Michael's Final Review Flashcards
premier text on CM theory
Yellow Emperor’s Inner Classic Huang Di Nei Jing
1st book to focus on herbal prescriptions
Divine Husbands Classic of Materia Medica Shen Nong Ben Cao Jing
Zhang Zhong Jing
Discussion of cold damage Shang Han Lun
6 tastes
sour bitter sweet spicy salty bland
salty taste goes to the
KIDNEY
sweet taste travels in the
FLESH
bland herbs tend to promote diuresis and leech dampness. True or False
true
warming hot spicy aromatic herbs tend to move pathogenic factors up and out. true or false?
true
Mineral are generally cooked for
30-60min prior to adding other ingredients
directs the action of the other herbs in a formula
messenger/envoy
The eight traditional methods of Chinese herbal medicine (yi men ba fa) are
to sweat, vomit, purge, warm, clear, reduce/regulate, harmonize, tonify
A qian is approx
3 grams
Generally herbs are dosed at _____ per herb and formulas are consumed ______
3-9g, 2-3x/day
Herbs that release the exterior generally enter what level? Channel?
Wei/Tai Yang, Lungs
All of the following are reasons to use herbs for releasing the exterior with caution or not at all –profuse sweating, sweating due to Qi deficiency or Yin deficiency, runny nose BUT NOT:
DEFICIENCY OF BLOOD AND/OR BODY FLUIDS
List 3 symptoms you would expect to see in a case of Wind-Cold invading the exterior?
Simultaneous fever/chills, pain upper back/neck, no sweat, cough/wheeze/chest tightness, common cold symptoms
Ma huang strongly induces sweating, facilitates lung qi and clam wheezing and:
promotes urination to reduce edema
Ma huang is a central nervous system stimulant so it must be used with caution with what conditions?
debilitation, spontaneous sweating from exterior deficiency, night sweats from yin deficiency, wheezing associated failure of the kidneys to accept qi
Which herb releases the muscle layer, unblocks yang qi and warms the middle?
Gui zhi
This slightly warm herb to release the exterior is useful for all types of wind, such as exterior wind, interior wind causing tremors/spasms, and wind-damp bi:
fang feng
This herb to release the exterior is especially good at unblocking the nasal passages relieving the pain of frontal headaches and treating vaginal discharge
bai zhi
This herb alleviates nausea stops coughing transforms phlegm and resolve toxicity of other herbs
sheng jiang (ginger)
vertex headache
Gao ben
occipital headache
Qian hou
frontal headache
Bai zhi
temporal headache
Xi xin
itching
Jing jie
Which is not useful for nasal congestion
sheng jian
Which of the nasal herbs also dispels dampness, treat WD Bi, and skin/itching
cang er zi
Kitchen herb useful for releasing exterior in very early stages of WC, also for unblocking yang and poultice for sores:
cong bai
This herb to release the exterior also harmonizes the middle, moves qi, treats restless fetus and morning sickness and seafood poisoning
zi su ye
What is promoting sweating:
diaphoretic
Ma huang tang is used for
exterior wind cold with wheezing as predominant symptom
The assistant that helps with the function of unblocking the flow of lung qi and arrests wheezing is
xing ren
is used to release pathogenic influences from the muscle layer and regulate nutritive and protective qi (harmonize ying and wei)
Gui zhi tang
Xian ru san is used for
summer external wind cold with dampness
A very effective formula for treating external cold with congested fluids manifesting with wet cough and post nasal drip
xiao qing long tong/minor blue dragon
One of the most effective formulas for the treatment of sudden turmoil stomach flu food poisoning and all digestive disharmony from dampness with exterior wind cold is-
hou xiang cheng qi tang
Name the five tastes and their main functions:
- Salt: yin, drains downward, softens/resolves masses
- Sweetness: scatter, are yang, supplementing, harmonizing, tonifying and moistening
- Pungent: scatter, are yang, induce sweat and act on qi and blood
- Sourness: drain, are yin, astringent
- Bitterness: drains heat downward, are yin, purges the bowels, and eliminates dampness
- Bland: are yin, seeps/drains fluid, dampness
directs the action of the other herbs in a formula and comprises the main ingredient(s) of the formula
The PRINCIPAL/CHIEF
A strong formula in the release exterior cooling category that is used to treat flu and influenza is
yin qiao san
What physiological effect do hers that release the exterior have on the body? Called in western med?
To sweat, diaphoresis
directs or focuses the formula on a certain channel or area of the body or harmonized and integrates the action of the other ingredients
The ENVOY
Sheng Jiang releases the exterior, warms the middle to stop nausea, and resolves toxicity of other herbs- what else?
stops cough/resolves phlegm
Ma huang tang and gui shi tang come from the
shang han lun
Ma huang tong ingredients:
ma huang, gui zhi, xing ren, zhi gan cao
Ma huang tang presentation:
normal tongue coating, tight and floating pulse, headache and nasal congestion with white exudates, more chills than fever, absence of sweating, cough and wheezing.
Xiao qing long tang minor blue dragon functions/indications:
release exterior wind cold with internal phlegm cough copious clear or white sputum no sweating rolling and slipper pulse moist or greasy tongue coating
Patient has mild headache sore throat red itchy eyes for 2 days, other symptoms include fever slight cough, tongue red tip light yellow coating, plus superficial and slightly rapid=
sang ju yin (mulberry leaf and chrysanthemum decoction)
Choosing sang ju yin (mulberry leaf and chrysanthemum decoction) over yin qiao san (honeysuckle/lonicera forsythia powder) would be:
patient presents with mild wind heat with cough as major symptom
Xian ru san (elsholtzia powder) is used for
wind cold with dampness in the summer
Fang feng tong shen san is prescribed (trendy) for obesity, but classically for
external wind heat with internal heat accumulation
Toxic heat symptoms
discharge, infection, severe sore throat, generally sicker
4 symptoms of wind invasion at wei level:
simultaneous chills/fever, pain in upper back/neck, floating rapid pulse, white tongue coat
treats wind cold OR wind heat, vents rashes and alleviates itching and stops bleeding
jing jie
releases the muscles to treat tight upper back and neck, also generates fluids to treat thirst, vents rash of measles and raises yang to stop diarrhea
ge gen
exterior releasing herb that enters the GB LV SJ to reduce fever, resolves shao yang disorders, moves stagnant liver qi and lifts yang qi
chai hu
has an ascending nature and guides the action of other herbs upward, clears heat and resolves toxicity to treat such thing as ulcerated gums, vents measles BUT NOT USED IN LARGE DOSES
Sheng ma
Important symptoms (2 on exam) that tell you a patient has a wind-heat invasion as opposed to wind-cold:
severe fever, red eyes Fever and Chills w/ Fever predominant & Sweating
has an affinity for the upper burner, to treat W-H symptoms affecting the head, eyes and throat, also vents rashes, moves liver qi and expels turbid filth
bo he
dispels W-H, especially beneficial to throat, also resolves toxicity, vents rashes and moistens the intestines
nui bang zi
sang ye, ju hua, man jing zi are helpful for the eyes. what is NOT?
dan dou chi
locally growing non-native invasive herb is excellent to treat exterior conditions lodged in the muscles, especially tight upper back and neck, generates fluids and raises yang to stop diarrhea
ge gen
chai ge jie ji tan (bleuperum kudzu decoc. To release muscle layer) treats wind cold transforming into wind heat with a lot of?
PAIN
Yin qiao san (lonicera honeysuckle powder) contains ban lan gen (isatis) and is particularly useful in treating?
viral conditions
Qian lan tan & zhong gan ling are for
wind heat toxin, cools the blood, relieves aching neck and shoulders and moistens and soothes the throat.
Zhi ban xia should only be used in it’s prepared form, dries dampness, treats nausea and vomiting BUT does NOT
DISPERSES WIND-PHLEGM
Zhi tian nan xing is useful for cough and distention in the chest due to stubborn phlegm, is used topically for swelling and pain, but is best known for
dispersing wind-phlegm that causes spasm, vertigo, paralysis, etc
warms the lungs, regulates qi, disperses clumps and unblocks the collaterals
Bai jie zi
popular herb that releases the exterior, benefits the throat, unblocks the sinus, and directs the action of the other herbs upward.
Jie geng
Phlegm is: a major cause of chronic illness, is often the result of unresolved EPFs, is often the underlying cause of unusual and difficult cases (knotty diseases) BUT is NOT:
EASILY RESOLVED
• Phlegm accumulating in lungs:
mucus, cough
• Phlegm accumulating in the stomach:
rebellious qi, vomiting
• Phlegm stagnating in the channels:
nodules
• Phlegm obstructing the heart orifices:
palpitations, misting mind
Chuan bei mu is best know for treating _____ cough, while zhi be mu is best for _____ cough
CHRONIC, ACUTE
directs turbid phlegm downward, unbinds the chest and reduces abscesses
gua lou
Pang da hai is fabulous for
easing sore throat and hoarseness, also moistens intestines
The seaweeds are best at treating _______ while the bamboo family is known for treating _____.
NODULES & HARDNESS, PHLEGM-HEAT
Of the bamboos, _____ treats GB fire and stops vomiting
zhu ru
To treat phlegm, one must often strengthen the spleen, nourish the kidney yang and
REGULATE QI
Ban xia, ju huang, (chen pi), fu ling and gan cao make up the formula
er chen tang (liu jun zi tang acceptable too)
Coughing with copious clear or white sputum focal distention nausea weakness of the extremities headache and palpitations with anxiety are manifestations of
DAMP PHLEGM
For the treatment of hot phlegm in the lungs with damage to the fluids one might consider
bei mu gua san (fritillaria trichosanthes powder)
is used to treat cold damp phlegm and food stagnation blocking the epigastrium and chest, often combined with er chen tang if taken over a long period of time
San zi yang qin tang (3 seed nourish parents
Ban xia bai zhu ma tang (pinella white atractylodes gastrodia decoc) can be used as a guiding formula in the treatment of
MIGRAINES due to wind phlegm
A formula that may be useful in the treatment of Bell’s Palsy is
qian zheng san (leading the upright back powder)
A very effective formula to nourish yin and moisten the lung in cases of chronic yin deficient cough is
Bai He Gu Jin Tang (Lily Bulb Decoction to Preserve Metal)
Sang xin tang (morus leaves prunus armecica decoc) is indicated for
externally contracted warm dryness
what formula warms and transforms phlegm and congested fluids tonifies the spleen and resolves dampness
Ling gan wu wei jiang xin tang (Hoelen, Licorice, Schizandra, Dried Ginger & Asarum Decoc)
what formula was developed to treat diphtheria, but is now modified and combined with sore throat powders to treat a variety of throat infections
Yang Yin Qing Fei Tang (Nourish Yin & Clear Lung Decoction)
