Michael's Final Review Flashcards by Nicole Pitts

premier text on CM theory

Yellow Emperor’s Inner Classic Huang Di Nei Jing

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1st book to focus on herbal prescriptions

Divine Husbands Classic of Materia Medica Shen Nong Ben Cao Jing

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Zhang Zhong Jing

Discussion of cold damage Shang Han Lun

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6 tastes

sour bitter sweet spicy salty bland

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salty taste goes to the

KIDNEY

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sweet taste travels in the

FLESH

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bland herbs tend to promote diuresis and leech dampness. True or False

true

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warming hot spicy aromatic herbs tend to move pathogenic factors up and out. true or false?

true

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Mineral are generally cooked for

30-60min prior to adding other ingredients

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directs the action of the other herbs in a formula

messenger/envoy

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The eight traditional methods of Chinese herbal medicine (yi men ba fa) are

to sweat, vomit, purge, warm, clear, reduce/regulate, harmonize, tonify

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A qian is approx

3 grams

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Generally herbs are dosed at _____ per herb and formulas are consumed ______

3-9g, 2-3x/day

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Herbs that release the exterior generally enter what level? Channel?

Wei/Tai Yang, Lungs

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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

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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

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Ma huang strongly induces sweating, facilitates lung qi and clam wheezing and:

promotes urination to reduce edema

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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

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Which herb releases the muscle layer, unblocks yang qi and warms the middle?

Gui zhi

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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

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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

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This herb alleviates nausea stops coughing transforms phlegm and resolve toxicity of other herbs

sheng jiang (ginger)

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vertex headache

Gao ben

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occipital headache

Qian hou

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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)