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Formulas & Strategies > Ch4: Formulas that Harmonize Shaoyang > Flashcards

Ch4: Formulas that Harmonize Shaoyang Flashcards

1
Q

What are the ingredients in Xiao Chai Hu Tang?

A
  1. Chai Hu (Bupleurum, Hare’s ear root) 24g
  2. Huang Qin (Scutellaria) 9g
  3. Ban Xia (Pinellia) 9g
  4. Sheng Jiang (fresh ginger) 9g
  5. Ren Shen (ginseng) 6-9g
  6. Da Zao 12pc
  7. Gan Cao 9g
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2
Q

What is the function of Xiao Chai Hu Tang?

A

Harmonize the Shaoyang channels

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3
Q

What are the indications for Xiao Chai Hu Tang?

A
  • Shaoyang syndrome
  • Heat entering the blood chamber (uterus)
  • Malaria and jaundice when patient shows signs of Shaoyang pattern
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4
Q

What are the keys symptoms for Xiao Chai Hu Tang?

A
  • Alternating chills and fever
  • Hypochondriac/chest fullness and distention
  • Bitter taste
  • Wiry pulse
  • White tongue coating
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5
Q

What is the pathogenesis for alternating chills and fever?

A

Pathogen attacks shaoyang

Pathogen and vital energy struggle half interior and half exterior

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6
Q

Pathogenesis for stifling sensation in chest and hypochondriac?

A

Qi stagnation in Shaoyang channels

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7
Q

Bitter taste, dry throat, dizziness, irritability pathogenesis?

A

Pathogens constrained in Shaoyang turn to heat

Flaring up of fire in Shaoyang channel

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8
Q

Poor appetite and vomiting pathogenesis?

A

Gallbladder heat affects the stomach leading to upward perversion of Stomach qi

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9
Q

Wiry pulse pathogenesis?

A

Sign of Shaoyang syndrome

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10
Q

What are the key symptoms of heat entering the uterus?

A

Menstruation stops suddenly and there are alternating chills and fever

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11
Q

Action of Chai Hu?

A

King herb

  • Dispel pathogen that is located in half exterior aspect of Shaoyang channel
  • Soothe qi stagnation in Shaoyang channel
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12
Q

Haung Qin actions?

A

Deputy

Clear heat located in half interior aspect of Shaoyang channel

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13
Q

Ban Xia and Sheng Jiang actions?

A

Assistants

  • Drop Qi down to stop vomiting
  • Dry dampness
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14
Q

Ren Shen and Da Zao actions?

A

Assistants

  • Tonify qi and dispel pathogenic factor
  • Prevent inward transmission of pathogens
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15
Q

Gan Cao actions?

A

Messenger

  • Harmonize
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16
Q

What are the characteristics of the combination of herbs in Xiao Chai Hu Tang?

A

Dispel pathogen but also assist vital energy

Majorly harmonize Shaoyang

Regulate stomach qi

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17
Q

What are three possible outcomes after taking Xiao Chai Hu Tang?

A
  1. No sweating (most common)
  2. Recover with sweating - recovery of vital qi and release of pathogen
  3. Vital qi is damaged or there is qi deficiency - Shiver sweating (sweating after shivering and fever) positive sign of vital qi conquering the pathogens. Monitor the patient carefully to avoid dehydration.
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18
Q

What are the ingredients of Da Chai Hu Tang?

A
  1. Chai Hu (Bupleurum) 5g
  2. Huang Qin (Scutellaria) 9g
  3. Zhi Shi (unripe bitter orange) 9g
  4. Da Huang (Rhubarb rhizome) 6g
  5. Ban Xia (Pinellia) 9g
  6. Shao Yao (white peony) 9g
  7. Sheng Jiang (ginger) 15g
  8. Da Zao 12pc
19
Q

What are the functions of Da Chai Hu Tang?

A
  • Mediate the Shaoyang channels
  • Reduce the accumulated heat in the interior
20
Q

What are the indications for Da Chai Hu Tang?

A

Syndrome of both Shaoyang and Yangming Fu or illness of both shaoyang and yangming

21
Q

What are the key symptoms for Da Chai Hu Tang?

A
  • Alternating chills and fever (can still use without this however)
  • Constipation
  • Hypochondriac pain and bloating
  • Yellow tongue coating
22
Q

Pathogenesis for

alternating chills and fever

fullness in chest/hypochondriac area, nausea, vomiting

irritability?

A
  • Accumulation of heat in Shaoyang channels
  • Heat in GB attacking ST
  • Interior heat stagnation disturbing heart
23
Q

Pathogenesis of:

Fullness, hardness, pain in epigastric region

Constipation or diarrhea

A
  • Transmission of heat from Shaoyang to Yangming
  • Qi stagnation and impairment of transportation in the stomach and intestines
24
Q

Pathogenesis for yellow tongue coating, wiry forceful pulse?

A

Excessive heat in the interior

25
Q

Actions of Chai Hu and Huang Qin?

A

King herbs

  • Harmonize Shaoyang
  • Clear accumulated heat in Shaoyang channels
26
Q

Actions of Da Huang, Zhi Shi?

A

Deputy herbs

  • Promote bowel movement and reduce heat
  • Promote qi circulation
  • Remove stagnation and relieve fullness
27
Q

Actions of Bai Shao and Ban Xia?

A

Assistants

Bai Shao

  • Relax tension and stop pain
  • Combine with DH to relieve excess abdominal pain

Ban Xia

  • Conduct perversion of qi downward and stop vomiting
28
Q

Actions of Sheng Jian, Da Zao?

A

Assistan, Messenger

  • Regulate Ying and Wei
  • Harmonize decoction
29
Q

What are the characteristics of the combination of Da Chai Hu Tang?

A

Harmonizing Shaoyang and purging Yangming together to treat two meridians at the same time.

30
Q

What are the ingredients for Hao Qin Qing Dan Tang?

A
  1. Qing Hao (Artimesia, wormwood) 4-6g
  2. Huang Qin (Scutellaria) 4-6g
  3. Zhu Ru
  4. Ban Xia
  5. Chi Fu Ling
  6. Ju Pi
  7. Zhi Ke
  8. Bi Yu San
31
Q

What are the functions of Hao Qin Qing Dan Tang?

A
  • Clear heat and dampness in the gallbladder
  • Harmonize stomach and resolve phlegm
32
Q

What are the indications for Hao Qin Qing Dan Tang?

A

Syndrome of excessive heat in the gallbladder channel and damp heat in the spleen/stomach

33
Q

Action of Qiang Huo, Huang Qin?

A

King herbs

  • Clear heat and remove dampness in the gallbladder channels
34
Q

Action of Zhu Ru, Ban Xia, Chen Pi, Zhi Qiao, Fu Ling?

A

Deputies

  • Clear heat
  • Resolve phlegm
  • Harmonize stomach
  • Descend rebellious qi
35
Q

Bi Yu San - Hua Shi (Talcum), Qing Dai (Indigo) and Gan Cao actions?

A

Assistants

  • Promote urination to clear heat and toxin
36
Q

Ther are many herbs that can clear heat, whi is Qing Hao chosen in this formula?

A

Dampness comes with turbid (dirty toxins) and Qing Hao is aromatic which is very good to dispel the turbid at the same time as clearing heat.

37
Q

Which is better for dispelling, Qing Hao or Chai Hu?

A

Chai Hu

38
Q

Which is better for clearing heat, Qing Hao or Chai Hu?

A

Qing Hao (sweet wormwood, artimesia)

Clear heat from deficiency category

39
Q

What will we see with pathogenic heat invading gallbladder channels and slowing circulation of qi?

A
  • Alternating chills and fever or more often mild chills and severe fever
  • Bitter taste in mouth
  • Stifling sensation chest/hypochondriac area
40
Q

Nausea and vomiting

with bitter yellow and sticky saliva/tongue coating

pathogenesis?

A
  • Stomach affected by pathologic change of gallbladder
  • Spleen/stomach obstructed by damp heat leading to upward perversion of stomach
41
Q

What is the pathogenesis of

red tongue with sticky coating

wiry, rolling and rapid pulse?

A

Excessive damp heat in the interior

42
Q

What are the key symptoms for Hao Qin Qing Dan Tang?

A

Damp heat symptoms

  • Alternating chills and fever
  • Minor chills and severe fever
  • Slippery pulse
  • Sticky, yellow greasy coating
  • Vomiting
  • Nausea
  • Rapid pulse
43
Q

What are the characteristics of the combination of Hao Qin Qing Dan Tang?

A
  • Combination of clearing heat and eliminating damp
  • Combination of clearing gallbladder and harmonizing stomach
44
Q
A

Formulas & Strategies (27 decks)

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