Downward Draining Formulas Flashcards

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1
Q

Which formula is used for mild yang ming syndrome causing mild constipation?

SX: Mild constipation without focal distention and abdominal fullness, but with irritability, fever and delirium; also for nosebleed, swollen gums and throat, petechiae, Ⓣ yellow coat, Ⓟ slippery, rapid (Shi/Zao)

A. Da Cheng Qi Tang - Major Order The Qi Decoction
B. Xiao Cheng Qi Tang - Minor Order The Qi Decoction
C. Tiao Wei Cheng Qi Tang - Regulate The Stomach and Order The Qi Decoction

A

C. Tiao Wei Cheng Qi Tang - Regulate The Stomach and Order The Qi Decoction

Hardness and dryness present

Da Huang - rhubarb 12
Mang Xiao - Natrii Sulfas 9-12
Zhi Gan Cao - prepared licorice 6

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2
Q

Which formula is used for moderate yang ming syndrome causing constipation?

SX: Tidal fever, delirium, constipation, focal distention, abdominal fullness, abdominal pain that does not increase upon pressure, Ⓣ old-looking (dirty and dry), yellow coating, Ⓟ slippery, rapid (Shi/Man/Pi)

A. Da Cheng Qi Tang - Major Order The Qi Decoction
B. Xiao Cheng Qi Tang - Minor Order The Qi Decoction
C. Tiao Wei Cheng Qi Tang - Regulate The Stomach and Order The Qi Decoction

A

B. Xiao Cheng Qi Tang - Minor Order The Qi Decoction

hardness, fullness, distention

Da Huang - rhubarb 12
Hou Po - magnolia bark 6
Zhi Shi - Fructus Aurantii Immaturus 6-9

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3
Q

Which formula is used for yang ming organ syndrome causing severe constipation?

SX: Severe constipation and flatulence, focal distention and abdominal fullness, abdominal pain which increases upon pressure, tense and firm abdomen; possibly tidal fever, delirious speech, profuse sweating of the palms and soles, Ⓣ dry yellow or dry black coat, with prickles, Ⓟ deep, excessive pulse (Shi/Zao/Man/Pi)

A. Da Cheng Qi Tang - Major Order The Qi Decoction
B. Xiao Cheng Qi Tang - Minor Order The Qi Decoction
C. Tiao Wei Cheng Qi Tang - Regulate The Stomach and Order The Qi Decoction

A

A. Da Cheng Qi Tang - Major Order The Qi Decoction

hardness, dryness, fullness, distention

Da Huang - rhubarb 12
Mang Xiao -Natrii Sulfas - 9-12
Hou Po - magnolia bark - 24
Zhi Shi - Fructus Aurantii Immaturus - 12-15

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4
Q

What are the two subcategories of herbs in the Downward Draining category?

A

Heat accumulation = excess conditions

Intestinal dryness = defiency conditions

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5
Q

What formula treats constipation due to blood deficiency or impacted feces

SX: Constipation, lusterless skin and nails, parched mouth with an unquenchable thirst, Ⓣ dry, Ⓟ thin

A. Run Chan Tang - Moisten the intestines
B. Ma Zi Ren Wan - Hemp Seed Pill
C. Ji Chuan Jian - Benefit the River Decoction

A

A. Run Chan Tang - Moisten the intestines

Huo Ma Ren - hemp seed (downward draining) - 15
Tao Ren - semen persicae (invigorate blood) - 9
Dang Gui - Radix Angelicae Sinensis (tonify blood) - 9
Sheng Di Huang - rhemannia (clear heat) - 30
Zhi Ke - Fructus Aurantii (regulate qi) - 9

This is constipation due to desiccated intstines a common condition among the elderly and debilitated. It is also frequenly seen after childbirth when the loss of blood injures the yin and depletes the fluid.

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5
Q

What formula treats constipation due to intestinal dryness and heat that leads to spleen binding

SX: Hard stool that is difficult to expel, frequent urination, Ⓣ dry, yellow coat, Ⓟ deep, rapid or floating, choppy

A. Run Chan Tang - Moisten the intestines
B. Ma Zi Ren Wan - Hemp Seed Pill
C. Ji Chuan Jian - Benefit the River Decoction

A

B. Ma Zi Ren Wan - Hemp Seed Pill

Huo Ma Ren - help seed (downward draining)- 20
Xing Ren - Semen Armeniacae (transform phlegm/stop cough) - 10
Bai Shao - white peony (tonify blood) - 9
Da Huang - rhubarb (downward draining) - 12
Hou Po - magnolia bark (aromatic dispel damp) - 9
Zhi Shi - Fructus Aurantii Immaturus (regulate qi) - 9

The spleen bind pattern is heat-dryness blocking the physiological movement of fluids in the spleen. The spleen is unable to distribute fluids to the extremeties and upward into the lungs and the intestines. This causes the stools to become hard and the fluids seep downward into the bladder.

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6
Q

What formula treats constipation due to kidney yang defiency?

SX: Constipation, clear and copious urine, lower back pain and cold

A. Run Chan Tang - Moisten the intestines
B. Ma Zi Ren Wan - Hemp Seed Pill
C. Ji Chuan Jian - Benefit the River Decoction

A

C. Ji Chuan Jian - Benefit the River Decoction

Rou Cong Rong - Herba Cistanches - 6-9
Dang Gui - Radix Angelicae Sinensis - 9-15
Niu Xi - Radix Achyranthis Bidentatae - 6
Ze Xie - Rhizoma Alismatis - 4.5
Zhi Ke - Fructus Aurantii - 3
Sheng Ma - Rhizoma Cimicifugae - 1.5-3

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7
Q

Which formula is used for green watery diarrhea with abdominal distention due to yang ming organ syndrome?

A. Da Cheng Qi Tang - Major Order The Qi Decoction
B. Xiao Cheng Qi Tang - Minor Order The Qi Decoction
C. Tiao Wei Cheng Qi Tang - Regulate The Stomach and Order The Qi Decoction

A

A. Da Cheng Qi Tang - Major Order The Qi Decoction

hardness, dryness, fullness, distention

Da Huang - rhubarb 12
Mang Xiao -Natrii Sulfas - 9-12
Hou Po - magnolia bark - 24
Zhi Shi - Fructus Aurantii Immaturus - 12-15

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8
Q

Which formula is used for excess internal heat that causes heat collapse due to yang ming syndrome?

SX: fever, cold hands and feet, thirst,
constipation, disorientation, mania

A. Da Cheng Qi Tang - Major Order The Qi Decoction
B. Xiao Cheng Qi Tang - Minor Order The Qi Decoction
C. Tiao Wei Cheng Qi Tang - Regulate The Stomach and Order The Qi Decoction

A

A. Da Cheng Qi Tang - Major Order The Qi Decoction

hardness, dryness, fullness, distention

Da Huang - rhubarb 12
Mang Xiao -Natrii Sulfas - 9-12
Hou Po - magnolia bark - 24
Zhi Shi - Fructus Aurantii Immaturus - 12-15

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