Lecture 10 Flashcards

Warm the Interior & Expel Cold, Tonify Qi

1
Q

What could create a situation of Internal Cold from Excess?

A

Consuming iced drinks, raw food

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2
Q

What is the deficiency in a situation of Internal Cold from Deficiency?

A

Yang Deficiency - KD, SP, HT

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3
Q

What are some signs and symptoms of internal cold?

A

aversion to cold, white facial complexion, pale tongue, glossy coat, slow pulse

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4
Q

Why is fluid accumulation an issue with excess cold?

A

Yang deficiency can suppress fluid metabolism

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5
Q

Why is fluid accumulation an issue with deficiency cold?

A

Herbs that disperse accumulations can exasperate deficiency

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6
Q

What channels do Herbs that Warm the Interior and Expel Cold tend to direct towards?

A

HT, KD, SP (LV)

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7
Q

What 6 channel stage is most affected by Herbs that Warm the Interior and Expel Cold?

A

Shao Yin

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8
Q

What are some general contraindications of Herbs that Warm the Interior and Expel Cold?

A

Heat, Blood loss, Yin Deficiency, Pregnancy

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9
Q

List Latin Names of Zhi Fu Zi, Ren Shen, Dang Shen, Tai Zi Shen, Bai Zhu, Gan Cao.

A
Aconiti Radix Lateralis Preparata
Ginseng Radix
Codnopsis Radix
Pseudostellariae Radix
Atractylodis Macrocephalae Rhizoma
Glycyrrizae Radix
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10
Q

List category, channels and properties of Zhi Fu Zi.

A

Warm the Interior and Expel Cold
HT, KD, SP
Acrid, Hot, Toxic

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11
Q

Herbs that Warm the Interior and Expel Cold tend to have what properties?

A

Bitter, Acrid, Warm or Hot

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12
Q

How is Zhi Fu Zi prepared?

A

Steaming

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13
Q

What are the contraindications of Zhi Fu Zi?

A

yin deficiency and abundant yang, true heat & false cold, pregnancy

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14
Q

Why is Zhi Fu Zi said to guide the actions of other herbs into the 12 channels?

A

The herb treats systemically (whole body)

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15
Q

What does a situation of True Heat and False Cold mean?

A

cold from qi stagnation in the center prevents heat from radiating to the extremities

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16
Q

List function and indications of Zhi Fu Zi.

A
  • Revives yang and rescues from rebellion: weak yang qi & cold yin is abundant, diarrhea containing undigested food, chills, cold extremities, faint/almost imperceptible pulse.
  • Warms the fire and assists the yang: weakness or deficiency of HT, SP, KD yang.
  • Disperses cold, warms the channels, alleviates pain: wind-cold-damp painful obstruction, cold blocking organs, channels, sinews, bones, or blood vessels, yin flat abscesses
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17
Q

Herbs that Tonify Qi primarily treat which organs?

A

LU and SP

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18
Q

What are some LU qi deficiency signs and symptoms?

A

shortness of breath, shallow breathing, dyspnea on exertion, weak voice, pale complexion, spontaneous sweating

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19
Q

What are some SP qi deficiency signs and symptoms?

A

fatigue, lethargy, weak limbs, lack of appetite, abdominal distention, loose stools, general edema, prolapse

20
Q

Is it always good to tonify?

A

Caution in case of external/internal pathogen,

Tonifying herbs are cloying and can cause headaches

21
Q

What is the difference between Bai Ren Shen and Hong Shen?

A

Bai Ren Shen - mildly warm, generates fluids, best for Qi Xu with Jin Ye or Yin Xu

Hong Shen - warmer, tonify Yuan Qi, best for Qi Xu with Yang Xu

22
Q

List category, channels and properties of Ren Shen.

A

Tonify Qi
LU, SP
Sweet, Slightly Bitter, Slightly Warm

23
Q

What are the contraindications of Ren Shen?

A

presence of external pathogen,
steaming bone disorder, heat in the blood, ascendant LV yang, fire from constraint. Avoid with high doses of caffeine or other stimulants

24
Q

List functions and indications of Ren Shen

A
  • powerfully tonifies the primal qi: collapse of qi, shallow breathing, cold limbs, profuse sweat, nearly imperceptible pulse
  • strengthen SP and tonify ST: lethargy, lack of appetite, chest and abdominal distention, chronic diarrhea, prolapse of ST, uterus or rectum
  • tonifies LU and augments qi: wheezing, shortness of breath, labored breathing on exertion, failure of KD to grasp qi
  • generates fluids and stops thirst: wasting & thirsting disorder, qi & fluids injured by high fever & profuse sweat
  • benefits HT qi and calms the spirit: palpitations w/ anxiety, insomnia, forgetfulness and restlessness due to qi & blood deficiency
  • miscellaneous adjunctive effect: used where a stronger primal qi will indirectly aid in resolution of condition
25
Q

What are two situations where Ren Shen would be appropriate to use?

A

Post-partum

After marathon

26
Q

List category, channels and properties of Dang Shen.

A

Tonify Qi
LU, SP
Sweet, Neutral

27
Q

List contraindications of Dang Shen

A

Use with caution in cases with excess pathogens

28
Q

List functions and indications of Dang Shen

A
  • tonifies the middle burner adn augments the qi: lack of appetite, fatigue, tired limbs, diarrhea, vomiting, chronic illness w/ SP qi deficiency. Prolapse of uterus, rectum, ST due to collapsed SP qi
  • tonifies the LU: for LU deficiency w/ chronic cough, shortness of breath, copious sputum due to SP qi deficiency
  • used w/ herbs that release exterior or drain downward when there is significant qi deficiency: supports the normal while other herbs expel the pathogenic influences
29
Q

List category, channels and properties of Tai Zi Shen

A

Tonify Qi
LU, SP
Sweet, Slightly Bitter, Neutral

30
Q

List functions and indications of Tai Zi Shen

A
  • strengthens SP and augments qi: SP/ST deficiency w/ fatigue and lack of appetite. Also for LU qi deficiency w/ spontaneous sweating
  • generates fluids: thirst and injury to fluids after febrile disease. Also for unrelenting fever or summerheat in children
31
Q

Why is Tai Zi Shen often used in oncology and for unrelenting fever or summerheat in children?

A

Tai Zi Shen doesn’t generate heat and can generate fluids

32
Q

List category, channels and properties of Bai Zhu

A

Tonify Qi
SP, ST
Bitter, Sweet, Warm

33
Q

List contraindications of Bai Zhu

A

internal heat from yin deficiency

thirst from exhausted fluids

34
Q

List functions and indications of Bai Zhu

A
  • tonifies the SP and augments qi: SP/ST deficiency w/ diarrhea, fatigue, sallow complexion, lack of appetite
  • dries dampness and promotes water metabolism: accumulation of fluids affecting digestion, edema & reduced urination due to SP deficiency & its failure to transform and transport. Auxiliary herb for damp painful obstruction
  • stabilizes exterior and stops sweating: spontaneous sweating due to qi deficiency
  • calms the fetus: restless fetus due to SP deficiency
35
Q

Bai Zhu can quiets the fetus due to _______

A

SP deficiency

36
Q

How does Bai Zhu stop spontaneous sweating?

A

tonifies qi and stabilizes the exterior

37
Q

List category, channels and properties of Gan Cao.

A

Tonify Qi
HT, LU, SP, ST (all 12 channels)
Sweet, Neutral

38
Q

List contraindications of Gan Cao

A

distention and fullness of chest and abdomen or vomiting from overabundant dampness

39
Q

List functions and indications of Gan Cao

A
  • tonifies SP and augments qi: SP deficiency w/ shortness of breath, lassitude, loose stools. Also for qi/blood deficiency patterns w/ irregular/intermittent pulse and/or palpitations
  • moistens LU and stops cough: cough or wheezing, heat/cold in LU, non-/productive cough
  • moderates spasms and alleviates pain: spasms of abdomen and legs, when combined w/ Bai Shao
  • clears heat and resolves fire toxicity: carbuncles, sores, sore throat due to fire toxin
  • antidote for toxic substances
  • moderates & harmonizes characteristics of other herbs
40
Q

What is the dosage of Gan Cao when it is used as an envoy?

A

1.5-3g

41
Q

What is the dosage of Gan Cao when it is used to tonify qi?

A

6-9g

42
Q

If a patient has Qi deficiency w/ lack of fluids or Yin deficiency, which are the best Tonify Qi herbs to use?

A

Ren Shen

Tai Zi Shen

43
Q

Which Tonify Qi herbs would not be a good choice to generate fluids?

A

Bai Zhu

44
Q

List the ingredients of Si Jun Zi Tang

A

Ren Shen - Chief
Bai Zhu - Deputy
Fu Ling - Assistant
Zhi Gan Cao - Envoy

45
Q

What are the actions of Si Jun Zi Tang

A

tonify qi and strengthen the SP