Herbs - Drain Downward Flashcards
How do you cook and have Da Huang prepared for purging LI?
Cooked for a shorter time (last 5-10 mins) and preferred raw
What are the three major medical functions of Da Huang?
1-Purging LI to relieve constipation
2-Moving B
3-Tx D related jaundice
(4)-Clears H tox and cools B
Besides relieving constipation what do downward draining herbs do?
Treat upper body heat signs and symptoms (an equal function to relieving constipation in order to get heat out of the body)
When do you put Mang Xiao in the formula?
put it in after formula is cooked
Da Huang and Mang Xiao are often used together to purge LI, but what is the difference between the two?
They both purge the LI in different ways, Da Huang promotes LI movements and Mang Xiao softens LI masses (that’s why it’s salty)
Perfect Combination because of their mutual reinforcement :)
What is (Fan) Xie Ye’s dosage?
2-5 or 3-6g, in practice you usually start ~1g to start and use singly and patient gradually increase as needed, b/c people’s tolerance greatly differs
What are the classic S/Sx of (Fan) Xie Ye overdose?
nausea, vomiting, and stomach pain/cramping
Lu Hui is a very strong herb and enters what meridian first?
Lv
Lu Hui is very strong so only use Lu Hui when …
1-patient has already tried Da Huang and Mang Xiao and they didn’t work
2-Pt has constipation and Lv Heat or Fire at the same time
What is Lu Hui’s dose range?
- very small! 1-2 g and used very rarely in formula
- more commonly used in capsule/pills 2-5g
What kind of patient should use Moist LAxatives and why?
- elderly
- weak constitution
- children
- women after childbirth
b/c too weak to use purgatives
What are Huo Ma Ren’s Functions?
1-tonifies B and yin
2-relieves constipation by moistening LI
What are the major uses for Harsh Expellents?
- to treat water retention in chest and and cavities (which almost also causes watery diarrhea)
- not really used to treat general constipation because it is too strong
What kind of properties are associated with Harsh Expellants?
- mostly toxic or have very strong properties
- only Quian Niu Zi can use up to normal dose (10 g)
Which Herb(s) are C/I with Gan Cao?
Gan Sui
also (Hai Zao (transform phlegm), yuan hua, and da ji)
Most of the purgative herbs are what temperature and taste? What merdians do they mostly enter?
cold and bitter
LI and ST
Which two purgative herbs are C/I in preg?
Da Huang and Lu Hui (b/c too strong)
What is Mang Xiao’s Latin name?
Natrii Sulfas
When you should cook Mang Xiao and what’s the dose?
10-15g and put in to melt after the formula is done cooking
T or F, Mang Xiao is salty
True-to soften masses (to soften constipation and treat upper body heat S/Sx)
What herb mutually reinforces Da Huang?
Mang Xiao
What is the Latin name for fan xie ye?
Sennae Folium
What is fan xie ye’s function?
What meridian does it go to?
purge LI to relieve constipation, very strong!! as strong or possibly stronger then Da Huang!
LI
What is Lu Hui’s latin name?
Aloe Herba
What merdians do Lu Hui go to?
LIV First and then ST/LI
What’s the dose range for Lu Hui?
2-5 and 1-2 g in capsules(more common)
What 2 herbs in the downward draining category kill parasites?
Lu Hui (roundworms) Qian Niu Zi (round and tape worms)
What are the two functions of Huo Ma Ren?
1-relieves constipation by moistening LI
2-Mild Fx- tonifies yin and xue (specially xue/yin xu related dry stool)
What dose and specially preparation do you use with Huo Ma Ren?
10-30 g
must CRUSH before cooking!
S/Sx of overdose = vomit/nausea, shen problems and in severe cases numbness in fingers and toes