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
What is the latin name for Yu Li Ren?
Pruni Semen
What are two herbs that can be used with Yu Li Ren to help constipation?
Xing Ren and Chen Pi (move Qi)
What merdians does Feng Mi enter?
LUNG!!! St, LI
What are the functions of Feng Mi?
1-gently relieves constipation by moistening LI (also can use for prevention!)
2-Tonifies qi xu (especially SP/St qi xu)
3-Mild Moisten Lu Dryness
What is the dose of Gan Sui and how do you prepare it in order to mitigate toxicity?
Dose (in China 1.5-3g) in US 0.5-1.5g
Dry stir in wok with vinegar
What are the three functions of Gan Sui?
1-drains water downwards and drives out thin mucous
2-drives out phlegm (shen)
3-clears heat and reduces swelling (EXTERNALLY) damp heat skin lesions spec early stages
What is qian niu zi’s latin name?
Pharbitis Semen
What are the three functions of Qian Niu Zi?
1-drains water retention by inducing diarrhea (chest/abd)
2-reduces edema by promoting urination
3-kills LI parasites (round and tape)
Why shouldn’t you use ba dou and qian niu zi together?
they cancel each other out
what is the latin name of ba dou?
crotonis fructus
what is the dose for ba dou?
0.1-0.3 in capsules only
what are the four funtions of ba dou?
1-drains cold stagnation downward (spec cold related constipation)
2-expels water retention (chest/abd)
3-expels cold phlegn stag (spec in throat, throat bi)
4-erodes carbuncles TOPICALLY and crushed - speeds up puss discharge
T or F many of the herbs in the Harsh Expellents are toxic?
TRUE
In the herbs that drain damp category, the herbs that treat water retention edema by promoting urination, are typically what taste and temp?
Neutral (or Sl. Cold), Sweet, and Bland</p>
What is the difference between Fu Ling and Chi Fu Ling?
- Fu Ling promotes urination to treat edema and also tonifies qi xu (SP Qi Xu)
- Chi Fu Ling treats BOTH water retention and specially Lin Syndrome (b/c sl.cold) Edema but has nothing to due with tonifying qi
What is the difference between Fu Ling and Fu Ling Pi?
- Fu Ling promotes urination to treat edema and also tonifies qi xu (SP Qi Xu)
- Fu Ling Pi can substitue for Fu Ling in order to treat water retention edema but this is a weaker fnx and is specially used for skin edema like in early stages of nephritis
What is the latin name for fu ling pi?
poria cutis
What is the latin name for fu shen?
poriae
it is the ROOT of the mushroom
What is the main function of fu shen?
calms shen by tonifing yin and xue xu
also has a mild fnx for being a substitue for Fu Ling (promotes urination and tonifies qi)
What is the latin name for zhu ling? What meridians does it enter?
Polyporus
KID and UB
Describe the function of zhu ling treating edema by promoting urination.
- stronger and sl. colder than fu ling (better when heat s/s)
- can be used singlarly for water retention
- tx ACUTE Lin Syndrome
- nothing to due with tonifing
- similar to Chi Fu Ling
- dose is a bit smaller, 3-10g
How are Chi Fu Ling and Zhu Ling Similar and Different?
-they both tx BOTH types of edema, water-retention and Lin Syndrome
Zhu Ling can be 1-used singularly for water retention 2-acute Lin Syndrome 3-has a sl. smaller dose 4-only enters KID/UB
T or F, Chi Fu Ling has nothing to do with tonifying
TRUE
What are the S/Sx of Shen Problems?
1-sleep problems
2-Ht Palp
3-Madness
What are some common causes of shen problems?
1-Yin/Xue Xu
2-LIV Yang/Fire Rising
3-HT Heat or Fire
4-Damp Phlegm Misting HT orifices
Yi yi ren latin name?
Coicis Semen
Major medical functions of yi yi ren?
1-treats edema by promoting urination (both water retention and specially Lin Syndrome b/c sl. cold)
2-tonifies Sp/ST qi xu (b/c sweet) specially for qi xu related diarrhea
3-Clears Heat Toxicity to discharge pus (especially Lung and LI Abscess or skin infections b/c pus is involved in all)
-4 Mild Tx Bi Syndrome
What are the entering merdians, tastes, and temp of Yi Yi Ren?
SP/ST, Lu, LI
SL. Cold, Sweet, Bland
Describe the use/preperation of Yi Yi Ren
- commonly used in food therapy, specially for the first two functions of treating edema and tonifing Sp/ST xu
- Dose 10-30g
- as food therapy 60-100 g with rice
What is the latin name for Dong Gua Zi?
Benincasae Semen
What are the major medical functions for dong gua zi?
1-(Mild) Tx edema by promoting urination
2-Clears Heat Toxicity to Discharge Puss
-Specially for LI AND LUNG ABSCESS
What do you need to do before adding Dong Gua Zi to a formula?
crush
What is the latin name for Han Fang Ji?
Stephaniae Tetrandrae Radix
Why is han fang ji herb an exception?
cold, so it tx hot bi
If available, which species of han fang ji is stronger at promoting urination and which one is stronger at treating Hot Bi Syndrome, even though they both treat both?
Han Fang ji is stronger at promoting urination
Guang Fang Ji is stronger at treating Hot Bi Syndrome
What are the two major medical functions of han fang ji (also called fen fang ji)?
1-tx edema by promoting urination (water-retention)
2-expels wind/cold/damp to treat Bi Syndrome esp hot bi (stag that turns into heat)
Which herbs treat LI and Lu abscess?
Yi Yi Ren
Dong Gua Zi
Which herbs treat both water-retention edema and lin syndrome?
chi fu ling
zhu ling
yi yi ren
ze xie (stronger for lin)
Why is ze xie better than Fu Ling and Zhu Ling at treating patient with heat S/Sx?
Because it’s cold!!!
Which meridians does Sheng Jiang Pi enter?
1st ST!!! then Lu and UB
Which herb treats Summerheat internally and externally?
Hua Shi
What is the difference between qu mai and bian xu?
both are bitter and promote urination to treat Lin Syndrome
Bian Xu enters Ht/SI as well as UB and also kills parasites (fungal)
How do you cook di fu zi?
put in tea bag before cooking with formula
Which herb clears Lv H to brighten eyes and also tx deficiency Lv/Ki yin xu related eye problems?
che qian zi
Which herb unblocks menstruation and promotes lactation?
mu tong
