Herbs IV Midterm Flashcards
Guizhi Tang (Cinnamon Twig Decoction) Ingredients
Guizhi 3 liang Shaoyao 3 liang Shengjiang 3 liang Dazao 12 pieces (Zhi)Gancao 2 liang
Guizhi Tang (Cinnamon Twig Decoction) Representation, Signs & Symptoms
Taiyang Archetype Image
Taiyang opens with integrity
Floating pulse; weak yin and strong yang pulse
Headache
Stiff and painful neck (Guizhi: Jieji – releases the muscles)
Aversion to wind with sweating
Gegen Tang (Kudzu Root Decoction) Ingredients
Gegen 4 liang Mahuang 3 liang Guizhi 2 liang Gancao 2 liang Dazao 12 pieces Shengjiang 3 liang Shaoyao 2 liang
Gegen Tang (Kudzu Root Decoction) Representation, Signs & Symptoms
Taiyang Cold
Taiyang opens with power
- Floating, tight yin and yang pulse
- Headache and whole body pain
- Stiff and stretched nape and back
- Aversion to cold without sweating
Xiao Qinglong Tang (Small Blue-green Dragon Decoction)
Ingredients
Mahuang 3 liang Guizhi 3 liang Shaoyao 3 liang (Zhi)Gancao 3 liang Wuweizi ½ sheng Ganjiang 3 liang Xixin 3 liang Banxia ½ sheng
Xiao Qinglong Tang (Small Blue-green Dragon Decoction)
Representation, Signs and Symptoms
Taiyang Water
Taiyang breathes fluidly
a) Exterior Cold Water
• Floating pulse on left; wiry, tight; sunken wiry
• Water qi below the heart
• Fever (chills)
• Coughing
b) Interior Water Qi: Overflowing-rheum/Poking-rheum
4 Types of Rheum (yin)
• Phlegm-rheum (tan yin): Borborygmus, emaciation (Abdomen)
• Suspended-rheum (xuan yin): Pain on ribs with cough, spitting; pain at Quque - St 12 (Ribs)
• Overflowing-rheum (yi yin): Heavy limbs, swelling, pain, no sweat (Limbs)
• Poking-rheum (zhi yin): Shortness of breath, cough; joint pain, thirst; inability to lie down (Chest)
Wuling San (5 “Ling” Powder) Ingredients
Zexie 1.25 liang Baizhu .75 liang Zhuling .75 liang Fuling .75 liang Guizhi .5 liang
- in xizhou (thin rice gruel)
Wuling San (5 “Ling” Powder) Representation, Signs & Symptoms
Taiyang Bladder
Taiyang water lifts and opens
a) Taiyang Vessel → Taiyang Fu (Mistreatment Pattern) • Floating Tight or Wiry pulse (on left) • Inhibited urination • Slight fever • Dispersion thirst 1) Cold Contraction: Tight pulse with sweating; or, Floating, rapid pulse, thirst, vexation, inhibited urination 2) Wind Spasm / (Shui ni): Floating, flooding pulse or wiry pulse; unresolved fever, thirst, vexation; vomiting upon drinking b) Internal Water qi (tan yin) • Emaciation, Dark complexion • Palpitations below the umbilicus; borborygmus • Foaming drool, dizziness • Sunken pulse • Inhibited urination c) Water Glomus (pi) • Hardness below the heart • Thirst, dry mouth • Vexation • Inhibited urination d) Water Counterflow (shui ni) • Floating or Flooding pulse • Inhibited urination • Slight heat/fever, dispersion thirst • Vomiting upon drinking e) Sudden Turmoil (huo luan) • Headache, Fever, Pain; Thirst, alternating vomiting, diarrhea
Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction)
Ingredients
Zhizi 14 pieces
Dan Douchi 4 spoons (ge)
Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction)
Representation, Signs & Symptoms
Taiyang Small Intestine
Taiyang separates pure from impure
• Red complexion • Yellow fur on tongue • Soggy epigastrium • Diarrhea followed by vexation a) Mistreatment • Vacuity Vexation (xu fan) • Insomnia with tossing and turning • Anguish in the heart b) Taxation Relapse (lao fu) • Stuffiness in chest • Binding heart pain • After 5-6 days of illness, residual heat returns
Zhenwu Tang
Ingredients
Fuling 3 liang Shaoyao 3 liang Baizhu 2 liang Shengjiang 3 liang Fuzi 1 piece
Zhenwu Tang
Representation, Signs & Symptoms
Taiyang/ Shaoyin Ki
Taiyang warmth suctions and opens
a) Unresolved Taiyang illness • Fever • Palpitations below the heart • Dizzy head, Shaking and wavering, about to fall • General body twitching b) Shaoyin Water Qi • Abdominal pain • Inhibited urination • Heaviness, limb pain; cold between scapula • Spontaneous diarrhea
Ling Gui Cao Zao Tang (Poria, Cinnamon, Licorice, Dates Decoction)
Ingredients
Fuling 8 liang
Guizhi 4 liang
Zhigancao 2 liang
Dazao 15 pieces
Ling Gui Cao Zao Tang (Poria, Cinnamon, Licorice, Dates Decoction)
Representation, Signs & Symptoms
Taiyang/ Shaoyin Ht
Taiyang radiates outward like the sun
- Fright
- Palpitations below the umbilicus that are about to surge up (ben tun)
- Soggy, rolling pulse on both cun
- Symptoms present following a loss of sweat
- Hands crossed over the heart
Tiaowei Chengqi Tang (Attune the Stomach and Receive the Qi Decoction)
Ingredients
Dahuang 4 liang
Zhigancao 2 liang
Mangxiao ½ sheng
Tiaowei Chengqi Tang (Attune the Stomach and Receive the Qi Decoction)
Representation, Signs & Symptoms
Yangming Archetype Image
Yangming closure is balanced
a) Post-sweating (day 3) • Steaming fever • No aversion to cold • Delirious speech (in severe cases) b) Post-vomiting (for shanghan – a mis-treatment) • Abdominal distention and fullness c) Yangming disease without treatment • Heart Vexation • Fullness • Deep, slippery pulse; sunken and full
Baihu Tang (White Tiger Decoction) Ingredients
Shigao 1 jin
Zhimu 6 liang
Zhigancao 2 liang
Gengmi 6 ge
Baihu Tang (White Tiger Decoction) Representation, Signs & Symptoms
Yangming Dryness
Yangming sunset, reflected in the moon
- Floating, slippery (rapid) pulse
- Abdominal fullness
- Delirious speech
- Heaviness and difficulty turning sides
- Numb mouth and grimy face
Maimendong Tang (Ophiopogon Decoction) Ingredients
Maimendong 7 sheng Banxia 1 sheng Renshen 2 liang Gancao 2 liang Jingmi 3 ge Dazao 12 pieces
Maimendong Tang (Ophiopogon Decoction) Representation, Signs & Symptoms
Yangming Metal
Yangming metal breaths compliantly
a) Lung Wilting • Emaciation • Thick, sticky difficult to expectorate sputum • Foamy drool b) Great Counterflow Qi Ascent • Dry cough • Panting, difficulty breathing c) Throat Block • Dry throat • Sensation of stuckness and dryness in throat with cough
Dahuang Mudanpi Tang (Rubarb and Tree-peony Decoction)
Ingredients
Dahuang 4 liang Mudanpi 1 liang Taoren 50 pieces Mangxiao 3 ge Dongguaren ½ sheng
Dahuang Mudanpi Tang (Rubarb and Tree-peony Decoction)
Representation, Signs & Symptoms
Yangming Large Intestine
Yangming passage internalizes
• Swelling and blockage in the lesser abdomen
(rt sided)
• Rebound tenderness in bladder with normal urination
• Fever, sweating, with occasional aversion to cold
• Slow tight (deep) pulse; surging, rapid if severe
Huanglian Tang (Coptis Decoction) Ingredients
Huanglian 3 liang Guizhi 3 liang Banxia ½ sheng Renshen 2 liang Ganjiang 3 liang Dazao 12 pieces (Zhi)gancao 3 liang
Huanglian Tang (Coptis Decoction) Representation, Signs & Symptoms
Yangming Stomach
Yangming re-unifies, consuming all
- Abdominal pain
- Desire to vomit
- Heat in the chest; Xie in the Stomach
- Slippery stomach pulse
Weijing Tang (Phragmites Reed Decoction) Ingredients
Lugen 2 sheng
Yiyiren ½ sheng
Taoren 50 pieces
Dongguaren ½ sheng
Weijing Tang (Phragmites Reed Decoction) Representation, Signs & Symptoms
Yangming/Taiyin Lung
Yangming /Taiyin is cleansed
- Productive cough (yellow or green sputum), with a fever
- Vexation with cough
- Chest fullness; dry, rough skin
- Foamy, turbid sputum, possibly with pus and blood
- Lung Abscess
Banxia Xiexin Tang (Pinellia Purge the Heart Decoction)
Ingredients
Huangqin 3 liang Huanglian 1 liang Banxia ½ sheng = 4 liang Ganjiang 3 liang Renshen 3 liang Dazao 12 pieces (Zhi)Gancao 3 liang
Banxia Xiexin Tang (Pinellia Purge the Heart Decoction)
Representation, Signs & Symptoms
Yangming/Taiyin Stomach-Spleen
Yangming – Taiyin harmonize
- Retching, Nausea, Reflux, Burping
- Pi: epigastric soft, weak, fullness pain, discomfort, or sensitivity at Ren 14
- Borborygmus; alternating diarrhea, constipation, or mixed stool pattern
(Extra Formula): Xiao Xianxiong Tang (Minor Falling into the Chest Decoction)
Ingredients
Huanglian 1 liang
Banxia ½ sheng = 4 liang
Gualou 1 large piece
(Extra Formula): Xiao Xianxiong Tang (Minor Falling into the Chest Decoction)
Representation, Signs & Symptoms
Yangming Chest
Yangming metal breathes
- Jiexiong: Knot in chest
- Directly below heart (just around xyphoid process)
- Painful to the touch
- Stifling sensation in chest; cough; phlegm; yellow-green sputum; bronchitis (preventative)
(Extra Formula): Banxia Houpo Tang (Pinellia, Magnolia Decoction)
Ingredients
Zisuye 2 liang Houpo 3 liang Banxia 1 sheng = 8 liang Shengjiang 5 liang Fuling 4 liang
(Extra Formula): Banxia Houpo Tang (Pinellia, Magnolia Decoction)
Representation, Signs & Symptoms
Yangming Throat
Yangming metal resounds
- Throat block – closure; “glomus hystericus”
- Stuck sensation, sensitivity; strange, subjective discomfort and sense of overwhelm; feeling of blockage
- Gagging; coughing; Nausea; no appetite
- Aphonia; dysphonia; chronic fatigue; flaccidity
Xiao Chaihu Tang (Minor Buplerum Decoction)
Ingredients
Chaihu 8 liang Huangqin 3 liang Banxia ½ sheng Shengjiang 3 liang Renshen 3 liang Dazao 12 pieces (Zhi)gancao 3 liang
Xiao Chaihu Tang (Minor Buplerum Decoction)
Representation, Signs & Symptoms
Shaoyang Archetype Image
Shaoyang harmonizes wind and fire
a) Shaoyang disease • Bitter taste of the mouth • Dryness of the throat • Dizziness of the eyes • Cold and heat coming and going • Thin, weak, wiry pulse on left guan, mid-depth
Huangqin Tang (Scutellaria Decoction) Ingredients
Huangqin 3 liang
Shaoyao 2 liang
Zhigancao 2 liang
Dazao 12 pieces
Huangqin Tang (Scutellaria Decoction) Representation, Signs & Symptoms
Shaoyang Summer-Heat
Shaoyang contains its ministerial fire
- Spontaneous diarrhea
- Fever
- Abdominal Pain
- Blood or mucous in stool
- Sore throat with diarrhea
Sini San (Counter Flow of the Four [Extremities] Powder) Ingredients
Chaihu 10 fen
Zhishi 10 fen
Shaoyao 10 fen
Zhigancao 10 fen
Sini San (Counter Flow of the Four [Extremities] Powder) Representation, Signs & Symptoms
Shaoyang/Shaoyin Fire
Shaoyang Qi pivots with wind
a) Core picture
• Counter flow cold hands and feet; cold, clammy fingers
• Thin, weak wiry pulse, mid-depth on both sides
• Dong pulse behind guan on left side
• Anger, irritability, nervousness, rib-side discomfort
• Headache
Da Chaihu Tang (Major Buplerum Decoction)
Ingredients
Chaihu 8 liang Huangqin 3 liang Dahuang 2 liang Zhishi 4 pieces Baishao 3 liang Dazao 12 pieces Banxia ½ sheng Shengjiang 5 liang
Da Chaihu Tang (Major Buplerum Decoction)
Representation, Signs & Symptoms
Shaoyang Gall Bladder
Shaoyang firmly resolves to be upright
- Incessant retching; nausea; vomiting; diarrhea
- Epigastric pain or discomfort; distress; hard pi
- Depression, anxiety, vexation
- Headache; Migraine
- Sweating; Fever
Chaihu Guizhi Ganjiang Tang (Buplerum, Cinnamon, Dry Ginger Decoction)
Ingredients
Chaihu 8 liang Huangqin 3 liang Guizhi 3 liang Ganjiang 2 liang Tianhuafen 4 liang Muli 2 liang (Zhi)Gancao 2 liang
Chaihu Guizhi Ganjiang Tang (Buplerum, Cinnamon, Dry Ginger Decoction)
Representation, Signs & Symptoms
Shaoyang Sanjiao
Shaoyang steams the way of water
- Fullness in the chest and ribs; vexation; mild chest bind
- Cold and heat come and go
- Inhibited urination; sweating only from the head
- Thirst without retching
Gualou Muli San (Trichosanthes Root and Oyster Shell Powder)
Ingredients
Tianhuafen (Gualougen)
Muli – equal parts
Gualou Muli San (Trichosanthes Root and Oyster Shell Powder)
Representation, Signs & Symptoms
Shaoyang/Jueyin Pericardium
Shaoyang /Jueyin fire flows freely
a) Baihe Bing (Lily Disease) • Vexation; discontent; confusion; taciturnity • Thirst • Dark or inhibited urination b) Within a Shaoyang condition • Baihe bing with thirst • Bind or glomus under the ribs • Back pain
Zhishi Shaoyao San (Bitter Orange and Peony Poweder)
Ingredients
Zhishi
Shaoyao - equal parts
Zhishi Shaoyao San (Bitter Orange and Peony Poweder)
Representation, Signs & Symptoms
Shaoyang/Jueyin Liver
Shaoyang /Jueyin pivots freely
- Abdominal pain
- Post-partum pain
- Cramping, interrupted menses
- Dong pulse behind guan on left side
