Herbs IV Midterm Flashcards

1
Q
Guizhi Tang (Cinnamon Twig Decoction)
Ingredients
A
Guizhi		3 liang
Shaoyao	        3 liang
Shengjiang	3 liang
Dazao		12 pieces
(Zhi)Gancao	2 liang
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2
Q
Guizhi Tang (Cinnamon Twig Decoction)
Representation, Signs & Symptoms
A

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

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3
Q
Gegen Tang (Kudzu Root Decoction)
Ingredients
A
Gegen		4 liang	
Mahuang	        3 liang		
Guizhi		2 liang		
Gancao	        2 liang		
Dazao		12 pieces	
Shengjiang	3 liang	
Shaoyao	        2 liang
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4
Q
Gegen Tang (Kudzu Root Decoction)
Representation, Signs & Symptoms
A

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
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5
Q

Xiao Qinglong Tang (Small Blue-green Dragon Decoction)

Ingredients

A
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
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6
Q

Xiao Qinglong Tang (Small Blue-green Dragon Decoction)

Representation, Signs and Symptoms

A

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)

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7
Q
Wuling San (5 “Ling” Powder)
Ingredients
A
Zexie		1.25 liang
Baizhu	        .75 liang
Zhuling	        .75 liang
Fuling		.75 liang
Guizhi		.5 liang
  • in xizhou (thin rice gruel)
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8
Q
Wuling San (5 “Ling” Powder)
Representation, Signs & Symptoms
A

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
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9
Q

Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction)

Ingredients

A

Zhizi 14 pieces

Dan Douchi 4 spoons (ge)

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10
Q

Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction)

Representation, Signs & Symptoms

A

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
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11
Q

Zhenwu Tang

Ingredients

A
Fuling		3 liang
Shaoyao	        3 liang
Baizhu	        2 liang
Shengjiang	3 liang
Fuzi		        1 piece
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12
Q

Zhenwu Tang

Representation, Signs & Symptoms

A

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
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13
Q

Ling Gui Cao Zao Tang (Poria, Cinnamon, Licorice, Dates Decoction)
Ingredients

A

Fuling 8 liang
Guizhi 4 liang
Zhigancao 2 liang
Dazao 15 pieces

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14
Q

Ling Gui Cao Zao Tang (Poria, Cinnamon, Licorice, Dates Decoction)
Representation, Signs & Symptoms

A

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
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15
Q

Tiaowei Chengqi Tang (Attune the Stomach and Receive the Qi Decoction)
Ingredients

A

Dahuang 4 liang
Zhigancao 2 liang
Mangxiao ½ sheng

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16
Q

Tiaowei Chengqi Tang (Attune the Stomach and Receive the Qi Decoction)
Representation, Signs & Symptoms

A

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
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17
Q
Baihu Tang (White Tiger Decoction)
Ingredients
A

Shigao 1 jin
Zhimu 6 liang
Zhigancao 2 liang
Gengmi 6 ge

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18
Q
Baihu Tang (White Tiger Decoction)
Representation, Signs & Symptoms
A

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
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19
Q
Maimendong Tang (Ophiopogon Decoction)
Ingredients
A
Maimendong		7 sheng
Banxia			1 sheng
Renshen		        2 liang
Gancao		        2 liang
Jingmi			3 ge
Dazao			12 pieces
20
Q
Maimendong Tang (Ophiopogon Decoction)
Representation, Signs & Symptoms
A

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
21
Q

Dahuang Mudanpi Tang (Rubarb and Tree-peony Decoction)

Ingredients

A
Dahuang	       4 liang
Mudanpi	       1 liang	
Taoren	       50 pieces
Mangxiao	3 ge
Dongguaren	½ sheng
22
Q

Dahuang Mudanpi Tang (Rubarb and Tree-peony Decoction)

Representation, Signs & Symptoms

A

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

23
Q
Huanglian Tang (Coptis Decoction)
Ingredients
A
Huanglian	3 liang
Guizhi		3 liang
Banxia		½ sheng
Renshen	        2 liang
Ganjiang	        3 liang
Dazao		12 pieces
(Zhi)gancao	3 liang
24
Q
Huanglian Tang (Coptis Decoction)
Representation, Signs & Symptoms
A

Yangming Stomach
Yangming re-unifies, consuming all

  • Abdominal pain
  • Desire to vomit
  • Heat in the chest; Xie in the Stomach
  • Slippery stomach pulse
25
Q
Weijing Tang (Phragmites Reed Decoction)
Ingredients
A

Lugen 2 sheng
Yiyiren ½ sheng
Taoren 50 pieces
Dongguaren ½ sheng

26
Q
Weijing Tang (Phragmites Reed Decoction)
Representation, Signs & Symptoms
A

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
27
Q

Banxia Xiexin Tang (Pinellia Purge the Heart Decoction)

Ingredients

A
Huangqin	3 liang
Huanglian 	1 liang
Banxia		½ sheng = 4 liang
Ganjiang	        3 liang
Renshen	        3 liang
Dazao		12 pieces
(Zhi)Gancao	3 liang
28
Q

Banxia Xiexin Tang (Pinellia Purge the Heart Decoction)

Representation, Signs & Symptoms

A

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
29
Q

(Extra Formula): Xiao Xianxiong Tang (Minor Falling into the Chest Decoction)
Ingredients

A

Huanglian 1 liang
Banxia ½ sheng = 4 liang
Gualou 1 large piece

30
Q

(Extra Formula): Xiao Xianxiong Tang (Minor Falling into the Chest Decoction)
Representation, Signs & Symptoms

A

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)
31
Q

(Extra Formula): Banxia Houpo Tang (Pinellia, Magnolia Decoction)
Ingredients

A
Zisuye		2 liang
Houpo	        3 liang
Banxia		1 sheng = 8 liang
Shengjiang	5 liang
Fuling		4 liang
32
Q

(Extra Formula): Banxia Houpo Tang (Pinellia, Magnolia Decoction)
Representation, Signs & Symptoms

A

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
33
Q

Xiao Chaihu Tang (Minor Buplerum Decoction)

Ingredients

A
Chaihu	        8 liang
Huangqin	3 liang
Banxia		½ sheng
Shengjiang	3 liang
Renshen	        3 liang
Dazao		12 pieces
(Zhi)gancao	3 liang
34
Q

Xiao Chaihu Tang (Minor Buplerum Decoction)

Representation, Signs & Symptoms

A

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
35
Q
Huangqin Tang (Scutellaria Decoction)
Ingredients
A

Huangqin 3 liang
Shaoyao 2 liang
Zhigancao 2 liang
Dazao 12 pieces

36
Q
Huangqin Tang (Scutellaria Decoction)
Representation, Signs & Symptoms
A

Shaoyang Summer-Heat
Shaoyang contains its ministerial fire

  • Spontaneous diarrhea
  • Fever
  • Abdominal Pain
  • Blood or mucous in stool
  • Sore throat with diarrhea
37
Q
Sini San (Counter Flow of the Four [Extremities] Powder)
Ingredients
A

Chaihu 10 fen
Zhishi 10 fen
Shaoyao 10 fen
Zhigancao 10 fen

38
Q
Sini San (Counter Flow of the Four [Extremities] Powder)
Representation, Signs & Symptoms
A

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

39
Q

Da Chaihu Tang (Major Buplerum Decoction)

Ingredients

A
Chaihu	        8 liang
Huangqin	3 liang
Dahuang	        2 liang
Zhishi		4 pieces
Baishao	        3 liang
Dazao		12 pieces
Banxia		½ sheng	
Shengjiang	5 liang
40
Q

Da Chaihu Tang (Major Buplerum Decoction)

Representation, Signs & Symptoms

A

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
41
Q

Chaihu Guizhi Ganjiang Tang (Buplerum, Cinnamon, Dry Ginger Decoction)
Ingredients

A
Chaihu	        8 liang
Huangqin	3 liang
Guizhi		3 liang
Ganjiang	        2 liang
Tianhuafen	4 liang
Muli		        2 liang
(Zhi)Gancao	2 liang
42
Q

Chaihu Guizhi Ganjiang Tang (Buplerum, Cinnamon, Dry Ginger Decoction)
Representation, Signs & Symptoms

A

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
43
Q

Gualou Muli San (Trichosanthes Root and Oyster Shell Powder)
Ingredients

A

Tianhuafen (Gualougen)

Muli – equal parts

44
Q

Gualou Muli San (Trichosanthes Root and Oyster Shell Powder)
Representation, Signs & Symptoms

A

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
45
Q

Zhishi Shaoyao San (Bitter Orange and Peony Poweder)

Ingredients

A

Zhishi

Shaoyao - equal parts

46
Q

Zhishi Shaoyao San (Bitter Orange and Peony Poweder)

Representation, Signs & Symptoms

A

Shaoyang/Jueyin Liver
Shaoyang /Jueyin pivots freely

  • Abdominal pain
  • Post-partum pain
  • Cramping, interrupted menses
  • Dong pulse behind guan on left side