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CALE STUDY > Dui Yao Pairs > Flashcards

Dui Yao Pairs Flashcards

1
Q

Dui Yao and Dui Xue pairs can be described as:

A

1 - In the music world, single herbs/points are solos, formulas/point Rx are orchestras, and dui yao/xue pairs are duets
2 - The fxn of each herb (dui yao) or point (dui xue) changes depending on which herb or point it is paired with

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2
Q

Ma Huang + Gui Zhi

Name the category and the fxn of the pair

A

RELEASE EXTERIOR WIND COLD
* Ma Huang is a strong herb that works on the superficial/epidermis level
* Gui Zhi is a sl. less strong herb, but goes sl. deeper than MH (dermis level)
* Indications: Severe chills and fever, aversion to cold, lack of sweats h/a, b/a d/t W-C excess (Shi) type, Bi syndrome d/t WCD, cough/ asthma d/t W-C obstructing LU Qi

Found in Ma Huang Tang & Ge Gen Tang

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3
Q

Ma Huang + Xing Ren

A

RELEASE EXTERIOR WIND COLD
* D&D Combo - Disperse + Descend - MH opens the pores/disperses; XR descends
* Indications: Cough and Asthma d/t WC or LU Heat

Found in Ma Huang Tang & Ma Xing Shi Gan Tang

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4
Q

Jing Jie + Fang Feng

A

RELEASE EXTERIOR
* Even though these herbs are sl. warm, they are not dry and therefore can be used for both Wind Cold AND Wind Heat
* Indications: early stage of measles and skin eruption with itching, early stage of carbuncle or boils, accompanied by chills & fever

Found in Xiao Feng San & Jing Fang Bai Du San

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5
Q

Xin Yi Hua + Cang Er Zi

A

RELEASE EXTERIOR
* Open the nasal orifice
* Indications: CC w/ H/A, nasal congestion, and runny nose d/t W-C; Deep source nasal congestion, loss of smell, turbid nasal phlegm, chronic, acute rhinitis, allergic rhinitis, hypertrophic rhinitis, sinusitis, parasinusitis, frontal sinusitis

Found in Cang Er Zi San
Associated points: LI4, LU7, LI20, Bitong, Du23 (upward for runny nose; downward for nasal congestion), BL7

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6
Q

Sang Ye + Ju Hua

A

RELEASE EXTERIOR WIND HEAT
* W-H COUGH - Sang Ye = chief
* W-H EYE INFECTION - Ju Hua = chief
* Indications: Fever, aversion to wind, light sweating, cough, h/a, sl. thirst d/t W-H; H/A, vertigo, photophobia, red, swollen, painful eyes d/t LYR

Found in Sang Ju Yin
Ju Hua is a lot like GB20; there are also different kinds of Ju Hua for different fxns
Sang Ye is one portion of the mulberry that is medicinal

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7
Q

Sheng Ma + Ge Gen

A

RELEASE EXTERIOR WIND HEAT
* Vent rashes
* Indications: Early stage of measles, H/A, fever; Incomplete eruption of measles, fever

Found in Sheng Ma Ge Gen Tang
Ge Gen = Kudzu Root –> along with Shan Zha + Jue Ming Zi = good for Hyperlipidemia; Ge Hua = Kudzu Flower –> good for hangover along with Juniper + Rosemary EO

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8
Q

Shi Gao + Zhi Mu

A

CLEAR HEAT - QI LEVEL
* In Shang Han Lun - this is for Yang Ming Heat (Not to be confused
* In Wen Bing - this is for Qi Level Heat
* Excess (Shi) Heat + Damaged Fluids
* Indications: 4 Bigs - high fever, profuse sweating, big thirst, big pulse - SURGING PULSE (big wave, fades away) (d/t heat in Qi Level); Xiao Ke - Upper burner - polydipsia, dry mouth and tongue, great thirst d/t excess (Shi) LU Heat

Found in Bai Hu Tang (White Tiger Decoction)
Shi Gao is strictly Excess Heat whereas Zhi Mu, if paired with Huang Bai, is for KD Def Heat or if paired with Chuan Bei Mu is for LU Def Heat

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9
Q

Xi Xin + Shi Gao

A

CLEAR HEAT - QI LEVEL
* Good for Shao Yin H/A - KD - so that’s why toothache
* Indications: ST Heat, toothache, bleeding/swollen/ painful gums, oral ulcers, glossitis; H/A d/t WH entering clear orifices

Xi Xin is a warm herb, but it’s okay bc it’s used in combo with Shi Gao and in general, when there are warm and cold herbs together, cold herbs will generally win

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10
Q

Zhi Zi + Dan Dou Chi

A

CLEAR HEAT - QI LEVEL HEAT
* When a patient started with W-H, but the heat didn’t resolve fully and it is lingering in the Qi Level
* Indications: Irritability, agitation, insomnia, vexation during or after Warm-Febrile Disease; External contraction of W-H of febrile disease

Found in Zhi Zi Chi Tang

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11
Q

Lu Gen + Bai Mao Gen

A

CLEAR HEAT - QI LEVEL HEAT
* Both of these herbs are “straw” or “tube” shaped - similar to Ma Huang and they have descending energy and promote urination they clear heat via urination
* Indications: Fever, thirst, irritability d/t warm-febrile disease or WH; cough/wheezing d/t LU Heat; Early stage of measles d/t toxic heat; acute nephritis, UTI accompanied by fever, dysuria, edema; N/V d/t ST Heat; Epidemic hemorrhagic fever

Lu Gen + Bai Mao Gen clear heat via URINE
Da Huang + Mang Xiao clear heat via STOOL

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12
Q

Mu Dan Pi + Dan Shen

A

CLEAR HEAT - BLOOD HEAT
* Blood Heat - Hematemesis, epistaxis, metrorrhagia, purpura, rubella, pruritis
* Menstruation irregularities or postpartum abd. pn d/t blood heat causing blood stasis
* continuous low grade fever d/t Yin Xu
* Hot, red, swollen, painful joints d/t Heat Bi

Mu Dan Pi - cools blood; Dan Shen - moves blood –> similar to SP10 –> which cools and moves blood

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13
Q

Chi Shao + Bai Shao

A

CLEAR HEAT - BLOOD HEAT
* BOTH support LV
* Bai Shao - Tonify Blood; Calm LV
* Chi Shao - Moves/ Cools Blood; Clears LV
* Blood-Heat; chronic low-grade fever
* Yin and BF Def., dry mouth, red, and painful eyes
* chest and hypochondriac pn, abdominal pn
* irregular menstruation, amenorrhea d/t Blood xu and stasis w/ heat

Bai Shao is part of several other Dui Yao pairs
Bai Shao + Gui Zhi - Spasms & Pn (d/t LV Blood Def)
Bai Shao + Chai Hu - Soothe LV Qi
Bai Shao + Gan Cao - Ying & Wei Level Support

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14
Q

Huang Bai + Cang Zhu

A

CLEAR HEAT - DAMP HEAT
* Wilting of the lower limbs w/ pn d/t D-H pouring downward to the lower part
* Cang Zhu is one of the most drying herbs of the pharmacopia
* D-H in the genital area - vaginal discharge; external vaginal itching; cloudy, scanty urination
Red, swollen, hot, painful joints d/t W-D-H Bi Syndrome

Found in Er Miao San and can be modified to become San Miao San & Si Miao San

Remember the 3 Huangs for clearing D-H
-Huang Qin - upper burner (can work in all three jiaos, but particularly upper)
-Huang Lian - middle burner (can work in all three jiaos, but particularly middle)
-Huang Bai - lower burner (works specifically for lower jiao)

Cang Zhu + Bai Zhu both tonify SP + Dry Damp
-Cang Zhu is better at drying damp
-Bai Zhu is better for tonifying SP

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15
Q

Huang Lian + Mu Xiang

A

CLEAR HEAT - DAMP-HEAT
* Dysentery with abdominal pn and tenesmus d/t D-H and Qi Stag in the Lower Burner

Found in Xiang Lian Wan

Huang Lian Dui Yaos
Huang Lian + Mu Xiang = Dysentery w/ Tenesmus
Huang Lian + Wu Zhu Yu = Zuo Gui Wan; Acid Regurgitation
Huang Lian + E Jiao = Shao Yin - Heat Patterns

Mu Xiang = good for intestines; Mu Xiang + Bing Lang = equivalent to 4 Doors

Mu Xiang, Sha Ren, Chen Pi = Prevents Stagnation fr too much tonics

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16
Q

Jin Yin Hua + Lian Qiao

A

CLEAR HEAT - TOXIC HEAT
* Cold and influenza d/t W-H
* Warm-Febrile disease with internal heat
* H/A, eye pn, toothache, sinusitis, painful, swollen throat d/t W-H
* Skin eruption w/ pruritis d/t W-H (like boils, measles)
* Skin inflammation d/t toxic heat

Found in Yin Qiao San + Qing Ying Tang

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17
Q

Niu Bang Zi + Lian Qiao

A

CLEAR HEAT - TOXIC HEAT
* Mouth and tongue ulcer, swollen gum, sore throat d/t Heat
* Red swelling, carbuncle, erythemas, mumps, acute febrile maculopapular rash

Found in Yin Qiao San

ASIDE: When differentiating seeds “Ren” vs. “Zi” (both mean seed) “Rens” are bigger and have more oils so are good for constipation; Zi - benefits eyes, but can also moisten intestines

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18
Q

Ban Lan Gen + Xuan Shen

A

CLEAR HEAT - TOXIC HEAT
* Painful/red/swollen throat d/t Yin Xu Heat or Excess (Shi) Fire damaging Yin
* Good for a sore throat that has not yet been accompanied by a W-H febrile disease; so early stage W-H

Found in Ban Lan Da Qing Tang

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19
Q

Xuan Shen + Mu Li

A

CLEAR HEAT - TOXIC HEAT
* Neck lumps or nodules such as in scrofula, lipoma, swollen glands, goiter in patterns of Phlegm-Fire
* Used for similar nodules in** inguinal canal** and other parts of body

Found in Xiao Luo Wan

DY #43 - Zhe Bei Mu + Xia Ku Cao = dissipates nodules –> you can mix (XS + ML) + (ZBM + XKC) to strengthen the dissipate nodule action

Seems to be for toxic heat nodules found near lymphs?

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20
Q

Hua Shi + Gan Cao

A

CLEAR HEAT - SUMMER HEAT
* Summer-Heat + Damp: marked by fever, restlessness, thirst, diarrhea, difficulty in urine
* Damp-Heat or BL marked by dark urine, difficulty, painful urination or urinary stone

Found in Liu Yi San (6:1 ratio powder)
180g Hua Shi + 30g Gan Cao –> to clear SH

Knowing the numbers helps:
1 - Yi - Liu Yi San
2 - Er - Er Chen Tang; Er Miao San
3 - San - San Zi Yang Qin Tang
4 - Si - Si Jun Zi Tang, Si Wu Tang - But if you add Si + Si = 8 (Ba) –> So Ba Zhen Tang bc it’s SJZT + SWT together
5 - Wu - Wu Ling San
6 - Liu - LWDHW
7 - Qi - San Qi (San = 3; Qi = 7 –> harvest between 3-7 years)
8 - Ba - Ba Zhen Tang
9 - Jiu - Jiu Wei Qiang Huo Tang
10 - Shi - Shi Quan Da Bu Tang - Ba Zhen Tang + Huang Qi + Rou Gui

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21
Q

Qing Hao + Bie Jia

A

CLEAR HEAT - DEFICIENT HEAT
* Steaming bone fever, night sweats, cough d/t Yin Xu
* Malaria
* Later Stage of Warm-Febrile Disease

Found in Qing Hao Bie Jia Tang

“Bie Jia” the Turtle dives deeper and takes Qing Hao with them to attack the deficient heat

Gui Ban vs. Bie Jia
GB –> Ventral aspect, Yin, stops bleeding
BJ –> Dorsal aspect, Yang, Move blood

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22
Q

Zhi Mu + Huang Bai

A

CLEAR HEAT - DEFICIENT HEAT
* Yin Xu Heat: afternoon fever, steaming bones, night sweats, seminal emission
* Excessive sexual desire and easy erection d/t deficient-Fire and hyperactive Mingmen Fire
* Dysuria d/t Yin Xu and Yang losing its ability to transform

Found in Zhi Bai Di Huang Wan

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23
Q

Da Huang + Mang Xiao

A

PURGATIVE
* Constipation w/ hard, dry stools, abd. pn d/t Heat Accumulation
* Constipation w/ high fever, tidal fever, mental confusion d/t excess (Shi) heat in Yang Ming Organ
* Chronic or Severe constipation d/t Heat

Found in Da Cheng Qi Tang and Tiao Wei Cheng Qi Tang

Know four types of abdominal disharmony
1. Shi - Hardness - Da Huang
2. Zao - Dryness - Mang Xiao
3. Man - Fullness - objective - visible bloating - Hou Po
4. Pi - Distension - subjective - the sensation of obstruction, distention, heaviness - Zhi Shi

^^Da Cheng Qi Tang has all four of those herbs

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24
Q

Da Huang + Fu Zi

A

PURGATIVE
* Constipation, Abd. pn, aversion to cold, cold limbs d/t Cold Accumulation

Found in Da Huang Fu Zi Tang

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25
Q

Dang Gui + Rou Cong Rong

A

LAXATIVE
* Constipation d/t BF Deficiency after Warm-Febrile Disease; giving birth
* Constipation d/t Blood Xu; esp. for elderly/deficient constition

Found in Ji Chuan Jian

DG - Tonify Blood + Moisten Intestine (a lot like SP4, which treats accumulation of blood, cold, food; DG does not tx food accum, but def blood and cold)
RCR - Tonify Yang + Moisten Intestine

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26
Q

Tao Ren + Xing Ren

A

LAXATIVE
* Chest, epigastric, lower abd. pn d/t Qi Stag and Blood Stasis
* Constipation of the Xu Type d/t dryness in the LI
* Constipation of Shi Type d/t Qi Stagnation

Found in Wu Ren Wan

TR - Support Blood - like Western Med - Colace, which softens the stool mixed with Senna
XR - Support Qi - like Western Herb Senna, which stimulates muscles to move the stool

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27
Q

Mu Tong + Dan Zhu Ye

A

DRAIN DAMP
* Irritability, sores of the mouth and tongue, dark, scanty urine d/t HT Heat transform into SI

Found in Dao Chi San - which also has Deng Xin Cao; MT + DXC + DZY all go to the HT/SI (King Fire) Channels; then bc SI is also a Taiyang, that heat will eventually go to the BL.

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28
Q

Ji Nei Jin + Hai Jin Sha

A

DRAIN DAMP
* Stone strangury and urinary lithiasis d/t D-H in BL
* Gallstones d/t D-H in GB

Found in San Jin Tang

Herbs with “Jin” in the name are often used for stones - which there are diff kinds - GB/KD/BL
Ji Nei Jin + Jin Qian Cao –> used for both GB/KD stone
Yu Jin –> GB stones
Hai Jin Sha –> KD/BL stones

Related acu points
Lin Syndrome - BL28 (back shu of BL); CV3 (front mu of BL); SP9 (dampness)
Stone Lin Syndrome: add BL39 (lower he-sea of SJ)
GB Stones: D-H in LV/GB so GB34 + GB24 (or Dan Nang Xue)

Clinically, you can do a 5 element tx by using the metal point of the BL/KD/orGB to tx a stone

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29
Q

Qu Mai + Bian Xu

A

DRAIN DAMP
* Turbid Lin d/t D-H
* Dysuria d/t Heat Lin
* Acute Nephritis, UTI d/t D-H

Found in Ba Zheng San (QM + BX are king herbs)

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30
Q

Yi Zhi Ren + Bi Xie

A

DRAIN DAMP
* Turbid Urine, Frequent Urination, Lin Syndrome d/t KD Xu
* Leukorrhea, Urethritis, Milky Urine (Gao-Lin) d/t KD milky urine fr KD Xu

Found in Bi Xie Fen Qing Yin

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31
Q

Huang Qi + Fang Ji

A

DRAIN DAMP
* Wind-Edema d/t Wei Qi Xu
* Bi Syndrome d/t W-D w/ Wei Qi Xu made by arthralgia, numbness of extremities

Fang Ji Huang Qi Tang

ASIDE: Huang Qi has many DY Pairings d/t its many fxns

Huang Qi + Fang Ji = Wind-Water (Wind-Edema)/ Yang Edema
Huang Qi + Ren Shen = Tonify SP Qi
Huang Qi + [Chai Hu + Sheng Ma] = Raise Yang Qi
Huang Qi + Shan Yao = Xiao Ke (Diabetes)
Huang Qi + Dang Gui = DGBXT
Huang Qi + Fang Feng = Yu Ping Feng San

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32
Q

Qiang Huo + Du Huo

A

DISPEL W-D & STOP PN
* Qiang Huo - Tai Yang H/A - more for upper body (like trapezius)
* Du Huo - Shao Yin H/A - more for lower body (like latissimus)
* Moving rheumatic pns all over the body
* Common Cold w/ fever, shivers, H/A, neck pn, joint pn d/t WCD
* Joint running wind d/t WCD penetrating the channels and network vessels

Found in Ren Shen Bai Du San - QH + DH are King Herbs

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33
Q

Bai Shao + Gan Cao

A

DISPEL W-D & STOP PN
* Sour (Bai Shao) and Sweet (Gan Cao) = generate fluids/ yin + stop pn
* Spasms, pn in the limbs d/t disharmony betw. Qi and Blood
* This DY pair w/ calm Shen herbs can be used for things like Bruxism
* Abdominal pn d/t LV & SP Disharmony
* H/A d/t Blood Xu

Found in Shao Yao Gan Cao Tang

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34
Q

Zi Wan + Kuan Dong Hua

A

STOP COUGH
* Cough and Phlegm d/t various etiologies primarily used for cold induced cough (warm, but not dry)
* Zi Wan is better for dissolving phlegm
* KDH is better for stopping cough

Found in She Gan Ma Huang Tang

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35
Q

Bai Qian + Bai Bu

A

STOP COUGH
* Chronic cough
* Common cold, influenza, bronchitis, pulmonary tuberculosis

Found in Zhi Sou San - Bai Bu = King Herb; Bai Qian = Deputy Herb

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36
Q

Wu Wei Zi + Xi Xin

A

STOP COUGH
* Cough and asthma d/t Wind or accumulation of Cold-Phlegm in LU
* Chronic cough and asthma d/t LU/KD Xu

Found in Xiao Qing Long Tang

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37
Q

Wu Wei Zi + Gan Jiang

A

STOP COUGH
* Cough and asthma accompanied by profuse, clear, white phlegm d/t Cold in LU

Found in Xiao Qing Long Tang

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38
Q

Chuan Bei Mu + Zhi Mu

A

STOP COUGH
* Dry cough with little phlegm and difficult expectoration d/t LU Yin Xu
* Cough d/t LU Heat which causes LU Dryness

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39
Q

Di Gu Pi + Sang Bai Pi

A

STOP COUGH
* Cough and asthma with yellow, sticky, thick phlegm, fever and thirst d/t LU Heat
* Cough accompanied by** evening fever with skin which is warm to the touch d/t LU Xu Heat**

Found in Xie Bai San

Related Acu Points:
-LU10 (Ying Spring Point of LU; all Ying Spring points clear heat from the organs)

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40
Q

Zi Wan + E Jiao

A

STOP COUGH
* LU Xu d/t chronic cough, blood sputum

Found in Zi Wan Tang

E Jiao - good for low RBCs; Hgb + Hct; the sticky nature of E Jiao encourages blood to coagulate which stops bleeding

Hemoptysis - BL17 + LU6
Jie Geng is CONTRA for hemoptysis

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41
Q

Ban Xia + Chen Pi

A

DISSOLVE PHLEGM
* Cough d/t Damp Phlegm accumulation
* Chest oppression, nausea, vomiting d/t ST disharmony and Damp-Phlegm accumulation

Found in Er Chen Tang and Ban Xia Bai Zhu Tian Ma Tang

Ban Xia is sl. toxic and should always be prepped w/ sheng jiang to harmonize it/ lower its toxicity; but also Ban Xia + Sheng Jiang = good for N/V

The Tx strategy for treating phlegm/ damp:
1) Transform Phlegm (Ban Xia) - Er Chen Tang - BX is King Herb/ Damp (Cang Zhu) - Ping Wei San - CZ is King Herb
2) Regulate Qi - Chen Pi - helps the transformation process
3) Strengthen SP - Fu Ling

42
Q

Lai Fu Zi + Bai Jie ZI

A

DISSOLVE PHLEGM
* Cough with copious, clear bubbly sputum and pain, fullness in the chest d/t Cold Phlegm
* Chronic cough/phlegm in elderly and deficient patients

Found in San Zi Yang Qin Tang

Aside: Lai Fu Zi = Daikon seed. It antagonizes Ren Shen. Ren Shen TONIFIES Qi whereas LFZ BREAKS UP the Qi. So if you Rx Ren Shen - make sure pt. is not also on LFZ and advise against eating Daikon or Radish in their diet

43
Q

Jie Geng + Gan Cao

A

DISSOLVE PHLEGM
* Pulmonary abscess with cough, profuse phlegm, chest oppression d/t Heat Stagnation
* Pain, redness, swelling of the throat d/t Heat (Xu/Shi; External/Internal)
* Loss of voice, hoarse/husky voice

Found in Gan Jie Tang

Jie Geng is a guiding herb –> to the throat

JG + GC + He Zi + Chen Pi are neutral and very good as modifications for throat issue

Just remember JG contras hemoptysis

44
Q

Zhe Bei Mu + Xia Ku Cao

A

DISSOLVE PHLEGM
* Neck lumps/nodules such as in scrofula, lipoma, swollen glands, or goiter d/t Phlegm Fire
* Similar nodules in the inguinal canal and other parts of the body

Remember this DY Pair’s relationship with Xuan Shen + Mu Li - they can strengthen each other when it comes to dissolving nodules

Know the diff:
Chuan Bei Mu + Zhe Bei Mu both transform phlegm-heat and stop cough BUT
CBM: is for LU Dryness, LU Xu, chronic; like BL13 (tonifies)
ZBM: phlegm-heat; LU Shi, Acute; like LU1 (sedates)

45
Q

Ban Xia + Sheng Jiang

A

DESCEND ST REBELLIOUS Qi
* N/V with no thirst, greasy tongue coat d/t Damp-Phlegm in Middle
* Enduring cough w/ white, watery, profuse phlegm
* Any type of nausea can be compared to PC6.

Found in Ban Xia Hou Po Tang + Er Chen Tang

*Know how to detox toxic herbs. Ban Xia MUST be used with Sheng Jiang. Sheng Jiang helps detox other herbs such as Tian Nan Xing
Fu Zi - boil for 30 min; taste the decoction; if your tongue goes numb = you need to boil it longer

46
Q

Zhu Ru + Ban Xia

A

DESCEND ST REBELLIOUS QI
* Hiccup, nausea, vomiting d/t disharmony and counterflow of ST Qi
* Vertigo, agitation, insomnia d/t Phlegm Turbidity
* N/V during pregnancy d/t disharmony of ST, Phlegm-Heat or ST Heat

Found in Wen Dan Tang - more for INVISIBLE PHLEGM not to be confused with Qing QI Hua Tan Wan - more for VISIBLE PHLEGM HEAT

47
Q

Zhu Ru + Chen Pi

A

DESCEND ST REBELLIOUS QI
* N/V, epigastric/ abd. distention d/t SP/ST Xu mixed with Cold and Heat
* N/V during pregnancy

Found in Ju Pi Zhu Ru Tang vs. Li Zhong Wan/ Ding Xiang Shi Di Wan

JPZRT = for HEAT pattern whereas LZW and DXSDW are cold patterns or to warm interior

48
Q

Huo Xiang + Zi Su Ye

A

DESCEND ST REBELLIOUS QI
* Disharmony SP/ST, nausea, vomiting and diarrhea d/t WC Exterior and Damp Interior
* Nausea, diarrhea d/t Summer-Heat Disorder

Found in Huo Xiang Zheng Qi San - External WC + Internal Dampness; good for STOMACH FLU

don’t confuse with Ren SHen Bai Du San –> External WCD + Internal Qi Xu

49
Q

Wu Zhu Yu + Huang Lian

A

DESCEND ST REBELLIOUS QI
* Acid Regurgitation, nausea, belching, clamoring stomach, and bitter taste d/t LV Fire attacking ST
* Diarrhea and dysentery d/t D-H
* This (Zuo Jin Wan) is a** Five Element Formula** - So if you want to sedate an element, you have to sedate the SON. So if you want to sedate LV Fire, you use the Huang Lian to sedate the son of LV, which is the HT. By doing this, you allow the METAL element to get stronger…which then can overcome the WOOD, which is on the ALWAYS ENERGETICALLY ON THE LEFT.

Found in Zuo Jin Wan “LEFT METAL PILL”

50
Q

Xuan Fu Hua + Dai Zhe Shi

A

DESCEND ST REBELLIOUS QI
* The** “Parachute Formula” **- Xuan Fu Hua (one of the only flowers that goes DOWN), but it’s TOO LIGHT to do it on its own, so paired with Dai Zhe Shi, which is too heavy, when you attach them, they go down at a moderate speed TOGETHER
* N/V and Hiccup d/t turbid phlegm stag in diaphragm area
* Cough and wheezing with phlegm, nose bleed, hematemesis
* Hypertension

Xuan Fu Dai Zhe Tang

51
Q

Gui Zhi + Bai Shao

A

HARMONIZING YING (BLOOD) & WEI (QI)
* Chills and fever, sl. sweating, H/A d/t W-C Xu type (Ying and Wei disharmony) - GZ & BS are opposites - Wind opens the Wei and Ying is leaking; so GZ removes Wind fr Wei/Ying Level and BS astringes at Ying Level…GZ + BS are “major league” and Sheng Jiang (helps GZ) + Da Zao (helps BS) are helpers “minor league”
* Spontaneous or night sweats w/ aversion to Wind (Blood & Qi Disharmony)
* Chest and cardiac pn d/t HT Yang Xu (Blood & Qi Disharmony)
* Abd. pn w/ spasms and cramps d/t Xu Cold (Blood & Qi Disharmony)
* Pn or** numbness of the limbs** (Blood and Qi Disharmony)
* N/V during pregnancy w/ aversion to cold, no appetite, weak pulse (SP/ST disharmony)
* Weakness in elderly, postpartum, post-surgery, aversion to wind, sweating (Ying and Wei Disharmony)
* MAIN THING IS THAT THIS IS REALLY GOOD FOR DISHARMONY

Found in GUI ZHI TANG

52
Q

Sheng Jiang + Da Zao

A

HARMONIZING YING(BLOOD) & WEI (QI)
* Helps GZ + BS DY Pair
* Use 3 pcs of SJ + 2 pcs DZ
* SJ has an outgoing direction
* DZ has an ingoing/ heavy direction
* Sometimes SJ + DZ don’t even count in ingredient counts bc they are Envoy/ harmonizers – so in SQDBT, “Shi” means “Ten” but with SJ + DZ = 12
* Sweating, aversion to wind, fever d/t Ying & Wei disharmony
* Fatigue, lack of strength, abd. pn, no appetite d/t Ying and Wei disharmony

Found in Gui Zhi Tang + Shi Quan Da Bu Tang

53
Q

Chai Hu + Bai Shao

A

HARMONIZING SHAOYANG
* LQS causing disharmony betw. Qi and Blood
* Vertigo, unclear vision, menstrual irregularities, dysmenorrhea, breast distention, PMS
* SP/ LV Disharmony
* When you Tx the LV you are Tx’ing 1) FUNCTION (soothe LV Qi/ support free flow of Qi) and 2) FORM (LV stores blood); Chai Hu supports the FXN; Bai Shao supports the FORM - Bai Shao SOFTENS the LV; If BS doesn’t have enough blood, it HARDENS

Found in Xiao Yao San & Si Ni San

Chai Hu in small dose = raises yang Qi; So CH + Sheng Ma = BZYQT
CH in medium dose = soothe LV Qi; So CH + Bai Shao = XYS
CH in large dose = clears heat; CH + Huang Qin = XCHT

54
Q

Chai Hu + Huang Qin

A

HARMONIZING SHAO YANG
* Alternating fever and chills, bitter taste, dry throat, dizziness, nausea d/t Shao Yang Syndrome
* Malaria d/t Shao Yang Syndrome
* LQS transforming into Fire
* CH - works on the exterior; HQ works on the interior
* In XCHT; CH = King; HQ = Deputy
* CH = SJ5; HQ = GB41 –> which opens the Dai Mai

Found in Xiao Chai Hu Tang

55
Q

Ban Xia + Huang Qin

A

HARMONIZING SHAOYANG
* N/V d/t Shaoyang Syndrome (XCHT) –> uses Chai Hu + Sheng Jiang
* Phlegm Heat
* Pi Syndrome (BXXXT): Nausea, no appetite, sensation of fullness in ST d/t mixed Heat/Cold –> uses Huang Lian + Gan Jiang

Found in Xiao Chai Hu Tang + Ban Xia Xie Xin Tang

Pi Syndrome - distention w/ NO PAIN - SUBJECTIVE feeling of heaviness; distention
Man SYndrome - distention WITH pain - OBJECTIVE distention (you can see it)

56
Q

Cao Guo + Chang Shan

A

HARMONIZING SHAOYANG
* Exterior/ Interior Disharmony - Alternating chills and fever
* Malarial disorder, Cold-Damp, no appetite, fatigue, parasites
* Compare to PC5 - empirical point for malaria; also a Jing River and Group Luo

Found in Jiu Nue Qi Bao Yin

Cao Guo is a good digestif along with:
-Shan Zha for Meat or greasy food
-Mai Ya or Gu Ya for Carbs/ noodles/ rice
-Shen Qu for Alcohol or minerals
-Lai Fu Zi for phlegm congestion
-Cao Guo for salads, cold fruits and veggies

57
Q

Zhi Ke + Jie Geng

A

MOVE QI + STOP PAIN
* Chest oppression and distention or chest Bi d/t accumulation of Phlegm and Qi Stag
* Epigastric distention and difficult defecation d/t disturbance of ascending and descending
* JG goes up; ZK goes down

Found in Ren Shen Bai Du San and Xue Fu Zhu Yu Tang

58
Q

Gua Lou + Xie Bai

A

MOVE QI + STOP PAIN
* Chest Bi, cardiac disease d/t turbid Phlegm blocking the Qi and Yang of the Chest
* Constipation d/t fluid dryness of the LI or Qi Stag

Found in Gua Lou Xie Bai Bai Jiu Tang

59
Q

Xiang Fu + Wu Yao

A

MOVE QI + STOP PAIN
* Abdominal distention and pain d/t Cold restraint and Qi Stagnation
* Acute/ chronic hepatitis
* Acute/ chronic dysentery, tenesmus

Found in Wu Yao San/ Ge Xia Zhu Yu Tang

60
Q

Mu Xiang + Bing Lang

A

MOVE QI + STOP PAIN
* No appetite, abd. distention/ pain, difficult defecation d/t food retention in ST & Intestine
* Dysentery or diarrhea with tenesmus and abd. pn d/t Qi Stag
* Constipation/ difficult defecation d/t Qi Stag
* BL is mostly used for parasites, but it’s also a very good digestif and good for Qi Stag
* MX is one of three herbs that prevent stag from tonics (along with Chen Pi & Sha Ren)

Found in Mu Xiang Bing Lang Wan

61
Q

Chuan Lian Zi + Yan Hu Suo

A

MOVE QI + STOP PAIN
* Pain in HT, epigastrium, abdomen, and lateral costal regions d/t LQS or Blood stasis
* Dysmenorrhea and menstrual irregularities d/t Qi stag and/or Blood stasis
* Inguinal hernia or diseases of the scrotum/ testicles d/t Qi stagnating in the LV Channel
* Hepatitis, cholecystitis, angiocholitis d/t D-H in LV/GB

Found in Jin Ling Zi San

If you add JLZS + Shi Xiao San = really good for dysmenorrhea

Other Herbs for Pn
-Yan Hu Suo
-Ru Xiang + Mo Yao –> DY for traumatic pn; Qi & Blood Stag
-Cao Wu + Chuan Wu –> Cold accumulation pn

62
Q

Tao Ren + Hong Hua

A

REGULATE BLOOD: ACTIVATE BLOOD
* Cardiac and chest pn d/t HT Blood Stasis
* Amenorrhea, dysmenorrhea, menstrual irregularities, dark blood clots d/t Blood stasis
* Fixed, stabbing, severe pn aggravated by pressure d/t blood stasis

Found in Tao Hong Si Wu Tang; Xue Fu Zhu Yu Tang, Ge Xia Zhu Yu Tang, and Shen Tong Zhu Yu Tang

Dose for Hong Hua - VERY small - .9-1.5g - you ONLY need a little bit to activate blood in a Rx; you can add it to Shi Quan Da Bu Tang to really tonify Blood, Qi, and Yang.

63
Q

Ru Xiang + Mo Yao

A

REGULATE BLOOD: ACTIVATE BLOOD
* Pain d/t Qi and Blood stagnation in the viscera and bowels or channels and network vessels
* Amenorrhea, dysmenorrhea, postpartum abd. pain d/t Blood stasis
* Bi syndrome d/t Wind-damp causing Qi and blood stag in the network vessels
* Wounds, scars, skin inflammations w/ blood stasis and necrotic tissue
* Traumatic injuries w/ pain, swelling, redness d/t QI stag and Blood stasis

Found in Xiao Huo Luo Dan
Ru Xiang - moves Qi (+Blood)
Mo Yao - moves Blood
Both are resins - Like treats Like - resins of the tree help with flesh regeneration

64
Q

San Leng + E Zhu

A

REGULATE BLOOD: ACTIVATE BLOOD
* Abdominal mass, lump glomus, hepatomegaly, splenomegaly d/t Qi/Blood Stag
* Amenorrhea, dysmenorrhea, clots in the menstrual flow, and infertility, d/t blood stasis
* Abd. pn d/t food accumulation

Found in E Leng Tong Jing Tang
Abd. diagnosis - if you feel abd. masses, this DY pair is good for that. You can add San Leng + E Zhu to Gui Zhi Fu Ling Wan for UT. Fibroids, that could help with the masses.

65
Q

Chuan Xiong + Dang Gui

A

REGULATE BLOOD: ACTIVATE BLOOD
* Menstrual irregularities, dysmenorrhea, postpartum abd. pain d/t Blood stasis
* Rheumatic pain d/t Wind-Damp and Blood deficiency
* Various types of Headaches d/t Blood deficiency or Blood stasis
* Wounds, ulcers, cutaneous inflammations d/t Qi/Blood xu with Qi/ Blood stag - good for post-surgery (@ surgical site)
* This combo activates blood without damaging blood (CX activates blood only, but DG is tonifying)

Found in Si Wu Tang

66
Q

Pu Huang + Wu Ling Zhi

A

REGULATE BLOOD: ACTIVATE BLOOD
* Epigastric, cardiac, abd. and lateral costal pn d/t Qi and blood stag
* Menstrual irregularities, dysmeorrhea, postpartum pn d/t retention of lochia or Blood stasis

Found in Shi Xiao San

You can combine Chuan Lian Zi + Yan Hu Suo + Shi Xiao San to address pn in the LV channel

67
Q

Di Yu + Huai Hua

A

REGULATE BLOOD: STOP BLEEDING
* Bleeding d/t heat; Hot bleeding
* Hemorrhoids

Found in Huai Yu Jian

Hint: Huai Hua (double H - used for HEMORRHOIDS & HYPERTENSION)

68
Q

Ren Shen + Huang Qi

A

QI TONIC
* Chronic illness leading to Qi Xu
* Rectal and uterine prolapse and gastric ptosis d/t SP Qi Sinking
* Lack of appetite, loose stool, fatigue, and spontaneous sweating d/t Qi Xu
* Low-grade fever d/t Qi Xu sly pale tongue, weak pulse, after overwork, intermittent, worse in the morning

Found in Bu Zhong Yi Qi Tang

Ren Shen - is SHAPED like a human; it is the ONLY herb that tonifies Yuan Qi (never add Wu Ling Zhi to Ren Shen; you would never put poop on yourself)

If you use Dang Shen instead of Ren Shen, you have to use 2-3x more, but Dang Shen can NOT tonify Yuan Qi

XI Yang Shen - tonifies Yin more than Qi and it is cooler; so better for someone who has a HEAT nature

69
Q

Ren Shen + Fu Zi

A

QI TONIC
* Chronic disease, loss of blood, HT disease w/ cold limbs, cold spontaneous sweating
* Collapse of Qi, minute pulse

Found in San Bu Tang/ Si Ni Jia Ren Shen Tang - for hypothyroidism d/t Devastated Yang; also good for syncope d/t devastated Yang

Acute Blood Loss

70
Q

Bai Zhu + Fu Ling

A

QI TONIC
* Edema, accumulation of Damp caused by SP Xu
* Fatigue, weakness in limbs, loose stools caused by SP Xu with damp accumulation
* Vertigo, blurred vision, heart palps d/t Damp-Phlegm
* Chronic cough d/t Damp-Phlegm and SP Xu

Found in Si Jun Zi Tang/ Ling Gui Zhu Gan Tang

71
Q

Chai Hu + Sheng Ma

A

QI TONIC
* Uterine prolapse, rectal prolapse, gastric ptosis d/t SP Qi Sinking
* Metrorrhagia and abnormal vaginal discharge d/t SP Qi Sinking
* Chronic diarrhea or chronic dysentery d/t SP Qi Sinking
* SOB and dyspnea with feeling of oppression and falling of the LU d/t Qi Sinking

Found in Bu Zhong Yi Qi Tang
CH 3g + SM 3g + Huang Qi 15g - work together to RAISE YANG QI

72
Q

Huang Qi + Shan Yao

A

QI TONIC
* Xiao Ke - Diabetes
* Chronic gastritis; ST/SP Qi Xu

Diabetes - Deficiency pattern
Found in Yu Ye Tang - which tonifies QI/Yin, Astringes KD, stops thirst/ enriches yin and moistens dryness

Diabetes Sx and related Rx
Polydipsia - upper jiao - use Bai Hu Jia Ren Shen Tang
Polyphagia - Middle Jiao - use Yu Nu Jian
Polyuria - Lower Jiao - Yu Ye Tang

73
Q

Shu Di Huang + Dang Gui

A

BLOOD TONIC
* Chronic cough/asthma d/t KD Yin Xu w/ Blood Xu
* Blood Xu
* Constipation d/t Blood Xu
* Tonifies [LIVER] blood without leading to stagnation of blood

Found in Si Wu Tang

DG - tonifies AND activates blood
CX - activates blood ONLY
Shu Di Huang - tonifies blood
Bai Shao - tonifies blood

DG changes w/ each herb
DG + CX –> move blood w/o damaging blood
DG + SDH –> tonifies blood w/o stagnating blood
DG + BS –> tonifies blood and regulates menses

74
Q

Shu Di Huang + Sha Ren

A

BLOOD TONIC
* Blood/Yin/Jing Xu assoc w/ SP/ST Weakness

Shu di should be steamed over rice wine/dried 9x and be completely black; you can add Sha Ren to the rice wine to lessen the greasiness of the SDH; Sha Ren also helps to prevent stagnation from Ren Shen

Sha Ren, Chen Pi, Mu XIang –> helps to prevent stagnation from Tonics

75
Q

Dang Gui + Huang Qi

A

BLOOD TONIC
* Delayed menstruation, postpartum weakness, agalactia d/t Qi and Blood Xu
* Low grade fever d/t Blood Xu
* Sores and welling abscesses which do not heal d/t Qi and Blood Xu
* Numbness of the limbs d/t Blood Xu not nourishing the sinews
* Various hemorrhages d/t Qi not containing the Blood within the vessels

Found in Dang Gui Bu Xue Tang
1:5 ratio; so 6g of DG to 30g of HQ

76
Q

Gou Qi Zi + Ju Hua

A

BLOOD TONIC
* Eye disorders: blurred vision, diminished visual acuity, photophobia, dry eyes w/ possible H/A
* Pain in the low back and knees d/t LV/KD Xu

Found in Qi Ju Di Huang Wan
Gou Qi Zi = GB37 (Huang Ming; if “ming” is in the name, it affects eyes)
Ju Hua = GB20 - clears heat fr eyes

77
Q

Fu Zi + Gan Jiang

A

TONIFY YANG
* Loss of consciousness, cold perspiration, cold limbs, and minute pulse d/t Yang Collapse
* Pain and feeling of cold in the ST and abdomen, vomiting/ diarrhea d/t SP Xu Cold

Found in Si Ni Tang

78
Q

Xian Mao + Yin Yang Huo

A

TONIFY YANG
* Menopausal syndrome d/t KD Yin/Yang Xu
* HTN accompanied by cold limbs, aversion to cold, weakness of back and knee

Found in Er Xian Tang

79
Q

Du Zhong + Xu Duan

A

TONIFY YANG
* Aches/pains, stiffness, lumbar pain, weakness of lower limbs d/t LV/KD (sinew/bone) Xu
* Knee and lumbar pn d/t Wind-Damp or trauma
* Metrorrhagia during pregnancy, threatened miscarriage and lumbago d/t KD Xu

80
Q

Tian Men Dong + Mai Men Dong

A

TONIFY YIN
* Dry mouth, thirst, dry cough with little phlegm, fever, vexation d/t Yin Xu
* Cough with hemoptysis d/t heat damaging the network vessels of the LU
* Upper Xiao Ke with excessive drinking, thirst, dry throat d/t LU Heat damaging the Fluids
* Whooping cough damaging LU Yin

Found in Tian Wang Bu Xin Dan

81
Q

Gui Ban + Bie Jia

A

TONIFY YIN
* Tidal Fever, steaming bones, night sweats d/t Xu Heat caused by Yin Xu
* Weakness of limbs, trembling d/t warm disease damaging fluids and** stirring LV Wind**
* HTN, H/A, vertigo, head distention, tinnitus d/t LYR
* Abd. congestion, such as hepatomegaly and splenomegaly/ organomegaly

Found in Da Ding Feng Zhu

82
Q

Mai Men Dong + Xuan Shen

A

TONIFY YIN
* Xiao Ke (diabetes) accompanied by dry mouth and throat, red tongue, scanty tongue coat

Found in Tian Wang Bu Xin Dan

83
Q

Huang Qi + Fang Feng

A

ASTRINGENT - STOP SWEATING
* Spontaneous sweating d/t** Wei Qi Xu**
* Tendency to catch cold frequently d/t** Wei Qi Xu**

Found in Yu Ping Feng San

84
Q

Huang Qi + Mu Li

A

ASTRINGENT - STOP SWEATING
* Spontaneous sweating d/t Qi/ Yang Xu
* Night sweating d/t Yin Xu
* Spontaneous and night sweating d/t Qi and Yin Xu

Found in Mu Li San

85
Q

Huang Qi + Fu Zi

A

ASTRINGENT - STOP SWEATING
* Cold spontaneous sweating accompanied by aversion to cold, cold limbs d/t Yang Xu

Found in San Fu Tang

86
Q

Fu Xiao Mai + Huang Qi

A

ASTRINGENT - STOP SWEATING
* Spontaneous sweating d/t exterior Xu

Found in Mu Li San

87
Q

Wu Mei + Wu Wei Zi

A

ASTRINGENT - STOP SWEATING
* Sweating: spontaneous sweating, night sweats
* Xiao Ke

Found in Jiu Xian San

88
Q

Lian Zi + Qian Shi

A

ASTRINGENT - STOP DIARRHEA/ SPERMATORRHEA
* Chronic diarrhea d/t SP Xu
* Leukorrhea d/t SP Xu Damp
* Spermatorrhea, nocturnal emission d/t KD Xu
* Frequent urination, urinary incontinence d/t KD Xu

Found in Jin Suo Gu Jing Wan

89
Q

Rou Dou Kou + Bu Gu Zhi

A

ASTRINGENT - STOP DIARRHEA/ SPERMATORRHEA
* Chronic diarrhea d/t SP/ Kd Yang Xu
* Daybreak diarrhea w/ abd. pn and rumbling noises d/t SP/ KD Yang Xu

Found in Si Shen Wan

90
Q

He Zi + Chen Pi

A

ASTRINGENT - STOP DIARRHEA/ SPERMATORRHEA
* Hoarse voice, loss of voice, chronic cough with loss of voice and Phlegm in the throat

91
Q

Long Gu + Mu Li

A

ANCHOR SHEN
* Vexation, agitation, palps, insomnia, dizziness, tinnitus d/t LYR disturbing Shen
* HTN d/t Yin Xu causing LYR
* Continuous diarrhea or dysentery
* Urinary incontinence, spermatorrhea, vaginal discharge, sweating d/t deficiency
* Pain and distention in the lateral costal region

Found in Chai Hu Jia Long Gu Mu Li Tang

92
Q

Bai Zi Ren + Suan Zao Ren

A

ANCHOR SHEN
* Palpitations, profuse dreams, insomnia d/t HT Qi/Blood Xu
* Constipation w/ dry stool d/t Blood Xu or intestinal Fluid insufficiency

Found in Tian Wang Bu Xin Dan/ Yang Xin Tang

93
Q

Suan Zao Ren + Zhi Zi

A

ANCHOR SHEN
* Insomnia, excessive dreams d/t HT Fire
* Nervous prostration, enervation

94
Q

Bai He + Zhi Mu

A

ANCHOR SHEN
* Vexation, agitation, insomnia, vertigo, thirst d/t Yin Xu w/ Heat
* Dry mouth, irritability, agitation after warm-febrile disease
* “Lily syndrome”

Found in Bai He Zhi Mu Tang

Lily disease was first recorded in Synopsis of the Golden Chamber by Zhang Zhongjing. It is a disease of heart and lung internal heat by Yin deficiency, which belongs to the category of emotion disease in Chinese medicine

95
Q

Huang Lian + E Jiao

A

ANCHOR SHEN
* Vexation, agitation, insomnia d/t febrile disease, deficient fire, HT/ KD Miscommunication
* Dysentery which damages Yin w/ pus and blood in the stools d/t LI D-H

Found in Huang Lian E Jiao Tang

96
Q

Shi Chang Pu + Yuan Zhi

A

OPEN THE HT ORIFICE
* Mental Confusion, decrease of intellectual acuity, insomnia d/t Phlegm misting HT Orifice

Found in An Shen Ding Zhi Wan

97
Q

Shi Jue Ming + Ci Shi

A

EXTINGUISH LV WIND
* Tinnitus, deafness, dizziness, headache and HTN d/t LYR

98
Q

Di Long + Bai Jiang Chan

A

EXTINGUISH LV WIND
* Chronic H/A d/t Wind-Phlegm obstructing the channels
* Convulsions and seizures w/ strong fever
* Bell’s palsy, trigeminal neuralgia, hemiplagia d/t lack of flow in channels

99
Q

Xiang Fu + Yi Mu Cao

A

GYNECOLOGY
* Irregular menstruation, PMS, postpartum abd. pn d/t LQS and Blood Stasis

100
Q

Ai Ye + Xiang Fu

A

GYNECOLOGY
* Irregular menstruation, leukorrhea d/t Deficient Cold in Lower Burner and LQS
* Infertility d/t Deficient Cold in Uterus

Ai Fu Nuan Gong Wan

101
Q

Huang Qin + Bai Zhu

A

GYNECOLOGY
* Uterine Bleeding, threatened miscarriage, nausea during pregnancy caused by Heat or Damp Heat

Dang Gui Tang

CALE STUDY (20 decks)

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