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CALE STUDY > Distinguishing Characteristics of each CA Rx > Flashcards

Distinguishing Characteristics of each CA Rx Flashcards

1
Q

Gui Zhi Tang

Cinnamon Twig Decoction

A

Release Exterior Wind-Cold

Fever & Chills unrelieved by sweating; Ying & Wei Disharmony

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2
Q

Sang Ju Yin

Mulberry Leaf and Chrysanthemum Decoction

A

Release Exterior Wind-Heat

Sl. fever, cough, sl. thirst, sl. sore throat, possible red painful eyes

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3
Q

Yin Qiao San

Honeysuckle and Forsythia Powder

A

Release Exterior Wind-Heat with Heat Toxin

Fever, sl. or no chills, thirst, sore throat, cough, H/A, boils, sores, measles, mumps
This is a Wen Bing Rx @ Wei/ Defensive Qi Level

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4
Q

Chai Ge Jie Ji Tang

Bupleurem and Kudzu Decoction to Release the Muscle Layer

A

Exterior Wind-Cold (Tai Yang) transferring to Interior (Yang Ming)

Ext. W-C characterized by decreasing chills and increasing fever, accompanied by H/A, stiffness of the extremities, orbital/ eye pn, dry nose, irritability, insomnia

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5
Q

Ren Shen Bai Du San

Ginseng Powder to Overcome Pathogenic Influence

A

Exterior Wind-Cold-Damp w/ Interior Qi Xu

High fever and severe chills w/ shivering, absence of sweating, pain and stiffness of the head/neck, soreness and pain of the extremities, nasal congestion with sonorous breathing, productive cough, focal distention and fullness of the chest

Contains SJZT w/o Bai Zhu

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6
Q

Da Cheng Qi Tang

Major Order the Qi Decoction

A

Drain Downward Damp Heat Accumulation

Constipation w/ pn that increases w/ pressure; green diarrhea; cold limbs w/ heat in the sternum and epigastrium

Shi - Hardness - Da Huang
Zao - Dryness - Mang Xiao
Man - Obj. Fullness/ Visible Bloat - Hou Po
Pi - Subj. Fullness/ Invisible Bloat - Zhi Shi

Yang Ming CHANNEL Syndrome = Bai Hu Tang

Yang Ming ORGAN Syndrome = Cheng Qi Tangs

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7
Q

Xiao Cheng Qi Tang

Minor Order the Qi Decoction

A

Drain Downward Damp Heat Accumulation

Constipation w/ pn that DOES NOT increase w/ pressure

Shi - Hardness - Da Huang
Man - Obj. Fullness/ Visible Bloat - Hou Po
Pi - Subj. Fullness/ Invisible Bloat - Zhi Shi

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8
Q

Tiao Wei Cheng Qi Tang

Regulate the ST and Order the Qi Decoction

A

Drain Downward Damp Heat Accumulation

Mild constipation w/ nosebleeds, swollen gums and throat, petechiae

Shi - Hardness - Da Huang
Zao - Dryness - Mang Xiao

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9
Q

Run Chang Wan

Moisten the Intestines Pill

A

Drain Downward Intestinal Dryness

Elderly, post-partum, post-surgical constipation d/t fluid deficiency

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10
Q

Ma Zi Ren Wan

Hemp Seed Pill

A

Drain Downward Intestinal Dryness

Constipation w/ normal or frequent urination

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11
Q

Xiao Chai Hu Tang

Minor Bupleurem Decoction

A

Harmonize Shao Yang

4 Cardinal Sx of Shao Yang Syndrome:
* Alterrnating Fever and Chills
* P: Wiry
* Dizziness, Nausea
* Dry throat/ bitter taste

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12
Q

Si Ni San

Frigid Extremities Powder

A

Harmonize Liver and Spleen

Cold fingers and toes w/ warm body
Raynaud’s Syndrome

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13
Q

Xiao Yao San

Rambling Powder

A

Harmonize Liver and Spleen (Wood attacking Earth)

Classic Qi Stag Rx

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14
Q

Ban Xia Xie Xin Tang

Pinellia Decoction to Drain the Epigastrium

A

Harmonize Stomach and Intestines

Epigastric focal distention w/ little or no pn, dry heaves, frank vomiting
Gastritis d/t heat (inflammation) and cold (cold ST = digestion is slow; food doesn’t move)

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15
Q

Bai Hu Tang

White Tiger Decoction

A

Clear Heat at the Qi Level

4 BIGS - Big Sweat, Big Pulse, Big Fever, Big Thirst

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16
Q

Huang Lian Jie Du Tang

Coptis Decoction to Relieve Toxicity

A

Clear Toxic Heat

Fire in the 3 Jiaos - carbuncles, deep-rooted boils

Contains Three “Huangs”
* Huang Lian for heat in UJ/ MJ
* Huang Bai for heat in UJ
* Huang Qin for heat in LJ

Zhi Zi drains heat via Urine

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17
Q

Xie Xin Tang

Drain the Epigastrium Decoction

A

Clear Toxic Heat

**Damp-Heat **Excess looks like heat w/ epigastric focal distention

Contains TWO Huangs:
* Huang Lian & Huang Qin
* When combined with Da Huang (King), removes heat via STOOL

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18
Q

Qing Wei San

Clear the Stomach Powder

A

Clear Organ Heat

ST Fire attacking the face w/ toothache, facial swelling, sore and bleeding gums, painful tongue, bad breath

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19
Q

Dao Chi San

Guide Out the Red Powder

A

Clear Organ Heat

**UTI w/ sores **around the mouth, heat in the chest

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20
Q

Long Dan Xie Gan Tang

Gentiana Decoction to Drain the Liver

A

Clear Organ Heat

LV FIRE; Red, painful eyes Herpes; Shingles; Bitter taste; Hypochondriac/ intercostal pn
Women: Foul-smelling leukorrhea Men: impotence

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21
Q

Bai Tou Weng Tang

Pulsatilla Decoction

A

Clear Organ Heat

“Fire-rrhea” d/t Amoebic, Bacillary dysentery

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22
Q

Qing Hao Bie Jia Tang

Artemisia Annua and Soft-Shelled Turtle Shell Decoction

A

Clear Deficiency Heat

Night fever; Morning Coolness

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23
Q

Dang Gui Liu Huang Tang

Tangkui and Six-Yellow Decoction

A

Clear Deficiency Heat

Fever, night sweats, irritability, dark scanty urine, dry stools, Fire in the interior w/ Blood or Yin Xu

Contains “SIX Huangs + Dang”:
* Shu Di + Sheng Di + Dang Gui –> Nourish Yin and Blood
* Huang Lian/Bai/Qin –> Drain Fire
* Huang Qi –> Augments Qi

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24
Q

Li Zhong Wan

Regulate the Middle

A

Warm Interior - Middle Burner

Abd. pn relieved by warmth and pressure [with spitting of saliva]

Contains SJZT w/o Fu Ling; Sub Gan Jiang

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25
Q

Wu Zhu Yu Tang

Evodia Decoction

A

Warm Interior - Middle Burner

Vomiting immediately after eating; indeterminate gnawing hunger; dry heaves; spitting of clear fluids; vertex h/a; agitation so severe patient wants to die

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26
Q

Xiao Jian Zhong Tang

Minor Construct the Middle Decoction

A

Warm Interior - Middle Burner

Intermittent spasmodic abd. pn better w/ warmth and pressure

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27
Q

Da Jian Zhong Tang

Major Construct the Middle Decoction

A

Warm Interior - Middle Burner

Excruciating Epigastric & Abd. pn so bad that patient cannot tolerate being touched

Root: Middle burner yang xu
Branch: Yin cold

King = Sichuan Pepper/ Hua Jiao

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28
Q

Si Ni Tang

Frigid Extremities Decoction

A

Warm Interior - Yang Collapse

Constant desire to sleep curled up in a ball | True Cold + False Heat

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29
Q

Si Jun Zi Tang

Four Gentlemen Decoction

A

Tonify Qi

General (LU & SP) Qi Xu

SJZT + Er Chen Tang = LJZT
SJZT + Er Chen Tang + Mu Xiang + Sha Ren = Xiang Sha LJZT
XSLJZT + Ping Wei San = Xiang Sha Yang Wei San

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30
Q

Shen Ling Bai Zhu San

Ginseng, Poria, White Atractylodes Powder

A

Tonify Qi

Loose stools, diarrhea, weak extremities, weight loss, stifling sensation in the chest and epigastrium

Kings = SJZT

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31
Q

Bu Zhong Yi Qi Tang

Tonify the Middle and Augment the Qi Decoction

A

Tonify Qi

Intermittent Fever, Prolapse of organs, spontaneous sweats, possible bleeding disorder

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32
Q

Yu Ping Feng San

Jade Windscreen Powder

A

Tonify Qi

Frequent Recurring Colds/ Prone to W-C attacks; spontaneous sweating d/t Wei Qi Xu; Balance betw. tonifying Wei Qi w/o trapping Evil Qi in body; chasing out Evil Qi w/o depleting Wei Qi

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33
Q

Sheng Mai San

Generate the Pulse Powder

A

Tonify Qi

SOB, spontaneous sweat w/ chronic cough with sparse sputum difficult to expectorate; LU Qi & Yin Xu

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34
Q

Si Wu Tang

Four Substances Decoction

A

Tonify Blood

Classic Blood Xu Rx

35
Q

Dang Gui Bu Xue Tang

Tangkui Decoction to Tonify the Blood

A

Tonify Blood

Hot sensations in the muscles yet desire to drink warm beverages; Major Qi & Blood Xu d/t overexertion

5:1 Ratio Huang Qi:Dang Gui

Good for things like massive post-partum blood loss; Yang will begin to separate bc blood not holding Yang in vessels so you will see False Heat

36
Q

Ba Zhen Tang

Eight Treasure Decoction

A

Tonify Qi and Blood

Blood and Qi Xu concurrent; SWT + SJZT put together

37
Q

Shi Quan Da Bu Tang

All-Inclusive Great Tonifying Decoction

A

Tonify Qi and Blood

Qi & Blood Xu w/ Deficiency Cold; Qi & Blood Xu in consumptive disorders; Sores that refuse to heal; SWT + SJZT + Ren Shen + Rou Gui

38
Q

Gui Pi Tang

Restore the Spleen Decoction

A

Tonify Qi and Blood

Chronic bleeding disorders, palps, forgetfulness, insomnia, reduced appetite, wan complexion

Good for students - SP Qi Xu d/t worry, fatigue, overwork

39
Q

Liu Wei Di Huang Wan

Six-Ingredient Pill w/ Rehmannia

A

Tonify Yin

KD Yin Xu s/s + hot palms and soles, chronic dry and sore throat, Xiao Ke - wasting and thirsting

3 Tonify Herbs - Shu Di; Shan Zhu Yu; Shan Yao

3 Sedating Herbs - Ze Xie; Mu Dan Pi; Fu Ling

40
Q

Zuo Gui Wan

Restore the Left Kidney Pill

A

Tonify Yin

(More Severe) KD Yin Xu and Essence Depletion w/ spontaneous and nocturnal emissions, spontaneous and night sweats

Clinically:
Zuo Gui Yin tonifies Yin FAST
Zuo Gui Wan tonifies Yin AGGRESSIVELY
LWDHW is a balanced Yin Tonic for LT use

41
Q

Bai He Gu Jin Tang

Lily Bulb Decoction to Preserve the Metal

A

Tonify Yin

Cough w/ blood-streaked sputum, hot palms and soles, night sweats (LU & KD)

42
Q

Jin Gui Shen Qi Wan

Kidney Qi Pill from the Golden Cabinet

A

Tonify Yang

Urinary difficulty w/ edema or incontinence; irritability to point of having difficulty lying down; breathing most comfortably while leaning against something

Contains LWDHW + Fu Zi + Gui Zhi (for Yang Xu)

Clinically:
Jin Gui Shen Qi Wan = Balanced Yang Tonic for LT use
You Gui Wan = Tonifies Yang Immediately/ Aggressively

43
Q

You Gui Wan

Restore the Right Kidney Pill

A

Tonify Yang

Spermatorrhea, incontinence, edema of lower limbs, impotence, exhaustion after long illness

Tonifies Yang QUICKLY and AGGRESSIVELY

44
Q

Si Shen Wan

Four Miracle Pill

A

Stabilize and Bind: Intestines

Cock’s Crow Diarrhea

Si Shen Wan = Tonifies KD + SP; Warming and Astringing

Li Zhong Wan = Tonifies SP ONLY; Warming and TONIFYING

45
Q

Jin Suo Gu Jing Wan

Metal Lock Pill to Stabilize the Essence

A

Stabilize and Bind: Essence

Chronic spermatorrhea; impotence

46
Q

Gu Jing Wan

Stabilize the Menses Pill

A

Stabilize and Bind: Womb

Continuous menstrual trickle and gushing red blood with clots/ menorrhagia (Beng Lou Syndrome)

47
Q

Wan Dai Tang

End Discharge Decoction

A

Stabilize and Bind: Womb

Profuse vaginal discharge white or yellow

48
Q

Suan Zao Ren Tang

Sour Jujube Decoction

A

Calm Spirit: Heart Deficiency

Irritability, insomnia, night sweats, vertigo, dizziness, palps - like HT7 - calming, but not sedating

Clinically: Wood not generating Fire (LV Blood Xu leading to HT Yin Xu)

49
Q

Huang Lian E Jiao Tang

Coptis and Ass-Hide Gelatin Decoction

A

Calm Spirit: Heart Deficiency

YIN FIRE: Irritability w/ sensation of heat in the chest, insomnia, palpitations, anxiety

50
Q

Gan Mai Da Zao Tang

Licorice, Wheat, and Jujube Decoction

A

Calm Spirit: Heart Deficiency

Crying for no reason, inability to control oneself, as if under influence of a ghost, irritability, can’t sleep/ disturbed sleep - like PC7 - stronger sedating/calming capability

51
Q

Yue Ju Wan

Escape Restraint Pill

A

Regulate Qi: Qi Stagnation

Rx to move six stagnations:
Blood
Phlegm/ Damp
Qi
Heat
Food

52
Q

Ban Xia Hou Po Tang

Pinellia and Magnolia Bark Decoction

A

Regulate Qi: Qi Stagnation

Feeling of something caught in throat (plum-pit Qi) - cannot be swallowed or ejected

53
Q

Su Zi Jiang Qi Tang

Perilla Fruit Decoction for Directing Qi Downward

A

Regulate Qi: Rebellious Qi

SOB marked by labored inhalation and smooth exhalation, watery copious sputum

Excess Cold-Phlegm Above; KD Yang Xu Below

54
Q

Ju Pi Zhu Ru Tang

Tangerine Pill and Bamboo Shaving Decoction

A

Regulate Qi: Rebellious Qi

Hiccough, nausea, dry heaves, retching

Contains Er Chen Tang

55
Q

Tao He Cheng Qi Tang

Peach Pit Decoction to Order the Qi

A

Regulate Blood: Blood Stasis

Blood stasis in the LJ; amenorrhea or dysmenorrhea in women; manic behavior

ACUTE Lower abd. pn d/t blood stasis w/ sl. heat (hence thin yellow coat on tongue)

This Rx = Tiao Wei CQT + Tao Ren + Gui Zhi

Blood Stasis in General
Blood Stag + LQS = XFZYT
Blood Stag + Def Cold in LJ; Uterus; Chong; Ren = Wen Jing Tang or GZFLW
Blood Stag + Heat in LJ = Tao He CQT

56
Q

Xue Fu Zhu Yu Tang

Drive Out Stasis in the Mansion of the Blood Decoction

A

Regulate Blood: Blood Stasis

Blood stasis in the chest

This Rx = THSWT + SNS

57
Q

Wen Jing Tang

Warm the Menses Decoction

A

Regulate Blood: Blood Stasis

Mild, persistent uterine bleeding w/ early or late periods cold in the abdomen and infertility

Contains Wu Zhu Yu + Gui Zhi so it’s for [Def] COLD

RESEMBLES Yin Xu, but the dryness fr this condition is from Blood Stasis

58
Q

Sheng Hua Tang

Generating and Transforming Decoction

A

Regulate Blood: Blood Stasis

Retention of Lochia

59
Q

Gui Zhi Fu Ling Wan

Cinnamon and Poria Pill

A

Regulate Blood: Blood Stasis

Mild persistent uterine bleeding w/ purple or dark blood/ blood stasis; Classic Rx for Uterine Fibroids/ Ovarian Cysts

60
Q

Dan Shen Yin

Salvia Drink

A

Regulate Blood: Blood Stasis

Abd. pn that radiates upward w/ S/Sx of blood stasis and Qi Stagnation

Biomed: Pancreatitis, Cholecystitis, chronic gastritis

61
Q

Huai Hua San

Sophora Japonica Flower Powder

A

Regulate Blood: Stop Bleeding

Bright red rectal bleeding; bright red or dark red bleeding hemorrhoids

62
Q

Jiao Ai Tang

Ass-Hide Gelatin and Mugwort Decoction

A

Regulate Blood: Stop Bleeding

Abd. pn w/ uterine bleeding d/t cold

Contains SWT + E Jiao + Ai Ye

Uterus Bleeding in General
Blood Xu + Cold = Jiao Ai Tang
Blood Stag + Cold = Wen Jing Tang
Alt. Trickling, Flooding d/t HEAT = Gu Jing Wan

63
Q

Xiao Huo Luo Dan

Minor Invigorate the Collaterals Special Pill

A

Expel External Wind

Key Word is CHANNELS

Pn, weak and numb lower extremities w/ wind-stroke, migrating or fixed bone or joint pn

Kings = Cao Wu + Chuan Wu (together = Wu Tou) which warms CHANNELS
Tian Nan Xing clears phlegm in CHANNELS
Ru Xiang/ Mo Yao increases blood flow in CHANNELS
Di Long opens CHANNELS

Rx for WDC Bi/ pn in bones/ joints

64
Q

Xiao Feng San

Eliminate the Wind Powder

A

Expel External Wind

Weepy, itchy skin lesions over a large part of the body; good for poison oak

65
Q

Zhen Gan Xi Feng Tang

Sedate the Liver and Extinguish Wind Decoction

A

Expel Internal Wind

Progressive motor dysfxn of the body or facial asymmetry that occurs over a period of a few hours to a few days

Internal Wind
ZGXFT - 50/50 excess/deficiency LV Wind d/t LV/KD Yin Xu causing blood congestion in brain; progressive motor dysfxn; LOC

TWBXD - 90/10 excess/deficiency LYR [causing internal LV Wind] - Sedation Rx for CVA numbness, twitching, hemiplagia

66
Q

Tian Ma Gou Teng Yin

Gastrodia and Uncaria Decoction

A

Expel Internal Wind

H/A, dizziness, vertigo, tinnitus, blurred vision, insomnia, DDS + Shaking or tremors of head and hands, Hemiplagia

67
Q

Xing Su San

Apricot Kernel and Perilla Leaf Powder

A

Treat Exterior Dryness

Chills w/o sweat but w/ cough and watery sputum

68
Q

Mai Men Dong Tang

Opiopogonis Decoction

A

Treat Interior Dryness

Cough, SOB, spitting of saliva, hot palps and soles (LU & ST), thirst, dry throat, dry heaves

69
Q

Ping Wei San

Calm the Stomach Powder

A

Expel Dampness: Damp Turbidity

Gastric/ abd. indigestion, fullness, Inc. desire to sleep w/ heavy sensations in the limbs

Contains Cang Zhu - one of driest herbs in pharmacopia

70
Q

Huo Xiang Zheng Qi San

Agastache Powder to Rectify the Qi

A

Expel Dampness: Damp Turbidity

Stomach Flu, Traveler’s Diarrhea, Food Poisoning, Good for sea sickness; similar to Curing Pills

Contains Ping Wei San w/o Cang Zhu

71
Q

Ba Zheng San

Eight Herb Powder for Rectification

A

Expel Dampness: Damp-Heat

UTI w/ dark, turbid, scanty, difficult, painful urination

Used generally for Lin Syndromes

72
Q

Wu Ling San

Five-Ingredient Powder with Poria

A

Expel Dampness: Water Irregularity

Throbbing pulsations just below umbilicus, vomiting frothy saliva, vomiting after drinking

73
Q

Zhu Ling Tang

Polyporus Decoction

A

Expel Dampness: Water Irregularity

Chronic UTI w/ irritability or insomnia; urinary difficulty w/ thirst w/ desire to drink

74
Q

Wu Pi San

Five-Peel Powder

A

Expel Dampness: Water Irregularity

Pregnancy edema/ pre-eclampsia; Edema all over body; puffy palpable; heaviness in limbs; okay to use w/** HTN & Proteinurea **

75
Q

Zhen Wu Tang

True Warrior Decoction

A

Expel Dampness: Cold-Damp

Abd. pn aggravated by cold, sweating not reduced by fever, palps in the epigastrium, feeling unstable as if about to fall

Think of Jack and Rose - Rose is shivering w/ palps; Jack has COLD yang Xu; water retention

Can be used for Congestive HT Failure; Pitting Edema

76
Q

Juan Bi Tang

Remove Painful Obstruction Decoction

A

Expel Dampness: Wind-Damp

Heaviness in body, stiffness in neck, shoulders, upper back -** Painful W-D Bi**

77
Q

Er Chen Tang

Two-Cured Decoction

A

Dissolve Phlegm: Damp-Phlegm

Cough w/ copious white sputum easily expectorated palps, dizziness, nausea

Think of Wet T-Shirts drying in the sun
* Sun is Ban Xia –> warm and dry
* Wind is Ju Hong/ Chen Pi –> revives Qi Flow
* Dripping is Fu Ling –> dampness draining down
* Fabric Softener is Zhi Gan Cao –> harmonizes to make sure the shirt doesn’t get too stiff

Ban Xia King Rx
* Er Chen Tang: Damp-Phlegm
* Wen Dan Tang: Phlegm-Heat
* Ban Xia Bai Zhu Tian Ma Tang: Wind-Phlegm

78
Q

Wen Dan Tang

Warm the Gallbladder Decoction

A

Dissolve Phlegm: Damp-Phlegm

Hot-Phlegm; Psychological disorders

Dizziness, vertigo, gnawing hunger, strange/ unusual dreams, seizures, seizures w/ copious sputum

79
Q

Qing Qi Hua Tan Wan

Clear the Qi and Transform Phlegm Pill

A

Dissolve Phlegm: Hot-Phlegm

Phlegm-heat w/ cough w/ copious, viscous sputum that is difficult to expectorate

80
Q

Bei Mu Gua Lou San

Fritillaria and Trichosanthes Fruit Powder

A

Dissolve Phlegm: Dry-Phlegm

Cough w/ deep-seated sputum that is difficult to expectorate

Uses Chuan Bei Mu which is more moistening Dry-Phlegm than Zhe BM which is for Phlegm-Heat

Kind of like ECT subs out Ban Xia for 3 moistening herbs

81
Q

Ban Xia Bai Zhu Tian Ma Tang

Pinellia, Atractylodis, Macrocephalae, and Gastrodia Decoction

A

Dissolve Phlegm: Wind-Phlegm

Dizziness, vertigo, copious sputum, stifling sensation in chest

Good for Meniere’s Disease

82
Q

Zhi Sou San

Stop Coughing Powder

A

Dissolve Phlegm: Wind-Phlegm

Post-acute-cough with/without fever and chills, itchy throat

83
Q

Bao He Wan

Preserve Harmony Pill

A

Digestif - Food Retention

Food Stag Rx; rotten smelling belches

CALE STUDY (20 decks)

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