CH11: Formulas that Regulate Qi Flashcards
Overall general functions and indications for “Herbs that Regulate Qi”?
Fx: Move Qi or descending Qi
Ix: Qi Stagnation or Rebellious Qi
Characteristics and precautions for Herbs that Regulate Qi?
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.
General syndromes, sn/sx (indications) for the following:
- 1 Formulas that Move Qi
- 2 Formulas that Descend Qi
- 1 Use for Qi Stagnation, often seen as Liver Qi Stagnation or Spleen/Stomach Qi Stagnation
- 2 Descend qi to soothe asthma or descend qi to stop vomiting
Yue Ju Wan
Escape Restraint Pill
Yue Ju Wan ingredients?
- Xiang Fu (Cyperus, Nutgrass rhizome) Regulate Qi, Neutral
- Chuan Xiong (Loveage root) Invigorate Blood, Warm
- Cang Zhu (Atractylodes) Transform Damp, Warm
- Shen Qu (leavened bread) Remove Food Stagnation, Warm
- Zhi Zi (Gardenia seeds) Clear Heat, Drain Fire, Cold
All of these are 6-10g
Yue Ju Wan
functions and indications?
Fx: Move Qi stagnation, promote Qi flow
Ix: Yu Syndrome which involves 6 types of stagnation of qi, blood, phlegm, fire, damp and food
What is the main pathogenesis for Yu Syndrome? Main etiology?
Px: Qi Stagnation. All other Yu is caused by that.
Main Etiology: Emotional instability, improper eating
Who is the doctor who came up with Yu Syndrome?
Dr. Zhu Dan Xi
Yue Ju Wan
Mx, Px for stifling sensation, fullness in chest and hypochondrium, distention and fullness in epigastric and abdominal region?
Qi Stagnation
Blood Stagnation
Liver Depression
Yue Ju Wan
Mx, Px of acid regurgitation, vomting?
Dysfunction of stomach in descending caused by attack of Liver Fire
Yue Ju Wan
Mx, Px of indigestion?
Qi Stagnation
Retention of food
Accumulation of damp and phlegm in stomach
Yue Ju Wan
Mx, Px of thick greasy coating, taut slippery pulse?
Qi Stagnation
Stagnation of food, damp, phlegm, fire
What are the key symptoms which would indicate that this formula is applicable?
- Distending pain in gastric regions
- Indigestion
- Stifling sensation in chest and diaphragm
- Greasy tongue coating
What is the chief herb for Yue Ju Wan (on EXAM)? What are its actions?
Chief
Xiang Fu (Nutgrass) - Promote Qi flow of Liver, remove stagnation
What are the deputies and assistants for Yue Ju Wan and what are their actions?
(Do not have to memorize perfectly)
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
What are the characteristics of combination for Yue Ju Wan? What is the main emphasis?
Five herbs to treat six stagnations, using different methods at once.
Emphasis is on moving Qi to treat the root.
Western indications for Yue Ju Wan?
- Chronic gastritis
- Cholecystitis
- Duodenal/Gastric ulcer
- Irregular menses
- Intercostal neuralgia
Gua Luo Xie Bai Bai Jiu Tang
Trichosanthes fruit, Chinese chive and Wine decoction
Gua Luo Xie Bai Bai Jiu Tang ingredients?
(Easy and on EXAM)
- Gua Lou (Trichosathes fruit) Transform Phlegm, Cool
- Xie Bai (Chinese chive) Regulate Qi, Warm
- Bai Jiu (White wine) Move Yang, Neutral
GLXBBJT functions?
- Promote Yang Qi and remove stagnation
- Move Qi and remove phlegm
GLXBBJT main indication? Etiology?
Chest Bi or chest pain
Etiology: Obstruction of phlegm, Qi Stagnation, Yang Qi Depression
GLXBBJT Mx, Px of…
Chest pain radiating to the back
Pain worse with cold
Stifling sensation in chest
Shortness of breath
Dysfunction of Yang in chest which cannot distribute Qi and body fluids leading to phlegm and Qi stagnation
GLXBBJT
Mx, Px of
White greasy coating
Pale tongue
Deep, wiry pulse
Signs of cold phlegm in the interior, mainly in the chest
Herbs and actions for GLXBBJT?
Chief: Gua Lou - Resolve phlegm
Deputy: Xie Bai - Ease chest and remove stagnation
Assistant/Envoy: Bai Jiu - Promote Qi, activate Blood and Yang Qi
GLXBBJT
Characteristics of combo?
Gua Lou and Xie Bai combine to move qi and resolve phlegm.
GLXBBJT
What are the key symptoms?
Chest Bi due Qi Stagnation, Phlegm Obstruction with Yang Qi Suppression
GLXBBJT
Western diseases?
- Angina
- Coronary heart disease
- Costal neuralgia
- Costal inflammation
If GLXBBJT is the basic formula for chest bi, what could be added if there is chest bi with more phlegm?
Ban Xia
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
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
Liang Fu Wan
Name and ingredients?
Galangal and Cyperus Pill
- Gao Liang Jiang (Galangal) 9g Warm Interior, Expel Cold
- Xiang Fu (Cyperus, Nutgrass) 9g Regulate Qi, Neutral
Liang Fu Wan functions?
Move Qi and soothe Liver
Dispel Cold and stop pain
Liang Fu Wan indications?
(EXAM)
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
Actions of the herbs in Liang Fu Wan?
- Gao Liang Jiang - Warm middle jiao, dispel cold
- Xiang Fu - Move Qi in Liver, stop pain
Jin Ling Zi San
name and ingredients?
(EXAM)
Golden Bell Powder
- Chuan Lian Zi (Toosendan fruit) 9g Regulate Qi, Cold, Sl. Toxic
- Yan Hu Suo (Corydalis rhizome) 9g Regulate and Invigorate Blood, Warm
Jin Ling Zi San
functions and indications?
(EXAM)
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
Jin Ling Zi San
Actions of herbs?
(EXAM)
- 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
Chai Hu Shu Gan San
name and first four ingredients (don’t have to memorize)
Bupleurum Powder to Spread the Liver
- Chen Pi (Aged Tangerine Peel) 6g - Regulate Qi, Warm
- Chai Hu (Bupleurum) 6g - Cool, Acrid Surface Releasing
- Chuan Xiong (Loveage root) 5g Regulate Qi
- Xiang Fu (Cyperus) 5g Regulate Qi
Chai Hu Shu Gan San
functions?
Soothe the Liver
Resolve depression
Move qi to stop pain
Chai Hu Shu Gan San
indications?
Liver Qi Stagnation
- Abdominal pain and bloating
- Chills and fever
- Hypochondriac pain
- Sighing a lot
- Wiry pulse
Compare similarities and differences of Chai Hu Shu Gan San and Jin Ling Zi San?
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.
Jin Ling Zi San
What are the important signs, particularly for Liver Fire?
Bitter taste
Thirst
Other Heat signs eg. red tongue with yellow coating, wiry and rapid pulse
Ban Xia Hou Po Tang
Pinellia and Magnolia Bark Decoction
- Ban Xia (Pinellia) 12g Transform Phlegm, Warm, Toxic
- Hou Po (Magnolia Bark) 9g Transform damp, Aromatic, Warm
Ban Xia Hou Po Tang
functions?
Move Qi to dispel stagnation
Descend rebellious Qi
Resolve phlegm
Ban Xia Hou Po Tang
indications?
- 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
Hou Po Wen Zhong Tang
Magnolia Bark Decoction for Warming the Middle
Hou Po Wen Zhong Tang
functions?
Move Qi, Warm interior
Dry dampness, Resolve fullness
Hou Po Wen Zhong Tang
indications?
Cold Damp Qi Stagnation syndrome
- Full pain in stomach and abdomen
- No desire to eat
- Tongue: white and greasy coat
- Pulse: wiry and deep
Tian Tai Wu Yao San
Wu Yao - stop pain
Top Quality Lindera Powder
Tian Tai Wu Yao San
first four ingredients (don’t have to know)
- Wu Yao (Lindera Root) 12g Regulate Qi, Warm, Acrid
- Mu Xiang (Aucklandia) 6g Regulate Qi, Warm, Acrid and Bitter
- Xiao Hui Xiang (Fennel fruit) 6g Warm Interior, Expel Cold
- Qing Pi (Green tangerine peel) 6g Regulate Qi, Warm, Acrid and Bitter
Tian Tai Wu Ya San
functions?
Move Qi and soothe Liver
Dispel Cold and stop pain
Tian Tai Wu Yao San
Indications?
- 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.
Nuan Gan Jian
Warm Liver Decoction
Gan Jian - warm, tonify
Nuan Gan Jian
first four ingredients (don’t have to know)
- Dang Gui (Angelica) 9g Tonify Blood (Warm, Sweet, Acrid, Bitter)
- Gou Qi Zi (Goji) 9g Tonify Blood and Yin (Sweet, Neutral)
- Xiao Hui Xiang (Fennel) Warm Interior, Expel Cold (Acrid)
- Rou Gui (Cinnamon bark) 6g Warm Interior, Expel Cold (Acrid, Sweet)
Nuang Gan Jian
Functions?
Warm and tonify Liver and Kidney
Move Qi and stop pain
Nuan Gan Jian
Indications (syndrome, sn/sx)
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
What are the similarities between Tian Tai Wu Yao San and Nuan Gan Jian?
Both warm Liver, dispel Cold, move Qi and stop pain.
Both can treat hernia, cold pain in testicles, pain in lower abdomen.
What are the differences between TTWYS and NGJ?
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.
What formulas treat asthma that we learned before?
- Ma Huang Tang (Release exterior wind cold)
- Xiao Qing Long Tang (Release ext. resolve phlegm, soothe asthma)
- Ma Xing Shi Gan Tang (Clear heat, soothe asthma, release exterior)
- Da Qing Long Tang (treat very severe wind cold, modification of MXSGT with more Ma Huang to release exterior more strongly)
- Yin Qiao San (treats wind heat attacking the lungs)
Su Zi Jiang Qi Tang
Perilla fruit decoction for descending Qi
Su Zi Jiang Qi Tang
ingredients?
- Su Zi (Perilla seed) 9g Transform Phlegm, Stop Cough (Warm, Acrid)
- Hou Po (Magnolia Bark) 3g Aromatic Dispel Damp (Warm, Bitter, Acrid)
- Ban Xia (Pinellia root) 9g Transform Phlegm, Stop Cough (Warm, Toxic, Acrid)
- Qian Hu (Hogfennel root) 3g Transform Phlegm, Stop Cough (Cold, Bitter, Acrid)
- Rou Gui (Cinnamon Bark) 4.5g Warm Interior, Expel Cold (Hot, Acrid, Sweet)
- Dang Gui (Angelica) 4.5g Tonify Blood (Warm, Sweet, Acrid, Bitter)
- Sheng Jiang (Fresh Ginger) 9g Release the Exterior (Sl. Warm, Acrid)
- Zi Su Ye (Perilla Leaf) 9g Release the Exterior (Warm, Acrid)
- Gan Cao (LIcorice) 6g Tonify Qi (Neutral, Sweet)
- Da Zao (Chinese date) 3pc Tonify Qi (Neutral -Warm, Sweet)
Su Zi Jiang Qi Tang
functions?
Descend Qi and soothe asthma
Resolve phlegm and stop cough
Su Zi Jiang Qi Tang
indications?
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.
Su Zi Jiang Qi Tang
Mx, Px of wheezing?
Deficiency of kidney which fails to receive Qi
SZJQT
Mx, Px of
cough with profuse sputum
shortness of breath
stifling sensation in chest?
Deficiency of Kidney fails to dominate water metabolism.
Fluid retention turns to phlegm.
Obstruction of Lung.
Lung fails to disperse and descend.
SZJQT
Mx, Px of
edema in face and lower limbs?
Interior accumulation of phlegm and fluid
SZJQT
Mx, Px of
soreness and weakness of lumbar and knees
Kidney Deficiency
SZJQT
Mx, Px of
white greasy or slippery coating, slippery pulse?
Phlegm fluid retention
SZJQT
Chief herb and actions?
Chief: Su Zi
Descend Qi and soothe asthma
Resolve Phlegm and stop cough
SZJQT
Deputy herbs and actions?
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
SZJQT
Special Assistant
Rou Gui
Warm Kidney
Dispel Cold
Revive Qi
Relieve asthma
Special Assistant
Dang Gui
Nourish blood
Tonify Liver
Prevent other herbs from damaging blood and Yin
SZJQT
other assistants?
Sheng Jiang, Zi Su Ye
Dispel Cold
Vent the Lung
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?
descend; phlegm, warm; tonify
The combination of herbs that dispel are combined with herbs that moisten to warm without damaging Yin.
Key Symptoms for Su Zi Jiang Qi Tang?
- Excess in upper jiao
- Deficiency in lower jiao
- Cough or wheezing
- Stifling sensation in chest
- White, thin profuse sputum
- Tongue: white slippery coating
SZJQT
Western disease?
Asthma
Bronchitis
Emphysema
Ding Chuan Tang
ingredients?
- Yin Xing (aka Bai Guo, Ginkgo seeds) 9g Stabilize and Bind (Neutral, Astringent)
- Ma Huang (Ephedra) 9g Release Exterior (Warm, Acrid)
- Su Zi (Perilla seeds) 6g Transform Phlegm, Stop cough (Warm, Acrid)
- Xing Ren (Apricot seeds) 4.5g Transform Phlegm, Stop Cough (Warm, Bitter, Toxic)
- Ban Xia (Pinellia root) 9g Transform Phlegm, Stop Cough (Warm, Acrid, Toxic)
- Kuan Dong Hua (Coltsfoot flower) 9g Transform Phlegm, Stop Cough (Warm, Acrid)
- Sang Bai Pi (Mulberry root bark) 9g Transform Phlegm, Stop Cough (Cold, Sweet)
- Huang Qin (Scutelleria) 5g Clear Heat, Purge Fire (Cold, Bitter)
- Gan Cao (Licorice) 3g Tonify Qi
Ding Chuan Tang
indications?
Asthma due to invasion of external cold and existence of heat phlegm in the interior
Ding Chuan Tang
functions?
Promote Lung Qi in dispersing and descending
Clear heat, resolve phlegm, soothe asthma
Ding Chuan Tang
Mx, Px of
stifling sensation in chest
cough with yellow sticky sputum?
Dysfunction of lung in descending
Obstruction of Chest from phlegm
Ding Chuan Tang
Mx, Px of
chills and fever?
EPI of wind cold
Ding Chuan Tang
Mx, Px of
rapid respiration?
Phlegm heat obstruction in chest
Ding Chuan Tang
Mx, Px of
yellow sticky coating, red tongue body
slippery and rapid pulse
Heat in the interior
Ding Chuan Tang
Chief herbs?
Ma Huang, Bai Guo
Vent the lung, astringe Lung Qi
Dispel EPI wind cold
Soothe asthma
Resolve phlegm
Ding Chuan Tang
Deputy herbs and actions?
Su Zi, Xing Ren, Ban Xia, Kuan Dong Hua
Descend Qi
Resolve phlegm
Soothe asthma
Ding Chuan Tang
Assistant herbs and actions?
Sang Bai Pi, Huang Qin
Clear heat from lung
Stop cough
Soothe asthma
Compare Ding Chuan Tang and Xiao Qing Long Tang
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.
Ding Chuan Tang Characteristics of Combination
_____ and dispel herbs combined with ______ and ______ herbs. Also dispel and ______ combination.
Open; clearing, descending, astringe
Dispel, clear, descend, astringe all together.
Key Symptoms for Ding Chuan Tang?
- 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
Ding Chuan Tang western diseases
Ashma
Bronchitis
Compare Su Zi Jiang Qi Tang and Ding Chuan Tang
Both can descend qi and soothe asthma.
Both treat cough and asthma due to phlegm.
What are the differences between Su Zi Jiang Qi Tang and Ding Chuan Tang in terms of herbs and actions?
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
What are the differences between SZJQT and DCT in terms of indications?
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
Look up which formulas can treat the wheezing type of asthma? Know for EXAM
- Ma Huang Tang
- Gui Zhi Tang
- Qiao Qing Long Tang
- Ma Xing Shi Gan Tang
- Su Zi Jiang Qi Tang
- Ding Chuan Tang
