qi
  • Dang Gui activates blood

DCT:

  • Ma Huang, Bia Guo to promote lung qi, dispel cold
  • Su Zi, Huang Qin to clear heat, resolve phlegm
93
Q

What are the differences between SZJQT and DCT in terms of indications?

A

SZJQT:

  • Upper excess and lower deficiency
  • cough
  • profuse sputum
  • stifling sensation in chest
  • wheezing
  • greasy tongue coating

Ding Chuan Tang:

  • External cold and internal heat phlegm
  • cough with yellow sputum
  • chills and fever
  • wheezing
  • yellow sticky tongue coating
  • slippery and rapid pulse
94
Q

Look up which formulas can treat the wheezing type of asthma? Know for EXAM

A
  • Ma Huang Tang
  • Gui Zhi Tang
  • Qiao Qing Long Tang
  • Ma Xing Shi Gan Tang
  • Su Zi Jiang Qi Tang
  • Ding Chuan Tang

Formulas & Strategies (27 decks)

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