Lecture 8 Flashcards

Cool &Transform Phlegm, Transform Cold Phlegm, Relieve Cough & Wheezing, Relieve Food Stagnation

1
Q

Herbs that Cool and Transform Phlegm Heat - What kinds of symptoms do these herbs treat?

A

cough with phlegm, scrofula, goiter, convulsions, mania

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2
Q

Herbs that Cool and Transform Phlegm Heat are focused on phlegm in which part of the body?

A

Respiratory and Digestive Tract (LU and SP/ST)

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3
Q

What is the difference between substantial and insubstantial phlegm?

A

Substantial phlegm is visible and can expectorated e.g. nasal discharge, sputum, mucus

Insubstantial phlegm is “invisible” and can be characterized by fixed masses e.g. swelling, nodules, goiter, stones, misting the mind

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4
Q

What is the difference between dampness and phlegm?

A

Phlegm is the end product of congealed dampness

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5
Q

List category, channels, properties of Qian Hu

A

Cool and Transform Phlegm Heat
LU
Bitter, Acrid, Slightly Cold

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6
Q

List contraindications of Qian Hu

A

coughing from yin deficiency fire

coughing and wheezing associated w/ cold, thin mucus

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7
Q

List functions and indications of Qian Hu

A
  • Directs qi downward and dispels phlegm: cough/wheezing w/ thick sputum due to turbid clogging of the LU
  • Disperses and scatters wind-heat: exterior wind-heat with cough, wind-heat constraining LU
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8
Q

Qian Hu - what direction does it move?

A

Downward

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9
Q

What happens when you mix phlegm and heat together?

A

Vicious cycle where phlegm traps heat and the heat further dries the phlegm, making it thicker and harder to treat

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10
Q

List category, channels and properties of Zhi Ban Xia

A

Warm Herbs that Transform Cold Phlegm
LU, SP, ST
Acrid, Warm, Toxic

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11
Q

List contraindications for Zhi Ban Xia

A

caution in dry cough from yin deficiency, sore throat from fire excess or bleeding

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12
Q

List functions and indications of Zhi Ban Xia

A
  • Dries dampness, transforms phlegm, causes rebellious qi to descend: cough w/ copious sputum, cold-phlemg in LU, transforming phlegm due to dampness of SP
  • Directs rebellious qi downward and stops vomiting: nausea, vomiting due to cold, thin mucus ST deficiency, ST heat or pregnancy (morning sickness)
  • Dissipates nodules and reduces clumps: nodules, pressure, distention, pain due to phlegm lingering in chest, phlegm nodules in neck, or obstruction caused by phlegm
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13
Q

How is Zhi Ban Xia prepared? Why?

A

Prepared with Ginger Juice to reduce its toxicity

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14
Q

What are some manifestations or signs of rebellious ST qi?

A

nausea, vomiting

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15
Q

What is the action of Er Chen Tang?

A

Dries dampness, transforms phlegm, regulates qi, harmonized middle jiao

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16
Q

What is the chief herb of Er Chen Tang?

A

Ban Xia

17
Q

What are the etiologies of cough and wheezing?

A

disruption of dispersing and descending function of LU qi caused either by EPF or internal excess /deficiency

18
Q

Cough and Wheezing are _______ symptoms

A

branch

19
Q

List category, channels, properties of Xing Ren

A

Relieve Cough and Wheezing
LU, LI
Bitter, Slightly Warm, Slightly Toxic

20
Q

Xing Ren is with Ma Huang in what formula?

A

Ma Huang Tang

21
Q

How do Xing Ren and Ma Huang work together as a Dui Yao?

A

Together they restore the dispersing and descending function of LU qi

22
Q

List contraindications of Xing Ren

A

yin deficiency cough/general debility
caution in infants, diarrhea
avoid over-dosage

23
Q

List functions and indications of Xing Ren

A
  • Stops cough and calms wheezing: cough disorders caused by heat or cold. Especially for externally-contracted dry cough
  • Moistens the intestines and unblocks the bowels
24
Q

Herbs that Relieve Food Stagnation - how do they treat food stagnation?

A

harmonize middle jiao, promote digestion,

guide out accumulation through digestive tract

25
Q

Herbs that Relieve Food Stagnation - what jiao do they primarily treat?

A

middle jiao

26
Q

What are the general signs/symptoms of food stagnation?

A

fullness, distention in the ST and abdomen, belching, acid reflux, nausea, vomiting, irregular bowel movement

27
Q

What is food accumulation?

A

disorder characterized by abdominal mass, distention and/or pain. Often caused by emotional disturbance resulting in stagnant qi or blood, but can also arise from improper diet, phlegm, or hot/cold disorders

28
Q

What are Hot Types of Food Stagnation?

A

severe bad breath, distention in abdomen, preference for cold food/beverages and aversion to hot ones, tongue coat: yellow greasy, pulse: forceful and slippery

29
Q

What are causes of Cold Types of Food Stagnation?

A

SP/ST deficiency, ingesting too much cold food

30
Q

What are Cold Types of Food Stagnation?

A

nausea, spitting up clear fluids, distention in abdomen, preference for hot food/beverages and aversion to cold ones, tongue coat: white greasy, pulse: thin and weak

31
Q

List category, channels and properties of Shan Zha

A

Relieve Food Stagnation
LV, SP, ST
Sour, Sweet, Slightly Warm

32
Q

List contraindications of Shan Zha

A

weakness/deficiency of SP/ST

large dose contraindicated in pregnancy

33
Q

List functions and indications of Shan Zha

A
  • Reduces food stagnation and transforms accumulation: accumulation due to meat/greasy foods w/ abdominal distention, pain, diarrhea
  • Transforms blood stasis and dissipates clumps: post-partum abdominal pain and clumps due to blood stasis, bulging disorders (hernia)
  • Stops diarrhea: partially charred herb for chronic dysentery-like disorder
  • Recently used for hypertension, coronary artery disease, elevated serum cholesterol
34
Q

What type of food stagnation is Shan Zha best to treat?

A

stagnation caused by meat or greasy foods

35
Q

To stop diarrhea, what is the preparation for Shan Zha?

A

Chao - partially charred

36
Q

List ingredients of Er Chen Tang

A

Ban Xia
Chen Pi
Fu Ling
Zhi Gan Cao

37
Q

List latin names of Qian Hu, Zhi Ban Xia, Xing Ren, Shan Zha

A

Peucedani Radix
Pinelliae Rhizoma preparatum
Armeniacae Semen
Crataegi Fructus