Formulas that Clear Qi-Level Heat; " " Nutritive Level Heat & Cool the Blood... Flashcards
What are the ingredients for Bai Hu Tang/White Tiger Decoction? What is the essential pair that give this formula its identity?
Bai Hu Tang: White Tiger Decoction — Clears Qi level Heat; drains fire, generates fluids & alleviates thirst
- Shi Gao - Clears Heat from LU’s/ST; enrich Yin & alleviate irritability
- Zhi Mu - Bitter/Cold; Moistening LU & ST
- Jing Mi/Geng Mi - Rice/corrective assistant for Shi Gao
- Zhi Gan Cao - Benefit ST & protect fluids
* Essential pair is Shi Gao & Zhi Mu (Dui Yao)
What are 3 diagnosis for using Bai Hu Tang?
- Yang Ming *CHANNEL* pattern diagnosis
- Qi Level heat
- ST Heat or ST fire
* Can use for Hot flashes due to menopause in some cases
Which herb is a key herb added to Bai Hu Jia Ren Shen Tang? In what cases would this formula be preferrred?
- Key herb added is Ren Shen - to assist Zhi Mu in generating fluids (Xi Yang Shen can be used in substitution of Ren Shen)
- Ren Shen would be added in cases where 4 bigs are present in addition to a forceless pulse*. _Used for severe thirst or damage to fluids. _*These would be cases of SummerHeat D/O with an invasion of a strong Heat pathogen or from excessive sweating, vomiting or loss of fluids. The patient may have a generalized weakness, sl. aversion to Cold on their back or unquenchable thirst.
What modification of the Bai Hu Tang Formula would we use for Damp/Heat or Damp Bi conditions? What are some S&S?
- Bai Hu Jia Cang Zhu Tang - Cang Zhu added from Aromatic Transform Damp category.
- For damp-warm-heat pathogen disease or damp painful obstruction that has transformed into heat characterized by fever, epigastric distention, profuse sweating, a generalized sensation of heaviness, cold feet & a red, greasy tongue. Also treats wind-damp-heat painful obstruction with joint pain & generalized fever.
What are the ingredients for Zhu Ye Shi Gao Tang?
Zhu Ye Shi Gao Tang: Clears heat, generates fluids, augments Qi & Harmonizes ST – overall mixed pattern of excess & xu
- Dan Zhu Ye - Diareteic - upper burner cough, thirst, irritability.
- Shi Gao - Cold/Acrid; clear lingering LU & ST heat; gen fluids.
- Ban Xia - Warm/Acrid - rebellious Qi down & stop vomiting
- Ren Shen - moisten the LU’s & nourish yin, benefit ST & gen. fluids, & clear heat from the HT & eliminate irritability
- Mai Men Dong - assists & mimic Ren Shen in all actions
- Zhi Gan Cao - tonify Qi, harmonize middle burner & nourish ST
- Jing Mi - tonify Qi, harmonize middle burner & nourish ST
What are some S&S for using Zhu Ye Shi Gao Tang?
- Lingering fever (from a febrile disease) accompanied by vomiting, irritability, thirst, parched mouth, lips & throat, choking cough, stifling sensation in the chest, red tongue with little coating, & a deficient, rapid pulse. Some patients experience restlessness and insomnia.
- Qi-level heat lingering in the LU’s & ST where it injures the qi & fluids. A mixed pattern of Excess & Xu.
What are the ingredients for Zhi Zi Chi Tang?
Zhi Zi Chi Tang - Clears Heat & alleviates restlessness & irritability (Xu irritability)
- Zhi Zi - Bitter goes to SJ channel (3 burners)
- Dan Dou Chi - CARE - release ext & relieve restlessness
What are some indications for the use of Zhi Zi Chi Tang?
- Fever, irritability, insomnia w. tossing/turning in bed, a stifling sensation in chest with a soft epigastrium, hunger w/out desire to eat, a slightly yellow tongue coating, & a slightly rapid pulse, or a strong, floating pulse at distal position.
- Qi-level heat lingering in the superficial aspects of the yang brightness warp (the muscles and chest). Heat constrained in the qi level leads to fever. Heat constrained in the chest causes irritability & insomnia. In Yang Ming/Qi level family - Heat affecting Heart.
When would you select to use Zhi Zi Gan Cao Chi Tang instead of Zhi Zi Chi Tang?
When Shortness of breath is present
When would you select to use Zhi Zi Sheng Jiang Chi Tang instead of Zhi Zi Chi Tang?
When Nausea & vomiting are present
What is the representative formula for Nutritive level heat? What level does it go to from the 4 aspects? What are some indications for using this formula?
- Qing Ying Tang - Clears Nutritive level, relieves fire toxin, drains heat & nourishes Yin.
- Goes to Ying level
- Fever worse at night, severe irritability & restlessness, a scarlet dry tongue, & a thin rapid pulse. Some patients thirsty, some delirious & some exhibit faint & indisctinct erythmia & purpuria.
What are the ingredients for Xi Jiao Di Huang Tang?
Xi Jiao Di Huang Tang - clears heat, resolves fire toxicity, cools the blood, nourishes Yin, dispels blood stasis & stops bleeding.
- Shui Niu Jiao - clears Heart fire & resolves fire toxicity
- Sheng Di Huang - cools the blood, stops bleeding, nourishes the yin fluids, & clears heat.
- Shao Yao - cools/moves blood; actively drains heat pathogen
- Mu Dan Pi - bitter/ sl. acrid. drains heat to cool blood & stops bleeding by dispersing static blood.
In what cases would you use Xi Jiao Di Huang Tang? What are some S&S?
- In cases with Blood level Heat
- Fever, various types of bleeding (including vomiting of blood, nosebleed, blood in the stool or urine, & rashes), black & tarry stools (internal bleeding), ABD distention & fullness, thirst with an inability to swallow, a scarlet tongue with prickles, & a thin, rapid pulse. Some patients become delirious.
What are two similar S&S for Qing Ying Tang & Xi Jiao Di Huang Tang? What are two distinguishing S&S?
Similar for Qing Ying Tang & Xi Jiao Di Huang Tang:
- Severe irritability
- thin rapid pulse
Different for Qing Ying Tang & Xi Jiao Di Huang Tang:
- Qing Ying Tang = Scarlet/Dry Tongue; & Xi Jiao = Scarlet tongue with Prickles
- Qing Ying Tang = _Ying level fever worse @ night with erythmia & purpuria_; & Xi Jiao = Blood level fever with various types of bleeding/reckless blood
