Gan Mao - Cold and Flu

Question 1

What formulas for wind heat?

Answer 1

Yin Qiao San - early stage

Jia Jian Wei Rui Tang - wind heat with yin deficiency

Question 2

What formulas for summer heat with dampness?

Answer 2

Xin Jia Xiang Ru Yin - summer damp heat

Huo Xiang Zheng Qi San - middle qiao stagnation with external wind cold

Question 3

What formula for external wind cold and internal damp phlegm or weakness?

Answer 3

Shen Su Yin

Question 4

What formula for wind dryness?

Answer 4

San Xing Tang - mild warm dryness injuring LU qi at a relatively superficial level

Question 5

DDx for cold and flu

Answer 5

1) Wind cold 2) wind heat 3) summer heat with dampness 4) wind dryness 5) wind cold with qi xu 6) wind heat with yin xu

Question 6

Etiology and pathogenesis of cold/flu?

Answer 6

• External pathogenic wind is leading pathogen, sudden weather change
• Internal qi xu, constitutional weakness, lung pathology, overexertion, improper lifestyle
• epidemic toxins like flu, SARS, effects many people at the same time, usually severe, acute, and changes patterns quickly

Question 7

Do you need a deficiency for pathogen invasion?

Answer 7

Yes, can be temporary including overexertion, lack of sleep, temp change

Question 8

Wind cold manifestation?

Answer 8

aversion to cold, chills>fever, sneezing, HA, body ache, no sweating, stuffy/ runny nose, itchy throat (irritation from drip 1st thing in AM), cough with thin watery sputum, tongue- thin white moist coat, floating tight pulse

Question 9

Wind cold tx principle?

Answer 9

Release exterior (lu disperses and descends), expel cold, regulate lung qi

Question 10

What formulas for wind cold?

Answer 10

Jing Fang Bai Du San

Question 11

Modifications for Jing Fan Bai Du Yin

Answer 11

stiff neck or shoulder - ge gen or ge gen tang

HA - add chuan xiong cha tiao san

Question 12

Wind heat manifestations?

Answer 12

fever, slight aversion to wind, sweating, HA, stuffy nose, yellow discharge, sore throat, cough w/ sticky yellow sputum, thirst, red tip or red tongue prickles if more severe, thin yellow or white coat, floating rapid pulse

Question 13

Wind heat treatment principles?

Answer 13

release exterior, clear heat, regulate lung qi

Question 14

Yin Qiao San modifications?

Answer 14

More cough - Qian Hu or Xing Ren

Red, sore, swollen throat - Shan Dou Gen, Xuan Shen, Da Qing Ye, Chuan Xin Lian (tab)

Question 15

Wind heat patent

Answer 15

Yin Qiao Jie Du Pian
Sang Ju Yin (wind heat CC cough)
Gan Mao Ling

Question 16

Summer heat with dampness symptoms

Answer 16

Heat (h):Damp (d) ratio is location and constitution dependent
fever, slight aversion to wind, mild sweating, heavy sore extremities (d), heaviness distension in head (d), fullness in chest (d), thirst, cough w/ sticky sputum - white or yellow (h), nausea, vom, irritability (h), fatigue (d), thin yellow sticky coat (h), or sticky white (d), soft floating rapid pulse (d)

Question 17

Treatment principle for summer damp heat

Answer 17

Release exterior, clear summer heat, transform dampness

Question 18

Xin Jia Xiang Ru Yin indication

Answer 18

summer damp heat

Question 19

Xin Jia Xiang Ru Yin modifications

Answer 19

Internal/ constitutional damp - Fu Ling and ____ to leach damp and promote urination. No leaching damp with external damp only
Transform external damp with aromatics Huo Xiang, Pei Lang (lifts)

Question 20

Huo Xiang Zheng Qi San indication

Answer 20

Summer damp heat (more damp than heat)

Question 21

Huo Xiang Zheng Qi San ingredients

Answer 21

Huo Xiang, Huo Po (qi mover), Chen Pi (reg qi), Zi Su Ye (release ext), Bai Zhi (rel ext), Ban Xia (ton qi, leach, dry damp), Fu Ling (leach damp), Jie Geng (energy up), Zhi Gan Cao

Question 22

Damp formulas usually include what formula?

Answer 22

Er Chen Tang - ban xia, chen pi, fu ling, zhi gan cao

Question 23

Huo Xiang Zheng Qi San modifications?

Answer 23

more summer heat - Qing Hao, Hua Shi (damp acc causing heat)
more exterior damp - Huo Xiang, Pei Lan
more internal damp - Cang Zhu, more Ban Xia

Question 24

Summer heat patents

Answer 24

Huo Xiang Zheng Qi San
Kang Ning Wan (Curing Pill)
Bao Ji Wan