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Formulas & Strategies > Ch5: Formulas that Clear Heat from Qi Level > Flashcards

Ch5: Formulas that Clear Heat from Qi Level Flashcards

1
Q

Bai Hu Tang is a representative formula for what indications?

A

Excessive heat in yangming meridian

or

Excessive heat in Qi level

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2
Q

Ingredients of Bai Hu Tang?

A
  • Shi Gao - Gypsum (50g)
  • Zhi Mu - Anemarrhena rhizome (18g)
  • Jing Mi - Nonglutinous rice (9g)
  • Gan Cao (6g)
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3
Q

Functions of Bai Hu Tang?

A
  • Clear heat
  • Sedate fire
  • Generate body fluids
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4
Q

What are the key symptoms for Bai Hu Tong (White Tiger Decoction)?

A
  • High fever (big fever)
  • Big Thirst
  • Big Sweat
  • Bounding pulse (big pulse)

4 Big

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5
Q

What is the pathogenesis for high fever?

A

Heat in Yangming or Qi level

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6
Q

What is the pathogensis of having great thirst and irritability?

A
  • Heat damages body fluid
  • Heat disturbs the mind
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7
Q

What is the pathogenesis for profuse sweating?

A
  • Heat steams the inside causing sweating
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8
Q

Pathogenesis of dry mouth and tongue, surging big and forceful pulse?

A
  • Excessive heat in qi level
  • Body fluids damaged
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9
Q

Pathogenesis of flushed face?

A

Heat flaring up

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10
Q

Actions of Shi Gao (gypsum)?

A

King herb

  • Clear heat
  • Relieve thirst and irritability
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11
Q

Actions of Zhi Mu (anemarrhena rhizome)?

A

Deputy herb

  • Clear heat, drain fire
  • Generate body fluids
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12
Q

Actions of Jing Mi (nonglutinous rice)?

A

Assistant

  • Tonify stomach qi
  • Prevent cold herbs from damaging stomach
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13
Q

Gan Cao actions?

A

Messenger

  • Tonify qi
  • Harmonize decoction
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14
Q

What are the characteristics of the combination of Shi Gao and Zhi Mu?

A
  • Pungent sweet cold herb Shi Gao combined with bitter cold and moistening of Zhi Mu to increase the functions of clearing heat and generating body fluid.
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15
Q

What are the characteristics of the combination of Shi Gao with Jing Mi and Gan Cao?

A

Shi Gao is a cold herb so it is combined with herbs that tonify the middle jiao (Jing Mi, Gan Cao). This prevents cold cool herbs from damaging the stomach, so the formula clears pathogens without damagin vital qi.

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16
Q

Western disease treated by Bai Hu Tang?

A

High fever in febrile diseases such as encephalitis B

(Epidemic encephalitis shows heat in qi level)

17
Q

What herbs would you add to Bai Hu Tang for constipation?

A

Da Huang

Mang Xiao

18
Q

What herbs would you add to Bai Hu Tang for high fever causing convulsions?

A

Ling Yang Jiao (antelope horn) - extinguish wind, calm tremors category

Shui Niu Jiao (water buffalo horn) - clear heat cool blood category

19
Q

What are the indications for Zhu Ye Shi Gao Tang?

A

Deficiency of qi and body fluids due to febrile diseases in which the remaining heat is not eliminated.

20
Q

What are the ingredients for Zhu Ye Shi Gao Tang?

A
  1. Zhu Ye - Lopatherum stem/leaf (6g)
  2. Shi Gao - Gypsum (50g)
  3. Ren Shen - Ginseng (6g)
  4. Mai Men Dong - Ophiopogon tuber (20g)
  5. Jing Mi - Nonglutinous rice (10g)
  6. Ban Xia - Pinellia (9g)
  7. Gan Cao - Licorice (6g)
21
Q

What are the functions of Zhu Ye Shi Gao Tang?

A
  • Clear heat and promote production of body fluid
  • Tonify qi and harmonize stomach
22
Q

What symptoms are caused by the remaining heat left in the body?

A
  • Irritability, restlessness
  • Insomnia
  • Low grade fever
  • Profuse sweating
  • Red tongue with little coating
23
Q

What symptoms are caused by deficiency of qi and body fluid?

A
  • Dry mouth and thirst
  • Lassitude
  • Shortness of breath
  • Deficient and rapid pulse
24
Q

What symptoms are caused by pathogenesis of upward perversion of stomach qi?

A
  • Nausea
  • Vomiting
25
Q

Herb actions of Shi Gao and Zhu Ye?

A

King herbs

  • Clear heat
  • Relieve irritability
26
Q

Actions of Ren Shen, Mai Men Dong, Jing Mi?

A

Deputy herbs

  • Tonify Qi
  • Promote production of body fluids
27
Q

Actions of Ban Xia?

A

Assistant herb

  • Conduct qi downward to relieve vomiting
28
Q

What are the characteristics of Zhu Ye Shi Gao Tang combination of herbs?

A

Herbs that clear heat are combined with herbs that tonify yin and qi so that this formula can dispel pathogen and tonify at the same time. Clear heat but not leading to cold. Tonify without leading to qi stagnation. Protect middle jiao.

29
Q

What are the considerations for Ban Xia in this formula?

A

Use Ban Xia with large doses of herbs that are cold to isolate function of descending qi, without generating heat or damaging yin fluid.

30
Q

What are the key symptoms for Zhu Ye Shi Gao Tang?

A
  • Fever
  • Deficiency of qi and yin symptoms
  • Nausea, vomiting

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