Formulas AFEA for clinical test Flashcards

1
Q

Ma Huang Tang Ephedra Decoction

A

Release Exterior: wind cold excess

Arrests wheezing from wind cold, no sweating with fever and chills, headache, general body aches, wheezing

Ma Huang ephedra, Xing Ren Armenia, Gui zhi cinnamomi, zhi gan cao licorice

P: floating and tight = cold
T: thin white coat

Modify by taking away Gui zhi and zhi gan cao for release exterior wind cold and disseminate lung qi, for nasal congestion and runny nose, not as strong, loss of voice.

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2
Q

Gui Zhi Tang Cinnamon Twig Decoction

A

Release Exterior Wind Cold from XU

Releases pathogens from muscle layer and Wei Qi layer

Fever and chills unrelieved by sweating, headache, aversion to wind, stiff neck, nasal congestion, no thirst.

P: floating, frail
T: thin white moist coat

Releases muscles, less forceful, sweating, wei qi xu

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3
Q

Yin Qiao San Honeysuckle and Forsythia Powder

A

Release Exterior: Wind Heat from Wei Qi level

Disperse wind heat, clear heat relieve toxicity

For fever, chills, Headache, sore throat, wei qi level sick, cough,

P: rapid, floating= heat
T: red tipped, thin white or yellow coat

Modify for JUST SORE THROAT:
Take away many and add She Gan Belamcandae to clear heat obstructions and Ma Bo Lasiophaera to reduce swelling for throat pain

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4
Q

Bai Hu Tang White Tiger Decoction

A

Clear Heat from Qi Level/ Yang Ming Channel (Blazing Heat)

Drains STomach fire,
Generate Fluids
Alleviate Thirst

High fever with profuse sweating, aversion to heat, red face, severe thirst, irritability, May also include headache toothache, bleeding gums or nose

P: flooding, forceful or slippery, rapid

Can modify by adding cinnamon twig for swelling aching of joints. T: white coat, P: wiry rapid

Can modify by adding ginseng for injury to qi and fluids SUMMERHEAT

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5
Q

Huang Lian Jie Du Tang Coptis Decoction to Resolve Toxicity

A

Clear Heat Drain Fire and Resolve Toxicity

High fever, irritability, dry mouth and throat, incoherent speech, insomnia, dark urine, toxic swellings due to damp heat

For fire obstructing all three burners. Has all the Huang (Lian, Qin, Bai) plus zhi zi gardenia (all 3 burners)

P: rapid forceful
T: red body yellow coat

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6
Q

Qing Ying Tang Clear the Nutritive Level Decoction

A

Clear heat from nutritive level

Relieves fire toxic, drains heat, nourishes yin

High fever worsens at night, severe irritability, restlessness.
T: scarlet, dry
P: thin and rapid

Don’t give if white slippery tongue indicating dampness.

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7
Q

Long Dan Xie Gan TAng Gentiana Decoction to Drain the Liver

A

Clear Heat from organ level, drain damp heat from lower burner

Pain in hypochondria, headache, dizziness, red eyes, hearing loss, swelling in ears, irritability, and for heat in urethra, swollen genitalia,
LR and GB have damp heat

T: red body, yellow coat
P: wiry, rapid, forceful

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8
Q

Xiao Chai Hu Tang Minor Bupleurum Decoction

A

Harmonizes and releases Wei Qi invasion, Shao Yang stage
Alternating fever and chills, dry throat, bitter taste, dizziness, irritability, fullness in chest, hypochondria, heartburn, N/V, no desire to eat,

T: thin white coat
P: wiry
INGREDIENTS
Chai Hu bupleuris: vents pathogens in shao yang disorders, spreads liver qi
Huang Qin Scuttelaria: drains heat from liver and GB
Both of these drain heat together with causing it to sink deeper into body

Zhi Ban Xia pinellia: warms and transforms phlegm and turbidity in middle burner
Sheng Jiang Ginger
Both of these harmonize middle burner and direct rebellious qi down, stop N/V

Ren Shen, Zhi Gan Cao, Da Zao: support normal qi,

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9
Q

Xiao Yao San Rambling Powder

A

Harmonize Liver and Spleen

Spread liver qi, strengthen spleen, nourish blood

Hypochondriac pain, headache, vertigo, bitter taste, dry mouth and throat, fatigue, reduced appetite, alternating fever and chills.

T: pale red
P: wiry xu

INGREDIENTS:
Chai Hu Bupleurum relieves LR constraint and spreads liver qi
Dan Gui Angelica affects qi and blood
Bai Shao Peony nourishes yin, alleviates pain, curbs liver yang
Dan Gui and Bai Shao: together nourish blood, strengthen liver

Bai Zhu Atractylodes
Fu Ling Poria
Both together strengthen spleen

Zhi Gan Cao licorice: tonifies spleen and together with bai shao helps with abdominal pain

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10
Q

Si Ni San Frigid Extremities Powder

A

Harmonize and REgulate Liver and Spleen disharmony

Cold fingers and toes, body head warm, irritability, fullness in chest and epigastrium, cough, urinary difficulty, abdominal pain, severe diarrhea

T; red body, yellow coat
P: wiry

CI: for yin xu which manifests here as pain in hypochondria, epigastrium and abdomen

INGREDIENTS:
Chai Hu Bupleurum: vents heat, releases constraint, helps yang ascend, turbid yin descend
Chai Zhi Shi dry fried aurantis fruit: drains stagnation, breaks up stagnant qi, reduces accumulation in middle burner to help T and T of SP and ST, has DESCENDING action
Bai Shao peony: nourishes liver, preserves yin. Holds things in and chief herb disperses to disseminate liver qi without injuring liver yin
Zhi Gan Cao licorice: to harmonize

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11
Q

Ban Xia Xie Xin Tang Pinellia decoction to drain the epigastrium

A

Harmonize ST and INTESTINES

Directs rebellious qi down, disperses clumping, eliminates focal distention

Epigastrium focal distention, fullness and tightness with little or no pain, dry heaves or vomiting, borborygmus with diarrhea, reduced appetite, blockage in epigastrium

T: thin yellow greasy coat, may have red tip
P: wiry rapi

Not distention due to qi or food stagnation

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12
Q

Si Ni Tang Frigid Extremities Decoction

A

Warm Interior Cold and rescue devastated Yang

For shao yin disorder

Rescues devastated yang, warms middle burner, stops diarrhea

Extremely cold extremities, aversion to cold, curling up when lying down, lethargic with desire to sleep, vomiting, diarrhea with undigested food, abdominal pain and cold, lack of thirst

T: pale body, white slippery coat
P: submerged and thin

INGREDIENTS;
Fu Zi Aconite: breaks through yin to resolve the yang, warms at gate of vitality to reach extremities
Gan Jiang Zingiberis: warms middle burner and eliminates cold, to strengthen SP T and T
Both work together
Zhi Gan Cao licorice: augments qi, strengthen spleen, reduces toxicity of fu zi, moderates drying power of both C and D

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13
Q

Dang Gui Si Ni Tang Dang Gui Decoction for Frigid Extremities

A

Warms Interior Cold for blood xu with cold in channels

T: pale
P: deep thin

Cold invasion, hands and feet long standing cold to touch

Can injure fluids, so not used when fire is from yin xu

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14
Q

LI Zhong Wan Regulate the Middle Pill

A

Warm Interior Cold and dispel Cold

For middle burner cold from XU, bleeding due to middle burner yang xu

Warms middle burner, strengthens SP and ST

Diarrhea with watery stool, N/V, no thirst, loss appetite, abdominal pain
T: pale, P: submerged and thin

Nosebleeds, vomiting blood, excessive menstrual bleeding, bleeding from rectum, internal bleeding. Blood is pale and cold extremities, pale complexion

Don’t use with yin xu.

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15
Q

Si Jun Zi Tang 4 Gentleman Decoction and Liu Jun Zi Tang 6 gentleman Decoction

A

Ren Shen Ginseng
Bai Zhu Atractylodes
Fu Ling Poria
Zhi Gan Cao

For SP qi XU (pale complexion, low and soft voice, reduced appetite, loose stools, weak limbs)
Tonifies and strengthens spleen

Liu Jun Zi Tang: 6 Gentleman for SP QI XU with PHLEGM
characterized by rebellious ST qi and LU qi (all of above plus N/V, focal distention and stifling sensation in chest and epigastrium, coughing of thin white sputum)
adds
Chen Pi - drying herbs that direct qi down
Zhi Ban Xia - drying herbs that direct qi down
Increases dosage of Bai Zhu

Or Xiang Sha Liu Jun Zi Tang: 6 Gentleman Decoction with Aucklandia and Amomum for SP and ST qi XU with DAMP COLD STAGNATION IN MIDDLE BURNER
Adds Sha Ren Amomum and Mu Xiang and Sheng Jiang: more drying and moving than 6 Gents

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16
Q

Bu Zhong Zi Qi Tang Tonify the Middle to Augment the Qi Decoction

A

SP and ST XU with inability to raise the clear
Qi XU fever
Sinking of the middle burner Qi

Dizziness, unsteadiness, impaired vision, tinnitus, SOB, weak voice, shiney pale complexion, reduced intake of food, loose stools
T: pale
P: frail
Intermittent fever worse with exertion, spontaneous sweating, aversion to cold, thirst for warm beverages t: pale swollen, P: large but no force
Hemorrhoids, rectal prolapse, prolapse internally, chronic diarrhea, irregular uterine bleeding, reduced intake of food
T: pale, P: XU

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17
Q

Sheng Mai San Generate the Pulse Powder

A

Simultaneous Lung QI and Yin XU

Augments qi, generates fluids, preserves yin, stops excess sweating

Chronic cough with sparse sputum, hard to expectorate, SOB, spontaneous sweating, dry mouth and tongue
T: pale, red body, dry thin coat
P: XU, rapid or XU, thin

Ren Shen Ginseng - tonifies source qi
Mai Men Dong Ophiopogon - nourish yin, moisten lunges, benefit ST
Wu Wei Zi Schizandra - restrains leakage of LU qi and sweat, generates fluids in Kidneys, generates fluids
The Chief tonifies, deputy clears, assistant restrains leakage

18
Q

Yu Ping Feng San Jade Windscreen Powder

A

Deficient Protective Qi

Augments Qi, STabilizes exterior, stops sweating

Aversion to drafts, spontaneous sweating, recurrent colds, shiney pale complexion

T: pale body white coat
P: floating XU and soft

Mi Zhi Huang Qi honey prepared astragulus : for qi and exterior
Bai Zhu Atractylodes - for SP, together with Chief it generates qi by tonifying SP, qi and blood
Fang Feng Saposhnikova: expels wind, stabilizes exterior and expels pathogens

19
Q

Si Wu Tang Four Substance Decoction

A

For generalized Blood XU and stagnation

Tonifies blood and regulates LIVER

Dizzy, blurred vision, lusterless complexion, muscle tension, insomnia, palpitations, thin body, lacks strength, irregular menses with little flow, lower abdominal pain, menorrhagia, hard abdominal masses, RESTLESS FETUS,
T: pale
P: thin wiry choppy

Shu Di Huang REhmannia: tonifies LR and KI and nourishes yin
Bai Shao Peony: tonifies blood
Together are tonic for liver blood, rich cloying and astringent and could cause stasis of blood so use herbs below
Dang Gui Angelica sinensis: enters LR and HT to tonify and invigorate blood
Chuan Xiong : invigorate blood, directs blood to head so helps dizziness and below it moves the sea of blood and releases areas of constraint, alleviates pain

20
Q

Si Wu Tang Associated Formulas

A

Can do Tao Hong Si Wu TAng Four Substance Decoction with Safflower and Peach Pit for blood xu and blood stasis to invigorate the menses when the menses is accompanied with pain and distention. It adds Tao Ren Persia and Hong Hua Carthaginian to address blood stagnation

Can do Bu Gan Tang tonify the liver decoction: to nourish liver yin with all the above.
Adds Suan Zao Ren Ziziphi and Mu Gui Cheonomelis and Zhi Gan Cao

21
Q

Ba Zhen Tang Eight Treasures Decoction

A

Qi and Blood Deficiency

Pale complexion, palpitations with anxiety, reduced appetite, SOB, laconic speech, easily fatigued, light headed and vertigo

T: pale white coat
P: thin frail or large and xu, no strength

22
Q

Gui Pi Tang Restore the Spleen Decoction

A

SP Qi and HT blood XU

Augments qi, tonifies blood, strengthens spleen, nourishes heart

Forgetfulness, palpitations, insomnia, dream disturbed sleep, anxiety, feverish ness, withdrawal, reduced appetite, pale, sometimes chronic bleeding in menses, long periods with little flow

T: pale body thin white coat
P: thin frail

23
Q

Liu Wei Di Huang Wan Six Ingredient Pill with Rehmannia

A

Enrich yin and nourish kidneys

Soreness and weakness in low back, light headed ness, vertigo, tinnitus, diminished hearing, night sweats, spontaneous and nocturnal emissions, maybe hot palms and soles, chronic dry or sore throat, toothache,
T: red body with little coat
P: rapid thin

Shu Di Huang Rehmannia: kidney yin
Shan Zhu Yu Comi fructose: nourish liver
Shan Yao Dioscorea: stabilizes essence by tonifying SP
Fu Ling Poria: leaches damp from SP
Mu Dan Pi Moutan: clears and drains liver fire, counterbalances warm properties of Shan Zhu Yu Comi
Ze Xie Alismatis: clears and drains kidney fire,

Not for indigestion, diarrhea due to spleen xu, or with white greasy tongue coat

24
Q

Shen Qi Wan Kidney Qi Pill

A

Warms and tonifies yang

Kidney Yang XU

Warms and tonifies Kidney yang

T: pale swollen, thin white coat
P: empty or frail, submerged

Not for yin xu with dry mouth and throat or red tongue with little coat

25
Er Xian Tang Two Immortal Decoction
Tonifies yin and yang Kidney yin and yang xu, accompanied with flaring of fire at the gate of vitality Warms kidney yang, tonifies kidney essence, drains fire from kidneys, regulates penetrating and conception vessels Menopause symptoms, menstrual irregularity, hot flushes, Xian Mao Curculingus: tonify KD yin and yang Yin Yang Hun Epimedium: tonify yin and yang Ba Ji Tian Morinda: warms kidney yang Huang Bai Phellodendron: Zhi Mu Anemarrhena: drains fire at gate of vitality Dang Gui Angelica sinensis: moistens and nourishes blood, regulates penetrating and conception vessel
26
Yue Ju Wan Escape Restraint Pill
Regulate Qi - moves qi Promote movement of qi and release constraint Focal distention, stifling sensation in chest, fixed pain in hypochondria, belching, vomiting, acid reflux, mild coughing, copious sputum, reduced appetite, indigestion Cang Zu Atractylodes: promotes ascending function of Middle burner, dries damp, transforms phlegm Chuan Xiong : releases constrained blood, makes qi go up Xiang Fu Cyprus: releases constraint, disperses qi stagnation, directs qi up and down Zhi zi gardenia: clears heat from all 3 burners, resolves fire, resolves acid reflux Shen Qi Massa fermentation: relieves constraint from food stagnation, harmonizes ST, helps with N/V, reduced appetite
27
Ban Xia Hou Po Tang Pinellia and Magnolia Bark Decoction
Regulate Qi For constrained qi with concurrent phlegm (plum pit qi) Promotes movement of qi, dissipates clumps, directs rebellious qi down, transforms phlegm Plum pit qi, stifling sensation in chest and hypochondria, cough and vomiting T: moist, greasy, white coat P: wiry, slow, slippery Not for patients with flushed face, bitter taste and red tongue with scanty coat
28
Xie Fu Zhu Yu Tang Drive out stasis from the Mansion of Blood Decoction
Regulate blood Invigorate blood and dispel blood stasis, spread liver qi, unblock channels Pain in chest and hypochondria, stubborn HA, incessant hiccup, choking sensation when drinking, dry heaves, depression, palpitations, insomnia, restless sleep, irritability, mood swings, tidal fever, T: dark red body, dark spots on sides P: choppy or wiry, tight Not for pregnancy, or excess menstrual bleeding or any bleeding disorders
29
Mu Li San Oyster Shell Powder
Stabilize and Bind Stabilize exterior and stop sweating Spontaneous sweating due to unstable protective qi (LU) and night sweats due to constrained heat at the level of nutritive qi (HT) Inhibits sweating and stabilizes exterior Spontaneous sweating, worse at night, palpitations, easily startled, SOB, irritability, general debility, lethargy T: pale red P: thin frail Wei qi isn’t protecting at leve l of nutritive qi
30
Si Shen Wan Four Miracle Pill
Stabilize and Bind: bind up intestines and secure abandoned conditions Cold from XU of SP and KI with insufficient fire at gate of vitality Warms and tonifies SP and KI, binds up intestines, stops diarrhea Cock crow diarrhea, lack of interest in food, inability to digest what is eaten, sore low back with cold limbs, fatigue and lethargy, abdominal pain T: pale body, thin white coat P: submerged, slow force less
31
Sang Piao Xian San Mantis Egg Case Powder
Stabilize and Bind Secure essence S/s: bladder has lost its constraint Enuresis, incontinence, forgetfulness,
32
Tian Wang Bu Xin Dan Emperor of Heaven’s Special Pill to Tonify the Heart
Calm the spirit Nourish heart (blood and yin), calm spirit Enrich yin, nourish blood, clear heat, calm spirit Yin and blood xu with the heart and kidneys failing to communicate Irritability, palpitations with anxiety, fatigue, insomnia, restless sleep, inability to think or concentrate, nocturnal emissions, forgetfulness, dry stools, sores of mouth, low grade fever, night sweats T: red body little coat P: thin rapid
33
Shu Gan Li Pi Tang Dredge Liver and Regulate Spleen Decoction
Harmonize - regulate and harmonize liver and spleen. Associated formula of Xian Yao San Rambling Powder Dredges liver qi, regulates sp, nourishes and invigorates blood Severe liver qi constraint with clumping and sp xu leading to blood xu and stasis Intense hypochondriac pain, irritability, insomnia, fatigue, stifling sensation in epigastrium, reduced appetite, loose stools, chronic hepatitis/early stages cirrhosis ``` Chai Hu Bupleurum Bai Zhu atractylodes Xiang Fu Cyperus Dang Shen Codonopsis Ze Xie Alismatis He Shou Wu polygonum Dan Shen Salvia San qi notoginseng ``` Took out several ingredients from Xian Yao San Rambling powder (minus dang gui, bai shao, fu ling, zhi gan cao and addedxiang fu, dang shen, ze Xie, he shou wu, dan shen, san qi For more severe liver constraint than Xian Yao (which is for constraint in day only) and adds some blood moving properties to Xian Yao.
34
Chai Hu Jia Long Gu Mu Li Tang Bupleurum plus Dragon Bone and Oyster Shell Decoction
Harmonize lesser yang for Shao yang disorders and to calm spirit Problems in all 3 yang channels Unblock three yangs and sedate and calm spirit Fullness in chest, irritability with occasional palpitations, urinary difficulty, constipation, delirious speech, inability to rotate trunk, extreme heavy body T: red slippery coat P: wiry rapid Usually due to improper use of purgatives which are used before a disease enters the yang Ming stage. This weakens body and pathogen invades the interior. HEat lodges in chest, injures ht yin and spirit is uncomfortable. Don’t use in deficiency conditions
35
Xian Feng San Eliminate Wind Powder from Orthodox Lineage
Expel Wind - dredge and disperse external wind Disperses wind, eliminates damp, clears heat, cools blood Wind heat or wind damp invading body, contending with predicting damp heat Weepy itchy lesions in skin or large part of body T: yellow or white coat P: forceful, floating, rapid
36
Tian Ma Gou Teng Yin Gastrodia and Uncaria Drink
Expel Wind: pacify and extinguish internal wind Hyperactive liver yang leading to internal stirring of liver wind Calms liver, extinguish wind, clears heat, invigorates blood, tonify liver and kidneys HA, dizzy, vertigo, tinnitus, blurred vision, heat rushing to head, insomnia with dream disturbed sleep, some numbness T: red body P: wiry, rapid Liver wind can lead to strokes and TIA
37
Ping Wei San Calm Stomach Powder
Expel Dampness - transform damp and harmonize ST Dry damps, improve SP’s T and T function, promote movement of qi, harmonize ST Distention and fullness in epigastrium, loss of taste and appetite, heavy sensation in limbs, loose stools, easily fatigued, increased desire to sleep, N/V, belching, acid reflux T: swollen thick white and greasy coat P: moderate or slippery
38
Ba Zheng San Eight Herb Powder for Rectification
Expel Damp: clear heat and expel dampness Damp heat collecting in teh lower burner (BLADDER) Clears heat, drains fire, promotes urination, unblocks painful urinary dribbling Dark turbid scanty difficult painful urination. Dry mouth and throat, some urinary retention T: yellow greasy coat P: slippery, rapid For UTI. Is different from Ba Zhen Tang 8 Treasure Decoction because that one tonifies qi and blood.
39
Qiang Huo Sheng Shi Tang Notopterygium Decoction to Overcome Dampness
Expel Dampness: dispel wind damp For bi syndrome made worse with damp environment, joint pain Painful obstruction with wind damp predominant Working or living in damp environment Heavy painful head, sensation of heaviness, back or generalized pain, stiff neck, can’t rotate or bend turn,, mild fever, chills T: white coat P: floating Use with caution for yin xu or heat
40
Er Chen Tang Two Aged Herb Decoction
Dispel phlegm: dry damp and expel phlegm Dries damp, transforms phlegm, regulates qi, harmonize middle burner Coughing with copious white sputum easy to expectorate, focal distention, stifling sensation in chest and diaphragm, palpitations, N/V, dizzy T: white , moist greasy coat P: slippery Zhi Ban Xia pinellia: dries damp, rebellious ST qi to descend Ju Hong Citri Reticulata exocarpium: revives SP, disperses clumps Fu Ling Poria: supports chiefs, leaches out damp from middle burner Zhi Gan Cao licorice: tonifies spleen Not for cough with LU yin xu