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Formulas, Diagnosis, Chinese Medical Nutrition > Formulas 1 > Flashcards

Formulas 1 Flashcards

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Chinese (Mandarin) flashcards USMLE® Step 1 flashcards
1
Q

Ma Huang Tang main actions

A

Induces diaphoresis and releases the exterior
Ventilated the lung and relieves dyspnea

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2
Q

Ma Huang Tang main indications

A

Exterior excess WC
T thin white coat
P superficial tight
Simultaneous chills and fever
Headache, neck stiffness
NO SWEAT
DYSPNEA

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3
Q

Ma Huang Tang category

A

Acrid warm exterior-releasing formulas

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4
Q

Ma Huang Tang patterns

A

Taiyang cold syndrome
Exterior WC cold predominant

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5
Q

Cang Er Zi San category

A

Acrid warm exterior-releasing formulas
Formulas that Release the Exterior with Head and Neck Symptoms

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6
Q

Cang Er Zi San main actions

A

Dispels wind
Opens nasal orifices
Alleviates pain

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7
Q

Gui Zhi Tang ingredients

A

Gui Zhi
Bai Shao
Zhi Gan Cao
Sheng Jiang
Da Zao (opened)

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8
Q

Gui Zhi Tang actions

A

Releases the exterior and MUSCLE LAYER
Regulates and harmonizes Ying + Wei qi

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9
Q

Gui Zhi Tang preparation

A

Crush ingredients
Cook w 7 cups water (low 🔥) until 3 cups remain
Take 1 strained cup of decoction warm
Consume 1 cup hot porridge

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10
Q

Gui Zhi Tang administration

A

Have patient sweat lightly all over the body
DON’T induce profuse sweat
STOP formula after slight sweat
If no sweat: Repeat dose 1 or 2x, progressively reducing interval between doses within half a day

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11
Q

Gui Zhi Tang administration if patient’s condition is severe

A

Morning and night dose
Progressively add another 2-3 if no sweat occurs after taking for 2 hours

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12
Q

Gui Zhi Tang ingredients amounts

A

Gui Zhi 9g CHIEF
Bai Shao 9g DEPUTY
Zhi Gan Cao 6g
Sheng Jiang 9g
Da Zao 12 pieces

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13
Q

Gui Zhi Tang pattern

A

Exterior WC deficiency
Wind attack
Ying and Wei disharmony

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14
Q

Gui Zhi Tang decoction amounts

A

Cook coarsely crushed ingredients with 1400 mL water over low 🔥
Until 600 mL remain
Take 200 mL warm strained decoction
Take 200 mL hot porridge

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15
Q

Gui Zhi Tang indications

A

Exterior WC deficiency symptoms:
Thin white tongue coat
Superficial/moderate or superficial/weak pulse
Headache
Fever
Perspiration
Aversion to wind
Nasal congestion
Dry heaves
Absence of thirst

Ying/Wei disharmony symptoms:
Fever
Spontaneous sweat
Aversion to wind
Constitutionally weak, chronic, debilitated, postpartum patients

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16
Q

Gui Zhi Tang signs and symptoms

A

Fever and aversion to wind: exterior WC + Wei qi xu
Perspiration: ying/Wei disharmony
Thin white TC: exterior WC
Superficial weak pulse: exterior condition with underlying deficiency

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17
Q

Gui Zhi Tang herb actions

A

Gui Zhi: release exterior WC from exterior and muscle layer
Bai Shao: consolidates interior (yin and jinye)
Zhi Gan Cao: relieves aches/pains, benefits yin, harmonizes herbs
Sheng Jiang: benefit MJ, tonify qi, release exterior
Da Zao: benefit MJ, tonify qi, helps Bai Shao nourish/harmonize ying + blood

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18
Q

Gui Zhi Tang Contraindications

A

Contra:
Taiyang syndrome (excess cold)
WH syndrome
Exterior Cold Interior Heat
No sweat + irritability
Exterior excess w/o sweat
Beginning febrile w fever, sore throat, thirst
Patients who frequently drink alcohol

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19
Q

Gui Zhi Tang + diet

A

Avoid these foods:
Raw
Cold
Greasy
Sticky
Fatty
Spicy
Spoiled
Rotten
Alcohol
Meat
Cheese
Garlic
Leeks
Scallions
Onions
Fermented/preserved

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20
Q

Gui Zhi Tang present-day preparation

A

Decoct < 20 min
Take while hot

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21
Q

Gui Zhi Tang most important symptoms

A
  1. Sweat
  2. Aversion to wind
    Fever when exposed to cold
  3. Body aches
    Pain
    Up flushing qi (yang excess)
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22
Q

Gui Zhi Tang patients and thirst/constipation

A

Thirst for warm drinks
Constipation with NO internal dryness /GI obstruction

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23
Q

Gui Zhi Tang yin/yang theory

A

Yang can’t interpenetrate yin –> exits / ascends / accumulates pathologically

Yang excess in the exterior (Taiyang) + cold stag at nutritive qi level/HT yang level

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24
Q

Gui Zhi Tang cautions

A

Summer or hot weather
In case if overdose prescribe Bai Hu Jia Ren Shen Tang

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25
Q

Three sweets

A

Zhi/Gan Cao
Sheng Jiang
Da Zao

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26
Q

Ebomi Cici walked on the beach when the wind was coming in and was sweating. Her neck hurt. She was hot to the touch but felt cold. Her pulse was floating and tongue had thin white coat. What’s the formula?

A

Gui Zhi Tang
Gui Zhi
Bai Shao
3 sweets

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27
Q

Cammie was in Aquidneck Island in January for school. Their pulse was tight and floating, they felt freezing, had a headache, dyspnea and no sweat. Formula?

A

Ma Huang Tang

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28
Q

Ícaro was in Aquidneck Island and went rowing while it was windy. His nose was stuffy, his head and neck hurt, he felt cold but was hot to the touch. Formula?

A

Cang Er Zi San

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29
Q

Formulas that release early stage wind

A

Cong Chi Tang (Scallion and Prepared Soybean Decoction)

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30
Q

Formulas that release WC

A

Ma Huang Tang
Da Qing Long Tang
Gui Zhi Tang
Xiao Qing Long Tang
Jiu Wei Qiang Huo Tang
Xiang Su San

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31
Q

Formulas that release exterior WH

A

Sang Ju Yin
Yin Qiao San
Chai Ge Jie Ji Tang
Sheng Ma Ge Gen Tang

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32
Q

Formulas that release the exterior with head/neck symptoms

A

Chuan Xiong Cha Tiao San
Cang Er Zi San
Ge Gen Tang

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33
Q

Formulas that release the exterior w concurrent deficiency patterns

A

Ren Shen Bai Du San
Ma Huang Xi Xin Fu Zi Tang
Jia Jian Wei Rui Tang
Jing Fang Bai Du San
Cong Bai Qi Wei Yin

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34
Q

Cang Er Zi San indications

A

Nasal obstruction caused by wind:
Stuffy nose
Thick yellow nasal discharge (foul-smelling sometimes)
Frontal and temporal headaches
Acute/chronic sinusitis
Acute/chronic allergic rhinitis
Dizziness
Normal or thin/white greasy/white tongue coat

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35
Q

Cang Er Zi San patterns

A

Nasal obstruction due to wind / deep-source nasal congestion
Wind-cold attacking the exterior

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36
Q

Cong Chi Tang category

A

Formulas that release early-stage exterior disorders
Acrid cold exterior-releasing formulas

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37
Q

Cong Chi Tang main actions

A

Treats early onset of a mild exterior syndrome through diaphoresis
Unblocks the yang wei qi in the exterior and induces sweating

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38
Q

Da Qing Long Tang category

A

Formulas that release exterior wind-cold

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39
Q

Da Qing Long Tang main actions

A

Promotes sweating
Releases the exterior
Clears interior heat

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40
Q

Ge Gen Tang main actions

A

Releases the exterior and muscle layer
Generates fluids

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41
Q

Ge Gen Tang main indications

A

Fever + chills, chills predominant
No sweat
Cough
Wheezing
Copious white stringy sputum - difficult to expectorate
Stifling chest sensation
Generalized heavy sensation + body aches
Severe muscle stiffness: neck, back, shoulder pain
Aversion to wind
Diarrhea
No particular thirst
Moist tongue coat
Floating thin pulse

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42
Q

Ge Gen Tang patterns

A

Taiyang syndrome with wind-cold invasion

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43
Q

Chuan Xiong Cha Tiao San main actions

A

Disperses wind
Alleviates pain

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44
Q

Chuan Xiong Cha Tiao San patterns

A

Externally contracted wind-cold

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45
Q

Chuan Xiong Cha Tiao San indications

A

Headache (anywhere in the head)
May be accompanied with fever/chills
Dizziness
Nasal discharge
Thin white tongue coat
Floating pulse

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46
Q

Chuan Xiong Cha Tiao San category

A

Formulas that release exterior wind-cold
Formulas that Release the Exterior with Head and Neck Symptoms

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47
Q

Xiao Qing Long Tang main actions

A

Releases the exterior
Transforms thin mucus
Warms the Lungs
Directs rebellious qi downward to relieve cough/wheeze

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48
Q

Xiao Qing Long Tang indications

A

Fever and chills (chills predominant) without sweat
Cough, wheezing
Copious, white, stringy, difficult to expectorate sputum OR profuse clear watery sputum
Chest stifling
Generalized heaviness and body aches
No particular thirst
Edema face/limbs
Moist tongue coat OR white slippery tongue coat
Floating, tight pulse

In severe cases, there may be floating edema and difficulty breathing while
laying down

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49
Q

Xiao Qing Long Tang category

A

Formulas that release exterior wind-cold

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50
Q

Xiao Qing Long Tang patterns

A

Wind-cold at the exterior with water accumulation in the interior

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51
Q

Jiu Wei Qiang Huo Tang category

A

Formulas that release exterior wind-cold

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52
Q

Jiu Wei Qiang Huo Tang main actions

A

Dispels damp
Induces sweating
Drains interior heat

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53
Q

Xiang Su San main actions

A

Releases the exterior
Regulates qi

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54
Q

Xiang Su San indications

A

Chills and fever
Headache
No sweat
Full, distended chest + epigastrium
No appetite
Thin white tongue coat
Superficial pulse

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55
Q

Xiang Su San category

A

Formulas that release exterior wind-cold AKA
Acrid, warm, exterior-releasing formulas

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56
Q

Xiang Su San pattern

A

Wind-cold (exterior) with qi stag (interior)

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57
Q

Sheng Ma Ge Gen Tang main actions

A

Releases the muscle layer
Vents rashes

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58
Q

Sheng Ma Ge Gen Tang indications

A

Early-stage measles or rashes that do not surface evenly
Fever and chills
Headache
Generalized body aches
Sneezing, coughing
Red eyes, tearing
Thirst
Red and dry tongue
Floating, rapid pulse

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59
Q

Sheng Ma Ge Gen Tang category

A

Acrid, cold, exterior-releasing formulas AKA
Formulas that release exterior wind-heat

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60
Q

Sheng Ma Ge Gen Tang patterns

A

Exterior wind-heat
Underlying yin deficiency

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61
Q

Ma Huang Xi Xin Fu Zi Tang category

A

Formulas that release exterior disorders with interior deficiency AKA
Supporting the upright and releasing the exterior formulas

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62
Q

Ma Huang Xi Xin Fu Zi Tang main actions

A

Assists the Yang
Releases the exterior

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63
Q

Jia Jian Wei Rui Tang main actions

A

Nourishes yin
Clears heat
Releases the exterior

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64
Q

Jia Jian Wei Rui Tang indications

A

Headache
Fever
Slight aversion to wind + cold
Slight sweat or none
Cough
Thick, difficult-to-expectorate sputum
Irritability
Thirst
Dry throat
Red / dark-red tongue body
Rapid pulse

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65
Q

Jia Jian Wei Rui Tang category

A

Supporting [the upright] and releasing [the exterior] formulas AKA
Formulas that release exterior disorders with interior deficiency

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66
Q

Jia Jian Wei Rui Tang patterns

A

chronic underlying yin deficiency
exterior wind-heat

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67
Q

Ge Gen Tang category

A

Formulas that Release the Exterior with Head and Neck Symptoms
Formulas that release wind-cold

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68
Q

Gui Zhi Tang category

A

Formulas that release wind-cold

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69
Q

Formulas that release exterior-interior excess

A

Da Chai Hu Tang
Fang Feng Tong Sheng San
Ge Gen Huang Lian Huang Qin Tang

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70
Q

Sang Ju Yin / Mulberry Leaf and Chrysanthemum Decoction category

A

Acrid cold exterior-releasing formulas

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71
Q

Sang Ju Yin actions

A

Dispels wind and clears heat
Ventilates the Lung and arrests coughing
Facilitates flow of Lung qi

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72
Q

Sang Ju Yin dosage / prep / administration

A

Cook ingredients w/ 2 cups water until liquid reduces to 1 cup
Take decoction 2x/day
*No more than 20 min, some cook only 10min

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73
Q

Sang Ju Yin indications

A

Early stage wind-heat:
Cough
Mild fever
Slight thirst
Thin white tongue coat
Floating rapid pulse

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74
Q

Sang Ju Yin clinical applications

A

Common cold
Influenza
Acute bronchitis
Acute tonsilitis
Coughing and other upper respiratory infections

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75
Q

Sang Ju Yin ingredients

A

Sang Ye (7.5g)
Ju Hua (3g)
Bo He (2.4g)
Lian Qiao (4.5g)
Jie Geng (6g)
Ku Xing Ren (6g)
Lu Gen (6g)
Gan Cao (2.4g)

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76
Q

Sang Ju Yin herb roles and actions

A

CHIEFS gently disperse early-stage wind-heat
Sang Ye: dispel exterior WH and clear interior LU heat, stops cough
Ju Hua: disperses UJ WH
DEPUTIES
Bo He: assists chief herbs in releasing wind-heat from the UJ
Lian Qiao: clears heat, eliminates toxins in UJ
Jie Geng: facilitate flow of LU qi to stop cough (ascending)
Xing Ren: regulate LU qi to stop cough (descending
ASSISTANT
Lu Gen: clears heat, generates fluids (reducing thirst)
ENVOY
Gan Cao: clears heat, harmonizes herbs

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77
Q

Sang Ju Yin C/c

A

Wind-cold conditions
Severe cough caused by LU heat

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78
Q

Yin Qiao San / Honeysuckle Forsythia Powder category

A

Formulas that release exterior WH

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79
Q

Yin Qiao San actions

A

Disperses WH
Clears heat
Resolves toxicity

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80
Q

Yin Qiao San dosage / prep / administration

A

Grind into powder
Take 18g powder with decoction of fresh Lu Gen
–> Cook Lu Gen in water until aroma fills the air do not overcook
* Or decoct entire formula using dosages in brackets

Serious condition: take decoction 3x/day 2hrs apart, 1x/night
Mild condition: take decotion 2x/day 3hrs apart, 1x/night
Continue until condition resolves

Skim top of Ma Huang

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81
Q

Yin Qiao San indications

A

(Slight) fever
Aversion to cold
Slight aversion to wind
Slight or no sweat
Headache
(Slight) thirst
Sore throat
Cough
Red tongue tip with thin/white or thin/yellow coat
Superficial rapid pulse

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82
Q

Yin Qiao San clinical applications

A

Common cold
Flu
High fever
Pneumonia
Acute upper respiratory infection
Pharyngo-conjunctival fever
Tonsillitis
Parotitis
Canker sores
Viral myocarditis
Epidemic encephalitis B
Drug-induced dermatitis

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83
Q

Yin Qiao San pattern

A

Onset of wen-bing (warm disease)

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84
Q

Yin Qiao San herbs + dosages

A

Jin Yin Hua 30g [15g]
Lian Qiao 30g [15g]
Jing Jie Sui 12g [4g]
Dan Dou Chi 15g [5g]
Jie Geng 18g [6g]
Niu Bang Zi 18g [6g]
Bo He 18g [6g]
Zhu Ye 12g [4g]
Gan Cao 15g [5g]

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85
Q

Chai Ge Jie Ji Tang category

A

Acrid cold exterior-releasing formulas AKA
Formulas that release exterior wind-heat

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86
Q

Chai Ge Jie Ji Tang actions

A

Releases pathogenic influences from the muscle layer
Clears interior heat

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87
Q

Chai Ge Jie Ji Tang preparation

A

Decoct <20 min

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88
Q

Chai Ge Jie Ji Tang indications

A

Exterior wind-cold presentation
Increasing fever + decreasing chills
Headache
Stiff extremities
Orbital + eye pain
Dry nasal passages
Irritability
Insomnia
Thin yellow tongue coat
Floating, slightly flooded pulse

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89
Q

Chai Ge Jie Ji Tang pattern

A

Unresolved exterior wind-cold that has become constrained, transforming into heat AKA
Simultaneous Taiyang + Yangming disorder

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90
Q

Yin Qiao San C/c

A

Damp-heat

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91
Q

Chai Ge Jie Ji Tang C/c

A

Simple exterior wind-heat disorders

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92
Q

Chai Ge Jie Ji Tang herbs

A

Chai Hu (3-9g)
Ge Gen (6-12g)
Qiang Huo (3-6g)
Bai Zhi (3-6g)
Huang Qin (6-9g)
Shi Gao (4.5-15g)
Jie Geng (3-6g)
Bai Shao (6-9g)

3 sweets:
Gan Cao (3-6g)
Sheng Jiang (3-6g)
Da Zao (2-3 pieces)

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93
Q

Chai Ge Jie Ji Tang herb roles

A

CHIEFS: dispel heat in muscle layer, clear heat
Chai Hu
Ge Gen

DEPUTIES Dispel WC, release muscles, relieve headache
Qiang Huo: enters Taiyang
Bai Zhi: enters Yangming

DEPUTIES Clear interior heat
Huang Qin: from LU and UJ
Shi Gao: from Yangming

ASSISTANT
Jie Geng: ventilates LU to dispel exterior pathogens

Harmonize ying level, prevent drying herbs from damaging yin
ASSISTANT Bai Shao
ENVOY Gan Cao harmonizes other herbs

ENVOYS Harmonize ying/wei, interior/exterior
Sheng Jiang
Da Zao

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93
Q

Chai Ge Jie Ji Tang C/c

A

Exterior cold that has not moved into the interior
Lack of interior heat
Heat attacking yangming producing abdominal pain/constipation
Acrid, spicy, oily, greasy foods

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94
Q

Ren Shen Bai Du San category

A

Formulas that release exterior disorders with interior deficiency

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95
Q

Ren Shen Bai Du San actions

A

Releases the exterior
Dispels wind and damp
Augments qi

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96
Q

Ren Shen Bai Du San indications

A

High fever
Severe chills and shivering
No sweat
Pain and stiffness of head and neck
Soreness and pain of extremities
Chest focal distension and fullness
Nasal congestion with loud nasal breathing
Productive cough
Greasy white tongue coat
Floating soggy pulse

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97
Q

Ren Shen Bai Du San patterns

A

Externally contracted WCD battling deficient normal qi

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98
Q

Ren Shen Bai Du San herbs

A

Qiang Huo 30g
Du Huo 30g
Chuan Xiong 30g
Chai Hu 30g
Jie Geng 30g
Fu Chao Zhi Ke 30g
Qian Hu 30g
Ren Shen 30g
Fu Ling 30g
Gan Cao 15g

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99
Q

Ren Shen Bai Du San herb roles

A

CHIEFS dispel exterior WC, dispel damp, alleviate pain
Qiang Huo
Du Huo

DEPUTIES
Chuan Xiong releases the exterior, moves blood, dispels wind (pain relief in head and neck)
Chai Hu releases the exterior, reduces fever, expels pathogens
Bo He releases pathogenic influences from the muscle layer with Chai Hu

ASSISTANTS
Regulate chest qi flow:
Jie Geng ascends, dispels phlegm, stops cough
Zhi Ke descends, regulates LU qi to relieve chest distension

Qian Hu: improves LU qi circulation, expels phlegm, stops cough

Fu Ling transforms phlegm, strengthens SP, leaches dampness, promotes urination, tonifies without causing stagnation/retention of pathogens, tonifies MJ

Sheng Jiang treats root + branch, releases exterior

Tonifying:
Ren Shen strengthens normal qi to expel pathogens, generates fluids to potentiate sweating, strengthens resistance to external attack, tonifies Yuan qi
ENVOY Gan Cao tonifies qi, harmonizes other herbs

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100
Q

Ren Shen Bai Du San C/c

A

Adjust Ren Shen dose based on patient constitution: no more than 10% of total formula
Contra: exterior WH invasion, interior heat, yin xu with exterior invasion

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101
Q

Jia Jian Wei Rui Tang indications

A

Headache
Fever
Slight aversion to wind + cold
Slight or no sweat
Cough with thick, difficult-to-expectorate sputum
Irritability
Thirst
Dry throat
Red tongue body
Rapid pulse

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102
Q

Jia Jian Wei Rui Tang patterns

A

Exterior WH with chronic yin xu

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103
Q

Jing Fang Bai Du San category

A

Formulas that release exterior disorders with interior deficiency

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104
Q

Jing Fang Bai Du San main actions

A

Induces sweat
Releases the exterior
Dispels wind
Alleviates pain

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105
Q

Cong Bai Qi Wei Yin category

A

Formulas that release exterior disorders with interior deficiency

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106
Q

Cong Bai Qi Wei Yin main actions

A

Nourish the blood
Release the exterior

107
Q

Fang Feng Tong Sheng San main actions

A

Disperses wind
Releases the exterior
Drains heat
Unblocks bowels

108
Q

Fang Feng Tong Sheng San indications

A

Strong fever + chills
Light-headedness
Dizziness
Red, sore eyes
Difficulty swallowing
Nasal congestion with thick/sticky nasal discharge + saliva
Bitter taste in mouth
Dry mouth
Focal distension with stifling chest/diaphragm sensation
Constipation
Dark rough urination
Yellow greasy tongue coat
Flooding rapid or wiry slippery pulse

109
Q

Fang Feng Tong Sheng San category

A

Formulas that release the exterior and purge the interior

110
Q

Fang Feng Tong Sheng San patterns

A

Heat excess in both interior and exterior
- WH invasion + preexisting internal heat
- WH invasion that causes heat to simultaneously lodge in both interior + exterior

111
Q

Da Chai Hu Tang main actions

A

Harmonizes + releases shaoyang
Drains internal clumping due to heat (purges interior heat in yangming syndrome)

112
Q

Da Chai Hu Tang indications

A

Alternating chills + fever
Chest + hypochondriac fullness with or without pain
Bitter taste in mouth
Nausea
Continuous vomiting
Hard focal distension or fullness/pain in epigastrium
Burning diarrhea or no BM
Melancholy
Slight irritability
Yellow tongue coat
Wiry, forceful pulse

113
Q

Da Chai Hu Tang category

A

Formulas that release the exterior + purge the interior AKA
Exterior-releasing + interior-attacking formulas

114
Q

Da Chai Hu Tang patterns

A

Concurrent shaoyang and yangming disorder

115
Q

Ge Gen Huang Lian Huang Qin Tang main actions

A

Releases the exterior
Drains interior heat

116
Q

Ge Gen Huang Qin Huang Lian Tang indications

A

Fever
Sweating
Thirst
Dysenteric diarrhea w/ especially foul-smelling stool + anal burning
Irritability
Heat in the chest/epigastrium
Possible wheezing
Red tongue yellow coat
Rapid pulse

117
Q

Ge Gen Huang Lian Huang Qin Tang category

A

Formulas that release the exterior + clear the interior AKA
Exterior-releasing + Interior-clearing formulas

118
Q

Ge Gen Huang Qin Huang Lian Tang patterns

A

Wind-cold at the exterior with heat invading the interior

119
Q

What formula would you use for Katara and Sokka when they were sweating and tired after riding Appa without having breakfast? Superficial weak pulse, thin white TC, simultaneous C/F

A

Gui Zhi Tang

120
Q

What formula would Uncle Iroh give Zuko after he swam in the North Pole, strong chills, difficult breathing, no sweat, floating tight pulse, thin white tongue coat?

A

Ma Huang Tang

121
Q

What formula would you give Katara in the Fire Nation with a cough, superficial rapid pulse, thin white tongue coat, and thirst?

A

Sang Ju Yin

122
Q

What formula would you give Zuko after he came back from the Sun Warriors with painful sore throat, superficial rapid pulse, occipital headache, red tongue tip, thin yellow TC, thirst, aversion to heat?

A

Yin Qiao San

123
Q

What formula would you give Katara on Kiyoshi island when she refused to take a break to recover from a cold, leading to decrease in chills and increase in fever? Thin yellow TC, dry nasal passages, insomnia, irritability, headache, stiff extremities, superficial flooding pulse?

A

Chai Ge Jie Ji Tang

124
Q

What formula would you give Aang the first day after the iceberg when he felt chills and warmth with floating pulse and mild occipital headache?

A

Cong Chi Tang

125
Q

What formula would you give Uncle Iroh after he was submerged in North Pole oceanic waters and breathed fire at Zhao? No sweat, stiff neck, headache, simultaneous chills and fever

A

Jiu Wei Qiang Huo Tang

126
Q

What formula would you give Sokka at the campsite before the invasion when he wasn’t hungry, his stomach was bloated, headache, no sweat, thin white TC, simultaneous C/F, superficial pulse?

A

Xiang Su San

127
Q

What formula would you give Zhao when he arrived at the Northern Water Tribe feeling irritable, floating tight pulse, headache, difficulty breathing, no sweat?

A

Da Qing Long Tang

128
Q

What formula would you give the Jang Hui village boatman who is coughing, profuse clear watery sputum, no sweat, tightness in chest with wheezing, slippery white tongue, simultaneous C/F, superficial pulse, edema?

A

Xiao Qing Long Tang

129
Q

Da vs Xiao Qing Long Tang

A

Big 🐲 dragon = 🔥🥵 interior heat + WC ❄️
small🐉 dragon = 💦💧 interior water accumulation + WC ❄️

130
Q

What formula would you give Toph when she started to develop a rash on her skin the first night camping? She also has tearing red eyes, general body aches, thirst, sneezing, cough, headache, simultaneous C/F, floating rapid pulse and red dry tongue.

A

Sheng Ma Ge Gen Tang for ext. WH + early measles/rash

131
Q

What formula would you give to Aang when his whole bald head hurt, simultaneous C/F, thin white TC, dizziness, nasal congestion, superficial pulse?

A

Chuan Xiong Cha Tiao San for headache due to external wind

132
Q

What formula would you give Loyla on Saponi land for dizziness, painful nasal congestion, copious nasal discharge, thin white TC?

A

Cang Er Zi San

133
Q

What formula would you give Ife in December when she had diarrhea, chills and fever, no sweat, neck owie 😥, thin white TC and tight pulse?

A

Ge Gen Tang for Taiyang syndrome + WC invasion

134
Q

What formula would you give Katara after facing Yon Rha in the rain? She has a productive cough, loud nasal breathing, nasal congestion, high fever, severe chills, shivering, no sweat, head/neck pain, chest fullness, sore/painful extremities, no sweat, greasy white TC, superficial soggy pulse?

A

Ren Shen Bai Du San for external WCD and deficient “normal” qi

135
Q

What formula would you give Yue when she gave her life to the moon spirit? External WC + yang deficiency in the North Pole

A

Severe aversion to cold
No sweat
Mild/no fever
Deep pulse
Ma Huang Xi Xin Fu Zi Tang

136
Q

What formula would you give Zuko after getting soaked confronting Yon Rha? Severe external WCD without qi deficiency. He had red sores, chills and fever, no sweat, no thirst.

A

Jing Fang Bai Du San
Unlike Katara he didn’t have underlying qi xu but also got beaten down by cold rain

137
Q

What formula would you give Suki in the Boiling Rock when she had a headache, fever, aversion to wind, slight aversion to cold, dry throat, cough, thirst, irritability, red tongue body, rapid pulse?

A

External WH + yin deficiency
Jia Jian Wei Rui Tang

138
Q

What formula would you give Katara after flying in the rain while on her period in the Fire Nation? external WC with yin and blood deficiency

A

Cong Bai Qi Wei Yin
Mild chills and fever
No sweat
Headache

139
Q

What formula would you give to Obi-wan when he returned from Mustafar with thick yellow TC, wiry forceful pulse, alternating chills and fever, chest and hypochondriac dullness, epigastric fullness and pain, continuous vomit, depressed feelings, slight fidgeting, and constipation?

A

Da Chai Hu Tang for Shaoyang + Yangming syndromes

140
Q

What formula would you give Hakoda after he escaped the Boiling Rock, then rode on Appa in the cold wind? He had a fever, sweat, red tongue with yellow coat, rapid pulse, wheezing, thirst, heat in chest and epigastrium, irritability, stinky diarrhea and anal burning.

A

Ge Gen Huang Lian Huang Qin Tang for exterior WC + interior heat invasion

141
Q

What formula would you give Sokka in the Si Wong desert with high fever, severe chills, dizziness, vertigo, red painful eyes, bitter dry mouth, uncomfortable sore throat, bloated stifling chest, cough, shortness of breath, thick sticky nasal discharge and saliva, constipation, dark yellow urine, and acne.

A

Fang Feng Tong Shen San for exterior WH with interior excess heat

142
Q

🐕‍🦺 Good Boy! 🐕
Here’s three sweets 🍬🍭🍬
Gui Zhi Tang ingredients

A

Gui Zhi 👑
Bai Shao 👑
Zhi Gan Cao 🍭
Sheng Jiang 🍭
Da Zao 🍭

143
Q

Common ingredients in Yin Qiao San and Sang Ju Yin: Just Let Bad Germs Leave

A

Jie Geng
Lu Gen
Bo He
Gan Cao
Lian Qiao

144
Q

What are the remaining herbs in Yin Qiao San (besides Just Let Bad Germs Leave)?

A

Jiggling 🍑
Nasty 🤢
D*ck 🍆
X-rated ❌
Juicy 🧃
Dance 🩰

Jin Yin Hua
Niu Bang Zi
Dan Dou Chi
Xian Lu Gen
Jing Jie Sui
Dan Zhu Ye

145
Q

What are the other herbs in Sang Ju Yin besides Just Let Bad Germs Leave?

A

Sang Ye (in the name)
Ju Hua (in the name)
Xing Ren (cough differentiates it from Yin Qiao San)

146
Q

Sang Ye category and actions

A

Cooling diaphoretic
LU heat/dryness
LV yang + eyes
Cools blood

147
Q

Gui Zhi category, actions

A

Warming diaphoretic
Harmonizes Ying + Wei

148
Q

Bai Shao category, actions

A

Blood tonic
Preserves Yin
Harmonizes Ying + Wei

149
Q

Gan Cao category, actions

A

Qi tonic
Tonifies SP, HT
Pain + spasms
Phlegm + cough
Heat, toxic, poison

150
Q

Sheng Jiang category, actions

A

Warm diaphoretic
Warms MJ
Stops vomit
Reduces toxicity
Cold, cough, warms LU
Harmonizes Ying + Wei with DA ZAO

151
Q

Ju Hua

A

Cooling diaphoretic
LV, yang + eyes
Toxicity

152
Q

Lian Qiao category, actions

A

Toxic heat
Nodules
WH

153
Q

Bo He category, actions

A

Cooling diaphoretic
Clears head, eyes, throat
Rashes
Turbid damp
Free-flowing LIV qi

154
Q

Jie Geng category, actions

A

Warm phlegm-cold
Guide to throat
Neutral

155
Q

Xing Ren category, actions

A

Cough/wheeze
Moisten intestines
(slightly toxic)

156
Q

Lu Gen category, actions

A

Qi-level heat
LU/ST heat
vomiting
generate fluids
urination
rashes

157
Q

Jin Yin Hua category, actions

A

Toxic heat
Cools blood
WH
Bloody shit

158
Q

Niu Bang Zi category, actions

A

Cooling diaphoretic
Throat
Toxicity
Rashes

159
Q

Dan Dou Chi

A

WH or WC
Irritability
MJ

160
Q

Jing Jie category, actions

A

WH or WC
Rash
Itch
Bleeding
Vaginal discharge

161
Q

Dan Zhu Ye category, actions

A

Qi level heat
irritability
urination

162
Q

Chai Hu category, actions

A

Cooling diaphoretic
Raise SP yang
Spreads LIV qi
Constraint
Fever
Shaoyang syndrome

163
Q

Ge Gen category, actions

A

Cooling diaphoretic
Release muscle layer
Diarrhea
Measles
^ SP yang
Fever
Nourishes fluid
Thirst

164
Q

Qiang Huo category, actions

A

Warming diaphoretics
Upper body
WCD
Pain
Bi
Taiyang headache

165
Q

Bai Zhi category, actions

A

Warming diaphoretics
WD
Pain
Swelling
Pus
Opens nasal passages
Leukorrhea

166
Q

Huang Qin category, actions

A

Damp-Heat in UJ
Toxicity
Cools blood
Stops bleeding
LU heat
Drain fire
LV GB heat
Calm fetus

167
Q

Shi Gao category, actions

A

Qi-level heat, fire
ST, LU heat
Sores
4 bigs/Yangming

168
Q

Fever, chills, aversion to wind, perspiration, body aches, a stiff neck, and clear nasal secretions indicate which TCM pattern?

A

Exterior-Deficient, Wind-Cold syndrome

169
Q

Which tongue and pulse are associated with Exterior deficient WC?

A

The tongue has a thin, white & moist coating. The pulse is superficial and moderate.

170
Q

Which formula is the best choice for exterior deficient WC?

A

Gui Zhi Tang

171
Q

Niu Bang Zi is found in which exterior-releasing formula that we have studied?

A

Yin Qiao San

172
Q

Feverish sensations with spontaneous sweat + aversion to wind in constitutionally weak, debilitated patients can be addressed by which formula?

A

Gui Zhi Tang

173
Q

Which herbal pairs harmonize Ying + Wei?

A

Gui Zhi + Bai Shao
Sheng Jiang + Da Zao

174
Q

Which clinical symptoms indicate the use of Da Qing Long Tang?

A

Severe fever + chills
Body aches
Thirst
Irritability

175
Q

High fever, decreasing chills, headache, stiff extremities, eye pain, dry nasal passages, + irritability are clinical manifestations indicating the use of which formula?

A

Chai Ge Jie Ji Tang

176
Q

All of the following are therapeutic actions of Xiao Qing Long Tang except 1…
Clears interior heat
Induces diaphoresis
Directs rebellious qi downward
Transforms thin mucus
Warms the lungs

A

Clears interior heat

177
Q

For which pattern is Chai Ge Jie Ji Tang indicated?

A

Simultaneous Greater Yang and Yang Brightness warp disorder

178
Q

Tidal fever, constipation, focal distension, abdominal fullness, abdominal pain that does not increase with pressure, a dirty dry “old-looking” tongue, and rolling rapid pulse = what formula?

A

Xiao Cheng Qi Tang

179
Q

Which two formulas contain Da Huang, Zhi Shi, and Hou Pou?

A

Da Cheng Qi Tang
Xiao Cheng Qi Tang

180
Q

Which formula treats heat in the stomach and intestines causing maculae, petechiae, hematemesis, epistaxis, toothache, and swelling + soreness of the mouth, gums, and throat?

A

Tiao Wei Cheng Qi Tang

181
Q

Synonyms for choppy pulse

A

Hesitant
Rough

182
Q

“cold extremities due to yang-type inversion”
“false cold, true heat”
refer to which formula?

A

Si Ni San

183
Q

CZ BZ - Si Ni San ingredients

A

Chai Hu
Zhi Shi
Bai Shao
Zhi Gan Cao

184
Q

What is the basic formula for LIV qi stag?

A

Si Ni San

185
Q

cold hands/feet

A

Wu Zhu Yu Tang

186
Q

What’s the only state board formula with a pale red tongue?

A

Xiao Yao San

187
Q

Pale-red, dry tongue indicates…

A

Sheng Mai San (LU qi + yin xu)

188
Q

SP Qi Xu, LIV qi constraint, Blood deficiency –> which formula?

A

Xiao Yao San

189
Q

Flagship formula for Blood deficiency

A

Si Wu Tang

190
Q

Flagship formula for Qi deficiency

A

Si Jun Zi Tang
(Bai Zhu + Fu Ling = “mini Si Jun Zi Tang”)

191
Q

Xiao Yao San ingredients for LIV qi stag

A

Chai Hu (king)
Bo He

192
Q

Xiao Yao San ingredients for SP qi xu

A

Bai Zhu
Fu Ling

193
Q

Xiao Yao San ingredients for Blood xu

A

Dang Gui
Bai Shao

194
Q

Xiao Yao San ingredients for harmonizing

A

Zhi Gan Cao
Wei Jiang

195
Q

Interior excess syndromes for downward draining formulas

A

qi stagnation, blood stagnation, phlegm retention, food stagnation, constipation, water retention,
parasitic infestation, and others.

196
Q

Downward draining formulas - subcategories of action

A

Cold purgatives
Warm purgatives
Mild laxatives
Harsh expellants
Purgative + tonic formulas

197
Q

These formulas eliminate interior excess conditions involving heat
stagnation or accumulation. Common clinical manifestations include constipation, abdominal
fullness, distention, or pain. In severe cases, there may be tidal fever, a yellow tongue coating,
and an excess pulse.

A

Cold purgatives

198
Q

These formulas address interior excess cold syndromes. Common clinical
manifestations include constipation, epigastric/abdominal fullness/distention, abdominal pain alleviated by warmth, cold to icy extremities, a white, slippery tongue coating, and a deep, tight pulse.

A

Warm purgatives

199
Q

This group of downward draining formulas eliminates internal swelling and excess water accumulation through defecation and urination. Clinical applications of harsh expellants include treatment of hydrothorax, ascites, edema, and
difficulties in urination and defecation. These formulas are potentially toxic and drastic in
effect, and should be used with extreme caution, especially in individuals who have
generalized deficiencies.

A

Harsh expellants

200
Q

These formulas treat constipation characterized by concurrent internal excess and deficiency. This syndrome requires the use of both downward draining and tonifying methods to ensure that the stools are moved and the Qi is not damaged.

A

Purgative + tonifying formulas

201
Q

If patients have both
exterior and interior excess symptoms, what to do?

A

one should dispel the exterior factor first, before
eliminating the interior excess. In some cases, both exterior and interior factors may be dispelled at the same time.

202
Q

When should downward draining formulas be cautioned/contra?

A

pregnancy
postpartum and nursing
elderly
infants and children
bleeding disorders
underlying qi, blood, and/or body fluid deficiencies.
*discontinue once functional, do not lose long-term
*avoid greasy/difficult to digest foods

203
Q

Heat accumulation

A

a condition of interior excess characterized by fever, abdominal pain that increases upon pressure, constipation, a yellow tongue coating, and a pulse that is strong, excessive, and usually submerged.

204
Q

Da Cheng Qi Tang ingredients

A

Da Huang
Mang Xiao
Zhi Shi
Hou Po

205
Q

Da Cheng Qi Tang actions

A

Vigorously purges heat accumulation

206
Q

Da Cheng Qi Tang prep

A

Add Da Huang after the decoction has halved in quantity,
Dissolve Mang Xiao in strained decoction

207
Q

blood stag + heat in LJ

A

Tao He Cheng Qi Tang + Tao Ren + Gui Zhi

208
Q

Taiyang “Fu” with water accumulation (edema, urinary difficulty)

A

Wu Ling San

209
Q

Hypochondriac pain, headache, vertigo, bitter taste, dry throat, fatigue, reduced appetite, alternating fever/chills, irregular menstruation. Pale-red tongue, pulse is string-taught and deficient. Formula?

A

Xiao Yao San

210
Q

Ren shen, Fu ling, and Gan Cao are components of which formula?
Chai Ge Jie Ji Tang
Yin Qiao San
Run Chung Wan
Bai Du San

A

Bai Du San

211
Q

Which dui-yao treats Shaoyang syndrome?

A

Chai Hu, Huang Qin

212
Q

Tong Xie Yao Fang actions

A

Tonify SP
Soften LIV
Dispel damp
Stops diarrhea

213
Q

A patient comes to clinic complaining of constipation with dry, hard stools with increased urination. The tongue has a dry and yellow fur, and the pulse is superficial and hesitant. Which formula is the most appropriate?

A

Ma Zi Ren Wan

214
Q

Tong Xie Yao Fang pattern

A

Abdominal pain and diarrhea caused by Spleen deficiency and Liver excess

215
Q

Tong Xie Yao Fang category

A

Formulas that harmonize

216
Q

Which formula treats heat entering the blood chamber caused by the contraction of cold after childbirth or during menstruation?

A

Xiao Chai Hu Tang

217
Q

Which formula treats dessicated intestines caused by Blood and Yin xu?

A

Run Chung Wan

218
Q

Which formula treats heat clumping with circumfluence manifesting as blue-green, watery fluids with a foul smell, abdominal pain + rigidity, dry mouth and tongue, and a rapid rolling pulse?

A

Da Cheng Qi Tang

219
Q

Which of the following is NOT a therapeutic action of Xiao Yao San?
Strengthens SP
Spreads LIV qi
Nourishes Yin
Nourishes Blood

A

Does NOT nourish yin

220
Q

Formulas that harmonize ST + intestines treat what?

A

PF have invaded ST + intestines and formed complexes of heat/cold with simultaneous excess/deficiency.
Ascending/descending functions disrupted

221
Q

What is the chief substance of Run Chung Wan?

A

Tao Ren and Huo Ma Ren

222
Q

Ren Shen, Huang Qin and Ban Xia are ingredients of which formula?
Xiao Chai Hu Tang
Si Ni San
Xiao Yao San
Run Chung Wan

A

Xiao Chai Hu Tang

223
Q

Bo He and Wei Jiang are ingredients found in which formula?
Xiao Chai Hu Tang
Si Ni San
Xiao Yao San
Gui Zhi Tang

A

Xiao Yao San

224
Q

Chief of Ban Xia Xie Xin Tang

A

Huang Lian

225
Q

Ban Xia Xie Xin Tang pattern

A

Stomach and Intestines Disharmony

226
Q

Ban Xia Xie Xin Tang category

A

Formulas that harmonize

227
Q

epigastric focal distention, fullness + tightness with very slight or no pain, dry heaves/frank vomiting, borborygmus with diarrhea, reduced appetite
Tongue body - possible red tip
TC: thin, yellow, greasy
Pulse: Wiry, rapid

A

Ban Xia Xie Xin Tang

228
Q

Ban Xia Xie Xin Tang actions

A

Harmonizes ST
Directs rebellious qi downward
Disperses clumping
Eliminates focal distention

229
Q

Constipation, lusterless skin, dry mouth and an unquenchable thirst with a dry tongue and a thin pulse are treated by which formula?

A

Run Chung Wan

230
Q

Alternating fever/chills, dry throat, bitter taste in the mouth, dizziness, irritability, heartburn, nausea and vomiting with no desire to eat. The tongue has a thin white coat and the pulse is string-taut. Formula?

A

Xiao Chai Hu Tang

231
Q

Tidal fever, constipation, focal distention, abdominal fullness, abdominal pain that does NOT increase upon pressure, a dirty dry “old-looking” yellow TC, and a rapid rolling pulse

A

Xiao Cheng Qi Tang

232
Q

Which formula is contraindicated for concurrent use with the medication interferon

A

Xiao Chai Hu Tang

233
Q

Which clinical symptoms indicate the use of Da Qing Long Tang?

A

Fever, chills, body aches, thirst, irritability

234
Q

Which formula treats Raynaud’s phenomenon

A

Si Ni San

235
Q

A patient presents with fever, chills, headache, thirst, cough, sore throat, tongue with a thin white coat, and a floating rapid pulse. Formula?

A

Yin Qiao San

236
Q

What are the chief herbs in Ren Shen Bai Du San?

A

Qiang Huo and Du Huo

237
Q

Which formula contains Da Huang, Mang Xiao, and Gan Cao?

A

Tiao Wei Cheng Qi Tang

238
Q

Which formula treats externally contracted WCD with concurrent internal accumulation of heat?

A

Jiu Wei Qiang Huo Tang

239
Q

Post-antibiotic use: which formula?

A

Ban Xia Xie Xin Tang

240
Q

Which herbs do Ban Xia Xie Xin Tang and Xiao Chai Hu Tang have in common?

A

Huang Qin
Ban Xia
Ginger: BXXXT (Gan Jiang), XCHT (Sheng Jiang)
Ren Shen
Da Zao
Zhi Gan Cao

241
Q

Qi Level Heat is aka

A

Yangming Fu

242
Q

Tongues for 4 bigs

A

Red tongue body, yellow TC
Dry white

243
Q

Sweat for 4 bigs

A

severe
high
profuse

244
Q

Thirst in 4 bigs

A

polydipsia

245
Q

Pulse in 4 bigs

A

surging
flooding
overflowing

246
Q

tongue for qi, YING, XUE level heat

A

red tongue
(interior)

247
Q

Formula for severe sunstroke

A

Sheng Mai San
LU qi + LU yin xu, cardiovascular issues

248
Q

Formula for mild sunstroke

A

Bai Hu Tang

249
Q

Bai Hu Jia Ren Shen Tang

A

Clears Qi-Stage Heat
Drains Stomach Fire
Generates Fluids
Alleviates thirst
Nourishes Qi

250
Q

Nutritive level heat

A
251
Q

Heat entering Blood level, deepest of Wen Bing –> what formula?

A

Xi Jiao Di Huang Tang

252
Q

Huang Bo is…

A

Huang Bai

253
Q

Herbs that injure the yin should not be taken long term T/F?

A

TRUE
Huang Lian Jie Du Tang

254
Q

“mirror tongue”

A

Yin deficiency, no coat

255
Q

Ingredients in common between San Huang and Huang Lian Jie Du Tang

A
256
Q

San Huang Xie Xin Tang: contra in pregnancy?

A

yes

257
Q

Rolling pulse is also

A

Slippery

258
Q

Qing Wei San chief herb

A

Huang Lian

259
Q

Anti-inflammation dui yao

A

Mu Dan Pi
Chi Shao

260
Q

What is Dang Gui doing in the formula Qing Wei San?

A
261
Q

Damp heat in UB - formula

A

Ba Zheng San

262
Q

Liv Fire
DH in LV/GB
DH in LJ

A

Long Dan Xie Gan Tang

263
Q

UTI formulas

A

Ba Zheng San
Long Dan Xie Gan Tang
Dao Chi San

264
Q

Tian Ma Gou Teng Yin vs. Long Dan Xie Gan Tang

A

Formulas, Diagnosis, Chinese Medical Nutrition (3 decks)

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