Cool the Blood Flashcards by Dottie Harpley-Garcia

Herbs in this category are used to treat what level/stage of heat?

Ying and Xue level

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What are the typical tastes and temperatures of these herbs?

Bitter (clear heat/drain fire), sweet (tonify yin)/Cold, cool (clear heat)

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Which two herbs nourish yin?

sheng di huang - rehmannia
xuan shen - scrophularia

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What herb cool and move blood?

Mu dan pi - moutan

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Which herb clears deficient fire (without sweating)?

Mu dan pi - moutan

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Which herb is contraindicated in pregnancy or excessive menstruation NOT due to heat/blood stasis?

Mou dan pi = moutan

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What is the general contraindication of the herbs in this category?

Caution with spleen deficiency with cold and dampness

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What herb is used as a replacement for ci jiao - rhinoceroses horn?

Shui niu jiao - water buffalo horn

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What is the difference between sheng di huang and shu di huang?

shen di huang - cools the blood, cold, sweet and bitter

shu di huang - prepared, tonify blood, slightly warm and sweet

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What herbin the clear toxic heat category is a dui yao when paird with xuan shen - scrophularia and is used for painful, red, swollen throat due to yin deficient heat or excess heat that damages the yin?

Ban lan gen - istasis (clear toxic heat)

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What herb, in the calm spirit category is a dui yao when paired with xuan shen - scrophularia and is used for neck lumps, nodules, and other symptoms due to phlegm-fire?

Mu li - oyster shell (calm the spirit)

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What herb,in the tonify yin categoty, is a dui yao when paired with xuan shen - scrophularia and is used for xiao ke (diabetes) accompanied by dry mouth, throat, red tongue with scanty coating?

Mai men dong - ophiopogonin (herbs that tonify yin)

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Which of the following herbs is listed in Appendix I of the CITES (Convention on International Trade in Endangered
Species of Wild Fauna and Flora) and the trade is strictly prohibited?
A. Xi Jiao (Cornu Rhinoceri)
B. Shui Niu Jiao (Cornu Bubali)
C. Huang Niu Jiao (Cornu Bovis)
D. Qing Niu Jiao (Cornu Bovis)

A. Xi Jiao (Cornu Rhinoceri)

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Shui Niu Jiao (Cornu Bubali) is commonly used as a substitute for Xi Jiao (Cornu Rhinoceri) since rhinoceros is an
endangered species and commerce in Xi Jiao is illegal. Shui Niu Jiao, however, is much lower in potency and requires
up to _________ the normal dosage of Xi Jiao to achieve similar therapeutic effects.
A. 2-3 times
B. 8-10 times
C. 10-25 times
D. 100-200 times

B. 8-10 times

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Sheng Di Huang (Radix Rehmanniae) is used to address lin zheng (dysuria syndrome) arising from Heart Heat attacking
the Small Intestine and Urinary Bladder. Which of the following herbs can be combined for this action?
A. Huai Hua / Di Yu / Huang Qin
B. Mu Dan Pi / Chi Shao
C. Xuan Shen / Mai Men Dong
D. Mu Tong / Dan Zhu Ye / Gan Cao

D. Mu Tong - akebiae caulis (drain damp)/ Dan Zhu Ye- lophatheri herba (clear heat & drain fire) / Gan Cao - licorice (tonify qi)

These herbs make up the formula Dao Chi San - Guide Out The Red

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What herb,in the invigorate blood category, paired with mu dan pi - moutan cortex makes a dui yao that treats blood heat symptoms including nose bleed (epitaxis), vomiting blood (hemetamesis), intermentrual bleeding (metrorragia), puritis, etc? Also treats blood heat causing blood stasis?

Dan shen - salvia (herbs that invigorate blood)

Which of the following herbs can be combined with Sheng Di Huang (Radix Rehmanniae) for treating constipation
caused by heat entering the Large Intestine and drying fluids?
A. Sha Shen / Mai Men Dong / Yu Zhu
B. Mu Dan Pi / Chi Shao
C. Xuan Shen / Mai Men Dong
D. Huang Qin / Huai Hua / Di Y

A. Sha Shen - glehniae radix (tonify yin) / Mai Men Dong - ophiopongonis radix (tonify yin) / Yu Zhu- polygonati o. rhizoma (tonify yin)

Sheng di huang, sha shen, mai men dong make the formula zeng ye tang - increase fluids decoction

Sheng Di Huang (Radix Rehmanniae) treats heat invading the Ying (nutritive) and Xue (blood) levels, characterized by
high fever, dry mouth and tongue, restlessness, feverish sensations at night, skin eruptions, delirium, mania, and
scarlet red tongue. Which of the following herbs are commonly combined?
A. Shui Niu Jiao / Xuan Shen / Mai Men Dong
B. Mu Tong / Dan Zhu Ye / Gan Cao Shao
C. He Ye / Ce Bai Ye / Ai Ye
D. Huang Qi / Ge Gen / Tian Hua Fen

A. Shui Niu Jiao - water buffalo horn - cool blood
Xuan Shen - Scrophularia - cool blood
Mai Men Dong - op. - tonify yin

Xuan Shen (Radix Scrophulariae) effectively treats sore throats from various causes when combined appropriately with other herbs. Which of the following herbs are commonly combined for sore throat with dryness and pain?
A. Sheng Ma / Shui Niu Jiao
B. Zhe Bei Mu / Mu Li
C. Jie Geng / Gan Cao
D. Bai He / Zhe Bei Mu

C. Jie Geng - playcodon root (warm and transform cold phlegm) / Can Gao - licorice root (tonify qi)

Jie Geng and Gan Cao are basic herbs that are good for sore throat. Jie Geng is a guiding herb that leads formulas to the throat.

Which of the following Xuan Shen (Radix Scrophulariae) combinations treats scrofula, lipoma, swollen glands, goiter, lumps or nodules due to Phlegm stagnation and Fire-Toxin?
A. Bai He / Chuan Bei Mu / Sheng Di Huang
B. Jie Geng / Gan Cao / Lian Qiao
C. Cang Zhu / Huang Qi / Shan Yao
D. Xia Ku Cao / Zhe Bei Mu / Mu Li

D. Xia Ku Cao - prunellae spica (clear heat drain fire) / Zhe Bei Mu - fritillariry bulb (cool and transform phlegm heat) / Mu Li - oyster shell (calm spirit)

Xuan Shen + Zhe Bei mu + Mu Li = Xiao Luo Wan - Reduce Scrofolia Pill

Which of the following herbs is NOT incompatible with Li Lu (Radix et Rhizoma Veratri)?
A. Xi Xin
B. Fu Shen
C. Xuan Shen
D. Bai Shao

C. Xuan Shen - scrophularia root

Which of the following herbs can be categorized in the Blood-Heat clearing group or the Blood activating group?
A. Yin Chai Hu
B. Chi Shao
C. Chuan Xiong
D. Zi Cao

B. Chi Shao - red peony root

Both Mu Dan Pi (Cortex Moutan) and Di Gu Pi (Cortex Lycii) are used for Yin-deficient Heat to relieve streaming bones sensations, nighttime fevers, and thirst. Which of the following herbs is used for Yin deficiency Heat without sweating?
A. Mu Dan Pi
B. Di Gu Pi

A. Mu Dan Pi - moutan

Mu dan pi is acrid and can release the exterior.

Di gu pi - goji root bark is sweet.

Which of the following two ingredients are added to make Jia Wei Xiao Yao San (Augmented Rambling Powder) if a Xiao Yao San (Rambling Powder) patient presents with hypertension, irritability, redness of the face and eyes, and
short temper?
A. Mu Dan Pi / Di Gu Pi
B. Xiang Fu / Ai Ye
C. Mu Dan Pi / Zhi Zi
D. Xiang Fu / Zi Su Geng

C. Mu Dan Pi- moutan / Zhi Zi - gardenia fruit (clear heat, drain fire)

Mu dan pi - moutan is for deficency heat and zhi zhi - gardenia is for full heat.

Jia Wei Xiao Yao San is when a Xiao yao san patient present heat symptoms.

Which of the following herbs does NOT cool blood and invigorate blood? A. Chi Shao B. Mu Dan Pi C. Dan Shen D. Dang Gui

D. Dang Gui - angelica root - tonify blood it is warming so it doesn't cool the blood Dan Shen is in the regulate blood category

Which of the following acupuncture points shares similar actions with Chi Shao (Radix Paeoniae Rubrae) and Mu Dan Pi (Cortex Moutan)? A. SP4 B. SP10 C. LU9 D. LV3

B. SP10

Which of the following herbs drains deficient Fire from the Liver and balances Shan Zhu Yu (Fructus Corni) in Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia)? A. Shan Yao B. Fu Ling C. Ze Xie D. Mu Dan Pi

D. Mu Dan Pi

Which of the following herbs are used with Mu Dan Pi (Cortex Moutan) for acute appendicitis that has not ruptured, and presents with fever, vomiting, and right lower quadrant pain? A. Da Huang / Mang Xiao / Tao Ren / Dong Gua Zi B. Shu Di Huang / Shan Zhu Yu / Shan Yao / Ze Xie / Fu Ling C. Zhi Zi / Chai Hu / Bai Shao / Dang Gui D. Ru Xiang / Mo Yao / Su Mu

A. Da Huang- rhubarb (purgatives) Mang Xiao - Natrii Sulfas (purgatives) Tao Ren - peach kernal (regulate blood) Dong Gua Zi - wax gourd seed (drain damp - diruetic) See formula Da Huang Mu Dan Tang

Name the 5 actions of Mu Dan Pi - Moutan

HT, LV, KI 1. Clears heat and cools the blood. 2. Clears deficient fire (without sweat) 3. Invigorates blood, dispels blood stasis 4. Clears ascending liver fire 5. Drains pus and reduces swelling. Contraindicated in pregnancy or with menorrhagia (heavy bleeding)

Name the 4 actions of Xuan Shen - scrophularia

KI, LU, ST 1. Clears heat and cools the blood 2. Nourishes yin 3. Softens hardness and dissipates nodules 4. Drain fire and relieve toxicity for a painful sore throat

Name the 3 actions of Shui Niu Jiao - waterbuffalo horn

HT, LV, ST 1. Clears heat, cool blood, resolve fire toxicity 2. Clears heat and arrests tremors* 3. Used as a substitute for Xi Jiao (rhino horn) - this requires a much higher dose

Name the 3 actions of Sheng Di Huang - rehmannia

HT, KI, LV 1. Clears heat, cools blood 2. Nourishes yin and generates fluids 3. Cools HT fire blazing Can be used for xiao ku syndrome (wasting and thirsting disorder)