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
What are two situations where Ren Shen would be appropriate to use?
Post-partum | After marathon
26
List category, channels and properties of Dang Shen.
Tonify Qi LU, SP Sweet, Neutral
27
List contraindications of Dang Shen
Use with caution in cases with excess pathogens
28
List functions and indications of Dang Shen
- 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
List category, channels and properties of Tai Zi Shen
Tonify Qi LU, SP Sweet, Slightly Bitter, Neutral
30
List functions and indications of Tai Zi Shen
- 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
Why is Tai Zi Shen often used in oncology and for unrelenting fever or summerheat in children?
Tai Zi Shen doesn't generate heat and can generate fluids
32
List category, channels and properties of Bai Zhu
Tonify Qi SP, ST Bitter, Sweet, Warm
33
List contraindications of Bai Zhu
internal heat from yin deficiency | thirst from exhausted fluids
34
List functions and indications of Bai Zhu
- 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
Bai Zhu can quiets the fetus due to _______
SP deficiency
36
How does Bai Zhu stop spontaneous sweating?
tonifies qi and stabilizes the exterior
37
List category, channels and properties of Gan Cao.
Tonify Qi HT, LU, SP, ST (all 12 channels) Sweet, Neutral
38
List contraindications of Gan Cao
distention and fullness of chest and abdomen or vomiting from overabundant dampness
39
List functions and indications of Gan Cao
- 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
What is the dosage of Gan Cao when it is used as an envoy?
1.5-3g
41
What is the dosage of Gan Cao when it is used to tonify qi?
6-9g
42
If a patient has Qi deficiency w/ lack of fluids or Yin deficiency, which are the best Tonify Qi herbs to use?
Ren Shen | Tai Zi Shen
43
Which Tonify Qi herbs would not be a good choice to generate fluids?
Bai Zhu
44
List the ingredients of Si Jun Zi Tang
Ren Shen - Chief Bai Zhu - Deputy Fu Ling - Assistant Zhi Gan Cao - Envoy
45
What are the actions of Si Jun Zi Tang
tonify qi and strengthen the SP