EXAM - Fx (basic theory) Flashcards

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1
Q

Chief (Jun) –

A

deals with
- CAUSE and chief SYMPTOM

role
- principle CURATIVE

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2
Q

Adjuvant (Chen) –

A
  • STRENGTHENS the curative action

of the chief herb

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3
Q

Assistant (Zuo)

A

treat
- ACCOMPANYING disease / syndrome

counter
- counter POTENT EFFECTS or TOXICITY
(of chief and adjuvant herbs)

  • counteract ACTION OF CHIEF
    (but supports treatment)
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4
Q

Guide (Shi)

A
  • LEADS other herbs to diseased area

- BALANCE ACTION of the herbs

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5
Q

Modifications *3

  • Based on
  • state of disease,
  • constitution,
  • age,
  • gender
  • climatic / geographic conditions.
A

Modifications.

  1. NUMBER of herbs
    - Increasing or decreasing number of drugs in an established prescription – may or may not change action of original prescription
  2. QUANTITY of ingredients
    - Alter compatibility of an established prescription by changing quantity – changes indications and actions
  3. FORM of the prescription
    - i.e. decoction, bolus, pills, powder
    etc. will produce different effects e.g. decoction is more potent than bolus
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6
Q
According to therapeutic principles.
• Consolidating – 
• Harmonising – 
• Assaulting – 
• Dissipating – 
• Cooling – 
• Heating – 
• Astringent – 
• Corresponding – 

*Also separated lists for women, children, eruptive and
surgical diseases.

A

• Consolidating – remedy deficiency
• Harmonising – adjust imbalance
• Assaulting – expel excessive pathogenic factors
• Dissipating – relieve exterior syndrome
• Cooling – eliminate fire and heat
• Heating – expel cold
• Astringent – conserve essence and body fluids
• Corresponding – relieve syndromes
• Also separated lists for women, children, eruptive and
surgical diseases.

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7
Q

THERAPEUTIC PRINCIPLES *8

A
  1. Diaphoretic therapy (Han Fa)
  2. Emetic Therapy (Tu Fa).
  3. Purgative Therapy (Xia Fa).
  4. Regulative Therapy (He Fa).
  5. Warming Therapy (Wen Fa).
  6. Heat-Purging Therapy (Qing Fa).
  7. Resolving Therapy (Xiao Fa).
  8. Tonic Therapy (Bu Fa).
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8
Q

THERAPEUTIC PRINCIPLES

-Diaphoretic therapy (Han Fa)

A
  • Expel “pathogenic factors” from the superficial level by inducing perspiration
  • Used for initial onset of external invasion of pathogens e.g. measles, oedema in “upper body”
    dispelling pathogens from “interior to exterior”
  • Composed of warm or cool “acrid” herbs.
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9
Q

THERAPEUTIC PRINCIPLES

  • Emetic Therapy (Tu Fa).
A

• Induces vomiting to eliminate phlegm, undigested food or
toxins from the throat, oesophagus or stomach
May damage stomach Qi
Used for predominant pathogenic factors, acute or serious cases
Used with great care for elderly, debilitated or pregnant persons.

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10
Q

THERAPEUTIC PRINCIPLES

  • Purgative Therapy (Xia Fa).
A

Release
- dry stools,

eliminate

  • excessive endogenous heat,
  • undigested food,
  • accumulation of cold and fluids
    (e. g. for interior excess syndrome)

Prescriptions may be

  • cold or
  • warm natured,
  • lubricating or
  • potent purgatives or
  • combined with tonics.
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11
Q

THERAPEUTIC PRINCIPLES

Regulative Therapy (He Fa).

A
Regulative Therapy (He Fa).
Regulate functions of internal organs to eliminate pathogenic factors e.g. Shaoyang diseases, disharmony between internal organs, imbalances of Qi and Blood, mixed cold and heat syndromes, mixed deficiency and excess syndromes.
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12
Q

THERAPEUTIC PRINCIPLES

A
Warming Therapy (Wen Fa).
Expels cold, restores Yang Qi, activates meridians and promotes blood circulation, e.g. interior – cold (direct attack of cold, damage to Yang Qi due to inappropriate treatment etc).
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13
Q

THERAPEUTIC PRINCIPLES

A

Heat-Purging Therapy (Qing Fa).

Purge heat, heat toxins, summer heat, interior heat syndrome, Qi, ying and xue levels.

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14
Q

THERAPEUTIC PRINCIPLES

A

Resolving Therapy (Xiao Fa).

  • Removes Qi stagnation, blood stasis, phlegm or damp retention, undigested food and parasites.
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15
Q

THERAPEUTIC PRINCIPLES

A
Tonic Therapy (Bu Fa).
• Tonifies Qi, Blood, Yin and Yang e.g. deficient syndromes
with no apparent pathogenic factors
• Divided into drastic or mild types.
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16
Q

METHODS OF DECOCTION.

Precautions.

A
  • earthenware
  • (tin, aluminium and iron will cause chemical reactions thus will have sediments, reduces solubility and possibly induce incompatible chemical reactions and undesired effects).
  • Clean water
  • generally 2 cm above (the level of the herbs)
  • Strong flame
  • first to boil
  • then simmer
  • Microwaving could alter / reduce effects of herbs
17
Q

Procedure.

A

Place herbs in a pot and soak with water for 20 minutes
• When water boils, reduce flame to simmer to avoid
overflowing / charring of herbs
• Do not lift cover too often to stop the escape of odours or
volatile elements
• Use a strong flame and boil for a shorter period for
diaphoretics and heat-purging fragrant herbs
• Low flame and boil for longer period for tonics
• For toxic herbs, minerals / shells etc. decoct for a longer
period of time first before adding other herbs e.g. Mu Li, Bie
Jia
• Fragrant herbs with volatile elements are to be added to
decoction later and boiled for just 2-3 minutes e.g. Sha Ren,
Bo He
• Herbs that irritate the throat and digestive tract should be
wrapped in cloth / gauze e.g. Hua Shi, Xin Yi, Xuan Fu Hua etc.
To prevent active elements from being absorbed by other herbs, they should be simmered or decocted alone e.g. Ren Shen
• Glutinous or sticky herbs should be melted into the decoction / water e.g. E Jiao, etc. to avoid sticking to the bottom of the pot
• Some pellets / powders / pills should be taken with fresh juice e.g. fragrant or precious herbs – She Xiang, Gui Zhi etc.

18
Q
  • Method of Administration.
A

Taken 2-3 times per day for therapeutic effect

Decoctions – 
- one pack of herbs is 
- boiled twice and 
- divided in half / thirds to 
- drink 2-3 times per day 
(depending on the severity of the disease)

Taken when
- still warm
* if for exterior syndrome, patient should be covered with a quilt to induce perspiration and
avoid the wind
• Generally tonics should be taken on an empty stomach
• Irritants to stomach should be taken after meals
• Sedatives taken before bedtime
• Pills, wines, powders taken at regular intervals
• If the patient vomits after administration, add ginger to the
decoction; or rub on tongue, chew dried orange peel, before
taking the decoction; divide decoction into smaller doses
• Decoction containing poisonous / potent herbs taken at small doses immediately then gradually increase; stop when
desired effect is obtained.