herbs that warm the interior and expel cold

Question 1

gan jiang

Answer 1

zingiberis rhizoma (dried)

Question 2

rou gui

Answer 2

cinnamomi cortex

Question 3

wu zhu yu

Answer 3

evodiae fructus

Question 4

hua jiao
chuan hua jiao
chuan jiao

Answer 4

zanthoxyli pericarpium

Question 5

ding xiang

Answer 5

caryophylli flos

Question 6

xiao hui xiang

Answer 6

foeniculi fructus

Question 7

gao liang jiang

Answer 7

alpiniae officinarum rhizoma

Question 8

hu jiao

Answer 8

piperis fructus

Question 9

bi ba

Answer 9

piperis longi fructus

Question 10

what are fundamental differences between GAN JIANG and SHENG JIANG?

Answer 10

GJ: dry, hotter, older, less effervescent; warms interior
SJ: juicy, fresh; releases exterior

Question 11

what are fundamental differences between FU ZI and GAN JIANG?

are they often used together?

Answer 11

GJ: more for cold with SP/ST and LU
FZ: more HT and KD

both used to rescue yang from collapse (x REN SHEN)

Question 12

what organ systems does GAN JIANG’s therapeutics affect?

Answer 12

warms SP/ST, LU

channel also travels to HT

Question 13

what form of GAN JIANG is used for hemorrhaging such as uterine bleeding?

Answer 13

PAO JIANG - quick fried; outside charred, inside not

good for uterinebleeding

Question 14

what precautions should be taken when prescribing herbs in this category?

what are some main contraindications?

Answer 14

yin deficiency

those who are susceptible to heat (excess heat)

Question 15

what is GAN JIANG’s role in treating cold-damp obstructions?

Answer 15

GJ indicated for cold predominant bi syndrome

can disperse deep cold, warm the channels, unblock the channels and vessels, alleviate pain

Question 16

ROU GUI can “lead fire back to its source”

under what 2 TCM pattern discussed in class are they applicable?

what should the dose be for each pattern?

Answer 16

floating yang and true cold below/false heat above

2.7g and below

Question 17

of the herbs that we have discussed, list herbs that are frequently accompany ROU GUI for lower jiao cold?

Answer 17

HUANG BAI and ZHI MU (because they guide to lower jiao)

Question 18

ROU GUI disperses deep cold.

name some clinical applications in which it can be used? e.g. cold abdominal pain…

Answer 18

deep cold kidney yang deficiency things like diarrhea, amenorrhea and dysmenorrhea

due to cold stagnation, chest painful from HT yang deficiency

Question 19

what special preparation should be employed and why?

Answer 19

ROU GUI: use in powdered form; don’t powder it until right before putting it in decoction because the oil can go away quickly (short cooking form = chong fu)

ZHI FU ZI: cook 30 min before adding other herbs

Question 20

WU ZHU YU can relieve LV constraint.

under what clinical context was discussed in class? how does it compare with other relieve constraint herbs such as CHAI HU?

Answer 20

uterine cold, hernial pain due to cold

CHAI HU (close to neutral) - most used

XIANG FU (close to neutral) - most used

CHUAN LIAN ZI (cold)

WU ZHU YU (warm/hot)

XIAO HUI XIANG (warm/hot)

Question 21

many herbs in this category can stop vomiting due to what TCM mechanism?

Answer 21

when the vomiting is due to cold

warming the middle and reversing counterflow

Question 22

many herbs in this category can warm the middle burner but DING XIANG can also warm the KD and aid the YANG.

List a few clinical conditions that illustrate the use of this function.

Answer 22

impotence
clear vaginal discharge
womb cold from deficiency
genital cold
cold hernia

Question 23

XIAO HUI XIANG is well known for the use in Mounting Pain as well as lower jiao cold abdominal pain.

list some “usual suspects” herbs that are used for Mounting Pain.

Answer 23

mounting pain is pain along the liver channel, like you re mounting a horse

XIAO HUI XIANG + WU ZHU YU

Question 24

list possible clinical manifestations for SP/ST COLD.

Answer 24

nausea
vomiting
belching
diarrhea
feelings of pain and cold in chest/abdomen
undigested food in stool