Formulas - Release the Exterior Flashcards

0
Q

In the formula Ma Huang Tang, which 2 herbs are combined for inducing sweating?

A

Ma Huang & Gui Zhi

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1
Q
Ma Huang (Ephedrae)
Gui Zhi (Cinnamon)
Xing Ren (Apricot Seed)
Zhi Gan Cao (Honey Fried Licorice)
A

Ma Huang Tang

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2
Q

In Ma Huang Tang formula, which 2 herbs are combined to treat cough & wheezing?

A

Ma Huang & Xing Ren

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3
Q

What does Ma Huang Tang treat?

A

Exterior Cold Excess Pattern

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4
Q

What are the actions for Ma Huang Tang?

A
  1. ) Induces perspiration (sweating), releases exterior wind-cold
  2. ) Disperses lung qi & arrests wheezing
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5
Q

What are the KEY indications for Ma Huang Tang?

A

Fever & Chills (chills are predominant) WITH OUT sweating
Cough and/or wheezing
Tight Pulse
*** May also have h/a, body aches & thin, white TC

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6
Q

Which herb is the chief herb in Ma Huang Tang?
Deputy?
Assistant?
Envoy?

A

Ma Huang
Gui Zhi
Xing Ren
Zhi Gan Cao

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7
Q

Contraindicated uses for Ma Huang Tang?

A
Wind-cold deficiency pattern
Wind-heat pattern
Exterior disorder with internal deficiency 
Patient with heavy blood loss
Elderly with weak constitution
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8
Q

When should you use Ma Huang cautiously?

A

Patient has:

  • -> skin sores/carbuncles
  • -> frequent Lin Syndrome
  • -> gets nose bleeds easily
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9
Q

In Ma Huang Tang formula, what are the herb pairs?

A

Ma Huang & Gui Zhi —> Induce sweating

Ma Huang & Xing Ren —>Cough & wheezing

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10
Q

Is Ma Huang Tang used long term or short term?

A

Short term, days not weeks. Stop once sweating stops.

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11
Q

What is the main pathology for using Ma Huang Tang?

A

Wind-cold attacking the exterior and fetters wei qi at the exterior and nutritive qi in the interior.
Also constrains the dissemination of lung qi.

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12
Q

What is another name for Ma Huang Tang?

A

Ephedra decoction

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13
Q

What herbs are in Da Qing Long Tang?

A

C: Ma Huang
D: Gui Zhi, Shi Gao
A: Xing Ren, Sheng Jiang, Da Zao
E: Zhi Gan Cao

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14
Q

Da Qing Long Tang Pairs

A

Ma Huang & Gui Zhi —> Induce sweating
Ma Huang & Xing Ren —> Direct LU Qi downward & balances dispersive action of Ma Huang
Ma Huang & Shi Gao —> Clars internal heat w/out inhibiting dispersing action of Ma Huang

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15
Q

What kind of pattern does Da Qing Long Tang treat?

A

Mixture pattern:

  • -> Exterior wind-cold excess (Primary)
  • -> Interior heat excess (Secondary)
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16
Q

Another name for Da Qing Long Tang?

A

Major Blue Dragon Decoction

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17
Q

What do you treat with Da Qing Long Tang?

A

Severe exterior excess, wind-cold syndrome with interior constrained heat pattern

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18
Q

Indications for using Da Qing Long Tang?

A

Severe fever and chills without sweating, thirst, irritability, acute floating edema

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19
Q

What are the actions for Da Qing Long Tang?

A

Strongly induces perspiration, releases exterior wind-cold , and clear interior heat

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20
Q

What are the indications for interior heat?

A

high fever, thirst & irritability

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21
Q

Another name for Gui Zhi Tang?

A

Cinnamon Twig Decoction

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22
Q

Herbs in Gui Zhi Tang?

A
C:  Gui Zhi
D:  Bai Shao
A:  Sheng Jiang
A:  Da Zao
E:  Zhi Gan Cao
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23
Q

Gui Zhi Tang pairs?

A

Gui Zhi & Bai Shao (equal doses) —> Regulates both the protective & nutritive Qi
Sheng Jiang & Da Zao —> Benefits middle Spleen Qi (nausea, vomiting, harmonize nutritive qi & blood)

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24
Q

Ren Shen Bai Du San

Ginseng Powder to Overcome Pathogenic Influences

A

C: Qiang Huo, Du Huo
D: Chuan Xiong, Chai Hu, Bo He
A: Jie Geng, Zhi Ke, Qian Hu, Sheng Jiang, Ren Shen, Fu Ling
E: Gan Cao

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25
Q

What are the actions for Ren Shen Bai Du San?

A

Releases the exterior, dispels wind and dampness, and augments the Qi

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26
Q

Indications for using Ren Shen Bai Du San?

A

Pre-existing Qi deficiency, Severe fever, severe chills & shivering but no sweating. Pain and stiffness of head and neck, focal distention. Pain and soreness for extremities, nasal congestion, loud breathing, and productive cough.

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27
Q

Main pathology or pattern for using Ren Shen Bai Du San?

A

Exterior wind-cold-dampness (battling the body’s deficient normal Qi) with pre-existing Qi deficiency (unable to expel the pathogenic influence)

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28
Q

Ma Huang Xi Xin Fu Zi Tang

A

C: Ma Huang
D: Zhi Fu Zi
A/E: Xi Xin

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29
Q

What is the actions for Ma Huang Xi Xin Fu Zi Tang?

A

Assists the Yang, and releases the exterior wind-cold

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30
Q

What are the indications for using Ma Huang Xi Xin Fu Zi Tang?

A

Slight fever, severe chills not relieved by wearing more clothing or adding covers, exhaustion with a constant desire to sleep.
P: Submerged faint pulse

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31
Q

What pattern would you use Ma Huang Xi Xin Fu Zi Tang for?

A

Wind-cold attack exterior and pre-existing Yang deficiency (Qi unable to expel pathogenic influences)

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32
Q

Ma Huang Xi Xin Fu Zi Tang pairs?

A

Fu Zi & Xi Xin —> warming the channels

Ma Huang & Xi Xin —> dispersing wind-cold

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33
Q

Special clinical features for use of Ma Huang Xi Xin Fu Zi Tang?

A

chills (severe, can’t get warm)
fever (low grade)
pulse (weak & deep)

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34
Q

What formula do you use to treat simultaneous tai yang (greater yang) & shao yin (lesser yin)?

A

Ma Huang Xi Xin Fu Zi Tang

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35
Q

What formula do you take with a Gui Zhi Tang presentation with coughing & wheezing?

A

Gui Zhi Jia Hou Po Xing Zi Tang

Cinnamon twig decoction plus magnolia bark (Hou Po) & apricot kernel (Xing Ren)

36
Q

What is the actions of Gui Zhi Tang?

A

(Exterior-deficient, wind-cold syndrome: greater Yang channel disorder)
Release wind-cold or wind from the exterior muscle layer.
Regulate and harmonizes the nutritive & protective qi.

37
Q

What formula do you use for indications of fever and chills unrelieved by sweating, aversion to wind, stiff neck, nasal congestion, dry heaves, headache and NO thirst?

A

Gui Zhi Tang

38
Q

What formula can be used for disharmony between the nutritive & protective qi in patients recovering from serious illness or after childbirth and not suffering from an external invasion?

A

Gui Zhi Tang

39
Q

What is the main pathology present for using Gui Zhi Tang?

A

Wind-cold attacking the exterior muscle layer that leads to disharmony between the nutritive & protective qi

40
Q

What herbs are in Xiao Qing Long Tang?

A

C: Ma Huang, Gui Zhi
D: Gan Jiang, Xi Xin
A: Wu Wei Zi, Bai Shao, Ban Xia
E: Zhi Gan Cao

41
Q

Which herb in Xiao Qing Long Tang has an action that prevents the leakage of Lung Qi from acrid & scatter herbs?

A

Wu Wei Zi

42
Q

Which herb in Xiao Qing Long Tang has the action to nourish the Yin, blood and nutritive Qi (prevent the side effects from acrid, warm & scatter ingredients)?

A

Bai Shao

43
Q

What is the action of Gan Jiang, Xi Xin & Ban Xia in the formula Xiao Qing Long Tang?

A

Warm the Lungs and transforms congested fluids

44
Q

What is another name for Xiao Qing Long Tang?

A

Minor Bluegreen Dragon Decoction

45
Q

Actions of Ma Huang?

A

Releases the exterior, arrests wheezing, promotes urination

46
Q

Actions of Gui Zhi?

A

Release the exterior, opens blood vessels, promotes Qi transformation

47
Q

Action of Gan Jiang?

A

Warms the Spleen

48
Q

Action of Xi Xin?

A

Stops coughing by facilitating the flow of qi throughout the body

49
Q

Action of Wu Wei Zi?

A

Prevents leakage of Lung Qi

50
Q

Action of Bai Shao?

A

Nourishes the blood & nutritive qi

51
Q

Actions of Zhi Ban Xia?

A

Transforms thin mucus, harmonizes the Stomach

52
Q

Actions of Zhi Gan Cao?

A

Augments the Qi, harmonizes the interaction of the acrid & sour herbs

53
Q

What are the actions of Xiao Qing Long Tang?

A

Release the exterior wind-cold, transforms thin mucus (congested fluids), warms the Lungs, and directs rebellious Lung Qi downward

54
Q

What are the indications for Xiao Qing Long Tang?

A

Fever & chills (chills predominant) with out sweating.
Heaviness and body aches, no particular thirst
Coughing, wheezing, difficult to expectorate sputum (copious & white/stringy)
Stifling sensation in the chest, difficulty breathing when lying down

55
Q

Main pathology for Xiao Qing Long Tang?

A

Wind-cold attacking exterior, constrained wei qi and lung qi flow, cold congested fluids accumulated in the Lungs and disrupt Lung qi to descend
(Exterior wind-cold with interior congested fluids pattern)

56
Q

Da Qing Long Tang vs Xiao Qing Long Tang?

A

Exterior wind-cold with interior heat
vs
Exterior wind-cold with interior congested fluids pattern

57
Q

What is the actions of Jiu Wei Qiang Huo Tang?

A

Induces sweating
Releases exterior wind-cold-dampness
Clears interior heat

58
Q

What formula should you use for fever and chills (chills predominant) without sweating, H/A, stiff neck, generalized aches, pain and heaviness, slight thirst, bitter taste in mouth, white tonge coat & floating pulse?

A

Jiu Wei Qiang Huo Tang

59
Q

What formula do you use for wind-cold-dampness attacking the exterior which constrains protective qi with heat accumulating in the interior?

A

Jiu Wei Qiang Huo Tang

60
Q

Which symptoms are very important among the indications for using Jiu Wei Qiang Huo Tang?

A

Generalized aches, pains, and heaviness

61
Q

Which formula is common for treating exterior wind-cold-dampness excess pattern w/ internal accumulation of heat?

A

Jiu Wei Qiang Huo Tang

62
Q

Another name for Jiu Wei Qiang Huo Tang?

A

Nine-herb Decoction w/ Notopterygium

63
Q

Which formula treats mild wind-heat disorder?

A

Sang Ju Yin

64
Q

Chief ingredients for Sang Ju Yin?

A

Sang Ye & Ju Hua

65
Q

Deputy herbs in Sang Ju Yin?

A

Lian Qiao, Bo He, Jie Geng, Xing Ren

66
Q

What is the actions for Sang Ju Yin?

A

Disperses wind, clears heat, facilitates the flow of Lung qi & stops cough

67
Q

What formula is used for mild early, superficial stage or warm febrile disease (exterior wind-heat pattern)?

A

Sang Ju Yin

68
Q

What formula do you use when you have a slight fever, cough, slight thirst, a thin, white tongue coating, and floating, rapid pulse?

A

Sang Ju Yin

69
Q

What is the main pathology for Sang Ju Yin?

A

Wind-heat enter the exterior and obstruct the Lungs and inhibit its clarifying and descending function

70
Q

What is a very common formula for treating mild exterior wind-heat disorders in which coughing is the dominant symptom?

A

Sang Ju Yin

71
Q

Which formula should you not cook for more than 20 minutes because the herbs will lose their efficiency?

A

Sang Ju Yin

72
Q

Which two ingredient in Sang Ju Yin are the main ingredients to stop coughing by facilitating the flow of Lung qi?

A

Jie Geng & Xing Ren

73
Q

What herbs are in Yin Qiao San?

A

C: Jin Yin Hua, Lian Qiao
D: Jie Geng, Niu Bang Zi, Bo He, Dan Dou Chi
A: Jing Jie Sui, Dan Zhu Ye, Xian Lu Gen
E: Gan Cao

74
Q

Which formula is for protective level warm-febrile disorder (exterior wind-heat pattern)?

A

Yin Qiao San

75
Q

What are the actions of Yin Qiao San?

A

Disperses wind-heat, clears heat, and relieves toxicity

76
Q

What are the indications for Yin Qiao San?

A

Fever (acute onset), slight chills or chills lasting for only a very brief period of time before aversion to heat develops, headache, thirst, cough, sore throat,red tipped body tongue, floating, rapid pulse

77
Q

What is the main pattern that Yin Qiao San treats?

A

Wind-heat toxicity attacks the Lungs and disrupts protective (wei) qi

78
Q

Sang Ju Yin vs Yin Qiao San?

A

Sang Ju Yin is better for coursing wind, dissipating heat and treating cough
Yin Qiao San is better for dispersing the exterior with acidity and coolness and for clearing heat and resolving toxin, and treating fever & sore throat

79
Q

Which formula is for unresolved exterior wind-cold that is transforming into heat?

A

Chai Ge Jie Ji Tang

80
Q

Which formula has the action of releasing pathogenic influences from the muscle layer and clears interior heat?

A

Chai Ge Jie Ji Tang

81
Q

Which formula would you use if you had increasing fever, decreasing chills,no sweating, headache, stiff extremities, orbital & eye pain, dry nasal passages, insomnia and irritability?

A

Chia Ge Jie Ji Tang

82
Q

What is the main pattern for using Chia Ge Jie Ji Tang?

A

Exterior wind-cold & muscle layer and wind-cold evil qi constrains and then transforms into interior heat

83
Q

What two herbs in Chia Ge Jie Ji Tang can release heat pathogenic influences from muscle layer?

A

Chai Hu & Ge Gen

84
Q

What formula can not be used for simple exterior wind-heat or simple exterior wind-cold?

A

Chai Ge Jie Ji Tang

85
Q

In Yin Qiao San, what pair clears Lung heat & relieves toxicity?

A

Jin Yin Hua & Lian Qiao

86
Q

In Yin Qiao San, what pair treats sore throat?

A

Jie Geng & Gan Cao

87
Q

In Yin Qiao San, what pair spreads Lung qi & improves the function of the throat?

A

Niu Bang Zi & Jie Geng